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Nonprofiteer
← MARY HITCHCOCK MEMORIAL HOSPITAL

Form 990 for tax year 2024

Filed by MARY HITCHCOCK MEMORIAL HOSPITAL.

Totals

Total revenue
$2,662,113,500
Total expenses
$2,509,634,474
Contributions and grants received
$60,666,288
Grants paid
$12,361,943
Program service revenue
$2,554,561,938
Investment income
$2,662,506
Other revenue
$44,222,768
Total assets, end of year
$2,797,879,554
Total liabilities, end of year
$1,473,389,867
Net assets or fund balances, end of year
$1,324,489,687
Program services expenses (Part IX)
$2,124,874,231
Management and general expenses
$384,159,385
Fundraising expenses
$600,858
Program service expenses (Part III)
$2,124,874,231

Program services were 84.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $46,079,246

  • 1f · All other contributions, gifts and grants

    $14,587,042

  • 1g · Noncash contributions included above

    $80,933

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $2,189,219,193 · related or exempt $2,183,741,974 · unrelated business $5,477,219

  • 2b · Program service revenue: RESEARCH RELATED ACTIVITIES

    total $8,070,073 · related or exempt $8,070,073

  • 2c · Program service revenue: PHARMACY INCOME

    total $355,386,981 · related or exempt $280,178,645 · unrelated business $75,208,336

  • 2d · Program service revenue: NEAH & PROGRAM RELATED INVESTMENTS

    total $1,885,691 · related or exempt $1,059,351 · unrelated business $826,340

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $3,245,510 · unrelated business $1,340,921 · excluded $1,904,589

  • 6a · Gross rents

    real property $413,249

  • 6b · Less rental expenses

    real property $384,768

  • 6c · Rental income or loss

    real property $28,481 · personal property $0

  • 6d · Net rental income or loss

    total $28,481 · excluded $28,481

  • 7b · Less cost or other basis and sales expenses

    securities $443,791 · other assets $139,213

  • 7c · Gain or loss

    securities -$443,791 · other assets -$139,213

  • 7d · Net gain or loss

    total -$583,004 · excluded -$583,004

  • 11a · Other revenue: CAFETERIA

    total $4,153,148 · excluded $4,153,148

  • 11b · Other revenue: Other Revenue

    total $40,041,139 · related or exempt $28,242,247 · unrelated business $11,798,892

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $44,194,287

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $11,669,873 · program services $11,669,873

  • 2 · Grants to domestic individuals

    total $462,612 · program services $462,612

  • 3 · Grants to foreign organizations and individuals

    total $229,458 · program services $229,458

  • 5 · Compensation of officers, directors and key employees

    total $13,987,181 · program services $4,680,180 · management and general $8,706,143 · fundraising $600,858

  • 6 · Compensation of disqualified persons

    total $2,895,542 · program services $685,378 · management and general $2,210,164

  • 7 · Other salaries and wages

    total $993,119,017 · program services $855,223,018 · management and general $137,895,999

  • 8 · Pension plan contributions

    total $68,085,231 · program services $58,553,299 · management and general $9,531,932

  • 9 · Other employee benefits

    total $129,021,909 · program services $111,028,971 · management and general $17,992,938

  • 10 · Payroll taxes

    total $63,849,181 · program services $54,910,377 · management and general $8,938,804

  • 11b · Fees: legal

    total $4,782,864 · program services $170,202 · management and general $4,612,662

  • 11c · Fees: accounting

    total $831,451 · program services $153,019 · management and general $678,432

  • 11g · Fees: other

    total $201,265,116 · program services $182,775,178 · management and general $18,489,938 · fundraising $0

  • 12 · Advertising and promotion

    total $3,342,400 · program services $71,629 · management and general $3,270,771

  • 13 · Office expenses

    total $30,040,315 · program services $18,659,562 · management and general $11,380,753

  • 14 · Information technology

    total $36,772,824 · program services $3,309,554 · management and general $33,463,270

  • 16 · Occupancy

    total $27,272,443 · program services $2,194,772 · management and general $25,077,671

  • 17 · Travel

    total $4,646,762 · program services $3,200,009 · management and general $1,446,753

  • 19 · Conferences, conventions and meetings

    total $518,200 · program services $429,802 · management and general $88,398

  • 20 · Interest

    total $22,921,308 · program services $168,666 · management and general $22,752,642

  • 22 · Depreciation, depletion and amortization

    total $59,733,704 · program services $20,476,538 · management and general $39,257,166

  • 23 · Insurance

    total $17,683,820 · program services $14,147,056 · management and general $3,536,764

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $682,141,457 · program services $675,195,142 · management and general $6,946,315

  • 24b · Other expenses: MEDICAID ENHANCEMENT TAX

    total $82,358,795 · program services $82,358,795

  • 24c · Other expenses: EQUIPMENT RENTAL & MAINT

    total $26,181,523 · program services $8,587,835 · management and general $17,593,688

  • 24d · Other expenses: ACADEMIC, GME, TEACHING & EDUCATIONAL

    total $10,277,568 · program services $8,680,435 · management and general $1,597,133

  • 24e · All other expenses

    total $15,543,920 · program services $6,852,871 · management and general $8,691,049 · fundraising $0

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $645,592 · end of year $640,089

  • 4 · Accounts receivable

    beginning of year $291,458,793 · end of year $322,929,016

  • 5 · Loans and receivables from officers and key people

    beginning of year $223,089 · end of year $229,855

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $11,744,790 · end of year $11,911,463

  • 8 · Inventories for sale or use

    beginning of year $45,376,713 · end of year $53,358,583

  • 9 · Prepaid expenses and deferred charges

    beginning of year $43,864,012 · end of year $70,903,447

  • 10a · Land, buildings and equipment: cost or other basis

    $1,820,875,558

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,153,853,070

  • 10c · Land, buildings and equipment, net

    beginning of year $631,561,804 · end of year $667,022,488

  • 11 · Investments: publicly traded securities

    beginning of year $54,442,256 · end of year $58,075,913

  • 12 · Investments: other securities

    beginning of year $896,668,634 · end of year $994,816,185

  • 13 · Investments: program-related

    beginning of year $12,362,908 · end of year $13,300,455

  • 15 · Other assets

    beginning of year $348,999,598 · end of year $604,692,060

  • 17 · Accounts payable and accrued expenses

    beginning of year $244,613,274 · end of year $242,657,032

  • 19 · Deferred revenue

    beginning of year $1,435,160 · end of year $655,654

  • 20 · Tax-exempt bond liabilities

    beginning of year $25,500,000 · end of year $321,181,994

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $57,772,058 · end of year $122,805,582

  • 25 · Other liabilities

    beginning of year $888,289,827 · end of year $786,089,605

  • 27 · Net assets without donor restrictions

    beginning of year $968,951,031 · end of year $1,152,335,154

  • 28 · Net assets with donor restrictions

    beginning of year $150,786,839 · end of year $172,154,533

Mission and programs · 2024

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.

Activities or mission (Part I)

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.

  • 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)

    Expenses $1,997,498,000 · Grants $12,361,943 · Revenue $2,417,522,817

  • 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.

    Expenses $127,376,231 · Revenue $83,769,473

As filed on the 2024 return.

Listed in Part VII

  • David P Paul

    Trustee / Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    0.8 + 1.8 related

  • Joanne M Conroy MD

    Trustee, Ex-Officio, CEO

    Total calculated
    $2,525,898
    From this org
    $0
    From related orgs
    $2,473,236
    Other
    $52,662
    Hours/week
    37.8 + 18.3 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,685,674 related
    Bonus
    $0 + $552,000 related
    Other
    $0 + $235,562 related
    Deferred
    $0 + $32,970 related
    Nontaxable benefits
    $0 + $19,692 related
    Filer's total
    $0 + $2,525,898 related

  • ROBERTA L HINES MD

    TRUSTEE / Chair

    Total calculated
    $0
    Hours/week
    1.5 + 2 related

  • Celestina M Dooley-Jones PHD

    Trustee

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • Duane A Compton PHD

    Trustee / Ex-Officio

    Total calculated
    $0
    Hours/week
    0.8 + 1.7 related

  • Emily Zeitler

    Trustee (as of 1/1/25)

    Total calculated
    $585,973
    From this org
    $0
    From related orgs
    $516,001
    Other
    $69,972
    Hours/week
    12 + 28 related

    Schedule J breakdown matched by us

    Base
    $0 + $482,221 related
    Bonus
    $0
    Other
    $0 + $33,780 related
    Deferred
    $0 + $26,070 related
    Nontaxable benefits
    $0 + $43,902 related
    Filer's total
    $0 + $585,973 related

  • Gary V Desir

    Trustee

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • Geraldine Bednash PHD RN FAAN

    Trustee

    Total calculated
    $0
    Hours/week
    0.8 + 1.3 related

  • Jason T Garbarino DNP RN GERO-BC

    Trustee (as of 1/18/25)

    Total calculated
    $0
    Hours/week
    1.3 + 0.8 related

  • Jennifer L Moyer MBA

    Trustee

    Total calculated
    $0
    Hours/week
    0.8 + 1.3 related

  • Jonathan B Thyng MD

    Trustee/Medical Director

    Total calculated
    $455,804
    From this org
    $0
    From related orgs
    $378,761
    Other
    $77,043
    Hours/week
    28 + 12 related

    Schedule J breakdown matched by us

    Base
    $0 + $362,780 related
    Bonus
    $0
    Other
    $0 + $15,981 related
    Deferred
    $0 + $32,970 related
    Nontaxable benefits
    $0 + $44,073 related
    Filer's total
    $0 + $455,804 related

  • Keith Loud MD

    Trustee

    Total calculated
    $613,550
    From this org
    $0
    From related orgs
    $543,027
    Other
    $70,523
    Hours/week
    0.1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $505,321 related
    Bonus
    $0
    Other
    $0 + $37,706 related
    Deferred
    $0 + $32,970 related
    Nontaxable benefits
    $0 + $37,553 related
    Filer's total
    $0 + $613,550 related

  • Laura Chiang

    Trustee

    Total calculated
    $485,596
    From this org
    $0
    From related orgs
    $417,975
    Other
    $67,621
    Hours/week
    28 + 12 related

    Schedule J breakdown matched by us

    Base
    $0 + $392,389 related
    Bonus
    $0
    Other
    $0 + $25,586 related
    Deferred
    $0 + $25,500 related
    Nontaxable benefits
    $0 + $42,121 related
    Filer's total
    $0 + $485,596 related

  • Laurel J Richie

    Trustee (as of 1/1/25)

    Total calculated
    $0
    Hours/week
    1.3 + 0.8 related

  • M Elyse Allan

    Trustee

    Total calculated
    $0

  • Marcus Coe MD

    Trustee

    Total calculated
    $906,483
    From this org
    $0
    From related orgs
    $836,390
    Other
    $70,093
    Hours/week
    0.1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $789,876 related
    Bonus
    $0
    Other
    $0 + $46,514 related
    Deferred
    $0 + $26,070 related
    Nontaxable benefits
    $0 + $44,023 related
    Filer's total
    $0 + $906,483 related

  • Mark S Speers MBA

    Trustee

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • Nancy M Dunbar MD

    Trustee / Physician (Through 12/31/24)

    Total calculated
    $465,630
    From this org
    $0
    From related orgs
    $394,799
    Other
    $70,831
    Hours/week
    28 + 12 related

    Schedule J breakdown matched by us

    Base
    $0 + $363,926 related
    Bonus
    $0
    Other
    $0 + $30,873 related
    Deferred
    $0 + $26,070 related
    Nontaxable benefits
    $0 + $44,761 related
    Filer's total
    $0 + $465,630 related

  • Sherri C Oberg

    Trustee

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • Aimee M Claiborne

    Chief Human Resource Officer

    Total calculated
    $724,176
    From this org
    $670,485
    From related orgs
    $0
    Other
    $53,691
    Hours/week
    28 + 12.5 related

    Schedule J breakdown matched by us

    Base
    $535,867
    Bonus
    $110,000
    Other
    $24,618
    Deferred
    $26,070
    Nontaxable benefits
    $27,621
    Filer's total
    $724,176

  • Edward J Merrens MD

    Chief Clinical Officer

    Total calculated
    $1,101,030
    From this org
    $0
    From related orgs
    $1,051,727
    Other
    $49,303
    Hours/week
    28 + 13 related

    Schedule J breakdown matched by us

    Base
    $0 + $796,803 related
    Bonus
    $0 + $165,000 related
    Other
    $0 + $89,924 related
    Deferred
    $0 + $32,970 related
    Nontaxable benefits
    $0 + $16,333 related
    Filer's total
    $0 + $1,101,030 related

  • John Kacavas

    Chief Legal Officer

    Total calculated
    $845,439
    From this org
    $792,086
    From related orgs
    $0
    Other
    $53,353
    Hours/week
    28 + 15 related

    Schedule J breakdown matched by us

    Base
    $752,457
    Bonus
    $38,400
    Other
    $1,229
    Deferred
    $20,700
    Nontaxable benefits
    $32,653
    Filer's total
    $845,439

  • Martin T Manion

    COO (as of 4/24/25)

    Total calculated
    $520,572
    From this org
    $497,844
    From related orgs
    $0
    Other
    $22,728
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $418,164
    Bonus
    $54,648
    Other
    $25,032
    Deferred
    $20,700
    Nontaxable benefits
    $2,028
    Filer's total
    $520,572

  • Matthew Haag

    Chief Development Officer

    Total calculated
    $561,337
    From this org
    $517,588
    From related orgs
    $0
    Other
    $43,749
    Hours/week
    28 + 12.5 related

    Schedule J breakdown matched by us

    Base
    $394,030
    Bonus
    $85,000
    Other
    $38,558
    Deferred
    $26,070
    Nontaxable benefits
    $17,679
    Filer's total
    $561,337

  • Stephen LeBlanc

    Chief Strategy Officer

    Total calculated
    $1,085,410
    From this org
    $0
    From related orgs
    $1,016,111
    Other
    $69,299
    Hours/week
    28 + 15 related

    Schedule J breakdown matched by us

    Base
    $0 + $733,963 related
    Bonus
    $0 + $155,000 related
    Other
    $0 + $127,148 related
    Deferred
    $0 + $32,970 related
    Nontaxable benefits
    $0 + $36,329 related
    Filer's total
    $0 + $1,085,410 related

  • Susan A Reeves EDD RN

    Executive VP (medical center)

    Total calculated
    $229,592
    From this org
    $216,596
    From related orgs
    $0
    Other
    $12,996
    Hours/week
    28 + 12 related

    Schedule J breakdown matched by us

    Base
    $216,346
    Bonus
    $250
    Other
    $0
    Deferred
    $12,996
    Nontaxable benefits
    $0
    Filer's total
    $229,592

  • Wendy Fielding

    Chief Financial Officer

    Total calculated
    $605,888
    From this org
    $537,524
    From related orgs
    $0
    Other
    $68,364
    Hours/week
    28 + 13.5 related

    Schedule J breakdown matched by us

    Base
    $434,374
    Bonus
    $47,500
    Other
    $55,650
    Deferred
    $32,970
    Nontaxable benefits
    $35,394
    Filer's total
    $605,888

  • David F Duncan

    System VP - Facilities Mgmt

    Total calculated
    $414,769
    From this org
    $367,601
    From related orgs
    $0
    Other
    $47,168
    Hours/week
    28 + 13 related

    Schedule J breakdown matched by us

    Base
    $327,795
    Bonus
    $33,460
    Other
    $6,346
    Deferred
    $20,700
    Nontaxable benefits
    $26,468
    Filer's total
    $414,769

  • Martin Purcell MBA

    Chief Information Officer

    Total calculated
    $690,376
    From this org
    $620,026
    From related orgs
    $0
    Other
    $70,350
    Hours/week
    28 + 12 related

    Schedule J breakdown matched by us

    Base
    $508,830
    Bonus
    $62,100
    Other
    $49,096
    Deferred
    $32,970
    Nontaxable benefits
    $37,380
    Filer's total
    $690,376

  • Patrick F Jordan III MBA

    Chief Operating Officer - DHC (through 6/21/25)

    Total calculated
    $1,211,968
    From this org
    $1,132,708
    From related orgs
    $0
    Other
    $79,260
    Hours/week
    28 + 15.5 related

    Schedule J breakdown matched by us

    Base
    $875,781
    Bonus
    $180,000
    Other
    $76,927
    Deferred
    $32,970
    Nontaxable benefits
    $46,290
    Filer's total
    $1,211,968

  • Samuel Shields

    System VP - Strtgy & Rgnl Ops

    Total calculated
    $429,207
    From this org
    $399,147
    From related orgs
    $0
    Other
    $30,060
    Hours/week
    40 + 1.5 related

    Schedule J breakdown matched by us

    Base
    $347,386
    Bonus
    $35,000
    Other
    $16,761
    Deferred
    $26,070
    Nontaxable benefits
    $3,990
    Filer's total
    $429,207

  • Simon C Hillier

    Dept. Chair - Anesthesiology

    Total calculated
    $502,116
    From this org
    $0
    From related orgs
    $433,831
    Other
    $68,285
    Hours/week
    28 + 12 related

    Schedule J breakdown matched by us

    Base
    $0 + $372,348 related
    Bonus
    $0
    Other
    $0 + $61,483 related
    Deferred
    $0 + $32,970 related
    Nontaxable benefits
    $0 + $35,315 related
    Filer's total
    $0 + $502,116 related

  • Tracy Galvin

    Chief Nursing Officer

    Total calculated
    $441,778
    From this org
    $394,259
    From related orgs
    $0
    Other
    $47,519
    Hours/week
    28 + 12 related

    Schedule J breakdown matched by us

    Base
    $361,375
    Bonus
    $29,600
    Other
    $3,284
    Deferred
    $20,700
    Nontaxable benefits
    $26,819
    Filer's total
    $441,778

  • Barbara Vance

    VP-Research Ops (through 7/13/24)

    Total calculated
    $456,295
    From this org
    $431,221
    From related orgs
    $0
    Other
    $25,074
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $231,541
    Bonus
    $0
    Other
    $199,680
    Deferred
    $14,228
    Nontaxable benefits
    $10,846
    Filer's total
    $456,295

  • Christopher L Hubble MD

    VP Patient Safety

    Total calculated
    $531,871
    From this org
    $466,573
    From related orgs
    $0
    Other
    $65,298
    Hours/week
    40 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $390,920
    Bonus
    $49,440
    Other
    $26,213
    Deferred
    $20,700
    Nontaxable benefits
    $44,598
    Filer's total
    $531,871

  • Daniel P Jantzen

    CFO D-HH/Former CFO MHMH

    Total calculated
    $1,256,164
    From this org
    $1,184,287
    From related orgs
    $0
    Other
    $71,877
    Hours/week
    28 + 15 related

    Schedule J breakdown matched by us

    Base
    $859,350
    Bonus
    $180,000
    Other
    $144,937
    Deferred
    $32,970
    Nontaxable benefits
    $38,907
    Filer's total
    $1,256,164

  • Jennifer Gilkie

    System VP Comm-Marketing,

    Total calculated
    $479,272
    From this org
    $401,447
    From related orgs
    $0
    Other
    $77,825
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $358,909
    Bonus
    $38,000
    Other
    $4,538
    Deferred
    $32,970
    Nontaxable benefits
    $44,855
    Filer's total
    $479,272

  • Kimberly Troland JD

    DH Gnrl Cnsl &Sys Dep Gnl Cnsl

    Total calculated
    $634,220
    From this org
    $581,281
    From related orgs
    $0
    Other
    $52,939
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $474,470
    Bonus
    $35,350
    Other
    $71,461
    Deferred
    $28,272
    Nontaxable benefits
    $24,667
    Filer's total
    $634,220

  • Maria Padin MD

    Former Officer/Chief medical Officer, CGP

    Total calculated
    $667,837
    From this org
    $0
    From related orgs
    $599,295
    Other
    $68,542
    Hours/week
    28 + 14.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $505,838 related
    Bonus
    $0 + $62,420 related
    Other
    $0 + $31,037 related
    Deferred
    $0 + $32,970 related
    Nontaxable benefits
    $0 + $35,572 related
    Filer's total
    $0 + $667,837 related

  • Peter D Solberg MD

    Chief Health Information Officer - Former

    Total calculated
    $665,646
    From this org
    $0
    From related orgs
    $588,556
    Other
    $77,090
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $478,082 related
    Bonus
    $0 + $62,100 related
    Other
    $0 + $48,374 related
    Deferred
    $0 + $32,970 related
    Nontaxable benefits
    $0 + $44,120 related
    Filer's total
    $0 + $665,646 related

  • Staci Hermann PHARMD MS

    Former Chief Pharmacy Officer

    Total calculated
    $132,997
    From this org
    $122,608
    From related orgs
    $0
    Other
    $10,389
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $114,027
    Bonus
    $0
    Other
    $8,581
    Deferred
    $5,984
    Nontaxable benefits
    $4,405
    Filer's total
    $132,997

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Discretionary spending account
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • BENEFICIAL INTEREST TRUSTS (2)

    Trust · CHARITABLE TRUST · NH · 100% owned · share of income $0 · share of assets $0

    Directly controlled by MHMH

Provenance

Return type
form_990
Tax year
2024
Filed
8 June 2026
IRS schema version
2024v5.1
Source object
202611599349301226

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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