DARTMOUTH-HITCHCOCK CLINIC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: DARTMOUTH-HITCHCOCK CLINIC (EIN 22-2519596)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-14
IRS object ID: 202001969349301215
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-14T08:00:39-05:00	ReturnTs
Tax Period End	2019-06-30	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	175 Powder Forest Drive	AddressLine1Txt
City	Simsbury	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	060897902	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	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	2020-07-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kristin Anderson	PreparerPersonNm
PTIN	P01231300	PTIN
Phone	8606789200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$514,120,063	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; and providing each person the best care in the right place, at the right time, every time.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	5281	TotalEmployeeCnt
Total Volunteers	623	TotalVolunteersCnt
Total Gross UBI	$373,106	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$8,020,230	CYContributionsGrantsAmt
PY Program Service Revenue	$364,143,295	PYProgramServiceRevenueAmt
CY Program Service Revenue	$391,029,523	CYProgramServiceRevenueAmt
PY Investment Income	$76,287	PYInvestmentIncomeAmt
CY Investment Income	$1,974,910	CYInvestmentIncomeAmt
PY Other Revenue	$91,703,961	PYOtherRevenueAmt
CY Other Revenue	$112,531,662	CYOtherRevenueAmt
PY Total Revenue	$455,923,543	PYTotalRevenueAmt
CY Total Revenue	$513,556,325	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,387,188	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,697,267	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$285,481,234	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$304,820,322	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$88,227	CYTotalFundraisingExpenseAmt
PY Other Expenses	$162,397,835	PYOtherExpensesAmt
CY Other Expenses	$188,699,423	CYOtherExpensesAmt
PY Total Expenses	$449,266,257	PYTotalExpensesAmt
CY Total Expenses	$495,217,012	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,657,286	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$18,339,313	CYRevenuesLessExpensesAmt
Total Assets BOY	$218,528,160	TotalAssetsBOYAmt
Total Assets EOY	$229,963,525	TotalAssetsEOYAmt
Total Liabilities BOY	$424,050,787	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$463,672,940	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$205,522,627	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$233,709,415	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	$382,676,808	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$501,408,190	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 heath 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 2019, DHC continued the transition of research activities and management from GSM to DHC, under the leadership of the Vice President for Research.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$30,045,676	ExpenseAmt
Grant	$1,697,267	GrantAmt
Revenue	$393,926	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 2019 resulted in 1,329,567 office visits recorded by DHC personnel, with 326,965 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 CMS1S 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 2019. 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. 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, 2019, DHC provided financial assistance to 23,833 patients in the amount of $15,029,423 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, 2019, DHC reported a provision for bad debts of approximately $25,736,010.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$412,722,484	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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	false	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	5281	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	Yes (true)	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	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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 (57 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
Joanne M Conroy MD
Trustee, Ex-Officio, CEO	16.2	43.9	Yes (X)	Yes (X)	$1,246,925	$0	$52,162
Vincent S Conti MHA
Trustee/Board Chair (Effective 1/1/19)	0.8	1.3	Yes (X)	Yes (X)	$0	$0	$0
Barbara J Couch MS
Trustee/ Board Secretary (Through 12/31/18)	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
Robert A Oden Jr PHD
Trustee /Vice Chair Through 12/31/2018	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
Charles G Plimpton MBA
Board Treasurer (Through 12/18)/Secretary (Effective 1/19)	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
Edward H Stansfield III MA
Trustee/ Vice Chair (Effective 1/1/19)	0.8	1.8	Yes (X)	Yes (X)	$0	$0	$0
Anne-Lee Verville
Trustee/ Board Chair (Through 12/31/18)	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
ROBERTA L HINES MD
TRUSTEE/TREASURER	12.0	28.0	Yes (X)	Yes (X)	$0	$0	$0
Jocelyn Chertoff MD
Trustee/ VP SRVC LN/DPT CHCR DGNSTC RAD	12.0	28.0	Yes (X)		$612,747	$0	$42,285
Jeffrey A Cohen MD
Trustee (Through 12/31/18)	12.0	31.0	Yes (X)		$439,846	$0	$64,361
Duane A Compton PHD
Trustee / Ex-Officio	0.8	1.7	Yes (X)		$0	$0	$0
William J Conaty
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Paul P Danos PHD
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Cherie Holmes MD
Trustee	12.0	29.0	Yes (X)		$429,451	$0	$54,176
Senator Judd A Greg
Trustee	0.8	0.8	Yes (X)		$0	$0	$0
Laura K Landy MBA
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Kari M Rosenkranz MD
Trustee / Physician	12.0	28.0	Yes (X)		$521,915	$0	$35,773
Brian C Spence MDMHCDS
Trustee (Through 12/31/18) / Physician	12.0	28.0	Yes (X)		$473,411	$0	$57,091
Pamela Thompson MSRNCENP
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Jon Wahrenberger MDFAHAFAC
Trustee	12.0	28.0	Yes (X)		$346,803	$0	$65,665
Marc B Wolpow JDMBA
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
KURT K RHYNHART MD
TRUSTEE	12.0	28.0	Yes (X)		$477,049	$0	$42,072
Aimee M Giglio
Chief HR Officer	12.0	34.0		Yes (X)	$0	$358,762	$47,278
DANIEL P JANTZEN CPA
CFO	15.0	46.0		Yes (X)	$0	$802,407	$55,803
Patrick Jordan III MBA
Chief Operating Officer	15.0	45.0		Yes (X)	$0	$595,187	$58,364
JOHN KACAVAS
Chief Legal Officer	12.0	35.0		Yes (X)	$0	$628,988	$52,416
Stephen Leblanc
Chief Administrative Officer	12.0	36.0		Yes (X)	$678,320	$0	$60,874
EDWARD MERRENS
Chief Clinical Officer	12.0	35.0		Yes (X)	$710,556	$0	$48,934
Maria Padin MD
Chief Medical Officer	12.0	35.0		Yes (X)	$405,936	$0	$74,170
Susan A Reeves EDDRN
Chief Nursing Executive	12.0	42.0		Yes (X)	$0	$460,665	$56,959
Matthew Haag
VP Development	12.0	34.0		Yes (X)	$0	$100,204	$7,675
GEORGE T BLIKE MD
Chief Quality & Value Officer	12.0	29.0			$488,455	$0	$89,309	Yes (X)
Karen Clements RNBSNMSB
Chief Nursing Officer	12.0	28.0			$0	$354,860	$33,093	Yes (X)
Staci Hermann PHARMDMS
INTERIM CHIEF PHARMACY OFFICER	12.0	28.0			$0	$198,201	$22,260	Yes (X)
Simon Hillier
InterIM Dept Chair ANESTHESIOLOGY	12.0	28.0			$528,291	$0	$56,469	Yes (X)
Jeffrey Obrien MHA
KEY EMP/ VP CLINICAL OPS	12.0	28.0			$0	$365,136	$57,115	Yes (X)
Peter D Solberg MD
Chief Medical Information Officer	12.0	28.0			$384,275	$0	$56,111	Yes (X)
Sandra Wong MD
SVP SVC LN & Chair of Surgery	12.0	28.0			$788,615	$0	$32,833	Yes (X)
David Bauer MD
Staff Physician	12.0	28.0			$935,620	$0	$45,960		Yes (X)
Nathan Simmons MD
Physician	12.0	28.0			$1,054,450	$0	$54,604		Yes (X)
Daniel Stewart MD
Physician	12.0	28.0			$1,240,845	$0	$50,805		Yes (X)
John Nigriny
Staff Physcian	40.0	0			$905,010	$0	$57,091		Yes (X)
Timothy Ryken
Staff Physician		0			$946,671	$0	$56,878		Yes (X)
Steven Boyce
FMR KEY EMP/ADM VP MED SPCLTS	12.0	28.0			$128,301	$0	$30,179			Yes (X)
Wendy Fielding MBA
FMR KEY EMP/ VP FINANCE PLANNING	12.0	29.0			$0	$247,327	$49,988			Yes (X)
Robert Greene MDMHCDSFACP
Former Key Employee	12.0	28.0			$122,058	$0	$0			Yes (X)
Tina E Naimie CPA
FMR KEY EMP/ VP CORP FINANCE	12.0	29.0			$0	$257,299	$28,591			Yes (X)
Christine Schon MPA
FMR KEY EMP/ VP Ambulatory Care	1.0	41.0			$280,023	$0	$43,714			Yes (X)
Thomas J Siepka
Chief Pharm Officer	12.0	28.0			$0	$113,190	$6,151			Yes (X)
Wendy Wells MD
FMR KEY EMP/DEPT CHR PATHOLOGY	12.0	28.0			$506,952	$0	$60,768			Yes (X)
Thomas Dodds MD
FMR KEY EMP/DEPT CHR ANESTH	12.0	28.0			$123,247	$0	$12,597			Yes (X)
John Birkmeyer MD
Former CCO/EVP ENTPRS SP	0.0	0.0			$328,004	$0	$0			Yes (X)
John S Malanowski MILR
Former Chief HR Officer		0			$0	$138,656	$0			Yes (X)
Richard I Rothstein MD
Former Dept Chair/Srvc LN LDR - MED	12.0	28.0			$787,038	$0	$56,413			Yes (X)
Kimberly Troland JD
FMR INTRM GC/DEPUTY GEN CNSL	12.0	28.0			$0	$405,537	$50,301			Yes (X)
Sowmya Viswanathan MD
Former Chief ACO Officer	0.0	0.0			$161,538	$0	$0			Yes (X)
James N Weinstein DO MS
Former Trustee/CEO	0.0	0.0			$963,321	$0	$34,820			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,015,673	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,026,419	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,862,108	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1403	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	$4,172,033	GovernmentGrantsAmt
All Other Contributions	$3,848,197	AllOtherContributionsAmt
Total Contributions	$8,020,230	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$391,029,523	TotalRevenueColumnAmt
Related Or Exempt Func Income	$391,029,523	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	$391,029,523	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$65,695	TotalRevenueColumnAmt
Exclusion	$65,695	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$878,309	RealAmt
Personal	$64,774	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$39,428	RealAmt
Personal	$3,542	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$838,881	RealAmt
Personal	$61,232	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$900,113	TotalRevenueColumnAmt
Exclusion	$900,113	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$349,983	SecuritiesAmt
Other	$2,080,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$321,501	SecuritiesAmt
Other	$199,267	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$28,482	SecuritiesAmt
Other	$1,880,733	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,909,215	TotalRevenueColumnAmt
Exclusion	$1,909,215	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CONTRACTED REVENUE	621110	$93,821,564	$93,448,458	$373,106
CAFETERIA INCOME	722212	$485,850			$485,850
ALLOCATED OTHER REVENUE	621110	$17,324,135	$17,324,135

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$111,631,549	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$513,556,325	TotalRevenueColumnAmt
Related Or Exempt Func Income	$501,802,116	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$373,106	UnrelatedBusinessRevenueAmt
Exclusion	$3,360,873	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,025,908	TotalAmt
Program Services	$1,025,908	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$671,359	TotalAmt
Program Services	$671,359	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	$3,953,010	TotalAmt
Program Services	$1,257,811	ProgramServicesAmt
Management And General	$2,627,706	ManagementAndGeneralAmt
Fundraising	$67,493	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,071,604	TotalAmt
Program Services	$580,549	ProgramServicesAmt
Management And General	$470,321	ManagementAndGeneralAmt
Fundraising	$20,734	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$239,374,785	TotalAmt
Program Services	$209,027,157	ProgramServicesAmt
Management And General	$30,347,628	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,643,566	TotalAmt
Program Services	$11,041,974	ProgramServicesAmt
Management And General	$1,601,592	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$32,017,492	TotalAmt
Program Services	$27,961,756	ProgramServicesAmt
Management And General	$4,055,736	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,759,865	TotalAmt
Program Services	$8,502,804	ProgramServicesAmt
Management And General	$7,257,061	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$824,493	TotalAmt
Program Services	$25,002	ProgramServicesAmt
Management And General	$799,491	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$278,419	TotalAmt
Management And General	$278,419	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$11,700	TotalAmt
Management And General	$11,700	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$35,820,668	TotalAmt
Program Services	$30,115,530	ProgramServicesAmt
Management And General	$5,705,138	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,211,033	TotalAmt
Program Services	$9,449	ProgramServicesAmt
Management And General	$1,201,584	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,828,346	TotalAmt
Program Services	$5,070,852	ProgramServicesAmt
Management And General	$1,757,494	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,628,234	TotalAmt
Program Services	$501,590	ProgramServicesAmt
Management And General	$6,126,644	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,990,091	TotalAmt
Program Services	$374,350	ProgramServicesAmt
Management And General	$6,615,741	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,731,583	TotalAmt
Program Services	$1,016,406	ProgramServicesAmt
Management And General	$715,177	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$81,640	TotalAmt
Program Services	$81,149	ProgramServicesAmt
Management And General	$491	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,199,231	TotalAmt
Program Services	$619,923	ProgramServicesAmt
Management And General	$5,579,308	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,517,953	TotalAmt
Program Services	$1,019,328	ProgramServicesAmt
Management And General	$2,498,625	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,342,286	TotalAmt
Program Services	$2,322,521	ProgramServicesAmt
Management And General	$1,019,765	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$102,715,211	$102,652,118	$63,093
EQUIP REPAIR & MAINTENANCE	$6,140,285	$4,128,282	$2,012,003
ACADEMIC, GME, TEACHING & SUPPORT	$2,984,086	$2,293,726	$690,360
RECRUITMENT COSTS	$805,225	$703,225	$102,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,588,939	TotalAmt
Program Services	$1,719,715	ProgramServicesAmt
Management And General	$869,224	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$495,217,012	TotalAmt
Program Services	$412,722,484	ProgramServicesAmt
Management And General	$82,406,301	ManagementAndGeneralAmt
Fundraising	$88,227	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$47,522,818	BOYAmt
EOY	$57,629,020	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$186,474	BOYAmt
EOY	$155,947	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	$2,960,814	BOYAmt
EOY	$2,097,728	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$428,577	BOYAmt
EOY	$586,067	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$126,407,467	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$106,081,119	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$22,369,496	BOYAmt
EOY	$20,326,348	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$705,040	BOYAmt
EOY	$666,552	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$55,138,628	BOYAmt
EOY	$57,742,694	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$855,304	BOYAmt
EOY	$152,738	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$88,361,009	BOYAmt
EOY	$90,606,431	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$218,528,160	BOYAmt
EOY	$229,963,525	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$188,056,385	BOYAmt
EOY	$203,815,575	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,390,823	BOYAmt
EOY	$6,660,425	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$225,603,579	BOYAmt
EOY	$253,196,940	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$424,050,787	BOYAmt
EOY	$463,672,940	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$206,950,402	BOYAmt
EOY	-$235,130,437	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$429,316	BOYAmt
EOY	$422,563	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$998,459	BOYAmt
EOY	$998,459	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$205,522,627	BOYAmt
EOY	-$233,709,415	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$218,528,160	BOYAmt
EOY	$229,963,525	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$18,339,313	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$23,533	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$46,549,634	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	false	FederalGrantAuditRequiredInd

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	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,020,230	CurrentTaxYearAmt
Total	$8,020,230	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$397,956,831	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$419,623,067	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$437,313,420	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$454,429,030	CurrentTaxYearMinus1YearAmt
Current Tax Year	$501,802,116	CurrentTaxYearAmt
Total	$2,211,124,464	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	$397,956,831	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$419,623,067	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$437,313,420	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$454,429,030	CurrentTaxYearMinus1YearAmt
Current Tax Year	$509,822,346	CurrentTaxYearAmt
Total	$2,219,144,694	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	$2,219,144,694	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,741,634	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,411,061	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$735,442	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$770,344	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,008,778	CurrentTaxYearAmt
Total	$6,667,259	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	$2,741,634	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,411,061	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$735,442	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$770,344	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,008,778	CurrentTaxYearAmt
Total	$6,667,259	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$103,904	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$230,170	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	-$172,489	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$346,528	CurrentTaxYearMinus1YearAmt
Current Tax Year	$365,521	CurrentTaxYearAmt
Total	$873,634	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$75,358,696	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$61,525,638	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$83,083,146	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$90,978,791	CurrentTaxYearMinus1YearAmt
Current Tax Year	$111,631,549	CurrentTaxYearAmt
Total	$422,577,820	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$476,161,065	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$482,789,936	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$520,959,519	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$546,524,693	CurrentTaxYearMinus1YearAmt
Current Tax Year	$622,828,194	CurrentTaxYearAmt
Total	$2,649,263,407	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.8376	PublicSupportCY509Pct
Public Support PY509	0.8419	PublicSupportPY509Pct
Investment Income CY	0.0025	InvestmentIncomeCYPct
Investment Income PY	0.0046	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 - 75358696.0, COLUMN B - 61525638.0, COLUMN C - 83083146.0, COLUMN D - 90978791.0, 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	$113,724	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$53,739	OtherActivitiesAmt
Total Lobbying Expenditures	$167,463	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 EMPLOYS THREE FULL TIME STAFF WHOSE DUTIES INCLUDE LOBBYING. TYPICAL EXPENSES ASSOCIATED WITH THE LOBBYING ACTIVITIES INCLUDE STAFF SALARY, TRAVEL, MEMBERSHIP FEES AND DUES. FROM TIME TO TIME, DARTMOUTH HITCHCOCK CLINIC (DHC), THROUGH ITS EMPLOYEES AND 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, 2019, DARTMOUTH HITCHCOCK CLINIC INCURRED $113,724 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	$1,340,985	BeginningYearBalanceAmt
Investment Earnings Or Losses	$61,035	InvestmentEarningsOrLossesAmt
Other Expenditures	$56,203	OtherExpendituresAmt
End Year Balance	$1,345,817	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,113,436	BeginningYearBalanceAmt
Investment Earnings Or Losses	$16,985	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,454	OtherExpendituresAmt
End Year Balance	$1,128,967	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.7419	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.2581	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	$61,988,838	DepreciationAmt
Book Value	$10,504,208	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,567,760	OtherCostOrOtherBasisAmt
Depreciation	$27,490,774	DepreciationAmt
Book Value	$76,986	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,625,770	OtherCostOrOtherBasisAmt
Depreciation	$16,601,507	DepreciationAmt
Book Value	$24,263	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$20,326,348	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Public Equities Funds	$125,943	F
Private Equities Funds	$600,288	F
Hedge Funds	$56,188	F
Other Secuities	$135,426	F
INVESTMENT IN CAPTIVE - HAMDEN	$56,824,849	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$57,742,694	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DHC 457(B) PLAN ASSETS	$78,940,654
DUE FROM AFFILIATE	$11,665,777

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$90,606,431	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ACCRUED POST RETIREMENT PENSION	$189,512,412
RESERVES FOR INSURANCE RELATED LOSS	$60,346,669
ESTIMATED THIRD PARTY SETTLEMENT	$3,337,859

Field	Value	IRS element (for citing)
Total Liability	$253,196,940	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 (12 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	EmployeeEmployeeCnt
North America (Canada & Mexico only)	Program Services	Advertising	$6,865
North America (Canada & Mexico only)	Program Services	Honorarium Payments	$1,050
North America (Canada & Mexico only)	Program Services	Dues & Licenses	$151
North America (Canada & Mexico only)	Program Services	Consultant	$9,704	3
Central America and the Caribbean	Program Services	Medical Services in Haiti (TB & HIV) and Nicaragua (hearing loss)	$11,484	5
South Asia	Program Services	Medical Services in India	$79,743	4
Sub-Saharan Africa	Program Services	Medical services in Rwanda and Tanzania for infectious diseases and healthcare development	$55,809	6
North America (Canada & Mexico only)	Program Services	Software	$86,386
Europe (Including Iceland and Greenland)	Program Services	Medical program	$2,093
East Asia and the Pacific	Program Services	Medical program	$374
Central America and the Caribbean	Investments	Investment in captive	$56,824,849
North America (Canada & Mexico only)	Program Services	Medical program	$1,752

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	18	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	18	TotalEmployeeCnt
Subtotal Spent	$57,080,260	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$57,080,260	TotalSpentAmt
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 (36 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
Upper Valley Haven
713 Hartford Avenue	White River Junction	VT	05001	030277908	501 (c) (3)	$17,888	FMV	Program Support
American Heart Association
7272 Greenville Avenue	Dallas	TX	75231	135613797	501 (c) (3)	$10,500	FMV	Program Support
Grafton County Senior Citizens Council
10 Campbell Street	Lebanon	NH	03766	237248316	501 (c) (3)	$5,400	FMV	Program Support
Public Health Council of the Upper Valley
One Court Street	Lebanon	NH	03766	752991608	501 (c) (3)	$16,500	FMV	Program Support	378
Manchester Community Health Center
145 Hollis Street	Manchester	NH	03101	020458174	501 (c) (3)	$15,750	FMV	Program Support
Good Neighbor Health Clinic
70 North Main Street	White River Junction	VT	05001	030346949	501 (c) (3)	$24,000	FMV	Program Support
NH Hospital Association
125 Airport Road	Concord	NH	03301	026012527	501 (c) (3)	$341,447	FMV	Program Support
Mt Ascutney Hospital and Health Center
289 County Road	Windsor	VT	05089	030183721	501 (c) (3)	$12,000	FMV	Program Support
New London Hospital
273 Country Road	New London	NH	03257	020222171	501 (c) (3)	$7,500	FMV	Program Support
Tri-Valley Transit
279 Creek Road	Middlebury	VT	05753	030335768	501 (c) (3)	$12,750	FMV	Transportation Subsidy
Advance Transit
PO Box 1027	Wilder	VT	05088	222558708	501 (c) (3)	$33,520	FMV	Transportation Subsidy
Southeast VT Transit
45 Mill Street	Wilmington	VT	05363	030353976	501 (c) (3)	$9,000	FMV	Transportation Subsidy
March of Dimes
1550 Crystal Dr	Arlington	VA	22202	131846366	501 (c) (3)	$6,000	FMV	Program Support	Suite 1300
Cheshire Medical Center
580 Court Street	Keene	NH	03431	020354549	501 (c) (3)	$36,000	FMV	Program Support	590
New Hampshire Charitable Foundation
37 Pleasant Street	Concord	NH	03301	026005625	501 (c) (3)	$18,000	FMV	Program Support
Listen Community Services
60 Hanover St	Lebanon	NH	03766	237225952	501 (c) (3)	$15,000	FMV	Program Support
Families in Transition
122 Market Street	Manchester	NH	03101	020475414	501 (c) (3)	$19,125	FMV	Program Support
Twin Pines Housing Trust
226 Holiday Drive	White River Junction	VT	05001	222809527	501 (c) (3)	$15,000	FMV	Program Support	Suite 20
Southwestern Community Services
PO Box 603	Keene	NH	03431	026013808	501 (c) (3)	$41,178	FMV	Program Support	63 Community Way
Mascoma Community Healthcare Inc
18 Roberts Road	Canaan	NH	03741	465672753	501 (c) (3)	$15,000	FMV	Program Support	PO Box 550
Conservation Law Foundation
62 Summer Street	Boston	MA	02110	046149986	501 (c) (3)	$15,000	FMV	Program Support
American Cancer Society
2 Commerce Drive	Bedford	NH	03110	131788491	501 (c) (3)	$11,850	FMV	Program Support	Suite 100
Upper Valley Community Nursing Project
PO Box 1302	Lebanon	NH	03766	831224873	501 (c) (3)	$9,000	FMV	Program Support
Alice Peck Day Memorial Hospital
10 Alice Peck Day Dr	Lebanon	NH	03766	020222791	501 (c) (3)	$7,500	FMV	Program Support
St Joseph Hospital
172 Kinsley Street	Nashua	NH	030603648	020222215	501 (c) (3)	$7,500	FMV	Program Support
Granite United Way
22 Concord Street	Manchester	NH	03101	026006033	501 (c) (3)	$13,500	FMV	Program Support	Floor 2
Visions for Creative Housing Solutions
8 Sunrise Farm Lane	Enfield	NH	03748	800868234	501 (c) (3)	$7,500	FMV	Program Support
JSI Research & Training Institute
501 South Street	Bow	NH	03304	042679824	501 (c) (3)	$6,000	FMV	Program Support
City Year Inc
248 Elm Street	Manchester	NH	03101	222882549	501 (c) (3)	$6,750	FMV	Program Support	Suite 201
Health Care Without Harm
12355 Sunrise Valley Dr	Reston	VA	20191	522358837	501 (c) (3)	$9,000	FMV	Program Support	Suite 680
Granite YMCA
Corporate Office	Manchester	NH	03101	020222248	501 (c) (3)	$5,850	FMV	Program Support	117 Market Street
Boys & Girls Club of Manchester
555 Union Street	Manchester	NH	03104	020226033	501 (c) (3)	$6,150	FMV	Program Support
TLC Family Resource Center
PO Box 1098	Claremont	NH	03743	522439830	501 (c) (3)	$16,324	FMV	Program Support
Valley Regional Healthcare
243 Elm Street	Claremont	NH	03743	020397338	501 (c) (3)	$33,001	FMV	Program Support
Headrest Inc
141 Mascoma St	Lebanon	NH	03766	237256865	501 (c) (3)	$12,660	FMV	Program Support
Monadnock Collaborative
105 Castle Street	Keene	NH	03431	020526791	501 (c) (3)	$5,560	FMV	Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	36	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Awards and Educational Assistance	63	$289,421
D-H Tuition Reimbursement Program	468	$356,265
Patient Assistance	181	$25,673

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	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	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 (42 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
James N Weinstein DO MS
Former Trustee/CEO	$782,744	$0	$0	$0	$180,577	$0	$26,580	$0	$8,240	$0	$998,141	$0	$0	$0
Joanne M Conroy MD
Trustee, Ex-Officio, CEO	$954,614	$0	$253,555	$0	$38,756	$0	$26,580	$0	$25,582	$0	$1,299,087	$0	$0	$0
Jocelyn Chertoff MD
Trustee/ VP SRVC LN/DPT CHCR DGNSTC RAD	$559,809	$0	$250	$0	$52,688	$0	$26,580	$0	$15,705	$0	$655,032	$0	$0	$0
Jeffrey A Cohen MD
Trustee (Through 12/31/18)	$394,582	$0	$250	$0	$45,014	$0	$26,580	$0	$37,781	$0	$504,207	$0	$0	$0
Cherie Holmes MD
Trustee	$393,474	$0	$250	$0	$35,727	$0	$38,328	$0	$15,848	$0	$483,627	$0	$0	$0
Kari M Rosenkranz MD
Trustee / Physician	$495,650	$0	$250	$0	$26,015	$0	$21,080	$0	$14,693	$0	$557,688	$0	$0	$0
Brian C Spence MDMHCDS
Trustee (Through 12/31/18) / Physician	$451,894	$0	$250	$0	$21,267	$0	$21,080	$0	$36,011	$0	$530,502	$0	$0	$0
Jon Wahrenberger MDFAHAFAC
Trustee	$342,647	$0	$250	$0	$3,906	$0	$26,580	$0	$39,085	$0	$412,468	$0	$0	$0
KURT K RHYNHART MD
TRUSTEE	$436,988	$0	$250	$0	$39,811	$0	$21,343	$0	$20,729	$0	$519,121	$0	$0	$0
John Birkmeyer MD
Former CCO/EVP ENTPRS SP	$0	$0	$0	$0	$328,004	$0	$0	$0	$0	$0	$328,004	$0	$0	$0
John S Malanowski MILR
Former Chief HR Officer	$0	$0	$0	$0	$0	$138,656	$0	$0	$0	$0	$0	$138,656	$0	$0
Richard I Rothstein MD
Former Dept Chair/Srvc LN LDR - MED	$780,410	$0	$250	$0	$6,378	$0	$26,640	$0	$29,773	$0	$843,451	$0	$0	$0
Kimberly Troland JD
FMR INTRM GC/DEPUTY GEN CNSL	$0	$362,975	$0	$250	$0	$42,312	$0	$21,080	$0	$29,221	$0	$455,838	$0	$0
Sowmya Viswanathan MD
Former Chief ACO Officer	$0	$0	$0	$0	$161,538	$0	$0	$0	$0	$0	$161,538	$0	$0	$0
Aimee M Giglio
Chief HR Officer	$0	$318,913	$0	$10,250	$0	$29,599	$0	$12,648	$0	$34,630	$0	$406,040	$0	$0
DANIEL P JANTZEN CPA
CFO	$0	$621,847	$0	$10,250	$0	$170,310	$0	$26,580	$0	$29,223	$0	$858,210	$0	$0
Patrick Jordan III MBA
Chief Operating Officer	$0	$593,349	$0	$250	$0	$1,588	$0	$21,080	$0	$37,284	$0	$653,551	$0	$0
JOHN KACAVAS
Chief Legal Officer	$0	$528,095	$0	$10,250	$0	$90,643	$0	$21,080	$0	$31,336	$0	$681,404	$0	$0
Stephen Leblanc
Chief Administrative Officer	$640,573	$0	$10,250	$0	$27,497	$0	$26,580	$0	$34,294	$0	$739,194	$0	$0	$0
EDWARD MERRENS
Chief Clinical Officer	$629,398	$0	$10,250	$0	$70,908	$0	$28,864	$0	$20,070	$0	$759,490	$0	$0	$0
Maria Padin MD
Chief Medical Officer	$369,274	$0	$5,250	$0	$31,412	$0	$37,334	$0	$36,836	$0	$480,106	$0	$0	$0
Susan A Reeves EDDRN
Chief Nursing Executive	$0	$457,787	$0	$250	$0	$2,628	$0	$26,580	$0	$30,379	$0	$517,624	$0	$0
Steven Boyce
FMR KEY EMP/ADM VP MED SPCLTS	$127,572	$0	$250	$0	$479	$0	$10,843	$0	$19,336	$0	$158,480	$0	$0	$0
Wendy Fielding MBA
FMR KEY EMP/ VP FINANCE PLANNING	$0	$228,163	$0	$250	$0	$18,914	$0	$19,118	$0	$30,870	$0	$297,315	$0	$0
Robert Greene MDMHCDSFACP
Former Key Employee	$0	$0	$0	$0	$122,058	$0	$0	$0	$0	$0	$122,058	$0	$0	$0
Tina E Naimie CPA
FMR KEY EMP/ VP CORP FINANCE	$0	$256,492	$0	$250	$0	$557	$0	$19,498	$0	$9,093	$0	$285,890	$0	$0
Christine Schon MPA
FMR KEY EMP/ VP Ambulatory Care	$251,113	$0	$250	$0	$28,660	$0	$26,580	$0	$17,134	$0	$323,737	$0	$0	$0
Thomas J Siepka
Chief Pharm Officer	$0	$104,506	$0	$5,000	$0	$3,684	$0	$5,492	$0	$659	$0	$119,341	$0	$0
Wendy Wells MD
FMR KEY EMP/DEPT CHR PATHOLOGY	$460,678	$0	$250	$0	$46,024	$0	$37,543	$0	$23,225	$0	$567,720	$0	$0	$0
Thomas Dodds MD
FMR KEY EMP/DEPT CHR ANESTH	$120,987	$0	$250	$0	$2,010	$0	$8,783	$0	$3,814	$0	$135,844	$0	$0	$0
GEORGE T BLIKE MD
Chief Quality & Value Officer	$420,654	$0	$5,250	$0	$62,551	$0	$52,781	$0	$36,528	$0	$577,764	$0	$0	$0
Karen Clements RNBSNMSB
Chief Nursing Officer	$0	$325,478	$0	$600	$0	$28,782	$0	$21,080	$0	$12,013	$0	$387,953	$0	$0
Staci Hermann PHARMDMS
INTERIM CHIEF PHARMACY OFFICER	$0	$197,813	$0	$250	$0	$138	$0	$8,349	$0	$13,911	$0	$220,461	$0	$0
Simon Hillier
InterIM Dept Chair ANESTHESIOLOGY	$481,194	$0	$250	$0	$46,847	$0	$26,580	$0	$29,889	$0	$584,760	$0	$0	$0
Jeffrey Obrien MHA
KEY EMP/ VP CLINICAL OPS	$0	$326,402	$0	$250	$0	$38,484	$0	$24,226	$0	$32,889	$0	$422,251	$0	$0
Peter D Solberg MD
Chief Medical Information Officer	$357,928	$0	$5,250	$0	$21,097	$0	$21,497	$0	$34,614	$0	$440,386	$0	$0	$0
Sandra Wong MD
SVP SVC LN & Chair of Surgery	$729,365	$0	$250	$0	$59,000	$0	$21,080	$0	$11,753	$0	$821,448	$0	$0	$0
David Bauer MD
Staff Physician	$875,926	$0	$250	$0	$59,444	$0	$12,648	$0	$33,312	$0	$981,580	$0	$0	$0
Nathan Simmons MD
Physician	$948,007	$0	$250	$0	$106,193	$0	$21,785	$0	$32,819	$0	$1,109,054	$0	$0	$0
Daniel Stewart MD
Physician	$1,146,052	$0	$250	$0	$94,543	$0	$21,080	$0	$29,725	$0	$1,291,650	$0	$0	$0
John Nigriny
Staff Physcian	$837,702	$0	$250	$0	$67,058	$0	$21,080	$0	$36,011	$0	$962,101	$0	$0	$0
Timothy Ryken
Staff Physician	$898,762	$0	$250	$0	$47,659	$0	$21,080	$0	$35,798	$0	$1,003,549	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 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 AS WELL AS ANY CHANGES IN PENSION ACTUARIAL VALUE (IF APPLICABLE) 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 4a Severance or change-of-control payment

THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2018. DURING CALENDAR YEAR 2018, FORMER CHIEF CLINICAL OFFICER JOHN BIRKMEYER RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $328,004 FROM DHC. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2018, FORMER CHIEF HR OFFICER JOHN MALANOWSKI RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $138,656 FROM MHMH. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B) III. DURING CALENDAR YEAR 2018, FORMER CHIEF POPULATION MANAGEMENT OFFICER ROBERT GREENE RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $122,058 FROM DHC THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2018, FORMER CHIEF AGO OFFICER SOWMYA VISWANATHAN RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $161,538 FROM DHC. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III.

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	$57,192	false	Yes (true)	Yes (true)
Richard Rothstein
Former Officer	Split Dollar Life	Yes (X)	$0	$98,755	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$155,947	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	$223,612	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 2019.
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 2019. 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 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 - -46481846; NET ASSETS RELEASED FROM RESTRICTION - -67788;
Form 990, Part XII, Line 2c AUDITED FINANCIAL STATEMENTS	THE ORGANIZATION'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF DARTMOUTH-HITCHCOCK HEALTH AND SUBSIDIARIES, WHICH CONSISTS OF THE FOLLOWING ORGANIZATIONS AND THEIR RELATED SUBSIDIARIES: DARTMOUTH-HITCHCOCK CLINIC, MARY HITCHCOCK MEMORIAL HOSPITAL, MOUNT ASCUTNEY HOSPITAL AND HEALTH CENTER, CHESHIRE MEDICAL CENTER, THE NEW LONDON HOSPITAL ASSOCIATION, ALICE PECK DAY MEMORIAL HOSPITAL, AND VISITING NURSE ASSOCIATION & HOSPICE OF VT AND NH.

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	-$111,521	TotalIncomeAmt
End Of Year Assets	$1,414,180	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
205 BILLINGS FARM ROAD 5	WILDER	VT	05088	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	$14,428,591	$51,072,292	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	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd