MARY HITCHCOCK MEMORIAL HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: MARY HITCHCOCK MEMORIAL HOSPITAL (EIN 02-0222140)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-12
IRS object ID: 201102289349300840
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-12T16:13:02-04:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 2380	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	020222140	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Mary Hitchcock Memorial Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MARY	NameControl
Phone	6036505000	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Robin Kilfeather-Mackey	Name
Title	CFO	Title
Phone	6036505668	Phone
Date Signed	2011-08-05	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Nancy Formella	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	967764999	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.DHMC.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1889	YearFormation
State Legal Domicile	NH	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	5299	TotalNbrEmployees
Total Nbr Volunteers	625	TotalNbrVolunteers
Total Gross UBI	2387817	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	11292032	ContributionsGrantsPriorYear
Contributions Grants Current Year	10252966	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	763807270	ProgramServiceRevenuePriorYear
Program Service Revenue CY	815774940	ProgramServiceRevenueCY
Investment Income Prior Year	-4532676	InvestmentIncomePriorYear
Investment Income Current Year	18049083	InvestmentIncomeCurrentYear
Other Revenue Prior Year	12220001	OtherRevenuePriorYear
Other Revenue Current Year	37950598	OtherRevenueCurrentYear
Total Revenue Prior Year	782786627	TotalRevenuePriorYear
Total Revenue Current Year	882027587	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	64159	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	990807	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	334679148	SalariesEtcPriorYear
Salaries Etc Current Year	534789852	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	2862920	TotalFundrsngExpCurrentYear
Other Expense Prior Year	435321872	OtherExpensePriorYear
Other Expenses Current Year	315249387	OtherExpensesCurrentYear
Total Expenses Prior Year	770065179	TotalExpensesPriorYear
Total Expenses Current Year	851030046	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	12721448	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	30997541	RevenuesLessExpensesCY
Total Assets BOY	994607674	TotalAssetsBOY
Total Assets EOY	1129681214	TotalAssetsEOY
Total Liabilities BOY	595784153	TotalLiabilitiesBOY
Total Liabilities EOY	675063960	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	398823521	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	454617254	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	759554475	Expense
Grants	990807	Grants
Revenue	830845586	Revenue
Description	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 2010 the Hospital provided 119,663 acute patient days of inpatient service and had 24,165 total acute care discharges, while the Hospital's emergency room was open to the public 24 hours per day, 7 days per week and provided care during 31,589 visits. 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), Dartmouth Medical School (DMS), 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. As a component of an integrated academic medical center, the Hospital provides significant support for academic and research programs through its support to DMS as discussed below. 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 complete and updated Community Benefit Report for 2010 is available upon request or can be found on Dartmouth-Hitchcock's web site (www.dhmc.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, 2010 the Hospital provided financial assistance to 8,132 patients in the amount of $30,403,000, as measured by gross charges. The estimated cost of providing this care for the year ended September 30, 2010 was $13,103,693. The Hospital also routinely provides services to Medicaid patients at reimbursement levels that are below the cost of the care provided. The uncompensated cost of care for Medicaid patients for the year ended September 30, 2010 was $39,286,552. The Hospital, in conjunction with the Clinic and DMS, provides financial support for medical and other professional education to Dartmouth Medical School to support the costs of operations. Physicians' unpaid teaching time consists of the time physicians spend providing clinical supervision and education for residents and medical students. 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 Hospital. 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 Granite State FitKids health program for elementary schools, the Women's Health Resource Centers in Manchester and Lebanon, NH, and smoking prevention and cessation. This category also includes financial contributions and the contribution of time and services to community programs, hospitals and agencies. Other community benefit initiatives include the costs of providing medical and clinical education to professionals across New Hampshire, Vermont and beyond and the uncompensated costs of research. The Hospital also provides a significant amount of uncompensated care to its patients that is reported as provision for bad debts, which is not included in the amounts reported above. During the years ended September 30, 2010, the Hospital reported a provision for bad debts of approximately $22,372,057.	Description
Total Program Service Expense	759554475	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	true	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	852	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	5299	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	BD	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ROBIN KILFEATHER-MACKEY	NamePerson
Telephone Number	6036505668	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Michael J Goran MD
Chair Emeritus	1.0	X	0	0	0
Alfred L Griggs
Trustee	1.0	X	0	0	0
Stephen P Barba
Board Secretary Trustee	2.0	X	0	0	0	X
Alan C Keiller
Board Treasurer	2.0	X	0	0	0	X
Stephen F Christy
Trustee	1.0	X	0	0	0
Wayne G Granquist
Trustee	1.0	X	0	0	0
William R Green PhD
Trustee Ex Officio (Dean DMS)	1.0	X	0	0	0
Jennie L Norman
Board Chair	2.0	X	0	0	0	X
Richard S Shreve
Trustee/President Appointee	1.0	X	0	0	0
Hugh C Smith MD
Trustee	1.0	X	0	0	0
Barbara T Blough
Trustee Ex Officio	1.0	X	0	0	0
Vincent S Conti
Trustee	1.0	X	0	0	0
Anne-Lee Verville
Trustee	1.0	X	0	0	0
Nancy Formella
Pres MHMH/Trustee Ex Officio	60.0	X	757755	0	26839	X
Thomas Colacchio MD
Trustee/Pres DHC Until 1/14/10	60.0	X	0	689964	54510	X
Barbara Couch
Trustee	1.0	X	0	0	0
Carl Dematteo MD
Chief Quality & Comp	60.0		0	580673	25232	X
Peter Johnson
Chief Information Officer	60.0		0	436389	28051	X
Stephen LeBlanc
Executive VP-DHH Health	60.0		0	513431	26730	X
Daniel Jantzen
COO	60.0		509597	0	30776	X
Linda von Reyn
Chief Nursing Officer	60.0		301480	0	28875	X
Lawrence Dacey MD
Chief Medical Offcr (Eff 4/10)	60.0		0	593092	32714	X
Robin Kilfeather-Mackey
CFO (Effective 9/1/10)	60.0		0	242462	21418	X
Brian Lally
Chief Adv Officer(Eff 3/1/10)	60.0		0	0	0	X
John C Collins
CEO Emeritus	60.0		0	454119	53423		X
Richard Showalter
Treasurer (Ended 5/1/10)	60.0		632576	0	26596		X
William Mroz
VP Clinical Services	60.0		251179	0	44656		X
Sandra Dickau
VP Patient Care	60.0		248179	0	17093		X
Mary Kay Boudewyns
VP Rev Mngt	60.0		210567	0	12651		X
Gail Dahlstrom
VP Facilities Mngt	60.0		214412	0	14910		X
William Geraghty
VP Human Resources	60.0		380854	0	26274			X
Bruce King
Pres & CEO NLH	60.0		268537	0	19980			X
Ronald Sliwinski
VP Operations	60.0		445874	0	27256			X
Susan Reeves
VP & Chair Dept Nursing	60.0		284192	0	49840			X
Neil Castaldo
General Counsel	60.0		582634	0	49061			X
Victoria George
FMR Chief of Nursing			0	454555	28709				X
Richard Davis
FMR Chief Human Resources Offr			0	103498	23799				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5087836	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4068183	TotalReportableCompFrmRltdOrgs
Total Other Compensation	669393	TotalOtherCompensation
Number Individuals GT100 K	308	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ACCRETIVE HEALTH
401 N MICHIGAN AVE SUITE 2700	CHICAGO	IL	60611	REVENUE MNGT SERVICE	29475253
TRUSTEES OF DARTMOUTH COLLEGE
37 DEWEY FIELD	HANOVER	NH	03755	ADMIN & DIR SUPPORT	19090108
CROSS COUNTRY STAFFING INC
PO BOX 404674	ATLANTA	GA	30384	TRAVELING NURSE SVC	8156026
Pizzagalli Construction Company
50 Joy Drive	SOUTH BURLINGTON	VT	05403	CONSTRUCTION SVCS	11608688
NEW HAMPSHIRE IMAGING SERVICES INC
ONE PILLSBURY ST SUITE 200	CONCORD	NH	60122	Imaging Services	5799201

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	167	NumberOfContractorsGT100K
Fundraising Events	4020542	FundraisingEvents
Government Grants	562107	GovernmentGrants
All Other Contributions	5670317	AllOtherContributions
Noncash Contributions	410675	NoncashContributions
Total Contributions	10252966	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE	621110	812723611	812723611
FEE FOR SERVICE GRANTS, OTHER, RESEARCH	621110	2513500	2513500
MOBILE ECHO CARD REVENUE	621110	529366	529366
HOLTERSCAN REVENUE	621110	8463	8463

Field	Value	IRS element (for citing)
Total Program Service Revenue	815774940	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	8082942	TotalRevenueColumn
Exclusion	$8,082,942	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	805019	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	566019	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	239000	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	238999	TotalRevenueColumn
Exclusion	$238,999	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	94775167	Securities
Other	63109	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	84855419	Securities
Other	16716	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	9919748	Securities
Other	46393	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	9966141	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	171682	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	4020542	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	299258	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-127576	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA	722212	3780599	$3,780,599
MANAGEMENT SERVICES	622110	767491		767491
PHARMACY INCOME	622110	16734919	$16,600,113	134806

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	16556166	TotalRevenueColumn
Related Or Exempt Function Income	15070646	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1485520	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	37839175	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	882027587	TotalRevenueColumn
Related Or Exempt Function Income	830845586	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2387817	UnrelatedBusinessRevenue
Exclusion	$28,702,653	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	583085	Total
Program Services	583085	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	407722	Total
Program Services	407722	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3090662	Total
Program Services	978793	ProgramServices
Management And General	1740076	ManagementAndGeneral
Fundraising	371793	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	385253204	Total
Program Services	341380875	ProgramServices
Management And General	42193142	ManagementAndGeneral
Fundraising	1679187	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	55989576	Total
Program Services	49830723	ProgramServices
Management And General	6158853	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	63396121	Total
Program Services	56422548	ProgramServices
Management And General	6973573	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	27060289	Total
Program Services	24083657	ProgramServices
Management And General	2976632	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	3290920	Total
Management And General	3290920	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	290076	Total
Management And General	290076	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	61873562	Total
Program Services	54195918	ProgramServices
Management And General	7390352	ManagementAndGeneral
Fundraising	287292	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2211076	Total
Program Services	66332	ProgramServices
Management And General	2144744	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	126884635	Total
Program Services	126437965	ProgramServices
Management And General	287060	ManagementAndGeneral
Fundraising	159610	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3100610	Total
Program Services	2728537	ProgramServices
Management And General	372073	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	11448088	Total
Program Services	9218255	ProgramServices
Management And General	2023519	ManagementAndGeneral
Fundraising	206314	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1760456	Total
Program Services	1119751	ProgramServices
Management And General	576841	ManagementAndGeneral
Fundraising	63864	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	118193	Total
Program Services	100464	ProgramServices
Management And General	17729	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	11859302	Total
Program Services	10436186	ProgramServices
Management And General	1423116	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	31814073	Total
Program Services	27996384	ProgramServices
Management And General	3817689	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9216046	Total
Program Services	8202281	ProgramServices
Management And General	1013765	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS	22372057	22372057
EQUIP RENTAL & MAINTENANCE	9744349	8185253	1559096
RECRUITMENT COSTS	1287203		1287203
OTHER EDUCATIONAL COSTS	753863	497550	256313
GME TEACHING & SUPPORT	428043	428043

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	16796835	Total
Program Services	13882096	ProgramServices
Management And General	2819879	ManagementAndGeneral
Fundraising	94860	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	851030046	Total
Program Services	759554475	ProgramServices
Management And General	88612651	ManagementAndGeneral
Fundraising	2862920	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	87395	BOY
EOY	82299	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	46440142	BOY
EOY	49127873	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	129122311	BOY
EOY	135997590	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	215534	BOY
EOY	457401	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3401466	BOY
EOY	2503233	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10998280	BOY
EOY	13257671	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4603809	BOY
EOY	4420595	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	639987857	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	308919356	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	295682501	BOY
EOY	331068501	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	377202458	BOY
EOY	453576706	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	78914878	BOY
EOY	81461317	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	2395314	BOY
EOY	2238669	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	45543586	BOY
EOY	55489359	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	994607674	BOY
EOY	1129681214	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	153865737	BOY
EOY	170120779	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	295106649	BOY
EOY	362562261	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	6816615	BOY
EOY	5544170	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	139995152	BOY
EOY	136836750	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	595784153	BOY
EOY	675063960	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	327428226	BOY
EOY	378725214	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	41317134	BOY
EOY	48353644	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	30078161	BOY
EOY	27538396	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	398823521	BOY
EOY	454617254	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	994607674	BOY
EOY	1129681214	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$128,432	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	128432	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITY EXPLANATION	Identifier
Return Reference	SCHEDULE C, PART II, B	ReturnReference
Explanation	MARY HITCHCOCK MEMORIAL HOSPITAL EMPLOYS TWO FULL TIME STAFF WHOSE DUTIES INCLUDE LOBBYING. THE EXPENSES ASSOCIATED WITH THE LOBBYING ACTIVITIES INCLUDE STAFF SALARY, TRAVEL, MEMBERSHIP FEES AND DUES. FOR THE FISCAL YEAR ENDED SEPTMEBER 30, 2010, MARY HITCHCOCK MEMORIAL HOSPITAL INCURRED $128,432 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. THE TYPICAL ACTIVITIES MAY INCLUDE SENDING LETTERS TO, CALLING, AND MEETING WITH GOVERNMENT OFFICIALS AND LEGISLATORS.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	49493627	BeginningOfYearBalance
Contributions	3040219	Contributions
Investment Earnings Or Losses	2769857	InvestmentEarningsOrLosses
Other Expenditures	1193056	OtherExpenditures
End Of Year Balance	54110647	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	49870808	BeginningOfYearBalance
Contributions	4146452	Contributions
Investment Earnings Or Losses	-3921625	InvestmentEarningsOrLosses
Other Expenditures	602008	OtherExpenditures
End Of Year Balance	49493627	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.30000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.70000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	9300875	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	16188908	OtherCostOrOtherBasis
Book Value	25489783	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	358116213	OtherCostOrOtherBasis
Depreciation	185344697	Depreciation
Book Value	172771516	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3749460	OtherCostOrOtherBasis
Depreciation	3144106	Depreciation
Book Value	605354	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	252632402	OtherCostOrOtherBasis
Depreciation	120430554	Depreciation
Book Value	132201848	BookValue

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildings
Total Of Book Value Land Buildings	331068501	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
PRIVATE EQUITY FUNDS	36156109	F
HEDGE FUNDS	45305208	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	81461317	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
THIRD PARTY SETTLEMENTS	$25,490,198
ACCRUED POST RETMNT PENS & MED	$100,133,820
INTEREST RATE SWAP	$11,212,732

Field	Value	IRS element (for citing)
Total Of Amounts	136836750	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Intended use of Endowment Funds	Identifier
Return Reference	Schedule D Part V Line 4	ReturnReference
Explanation	The intended use of the endowment funds is to promote and advance the following: 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.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (14 entries)

RegionRegion	Number Of OfficesNumberOfOffices	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
Central America and the Caribbean	1	Program Services	INSURANCE	5142216
Central America and the Caribbean	0	Program Services	Relief Efforts & Suppl	298187
Central America and the Caribbean	0	Program Services	Medical Supplies Contr	810
Central America and the Caribbean	0	Program Services	Travel Expenses	16333
East Asia and the Pacific	0	Program Services	Travel Expenses	904
Europe (Including Iceland and Greenland)	0	Program Services	Travel Expenses	48802
Europe (Including Iceland and Greenland)	0	Program Services	Insurance Premiums	272550
Middle East and North Africa	0	Program Services	Travel Expenses	1028
North America	0	Program Services	Travel & Progam Reltd	92530
North America	0	Program Services	Medical Supplies	39512
North America	0	Program Services	Medical Equipment	214312
South America	0	Program Services	Travel Expenses	2654
Sub-Saharan Africa	0	Program Services	Travel Expenses	5803
Europe (Including Iceland and Greenland)	0	Program Services	Medical Supplies	66189

Field	Value	IRS element (for citing)
Total Number Of Offices	1	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Total Amount Spent	6201830	TotalAmountSpent

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Prouty Ultimate	NameOfEvent1
Gross Receipts Event1	2945047	GrossReceiptsEvent1
Charitable Contributions Event1	2826752	CharitableContributionsEvent1
Gross Revenue Event1	118295	GrossRevenueEvent1
Other Direct Expenses Event1	118295	OtherDirectExpensesEvent1
Name Of Event2	CHAD Marathon	NameOfEvent2
Gross Receipts Event2	474309	GrossReceiptsEvent2
Charitable Contributions Event2	474309	CharitableContributionsEvent2
Non Cash Prizes Event2	6550	NonCashPrizesEvent2
Rent Facility Costs Event2	3692	RentFacilityCostsEvent2
Food And Beverage Event2	1030	FoodAndBeverageEvent2
Other Direct Expenses Event2	70287	OtherDirectExpensesEvent2
Total Number Of Other Events	11	TotalNumberOfOtherEvents
Gross Receipts Other Events	772868	GrossReceiptsOtherEvents
Charitable Contrib Other Events	719481	CharitableContribOtherEvents
Gross Revenue Other Events	53387	GrossRevenueOtherEvents
Cash Prizes Other Events	1656	CashPrizesOtherEvents
Non Cash Prizes Other Events	9503	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	4245	RentFacilityCostsOtherEvents
Food And Beverage Other Events	19635	FoodAndBeverageOtherEvents
Entertainment Other Events	7430	EntertainmentOtherEvents
Other Direct Expenses Other Events	56935	OtherDirectExpensesOtherEvents
Gross Receipts Total	4192224	GrossReceiptsTotal
Charitable Contributions Total	4020542	CharitableContributionsTotal
Gross Revenue Total Events	171682	GrossRevenueTotalEvents
Cash Prizes Total Events	1656	CashPrizesTotalEvents
Non Cash Prizes Total Events	16053	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	7937	RentFacilityCostsTotalEvents
Food And Beverage Total Events	20665	FoodAndBeverageTotalEvents
Entertainment Total Events	7430	EntertainmentTotalEvents
Other Direct Expenses Total Events	245517	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	299258	DirectExpenseSummaryEvents
Net Income Summary	-127576	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13103693	TotalCommunityBenefitExpense
Net Community Benefit Expense	13103693	NetCommunityBenefitExpense
Percent Of Total Expense	0.01580	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	79398976	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40112424	DirectOffsettingRevenue
Net Community Benefit Expense	39286552	NetCommunityBenefitExpense
Percent Of Total Expense	0.04740	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	92502669	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40112424	DirectOffsettingRevenue
Net Community Benefit Expense	52390245	NetCommunityBenefitExpense
Percent Of Total Expense	0.06320	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3176730	TotalCommunityBenefitExpense
Direct Offsetting Revenue	409717	DirectOffsettingRevenue
Net Community Benefit Expense	2767013	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	34306103	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9279174	DirectOffsettingRevenue
Net Community Benefit Expense	25026929	NetCommunityBenefitExpense
Percent Of Total Expense	0.03020	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	56195	TotalCommunityBenefitExpense
Net Community Benefit Expense	56195	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	871429	TotalCommunityBenefitExpense
Net Community Benefit Expense	871429	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1326246	TotalCommunityBenefitExpense
Net Community Benefit Expense	1326246	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39736703	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9688891	DirectOffsettingRevenue
Net Community Benefit Expense	30047812	NetCommunityBenefitExpense
Percent Of Total Expense	0.03630	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	132239372	TotalCommunityBenefitExpense
Direct Offsetting Revenue	49801315	DirectOffsettingRevenue
Net Community Benefit Expense	82438057	NetCommunityBenefitExpense
Percent Of Total Expense	0.09950	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	24150	TotalCommunityBuildingExpense
Net Community Building Expense	24150	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	923	TotalCommunityBuildingExpense
Net Community Building Expense	923	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	15453	TotalCommunityBuildingExpense
Net Community Building Expense	15453	NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	2289	TotalCommunityBuildingExpense
Net Community Building Expense	2289	NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	620	TotalCommunityBuildingExpense
Net Community Building Expense	620	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	133934	TotalCommunityBuildingExpense
Direct Offsetting Revenue	23431	DirectOffsettingRevenue
Net Community Building Expense	110503	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	66270	TotalCommunityBuildingExpense
Net Community Building Expense	66270	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	15956	TotalCommunityBuildingExpense
Net Community Building Expense	15956	NetCommunityBuildingExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	259595	TotalCommunityBuildingExpense
Direct Offsetting Revenue	23431	DirectOffsettingRevenue
Net Community Building Expense	236164	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$9,029,712	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	221104295	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	212259218	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	8845077	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	OtherOther
Mary Hitchcock Memorial Hospital
One Medical Center Drive	Lebanon	NH	03756	X	X	X	X	X	X	PSYCH UNIT AND TRANSPLANT UNIT
Norris Cotton Cancer Center
1080 Hospital Drive	St Johnsbury	VT	05819							Cancer Center

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Annual Community Benefit Expln	Mary Hitchcock Memorial Hospital (MHMH) and Dartmouth-Hitchcock Clinic (DHC), 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 Schedule H, only MHMH numbers were used. All amounts relating to DHC were excluded.	AnnualCommunityBenefitExpln
Costing Method Used	The methodology used to calculate the amounts reported was a cost-to-charge ratio derived from worksheet 2, Ratio of Patient Care Cost-to-Charges.	CostingMethodUsed
Subsidized Health Services Expln	The Organization did not include any subsidized health service costs attributable to a physician clinic on Part I, line 7G.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Bad debt expense included on Form 990 Part IX Line 25 totaling $22,372,057, was excluded from Total Expenses for the calculation of Net Community Benefits as a percent of Total Expenses.	PercentOfTotalExpenseExpln
Bad Debt Footnote	The IRS cost-to-charge ratio was used to determine amounts reported on Part III, Section A, line 2. The Organization used IRS Form 990, Schedule H, Worksheet A to estimate bad debt expense at cost. 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. 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: 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. 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.	BadDebtFootnote
Shortfall As Community Benefit	The costing methodology used to calculate the amounts reported as Medicaid Shortfalls was derived from the Internal Revenue Service's Worksheet B as provided for Part III calculations. MHMH had revenues of $16,097,951 and costs of $22,014,131 for services not included on the Medicare Cost Report (Ambulance Services, Laboratory and other fees screens, and Medicare Part C & D services). MHMH incurred a net loss of $5,916,180 on the provision of these services and did not include these as part of the community benefit report.	ShortfallAsCommunityBenefit
Debt 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. Patients who receive less than 100% approval may appeal the decision through an independent committee for review. If a patient has a self pay balance after financial assistance adjustments are applied they are expected to comply with the agreed upon payment arrangements. If the patient does not follow the payment arrangement, they will be subject to the terms outlined in the Credit and Collections Policy. Every effort is made to work with patients to establish a satisfactory payment arrangement.	DebtCollectionPolicy
Number Of Facility Type Expln	The Hospital has a Cancer Treatment Center located in Saint Johnsbury, Vermont. This location is registered under the same license as the Organization's main Campus located in Lebanon, New Hampshire.	NumberOfFacilityTypeExpln
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.	NeedsAssessment
Patient Education 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. 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 available at the federal or state level, 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 assistance programs. The website, patient statements, and financial brochures all include information about financial assistance and how to apply.	PatientEducationAssistance
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 Clinic's main Northern clinic. MHMH serves the general population with a wide range of services. In addition to general hospital populations, the Organization provides services to patients with highly-specialized needs that are not available elsewhere in New Hampshire. MHMH is the state's only tertiary referral center, provides the state's only comprehensive cancer center (Norris Cotton Cancer Center - NCCC), operates the only Level I Trauma Center in New Hampshire, operates the only Children's Hospital in New Hampshire (Children's Hospital at Dartmouth - CHaD), hosts the only 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.	CommunityInformation
Community Building Activities	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.	CommunityBuildingActivities
Other Information	Open Medical Staff 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. Surplus Funds Mary-Hitchcock's 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 Hitchcock's 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. Community Board Of the fifteen voting members of Dartmouth-Hitchcock's Board of Trustees, eleven live within the geographic region we serve. Fifteen are neither contractors nor employees of MHMH.	OtherInformation
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 Hampshire's largest hospital. In Fiscal Year 2010 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. 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 is closely affiliated with the Hospital and Clinic, is focused on medical education and research.	AffiliatedHealthCareSystem
Reports Filed With States	NH	ReportsFiledWithStates

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (16 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
The Dartmouth Institute at Dartmouth College
7 Lebanon Street	Hanover	NH	03755	020222111	501(C)3	242487	Hlth Institute Sppt
Child Health Services
1245 Elm Street	Manchester	NH	03104	020348711	501(C)3	39675	Program Services
Good Neighbor Health Clinic
70 No Main St	White River Jct	VT	05001	030346949	501(C)3	37950	Programs/Clinic Svcs
Manchester Community Health Center
145 Hollis Street	Manchester	NH	03101	020458174	501(C)3	34500	Program Services
The Hitchcock Foundation
1 Medical Center Drive	Lebanon	NH	03756	020222139	501(C)3	27600	Program Support
Cheshire Health Foundation
580 Court Street	Keene	NH	03431	020202220	501(C)3	23599	Program Support
New Hampshire Health Dept
1528 Elm St	Manchester	NH	03101		City Manchester	17250	Sustainable Access
University of New Hampshire
4 Library Way	Durham	NH	03284	026000937	501(C)3	17250	Citizens Hlth Init
Upper Valley United Way
10 Bank Street	Lebanon	NH	03766	020306103	501(C)3	12721	Corp. Pledge Match
Grafton Country Senior Citizens Council
P O Box 433	Lebanon	NH	03766	237248316	501(C)3	8280	Elder Services
HealthFirst Family Care Center Inc
841 Central Street	Franklin	NH	03235	020492976	501(C)3	6900	Bridges Prev Prog
American Heart Association
125 East Bethpage Road	Plainview	NY	11803	160915734	501(C)3	6900	GRFW Education
Vital Communities
104 Railrd Row	White River Jct	VT	05001	030355283	501(C)3	6900	Program Services
Albert Schweitzer Fellowship Inc
10 Sausville Road	Etna	NH	03750	131982786	501(C)3	6900	Program Services
Granite State Fit Kids
THF 1 Med Center D	Lebanon	NH	03756	020519379	501(C)3	5175	Program Services
Greater Manchester Family YMCA
30 Mechanic Street	Manchester	NH	03101	020222248	501(C)3	5175	Program Services

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	16	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (8 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Godfrey Nursing Awards	1	2000
E. Hintze Nursing Awards	1	1363
Levine Nursing Awards	9	23973
Smith Promise Nursing Awards	6	9000
Nursing Staff Fund Awards	3	3250	567	FMV	Kindle Book Readers
Varnum Nursing Awards	34	40000
TDI Scholarships	16	323569
Knox Nursing Award	1	4000

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Form 990, Schedule I	Identifier
Return Reference	Description of Organization's Procedures for Monitoring the Use of Grants	ReturnReference
Explanation	For each of the awards established by Mary Hitchcock Memorial Hospital; Godfrey Nursing Awards, E. Hintze Nursing Awards, Levine Nursing Awards, Smith Promise Nursing Awards, Nursing Staff Fund Awards, 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Nancy Formella
651504	0	0	0	106251	0	9188	0	17651	0	784594	0	0	0
Thomas Colacchio MD
0	634464	0	0	0	55500	0	31410	0	23100	0	744474	0	0
John C Collins
0	420024	0	0	0	34095	0	31410	0	22013	0	507542	0	0
Carl Dematteo MD
0	443458	0	60236	0	76979	0	8820	0	16412	0	605905	0	0
Peter Johnson
0	359327	0	46800	0	30262	0	8820	0	19231	0	464440	0	0
Stephen LeBlanc
0	407020	0	51600	0	54811	0	8820	0	17910	0	540161	0	0
Daniel Jantzen
398172	0	51600	0	59825	0	12250	0	18526	0	540373	0	0	0
Richard Showalter
432279	0	57845	0	142452	0	12533	0	14063	0	659172	0	0	0
William Mroz
221445	0	21645	0	8089	0	31410	0	13246	0	295835	0	0	0
Sandra Dickau
225732	0	21692	0	755	0	9167	0	7926	0	265272	0	0	0
Mary Kay Boudewyns
187177	0	18575	0	4815	0	6128	0	6523	0	223218	0	0	0
Linda von Reyn
262642	0	15273	0	23565	0	8638	0	20237	0	330355	0	0	0
Gail Dahlstrom
187106	0	18250	0	9056	0	0	0	14910	0	229322	0	0	0
William Geraghty
288343	0	31500	0	61011	0	12250	0	14024	0	407128	0	0	0
Bruce King
240615	0	0	0	27922	0	0	0	19980	0	288517	0	0	0
Ronald Sliwinski
298901	0	28005	0	118968	0	12250	0	15006	0	473130	0	0	0
Susan Reeves
235101	0	23727	0	25364	0	31410	0	18430	0	334032	0	0	0
Victoria George
0	453367	0	0	0	1188	0	26510	0	2199	0	483264	0	0
Richard Davis
0	99724	0	0	0	3774	0	3801	0	19998	0	127297	0	0
Lawrence Dacey MD
0	524824	0	22878	0	45390	0	8820	0	23894	0	625806	0	0
Robin Kilfeather-Mackey
0	217509	0	21375	0	3578	0	9853	0	11565	0	263880	0	0
Neil Castaldo
453331	0	73600	0	55703	0	31410	0	17651	0	631695	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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. Schedule J, Part I - Line 4a Severance Arrangements William Geraghty severance arrangement: Salary & benefits $170,100, career assistance and other $41,580 Victoria George severance arrangement: Salary & benefits $428,400, moving expenses $13,333, career assistance and other $24,000 Ronald Sliwinski severance arrangement Salary & benefits $72,204, career assistance and other $23,421
Supplemental Retirement Information	The following individuals received payments from a supplemental nonqualified retirement plan: Thomas Colacchio $55,500 from the Dartmouth-Hitchcock Supplemental Retirement Plan.(See below for terms) John Collins $28,995 from the Dartmouth-Hitchcock Supplemental Retirement Plan. (See below for terms) Carl Dematteo $67,859 from the Dartmouth-Hitchcock Supplemental Retirement Plan. (See below for terms) Peter Johnson $30,262 from the Dartmouth-Hitchcock Supplemental Retirement Plan. (See below for terms) Stephen LeBlanc $18,875 from the Dartmouth-Hitchcock Supplemental Retirement Plan. (See below for terms) Nancy Formella $100,544 from the Dartmouth-Hitchcock Supplemental Retirement Plan. (See below for terms) Daniel Jantzen $59,555 from the Dartmouth-Hitchcock Supplemental Retirement Plan. (See below for terms) Richard Showalter $136,826 from the Dartmouth-Hitchcock Supplemental Retirement Plan. (See below for terms) Bruce King $9,078 from the Dartmouth-Hitchcock Supplemental Retirement Plan. (See below for terms) Ronald Sliwinski $109,183 from the Dartmouth-Hitchcock Supplemental Retirement Plan. (See below for terms) Susan Reeves $6,904 from the Dartmouth-Hitchcock Supplemental Retirement Plan. (See below for terms) Lawrence Dacey $44,976 from the Dartmouth-Hitchcock Supplemental Retirement Plan. (See below for terms) William Geraghty $38,284 from the Dartmouth-Hitchcock Supplemental Retirement Plan. (See below for terms) Wiliam Mroz $909 from the Dartmouth-Hitchcock Supplemental Retirement Plan. (See below for terms) 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.	Schedule J, Part III - line 4b

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTH
020279866	644614Y07	2009-08-19	134661088	CURRENT REFUND-2008(A),(B), AND (C	false	false
NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTH
020279866		2009-03-30	5935000	VARIOUS EQUIPMENT	false	false
NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTH
020279866	644614G29	2010-06-16	73647839	CONSTRUCTION OF FACILITY AND EQUIP	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Capital ExpendituresCapitalExpenditures	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent
134841419	2273111	2010	true	false	false
5935000		2009	false	false	false	5935000	true
73666926	1168560		false	false	false	4718809		64029760

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true	false
false	false	false	false	true	false
false	false	false	false	true	false

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
MORGAN STANLEY
false	true	true	29.8	false	false	false
(no name)
false	false	false		false	false	false
(no name)
false	false	false		false	false	false

Schedule L IRS990ScheduleL

Loan Table LoanTable (8 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
DANIEL JANTZEN
SPLIT DOLLAR LIFE	X	$78,454	78454	false	true	true
SUSAN REEVES
SPLIT DOLLAR LIFE	X	$100,757	100757	false	true	true
SANDRA DICKAU
SPLIT DOLLAR LIFE	X	$12,539	12539	false	true	true
BRUCE KING
SPLIT DOLLAR LIFE	X	$94,966	94966	false	true	true
RONALD SLIWINSKI
SPLIT DOLLAR LIFE	X	$109,631	109631	false	true	true
DEBORAH JANTZEN
SPLIT DOLLAR LIFE	X	$38,805	38805	false	true	true
MARY KING
SPLIT DOLLAR LIFE	X	$9,792	9792	false	true	true
SUZANNA SLIWINSKI
SPLIT DOLLAR LIFE	X	$12,457	12457	false	true	true

Field	Value	IRS element (for citing)
Total Balance Due	457401	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Hypertherm
Trustee Baraba Couch	222812	SEE SCHEDULE O	false
Ingrid Mroz
Key Employee William Mroz	113126	SPOUSE EMPLOYED BY MHMH	false

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	21	NumberOfContributions
Noncash Contribs Rptd F990	360004	NoncashContribsRptdF990
Method Of Determining Revenues	Fair Market Value	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	Travel/Fuel for Patients	2	50000	FMV
X	Hring Aids, Prog Rltd	671	671	FMV Nt Prov by Donor

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	true	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	Line 32B	Identifier
Explanation	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.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Part V - Question 1a	Independent Contractors Dartmouth-Hitchcock Clinic (DHC) is part of the Dartmouth-Hitchcock, 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 and implemented this process at 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. Part VI, Question 4 Changes in Organizational Documents On August 30, 2010, the board approved a bylaw change to make Dartmouth-Hitchcock Health, a 501(c)3 organization, the sole corporate member of Mary Hitchcock Memorial Hospital.
Description of classes of members, persons, and the nature of their rights	Form 990, 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. Form 990, 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 Form 990, Part VI, Question 10a & 10b MHMH is the sole corporate member of New England Alliance for Health (NEAH), a disregarded entity that consists 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 run as part of the organization and therefore does not require separate policies and procedures.
Describe the Process used by Management &/or Governing Body to Review 990	The Audit Committee of the MHMH Board of Trustees is presented with a substantially complete Form 990. The Committee members are expected to review these forms before the meeting. AT THE MEETING A HIGH-LEVEL 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. THE FORMS 990 AND 990-T ARE ALSO REVIEWED BY THE DIRECTOR OF CORPORATE FINANCE, VICE PRESIDENT OF CORPORATE FINANCE AND THE CHIEF FINANCIAL OFFICER BEFORE THE FILING OF THE RETURN.	Form 990, Part VI, Question 11A
Description of Process to Monitor Transactions for Conflicts of Interest	The Mary Hitchcock Memorial Hospital Board of Trustees approved a policy concerning a voluntary self-disclosure of any potential conflict of interest. The 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. Per the policy any conflicts or otherwise perceived are required to be addressed by the Board of Trustees on an ongoing basis. The policy applies to all trustees, employees, and their immediate family members.	Form 990, Part VI, Question 12c
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR UNDERTAKEN	Compensation for the President is evaluated by an independent third party firm for reasonableness and national data benchmarking. The Compensation Committee along with Independent Trustees approve the final compensation in consideration with the independent third party firm's recommendations and suggestions. This process was last undertaken in 2010.	Form 990, Part VI, Question 15a
Offices & Positions for Which Process was Used & Year Undertaken	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 2010 FOR EACH PERSON IDENTIFIED AS AN OFFICER OR KEY EMPLOYEE.	Form 990, Part VI, Question 15b
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public	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.	Form 990, Part VI, Question 19
Financial Statements and Reporting	Part XI, 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 XI, Question 3a DURING FISCAL YEAR 2010, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FEDERAL FUNDING WHICH MET THE MINIMUM THRESHHOLD SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. DUE TO THE NATURE OF THE CONSOLIDATED FINANCIAL STATEMENTS, THE AUDIT WAS PERFORMED ON THE FINANCIAL INFORMATION OF ALL ORGANIZATIONS.
Schedule K	Issue dates of Bonds on Schedule K: Advance Refund 2008(A), issued 9/4/2008, which advance refunds 1985 Advance Refund 2008(B), issued 10/31/2008, which advance refunds 1993 Advance Refund 2008(c), issued 12/19/2008 Schedule K Part III Line 7 The organization is in the process of formally documenting practices and procedures for post-issuance compliance of its tax-exempt bond liabilities.	Part I(f)
Description of Transaction	Name of Interested Person: Barbara Couch Relationship: Trustee Description of Transaction: Barbara Couch is a greater than 35% owner of Hypertherm, an entity that conducts business with MHMH.	SCHEDULE L, PART IV

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	NEW ENGLAND ALLIANCE FOR HEALTH LLC	BusinessNameLine1

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	264232401	EIN
Primary Activities	HLTH IMPROVMT	PrimaryActivities
Legal Domicile State	NH	LegalDomicileState
Total Income	2249559	TotalIncome
EOY Assets	132353	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222519596	PHYSICIAN SVC	NH	501(C)3	9	N/A
DARTMOUTH-HITCHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222715483	SUPPORTNG ORG	NH	501(C)3	11 TYPE I	N/A
DARTMOUTH - HITCHCOCK HEALTH
One Medical Center Drive	Lebanon	NH	03756	264812335	SUPPORTNG ORG	NH	501(C)3	7		NA
THE HITCHCOCK FOUNDATION
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020222139	HLTHCRE RSRCH	NH	501(C)3	7		DHC
HAMDEN RISK RETENTION GROUP INC
30 MAIN STREET STE 330	BURLINGTON	VT	05401	208530788	Self Ins	VT	501(C)3	11 TYPE I		DHC

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner
D-H Partnership
1 Med Ctr Dr	LEBANON	NH	03756	510629117	HEALTHCARE	NH	NA	RELATED	30399034	0	false	$438,474	false
D-H Mster Invst Prg
1 Med Ctr Dr	LEBANON	NH	03756	020205863	POOLED INVEST	NH	NA	RELATED	10124821	419436155	false	-$214,422	false
New Eng Phmcy Col
1 Med Ctr Dr	LEBANON	NH	03756	263819035	Group Purchasing	NH	NA	RELATED	-144950	17681	false	$0	true
The Hitchcock Ptshp
1 Med Ctr Dr	LEBANON	NH	03756	020514823	Invst in Ptnr	NH	NA	RELATED	24368	487364	false	$0	true

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Percentage OwnershipPercentageOwnership
DARTMOUTH HITCHCOCK PENSION GROUP TRUST
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	202588083	Pension Trust	NH	NA	TRUST
POMPANOOSUC INVESTMENT CORPORATION
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020352330	REAL EST HLDG	NH	DHC	CORPORATION	0	0
HAMDEN ASSURANCE COMPANY LIMITED
				980121409	Liab Insurance		DHC	CORPORATION	0	25428454	CANONS COURT 22 VICTORIA ST	HM EX HAMILTON	BD	BD	0.25800

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
DARTMOUTH - HITCHCOCK CLINIC
D & E	5865358
Hamden Risk Retention Group
o	5142216