DARTMOUTH-HITCHCOCK CLINIC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: DARTMOUTH-HITCHCOCK CLINIC (EIN 22-2519596)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-15
IRS object ID: 201831359349304788
Schema version: 2016v3.1
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 C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-15T11:01:13-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	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)
In Care Of	% DANIEL JANTZEN	InCareOfNm
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 JANTZEN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6036505634	PhoneNum
Signature	2018-05-10	SignatureDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Joanne Conroy MD	PrincipalOfficerNm

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	$439,491,221	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, Community Partnerships, providing each person the best care in the right place, at the right time,every time.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	5171	TotalEmployeeCnt
Total Volunteers	511	TotalVolunteersCnt
Total Gross UBI	$722,052	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$172,489	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$358,769,170	PYProgramServiceRevenueAmt
CY Program Service Revenue	$355,759,149	CYProgramServiceRevenueAmt
PY Investment Income	$220,008	PYInvestmentIncomeAmt
CY Investment Income	-$15,584	CYInvestmentIncomeAmt
PY Other Revenue	$62,807,862	PYOtherRevenueAmt
CY Other Revenue	$83,452,570	CYOtherRevenueAmt
PY Total Revenue	$421,797,040	PYTotalRevenueAmt
CY Total Revenue	$439,196,135	CYTotalRevenueAmt
PY Grants And Similar Paid	$768,846	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,176,295	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$270,618,980	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$289,545,698	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$132,891	CYTotalFundraisingExpenseAmt
PY Other Expenses	$145,504,269	PYOtherExpensesAmt
CY Other Expenses	$151,704,092	CYOtherExpensesAmt
PY Total Expenses	$416,892,095	PYTotalExpensesAmt
CY Total Expenses	$442,426,085	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,904,945	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$3,229,950	CYRevenuesLessExpensesAmt
Total Assets BOY	$254,449,524	TotalAssetsBOYAmt
Total Assets EOY	$219,113,552	TotalAssetsEOYAmt
Total Liabilities BOY	$479,637,591	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$444,484,717	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$225,188,067	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$225,371,165	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	$357,094,054	ExpenseAmt
Grant	$1,176,295	GrantAmt
Revenue	$437,313,420	RevenueAmt
Desc	Dartmouth-Hitchcock Clinic (the Clinic) is a not-for-profit organization as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from Federal income taxes on related income pursuant to Section 501(a) of the Code. The Clinic and subsidiaries, a multispecialty physician practice group which operates clinics throughout New Hampshire and Vermont, provides, among other things, medical services to patients, medical education and research. Health care services in 2017 resulted in 1,393,750 office visits recorded by Clinic personnel, with 369,753 unique patients served. The promotion of health through the medical practice activities of the Clinic provides the basis for the organization's tax exempt activities. The Clinic operates as an integral component of Dartmouth-Hitchcock Medical Center (DHMC), a New Hampshire nonprofit corporation organized for the exploration and coordination of matters of mutual interest among its members: the Clinic, Mary Hitchcock Memorial Hospital (the Hospital), Geisel School of Medicine (GSM), a component of Dartmouth College, and the Veterans Affairs Medical Center in White River Junction, Vermont. The Clinic provides the physician staff to the Hospital and the sophistication essential for the development 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 the Clinic and Hospital 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 Mary Hitchcock Memorial Hospital, the Clinic 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. The Clinic actively supports community-based health care and promotes the coordination of services among health care providers and social services organizations. The Clinic also seeks to work collaboratively with other area health care providers to improve the health status of the region. Dartmouth-Hitchcock was named as a participant, in 2016, in CMSs Delivery System Reform Incentive Payment (DSRIP) Program, better known as a "1115 waiver." Dartmouth-Hitchcock and Cheshire Medical Centern are playing key coordinating roles in the implementation of the statewide initiative, to integrate and improve behavioral and physical health care. The effort will tie together mental health and substance use disorder treatment, physical health, social needs, housing, transportation, and the criminal justice system into a coordinated effort that provides care for New Hampshire's most vulnerable residents. In addition to the alternative payment models and integrated care delivery relationships noted above for D-HH and MHMH, the Clinic has several shared risk contracts with the largest commercial insurance carriers in its market. The Clinic was responsible for managing the cost of care and health of approximately 100,000 attributed members across these patient populations during fiscal year 2017. The Jack Byrne Center for Palliative & Hospice Care, on which construction began in 2016 and which will admit its first patients in December, 2017, will coordinate the clinical, educational, and research efforts of the Clinic and visiting nurse alliances around the region, to offer much-needed care for patients at the end of life, in a clinical setting that meets the needs of patients and their families. The Clinic files an annual Community Benefits Report with the State of New Hampshire which outlines the community and charitable benefits they provide. The complete and updated Community Benefits Reports are available upon request or can be found on Dartmouth-Hitchcock's web site (www.dartmouth-hitchcock.org). The broad categories used in the Community Benefit Report to summarize these benefits are as follows: Financial assistance, formerly called charity care, 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, 2017, the Clinic provided financial assistance to 7,096 patients in the amount of $7,792,472 as measured by gross charges. The estimated cost of providing this care for the year ended June 30, 2017 was $2,327,611. The Clinic also routinely provides services to Medicaid patients at reimbursement levels that are below the cost of the care provided. The uncompensated cost of care for Medicaid patients for the year ended June 30, 2017 was $25,323,681. Community health activities includes 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. This category also includes financial contributions and the contribution of time and services to community programs, hospitals and agencies. The Clinic 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 year ended June 30, 2017, the Clinic reported a provision for bad debts of approximately $19,112,667.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$28,568,993	ExpenseAmt
Desc	As a component of an integrated academic medical center, the Clinic provides significant support for academic and research programs through its support of The Geisel School of Medicine at Dartmouth (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, the Clinic 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 the Hospital 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. Beginning in FY17, Dartmouth-Hitchcock began a transition of research activities and management from the Geisel School to D-H. This transition saw the recruitment of a new Vice President for Research Operations to develop the research enterprise.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$385,663,047	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	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	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	Yes (true)	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	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	5171	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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

Field	Value	IRS element (for citing)
Person	DANIEL JANTZEN	PersonNm
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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (61 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
James N Weinstein DO MS
Trustee Ex-Officio/CEO	16.95	44.56	Yes (X)	Yes (X)	$1,364,537	$0	$108,831
Vincent S Conti MHA
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Barbara Couch MS
Trustee/Board Secretary	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
Anne-Lee Verville
Trustee/Board Chair	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
William J Conaty
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Robert A Oden Jr PhD
Trustee/Vice Chair	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
Denis A Cortese MD
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Senator Judd A Gregg
Trustee	0.75	0.75	Yes (X)		$0	$0	$0
Laura K Landy MBA
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Paul P Danos PhD
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Barbara C Jobst MD
Trustee/Physician end 12/31/16	12.75	28.75	Yes (X)		$378,003	$0	$98,251
Troyen Brennan MD MPH
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
R William Burgess Jr MBA
Trustee end 8/5/16	0.75	1.25	Yes (X)		$0	$0	$0
Duane A Compton PhD
Trustee/Ex-Officio	0.75	1.56	Yes (X)		$0	$0	$0
M Brooke Herndon MD
Trustee/Staff Physician	12.75	28.75	Yes (X)		$207,121	$0	$63,250
Charles G Plimpton MBA
Trustee/Board Treasurer	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
Jeffrey A Cohen MD
Trustee/VP Service Line	12.75	29.05	Yes (X)		$435,115	$0	$104,921
Timothy D Scherer MD
Trustee/Physician	12.75	28.75	Yes (X)		$521,117	$0	$71,960
Brian C Spence MD MHCDS
Trustee/Staff Physician	12.75	28.75	Yes (X)		$482,267	$0	$48,788
Kari M Rosenkranz MD
Trustee eff 1/1/17/Physician	12.75	28.75	Yes (X)		$496,839	$0	$29,887
Robin Kilfeather-Mackey CPA
CFO end 7/15/16	15.0	46.01		Yes (X)	$609,409	$0	$12,922
Daniel P Jantzen CPA
COO end, CFO eff 7/16/16	15.0	48.01		Yes (X)	$0	$1,223,270	$134,426
Stephen LeBlanc
Chief Administrative Officer	15.0	47.01		Yes (X)	$671,595	$0	$128,833
Richard I Rothstein MD
Chf Academic Offcr eff 1/1/17	18.0	42.0		Yes (X)	$555,623	$0	$76,713
Edward Merrens MD
Chief Clinical Officer	18.0	44.0		Yes (X)	$521,421	$0	$58,731
John Birkmeyer MD
CCO/EVP Entprs Sp end 10/14/16	18.0	43.0		Yes (X)	$881,467	$0	$39,333
Maria Padin MD
Chief Medical Officer	18.0	44.0		Yes (X)	$409,356	$0	$197,804
Sowmya Viswanathan MD
Chief ACO Officer eff 7/5/16	18.0	42.0		Yes (X)	$161,497	$0	$18,258
Susan A Reeves EdD RN
Chf Nrsng Exctve eff 6/19/17	18.0	42.0		Yes (X)	$0	$0	$0
Vincent Fusca III
Chief of Staff end 2/10/17	12.0	29.0			$0	$330,998	$27,365	Yes (X)
George Blike MD
Chief Quality & Value Officer	18.0	43.0			$455,044	$0	$247,012	Yes (X)
John S Malanowski MILR
Chief HR Officer end 2/10/17	18.0	42.0			$0	$519,057	$40,178	Yes (X)
Gay Landstrom PhD RN NEA-BC
Chf Nursing Offr end 1/10/17	18.0	43.5			$0	$579,445	$39,835	Yes (X)
Robert Greene MD MHCDS FACP
Chf Popul Mgmt Ofr end 4/7/17	18.0	42.0			$593,926	$0	$43,931	Yes (X)
John Kacavas JD
Chief Legal Officer	18.0	43.0			$0	$430,324	$39,835	Yes (X)
Peter D Solberg MD
Chf Medical Information Ofcr	18.0	42.0			$375,391	$0	$45,978	Yes (X)
Karen Clements RN BSN MSB FACHE
Chief Nursing Officer	18.0	42.0			$0	$268,642	$29,037	Yes (X)
Thomas J Siepka
Chief Pharmacy Officer	18.0	42.0			$0	$299,311	$22,505	Yes (X)
Aimee M Giglio
Int Chf HR Offcr eff 2/10/17	18.0	42.0			$0	$225,784	$29,216	Yes (X)
Sandra Wong MD
Department Chair Surgery	12.0	28.0			$671,891	$0	$29,887	Yes (X)
Nathan Simmons MD
Physician	12.0	28.0			$918,153	$0	$54,595		Yes (X)
Daniel Stewart MD
Physician	12.0	28.0			$1,040,872	$0	$43,285		Yes (X)
Faramarz Samie MD
Physician	12.0	28.0			$870,364	$0	$28,997		Yes (X)
Jock McCullough MD
Staff Physician	12.0	28.0			$842,643	$0	$40,500		Yes (X)
Scott Devanny MD
Physician	12.0	28.0			$785,105	$0	$42,964		Yes (X)
Carl DeMatteo MD
Fmr Chf Ql Compl Ofr/Physician	12.0	28.0			$120,556	$0	$1,384			Yes (X)
John Butterly MD
Former Officer/EVP Med Affairs	12.0	30.0			$138,766	$0	$13,418			Yes (X)
Thomas Colacchio MD
Former Officer/Physician	12.0	29.0			$667,401	$0	$54,165			Yes (X)
Darlene A Saler MBA RN
Fmr Actg Chf Nrsg Ofr	12.0	28.0			$0	$170,541	$84,517			Yes (X)
Terrence P Carroll PHD
Former Chf Innvtn Ofcr	18.0	42.0			$0	$380,765	$0			Yes (X)
Kimberly Troland JD
Fmr Intrm GC/Deputy Gen Cnsl	12.0	28.0			$0	$369,596	$39,760			Yes (X)
Mary Oseid MHCDS
Fmr Key Emp/VP Ambulatory Care	12.0	29.0			$252,760	$0	$212,385			Yes (X)
Christine Schon MPA
Fmr Key Emp/Adm VP Prmry Care	0.0	40.01			$246,045	$0	$40,335			Yes (X)
Tina Naimie CPA MHCDS
Fmr Key Emp/VP Corp Finance	12.0	30.5			$0	$238,714	$19,881			Yes (X)
Wendy Fielding MBA
Fmr Key Emp/VP Finance Plnning	12.0	29.0			$0	$236,246	$39,755			Yes (X)
Thomas Dodds MD
Fmr Key Emp/Dept Chr Anesth	12.0	28.0			$483,551	$0	$99,159			Yes (X)
Wendy Wells MD
Fmr Key Emp/Dpt Chr Pathology	12.0	28.0			$487,848	$0	$129,279			Yes (X)
Jocelyn Chertoff MD
Fmr Key Emp/Dpt Chr Dgnstc Rad	12.0	28.0			$582,114	$0	$132,793			Yes (X)
Edward Catherwood MD MS
Fmr Key Emp/Ctr Dir Hrt/Vsc	12.0	28.0			$458,562	$0	$66,904			Yes (X)
Steven Boyce
Fmr Key Emp/Adm. VP Med Spclts	12.0	28.0			$219,795	$0	$70,039			Yes (X)
Jeffrey OBrien MHA
Fmr Key Emp/VP Oncology	12.0	28.0			$0	$282,679	$42,181			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,906,154	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,555,372	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,043,983	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1296	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Field	Value	IRS element (for citing)
Person	See Schedule O	PersonNm

Field	Value	IRS element (for citing)
Contractor Address		ContractorAddress

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$355,759,149	TotalRevenueColumnAmt
Related Or Exempt Func Income	$355,759,149	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$355,759,149	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35,257	TotalRevenueColumnAmt
Unrelated Business Revenue	-$241	UnrelatedBusinessRevenueAmt
Exclusion	$35,498	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$854,518	RealAmt
Personal	$64,775	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$159,585	RealAmt
Personal	$8,681	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$694,933	RealAmt
Personal	$56,094	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$751,026	TotalRevenueColumnAmt
Exclusion	$751,026	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$70,132	SecuritiesAmt
Other	$5,847	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$126,163	SecuritiesAmt
Other	$657	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$56,031	SecuritiesAmt
Other	$5,190	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$50,841	TotalRevenueColumnAmt
Exclusion	-$50,841	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CONTRACTED REVENUE	621110	$88,461,436	$87,739,143	$722,293
CAFETERIA INCOME	621110	$424,980			$424,980
ALLOCATED OTHER REVENUE	621110	-$6,184,872	-$6,184,872

Field	Value	IRS element (for citing)
Other Revenue Total	$82,701,544	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$439,196,135	TotalRevenueColumnAmt
Related Or Exempt Func Income	$437,313,420	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$722,052	UnrelatedBusinessRevenueAmt
Exclusion	$1,160,663	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$520,014	TotalAmt
Program Services	$520,014	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$653,241	TotalAmt
Program Services	$653,241	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$3,040	TotalAmt
Program Services	$3,040	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,232,010	TotalAmt
Program Services	$2,064,240	ProgramServicesAmt
Management And General	$3,048,715	ManagementAndGeneralAmt
Fundraising	$119,055	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$2,462,944	TotalAmt
Program Services	$1,235,156	ProgramServicesAmt
Management And General	$1,214,504	ManagementAndGeneralAmt
Fundraising	$13,284	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$221,404,504	TotalAmt
Program Services	$192,297,824	ProgramServicesAmt
Management And General	$29,106,680	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$20,435,322	TotalAmt
Program Services	$17,748,817	ProgramServicesAmt
Management And General	$2,686,505	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,893,199	TotalAmt
Program Services	$21,620,644	ProgramServicesAmt
Management And General	$3,272,555	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,117,719	TotalAmt
Program Services	$13,130,286	ProgramServicesAmt
Management And General	$1,987,433	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$924,384	TotalAmt
Program Services	$19,214	ProgramServicesAmt
Management And General	$905,170	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$266,701	TotalAmt
Management And General	$266,701	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$18,000	TotalAmt
Management And General	$18,000	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$36,248,584	TotalAmt
Program Services	$31,066,763	ProgramServicesAmt
Management And General	$5,181,821	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$862,586	TotalAmt
Program Services	$14,333	ProgramServicesAmt
Management And General	$848,253	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,619,612	TotalAmt
Program Services	$3,757,383	ProgramServicesAmt
Management And General	$1,862,169	ManagementAndGeneralAmt
Fundraising	$60	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,797,395	TotalAmt
Program Services	$4,269,682	ProgramServicesAmt
Management And General	$527,713	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,687,595	TotalAmt
Program Services	$5,920,385	ProgramServicesAmt
Management And General	$767,210	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,578,844	TotalAmt
Program Services	$908,241	ProgramServicesAmt
Management And General	$670,603	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$30,828	TotalAmt
Program Services	$30,682	ProgramServicesAmt
Management And General	$146	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,108,892	TotalAmt
Program Services	$5,436,914	ProgramServicesAmt
Management And General	$671,978	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,731,879	TotalAmt
Program Services	$875,036	ProgramServicesAmt
Management And General	$1,856,843	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,140,171	TotalAmt
Program Services	$590,655	ProgramServicesAmt
Management And General	$549,516	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$77,129,959	$77,036,675	$93,284
EQUIP REPAIR & MAINT	$5,868,540	$4,088,935	$1,779,605
ACADEMIC,GME,TEACHING & SPT	$3,010,562	$2,548,339	$462,223
RECRUITMENT COSTS	$642,586	$558,109	$84,477

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$1,963,026	TotalAmt
Program Services	-$731,561	ProgramServicesAmt
Management And General	-$1,231,957	ManagementAndGeneralAmt
Fundraising	$492	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$442,426,085	TotalAmt
Program Services	$385,663,047	ProgramServicesAmt
Management And General	$56,630,147	ManagementAndGeneralAmt
Fundraising	$132,891	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$105,508	BOYAmt
EOY	$55	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$66,654,927	BOYAmt
EOY	$52,054,237	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$559,918	BOYAmt
EOY	$668,482	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	$3,707,997	BOYAmt
EOY	$3,269,198	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$71,769	BOYAmt
EOY	$133,134	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

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

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$128,897,435	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$104,113,593	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$27,545,417	BOYAmt
EOY	$24,783,842	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$374,219	BOYAmt
EOY	$1,363,837	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$775,606	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,870,183	BOYAmt
EOY	$1,048,709	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$151,783,980	BOYAmt
EOY	$135,792,058	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$254,449,524	BOYAmt
EOY	$219,113,552	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$166,352,788	BOYAmt
EOY	$130,418,290	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$50,924,782	BOYAmt
EOY	$48,731,217	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$11,875,837	BOYAmt
EOY	$10,424,542	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$250,484,184	BOYAmt
EOY	$254,910,668	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$479,637,591	BOYAmt
EOY	$444,484,717	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$226,522,803	BOYAmt
EOY	-$226,770,843	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$336,277	BOYAmt
EOY	$401,219	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	-$225,188,067	BOYAmt
EOY	-$225,371,165	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$254,449,524	BOYAmt
EOY	$219,113,552	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$3,229,950	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$145,946	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,900,906	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	$12	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$12	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$402,775,030	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$306,275,720	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$323,150,656	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$358,769,170	CurrentTaxYearMinus1YearAmt
Current Tax Year	$355,759,149	CurrentTaxYearAmt
Total	$1,746,729,725	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	$402,775,030	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$306,275,732	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$323,150,656	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$358,769,170	CurrentTaxYearMinus1YearAmt
Current Tax Year	$355,759,149	CurrentTaxYearAmt
Total	$1,746,729,737	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

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

Field	Value	IRS element (for citing)
Public Support Total509	$1,746,729,737	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$86,263	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,644,660	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,741,634	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,411,061	CurrentTaxYearMinus1YearAmt
Current Tax Year	$735,442	CurrentTaxYearAmt
Total	$8,619,060	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	$86,263	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,644,660	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,741,634	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,411,061	CurrentTaxYearMinus1YearAmt
Current Tax Year	$735,442	CurrentTaxYearAmt
Total	$8,619,060	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,244	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years	$103,904	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$230,170	CurrentTaxYearMinus1YearAmt
Current Tax Year	-$172,489	CurrentTaxYearAmt
Total	$166,829	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$75,358,696	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$61,525,638	CurrentTaxYearMinus1YearAmt
Current Tax Year	$83,083,146	CurrentTaxYearAmt
Total	$219,967,480	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$402,866,537	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$309,920,392	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$401,354,890	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$421,936,039	CurrentTaxYearMinus1YearAmt
Current Tax Year	$439,405,248	CurrentTaxYearAmt
Total	$1,975,483,106	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.88420	PublicSupportCY509Pct
Public Support PY509	0.92049	PublicSupportPY509Pct
Investment Income CY	0.00436	InvestmentIncomeCYPct
Investment Income PY	0.00426	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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	$70,009	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$35,297	OtherActivitiesAmt
Total Lobbying Expenditures	$105,306	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Lobbying activity explanation

FORM 990, SCHEDULE C, PART II-B, LINES 1B & 1G Dartmouth-Hitchcock Clinic employs two 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, 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 the Clinic 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, 2017, Dartmouth-Hitchcock Clinic incurred $70,009 in conjunction with these activities.

Form 990, Schedule C, Part II-B, 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.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,000,483	BeginningYearBalanceAmt
Contributions	$112,492	ContributionsAmt
Investment Earnings Or Losses	$461	InvestmentEarningsOrLossesAmt
End Year Balance	$1,113,436	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$999,533	BeginningYearBalanceAmt
Investment Earnings Or Losses	$950	InvestmentEarningsOrLossesAmt
End Year Balance	$1,000,483	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.77730	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.22270	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	$2,501,827	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$7,215,859	OtherCostOrOtherBasisAmt
Book Value	$9,717,686	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,493,173	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$72,493,046	OtherCostOrOtherBasisAmt
Depreciation	$60,294,734	DepreciationAmt
Book Value	$14,691,485	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,567,760	OtherCostOrOtherBasisAmt
Depreciation	$27,295,437	DepreciationAmt
Book Value	$272,323	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,625,770	OtherCostOrOtherBasisAmt
Depreciation	$16,523,422	DepreciationAmt
Book Value	$102,348	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$24,783,842	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN CAPTIVE - HAMDEN	$56,945,531
DHC 457(B) PLAN ASSETS	$63,442,540
DUE FROM AFFILIATE	$15,403,987
BOND ISSUANCE COSTS - NET	$0

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$135,792,058	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INTEREST RATE SWAP	$10,700,912
ACCRUED POST RETIRMNT PENSION	$187,108,329
RESERVES FOR INSUR. RLTD LOSS	$54,282,716
ESTIMATED THIRD PARTY SETTLEME	$2,818,711

Field	Value	IRS element (for citing)
Total Liability	$254,910,668	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
INTENDED USE OF ENDOWMENT FUNDS	FORM 990, SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUND WAS ESTABLISHED TO PROVIDE RESEARCH AND CLINICAL SUPPORT FOR THE CARDIOTHORACIC SURGERY CHAIR AT DARTMOUTH-HITCHCOCK CLINIC.
ASC 740 (FIN 48) Footnote	Form 990, Schedule D, Part X No ASC 740 (Fin 48) footnote was included in the audited financial statements as there were no material uncertain tax positions at or since adoption.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (24 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	EmployeeEmployeeCnt
North America	Program Services	Advertising	$7,702
Europe (Including Iceland and Greenland)	Program Services	Conferences	$6,750
Europe (Including Iceland and Greenland)	Program Services	Dues & Licenses	$98
Europe (Including Iceland and Greenland)	Program Services	Honorariums	$557
North America	Program Services	Honorariums	$338
Sub-Saharan Africa	Program Services	Honorariums	$281
Sub-Saharan Africa	Program Services	Medical Services	$32,328	10
South America	Program Services	Medical Services	$16,217	4
South Asia	Program Services	Medical Services	$21,274	6
Europe (Including Iceland and Greenland)	Program Services	Medical Services	$2,081	1
Middle East and North Africa	Program Services	Program Support	$3,040
East Asia and the Pacific	Program Services	Research	$13,050
Europe (Including Iceland and Greenland)	Program Services	Software	$24,268
Europe (Including Iceland and Greenland)	Program Services	Software	$86,993
South Asia	Program Services	Software	$11,745
Central America and the Caribbean	Program Services	Travel	$1,049
East Asia and the Pacific	Program Services	Travel	$1,914
Europe (Including Iceland and Greenland)	Program Services	Travel	$10,367
Middle East and North Africa	Program Services	Travel	$975
North America	Program Services	Travel	$8,639
South America	Program Services	Travel	$644
South Asia	Program Services	Travel	$477
Sub-Saharan Africa	Program Services	Travel	$372
Central America and the Caribbean	Investments	Investment in Captive	$67,682,629

Field	Value	IRS element (for citing)
Subtotal Employees	21	SubtotalEmployeesCnt
Total Employee	21	TotalEmployeeCnt
Subtotal Spent	$229,685	SubtotalSpentAmt
Continuation Spent	$67,704,103	ContinuationSpentAmt
Total Spent	$67,933,788	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

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
Advance Transit
PO Box 1027	Wilder	VT	05088	222558708	501(C)(3)	$32,460	FMV	Transportn Subsidy
American Cancer Society
250 Williams Street NW	Atlanta	GA	30303	131788491	501(c)(3)	$13,950	FMV	Program Support
Good Neighbor Health Clinic
70 N MAIN ST	WHITE RIVER JCT	VT	05001	030346949	501(c)(3)	$19,500	FMV	Program Support
Grafton County Senior Citizens Council
10 CAMPBELL ST	LEBANON	NH	03766	237248316	501(c)(3)	$5,400	FMV	Program Support
Riverbend Community Mental Health
3 N State St	Concord	NH	03301	020264383	501(c)(3)	$7,530	FMV	Program Support
Foundation for Healthy Communities
125 AIRPORT RD	CONCORD	NH	03301	020275078	501(c)(3)	$158,775	FMV	Program Support
Southeast Vermont Transit
45 Mill St	Wilmington	VT	05363	030353976	501(c)(3)	$9,000	FMV	Program Support
Upper Valley Haven
713 Hartford Ave	White River Jct	VT	05001	030277908	501(c)(3)	$7,500	FMV	Program Support
Windsor Hospital Corporation
289 County Rd	Windsor	VT	05089	030183721	501(c)(3)	$5,025	FMV	Program Support
Granite United Way
22 Concord Street Floor 2	Manchester	NH	03101	026006033	501(c)(3)	$6,000	FMV	Program Support
Ottauquechee Health Foundation
PO Box 784	Woodstock	VT	05091	030197766	501(c)(3)	$6,000	FMV	Program Support
Manchester Community Health Center
145 Hollis Street	Manchester	NH	03101	020458174	501(c)(3)	$15,000	FMV	Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
D-H Tuition Reimbursement Program	440	$263,830	FMV
Awards and Educational Assistance	103	$353,595	FMV
Patient Assistance	1599	$35,816	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Description of Organization's Procedures for Monitoring the Use of Grants	FormAndLineReferenceDesc
Explanation	Form 990, Schedule I, Part I, Line 1 Each award established by Dartmouth-Hitchcock Clinic 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 program(s) 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)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	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 (47 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
Trustee Ex-Officio/CEO	$1,268,501	$0	$0	$0	$96,036	$0	$93,402	$0	$15,429	$0	$1,473,368	$0	$0	$0
Carl DeMatteo MD
Fmr Chf Ql Compl Ofr/Physician	$116,398	$0	$600	$0	$3,558	$0	$0	$0	$1,384	$0	$121,940	$0	$0	$0
Robin Kilfeather-Mackey CPA
CFO end 7/15/16	$295,990	$0	$0	$0	$313,419	$0	$0	$0	$12,922	$0	$622,331	$0	$0	$0
Daniel P Jantzen CPA
COO end, CFO eff 7/16/16	$0	$570,275	$0	$0	$0	$652,995	$0	$117,793	$0	$16,633	$0	$1,357,696	$0	$0
Stephen LeBlanc
Chief Administrative Officer	$554,597	$0	$0	$0	$116,998	$0	$107,109	$0	$21,724	$0	$800,428	$0	$0	$0
John Butterly MD
Former Officer/EVP Med Affairs	$82,523	$0		$0	$56,243	$0	$13,274	$0	$144	$0	$152,184	$0	$0	$0
Nathan Simmons MD
Physician	$778,825	$0	$82,784	$0	$56,544	$0	$32,195	$0	$22,400	$0	$972,748	$0	$0	$0
Mary Oseid MHCDS
Fmr Key Emp/VP Ambulatory Care	$252,252	$0	$0	$0	$508	$0	$200,218	$0	$12,167	$0	$465,145	$0	$0	$0
Christine Schon MPA
Fmr Key Emp/Adm VP Prmry Care	$237,487	$0	$0	$0	$8,558	$0	$23,885	$0	$16,450	$0	$286,380	$0	$0	$0
Richard I Rothstein MD
Chf Academic Offcr eff 1/1/17	$553,463	$0	$0	$0	$2,160	$0	$59,414	$0	$17,299	$0	$632,336	$0	$0	$0
Thomas Colacchio MD
Former Officer/Physician	$179,518	$0	$0	$0	$487,883	$0	$43,501	$0	$10,664	$0	$721,566	$0	$0	$0
Tina Naimie CPA MHCDS
Fmr Key Emp/VP Corp Finance	$0	$238,185	$0	$0	$0	$529	$0	$18,042	$0	$1,839	$0	$258,595	$0	$0
Wendy Fielding MBA
Fmr Key Emp/VP Finance Plnning	$0	$235,976	$0	$0	$0	$270	$0	$18,219	$0	$21,536	$0	$276,001	$0	$0
Vincent Fusca III
Chief of Staff end 2/10/17	$0	$319,753	$0	$0	$0	$11,245	$0	$25,875	$0	$1,490	$0	$358,363	$0	$0
Edward Merrens MD
Chief Clinical Officer	$496,852	$0	$0	$0	$24,569	$0	$46,420	$0	$12,311	$0	$580,152	$0	$0	$0
George Blike MD
Chief Quality & Value Officer	$414,310	$0	$0	$0	$40,734	$0	$227,077	$0	$19,935	$0	$702,056	$0	$0	$0
Daniel Stewart MD
Physician	$970,258	$0	$0	$0	$70,614	$0	$20,875	$0	$22,410	$0	$1,084,157	$0	$0	$0
Barbara C Jobst MD
Trustee/Physician end 12/31/16	$326,282	$0	$40,000	$0	$11,721	$0	$75,934	$0	$22,317	$0	$476,254	$0	$0	$0
Darlene A Saler MBA RN
Fmr Actg Chf Nrsg Ofr	$0	$169,562	$0	$0	$0	$979	$0	$73,887	$0	$10,630	$0	$255,058	$0	$0
John S Malanowski MILR
Chief HR Officer end 2/10/17	$0	$494,784	$0	$0	$0	$24,273	$0	$20,575	$0	$19,603	$0	$559,235	$0	$0
Terrence P Carroll PHD
Former Chf Innvtn Ofcr	$0	$0	$0	$0	$0	$380,765	$0	$0	$0	$0	$0	$380,765	$0	$0
Faramarz Samie MD
Physician	$751,024	$0	$58,808	$0	$60,532	$0	$20,575	$0	$8,422	$0	$899,361	$0	$0	$0
Thomas Dodds MD
Fmr Key Emp/Dept Chr Anesth	$450,617	$0	$0	$0	$32,934	$0	$79,202	$0	$19,957	$0	$582,710	$0	$0	$0
Wendy Wells MD
Fmr Key Emp/Dpt Chr Pathology	$464,676	$0	$0	$0	$23,172	$0	$111,806	$0	$17,473	$0	$617,127	$0	$0	$0
Jocelyn Chertoff MD
Fmr Key Emp/Dpt Chr Dgnstc Rad	$549,599	$0	$0	$0	$32,515	$0	$117,431	$0	$15,362	$0	$714,907	$0	$0	$0
Edward Catherwood MD MS
Fmr Key Emp/Ctr Dir Hrt/Vsc	$458,562	$0	$0	$0	$0	$0	$46,330	$0	$20,574	$0	$525,466	$0	$0	$0
Steven Boyce
Fmr Key Emp/Adm. VP Med Spclts	$218,978	$0	$0	$0	$817	$0	$48,521	$0	$21,518	$0	$289,834	$0	$0	$0
Jeffrey OBrien MHA
Fmr Key Emp/VP Oncology	$0	$278,588	$0	$0	$0	$4,091	$0	$20,575	$0	$21,606	$0	$324,860	$0	$0
M Brooke Herndon MD
Trustee/Staff Physician	$205,330	$0	$0	$0	$1,791	$0	$43,822	$0	$19,428	$0	$270,371	$0	$0	$0
John Birkmeyer MD
CCO/EVP Entprs Sp end 10/14/16	$661,213	$0	$0	$0	$220,254	$0	$20,575	$0	$18,758	$0	$920,800	$0	$0	$0
Gay Landstrom PhD RN NEA-BC
Chf Nursing Offr end 1/10/17	$0	$544,439	$0	$0	$0	$35,006	$0	$20,575	$0	$19,260	$0	$619,280	$0	$0
Kimberly Troland JD
Fmr Intrm GC/Deputy Gen Cnsl	$0	$357,838	$0	$0	$0	$11,758	$0	$20,575	$0	$19,185	$0	$409,356	$0	$0
Robert Greene MD MHCDS FACP
Chf Popul Mgmt Ofr end 4/7/17	$561,538	$0	$0	$0	$32,388	$0	$24,606	$0	$19,325	$0	$637,857	$0	$0	$0
John Kacavas JD
Chief Legal Officer	$0	$429,550	$0	$0	$0	$774	$0	$20,575	$0	$19,260	$0	$470,159	$0	$0
Jeffrey A Cohen MD
Trustee/VP Service Line	$407,294	$0	$0	$0	$27,821	$0	$87,447	$0	$17,474	$0	$540,036	$0	$0	$0
Timothy D Scherer MD
Trustee/Physician	$506,063	$0	$0	$0	$15,054	$0	$52,024	$0	$19,936	$0	$593,077	$0	$0	$0
Brian C Spence MD MHCDS
Trustee/Staff Physician	$403,578	$0	$60,200	$0	$18,489	$0	$26,398	$0	$22,390	$0	$531,055	$0	$0	$0
Maria Padin MD
Chief Medical Officer	$398,748	$0	$0	$0	$10,608	$0	$177,879	$0	$19,925	$0	$607,160	$0	$0	$0
Peter D Solberg MD
Chf Medical Information Ofcr	$366,882	$0	$0	$0	$8,509	$0	$32,814	$0	$13,164	$0	$421,369	$0	$0	$0
Karen Clements RN BSN MSB FAC
Chief Nursing Officer	$0	$268,238	$0	$0	$0	$404	$0	$20,575	$0	$8,462	$0	$297,679	$0	$0
Thomas J Siepka
Chief Pharmacy Officer	$0	$299,041	$0	$0	$0	$270	$0	$20,575	$0	$1,930	$0	$321,816	$0	$0
Kari M Rosenkranz MD
Trustee eff 1/1/17/Physician	$436,264	$0	$47,618	$0	$12,957	$0	$20,575	$0	$9,312	$0	$526,726	$0	$0	$0
Aimee M Giglio
Int Chf HR Offcr eff 2/10/17	$0	$216,905	$0	$0	$0	$8,879	$0	$10,621	$0	$18,595	$0	$255,000	$0	$0
Sowmya Viswanathan MD
Chief ACO Officer eff 7/5/16	$161,292	$0	$0	$0	$205	$0	$10,094	$0	$8,164	$0	$179,755	$0	$0	$0
Jock McCullough MD
Staff Physician	$787,049	$0	$0	$0	$55,594	$0	$20,575	$0	$19,925	$0	$883,143	$0	$0	$0
Scott Devanny MD
Physician	$737,299	$0	$0	$0	$47,806	$0	$20,575	$0	$22,389	$0	$828,069	$0	$0	$0
Sandra Wong MD
Department Chair Surgery	$671,891	$0	$0	$0	$0	$0	$20,575	$0	$9,312	$0	$701,778	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CHARTERED TRAVEL SERVICES	Form 990, Schedule J, Part I, Line 1a FROM TIME TO TIME, THE ORGANIZATION PROVIDES CHARTERED TRAVEL SERVICES TO THE CEO. THE COST OF PROVIDING THE CHARTERED SERVICE HAS BEEN DEEMED A COST-EFFICIENT MANNER TO ALLOW THE OFFICER TO WORK WHILE TRAVELING VERSUS THE TIME LOST DRIVING, ETC. THIS EXPENSE HAS BEEN DEEMEND AN ORDINARY AND NECESSARY BUSINESS EXPENSE AND NON-TAXABLE TO THE RECIPIENT. ALL REQUESTS ARE APPROVED BEFORE PAYMENT TO ENSURE COMPLIANCE WITH INTERNAL POLICIES.
Severance Payments	Form 990, Schedule J, Part I line 4a THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2016: DURING 2012, THOMAS COLACCHIO TRANSITIONED FROM AN OFFICER ROLE TO A STAFF PHYSICIAN ROLE. AS PART OF THIS TRANSITION, THOMAS COLACCHIO RECEIVED A $320,000 CHANGE OF CONTROL PAYMENT FROM DARTMOUTH-HITCHCOCK IN 2016. THE PAYMENT IS INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2016, FORMER CHIEF INNOVATION OFFICER TERRENCE CARROLL RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $380,765 FROM DARTMOUTH-HITCHCOCK. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2016, FORMER CHIEF FINANCIAL OFFICER ROBIN KILFEATHER-MACKEY RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $224,351 FROM DARTMOUTH-HITCHCOCK. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2016, FORMER CHIEF CLINICAL OFFICER / EXECUTIVE VP OF ENTERPRISE SUPPORT JOHN BIRKMEYER RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $129,856 FROM DARTMOUTH-HITCHCOCK. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. Supplemental Nonqualified Retirement Plan FORM 990 SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (WHICH ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B (III)): BARBARA JOBST $9,646 BRIAN SPENCE $18,489 DANIEL STEWART $70,344 EDWARD MERRENS $24,155 FARAMARZ SAMIE $60,532 GAY LANDSTROM $33,499 GEORGE BLIKE $40,320 JAMES WEINSTEIN $93,750 JEFFREY COHEN $16,800 JOHN BIRKMEYER $53,500 JOHN MALANOWSKI $23,499 KARI ROSENKRANZ $12,687 KIMBERLY TROLAND $11,603 MARIA PADIN $10,074 NATHAN SIMMONS $56,274 PETER SOLBERG $8,095 ROBERT GREENE $28,500 ROBIN KILFEATHER-MACKEY $82,881 STEPHEN LEBLANC $114,904 TIMOTHY SCHERER $14,856 VINCENT FUSCA $6,601 JEFFREY OBRIEN $2,171 JOCELYN CHERTOFF $31,327 JOHN BUTTERLY $30,926 STEVEN BOYCE $43 THOMAS COLACCHIO $81,489 THOMAS DODDS $32,160 WENDY WELLS $21,342 JOCK MCCULLOUGH $53,500 SCOTT DEVANNY $47,392 THE ANNUAL SERP PROGRAM PROVIDES ELIGIBLE PARTICIPANTS WITH AMOUNTS INTENDED TO REPLACE THE REDUCTION IN QUALIFIED RETIREMENT BENEFITS DUE TO THE APPLICATION OF BENEFIT LIMITATIONS IMPOSED BY IRC SECTIONS 401(A) AND/OR 415. IN ADDITION, ONCE ELIGIBLE PARTICIPANTS QUALIFY FOR SPECIAL EARLY RETIREMENT BENEFITS BASED ON YEARS OF SERVICE PLUS AGE - AS PROVIDED IN THE DEFINED BENEFIT PLAN - THE VALUE OF THE SPECIAL EARLY RETIREMENT BENEFIT, DETERMINED WITHOUT REGARD TO LIMITATIONS IN 401(A) AND 415 IS INCLUDED IN THE PAYMENT. THE FOLLOWING INDIVIDUALS QUALIFIED FOR EARLY RETIREMENT BENEFITS DURING CALENDAR YEAR 2016: DANIEL P. JANTZEN $638,098 Dartmouth-Hitchcock Supplemental Retirement Plan: Terms and Conditions: An eligible employee is a participant in the Dartmouth-Hitchcock Retirement Plan and/or any prior pension arrangements sponsored by Dartmouth-Hitchcock (including a qualified defined benefit plan) who would be entitled to additional contributions or benefit accruals under the terms of the Plans for the plan year, but are limited by IRC Section 401 (a)(17) and/or 415. For eligible employees, the Employer will pay the eligible employee an amount determined by the employer each year to offset the amount of the reduction in the benefit accrual or contributions as a result of limitations imposed by IRC Sections 401(a)(17) and/or 415. DHC sponsors a split dollar life plan for certain long-term employees. The original objectives for offering these plans were to better enable DHC 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 in 1998 and therefore no further costs of the individual employee insurance premiums have been funded by the organization. The number of participants and dollar value continues to dwindle as individuals retire/leave the organization.
Note regarding compensation	Schedule J, Part II Column B, parts I, II, and III represent actual amounts paid to employees by DHC. 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	New Hampshire Health and Ed Facilities Authority	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	020279866	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2015-09-01	BondIssuedDt
Issue Price	$41,242,290	IssuePriceAmt
Purpose	Refund Issue Dated 8/31/2011	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$50,924,782	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$149,761	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$50,775,021	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2015	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Private Bus Use By Others	0	PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	OTHER SPENT PROCEEDS	FormAndLineReferenceDesc
Explanation	Form 990, Schedule K, Part II, Column A, Line 11 THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW. PRIVATE BUSINESS USE Form 990, Schedule K, Part III, Column A The 2015 Series, through a series of refundings, refunds issues dated prior to 12/31/2002 and therefore is exempt from Part III reporting.	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (7 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)	$52,782	$52,782	false	Yes (true)	Yes (true)
Mary Oseid
Former Key EE	Split Dollar Life	Yes (X)	$35,089	$35,089	false	Yes (true)	Yes (true)
Edward Catherwood
Former Key EE	Split Dollar Life	Yes (X)	$112,065	$112,065	false	Yes (true)	Yes (true)
Richard Rothstein
Officer	Split Dollar Life	Yes (X)	$91,794	$91,794	false	Yes (true)	Yes (true)
Peter Johnson
Former Officer	Split Dollar Life	Yes (X)	$80,045	$80,045	false	Yes (true)	Yes (true)
Michael Ward
Former Key EE	Split Dollar Life	Yes (X)	$79,522	$79,522	false	Yes (true)	Yes (true)
Andrew Gettinger
Former Officer	Split Dollar Life	Yes (X)	$73,937	$73,937	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$525,234	TotalBalanceDueAmt

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Cash GrantCashGrantAmt	Type Of AssistanceTypeOfAssistanceTxt	Assistance PurposeAssistancePurposeTxt
Karen Clements
Key Employee	$69,727	Scholarship	Masters Degree Program
Jeffrey Obrien
Former Key Employee	$34,207	Scholarship	Masters Degree Program

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Janice Kilfeather-Mackey
Family Member of Officer Kilfeather-Mackey	$116,630	Employment Compensation	false
Lynn Butterly
Family Member of Former Officer John Butterly	$490,401	Employment Compensation	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Business Relationships	FORM 990, PART VI, SECTION A, LINE 2 Trustees, officers and key employees also hold trustee, officer or key employee positions at Mary Hitchcock Memorial Hospital (MHMH), a related organization. Individuals who received related organization compensation (as reported in Part VII) are paid employees of MHMH. DARTMOUTH-HITCHCOCK CLINIC OWNS FOR-PROFIT SUBSIDIARIES THAT PROVIDE SERVICES AND SUPPORT THE MISSION OF THE ORGANIZATION. The following are current officers, directors, trustees, or key employees of DHC and officers of Hamden Assurance, LTD: - Daniel Jantzen - Edward Merrens - John Kacavas - Thomas Colacchio - Robin Kilfeather-Mackey Changes to Organizational Documents Form 990, Part VI, Section A, Line 4 On June 23rd, the Board of Trustees of Dartmouth-Hitchcock Clinic amended its bylaws for the following 2 changes: Amendment 1: The previous Bylaws stated that Public Trustees serve for a term of three (3) years. While terms may be renewed, Trustees are subject to a limit of three (3) full consecutive terms (for a total of nine (9) years). The Bylaws were amended to permit a Trustee to remain on the Boards for an additional one year following the term limit described above, in order to serve as Chair for an additional year, if approved by at least 2/3 (supermajority) of the Trustees. In addition, a Trustee who has served the maximum of three (3) years as Chair may serve an additional year as Chair, if approved by at least 2/3 (supermajority) of the Trustees. Amendment 2: The previous bylaws stated that when a Public Trustee completes three(3) full consecuvtive terms (9 years of service on the Boards), they become ineligible to rejoin the Boards. An amendment was approved to allow Public Trustees to become eligible, for re-election to the Board after a one-year break in service, so that reelection may be considered if there is a strong mutual interest in the individual returning to Board service. Description of classes of members, persons, and nature of rights Form 990, Part VI, Section A, Line 6 & 7a 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. Governance decisions reserved to or subject to approval by persons other than the governing body Form 990, Part VI, Section A, Line 7B 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 the mission of the Clinic and other Organizations. 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 the Clinic's Board of Trustees, assess the Clinic a monetary amount for the payment of the expenses of D-HH, approve the Clinic's budget, approve the borrowings or dispositions of assets by the Clinic, 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 the Clinic.
Process used by management and/or Governing Body to Review 990	Form 990, Part VI, Section B, Line 11b 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 COMPLETE ELECTRONIC VERSION IS SENT OUT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS/RESPONSES PRIOR TO OFFICIAL FILING.
Conflict of Interest Policy	Form 990, Part VI, Section B, Line 12C The Dartmouth-Hitchcock Clinic BOARD OF TRUSTEES APPROVED A POLICY CONCERNING A VOLUNTARY SELF-DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. The Dartmouth-Hitchcock Compliance and Audit Services Department conducts an annual survey of all officers, trustees, 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 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 in the curcumstances, 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.
Offices & Positions for Which Process was Used & Year Undertaken	Form 990, Part VI, Section B, Line 15a 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 consideration with the independent third party firm's recommendations and suggestions. This process was contemporaneously documented and last undertaken in 2017.
Offices & Positions for Which Process was Used & Year Undertaken	Form 990, Part VI, Section B, Line 15b Compensation for officers and key employees are evaluated by internal HR staff using national benchmarking data, along with ongoing evaluations by an independent third party firm for reasonableness, with the last formal process in 2017. 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.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public	Form 990, Part VI, Section C, Line 19 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 hardcopy form. Average Hours Per Week Form 990, Part VII, Section A, Line 1A Column B As part of Dartmouth-Hitchcock Clinic's and Mary Hitchcock Memorial Hospital's affiliation agreement, the two organizations share officers. As such, the average hours per week are allocated between the two organizations' 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, the sole corporate member of both MHMH and DHC, along with three supporting organizations Dartmouth-Hitchcock Medical Center, Everwell, Inc., Hamden Risk Retention Group, and related entities: Alice Peck Day Memorial Hospital, Windsor Hospital Corporation (dba Mount Ascutney Hospital and Health Center), Mount Ascutney Hospital Community Health Foundation, Historic Homes of Runnemede, Cheshire Medical Center, Cheshire Health Foundation, Cheshire Health Services, The New London Hospital Association, VNA & Hospice of VT and NH, and The Hitchcock Foundation. Independent Contractors Form 990, Part VII, Section B Dartmouth-Hitchcock Clinic is part of the Dartmouth-Hitchcock (D-H) Healthcare System which includes DHC, Mary Hitchcock Memorial Hospital (MHMH) and 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 in regards to 1099's for independent contractors. Statement of Functional Expenses Form 990, Part IX Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinic operate under an affiliation agreement as directed by Dartmouth-Hitchcock Health, the sole Corporate Member of both entities. Due to the integrated operating structure, related mission, and close relationship of the two tax-exempt organizations, expenses are shared between the two entities. All expenses reported within this 990 are the organization's share of expenses as designated by the affiliation agreement.
FINANCIAL STATEMENTS AND REPORTING	Form 990 Part XI, Line 9 Other Changes in Net Assets Include: Pension-related charges and net asset transfer $2,900,906 Audited Financial Statements Form 990, Part XII, Line 2c The organization's financial information is included in the 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 VNA & Hospice of VT and NH. Circular A-133 Audit Requirement Form 990, Part XII, Line 3a DURING FISCAL YEAR 2017, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FUNDS FROM FEDERAL AWARDS IN EXCESS OF THE $750,000 THRESHOLD SET FORTH IN THE OMB UNIFORM GUIDANCE, THEREFORE REQUIRING AN AUDIT. DUE TO THE ISSUANCE OF THE CONSOLIDATED FINANCIAL STATEMENTS, THE SINGLE AUDIT WAS PERFORMED ON THE COMBINED FINANCIAL INFORMATION OF ALL ORGANIZATIONS.

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 SVCS	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd
Total Income	$87,600	TotalIncomeAmt
End Of Year Assets	$87,600	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	D-HC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 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	Yes (true)
Dartmouth-Hitchcock Medical Center
One Medical Center Drive	Lebanon	NH	03756	222715483	SUPPORTNG ORG	NH	501(c)(3)	12 TYPE I	NA	Yes (true)
The Hitchcock Foundation
One Medical Center Drive	Lebanon	NH	03756	020222139	HLTHCRE RSRCH	NH	501(c)(3)	7	DHC	Yes (true)
Hamden Risk Retention Group Inc
30 Main Street Suite 330	Burlington	VT	05401	208530788	SELF INS.	VT	501(c)(3)	12 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 Rd	New London	NH	03257	020222171	Hospital	NH	501(c)(3)	3	D-HH	Yes (true)
EverWell Inc
One Medical Center Drive	Lebanon	NH	03756	352506275	Supportng Org	NH	501(c)(3)	11 Type I	NA	Yes (true)
Windsor Hospital Corporation
289 County Road	Windsor	VT	05089	030183721	Hospital	VT	501(C)(3)	3	D-HH	Yes (true)
Cheshire Medical Center
580 Court Street	Keene	NH	03431	020354549	Hospital	NH	501(C)(3)	3	D-HH	Yes (true)
Cheshire Health Foundation
580 Court Street	Keene	NH	03431	020202220	SUPPORTNG ORG	NH	501(C)(3)	12 TYPE I	CMC	Yes (true)
Mt Ascutney Hosp Cmmty Hlth Found
289 County Road	Windsor	VT	05089	030300481	Hospital	VT	501(c)(3)	3	WHA	Yes (true)
Historic Homes of Runnemede
289 County Road	Windsor	VT	05089	237396147	Healthcare	VT	501(c)(3)	10	WHA	Yes (true)
Cheshire Health Services
580 Court Street	Keene	NH	03431	473379283	HEALTHCARE	NH	501(c)(3)	3	CMC	Yes (true)
Alice Peck Day Memorial Hospital
10 Alice Peck Day Drive	Lebanon	NH	03766	020222791	Hospital	NH	501(c)(3)	3	D-HH	Yes (true)
VNA & Hospice of VT and NH
205 Billings Farm Road 5	Wilder	VT	05088	036006494	Hospice	VT	501(c)(3)	10	D-HH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
D-H Mster Invst Prg
1 Med Ctr Dr	Lebanon	NH	03756	020505863	Pooled Invest	NH	NA	EXCLUDED	$112,265	$1,109,558	false	-$241	false	0.00180
OneCare VT ACO LLC
111 COLCHESTER AVE	Burlington	VT	05401	455399218	Shared Saving	VT	NA	RELATED

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Pompanoosuc Investment Corporation
One Medical Center Drive	Lebanon	NH	03756	020352330	Real Est Hldg	NH	DHC	C CORP	-$127	$75,632	1.00000	Yes (true)
Hamden Assurance Company Limited
				980121409	Liab Insur.		DHC	Foreign Corp		$67,682,629	0.70200	Yes (true)	Canons Court 22 Victoria St	Hamilton	BD	HM EX	BD
Hitchcock Health Connect
ONE MEDICAL CENTER DRIVE	Lebanon	NH	03756	800908979	Telehealth	DE	D-HH	C Corp				Yes (true)
Kearsarge Community Services Inc
273 County Road	New London	NH	03257	020460136	Real Est Hldg	NH	NLH	C Corp				Yes (true)
New London Physician Group Inc
273 County Road	New London	NH	03257	020494420	Physician Gro	NH	NLH	C Corp				Yes (true)
New London Medical Center East
273 County Road	New London	NH	03257	020480857	Real Est Hldg	NH	NLH	C Corp				Yes (true)
Keene Health Services
580 Court Street	Keene	NH	03431	020374997	Real Est Hldg	NH	CMC	C Corp				Yes (true)
Keene Health Realty
580 Court Street	Keene	NH	03431	020374998	Real Est Hldg	NH	CMC	C Corp				Yes (true)
Keene Health Enterprises
580 Court Street	Keene	NH	03431	020374999	Real Est Hldg	NH	CMC	C Corp				Yes (true)
Charit Remndr Unitrusts (4)
One Medical Center Drive	Lebanon	NH	03756		Chart. Trust	NH	MHMH	Trust				Yes (true)
ImagineCare
One Medical Center Drive	Lebanon	NH	03756	813105071	Sftwre tchnlgy	NH	D-HH	C Corp				Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	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 (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mary Hitchcock Memorial Hospital
MNOPQ	$55,411,720	FMV
The Hitchcock Foundation
Q	$557,185	FMV
Hamden Risk Retention Group
M	$1,674,270	FMV
Windsor Hospital Corporation
D	$3,456,000	FMV
Windsor Hospital Corporation
Q	$896,942	FMV
The New London Hospital Association
Q	$877,252	FMV
Cheshire Medical Center
L	$12,531,219	FMV
Cheshire Medical Center
Q	$287,054	FMV
Alice Peck Day Memorial Hospital
Q	$335,990	FMV
Dartmouth-Hitchcock Health
P	$481,665	FMV