MARY HITCHCOCK MEMORIAL HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MARY HITCHCOCK MEMORIAL HOSPITAL (EIN 02-0222140)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-16
IRS object ID: 201901369349301400
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-16T18:37:29-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020222140	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% DANIEL P JANTZEN CPA	InCareOfNm
Business Name Control	MARY	BusinessNameControlTxt
Phone	6036505000	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANIEL P JANTZEN CPA	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6036505634	PhoneNum
Signature	2019-05-13	SignatureDt

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	73.238.98.12	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	02156120191345000003	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	2BE12636455E9909F4E31A21FECE1B4926AFB72A	AtSubmissionCreationDeviceId
At Submission Filing Device Id	E8EC177FEE7DA50EB3CF875498023FC0D70D03D5	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Joanne M Conroy MD	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,472,986,592	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.dartmouth-hitchcock.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1889	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	Advancing Health Through Research, Education, Clinical Practice, Community Partnerships, providing each person the best care in the right place, at the right time,every time.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	5988	TotalEmployeeCnt
Total Volunteers	647	TotalVolunteersCnt
Total Gross UBI	$6,061,228	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$788,673	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$41,242,528	PYContributionsGrantsAmt
CY Contributions Grants	$29,386,191	CYContributionsGrantsAmt
PY Program Service Revenue	$1,095,054,593	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,152,052,585	CYProgramServiceRevenueAmt
PY Investment Income	$20,952,650	PYInvestmentIncomeAmt
CY Investment Income	$33,767,195	CYInvestmentIncomeAmt
PY Other Revenue	$25,430,069	PYOtherRevenueAmt
CY Other Revenue	$45,841,245	CYOtherRevenueAmt
PY Total Revenue	$1,182,679,840	PYTotalRevenueAmt
CY Total Revenue	$1,261,047,216	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,744,685	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,236,772	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$679,834,438	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$679,850,538	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$160,800	CYTotalFundraisingExpenseAmt
PY Other Expenses	$469,945,438	PYOtherExpensesAmt
CY Other Expenses	$527,386,727	CYOtherExpensesAmt
PY Total Expenses	$1,152,524,561	PYTotalExpensesAmt
CY Total Expenses	$1,210,474,037	CYTotalExpensesAmt
PY Revenues Less Expenses	$30,155,279	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$50,573,179	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,322,008,676	TotalAssetsBOYAmt
Total Assets EOY	$1,448,110,334	TotalAssetsEOYAmt
Total Liabilities BOY	$737,988,485	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$820,807,995	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$584,020,191	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$627,302,339	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	$939,434,129	ExpenseAmt
Grant	$3,236,772	GrantAmt
Revenue	$1,153,048,582	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 major teaching hospital, a tertiary care referral hospital, and as a Prospective Payment System hospital (as defined by CMS). These include a full range of services in both acute and critical medicine, surgery, psychiatry and rehabilitation for infants, children and adults. During FY 2018 the Hospital provided 128,060 acute patient days of inpatient service and had 27,495 total acute care discharges, while the Hospital's emergency room was open to the public 24 hours per day, 7 days per week and had 30,417 discharges. Dartmouth-Hitchcock 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. Consistent with this mission and in partnership with the Dartmouth-Hitchcock Clinic, the Hospital provides high quality, cost effective, comprehensive, and integrated health care to individuals, families, and the communities it serves regardless of a patient's ability to pay. The Hospital actively supports community-based health care and promotes the coordination of services among health care providers and social services organizations. Through formal affiliations and other clinical collaborations, the Hospital also seeks to partner with other area health care providers to improve the health status of the region. The Jack Byrne Center for Palliative & Hospice Care, coordinates the clinical, educational, and research efforts of the Hospital and visiting nurse alliances around the region, to offer much-needed care for patients at the end of life, in a clinical setting that meets the needs of patients and their families. The Hospital also continues to build its telemedicine program to provide care across its rural region and in particular to make specialist consultation and care available to community hospitals. This allows caregivers at remote locations to access specialists at Dartmouth-Hitchcock and bring them "virtually" to the patient's bedside. D-H's Connected Care Center in Lebanon offers a 24/7 team of physicians, pharmacists, and nurses supporting care in 40+ specialties to 11 facilities in New Hampshire and Vermont. Acute care telehealth service lines, currently include TeleEmergency, TelePharmacy, TeleNeurology, TeleICU, TelePsychiatry and TeleUrgentCare, and in FY18 a major partnership with Philips helped implement TeleICU services within intensive care units at Dartmouth-Hitchcock Medical Center and Cheshire Medical Center in Keene, NH. In an effort to integrate behavioral health and primary care, the Hospital continues to be the lead convener for the State of New Hampshire Delivery System Reform Incentive Program ("DSRIP") for the Region 1 Integrated Delivery Network. This program is funded through a section 1115 Waiver Research and Demonstration Transformation Waiver that the State of New Hampshire received from CMS. The Waiver Enables health care providers and community partners within a region to form relationships focused on transforming care, to combat the opioid crisis, and strengthen the state's strained mental health system. This work began in July 2016 and will continue through December 31, 2020. In addition to the Hospital, Dartmouth-Hitchcock Clinic and Cheshire Medical Center are playing leadership roles in this initiative. The Hospital files an annual Community Benefits Report with the State of New Hampshire which outlines the community and charitable benefits they provide. The most recent Community Benefits Reports are available upon request or can be found on Dartmouth-Hitchcock's website. 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, 2018 the Hospital provided financial assistance to 5,417 patients in the amount of $17,303,324 as measured by gross charges. The estimated cost of providing this care for the year ended June 30, 2018 was $6,760,409. 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 debt, which is not included in the amounts reported above. During the year ended June 30, 2018, the Hospital reported a provision for bad debt of $15,586,818.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$53,652,814	ExpenseAmt
Revenue	$35,345,645	RevenueAmt
Desc	As a component of New Hampshire's only integrated academic medical center, the Hospital provides the Geisel School of Medicine at Dartmouth (GSM) 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. In FY18, Dartmouth-Hitchcock continued the transition of research activities and management from the Geisel School to D-H, under the leadership of the Vice President for Research Operations, developing the research enterprise.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$993,086,943	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	Yes (true)	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1104	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	5988	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (62 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Vincent S Conti MHA
Trustee	0.75	1.25	Yes (X)	$0	$0	$0
Anne-Lee Verville
Trustee/Board Chair	1.5	2.5	Yes (X)	$0	$0	$0	Yes (X)
Barbara Couch MS
Trustee/Board Secretary	1.5	2.5	Yes (X)	$0	$0	$0	Yes (X)
William J Conaty
Trustee	0.75	1.25	Yes (X)	$0	$0	$0
Robert A Oden Jr PhD
Trustee/Vice Chair	1.5	2.5	Yes (X)	$0	$0	$0	Yes (X)
James N Weinstein DO MS
Trstee Ex-Off/CEO end 7/2/17	38.55	22.96	Yes (X)	$0	$3,173,507	$113,137	Yes (X)
Denis A Cortese MD
Trustee ends 6/23/18	0.75	1.25	Yes (X)	$0	$0	$0
Senator Judd A Gregg
Trustee	0.75	0.75	Yes (X)	$0	$0	$0
Laura K Landy MBA
Trustee	0.75	1.25	Yes (X)	$0	$0	$0
Paul P Danos PhD
Trustee	0.75	1.25	Yes (X)	$0	$0	$0
Troyen Brennan MD MPH
Trustee ends 7/31/17	0.75	1.25	Yes (X)	$0	$0	$0
Duane A Compton PhD
Trustee/Ex-Officio	0.75	1.56	Yes (X)	$0	$0	$0
M Brooke Herndon MD MS
Trustee/Physician end 12/31/17	28.0	12.0	Yes (X)	$0	$208,792	$63,175
Charles G Plimpton MBA
Trustee/Board Treasurer	1.5	2.5	Yes (X)	$0	$0	$0	Yes (X)
Jeffrey A Cohen MD
Trustee/VP Service Line	28.0	15.0	Yes (X)	$0	$437,776	$88,112
Timothy D Scherer MD
Trustee end 12/13/17 Physician	28.0	12.0	Yes (X)	$0	$519,777	$81,712
Brian C Spence MD MHCDS
Trustee/Staff Physician	28.0	12.0	Yes (X)	$0	$461,954	$49,478
Kari M Rosenkranz MD
Trustee/Physician	28.0	12.0	Yes (X)	$0	$545,731	$29,955
Cherie Holmes MD
Trustee eff 3/15/18	28.0	13.0	Yes (X)	$0	$422,507	$144,417
Edward H Stansfeild III MA
Trustee eff 7/1/17	0.75	1.75	Yes (X)	$0	$0	$0
Joanne M Conroy MD
Ttee eff 8/7/17 Ex-Officio CEO	37.8	22.21	Yes (X)	$0	$412,873	$6,750	Yes (X)
Pamela Thompson MS RNCENP FAAN
Trustee eff 7/1/17	0.75	1.25	Yes (X)	$0	$0	$0
Jon Wahrenberger MD FAHA FACC
Trustee eff 1/1/18	0.75	0.75	Yes (X)	$0	$0	$0
Marc B Wolpow JD MBA
Trustee eff 1/1/18	0.75	1.25	Yes (X)	$0	$0	$0
Daniel P Jantzen CPA
Chief Financial Officer	39.0	24.01		$719,087	$0	$138,886	Yes (X)
Stephen Leblanc
Chief Strategy Officer	39.0	23.01		$0	$790,399	$221,976	Yes (X)
Edward Merrens MD
Chief Clinical Officer	42.0	20.0		$0	$672,063	$66,216	Yes (X)
Maria Padin MD
Chief Medical Officer	42.0	20.0		$0	$399,509	$275,686	Yes (X)
Sowmya Viswanathan MD
Chief ACO Officer end 12/2/17	42.0	18.0		$0	$362,126	$38,957	Yes (X)
Susan A Reeves EdD RN
Chief Nursing Officer	42.0	18.0		$197,910	$0	$28,709	Yes (X)
Patrick Jordan III MBA
Chief Oper Offcr eff 11/20/17	39.0	22.0		$46,154	$0	$2,396	Yes (X)
Vincent Fusca III
Chief of Staff	28.0	13.0		$151,957	$0	$7,742		Yes (X)
George Blike MD
Chief Quality & Value Officer	28.0	14.0		$0	$479,654	$354,998		Yes (X)
John S Malanowski MILR
Chief HR Officer	42.0	18.0		$603,227	$0	$28,569		Yes (X)
Jocelyn Chertoff MD
Vp Srvc Ln /Dpt Chr Dgnstc Rad	28.0	12.0		$0	$575,548	$112,602		Yes (X)
Jeffrey OBrien MHA
Vp Clinical Operations	28.0	13.0		$316,013	$0	$42,316		Yes (X)
John Kacavas JD
Chief Legal Officer	28.0	13.0		$540,763	$0	$39,936		Yes (X)
Peter D Solberg MD
Chf Medical Information Ofcr	28.0	12.0		$0	$375,458	$47,473		Yes (X)
Karen Clements RN BSN MSB FACHE
Chief Nursing Officer	28.0	12.0		$364,122	$0	$29,270		Yes (X)
Thomas J Siepka
Chief Pharm Offcr end 4/7/18	28.0	12.0		$308,821	$0	$22,578		Yes (X)
Aimee M Giglio
Chief HR Officer	28.0	13.0		$296,409	$0	$33,978		Yes (X)
Sandra Wong MD
Chief ACO Officer	28.0	12.0		$0	$714,002	$29,956		Yes (X)
Staci Hermann PharmD MS
Int Chief Pharm Off eff 4/8/18	28.0	12.0		$170,080	$0	$14,644		Yes (X)
Simon Hillier
Dept Chair - Anesthesiology	28.0	12.0		$0	$512,380	$43,349		Yes (X)
Bruce King MSPH FHFMA
Pres & CEO New London Hosp	0.0	50.0		$358,188	$0	$72,711			Yes (X)
Martin Purcell MBA
VP IS Operations	28.0	12.0		$352,706	$0	$142,253			Yes (X)
Kimberly Troland JD
Deputy Gen Counsel	28.0	12.0		$377,488	$0	$39,937			Yes (X)
David Gladstone MD
Chf Clncl Physcn - Radiology	28.0	12.0		$334,544	$0	$91,837			Yes (X)
Leigh Burgess
VP Research Ops	28.0	12.0		$310,409	$0	$30,005			Yes (X)
Robin Kilfeather-Mackey CPA
Former CFO	0.0	0.0		$0	$313,945	$0				Yes (X)
Darlene A Saler MBA RN
Frmr Actg Chf Nrsg Ofr	28.0	13.0		$121,330	$0	$71,702				Yes (X)
Richard Rothstein MD
Dept Chair/Srvc Ln Ldr - Med	0.0	40.0		$0	$559,912	$77,875				Yes (X)
John Birkmeyer MD
Former CCO/EVP Entprs Sp	42.0	19.0		$0	$488,625	$0				Yes (X)
Mary Oseid MHCDS
Fmr Key Emp/VP Enterprise Svcs	28.0	13.0		$0	$259,438	$362,997				Yes (X)
Christine Schon MPA
Fmr Key Emp/Adm VP Prmry Care	0.0	40.0		$0	$274,101	$42,542				Yes (X)
Tina Naimie CPA MHCDS
Fmr Key Emp/VP Corp Finance	28.0	13.01		$252,623	$0	$21,010				Yes (X)
Wendy Fielding MBA
Fmr Key Emp/VP Finance Plnning	28.0	13.0		$244,771	$0	$40,257				Yes (X)
Thomas Dodds MD
Former Key Emp/Dept Chr Anesth	28.0	12.0		$0	$269,748	$142,174				Yes (X)
Wendy Wells MD
Fmr Key Emp/Dpt Chr Pathology	28.0	12.0		$0	$496,818	$165,100				Yes (X)
Edward Catherwood MD MS
Former Key Emp/Ctr Dir Hrt/Vsc	28.0	12.0		$0	$328,372	$58,389				Yes (X)
Steven Boyce
Fmr Key Emp/Adm. VP Med Spclts	28.0	12.0		$0	$243,090	$72,123				Yes (X)
Robert Greene MD MHCDS FACP
Fmr Chf Popul Mgmt Ofr	28.0	12.0		$0	$480,015	$14,827				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,066,602	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$14,778,120	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,602,712	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	426	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TRUSTEES OF DARTMOUTH COLLEGE
37 DEWEY FIELD	HANOVER	NH	03755	ADMIN & DIR SUPPORT	$8,762,503
Conifer Revenue Cycle Solutions LL
1500 S Douglass Road Ste 200	ANAHEIM	CA	92806	Revenue Mgmt	$31,957,770
American Healthcare Services Associ
PO Box 945	TRAVERSE CITY	MI	49685	Staffing Services	$7,980,163
PC Contruction Company
193 Tilley Drive	SOUTH BURLINGTON	VT	05403	Contruction Services	$14,184,366
Cross Country Staffing
PO BOX 404674	ATLANTA	GA	303844674	Staffing Services	$4,168,083

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	122	CntrctRcvdGreaterThan100KCnt
Government Grants	$18,403,057	GovernmentGrantsAmt
All Other Contributions	$10,983,134	AllOtherContributionsAmt
Noncash Contributions	$258,450	NoncashContributionsAmt
Total Contributions	$29,386,191	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621110	$1,079,812,804	$1,078,610,276	$1,202,528
RESEARCH RELATED ACTIVITIES	621110	$9,576,531	$9,576,531
PHARMACY INCOME	621110	$62,663,250	$62,524,127	$139,123

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,152,052,585	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,628,372	TotalRevenueColumnAmt
Unrelated Business Revenue	-$213,709	UnrelatedBusinessRevenueAmt
Exclusion	$10,842,081	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	$819,623	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$580,171	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$239,452	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$239,452	TotalRevenueColumnAmt
Exclusion	$239,452	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$234,498,048	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$211,356,870	SecuritiesAmt
Other	$2,335	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$23,141,178	SecuritiesAmt
Other	-$2,335	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,138,823	TotalRevenueColumnAmt
Exclusion	$23,138,823	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MEANINGFUL USE	621110	$326,256	$326,256
NEAH AND PROGRAM RELATED INVESTMENTS	621110	$2,167,383	$1,000,644	$1,166,739
CAFETERIA	621110	$2,985,214			$2,985,214

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,122,940	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,356,393	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,766,547	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$45,601,793	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,261,047,216	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,188,394,227	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,061,228	UnrelatedBusinessRevenueAmt
Exclusion	$37,205,570	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,852,250	TotalAmt
Program Services	$1,852,250	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,384,522	TotalAmt
Program Services	$1,384,522	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,710,343	TotalAmt
Program Services	$3,801,559	ProgramServicesAmt
Management And General	$7,748,579	ManagementAndGeneralAmt
Fundraising	$160,205	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$8,537,758	TotalAmt
Management And General	$8,537,758	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$532,245,573	TotalAmt
Program Services	$463,756,570	ProgramServicesAmt
Management And General	$68,489,003	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$31,429,952	TotalAmt
Program Services	$27,385,567	ProgramServicesAmt
Management And General	$4,044,385	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$60,790,493	TotalAmt
Program Services	$52,968,013	ProgramServicesAmt
Management And General	$7,822,480	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$35,136,419	TotalAmt
Program Services	$30,615,088	ProgramServicesAmt
Management And General	$4,521,331	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,686,541	TotalAmt
Program Services	$130,602	ProgramServicesAmt
Management And General	$1,555,939	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$577,500	TotalAmt
Management And General	$577,500	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$27,650	TotalAmt
Management And General	$27,650	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$82,489,409	TotalAmt
Program Services	$70,152,967	ProgramServicesAmt
Management And General	$12,336,442	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,823,921	TotalAmt
Program Services	$79,797	ProgramServicesAmt
Management And General	$2,744,124	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,970,834	TotalAmt
Program Services	$9,260,895	ProgramServicesAmt
Management And General	$2,709,939	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$13,100,139	TotalAmt
Program Services	$9,698,258	ProgramServicesAmt
Management And General	$3,401,881	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,148,901	TotalAmt
Program Services	$16,148,901	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,649,537	TotalAmt
Program Services	$2,052,682	ProgramServicesAmt
Management And General	$1,596,855	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	$129,897	TotalAmt
Program Services	$128,817	ProgramServicesAmt
Management And General	$1,080	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$11,939,439	TotalAmt
Program Services	$1,193,944	ProgramServicesAmt
Management And General	$10,745,495	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$63,759,109	TotalAmt
Program Services	$18,930,171	ProgramServicesAmt
Management And General	$44,828,938	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,635,324	TotalAmt
Program Services	$4,892,650	ProgramServicesAmt
Management And General	$1,742,674	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$202,529,306	$202,237,124	$292,182
MEDICAID ENHANCEMENT TAX	$53,043,764	$53,043,764
EQUIPMENT RENTAL & MAINT	$14,962,088	$10,512,257	$4,449,831
BOND-RELATED EXPENSES	$28,192,089	$2,819,209	$25,372,880

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,721,279	TotalAmt
Program Services	$10,041,336	ProgramServicesAmt
Management And General	$3,679,348	ManagementAndGeneralAmt
Fundraising	$595	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,210,474,037	TotalAmt
Program Services	$993,086,943	ProgramServicesAmt
Management And General	$217,226,294	ManagementAndGeneralAmt
Fundraising	$160,800	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$24,826,278	BOYAmt
EOY	$22,093,437	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$650,122	BOYAmt
EOY	$637,853	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$161,698,558	BOYAmt
EOY	$165,736,371	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$175,723	BOYAmt
EOY	$357,428	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	$10,597,854	BOYAmt
EOY	$10,970,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,883,224	BOYAmt
EOY	$19,449,482	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,667,649	BOYAmt
EOY	$12,380,174	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,140,508,645	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$719,724,345	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$423,959,374	BOYAmt
EOY	$420,784,300	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$279,958,184	BOYAmt
EOY	$293,202,103	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$326,211,369	BOYAmt
EOY	$341,687,033	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,970,881	BOYAmt
EOY	$7,382,716	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	$63,409,460	BOYAmt
EOY	$153,429,437	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,322,008,676	BOYAmt
EOY	$1,448,110,334	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$121,123,993	BOYAmt
EOY	$141,043,055	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	$3,864,030	BOYAmt
EOY	$5,835,994	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$325,850,834	BOYAmt
EOY	$0	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	$188,220,589	BOYAmt
EOY	$581,255,207	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	$98,929,039	BOYAmt
EOY	$92,673,739	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$737,988,485	BOYAmt
EOY	$820,807,995	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$485,657,981	BOYAmt
EOY	$541,814,181	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$68,071,892	BOYAmt
EOY	$54,254,505	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,290,318	BOYAmt
EOY	$31,233,653	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$584,020,191	BOYAmt
EOY	$627,302,339	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,322,008,676	BOYAmt
EOY	$1,448,110,334	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$50,573,179	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$9,111,084	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$16,402,115	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

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	$179,588	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$84,304	OtherActivitiesAmt
Total Lobbying Expenditures	$263,892	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

LOBBYING ACTIVITY EXPLANATION

FORM 990, SCHEDULE C, PART II B, LINES 1B & 1G MARY HITCHCOCK MEMORIAL HOSPITAL EMPLOYS TWO FULL TIME STAFF WHOSE DUTIES INCLUDE LOBBYING. TYPICAL EXPENSES ASSOCIATED WITH THE LOBBYING ACTIVITIES INCLUDE STAFF SALARY, TRAVEL, MEMBERSHIP FEES AND DUES. FROM TIME TO TIME, MARY HITCHCOCK MEMORIAL HOSPITAL, THROUGH ITS EMPLOYEES AND THE USE OF CONSULTANTS, CONTACTS GOVERNMENT OFFICIALS AND LEGISLATORS. THIS CONTACT IS FOR THE PURPOSE OF PROPOSING LEGISLATION OR EXPRESSING AN OPINION ON CHANGES IN LEGISLATION THAT AFFECT THE HOSPITAL AND ITS ABILITY TO CARRY OUT ITS MISSION. THE ACTIVITIES INCLUDE SENDING LETTERS TO, CALLING, AND MEETING WITH GOVERNMENT OFFICIALS AND LEGISLATORS. FOR THE FISCAL YEAR ENDED JUNE 30, 2018, MARY HITCHCOCK MEMORIAL HOSPITAL INCURRED $179,588 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	$56,795,299	BeginningYearBalanceAmt
Contributions	$338,335	ContributionsAmt
Investment Earnings Or Losses	$2,065,129	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,185,924	OtherExpendituresAmt
End Year Balance	$58,012,839	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$54,754,800	BeginningYearBalanceAmt
Contributions	$137,888	ContributionsAmt
Investment Earnings Or Losses	$2,553,792	InvestmentEarningsOrLossesAmt
Other Expenditures	$651,181	OtherExpendituresAmt
End Year Balance	$56,795,299	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.28250	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.53840	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.17910	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$50,350,802	OtherCostOrOtherBasisAmt
Book Value	$50,350,802	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$559,593,902	OtherCostOrOtherBasisAmt
Depreciation	$331,824,327	DepreciationAmt
Book Value	$227,769,575	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,111,615	OtherCostOrOtherBasisAmt
Depreciation	$3,830,754	DepreciationAmt
Book Value	$280,861	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$506,576,297	OtherCostOrOtherBasisAmt
Depreciation	$384,069,264	DepreciationAmt
Book Value	$122,507,033	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,876,029	OtherCostOrOtherBasisAmt
Book Value	$19,876,029	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$420,784,300	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
FIXED INCOME	$185,385,278	F
PRIVATE EQUITIES	$50,179,251	F
HEDGE FUNDS	$29,490,751	F
OTHER INVESTMENTS	$76,631,753	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$341,687,033	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN CAPTIVE	$23,060,627
DUE FROM AFFILIATES	$115,079,500
CAPITAL LEASE RECEIVABLE	$10,390,823
OTHER MISC ASSETS	$4,898,487

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$153,429,437	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
THIRD PARTY RESERVES	$20,410,719
ACCRUED POST RETMNT PENS & MED	$72,263,020
INTEREST RATE SWAP	$0

Field	Value	IRS element (for citing)
Total Liability	$92,673,739	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, community outreach and advocacy, equipment purchases, and health education. ASC 740 (Fin 48) Footnote Form 990, Schedule D, Part X, Line 2 No ASC 740 (Fin 48) footnote was included in the audited financial statements as there were no material uncertain tax positions at or since adoption.	ExplanationTxt

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (18 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	EmployeeEmployeeCnt
North America	Program Services	Advertising	$10,406
North America	Program Services	Honorariums	$368
Europe (Including Iceland and Greenland)	Program Services	Honorariums	$245
Sub-Saharan Africa	Program Services	Medical Services	$120,913	6
Central America and the Caribbean	Program Services	Medical Services	$25,817	5
South Asia	Program Services	Medical Services	$185,662	4
Europe (Including Iceland and Greenland)	Program Services	Software	$105,952
North America	Program Services	Software	$258,096
East Asia and the Pacific	Program Services	Software	$497
South Asia	Program Services	Travel	$2,182
Central America and the Caribbean	Program Services	Travel	$12,067
North America	Program Services	Travel	$55,607
East Asia and the Pacific	Program Services	Travel	$3,795
Europe (Including Iceland and Greenland)	Program Services	Travel	$53,383
Middle East and North Africa	Program Services	Travel	$1,524
South America	Program Services	Travel	$1,064
Sub-Saharan Africa	Program Services	Travel	$3,666
Central America and the Caribbean	Investments	Investment in Captive	$23,060,627

Field	Value	IRS element (for citing)
Subtotal Employees	15	SubtotalEmployeesCnt
Total Employee	15	TotalEmployeeCnt
Subtotal Spent	$841,244	SubtotalSpentAmt
Continuation Spent	$23,060,627	ContinuationSpentAmt
Total Spent	$23,901,871	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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE F, PART I, LINE 2 THE HOSPITAL PROVIDES UNRESTRICTED PROGRAM SUPPORT FOR CERTAIN FOREIGN ORGANIZATIONS. PROGRAM SUPPORT TO SPECIFIC ORGANIZATIONS IS CHOSEN AND DIRECTED BY THE PHYSICIANS AND/OR RESEARCHERS WORKING DIRECTLY WITH THE CHARITY.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,760,409	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,760,409	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$156,821,890	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,290,661	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,531,229	NetCommunityBenefitExpnsAmt
Total Expense	0.06900	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$163,582,299	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,290,661	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$90,291,638	NetCommunityBenefitExpnsAmt
Total Expense	0.07460	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,261,413	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,379,306	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,882,108	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,520,431	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,252,739	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,267,692	NetCommunityBenefitExpnsAmt
Total Expense	0.02670	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,141,233	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,237,360	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,903,873	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,338,191	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,308,557	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,029,633	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,410,947	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,410,947	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,672,215	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,177,962	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,494,253	NetCommunityBenefitExpnsAmt
Total Expense	0.03890	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$233,254,514	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$100,468,623	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$132,785,891	NetCommunityBenefitExpnsAmt
Total Expense	0.11350	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$185,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$185,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$933,031	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,819	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$859,212	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,095	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$56,095	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$118,106	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$118,106	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,292,732	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,819	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,218,913	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$15,586,818	BadDebtExpenseAmt
Reimbursed By Medicare	$331,863,907	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$342,108,967	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,245,060	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	www.dartmouth-hitchcock.org	WebsiteAddressTxt
State License	01799	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	Psych Unit and Transplant Unit Cancer Center	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	Please see Section C, Supplemental Info	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	Please see Section C, Supplemental Info	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Section C, Supplemental Info	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Section C, Supplemental Info	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Sect. C, Spplmntl Info	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Impact of actions taken to address significant health needs in prior CHNAs

Form 990, Schedule H, Part V, Section B, Line 1(i) Although MHMH does review the impact of its CHNA activities within its community, the current CHNA did not explicitly address the impact of the actions taken by the hospital. The FY19 CHNA was updated to describe the impact of actions taken on previous CHNAs. Input From Representatives of the Community Served by Hospital Facility Form 990, Schedule H, Part V, Section B, Line 5 MHMH AND DHC COLLECTIVELY KNOWN AS D-H IS ACTIVELY ENGAGED IN THE DEVELOPMENT OF AN ACTIVE UPPER VALLEY REGIONAL PUBLIC HEALTH ADVISORY COUNCIL (40+ 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 NEW HAMPSHIRE AND 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. MHMH CONTRACTED WITH COMMUNITY HEALTH INSTITUTE(JSI) TO PROVIDE CONSULTATION AND TECHNICAL EXPERTISE TO OUR ASSESSMENT PROCESS. JSI IS A PUBLIC HEALTH MANAGEMENT CONSULTING AND RESEARCH ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF INDIVIDUALS AND COMMUNITIES THROUGHOUT THE WORLD. During the period March through August 2015, a Community Health Needs Assessment was conducted by Dartmouth-Hitchcock and Alice Peck Day Memorial Hospital in partnership with New London Hospital, Valley Regional Hospital, and Mt. Ascutney Hospital and Health Center. The purpose of the assessment was to identify community health concerns, priorities and opportunities for community health and health care delivery systems improvement. While Dartmouth-Hitchcock Medical Center serves as a tertiary referral medical center for a large, multi-state area, the geographic area of interest for the purposes of this assessment was the primary service area of Mary Hitchcock Memorial Hospital and Alice Peck Day Memorial Hospital. This primary service area was defined as 19 municipalities comprising the Upper Valley of New Hampshire and Vermont with a total resident population of approximately 70,000 people. Methods employed in the assessment included a survey of area residents made available through direct mail and website links, a survey of key community stakeholders who are agency, municipal or community leaders, a series of community discussion groups convened in the primary service area, and a review of available population demographics and health status indicators. In this Community Health Needs Assessment (CHNA), populations experiencing health disparities or vulnerable to poor health outcomes are primarily defined as those populations facing significant income and social determinants challenges, which in this region are more strongly associated with negative impacts on health than race or ethnicity. Enhanced efforts were made to understand the needs of these populations through targeted surveys and community conversations, including facilitated surveys and discussions at community suppers, a regional free clinic, homeless programs, and other community settings serving economically vulnerable residents. In addition, a concerted effort was made to convene a focus group of local individuals representing both documented and undocumented immigrant populations, with the assistance of a legal aid organization. However, scheduling challenges precluded our ability to convene the group. Findings of this assessment have been shared with public health officials in NH and VT, as well as with the Public Health Council of the Upper Valley. During this assessment, Mary Hitchcock Memorial Hospital used surveys from March 2015 through August 2015 to generate input from 1,566 residents, including 1,185 residents from the 19 towns defined as our Hospital Service Area. Surveys were made available through primary care clinics, free care clinics, a shelter for the homeless, a free community dinner, and numerous other community locations. Residents completing surveys included members of African-American, Hispanic, Native American, and Asian populations. Surveys were distributed through regional health clinics, the region's shelter for homeless populations; the region's low-income housing trust; the Lebanon Housing Authority; senior centers, and other locations where populations most affected by health disparities congregate. Mary Hitchcock Memorial Hospital disseminated the survey together with multiple community organizations that serve low-income, frail, and health disparity populations, including the Public Health Council of the Upper Valley, whose membership includes community mental health services, substance use services, mental health peer leaders, WIC providers, senior services advocates, services working with people with physical and developmental disabilities, community nursing, Visiting Nurses, and other core human services. In addition to assisting in survey dissemination, these providers advocated for underserved and vulnerable populations in our region as a part of the CHNA process. Based on discussions with a wide variety of community service organization leaders, town officials, and public health officials, there is general agreement that in the region covered by this CHNA, health disparity is far more likely to be driven by household median income, insurance status, and other indicators of poverty than by racial and ethnic minority characteristics. The Upper Valley region is overwhelmingly Caucasian (Grafton County NH; 93.6% white; 0.9% African American, 0.4% Native American, 1.8% Hispanic/Latino, 3.0% Asian, 2014 as per American Factfinder). Compared to other regions, racial and ethnic minority residents in our CHNA region are employed with academic and health care systems, and have relatively high socio-economic status. By comparison, the percent of households with income below 200% of federal poverty level reaches 20.7% in some of the towns in our CHNA area. Through the course of the FY2016 Community Health Needs Assessment, we attempted to, but were unable to identify any advocacy group or other representative leadership serving in an organizing or leadership role for minority populations. Similarly, we scanned for, but were unable to find any neighborhood or geographic region with a high density of racial or ethnic minority populations in our region. In May 2015, our CHNA partner, Alice Peck Day Memorial Hospital, contacted a representative of a regional group representing immigrant residents and had a conversation with that representative, but were not successful in arranging a conversation group with members represented by this organization due to lack of geographic convenience. Additionally, in May 2015 we spoke with a regional English as a Second Language coordinator regarding the challenges impacting the families served by that program. During our assessment process, Mary Hitchcock Memorial Hospital and Alice Peck Day Memorial Hospital made specific efforts to contact and receive input from members of income vulnerable populations, including holding community discussion groups with: -Pregnant and parenting teens participating in an alternative high school environment at The Family Place Parent Child Center (6/2/15). -Residents of The Haven, a shelter for homeless individuals and families (6/8/2015) -Frail older adults and advocates of the Upper Valley Interfaith Project (6/23/15) CHNA Conducted With One Or More Other Hospital Facilities Form 990, Schedule H, Part V, Section B, Line 6A During December of 2015, MHMH partnered with Alice Peck Day Memorial Hospital to complete a community health needs assessment. We also partnered with neighboring hospitals including Valley Regional Hospital, New London Hospital, and Mount Ascutney Hospital and Health Center, using similar community health needs assessment tools and approaches, allowing us to compare community health needs across a broad geographic, multi-hospital region. CHNA Conducted With One Or More Organizations Other Than Hospital Facilities Form 990, Schedule H, Part V, Section B, Line 6B During December 2015, in addition to working with Dartmouth-Hitchcock Clinic, MHMH worked closely with the member organizations of the Public Health Council of the Upper Valley (40+ member organizations) to disseminate surveys, serve as key informants, and to provide overall review and feedback re: findings identified in the community health needs assessment. Community Health Needs Assessment Form 990, Schedule H, Part V, Section B, Line 7a The Community Health Needs Assessment can be found online at http://www.dartmouth-hitchcock.org/about_dh/ community_benefits_program.html Community Health

Measures to Publicize Financial Assistance Policy

Form 990, Schedule H, Part V, Section B, Lines 16 A-C The financial assistance policy, application, and plain language summary can be found at: https://www.dartmouth-hitchcock.org/billing-charges/financial_assistance.h tml. MHMH has plain language summary brochures available at all admission sites as well as plain language summary posters at all physical locations. Financial Assistance Policy availability within the Community Form 990, Schedule H, Part V, Section B, Line 16J The financial assistance policy is posted on MHMH's website, including the verbatim policy and a shorter, more patient-friendly plain language summary. MHMH provides the plain language summary brochure to all uninsured patients. MHMH continues to notify patients on the back of the billing statement about financial assistance available to them. Additionally, MHMH posts information about the policy in public areas throughout the facilities including admission offices, public area boards throughout the facilities, the emergency rooms, and financial assistance policy brochures in patient areas. MHMH Screens 100% of uninsured inpatient and same-day patients prior to admission. As part of this process, MHMH checks all state and federal programs to see if individuals are eligible for assistance. Patients are also screened to determine qualification for financial assistance and the application is provided and/or completed at this time. Facility information Form 990, Schedule H, Part V, Section D The Hospital has a 2nd Cancer Treatment Center located in Saint Johnsbury, Vermont. This location is registered under the same license as the Organization's main Campus located in Lebanon, New Hampshire.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Other factors used in determining eligibility other than FPG	Form 990, Schedule H, Part I, Line 3c MHMH uses the FPG guidelines in determining the initial level of financial assistance provided. In addition, MHMH allows for catastrophic assistance consideration based on a calculation of 10% of two years income plus 10% of amount over sheltered assets. If the projected or current self-pay balance is greater than this calculation, the self-pay balance is reduced to the sum of 10% of two years income plus 10% of assets. Each household is allowed certain sheltered assets which are not used when calculating household income or assets. Savings is sheltered up to 100% of FPL based on family size, equity in primary residence up to $200,000 up to 55 and $250,000 for aged 55 and older, and a retirement shelter of up to $100,000 in retirement assets as long as it is employer based contributions if working or IRA if self-employed. If a patient is retired, prior retirement accounts would be included as a sheltered asset. Community Benefits Report Form 990, Schedule H, Part I, Line 6a Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinic (Collectively referred to as Dartmouth-Hitchcock (D-H)) share common board members and operate under an affiliation agreement. D-H performs a joint Community Health Needs Assessment (CHNA) and files a consolidated Community Benefits report with the state of New Hampshire. For purposes of IRS Form 990, Schedule H, only MHMH Hospital numbers were used. All amounts relating to DHC were excluded. The New Hampshire Community Benefits Report filed for fiscal year 2018, DHC and MHMH combined, totaled $179,709,257.
Costing Methodology	Form 990, Schedule H, Part I, Line 7 The costing methodology used to calculate the amounts reported was a cost-to-charge ratio derived from worksheet 2, Ratio of Patient Care Cost-to-Charges.
Subsidized health services related to physician clinics	Form 990, Schedule H, Part I, Line 7G The Organization did not include any subsidized health service costs attributable to a physician clinic on Part I, line 7G.
Community Building Activities	Form 990, Schedule H, Part II COMMUNITY BUILDING ACTIVITIES INCLUDE EXPENSES RELATED TO COALITIONS THAT ADDRESS REGIONAL PUBLIC HEALTH NETWORKS, IMPROVEMENT IN SYSTEMS OF CARE FOR SUBSTANCE USE AND MENTAL HEALTH DISORDERS, PREVENTION OF SUBSTANCE ABUSE, FALLS REDUCTION FOR OLDER ADULTS, AND PRESCRIPTION DRUG MISUSE.
Bad Debt Expense	Form 990, Schedule H, Part III, Section A, Line 2 The amounts reported on Part III, Section A, line 2 were derived from MHMH's audited financial statements (provision for bad debt). MHMH's Policy is to exert everything in the Organization's power to obtain sufficient and adequate information to determine eligibility for financial assistance. MHMH's discount for uninsured patients is currently 62.8% (before financial assistance is applied). As part of MHMH's Financial Assistance Policy, MHMH makes information available to patients for eligibility and how to apply for free or discounted care. If the patient does not respond to the hospital's attempts to complete the financial assistance package, these patients may be written off to bad debt. In October 2017, D-H began using a Presumptive Charity Review for bad debt patients. This review is the last step prior to transferring unpaid balances to bad debt.
Audited Financial Stmt Disclosure for Charity Care and Bad Debt Provision	Form 990, Schedule H, Part III, Section A, Line 4 MHMH files a consolidated audited financial statement with Dartmouth-Hitchcock Clinic and other Subsidiaries. The amount reported on Schedule H represents MHMH's portion only. MHMH provides care to patients who meet certain criteria under their financial assistance policies without charge or at amounts less than their established rates. Because MHMH does not anticipate collection of amounts determined to qualify as charity care, they are not reported as revenue. MHMH grants credit without collateral to patients. Most are local residents and are insured under third-party arrangements. Additions to the allowance for uncollectible accounts are made by means of the provision for bad debt. 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.
Medicare Shortfalls	Form 990, Schedule H, Part III, Section B, Line 8 The costing methodology used to calculate the amounts reported as Medicare shortfalls was derived from the Internal Revenue Service's Worksheet B as provided for Part III calculations. MHMH had revenues of $39,187,927 and costs of $48,802,676 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 $9,614,749 on the provision of these services. Because of the central role of the organization in serving the healthcare needs of its community and the demographic characteristics of the community served, it is likely that a portion of the medicare shortfall should be considered community benefit expenditure. MHMH has not identified a specific amount of medicare shortfall that should be reported as such.
Credit and Collection Policy	Form 990, Schedule H, Part III, Line 9b MHMH has a Credit and Collection Policy that addresses the procedures for patients who choose not to make payment or work with MHMH to make payment arrangements for their bill. The Organization has a separate Financial Assistance Policy that addresses those patients who are unable to make payment. MHMH is a charitable health care organization that treats patients that come for medically necessary care, regardless of their financial status or ability to pay. MHMH offers financial assistance in the form of free or discounted care to those patients who have an inability to pay their bills. The Financial Assistance Policy outlines eligibility criteria for financial assistance; the method by which patients may apply for financial assistance; the basis for calculating amounts charged to patients eligible for financial assistance under this policy; D-H's measures to widely publicize the policy within the community served; and the limitation of charges for emergency or other medically necessary care. Patients can qualify for 25%, 50%, 75%, or 100% reduction based on Federal Poverty Levels as well as a catastrophic guideline of 10% of 2 year's income for those that may not qualify based on assets and income, but who have a bill beyond their means to pay. If a financial assistance policy eligible patient has a balance for which they are responsible after a financial assistance discount is applied, the standard practices are followed as outlined in the D-H Credit and Collections policy.
Needs Assessment	Form 990, Schedule H, Part VI, Line 2 MARY HITCHCOCK MEMORIAL HOSPITAL AND DARTMOUTH-HITCHCOCK CLINIC (COLLECTIVELY REFERRED TO AS DARTMOUTH-HITCHCOCK (D-H)) SHARE COMMON BOARD MEMBERS AND OPERATE UNDER AN AFFILIATION AGREEMENT. D-H PERFORMS A JOINT COMMUNITY NEEDS ASSESSMENT AND FILES A CONSOLIDATED COMMUNITY BENEFITS REPORT. DARTMOUTH-HITCHCOCK PARTICIPATES WITH OTHER HEALTH CARE CHARITABLE TRUSTS AND COMMUNITY PARTNERS IN EACH OF OUR SERVICE AREAS TO COMPLETE COMMUNITY HEALTH NEEDS ASSESSMENTS. DURING FY2016, MHMH PARTNERED WITH ALICE PECK DAY MEMORIAL HOSPITAL, TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. WE ALSO WORKED TOGETHER WITH NEIGHBORING HOSPITALS, INCLUDING MOUNT ASCUTNEY HOSPITAL AND HEALTH CARE, VALLEY REGIONAL HOSPITAL, AND NEW LONDON HOSPITAL TO USE SIMILAR COMMUNITY HEALTH NEEDS ASSESSMENTS TOOLS AND APPROACH, TO ALLOW COMPARABILITY OF HEALTH DATA ACROSS A WIDER GEOGRAPHIC REGION. COLLECTIVELY D-H AND PARTNERED HOSPITALS HIRED COMMUNITY HEALTH INSTITUTE/JOHN SNOW RESEARCH AND TRAINING INSTITUTE, A PUBLIC HEALTH CONSULTING FIRM, TO PROVIDE TECHNICAL ASSISTANCE AND ANALYSIS RELATED TO OUR COMMUNITY HEALTH NEEDS ASSESSMENTS. THE NEEDS ASSESSMENT INCLUDED REVIEWING SELECTED SERVICE AREA DEMOGRAPHICS; PUBLIC HEALTH DATA AVAILABLE THROUGH NH AND VT HEALTH DEPARTMENTS, HOSPITAL DISCHARGE DATA; BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AND YOUTH RISK BEHAVIOR SURVEYS; FOCUS GROUPS WITH EMPLOYERS AND WITH COMMUNITY MEMBERS RECEIVING SERVICES AT REGIONAL SAFETY NET SERVICE ORGANIZATIONS; ELECTRONIC SURVEYS OF PROFESSIONAL HEALTH AND SOCIAL SERVICE PROVIDERS; AS WELL AS PAPER AND ELECTRONIC CONVENIENCE SURVEYS OF COMMUNITY RESIDENTS. THE FY2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS REVIEWED AT A LARGE COMMUNITY MEETING (50+ STAKEHOLDERS) OF THE PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY AND OTHERS IN DECEMBER 2015 FOR FURTHER COMMENTS AND FEEDBACK. AS PART OF THE NEEDS ASSESSMENT, MHMH REVIEWED: 1. HEALTH, ECONOMIC, AND EDUCATION DATA FROM SOURCES INCLUDING YOUTH RISK BEHAVIOR SURVEYS, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, PUBLIC HEALTH AND HOSPITAL DISCHARGE DATA AVAILABLE IN NH HEALTH WRQS, CENSUS DATA, AND REPORTS FROM THE NEW ENGLAND COMMON ASSESSMENT PROGRAM. ADDITIONALLY, IT REVIEWED THE 2011 NH STATE HEALTH PROFILE; QUANTITATIVE AND QUALITATIVE DATA FROM LOCAL SOURCES (NEWSPAPERS, REGIONAL PLANNING OFFICES, COMMUNITY FORUMS) TO IDENTIFY CONCERNS THAT EMERGED, INTENSIFIED, OR WERE THE SOURCE OF LOCAL ATTENTION SINCE THE LAST SECONDARY DATA WAS COLLECTED. 2. OPINION DATA FROM PROFESSIONAL STAKEHOLDERS USING AN ONLINE OPINION POLL OF REGIONAL LEADERS IN HEALTH, PUBLIC HEALTH, EDUCATION, MUNICIPAL GOVERNMENTS, PUBLIC SAFETY, AND SOCIAL SERVICE PROVIDERS. 69 INFORMED STAKEHOLDERS RESPONDED TO THIS SURVEY. 3. FOCUS GROUP DATA COLLECTED FROM 4 FOCUS GROUPS LARGELY CONSISTING OF LOWER-INCOME CONSUMERS OF HEALTH/SOCIAL SERVICES. 4. OPINION DATA FROM RESIDENTS COLLECTED THROUGH COMMUNITY LIST-SERVS, ASSISTED INTERVIEWS AT HUMAN SERVICE ORGANIZATIONS, PRIMARY CARE AND FREE CARE CLINICS, AND OTHER COMMUNITY SETTINGS. 1,566 RESIDENTS RESPONDED TO SURVEYS. DARTMOUTH-HITCHCOCK REGULARLY MONITORS NEWLY RELEASED HEALTH, ECONOMIC, AND EDUCATION DATA FROM OUR SERVICE REGION TO IDENTIFY EMERGING REGIONAL NEEDS AND CONCERNS, INCLUDING FY 2015 YOUTH RISK BEHAVIOR SURVEYS, THE 2013 NH STATE HEALTH IMPROVEMENT PLAN, NH'S EMERGING STATE PLANS TO ADDRESS SUBSTANCE MISUSE, OPIOID MISUSE, OBESITY, AND CHILDREN'S BEHAVIORAL HEALTH.
Patient Education of Eligibility for Assistance	Form 990, Schedule H, Part VI, Line 3 All uninsured inpatients, same day surgery, observation, and Emergency Department patients are pro-actively screened using paper and/or an automated tool to identify potential qualification for other federal, state, and local programs. In addition, specific outpatient activities deemed to have a higher rate of need are screened as part of regular protocol. If a patient appears to be eligible, on-site Financial Counselors assist the patient in completing the appropriate paperwork/applications and provide instruction regarding how to complete the qualification process. In some cases a Financial Counselor will act on behalf of the patient, at their signed consent, in order to complete the application process (for example, in New Hampshire a patient must be physically present at the District Office). If a patient doesn't qualify for specific programs, they are also considered for financial assistance as part of their screening. For outpatient services that are not routinely screened, staff interacting with patients are instructed to provide either a financial assistance application or contact information for a Financial Counselor when a patient expresses their inability to make payment. Every application is screened for completed income and asset documentation. Applications are also screened to assure there are no other potential options of federal, state, or local programs. The website, patient statements, and financial brochures all include information about financial assistance and how to apply. Community Information Form 990, Schedule H, Part VI, Line 4 THE ORGANIZATION DEFINES ITS SERVICE REGION AS NEW HAMPSHIRE AND EASTERN VERMONT, WITH THE LARGEST PRESENCE IN A 19-TOWN REGION ADJOINING LEBANON, NEW HAMPSHIRE, SITE OF DARTMOUTH-HITCHCOCK MEDICAL CENTER WHICH INCLUDES MARY HITCHCOCK MEMORIAL HOSPITAL AND DARTMOUTH-HITCHCOCK CLINIC'S MAIN NORTHERN CLINIC. The region has a population of 70,000 people, with towns ranging in population from 300-13,000 people. These towns are generally considered rural, though the Hanover, and Lebanon, NH and Hartford, VT communities are considered to be a micropolitan area. Among the region's 19 towns, median household income varies widely, from $46K-$108K annually. 15.6% of the population is over the age of 65; 4.5% of the population is under the age of 5; 9.7% of children live in households whose median household income is less than 100% of Federal Poverty Level; 27% of children live in households with income less than 200% of Federal Poverty Level; 1.6% of the region's residents have Limited English Proficiency; and 8.2% lacked health insurance. 13% of NH residents and 20% of Vermont residents are Medicaid Beneficiaries. The region is served by MHMH and by Alice Peck Day Memorial Hospitals. There are no Federally Qualified Health Centers operating within the region. The Good Neighbor Health Clinic, in Hartford, VT, offers care to uninsured community members. Two minor civil divisions in our region, Dorchester NH and Piermont NH, are considered Medically Underserved Areas. MHMH SERVES THE GENERAL POPULATION WITH A WIDE RANGE OF SERVICES. IN ADDITION TO GENERAL HOSPITAL POPULATIONS, THE ORGANIZATION PROVIDES SERVICES TO PATIENTS WITH HIGHLY-SPECIALIZED NEEDS THAT ARE NOT AVAILABLE ELSEWHERE IN NEW HAMPSHIRE. MHMH IS THE STATE'S ONLY TERTIARY REFERRAL CENTER, PROVIDES THE STATE'S ONLY COMPREHENSIVE CANCER CENTER (NORRIS COTTON CANCER CENTER - NCCC), OPERATES THE ONLY LEVEL I TRAUMA CENTER IN NEW HAMPSHIRE, OPERATES THE ONLY COMPREHENSIVE CHILDREN'S HOSPITAL AND ACCREDITED PEDIATRIC TRAUMA CENTER IN NEW HAMPSHIRE (CHILDREN'S HOSPITAL AT DARTMOUTH - CHAD), HOSTS THE ONLY LEVEL IV NEONATAL INTENSIVE CARE NURSERY AND ONE OF TWO PEDIATRIC INTENSIVE CARE UNITS IN NEW HAMPSHIRE, AND OPERATES THE ONLY HELICOPTER TRANSPORT SERVICE IN THE STATE. AS SUCH, THE SERVICE POPULATION IS BOTH THE GENERAL PUBLIC SEEKING PRIMARY HEALTH CARE SERVICES AS WELL AS RESIDENTS WITH UNIQUE AND HIGHLY-SPECIALIZED HEALTH CARE NEEDS.
Promotion of Community Health	Form 990, Schedule H, Part VI, Line 5 MHMH SUPPORTS ORGANIZATIONS AND INITIATIVES THAT FURTHER HEALTH BY STRENGTHENING AND DEVELOPING KEY COMMUNITY CAPACITIES TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. THIS INCLUDES HOSTING OR LEADING COMMUNITY PARTNERSHIPS TO ADDRESS SUBSTANCE MISUSE AND TREATMENT AND TO IMPROVE PUBLIC HEALTH; PROVIDING FUNDING FOR CHILD AND ADULT ORAL HEALTH INITIATIVES, AND PARTICIPATION OF OUR STAFF IN OTHER PARTNERSHIPS INCLUDING THE OUTPATIENT FALLS PREVENTION TASK FORCE; THE TRANSPORTATION MANAGEMENT ASSOCIATION, AND THE UPPER VALLEY HOUSING COALITION. IN ADDITION, MHMH OPERATES HEALTH EDUCATION AND SUPPORT SERVICES SUCH AS A WOMEN'S HEALTH RESOURCE CENTER, THE AGING RESOURCE CENTER, AND A HEALTH EDUCATION CENTER. MHMH USES CASH CONTRIBUTIONS, CONTRACTED SERVICES, AND IN-KIND CONTRIBUTION OF STAFF TIME AND EXPERTISE, TO SUPPORT THESE STRATEGIES WHICH IMPROVE COMMUNITY HEALTH. AT MHMH'S LEBANON, NH CAMPUS, THE HOSPITAL EXTENDS PROFESSIONAL STAFF PRIVILEGES TO QUALIFIED AND APPROPRIATE PHYSICIANS WHO ARE EMPLOYEES OF DARTMOUTH-HITCHCOCK CLINIC, MARY HITCHCOCK MEMORIAL HOSPITAL, AND DARTMOUTH COLLEGE, WHO ALSO HOLD A FACULTY APPOINTMENT AT GEISEL SCHOOL OF MEDICINE. MARY-HITCHCOCKS'S TRUSTEES ANNUALLY SET STRATEGIC PRIORITIES FOR THE INSTITUTION AND APPROVE OPERATING AND CAPITAL BUDGETS WHICH SUPPORT IMPROVEMENTS, PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. EXAMPLES OF THESE INVESTMENTS INCLUDE THE DEVELOPMENT OF MARY HITCHCOCKS'S PATIENT SAFETY AND TRAINING CENTER; ONGOING QUALITY AND PATIENT SAFETY INITIATIVES; PURCHASES OF NEW AND EMERGING MEDICAL TECHNOLOGIES; SUPPORT TRANSLATIONAL RESEARCH, AND MEDICAL EDUCATION. OF THE 20 VOTING MEMBERS OF THE MARY HITCHCOCK BOARD OF TRUSTEES AT FY18 END, 14 ARE NEITHER CONTRACTORS NOR EMPLOYEES OF MHMH.
Affiliated Health Care System Community	Form 990, Schedule H, Part VI, Line 6 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 HAMPSHIRE'S LARGEST HOSPITAL. IN FISCAL YEAR 2018 MHMH HAD 396 LICENSED INPATIENT BEDS. THE DARTMOUTH-HITCHCOCK CLINIC (DHC) IS A MULTI-SPECIALTY PHYSICIAN PRACTICE WITH A NETWORK OF PROVIDERS ACROSS NEW HAMPSHIRE AND VERMONT. WHILE DHC'S MAIN OFFICES ARE LOCATED IN LEBANON, THE CLINIC ALSO HAS MULTI-SPECIALTY PRACTICES IN MANCHESTER, NASHUA, CONCORD, AND KEENE, NH AREAS AS WELL AS BENNINGTON, VT. IN ADDITION, THE CLINIC PROVIDES PRIMARY CARE IN RURAL COMMUNITIES IN VERMONT AND NORTHERN NEW HAMPSHIRE. THE HOSPITAL AND CLINIC OPERATE JOINTLY THROUGH INTERLOCKING DIRECTORATES, STRATEGIC PLANNING AND MANAGEMENT AND SHARE IDENTICAL MISSIONS. THE MEDICAL SCHOOL, WHICH WORKS CLOSELY WITH THE HOSPITAL AND CLINIC, IS FOCUSED ON MEDICAL EDUCATION AND RESEARCH.
State filing of Community Benefits Report	Form 990, Schedule H, Part VI, Line 7 MHMH files a Community Benefits Report with the State of New Hampshire jointly with Dartmouth-Hitchcock Clinic.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (33 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
Advance Transit
PO Box 1027	Wilder	VT	05088	222558708	501(C)(3)	$76,412	FMV	Transportn Subsidy
American Cancer Society
2 Commerce Drive	Bedford	NH	03110	131788491	501(c)(3)	$15,750	FMV	Program Support
American Heart Association
PO Box 50075	Prescott	AZ	863045075	135613797	501(c)(3)	$18,550	FMV	Program Support
Good Neighbor Health Clinic
70 N MAIN ST	WHITE RIVER JCT	VT	05001	030346949	501(c)(3)	$45,500	FMV	Program Support
Grafton County Senior Citizens Council
PO Box 433	LEBANON	NH	03766	237248316	501(c)(3)	$16,800	FMV	Program Support
Riverbend Community Mental Health
3 N State St	Concord	NH	03301	020264383	501(c)(3)	$17,500	FMV	Program Support
Foundation for Healthy Communities
125 AIRPORT RD	CONCORD	NH	03301	020275078	501(c)(3)	$381,915	FMV	Program Support
Southwestern Vermont Health Care Foundation
100 Hospital Dr	Bennington	VT	05201	453362785	501(c)(3)	$17,500	FMV	Program Support
Albert Schweitzer Fellowship
25 Larkspur Lane	WRJ	VT	05001	131982786	501(c)(3)	$15,400	FMV	Program Support
March of Dimes Foundation
PO Box 673667	Marietta	GA	30006	131846366	501(c)(3)	$7,000	FMV	Program Support
Southeast Vermont Transit
45 Mill St	Wilmington	VT	05363	030353976	501(c)(3)	$21,000	FMV	Transportn Subsidy
Upper Valley Haven
713 Hartford Ave	Hartford	VT	05001	030277908	501(c)(3)	$27,780	FMV	Program Support
Windsor Hospital Corporation
289 County Rd	Windsor	VT	05089	030183721	501(c)(3)	$28,000	FMV	Program Support
Manchester Community Health Center
145 Hollis Street	Manchester	NH	03101	020458174	501(c)(3)	$35,000	FMV	Program Support
Ottauquechee Health Foundation
PO Box 784	Woodstock	VT	05091	030197766	501(c)(3)	$24,576	FMV	Program Support
Granite United Way
22 Concord St Fl 2	Manchester	NH	03101	026006033	501(c)(3)	$14,000	FMV	Program Support
Public health Council of the Upper Valley
1 Court St Suite 378	Waltham	MA	02451	752991608	501(c)(3)	$14,000	FMV	Program Support
Southwestern Community Services
PO Box 603	Keene	NH	03431	026013808	501(c)(3)	$14,000	FMV	Program Support
TLC Family Rescource Center
PO Box 1098	Claremont	NH	03743	522439830	501(c)(3)	$23,800	FMV	Program Support
Granite State Fit Kids
2300 Southwood Drive	Nashua	NH	03063	020519379	501(c)(3)	$12,390	FMV	Program Support
Women's Information Services WISE
38 Bank Street	Lebanon	NH	03766	020346512	501(c)(3)	$8,199	FMV	Program Support
The Family Place
319 US Route 5 South	Norwich	VT	05055	751590896	501(c)(3)	$13,300	FMV	Program Support
Friends of Recovery New Hampshire
239 Wilson Street	Manchester	NH	03103	020521502	501(c)(3)	$5,751	FMV	Program Support
Easter Seals Vermont Veterans Count
555 Auburn Street	Manchester	NH	03103	272867988	501(c)(3)	$14,000	FMV	Program Support
HIVHCV Resource Center
2 Blacksmith Street	Lebanon	NH	03766	223104237	501(c)(3)	$11,200	FMV	Program Support
Vital Communities
195 N Main St	White River Jct	VT	05001	030355283	501(c)(3)	$12,338	FMV	Program Support
NH Charitable Foundation
37 Pleasant Street	Concord	NH	03301	026005625	501(c)(3)	$42,000	FMV	Program Support
National Academy of Applied Sciences
500 5th St NW	Washington	DC	20001	530196932	501(c)(3)	$52,500	FMV	Program Support
Alice Peck Day Hospital
10 Alice Peck Day Drive	Lebanon	NH	03766	020222791	501(c)(3)	$17,500	FMV	Program Support
New London Hospital
273 County Road	New London	NH	03257	020222171	501(c)(3)	$17,500	FMV	Program Support
Cheshire Medical Center
580-590 Court St	Keene	NH	03431	020354549	501(c)(3)	$101,500	FMV	Program Support
St Joseph's Hospital
172 Kinsley Street	Nashua	NH	03060	020222215	501(c)(3)	$17,500	FMV	Program Support
The Granite YMCA
117 Market St	Manchester	NH	03101	020222248	501(c)(3)	$13,650	FMV	Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	33	Total501c3OrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
Awards and Educational Assistance	64	$525,163	FMV
D-H Tuition Reimbursement Program	431	$764,119	FMV
Patient Assistance	840	$95,239	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Description of Organization's Procedures for Monitoring the Use of Grants	FormAndLineReferenceDesc
Explanation	Form 990, Schedule I, Part I, Line 2 Each award established by Mary Hitchcock Memorial Hospital has written guidelines and procedures. Award payments are processed in accordance with the specific terms of each award. The Dartmouth Institute Scholarships (TDI) are paid directly to Dartmouth College on behalf of the individuals receiving the 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)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
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 (45 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
Robin Kilfeather-Mackey CPA
Former CFO	$0	$0	$0	$0	$0	$313,945	$0	$0	$0	$0	$0	$313,945	$0	$0
Daniel P Jantzen CPA
Chief Financial Officer	$638,681	$0	$0	$0	$80,406	$0	$122,242	$0	$16,644	$0	$857,973	$0	$0	$0
Stephen Leblanc
Chief Strategy Officer	$0	$637,177	$0	$0	$0	$153,222	$0	$200,238	$0	$21,738	$0	$1,012,375	$0	$0
Bruce King MSPH FHFMA
Pres & CEO New London Hosp	$327,284	$0	$0	$0	$30,904	$0	$56,104	$0	$16,607	$0	$430,899	$0	$0	$0
Mary Oseid MHCDS
Fmr Key Emp/VP Enterprise Svcs	$0	$258,929	$0	$0	$0	$509	$0	$343,760	$0	$19,237	$0	$622,435	$0	$0
Christine Schon MPA
Fmr Key Emp/Adm VP Prmry Care	$0	$264,798	$0	$0	$0	$9,303	$0	$26,040	$0	$16,502	$0	$316,643	$0	$0
James N Weinstein DO MS
Trstee Ex-Off/CEO end 7/2/17	$0	$1,575,236	$0	$750,000	$0	$848,271	$0	$97,679	$0	$15,458	$0	$3,286,644	$0	$0
Tina Naimie CPA MHCDS
Fmr Key Emp/VP Corp Finance	$252,087	$0	$0	$0	$536	$0	$19,147	$0	$1,863	$0	$273,633	$0	$0	$0
Wendy Fielding MBA
Fmr Key Emp/VP Finance Plnning	$244,357	$0	$0	$0	$414	$0	$18,692	$0	$21,565	$0	$285,028	$0	$0	$0
Vincent Fusca III
Chief of Staff	$107,871	$0	$0	$0	$44,086	$0	$7,554	$0	$188	$0	$159,699	$0	$0	$0
Edward Merrens MD
Chief Clinical Officer	$0	$637,949	$0	$0	$0	$34,114	$0	$53,885	$0	$12,331	$0	$738,279	$0	$0
George Blike MD
Chief Quality & Value Officer	$0	$437,202	$0	$0	$0	$42,452	$0	$333,250	$0	$21,748	$0	$834,652	$0	$0
Darlene A Saler MBA RN
Frmr Actg Chf Nrsg Ofr	$86,130	$0	$0	$0	$35,200	$0	$67,401	$0	$4,301	$0	$193,032	$0	$0	$0
John S Malanowski MILR
Chief HR Officer	$197,472	$0	$0	$0	$405,755	$0	$23,958	$0	$4,611	$0	$631,796	$0	$0	$0
Martin Purcell MBA
VP IS Operations	$314,995	$0	$0	$0	$37,711	$0	$141,269	$0	$984	$0	$494,959	$0	$0	$0
Thomas Dodds MD
Former Key Emp/Dept Chr Anesth	$0	$244,818	$0	$0	$0	$24,930	$0	$122,566	$0	$19,608	$0	$411,922	$0	$0
Wendy Wells MD
Fmr Key Emp/Dpt Chr Pathology	$0	$468,879	$0	$0	$0	$27,939	$0	$142,696	$0	$22,404	$0	$661,918	$0	$0
Jocelyn Chertoff MD
Vp Srvc Ln /Dpt Chr Dgnstc Rad	$0	$539,060	$0	$0	$0	$36,488	$0	$103,286	$0	$9,316	$0	$688,150	$0	$0
Edward Catherwood MD MS
Former Key Emp/Ctr Dir Hrt/Vsc	$0	$263,816	$0	$0	$0	$64,556	$0	$48,821	$0	$9,568	$0	$386,761	$0	$0
Steven Boyce
Fmr Key Emp/Adm. VP Med Spclts	$0	$224,093	$0	$0	$0	$18,997	$0	$50,582	$0	$21,541	$0	$315,213	$0	$0
Jeffrey OBrien MHA
Vp Clinical Operations	$311,569	$0	$0	$0	$4,444	$0	$20,640	$0	$21,676	$0	$358,329	$0	$0	$0
M Brooke Herndon MD MS
Trustee/Physician end 12/31/17	$0	$208,018	$0	$0	$0	$774	$0	$43,701	$0	$19,474	$0	$271,967	$0	$0
Richard Rothstein MD
Dept Chair/Srvc Ln Ldr - Med	$0	$553,552	$0	$0	$0	$6,360	$0	$60,872	$0	$17,003	$0	$637,787	$0	$0
John Birkmeyer MD
Former CCO/EVP Entprs Sp	$0	$0	$0	$0	$0	$488,625	$0	$0	$0	$0	$0	$488,625	$0	$0
Kimberly Troland JD
Deputy Gen Counsel	$367,482	$0	$0	$0	$10,006	$0	$20,640	$0	$19,297	$0	$417,425	$0	$0	$0
Robert Greene MD MHCDS FACP
Fmr Chf Popul Mgmt Ofr	$0	$89,688	$0	$0	$0	$390,327	$0	$7,491	$0	$7,336	$0	$494,842	$0	$0
John Kacavas JD
Chief Legal Officer	$522,566	$0	$0	$0	$18,197	$0	$20,640	$0	$19,296	$0	$580,699	$0	$0	$0
Maria Padin MD
Chief Medical Officer	$0	$386,729	$0	$0	$0	$12,780	$0	$253,282	$0	$22,404	$0	$675,195	$0	$0
Peter D Solberg MD
Chf Medical Information Ofcr	$0	$363,669	$0	$0	$0	$11,789	$0	$25,541	$0	$21,932	$0	$422,931	$0	$0
Karen Clements RN BSN MSB FAC
Chief Nursing Officer	$363,113	$0	$0	$0	$1,009	$0	$20,640	$0	$8,630	$0	$393,392	$0	$0	$0
Thomas J Siepka
Chief Pharm Offcr end 4/7/18	$305,051	$0	$0	$0	$3,770	$0	$20,640	$0	$1,938	$0	$331,399	$0	$0	$0
Jeffrey A Cohen MD
Trustee/VP Service Line	$0	$411,216	$0	$0	$0	$26,560	$0	$65,523	$0	$22,589	$0	$525,888	$0	$0
Timothy D Scherer MD
Trustee end 12/13/17 Physician	$0	$504,115	$0	$0	$0	$15,662	$0	$61,745	$0	$19,967	$0	$601,489	$0	$0
Brian C Spence MD MHCDS
Trustee/Staff Physician	$0	$433,472	$0	$0	$0	$28,482	$0	$27,374	$0	$22,104	$0	$511,432	$0	$0
Kari M Rosenkranz MD
Trustee/Physician	$0	$523,082	$0	$0	$0	$22,649	$0	$20,640	$0	$9,315	$0	$575,686	$0	$0
Sowmya Viswanathan MD
Chief ACO Officer end 12/2/17	$0	$319,775	$0	$0	$0	$42,351	$0	$20,640	$0	$18,317	$0	$401,083	$0	$0
Susan A Reeves EdD RN
Chief Nursing Officer	$196,911	$0	$0	$0	$999	$0	$17,640	$0	$11,069	$0	$226,619	$0	$0	$0
Aimee M Giglio
Chief HR Officer	$275,256	$0	$0	$0	$21,153	$0	$12,384	$0	$21,594	$0	$330,387	$0	$0	$0
David Gladstone MD
Chf Clncl Physcn - Radiology	$313,451	$0	$3,250	$0	$17,843	$0	$76,621	$0	$15,216	$0	$426,381	$0	$0	$0
Sandra Wong MD
Chief ACO Officer	$0	$673,002	$0	$0	$0	$41,000	$0	$20,640	$0	$9,316	$0	$743,958	$0	$0
Cherie Holmes MD
Trustee eff 3/15/18	$0	$405,322	$0	$0	$0	$17,185	$0	$135,097	$0	$9,320	$0	$566,924	$0	$0
Joanne M Conroy MD
Ttee eff 8/7/17 Ex-Officio CEO	$0	$352,889	$0	$50,000	$0	$9,984	$0	$6,750	$0	$0	$0	$419,623	$0	$0
Staci Hermann PharmD MS
Int Chief Pharm Off eff 4/8/18	$165,356	$0	$0	$0	$4,724	$0	$6,403	$0	$8,241	$0	$184,724	$0	$0	$0
Simon Hillier
Dept Chair - Anesthesiology	$0	$481,165	$0	$0	$0	$31,215	$0	$26,040	$0	$17,309	$0	$555,729	$0	$0
Leigh Burgess
VP Research Ops	$300,409	$0	$10,000	$0	$0	$0	$20,640	$0	$9,365	$0	$340,414	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Health or Social Club Dues & Fees	Form 990, Schedule J, Part I, Line 1a The Organization has in place a Management Self Development Plan (MSDP) designed to promote professional and personal development. The MSDP is capped at 2% of gross pay and may be utilized for expenses such as professional dues, meetings and seminars, tuition reimbursement, and other miscellaneous items that promote professional knowledge. The monies may also be used for up to a 50% reimbursement of the cost of a fitness/wellness program designed to maintain the health of management personnel. All expenses are submitted for approval before reimbursement. COMPENSATION OF THE CEO FORM 990, SCHEDULE J, PART I, LINE 3 THE CEO IS PAID BY DARTMOUTH-HITCHCOCK CLINIC, A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION.
Severance Payments	Form 990, Schedule J, Part I, Line 4a THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2017: DURING CALENDAR YEAR 2017, FORMER INTERIM CHIEF NURSING OFFICER DARLENE SALER RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $34,830 FROM DARTMOUTH-HITCHCOCK. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2017, FORMER CHIEF CLINICAL OFFICER JOHN BIRKMEYER RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $488,625 FROM DARTMOUTH-HITCHCOCK. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2017, FORMER CHIEF HR OFFICER JOHN MALANOWSKI RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $376,352 FROM DARTMOUTH-HITCHCOCK. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2017, FORMER CHIEF POPULATION MANAGEMENT OFFICER ROBERT GREENE RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $334,519 FROM DARTMOUTH-HITCHCOCK. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2017, FORMER CHIEF FINANCIAL OFFICER ROBIN KILFEATHER-MACKEY RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $313,945 FROM DARTMOUTH-HITCHCOCK. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2017, FORMER CHIEF OF STAFF VINCENT FUSCA RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $30,770 FROM DARTMOUTH-HITCHCOCK. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2017, FORMER CHIEF ACO OFFICER SOWMYA VISWANATHAN RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $13,462 FROM DARTMOUTH-HITCHCOCK. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2017, FORMER CHIEF OF STAFF VINCENT FUSCA III RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $30,770 FROM DARTMOUTH-HITCHCOCK. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2017, FORMER CHIEF HUMAN RESOURCE OFFICER JOHN MALANOWSKI RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $376,352 FROM DARTMOUTH-HITCHCOCK. THESE PAYMENTS ARE 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)): BRIAN SPENCE $24,622 CHERIE HOLMES $15,997 DANIEL JANTZEN $54,632 DAVID GLADSTONE $4,570 EDWARD MERRENS $33,700 GEORGE BLIKE $40,874 JAMES WEINSTEIN $95,986 JEFFREY COHEN $17,913 JEFFREY OBRIEN $2,426 JOCELYN CHERTOFF $35,300 JOHN KACAVAS $17,423 JOHN MALANOWSKI $29,038 KAREN CLEMENTS $595 KARI ROSENKRANZ $22,379 KIMBERLY TROLAND $9,871 MARIA PADIN $10,686 MARTIN PURCELL $24,408 PETER SOLBERG $11,375 ROBERT GREENE $39,900 SANDRA WONG $41,000 SIMON HILLIER $26,167 STEPHEN LEBLANC $126,128 THOMAS DODDS $23,742 THOMAS SIEPKA $3,500 TIMOTHY SCHERER $15,537 VINCENT FUSCA $12,602 WENDY WELLS $26,109 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. Other Payments Form 990, Schedule J, Part II James Weinstein received a $750,000 bonus payment as part of a transition agreement. This amount is included on Schedule J, Column B(ii). James Weinstein received a $750,000 deferred compensation payment as part of an executive retention agreement. This amount is included on Schedule J, Column B(iii). MHMH sponsors a split dollar life plan for certain long-term employees. The original objectives for offering these plans were to better enable MHMH to attract and retain quality executive personnel, improve the physicians' post-retirement life insurance benefits, and to replace an increasingly costly retiree life insurance program. The plan was frozen in 1998 and therefore no further costs of the individual employee insurance premiums have been funded by the organization. The number of participants and dollar value continues to dwindle as individuals retire/leave the organization.
Note regarding compensation	Form 990, Schedule J, Part II Column B, parts I, II, and III represent actual amounts paid to employees by MHMH and related organizations. These amounts are reported to employees on their annual W-2 forms as compensation. Columns C and D represent items earned, however, not paid directly to the employee as cash payments during the calendar year. Column C includes retirement benefits as well as any changes in pension actuarial value (if applicable) in a calendar year. Column D represents nontaxable benefits such as the cost of healthcare coverage provided by D-H on behalf of its employees.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NH HEALTH & ED FACILITIES AUTHORITY
A	020279866	000000000	2014-08-13	$41,242,290	REFUND ISSUE DATED 8/19/2009	false	false	false
NH HEALTH & ED FACILITIES AUTHORITY
B	020279866	000000000	2016-07-01	$35,575,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

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

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	false	false	false	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)	Yes (true)	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DESCRIPTION OF PURPOSE	FormAndLineReferenceDesc
Explanation	FORM 990, PART I, LINE B, COLUMN F THE PURPOSE OF THE ISSUE WAS TO REFUND AN ISSUE DATED 10/24/2013 AND FINANCE CAPITAL PROJECTS. FORM 990, PART II, COLUMN A, LINE 11 THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW.	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (4 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)	$122,003	$122,003	false	Yes (true)	Yes (true)
Deborah Jantzen
FAMILY MEMBER	Split Dollar Life	Yes (X)	$60,487	$60,487	false	Yes (true)	Yes (true)
Bruce King
Officer	Split Dollar Life	Yes (X)	$149,614	$149,614	false	Yes (true)	Yes (true)
Mary King
Family Member	Split Dollar Life	Yes (X)	$25,324	$25,324	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$357,428	TotalBalanceDueAmt

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	Karen Clements	PersonNm
Relationship With Org	Key Employee	RelationshipWithOrgTxt
Cash Grant	$36,628	CashGrantAmt
Type Of Assistance	Scholarship	TypeOfAssistanceTxt
Assistance Purpose	Master's Degree Program	AssistancePurposeTxt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Victoria LeBlanc	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Family member of Officer Stephen LeBlanc	RelationshipDescriptionTxt
Transaction	$77,079	TransactionAmt
Transaction	Employment Compensation	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

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	5	ContributionCnt
Noncash Contributions Rpt F990	$258,450	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair Market Value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Business relationships	Form 990, Part VI, Section A, Line 2 Trustees, officers and key employees also hold trustee, officer or key employee positions at Dartmouth Hitchcock Clinic (DHC), a related organization. Individuals who received related organization compensation (as reported in Part VII) are paid employees of DHC. Mary Hitchcock Memorial Hospital owns for-profit subsidiaries that provide services and support the mission of the organization. The following are current officers, directors, trustees, or key employees of MHMH and officers of Hamden Assurance, LTD., a related for-profit entity: - Daniel Jantzen - Edward Merrens - John Kacavas - George Blike Description of classes of members, persons, and the nature of their rights Form 990, Part VI, Section A, Lines 6 & 7a Dartmouth-Hitchcock Health (D-HH) is the sole corporate Member of Mary Hitchcock Memorial Hospital (MHMH). D-HH has specific authority and reserved powers, including the power to confirm the election of members of MHMH's Board of Trustees and the power to approve significant governance, financial and operational decisions of MHMH's Trustees. Governance decisions reserved to or subject to approval by persons other than the governing body Form 990, Part VI, Section A, Line 7B In addition to reserved powers, Dartmouth-Hitchcock Health (D-HH) shall have the authority to take actions to establish, manage, and govern the System as an integrated health care delivery system in furtherance of the mission of the Hospital and other Organizations. These powers include but are not limited to items such as the ability to approve, disapprove, or modify all material governance, programmatic, and financial decisions of MHMH's Board of Trustees, to appoint or remove a member of the Hospital's Board of Trustees, assess the Hospital a monetary amount for the payment of the expenses of D-HH, approve the Hospital's budget, approve the borrowings or dispositions of assets by the Hospital, approve key strategic relationships, approve the elimination or addition of any material health care service or program, and other authority to take action on behalf of the Hospital.
Process used by management and/or Governing Body to Review 990	Form 990, Part VI, Section B, Line 11b THE FORMS 990 AND 990-T ARE REVIEWED BY EXTERNAL TAX ADVISORS, THE DIRECTOR OF CORPORATE FINANCE, VICE PRESIDENT OF CORPORATE FINANCE, AND THE CHIEF FINANCIAL OFFICER BEFORE THE FILING OF THE RETURN. ONCE THE RETURN HAS BEEN FULLY PREPARED A FINAL 990 AND 990-T COMPLETE ELECTRONIC VERSION IS SENT OUT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS/RESPONSES PRIOR TO OFFICIAL FILING.
Conflict of Interest Policy	Form 990, Part VI, Section B, Line 12C The Mary Hitchcock Memorial Hospital BOARD OF TRUSTEES APPROVED A POLICY CONCERNING A VOLUNTARY SELF-DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. The Dartmouth-Hitchcock Compliance and Audit Services Department conducts an annual survey of all officers, trustees, and key employees and performs other procedures as considered necessary to report on compliance with the conflict of interest policy. The Department then reports to each board any potential conflicts for their review. Per the policy, any conflicts or otherwise perceived conflicts are required to be addressed by the Board of Trustees on an ongoing basis. In the event a conflict arises, the individual may be removed from participating in any decision making regarding the identified conflict and/or its corresponding transactions. If the board or committee has reasonable cause to believe that an interested person has failed to disclose actual or possible conflicts of interest, it shall inform such person on the basis for such belief and afford him/her an opportunity to explain the alleged failure to disclose. If, after hearing the response of the interested person and making such further investigation as may be warranted in the circumstances, the board or committee determines that such person has in fact failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR UNDERTAKEN	Form 990, Part VI, Section B, Line 15a Although paid by a related organization, Dartmouth-Hitchcock Clinic, the Compensation for the CEO is evaluated by an independent third party firm for reasonableness and national data benchmarking. The Talent Development and Compensation Committee, along with Independent Trustees, approve the final compensation in consideration with the independent third party firm's recommendations and suggestions. This process was contemporaneously documented and last undertaken in 2017.
Offices & Positions for Which Process was Used & Year Undertaken	Form 990, Part VI, Section B, 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 2017. External benchmarking from an independent third party has been used for any Officer who was hired or received a compensation adjustment since the last formal process. Compensation rates are determined by following the guidelines of the compensation committee charter and philosophy documents and a formal review by compensation committee members.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public	Form 990, Part VI, Section C, Line 19 MHMH's governing documents are available through the New Hampshire Secretary of State. Certain financial information is disclosed through the Community Benefits Annual Report. The audited financial statements, governing documents, and conflict of interest policy are available upon request either in electronic or hardcopy form. Average Hours Per Week Form 990, Part VII, Section A, Line 1A, Column B As part of Dartmouth-Hitchcock Clinic and Mary Hitchcock Memorial Hospital's affiliation agreement, the two organizations share officers. As such, the average hours per week are allocated between the two organizations' 990's even though compensation reported in part VII is based on the entity issuing the W-2. In addition, certain officers spend time on Dartmouth-Hitchcock Health (the sole corporate member of both MHMH and DHC), Dartmouth-Hitchcock Clinic, along with three supporting organizations Dartmouth-Hitchcock Medical Center, Everwell, Inc., Hamden Risk Retention Group, and related entities: Alice Peck Day Memorial Hospital, Windsor Hospital Corporation (dba Mt Ascutney Hospital and Health Center), Mt Ascutney Hospital Community Health Foundation, Historic Homes of Runnemede, Cheshire Medical Center, Cheshire Health Foundation, Cheshire Health Services, The New London Hospital Association, VNA & Hospice of VT and NH, and The Hitchcock Foundation. Statement of Functional Expenses Form 990, Part IX Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinic operate under an affiliation agreement as directed by Dartmouth-Hitchcock Health, the sole Corporate Member of both entities. Due to the integrated operating structure, related mission, and close relationship of the two tax-exempt organizations, expenses are shared between the two entities. All expenses reported within this 990 are the organization's share of expenses as designated by the affiliation agreement.
Financial Statements and Reporting	Form 990, Part XI, Line 9 Other Changes in Net Assets Include: Net Asset Transfer to Affiliates $10,470,394, Net Assets Released from Restriction ($27,614,290), Pension-related and other changes $741,781, Total changes in net assets: ($16,402,115). Audited Financial Statements Form 990, Part XII, Line 2c The organization's financial information is included in the consolidated audited financial statements of Dartmouth-Hitchcock Health and Subsidiaries, which consists of the following organizations and their related subsidiaries: Dartmouth-Hitchcock Clinic, Mary Hitchcock Memorial Hospital, Mt Ascutney Hospital and Health Center, Cheshire Medical Center, The New London Hospital Association, Alice Peck Day Memorial Hospital, and VNA & Hospice of VT and NH.
Circular A-133 Audit Requirement	Form 990 Part XII, Line 3A DURING FISCAL YEAR 2018, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FUNDS FROM FEDERAL AWARDS IN EXCESS OF THE $750,000 THRESHOLD SET FORTH IN THE OMB UNIFORM GUIDANCE, THEREFORE REQUIRING AN AUDIT.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NEW ENGLAND ALLIANCE FOR HEALTH LLC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	264232401	HLTH IMPROVMT	NH	-$58,121	$514,183	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 (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222519596	PHYS SVCS	NH	501(c)(3)	10	D-HH	Yes (true)
DARTMOUTH-HITCHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222715483	SUPPORTNG ORG	NH	501(c)(3)	12 TYPE I	NA	Yes (true)
DARTMOUTH - HITCHCOCK HEALTH
One Medical Center Drive	Lebanon	NH	03756	264812335	PARENT ORG	NH	501(C)(3)	7	NA	false
HAMDEN RISK RETENTION GROUP INC
30 MAIN STREET STE 330	BURLINGTON	VT	05401	208530788	Self Ins.	VT	501(c)(3)	12 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)	12 Type I	NA	Yes (true)
The New London Hospital Association Inc
273 County Rd	New London	NH	03257	020222171	Hospital	NH	501(c)(3)	3	D-HH	Yes (true)
Windsor Hospital Corporation
289 County Road	Windsor	VT	05089	030183721	Hospital	VT	501(C)(3)	3	D-HH	Yes (true)
Cheshire Medical Center
580 Court Street	Keene	NH	03431	020354549	Hospital	NH	501(C)(3)	3	D-HH	Yes (true)
Cheshire Health Foundation
580 Court Street	Keene	NH	03431	020202220	SUPPORTNG ORG	NH	501(C)(3)	12 TYPE I	CMC	Yes (true)
Mt Ascutney Hosp Cmmty Hlth Found
289 County Road	Windsor	VT	05089	030300481	Foundation	VT	501(c)(3)	3	WHA	Yes (true)
Historic Homes of Runnemede
289 County Road	Windsor	VT	05089	237396147	Healthcare	VT	501(c)(3)	10	WHA	Yes (true)
Cheshire Health Services
580 Court Street	Keene	NH	03431	473379283	HEALTHCARE	NH	501(c)(3)	3	CMC	Yes (true)
Alice Peck Day Memorial Hospital
10 Alice Peck Day Drive	Lebanon	NH	03766	020222791	Hospital	NH	501(c)(3)	3	D-HH	Yes (true)
Surgery Center of Greater Nashua
10 Prospect Street Ste 101	Nashua	NH	03060	461084049	Surgery Ctr	NH	501(c)(3)	3		false	N/A
VNA & Hospice of VT and NH
205 Billings Farm Road 5	Wilder	VT	05088	036006494	Hospice	VT	501(c)(3)	10	D-HH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
D-H Mster Invst Prg
1 Med Ctr Dr	LEBANON	NH	03756	020205863	POOLED INVEST	NH	MHMH	excluded	$40,088,413	$585,715,206	false	-$213,709	Yes (true)	0.90752
OneCare VT ACOLLC
111 COLCHESTER AVE	Burlington	VT	05401	455399218	Shared Saving	VT	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	EINEIN	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
Charit Remndr Unitrusts (4)
One Medical Center Drive	Lebanon	NH	03756	Chart. Trust	NH	MHMH	TRUST
Pompanoosuc Investment Corp
1 Medical Ctr Dr	Lebanon	NH	03756	Real Est Hldg	NH	DHC	C Corporation	020352330	Yes (true)
Hamden Assurance Company Limited
				Liab Insur.		DHC	Foreign Corp	980121409	Yes (true)	3 Gorham Road	Hamilton	BD	08	BD	$0	$23,060,627	0.25800
Hitchcock Health Connect
ONE MEDICAL CENTER DRIVE	Lebanon	NH	03756	Telehealth	DE	D-HH	C Corp	800908979	Yes (true)
Kearsarge Community Services Inc
273 County Road	New London	NH	03257	Real Est Hldg	NH	NLH	C Corp	020460136	Yes (true)
New London Physician Group Inc
273 County Road	New London	NH	03257	Physician Gro	NH	NLH	C Corp	020494420	Yes (true)
New London Medical Center East
273 County Road	New London	NH	03257	Real Est Hldg	NH	NLH	C Corp	020480857	Yes (true)
Keene Health Services
580 Court Street	Keene	NH	03431	Real Est Hldg	NH	CMC	C Corp	020374997	Yes (true)
Keene Health Realty
580 Court Street	Keene	NH	03431	Real Est Hldg	NH	CMC	C Corp	020374998	Yes (true)
Keene Health Enterprises
580 Court Street	Keene	NH	03431	Real Est Hldg	NH	CMC	C Corp	020374999	Yes (true)
ImagineCare
One Medical Center Drive	Lebanon	NH	03756	Sftwre tchnlg	NH	D-HH	C Corp	813105071	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Dartmouth-Hitchcock Clinic
JKLMN	$55,111,967	FMV
Hamden Risk Retention Group
P	$4,215,574	FMV
The New London Hospital Association
Q	$2,197,181	FMV
Windsor Hospital Corporation
Q	$2,009,709	FMV
Cheshire Medical Center
Q	$1,135,875	FMV
Cheshire Medical Center
L	$29,984,964	FMV
Alice Peck Day Memorial Hospital
Q	$972,800	FMV
Dartmouth-Hitchcock Health
P	$5,815,807	FMV
The Hitchcock Foundation
Q	$1,116,836	FMV
Windsor Hospital Corporation
R	$138,585	FMV
Dartmouth Hitchcock Health
E	$527,346,357	FMV
Dartmouth Hitchcock Medical Center
C	$64,575	FMV
Dartmouth Hitchcock Medical Center
P	$787,904	FMV
The Hitchcock Foundation
B	$395,187	FMV
Dartmouth Hitchcock Health Center
R	$8,308,296	FMV