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      <MissionDesc>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>
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      <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 &amp; 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>
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        <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>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>R William Burgess Jr MBA</PersonNm>
        <TitleTxt>Trustee end 8/5/16</TitleTxt>
        <AverageHoursPerWeekRt>0.75</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.25</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Duane A Compton PhD</PersonNm>
        <TitleTxt>Trustee/Ex-Officio</TitleTxt>
        <AverageHoursPerWeekRt>0.75</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.56</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>M Brooke Herndon MD</PersonNm>
        <TitleTxt>Trustee/Staff Physician</TitleTxt>
        <AverageHoursPerWeekRt>12.75</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.75</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>207121</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>63250</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Charles G Plimpton MBA</PersonNm>
        <TitleTxt>Trustee/Board Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey A Cohen MD</PersonNm>
        <TitleTxt>Trustee/VP Service Line</TitleTxt>
        <AverageHoursPerWeekRt>12.75</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>29.05</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>435115</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>104921</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Timothy D Scherer MD</PersonNm>
        <TitleTxt>Trustee/Physician</TitleTxt>
        <AverageHoursPerWeekRt>12.75</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.75</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>521117</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Brian C Spence MD MHCDS</PersonNm>
        <TitleTxt>Trustee/Staff Physician</TitleTxt>
        <AverageHoursPerWeekRt>12.75</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.75</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>482267</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>48788</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kari M Rosenkranz MD</PersonNm>
        <TitleTxt>Trustee eff 1/1/17/Physician</TitleTxt>
        <AverageHoursPerWeekRt>12.75</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.75</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robin Kilfeather-Mackey CPA</PersonNm>
        <TitleTxt>CFO end 7/15/16</TitleTxt>
        <AverageHoursPerWeekRt>15.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>46.01</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>609409</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel P Jantzen CPA</PersonNm>
        <TitleTxt>COO end, CFO eff 7/16/16</TitleTxt>
        <AverageHoursPerWeekRt>15.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>48.01</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>1223270</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Stephen LeBlanc</PersonNm>
        <TitleTxt>Chief Administrative Officer</TitleTxt>
        <AverageHoursPerWeekRt>15.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>47.01</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard I Rothstein MD</PersonNm>
        <TitleTxt>Chf Academic Offcr eff 1/1/17</TitleTxt>
        <AverageHoursPerWeekRt>18.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>42.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>76713</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Edward Merrens MD</PersonNm>
        <TitleTxt>Chief Clinical Officer</TitleTxt>
        <AverageHoursPerWeekRt>18.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>44.0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Birkmeyer MD</PersonNm>
        <TitleTxt>CCO/EVP Entprs Sp end 10/14/16</TitleTxt>
        <AverageHoursPerWeekRt>18.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>43.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>39333</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maria Padin MD</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <AverageHoursPerWeekRt>18.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>44.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>409356</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>197804</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sowmya Viswanathan MD</PersonNm>
        <TitleTxt>Chief ACO Officer eff 7/5/16</TitleTxt>
        <AverageHoursPerWeekRt>18.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>42.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>18258</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Susan A Reeves EdD RN</PersonNm>
        <TitleTxt>Chf Nrsng Exctve eff 6/19/17</TitleTxt>
        <AverageHoursPerWeekRt>18.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>42.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Vincent Fusca III</PersonNm>
        <TitleTxt>Chief of Staff end 2/10/17</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>29.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>330998</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>George Blike MD</PersonNm>
        <TitleTxt>Chief Quality &amp; Value Officer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>43.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John S Malanowski MILR</PersonNm>
        <TitleTxt>Chief HR Officer end 2/10/17</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gay Landstrom PhD RN NEA-BC</PersonNm>
        <TitleTxt>Chf Nursing Offr end 1/10/17</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Greene MD MHCDS FACP</PersonNm>
        <TitleTxt>Chf Popul Mgmt Ofr end 4/7/17</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Kacavas JD</PersonNm>
        <TitleTxt>Chief Legal Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Peter D Solberg MD</PersonNm>
        <TitleTxt>Chf Medical Information Ofcr</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Karen Clements RN BSN MSB FACHE</PersonNm>
        <TitleTxt>Chief Nursing Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas J Siepka</PersonNm>
        <TitleTxt>Chief Pharmacy Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Aimee M Giglio</PersonNm>
        <TitleTxt>Int Chf HR Offcr eff 2/10/17</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>42.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sandra Wong MD</PersonNm>
        <TitleTxt>Department Chair Surgery</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Nathan Simmons MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>28.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel Stewart MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <OtherCompensationAmt>43285</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Faramarz Samie MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>28.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jock McCullough MD</PersonNm>
        <TitleTxt>Staff Physician</TitleTxt>
        <AverageHoursPerWeekRt>12.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>842643</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>40500</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Devanny MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>28.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>42964</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Carl DeMatteo MD</PersonNm>
        <TitleTxt>Fmr Chf Ql Compl Ofr/Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>28.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>120556</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>1384</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Butterly MD</PersonNm>
        <TitleTxt>Former Officer/EVP Med Affairs</TitleTxt>
        <AverageHoursPerWeekRt>12.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>138766</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>13418</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Colacchio MD</PersonNm>
        <TitleTxt>Former Officer/Physician</TitleTxt>
        <AverageHoursPerWeekRt>12.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>29.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>667401</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>54165</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Darlene A Saler MBA RN</PersonNm>
        <TitleTxt>Fmr Actg Chf Nrsg Ofr</TitleTxt>
        <AverageHoursPerWeekRt>12.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>170541</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>84517</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Terrence P Carroll PHD</PersonNm>
        <TitleTxt>Former Chf Innvtn Ofcr</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>42.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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        <ReportableCompFromRltdOrgAmt>380765</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kimberly Troland JD</PersonNm>
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        <PersonNm>Christine Schon MPA</PersonNm>
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        <PersonNm>Tina Naimie CPA MHCDS</PersonNm>
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        <PersonNm>Wendy Fielding MBA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Dodds MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Wendy Wells MD</PersonNm>
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        <PersonNm>Jocelyn Chertoff MD</PersonNm>
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        <PersonNm>Edward Catherwood MD MS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Steven Boyce</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey OBrien MHA</PersonNm>
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      <OtherRevenueMiscGrp>
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          <BusinessNameLine1Txt>Advance Transit</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>Wilder</CityNm>
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        <PurposeOfGrantTxt>Transportn Subsidy</PurposeOfGrantTxt>
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      <RecipientTable>
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        </RecipientBusinessName>
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          <StateAbbreviationCd>GA</StateAbbreviationCd>
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        <PurposeOfGrantTxt>Program Support</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Southeast Vermont Transit</BusinessNameLine1Txt>
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          <AddressLine1Txt>45 Mill St</AddressLine1Txt>
          <CityNm>Wilmington</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05363</ZIPCd>
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        <RecipientEIN>030353976</RecipientEIN>
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        </RecipientBusinessName>
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          <AddressLine1Txt>713 Hartford Ave</AddressLine1Txt>
          <CityNm>White River Jct</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05001</ZIPCd>
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        <RecipientEIN>030277908</RecipientEIN>
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        <CashGrantAmt>7500</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Program Support</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Windsor Hospital Corporation</BusinessNameLine1Txt>
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        <GrantTypeTxt>Awards and Educational Assistance</GrantTypeTxt>
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      <GrantsOtherAsstToIndivInUSGrp>
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        <CashGrantAmt>35816</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Description of Organization's Procedures for Monitoring the Use of Grants</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jock McCullough MD</PersonNm>
        <TitleTxt>Staff Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>787049</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>55594</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20575</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19925</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>883143</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Scott Devanny MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>737299</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>47806</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20575</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22389</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>828069</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sandra Wong MD</PersonNm>
        <TitleTxt>Department Chair Surgery</TitleTxt>
        <BaseCompensationFilingOrgAmt>671891</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20575</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9312</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>701778</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CHARTERED TRAVEL SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Severance Payments</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Note regarding compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>New Hampshire Health and Ed Facilities Authority</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>020279866</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2015-09-01</BondIssuedDt>
        <IssuePriceAmt>41242290</IssuePriceAmt>
        <PurposeDesc>Refund Issue Dated 8/31/2011</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>50924782</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>149761</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>50775021</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>OTHER SPENT PROCEEDS</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>Stephen LeBlanc</PersonNm>
        <RelationshipWithOrgTxt>Officer</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Split Dollar Life</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>52782</OriginalPrincipalAmt>
        <BalanceDueAmt>52782</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>Mary Oseid</PersonNm>
        <RelationshipWithOrgTxt>Former Key EE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Split Dollar Life</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>35089</OriginalPrincipalAmt>
        <BalanceDueAmt>35089</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>Edward Catherwood</PersonNm>
        <RelationshipWithOrgTxt>Former Key EE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Split Dollar Life</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>112065</OriginalPrincipalAmt>
        <BalanceDueAmt>112065</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>Richard Rothstein</PersonNm>
        <RelationshipWithOrgTxt>Officer</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Split Dollar Life</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>91794</OriginalPrincipalAmt>
        <BalanceDueAmt>91794</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>Peter Johnson</PersonNm>
        <RelationshipWithOrgTxt>Former Officer</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Split Dollar Life</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>80045</OriginalPrincipalAmt>
        <BalanceDueAmt>80045</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>Michael Ward</PersonNm>
        <RelationshipWithOrgTxt>Former Key EE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Split Dollar Life</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>79522</OriginalPrincipalAmt>
        <BalanceDueAmt>79522</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>Andrew Gettinger</PersonNm>
        <RelationshipWithOrgTxt>Former Officer</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Split Dollar Life</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>73937</OriginalPrincipalAmt>
        <BalanceDueAmt>73937</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>525234</TotalBalanceDueAmt>
      <GrntAsstBnftInterestedPrsnGrp>
        <PersonNm>Karen Clements</PersonNm>
        <RelationshipWithOrgTxt>Key Employee</RelationshipWithOrgTxt>
        <CashGrantAmt>69727</CashGrantAmt>
        <TypeOfAssistanceTxt>Scholarship</TypeOfAssistanceTxt>
        <AssistancePurposeTxt>Masters Degree Program</AssistancePurposeTxt>
      </GrntAsstBnftInterestedPrsnGrp>
      <GrntAsstBnftInterestedPrsnGrp>
        <PersonNm>Jeffrey Obrien</PersonNm>
        <RelationshipWithOrgTxt>Former Key Employee</RelationshipWithOrgTxt>
        <CashGrantAmt>34207</CashGrantAmt>
        <TypeOfAssistanceTxt>Scholarship</TypeOfAssistanceTxt>
        <AssistancePurposeTxt>Masters Degree Program</AssistancePurposeTxt>
      </GrntAsstBnftInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Janice Kilfeather-Mackey</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family Member of Officer Kilfeather-Mackey</RelationshipDescriptionTxt>
        <TransactionAmt>116630</TransactionAmt>
        <TransactionDesc>Employment Compensation</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Lynn Butterly</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family Member of Former Officer John Butterly</RelationshipDescriptionTxt>
        <TransactionAmt>490401</TransactionAmt>
        <TransactionDesc>Employment Compensation</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Business Relationships</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Process used by management and/or Governing Body to Review 990</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of Interest Policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Offices &amp; Positions for Which Process was Used &amp; Year Undertaken</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Offices &amp; Positions for Which Process was Used &amp; Year Undertaken</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Avail of Gov Docs, Conflict of Interest Policy, &amp; Fin Stmts to Gen Public</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FINANCIAL STATEMENTS AND REPORTING</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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.</ExplanationTxt>
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        </DisregardedEntityName>
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          <CityNm>New London</CityNm>
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          <BusinessNameLine1Txt>EverWell Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>One Medical Center Drive</AddressLine1Txt>
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          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03756</ZIPCd>
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        <EIN>352506275</EIN>
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        <EIN>020202220</EIN>
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          <BusinessNameLine1Txt>Mt Ascutney Hosp Cmmty Hlth Found</BusinessNameLine1Txt>
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          <CityNm>Windsor</CityNm>
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          <ZIPCd>03756</ZIPCd>
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          <AddressLine1Txt>One Medical Center Drive</AddressLine1Txt>
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          <StateAbbreviationCd>NH</StateAbbreviationCd>
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          <CityNm>Hamilton</CityNm>
          <CountryCd>BD</CountryCd>
          <ForeignPostalCd>HM EX</ForeignPostalCd>
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        <PrimaryActivitiesTxt>Liab Insur.</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>DHC</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Hitchcock Health Connect</BusinessNameLine1Txt>
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          <AddressLine1Txt>ONE MEDICAL CENTER DRIVE</AddressLine1Txt>
          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03756</ZIPCd>
        </USAddress>
        <EIN>800908979</EIN>
        <PrimaryActivitiesTxt>Telehealth</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>D-HH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Kearsarge Community Services Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>273 County Road</AddressLine1Txt>
          <CityNm>New London</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03257</ZIPCd>
        </USAddress>
        <EIN>020460136</EIN>
        <PrimaryActivitiesTxt>Real Est Hldg</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NLH</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>New London Physician Group Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>273 County Road</AddressLine1Txt>
          <CityNm>New London</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03257</ZIPCd>
        </USAddress>
        <EIN>020494420</EIN>
        <PrimaryActivitiesTxt>Physician Gro</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NLH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>New London Medical Center East</BusinessNameLine1Txt>
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          <AddressLine1Txt>273 County Road</AddressLine1Txt>
          <CityNm>New London</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03257</ZIPCd>
        </USAddress>
        <EIN>020480857</EIN>
        <PrimaryActivitiesTxt>Real Est Hldg</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NLH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Keene Health Services</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>580 Court Street</AddressLine1Txt>
          <CityNm>Keene</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03431</ZIPCd>
        </USAddress>
        <EIN>020374997</EIN>
        <PrimaryActivitiesTxt>Real Est Hldg</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Keene Health Realty</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>580 Court Street</AddressLine1Txt>
          <CityNm>Keene</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03431</ZIPCd>
        </USAddress>
        <EIN>020374998</EIN>
        <PrimaryActivitiesTxt>Real Est Hldg</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Keene Health Enterprises</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>580 Court Street</AddressLine1Txt>
          <CityNm>Keene</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03431</ZIPCd>
        </USAddress>
        <EIN>020374999</EIN>
        <PrimaryActivitiesTxt>Real Est Hldg</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Charit Remndr Unitrusts (4)</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>One Medical Center Drive</AddressLine1Txt>
          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03756</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Chart. Trust</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MHMH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>Trust</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ImagineCare</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>One Medical Center Drive</AddressLine1Txt>
          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03756</ZIPCd>
        </USAddress>
        <EIN>813105071</EIN>
        <PrimaryActivitiesTxt>Sftwre tchnlgy</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>D-HH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Mary Hitchcock Memorial Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>MNOPQ</TransactionTypeTxt>
        <InvolvedAmt>55411720</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>The Hitchcock Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>557185</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Hamden Risk Retention Group</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>1674270</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Windsor Hospital Corporation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>3456000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Windsor Hospital Corporation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>896942</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>The New London Hospital Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>877252</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Cheshire Medical Center</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>12531219</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Cheshire Medical Center</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>287054</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Alice Peck Day Memorial Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>335990</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Dartmouth-Hitchcock Health</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>481665</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>