2026-06-08T13:26:45+00:00 2025-06-30 350921680 CROWE LLP 4801 Olympia Park Plaza Suite 4000 Louisville KY 402412098 990 2024-07-01 020222140 Mary Hitchcock Memorial Hospital MARY 6036505000 One Medical Center Drive Lebanon NH 03756 Tamara H Rockwell CFO 6036505000 2026-06-08 true Rachel Spurlock P00520729 5023263996 2026-06-08 2024 2025-03-06 01:10:19Z JOANNE M CONROY MD One Medical Center Drive Lebanon NH 03756 2663081272 false X WWW.DARTMOUTH-HITCHCOCK.ORG X 1889 NH 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. 18 12 7047 294 94651708 1201808 29766770 60666288 2178328478 2554561938 2693369 2662506 52716608 44222768 2263505225 2662113500 9196931 12361943 0 1058310342 1270958061 0 600858 1151324073 1226314470 2218831346 2509634474 44673879 152479026 2337348189 2797879554 1217610319 1473389867 1119737870 1324489687 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. false false 1997498000 12361943 2417522817 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 FY 2025, MHMH PROVIDED 160,781 ACUTE PATIENT DAYS OF INPATIENT SERVICE AND HAD 30,558 TOTAL ACUTE CARE DISCHARGES, WHILE MHMH'S EMERGENCY ROOM WAS OPEN TO THE PUBLIC 24 HOURS PER DAY, 7 DAYS PER WEEK AND HAD 35,874 DISCHARGES. (Continued on Schedule O) 127376231 83769473 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. 2124874231 true true false true false false false false false true true true false true true false false true false false true true false false false false true true true true true true false false false false false true false false true false true false false false true true true true false false true 1135 0 true 7047 true true true false false false false true true false false false true false true false X 18 12 false false false false true true true true true false false false true true true true true true false true true true NH X Wendy E Fielding 6036535634 ONE MEDICAL CENTER DRIVE LEBANON NH 03756 David P Paul Trustee / Secretary/Treasurer 0.8 1.8 X X 0 0 0 Joanne M Conroy MD Trustee, Ex-Officio, CEO 37.8 18.3 X X 0 2473236 52662 ROBERTA L HINES MD TRUSTEE / Chair 1.5 2.0 X X 0 0 0 Celestina M Dooley-Jones PHD Trustee 0.8 0.8 X 0 0 0 Duane A Compton PHD Trustee / Ex-Officio 0.8 1.7 X 0 0 0 Emily Zeitler Trustee (as of 1/1/25) 12.0 28.0 X 0 516001 69972 Gary V Desir Trustee 0.8 0.8 X 0 0 0 Geraldine Bednash PHD RN FAAN Trustee 0.8 1.3 X 0 0 0 Jason T Garbarino DNP RN GERO-BC Trustee (as of 1/18/25) 1.3 0.8 X 0 0 0 Jennifer L Moyer MBA Trustee 0.8 1.3 X 0 0 0 Jonathan B Thyng MD Trustee/Medical Director 28.0 12.0 X 0 378761 77043 Keith Loud MD Trustee 0.1 40.0 X 0 543027 70523 Laura Chiang Trustee 28.0 12.0 X 0 417975 67621 Laurel J Richie Trustee (as of 1/1/25) 1.3 0.8 X 0 0 0 M Elyse Allan Trustee 0 X 0 0 0 Marcus Coe MD Trustee 0.1 40.0 X 0 836390 70093 Mark S Speers MBA Trustee 0.8 0.8 X 0 0 0 Nancy M Dunbar MD Trustee / Physician (Through 12/31/24) 28.0 12.0 X 0 394799 70831 Sherri C Oberg Trustee 0.8 0.8 X 0 0 0 Aimee M Claiborne Chief Human Resource Officer 28.0 12.5 X 670485 0 53691 Edward J Merrens MD Chief Clinical Officer 28.0 13.0 X 0 1051727 49303 John Kacavas Chief Legal Officer 28.0 15.0 X 792086 0 53353 Martin T Manion COO (as of 4/24/25) 40.0 0.0 X 497844 0 22728 Matthew Haag Chief Development Officer 28.0 12.5 X 517588 0 43749 Stephen LeBlanc Chief Strategy Officer 28.0 15.0 X 0 1016111 69299 Susan A Reeves EDD RN Executive VP (medical center) 28.0 12.0 X 216596 0 12996 Wendy Fielding Chief Financial Officer 28.0 13.5 X 537524 0 68364 David F Duncan System VP - Facilities Mgmt 28.0 13.0 X 367601 0 47168 Martin Purcell MBA Chief Information Officer 28.0 12.0 X 620026 0 70350 Patrick F Jordan III MBA Chief Operating Officer - DHC (through 6/21/25) 28.0 15.5 X 1132708 0 79260 Samuel Shields System VP - Strtgy & Rgnl Ops 40.0 1.5 X 399147 0 30060 Simon C Hillier Dept. Chair - Anesthesiology 28.0 12.0 X 0 433831 68285 Tracy Galvin Chief Nursing Officer 28.0 12.0 X 394259 0 47519 Barbara Vance VP-Research Ops (through 7/13/24) 40.0 0 X 431221 0 25074 Christopher L Hubble MD VP Patient Safety 40.0 0.5 X 466573 0 65298 Daniel P Jantzen CFO D-HH/Former CFO MHMH 28.0 15.0 X 1184287 0 71877 Jennifer Gilkie System VP Comm-Marketing, 40.0 0 X 401447 0 77825 Kimberly Troland JD DH Gnrl Cnsl &Sys Dep Gnl Cnsl 40.0 0.0 X 581281 0 52939 Maria Padin MD Former Officer/Chief medical Officer, CGP 28.0 14.5 X 0 599295 68542 Peter D Solberg MD Chief Health Information Officer - Former 0.0 40.0 X 0 588556 77090 Staci Hermann PHARMD MS Former Chief Pharmacy Officer 40.0 0.0 X 122608 0 10389 9333281 9249709 1643904 1496 true true false PROLUCENT HEALTH INC 10000 N Central Expressway Suite 400 Dallas TX 75231 Healthcare Staffing 90627084 CONIFER REVENUE CYCLE SOLUTIONS LLC 1500 S Douglas Rd Ste 200 Anaheim CA 92806 Revenue Management Services 50974112 HINCKLEY ALLEN & SNYDER LLP 650 ELM STREET SUITE 500 MANCHESTER NH 03101 Legal Services 14556311 COMPHEALTH MEDICAL STAFFING INC PO BOX 972651 DALLAS TX 753972651 Staffing Services 8702229 TRUSTEES OF DARTMOUTH COLLEGE DARTMOUTH COLLEGE 6132 MCNUTT RM 103 Hanover NH 03755 Staffing Services 7682381 162 46079246 14587042 80933 60666288 NET PATIENT SERVICE REVENUE 622110 2189219193 2183741974 5477219 RESEARCH RELATED ACTIVITIES 622110 8070073 8070073 PHARMACY INCOME 446110 355386981 280178645 75208336 NEAH & PROGRAM RELATED INVESTMENTS 541900 1885691 1059351 826340 0 0 0 0 2554561938 3245510 1340921 1904589 413249 384768 28481 0 28481 28481 443791 139213 -443791 -139213 -583004 -583004 CAFETERIA 722514 4153148 4153148 Other Revenue 622110 40041139 28242247 11798892 0 0 0 0 44194287 2662113500 2501292290 94651708 5503214 11669873 11669873 462612 462612 229458 229458 13987181 4680180 8706143 600858 2895542 685378 2210164 993119017 855223018 137895999 68085231 58553299 9531932 129021909 111028971 17992938 63849181 54910377 8938804 4782864 170202 4612662 831451 153019 678432 201265116 182775178 18489938 0 3342400 71629 3270771 30040315 18659562 11380753 36772824 3309554 33463270 27272443 2194772 25077671 4646762 3200009 1446753 518200 429802 88398 22921308 168666 22752642 59733704 20476538 39257166 17683820 14147056 3536764 MEDICAL SUPPLIES 682141457 675195142 6946315 MEDICAID ENHANCEMENT TAX 82358795 82358795 EQUIPMENT RENTAL & MAINT 26181523 8587835 17593688 ACADEMIC, GME, TEACHING & EDUCATIONAL 10277568 8680435 1597133 15543920 6852871 8691049 0 2509634474 2124874231 384159385 600858 645592 640089 291458793 322929016 223089 229855 0 0 11744790 11911463 45376713 53358583 43864012 70903447 1820875558 1153853070 631561804 667022488 54442256 58075913 896668634 994816185 12362908 13300455 348999598 604692060 2337348189 2797879554 244613274 242657032 1435160 655654 25500000 321181994 0 0 57772058 122805582 888289827 786089605 1217610319 1473389867 X 968951031 1152335154 150786839 172154533 1119737870 1324489687 2337348189 2797879554 X 152479026 99398282 -47125491 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 248255 false true 197478 445733 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINES IB & 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 FISCAL YEAR ENDED JUNE 30, 2025, MARY HITCHCOCK MEMORIAL HOSPITAL INCURRED $248,255 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. 97313410 3991324 7897804 1563871 107638667 88797563 587329 8400809 472291 97313410 81833643 3189501 2743447 -1030972 88797563 73799593 12519797 -4250857 234890 81833643 61828667 2758262 10467971 1255307 73799593 0.1486 0.5791 0.2723 false false 63945513 63945513 910085600 504149894 405935706 4111615 4051297 60318 780938759 645651879 135286880 61794071 61794071 667022488 Closely-held equity interests Financial derivatives PRIVATE EQUITIES 9371 F HEDGE FUNDS OTHER INVESTMENTS INVESTMENT IN POOLED FUNDS (MIP) 994806814 F 994816185 INVESTMENT IN CAPTIVE 36674399 CAPITAL LEASE RECEIVABLE 34065690 DUE FROM AFFILIATES 514985220 UNAMORTIZED BOND ISSUANCE COSTS 53700 OTHER INVESTMENT ASSETS 6765627 INVESTMENT IN MIP 457B PLAN ASSETS 4670303 OTHER RECEIVABLES 7477121 604692060 Federal Income Taxes THIRD PARTY RESERVES 47151519 ACCRUED POST RETMNT PENS & MED 58678035 Payable to Dartmouth Hitchcock Health 680260051 786089605 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds 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. true Central America and the Caribbean 0 0 Investments 31751661 South Asia 0 2 Program Services DOCTORS HELPED TO LAUNCH LIFE-SAVING EMERGENCY MEDICAL EDUCATION TO BHUTAN. 12062 Sub-Saharan Africa 0 2 Program Services,GRANTS TO RECIPIENTS LOCATED IN THE REGION PROVIDERS WENT TO RWANDA TO HELP TRAIN AND DELIVER ENDOSCOPIC CARE ALONGSIDE RWANDAN PEERS. 99081 Europe (Including Iceland and Greenland) 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 92991 North America (Canada & Mexico only) 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 45019 0 4 0 0 0 4 32000814 0 32000814 Sub-Saharan Africa PROGRAM SUPPORT 91448 CASH FMV Europe (Including Iceland and Greenland) PROGRAM SUPPORT 56809 CASH FMV Europe (Including Iceland and Greenland) PROGRAM SUPPORT 36182 CASH FMV North America (Canada & Mexico only) PROGRAM SUPPORT 13205 CASH FMV North America (Canada & Mexico only) PROGRAM SUPPORT 13350 CASH FMV North America (Canada & Mexico only) PROGRAM SUPPORT 18464 CASH FMV 6 0 true false true true true false 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; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH ASIA-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 true true X true X 225 true X true true false true true 12528401 12528401 0.00507 347936168 187322937 160613231 0.06506 0 0.0 0 0 360464569 187322937 173141632 0.07013 8095101 1970137 6124964 0.00248 76611116 20784320 55826796 0.02261 25758185 15327503 10430682 0.00423 90128747 61005645 29123102 0.01180 1273419 1273419 0.00052 0 0 201866568 99087605 102778963 0.04163 0 0 562331137 286410542 275920595 0.11177 55000 55000 0.00002 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 55000 0 55000 0.00002 true 0 0 407141862 458086595 -50944733 X true true 1 1 MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DRIVE LEBANON NH 03756 WWW.DARTMOUTH-HITCHCOCK.ORG 01799 X X X X X X PSYCHIATRIC UNIT AND TRANSPLANT UNIT CANCER CENTER 1 1 1 false false true X X X X X X X X X 24 true true true true X https://www.dartmouth-hitchcock.org/about/community-health X X true 24 true https://www.dartmouth-hitchcock.org/about/community-health false true X 225.0 300.0 X X X X X X X true true X X X true X https://www.dartmouth-hitchcock.org/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X https://www.dartmouth-hitchcock.org/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X https://www.dartmouth-hitchcock.org/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X X X X X X X true X false X X X X true X false false 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 HTCHCOCK MEMORIAL HOSPITAL. PATIENTS WHOSE FAMILY INCOME EXCEEDS 300% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF MHMH. 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, APPLICATION, AND PLAIN LANGUAGE SUMMARY CAN BE FOUND AT https://www.dartmouth-hitchcock.org/patients-visitors/financial-assistance. MHMH HAS PLAIN LANGUAGE SUMMARY BROCHURES AVAILABLE AT ALL ADMISSION SITES AS WELL AS PLAIN LANGUAGE SUMMARY POSTERS AT ALL PHYSICAL LOCATIONS. 0 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 MHMH USES THE FEDERAL POVERTY GUIDELINES (FPG) IN DETERMINING THE INITIAL LEVEL OF FINANCIAL ASSISTANCE PROVIDED. IN ADDITION, MHMH ALLOWS FOR CATASTROPHIC ASSISTANCE CONSIDERATION BASED ON A CALCULATION OF 10% OF TWO YEARS' INCOME PLUS 10% OF AMOUNT OVER SHELTERED ASSETS. IF THE PROJECTED OR CURRENT SELF-PAY BALANCE IS GREATER THAN THIS CALCULATION, THE SELF-PAY BALANCE IS REDUCED TO THE SUM OF 10% OF TWO YEARS' INCOME PLUS 10% OF ASSETS. EACH HOUSEHOLD IS ALLOWED CERTAIN SHELTERED ASSETS WHICH ARE NOT USED WHEN CALCULATING HOUSEHOLD INCOME OR ASSETS. SAVINGS IS SHELTERED UP TO 100% OF FEDERAL POVERTY LIMITS (FPL) BASED ON FAMILY SIZE, EQUITY IN PRIMARY RESIDENCE UP TO $200,000 (UP TO AGE 55) AND $250,000 FOR PATIENTS AGED 55 AND OLDER, AND A RETIREMENT SHELTER OF UP TO $100,000 IN RETIREMENT ASSETS AS LONG AS THE FUNDS ARE EMPLOYER-BASED CONTRIBUTIONS (IF WORKING) OR IN AN IRA (IF SELF-EMPLOYED). IF A PATIENT IS RETIRED, PRIOR RETIREMENT ACCOUNTS WOULD BE INCLUDED AS A SHELTERED ASSET. 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 FISCAL YEAR 2025 SHOWS THAT COMBINED, DHC AND MHMH PROVIDED BENEFIT TOTALING $339,983,750. 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 40911127 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 II Community Building Activities Community building activities include expenses related to coalitions such as ones that address regional public health networks, improvement in systems of care for substance use and mental health disorders, prevention of substance abuse, falls reduction for older adults, and prescription drug misuse. They also include investments in regional public transportation, affordable housing, and workforce training initiatives that enable unemployed and marginally employed persons to access careers in our hospital, other health care settings, and other regional employers. 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 $227,999,645 and costs of $301,645,852 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 $73,646,207 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. 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 VISITING NURSE & HOSPICE OF VT & NH TO USE SIMILAR COMMUNITY HEALTH NEEDS ASSESSMENTS 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. Of the 18 voting members of the Mary Hitchcock board of trustees at the end of FY25, 12 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 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 true Advance Transit PO Box 1027 Wilder VT 05088 222558708 501(c)3 113042 FMV CHARITABLE PROGRAM SUPPORT American Cancer Society 2 Commerce Drive Suite 110 BEDFORD NH 03110 131788491 501(c)3 29600 FMV PROGRAM SUPPORT American Heart Association POBox 1590 Hagerstown MD 217411590 135613797 501(c)3 37000 FMV CHARITABLE PROGRAM SUPPORT Amoskeag Health 145 Hollis Street MANCHESTER NH 03101 020458174 501(c)3 22200 FMV PROGRAM SUPPORT Baby Steps Family Assistance 169 Main St Suite 211 CLAREMONT NH 03743 821200566 501(c)3 7400 FMV PROGRAM SUPPORT BAYLOR COLLEGE OF MEDICINE PO BOX 301207 DALLAS TX 753031207 741613878 501(c)3 15112 FMV CHARITABLE RESEARCH BOARD OF REGENTS OF UNIV OF NEBRASKA UNIV OF NEBRASKA MEDICAL CENTER 985045 NEBRASKA MED CTR OMAHA NE 681985045 470049123 STATE OF NE 42726 FMV EDUCATIONAL SERVICES BOSTON MEDICAL CENTER ATTN ELTA ETIENNE 660 HARRISON AVE GAMBRO 2 BOSTON MA 02118 043314093 501(c)3 37489 FMV CHARITABLE RESEARCH BOSTON UNIVERSITY PO BOX 28763 NEW YORK NY 100878763 042103547 501(c)3 6796 FMV CHARITABLE RESEARCH CASE WESTERN RESERVE UNIVERSITY NPD PATH SURVEILLANCE CTR PO BOX 92910 CLEVELAND OH 44194 341018992 STATE OF AL 33607 FMV EDUCATIONAL SERVICES CENTERSTONE RESEARCH INSTITUTE INC 44 VANTAGE WAY NASHVILLE TN 372197520 262505456 501(c)3 97727 FMV CHARITABLE RESEARCH Cheshire Medical Center 580 COURT STREET KEENE NH 03431 020354549 501(c)3 8880 FMV CHARITABLE PROGRAM SUPPORT CHILDREN'S HOSPITAL OF PHILADELPHIA PO BOX 8500 PHILADELPHIA PA 191787932 042774441 501(c)3 84783 FMV CHARITABLE RESEARCH City of Lebanon City Hall 51 Park Street LEBANON NH 03766 026000473 Lebanon, NH 239039 FMV PROGRAM SUPPORT City of Nashua FMO 70 EAST HOLLIS ST NASHUA NH 03060 026000581 Nashua, NH 12000 FMV PROGRAM SUPPORT Claremont Learning Partnership 169 Main Street CLAREMONT NH 03743 820901496 501(c)3 11100 FMV PROGRAM SUPPORT Claremont Senior Center Inc 5 ACER HEIGHTS RD CLAREMONT NH 03743 043376555 501(c)3 5550 FMV PROGRAM SUPPORT Claremont Soup Kitchen Inc 51 Central Street CLAREMONT NH 03743 020367045 501(c)3 7400 FMV PROGRAM SUPPORT COLBY-SAWYER COLLEGE FINANCIAL SERVICES 541 MAIN STREET NEW LONDON NH 03257 020222120 STATE OF NH 56044 FMV EDUCATIONAL SERVICES COMMUNITY COLLEGE SYSTEM NEW HAMPSHIRE C/O RIVER VALLEY COMM COLLEGE ONE COLLEGE DRIVE CLAREMONT NH 037439707 900531902 STATE OF NH 51128 FMV EDUCATIONAL SERVICES Community Nurse Connection PO Box 1302 LEBANON NH 03766 831224873 501(c)3 18500 FMV CHARITABLE PROGRAM SUPPORT COOK & CADEAUX LLC KC PARSONNET 358 MAIN STREET NORWICH VT 05055 743182360 7684 FMV CHARITABLE RESEARCH CREARE LLC 16 GREAT HOLLOW RD HANOVER NH 03755 020259551 7148 FMV CHARITABLE RESEARCH DANA-FARBER CANCER INSTITUTE INC PO BOX 412846 BOSTON MA 022412846 042263040 501(c)3 31004 FMV CHARITABLE PROGRAM SUPPORT Early Care and Education Association Po Box 5428 WEST LEBANON NH 03784 853076751 501(c)3 55500 FMV PROGRAM SUPPORT Families Flourish Northeast 235 Whitford Street MANCHESTER NH 03104 844591232 501(c)3 22200 FMV PROGRAM SUPPORT FAMILIES FLOURISH NORTHEAST INC 235 Whitford Street MANCHESTER NH 03104 844591233 501(c)3 18552 FMV PROGRAM SUPPORT FAMILY PLACE INC 319 US ROUTE 5 SOUTH NORWICH VT 05055 030305264 501(c)3 8485 FMV CHARITABLE EDUCATIONAL SERVICES Girls Incorporated of New Hampshire 1711 South Willow Street Unit 5 MANCHESTER NH 03103 237416090 501(c)3 7400 FMV PROGRAM SUPPORT Good Neighbor Health Clinic POBox 1250 WHITE RIVER JUNCTION VT 05001 030346949 501(c)3 37000 FMV PROGRAM SUPPORT Grafton County Senior Citizens Council 10 Campbell St LEBANON NH 03766 237248316 501(c)3 17020 FMV PROGRAM SUPPORT GRANITE UNITED WAY 22 CONCORD STREET MANCHESTER NH 03101 026006033 501(c)3 86044 FMV EDUCATIONAL SERVICES Hartford Community Coalition POBox 4343 WHITE RIVER JUNCTION VT 05001 824272638 501(c)3 11100 FMV PROGRAM SUPPORT HEADREST INC 141 MASCOMA STREET LEBANON NH 03766 237256865 501(c)3 48887 FMV CHARITABLE PROGRAM SUPPORT HIVHCV Resource Center 2 Blacksmith Street LEBANON NH 03766 223104237 501(c)3 16650 FMV PROGRAM SUPPORT INDIANA INSTITUTE FOR MEDICAL RESEARCH C/O IMCU-VA BRANCH PO BOX 47769 INDIANAPOLIS IN 46247 351781809 501(c)3 51615 FMV CHARITABLE RESEARCH JOHNS HOPKINS UNIVERSITY 3910 KESWICK ROAD N4327-B BALTIMORE MD 21211 520595110 501(c)3 357614 FMV EDUCATIONAL SERVICES KAISER FOUNDATION RESEARCH INSTITUTE KAISER FOUNDATION HOSPITAL P O BOX 748165 LOS ANGELES CA 900748165 941105628 501(c)3 752565 FMV CHARITABLE RESEARCH LISTEN COMMUNITY SERVICES 60 HANOVER ST LEBANON NH 03766 237225952 501(c)3 92783 FMV CHARITABLE PROGRAM SUPPORT LITTLE RIVERS HEALTHCARE INC 4628 Main Street POBox 8 Newbury VT 05051 161678092 501(c)3 25070 FMV CHARITABLE PROGRAM SUPPORT MAGEE-WOMENS RESEARCH INSTITUTE AND FDN 3240 CRAFT PLACE PITTSBURGH PA 15213 251462312 501(c)3 109759 FMV CHARITABLE RESEARCH MAINE COUNCIL ON AGING PO BOX 988 BRUNSWICK ME 04011 461549012 501(c)3 27308 FMV CHARITABLE PROGRAM SUPPORT Makin' It Happen Coalition for Resilient YOUTH INC 180 BRIDGE STREET MANCHESTER NH 03104 462768846 501(c)3 8880 FMV CHARITABLE PROGRAM SUPPORT Mark Stebbins Community Center 497 HOOKSEET RD UNIT 326 MANCHESTER NH 03104 874002783 501(c)3 7400 FMV CHARITABLE PROGRAM SUPPORT Mascoma Community Healthcare PO Box 550 Canaan NH 03741 465672753 501(c)3 18500 FMV CHARITABLE PROGRAM SUPPORT MASSACHUSETTS GENERAL HOSPITAL 100 CHARLES RIVER PLAZA STE 600 BOSTON MA 021142792 042697983 501(c)3 60904 FMV CHARITABLE PROGRAM SUPPORT MAYO CLINIC ARIZONA PO BOX 860334 MINNEAPOLIS MN 554860334 860800150 501(c)3 22992 FMV CHARITABLE RESEARCH MEDICAL UNIVERSITY OF SOUTH CAROLINA 268 Calhoun Street CHARLESTON SC 29407 576000722 STATE OF SC 315242 FMV EDUCATIONAL SERVICES MEDSTAR HEALTH RESEARCH INSTITUTE 10980 GRANTCHESTER WAY COLUMBIA MD 21044 526056274 501(c)3 8880 FMV CHARITABLE RESEARCH MEMORIAL SLOAN-KETTERING CANCER CENTER PO BOX 27084 NEW YORK NY 100876352 131924236 501(c)3 55916 FMV CHARITABLE RESEARCH MOCO Arts 40 ROXBURY STREET KEENE NH 03431 020514391 501(c)3 7400 FMV PROGRAM SUPPORT Mt Ascutney Hospital and Health Center 289 COUNTY RD WINDSOR VT 05089 030183721 501(c)3 22200 FMV CHARITABLE RESEARCH MY CNA NOW LLC DBA LNA HEALTH CAREERS 22 CONCORD ST 3RD FLOOR MANCHESTER NH 03101 850569951 11840 FMV CHARITABLE RESEARCH NATIONWIDE CHILDREN'S HOSPITAL LABORATORY SERVICES DEPT 781633 PO BOX 78000 DETROIT MI 482781633 314379441 501(c)3 9873 FMV CHARITABLE RESEARCH NAVAL HEALTH RESEARCH CENTER 140 SYLVESTER ROAD SAN DIEGO CA 92106 800520146 501(c)3 189646 FMV CHARITABLE RESEARCH New Hampshire Hunger Solutions Inc POBox 3477 CONCORD NH 03301 222936618 501(c)3 11100 FMV PROGRAM SUPPORT NEW HAMPSHIRE LEGAL ASSISTANCE 117 NORTH STATE STREET CONCORD NH 03301 020300897 501(c)3 98084 FMV CHARITABLE PROGRAM SUPPORT NEW YORK UNIVERSITY 433 FIRST AVENUE 6TH FLOOR New York NY 10010 135562308 STATE OF AL 49049 FMV EDUCATIONAL SERVICES NORTH COUNTRY HEALTH CONSORTIUM INC 262 COTTAGE STREET LITTLETON NH 03561 020503184 501(c)3 144771 FMV CHARITABLE PROGRAM SUPPORT NORTHEASTERN VT REGIONAL HOSPITAL PO BOX 905 ST JOHNSBURY VT 058190905 036013761 501(c)3 20419 FMV CHARITABLE PROGRAM SUPPORT NORTHWESTERN UNIVERSITY 633 NORTH ST CLAIR STREET CHICAGO IL 60611 362167817 501(c)3 55935 FMV CHARITABLE EDUCATIONAL SERVICES OREGON CLINIC PC 847 NE 19TH AVENUE PORTLAND OR 97232 931127856 501(c)3 107748 FMV CHARITABLE RESEARCH OREGON HEALTH & SCIENCE UNIVERSITY PO BOX 575 PORTLAND OR 97207 931176109 501(c)3 192209 FMV CHARITABLE EDUCATIONAL SERVICES PUBLIC HEALTH COUNC OF THE UPPER VALLEY ONE COURT STREET LEBANON NH 03766 752991608 501(c)3 46489 FMV CHARITABLE PROGRAM SUPPORT RECTOR & VISITORS OF UNIV OF VIRGINIA JOHN W STEINKE PO BOX 801355 CHARLOTTESVILLE VA 229081355 546001796 STATE OF VA 30478 FMV EDUCATIONAL SERVICES RHODE ISLAND HOSPITAL PO BOX 373 PROVIDENCE RI 02901 050258954 501(c)3 18410 FMV CHARITABLE RESEARCH RIVER VALLEY COMMUNITY COLLEGE RVCC BOOKSTORE 967 CLAREMONT NH 03743 540903278 STATE OF NH 7250 FMV EDUCATIONAL SERVICES RUTGERS THE STATE UNIVERSITY OF NJ 33 KNIGHTSBRIDGE ROAD PISCATAWAY NJ 08854 226001086 501(c)3 18144 FMV EDUCATIONAL SERVICES SEVEN COUNTIES SERVICES INC ATTN ACCTS RECEIVABLE 10401 LINN STATION RD LOUISVILLE KY 40223 310939757 501(c)3 180462 FMV CHARITABLE RESEARCH SINAI HOSPITAL OF BALTIMORE INC 2401 W BELVEDERE AVENUE BALTIMORE MD 21215 520486540 501(c)3 39571 FMV CHARITABLE RESEARCH Southeast Vermont Transit Inc 706 Rockingham Road ROCKINGHAM VT 05101 030353976 501(c)3 22200 FMV PROGRAM SUPPORT Southwestern Community Services PO Box 603 / 63 Community Way KEENE NH 03431 026013808 501(c)3 7400 FMV CHARITABLE PROGRAM SUPPORT STANFORD UNIVERSITY ADMINISTRATION PO BOX 884253 LOS ANGELES CA 900884253 941156365 501(c)3 50202 FMV CHARITABLE PROGRAM SUPPORT TAMPA VA RESEARCH & EDUCATION FOUNDATION 5620 E FOWLER AVENUE TEMPLE TERRACE FL 33617 593444354 501(c)3 8880 FMV CHARITABLE RESEARCH THE BRIGHAM AND WOMEN'S HOSPITAL INC 75 FRANCIS ST BOSTON MA 02115 042312909 501(c)3 56463 FMV CHARITABLE RESEARCH The Collaborative 91 VT ROUTE 11 S LONDONDERRY VT 05148 030359264 501(c)3 8880 FMV EDUCATIONAL SERVICES THE FAMILY RESOURCE CENTER AT GORHAM 123 MAIN STREET STE 1 GORHAM NH 03581 043383141 501(c)3 16071 FMV CHARITABLE PROGRAM SUPPORT THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO 7703 FLOYD CURL DRIVE SAN ANTONIO TX 782293900 741586031 STATE OF TX 126424 FMV EDUCATIONAL SERVICES TLC FAMILY RESOURCE CENTER 62 PLEASANT ST CLAREMONT NH 03743 522439830 501(c)3 8429 FMV CHARITABLE PROGRAM SUPPORT Tri-Valley Transit 279 Creek Road MIDDLEBURY VT 05753 030335768 501(c)3 23951 FMV PROGRAM SUPPORT TRUSTEES COLUMBIA UNIVERSITY 710 W 168TH STREET NEW YORK NY 10032 135598093 501(c)3 14278 FMV CHARITABLE EDUCATIONAL SERVICES TRUSTEES OF DARTMOUTH COLLEGE CASHIERS OFFICE / AR 6132 MCNUTT RM 103 HANOVER NH 03755 020222111 501(c)3 3335783 FMV CHARITABLE EDUCATIONAL SERVICES TRUSTEES OF THE UNIV OF PENNSYLVANIA THE WHARTON SCHOOL LOCKBOX 9726 PHILADELPHIA PA 191789726 231352685 STATE OF PA 126708 FMV EDUCATIONAL SERVICES Twin Pines Housing Trust 226 Holiday Drive Suite 20 WHITE RIVER JUNCTION VT 05001 222809527 501(c)3 29600 FMV PROGRAM SUPPORT UNIV OF MICHIGAN DEPT OF PATHOLOGY BILLING 2800 PLYMOUTH ROAD ANN ARBOR MI 48109 386006309 STATE OF AL 6660 FMV EDUCATIONAL SERVICES UNIVERSITY OF ALABAMA AT BIRMINGHAM GRANTS CONTRACTS ACCOUNTING 1720 2ND AVE SOUTH BIRMINGHAM AL 352940109 636005396 STATE OF AL 1104793 FMV EDUCATIONAL SERVICES UNIVERSITY OF ARIZONA SPONSORED PRJCTS CONTR SRVCS PO BOX 41867 TUCSON AZ 85717 742652689 STATE OF AL 8880 FMV EDUCATIONAL SERVICES UNIVERSITY OF CALIFORNIA SAN FRANCISCO SUNDRY DEBTOR - BOX 0815 SAN FRANCISCO CA 94143 946036493 STATE OF CA 10600 FMV EDUCATIONAL SERVICES UNIVERSITY OF COLORADO ANSCHUTZ UNIVERSITY OF COLORADO 12801 E 17th AVE L18-10101 MAIL AURORA CO 80045 846000555 STATE OF CO 99287 FMV EDUCATIONAL SERVICES UNIVERSITY OF CONNECTICUT HEALTH CENTER 263 FARMINGTON AVENUE FARMINGTON CT 06030 521725543 STATE OF AL 5886 FMV EDUCATIONAL SERVICES UNIVERSITY OF FLORIDA 123 GRINTER HALL GAINESVILLE FL 32611 596002052 STATE OF FL 100549 FMV EDUCATIONAL SERVICES UNIVERSITY OF MARYLAND PO BOX 41428 BALTIMORE MD 212036428 526002033 STATE OF MD 122452 FMV EDUCATIONAL SERVICES UNIVERSITY OF MINNESOTA PO BOX 1450 MINNEAPOLIS MN 554855960 416007513 STATE OF AL 80757 FMV EDUCATIONAL SERVICES UNIVERSITY OF PITTSBURGH PO BOX 640458 PITTSBURGH PA 152640458 250965591 STATE OF PA 40174 FMV EDUCATIONAL SERVICES UNIVERSITY OF TEXAS SOUTHWESTERN MED CTR 5323 HARRY HINES BLVD DALLAS TX 752359029 756002868 STATE OF TX 64068 FMV EDUCATIONAL SERVICES UNIVERSITY OF UTAH GRANTS CONTRACTS ACCOUNTING 201 S PRESIDENTS CIR RM 406 SALT LAKE CITY UT 841129020 876000525 STATE OF UT 27284 FMV EDUCATIONAL SERVICES UNIVERSITY OF VERMONT MEDICAL CENTER PO BOX 1902 BURLINGTON VT 05402 030179440 STATE OF VT 43861 FMV EDUCATIONAL SERVICES UNIVERSITY OF WASHINGTON GRANT CONTRACT ACCOUNTING 12455 COLLECTIONS DRIVE CHICAGO IL 60693 916001537 STATE OF WA 58978 FMV EDUCATIONAL SERVICES UNIVERSITY SYSTEM OF NEW HAMPSHIRE 5 CHANELL DRIVE CONCORD NH 03301 026000937 STATE OF NH 31531 FMV EDUCATIONAL SERVICES Upper Valley Business Alliance 377 N MAIN ST WEST LEBANON NH 03784 843255631 501(c)6 8140 FMV PROGRAM SUPPORT Upper Valley Haven 713 Hartford Ave WHITE RIVER JUNCTION VT 05001 030277908 501(c)3 53576 FMV PROGRAM SUPPORT Upper Valley Lake Sunapee Regional Planning Foundation 10 Water Street Ste 225 LEBANON NH 037661604 834074101 501(c)3 22200 FMV PROGRAM SUPPORT VANDERBILT UNIVERSITY MEDICAL CENTER VUMC FINANCE DEPT 1236 DALLAS TX 753121236 352528741 501(c)3 81979 FMV CHARITABLE EDUCATIONAL SERVICES Vermont Association for Mental Health 1 BLANCHARD CT STE 204 MONTPELIER VT 05602 030226306 501(c)3 8880 FMV PROGRAM SUPPORT Veterans Education & Research Assn of PO BOX 4655 WHITE RIVER JUNCTION VT 05001 223091219 501(c)3 6935 FMV PROGRAM SUPPORT VETERANS MED RESEARCH FOUNDATION OF SD PO BOX 515298 LOS ANGELES CA 900516598 330189397 501(c)3 8880 FMV CHARITABLE RESEARCH VIRGINIA COMMONWEALTH UNIVERSITY BOX 843035 RICHMOND VA 23219 546001758 STATE OF VA 40910 FMV EDUCATIONAL SERVICES WAKE FOREST UNIVERSITY OFFICE OF CONT MEDICAL EDUC MEDICAL CENTER BOULEVARD WINSTONSALEM NC 271571028 560532138 501(c)3 31069 FMV EDUCATIONAL SERVICES WASHINGTON UNIVERSITY 7425 FORSYTH ST LOUIS MO 63105 430653611 STATE OF MO 45234 FMV EDUCATIONAL SERVICES WEBER STATE UNIVERSITY 3885 WEST CAMPUS DR DEPT 1101 OGDEN UT 844081101 876000535 501(c)3 8777 FMV EDUCATIONAL SERVICES WEILL MEDICAL COLLEGE OF CORNELL ATTN CORNELL ECHO 2001 525 EAST 68TH ST BOX 222 NEW YORK NY 10021 131623978 STATE OF VA 157058 FMV EDUCATIONAL SERVICES WEST VIRGINIA UNIVERSITY RESEARCH CORPOR ONE WATERFRONT PLACE MORGANTOWN WV 265066001 550665758 STATE OF WV 7069 FMV EDUCATIONAL SERVICES WESTAT INC PO BOX 1004 ATTN ACCOUNTS RECEIVA ROCKVILLE MD 20850 840529566 19569 FMV CHARITABLE RESEARCH White River Council on Aging 262 North Main St WHITE RIVER JUNCTION VT 05001 030261891 501(c)3 7400 FMV PROGRAM SUPPORT Willing Hands Enterprises 198 CHURCH STREET NORWICH VT 05055 202204811 501(c)3 15910 FMV CHARITABLE PROGRAM SUPPORT WMU HOMER STRYKER MD SCHOOL OF MEDICINE PO BOX 50391 KALAMAZOO MI 490050391 454135256 501(c)3 53232 FMV EDUCATIONAL SERVICES Women's Information Service of the Upper Valley 38 Bank Street LEBANON NH 03766 020346512 501(c)3 14800 FMV PROGRAM SUPPORT YALE UNIVERSITY GRANT CONTRACT FINANCIAL ADMINIST PO BOX 1873 NEW HAVEN CT 065081873 060646973 501(c)3 13431 FMV EDUCATIONAL SERVICES 113 5 Awards and Educational Assistance 75 308591 FMV Patient Assistance 2562 154021 FMV Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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. X X true true true true false false false false false false false Joanne M Conroy MD Trustee, Ex-Officio, CEO 0 1685674 0 552000 0 235562 0 32970 0 19692 0 2525898 0 0 Nancy M Dunbar MD Trustee / Physician (Through 12/31/24) 0 363926 0 0 0 30873 0 26070 0 44761 0 465630 0 0 Laura Chiang Trustee 0 392389 0 0 0 25586 0 25500 0 42121 0 485596 0 0 Marcus Coe MD Trustee 0 789876 0 0 0 46514 0 26070 0 44023 0 906483 0 0 Keith Loud MD Trustee 0 505321 0 0 0 37706 0 32970 0 37553 0 613550 0 0 Jonathan B Thyng MD Trustee/Medical Director 0 362780 0 0 0 15981 0 32970 0 44073 0 455804 0 0 Emily Zeitler Trustee (as of 1/1/25) 0 482221 0 0 0 33780 0 26070 0 43902 0 585973 0 0 Maria Padin MD Former Officer/Chief medical Officer, CGP 0 505838 0 62420 0 31037 0 32970 0 35572 0 667837 0 0 Wendy Fielding Chief Financial Officer 434374 0 47500 0 55650 0 32970 0 35394 0 605888 0 0 0 Aimee M Claiborne Chief Human Resource Officer 535867 0 110000 0 24618 0 26070 0 27621 0 724176 0 0 0 John Kacavas Chief Legal Officer 752457 0 38400 0 1229 0 20700 0 32653 0 845439 0 0 0 Stephen LeBlanc Chief Strategy Officer 0 733963 0 155000 0 127148 0 32970 0 36329 0 1085410 0 0 Edward J Merrens MD Chief Clinical Officer 0 796803 0 165000 0 89924 0 32970 0 16333 0 1101030 0 0 Susan A Reeves EDD RN Executive VP (medical center) 216346 0 250 0 0 0 12996 0 0 0 229592 0 0 0 Matthew Haag Chief Development Officer 394030 0 85000 0 38558 0 26070 0 17679 0 561337 0 0 0 Martin T Manion COO (as of 4/24/25) 418164 0 54648 0 25032 0 20700 0 2028 0 520572 0 0 0 Staci Hermann PHARMD MS Former Chief Pharmacy Officer 114027 0 0 0 8581 0 5984 0 4405 0 132997 0 0 0 Peter D Solberg MD Chief Health Information Officer - Former 0 478082 0 62100 0 48374 0 32970 0 44120 0 665646 0 0 Simon C Hillier Dept. Chair - Anesthesiology 0 372348 0 0 0 61483 0 32970 0 35315 0 502116 0 0 Patrick F Jordan III MBA Chief Operating Officer - DHC (through 6/21/25) 875781 0 180000 0 76927 0 32970 0 46290 0 1211968 0 0 0 Martin Purcell MBA Chief Information Officer 508830 0 62100 0 49096 0 32970 0 37380 0 690376 0 0 0 David F Duncan System VP - Facilities Mgmt 327795 0 33460 0 6346 0 20700 0 26468 0 414769 0 0 0 Samuel Shields System VP - Strtgy & Rgnl Ops 347386 0 35000 0 16761 0 26070 0 3990 0 429207 0 0 0 Tracy Galvin Chief Nursing Officer 361375 0 29600 0 3284 0 20700 0 26819 0 441778 0 0 0 Daniel P Jantzen CFO D-HH/Former CFO MHMH 859350 0 180000 0 144937 0 32970 0 38907 0 1256164 0 0 0 Kimberly Troland JD DH Gnrl Cnsl &Sys Dep Gnl Cnsl 474470 0 35350 0 71461 0 28272 0 24667 0 634220 0 0 0 Jennifer Gilkie System VP Comm-Marketing, 358909 0 38000 0 4538 0 32970 0 44855 0 479272 0 0 0 Barbara Vance VP-Research Ops (through 7/13/24) 231541 0 0 0 199680 0 14228 0 10846 0 456295 0 0 0 Christopher L Hubble MD VP Patient Safety 390920 0 49440 0 26213 0 20700 0 44598 0 531871 0 0 0 Schedule J, Part I, Line 1a Discretionary spending account THE ORGANIZATION HAS IN PLACE A MANAGEMENT SELF DEVELOPMENT PLAN (MSDP) DESIGNED TO PROMOTE PROFESSIONAL AND PERSONAL DEVELOPMENT. THE MSDP IS CAPPED AT 2% OF GROSS PAY AND MAY BE UTILIZED FOR EXPENSES SUCH AS PROFESSIONAL DUES, MEETINGS AND SEMINARS, TUITION REIMBURSEMENT, AND OTHER MISCELLANEOUS ITEMS THAT PROMOTE PROFESSIONAL KNOWLEDGE. ALL EXPENSES ARE SUBMITTED FOR APPROVAL BEFORE REIMBURSEMENT. Schedule J, Part I, Line 1a Health or social club dues or initiation fees THE ORGANIZATION HAS IN PLACE A MANAGEMENT SELF DEVELOPMENT PLAN (MSDP) DESIGNED TO PROMOTE PROFESSIONAL AND PERSONAL DEVELOPMENT. THE MSDP IS CAPPED AT 2% OF GROSS PAY AND MAY BE UTILIZED FOR EXPENSES SUCH AS PROFESSIONAL DUES, MEETINGS AND SEMINARS, TUITION REIMBURSEMENT, AND OTHER MISCELLANEOUS ITEMS THAT PROMOTE PROFESSIONAL KNOWLEDGE. ALL EXPENSES ARE SUBMITTED FOR APPROVAL BEFORE REIMBURSEMENT. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE CEO IS PAID BY DARTMOUTH-HITCHCOCK CLINIC (DHC), A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION. Schedule J, Part I, Line 4a Severance or change-of-control payment BARBARA VANCE WHO SERVED AS VP-RESEARCH OPERATIONS RECEIVED SEVERANCE PAYMENTS TOTALING $189,965. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Dartmouth Hitchcock Clinic (DHC) and Mary Hitchcock Memorial Hospital (MHMH) sponsor a split dollar life plan for certain long-term employees. The original objectives for offering these plans were to better enable DHC and MHMH to attract and retain quality executive personnel, improve the physicians' post-retirement life insurance benefits, and to replace an increasingly costly retiree life insurance program. The plan was frozen to new participants in 1998. The number of participants and dollar value continues to dwindle as individuals retire/leave the organization. THE FOLLOWING INDIVIDUALS HAVE A SPLIT DOLLAR LIFE PLAN ARRANGEMENT AND RESPECTIVE EMPLOYER PREMIUMS: DANIEL JANTZEN $152,890 STEPHEN LEBLANC $70,131 Separate from the Split Dollar Life plan, the following individuals received payments from a nonqualified retirement plan (which are reflected in schedule J, Part II, Column B (III)): Staci Hermann $4,512 Wendy Fielding $13,607 Joanne Conroy $190,800 David Duncan $431 Patrick Jordan $73,201 Edward Merrens $66,150 Stephen LeBlanc $65,562 Jonathan Thyng $4,800 Keith Loud $12,480 Laura Chiang $2,586 Marcus Coe $46,244 Aimee Claiborne $24,576 Nancy Dunbar $7,460 Maria Padin $25,884 Simon Hillier $33,600 Kimberly Troland $29,340 Matthew Haag $14,931 Emily Zeitler $10,600 Peter Solberg $24,600 Barbara Vance $1,206 Christopher Hubble $3,600 Jennifer Gilkie $1,979 Martin Manion $2,032 Martin Purcell $26,907 Samuel Shields $2,885 Schedule J, Part II NOTE REGARDING COMPENSATION FORM 990, SCHEDULE J, PART II COLUMN B, PARTS I, II, AND III REPRESENT ACTUAL AMOUNTS PAID TO EMPLOYEES BY MHMH AND RELATED ORGANIZATIONS. THESE AMOUNTS ARE REPORTED TO EMPLOYEES ON THEIR ANNUAL W-2 FORMS AS COMPENSATION. COLUMNS C AND D REPRESENT ITEMS EARNED, HOWEVER, NOT PAID DIRECTLY TO THE EMPLOYEE AS CASH PAYMENTS DURING THE CALENDAR YEAR. COLUMN C INCLUDES RETIREMENT BENEFITS IN A CALENDAR YEAR. COLUMN D REPRESENTS NONTAXABLE BENEFITS SUCH AS THE COST OF HEALTHCARE COVERAGE PROVIDED BY D-H ON BEHALF OF ITS EMPLOYEES. A NH HEALTH AND ED FACILITIES AUTHORITY 020279866 64461XMG7 2025-05-28 321411451 REFUNDING AND CONSTRUCTION false false false A 0 0 321411451 0 0 0 2296135 0 0 998386 114449656 203667274 true false false true A false true true true false true 0.0 0.0 0.0 false false 0 false true A false true false false true false 0 false false false 0 false false true A true 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 Refund DHOG Series 2014B Dated 08/13/2014, DHOG Series 2016B Dated 07/01/2016, DHOG Series 2017B Dated 12/27/2017, and finance new capital projects. Schedule K, Part II, Line 11 Bond A The Other Spent Proceeds are the refunding proceeds of the issue no longer in escrow. DANIEL JANTZEN OFFICER SPLIT DOLLAR LIFE X 0 152890 false true true DEBORAH JANTZEN FAMILY MEMBER SPLIT DOLLAR LIFE X 0 76965 false true true 229855 Samuel R Shields Family member of Key Employee Samuel N Shields 37181 Employment Compensation false 1 14580 Opinions of experts 3 66353 Market value 1 false true true Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions THE ORGANIZATION USES DARTMOUTH-HITCHCOCK HEALTH, MHMH'S PARENT ORGANIZATION, FOR SOLICITATION OF CONTRIBUTIONS AND ANNUAL FUND ACTIVITIES. Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - MHMH is reporting the number of contributors of stock. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION Continued from Form 990 Part III Line 4a 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 YEAR ENDED JUNE 30, 2025, MHMH PROVIDED FINANCIAL ASSISTANCE TO 26,191 PATIENTS IN THE AMOUNT OF $35,221,237 AS MEASURED BY GROSS CHARGES. THE COST OF PROVIDING THIS CARE FOR THE YEAR ENDED JUNE 30, 2024 WAS $28,734,667. 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. MHMH ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE TO ITS PATIENTS THAT IS REPORTED AS BAD DEBT, WHICH IS NOT INCLUDED IN THE AMOUNTS REPORTED ABOVE. DURING THE YEAR ENDED JUNE 30, 2025, THE HOSPITAL REPORTED EXPENSE FOR BAD DEBT OF $40,911,127. Form 990, Part VI, Line 15a OFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR UNDERTAKEN 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 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 governing board. 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 ON THE BASIS FOR SUCH BELIEF AND AFFORD HIM/HER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INTERESTED PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT SUCH PERSON HAS, IN FACT, FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. Form 990, Part VI, Line 15b Process to establish compensation of other 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. 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, VNA & HOSPICE OF VT AND NH, THE HITCHCOCK FOUNDATION, AND SOUTHWESTERN VERMONT HEALTH CARE CORPORATION. Form 990, Part XI, Line 9 Other changes in net assets or fund balances NET ASSET TRANSFER FROM AFFILIATES - 26185636; PENSION-RELATED AND OTHER CHANGES - -55618141; NET ASSET RELEASED FROM RESTRICTION - -17692986; Total - -47125491; NEW ENGLAND ALLIANCE FOR HEALTH LLC ONE MEDICAL CENTER DRIVE LEBANON NH 03756 264232401 HEALTH IMPROVEMENT NH 138423 1382379 MHMH D-H SPECIALTY SERVICES LLC ONE MEDICAL CENTER DRIVE LEBANON NH 03756 460876427 SHARED SAVINGS PROGRAM NH 0 0 MHMH 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 VT 501(c)(3) 3 D-HH false VALLEY REGIONAL HEALTHCARE INC 243 ELM STREET CLAREMONT NH 03743 020397338 SUPPORTING ORGANIZATION NH 501(c)(3) Type II D-HH false DARTMOUTH-HITCHCOCK MASTER INVESTMENT PROGRAM OF POOLED INVESTMENT ACCOUNTS 1 MED CTR DR LEBANON NH 03756 020205863 POOLED INVESTMENTS NH MHMH Excluded 60370160 1047183489 false 1407160 true 0.65633 BENEFICIAL INTEREST TRUSTS (2) ONE MEDICAL CENTER DRIVE LEBANON NH 03756 CHARITABLE TRUST NH MHMH Trust 0 0 1 false false true false false true false false false false true true true true true true true true false false