DARTMOUTH-HITCHCOCK CLINIC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: DARTMOUTH-HITCHCOCK CLINIC (EIN 22-2519596)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-12
IRS object ID: 202131329349302088
Schema version: 2019v5.0
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	2021-05-12T11:32:18-05:00	ReturnTs
Tax Period End	2020-06-30	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	402411122	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	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	6036531155	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	Daniel P Jantzen CPA	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2021-05-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kim Scifres	PreparerPersonNm
PTIN	P01316095	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$498,748,711	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	14	VotingMembersIndependentCnt
Total Employee	5412	TotalEmployeeCnt
Total Volunteers	497	TotalVolunteersCnt
Total Gross UBI	$290,304	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,020,230	PYContributionsGrantsAmt
CY Contributions Grants	$24,093,904	CYContributionsGrantsAmt
PY Program Service Revenue	$391,029,523	PYProgramServiceRevenueAmt
CY Program Service Revenue	$348,577,612	CYProgramServiceRevenueAmt
PY Investment Income	$1,974,910	PYInvestmentIncomeAmt
CY Investment Income	$94,898	CYInvestmentIncomeAmt
PY Other Revenue	$112,531,662	PYOtherRevenueAmt
CY Other Revenue	$125,967,304	CYOtherRevenueAmt
PY Total Revenue	$513,556,325	PYTotalRevenueAmt
CY Total Revenue	$498,733,718	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,697,267	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,969,949	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$304,820,322	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$318,246,495	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$103,043	CYTotalFundraisingExpenseAmt
PY Other Expenses	$188,699,423	PYOtherExpensesAmt
CY Other Expenses	$207,292,227	CYOtherExpensesAmt
PY Total Expenses	$495,217,012	PYTotalExpensesAmt
CY Total Expenses	$529,508,671	CYTotalExpensesAmt
PY Revenues Less Expenses	$18,339,313	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$30,774,953	CYRevenuesLessExpensesAmt
Total Assets BOY	$229,963,525	TotalAssetsBOYAmt
Total Assets EOY	$252,063,565	TotalAssetsEOYAmt
Total Liabilities BOY	$463,672,940	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$558,937,659	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$233,709,415	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$306,874,094	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	$394,143,835	ExpenseAmt
Grant	$3,969,949	GrantAmt
Revenue	$471,522,859	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 2020 resulted in 1,470,854 office visits recorded by DHC personnel, with 356,626 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 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) are playing key coordinating roles in the implementation of CMS'S Delivery System Reform Incentive Payment (DSRIP) Program, better known as a "1115 Waiver." This statewide initiative will integrate and improve behavioral and physical health care. The effort ties together mental health, substance use and disorder treatment, physical health, social needs, housing, transportation, and the criminal justice system to form a coordinated effort that provides care for New Hampshire's most vulnerable residents in the DSRIP. These activities are also an integral part of DHC's and MHMH's efforts at addressing the opioid abuse crisis, which impacts so many patients in DHC's service area. 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 2020. 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 has commenced a major construction project to expand the Manchester Clinic site to increase patient capacity. The 94,000 additional square feet will include 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. DHC files an annual community benefits report with the State of New Hampshire which outlines the community and charitable benefits DHC provides. 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, 2020, DHC provided financial assistance to 23,363 patients in the amount of $16,102,221 as measured by gross charges . The estimated cost of providing this care for the year ended June 30, 2019, was $4,344,664 . 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, 2019 was $31,102,839 . 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, 2020, DHC reported a provision for bad debts of approximately $26,448,136 .	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$35,792,252	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,419,965	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. During fiscal year 2020, DHC continued the transition of research activities and management from GSM to DHC, under the leadership of the Vice President for Research.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$429,936,087	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	5412	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	14	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	Daniel P Jantzen	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6036505634	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 (52 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/Treasurer	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
Edward H Stansfield III MA
Trustee/ Chair (effective 1/1/20)	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)	$1,356,521	$0	$53,900
Vincent S Conti MHA
Trustee/Board Chair (Through 12/31/19)	0.8	1.8	Yes (X)	Yes (X)	$0	$0	$0
Cherie Holmes MD
Trustee	12.0	29.0	Yes (X)		$485,345	$0	$55,299
David P Paul
Trustee (effective 1/1/20)	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
Elof Eriksson MD PhD
Trustee (effective 1/1/20)	0.8	0.8	Yes (X)		$0	$0	$0
Jennifer L Moyer MBA
Trustee (effective 1/1/20)	0.8	0.8	Yes (X)		$0	$0	$0
Jocelyn Chertoff MD
VP SRVC LN/DPT CHCR DGNSTC RAD	12.0	28.0	Yes (X)		$702,848	$0	$42,604
Jon Wahrenberger MDFAHAFAC
Trustee	12.0	28.0	Yes (X)		$355,485	$0	$65,268
JONATHAN HUNTINGTON MD PhD MPH
TRUSTEE (EFFECTIVE 1/1/20)	40.0	0.5	Yes (X)		$417,979	$0	$57,113
Kari M Rosenkranz MD
Trustee (through 12/2019) / Physician	12.0	28.0	Yes (X)		$522,969	$0	$36,344
KURT K RHYNHART MD
TRUSTEE	12.0	28.0	Yes (X)		$491,637	$0	$42,285
Laura K Landy MBA
Trustee	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 (effective 1/1/20)	0.8	0.8	Yes (X)		$0	$0	$0
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 A Oden Jr PHD
Trustee	1.5	2.5	Yes (X)		$0	$0	$0
ROBERTA L HINES MD
TRUSTEE	1.5	1.5	Yes (X)		$0	$0	$0
Senator Judd A Greg
Trustee (through 6/2020)	0.8	0.8	Yes (X)		$0	$0	$0
Thomas Raffio
Trustee (effective 1/1/20)	0.8	0.8	Yes (X)		$0	$0	$0
William J Conaty
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Aimee M Claiborne
Chief HR Officer	12.0	28.0		Yes (X)	$0	$452,838	$48,214
DANIEL P JANTZEN CPA
CFO	15.0	42.0		Yes (X)	$0	$821,761	$56,733
EDWARD MERRENS
Chief Clinical Officer	12.0	29.0		Yes (X)	$794,781	$0	$43,222
JOHN KACAVAS
Chief Legal Officer	12.0	31.0		Yes (X)	$0	$714,988	$57,857
Maria Padin MD
Chief Medical Officer	12.0	30.0		Yes (X)	$430,924	$0	$64,642
Martin Purcell MBA
Chief Information Officer	12.0	28.0		Yes (X)	$0	$411,454	$53,030
Matthew Haag
VP Development	12.0	28.0		Yes (X)	$0	$371,795	$35,780
Patrick F Jordan III MBA
Chief Operating Officer	15.0	42.0		Yes (X)	$0	$770,233	$64,134
Stephen Leblanc
Chief Strategy Officer	12.0	30.5		Yes (X)	$828,259	$0	$52,333
Susan A Reeves EDDRN
Chief Nursing Executive	12.0	28.5		Yes (X)	$0	$577,922	$56,445
GEORGE T BLIKE MD
Chief Quality & Value Officer	12.0	29.5			$474,747	$0	$64,154	Yes (X)
Jeffrey Obrien MHA
KEY EMP/ VP CLINICAL OPS	12.0	28.0			$0	$370,955	$59,933	Yes (X)
Karen Clements RNBSNMSB
Chief Nursing Officer	12.0	28.0			$0	$360,969	$33,521	Yes (X)
Peter D Solberg MD
Chief Medical Information Officer	12.0	28.0			$390,772	$0	$60,729	Yes (X)
Simon Hillier
Dept Chair ANESTHESIOLOGY	12.0	28.0			$565,423	$0	$57,356	Yes (X)
Staci Hermann PHARMDMS
CHIEF PHARMACY OFFICER	12.0	28.0			$0	$285,277	$27,090	Yes (X)
Daniel Stewart MD
Physician	12.0	28.0			$1,212,148	$0	$57,872		Yes (X)
John Nigriny
Staff Physician	40.0	0			$973,872	$0	$58,042		Yes (X)
Lixia Ellis MD
Physician	12.0	28.0			$933,061	$0	$49,489		Yes (X)
Nathan Simmons MD
Physician	12.0	28.0			$929,952	$0	$53,695		Yes (X)
Timothy Ryken
Staff Physician	12.0	28.0			$1,063,854	$0	$58,379		Yes (X)
Christine Schon MPA
FMR KEY EMP/ VP Ambulatory Care	40.0	0.5			$294,491	$0	$56,219			Yes (X)
Kimberly Troland JD
FMR INTRM GC/DEPUTY GEN CNSL	12.0	28.0			$0	$397,737	$42,204			Yes (X)
Richard I Rothstein MD
Former Dept Chair/Srvc LN LDR - MED	12.0	28.0			$681,373	$0	$57,240			Yes (X)
Sandra Wong MD
SVP SVC LN & Chair of Surgery	12.0	28.0			$720,339	$0	$33,203			Yes (X)
Tina E Naimie CPA
FMR KEY EMP/ VP CORP FINANCE	12.0	30.0			$0	$284,775	$23,176			Yes (X)
Wendy Fielding MBA
FMR KEY EMP/ VP FINANCE PLANNING	12.0	29.0			$0	$282,795	$54,116			Yes (X)
Wendy Wells MD
FMR KEY EMP/DEPT CHR PATHOLOGY	12.0	28.0			$596,868	$0	$50,558			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,223,648	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,103,499	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,782,179	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1530	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	$9,152,721	GovernmentGrantsAmt
All Other Contributions	$14,941,183	AllOtherContributionsAmt
Total Contributions	$24,093,904	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621300	BusinessCd
Total Revenue Column	$348,577,612	TotalRevenueColumnAmt
Related Or Exempt Func Income	$348,577,612	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	$348,577,612	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$85,477	TotalRevenueColumnAmt
Unrelated Business Revenue	-$312	UnrelatedBusinessRevenueAmt
Exclusion	$85,789	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$841,103	RealAmt
Personal	$63,392	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$10,154	RealAmt
Personal	$4,839	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$830,949	RealAmt
Personal	$58,553	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$889,502	TotalRevenueColumnAmt
Exclusion	$889,502	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$9,421	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$9,421	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,421	TotalRevenueColumnAmt
Exclusion	$9,421	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CONTRACTED REVENUE	621300	$105,137,200	$104,846,584	$290,616
CAFETERIA INCOME	722212	$421,974			$421,974
STIMULUS PAYMENTS	621300	$4,812,814	$4,812,814

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,705,814	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,705,814	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$125,077,802	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$498,733,718	TotalRevenueColumnAmt
Related Or Exempt Func Income	$472,942,824	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$290,304	UnrelatedBusinessRevenueAmt
Exclusion	$1,406,686	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,203,243	TotalAmt
Program Services	$3,203,243	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$710,083	TotalAmt
Program Services	$710,083	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$56,623	TotalAmt
Program Services	$56,623	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,250,992	TotalAmt
Program Services	$1,174,234	ProgramServicesAmt
Management And General	$2,999,568	ManagementAndGeneralAmt
Fundraising	$77,190	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$893,362	TotalAmt
Program Services	$289,731	ProgramServicesAmt
Management And General	$583,704	ManagementAndGeneralAmt
Fundraising	$19,927	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$251,976,962	TotalAmt
Program Services	$219,365,616	ProgramServicesAmt
Management And General	$32,611,346	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$16,613,171	TotalAmt
Program Services	$14,453,459	ProgramServicesAmt
Management And General	$2,159,712	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$28,823,640	TotalAmt
Program Services	$18,139,913	ProgramServicesAmt
Management And General	$10,683,727	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,688,368	TotalAmt
Program Services	$8,246,213	ProgramServicesAmt
Management And General	$7,436,229	ManagementAndGeneralAmt
Fundraising	$5,926	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$693,479	TotalAmt
Program Services	$13,907	ProgramServicesAmt
Management And General	$679,572	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$282,297	TotalAmt
Management And General	$282,297	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$15,400	TotalAmt
Management And General	$15,400	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$39,678,609	TotalAmt
Program Services	$32,307,628	ProgramServicesAmt
Management And General	$7,370,981	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,043,829	TotalAmt
Program Services	$25,686	ProgramServicesAmt
Management And General	$1,018,143	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,866,583	TotalAmt
Program Services	$4,930,207	ProgramServicesAmt
Management And General	$1,936,376	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,669,052	TotalAmt
Program Services	$600,216	ProgramServicesAmt
Management And General	$6,068,836	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,007,482	TotalAmt
Program Services	$507,447	ProgramServicesAmt
Management And General	$6,500,035	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,608,913	TotalAmt
Program Services	$809,592	ProgramServicesAmt
Management And General	$799,321	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$63,544	TotalAmt
Program Services	$63,544	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,551,031	TotalAmt
Program Services	$589,593	ProgramServicesAmt
Management And General	$5,961,438	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,532,030	TotalAmt
Program Services	$1,060,542	ProgramServicesAmt
Management And General	$2,471,488	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,666,224	TotalAmt
Program Services	$2,787,341	ProgramServicesAmt
Management And General	$4,878,883	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$112,326,112	$111,488,726	$837,386
EQUIP REPAIR & MAINTENANCE	$6,192,647	$4,202,471	$1,990,176
ACADEMIC, GME, TEACHING & SUPPORT	$3,091,047	$2,492,332	$598,715
RECRUITMENT COSTS	$1,055,209	$80,431	$974,778

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,948,739	TotalAmt
Program Services	$2,337,309	ProgramServicesAmt
Management And General	$611,430	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$529,508,671	TotalAmt
Program Services	$429,936,087	ProgramServicesAmt
Management And General	$99,469,541	ManagementAndGeneralAmt
Fundraising	$103,043	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$6,158,147	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$57,629,020	BOYAmt
EOY	$45,372,368	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$155,947	BOYAmt
EOY	$161,724	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	$2,097,728	BOYAmt
EOY	$2,047,228	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$586,067	BOYAmt
EOY	$679,143	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$126,405,153	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$107,529,790	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$20,326,348	BOYAmt
EOY	$18,875,363	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$666,552	BOYAmt
EOY	$1,224,488	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$57,742,694	BOYAmt
EOY	$58,812,630	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$152,738	BOYAmt
EOY	$1,435,821	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$90,606,431	BOYAmt
EOY	$117,296,653	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$229,963,525	BOYAmt
EOY	$252,063,565	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$203,815,575	BOYAmt
EOY	$241,810,363	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$13,401,173	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	$6,660,425	BOYAmt
EOY	$7,047,317	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$253,196,940	BOYAmt
EOY	$296,678,806	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$463,672,940	BOYAmt
EOY	$558,937,659	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	-$235,130,437	BOYAmt
EOY	-$308,302,368	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,421,022	BOYAmt
EOY	$1,428,274	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$233,709,415	BOYAmt
EOY	-$306,874,094	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$229,963,525	BOYAmt
EOY	$252,063,565	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$30,774,953	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,071,449	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$41,318,277	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	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,020,230	CurrentTaxYearMinus1YearAmt
Current Tax Year	$24,093,904	CurrentTaxYearAmt
Total	$32,114,134	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$419,623,067	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$437,313,420	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$454,429,030	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$501,802,116	CurrentTaxYearMinus1YearAmt
Current Tax Year	$472,942,824	CurrentTaxYearAmt
Total	$2,286,110,457	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	$419,623,067	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$437,313,420	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$454,429,030	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$509,822,346	CurrentTaxYearMinus1YearAmt
Current Tax Year	$497,036,728	CurrentTaxYearAmt
Total	$2,318,224,591	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	$2,318,224,591	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,411,061	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$735,442	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$770,344	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,008,778	CurrentTaxYearMinus1YearAmt
Current Tax Year	$989,972	CurrentTaxYearAmt
Total	$4,915,597	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	$1,411,061	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$735,442	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$770,344	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,008,778	CurrentTaxYearMinus1YearAmt
Current Tax Year	$989,972	CurrentTaxYearAmt
Total	$4,915,597	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$230,170	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	-$172,489	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$150,042	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,882	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,453	CurrentTaxYearAmt
Total	$216,058	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$61,525,638	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$83,083,146	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$90,978,791	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$111,631,549	CurrentTaxYearMinus1YearAmt
Current Tax Year	$125,261,413	CurrentTaxYearAmt
Total	$472,480,537	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$482,789,936	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$520,959,519	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$546,328,207	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$622,466,555	CurrentTaxYearMinus1YearAmt
Current Tax Year	$623,292,566	CurrentTaxYearAmt
Total	$2,795,836,783	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.8292	PublicSupportCY509Pct
Public Support PY509	0.8376	PublicSupportPY509Pct
Investment Income CY	0.0018	InvestmentIncomeCYPct
Investment Income PY	0.0025	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 - 61525638.0, COLUMN B - 83083146.0, COLUMN C - 90978791.0, COLUMN D - XXX-XX-XXXX.0, COLUMN E - XXX-XX-XXXX.0, COLUMN F - XXX-XX-XXXX.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	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$15,400	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$40,848	OtherActivitiesAmt
Total Lobbying Expenditures	$56,248	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	LINES IB & 1G DARTMOUTH-HITCHCOCK CLINIC THROUGH THE USE OF CONSULTANTS, CONTACTS GOVERNMENT OFFICIALS AND LEGISLATORS. THIS CONTACT IS FOR THE PURPOSE OF PROPOSING LEGISLATION OR EXPRESSING AN OPINION ON CHANGES IN LEGISLATION THAT AFFECT DHC AND ITS ABILITY TO CARRY OUT ITS MISSION. THE TYPICAL ACTIVITIES MAY INCLUDE SENDING LETTERS TO, CALLING, AND MEETING WITH GOVERNMENT OFFICIALS AND LEGISLATORS. FOR THE FISCAL YEAR ENDED JUNE 30, 2020, DARTMOUTH HITCHCOCK CLINIC INCURRED $15,400 OF EXPENSES IN CONJUNCTION WITH THESE ACTIVITIES. 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	$1,345,817	BeginningYearBalanceAmt
Investment Earnings Or Losses	$28,397	InvestmentEarningsOrLossesAmt
Other Expenditures	$14,120	OtherExpendituresAmt
End Year Balance	$1,360,094	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,214,414	BeginningYearBalanceAmt
Investment Earnings Or Losses	$72,236	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,206	OtherExpendituresAmt
End Year Balance	$1,284,444	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,128,967	BeginningYearBalanceAmt
Contributions	$102,466	ContributionsAmt
Investment Earnings Or Losses	-$10,712	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,307	OtherExpendituresAmt
End Year Balance	$1,214,414	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.7341	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.2659	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	$72,493,046	OtherCostOrOtherBasisAmt
Depreciation	$63,369,823	DepreciationAmt
Book Value	$9,123,223	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,567,760	OtherCostOrOtherBasisAmt
Depreciation	$27,548,115	DepreciationAmt
Book Value	$19,645	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,623,456	OtherCostOrOtherBasisAmt
Depreciation	$16,611,852	DepreciationAmt
Book Value	$11,604	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$18,875,363	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Public Equities Funds
Private Equities Funds	$145,375	F
Hedge Funds	$61,528	F
Other Secuities	$119,442	F
INVESTMENT IN CAPTIVE - HAMDEN	$58,486,285	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$58,812,630	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DHC 457(B) PLAN ASSETS	$88,232,195
DUE FROM AFFILIATE	$29,064,458

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$117,296,653	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ACCRUED POST RETIREMENT PENSION	$214,396,684
RESERVES FOR INSURANCE RELATED LOSS	$78,858,824
ESTIMATED THIRD PARTY SETTLEMENT	$3,423,298

Field	Value	IRS element (for citing)
Total Liability	$296,678,806	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4 Intended uses of endowment funds	FormAndLineReferenceDesc
Explanation	THE ENDOWMENT FUND WAS ESTABLISHED TO PROVIDE RESEARCH AND CLINICAL SUPPORT FOR THE CARDIOTHORACIC SURGERY CHAIR AT DARTMOUTH HITCHCOCK CLINIC	ExplanationTxt

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (6 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
East Asia and the Pacific	1	Program Services	Medical program	$2,294
Central America and the Caribbean	1	Program Services	Medical Services	$487
Sub-Saharan Africa	6	Program Services	Medical Services	$13,393
Europe (Including Iceland and Greenland)	0	Program Services	Program Support	$21,724
Central America and the Caribbean	0	Program Services	Program Support	$34,899
Central America and the Caribbean	0	Investments	Captive Investments	$58,486,285

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	8	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	8	TotalEmployeeCnt
Subtotal Spent	$58,559,082	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$58,559,082	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (3 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
Europe (Including Iceland and Greenland)	Program Support	$8,400	Cash
Central America and the Caribbean	Program Support	$34,899	Cash
Europe (Including Iceland and Greenland)	Program Support	$13,324	Cash

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

Supplemental Information Detail SupplementalInformationDetail (2 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 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 I IRS990ScheduleI

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

Recipient Table RecipientTable (103 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
Alice Peck Day Memorial Hospital
10 Alice Peck Day Drive	Lebanon	NH	03766	020222791	501(c)(3)	$35,562	FMV	PROGRAM SUPPORT
American Cancer Society
2 Commerce Drive Suite 110	Bedford	NH	03110	131788491	501(c)(3)	$11,060	FMV	PROGRAM SUPPORT
American Heart Association
PO Box 4002012	Des Moines	IA	503402012	135613797	501(c)(3)	$9,660	FMV	PROGRAM SUPPORT
Amoskeag Health
145 Hollis Street	Manchester	NH	03101	020458174	501(c)(3)	$15,400	FMV	PROGRAM SUPPORT
APPLIED GEOSOLUTIONS LLC
15 NEWMARKET ROAD	DURHAM	NH	03824	020518753		$8,770	FMV	PROGRAM SUPPORT
ATRIUM HEALTH
CAROLINAS HEALTHCARE SYSTEM	CHARLOTTE	NH	282601979	560529945	501(c)(3)	$12,110	FMV	CHARITABLE RESEARCH
Bipartisan Policy Center Inc
1225 I Street NW	Washington	DC	02005	731628382	501(c)(3)	$7,000	FMV	PROGRAM SUPPORT
BOSTON MEDICAL CENTER
52 RATTLESNAKE HILL RD	ANDOVER	MA	01810	043314093	501(c)(3)	$7,806	FMV	CHARITABLE RESEARCH
BOSTON UNIVERSITY
PO BOX 28763	NEW YORK	NY	100878763	042103547	501(c)(3)	$67,613	FMV	CHARITABLE RESEARCH
Boys & Girls Club of Central New Hampshire
55 Bradley Street	Concord	NH	03301	020259874	501(c)(3)	$6,000	FMV	PROGRAM SUPPORT
BRD OF REGENTS UNIV OF OK HLTH SCIENCE
ROOM 2B02	TULSA	OK	741352512	731563627	St. of OK	$15,896	FMV	EDUCATIONAL SERVICES
BRIGHAM AND WOMEN'S HOSPITAL INC
NURSING PROF DEVELOPMENT	BOSTON	MA	02115	042312909	501(c)(3)	$54,798	FMV	CHARITABLE RESEARCH
CEDARS-SINAI MEDICAL CENTER
6500 WILSHIRE BLVD SUITE 1150	LOS ANGELES	CA	90048	951644600	501(c)(3)	$79,396	FMV	CHARITABLE RESEARCH
CENTERSTONE OF KENTUCKY INC
10101 LINN STATION RD	LOUISVILLE	KY	40223	310939757	501(c)(3)	$16,844	FMV	CHARITABLE RESEARCH
CENTERSTONE RESEARCH INSTITUTE
44 VANTAGE WAY SUITE 280	NASHVILLE	TN	37228	262505456	501(c)(3)	$59,852	FMV	CHARITABLE RESEARCH
Cheshire Medical Center
580 Court St 590	Keene	NH	03431	020354549	501(c)(3)	$149,237	FMV	PROGRAM SUPPORT
City of Manchester
PO Box 9598	Manchester	NH	03108	026000517	City of Manchester	$20,000	FMV	PROGRAM SUPPORT
CLEVELAND CLINIC FOUNDATION
ATTN STACIE PALLOTTA	CLEVELAND	OH	44195	340714585	501(c)(3)	$32,254	FMV	CHARITABLE RESEARCH
COMMONWEALTH OF MASSACHUSETTS
DEPT OF REVENUE	BOSTON	MA	022055140	046002284	St. of MA	$86,674	FMV	EDUCATIONAL SERVICES
COMMUNITY MENTAL HEALTH AFFILIATES INC
270 JOHN DOWNEY DR	NEW BRITAIN	CT	06051	060934544	501(c)(3)	$11,228	FMV	CHARITABLE PROGRAM SUPPORT
Counseling Assoc of New London LLC
35 Newport Road	New London	NH	03257	201917474	501(c)(3)	$43,506	FMV	PROGRAM SUPPORT
Crotched Mountain
1 Verney Drive	Greenfield	NH	03047	222541478	501(c)(3)	$5,544	FMV	PROGRAM SUPPORT
Easter Seals of NH
555 Auburn Street	Manchester	NH	03103	020272825	501(c)(3)	$14,454	FMV	PROGRAM SUPPORT
Families Flourish Northeast
235 Whitford Street	Manchester	NH	03104	844591232	501(c)(3)	$14,000	FMV	PROGRAM SUPPORT
Families in Transition
122 Market St	Manchester	NH	03101	020475414	501(c)(3)	$24,815	FMV	PROGRAM SUPPORT
FAMILY PLACE INC
319 US ROUTE 5 SOUTH	NORWICH	VT	05055	030305264	501(c)(3)	$16,536	FMV	CHARITABLE PROGRAM SUPPORT
Family Promise of Greater Nashua
180 Lowell Road	Hudson	NH	03051	020528837	501(c)(3)	$5,625	FMV	PROGRAM SUPPORT
FEINSTEIN INSTITUTES FOR MEDICAL RESEARC
350 COMMUNITY DRIVE	MANHASSET	NY	11030	112673595	501(c)(3)	$9,246	FMV	CHARITABLE RESEARCH
Foundation for Healthy Communities (NHHA)
125 Airport Road	Concord	NH	03301	020275078	501(c)(3)	$390,579	FMV	PROGRAM SUPPORT
Good Neighbor Health Clinic
70 North Main Street	White River Junction	VT	05001	030346949	501(c)(3)	$18,200	FMV	PROGRAM SUPPORT
Grafton County Senior Citizens Council
10 Campbell St	Lebanon	NH	03766	237248316	501(c)(3)	$5,040	FMV	PROGRAM SUPPORT
Granite United Way
22 Concord Street	Manchester	NH	03101	026006033	501(c)(3)	$5,600	FMV	PROGRAM SUPPORT	Floor 2
Greater Manchester Chamber of Commerce
54 Hanover Street	Manchester	NH	03101	020161920	501(c)(3)	$8,270	FMV	PROGRAM SUPPORT
Greater Nashua Chamber of Commerce
142 Main Street	Nashua	NH	03060	020116973	501(c)(3)	$7,500	FMV	PROGRAM SUPPORT
GREATER NASHUA MENTAL HEALTH CENTER
100 WEST PEARL STREET	NASHUA	NH	03060	020222121	501(c)(3)	$14,679	FMV	CHARITABLE PROGRAM SUPPORT
Headrest Inc
141 Mascoma St	Lebanon	NH	03766	237256865	501(c)(3)	$13,114	FMV	PROGRAM SUPPORT
John Hopkins University
Rubenstein Building	Baltimore	MD	21287	520595110	501(c)(3)	$17,456	FMV	PROGRAM SUPPORT
Keene Serenity Center
34 Mechanic Street	Keene	NH	03431	463123664	501(c)(3)	$9,517	FMV	PROGRAM SUPPORT
MAINE MEDICAL CENTER
22 BRAMHALL STREET	PORTLAND	ME	04102	010238552	501(c)(3)	$33,969	FMV	CHARITABLE RESEARCH
MASSACHUSETTS GENERAL HOSPITAL
100 CHARLES RIVER PLAZA STE 600	BOSTON	MA	021142792	042697983	501(c)(3)	$33,006	FMV	CHARITABLE RESEARCH
MAYFLOWER MEDICAL OUTREACH INC
PO BOX 75449	OKLAHOMA CITY	OK	73147	271245528	501(c)(3)	$7,701	FMV	CHARITABLE RESEARCH
MAYO CLINIC
200 FIRST STREET SW	ROCHESTER	MN	55905	416011702	501(c)(3)	$41,814	FMV	CHARITABLE RESEARCH
MEDICAL UNIVERSITY OF SO CAROLINA
1 SOUTH PARK CIRCLE	CHARLESTON	SC	29407	576000722	St. of SC	$53,199	FMV	EDUCATIONAL SERVICES
Mental Health Center of Greater Manchester
ATTN JOANN BATTY STAFF DEV	MANCHESTER	NH	03101	020258994	501(c)(3)	$5,743	FMV	CHARITABLE PROGRAM SUPPORT
MICHIGAN STATE UNIVERSITY
426 AUDITORIUM ROAD	EAST LANSING	MI	48824	386005984	St. of MI	$9,958	FMV	EDUCATIONAL SERVICES
Monadnock Area Peer Support Agency
64 Beaver Street	Keene	NH	03431	020484723	501(c)(3)	$10,385	FMV	PROGRAM SUPPORT
Monadnock Community Hospital
452 Old Street Rd	Peterborough	NH	03458	020222157	501(c)(3)	$46,266	FMV	PROGRAM SUPPORT
Monadnock Family Services
17 93rd Street	Keene	NH	03431	026012230	501(c)(3)	$77,329	FMV	PROGRAM SUPPORT
Monadnock United Way
23 Center Street	Keene	NH	03431	020236885	501(c)(3)	$5,600	FMV	PROGRAM SUPPORT
Mt Ascutney Hospital and Health Center
289 County Rd	Windsor	VT	05089	030183721	501(c)(3)	$6,300	FMV	PROGRAM SUPPORT
National Alliance on Mental Illness NH (NAMI)
85 No State Street	Concord	NH	03301	222760743	501(c)(3)	$31,862	FMV	PROGRAM SUPPORT
NEUROLOGY ASSOCIATES PA
331 N MAITLAND AVE	MAITLAND	FL	32751	591931548		$9,600	FMV	CHARITABLE RESEARCH
New Hampshire Charitable Foundation
37 Pleasant Street	Concord	NH	03301	026005625	501(c)(3)	$16,800	FMV	PROGRAM SUPPORT
New Hampshire Coalition Against Domestic Violence
PO Box 353	Concord	NH	03302	020360151	501(c)(3)	$7,000	FMV	PROGRAM SUPPORT
New Hampshire Public Broadcast
268 Mast Road	Durham	NH	03824	943443883	501(c)(3)	$5,600	FMV	PROGRAM SUPPORT
New London Hospital
273 Country Rd	New London	NH	03257	020222171	501(c)(3)	$51,804	FMV	PROGRAM SUPPORT
OREGON CLINIC PC
847 NE 19TH AVENUE	PORTLAND	OR	97232	931127856		$23,038	FMV	PROGRAM SUPPORT
OREGON HEALTH & SCIENCE UNIVERSITY
PO BOX 575	PORTLAND	OR	97207	931176109	St. of OR	$10,292	FMV	EDUCATIONAL SERVICES
PENNSYLVANIA STATE UNIVERSITY
500 UNIVERSITY DRIVE	HERSHEY	PA	170330850	246000376	St. of PA	$10,012	FMV	EDUCATIONAL SERVICES
PROVIDENCE CENTER
528 NORTH MAIN STREET	PROVIDENCE	RI	02860	050316969	501(c)(3)	$24,096	FMV	CHARITABLE RESEARCH
Public Health Council of the Upper Valley
ONE COURT STREET	LEBANON	NH	03766	752991608	501(c)(3)	$11,224	FMV	CHARITABLE PROGRAM SUPPORT
Reality Check Inc
17 Turnpike Road	Jaffrey	NH	03452	263344553	501(c)(3)	$12,047	FMV	PROGRAM SUPPORT
RECTOR & VISITORS OF UNIV OF VIRGINIA
JOHN W STEINKE	CHARLOTTESVILLE	VA	229081355	546001796	St. of VA	$14,060	FMV	EDUCATIONAL SERVICES
REGENTS OF THE UNIVERSITY OF CALIFORNIA
UNIVERSITY OF CALIFORNIA SAN DIEGO	LA JOLLA	CA	920930009	943067788	St. of CA	$13,933	FMV	EDUCATIONAL SERVICES
REGENTS OF UNIV OF MICHIGAN
DEPT OF PATHOLOGY BILLING	ANN ARBOR	MI	48109	386006309	St. of MI	$45,657	FMV	EDUCATIONAL SERVICES
RESEARCH INSTITUTE AT NATIONWIDE CHILDRENS HOSPITAL
PO BOX 781653	DETROIT	MI	48278	316056230	501(c)(3)	$20,799	FMV	CHARITABLE RESEARCH
SEATTLE CHILDREN'S HOSPITAL
PO BOX 24728	SEATTLE	WA	981240728	910564748	501(c)(3)	$17,880	FMV	CHARITABLE RESEARCH
SECOND GROWTH INC
PO BOX 206	HANOVER	NH	03755	020519093	501(c)(3)	$8,055	FMV	CHARITABLE PROGRAM SUPPORT
SINAI HOSPITAL OF BALTIMORE INC
2401 W BELVEDERE AVENUE	BALTIMORE	MD	21215	520486540	501(c)(3)	$8,957	FMV	CHARITABLE RESEARCH
Southwestern Community Services
PO Box 603 / 63 Community Way	Keene	NH	03431	026013808	501(c)(3)	$16,465	FMV	PROGRAM SUPPORT
STANFORD UNIVERSITY
3145 PORTER DRIVE	PALO ALTO	CA	94305	941156365	501(c)(3)	$11,667	FMV	CHARITABLE EDUCATIONAL SERVICES
Sullivan County
14 Main Street	Newport	NH	03773	026000870	501(c)(3)	$33,600	FMV	PROGRAM SUPPORT
THOMAS JEFFERSON UNIVERSITY
901 WALNUT ST	PHILADELPHIA	PA	19107	231352651	501(c)(3)	$21,358	FMV	CHARITABLE EDUCATIONAL SERVICES
TLC Family Resource Center
PO Box 1098	Claremont	NH	03743	522439830	501(c)(3)	$20,960	FMV	PROGRAM SUPPORT
Tri-Valley Transit
279 Creek Road	Middlebury	VT	05753	030335768	501(c)(3)	$11,900	FMV	PROGRAM SUPPORT
TRUSTEES OF DARTMOUTH COLLEGE
7 LEBANON STREET	HANOVER	NH	03755	020222111	501(c)(3)	$442,391	FMV	CHARITABLE EDUCATIONAL SERVICES
TRUSTEES OF THE UNIV OF PENNSYLVANIA
THE WHARTON SCHOOL	PHILADELPHIA	PA	191789726	231352685	St. of PA	$9,438	FMV	EDUCATIONAL SERVICES
Turning Points Network
11 School Street	Claremont	NH	03743	020350899	501(c)(3)	$27,292	FMV	PROGRAM SUPPORT
Twin Pines Housing Trust
226 Holiday Drive Suite 20	White River Junction	VT	05001	222809527	501(c)(3)	$11,200	FMV	PROGRAM SUPPORT
United Way of Greater Nashua
20 Broad Street	Nashua	NH	03064	026015642	501(c)(3)	$20,000	FMV	PROGRAM SUPPORT
UNIVERSITY OF ALABAMA AT BIRMINGHAM
UAB SCHOOL OF NURSING	BIRMINGHAM	AL	352941210	636005396	St. of AL	$22,779	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF ARIZONA
PROJECTS CONTRACTING SERVICES	TUCSON	AZ	857190521	742652689	St. of AZ	$5,405	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF COLORADO
UCHSC DNA DIAGNOSTIC LAB	AURORA	CO	80045	846000555	St. of CO	$11,462	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF MARYLAND BALTIMORE
220 ARCH STREET	BALTIMORE	MD	212011531	526002033	St. of MA	$22,999	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF MIAMI
DEPARTMENT OF PATHOLOGY	ATLANTA	GA	303845776	592695890	St. of FL	$8,569	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF NEBRASKA MEDICAL CTR
985045 NEBRASKA MED CTR	OMAHA	NE	681985045	470491233	St. of NE	$8,174	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF NEW HAMPSHIRE
51 COLLEGE ROAD	DURHAM	NH	03824	026000937	St. of NH	$10,544	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF TEXAS AT AUSTIN
VALUE INSTITUTE ATTN ROBERT CROSS	AUSTIN	TX	78712	746002003	St. of TX	$19,781	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF VERMONT
DEPT OF PEDIATRICS	BURLINGTON	VT	054050068	030179440	St. of VT	$67,238	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF WASHINGTON
GRANT CONTRACT ACCOUNTING	CHICAGO	IL	60693	916001537	St. of WA	$20,627	FMV	EDUCATIONAL SERVICES
Upper Valley Habitat for Humanity
PO Box 1038	White River Junction	VT	05001	030306081	501(c)(3)	$5,991	FMV	PROGRAM SUPPORT
Upper Valley Haven
713 Hartford Ave	White River Junction	VT	05001	030277908	501(c)(3)	$22,575	FMV	PROGRAM SUPPORT
Valley Regional Hospital
243 Elm Street	Claremont	NH	03743	020222118	501(c)(3)	$93,154	FMV	PROGRAM SUPPORT
VINFEN CORPORATION
950 CAMBRIDGE ST	CAMBRIDGE	MA	02141	042632219	501(c)(3)	$23,810	FMV	CHARITABLE PROGRAM SUPPORT
VIRGINIA COMMONWEALTH UNIVERSITY
800 E LEIGH STREET	RICHMOND	VA	23219	546001758	St. of VA	$9,558	FMV	EDUCATIONAL SERVICES
Vital Communities
195 North Main Street	White River Junction	VT	05001	030355283	501(c)(3)	$9,660	FMV	PROGRAM SUPPORT
West Central Behavioral Health
9 Hanover Street	Lebanon	NH	03766	222645978	501(c)(3)	$90,127	FMV	PROGRAM SUPPORT
WEST VIRGINIA UNIVERSITY RESEARCH CORPOR
ONE WATERFRONT PLACE	MORGANTOWN	WV	265066001	550665758	St. of WV	$6,391	FMV	EDUCATIONAL SERVICES
Willing Hands Enterprises
PO Box 172	Lebanon	NH	03766	202204811	501(c)(3)	$16,940	FMV	PROGRAM SUPPORT
Women's Information Service of the Upper Valley
38 Bank Street	Lebanon	NH	03766	020346512	501(c)(3)	$19,600	FMV	PROGRAM SUPPORT
Woodstock Area Council on Aging
99 Senior Lane	Woodstock	VT	05091	030295419	501(c)(3)	$5,600	FMV	PROGRAM SUPPORT
YMCA of Greater Nashua
6 Henry Clay Drive	Merrimack	NH	03054	020222250	501(c)(3)	$19,750	FMV	PROGRAM SUPPORT
Visiting Nurse Association and Hospice of Vermont and New Hampshire Inc
88 Prospect St	White River Junction	VT	05001	036006494	501(c)3	$51,411	FMV	Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	100	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
Awards and Educational Assistance	31	$348,737
D-H Tuition Reimbursement Program	155	$324,278
Patient Assistance	308	$16,616
Charitable Research	1	$20,452	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)
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 (35 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	$1,030,023	$0	$184,500	$0	$141,998	$0	$26,955	$0	$26,945	$0	$1,410,421	$0	$0	$0
Jocelyn Chertoff MD
VP SRVC LN/DPT CHCR DGNSTC RAD	$644,951	$0	$0	$0	$57,897	$0	$26,955	$0	$15,649	$0	$745,452	$0	$0	$0
Cherie Holmes MD
Trustee	$446,943	$0	$1,000	$0	$37,402	$0	$26,955	$0	$28,344	$0	$540,644	$0	$0	$0
Kari M Rosenkranz MD
Trustee (through 12/2019) / Physician	$500,097	$0	$0	$0	$22,872	$0	$21,355	$0	$14,989	$0	$559,313	$0	$0	$0
Jon Wahrenberger MDFAHAFAC
Trustee	$336,765	$0	$0	$0	$18,720	$0	$26,955	$0	$38,313	$0	$420,753	$0	$0	$0
KURT K RHYNHART MD
TRUSTEE	$453,257	$0	$0	$0	$38,380	$0	$21,355	$0	$20,930	$0	$533,922	$0	$0	$0
JONATHAN HUNTINGTON MD PhD MPH
TRUSTEE (EFFECTIVE 1/1/20)	$384,586	$0	$0	$0	$33,393	$0	$21,355	$0	$35,758	$0	$475,092	$0	$0	$0
Richard I Rothstein MD
Former Dept Chair/Srvc LN LDR - MED	$593,894	$0	$0	$0	$87,479	$0	$26,955	$0	$30,285	$0	$738,613	$0	$0	$0
Kimberly Troland JD
FMR INTRM GC/DEPUTY GEN CNSL	$0	$365,343	$0	$0	$0	$32,394	$0	$21,355	$0	$20,849	$0	$439,941	$0	$0
Aimee M Claiborne
Chief HR Officer	$0	$371,431	$0	$45,600	$0	$35,807	$0	$12,813	$0	$35,401	$0	$501,052	$0	$0
DANIEL P JANTZEN CPA
CFO	$0	$643,403	$0	$80,400	$0	$97,958	$0	$26,955	$0	$29,778	$0	$878,494	$0	$0
Patrick F Jordan III MBA
Chief Operating Officer	$0	$654,825	$0	$80,400	$0	$35,008	$0	$21,355	$0	$42,779	$0	$834,367	$0	$0
JOHN KACAVAS
Chief Legal Officer	$0	$586,982	$0	$74,400	$0	$53,606	$0	$23,617	$0	$34,240	$0	$772,845	$0	$0
Stephen Leblanc
Chief Strategy Officer	$662,188	$0	$80,400	$0	$85,671	$0	$26,955	$0	$25,378	$0	$880,592	$0	$0	$0
EDWARD MERRENS
Chief Clinical Officer	$648,460	$0	$80,400	$0	$65,921	$0	$26,955	$0	$16,267	$0	$838,003	$0	$0	$0
Maria Padin MD
Chief Medical Officer	$394,016	$0	$0	$0	$36,908	$0	$26,955	$0	$37,687	$0	$495,566	$0	$0	$0
Susan A Reeves EDDRN
Chief Nursing Executive	$0	$493,481	$0	$60,350	$0	$24,091	$0	$26,955	$0	$29,490	$0	$634,367	$0	$0
Martin Purcell MBA
Chief Information Officer	$0	$385,271	$0	$0	$0	$26,183	$0	$26,955	$0	$26,075	$0	$464,484	$0	$0
Matthew Haag
VP Development	$0	$352,781	$0	$0	$0	$19,014	$0	$21,355	$0	$14,425	$0	$407,575	$0	$0
Wendy Fielding MBA
FMR KEY EMP/ VP FINANCE PLANNING	$0	$263,381	$0	$0	$0	$19,414	$0	$21,355	$0	$32,761	$0	$336,911	$0	$0
Tina E Naimie CPA
FMR KEY EMP/ VP CORP FINANCE	$0	$273,632	$0	$0	$0	$11,143	$0	$21,355	$0	$1,821	$0	$307,951	$0	$0
Christine Schon MPA
FMR KEY EMP/ VP Ambulatory Care	$262,978	$0	$2,000	$0	$29,513	$0	$26,955	$0	$29,264	$0	$350,710	$0	$0	$0
Wendy Wells MD
FMR KEY EMP/DEPT CHR PATHOLOGY	$548,491	$0	$0	$0	$48,377	$0	$26,955	$0	$23,603	$0	$647,426	$0	$0	$0
Sandra Wong MD
SVP SVC LN & Chair of Surgery	$653,814	$0	$0	$0	$66,525	$0	$21,355	$0	$11,848	$0	$753,542	$0	$0	$0
GEORGE T BLIKE MD
Chief Quality & Value Officer	$433,049	$0	$0	$0	$41,698	$0	$26,955	$0	$37,199	$0	$538,901	$0	$0	$0
Karen Clements RNBSNMSB
Chief Nursing Officer	$0	$333,940	$0	$250	$0	$26,779	$0	$21,355	$0	$12,166	$0	$394,490	$0	$0
Staci Hermann PHARMDMS
CHIEF PHARMACY OFFICER	$0	$260,616	$0	$0	$0	$24,661	$0	$12,813	$0	$14,277	$0	$312,367	$0	$0
Simon Hillier
Dept Chair ANESTHESIOLOGY	$516,806	$0	$0	$0	$48,617	$0	$26,955	$0	$30,401	$0	$622,779	$0	$0	$0
Jeffrey Obrien MHA
KEY EMP/ VP CLINICAL OPS	$0	$343,917	$0	$0	$0	$27,038	$0	$26,955	$0	$32,978	$0	$430,888	$0	$0
Peter D Solberg MD
Chief Medical Information Officer	$369,462	$0	$0	$0	$21,310	$0	$25,455	$0	$35,274	$0	$451,501	$0	$0	$0
Lixia Ellis MD
Physician	$913,881	$0	$0	$0	$19,180	$0	$13,286	$0	$36,203	$0	$982,550	$0	$0	$0
Nathan Simmons MD
Physician	$840,404	$0	$0	$0	$89,548	$0	$21,355	$0	$32,340	$0	$983,647	$0	$0	$0
Daniel Stewart MD
Physician	$1,102,691	$0	$0	$0	$109,457	$0	$21,355	$0	$36,517	$0	$1,270,020	$0	$0	$0
John Nigriny
Staff Physician	$894,894	$0	$0	$0	$78,978	$0	$21,355	$0	$36,687	$0	$1,031,914	$0	$0	$0
Timothy Ryken
Staff Physician	$978,573	$0	$0	$0	$85,281	$0	$21,355	$0	$37,024	$0	$1,122,233	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 the DHH within ranges established by the board.
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: DANIEL JANTZEN $130,828 STEPHEN LEBLANC $59,434 RICHARD ROTHSTEIN $102,290

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	$59,434	false	Yes (true)	Yes (true)
Richard Rothstein
Former Officer	Split Dollar Life	Yes (X)	$0	$102,290	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$161,724	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	Family member of Trustee Ed Stansfield	RelationshipDescriptionTxt
Transaction	$233,957	TransactionAmt
Transaction	Employment Compensation	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 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. Members include the following who are all members of the governing board: Edward H. Stansfield, III, MA (Board Chair and Chair of Governance Committee) William J. Conaty (Chair - Talent Development and Compensation Committee) Roberta L. Hines, MD (Chair - Research and Education Committee) Charles G. Plimpton, MBA (Chair- Finance Committee) Pamela A. Thompson, MS, RN, CENP, FAAN (Chair - Value Committee) Ex Officio member: Dr. Joanne Conroy (CEO)
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 CORPORATE FINANCE, 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 2020.
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 2020. 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 (THC).
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 VIII, Line 11d Other Miscellaneous Revenue	OTHER REVENUE - Total Revenue: 14705814, Related or Exempt Function Revenue: 14705814, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
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	PENSION AND OTHER CHARGES - -41318277;

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	PSYCH SERVICES	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd
Total Income	-$285,182	TotalIncomeAmt
End Of Year Assets	$753,203	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	D-HC	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
THE HITCHCOCK FOUNDATION
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020222139	HeaLTH CaRE ReSeaRCH	NH	501(c)(3)	7	DHC	Yes (true)
HAMDEN RISK RETENTION GROUP
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 ORG	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 & HOSPICE OF VT AND NH 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	DHC	C Corporation	-$127	$75,632	1	Yes (true)
HAMDEN ASSURANCE CO LTD
				980121409	Liability INSURANCE		DHC	C Corporation	$0	$65,767,503	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	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	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
Hamden Risk Retention Group
M	$3,206,530	FMV
The Hitchcock Foundation
P	$446,872	FMV
The Hitchcock Foundation
S	$246,039	FMV