MARY HITCHCOCK MEMORIAL HOSPITAL: Form 990, tax year 2025

View the entire original 990 at ProPublica ↗

Organization: MARY HITCHCOCK MEMORIAL HOSPITAL (EIN 02-0222140)
Tax period: 2025-07-01 to 2025-09-30
Filed: 2026-08-20
IRS object ID: 202622329349300347
Schema version: 2025v4.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-20T11:05:51+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	415375658	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE ADVISORY LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4801 OLYMPIA PARK PLAZA SUITE 4000	AddressLine1Txt
City	LOUISVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402412098	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2025-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020222140	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARY HITCHCOCK MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MARY	BusinessNameControlTxt
Phone	6036505000	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TAMARA H ROCKWELL	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6036505000	PhoneNum
Signature	2026-08-20	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RACHEL SPURLOCK	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum
Preparation	2026-08-20	PreparationDt

Field	Value	IRS element (for citing)
Tax	2025	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOANNE M CONROY MD	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$700,175,116	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.DARTMOUTH-HITCHCOCK.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1889	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	ADVANCING HEALTH THROUGH RESEARCH, EDUCATION, CLINICAL PRACTICE, COMMUNITY PARTNERSHIPS; PROVIDING EACH PERSON THE BEST CARE IN THE RIGHT PLACE, AT THE RIGHT TIME, EVERY TIME.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	294	TotalVolunteersCnt
Total Gross UBI	$26,735,139	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$11,252	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$60,666,288	PYContributionsGrantsAmt
CY Contributions Grants	$8,787,065	CYContributionsGrantsAmt
PY Program Service Revenue	$2,554,561,938	PYProgramServiceRevenueAmt
CY Program Service Revenue	$675,822,146	CYProgramServiceRevenueAmt
PY Investment Income	$2,662,506	PYInvestmentIncomeAmt
CY Investment Income	$326,362	CYInvestmentIncomeAmt
PY Other Revenue	$44,222,768	PYOtherRevenueAmt
CY Other Revenue	$15,175,109	CYOtherRevenueAmt
PY Total Revenue	$2,662,113,500	PYTotalRevenueAmt
CY Total Revenue	$700,110,682	CYTotalRevenueAmt
PY Grants And Similar Paid	$12,361,943	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,006,777	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,270,958,061	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$345,150,348	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$105,094	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,226,314,470	PYOtherExpensesAmt
CY Other Expenses	$370,873,609	CYOtherExpensesAmt
PY Total Expenses	$2,509,634,474	PYTotalExpensesAmt
CY Total Expenses	$720,030,734	CYTotalExpensesAmt
PY Revenues Less Expenses	$152,479,026	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$19,920,052	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,797,879,554	TotalAssetsBOYAmt
Total Assets EOY	$2,829,446,594	TotalAssetsEOYAmt
Total Liabilities BOY	$1,473,389,867	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,485,275,172	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,324,489,687	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,344,171,422	NetAssetsOrFundBalancesEOYAmt
Mission	WE ADVANCE HEALTH THROUGH RESEARCH, EDUCATION, CLINICAL PRACTICE, AND COMMUNITY PARTNERSHIPS, PROVIDING EACH PERSON THE BEST CARE IN THE RIGHT PLACE, AT THE RIGHT TIME, EVERY TIME.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$588,469,188	ExpenseAmt
Grant	$4,006,777	GrantAmt
Revenue	$641,607,423	RevenueAmt
Desc	MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) IS AN ACUTE AND TERTIARY CARE TEACHING HOSPITAL LOCATED IN LEBANON, NEW HAMPSHIRE. MHMH PROVIDES A BROAD RANGE OF PATIENT SERVICES AND HEALTH-RELATED COMMUNITY SERVICES, CONSISTENT WITH ITS ROLE AS A MAJOR TEACHING HOSPITAL, A TERTIARY CARE REFERRAL HOSPITAL, AND AS A PROSPECTIVE PAYMENT SYSTEM HOSPITAL (AS DEFINED BY CMS). MHMH PROVIDES A FULL RANGE OF SERVICES IN BOTH ACUTE AND CRITICAL MEDICINE, SURGERY, PSYCHIATRY AND REHABILITATION FOR INFANTS, CHILDREN AND ADULTS. DURING SHORT PERIOD 2025, MHMH PROVIDED 44,223 ACUTE PATIENT DAYS OF INPATIENT SERVICE AND HAD 8,272 TOTAL ACUTE CARE DISCHARGES, WHILE MHMH'S EMERGENCY ROOM WAS OPEN TO THE PUBLIC 24 HOURS PER DAY, 7 DAYS PER WEEK AND HAD 9,503 DISCHARGES. (CONTINUED ON SCHEDULE O)	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$34,288,967	ExpenseAmt
Revenue	$21,449,013	RevenueAmt
Desc	AS A COMPONENT OF NEW HAMPSHIRE'S ONLY INTEGRATED ACADEMIC MEDICAL CENTER, MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) PROVIDES THE GEISEL SCHOOL OF MEDICINE AT DARTMOUTH (GSM) SUPPORT FOR PHYSICIANS' UNPAID TEACHING TIME AS PART OF ITS COMMUNITY BENEFIT INITIATIVES. THIS SUPPORT CONSISTS OF THE TIME PHYSICIANS SPEND PROVIDING CLINICAL SUPERVISION AND EDUCATION FOR RESIDENTS AND MEDICAL STUDENTS. IN ADDITION, THE HOSPITAL PROVIDES IN-KIND SUPPORT FOR RESEARCH AND OTHER GRANTS REPRESENTING COSTS IN EXCESS OF AWARDS FOR NUMEROUS GRANT-FUNDED HEALTH RESEARCH AND SERVICE INITIATIVES AWARDED TO DARTMOUTH-HITCHCOCK CLINIC (DHC) AND GSM. OTHER COMMUNITY BENEFIT INITIATIVES INCLUDE SUBSIDIZING THE COSTS OF PROVIDING MEDICAL AND CLINICAL EDUCATION TO PROFESSIONALS ACROSS NEW HAMPSHIRE, VERMONT AND BEYOND AS WELL AS UNCOMPENSATED COSTS OF ACADEMIC AND MEDICAL RESEARCH ACTIVITIES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$622,758,155	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WENDY E FIELDING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6036535634	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
DAVID P PAUL MBA
TRUSTEE / SECRETARY/TREASURER	0.8	1.8	Yes (X)	Yes (X)	$0	$0	$0
JOANNE M CONROY MD
TRUSTEE, EX-OFFICIO, CEO	37.8	18.3	Yes (X)	Yes (X)	$0	$0	$0
ROBERTA L HINES MD
TRUSTEE / CHAIR	1.5	2.0	Yes (X)	Yes (X)	$0	$0	$0
CELESTINA M DOOLEY-JONES PHD
TRUSTEE	0.8	0.8	Yes (X)		$0	$0	$0
DUANE A COMPTON PHD
TRUSTEE / EX-OFFICIO (ENDED 9/15/25)	0.8	1.7	Yes (X)		$0	$0	$0
EMILY ZEITLER MD MHS FACC FHRS
TRUSTEE	12.0	28.0	Yes (X)		$0	$0	$0
GARY V DESIR
TRUSTEE	0.8	0.8	Yes (X)		$0	$0	$0
GERALDINE BEDNASH PHD RN FAAN
TRUSTEE	0.8	1.3	Yes (X)		$0	$0	$0
JASON T GARBARINO DNP RN GERO-BC
TRUSTEE	1.3	0.8	Yes (X)		$0	$0	$0
JENNIFER L MOYER MBA
TRUSTEE	0.8	1.3	Yes (X)		$0	$0	$0
JONATHAN B THYNG MD
TRUSTEE/MEDICAL DIRECTOR	28.0	12.0	Yes (X)		$0	$0	$0
KEITH LOUD MD
TRUSTEE	0.1	40.0	Yes (X)		$0	$0	$0
LAURA CHIANG MD
TRUSTEE	28.0	12.0	Yes (X)		$0	$0	$0
LAUREL J RICHIE
TRUSTEE	1.3	0.8	Yes (X)		$0	$0	$0
M ELYSE ALLAN MBA
TRUSTEE	0.8	0.8	Yes (X)		$0	$0	$0
MARCUS COE MD
TRUSTEE	0.1	40.0	Yes (X)		$0	$0	$0
MARK S SPEERS MBA
TRUSTEE	0.8	0.8	Yes (X)		$0	$0	$0
SHERRI C OBERG MBA
TRUSTEE	0.8	0.8	Yes (X)		$0	$0	$0
STEVEN D LEACH MD
TRUSTEE / EX-OFFICIO (AS OF 9/15/2025)	0.8	0.9	Yes (X)		$0	$0	$0
AIMEE M CLAIBORNE
CHIEF HUMAN RESOURCE OFFICER	28.0	13.0		Yes (X)	$0	$0	$0
EDWARD J MERRENS MD
CHIEF CLINICAL OFFICER	28.0	13.0		Yes (X)	$0	$0	$0
JOHN KACAVAS
CHIEF LEGAL OFFICER	28.0	15.0		Yes (X)	$0	$0	$0
MARTIN T MANION
COO (AS OF 4/24/25)	40.0	0.0		Yes (X)	$0	$0	$0
MATTHEW HAAG
CHIEF DEVELOPMENT OFFICER	28.0	12.5		Yes (X)	$0	$0	$0
STEPHEN LEBLANC
CHIEF STRATEGY OFFICER	28.0	15.0		Yes (X)	$0	$0	$0
SUSAN A REEVES EDD RN
EXECUTIVE VP (MEDICAL CENTER)	28.0	12.0		Yes (X)	$0	$0	$0
WENDY FIELDING
CHIEF FINANCIAL OFFICER	28.0	13.5		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$8,153,900	GovernmentGrantsAmt
All Other Contributions	$633,165	AllOtherContributionsAmt
Total Contributions	$8,787,065	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$570,849,382	$568,651,330	$2,198,052
RESEARCH RELATED ACTIVITIES	622110	$2,072,758	$2,072,758
PHARMACY INCOME	446110	$102,519,553	$80,262,754	$22,256,799
NEAH & PROGRAM RELATED INVESTMENTS	541900	$380,453	$136,606	$243,847

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$675,822,146	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$242,639	TotalRevenueColumnAmt
Exclusion	$242,639	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$108,887	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$64,434	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$44,453	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$44,453	TotalRevenueColumnAmt
Exclusion	$44,453	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$83,051	SecuritiesAmt
Other	$672	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$83,051	SecuritiesAmt
Other	$672	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$83,723	TotalRevenueColumnAmt
Exclusion	$83,723	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722514	$1,161,227	$1,161,227
OTHER REVENUE	622110	$13,969,429		$11,932,988	$2,036,441

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$15,130,656	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$700,110,682	TotalRevenueColumnAmt
Related Or Exempt Func Income	$663,056,436	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$26,735,139	UnrelatedBusinessRevenueAmt
Exclusion	$1,532,042	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,781,093	TotalAmt
Program Services	$3,781,093	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$116,522	TotalAmt
Program Services	$116,522	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$109,162	TotalAmt
Program Services	$109,162	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,282,237	TotalAmt
Program Services	$910,522	ProgramServicesAmt
Management And General	$1,266,621	ManagementAndGeneralAmt
Fundraising	$105,094	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$331,891	TotalAmt
Program Services	$20,907	ProgramServicesAmt
Management And General	$310,984	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$270,977,765	TotalAmt
Program Services	$236,227,187	ProgramServicesAmt
Management And General	$34,750,578	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$19,209,590	TotalAmt
Program Services	$16,712,343	ProgramServicesAmt
Management And General	$2,497,247	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$37,119,390	TotalAmt
Program Services	$32,293,869	ProgramServicesAmt
Management And General	$4,825,521	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,229,475	TotalAmt
Program Services	$13,249,643	ProgramServicesAmt
Management And General	$1,979,832	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$944,732	TotalAmt
Program Services	$87,082	ProgramServicesAmt
Management And General	$857,650	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$203,681	TotalAmt
Program Services	$33,550	ProgramServicesAmt
Management And General	$170,131	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$56,659,845	TotalAmt
Program Services	$51,868,990	ProgramServicesAmt
Management And General	$4,790,855	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$963,917	TotalAmt
Program Services	$26,115	ProgramServicesAmt
Management And General	$937,802	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,831,258	TotalAmt
Program Services	$4,755,022	ProgramServicesAmt
Management And General	$2,076,236	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,229,977	TotalAmt
Program Services	$920,698	ProgramServicesAmt
Management And General	$9,309,279	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,298,755	TotalAmt
Program Services	$613,326	ProgramServicesAmt
Management And General	$6,685,429	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$983,890	TotalAmt
Program Services	$567,428	ProgramServicesAmt
Management And General	$416,462	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$163,215	TotalAmt
Program Services	$144,401	ProgramServicesAmt
Management And General	$18,814	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,018,349	TotalAmt
Program Services	$28,121	ProgramServicesAmt
Management And General	$6,990,228	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,961,000	TotalAmt
Program Services	$5,239,119	ProgramServicesAmt
Management And General	$10,721,881	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,771,282	TotalAmt
Program Services	$3,771,282	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$189,545,246	$187,639,931	$1,905,315
MEDICAID ENHANCEMENT TAX	$21,198,207	$21,198,207
EQUIPMENT RENTAL & MAINT	$6,948,681	$2,812,684	$4,135,997
ACADEMIC, GME, TEACHING & EDUCATIONAL	$2,847,043	$2,410,891	$436,152

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,304,531	TotalAmt
Program Services	$37,220,060	ProgramServicesAmt
Management And General	$2,084,471	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$720,030,734	TotalAmt
Program Services	$622,758,155	ProgramServicesAmt
Management And General	$97,167,485	ManagementAndGeneralAmt
Fundraising	$105,094	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$640,089	BOYAmt
EOY	$540,568	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$322,929,016	BOYAmt
EOY	$311,825,697	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$229,855	BOYAmt
EOY	$229,855	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$11,911,463	BOYAmt
EOY	$11,917,496	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$53,358,583	BOYAmt
EOY	$51,572,896	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$70,903,447	BOYAmt
EOY	$71,406,246	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,853,817,500	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,172,312,143	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$667,022,488	BOYAmt
EOY	$681,505,357	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$58,075,913	BOYAmt
EOY	$59,142,203	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$994,816,185	BOYAmt
EOY	$1,051,088,476	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$13,300,455	BOYAmt
EOY	$13,300,455	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$604,692,060	BOYAmt
EOY	$576,917,345	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,797,879,554	BOYAmt
EOY	$2,829,446,594	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$242,657,032	BOYAmt
EOY	$268,791,962	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$655,654	BOYAmt
EOY	$1,032,262	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$321,181,994	BOYAmt
EOY	$321,053,161	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$122,805,582	BOYAmt
EOY	$112,006,283	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$786,089,605	BOYAmt
EOY	$782,391,504	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,473,389,867	BOYAmt
EOY	$1,485,275,172	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,152,335,154	BOYAmt
EOY	$1,168,889,223	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$172,154,533	BOYAmt
EOY	$175,282,199	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,324,489,687	BOYAmt
EOY	$1,344,171,422	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,797,879,554	BOYAmt
EOY	$2,829,446,594	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$19,920,052	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$48,121,166	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,519,379	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$52,022	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$28,009	OtherActivitiesAmt
Total Lobbying Expenditures	$80,031	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	LINES 1B & 1G MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) EMPLOYS THREE FULL TIME STAFF WHOSE DUTIES INCLUDE LOBBYING. TYPICAL EXPENSES ASSOCIATED WITH THE LOBBYING ACTIVITIES INCLUDE STAFF SALARY, TRAVEL, MEMBERSHIP FEES AND DUES. FROM TIME TO TIME, MARY HITCHCOCK MEMORIAL HOSPITAL, THROUGH ITS EMPLOYEES AND THE USE OF CONSULTANTS, CONTACTS GOVERNMENT OFFICIALS AND LEGISLATORS. THIS CONTACT IS FOR THE PURPOSE OF PROPOSING LEGISLATION OR EXPRESSING AN OPINION ON CHANGES IN LEGISLATION THAT AFFECT MHMH AND ITS ABILITY TO CARRY OUT ITS MISSION. THE ACTIVITIES INCLUDE SENDING LETTERS TO, CALLING, AND MEETING WITH GOVERNMENT OFFICIALS AND LEGISLATORS. FOR THE SHORT PERIOD ENDED SEPTEMBER 30, 2025, MARY HITCHCOCK MEMORIAL HOSPITAL INCURRED $52,022 IN CONJUNCTION WITH THESE ACTIVITIES. LINE 1I MHMH PAYS DUES TO VARIOUS ORGANIZATIONS RELATED TO ITS EXEMPT MISSION. THE AMOUNT REPORTED UNDER OTHER ACTIVITIES ON LINE 1I REFERS TO THE AMOUNT OF LOBBYING ACTIVITIES IDENTIFIED IN DUES PAYMENTS TO OUTSIDE ORGANIZATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$107,638,667	BeginningYearBalanceAmt
Contributions	$124,740	ContributionsAmt
Investment Earnings Or Losses	$4,311,599	InvestmentEarningsOrLossesAmt
Other Expenditures	-$7,913,255	OtherExpendituresAmt
End Year Balance	$119,988,261	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$97,313,410	BeginningYearBalanceAmt
Contributions	$3,991,324	ContributionsAmt
Investment Earnings Or Losses	$7,897,804	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,563,871	OtherExpendituresAmt
End Year Balance	$107,638,667	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$88,797,563	BeginningYearBalanceAmt
Contributions	$587,329	ContributionsAmt
Investment Earnings Or Losses	$8,400,809	InvestmentEarningsOrLossesAmt
Other Expenditures	$472,291	OtherExpendituresAmt
End Year Balance	$97,313,410	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$81,833,643	BeginningYearBalanceAmt
Contributions	$3,189,501	ContributionsAmt
Investment Earnings Or Losses	$2,743,447	InvestmentEarningsOrLossesAmt
Other Expenditures	-$1,030,972	OtherExpendituresAmt
End Year Balance	$88,797,563	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$73,799,593	BeginningYearBalanceAmt
Contributions	$12,519,797	ContributionsAmt
Investment Earnings Or Losses	-$4,250,857	InvestmentEarningsOrLossesAmt
Other Expenditures	$234,890	OtherExpendituresAmt
End Year Balance	$81,833,643	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.1334	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.5902	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.2764	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$64,072,274	OtherCostOrOtherBasisAmt
Book Value	$64,072,274	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$916,965,923	OtherCostOrOtherBasisAmt
Depreciation	$511,577,740	DepreciationAmt
Book Value	$405,388,183	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,111,615	OtherCostOrOtherBasisAmt
Depreciation	$4,051,924	DepreciationAmt
Book Value	$59,691	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$792,855,008	OtherCostOrOtherBasisAmt
Depreciation	$656,682,479	DepreciationAmt
Book Value	$136,172,529	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$75,812,680	OtherCostOrOtherBasisAmt
Book Value	$75,812,680	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$681,505,357	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CLOSELY-HELD EQUITY INTERESTS
FINANCIAL DERIVATIVES
PRIVATE EQUITIES	$9,371	F
HEDGE FUNDS
OTHER INVESTMENTS
INVESTMENT IN POOLED FUNDS (MIP)	$1,051,079,105	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$1,051,088,476	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN CAPTIVE	$36,738,925
CAPITAL LEASE RECEIVABLE	$32,072,570
DUE FROM AFFILIATES	$489,238,787
UNAMORTIZED BOND ISSUANCE COSTS
OTHER INVESTMENT ASSETS	$7,026,733
INVESTMENT IN MIP
457B PLAN ASSETS	$4,770,991
OTHER RECEIVABLES	$7,069,339

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$576,917,345	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
THIRD PARTY RESERVES	$51,240,164
ACCRUED POST RETMNT PENS & MED	$54,485,582
PAYABLE TO DARTMOUTH HITCHCOCK HEALTH	$676,665,758

Field	Value	IRS element (for citing)
Total Liability	$782,391,504	TotalLiabilityAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS	FormAndLineReferenceDesc
Explanation	THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO PROMOTE AND ADVANCE THE FOLLOWING MISSION-RELATED PROGRAMS: HEALTHCARE SERVICES, RESEARCH, CHARITY CARE, COMMUNITY OUTREACH AND ADVOCACY, EQUIPMENT PURCHASES, AND HEALTH EDUCATION.	ExplanationTxt

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (5 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN	0	INVESTMENTS	$31,807,526
MIDDLE EAST AND NORTH AFRICA	1	PROGRAM SERVICES	$6,468	PATHOLOGY PROGRAM
SUB-SAHARAN AFRICA	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$33,646
EUROPE (INCLUDING ICELAND AND GREENLAND)	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$66,562
NORTH AMERICA (CANADA & MEXICO ONLY)	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$8,954

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$31,923,156	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$31,923,156	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (3 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Valuation Method UsedValuationMethodUsedDesc
SUB-SAHARAN AFRICA	PROGRAM SUPPORT	$33,646	CASH	FMV
EUROPE (INCLUDING ICELAND AND GREENLAND)	PROGRAM SUPPORT	$66,562	CASH	FMV
NORTH AMERICA (CANADA & MEXICO ONLY)	PROGRAM SUPPORT	$8,954	CASH	FMV

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE F, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	THE HOSPITAL PROVIDES UNRESTRICTED PROGRAM SUPPORT FOR CERTAIN FOREIGN ORGANIZATIONS CHOSEN AND DIRECTED BY THE PHYSICIANS AND/OR RESEARCHERS WORKING DIRECTLY WITH THE CHARITY.
SCHEDULE F, PART I, LINE 3 METHOD USED TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS	CENTRAL AMERICA AND THE CARIBBEAN-ACCRUAL; EUROPE (INCLUDING ICELAND AND GREENLAND)-ACCRUAL; MIDDLE EAST AND NORTH AFRICA-ACCRUAL; NORTH AMERICA (CANADA & MEXICO ONLY)-ACCRUAL; SUB-SAHARAN AFRICA-ACCRUAL
SCHEDULE F, PART II, LINE 1 METHOD USED TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS	EUROPE (INCLUDING ICELAND AND GREENLAND)-ACCRUAL; NORTH AMERICA (CANADA & MEXICO ONLY)-ACCRUAL; SUB-SAHARAN AFRICA-ACCRUAL

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,054,784	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,054,784	NetCommunityBenefitExpnsAmt
Total Expense	0.00146	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,482,296	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,490,552	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,991,744	NetCommunityBenefitExpnsAmt
Total Expense	0.06249	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$96,537,080	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,490,552	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,046,528	NetCommunityBenefitExpnsAmt
Total Expense	0.06395	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,790,261	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,589,629	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,200,632	NetCommunityBenefitExpnsAmt
Total Expense	0.00306	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,505,683	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,799,519	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,706,164	NetCommunityBenefitExpnsAmt
Total Expense	0.02459	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,109,646	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,442,325	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,667,321	NetCommunityBenefitExpnsAmt
Total Expense	0.00232	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,164,115	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,417,680	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,746,435	NetCommunityBenefitExpnsAmt
Total Expense	0.00798	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$374,714	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$374,714	NetCommunityBenefitExpnsAmt
Total Expense	0.00052	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$54,944,419	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,249,153	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,695,266	NetCommunityBenefitExpnsAmt
Total Expense	0.03846	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$151,481,499	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,739,705	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,741,794	NetCommunityBenefitExpnsAmt
Total Expense	0.10241	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$113,430,225	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$117,980,646	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,550,421	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARY HITCHCOCK MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	WWW.DARTMOUTH-HITCHCOCK.ORG	WebsiteAddressTxt
State License	01799	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	PSYCHIATRIC UNIT, TRANSPLANT UNIT, AND CANCER CENTER	OtherDesc
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	1	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.dartmouth-hitchcock.org/about/community-health	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.dartmouth-hitchcock.org/about/community-health	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.dartmouth-hitchcock.org/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.dartmouth-hitchcock.org/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.dartmouth-hitchcock.org/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY WHICH ARE IDENTIFIED THROUGH CHNA.
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY 1, 1	FACILITY 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) AND DARTMOUTH-HITCHCOCK CLINIC (DHC, COLLECTIVELY KNOWN AS D-H) ARE ACTIVELY ENGAGED IN THE DEVELOPMENT OF THE UPPER VALLEY REGIONAL PUBLIC HEALTH ADVISORY COUNCIL AND GREATER SULLIVAN COUNTY PUBLIC HEALTH ADVISORY COUNCIL (WITH 60+ COMMUNITY REPRESENTATIVES). MEMBERS OF THESE TWO COMMUNITY HEALTH ADVISORY GROUPS HAVE HAD THE OPPORTUNITY TO REVIEW AND COMMENT ON DRAFTS OF D-H'S COMMUNITY HEALTH IMPROVEMENT PLAN. THE PLAN DOCUMENT HAS ALSO BEEN CIRCULATED TO PUBLIC HEALTH OFFICIALS IN NEW HAMPSHIRE AND VERMONT FOR THEIR COMMENT. IN ADDITION, D-H REPRESENTATIVES SERVE ON NUMEROUS BOARDS, TASK FORCES, MUNICIPAL HEALTH LEADERSHIP AND PLANNING TEAMS, AND OTHER COMMUNITY HEALTH LEADERSHIP ENTITIES IN ORDER TO ENSURE THAT BOTH ORGANIZATIONS PARTICIPATE IN AND BETTER UNDERSTAND THE NEEDS OF OUR COMMUNITY. MHMH CONTRACTED WITH JOHN SNOW RESEARCH AND TRAINING INSTITUTE/COMMUNITY HEALTH INSTITUTE TO PROVIDE CONSULTATION AND TECHNICAL EXPERTISE TO OUR ASSESSMENT PROCESS. JOHN SNOW RESEARCH AND TRAINING INSTITUTE IS A PUBLIC HEALTH MANAGEMENT CONSULTING AND RESEARCH ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF INDIVIDUALS AND COMMUNITIES THROUGHOUT THE WORLD. DURING THE PERIOD FEBRUARY THROUGH NOVEMBER 2024, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY DARTMOUTH-HITCHCOCK AND ALICE PECK DAY MEMORIAL HOSPITAL, WITH SIGNIFICANT ADDITIONAL COORDINATION WITH NEW LONDON HOSPITAL, VALLEY REGIONAL HOSPITAL, AND MT. ASCUTNEY HOSPITAL AND HEALTH CENTER. THE PURPOSE OF THE ASSESSMENT WAS TO IDENTIFY COMMUNITY HEALTH CONCERNS, PRIORITIES, AND OPPORTUNITIES FOR COMMUNITY HEALTH AND HEALTH CARE DELIVERY SYSTEMS IMPROVEMENT. WHILE DARTMOUTH-HITCHCOCK MEDICAL CENTER SERVES AS A TERTIARY REFERRAL MEDICAL CENTER FOR A LARGE, MULTI-STATE AREA, THE GEOGRAPHIC AREA OF INTEREST FOR THE PURPOSES OF THIS ASSESSMENT WAS THE PRIMARY SERVICE AREA OF MARY HITCHCOCK MEMORIAL HOSPITAL, MT. ASCUTNEY HOSPITAL AND HEALTH CENTER, AND ALICE PECK DAY MEMORIAL HOSPITAL. THIS PRIMARY SERVICE AREA WAS DEFINED AS 19 MUNICIPALITIES COMPRISING THE UPPER VALLEY OF NEW HAMPSHIRE AND VERMONT WITH A TOTAL RESIDENT POPULATION OF APPROXIMATELY 70,000 PEOPLE. METHODS EMPLOYED IN THE ASSESSMENT INCLUDED A SURVEY OF AREA RESIDENTS MADE AVAILABLE THROUGH DIRECT MAIL AND WEBSITE LINKS, A SURVEY OF KEY COMMUNITY STAKEHOLDERS WHO ARE AGENCY, MUNICIPAL, OR COMMUNITY LEADERS, A SERIES OF COMMUNITY DISCUSSION GROUPS CONVENED IN THE PRIMARY SERVICE AREA, AND A REVIEW OF AVAILABLE POPULATION DEMOGRAPHICS AND HEALTH STATUS INDICATORS. IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), POPULATIONS EXPERIENCING HEALTH DISPARITIES OR VULNERABLE TO POOR HEALTH OUTCOMES ARE PRIMARILY DEFINED AS THOSE POPULATIONS FACING SIGNIFICANT INCOME CHALLENGES, WHICH IN THIS REGION ARE STRONGLY ASSOCIATED WITH NEGATIVE IMPACTS ON HEALTH. ENHANCED EFFORTS WERE MADE TO UNDERSTAND THE NEEDS OF THESE POPULATIONS THROUGH TARGETED SURVEYS AND VIRTUAL COMMUNITY CONVERSATIONS, HOMELESS PROGRAMS, AND OTHER COMMUNITY SETTINGS SERVING ECONOMICALLY-VULNERABLE RESIDENTS. FINDINGS OF THIS ASSESSMENT HAVE BEEN SHARED WITH PUBLIC HEALTH OFFICIALS IN NH AND VT, AS WELL AS WITH THE PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY. DURING THIS ASSESSMENT, MARY HITCHCOCK MEMORIAL HOSPITAL USED SURVEYS FROM FEBRUARY 2024 THROUGH SEPTEMBER 2024 TO GENERATE INPUT FROM 1,739 RESIDENTS. SURVEYS WERE MADE AVAILABLE THROUGH PRIMARY CARE CLINICS, FREE CARE CLINICS, ANNUAL TOWN MEETINGS/ELECTIONS, AND NUMEROUS OTHER COMMUNITY LOCATIONS. RESIDENTS COMPLETING SURVEYS INCLUDED MEMBERS OF BLACK, HISPANIC, NATIVE AMERICAN, CAUCASIAN, LATINO, AND ASIAN POPULATIONS. SURVEYS WERE DISTRIBUTED THROUGH REGIONAL HEALTH CLINICS, THE REGION'S SHELTER FOR HOMELESS POPULATIONS, THE REGION'S LOW-INCOME HOUSING TRUST, SENIOR CENTERS, SUBSTANCE USE DISORDER TREATMENT PROGRAMS, AND OTHER LOCATIONS WHERE POPULATIONS MOST AFFECTED BY HEALTH DISPARITIES CONGREGATE. MARY HITCHCOCK MEMORIAL HOSPITAL DISSEMINATED THE SURVEY TOGETHER WITH MULTIPLE COMMUNITY ORGANIZATIONS THAT SERVE LOW-INCOME, FRAIL, AND POPULATIONS WITH SPECIFIC HEALTH CONDITIONS. COMMUNITY PARTNERS PROVIDED ASSISTANCE DISSEMINATING THE SURVEY, INCLUDING THE PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY, WHOSE MEMBERSHIP INCLUDES COMMUNITY MENTAL HEALTH SERVICES, SUBSTANCE USE SERVICES, MENTAL HEALTH PEER LEADERS, WIC PROVIDERS, SENIOR SERVICES ADVOCATES, SERVICES WORKING WITH PEOPLE WITH PHYSICAL AND DEVELOPMENTAL DISABILITIES, COMMUNITY NURSING, VISITING NURSES, AND OTHER CORE HUMAN SERVICES. IN ADDITION TO ASSISTING IN SURVEY DISSEMINATION, THESE PROVIDERS ADVOCATED FOR UNDERSERVED AND VULNERABLE POPULATIONS IN OUR REGION AS A PART OF THE CHNA PROCESS. DURING THIS CHNA PROCESS, WE MADE RESIDENT SURVEYS WIDELY AVAILABLE TO COMMUNITY RESIDENTS THROUGH PUBLIC LIST SERVES, DIRECT E-MAIL INVITATIONS TO PATIENTS OF OUR PRIMARY CARE CLINICS, SURVEY LINKS ON TOWN WEB SITES AND E-NEWS, EMPLOYEE E-NEWS IN MAJOR EMPLOYERS, AND THROUGH OTHER SYSTEMS THAT PROVIDED WIDESPREAD ACCESS TO OUR SURVEYS. WE PARTNERED CLOSELY WITH ORGANIZATIONS SERVING POPULATIONS AFFECTED BY POVERTY, LACK OF INSURANCE, HOMELESSNESS, BEHAVIORAL HEALTH CONDITIONS, AND SERIOUS AND CHRONIC ILLNESSES IN ORDER TO SURVEY THESE MEMBERS OF POPULATIONS IN OUR COMMUNITY, AND HOSTED MULTIPLE DISCUSSION GROUPS WITH PEOPLE AFFECTED BY POVERTY AND CHRONIC ILLNESS. HOUSEHOLD MEDIAN INCOME, INSURANCE STATUS, AND OTHER INDICATORS OF POVERTY ARE SIGNIFICANT DRIVERS OF DISPARITY IN OUR REGION. THESE POPULATIONS FACE NOTABLE HEALTH CONDITIONS ASSOCIATED WITH POVERTY. DURING OUR ASSESSMENT PROCESS, MHMH MADE SPECIFIC EFFORTS TO CONTACT AND RECEIVE INPUT FROM MEMBERS OF LOWER-INCOME POPULATIONS AND PROVIDERS OF SERVICES FOR THOSE POPULATIONS, INCLUDING: VIRTUAL DISCUSSION GROUP WITH MEMBERS OF EMPLOYEE RESOURCE GROUPS (MARCH 22, 2024) VIRTUAL DISCUSSION GROUP WITH MEMBERS OF THE BUSINESS COMMUNITY (CHAMBER OF COMMERCE, LARGE EMPLOYERS, GROUPS WITH INTEREST IN BROADER ECONOMIC ISSUES) (MARCH 25, 2024) VIRTUAL DISCUSSION GROUP WITH PROVIDERS OF CARE MANAGEMENT FOR BEHAVIORAL HEALTH (MARCH 27, 2024) VIRTUAL DISCUSSION GROUP WITH LGBTQ+ POPULATIONS AND ASSOCIATED SERVICE PROFESSIONALS (APRIL 1, 2024) IN-PERSON DISCUSSION GROUP WITH PARTICIPANTS IN SUD SERVICES AT UPPER VALLEY TURNING POINTS (MAY 8, 2024) VIRTUAL DISCUSSION GROUP WITH VT SCHOOL NURSES (MAY 21, 2024) IN-PERSON DISCUSSION WITH TLC FAMILY/RECOVERY RESOURCE CENTER (JUNE 3, 2024) IN-PERSON DISCUSSION GROUP WITH YOUNG AND PARENTING YOUTH AND YOUNG ADULTS AT THE FAMILY PLACE (JUNE 18, 2024) VIRTUAL DISCUSSION GROUP WITH CASE MANAGEMENT, SOCIAL WORKERS, AND SERVICE COORDINATORS OF THE UPPER VALLEY (JULY 9, 2024) VIRTUAL DISCUSSION GROUP WITH MEMBERS OF THE BIPOC COMMUNITY (SEPTEMBER 9, 2024) IN-PERSON DISCUSSION GROUP WITH CAREGIVERS AND FAMILY MEMBERS OF ADULTS WITH SPECIAL NEEDS AT VISIONS FOR CREATIVE HOUSING SOLUTIONS (NOVEMBER 20, 2024) WORKING WITH THE GOOD NEIGHBOR HEALTH CLINIC AND SMALL COMMUNITY-BASED CLINICS TO DISSEMINATE SURVEYS TO PATIENTS WHO ARE UNINSURED AND LOW-INCOME. DISSEMINATING SURVEYS AT THE UPPER VALLEY HAVEN (SHELTER); LISTEN COMMUNITY SERVICES (BASIC NEED SUPPORT, FOOD SHELF, AND COMMUNITY DINNERS); TO PARENTS OF CHILDREN IN DARTMOUTH-HITCHCOCK AND ALICE PECK DAY'S PEDIATRICS CLINICS; VIA WOMEN, INFANTS, AND CHILDREN'S CLINICS; THROUGH GRAFTON COUNTY SENIOR CITIZENS COUNCIL (HOME-DELIVERED MEALS AND CONGREGATE MEALS); AND THROUGH OTHER COMMUNITY ORGANIZATIONS SERVING PEOPLE AFFECTED BY POVERTY AND POOR HEALTH. *WORKING WITH THE 26-MEMBER CHNA ADVISORY COUNCIL, TO INFORM DATA COLLECTION AND DISTRIBUTION STRATEGIES. ADVISORY COUNCIL MEMBER ORGANIZATIONS INCLUDED ALICE PECK DAY HOSPITAL, DARTMOUTH HITCHCOCK MEDICAL CENTER, THE CITY OF LEBANON, GOOD NEIGHBOR HEALTH CLINIC, GRAFTON COUNTY SENIOR CITIZENS COUNCIL, HARTFORD SCHOOL DISTRICT, HIV/HRC RESOURCE CENTER, LAKE SUNAPEE VNA, LEBANON SAU 88, LISTEN COMMUNITY SERVICES, MASCOMA HIGH SCHOOL, THE PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY, SPECIAL NEEDS SUPPORT CENTER, THE FAMILY PLACE, TLC RECOVERY CENTER, UPPER VALLEY HAVEN, VERMONT DEPARTMENT OF HEALTH, WAYPOINT, WEST CENTRAL BEHAVIORAL HEALTH, AND WIC.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY 1, 1	FACILITY 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. DURING FEBRUARY 2024 - NOVEMBER 2024, MHMH PARTNERED WITH ALICE PECK DAY MEMORIAL HOSPITAL TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT. WE ALSO COORDINATED CHNA APPROACHES WITH NEIGHBORING HOSPITALS AND ORGANIZATIONS INCLUDING VALLEY REGIONAL HOSPITAL, NEW LONDON HOSPITAL, MOUNT ASCUTNEY HOSPITAL AND HEALTH CENTER, AND CHESHIRE MEDICAL CENTER. WE USED SIMILAR COMMUNITY HEALTH NEEDS ASSESSMENT TOOLS AND APPROACHES, ALLOWING US TO COMPARE COMMUNITY HEALTH NEEDS ACROSS A BROAD GEOGRAPHIC, MULTI-HOSPITAL REGION.
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY 1, 1	FACILITY 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. DURING FEBRUARY 2024 - NOVEMBER 2024, IN ADDITION TO WORKING WITH DARTMOUTH-HITCHCOCK CLINIC, MHMH WORKED CLOSELY WITH THE MEMBER ORGANIZATIONS OF THE PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY (60+ MEMBER ORGANIZATIONS) AND GREATER SULLIVAN COUNTY PUBLIC HEALTH ADVISORY COUNCIL, AND OUR 26-MEMBER CHNA ADVISORY COMMITTEE TO DISSEMINATE SURVEYS, SERVE AS KEY INFORMANTS, AND TO PROVIDE OVERALL REVIEW AND FEEDBACK RE: FINDINGS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.
SCHEDULE H, PART V, SECTION B, LINE 7 FACILITY 1, 1	FACILITY 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. THE CHNA WAS DISTRIBUTED TO NON-PROFIT ORGANIZATIONS THROUGHOUT THE REGION INCLUDING THE PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY, WHICH IS A MEMBERSHIP GROUP OF REGIONAL NON-PROFIT, MUNICIPAL, SAFETY, HUMAN SERVICE, AND PUBLIC HEALTH ORGANIZATIONS. IT IS ALSO AVAILABLE FROM THE ORGANIZATION UPON REQUEST AND IS POSTED ON THE MHMH WEB PAGE (HTTPS://WWW.DARTMOUTH-HITCHCOCK.ORG/ABOUT/COMMUNITY-HEALTH)
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY 1, 1	FACILITY 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. MHMH IS INCREASING COMMUNITY BENEFITS SPENDING TO ADDRESS IDENTIFIED COMMUNITY NEEDS BASED ON THE MOST RECENT CHNA IN AREAS OF TRAUMA AND VIOLENCE, SOCIAL DETERMINANTS OF HEALTH, IMPROVING ACCESS TO HEALTH CARE, AND NEEDS OF OLDER ADULTS, AS WELL AS MAINTAINING ONGOING INVESTMENTS IN BEHAVIORAL HEALTH AND SUBSTANCE USE NEEDS, STRENGTHENING FAMILIES AND CHILDREN, AND CANCER CARE AND TREATMENT. IN FY 2025, MARY HITCHCOCK MEMORIAL HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT STRATEGIES WERE CONSISTENT WITH THE INTENTIONS IDENTIFIED IN OUR PREVIOUS COMMUNITY HEALTH IMPROVEMENT PLANS. AREAS WERE ANALYZED AND MHMH RESPONDED BY INCREASING INVESTMENTS, MAINTAINING SIMILAR LEVELS OF INVESTMENTS FOR SERVICES AND INITIATIVES, OR LIMITING INVESTMENT IN AREAS WHERE OTHER COMMUNITY ORGANIZATIONS ALREADY PROVIDE LEADERSHIP AND SERVICES TO ADDRESS THE NEED, AND/OR WHERE THE IDENTIFIED NEED IS SIGNIFICANTLY OUTSIDE THE MISSION/SERVICES/SCOPE OF MHMH. MARY HITCHCOCK MEMORIAL HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN IS A 3-YEAR DOCUMENT IDENTIFYING ANTICIPATED INVESTMENTS AND ACTIVITIES THAT IT WILL TAKE TO ADDRESS NEEDS IDENTIFIED IN THE MOST RECENT UPPER VALLEY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).
SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY 1, 1	FACILITY 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. MHMH HAS A SEPARATE UNINSURED DISCOUNT POLICY THAT OUTLINES HOW THE DISCOUNT IS CALCULATED ANNUALLY AND IS APPLIED PRIOR TO BILLING ANY UNINSURED PATIENT. THIS ASSURES A PATIENT IS NOT BILLED AT AN AMOUNT GREATER THAN THE AMOUNT GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS POLICY IS REFERENCED IN THE FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY 1, 1	FACILITY 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. THE FINANCIAL ASSISTANCE POLICY IS POSTED ON MHMH'S WEBSITE, INCLUDING THE VERBATIM POLICY AND A SHORTER, MORE PATIENT-FRIENDLY PLAIN-LANGUAGE SUMMARY. MHMH PROVIDES THE PLAIN-LANGUAGE SUMMARY BROCHURE TO ALL INPATIENTS, EMERGENCY DEPARTMENT INTAKES, UNINSURED, AND SELF-PAY INDIVIDUALS. MHMH CONTINUES TO NOTIFY PATIENTS ON THE BACK OF THE BILLING STATEMENT ABOUT FINANCIAL ASSISTANCE AVAILABLE TO THEM. ADDITIONALLY, MHMH POSTS INFORMATION ABOUT THE POLICY IN PUBLIC AREAS THROUGHOUT THE FACILITIES INCLUDING ADMISSION OFFICES, PUBLIC AREA BOARDS THROUGHOUT THE FACILITIES, THE EMERGENCY ROOMS, AND FINANCIAL ASSISTANCE POLICY BROCHURES IN PATIENT AREAS. MHMH SCREENS 100% OF UNINSURED INPATIENT AND SAME-DAY PATIENTS PRIOR TO ADMISSION. AS PART OF THIS PROCESS, MHMH CHECKS ALL STATE AND FEDERAL PROGRAMS TO SEE IF INDIVIDUALS ARE ELIGIBLE FOR ASSISTANCE. PATIENTS ARE ALSO SCREENED TO DETERMINE QUALIFICATION FOR FINANCIAL ASSISTANCE AND THE APPLICATION IS PROVIDED AND/OR COMPLETED AT THIS TIME.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION A FACILITY INFORMATION	THE HOSPITAL HAS A SECOND 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.
SCHEDULE H, PART I, LINE 3C OTHER FACTORS USED IN DETERMINING ELIGIBILITY OTHER THAN FPG	IN ADDITION TO FALLING WITHIN CERTAIN FPG PARAMETERS, A PATIENT MUST ALSO SATISFY OTHER ELIGIBILITY CRITERIA TO QUALIFY FOR FREE OR DISCOUNTED CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE PATIENT MUST BE A RESIDENT OF NEW HAMPSHIRE OR VERMONT, OR A NON-RESIDENT WHO RECEIVES EMERGENCY TREATMENT AT A DARTMOUTH HEALTH ("DH") FACILITY. THE PATIENT MUST ALSO BE UNINSURED OR UNDERINSURED, INELIGIBLE FOR BENEFITS THROUGH A GOVERNMENT HEALTH CARE PROGRAM, AND UNABLE TO PAY FOR CARE AS DESCRIBED IN THE CREDIT AND COLLECTIONS POLICY, BASED ON A DETERMINATION OF FINANCIAL NEED UNDER THIS POLICY. IN ADDITION, THE PATIENT MUST HAVE A GROSS FAMILY INCOME AT OR BELOW 600% OF FPG AND HAVE AGGREGATE BALANCES OWED FOR SERVICES PROVIDED AT DH THAT EXCEED 20% OF ONE YEAR'S FAMILY INCOME, INCLUDING SAVINGS. FOR PURPOSES OF THIS DETERMINATION, SAVINGS (WHICH INCLUDE SAVINGS ACCOUNTS, ALIMONY, AND CERTIFICATE(S) OF DEPOSIT) ARE SHELTERED UP TO 400% OF FPG. WHEN ELIGIBLE, THE PATIENT MUST ALSO DEMONSTRATE COMPLIANCE WITH THE REQUIREMENTS TO APPLY FOR QUALIFIED HEALTH PLAN COVERAGE IN THE NEW HAMPSHIRE OR VERMONT HEALTHCARE EXCHANGE PROGRAM. EXCEPTIONS TO THIS REQUIREMENT MAY BE APPROVED BY SENIOR LEADERSHIP FOR GOOD CAUSE ON A CASE-BY-CASE BASIS. "GOOD CAUSE" WILL DEPEND ON FACTS AND CIRCUMSTANCES AND MAY INCLUDE THOSE THAT MISSED THE OPEN ENROLLMENT PERIOD AND DO NOT FALL INTO A LIFE CHANGING EVENT CATEGORY OUTSIDE OF OPEN ENROLLMENT, ALONG WITH THOSE FOR WHOM THE FINANCIAL BURDEN WILL BE GREATER FOR THE PATIENT TO ENROLL IN A QUALIFIED HEALTH PLAN THAN NOT TO DO SO. IN CATASTROPHIC SITUATIONS INVOLVING EITHER UNINSURED OR INSURED PATIENTS, IF THE TOTAL AMOUNT OWED FOR EMERGENCY AND MEDICALLY NECESSARY SERVICES RENDERED EXCEEDS 20% OF THE PATIENT'S HOUSEHOLD INCOME, THEN THE AMOUNT OWED SHALL BE REDUCED SO THAT IT IS EQUAL TO 20% OF THE PATIENT'S HOUSEHOLD'S INCOME.
SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFITS REPORT	MARY HITCHCOCK MEMORIAL HOSPITAL AND DARTMOUTH-HITCHCOCK CLINIC (COLLECTIVELY REFERRED TO AS DARTMOUTH-HITCHCOCK (D-H)) SHARE COMMON BOARD MEMBERS AND OPERATE UNDER AN AFFILIATION AGREEMENT. D-H PERFORMS A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND FILES A CONSOLIDATED COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW HAMPSHIRE. FOR PURPOSES OF IRS FORM 990, SCHEDULE H, ONLY MARY HITCHCOCK MEMORIAL HOSPITAL NUMBERS WERE USED. ALL AMOUNTS RELATING TO DHC WERE EXCLUDED. THE NEW HAMPSHIRE COMMUNITY BENEFITS REPORT FILED FOR SHORT PERIOD ENDED SEPTEMBER 2025 SHOWS THAT COMBINED, DHC AND MHMH PROVIDED BENEFIT TOTALING $105,374,848.
SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES	THE ORGANIZATION DID NOT INCLUDE ANY SUBSIDIZED HEALTH SERVICE COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC ON PART I, LINE 7G.
SCHEDULE H, PART I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION	0
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED WAS A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE TO COST-TO-CHARGES.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	BASED ON ACCOUNTING GUIDANCE, BAD DEBT IS RECORDED AS A REDUCTION TO NET PATIENT REVENUE.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	THE HOSPITAL IS UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. ALTHOUGH A PORTION OF BAD DEBT EXPENSE MAY BE RELATED TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	MHMH IS INCLUDED IN THE DARTMOUTH-HITCHCOCK HEALTH AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. AS A RESULT OF ACCOUNTING CHANGES (ASC 606), BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. THEREFORE, THERE IS NO SEPARATE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED AS MEDICARE SHORTFALLS WAS DERIVED FROM THE INTERNAL REVENUE SERVICE'S WORKSHEET B AS PROVIDED FOR PART III CALCULATIONS. MHMH HAD REVENUES OF $60,849,773 AND COSTS OF $123,731,139 FOR SERVICES NOT INCLUDED ON THE MEDICARE COST REPORT (AMBULANCE SERVICES, LABORATORY AND OTHER FREE SCREENS, AND MEDICARE PART C & D SERVICES.) MHMH INCURRED A NET LOSS OF $63,881,365 ON THE PROVISION OF THESE SERVICES. BECAUSE OF THE CENTRAL ROLE OF THE ORGANIZATION IN SERVING THE HEALTHCARE NEEDS OF ITS COMMUNITY AND THE DEMOGRAPHIC CHARACTERISTICS OF THE COMMUNITY SERVED, IT IS LIKELY THAT A PORTION OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT EXPENDITURE. MHMH HAS NOT IDENTIFIED A SPECIFIC AMOUNT OF MEDICARE SHORTFALL THAT SHOULD BE REPORTED AS SUCH.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	MHMH HAS A CREDIT AND COLLECTION POLICY THAT ADDRESSES THE PROCEDURES FOR PATIENTS WHO QUALIFY FOR REDUCED-COST CARE. THE POLICY PROHIBITS USING EXTRAORDINARY COLLECTION PRACTICES OR PLACING AMOUNTS WITH COLLECTION AGENCIES BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IF A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE HAS A BALANCE FOR WHICH THEY ARE RESPONSIBLE AFTER A FINANCIAL ASSISTANCE DISCOUNT IS APPLIED, THE STANDARD PRACTICES ARE FOLLOWED AS OUTLINED IN THE D-H CREDIT AND COLLECTIONS POLICY.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	1 - MARY HITCHCOCK MEMORIAL HOSPITAL: LINE 16A URL: HTTPS://WWW.DARTMOUTH-HITCHCOCK.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	1 - MARY HITCHCOCK MEMORIAL HOSPITAL: LINE 16B URL: HTTPS://WWW.DARTMOUTH-HITCHCOCK.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	1 - MARY HITCHCOCK MEMORIAL HOSPITAL: LINE 16C URL: HTTPS://WWW.DARTMOUTH-HITCHCOCK.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	MARY HITCHCOCK MEMORIAL HOSPITAL AND DARTMOUTH HITCHCOCK CLINIC (COLLECTIVELY REFERRED TO AS DARTMOUTH-HITCHCOCK (D-H)) SHARE COMMON BOARD MEMBERS AND OPERATE UNDER AN AFFILIATION AGREEMENT. D-H PERFORMS A JOINT COMMUNITY NEEDS ASSESSMENT AND FILES A CONSOLIDATED COMMUNITY BENEFITS REPORT. DARTMOUTH-HITCHCOCK PARTICIPATES WITH OTHER HEALTH CARE CHARITABLE TRUSTS AND COMMUNITY PARTNERS IN EACH OF OUR SERVICE AREAS TO COMPLETE COMMUNITY HEALTH NEEDS ASSESSMENTS. DURING FY2025, MHMH PARTNERED WITH ALICE PECK DAY MEMORIAL HOSPITAL TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. WE ALSO WORKED TOGETHER WITH NEIGHBORING HOSPITALS, INCLUDING MOUNT ASCUTNEY HOSPITAL AND HEALTH CENTER, VALLEY REGIONAL HOSPITAL, NEW LONDON HOSPITAL, AND DARTMOUTH HEALTH HOME CARE (FKA VISITING NURSE & HOSPICE OF VT & NH) TO USE SIMILAR COMMUNITY HEALTH NEEDS ASSESSMENT TOOLS AND APPROACHES, TO ALLOW COMPARABILITY OF HEALTH DATA ACROSS A WIDER GEOGRAPHIC REGION. COLLECTIVELY D-H AND PARTNERED HOSPITALS HIRED COMMUNITY HEALTH INSTITUTE/JOHN SNOW RESEARCH AND TRAINING INSTITUTE, A PUBLIC HEALTH CONSULTING FIRM, TO PROVIDE TECHNICAL ASSISTANCE AND ANALYSIS RELATED TO OUR COMMUNITY HEALTH NEEDS ASSESSMENTS. THE NEEDS ASSESSMENT INCLUDED REVIEWING SELECTED SERVICE AREA DEMOGRAPHICS; PUBLIC HEALTH DATA AVAILABLE THROUGH NH AND VT HEALTH DEPARTMENTS, HOSPITAL DISCHARGE DATA, BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AND YOUTH RISK BEHAVIOR SURVEYS; FOCUS GROUPS WITH EMPLOYERS AND WITH COMMUNITY MEMBERS RECEIVING SERVICES AT REGIONAL SAFETY NET SERVICE ORGANIZATIONS; ELECTRONIC SURVEYS OF PROFESSIONAL HEALTH AND SOCIAL SERVICE PROVIDERS; AS WELL AS PAPER AND ELECTRONIC CONVENIENCE SURVEYS OF COMMUNITY RESIDENTS. FINDINGS OF THE FY2025 COMMUNITY HEALTH NEEDS ASSESSMENT WERE REVIEWED AT 2 LARGE VIRTUAL COMMUNITY MEETINGS (80+ TOTAL STAKEHOLDERS) HOSTED IN CONCERT WITH THE PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY AND OTHERS FOR FURTHER COMMENTS AND FEEDBACK. THE FINDINGS WERE ALSO REVIEWED IN 16 DEPARTMENT MEETINGS WITHIN MHMH INCLUDING MORE THAN 50 STAFF. ADDITIONALLY, MHMH COMMUNITY HEALTH STAFF PARTICIPATE IN OR LEAD MULTIPLE COMMUNITY COALITIONS AND PROJECTS CONNECTING US TO A WIDE ARRAY OF COMMUNITY-BASED HEALTH, MUNICIPAL, SCHOOL, SERVICE ORGANIZATION, REGIONAL PLANNING AND STATE PUBLIC HEALTH STAKEHOLDERS. WE REGULARLY REVIEW EMERGING NH & VT STATE HEALTH DATA; QUANTITATIVE AND QUALITATIVE DATA FROM LOCAL SOURCES (NEWSPAPERS, REGIONAL PLANNING OFFICES, COMMUNITY FORUMS), AND CONVERSATIONS WITH COMMUNITY PARTNERS TO IDENTIFY CONCERNS THAT ARE EMERGING, INTENSIFYING, OR ARE THE SOURCE OF LOCAL ATTENTION SINCE THE LAST CHNA WAS CONDUCTED.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	ALL UNINSURED INPATIENTS, SAME DAY SURGERY, OBSERVATION, AND EMERGENCY DEPARTMENT PATIENTS ARE PROACTIVELY SCREENED USING PAPER AND/OR AN AUTOMATED TOOL TO IDENTIFY POTENTIAL QUALIFICATION FOR OTHER FEDERAL, STATE, AND LOCAL PROGRAMS. IN ADDITION, SPECIFIC OUTPATIENT ACTIVITIES DEEMED TO HAVE A HIGHER RATE OF NEED ARE SCREENED AS PART OF OUR REGULAR PROTOCOL. IF A PATIENT APPEARS TO BE ELIGIBLE, ON-SITE FINANCIAL COUNSELORS ASSIST THE PATIENT IN COMPLETING THE APPROPRIATE PAPERWORK/APPLICATIONS AND PROVIDE INSTRUCTIONS REGARDING HOW TO COMPLETE THE QUALIFICATION PROCESS. IN SOME CASES, A FINANCIAL COUNSELOR WILL ACT ON BEHALF OF THE PATIENT, AT THEIR SIGNED CONSENT, IN ORDER TO COMPLETE THE APPLICATION PROCESS (FOR EXAMPLE, IN NEW HAMPSHIRE A PATIENT MUST BE PHYSICALLY PRESENT AT THE DISTRICT OFFICE). IF A PATIENT DOESN'T QUALIFY FOR SPECIFIC PROGRAMS, THEY ARE ALSO CONSIDERED FOR FINANCIAL ASSISTANCE AS PART OF THEIR SCREENING. FOR OUTPATIENT SERVICES THAT ARE NOT ROUTINELY SCREENED, STAFF INTERACTING WITH PATIENTS ARE INSTRUCTED TO PROVIDE EITHER A FINANCIAL ASSISTANCE APPLICATION OR CONTACT INFORMATION FOR A FINANCIAL COUNSELOR WHEN A PATIENT EXPRESSES THEIR INABILITY TO MAKE PAYMENT. EVERY APPLICATION IS SCREENED FOR COMPLETED INCOME AND ASSET DOCUMENTATION. APPLICATIONS ARE ALSO SCREENED TO ASSURE THERE ARE NO OTHER POTENTIAL OPTIONS OF FEDERAL, STATE, OR LOCAL PROGRAMS. THE WEBSITE, PATIENT STATEMENTS, AND FINANCIAL BROCHURES ALL INCLUDE INFORMATION ABOUT FINANCIAL ASSISTANCE AND HOW TO APPLY.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	THE ORGANIZATION DEFINES ITS SERVICE REGION AS NEW HAMPSHIRE AND EASTERN VERMONT, WITH THE LARGEST PRESENCE IN A 19-TOWN HOSPITAL SERVICE AREA REGION ADJOINING LEBANON, NEW HAMPSHIRE, SITE OF DARTMOUTH-HITCHCOCK MEDICAL CENTER WHICH INCLUDES MARY HITCHCOCK MEMORIAL HOSPITAL AND DARTMOUTH-HITCHCOCK CLINIC'S MAIN NORTHERN CLINIC. THE 19-TOWN HOSPITAL SERVICE AREA REGION HAS A POPULATION OF 70,000 PEOPLE, WITH TOWNS RANGING IN POPULATION FROM 200-14,000 PEOPLE. THESE TOWNS ARE GENERALLY CONSIDERED RURAL, THOUGH THE HANOVER, LEBANON, NH AND HARTFORD, VT COMMUNITIES ARE CONSIDERED TO BE A MICROPOLITAN AREA. AMONG THE REGION'S 19 TOWNS, MEDIAN HOUSEHOLD INCOME VARIES WIDELY, FROM $50K-$120K ANNUALLY. 17.5% OF THE POPULATION IS OVER THE AGE OF 65; 11% OF CHILDREN LIVE IN HOUSEHOLDS WHOSE MEDIAN HOUSEHOLD INCOME IS LESS THAN 100% OF FEDERAL POVERTY LEVEL, 26.8% OF CHILDREN LIVE IN HOUSEHOLDS WITH INCOME LESS THAN 200% OF FEDERAL POVERTY LEVEL; 1.5% OF THE REGION'S RESIDENTS HAVE LIMITED ENGLISH PROFICIENCY; AND 7.1% LACKED HEALTH INSURANCE. 11.8% OF NH RESIDENTS AND 24.9% OF VERMONT RESIDENTS ARE MEDICAID BENEFICIARIES. THE REGION IS SERVED BY MHMH AND BY ALICE PECK DAY MEMORIAL HOSPITALS. THERE ARE NO FEDERALLY QUALIFIED HEALTH CENTERS OPERATING WITHIN THE REGION, THOUGH ONE REGIONAL COMMUNITY HEALTH CLINIC IS PURSUING THIS STATUS. THE GOOD NEIGHBOR HEALTH CLINIC, IN HARTFORD, VT, OFFERS CARE TO UNINSURED COMMUNITY MEMBERS. TWO MINOR CIVIL DIVISIONS IN OUR REGION, DORCHESTER NH AND PIERMONT NH, ARE CONSIDERED MEDICALLY UNDERSERVED AREAS. MHMH SERVES THE GENERAL POPULATION WITH A WIDE RANGE OF SERVICES. IN ADDITION TO GENERAL HOSPITAL POPULATIONS, THE ORGANIZATION PROVIDES SERVICES TO PATIENTS WITH HIGHLY-SPECIALIZED NEEDS THAT ARE NOT AVAILABLE ELSEWHERE IN NEW HAMPSHIRE. MHMH IS THE STATE'S ONLY TERTIARY REFERRAL CENTER, PROVIDES THE STATE'S ONLY COMPREHENSIVE CANCER CENTER (DARTMOUTH CANCER CENTER), OPERATES THE ONLY LEVEL I TRAUMA CENTER IN NEW HAMPSHIRE, OPERATES THE ONLY COMPREHENSIVE CHILDREN'S HOSPITAL AND ACCREDITED PEDIATRIC TRAUMA CENTER IN NEW HAMPSHIRE (CHILDREN'S HOSPITAL AT DARTMOUTH - CHAD), HOSTS THE ONLY LEVEL IV NEONATAL INTENSIVE CARE NURSERY, HAS ONE OF TWO PEDIATRIC INTENSIVE CARE UNITS IN NEW HAMPSHIRE, AND OPERATES THE ONLY HELICOPTER TRANSPORT SERVICE IN THE STATE. AS SUCH, THE SERVICE POPULATION IS BOTH THE GENERAL PUBLIC SEEKING PRIMARY HEALTH CARE SERVICES AS WELL AS RESIDENTS WITH UNIQUE AND HIGHLY-SPECIALIZED HEALTH CARE NEEDS.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	MHMH SUPPORTS ORGANIZATIONS AND INITIATIVES THAT FURTHER HEALTH BY STRENGTHENING AND DEVELOPING KEY COMMUNITY CAPACITIES TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. THIS INCLUDES HOSTING OR LEADING COMMUNITY PARTNERSHIPS TO ADDRESS SUBSTANCE MISUSE AND TREATMENT AND TO IMPROVE PUBLIC HEALTH; PROVIDING FUNDING FOR CHILD AND ADULT ORAL HEALTH INITIATIVES, AND PARTICIPATION OF OUR STAFF IN OTHER PARTNERSHIPS INCLUDING THE OUTPATIENT FALLS PREVENTION TASK FORCE, THE TRANSPORTATION MANAGEMENT ASSOCIATION, AND THE UPPER VALLEY HOUSING COALITION. IN ADDITION, MHMH OPERATES HEALTH EDUCATION AND SUPPORT SERVICES SUCH AS A WOMEN'S HEALTH RESOURCE CENTER, THE AGING RESOURCE CENTER, AND A HEALTH EDUCATION CENTER. MHMH USES CASH CONTRIBUTIONS, CONTRACTED SERVICES, AND IN-KIND CONTRIBUTIONS OF STAFF TIME AND EXPERTISE TO SUPPORT THESE STRATEGIES WHICH IMPROVE COMMUNITY HEALTH. AT MHMH'S LEBANON, NH CAMPUS, THE HOSPITAL EXTENDS PROFESSIONAL STAFF PRIVILEGES TO QUALIFIED AND APPROPRIATE PHYSICIANS WHO ARE EMPLOYEES OF DARTMOUTH HITCHCOCK CLINIC, MARY HITCHCOCK MEMORIAL HOSPITAL, AND DARTMOUTH COLLEGE, WHO ALSO HOLD A FACULTY APPOINTMENT AT THE GEISEL SCHOOL OF MEDICINE AT DARTMOUTH COLLEGE. MHMH'S TRUSTEES ANNUALLY SET STRATEGIC PRIORITIES FOR THE INSTITUTION AND APPROVE OPERATING AND CAPITAL BUDGETS WHICH SUPPORT IMPROVEMENTS, PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. EXAMPLES OF THESE INVESTMENTS INCLUDE THE DEVELOPMENT OF MHMH'S PATIENT SAFETY AND TRAINING CENTER; ONGOING QUALITY AND PATIENT SAFETY INITIATIVES; PURCHASES OF NEW AND EMERGING MEDICAL TECHNOLOGIES; SUPPORT FOR TRANSLATIONAL RESEARCH, AND MEDICAL EDUCATION. THE MAJORITY OF THE VOTING MEMBERS OF THE MHMH BOARD OF TRUSTEES ARE NEITHER CONTRACTORS NOR EMPLOYEES OF MHMH NOR FAMILY MEMBERS THEREOF AND ARE REPRESENTATIVE OF THE CONSUMER INTERESTS OF THE VARIOUS NEIGHBORHOODS AND LOCALITIES WHICH ARE SERVICED BY THE HOSPITAL.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	COMMUNITY BENEFITS ARE PROVIDED BY THE DARTMOUTH HEALTH SYSTEM, WHICH INCLUDES MARY HITCHCOCK MEMORIAL HOSPITAL, DARTMOUTH-HITCHCOCK CLINIC, AND OTHER RELATED ORGANIZATIONS WHOSE PRIMARY MISSION IS HEALTHCARE. MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) IN LEBANON IS NEW HAMPSHIRE'S LARGEST HOSPITAL. IN FISCAL YEAR 2025 MHMH HAD 460 LICENSED INPATIENT BEDS. THE DARTMOUTH-HITCHCOCK CLINIC (DHC) IS A MULTI-SPECIALTY PHYSICIAN PRACTICE WITH A NETWORK OF PROVIDERS ACROSS NEW HAMPSHIRE AND VERMONT. WHILE DHC'S MAIN OFFICES ARE LOCATED IN LEBANON, THE CLINIC ALSO HAS MULTI-SPECIALTY PRACTICES IN MANCHESTER, NASHUA, CONCORD, AND KEENE, NH AREAS AS WELL AS BENNINGTON, VT. IN ADDITION, THE CLINIC PROVIDES PRIMARY CARE IN RURAL COMMUNITIES IN VERMONT AND NORTHERN NEW HAMPSHIRE. THE HOSPITAL AND CLINIC OPERATE JOINTLY THROUGH INTERLOCKING DIRECTORATES, STRATEGIC PLANNING AND MANAGEMENT AND THEY SHARE IDENTICAL MISSIONS. THE GEISEL SCHOOL OF MEDICINE AT DARTMOUTH COLLEGE, WHICH WORKS CLOSELY WITH THE HOSPITAL AND CLINIC, IS FOCUSED ON MEDICAL EDUCATION AND RESEARCH.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	NH

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (59 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
AMOSKEAG HEALTH
145 HOLLIS STREET	MANCHESTER	NH	03101	020458174	501(C)3	$22,200	PROGRAM SUPPORT
CHESHIRE MEDICAL CENTER
580 COURT STREET	KEENE	NH	03431	020354549	501(C)3	$8,880	CHARITABLE PROGRAM SUPPORT
EARLY CARE AND EDUCATION ASSOCIATION
PO BOX 5428	WEST LEBANON	NH	03784	853076751	501(C)3	$18,500	PROGRAM SUPPORT
GOOD NEIGHBOR HEALTH CLINIC
PO BOX 1250	WHITE RIVER JUNCTION	VT	05001	030346949	501(C)3	$48,100	PROGRAM SUPPORT
MAKIN' IT HAPPEN COALITION FOR RESILIENT
YOUTH INC	MANCHESTER	NH	03104	462768846	501(C)3	$8,880	CHARITABLE PROGRAM SUPPORT	180 BRIDGE STREET
NEW HAMPSHIRE CHARITABLE FOUNDATION
37 PLEASANT STREET	CONCORD	NH	03301	026005625	501(C)3	$7,400	CHARITABLE PROGRAM SUPPORT
THE COLLABORATIVE
91 VT ROUTE 11	S LONDONDERRY	VT	05148	030359264	501(C)3	$8,880	EDUCATIONAL SERVICES
TRUSTEES OF DARTMOUTH COLLEGE
CASHIERS OFFICE / AR	HANOVER	NH	03755	020222111	501(C)3	$881,519	CHARITABLE EDUCATIONAL SERVICES	6132 MCNUTT RM 103
WOMEN'S INFORMATION SERVICE OF THE UPPER VALLEY
38 BANK STREET	LEBANON	NH	03766	020346512	501(C)3	$14,800	PROGRAM SUPPORT
ADVANCE TRANSIT
PO BOX 1027	WILDER	VT	05088	222558708	501(C)3	$28,261	CHARITABLE PROGRAM SUPPORT
SOUTHEAST VERMONT TRANSIT INC
706 ROCKINGHAM ROAD	ROCKINGHAM	VT	05101	030353976	501(C)3	$22,200	PROGRAM SUPPORT
UNIVERSITY SYSTEM OF NEW HAMPSHIRE
5 CHANELL DRIVE	CONCORD	NH	03301	026000937	STATE OF NH	$5,056	EDUCATIONAL SERVICES
UNIV OF MICHIGAN
DEPT OF PATHOLOGY BILLING	ANN ARBOR	MI	48109	386006309	STATE OF MI	$5,128	EDUCATIONAL SERVICES
TRUSTEES COLUMBIA UNIVERSITY
NEURO CHARITY SOFTBALL TOURNAMENT	NEW YORK	NY	10032	135598093	501(C)3	$5,475	CHARITABLE EDUCATIONAL SERVICES
WEBER STATE UNIVERSITY
3885 WEST CAMPUS DR DEPT 1101	OGDEN	UT	844081101	876000535	501(C)3	$5,550	EDUCATIONAL SERVICES
UNIVERSITY OF NEW MEXICO
1 UNIVERSITY OF NEW MEXICO	ALBUQUERQUE	NM	87131	856000642	STATE OF NM	$5,919	EDUCATIONAL SERVICES
NEW YORK UNIVERSITY
NYU RORY MEYERS COL OF NURSING	NEW YORK	NY	10010	135562308	STATE OF NY	$6,037	EDUCATIONAL SERVICES
UNIVERSITY OF TEXAS SOUTHWESTERN MED CTR
5323 HARRY HINES BLVD	DALLAS	TX	752359029	756002868	STATE OF TX	$6,116	EDUCATIONAL SERVICES
LITTLE RIVERS HEALTHCARE INC
ATTN ANDREW BARTER	NEWBURY	VT	05051	161678092	501(C)3	$6,721	CHARITABLE PROGRAM SUPPORT
UNIVERSITY OF VERMONT
MEDICAL CENTER	BURLINGTON	VT	05402	030179440	STATE OF VT	$7,026	EDUCATIONAL SERVICES
UNIVERSITY OF COLORADO ANSCHUTZ
UNIVERSITY OF COLORADO	AURORA	CO	80045	846000555	STATE OF CO	$9,933	EDUCATIONAL SERVICES
UNIVERSITY OF MARYLAND
PO BOX 41428	BALTIMORE	MD	212036428	526002033	STATE OF MD	$10,239	EDUCATIONAL SERVICES
WMU HOMER STRYKER MD SCHOOL OF MEDICINE
PO BOX 50391	KALAMAZOO	MI	490050391	454135256	501(C)3	$10,725	EDUCATIONAL SERVICES
COOS COUNTY FAMILY HEALTH SERVICES
133 PLEASANT STREET	BERLIN	NH	03570	020350051	501(C)3	$12,240	CHARITABLE PROGRAM SUPPORT
WASHINGTON UNIVERSITY
7425 FORSYTH	ST LOUIS	MO	63105	430653611	STATE OF MO	$12,703	EDUCATIONAL SERVICES
MY CNA NOW LLC DBA LNA HEALTH CAREERS
70 MARKET ST	MANCHESTER	NH	03101	850569951		$12,950	CHARITABLE RESEARCH
UNIVERSITY OF UTAH
GRANTS CONTRACTS ACCOUNTING	SALT LAKE CITY	UT	841129020	876000525	STATE OF UT	$13,906	EDUCATIONAL SERVICES
GRANITE UNITED WAY
22 CONCORD STREET	MANCHESTER	NH	03101	026006033	501(C)3	$41,321	PROGRAM SUPPORT
FOUNDATION FOR NH COMMUNITY COLLEGES
26 COLLEGE DR	CONCORD	NH	03301	020516490	501(C)3	$14,125	EDUCATIONAL SERVICES
STANFORD UNIVERSITY
ADMINISTRATION	LOS ANGELES	CA	900884253	941156365	501(C)3	$14,359	CHARITABLE PROGRAM SUPPORT
JOHNS HOPKINS UNIVERSITY
3910 KESWICK ROAD N4327-B	BALTIMORE	MD	21211	520595110	501(C)3	$15,495	EDUCATIONAL SERVICES
UNIVERSITY OF PITTSBURGH
PO BOX 640458	PITTSBURGH	PA	152640458	250965591	STATE OF PA	$16,212	EDUCATIONAL SERVICES
COLBY-SAWYER COLLEGE
FINANCIAL SERVICES	NEW LONDON	NH	03257	020222120	STATE OF NH	$16,920	EDUCATIONAL SERVICES
LITTLETON HOSPITAL ASSOCIATION
600 ST JOHNSBURY RD	LITTLETON	NH	035613436	020222152	501(C)3	$17,621	CHARITABLE RESEARCH
TRUSTEES OF THE UNIV OF PENNSYLVANIA
THE WHARTON SCHOOL	PHILADELPHIA	PA	191789726	231352685	STATE OF PA	$17,642	EDUCATIONAL SERVICES
INDIANA INSTITUTE FOR MEDICAL RESEARCH
C/O IMCU-VA BRANCH	INDIANAPOLIS	IN	46247	351781809	501(C)3	$17,871	CHARITABLE RESEARCH
NORTHEASTERN VT REGIONAL HOSPITAL
PO BOX 905	ST JOHNSBURY	VT	058190905	036013761	501(C)3	$18,388	CHARITABLE PROGRAM SUPPORT
NEW HAMPSHIRE LEGAL ASSISTANCE
117 NORTH STATE STREET	CONCORD	NH	03301	020300897	501(C)3	$20,269	CHARITABLE PROGRAM SUPPORT
MEMORIAL SLOAN-KETTERING CANCER CENTER
PO BOX 27084	NEW YORK	NY	100876352	131924236	501(C)3	$21,165	CHARITABLE RESEARCH
BOARD OF REGENTS OF UNIV OF NEBRASKA
UNIV OF NEBRASKA MEDICAL CENTER	OMAHA	NE	681985045	470049123	STATE OF NE	$21,229	EDUCATIONAL SERVICES
UNIVERSITY OF MINNESOTA
REGENTS OF THE UNIVERSITY	MINNEAPOLIS	MN	554855960	416007513	STATE OF MN	$21,347	EDUCATIONAL SERVICES
UNIVERSITY OF NEW MEXICO HEALTH SCIENCES
MSC09 5225	ALBUQUERQUE	NM	871310001	856000642	STATE OF NM	$21,702	EDUCATIONAL SERVICES
MAGEE-WOMENS RESEARCH INSTITUTE AND FDN
3240 CRAFT PLACE	PITTSBURGH	PA	15213	251462312	501(C)3	$22,108	CHARITABLE RESEARCH
RECTOR & VISITORS OF UNIV OF VIRGINIA
JOHN W STEINKE	CHARLOTTESVILLE	VA	229081355	546001796	STATE OF VA	$22,381	EDUCATIONAL SERVICES
CHILDREN'S HOSPITAL OF PHILADELPHIA
LOCKBOX 7932	PHILADELPHIA	PA	191787932	231352166	501(C)3	$23,702	CHARITABLE RESEARCH
UNIVERSITY OF FLORIDA
123 GRINTER HALL	GAINESVILLE	FL	32611	596002052	STATE OF FL	$25,540	EDUCATIONAL SERVICES
TAMPA VA RESEARCH & EDUCATION FOUNDATION
5620 E FOWLER AVENUE	TEMPLE TERRACE	FL	33617	593444354	501(C)3	$31,909	CHARITABLE RESEARCH
WEILL MEDICAL COLLEGE OF CORNELL
ATTN CORNELL ECHO 2001	NEW YORK	NY	10021	131623978	STATE OF NY	$40,983	EDUCATIONAL SERVICES
OREGON CLINIC PC
847 NE 19TH AVENUE	PORTLAND	OR	97232	931127856		$45,345	CHARITABLE RESEARCH
MEDICAL UNIVERSITY OF SOUTH CAROLINA
COLLEGE OF NURSING AT P BONHAM	CHARLESTON	SC	29407	576000722	STATE OF SC	$59,253	EDUCATIONAL SERVICES
VANDERBILT UNIVERSITY MEDICAL CENTER
VUMC FINANCE DEPT 1236	DALLAS	TX	753121236	352528741	501(C)3	$59,965	CHARITABLE EDUCATIONAL SERVICES
THE UNIVERSITY OF TEXAS HEALTH SCIENCE
CENTER AT SAN ANTONIO	SAN ANTONIO	TX	782293900	741586031	STATE OF TX	$65,368	EDUCATIONAL SERVICES
DANA-FARBER CANCER INSTITUTE INC
PO BOX 412846	BOSTON	MA	022412846	042263040	501(C)3	$72,005	CHARITABLE PROGRAM SUPPORT
MASSACHUSETTS GENERAL HOSPITAL
100 CHARLES RIVER PLAZA STE 600	BOSTON	MA	021142792	042697983	501(C)3	$88,908	CHARITABLE PROGRAM SUPPORT
OREGON HEALTH & SCIENCE UNIVERSITY
PO BOX 575	PORTLAND	OR	97207	931176109	501(C)3	$93,426	CHARITABLE EDUCATIONAL SERVICES
NORTH COUNTRY HEALTH CONSORTIUM INC
262 COTTAGE STREET	LITTLETON	NH	03561	020503184	501(C)3	$100,581	CHARITABLE PROGRAM SUPPORT
SEVEN COUNTIES SERVICES INC
ATTN ACCTS RECEIVABLE	LOUISVILLE	KY	40223	310939757	501(C)3	$146,946	CHARITABLE RESEARCH
UNIVERSITY OF ALABAMA AT BIRMINGHAM
GRANTS CONTRACTS ACCOUNTING	BIRMINGHAM	AL	352940109	636005396	STATE OF AL	$166,712	EDUCATIONAL SERVICES
KAISER FOUNDATION RESEARCH INSTITUTE
KAISER FOUNDATION HOSPITAL	LOS ANGELES	CA	900748165	941105628	501(C)3	$664,274	CHARITABLE RESEARCH

Field	Value	IRS element (for citing)
Total501c3 Org	56	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
AWARDS AND EDUCATIONAL ASSISTANCE	24	$86,540
PATIENT ASSISTANCE	396	$29,982

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	EACH AWARD ESTABLISHED BY MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) HAS WRITTEN GUIDELINES AND PROCEDURES. AWARD PAYMENTS ARE PROCESSED IN ACCORDANCE WITH THE SPECIFIC TERMS OF EACH AWARD. THE DARTMOUTH INSTITUTE SCHOLARSHIPS (TDI) ARE PAID DIRECTLY TO DARTMOUTH COLLEGE ON BEHALF OF THE INDIVIDUALS RECEIVING THE AWARDS. THE COORDINATORS OF THE PROGRAM ARE RESPONSIBLE FOR ASSURING THAT ALL TERMS ARE MET, INCLUDING PROPER DOCUMENTATION OF EXPENSES WITH RECEIPTS.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

Field	Value	IRS element (for citing)
Bond Issuer EIN	020279866	BondIssuerEIN
CUSIP	64461XMG7	CUSIPNum
Bond Issued	2025-05-28	BondIssuedDt
Issue Price	$321,411,451	IssuePriceAmt
Purpose	REFUNDING AND CONSTRUCTION	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$322,634,332	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$5,757,886	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$2,296,135	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$5,300,000	CapitalExpendituresAmt
Other Spent Proceeds	$114,449,656	OtherSpentProceedsAmt
Unspent	$194,830,655	UnspentAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Engage Bond Counsel Research	false	EngageBondCounselResearchInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0	TermOfGICPct
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I BOND A	THE PROCEEDS OF THIS BOND ISSUE BENEFITED THE FOLLOWING SUBSIDIARIES OF DARTMOUTH-HITCHCOCK OBLIGATED GROUP - DARTMOUTH-HITCHCOCK HEALTH (EIN: 26-4812335), ALICE PECK DAY MEMORIAL HOSPITAL (EIN: 02-0222791), MARY HITCHCOCK MEMORIAL HOSPITAL (EIN: 02-0222140), CHESHIRE MEDICAL CENTER (EIN: 02-0354549), VALLEY REGIONAL HOSPITAL, INC. (EIN: 02-0222118), AND DARTMOUTH-HITCHCOCK CLINIC (EIN: 22-2519596). THE PORTION OF THE ISSUE THAT HAS BEEN LOANED EACH SUBSIDIARY IS BEING REPORTED ON THAT SUBSIDIARY MEMBER'S SCHEDULE K.
SCHEDULE K, PART I, COLUMN (A) BOND A	THE ISSUER NAME IS NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY.
SCHEDULE K, PART I, COLUMN (F) BOND A	THIS FORM 990 SCHEDULE K REPRESENTS ONLY THE PORTION OF THE BOND ISSUE THAT IS ALLOCABLE TO MARY HITCHCOCK MEMORIAL HOSPITAL. THE PROCEEDS OF THIS PORTION OF THE ISSUE WILL BE USED TO REFUND THE DHOG ISSUES 2017B DATED 12/27/2017, 2016B DATED 07/01/2016, 2014B DATED 08/13/2014, FINANCE CAPITAL PROJECTS, AND PAY A PORTION OF COST OF ISSUANCE.
SCHEDULE K, PART II, LINE 3 BOND A	TOTAL PROCEEDS EXCEED ISSUE PRICE LISTED IN PART DUE TO INVESTMENT PROCEEDS IN THE AMOUNT OF $1,222,881.
SCHEDULE K, PART II, LINE 11 BOND A	THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE NO LONGER IN ESCROW.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
DANIEL JANTZEN
OFFICER	SPLIT DOLLAR LIFE	Yes (X)	$0	$152,890	false	Yes (true)	Yes (true)
DEBORAH JANTZEN
FAMILY MEMBER OF OFFICER	SPLIT DOLLAR LIFE	Yes (X)	$0	$76,965	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$229,855	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION (CONTINUED)	DARTMOUTH-HITCHCOCK CLINIC (DHC) PROVIDES THE PHYSICIAN STAFF FOR THE HOSPITAL AND THE SOPHISTICATION ESSENTIAL FOR THE DEVELOPMENT OF THE HOSPITAL AS THE LARGEST ACADEMIC MEDICAL CENTER IN NEW HAMPSHIRE, ALONG WITH THE DESIGNATION BY THE FEDERAL GOVERNMENT AS A RURAL REFERRAL CENTER FOR NORTHERN NEW ENGLAND. THE SHARED MISSION OF MHMH AND DHC 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 DHC, MHMH 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. THROUGH FORMAL AFFILIATIONS AND OTHER CLINICAL COLLABORATIONS, MHMH ALSO SEEKS TO PARTNER WITH OTHER AREA HEALTH CARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF THE REGION. * THE JACK BYRNE CENTER FOR PALLIATIVE & HOSPICE CARE COORDINATES MHMH'S CLINICAL, EDUCATIONAL, AND RESEARCH EFFORTS AND VISITING NURSE ALLIANCES AROUND THE REGION TO OFFER MUCH-NEEDED END-OF-LIFE CARE FOR PATIENTS IN A CLINICAL SETTING THAT MEETS THE NEEDS OF PATIENTS AND THEIR FAMILIES. * MHMH ALSO CONTINUES TO BUILD ITS TELE-MEDICINE PROGRAM TO PROVIDE CARE ACROSS ITS RURAL REGION AND IN PARTICULAR TO MAKE SPECIALIST CONSULTATION AND CARE AVAILABLE TO CRITICAL ACCESS AND COMMUNITY HOSPITALS. THIS ALLOWS CAREGIVERS AT REMOTE LOCATIONS TO ACCESS SPECIALISTS AT MHMH AND DHC AND TO BRING THEM "VIRTUALLY" TO THE PATIENT'S BEDSIDE. MHMH'S CONNECTED CARE CENTER FOR TELE-HEALTH IN LEBANON OFFERS A 24/7 TEAM OF PHYSICIANS, PHARMACISTS, AND NURSES SUPPORTING THE FOLLOWING ACUTE CARE TELE-HEALTH SERVICE LINES: TELE-EMERGENCY, TELE-PHARMACY, TELE-NEUROLOGY, TELE-ICU, TELE-PSYCHIATRY, AND TELE-NEONATOLOGY; OUTPATIENT TELE-URGENT CARE 7 DAYS/WEEK; AND OUTPATIENT VIRTUAL VISITS IN PEDIATRICS AND MORE THAN 30 SPECIALTY SERVICES TO PATIENTS IN 17 CLINICAL LOCATIONS ALONG WITH PATIENT HOMES. * CENTER FOR ADVANCING RURAL HEALTH EQUITY (CARHE): MARY HITCHCOCK MEMORIAL HOSPITAL SUPPORTS THE CENTER FOR ADVANCING RURAL HEALTH EQUITY, WHICH FOCUSES ON IMPROVING ACCESS TO CARE, HEALTH OUTCOMES, AND EQUITY FOR RURAL AND UNDERSERVED POPULATIONS ACROSS NORTHERN NEW ENGLAND. THROUGH RESEARCH, COMMUNITY PARTNERSHIPS, EDUCATION, AND DATA-DRIVEN INITIATIVES, THE CENTER WORKS TO ADDRESS DISPARITIES RELATED TO GEOGRAPHY, SOCIOECONOMIC STATUS, AND ACCESS TO SPECIALTY AND PREVENTIVE SERVICES. THIS WORK ADVANCES MHMH'S MISSION TO IMPROVE POPULATION HEALTH WHILE STRENGTHENING CARE DELIVERY IN RURAL COMMUNITIES. * PROJECT ECHO (EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES): IN PARTNERSHIP WITH DARTMOUTH HITCHCOCK CLINIC, MHMH SUPPORTS PROJECT ECHO, A NATIONALLY RECOGNIZED TELE-MENTORING MODEL THAT EXPANDS ACCESS TO SPECIALTY KNOWLEDGE BY CONNECTING COMMUNITY-BASED CLINICIANS WITH INTERDISCIPLINARY EXPERT TEAMS. THROUGH REGULARLY-SCHEDULED VIRTUAL LEARNING SESSIONS, PROJECT ECHO BUILDS LOCAL CAPACITY TO MANAGE COMPLEX CONDITIONS, IMPROVES QUALITY OF CARE IN COMMUNITY SETTINGS, AND REDUCES THE NEED FOR PATIENTS TO TRAVEL LONG DISTANCES FOR SPECIALTY SERVICES. THIS INITIATIVE SUPPORTS MHMH'S ACADEMIC, EDUCATIONAL, AND COMMUNITY BENEFIT MISSION. * DHART GROUND AND AIR MEDICAL TRANSPORT: MHMH SUPPORTS THE DARTMOUTH-HITCHCOCK ADVANCED RESPONSE TEAM (DHART), WHICH PROVIDES CRITICAL GROUND AND AIR MEDICAL TRANSPORT SERVICES ACROSS NEW HAMPSHIRE, VERMONT, AND SURROUNDING REGIONS. DHART ENABLES RAPID ACCESS TO ADVANCED MEDICAL CARE FOR CRITICALLY-ILL OR INJURED PATIENTS, PARTICULARLY THOSE IN RURAL AND REMOTE AREAS. THIS SERVICE PLAYS A VITAL ROLE IN ENSURING TIMELY, LIFE-SAVING CARE AND REINFORCES MHMH'S ROLE AS A REGIONAL TERTIARY AND REFERRAL CENTER. * COMMUNITY IMMUNIZATION AND POPULATION HEALTH INITIATIVES: THROUGH ITS POPULATION HEALTH EFFORTS, MHMH SUPPORTS COMMUNITY-BASED IMMUNIZATION PROGRAMS DESIGNED TO IMPROVE ACCESS TO PREVENTIVE CARE AND PROTECT PUBLIC HEALTH. THESE INITIATIVES ARE DELIVERED IN COLLABORATION WITH COMMUNITY PARTNERS AND FOCUS ON REACHING UNDERSERVED AND AT-RISK POPULATIONS ACROSS THE REGION. BY PROMOTING VACCINATION AND DISEASE PREVENTION, MHMH CONTRIBUTES TO IMPROVED COMMUNITY HEALTH OUTCOMES AND REDUCED PREVENTABLE ILLNESS. MHMH PARTNERS WITH REGIONAL COLLEGES (INCLUDING COLBY-SAWYER COLLEGE) TO SUPPORT NURSING EDUCATION AND CLINICAL EXPERIENCES FOR STUDENTS AS WELL AS CONTINUING EDUCATION AND CAREER ADVANCEMENT FOR MHMH STAFF. MHMH ALSO PROVIDES TRAINING PROGRAMS FOR ENTRY INTO FRONTLINE HEALTHCARE CAREERS THROUGH THE WORKFORCE READINESS INSTITUTE, A PROGRAM OF MHMH THAT IS A LICENSED CAREER SCHOOL WITH THE STATE OF NEW HAMPSHIRE. MHMH HAS ALSO ESTABLISHED TRAINING PATHWAYS FOR CURRENT HEALTHCARE EMPLOYEES TO ADVANCE THEIR HEALTHCARE CAREERS THROUGH CONTINUED EDUCATION. MHMH OFFERS PAID INTERNSHIP PROGRAMS FOR HIGH SCHOOL AND COLLEGE STUDENTS LOOKING TO EXPLORE HEALTHCARE CAREERS. MHMH ALSO HOSTS THE PROJECT SEARCH PROGRAM FOR STUDENTS WITH INTELLECTUAL DISABILITIES, ALLOWING THESE STUDENTS TO DEVELOP TRANSFERRABLE AND MARKETABLE JOB SKILLS. MHMH AND DHC JOINTLY FILE AN ANNUAL COMMUNITY BENEFITS REPORT WITH THE STATE OF NEW HAMPSHIRE WHICH OUTLINES THE COMMUNITY AND CHARITABLE BENEFITS MHMH AND DHC PROVIDE. THE MOST RECENT COMMUNITY BENEFITS REPORT IS AVAILABLE ON REQUEST. 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 SHORT PERIOD ENDED SEPTEMBER 30, 2025, MHMH PROVIDED FINANCIAL ASSISTANCE TO 8,673 PATIENTS IN THE AMOUNT OF $2,829,830 AS MEASURED BY GROSS CHARGES. GROSS CHARGES FOR FINANCIAL ASSISTANCE PATIENTS FOR THE YEAR ENDED JUNE 30, 2025 WERE $35,221,237. MHMH ALSO ROUTINELY PROVIDES SERVICES TO MEDICAID PATIENTS AT REIMBURSEMENT LEVELS THAT ARE BELOW THE COST OF THE CARE PROVIDED. THE COMMUNITY HEALTH ACTIVITIES NOTED INCLUDE THE COST OR VALUE OF SEVERAL DIFFERENT TYPES OF PROGRAMS INCLUDING THE COST OF COMMUNITY-BASED EDUCATION, HEALTH FAIRS, HEALTH SCREENINGS, SUPPORT GROUPS, AND PROGRAMS AND MATERIALS THAT PROMOTE WELLNESS AND PREVENT ILLNESS. EXAMPLES OF THESE TYPES OF EFFORTS INCLUDE PARTNERING WITH THE "HEALTHY EATING ACTIVE LIVING NH" INITIATIVE, THE WOMEN'S HEALTH RESOURCE CENTER, AND SMOKING PREVENTION AND CESSATION PROGRAMS. THIS CATEGORY OF SUPPORT ALSO INCLUDES FINANCIAL CONTRIBUTIONS AND THE DONATION OF TIME AND SERVICES TO COMMUNITY PROGRAMS, HOSPITALS AND AGENCIES.
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	ALTHOUGH PAID BY A RELATED ORGANIZATION, DARTMOUTH-HITCHCOCK CLINIC, THE COMPENSATION FOR THE CEO IS EVALUATED BY AN INDEPENDENT THIRD PARTY FIRM FOR REASONABLENESS AND NATIONAL DATA BENCHMARKING. THE TALENT DEVELOPMENT AND COMPENSATION COMMITTEE, ALONG WITH INDEPENDENT TRUSTEES, APPROVE THE FINAL COMPENSATION IN CONSIDERATION WITH THE INDEPENDENT THIRD PARTY FIRM'S RECOMMENDATIONS AND SUGGESTIONS. THIS PROCESS WAS CONTEMPORANEOUSLY DOCUMENTED AND LAST UNDERTAKEN IN 2024.
FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES	COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS EVALUATED BY INTERNAL HUMAN RESOURCES STAFF USING NATIONAL BENCHMARKING DATA (ALONG WITH ONGOING EVALUATIONS AND APPROVAL BY AN INDEPENDENT THIRD-PARTY FIRM FOR REASONABLENESS). THE LAST FORMAL PROCESS WAS COMPLETED IN 2025 AND CONTEMPORANEOUSLY DOCUMENTED. EXTERNAL BENCHMARKING FROM AN INDEPENDENT THIRD PARTY HAS BEEN USED FOR ANY OFFICER WHO WAS HIRED OR RECEIVED A COMPENSATION ADJUSTMENT SINCE THE LAST FORMAL PROCESS. COMPENSATION RATES ARE DETERMINED BY FOLLOWING THE GUIDELINES OF THE COMPENSATION COMMITTEE CHARTER AND PHILOSOPHY DOCUMENTS AND A FORMAL REVIEW BY COMPENSATION COMMITTEE MEMBERS. THE PROCESS DESCRIBED ABOVE TO ESTABLISH COMPENSATION WAS USED FOR THE FOLLOWING POSITIONS: CHIEF FINANCIAL OFFICER, CHIEF STRATEGY OFFICER, CHIEF CLINICAL OFFICER, CHIEF LEGAL OFFICER, CHIEF HUMAN RESOURCES OFFICER, CHIEF OPERATING OFFICER, CHIEF NURSING - EXECUTIVE, CHIEF NURSING OFFICER, CHIEF PHARMACY OFFICER, CHIEF QUALITY & VALUE OFFICER, DEPARTMENT CHAIR - ANESTHESIA, DEPARTMENT CHAIR - RADIOLOGY, DEPARTMENT CHAIR - PATHOLOGY AND SIMILAR POSITIONS. THIS PROCESS OCCURS ANNUALLY; HOWEVER, IT DID NOT TAKE PLACE DURING THE SHORT TAX PERIOD JULY 1, 2025 THROUGH SEPTEMBER 30, 2025. THEREFORE, LINE 15B HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE IRS INSTRUCTIONS TO FORM 990.
FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEE	THE MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) BOARD HAS A GOVERNANCE COMMITTEE WHO HAS THE AUTHORITY/RESPONSIBILITY OF THE MHMH BOARD TO ENSURE THAT MHMH CONTINUES TO FULFILL ITS CENTRAL MISSION AND VISION. THIS COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE FULL BOARD WHEN THE NEED ARISES. MEMBERS ARE ALL MEMBERS OF THE DARTMOUTH-HITCHCOCK BOARD OF GOVERNORS.
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	DARTMOUTH-HITCHCOCK HEALTH (D-HH) IS THE SOLE CORPORATE MEMBER OF MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH).
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	D-HH HAS SPECIFIC AUTHORITY AND RESERVED POWERS, INCLUDING THE POWER TO CONFIRM THE ELECTION OF MEMBERS OF MHMH'S BOARD OF TRUSTEES AND THE POWER TO APPROVE SIGNIFICANT GOVERNANCE, FINANCIAL, AND OPERATIONAL DECISIONS OF MHMH'S TRUSTEES.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	IN ADDITION TO RESERVED POWERS, DARTMOUTH-HITCHCOCK HEALTH (D-HH) SHALL HAVE THE AUTHORITY TO TAKE ACTIONS TO ESTABLISH, MANAGE, AND GOVERN MHMH TO CREATE AND MAINTAIN AN INTEGRATED HEALTH CARE DELIVERY SYSTEM IN FURTHERANCE OF THE MISSION OF MHMH AND OTHER ORGANIZATIONS WITHIN THE SYSTEM. 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 MHMH'S BOARD OF TRUSTEES, ASSESS MHMH A MONETARY AMOUNT FOR THE PAYMENT OF THE EXPENSES OF D-HH, APPROVE MHMH'S BUDGET, APPROVE THE BORROWINGS OR DISPOSITIONS OF ASSETS BY MHMH, 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 MHMH.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	THE FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCIAL COMPLIANCE, THE VICE PRESIDENT OF CORPORATE FINANCE, THE CHIEF FINANCIAL OFFICER, AND EXTERNAL TAX ADVISORS BEFORE THE FILING OF THE RETURN. ONCE THE RETURN HAS BEEN FULLY PREPARED, A FINAL FORM 990 IS SENT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS AND RESPONSES PRIOR TO OFFICIAL FILING.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	THE MARY HITCHCOCK MEMORIAL HOSPITAL BOARD OF TRUSTEES APPROVED A POLICY CONCERNING A VOLUNTARY SELF-DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. THE DARTMOUTH-HITCHCOCK HEALTH (D-HH) COMPLIANCE AND AUDIT SERVICES DEPARTMENT CONDUCTS AN ANNUAL SURVEY OF ALL OFFICERS, TRUSTEES, AND KEY EMPLOYEES AND PERFORMS OTHER PROCEDURES AS CONSIDERED NECESSARY TO REPORT ON COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE DEPARTMENT THEN REPORTS TO EACH BOARD ANY POTENTIAL CONFLICTS FOR THEIR REVIEW. PER THE POLICY, ANY CONFLICTS OR OTHERWISE PERCEIVED CONFLICTS ARE REQUIRED TO BE ADDRESSED BY THE BOARD OF TRUSTEES ON AN ONGOING BASIS. IN THE EVENT A CONFLICT ARISES, THE INDIVIDUAL MAY BE REMOVED FROM PARTICIPATING IN ANY DECISION-MAKING REGARDING THE IDENTIFIED CONFLICT AND/OR ITS CORRESPONDING TRANSACTIONS. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM SUCH PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD HIM/HER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INTERESTED PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT SUCH PERSON HAS, IN FACT, FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	MHMH'S GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE NEW HAMPSHIRE SECRETARY OF STATE. THE AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST EITHER IN ELECTRONIC OR HARD COPY FORM.
FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) AVERAGE HOURS PER WEEK	AS PART OF DARTMOUTH-HITCHCOCK CLINIC AND MARY HITCHCOCK MEMORIAL HOSPITAL'S AFFILIATION AGREEMENT, THE TWO ORGANIZATIONS SHARE OFFICERS. AS SUCH, THE AVERAGE HOURS PER WEEK ARE ALLOCATED BETWEEN THE TWO ORGANIZATIONS' FORMS 990 EVEN THOUGH COMPENSATION REPORTED IN PART VII IS BASED ON THE ENTITY ISSUING THE W-2. IN ADDITION, CERTAIN OFFICERS SPEND TIME ON DARTMOUTH-HITCHCOCK HEALTH (THE SOLE CORPORATE MEMBER OF BOTH MHMH AND DHC), AND/OR DARTMOUTH-HITCHCOCK CLINIC ALONG WITH OTHER AFFILIATED ORGANIZATIONS: DARTMOUTH-HITCHCOCK MEDICAL CENTER, HAMDEN RISK RETENTION GROUP (AND RELATED ENTITIES), ALICE PECK DAY MEMORIAL HOSPITAL, WINDSOR HOSPITAL CORPORATION (DBA MT ASCUTNEY HOSPITAL AND HEALTH CENTER), MT. ASCUTNEY HOSPITAL COMMUNITY HEALTH FOUNDATION, HISTORIC HOMES OF RUNNEMEDE, CHESHIRE MEDICAL CENTER, CHESHIRE HEALTH FOUNDATION, CHESHIRE HEALTH SERVICES, THE NEW LONDON HOSPITAL ASSOCIATION, DARTMOUTH HEALTH HOME CARE, THE HITCHCOCK FOUNDATION, AND SOUTHWESTERN VERMONT HEALTH CARE CORPORATION.
FORM 990, PART VII, SECTION A COMPENSATION PAID BY THE FILING OR A RELATED ORGANIZATION	THIS FORM 990 FILING IS FOR THE SHORT TAX YEAR BEGINNING JULY 1, 2025 AND ENDING SEPTEMBER 30, 2025. PURSUANT TO THE IRS INSTRUCTIONS TO FORM 990, COLUMNS (D), (E), AND (F) OF PART VII SECTION A SHOULD BE BLANK FOR A SHORT-YEAR RETURN THAT IS NOT A FINAL RETURN AND IN WHICH THERE IS NO CALENDAR YEAR THAT ENDS WITH OR WITHIN THE SHORT YEAR. THEREFORE, ALTHOUGH THE ORGANIZATION REPORTS INDIVIDUALS ON ITS FORM 990 PART VII SECTION A WHO RECEIVE COMPENSATION FROM THE FILING ORGANIZATION AND/OR FROM RELATED ORGANIZATIONS, COMPENSATION AMOUNTS REPORTED ON PART VII SECTION A OF THIS SHORT YEAR FORM 990 ARE ZERO IN ACCORDANCE WITH THE IRS INSTRUCTIONS.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	NET ASSET TRANSFER FROM AFFILIATES - 2234329; PENSION-RELATED AND OTHER CHANGES - -6438013; NET ASSET RELEASED FROM RESTRICTION - -4315695; TOTAL - -8519379;
SHORT PERIOD FORM 990 ACCOUNTING PERIOD CHANGE	REVENUE PROCEDURE 85-58 RULES APPLY.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NEW ENGLAND ALLIANCE FOR HEALTH LLC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	264232401	HEALTH IMPROVEMENT	NH	$30,505	$1,794,248	MHMH
D-H SPECIALTY SERVICES LLC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	460876427	SHARED SAVINGS PROGRAM	NH	$0	$0	MHMH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222519596	PHYSICIAN SERVICES	NH	501(C)(3)	10	D-HH	false
DARTMOUTH-HITCHCOCK HEALTH
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	264812335	PARENT ORGANIZATION	NH	501(C)(3)	7	NA	false
THE NEW LONDON HOSPITAL ASSOCIATION INC
273 COUNTY ROAD	NEW LONDON	NH	03257	020222171	HOSPITAL	NH	501(C)(3)	3	D-HH	false
WINDSOR HOSPITAL CORPORATION
289 COUNTY ROAD	WINDSOR	VT	05089	030183721	HOSPITAL	VT	501(C)(3)	3	D-HH	false
CHESHIRE MEDICAL CENTER
580 COURT STREET	KEENE	NH	03431	020354549	HOSPITAL	NH	501(C)(3)	3	D-HH	false
ALICE PECK DAY MEMORIAL HOSPITAL
10 ALICE PECK DAY DRIVE	LEBANON	NH	03766	020222791	HOSPITAL	NH	501(C)(3)	3	D-HH	false
DARTMOUTH HEALTH HOME CARE INC
88 PROSPECT STREET	WHITE RIVER JUNCTION	VT	05001	036006494	HOSPICE	VT	501(C)(3)	10	D-HH	false
DARTMOUTH-HITCHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222715483	SUPPORTING ORGANIZATION	NH	501(C)(3)	TYPE I	NA	false
SOUTHWESTERN VERMONT HEALTH CARE CORPORATION
100 HOSPITAL DRIVE	BENNINGTON	VT	05201	030179435	HOSPITAL COOPERATIVE ORG.	VT	501(C)(3)	3	DHH	false
VALLEY REGIONAL HEALTHCARE INC
243 ELM STREET	CLAREMONT	NH	03743	020397338	SUPPORTING ORGANIZATION	NH	501(C)(3)	TYPE II	D-HH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	DARTMOUTH-HITCHCOCK MASTER INVESTMENT PROGRAM OF POOLED INVESTMENT ACCOUNTS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 MED CTR DR	AddressLine1Txt
City	LEBANON	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03756	ZIPCd

Field	Value	IRS element (for citing)
EIN	020205863	EIN
Primary Activities	POOLED INVESTMENTS	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	EXCLUDED	PredominantIncomeTypeTxt
Share Of Total Income	-$121,114	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,047,062,375	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.6592	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	BENEFICIAL INTEREST TRUSTS (2)	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Primary Activities	CHARITABLE TRUST	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	TRUST	EntityTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	false	ControlledOrganizationInd

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