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        <ExplanationTxt>THE ORGANIZATION'S TREASURER IS COMPENSATED BY MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH), A RELATED AND SUPPORTED ORGANIZATION OF DHMC. AS PART OF THEIR ROLE AT MHMH, THEIR COMPENSATION IS REVIEWED BY EXTERNAL PARTIES AND MHMH'S COMPENSATION COMMITTEE.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>DHMC HAS FOUR MEMBERS, REFERRED TO AS COMPONENTS: DARTMOUTH COLLEGE/GEISEL SCHOOL OF MEDICINE; DARTMOUTH-HITCHCOCK CLINIC; MARY HITCHCOCK MEMORIAL HOSPITAL, AND THE VETERANS AFFAIRS MEDICAL CENTER.</ExplanationTxt>
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        <ExplanationTxt>THE COMPONENTS SHALL BE REPRESENTED, RESPECTIVELY, BY THE DEAN OF GEISEL SCHOOL OF MEDICINE, PRESIDENT OF THE CLINIC, PRESIDENT OF THE HOSPITAL, AND DIRECTOR OF THE VETERANS AFFAIRS, ALL OF WHOM SHALL BE EX-OFFICIO. THE COLLEGE/MEDICAL SCHOOL, CLINIC, AND HOSPITAL SHALL EACH BE REPRESENTED BY TWO INDIVIDUALS (COMPONENT TRUSTEES), NOMINATED BY THEIR RESPECTIVE BOARDS OF TRUSTEES AND ELECTED BY THE DHMC BOARD. SUCH INDIVIDUALS SHOULD NORMALLY BE TRUSTEES OF THE COMPONENT BOARDS, BUT THIS IS NOT A REQUIREMENT. ALL MEMBERS OF THE BOARD, BOTH ELECTED AND EX-OFFICIO, SHALL HAVE VOTING RIGHTS. IN ADDITION, THE DHMC BOARD MAY ELECT AS MANY AS FIVE NON-COMPONENT TRUSTEES.</ExplanationTxt>
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        <ExplanationTxt>THE COMPENSATION PAID BY RELATED ORGANIZATIONS WAS FOR SERVICES PROVIDED TO THOSE RELATED ORGANIZATIONS AND NOT THE FILING ORGANIZATION. ALTHOUGH THE INDIVIDUALS WORKED THE TIME LISTED AS PART OF THEIR BOARD OF TRUSTEE DUTIES, THEY WERE NOT COMPENSATED WITH RESPECT TO THOSE HOURS. THE TIME/HOURS AT THE RELATED ORGANIZATIONS VARY BY INDIVIDUAL AND ORGANIZATION. THE COMBINED HOURS FROM THE FILING ORGANIZATION AND RELATED ORGANIZATIONS REFLECTS THE TYPICAL HOURS WORKED PER WEEK FOR ALL RELATED ORGANIZATIONS.</ExplanationTxt>
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          <AddressLine1Txt>One Medical Center Drive</AddressLine1Txt>
          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03756</ZIPCd>
        </USAddress>
        <EIN>222519596</EIN>
        <PrimaryActivitiesTxt>Physician Group</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>D-HH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mary Hitchcock Memorial Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>One Medical Center Drive</AddressLine1Txt>
          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03756</ZIPCd>
        </USAddress>
        <EIN>020222140</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>D-HH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Trustees of Dartmouth College</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Rope Ferry Road</AddressLine1Txt>
          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03755</ZIPCd>
        </USAddress>
        <EIN>020222111</EIN>
        <PrimaryActivitiesTxt>Md. School</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>2</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Veterans Affairs Med &amp; Regnl Office Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>215 North Main Street</AddressLine1Txt>
          <CityNm>White River JCT</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05001</ZIPCd>
        </USAddress>
        <EIN>741612229</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>US Government</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>