DARTMOUTH-HITCHCOCK CLINIC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: DARTMOUTH-HITCHCOCK CLINIC (EIN 22-2519596)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-09
IRS object ID: 202331299349301133
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-09T14:00:18+00:00	ReturnTs
Tax Period End	2022-06-30	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	9600 Brownsboro Road Suite 400	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402413902	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	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 E Fielding	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2023-05-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Wendy E	PersonFirstNm
Person Last	Fielding	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	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	$611,637,719	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	21	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	6084	TotalEmployeeCnt
Total Volunteers	429	TotalVolunteersCnt
Total Gross UBI	$674,861	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$74,843,390	PYContributionsGrantsAmt
CY Contributions Grants	$39,587,886	CYContributionsGrantsAmt
PY Program Service Revenue	$407,746,462	PYProgramServiceRevenueAmt
CY Program Service Revenue	$431,755,697	CYProgramServiceRevenueAmt
PY Investment Income	$995,284	PYInvestmentIncomeAmt
CY Investment Income	-$31,124	CYInvestmentIncomeAmt
PY Other Revenue	$139,794,708	PYOtherRevenueAmt
CY Other Revenue	$140,312,712	CYOtherRevenueAmt
PY Total Revenue	$623,379,844	PYTotalRevenueAmt
CY Total Revenue	$611,625,171	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,877,220	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,939,176	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$346,742,249	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$364,509,067	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$165,674	CYTotalFundraisingExpenseAmt
PY Other Expenses	$241,103,374	PYOtherExpensesAmt
CY Other Expenses	$292,073,756	CYOtherExpensesAmt
PY Total Expenses	$591,722,843	PYTotalExpensesAmt
CY Total Expenses	$660,521,999	CYTotalExpensesAmt
PY Revenues Less Expenses	$31,657,001	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$48,896,828	CYRevenuesLessExpensesAmt
Total Assets BOY	$263,269,510	TotalAssetsBOYAmt
Total Assets EOY	$244,752,235	TotalAssetsEOYAmt
Total Liabilities BOY	$510,349,111	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$558,910,192	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$247,079,601	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$314,157,957	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	$529,150,773	ExpenseAmt
Grant	$3,939,176	GrantAmt
Revenue	$567,650,962	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 group 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 2022 resulted in 1,365,500 office visits recorded by DHC personnel, with 337,086 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), 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 and only 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. DHC, MHMH, and Cheshire Medical Center (Cheshire) played key roles in the state-wide federally-funded delivery system reform incentive program (DSRIP) from 2016 - 2021. This NH program was funded from 2016 - 2020, but grant funding was able to be carried over for an additional year of interventions and all work was completed by 31st of December, 2021. Dartmouth-Hitchcock Clinic and Cheshire Medical Center co-sponsored the development of an integrated delivery network which brought health systems, community mental health centers, and social service organizations together to collaborate on improving health for Medicaid beneficiaries with mental health diseases and/or substance use disorders. While DSRIP funding has now expired, this work laid the foundation for ongoing programming and in August 2021, MHMH was awarded a HRSA grant to develop the behavioral workforce in rural New Hampshire. In addition to the alternative payment models and integrated care delivery relationships noted above, DHC has several shared risk contracts with the largest commercial insurance carriers in its market. DHC was responsible for managing the cost of care and health of approximately 100,000 members across these patient populations during fiscal year 2022. The Jack Byrne Center for Palliative & Hospice Care coordinates the clinical, education, and research efforts of DHC and Visiting Nurse alliances around the region. This effort provides much-needed end-of-life care for patients in a clinical setting that meets the needs of patients and their families. Due to increased patient demand in the southern part of New Hampshire, DHC commenced a major construction project to expand the Manchester clinic site to increase patient capacity. The 94,000 square-foot addition includes a state-of-the-art, six-room extended-stay (23-hour) ambulatory surgery center, expanded medical office space to support primary and specialty care outpatient clinics, and a fixed magnetic resonance imaging (MRI) unit, among other uses. The addition opened in the spring of 2021. DHC and MHMH jointly file an annual community benefits report with the State of New Hampshire which outlines the community and charitable benefits DHC and MHMH 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 which result from being uninsured or underinsured. For the year ended June 30, 2022, DHC provided financial assistance to 18,349 patients in the amount of $12,950,295 as measured by gross charges. The cost of providing this care for the year ended June 30, 2021, was $11,671,808. 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, 2022 was $49,529,910. 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 contribution 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 "provision for bad debts," which is not included in the amounts reported above. For the fiscal year ended June 30, 2022, DHC reported a provision for bad debts of approximately $30,158,857.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$38,143,433	ExpenseAmt
Revenue	$2,428,232	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	$567,294,206	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
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	false	TaxExemptBondsInd
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
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	6084	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	false	ForeignFinancialAccountInd
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	21	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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
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
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 (51 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
Charles G Plimpton MBA
Trustee/Secretary(Through 12/31/21)/Treasurer	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
David P Paul
Trustee / Secretary (as of 1/1/22)	0.8	1.8	Yes (X)	Yes (X)	$0	$0	$0
Edward H Stansfield III MA
Trustee / Chair (through 8/9/21)	0.8	2.3	Yes (X)	Yes (X)	$0	$0	$0
Joanne M Conroy MD
Trustee, Ex-Officio, CEO	16.2	39.9	Yes (X)	Yes (X)	$1,683,133	$0	$45,655
ROBERTA L HINES MD
TRUSTEE/Chair (As of 1/1/22)	1.5	2.0	Yes (X)	Yes (X)	$0	$0	$0
Aaron J Mancuso MD
Trustee / Physician	12.0	28.0	Yes (X)		$454,460	$0	$55,566
Carl W Dobson MD
Trustee/ Medical Director	0.8	40.0	Yes (X)		$0	$480,091	$58,579
Duane A Compton PHD
Trustee / Ex-Officio	0.8	1.7	Yes (X)		$0	$0	$0
Elof Eriksson MD PhD
Trustee	0.8	0.8	Yes (X)		$0	$0	$0
Gary L Freed MD
Trustee/ Physician	12.0	28.0	Yes (X)		$742,525	$0	$24,978
Geraldine Bednash PHD RN FAAN
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Jarvis A Green
Trustee (As of 1/1/22)	0.8	0.8	Yes (X)		$0	$0	$0
Jennifer L Moyer MBA
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Jocelyn Chertoff MD
Trustee(Through 12/31/21)/VP Svc Ln & Dept Chair-Rad	12.0	28.0	Yes (X)		$725,915	$0	$47,697
KURT K RHYNHART MD
TRUSTEE(Through 12/31/21)/Section Chief	12.0	28.0	Yes (X)		$489,274	$0	$52,403
Laura K Landy MBA
Trustee (Through 12/31/21)	0.8	1.3	Yes (X)		$0	$0	$0
Marc B Wolpow JDMBA
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Mark W Begor MBA
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Nancy M Dunbar MD
Trustee (As of 1/1/22) / Physician	12.0	28.0	Yes (X)		$384,274	$0	$66,767
Pamela Thompson MSRNCENP
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Paul P Danos PHD
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Robert SD Higgins MD
Trustee (Through 9/1/21)	0.8	0.8	Yes (X)		$0	$0	$0
Sandra L Wong MD
Trustee (as of 3/25/22)/SVP Svc Ln & Dept Chair	12.0	28.0	Yes (X)		$722,357	$0	$37,499
Sherri C Oberg
Trustee (As of 1/1/22)	0.8	0.8	Yes (X)		$0	$0	$0
Thomas Glynn PHD
Trustee	0.8	0.8	Yes (X)		$0	$0	$0
Thomas Raffio
Trustee	0.8	0.8	Yes (X)		$0	$0	$0
Aimee M Claiborne
Chief Human Resource Officer	12.0	28.5		Yes (X)	$0	$471,589	$42,267
DANIEL P JANTZEN
Chief Financial Officer (through 10/31/21)	12.0	31.0		Yes (X)	$0	$1,021,339	$63,190
EDWARD MERRENS
Chief Clinical Officer	12.0	29.0		Yes (X)	$796,359	$0	$48,247
JOHN KACAVAS
Chief Legal Officer	12.0	31.0		Yes (X)	$0	$769,932	$68,891
Matthew Haag
Chief Development Officer	12.0	28.0		Yes (X)	$0	$444,677	$18,061
Patrick F Jordan III MBA
Chief Operating Officer	12.0	31.0		Yes (X)	$0	$809,680	$62,619
Stephen Leblanc
Chief Strategy Officer	12.0	31.0		Yes (X)	$813,774	$0	$59,990
Susan A Reeves EDDRN
Executive VP (medical center)	12.0	28.0		Yes (X)	$0	$738,583	$68,953
Wendy Fielding
Chief Financial Officer (as of 10/31/21)	12.0	28.5		Yes (X)	$0	$324,365	$65,195
David F Duncan
System VP - Facilities Mgmt	12.0	28.5			$0	$297,369	$22,803	Yes (X)
Jeffrey Obrien MHA
Chief Operating Officer - DHMC	12.0	28.5			$0	$385,605	$67,953	Yes (X)
Karen Clements RNBSNMSB
Chief Nursing Officer	12.0	28.0			$0	$377,769	$37,252	Yes (X)
Martin Purcell MBA
Chief Information Officer	12.0	28.0			$0	$491,599	$31,225	Yes (X)
Simon Hillier
Dept Chair ANESTHESIOLOGY	12.0	28.0			$610,733	$0	$64,796	Yes (X)
Staci Hermann PHARMDMS
CHIEF PHARMACY OFFICER	12.0	28.0			$0	$299,896	$30,725	Yes (X)
Daniel Stewart MD
Physician	12.0	28.0			$1,189,796	$0	$66,598		Yes (X)
Jock Mccullough MD
Physician	12.0	28.0			$910,840	$0	$69,522		Yes (X)
John Nigriny
Physician	40.0	0			$1,017,053	$0	$66,096		Yes (X)
Matthew LeBoeuf
Physician	12.0	28.0			$925,012	$0	$57,364		Yes (X)
Timothy Ryken
Physician	12.0	28.0			$1,119,921	$0	$63,772		Yes (X)
David Gladstone MD
CHF CLNCL PHYSCN - RADIOLOGY	12.0	28.0			$0	$232,134	$36,978			Yes (X)
GEORGE T BLIKE MD
Former/ Chief Quality & Value Officer	10.0	11.5			$245,035	$0	$20,819			Yes (X)
Maria Padin MD
Chief Medical Officer, CGP	12.0	30.0			$522,010	$0	$64,127			Yes (X)
Peter D Solberg MD
Chief Health Information Officer	12.0	28.0			$447,053	$0	$71,976			Yes (X)
Richard I Rothstein MD
Former Dept Chair/Srvc LN LDR - MED	12.0	28.0			$662,998	$0	$64,517			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,462,522	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,144,628	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,723,080	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1771	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
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$24,969,107	GovernmentGrantsAmt
All Other Contributions	$14,618,779	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$39,587,886	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621300	BusinessCd
Total Revenue Column	$431,755,697	TotalRevenueColumnAmt
Related Or Exempt Func Income	$431,755,697	RelatedOrExemptFuncIncomeAmt

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	$431,755,697	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,900	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,005	UnrelatedBusinessRevenueAmt
Exclusion	$22,895	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$872,802	RealAmt
Personal	$67,759	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$7,919	RealAmt
Personal	$4,629	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$864,883	RealAmt
Personal	$63,130	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$928,013	TotalRevenueColumnAmt
Exclusion	$928,013	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	-$56,024	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$56,024	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$56,024	TotalRevenueColumnAmt
Exclusion	-$56,024	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CONTRACTED REVENUE	621300	$115,892,063	$115,219,207	$672,856
CAFETERIA INCOME	722514	$388,346			$388,346
OTHER REVENUE	621300	$23,104,290	$23,104,290

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	$139,384,699	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$611,625,171	TotalRevenueColumnAmt
Related Or Exempt Func Income	$570,079,194	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$674,861	UnrelatedBusinessRevenueAmt
Exclusion	$1,283,230	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,604,134	TotalAmt
Program Services	$3,604,134	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$308,814	TotalAmt
Program Services	$308,814	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$26,228	TotalAmt
Program Services	$26,228	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,442,909	TotalAmt
Program Services	$1,741,796	ProgramServicesAmt
Management And General	$3,535,538	ManagementAndGeneralAmt
Fundraising	$165,575	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$645,082	TotalAmt
Program Services	$294,996	ProgramServicesAmt
Management And General	$350,086	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$284,525,944	TotalAmt
Program Services	$250,819,250	ProgramServicesAmt
Management And General	$33,706,694	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$21,253,176	TotalAmt
Program Services	$18,702,795	ProgramServicesAmt
Management And General	$2,550,381	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,671,634	TotalAmt
Program Services	$29,666,306	ProgramServicesAmt
Management And General	$4,005,328	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,970,322	TotalAmt
Program Services	$16,713,753	ProgramServicesAmt
Management And General	$2,256,569	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,043,554	TotalAmt
Program Services	$66,099	ProgramServicesAmt
Management And General	$977,455	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$273,343	TotalAmt
Program Services	$33,875	ProgramServicesAmt
Management And General	$239,468	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$59,019,394	TotalAmt
Program Services	$52,057,507	ProgramServicesAmt
Management And General	$6,961,887	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,094,152	TotalAmt
Program Services	$44,921	ProgramServicesAmt
Management And General	$1,049,231	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,124,095	TotalAmt
Program Services	$6,149,443	ProgramServicesAmt
Management And General	$974,652	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,614,860	TotalAmt
Program Services	$865,337	ProgramServicesAmt
Management And General	$8,749,523	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,308,850	TotalAmt
Program Services	$665,898	ProgramServicesAmt
Management And General	$8,642,952	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,260,573	TotalAmt
Program Services	$588,875	ProgramServicesAmt
Management And General	$671,698	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$32,149	TotalAmt
Program Services	$31,714	ProgramServicesAmt
Management And General	$435	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,345,899	TotalAmt
Program Services	$661,131	ProgramServicesAmt
Management And General	$6,684,768	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,200,646	TotalAmt
Program Services	$1,258,996	ProgramServicesAmt
Management And General	$1,941,650	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,836,154	TotalAmt
Program Services	$4,543,618	ProgramServicesAmt
Management And General	$4,292,536	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$167,788,331	$167,280,072	$508,259
EQUIP REPAIR & MAINTENANCE	$7,364,656	$4,614,103	$2,750,553
ACADEMIC, GME, TEACHING & SUPPORT	$3,358,662	$2,874,681	$483,981
RECRUITMENT COSTS	$956,994	$73,602	$883,392

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,451,444	TotalAmt
Program Services	$3,606,262	ProgramServicesAmt
Management And General	$845,083	ManagementAndGeneralAmt
Fundraising	$99	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$660,521,999	TotalAmt
Program Services	$567,294,206	ProgramServicesAmt
Management And General	$93,062,119	ManagementAndGeneralAmt
Fundraising	$165,674	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$154,050	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$57,728,406	BOYAmt
EOY	$50,805,627	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$167,353	BOYAmt
EOY	$172,807	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	$1,301,911	BOYAmt
EOY	$410,959	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$630,609	BOYAmt
EOY	$5,616,432	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$126,324,369	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$109,902,825	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$17,615,187	BOYAmt
EOY	$16,421,544	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$470,236	BOYAmt
EOY	$356,287	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$56,544,609	BOYAmt
EOY	$53,655,396	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,746,404	BOYAmt
EOY	$1,706,081	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$127,064,795	BOYAmt
EOY	$115,453,052	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$263,269,510	BOYAmt
EOY	$244,752,235	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$262,741,134	BOYAmt
EOY	$317,098,927	EOYAmt

Deferred Revenue DeferredRevenueGrp

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

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	$2,516,936	BOYAmt
EOY	$2,034,494	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$245,091,041	BOYAmt
EOY	$239,776,771	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$510,349,111	BOYAmt
EOY	$558,910,192	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	-$248,853,383	BOYAmt
EOY	-$315,748,181	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,773,782	BOYAmt
EOY	$1,590,224	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$247,079,601	BOYAmt
EOY	-$314,157,957	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$263,269,510	BOYAmt
EOY	$244,752,235	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$48,896,828	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$347,101	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$17,834,427	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
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	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,020,230	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$24,093,904	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$74,843,390	CurrentTaxYearMinus1YearAmt
Current Tax Year	$39,587,886	CurrentTaxYearAmt
Total	$146,545,410	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$454,429,030	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$501,802,116	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$472,942,824	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$545,666,182	CurrentTaxYearMinus1YearAmt
Current Tax Year	$570,079,194	CurrentTaxYearAmt
Total	$2,544,919,346	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	$454,429,030	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$509,822,346	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$497,036,728	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$620,509,572	CurrentTaxYearMinus1YearAmt
Current Tax Year	$609,667,080	CurrentTaxYearAmt
Total	$2,691,464,756	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	$2,691,464,756	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$770,344	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,008,778	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$989,972	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$909,298	CurrentTaxYearMinus1YearAmt
Current Tax Year	$963,456	CurrentTaxYearAmt
Total	$4,641,848	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	$770,344	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,008,778	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$989,972	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$909,298	CurrentTaxYearMinus1YearAmt
Current Tax Year	$963,456	CurrentTaxYearAmt
Total	$4,641,848	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$150,042	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,882	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,453	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$158,377	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$425,353	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$485,850	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$421,974	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$338,902	CurrentTaxYearMinus1YearAmt
Current Tax Year	$388,346	CurrentTaxYearAmt
Total	$2,060,425	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$455,774,769	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$511,320,856	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$498,453,127	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$621,757,772	CurrentTaxYearMinus1YearAmt
Current Tax Year	$611,018,882	CurrentTaxYearAmt
Total	$2,698,325,406	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.9975	PublicSupportCY509Pct
Public Support PY509	0.9974	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 - 425353.0, COLUMN B - 485850.0, COLUMN C - 421974.0, COLUMN D - 338902.0, COLUMN E - 388346.0, COLUMN F - 2060425.0;	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	$52,199	OtherActivitiesAmt
Total Lobbying Expenditures	$52,199	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	$1,705,532	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$116,575	InvestmentEarningsOrLossesAmt
Other Expenditures	$66,888	OtherExpendituresAmt
End Year Balance	$1,522,069	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,345,817	BeginningYearBalanceAmt
Investment Earnings Or Losses	$28,397	InvestmentEarningsOrLossesAmt
Other Expenditures	$14,120	OtherExpendituresAmt
End Year Balance	$1,360,094	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,340,985	BeginningYearBalanceAmt
Investment Earnings Or Losses	$61,035	InvestmentEarningsOrLossesAmt
Other Expenditures	$56,203	OtherExpendituresAmt
End Year Balance	$1,345,817	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,284,444	BeginningYearBalanceAmt
Contributions	$1,105	ContributionsAmt
Investment Earnings Or Losses	$55,436	InvestmentEarningsOrLossesAmt
End Year Balance	$1,340,985	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.656	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.344	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	$7,215,859	OtherCostOrOtherBasisAmt
Book Value	$9,720,891	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$72,481,325	OtherCostOrOtherBasisAmt
Depreciation	$65,783,580	DepreciationAmt
Book Value	$6,697,745	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,567,760	OtherCostOrOtherBasisAmt
Depreciation	$27,567,321	DepreciationAmt
Book Value	$439	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,554,393	OtherCostOrOtherBasisAmt
Depreciation	$16,551,924	DepreciationAmt
Book Value	$2,469	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$16,421,544	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Investment in Pooled Funds	$1,533,111	F
INVESTMENT IN CAPTIVE	$52,122,285	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$53,655,396	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DHC 457(B) PLAN ASSETS	$110,345,800
DUE FROM AFFILIATE	$5,106,868
OTHER MISC ASSETS	$384
ESTIMATED THIRD PARTY SETTLEMENT

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$115,453,052	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ACCRUED POST RETIREMENT PENSION	$159,580,959
RESERVES FOR INSURANCE RELATED LOSS	$79,762,608
ESTIMATED THIRD PARTY SETTLEMENT	$433,204

Field	Value	IRS element (for citing)
Total Liability	$239,776,771	TotalLiabilityAmt

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	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Grant to recipients located in the region	$22,110
Central America and the Caribbean	Investments	$52,122,285
South Asia	Grant to recipients located in the region	$4,118
Europe (Including Iceland and Greenland)	Fundraising	$28,919
North America (Canada & Mexico only)	Fundraising	$12,269

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$52,189,701	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$52,189,701	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Valuation Method UsedValuationMethodUsedDesc
Central America and the Caribbean	Program Support	$22,110	Cash	FMV
South Asia	Program Support	$4,118	Cash	FMV

Field	Value	IRS element (for citing)
Total501c3 Org	2	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
Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements	CENTRAL AMERICA AND THE CARIBBEAN-Accrual; SOUTH ASIA-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	$36,600	FMV	PROGRAM SUPPORT
Alice Peck Day Memorial Hospital
10 ALICE PECK DAY DRIVE	LEBANON	NH	03766	020222791	501(c)3	$7,500	FMV	PROGRAM SUPPORT
Amoskeag Health
145 HOLLIS STREET	MANCHESTER	NH	03101	020458174	501(c)3	$13,500	FMV	PROGRAM SUPPORT
BAYLOR COLLEGE OF MEDICINE
PO BOX 301207	DALLAS	TX	753031207	741613878	501(c)3	$27,625	FMV	CHARITABLE EDUCATIONAL SERVICES
BOSTON MEDICAL CENTER
ONE BOSTON MEDICAL CENTER PLACE	BOSTON	MA	02118	043314093	501(c)3	$7,288	FMV	CHARITABLE RESEARCH
BOSTON UNIVERSITY
PO BOX 28763	NEW YORK	NY	100878763	042103547	501(c)3	$88,317	FMV	CHARITABLE RESEARCH
BRIGHAM AND WOMEN'S HOSPITAL INC
75 FRANCIS ST	BOSTON	MA	02115	042312909	501(c)3	$34,078	FMV	CHARITABLE RESEARCH	DEPT OF ORTHOPAEDIC
CEDARS-SINAI MEDICAL CENTER
6500 WILSHIRE BLVD SUITE 1150	LOS ANGELES	CA	90048	951644600	501(c)3	$32,855	FMV	CHARITABLE RESEARCH
CENTERSTONE RESEARCH INSTITUTE INC
44 VANTAGE WAY	NASHVILLE	TN	372281565	262505456	501(c)3	$63,149	FMV	CHARITABLE RESEARCH
Cheshire Medical Center
580 COURT STREET	KEENE	NH	03431	020354549	501(c)3	$22,339	FMV	PROGRAM SUPPORT
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BOULEVARD	LOS ANGELES	CA	90027	195612191	501(c)3	$10,447	FMV	CHARITABLE RESEARCH
CLEVELAND CLINIC FOUNDATION
PO BOX 931562	CLEVELAND	OH	441935012	340714585	501(c)3	$5,698	FMV	CHARITABLE RESEARCH
COMMONWEALTH OF MASSACHUSETTS
DEPT OF REVENUE	BOSTON	MA	022055140	046002284	Section 115	$91,588	FMV	EDUCATIONAL SERVICES
COOS COUNTY FAMILY HEALTH SERVICES
133 PLEASANT STREET	BERLIN	NH	03570	020350051	501(c)4	$7,351	FMV	CHARITABLE PROGRAM SUPPORT
CREARE LLC
16 GREAT HOLLOW RD	HANOVER	NH	03755	020259551	For Profit	$9,504	FMV	EXPLORATORY/DEVELOPMENTAL RESEARCH
DUKE UNIVERSITY
ACCOUNTS RECEIVABLE LOCKBOX	CHARLOTTE	NC	282602651	560532129	501(c)3	$5,827	FMV	CHARITABLE EDUCATIONAL SERVICES
Families Flourish Northeast
PO BOX 20	ENFIELD CENTER	NH	037489998	844591232	501(c)3	$12,091	FMV	PROGRAM SUPPORT
Families in Transition
NEW HORIZONS	MANCHESTER	NH	03103	020475414	501(c)3	$9,000	FMV	PROGRAM SUPPORT	199 MANCHESTER STREET
FAMILY PLACE INC
319 US ROUTE 5 SOUTH	NORWICH	VT	05055	030305264	501(c)4	$15,943	FMV	CHARITABLE PROGRAM SUPPORT
Foundation for Healthy Communities (NHHA)
125 AIRPORT ROAD	CONCORD	NH	03301	020275078	501(c)3	$512,513	FMV	PROGRAM SUPPORT
Girls Incorporated of New Hampshire
1711 SOUTH WILLOW STREET	MANCHESTER	NH	03103	237416090	501(c)3	$6,750	FMV	PROGRAM SUPPORT	UNIT 5
Good Neighbor Health Clinic
70 NORTH MAIN STREET	WHITE RIVER JCT	VT	05001	030346949	501(c)3	$28,500	FMV	PROGRAM SUPPORT
Grafton County Senior Citizens Council
PO BOX 433	LEBANON	NH	03766	237248316	501(c)3	$10,500	FMV	PROGRAM SUPPORT
Granite United Way
22 CONCORD STREET	MANCHESTER	NH	03101	026006033	501(c)3	$12,000	FMV	PROGRAM SUPPORT	FLOOR 2
HARVARD UNIVERSITY
HARVARD MED-CME	BOSTON	MA	021170825	042103580	501(c)3	$8,483	FMV	CHARITABLE EDUCATIONAL SERVICES
HIVHCV Resource Center
2 BLACKSMITH ST	LEBANON	NH	03766	223104237	501(c)3	$6,000	FMV	PROGRAM SUPPORT
JSI Research & Training Institute Inc
501 SOUTH STREET 2ND FL	BOW	NH	03304	042679824	501(c)3	$6,000	FMV	PROGRAM SUPPORT
MAINE MEDICAL CENTER
22 BRAMHALL STREET	PORTLAND	ME	04102	010211494	501(c)3	$141,442	FMV	CHARITABLE PROGRAM SUPPORT
MAPS COUNSELING SERVICES
23 CENTRAL SQUARE SUITE 300	KEENE	NH	03431	020312473	501(c)3	$48,642	FMV	CHARITABLE PROGRAM SUPPORT
MASSACHUSETTS GENERAL HOSPITAL
100 CHARLES RIVER PLAZA STE 600	BOSTON	MA	021142792	042697983	501(c)3	$58,882	FMV	CHARITABLE RESEARCH
MAYO CLINIC
PO BOX 4003	ROCHESTER	MN	55905	416011702	501(c)3	$7,055	FMV	CHARITABLE RESEARCH
MEDICAL UNIVERSITY OF SOUTH CAROLINA
COLLEGE OF NURSING AT P BONHAM	CHARLESTON	SC	29407	576000722	Section 115	$96,973	FMV	EDUCATIONAL SERVICES
MICHIGAN STATE UNIVERSITY
GRANTS CONTRACT ADMINISTRATION	EAST LANSING	MI	48824	386005984	Section 115	$7,231	FMV	EDUCATIONAL SERVICES
Monadnock Family Services
17 93RD ST	KEENE	NH	03431	026012230	501(c)3	$8,406	FMV	PROGRAM SUPPORT	ACCOUNTS RECEIVABLE DEPT
Mt Ascutney Hospital and Health Center
289 COUNTY ROAD	WINDSOR	VT	05089	030183721	501(c)3	$30,000	FMV	PROGRAM SUPPORT
New Hampshire Charitable Foundation
37 PLEASANT STREET	CONCORD	NH	03301	026005625	501(c)3	$18,000	FMV	PROGRAM SUPPORT
New Hampshire Hunger Solutions Inc
PO BOX 3477	CONCORD	NH	03301	222936618	501(c)3	$7,500	FMV	PROGRAM SUPPORT
NEW HAMPSHIRE LEGAL ASSISTANCE
117 NORTH STATE STREET	CONCORD	NH	03301	020300897	501(c)3	$22,252	FMV	CHARITABLE PROGRAM SUPPORT
New London Hospital
273 COUNTY ROAD	NEW LONDON	NH	03257	020222171	501(c)3	$10,831	FMV	PROGRAM SUPPORT
NEW YORK UNIVERSITY
NYU RORY MEYERS COL OF NURSING	NEW YORK	NY	10010	135562308	Section 115	$6,431	FMV	EDUCATIONAL SERVICES
NH Triple Play LLC
ONE LINE DRIVE	MANCHESTER	NH	03101	320153852	501(c)3	$26,700	FMV	PROGRAM SUPPORT
NORTH COUNTRY HEALTH CONSORTIUM INC
262 COTTAGE STREET	LITTLETON	NH	03561	020503184	501(c)3	$5,683	FMV	CHARITABLE PROGRAM SUPPORT
NORTHWESTERN UNIVERSITY
DEPT OF MEDICAL SOCIAL SERVICES	CHICAGO	IL	60611	362167817	501(c)3	$6,393	FMV	CHARITABLE EDUCATIONAL SERVICES
OREGON CLINIC PC
847 NE 19TH AVENUE	PORTLAND	OR	97232	931127856	501(c)3	$14,061	FMV	CHARITABLE RESEARCH
OREGON HEALTH & SCIENCE UNIVERSITY
PO BOX 575	PORTLAND	OR	97207	931176109	501(c)3	$39,240	FMV	CHARITABLE EDUCATIONAL SERVICES
PUBLIC HEALTH COUNC OF THE UPPER VALLEY
ONE COURT STREET	LEBANON	NH	03766	752991608	501(c)3	$38,653	FMV	CHARITABLE PROGRAM SUPPORT
REGENTS OF THE UNIVERSITY OF CALIFORNIA
UCSD CAMPUS MAIN DEPOSITORY	LOS ANGELES	CA	900741539	943067788	Section 115	$18,425	FMV	EDUCATIONAL SERVICES
RESEARCH INSTITUTE AT NATIONWIDE CHILDRE
PO BOX 781653	DETROIT	MI	482781653	316055230	501(c)3	$78,682	FMV	CHARITABLE RESEARCH
RHODE ISLAND HOSPITAL
PO BOX 373	PROVIDENCE	RI	02901	050258954	501(c)3	$10,129	FMV	CHARITABLE RESEARCH
SEATTLE CHILDREN'S HOSPITAL
PO BOX 24728	SEATTLE	WA	981240728	910564748	501(c)3	$28,837	FMV	CHARITABLE RESEARCH
SEVEN COUNTIES SERVICES INC
10401 LINN STATION RD	LOUISVILLE	KY	40223	310939757	501(c)3	$54,093	FMV	CHARITABLE RESEARCH
SINAI HOSPITAL OF BALTIMORE INC
2401 W BELVEDERE AVENUE	BALTIMORE	MD	21215	520486540	501(c)3	$10,352	FMV	CHARITABLE RESEARCH
Southeast Vermont Transit Inc
706 ROCKINGHAM ROAD	ROCKINGHAM	VT	05101	030353976	501(c)3	$9,000	FMV	PROGRAM SUPPORT
Southwestern Community Services
63 COMMUNITY WAY	KEENE	NH	03431	026013808	501(c)3	$7,800	FMV	PROGRAM SUPPORT
STANFORD UNIVERSITY
430 BROADWAY STREET MC6342	REDWOOD CITY	CA	94063	941156365	501(c)3	$12,831	FMV	CHARITABLE RESEARCH
Sullivan County
14 MAIN STREET	NEWPORT	NH	03773	026000870	Sullivan County	$12,000	FMV	PROGRAM SUPPORT
THE OHIO STATE UNIVERSITY
OFFICE OF SPONSORED PROGRAMS	COLUMBUS	OH	43210	316025986	Section 115	$13,930	FMV	EDUCATIONAL SERVICES
TLC FAMILY RESOURCE CENTER
PO BOX 1098	CLAREMONT	NH	03743	522439830	501(c)3	$13,071	FMV	CHARITABLE PROGRAM SUPPORT
Tri-Valley Transit
dba ACTR AND STSI	MIDDLEBURY	VT	05753	030335768	501(c)3	$24,563	FMV	PROGRAM SUPPORT	297 CREEK ROAD
TRUSTEES OF DARTMOUTH COLLEGE
CASHIERS OFFICE / AR	HANOVER	NH	03755	020222111	501(c)3	$708,987	FMV	CHARITABLE EDUCATIONAL SERVICES
TRUSTEES OF THE UNIV OF PENNSYLVANIA
THE WHARTON SCHOOL	PHILADELPHIA	PA	191789726	231352685	Section 115	$11,001	FMV	EDUCATIONAL SERVICES
Turning Point Recovery Center of
SPRINGFIELD VT	SPRINGFIELD	VT	05156	043803952	501(c)3	$6,000	FMV	PROGRAM SUPPORT	7 MORGAN STREET
Twin Pines Housing Trust
226 HOLIDAY DRIVE	WHITE RIVER JCT	VT	05001	222809527	501(c)3	$42,000	FMV	PROGRAM SUPPORT	SUITE 20
UNIV SYSTEM OF NEW HAMPSHIRE
5 CHANELL DRIVE	CONCORD	NH	03301	026000937	Section 115	$19,870	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF ALABAMA AT BIRMINGHAM
GRANTS CONTRACTS ACCOUNTING	BIRMINGHAM	AL	352940109	636005396	Section 115	$55,432	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF COLORADO
OFFICE OF GRANTS/CONTRACTS-F428	DENVER	CO	802910238	846000555	Section 115	$10,280	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF MARYLAND
ACCOUNTING AND COMPLIANCE	BALTIMORE	MD	212011531	526002033	Section 115	$49,070	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF MIAMI
DEPARTMENT OF PATHOLOGY	ATLANTA	GA	303845776	592695890	Section 115	$6,704	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF NEBRASKA MEDICAL CTR
985100 NEBRASKA MED CTR	OMAHA	NE	681985100	470491233	Section 115	$6,693	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF PITTSBURGH
FORBES ALLIES BUILDING STE 300	PITTSBURGH	PA	15213	250965591	Section 115	$69,630	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF UTAH
GRANTS CONTRACTS ACCOUNTING	SALT LAKE CITY	UT	841129020	876000525	Section 115	$8,215	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF WASHINGTON
GRANT CONTRACT ACCOUNTING	CHICAGO	IL	60693	916001537	Section 115	$10,899	FMV	EDUCATIONAL SERVICES
Upper Valley Community Nursing Project
PO BOX 1302	LEBANON	NH	03766	831224873	501(c)3	$6,000	FMV	PROGRAM SUPPORT
Upper Valley Haven
713 HARTFORD AVE	WHITE RIVER JCT	VT	05001	030277908	501(c)3	$22,500	FMV	PROGRAM SUPPORT
VANDERBILT UNIVERSITY MEDICAL CENTER
VUMC FINANCE DEPT 1236	DALLAS	TX	753121236	352528741	501(c)3	$18,466	FMV	CHARITABLE EDUCATIONAL SERVICES
VIRGINIA COMMONWEALTH UNIVERSITY
800 E Leigh Street Suite 3200	RICHMOND	VA	23219	546001758	Section 115	$15,025	FMV	EDUCATIONAL SERVICES
Vision for Creative Housing Solutions
8 SUNRISE FARM LANE	ENFIELD	NH	03748	800868234	501(c)3	$7,500	FMV	PROGRAM SUPPORT
Vital Communities
195 NORTH MAIN STREET	WHITE RIVER JCT	VT	05001	030355283	501(c)3	$7,500	FMV	PROGRAM SUPPORT
West Central Behavioral Health
85 MECHANIC STREET	LEBANON	NH	03766	222645978	501(c)3	$15,000	FMV	PROGRAM SUPPORT	SUITE C2-1
Willing Hands Enterprises
198 CHURCH STREET	NORWICH	VT	05055	202204811	501(c)3	$9,450	FMV	PROGRAM SUPPORT
Women's Information Service of the Upper Valley
38 BANK STREET	LEBANON	NH	03766	020346512	501(c)3	$6,000	FMV	PROGRAM SUPPORT
Hitchcock Foundation
One Medical Center Drive	LEBANON	NH	03756	020222139	501(c)3	$236,380	FMV	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	79	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
Awards and Educational Assistance	26	$264,333	FMV
Patient Assistance	1377	$44,481	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 (33 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	$1,306,313	$0	$208,100	$0	$168,720	$0	$27,660	$0	$17,995	$0	$1,728,788	$0	$0	$0
Jocelyn Chertoff MD
Trustee(Through 12/31/21)/VP Svc Ln & Dept Chair-Rad	$653,561	$0	$0	$0	$72,354	$0	$27,660	$0	$20,037	$0	$773,612	$0	$0	$0
Sandra L Wong MD
Trustee (as of 3/25/22)/SVP Svc Ln & Dept Chair	$660,736	$0	$0	$0	$61,621	$0	$21,860	$0	$15,639	$0	$759,856	$0	$0	$0
KURT K RHYNHART MD
TRUSTEE(Through 12/31/21)/Section Chief	$444,702	$0	$0	$0	$44,572	$0	$27,660	$0	$24,743	$0	$541,677	$0	$0	$0
Carl W Dobson MD
Trustee/ Medical Director	$0	$395,389	$0	$65,000	$0	$19,702	$0	$14,500	$0	$44,079	$0	$538,670	$0	$0
Gary L Freed MD
Trustee/ Physician	$678,773	$0	$100	$0	$63,652	$0	$21,860	$0	$3,118	$0	$767,503	$0	$0	$0
Aaron J Mancuso MD
Trustee / Physician	$443,611	$0	$0	$0	$10,849	$0	$13,116	$0	$42,450	$0	$510,026	$0	$0	$0
Nancy M Dunbar MD
Trustee (As of 1/1/22) / Physician	$352,687	$0	$0	$0	$31,587	$0	$21,860	$0	$44,907	$0	$451,041	$0	$0	$0
Maria Padin MD
Chief Medical Officer, CGP	$468,432	$0	$0	$0	$53,578	$0	$27,660	$0	$36,467	$0	$586,137	$0	$0	$0
Richard I Rothstein MD
Former Dept Chair/Srvc LN LDR - MED	$612,935	$0	$0	$0	$50,063	$0	$27,660	$0	$36,857	$0	$727,515	$0	$0	$0
David Gladstone MD
CHF CLNCL PHYSCN - RADIOLOGY	$0	$200,050	$0	$0	$0	$32,084	$0	$20,060	$0	$16,918	$0	$269,112	$0	$0
Wendy Fielding
Chief Financial Officer (as of 10/31/21)	$0	$286,135	$0	$0	$0	$38,230	$0	$22,361	$0	$42,834	$0	$389,560	$0	$0
Aimee M Claiborne
Chief Human Resource Officer	$0	$414,416	$0	$40,500	$0	$16,673	$0	$21,860	$0	$20,407	$0	$513,856	$0	$0
DANIEL P JANTZEN
Chief Financial Officer (through 10/31/21)	$0	$799,582	$0	$85,000	$0	$136,757	$0	$27,660	$0	$35,530	$0	$1,084,529	$0	$0
Patrick F Jordan III MBA
Chief Operating Officer	$0	$693,656	$0	$70,100	$0	$45,924	$0	$21,860	$0	$40,759	$0	$872,299	$0	$0
JOHN KACAVAS
Chief Legal Officer	$0	$589,512	$0	$62,100	$0	$118,320	$0	$27,660	$0	$41,231	$0	$838,823	$0	$0
Stephen Leblanc
Chief Strategy Officer	$662,682	$0	$67,100	$0	$83,992	$0	$27,660	$0	$32,330	$0	$873,764	$0	$0	$0
EDWARD MERRENS
Chief Clinical Officer	$659,793	$0	$67,000	$0	$69,566	$0	$27,660	$0	$20,587	$0	$844,606	$0	$0	$0
Susan A Reeves EDDRN
Executive VP (medical center)	$0	$595,393	$0	$60,250	$0	$82,940	$0	$27,660	$0	$41,293	$0	$807,536	$0	$0
Matthew Haag
Chief Development Officer	$0	$382,093	$0	$38,625	$0	$23,959	$0	$0	$0	$18,061	$0	$462,738	$0	$0
GEORGE T BLIKE MD
Former/ Chief Quality & Value Officer	$222,135	$0	$0	$0	$22,900	$0	$20,819	$0	$0	$0	$265,854	$0	$0	$0
Peter D Solberg MD
Chief Health Information Officer	$407,250	$0	$0	$0	$39,803	$0	$27,660	$0	$44,316	$0	$519,029	$0	$0	$0
Karen Clements RNBSNMSB
Chief Nursing Officer	$0	$347,266	$0	$350	$0	$30,153	$0	$21,860	$0	$15,392	$0	$415,021	$0	$0
Staci Hermann PHARMDMS
CHIEF PHARMACY OFFICER	$0	$273,428	$0	$0	$0	$26,468	$0	$13,116	$0	$17,609	$0	$330,621	$0	$0
Simon Hillier
Dept Chair ANESTHESIOLOGY	$551,555	$0	$0	$0	$59,178	$0	$27,660	$0	$37,136	$0	$675,529	$0	$0	$0
Jeffrey Obrien MHA
Chief Operating Officer - DHMC	$0	$343,830	$0	$0	$0	$41,775	$0	$27,660	$0	$40,293	$0	$453,558	$0	$0
Martin Purcell MBA
Chief Information Officer	$0	$420,844	$0	$0	$0	$70,755	$0	$27,660	$0	$3,565	$0	$522,824	$0	$0
David F Duncan
System VP - Facilities Mgmt	$0	$291,879	$0	$100	$0	$5,390	$0	$17,400	$0	$5,403	$0	$320,172	$0	$0
Jock Mccullough MD
Physician	$816,184	$0	$0	$0	$94,656	$0	$27,660	$0	$41,862	$0	$980,362	$0	$0	$0
Daniel Stewart MD
Physician	$1,082,444	$0	$0	$0	$107,352	$0	$21,860	$0	$44,738	$0	$1,256,394	$0	$0	$0
John Nigriny
Physician	$925,942	$0	$0	$0	$91,111	$0	$21,860	$0	$44,236	$0	$1,083,149	$0	$0	$0
Timothy Ryken
Physician	$1,014,752	$0	$0	$0	$105,169	$0	$27,660	$0	$36,112	$0	$1,183,693	$0	$0	$0
Matthew LeBoeuf
Physician	$867,758	$0	$0	$0	$57,254	$0	$13,116	$0	$44,248	$0	$982,376	$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 $139,653 STEPHEN LEBLANC $63,791 RICHARD ROTHSTEIN $109,016
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 L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Stephen Leblanc
Officer	Split Dollar Life	Yes (X)	$0	$63,791	false	Yes (true)	Yes (true)
Richard Rothstein
Former Officer	Split Dollar Life	Yes (X)	$0	$109,016	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$172,807	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Amy Stansfield
Family member of Trustee	$192,311	Employment Compensation	false
Patrick J O'Brien
Family member of Trustee	$72,564	Employment compensation	false
James Ebert
Family member of a former officer	$58,000	Employment compensation	false
Samuel L Brown
Family member of former officer	$12,540	Employment Compensation	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 2022.
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 2022. 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), AND THE HITCHCOCK FOUNDATION (THF).
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 XI, Line 9 Other changes in net assets or fund balances	NET ASSET RELEASED FROM RESTRICTED - -17834427;

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	-$183,866	TotalIncomeAmt
End Of Year Assets	$710,570	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 (9 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
Visiting Nurse Association AND HOSPICE OF VERMONT AND NEW HAMPSHIRE INC
88 Prospect Street	White River Junction	VT	05001	036006494	HOSPICE	VT	501(c)(3)	10	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	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
POMPANOOSUC INVESTMENT CORPORATION
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020352330	REAL ESTATE HOLDING	NH	Dartmouth-Hitchcock Clinic	C Corporation	-$128	$75,632	1	Yes (true)
HAMDEN ASSURANCE CO LTD
				980121409	LIABILITY INSURANCE		Dartmouth-Hitchcock Clinic	C Corporation	$0	$48,845,301	0.702	Yes (true)	BD

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	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 (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Hitchcock Foundation
O	$390,934	FMV
HAMDEN ASSURANCE RISK RETENTION GROUP INC
M	$8,272,252	FMV
Hitchcock Foundation
B	$236,380	FMV