DARTMOUTH-HITCHCOCK CLINIC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: DARTMOUTH-HITCHCOCK CLINIC (EIN 22-2519596)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-06-15
IRS object ID: 202611669349300851
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-06-15T06:59:11+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4801 Olympia Park Plaza Suite 4000	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402412098	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	222519596	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Dartmouth-Hitchcock Clinic	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	DART	BusinessNameControlTxt
Phone	6036531154	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Medical Center Drive	AddressLine1Txt
City	Lebanon	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03756	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Wendy Fielding	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6036531154	PhoneNum
Signature	2026-06-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum
Preparation	2026-06-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Joanne M Conroy MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Medical Center Drive	AddressLine1Txt
City	Lebanon	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03756	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$933,976,465	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.dartmouth-hitchcock.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	Advancing health through research, education, clinical practice, and community partnerships; providing each person the best care in the right place, at the right time, every time	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	6428	TotalEmployeeCnt
Total Volunteers	294	TotalVolunteersCnt
Total Gross UBI	$432,215	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$33,494,462	PYContributionsGrantsAmt
CY Contributions Grants	$50,924,952	CYContributionsGrantsAmt
PY Program Service Revenue	$715,988,014	PYProgramServiceRevenueAmt
CY Program Service Revenue	$758,353,553	CYProgramServiceRevenueAmt
PY Investment Income	-$18,392	PYInvestmentIncomeAmt
CY Investment Income	$46,262	CYInvestmentIncomeAmt
PY Other Revenue	$126,332,574	PYOtherRevenueAmt
CY Other Revenue	$124,651,698	CYOtherRevenueAmt
PY Total Revenue	$875,796,658	PYTotalRevenueAmt
CY Total Revenue	$933,976,465	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,941,542	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,334,056	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$453,561,574	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$446,552,832	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$211,112	CYTotalFundraisingExpenseAmt
PY Other Expenses	$442,250,214	PYOtherExpensesAmt
CY Other Expenses	$581,620,249	CYOtherExpensesAmt
PY Total Expenses	$899,753,330	PYTotalExpensesAmt
CY Total Expenses	$1,032,507,137	CYTotalExpensesAmt
PY Revenues Less Expenses	-$23,956,672	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$98,530,672	CYRevenuesLessExpensesAmt
Total Assets BOY	$285,053,857	TotalAssetsBOYAmt
Total Assets EOY	$303,009,481	TotalAssetsEOYAmt
Total Liabilities BOY	$689,041,833	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$787,244,073	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$403,987,976	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$484,234,592	NetAssetsOrFundBalancesEOYAmt
Mission	WE ADVANCE HEALTH THROUGH RESEARCH, EDUCATION, CLINICAL PRACTICE, AND COMMUNITY PARTNERSHIPS, PROVIDING EACH PERSON THE BEST CARE, IN THE RIGHT PLACE, AT THE RIGHT TIME, EVERY TIME.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$864,439,183	ExpenseAmt
Grant	$4,334,056	GrantAmt
Revenue	$880,576,924	RevenueAmt
Desc	Dartmouth-Hitchcock Clinic (DHC) is a not-for-profit organization as described in Section 501(c)(3) of the Internal Revenue Code (Code) and is exempt from federal income taxes on related income, pursuant to Section 501(a) of the Code. DHC and its subsidiaries form a multispecialty physician practice which operates throughout New Hampshire and Vermont and provides both medical services to patients and medical education and research. Health care services provided during fiscal year 2025 resulted in 1,487,233 office visits, with 351,992 unique patients served. The promotion of health through the medical practice activities of DHC provides the basis for the organization's tax-exempt status. DHC operates as an integral component of (and is fully owned by) Dartmouth-Hitchcock Health (D-HH), (continued on schedule o)	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$44,753,811	ExpenseAmt
Revenue	$1,495,276	RevenueAmt
Desc	As a component of an integrated academic medical center, Dartmouth-Hitchcock Clinic (DHC) provides significant support for academic and research programs through its support of the Geisel School of Medicine at Dartmouth College (GSM). DHC provides support for physicians' unpaid teaching time as part of its community benefit initiatives, consisting of the time physicians spend providing clinical supervision and education for residents and medical students. In addition, DHC 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 Mary Hitchcock Memorial Hospital (MHMH) and GSM. Other community benefit initiatives include subsidizing the costs of providing medical and clinical education to professionals across New Hampshire, Vermont, and beyond as well as uncompensated costs of academic and medical research activities.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$909,192,994	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	6428	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	6036531154	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Medical Center Drive	AddressLine1Txt
City	Lebanon	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03756	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David P Paul
Trustee / Secretary/Treasurer	0.8	1.8	Yes (X)	Yes (X)	$0	$0	$0
Joanne M Conroy MD
Trustee, Ex-Officio, CEO	16.2	39.9	Yes (X)	Yes (X)	$2,473,236	$0	$52,662
ROBERTA L HINES MD
TRUSTEE / Chair	1.5	2.0	Yes (X)	Yes (X)	$0	$0	$0
Celestina M Dooley-Jones PHD
Trustee	0.8	0.8	Yes (X)		$0	$0	$0
Duane A Compton PHD
Trustee / Ex-Officio	0.8	1.7	Yes (X)		$0	$0	$0
Emily Zeitler
Staff Physician/Trustee (as of 1/1/25)	28.0	12.0	Yes (X)		$516,001	$0	$69,972
Gary V Desir
Trustee	0.8	0.8	Yes (X)		$0	$0	$0
Geraldine Bednash PHD RN FAAN
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Jason T Garbarino DNP RN GERO-BC
Trustee (as of 1/18/25)	0.8	1.3	Yes (X)		$0	$0	$0
Jennifer L Moyer MBA
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Jonathan B Thyng MD
Trustee/Medical Director	12.0	28.0	Yes (X)		$378,761	$0	$77,043
Keith Loud MD
Trustee /VP Svc Ln & Dept Chair - Pedi	40.0	0.1	Yes (X)		$543,027	$0	$70,523
Laura Chiang
Trustee / Physician	12.0	28.0	Yes (X)		$417,975	$0	$67,621
Laurel J Richie
Trustee (as of 1/1/25)	0.8	1.3	Yes (X)		$0	$0	$0
M Elyse Allan
Trustee		0	Yes (X)		$0	$0	$0
Marcus Coe MD
GME Program Director/Trustee	40.0	0.1	Yes (X)		$836,390	$0	$70,093
Mark S Speers MBA
Trustee	0.8	0.8	Yes (X)		$0	$0	$0
Nancy M Dunbar MD
Trustee / Physician (Through 12/31/24)	12.0	28.0	Yes (X)		$394,799	$0	$70,831
Sherri C Oberg
Trustee	0.8	0.8	Yes (X)		$0	$0	$0
Aimee M Claiborne
Chief Human Resource Officer	12.0	28.5		Yes (X)	$0	$670,485	$53,691
Edward J Merrens MD
Chief Clinical Officer	12.0	29.0		Yes (X)	$1,051,727	$0	$49,303
John Kacavas
Chief Legal Officer	12.0	31.0		Yes (X)	$0	$792,086	$53,353
Matthew Haag
Chief Development Officer	12.0	28.5		Yes (X)	$0	$517,588	$43,749
Patrick F Jordan III MBA
Chief Operating Officer - DHC (through 6/21/25)	12.0	31.5		Yes (X)	$0	$1,132,708	$79,260
Stephen LeBlanc
Chief Strategy Officer	12.0	31.0		Yes (X)	$1,016,111	$0	$69,299
Susan A Reeves EDD RN
Executive VP (medical center)	12.0	28.0		Yes (X)	$0	$216,596	$12,996
Wendy Fielding
Chief Financial Officer	12.0	29.5		Yes (X)	$0	$537,524	$68,364
David F Duncan
System VP - Facilities Mgmt	12.0	29.0			$0	$367,601	$47,168	Yes (X)
Simon C Hillier
Dept Chair ANESTHESIOLOGY	12.0	28.0			$433,831	$0	$68,285	Yes (X)
Tracy Galvin
Chief Nursing Officer	12.0	28.0			$0	$394,259	$47,519	Yes (X)
Adam Pearson
Section Chief	40.0	0			$1,051,525	$0	$70,500		Yes (X)
John Nigriny
Physician	40.0	0			$1,299,631	$0	$78,056		Yes (X)
Linton Evans
GME Program Director	40.0	0			$1,161,802	$0	$28,463		Yes (X)
Lixia Z Ellis
Physician	40.0	0			$1,332,481	$0	$64,786		Yes (X)
Matthew LeBoeuf
Physician	12.0	28.0			$1,180,803	$0	$44,542		Yes (X)
Daniel P Jantzen
CFO D-HH/Former CFO MHMH	12.0	31.0			$0	$1,184,287	$71,877			Yes (X)
David Gladstone MD
CHF CLNCL PHYSCN - RADIOLOGY-FORMER DHC	40.0	0.0			$171,236	$0	$10,274			Yes (X)
Kimberly Troland JD
Former Interim Chief Legal Officer	0.0	40.0			$0	$581,281	$52,939			Yes (X)
Maria Padin MD
Former Officer/Chief medical Officer, CGP	12.0	30.5			$599,295	$0	$68,542			Yes (X)
Peter D Solberg MD
Chief Health Information Officer (DHC) - Former	40.0	0.0			$588,556	$0	$77,090			Yes (X)
Staci Hermann PHARMD MS
Former Chief Pharmacy Officer	0.0	40.0			$0	$122,608	$10,389			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,447,187	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,517,023	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,649,190	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2223	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$33,547,156	GovernmentGrantsAmt
All Other Contributions	$17,377,796	AllOtherContributionsAmt
Total Contributions	$50,924,952	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621300	$659,912,408	$659,912,408
PHARMACY INCOME	446110	$98,441,145	$98,441,145

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$758,353,553	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,230	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,722	UnrelatedBusinessRevenueAmt
Exclusion	$37,508	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,032	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$6,032	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,032	TotalRevenueColumnAmt
Exclusion	$6,032	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CONTRACTED REVENUE	621300	$108,212,518	$107,783,025	$429,493
CAFETERIA INCOME	722514	$503,558			$503,558
OTHER REVENUE	621300	$15,935,622	$15,935,622

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$124,651,698	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$933,976,465	TotalRevenueColumnAmt
Related Or Exempt Func Income	$882,072,200	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$432,215	UnrelatedBusinessRevenueAmt
Exclusion	$547,098	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$4,100,226	TotalAmt
Program Services	$4,100,226	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$162,539	TotalAmt
Program Services	$162,539	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$71,291	TotalAmt
Program Services	$71,291	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,914,415	TotalAmt
Program Services	$1,644,388	ProgramServicesAmt
Management And General	$3,058,915	ManagementAndGeneralAmt
Fundraising	$211,112	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,017,352	TotalAmt
Program Services	$240,808	ProgramServicesAmt
Management And General	$776,544	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$348,933,709	TotalAmt
Program Services	$300,483,763	ProgramServicesAmt
Management And General	$48,449,946	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$23,921,838	TotalAmt
Program Services	$20,572,781	ProgramServicesAmt
Management And General	$3,349,057	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$45,332,022	TotalAmt
Program Services	$39,010,179	ProgramServicesAmt
Management And General	$6,321,843	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,433,496	TotalAmt
Program Services	$19,292,835	ProgramServicesAmt
Management And General	$3,140,661	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,680,466	TotalAmt
Program Services	$59,801	ProgramServicesAmt
Management And General	$1,620,665	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$292,131	TotalAmt
Program Services	$53,763	ProgramServicesAmt
Management And General	$238,368	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$70,724,101	TotalAmt
Program Services	$64,227,636	ProgramServicesAmt
Management And General	$6,496,465	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,174,357	TotalAmt
Program Services	$25,167	ProgramServicesAmt
Management And General	$1,149,190	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,554,705	TotalAmt
Program Services	$6,556,062	ProgramServicesAmt
Management And General	$3,998,643	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,920,181	TotalAmt
Program Services	$1,162,816	ProgramServicesAmt
Management And General	$11,757,365	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,582,210	TotalAmt
Program Services	$771,136	ProgramServicesAmt
Management And General	$8,811,074	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,632,646	TotalAmt
Program Services	$1,124,328	ProgramServicesAmt
Management And General	$508,318	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$182,070	TotalAmt
Program Services	$151,011	ProgramServicesAmt
Management And General	$31,059	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,053,433	TotalAmt
Program Services	$59,261	ProgramServicesAmt
Management And General	$7,994,172	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,143,880	TotalAmt
Program Services	$1,077,713	ProgramServicesAmt
Management And General	$2,066,167	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,213,234	TotalAmt
Program Services	$4,970,587	ProgramServicesAmt
Management And General	$1,242,647	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$239,671,323	$237,230,726	$2,440,597
EQUIP REPAIR & MAINTENANCE	$9,198,913	$3,017,347	$6,181,566
ACADEMIC, GME, TEACHING & SUPPORT	$3,611,037	$3,049,882	$561,155
RECRUITMENT COSTS	$869,722	$27,088	$842,634

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$202,115,840	TotalAmt
Program Services	$200,049,860	ProgramServicesAmt
Management And General	$2,065,980	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,032,507,137	TotalAmt
Program Services	$909,192,994	ProgramServicesAmt
Management And General	$123,103,031	ManagementAndGeneralAmt
Fundraising	$211,112	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$2,502,650	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$649	BOYAmt
EOY	$11,247	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,652,795	BOYAmt
EOY	$4,318,413	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$68,044	BOYAmt
EOY	$70,131	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$295,444	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,294,433	BOYAmt
EOY	$11,602,101	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$139,165,174	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$114,663,462	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$25,219,487	BOYAmt
EOY	$24,501,712	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$454,768	BOYAmt
EOY	$542,250	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$75,934,086	BOYAmt
EOY	$88,415,913	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,744,073	BOYAmt
EOY	$1,822,213	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$161,390,072	BOYAmt
EOY	$169,222,851	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$285,053,857	BOYAmt
EOY	$303,009,481	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$435,456,959	BOYAmt
EOY	$509,609,286	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
EOY	$10,485,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,138,419	BOYAmt
EOY	$700,353	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$252,446,455	BOYAmt
EOY	$266,449,434	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$689,041,833	BOYAmt
EOY	$787,244,073	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$405,855,169	BOYAmt
EOY	-$486,297,233	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,867,193	BOYAmt
EOY	$2,062,641	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$403,987,976	BOYAmt
EOY	-$484,234,592	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$285,053,857	BOYAmt
EOY	$303,009,481	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$98,530,672	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$486,432	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$17,797,624	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$74,843,390	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$39,587,886	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$41,922,401	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$33,494,462	CurrentTaxYearMinus1YearAmt
Current Tax Year	$50,924,951	CurrentTaxYearAmt
Total	$240,773,090	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$545,666,182	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$570,079,194	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$594,533,735	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$841,234,689	CurrentTaxYearMinus1YearAmt
Current Tax Year	$882,072,200	CurrentTaxYearAmt
Total	$3,433,586,000	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$620,509,572	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$609,667,080	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$636,456,136	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$874,729,151	CurrentTaxYearMinus1YearAmt
Current Tax Year	$932,997,151	CurrentTaxYearAmt
Total	$3,674,359,090	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$3,674,359,090	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$909,298	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$963,456	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$902,261	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,913	CurrentTaxYearMinus1YearAmt
Current Tax Year	$37,508	CurrentTaxYearAmt
Total	$2,814,436	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$909,298	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$963,456	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$902,261	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,913	CurrentTaxYearMinus1YearAmt
Current Tax Year	$37,508	CurrentTaxYearAmt
Total	$2,814,436	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$338,902	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$388,346	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$436,994	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$417,914	CurrentTaxYearMinus1YearAmt
Current Tax Year	$503,558	CurrentTaxYearAmt
Total	$2,085,714	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$621,757,772	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$611,018,882	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$637,795,391	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$875,148,978	CurrentTaxYearMinus1YearAmt
Current Tax Year	$933,538,217	CurrentTaxYearAmt
Total	$3,679,259,240	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99867	PublicSupportCY509Pct
Public Support PY509	0.99822	PublicSupportPY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Investment Income PY	0.0	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part III, Line 12 Other Income	FormAndLineReferenceDesc
Explanation	DESCRIPTION - OTHER INCOME, COLUMN A - 338902.0, COLUMN B - 388346.0, COLUMN C - 436994.0, COLUMN D - 417914.0, COLUMN E - 503558.0, COLUMN F - 2085714.0;	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$69,384	OtherActivitiesAmt
Total Lobbying Expenditures	$69,384	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	LINE 1I DHC PAYS DUES TO VARIOUS ORGANIZATIONS RELATED TO ITS EXEMPT MISSION. THE AMOUNT REPORTED UNDER OTHER ACTIVITIES ON LINE 1I REFERS TO THE AMOUNT OF LOBBYING ACTIVITIES IDENTIFIED IN DUES PAYMENTS TO OUTSIDE ORGANIZATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,798,955	BeginningYearBalanceAmt
Investment Earnings Or Losses	$199,475	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,032	OtherExpendituresAmt
End Year Balance	$1,994,398	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,612,990	BeginningYearBalanceAmt
Investment Earnings Or Losses	$192,149	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,184	OtherExpendituresAmt
End Year Balance	$1,798,955	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,522,069	BeginningYearBalanceAmt
Investment Earnings Or Losses	$97,122	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,201	OtherExpendituresAmt
End Year Balance	$1,612,990	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,705,532	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$116,575	InvestmentEarningsOrLossesAmt
Other Expenditures	$66,888	OtherExpendituresAmt
End Year Balance	$1,522,069	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,360,094	BeginningYearBalanceAmt
Investment Earnings Or Losses	$368,174	InvestmentEarningsOrLossesAmt
Other Expenditures	$22,736	OtherExpendituresAmt
End Year Balance	$1,705,532	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.501	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.499	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,505,032	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$18,634,179	OtherCostOrOtherBasisAmt
Book Value	$21,139,211	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$73,965,665	OtherCostOrOtherBasisAmt
Depreciation	$70,603,164	DepreciationAmt
Book Value	$3,362,501	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,567,760	OtherCostOrOtherBasisAmt
Depreciation	$27,567,760	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,492,538	OtherCostOrOtherBasisAmt
Depreciation	$16,492,538	DepreciationAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$24,501,712	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Closely-held equity interests
Financial derivatives
Investment in Pooled Funds	$2,021,858	F
INVESTMENT IN CAPTIVE	$86,394,055	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$88,415,913	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DHC 457(B) PLAN ASSETS	$169,222,851
DUE FROM AFFILIATE
OTHER MISC ASSETS
ESTIMATED THIRD PARTY SETTLEMENT

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$169,222,851	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Federal Income Taxes
ACCRUED POST RETIREMENT PENSION	$145,975,542
RESERVES FOR INSURANCE RELATED LOSS	$113,969,380
ESTIMATED THIRD PARTY SETTLEMENT	$6,503,503
DUE TO AFFILIATE	$1,009

Field	Value	IRS element (for citing)
Total Liability	$266,449,434	TotalLiabilityAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 ASC 740 (FIN 48) FOOTNOTE	NO ASC 740 (FIN 48) FOOTNOTE WAS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS AS THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AT OR SINCE ADOPTION.
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE ENDOWMENT FUND WAS ESTABLISHED TO PROVIDE RESEARCH AND CLINICAL SUPPORT FOR THE CARDIOTHORACIC SURGERY CHAIR AT DARTMOUTH-HITCHCOCK CLINIC

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (5 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	0	Investments	$86,394,055
South Asia	2	Program Services	$4,238	DOCTORS HELPED TO LAUNCH LIFE SAVING EMERGENCY MEDICAL EDUCATION TO BHUTAN
Europe (Including Iceland and Greenland)	0	Grant to recipients located in the region	$32,672
North America (Canada & Mexico only)	0	Fundraising,Grant to recipients located in the region	$29,325
Sub-Saharan Africa	2	Fundraising,Program Services,Grant to recipients located in the region	$80,016	PROVIDERS WENT TO RWANDA TO HELP TRAIN AND DELIVER EMDOSCOPIC CARE ALONGSIDE RWANDAN PEERS.

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	4	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	4	TotalEmployeeCnt
Subtotal Spent	$86,540,306	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$86,540,306	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (4 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Valuation Method UsedValuationMethodUsedDesc
Sub-Saharan Africa	PROGRAM SUPPORT	$32,131	CASH	FMV
Europe (Including Iceland and Greenland)	PROGRAM SUPPORT	$19,960	CASH	FMV
Europe (Including Iceland and Greenland)	PROGRAM SUPPORT	$12,713	CASH	FMV
North America (Canada & Mexico only)	PROGRAM SUPPORT	$6,487	CASH	FMV

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds	THE CLINIC PROVIDES UNRESTRICTED PROGRAM SUPPORT FOR CERTAIN FOREIGN ORGANIZATIONS. PROGRAM SUPPORT TO SPECIFIC ORGANIZATIONS IS 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

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (82 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Advance Transit
PO Box 1027	Wilder	VT	05088	222558708	501(c)3	$39,718	FMV	CHARITABLE PROGRAM SUPPORT
American Cancer Society
2 Commerce Drive Suite 110	BEDFORD	NH	03110	131788491	501(c)3	$10,400	FMV	PROGRAM SUPPORT
American Heart Association
POBox 1590	Hagerstown	MD	217411590	135613797	501(c)3	$13,000	FMV	CHARITABLE PROGRAM SUPPORT
Amoskeag Health
145 Hollis Street	MANCHESTER	NH	03101	020458174	501(c)3	$7,800	FMV	PROGRAM SUPPORT
BAYLOR COLLEGE OF MEDICINE
PO BOX 301207	DALLAS	TX	753031207	741613878	501(c)3	$5,310	FMV	CHARITABLE RESEARCH
BOARD OF REGENTS OF UNIV OF NEBRASKA
UNIV OF NEBRASKA MEDICAL CENTER	OMAHA	NE	681985045	470049123	STATE OF NE	$15,012	FMV	EDUCATIONAL SERVICES	985045 NEBRASKA MED CTR
BOSTON MEDICAL CENTER
ATTN ELTA ETIENNE	BOSTON	MA	02118	043314093	501(c)3	$13,172	FMV	CHARITABLE RESEARCH	660 HARRISON AVE GAMBRO 2
CASE WESTERN RESERVE UNIVERSITY
PO BOX 92910	CLEVELAND	OH	44194	341018992	501(C)3	$11,808	FMV	EDUCATIONAL SERVICES
CENTERSTONE RESEARCH INSTITUTE INC
44 VANTAGE WAY	NASHVILLE	TN	372197520	262505456	501(c)3	$34,336	FMV	CHARITABLE RESEARCH
CHILDREN'S HOSPITAL OF PHILADELPHIA
LOCKBOX 7932	PHILADELPHIA	PA	191787932	042774441	501(c)3	$29,789	FMV	CHARITABLE RESEARCH
COLBY-SAWYER COLLEGE
FINANCIAL SERVICES	NEW LONDON	NH	03257	020222120	STATE OF NH	$19,691	FMV	EDUCATIONAL SERVICES	541 MAIN STREET
COMMUNITY COLLEGE SYSTEM NEW HAMPSHIRE
C/O RIVER VALLEY COMM COLLEGE	CLAREMONT	NH	037439707	900531902	STATE OF NH	$17,964	FMV	EDUCATIONAL SERVICES	ONE COLLEGE DRIVE
Community Nurse Connection
PO Box 1302	LEBANON	NH	03766	831224873	501(c)3	$6,500	FMV	CHARITABLE PROGRAM SUPPORT
DANA-FARBER CANCER INSTITUTE INC
PO BOX 412846	BOSTON	MA	022412846	042263040	501(c)3	$10,893	FMV	CHARITABLE PROGRAM SUPPORT
Early Care and Education Association
Po Box 5428	WEST LEBANON	NH	03784	853076751	501(c)3	$19,500	FMV	PROGRAM SUPPORT
FAMILIES FLOURISH NORTHEAST INC
235 Whitford Street	MANCHESTER	NH	03104	844591232	501(c)3	$14,318	FMV	PROGRAM SUPPORT
Good Neighbor Health Clinic
POBox 1250	WHITE RIVER JUNCTION	VT	05001	030346949	501(c)3	$13,000	FMV	PROGRAM SUPPORT
Grafton County Senior Citizens Council
10 Campbell St	LEBANON	NH	03766	237248316	501(c)3	$5,980	FMV	PROGRAM SUPPORT
GRANITE UNITED WAY
22 CONCORD STREET	MANCHESTER	NH	03101	026006033	501(c)3	$30,232	FMV	EDUCATIONAL SERVICES
HEADREST INC
141 MASCOMA STREET	LEBANON	NH	03766	237256865	501(c)3	$17,177	FMV	CHARITABLE PROGRAM SUPPORT
HIVHCV Resource Center
2 Blacksmith Street	LEBANON	NH	03766	223104237	501(c)3	$5,850	FMV	PROGRAM SUPPORT
INDIANA INSTITUTE FOR MEDICAL RESEARCH
PO BOX 47769	INDIANAPOLIS	IN	46247	351781809	501(c)3	$18,135	FMV	CHARITABLE RESEARCH
JOHNS HOPKINS UNIVERSITY
3910 KESWICK ROAD N4327-B	BALTIMORE	MD	21211	520595110	501(c)3	$125,648	FMV	EDUCATIONAL SERVICES
KAISER FOUNDATION RESEARCH INSTITUTE
KAISER FOUNDATION HOSPITAL	LOS ANGELES	CA	900748165	941105628	501(c)3	$264,415	FMV	CHARITABLE RESEARCH	P O BOX 748165
LISTEN COMMUNITY SERVICES
60 HANOVER ST	LEBANON	NH	03766	237225952	501(c)3	$32,599	FMV	CHARITABLE PROGRAM SUPPORT
LITTLE RIVERS HEALTHCARE INC
4628 Main Street	Newbury	VT	05051	161678092	501(c)3	$8,808	FMV	CHARITABLE PROGRAM SUPPORT	POBox 8
MAGEE-WOMENS RESEARCH INSTITUTE AND FDN
3240 CRAFT PLACE	PITTSBURGH	PA	15213	251462312	501(c)3	$38,564	FMV	CHARITABLE RESEARCH
MAINE COUNCIL ON AGING
PO BOX 988	BRUNSWICK	ME	04011	461549012	501(c)3	$9,595	FMV	CHARITABLE PROGRAM SUPPORT
Mascoma Community Healthcare
PO Box 550	Canaan	NH	03741	465672753	501(c)3	$6,500	FMV	CHARITABLE PROGRAM SUPPORT
MASSACHUSETTS GENERAL HOSPITAL
100 CHARLES RIVER PLAZA STE 600	BOSTON	MA	021142792	042697983	501(c)3	$21,399	FMV	CHARITABLE PROGRAM SUPPORT
MAYO CLINIC ARIZONA
PO BOX 860334	MINNEAPOLIS	MN	554860334	860800150	501(c)3	$8,078	FMV	CHARITABLE RESEARCH
MEDICAL UNIVERSITY OF SOUTH CAROLINA
268 Calhoun Street	CHARLESTON	SC	29407	576000722	STATE OF SC	$110,761	FMV	EDUCATIONAL SERVICES
MEMORIAL SLOAN-KETTERING CANCER CENTER
PO BOX 27084	NEW YORK	NY	100876352	131924236	501(c)3	$19,646	FMV	CHARITABLE RESEARCH
Mt Ascutney Hospital and Health Center
289 COUNTY RD	WINDSOR	VT	05089	030183721	501(c)3	$7,800	FMV	CHARITABLE RESEARCH
NAVAL HEALTH RESEARCH CENTER
140 SYLVESTER ROAD	SAN DIEGO	CA	92106	800520146	501(c)3	$66,632	FMV	CHARITABLE RESEARCH
NEW HAMPSHIRE LEGAL ASSISTANCE
117 NORTH STATE STREET	CONCORD	NH	03301	020300897	501(c)3	$34,462	FMV	CHARITABLE PROGRAM SUPPORT
NEW YORK UNIVERSITY
433 FIRST AVENUE 6TH FLOOR	New York	NY	10010	135562308	STATE OF NY	$17,233	FMV	EDUCATIONAL SERVICES
NORTH COUNTRY HEALTH CONSORTIUM INC
262 COTTAGE STREET	LITTLETON	NH	03561	020503184	501(c)3	$50,866	FMV	CHARITABLE PROGRAM SUPPORT
NORTHEASTERN VT REGIONAL HOSPITAL
PO BOX 905	ST JOHNSBURY	VT	058190905	036013761	501(c)3	$7,174	FMV	CHARITABLE PROGRAM SUPPORT
NORTHWESTERN UNIVERSITY
633 NORTH ST CLAIR STREET	CHICAGO	IL	60611	362167817	501(c)3	$19,653	FMV	CHARITABLE EDUCATIONAL SERVICES
OREGON CLINIC PC
847 NE 19TH AVENUE	PORTLAND	OR	97232	931127856	501(c)3	$37,857	FMV	CHARITABLE RESEARCH
OREGON HEALTH & SCIENCE UNIVERSITY
PO BOX 575	PORTLAND	OR	97207	931176109	501(c)3	$67,533	FMV	CHARITABLE EDUCATIONAL SERVICES
PUBLIC HEALTH COUNC OF THE UPPER VALLEY
ONE COURT STREET	LEBANON	NH	03766	752991608	501(c)3	$5,934	FMV	CHARITABLE PROGRAM SUPPORT
PUBLIC HEALTH COUNC OF THE UPPER VALLEY
ONE COURT STREET	LEBANON	NH	03766	752991608	501(c)3	$10,400	FMV	CHARITABLE PROGRAM SUPPORT
RECTOR & VISITORS OF UNIV OF VIRGINIA
JOHN W STEINKE	CHARLOTTESVILLE	VA	229081355	546001796	STATE OF VA	$10,709	FMV	EDUCATIONAL SERVICES	PO BOX 801355
RHODE ISLAND HOSPITAL
PO BOX 373	PROVIDENCE	RI	02901	050258954	501(c)3	$6,468	FMV	CHARITABLE RESEARCH
RUTGERS THE STATE UNIVERSITY OF NJ
33 KNIGHTSBRIDGE ROAD	PISCATAWAY	NJ	08854	226001086	501(c)3	$6,375	FMV	EDUCATIONAL SERVICES
SEVEN COUNTIES SERVICES INC
ATTN ACCTS RECEIVABLE	LOUISVILLE	KY	40223	310939757	501(c)3	$63,405	FMV	CHARITABLE RESEARCH	10401 LINN STATION RD
SINAI HOSPITAL OF BALTIMORE INC
2401 W BELVEDERE AVENUE	BALTIMORE	MD	21215	520486540	501(c)3	$13,903	FMV	CHARITABLE RESEARCH
Southeast Vermont Transit Inc
706 Rockingham Road	ROCKINGHAM	VT	05101	030353976	501(c)3	$7,800	FMV	PROGRAM SUPPORT
STANFORD UNIVERSITY
ADMINISTRATION	LOS ANGELES	CA	900884253	941156365	501(c)3	$17,639	FMV	CHARITABLE PROGRAM SUPPORT	PO BOX 884253
THE BRIGHAM AND WOMEN'S HOSPITAL INC
75 FRANCIS ST	BOSTON	MA	02115	042312909	501(c)3	$19,838	FMV	CHARITABLE RESEARCH
THE FAMILY RESOURCE CENTER AT GORHAM
123 MAIN STREET STE 1	GORHAM	NH	03581	043383141	501(c)3	$5,647	FMV	CHARITABLE PROGRAM SUPPORT
TRUSTEES OF DARTMOUTH COLLEGE
CASHIERS OFFICE / AR	HANOVER	NH	03755	020222111	501(c)3	$80,867	FMV	CHARITABLE EDUCATIONAL SERVICES	6132 MCNUTT RM 103
THE UNIVERSITY OF TEXAS HEALTH SCIENCE
CENTER AT SAN ANTONIO	SAN ANTONIO	TX	782293900	741586031	STATE OF TX	$44,419	FMV	EDUCATIONAL SERVICES	7703 FLOYD CURL DRIVE
Tri-Valley Transit
279 Creek Road	MIDDLEBURY	VT	05753	030335768	501(c)3	$8,415	FMV	PROGRAM SUPPORT
TRUSTEES COLUMBIA UNIVERSITY
710 W 168TH STREET	NEW YORK	NY	10032	135598093	501(c)3	$5,017	FMV	CHARITABLE EDUCATIONAL SERVICES
TRUSTEES OF DARTMOUTH COLLEGE
CASHIERS OFFICE / AR	HANOVER	NH	03755	020222111	501(c)3	$1,091,164	FMV	CHARITABLE EDUCATIONAL SERVICES	6132 MCNUTT RM 103
TRUSTEES OF THE UNIV OF PENNSYLVANIA
THE WHARTON SCHOOL	PHILADELPHIA	PA	191789726	231352685	STATE OF PA	$44,519	FMV	EDUCATIONAL SERVICES	LOCKBOX 9726
Twin Pines Housing Trust
226 Holiday Drive Suite 20	WHITE RIVER JUNCTION	VT	05001	222809527	501(c)3	$10,400	FMV	PROGRAM SUPPORT
UNIVERSITY OF ALABAMA AT BIRMINGHAM
GRANTS CONTRACTS ACCOUNTING	BIRMINGHAM	AL	352940109	636005396	STATE OF AL	$388,171	FMV	EDUCATIONAL SERVICES	1720 2ND AVE SOUTH
UNIVERSITY OF COLORADO ANSCHUTZ
UNIVERSITY OF COLORADO	AURORA	CO	80045	846000555	STATE OF CO	$34,885	FMV	EDUCATIONAL SERVICES	12801 E 17th AVE L18-10101 MAIL
UNIVERSITY OF FLORIDA
123 GRINTER HALL	GAINESVILLE	FL	32611	596002052	STATE OF FL	$35,328	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF MARYLAND
PO BOX 41428	BALTIMORE	MD	212036428	526002033	STATE OF MD	$43,024	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF MINNESOTA
PO BOX 1450	MINNEAPOLIS	MN	554855960	416007513	STATE OF MN	$28,374	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF PITTSBURGH
PO BOX 640458	PITTSBURGH	PA	152640458	250965591	STATE OF PA	$14,115	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF TEXAS SOUTHWESTERN MED CTR
5323 HARRY HINES BLVD	DALLAS	TX	752359029	756002868	STATE OF TX	$22,510	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF UTAH
GRANTS CONTRACTS ACCOUNTING	SALT LAKE CITY	UT	841129020	876000525	STATE OF UT	$9,586	FMV	EDUCATIONAL SERVICES	201 S PRESIDENTS CIR RM 406
UNIVERSITY OF VERMONT
MEDICAL CENTER	BURLINGTON	VT	05402	030179440	STATE OF VT	$15,411	FMV	EDUCATIONAL SERVICES	PO BOX 1902
UNIVERSITY OF WASHINGTON
GRANT CONTRACT ACCOUNTING	CHICAGO	IL	60693	916001537	STATE OF WA	$20,722	FMV	EDUCATIONAL SERVICES	12455 COLLECTIONS DRIVE
UNIVERSITY SYSTEM OF NEW HAMPSHIRE
5 CHANELL DRIVE	CONCORD	NH	03301	026000937	STATE OF NH	$11,078	FMV	EDUCATIONAL SERVICES
Upper Valley Haven
713 Hartford Ave	WHITE RIVER JUNCTION	VT	05001	030277908	501(c)3	$18,824	FMV	PROGRAM SUPPORT
Upper Valley Lake Sunapee Regional Planning Foundation
10 Water Street Ste 225	LEBANON	NH	037661604	834074101	501(c)3	$7,800	FMV	PROGRAM SUPPORT
VANDERBILT UNIVERSITY MEDICAL CENTER
VUMC FINANCE DEPT 1236	DALLAS	TX	753121236	352528741	501(c)3	$28,804	FMV	CHARITABLE EDUCATIONAL SERVICES
VIRGINIA COMMONWEALTH UNIVERSITY
BOX 843035	RICHMOND	VA	23219	546001758	STATE OF VA	$14,374	FMV	EDUCATIONAL SERVICES
WAKE FOREST UNIVERSITY
OFFICE OF CONT MEDICAL EDUC	WINSTONSALEM	NC	271571028	560532138	501(c)3	$10,916	FMV	EDUCATIONAL SERVICES	MEDICAL CENTER BOULEVARD
WASHINGTON UNIVERSITY
7425 FORSYTH	ST LOUIS	MO	63105	430653611	STATE OF MO	$15,893	FMV	EDUCATIONAL SERVICES
WEILL MEDICAL COLLEGE OF CORNELL
ATTN CORNELL ECHO 2001	NEW YORK	NY	10021	131623978	STATE OF VA	$55,182	FMV	EDUCATIONAL SERVICES	525 EAST 68TH ST BOX 222
WESTAT INC
PO BOX 1004 ATTN ACCOUNTS RECEIVA	ROCKVILLE	MD	20850	840529566	For Profit	$6,876	FMV	CHARITABLE RESEARCH
WILLING HANDS
198 CHURCH STREET	NORWICH	VT	05055	202204811	501(c)3	$5,590	FMV	CHARITABLE PROGRAM SUPPORT
WMU HOMER STRYKER MD SCHOOL OF MEDICINE
PO BOX 50391	KALAMAZOO	MI	490050391	454135256	501(c)3	$18,703	FMV	EDUCATIONAL SERVICES
Women's Information Service of the Upper Valley
38 Bank Street	LEBANON	NH	03766	020346512	501(c)3	$5,200	FMV	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	81	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
Awards and Educational Assistance	27	$108,424	FMV
Patient Assistance	900	$54,115	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	EACH AWARD ESTABLISHED BY DARTMOUTH-HITCHCOCK CLINIC (DHC) 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 AWARD. THE COORDINATORS OF THE PROGRAMS ARE RESPONSIBLE FOR ASSURING THAT ALL TERMS ARE MET, INCLUDING PROPER DOCUMENTATION OF EXPENSES WITH RECEIPTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Joanne M Conroy MD
Trustee, Ex-Officio, CEO	$1,685,674	$0	$552,000	$0	$235,562	$0	$32,970	$0	$19,692	$0	$2,525,898	$0	$0	$0
Nancy M Dunbar MD
Trustee / Physician (Through 12/31/24)	$363,926	$0	$0	$0	$30,873	$0	$26,070	$0	$44,761	$0	$465,630	$0	$0	$0
Laura Chiang
Trustee / Physician	$392,389	$0	$0	$0	$25,586	$0	$25,500	$0	$42,121	$0	$485,596	$0	$0	$0
Marcus Coe MD
GME Program Director/Trustee	$789,876	$0	$0	$0	$46,514	$0	$26,070	$0	$44,023	$0	$906,483	$0	$0	$0
Keith Loud MD
Trustee /VP Svc Ln & Dept Chair - Pedi	$505,321	$0	$0	$0	$37,706	$0	$32,970	$0	$37,553	$0	$613,550	$0	$0	$0
Jonathan B Thyng MD
Trustee/Medical Director	$362,780	$0	$0	$0	$15,981	$0	$32,970	$0	$44,073	$0	$455,804	$0	$0	$0
Emily Zeitler
Staff Physician/Trustee (as of 1/1/25)	$482,221	$0	$0	$0	$33,780	$0	$26,070	$0	$43,902	$0	$585,973	$0	$0	$0
Daniel P Jantzen
CFO D-HH/Former CFO MHMH	$0	$859,350	$0	$180,000	$0	$144,937	$0	$32,970	$0	$38,907	$0	$1,256,164	$0	$0
Maria Padin MD
Former Officer/Chief medical Officer, CGP	$505,838	$0	$62,420	$0	$31,037	$0	$32,970	$0	$35,572	$0	$667,837	$0	$0	$0
Kimberly Troland JD
Former Interim Chief Legal Officer	$0	$474,470	$0	$35,350	$0	$71,461	$0	$28,272	$0	$24,667	$0	$634,220	$0	$0
David Gladstone MD
CHF CLNCL PHYSCN - RADIOLOGY-FORMER DHC	$148,236	$0	$0	$0	$23,000	$0	$10,274	$0	$0	$0	$181,510	$0	$0	$0
Wendy Fielding
Chief Financial Officer	$0	$434,374	$0	$47,500	$0	$55,650	$0	$32,970	$0	$35,394	$0	$605,888	$0	$0
Aimee M Claiborne
Chief Human Resource Officer	$0	$535,867	$0	$110,000	$0	$24,618	$0	$26,070	$0	$27,621	$0	$724,176	$0	$0
Patrick F Jordan III MBA
Chief Operating Officer - DHC (through 6/21/25)	$0	$875,781	$0	$180,000	$0	$76,927	$0	$32,970	$0	$46,290	$0	$1,211,968	$0	$0
John Kacavas
Chief Legal Officer	$0	$752,457	$0	$38,400	$0	$1,229	$0	$20,700	$0	$32,653	$0	$845,439	$0	$0
Stephen LeBlanc
Chief Strategy Officer	$733,963	$0	$155,000	$0	$127,148	$0	$32,970	$0	$36,329	$0	$1,085,410	$0	$0	$0
Edward J Merrens MD
Chief Clinical Officer	$796,803	$0	$165,000	$0	$89,924	$0	$32,970	$0	$16,333	$0	$1,101,030	$0	$0	$0
Susan A Reeves EDD RN
Executive VP (medical center)	$0	$216,346	$0	$250	$0	$0	$0	$12,996	$0	$0	$0	$229,592	$0	$0
Matthew Haag
Chief Development Officer	$0	$394,030	$0	$85,000	$0	$38,558	$0	$26,070	$0	$17,679	$0	$561,337	$0	$0
Staci Hermann PHARMD MS
Former Chief Pharmacy Officer	$0	$114,027	$0	$0	$0	$8,581	$0	$5,984	$0	$4,405	$0	$132,997	$0	$0
Peter D Solberg MD
Chief Health Information Officer (DHC) - Former	$478,082	$0	$62,100	$0	$48,374	$0	$32,970	$0	$44,120	$0	$665,646	$0	$0	$0
Simon C Hillier
Dept Chair ANESTHESIOLOGY	$372,348	$0	$0	$0	$61,483	$0	$32,970	$0	$35,315	$0	$502,116	$0	$0	$0
David F Duncan
System VP - Facilities Mgmt	$0	$327,795	$0	$33,460	$0	$6,346	$0	$20,700	$0	$26,468	$0	$414,769	$0	$0
Tracy Galvin
Chief Nursing Officer	$0	$361,375	$0	$29,600	$0	$3,284	$0	$20,700	$0	$26,819	$0	$441,778	$0	$0
Lixia Z Ellis
Physician	$1,016,716	$0	$292,495	$0	$23,270	$0	$20,700	$0	$44,086	$0	$1,397,267	$0	$0	$0
John Nigriny
Physician	$1,180,120	$0	$0	$0	$119,511	$0	$32,970	$0	$45,086	$0	$1,377,687	$0	$0	$0
Matthew LeBoeuf
Physician	$1,114,968	$0	$0	$0	$65,835	$0	$15,642	$0	$28,900	$0	$1,225,345	$0	$0	$0
Linton Evans
GME Program Director	$1,100,568	$0	$0	$0	$61,234	$0	$26,070	$0	$2,393	$0	$1,190,265	$0	$0	$0
Adam Pearson
Section Chief	$995,167	$0	$0	$0	$56,358	$0	$26,070	$0	$44,430	$0	$1,122,025	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Discretionary spending account	THE ORGANIZATION HAS IN PLACE A PLAN TO SUPPORT CONTINUING MEDICAL EDUCATION. THE PLAN PROVIDES FIXED DOLLAR LIMITS PER PROVIDER PER 2-YEAR PERIOD THAT CAN BE USED TO DEFRAY THE COSTS OF OBTAINING AND ATTENDING CONTINUING MEDICAL EDUCATION EVENTS AND RELATED TRAVEL. ADDITIONALLY, THESE MONIES CAN BE USED FOR PROFESSIONAL BOOKS, LICENSES, MEMBERSHIPS, AND RELATED EXPENSES. AMOUNTS MUST BE SUBMITTED FOR APPROVAL PRIOR TO REIMBURSEMENT.
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 Daniel Jantzen $86,134 David Duncan $431 Patrick Jordan $73,201 Edward Merrens $66,150 Stephen LeBlanc $65,562 John Nigriny $94,285 Jonathan Thyng $4,800 Keith Loud $12,480 Laura Chiang $2,586 Linton Evans $61,234 Marcus Coe $46,244 Aimee Claiborne $24,576 Matthew LeBoeuf $42,655 Nancy Dunbar $7,460 Maria Padin $25,884 Simon Hillier $33,600 Kimberly Troland $29,340 Matthew Haag $14,931 Adam Pearson $56,088 Emily Zeitler $10,600 Peter Solberg $24,600
Schedule J, Part I, Line 3 ESTABLISHING COMPENSATION CEO	The process for determining compensation of the CEO is the responsibility of the Compensation Committee of Dartmouth Hitchcock Health (DHH). The compensation committee consists of the Chairperson of the Board and three or more members of the board who are elected by the board, acting upon the recommendation of the chairperson and are not employees of DHH, a related organization or a subsidiary organization of a related organization. The compensation committee determines the compensation of the CEO of DHC within ranges established by the board.
Schedule J, Part II NOTE REGARDING COMPENSATION	SCHEDULE J, PART II COLUMN B, PARTS I, II, AND III REPRESENT ACTUAL AMOUNTS PAID TO EMPLOYEES BY DHC 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NH Health and Education Facilities Authority	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	020279866	BondIssuerEIN
CUSIP	64461XMG7	CUSIPNum
Bond Issued	2025-05-28	BondIssuedDt
Issue Price	$10,560,443	IssuePriceAmt
Purpose	Land Purchase	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$10,560,443	TotalProceedsAmt
Issuance Costs From Proceeds	$75,443	IssuanceCostsFromProceedsAmt
Capital Expenditures	$10,485,000	CapitalExpendituresAmt
Substantial Completion	2025	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule K, Part I Part I, Bond A

The proceeds of this bond issue benefited the following subsidiaries of Dartmouth-Hitchcock Obligated group - Dartmouth-Hitchcock Health (EIN: 26-4812335), Alice Peck Day Memorial Hospital (EIN: 02-0222791), Mary Hitchcock Memorial Hospital (EIN: 02-0222140), Cheshire Medical Center (EIN: 02-0354549), Valley Regional Hospital, Inc. (EIN: 02-0222118), and Dartmouth-Hitchcock Clinic (EIN: 22-2519596). The portion of the issue that has been loaned to each subsidiary is being reported on that subsidiary member's schedule K.

Schedule K, Part I, Column (f) Bond A

This Form 990 Schedule K represents only the portion of the bond issue that is allocable to Dartmouth-Hitchcock Clinic. The proceeds of this portion of the issue will be used to finance capital projects and pay a portion of cost of issuance.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship With Org	Officer	RelationshipWithOrgTxt
Loan Purpose	Split Dollar Life	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$0	OriginalPrincipalAmt
Balance Due	$70,131	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$70,131	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Tung Nguyen
Family member of Trustee Laura Chiang	$686,004	Employment Compensation	false
Nina Sand Loud
Family member of Trustee Keith Loud	$222,218	Employment Compensation	false
RACHEL BLACK
FAMILY MEMBER OF FORMER OFFICER MARIA PADIN	$243,015	EMPLOYMENT COMPENSATION	false
COLLIN BLACK
FAMILY MEMBER OF FORMER OFFICER MARIA PADIN	$143,091	EMPLOYMENT COMPENSATION	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service Accomplishment	a New Hampshire not-for-profit corporation organized to support medical organizations like DHC. DHC provides the physician and advanced practice provider staff to a related affiliate, Mary Hitchcock Memorial Hospital (MHMH, also a fully-owned member of D-HH) and the related sophistication essential for the development and operations of the Hospital as the largest teaching hospital in New Hampshire and the designation by the federal government as a rural referral center for northern New England. The shared mission of DHC and MHMH 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 MHMH, DHC 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. DHC actively supports community-based health care and promotes the coordination of services among health care providers and social services organizations within the regions it serves. DHC also seeks to work collaboratively with other area health care providers to improve the health status of residents in the region. Project ECHO (Extension for Community Healthcare Outcomes) In partnership with Mary Hitchcock Memorial Hospital, DHC 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 DHC's academic, educational, and community benefit mission. DHC and MHMH jointly file an annual community benefits report with the State of New Hampshire which outlines the community and charitable benefits the two organizations provide. The complete and updated community benefits reports are available upon request; these reports can also be found on the organization's website. The broad categories used in the community benefit report to summarize the benefits mentioned here include: "financial assistance" (formerly called "charity care"), which represents services provided to patients who cannot afford health care services due to inadequate financial resources resulting from being uninsured or underinsured. For the year ended June 30, 2025, DHC provided financial assistance to 17,723 patients in the amount of $14,608,139 (as measured by gross charges). The cost of providing this care for the year ended June 30, 2024, was $13,965,815. DHC also routinely provides services to Medicaid patients at reimbursement levels that are well below the cost of the care provided. The uncompensated cost of care for Medicaid patients for the year ended June 30, 2025 was $73,468,637. Community health activities 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 Granite State Fit Kids Health Program for elementary schools, the Women's Health Resource Centers in Lebanon, NH, and Smoking Prevention and Cessation programs. This category also includes financial contributions and the donation of time and services to community programs, hospitals, and agencies. DHC 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. For the fiscal year ended June 30, 2025, DHC reported expense for bad debts of approximately $12,226,715.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The DARTMOUTH-HITCHCOCK CLINIC (DHC) board has a Governance Committee who has the authority/responsibility of the DHC Board to ensure that DHC continues to fulfill its central mission and vision. This committee has authority to act on behalf of the full Board when the need arises. The chairs of the following committees and the CEO serve on the governance committee: Board committee, Talent Development and Compensation Committee, Research and Education Committee, Finance Committee, and Value Committee.
Form 990, Part VI, Line 6 Classes of members or stockholders	DARTMOUTH-HITCHCOCK HEALTH (D-HH) IS THE SOLE CORPORATE MEMBER OF DARTMOUTH-HITCHCOCK CLINIC (DHC). D- HH HAS SPECIFIC AUTHORITY AND RESERVED POWERS, INCLUDING THE POWER TO CONFIRM THE ELECTION OF MEMBERS OF DHC'S BOARD OF TRUSTEES AND THE POWER TO APPROVE SIGNIFICANT GOVERNANCE, FINANCIAL AND OPERATIONAL DECISIONS OF DHC'S TRUSTEES.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	DARTMOUTH-HITCHCOCK HEALTH (D-HH) IS THE SOLE CORPORATE MEMBER OF DARTMOUTH-HITCHCOCK CLINIC (DHC). D-HH HAS SPECIFIC AUTHORITY AND RESERVED POWERS, INCLUDING THE POWER TO CONFIRM THE ELECTION OF MEMBERS OF DHC'S BOARD OF TRUSTEES AND THE POWER TO APPROVE SIGNIFICANT GOVERNANCE, FINANCIAL AND OPERATIONAL DECISIONS OF DHC'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 THE SYSTEM AS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM IN FURTHERANCE OF DHC'S MISSION. 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 DHC'S BOARD OF TRUSTEES, TO APPOINT OR REMOVE A MEMBER OF DHC'S BOARD OF TRUSTEES, ASSESS DHC A MONETARY AMOUNT FOR THE PAYMENT OF THE EXPENSES OF D-HH, APPROVE DHC'S BUDGET, APPROVE THE BORROWINGS OR DISPOSITIONS OF ASSETS BY DHC, 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 DHC.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORMS 990 AND 990-T ARE REVIEWED BY THE DIRECTOR OF FINANCIAL COMPLIANCE, VICE PRESIDENT OF CORPORATE FINANCE, AND BY EXTERNAL CONSULTANTS ALONG WITH THE CHIEF FINANCIAL OFFICER BEFORE THE FILING OF THE RETURN. ONCE THE RETURN HAS BEEN FULLY PREPARED, A FINAL 990 AND 990-T IS SENT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS AND RESPONSES PRIOR TO OFFICIAL FILING OF THE FORMS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE DARTMOUTH-HITCHCOCK CLINIC (DHC) BOARD OF TRUSTEES APPROVED A POLICY CONCERNING A VOLUNTARY SELF DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. DARTMOUTH-HITCHCOCK HEALTH'S 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 TRUSTEEES ON AN ONGOING BASIS. IN THE EVENT A CONFLICT ARISES, THE INDIVIDUAL INVOLVED 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 UNDER 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 15a Process to establish compensation of top management official	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 CONSULTATION WITH THE INDEPENDENT THIRD PARTY FIRM'S RECOMMENDATIONS AND SUGGESTIONS. THIS PROCESS WAS CONTEMPORANEOUSLY DOCUMENTED AND LAST UNDERTAKEN IN 2025.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	COMPENSATION FOR OFFICERS AND KEY EMPLOYEES ARE EVALUATED BY INTERNAL HUMAN RESOURCES STAFF USING NATIONAL BENCHMARKING DATA, ALONG WITH ONGOING EVALUATIONS BY AN INDEPENDENT THIRD PARTY FIRM FOR REASONABLENESS, WITH THE LAST FORMAL PROCESS IN 2025. THIS PROCESS WAS 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 - Pathology, and similar positions.
Form 990, Part VI, Line 19 Required documents available to the public	DHC'S GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE NEW HAMPSHIRE SECRETARY OF STATE. CERTAIN FINANCIAL INFORMATION IS DISCLOSED THROUGH THE COMMUNITY BENEFITS ANNUAL REPORT. THE AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST 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'S (DHC) AND MARY HITCHCOCK MEMORIAL HOSPITAL'S (MHMH) AFFILIATION AGREEMENT, THE TWO ORGANIZATIONS SHARE OFFICERS. AS SUCH, THE AVERAGE HOURS PER WEEK ARE ALLOCATED BETWEEN THE TWO ORGANIZATIONS ON THEIR FORM 990'S EVEN THOUGH COMPENSATION REPORTED IN PART VII IS BASED ON THE ENTITY ISSUING THE W-2. IN ADDITION, CERTAIN OFFICERS SPEND TIME ON DARTMOUTH-HITCHCOCK HEALTH (D-HH), THE SOLE CORPORATE MEMBER OF BOTH MHMH AND DHC, ALONG WITH TWO SUPPORTING ORGANIZATIONS: DARTMOUTH-HITCHCOCK MEDICAL CENTER (DHMC) AND HAMDEN RISK RETENTION GROUP (HAMDEN). CERTAIN OFFICERS ALSO SPEND TIME ON RELATED ENTITIES, INCLUDING ALICE PECK DAY MEMORIAL HOSPITAL (APD), WINDSOR HOSPITAL CORPORATION (DBA MOUNT ASCUTNEY HOSPITAL AND HEALTH CENTER) (MAHHC), MOUNT ASCUTNEY HOSPITAL COMMUNITY HEALTH FOUNDATION, HISTORIC HOMES OF RUNNEMEDE, CHESHIRE MEDICAL CENTER (CHESHIRE), CHESHIRE HEALTH FOUNDATION, CHESHIRE HEALTH SERVICES, THE NEW LONDON HOSPITAL ASSOCIATION (NLH), VISITING NURSE ASSOCIATION & HOSPICE OF VT AND NH (VNA), THE HITCHCOCK FOUNDATION (THF), AND SOUTHWESTERN VERMONT HEALTH CARE (SVHC).
Form 990, Part VII, Section B, Line 1 INDEPENDENT CONTRACTORS	DARTMOUTH-HITCHCOCK CLINIC (DHC) IS PART OF THE DARTMOUTH-HITCHCOCK HEALTH (D-HH) SYSTEM, WHICH INCLUDES DHC, MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH), AND ITS SUBSIDIARIES. MHMH RECEIVED AUTHORITY FROM THE INTERNAL REVENUE SERVICE TO ACT AS DHC'S PAY AGENT AND IMPLEMENTED THIS PROCESS AT THE BEGINNING OF FISCAL YEAR 2010. ALL EXPENSES ARE PAID DIRECTLY BY MHMH AND REIMBURSED BY DHC. MHMH MANAGES ALL REQUIRED IRS REPORTING RELATED TO THESE DISBURSEMENTS.
Form 990, Part IX, Column (A) STATEMENT OF FUNCTIONAL EXPENSES	MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) AND DARTMOUTH-HITCHCOCK CLINIC (DHC) OPERATE UNDER AN AFFILIATION AGREEMENT AS DIRECTED BY DARTMOUTH-HITCHCOCK HEALTH (D-HH), THE SOLE CORPORATE MEMBER OF BOTH ENTITIES. DUE TO THE INTEGRATED OPERATING STRUCTURE, RELATED MISSION, AND CLOSE RELATIONSHIP OF DHC AND MHMH, EXPENSES ARE SHARED BETWEEN THE TWO ENTITIES. ALL EXPENSES REPORTED WITHIN THIS FORM 990 ARE DHC'S SHARE OF EXPENSES AS DESIGNATED BY THE AFFILIATION AGREEMENT.
Form 990, Part IX, Line 11g Other Expenses	OTHER - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 2065980, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	NET ASSET RELEASED FROM RESTRICTED - 17797624; Total - 17797624;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RENAISSANCE PSYCHIATRY OF NEW ENGLAND	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	813076466	EIN
Primary Activities	PSYCHIATRY SERVICES	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd
Total Income	-$309,927	TotalIncomeAmt
End Of Year Assets	$698,404	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Dartmouth-Hitchcock Clinic	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MARY HITCHCOCK MEMORIAL HOSPITAL
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020222140	HOSPITAL	NH	501(c)(3)	3	D-HH	false
HITCHCOCK FOUNDATION
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020222139	HeaLTH CaRE ReSeaRCH	NH	501(c)(3)	7	DHC	Yes (true)
HAMDEN ASSURANCE RISK RETENTION GROUP INC
30 MAIN STREET STE 330	BURLINGTON	VT	05401	208530788	SELF INSURANCE	VT	501(c)(3)	Type I	DHC	Yes (true)
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
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	SUPPORT ORGANIZATION	NH	501(c)(3)	Type II	D-HH	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
POMPANOOSUC INVESTMENT CORPORATION
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020352330	REAL ESTATE HOLDING	NH	Dartmouth-Hitchcock Clinic	C Corporation	-$120	$75,632	1	Yes (true)
HAMDEN ASSURANCE CO LTD
				980121409	LIABILITY INSURANCE		Dartmouth-Hitchcock Clinic	C Corporation	$0	$74,355,288	0.702	Yes (true)	3 GORHAM ROAD	HAMILTON	BD	BD

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HITCHCOCK FOUNDATION
O	$417,743	FMV
HAMDEN ASSURANCE RISK RETENTION GROUP INC
M	$7,300,572	FMV