2012-08-15T11:44:44-05:00 2011-09-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2010-10-01 020222140 Mary Hitchcock Memorial Hospital MARY 6036505000 One Medical Center Drive Lebanon NH 03756 Robin Kilfeather-Mackey 6036505668 2012-08-02 3176817000 2010 2016-02-24 21:20:13Z James Weinstein MD One Medical Center Drive Lebanon NH 03756 1008558078 false X www.dartmouth-hitchcock.org X 1889 NH ADVANCING 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. 18 16 5430 500 2667946 10252966 9876785 815774940 853974784 18049083 20457772 37950598 47455058 882027587 931764399 990807 979917 0 0 534789852 557911351 0 0 2343599 315249387 375099356 851030046 933990624 30997541 -2226225 1129681214 1147030352 675063960 718120459 454617254 428909893 ADVANCING 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. false false 767420962 825332 838584593 PSA #1: Hospital Operations Mary Hitchcock Memorial Hospital (the Hospital), is an acute and tertiary care teaching hospital located in Lebanon, New Hampshire. The Hospital is a not-for-profit organization, as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from Federal income taxes on related income pursuant to Section 501(a) of the Code. The Hospital provides a broad range of patient services and health related community services, consistent with its role as a community hospital, a major teaching hospital and a tertiary care referral hospital. These include a full range of services in both acute and critical medicine, surgery, psychiatry and rehabilitation for infants, children and adults. During FY 2011 the Hospital provided 121,342 acute patient days of inpatient service and had 25,062 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 24,349 discharges. The Hospital operates as an integral component of the Dartmouth Hitchcock Medical Center (DHMC), a New Hampshire nonprofit corporation organized for the exploration and coordination of matters of mutual interest among its members which consist of the Hospital, Dartmouth-Hitchcock Clinic (the Clinic), Geisel School of Medicine (GSM), a component of Dartmouth College, and the Veterans Affairs Medical Center in White River Junction, Vermont. The Clinic provides the physician staff to the Hospital and the sophistication essential for the development of the Hospital as the largest and only teaching hospital in New Hampshire and the designation by the federal government as a Rural Referral Center for northern New England. The mission of the Hospital 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 Clinic, the Hospital provides high quality, cost effective, comprehensive, and integrated health care to individuals, families, and the communities it serves regardless of a patient's ability to pay. The Hospital actively supports community-based health care and promotes the coordination of services among health care providers and social services organizations. The Hospital also seeks to work collaboratively with other area health care providers to improve the health status of the region. Effective with fiscal year 2000, the Hospital and the Clinic began filing an annual Community Benefit Report with the State of New Hampshire which outlines the community and charitable benefits they provide. The most recent Community Benefit Reports are available upon request or can be found on Dartmouth-Hitchcock's web site (www.dartmouth-hitchcock.org). Financial assistance, formerly called charity care, represents services provided to patients who cannot afford health care services due to inadequate financial resources which result from being uninsured or underinsured. For the year ended September 30, 2011 the Hospital provided financial assistance to 9,312 patients in the amount of $30,402,969, as measured by gross charges. The estimated cost of providing this care for the year ended September 30, 2011 was $12,666,607. The Hospital also routinely provides services to Medicaid patients at reimbursement levels that are below the cost of the care provided. The Community health activities includes the cost or value of several different types of programs including the cost of community based education, health fairs, health screenings, support groups, and programs and materials that promote wellness and prevent illness. Examples of these types of efforts include partnering with the Healthy Eating Active Living NH initiative, the Women's Health Resource Center, and smoking prevention and cessation. This category also includes financial contributions and the contribution of time and services to community programs, hospitals and agencies. The Hospital also provides a significant amount of uncompensated care to its patients reported as provision for bad debts, which is not included in the amounts reported above. During the years ended September 30, 2011, the Hospital reported a provision for bad debts of approximately $27,385,917. 42852056 36532317 As a component of an integrated academic medical center, the Hospital provides significant support for academic and research programs through its support of The Geisel School of Medicine at Dartmouth College. MHMH provides support for Physicians' unpaid teaching time as part of its Community Benefit Initiatives, consisting of the time physicians spend providing clinical supervision and education for residents and medical students. In addition, the Hospital provides in-kind support for research and other grants representing costs in excess of awards for numerous grant-funded health research and service initiatives awarded to the Clinic and GSM. Other community benefit initiatives include subsidizing the costs of providing medical and clinical education to professionals across New Hampshire, Vermont and beyond as well as uncompensated costs of academic and medical research activities. 810273018 true true false true false false false false true true true false false true false false true false false true false false false true false true true true true true true false false false false false true false true true true true false false false true true true true false false true X 959 0 true 5430 true true true true BD false false false true true false false false false X 18 16 false false false false true true true true true false true false true true true true true true true true true true NH X ROBIN KILFEATHER-MACKEY 6036505668 ONE MEDICAL CENTER DRIVE Lebanon NH 03756 X Michael J Goran MD 1.0 X 0 0 0 Alfred L Griggs 1.0 X 0 0 0 Stephen P Barba 2.0 X X 0 0 0 Alan C Keiller 2.0 X X 0 0 0 Stephen F Christy 1.0 X 0 0 0 Wayne G Granquist 2.0 X X 0 0 0 Jennie L Norman 1.0 X 0 0 0 Richard S Shreve 1.0 X 0 0 0 Hugh C Smith MD 1.0 X 0 0 0 Vincent S Conti 1.0 X 0 0 0 Anne-Lee Verville 1.0 X 0 0 0 Nancy Formella 60.0 X X 783533 0 28191 Thomas Colacchio MD 1.0 X X 0 735805 56310 Barbara Couch 1.0 X 0 0 0 Wiley Souba MD 1.0 X 0 0 0 William J Conaty 1.0 X 0 0 0 John L Harrison Jr 1.0 X 0 0 0 William W Helman IV 1.0 X 0 0 0 Robert A Oden Jr PhD 1.0 X 0 0 0 Carl Dematteo 30.0 X 0 570672 26593 Robin Kilfeather-Mackey CPA 27.5 X 0 375702 21496 Peter Johnson 30.0 X 0 421481 30493 Linda Von Reyn 30.0 X 322292 0 29131 Daniel Jantzen CPA 30.0 X 528264 0 32570 Stephen Leblanc 25.0 X 0 475512 28446 John Butterly MD 25.0 X 0 500322 62741 Brian Lally 30.0 X 0 253101 47210 Lawrence Dacey MD 30.0 X 0 567275 34574 Alan Weston 30.0 X 0 0 0 Mary Oseid 20.0 X 0 254337 28473 Christine Schon 20.0 X 0 200195 37860 William Mroz 20.0 X 253554 0 46149 Sandra Dickau 20.0 X 249038 0 17769 Mary Kay Boudewyns 20.0 X 205136 0 18357 Gail Dahlstrom 20.0 X 210377 0 16262 Michael Ward 20.0 X 0 244106 28145 David Gladstone 40.0 X 260931 0 48441 Bruce King 40.0 X 294973 0 29159 Susan Reeves 40.0 X 275908 0 27548 Neil Castaldo 40.0 X 626176 0 50387 Mark Bellerive 40.0 X 241028 0 54740 Richard Showalter X 246600 0 23840 John Collins X 117666 376380 55295 Victoria George X 0 163495 19140 Richard Davis X 0 101865 3741 4615476 5240248 903061 349 true true false ACCRETIVE HEALTH 401 N MICHIGAN AVE SUITE 2700 CHICAGO IL 60611 REVENUE MNGT SERVICE 17740601 TRUSTEES OF DARTMOUTH COLLEGE 37 DEWEY FIELD HANOVER NH 03755 ADMIN & DIR SUPPORT 19703242 Harvey Construction 10 Harvey Road BEDFORD NH 03110 Construction Svcs 6097857 Pizzagalli Construction Company 50 Joy Drive SOUTH BURLINGTON VT 05403 CONSTRUCTION SVCS 5454014 NEW HAMPSHIRE IMAGING SERVICES INC ONE PILLSBURY ST SUITE 200 CONCORD NH 60122 Imaging Services 4902277 182 3636162 1459162 4781461 80673 9876785 NET PATIENT SERVICE REVENUE 621110 852329035 852329035 FEE FOR SERVICE GRANTS, OTHER, RESEARCH 621110 1101573 1101573 MOBILE ECHO CARD REVENUE 621110 538079 538079 HOLTERSCAN REVENUE 621110 6097 6097 853974784 8735804 8735804 0 0 912438 621507 290931 290931 290931 87079087 34554 74923268 813042 12155819 -778488 11721968 11721968 398506 3636162 435862 -37356 -37356 0 0 CAFETERIA 722212 3786785 3786785 PHARMACY INCOME 622110 19652733 48107 19604626 MEANINGFUL USE 622110 8820337 8820337 14941628 12321789 2619839 47201483 931764399 875116910 2667946 44102758 597765 597765 382152 382152 0 0 5878645 2028306 3529394 320945 0 400069670 339773152 60296518 62379679 52978123 9401556 61393081 52140220 9252861 28190276 23941577 4248699 0 1804254 1804254 310510 310510 0 0 0 60967294 47654698 13312596 2072695 48338 2024357 124650029 119171566 5478463 4415279 3973751 441528 0 12276800 11033807 1242993 1522679 569603 953076 0 115504 6633 108871 14217121 12795409 1421712 0 35647345 32970920 2676425 8658545 7869603 788942 MEDICAID ENHANCEMENT TAX 43490956 43490956 PROVISION FOR BAD DEBTS 27385917 27385917 EQUIPMENT RENTAL & MAINT 10135956 9122358 1013598 D-HH ASSESSMENT 3506925 3506925 DHMC ASSESSMENT 3005949 3005949 20915598 15825290 3067654 2022654 933990624 810273018 121374007 2343599 82299 357738 49127873 49844820 135997590 152519707 457401 354122 2503233 2003212 13257671 13445617 4420595 5281075 725762783 350269617 331068501 375493166 453576706 279749986 81461317 212463631 2238669 2477568 55489359 53039710 1129681214 1147030352 170120779 198080127 362562261 356318885 5544170 4351905 136836750 159369542 675063960 718120459 X 378725214 354333671 48353644 46706072 27538396 27870150 454617254 428909893 1129681214 1147030352 X -2226225 -23481136 X X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 159713 false false 159713 false LOBBYING ACTIVITY EXPLANATION SCHEDULE C, PART II, B 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. FOR THE FISCAL YEAR ENDED SEPTMEBER 30, 2011, MARY HITCHCOCK MEMORIAL HOSPITAL INCURRED $159,713 IN CONJUCTION WITH THIS ACTIVITY. FROM TIME TO TIME, MARY HITCHCOCK MEMORIAL HOSPITAL, THROUGH ITS EMPLOYEES AND THE USE OF CONSULTANTS, CONTACTS GOVERNMENT OFFICIALS AND LEGISLATORS. THIS CONTACT IS FOR THE PURPOSE OF PROPOSING LEGISLATION OR EXPRESSING AN OPINION ON CHANGES IN LEGISLATION THAT AFFECT THE HOSPITAL AND ITS ABILITY TO CARRY OUT ITS MISSION. TYPICAL ACTIVITIES INCLUDE EMAILING, CALLING, AND MEETING WITH GOVERNMENT OFFICIALS AND LEGISLATORS. 54110647 398541 842732 1328695 54023225 49493627 3040219 2769857 1193056 54110647 49870808 4146452 -3921625 602008 49493627 0.31000 0.52000 0.17000 false false 1559834 28328291 29888125 364837418 200607161 164230257 4111615 3282408 829207 326925624 146380048 180545577 375493166 FIXED INCOME, HEDGE FUNDS, &OT 101942963 F PRIVATE EQUITIES 34565284 F PUBLIC EQUITIES 75955384 F 212463631 0 THIRD PARTY SETTLEMENTS 23789287 ACCRUED POST RETMNT PENS & MED 125082000 INTEREST RATE SWAP 10498255 159369542 Intended use of Endowment Funds Schedule D Part V Line 4 The intended use of the endowment funds is to promote and advance the following mission-related programs: healthcare services, research, charity care, and health education. ASC 740 (FIN 48) Footnote Schedule D Part X No ASC 740 (FIN 48) footnote was included in the audited financial statements as there were no material uncertain tax positions at or since adoption. Central America and the Caribbean 0 0 Program Services INSURANCE 5826349 Central America and the Caribbean 0 0 Program Services Educational Travel Exp 13885 East Asia and the Pacific 0 0 Program Services Educational Travel Exp 5192 Europe (Including Iceland and Greenland) 0 0 Program Services Insurance 244300 Europe (Including Iceland and Greenland) 0 0 Program Services Educational Travel Exp 53120 Europe (Including Iceland and Greenland) 0 0 Program Services Med Equip & Supplies 52570 Middle East and North Africa 0 0 Program Services Collection Services 12825 North America 0 0 Program Services Educational Travel Exp 58594 North America 0 0 Program Services Med Equip and Supplies 173492 North America 0 0 Program Services Software 15680 South America 0 0 Program Services Educational Travel Exp 987 South Asia 0 0 Program Services Educational Travel Exp 2067 Sub-Saharan Africa 0 0 Program Services Educational Travel Exp 4319 0 0 0 0 6463380 6463380 true false true true true false Prouty Bike/Wlk 2819750 2647440 172310 30037 16644 8000 245985 Chad Hlf Mrthn 454909 424924 29985 5235 388 528 61503 10 760009 563798 196211 1950 12648 10502 2961 4650 34831 4034668 3636162 398506 1950 47920 10890 20133 12650 342319 435862 -37356 true true true true X true true true false true true 12665877 12665877 0.01400 133698432 81674685 52023747 0.05740 146364309 81674685 64689624 0.07140 3382491 4883 3377608 0.00370 37882527 9613363 28269164 0.03120 3415350 3415350 0.00380 3138542 3138542 0.00350 1065190 1065190 0.00120 48884100 9618246 39265854 0.04330 195248409 91292931 103955478 0.11270 24500 24500 0.00000 977 977 0.00000 9076 9076 0.00000 2876 2876 0.00000 165634 165634 0.00000 69157 69157 0.00000 12580 12580 0.00000 284800 284800 0.00010 false 10202188 0 238062074 225286179 12775895 X true true 1 1 Mary Hitchcock Memorial Hospital

One Medical Center Drive Lebanon NH 03756

X X X X X X PSYCH UNIT AND TRANSPLANT UNIT Mary Hitchcock Memorial Hospital 1 1 Norris Cotton Cancer Center

1080 Hospital Drive St Johnsbury VT 05819

Cancer Center Part I Line 6a Community Benefits Report Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinic (Collectively referred to as Dartmouth-Hitchcock (D-H)) share common board members and operate under an affiliation agreement. D-H performs a joint Community Needs Assessment and files a consolidated Community Benefits report. For purposes of IRS Form Schedule H, only Hospital numbers were used. All amounts relating to DHC were excluded. Part I Line 7G Subsidized health services related to physician clinics The Organization did not include any subsidized health service costs attributable to a physician clinic on Part I, line 7G. Part I Line 7f Bad Debts Bad debt expense included on Form 990 Part IX Line 25 totaling $27,385,917, was excluded from total expenses for the calculation of net Community Benefits as a percent of total expenses. This bad debt expense represents bad debts allocated to MHMH, and not those atrributed to Dartmouth-Hitchcock Clinic. Part I Line 7 Costing Methodology The costing methodology used to calculate the amounts reported was a cost-to-charge ratio derived from worksheet 2, Ratio of Patient Care Cost-to-Charges. Part III Line 3 As part of the hospital'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. MHMH currently does not have a methodology to determine how many patients who would have qualified for financial assistance if the documentation was provided. The hospital is currently reviewing this process to come up with a tracking methodology for FY12 that is in compliance with Medicare cost report regulations. Part III Line 4 Costing Methodology used on lines 2 A cost-to-charge ratio was used to determine amounts reported on Part III, Section A, line 2. Patient Financial Assistance Qualification MHMH's Policy is to exert everything in the Organization's power to obtain sufficient and adequate information to determine eligibility for financial assistance. If the required information is not obtained in order to determine eligibility for financial assistance, then the amount is recognized as bad debt. In addition, beginning in fiscal year 2011, MHMH applies a 30% discount for uninsured patients before financial assistance is applied. Bad Debt Costing Methodology The costing methodology used to calculate the amounts reported on Part 3, Line 2 is the cost-to-charge ratio as derived from Schedule H, Worksheet 2, Ratio of Patient Care Cost-To-Charges. Audited financial Statement Disclosure for Charity Care and Provision for Bad Debt: (Please note that MHMH files a combined AFS with DHC and other Subsidiaries) D-H 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. The Organization grants credit without collateral to patients, most of whom are local residents and are insured under third-party arrangements. Additions to the allowance for uncollectible accounts are made by means of the provision for bad debts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in federal and state governmental healthcare coverage and other collection indicators. Part III Line 8 Medicare Shortfalls 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 $6,685,930 and costs of $11,172,829 for services not included on the Medicare Cost Report (Ambulance Services, Laboratory and other fees screens, and Medicare Part C & D services) MHMH incurred a net loss of $4,486,899 on the provision of these services. Part III Line 9b Credit and Collection Policy MHMH has a Credit and Collection Policy that addresses the procedures for patients who choose not to make payment or work with MHMH to make payment arrangements for their bill. The Organization has a separate Financial Assistance Policy that addresses those patients who are unable to make payment. MHMH is a charitable health care organization who treats patients that come for medically necessary care, regardless of their financial status. MHMH offers financial assistance in the form of free or discounted care to those patients who have an inability to pay their bills. The requirements and criteria for consideration for financial assistance are outlined within the Financial Assistance policy. Guidelines for financial assistance qualification are defined as well as the levels of assistance available. 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. The policy also addresses that payment plans are available for anyone with a self-pay balance remaining after their reduction. Part V Facility information The Hospital has a Cancer Treatment Center located in Saint Johnsbury, Vermont. This location is registered under the same license as the Organization's main Campus located in Lebanon, New Hamshire. Needs Assessment Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinic (Collectively referred to as Dartmouth-Hitchcock (D-H)) share common board members and operate under an affiliation agreement. D-H performs a joint Community Needs Assessment and files a consolidated Community Benefits report. Description of Community Needs Assessment Dartmouth-Hitchcock participates with other health care charitable trusts and community partners in each of our service areas to complete community health needs assessments. Each of our regions (Lebanon, Concord, Manchester and Nashua) has utilized different approaches, as described below: 1. Lebanon Service Area: In 2005, the Upper Valley region defined a set of 14 specific indicator areas that had been identified in earlier community needs assessments as being key areas of need. These 14 indicator areas offer an opportunity for the region to track progress toward meeting these health needs over time. The 2008 Community Needs Assessment was organized around these needs. For each indicator area, we sought data regarding the indicator by: a. Identifying quantifiable, reliable, regularly collected population data sources, such as Youth Risk Behavior Surveys and the Behavioral Risk Factors Surveillance System. b. Hosting small focus groups of key community stakeholders with long-term knowledge and experience related to each of the key indicator areas. c. Seeking commentary on focus group data from additional key stakeholders in individual interview formats. These activities provided data and analysis needed to compile narrative reports for each key indicator area, including both quantitative population health data and local interpretation and analysis of factors impacting each area of need. In addition Dartmouth-Hitchcock and Alice Peck Day Memorial Hospital solicited input to help prioritize identified community health needs through two additional actions: a. Distributing a brief health needs priority survey to residents attending free public flu clinics in Lebanon and Canaan. b. Asking key leaders of health, human service, and government assistance organizations to complete a Survey Monkey questionnaire which asked them to prioritize the needs of i. Clients they serve ii. The community at-large iii. Barriers to health iv. The community health interventions they desired most from Dartmouth-Hitchcock and Alice Peck Day Memorial Hospital v. The community health interventions they were most likely to implement through their own organizations in the next 1-3 years. 2. Concord Service Area: In 2008, Dartmouth-Hitchcock Concord participated as a member of the Capitol Region Health Needs Assessment. Data gathering methods used in this assessment included: a. Reviewing of population health data from county, state, and hospital data sets. b. Conducting stakeholder interviews with key elected and appointed City and State officials as well as representatives from health constituency groups. c. Hosting focus groups for various constituent groups, including seniors, teens, young parents, educators, clergy, and health care/human service providers. d. Conducting community listening sessions open to the general public in six communities surrounding Concord. e. Administering a random, probabilistic telephone survey of residents in 24 communities surrounding Concord. f. Distributing a written survey to adults and teens in a variety of community locations. g. Posting an online survey using zoomerang.com to gather feedback from respondents. 3. Manchester Area: Dartmouth-Hitchcock Manchester was a collaborator in the 2006 "Community Indicators" project sponsored by Heritage United Way in partnership with Southern New Hampshire University. This project utilized several sources of gathering data regarding community needs: a. Utilizing data from the US Census, the Bureau of Labor Statistics, and research generated by public agencies, institutions, community-based organizations, and academic centers. b. Input from stakeholder groups, including donor groups, business leaders, agencies, clients, local philanthropies, advocates, researchers, and the Heritage United Way Board of Directors. c. Three Community Discussion forums where data and reports generated as part of the Community Indicators Project were presented for discussion at open forums. 4. Nashua Service Area: Dartmouth-Hitchcock Nashua participated in the development of the 2006 "Greater Nashua Measures Up" community needs assessment project. Methods for gathering information used in this assessment include: a. Collecting population health data from published sources including: i. The 2000 Census of Population and Housing ii. The Mayor's Task Force on Housing iii. Nashua Continuum of Care's point-in-time counts of the homeless iv. Southern New Hampshire Services' 2004-2007 assessment of the needs of low-income individuals v. State and local government data on education, employment, crime, and health status b. Conducting a regional, randomized household telephone survey regarding personal and community health care needs. c. Hosting focus groups of service recipients, including Hispanic-speaking and Portuguese-speaking groups and teen representatives from the Mayor's Taskforce on Youth in Nashua. d. Surveying human service agencies regarding community health needs. Patient Education of Eligibility for Assistance All uninsured inpatients, same day surgery, observation, and Emergency Department patients are pro-actively screened using an automated tool to identify potential qualification for other federal, state, and local programs. In addition, specific outpatient activities deemed to have a higher rate of need are screened as part of regular protocol. If a patient appears to be eligible, on-site Financial Counselors assist the patient in completing the appropriate paperwork/applications and provide instruction regarding how to complete the qualification process. In some cases a Financial Counselor will act on behalf of the patient, at their signed consent, in order to complete the application process (for example, in New Hampshire a patient must be physically present at the District Office). If a patient doesn't qualify for specific programs, they are also considered for financial assistance as part of their screening. For outpatient services that are not routinely screened, staff interacting with patients are instructed to provide either a financial assistance application or contact information for a Financial Counselor when a patient expresses their inability to make payment. Every application is screened for completed income and asset documentation. Applications are also screened to assure there are no other potential options of federal, state, or local programs. The website, patient statements, and financial brochures all include information about financial assistance and how to apply. Community Information The Organization defines it's service region as New Hampshire and eastern Vermont, with the largest presence in the Lebanon, New Hampshire region, site of Dartmouth-Hitchcock Medical Center which includes Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinics main Northern clinic. MHMH serves the general population with a wide range of services. In addition to general hospital populations, the Organization provides services to patients with highly-specialized needs that are not available elsewhere in New Hampshire. MHMH is the states only tertiary referral center, provides a comprehensive cancer center (Norris Cotton Cancer Center - NCCC), operates the only Level I Trauma Center in New Hampshire, operates the Childrens Hospital (Childrens Hospital at Dartmouth CHaD), hosts a Level III neonatal intensive care nursery and the only pediatric intensive care unit 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 MHMH supports organizations and initiatives that further health by strengthening and developing key community capacities, such as improved housing, economic development initiatives, and healthcare workforce development activities as determined by the Organization's Needs Assessment. In addition, the Organization participates in or provides leadership for a wide array of health-oriented community coalitions, such as the Upper Valley Housing Coalition, the Nashua Tobacco Coalition, the DHMC Outpatient Falls Risk Reduction Task Force, the Community Oral Health Initiative, the Bridges to Prevention substance use prevention coalition, and ServiceLink. MHMH has also provided leadership to the Upper Valley Healthy Eating Active Living (UV HEAL) Partnership, an initiative to reduce the growth of childhood obesity, and has been active in similar partnerships in Nashua and Manchester. At MHMH's Lebanon campus, the Hospital extends Professional Staff Privileges to qualified and appropriate physicians who are employees of Dartmouth-Hitchcock Clinic, Mary Hitchcock Memorial Hospital, or Dartmouth College and who also hold a faculty appointment at Dartmouth College. Mary-Hitchcockss Trustees annually set strategic priorities for the institution and approve operating and capital budgets which allocate surplus funds to improvements in patient care, medical education, research, as well as maintenance of a prudent reserve. Examples of these investments include the development of Mary Hitchcockss Patient Safety Training Lab, ongoing Quality and Patient Safety initiatives; purchases of new and emerging medical technologies, awards made to support translational research, and support for undergraduate medical education at Dartmouth Medical School. Of the eighteen voting members of Dartmouth-Hitchcocks Board of Trustees, fifteen live within the geographic region we serve. Sixteen are neither contractors nor employees of MHMH. Affiliated Health Care System Community Benefits are provided by the Dartmouth-Hitchcock health care system, which includes Mary Hitchcock Memorial Hospital, Dartmouth-Hitchcock Clinic, and other related organizations whose primary mission is health care. Mary Hitchcock Memorial Hospital (MHMH) in Lebanon is New Hampshires largest hospital. In Fiscal Year 2011 MHMH had 396 licensed inpatient beds. The Dartmouth-Hitchcock Clinic (DHC) is a multi-specialty physician practice with a network of providers across New Hampshire and Vermont. While DHCs main offices are located in Lebanon, the Clinic also has multi-specialty practices in Manchester, Nashua, Concord and Keene. In addition, the Clinic provides primary care in rural communities in Vermont and northern New Hampshire. MHMH, DHC sites, and the Dartmouth Medical School (DMS) faculty and students make up the Dartmouth-Hitchcock (D-H) health care system. The Hospital and Clinic operate jointly through interlocking directorates, strategic planning and management. They share identical missions. The Medical School, which works closely with the Hospital and Clinic, is focused on medical education and research. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI NH, true Child Health Services 1245 Elm Street Manchester NH 03104 020348711 501(C)(3) 17500 Program Support Good Neighbor Health Clinic 70 No Main St White River Jct VT 05001 030346949 501(C)(3) 42000 Programs/Clinic Svcs Manchester Community Health Center 145 Hollis Street Manchester NH 03101 020458174 501(C)(3) 35000 Program Support The Hitchcock Foundation 1 Medical Center Drive Lebanon NH 03756 020222139 501(C)(3) 7000 Program Support Cheshire Health Foundation 580 Court Street Keene NH 03431 020202220 501(C)(3) 17322 Program Support Grafton Country Senior Citizens Council P O Box 433 Lebanon NH 03766 237248316 501(C)(3) 21000 Elder Services Vital Communities 195 No Main St White River Jct VT 05001 030355283 501(c)(3) 17500 Program Support Granite State Fit Kids 291 West Hollis St Nashua NH 03062 020519379 501(c)(3) 5250 Program Support Stagecoach 7 Bayberry Way Mont Vernon NH 03057 030276517 501(c)(3) 24500 Program Support Granite State United Way 46 South Main St Concord NH 03301 026006033 501(c)(3) 16310 Program Support Bridges to Prevention Program 260 Highland St Plymouth NH 03264 201057931 501(C)(3) 7000 Program Support Indian Stream Health Center 141 Corliss Ln Colebrook NH 03756 200999212 501(C)(3) 35000 Programs/Clinic Svcs Schweitzer Program 330 Brookline Ave Boston MA 02215 131982786 501(C)(3) 7000 Program Support VT Program for Quality Healthcare 132 Main Street Montpelier VT 05602 222982253 501(C)(3) 28000 Program Support VNA and Hospice of VT and NH 66 Benning Street West Lebanon NH 03784 036006494 501(C)(3) 47600 Program Support VT Oxford Program 33 Kilburn Street Burlington VT 05401 030344168 501(C)(3) 14000 Program Support 16 Godfrey Nursing Awards 2 1400 Levine Nursing Awards 8 12687 Varnum Nursing Awards 39 28000 TDI Scholarships 20 170422 Knox Nursing Award 23 15058 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants For each of the awards established by Mary Hitchcock Memorial Hospital; Godfrey Nursing Awards, Levine Nursing Awards, Knox Nursing Award, Varnum Nursing Awards, there are written established guidelines and procedures. Grant award payments are processed in accordance with the specific terms of each of the grants noted above. The Dartmouth Institute Scholarships (TDI) are paid directly to the College on the behalf of the individuals receiving the award. The coordinators of the program(s) are responsible for assuring that all terms are met, including proper documentation of expenses with receipts. X true true X X X X X true true false false false false false false false Nancy Formella 666246 0 0 0 117287 0 9188 0 19003 0 811724 0 0 0 Thomas Colacchio MD 0 676930 0 0 0 58875 0 31410 0 24900 0 792115 0 0 Carl Dematteo 0 490025 0 0 0 80647 0 8820 0 17773 0 597265 0 0 Robin Kilfeather-Mackey CPA 0 363950 0 0 0 11752 0 8820 0 12676 0 397198 0 0 Peter Johnson 0 388659 0 0 0 32822 0 8820 0 21673 0 451974 0 0 Linda Von Reyn 280852 0 0 0 41440 0 8895 0 20236 0 351423 0 0 0 Daniel Jantzen CPA 469627 0 0 0 58637 0 12250 0 20320 0 560834 0 0 0 Stephen Leblanc 0 446635 0 0 0 28877 0 8820 0 19626 0 503958 0 0 John Butterly MD 0 447775 0 7500 0 45047 0 39740 0 23001 0 563063 0 0 Brian Lally 0 251389 0 0 0 1712 0 26510 0 20700 0 300311 0 0 Lawrence Dacey MD 0 511281 0 0 0 55994 0 8820 0 25754 0 601849 0 0 David Gladstone 258794 0 0 0 2137 0 28715 0 19726 0 309372 0 0 0 Bruce King 236022 0 47500 0 11451 0 8935 0 20224 0 324132 0 0 0 Susan Reeves 247589 0 0 0 28319 0 7350 0 20198 0 303456 0 0 0 Neil Castaldo 491435 0 70000 0 64741 0 31410 0 18977 0 676563 0 0 0 Mark Bellerive 241028 0 0 0 0 0 39534 0 15206 0 295768 0 0 0 Richard Showalter 179529 0 0 0 67071 0 8763 0 15077 0 270440 0 0 0 John Collins 0 104956 0 116408 117666 155016 0 31410 0 23885 117666 431675 0 0 Victoria George 0 162992 0 0 0 503 0 19140 0 0 0 182635 0 0 Mary Oseid 0 246162 0 0 0 8175 0 8820 0 19653 0 282810 0 0 Christine Schon 0 196759 0 0 0 3436 0 22813 0 15047 0 238055 0 0 William Mroz 237719 0 0 0 15835 0 31410 0 14739 0 299703 0 0 0 Sandra Dickau 244385 0 0 0 4653 0 9167 0 8602 0 266807 0 0 0 Mary Kay Boudewyns 200420 0 0 0 4716 0 6114 0 12243 0 223493 0 0 0 Gail Dahlstrom 202200 0 0 0 8177 0 0 0 16262 0 226639 0 0 0 Michael Ward 0 231126 0 0 0 12980 0 8785 0 19360 0 272251 0 0 Richard Davis 0 97816 0 0 0 4049 0 3741 0 0 0 105606 0 0 Supplemental Compensation Information 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. Supplemental Retirement Information Schedule J, Part I - line 4b The following individuals received payments from a supplemental nonqualified retirement plan: Thomas Colacchio $58,875 Nancy Formella $112,157 Carl Dematteo $71,527 Robin Kilfeather-Mackey $7,482 Peter Johnson $32,822 Linda Von Reyn $28,137 Daniel Jantzen $58,223 Stephen Leblanc $23,676 John Butterly $40,093 Lawrence Dacey $55,580 Susan Reeves $8,247 Neil Castaldo $42,979 Mary Oseid $8,175 William Mroz $971 Sandra Dickau $3,465 Michael Ward $2,461 Richard Showalter $23,700 John Collins $26,745 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 two qualified defined benefit plans) 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 eigible 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. New Hampshire Health and Education Facilities Auth 020279866 644614Y07 2009-08-19 134661088 CURRENT REFUND 2008(A),(B),(C) false false false New Hampshire Health and Education Facilities Auth 020279866 2009-03-30 5935000 VARIOUS EQUIPMENT false false false New Hampshire Health and Education Facilities Auth 020279866 644614G29 2010-06-16 73647839 CONSTR. OF FACILITY AND Equip false false false New Hampshire Health and Education Facilities Auth 020279866 2011-08-31 38119624 Current Refund 2001(A) false false false 0 0 134841419 0 0 0 2273111 0 0 0 132387977 0 2010 true false false 0 0 5935000 0 0 0 0 0 0 5935000 0 0 2009 false false true true 0 0 73666926 0 3766049 0 1168560 0 0 44137605 0 24610964 false false false 0 0 38119624 0 0 0 97500 0 0 0 38022124 0 2011 true false false false 0.00000 0.00000 0.00000 false false false false 0.00000 0.00000 0.00000 false false false false false 0.00000 0.00000 0.00000 false 0.00000 0.00000 0.00000 false false false false false false false false false false false false false false false false false false false false false false false false false true true Morgan Stanley 29.8 true false false false false Schedule K, Part I(f) Issue dates of Bonds on Schedule K: Current Refund 2008(A), issued 9/4/2008, which advance refunds 1985 Current Refund 2008(B), issued 10/31/2008, which advance refunds 1993 Current Refund 2008(c), issued 12/19/2008 Current Refund 2001(A), issued 10/17/2001, which advance refunds 1994 DANIEL JANTZEN SPLIT DOLLAR LIFE X 82043 82043 false true true SUSAN REEVES SPLIT DOLLAR LIFE X 108267 108267 false true true SANDRA DICKAU SPLIT DOLLAR LIFE X 12824 12824 false true true BRUCE KING SPLIT DOLLAR LIFE X 99352 99352 false true true MARY KING SPLIT DOLLAR LIFE X 10743 10743 false true true DEBORAH JANTZEN SPLIT DOLLAR LIFE X 40893 40893 false true true 354122 Hypertherm Trustee Baraba Couch 250000 See Attached false Ingrid Mroz Key Employee William Mroz 115155 SPOUSE EMPLOYED BY MHMH false John Collins Former Key Employee 155869 See Attached false Schedule L Part IV Business Transactions Name of Interested Person: Barbara Couch Relationship: Trustee Description of Transaction: Barbara Couch is a greater than 35% owner of Hypertherm, an entity that contracts with MHMH for certain medical services for its employees. John Collins provided expertise services on behalf of MHMH to Hamden Assurance Risk Retention Group, and Hamden Assurance Company Ltd; related organizations that provides liability insurance to Dartmouth-Hitchcock Clinic and Mary Hitchcock Memorial Hospital. X 11 40397 Fair Market Value X Travel/Fuel for Patients 1 40000 FMV X Misc Prgm Rltd 276 276 FMV Nt Prov by Donor 0 false true true Line 32B The organization uses Dartmouth-Hitchcock Medical Center, a supporting Organization, for solicitation of contributions and annual fund activities. From time to time, the Hospital may receive non-cash contributions directly from its donors. Part V - Question 1a Independent Contractors Dartmouth-Hitchcock Clinic (DHC) is part of the Dartmouth-Hitchcock Health system which includes DHC, Mary Hitchcock Memorial Hospital (MHMH) and subsidiaries. MHMH received authority from the Internal Revenue Service to act as DHC's pay agent as of the beginning of fiscal year 2010. All expenses are paid directly by MHMH and reimbursed by DHC. MHMH manages all required IRS reporting in regards to 1099's for independent contractors. Description of classes of members, persons, and the nature of their rights Part VI, Question 6 & 7a Dartmouth-Hitchcock Health (D-HH) is the sole corporate Member of Mary Hitchcock Memorial Hospital (MHMH). D-HH has specific authority and reserved powers, including the power to confirm the election of members of the MHMH's Board of Trustees and the power to approve significant governance, financial and operational decisions of MHMH's Trustees. Part VI, Question 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. Disregarded Entities Part VI, Question 10a & 10b MHMH is the sole corporate member of New England Alliance for Health (NEAH), a disregarded entity which coordinates and performs services for its membership consisting of community hospitals, behavioral health centers, and home healthcare agencies that come together in a shared commitment to improve the quality, efficiency, and availability of health care in New Hampshire, Vermont, and western Massachusetts. The organization does not have any local chapters, branches, or affiliates that would require written policies and procedures governing the activities. NEAH is operated as a department of MHMH and therefore does not require separate policies and procedures. Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11b The Audit Committee of the MHMH Board of Trustees is presented with a substantially complete Form 990. THE FORMS 990 AND 990-T ARE REVIEWED BY THE DIRECTOR OF CORPORATE FINANCE, VICE PRESIDENT OF CORPORATE FINANCE AND THE CHIEF FINANCIAL OFFICER BEFORE THE FILING OF THE RETURN. The Committee members are expected to review these forms before the meeting. AT THE MEETING A PRESENTATION IS MADE BY THE ORGANIZATION'S TAX ADVISOR AND THE ORGANIZATION'S FINANCE STAFF, WITH TIME ALLOTTED FOR QUESTIONS FROM THE COMMITTEE. ONCE THE RETURN HAS BEEN FULLY PREPARED A FINAL 990 AND 990-T COMPLETE ELECTRONIC VERSION IS SENT OUT TO EACH BOARD MEMBER PRIOR TO THE OFFICIAL FILING. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c The Mary Hitchcock Memorial Hospital Board of Trustees approved a policy concerning a voluntary self-disclosure of any potential conflict of interest. The Compliance and Audit Services Department conducts an annual survey and performs other procedures as considered necessary to report on compliance with the conflict of interest policy. The Compliance and Audit Services Department then reports to the board any potential conflicts for their review. Per the policy any conflicts or otherwise perceived are required to be addressed by the Board of Trustees on an ongoing basis.If a conflict arises, the individual is asked to recuse themselves from voting on any related items. The policy applies to all trustees, employees, and their immediate family members. All MHMH board members are included in the annual conflict of interest survey. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR UNDERTAKEN Form 990, Part VI, Question 15a Compensation for the President is evaluated by an independent third party firm for reasonableness and national data benchmarking. The Compensation Committee along with Independent Trustees approve the final compensation in consideration with the independent third party firm's recommendations and suggestions. This process is completed on an annual basis. Offices & Positions for Which Process was Used & Year Undertaken Form 990, Part VI, Question 15b Compensation for the Officers and Key Employees are evaluated by an independent third party firm for reasonableness and national data benchmarking. The Compensation Committee along with Independent Trustees approve the final compensation in consideration with the independent third party firm's recommendations and suggestions. THIS PROCESS WAS LAST UNDERTAKEN IN 2011 FOR EACH PERSON IDENTIFIED AS AN OFFICER OR KEY EMPLOYEE. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 MHMH's governing documents are available through the New Hampshire Department 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 in either electronic or hardcopy form. Average Hours Per Week Part VII Section A, Line 1A, Column B As part of MHMH's and Dartmouth-Hitchcock Clinic's affiliation agreement, the two organizations share officers. As such, the average hours per week are allocated between the two organization's 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. Financial Statements and Reporting Part XI, Question 5 Other Changes in Net Assets Include: Change in Unrealized gain/loss: ($18,009,745) Pension-related charges: ($4,807,296) Series 2001A unrealized Gain/Loss on Hedge ($664,092) Total changes in net assets: ($23,481,133) Part XII, Question 2d The organization's financial information is included in the audited financial statements of Dartmouth-Hitchcock and Subsidiaries, which consists of Dartmouth-Hitchcock Clinic and subsidiaries, as well as Mary Hitchcock Memorial Hospital. Part XII, Question 3a DURING FISCAL YEAR 2011, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FUNDS FROM FEDERAL AWARDS IN EXCESS OF THE MINIMUM THRESHHOLD SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133, THEREFORE REQUIRING AN AUDIT. DUE TO THE ISSUANCE OF THE COMBINED FINANCIAL STATEMENTS, THE SINGLE AUDIT WAS PERFORMED ON THE COMBINED FINANCIAL INFORMATION OF ALL ORGANIZATIONS. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Nancy Formella TITLE:Pres MHMH/Trustee Ex Officio HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Thomas Colacchio, MD TITLE:Trustee/Pres D-HH HOURS:60 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Carl Dematteo TITLE:Chief Quality Compliance Offcr HOURS:30 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Robin Kilfeather-Mackey, CPA TITLE:Chief Financial Officer HOURS:33 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Peter Johnson TITLE:Chief Information Officer HOURS:30 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Linda Von Reyn TITLE:Chief Nursing Officer HOURS:30 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Daniel Jantzen, CPA TITLE:Chief Operating Officer HOURS:30 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Stephen Leblanc TITLE:Exec VP D-H Health HOURS:35 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John Butterly, MD TITLE:Exec VP of Med Affairs, D-HH HOURS:35 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Brian Lally TITLE:Chief Advancement Officer HOURS:30 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Lawrence Dacey, MD TITLE:Chief Medical Officer HOURS:30 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Alan Weston TITLE:Chief HR Officer (Eff 1/24/11) HOURS:30 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mary Oseid TITLE:V.P Ambulatory Care HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Christine Schon TITLE:V.P Comm. Grp. Pract. Ops HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:William Mroz TITLE:V.P. Operations/Clinical Svcs HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Sandra Dickau TITLE:V.P. Operations/Patient Care HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mary Kay Boudewyns TITLE:V.P. Revenue Management HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Gail Dahlstrom TITLE:V.P. Facilities Mgmt HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael Ward TITLE:V.P. Cancer Services HOURS:20 NEW ENGLAND ALLIANCE FOR HEALTH LLC ONE MEDICAL CENTER DRIVE LEBANON NH 03756 264232401 HLTH IMPROVMT NH 2263708 223442 NA DARTMOUTH-HITCHCOCK CLINIC ONE MEDICAL CENTER DRIVE LEBANON NH 03756 222519596 PHYSICIAN SVC NH 501(c)(3) 9 D-HH DARTMOUTH-HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE LEBANON NH 03756 222715483 SUPPORTNG ORG NH 501(c)(3) 11 TYPE I NA DARTMOUTH - HITCHCOCK HEALTH One Medical Center Drive Lebanon NH 03756 264812335 SUPPORTNG ORG NH 501(c)(3) 7 NA HAMDEN RISK RETENTION GROUP INC 30 MAIN STREET STE 330 BURLINGTON VT 05401 208530788 Self Ins VT 501(c)(3) 11 TYPE I DHC The Hitchcock Foundation One Medical Center Drive Lebanon NH 03756 020222139 HLTHCRE RSRCH NH 501(c)(3) 7 DHC D-H Mster Invst Prg 1 Med Ctr Dr LEBANON NH 03756 020205863 POOLED INVEST NH MHMH Excluded 28867109 425150120 false 1912 true 0.93413 New Eng Phmcy Col 1 Med Ctr Dr LEBANON NH 03756 263819035 Group Purchas NH NA Related -107046 8492 false 0 true 0.43069 The Hitchcock Ptshp 1 Med Ctr Dr LEBANON NH 03756 020514823 Invst in Ptnr NH MHMH Investment 19495 0 false 0 true 0.61420 KEENE HLTH ALLIANCE 580 Court St Keene NH 03431 300179297 Healthcare NH NA N/A 0 0 0 Obnet Services LLC 1 Med Ctr Dr Lebanon NH 03756 043746287 Database Serv NH DHC Related 0 0 false 0 D & L Parsells Charit Remndr Unitrust One Medical Center Drive Lebanon NH 03756 510538760 Chart. Trust NH N/A Trust 1.00000 F & E Cluthe Charitable Rmndr Unitrust One Medical Center Drive Lebanon NH 03756 026103634 Chart. Trust NH N/A Trust 1.00000 Hitchcock Hospital Pooled Incme Fnd LIT2 One Medical Center Drive Lebanon NH 03756 223035122 Chart. Trust NH N/A Pooled incme fd 1.00000 Pompanoosuc Investment Corp 1 Medical Ctr Dr Lebanon NH 03756 020352330 Real Est Hldg NH NA C Corporation Hamden Assurance Co Ltd 44 Church St Hamilton BD HM 12 980121409 Liab. Insuance BD DHC Foreign Corp 0 0 0.25000 DH Pension Grp Trst 1 Medical Ctr Dr Lebanon NH 03756 202588083 Pension Trust NH NA Trust 0 0 0.00000 false false false true true false false false false false false false false false true true false false DARTMOUTH - HITCHCOCK CLINIC D & E 53041620