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DARTMOUTH-HITCHCOCK CLINIC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
DARTMOUTH-HITCHCOCK CLINIC (EIN 22-2519596)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-16
IRS object ID
201601379349304800
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-16T11:28:46-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SEAPORT BLVDAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222519596EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DARTMOUTH-HITCHCOCK CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% ROBIN KILFEATHER-MACKEYInCareOfNm
Business Name ControlDARTBusinessNameControlTxt
Phone6036531155PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER DRIVEAddressLine1Txt
CityLEBANONCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03756ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRobin Kilfeather-MackeyPersonNm
Person TitleCFOPersonTitleTxt
Signature2016-05-13SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPaul TanisPreparerPersonNm
PTINP01441612PTIN
Phone6175305000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJames Weinstein DO MSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Medical Center DriveAddressLine1Txt
CityLebanonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03756ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$402,849,476GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.dartmouth-hitchcock.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionAdvancing Health Through Research, Education, Clinical Practice, Community Partnerships, providing each person the best care in the right place, at the right time, every timeActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee4653TotalEmployeeCnt
Total Volunteers480TotalVolunteersCnt
Total Gross UBI$103,904TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$1,697NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$12PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$306,275,720PYProgramServiceRevenueAmt
CY Program Service Revenue$323,150,656CYProgramServiceRevenueAmt
PY Investment Income$903,545PYInvestmentIncomeAmt
CY Investment Income$329,033CYInvestmentIncomeAmt
PY Other Revenue$90,486,684PYOtherRevenueAmt
CY Other Revenue$78,062,583CYOtherRevenueAmt
PY Total Revenue$397,665,961PYTotalRevenueAmt
CY Total Revenue$401,542,272CYTotalRevenueAmt
PY Grants And Similar Paid$2,318,322PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$824,075CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$258,490,412PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$269,903,825CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$970,038CYTotalFundraisingExpenseAmt
PY Other Expenses$135,664,091PYOtherExpensesAmt
CY Other Expenses$138,495,237CYOtherExpensesAmt
PY Total Expenses$396,472,825PYTotalExpensesAmt
CY Total Expenses$409,223,137CYTotalExpensesAmt
PY Revenues Less Expenses$1,193,136PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,680,865CYRevenuesLessExpensesAmt
Total Assets BOY$233,852,895TotalAssetsBOYAmt
Total Assets EOY$256,167,630TotalAssetsEOYAmt
Total Liabilities BOY$372,810,439TotalLiabilitiesBOYAmt
Total Liabilities EOY$445,362,999TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$138,957,544NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$189,195,369NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$326,925,499ExpenseAmt
Grant$824,075GrantAmt
Revenue$397,956,831RevenueAmt
DescDartmouth-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 2015 resulted in 1,606,190 office visits recorded by Clinic personnel, with 351,438 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. Its strategic operating plan lays out a path to creating a "sustainable health system to improve the lives of the people and communities we serve, for generations to come." The focus of this work, across the Dartmouth-Hitchcock organization, i.e. all Hospital and Clinic sites, is in three main areas: Improving Population Health; Delivering Value Based Care; and Developing and Implementing New Payment Models. 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. As a key element in its work to improve population health and move to new payment models, Dartmouth-Hitchcock (D-H) is participating in a number of shared risk/shared savings programs with government and commercial payors. In 2015, D-H formally withdrew from CMS's Pioneer ACO, but D-H's application for participation in the Centers for Medicare and Medicaid Services' "Next Generation" ACO has been accepted. D-H is awaiting final contract details on Next Generation before finally committing to the program. Participation also continues to expand for OneCare Vermont, an ACO established by D-HH with the University of Vermont Health System, Vermont's academic medical center, that includes all 14 of the state's hospitals, hundreds of primary care physicians and specialists, two federally qualified health centers, and several rural health clinics, to coordinate the health care of approximately 42,000 of Vermont's 118,000 Medicare beneficiaries (40 percent of the Hospital and Clinic patients are from Vermont). D-HH continues to be a member of the Mayo Clinic Care Network, a non-ownership affiliation. This arrangement allows D-H physicians to partner with colleagues from Mayo for second opinions and consultations, thus bringing the expertise of both organizations to individual patient care. Much of the consultation is done via telemedicine, another expanding initiative of D-H. The program is intended to strengthen our ability to serve patients in our region with the highest-quality care, close to home. It also allows the Hospital and Clinic to get care to patients in emergency situations quickly and to partner with local health organizations in the delivery of care, something that is particularly important in our rural area. Regionally, as part of its work to create a sustainable health system, D-HH continues to build collaborations with other providers and to look for ways to make care more affordable and convenient for patients and families, while ensuring highest quality. Cheshire Medical Center in Keene, NH became formally affiliated with D-HH in 2015, and discussions are ongoing with other health systems in the two states. Nationally, Dartmouth-Hitchcock is a founding member, with Mayo Clinic, Intermountain Health Care, Denver Health, and The Dartmouth Institute for Health Policy and Clinical Practice, of the High Value Healthcare Collaborative (HVHC). The Collaborative currently comprises more than a dozen health systems across the country. Together, they have a patient base of more than 70 million. The goal of the Collaborative is to improve the quality of health care while lowering costs. Through data sharing and defining of best practices for 8 high-cost, high-variation conditions, the members are improving outcomes and already seeing cost savings. A $26 million grant from CMS made it possible to integrate shared decision making - the Hospital was the first in the nation to create a Center for Shared Decision Making and integrate tools into clinical care - into the work of the Collaborative. Beyond that grant, however, the HVHC is self-funded by the member health systems. Effective with fiscal year 2000, the Clinic and the Hospital began filing an annual Community Benefit Report with the State of New Hampshire which outlines the community and charitable benefits they provide. The complete and updated Community Benefit 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, 2015, the Clinic provided financial assistance to 12,713 patients in the amount of $15,527,296 as measured by gross charges. The estimated cost of providing this care for the year ended June 30, 2015 was $4,785,513. 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, 2015 was $21,979,520. 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, 2015, the Clinic reported a provision for bad debts of approximately $3,164,469.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$19,431,077ExpenseAmt
DescAs 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$346,356,576TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4653EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryBDForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonROBIN KILFEATHER-MACKEYPersonNm
Phone6036505634PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER DRIVEAddressLine1Txt
CityLebanonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03756ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (65 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jennie L Norman
Trustee/Board Sec End 12/31/141.52.5Yes (X)Yes (X)$0$0$0
Hugh C Smith MD
Trustee End 12/31/140.751.25Yes (X)$0$0$0
James N Weinstein DO MS
Trustee Ex-Officio/CEO17.044.01Yes (X)Yes (X)$1,229,653$0$225,752
Michael J Goran MD
Trustee End 12/31/140.751.25Yes (X)$0$0$0
Vincent S Conti MHA
Trustee0.751.25Yes (X)$0$0$0
Barbara Couch MS
Trustee/Board Sec Eff 1/1/150.751.25Yes (X)Yes (X)$0$0$0
Anne-Lee Verville
Trustee0.751.25Yes (X)$0$0$0
William J Conaty
Trustee0.751.25Yes (X)$0$0$0
Robert A Oden Jr PhD
Trustee/Board Chair1.52.5Yes (X)Yes (X)$0$0$0
William W Helman IV
Trustee End 9/30/140.751.26Yes (X)$0$0$0
Peter A Delong MD
Trustee/Physician End 12/31/1412.028.0Yes (X)$325,355$0$42,570
Richard I Rothstein MD
Trustee/Dept Chair Med12.028.0Yes (X)$536,148$0$159,867
Denis A Cortese MD
Trustee0.751.25Yes (X)$0$0$0
Matthew B Dunne
Trustee0.751.25Yes (X)$0$0$0
Senator Judd A Gregg
Trustee0.750.75Yes (X)$0$0$0
Laura K Landy MBA
Trustee0.751.25Yes (X)$0$0$0
Steven A Paris MD
Trustee/Medical Director12.028.51Yes (X)$357,571$0$117,329
Richard J Powell MD
Trustee/Physician12.028.8Yes (X)$449,269$0$145,523
Paul P Danos PhD
Trustee/BD Treasurer1.52.5Yes (X)Yes (X)$0$0$0
Barbara C Jobst MD
Trustee0.750.75Yes (X)$0$0$0
Troyen Brennan MD MPH
Trustee Eff 3/20/150.751.25Yes (X)$0$0$0
R William Burgess Jr MBA
Trustee Eff 1/1/150.751.25Yes (X)$0$0$0
Duane A Compton PhD
Trustee/Ex-Officio Eff 7/15/140.751.56Yes (X)$0$0$0
M Brooke Herndon MD
Trustee Eff 3/20/150.750.75Yes (X)$0$0$0
Charles G Plimpton MBA
Trustee Eff 3/20/150.751.25Yes (X)$0$0$0
Robin Kilfeather-Mackey CPA
Chief Financial Officer17.044.01Yes (X)$520,432$0$214,698
Daniel Jantzen CPA
Chief Operating Officer19.042.0Yes (X)$0$604,478$210,934
Stephen LeBlanc
Exec VP Strtgy & Ntwrk Rltns6.054.01Yes (X)$602,197$0$269,589
Vincent Fusca III
Chief of Staff12.028.0Yes (X)$0$308,695$22,752
Edward Merrens MD
Chief Medical Officer12.028.0Yes (X)$386,917$0$94,435
George Blike MD
Chief Quality & Value Officer12.028.0Yes (X)$447,955$0$263,509
Darlene A Saler
Actg Chf Nrsg Ofr End 9/27/1419.041.0Yes (X)$0$170,680$117,273
John S Malanowski MILR
Chief HR Officer19.041.0Yes (X)$0$446,455$54,754
Clifford J Belden MD
Chf Clncl Offr End 6/22/1512.028.0Yes (X)$710,709$0$55,414
Terrence P Carroll PHD
Chief Innovation Officer12.028.0Yes (X)$0$641,630$53,393
John Birkmeyer MD
Chf Clncl Offr/EVP Entprs Sup17.043.0Yes (X)$261,699$0$34,858
Gay Landstrom PhD RN NEA-BC
Chf Nursing Offr Eff 9/28/1419.041.0Yes (X)$0$281,442$27,901
Kimberly Troland JD
General Counsel End 4/19/1517.043.0Yes (X)$0$248,343$34,246
Robert Greene MD MHCDS FACP
Chf Popul Mgmt Ofr Eff 7/28/1419.041.0Yes (X)$374,106$0$27,231
John Kacavas JD
General Counsel Eff 4/20/1519.041.0Yes (X)$0$0$0
Christine Schon
V.P Comm. Grp. Pract. Ops12.028.01$227,406$0$58,292Yes (X)
Gail Dahlstrom
V.P. Facilities Mgmt19.041.0$0$230,720$102,141Yes (X)
Tina Naimie CPA
VP Corporate Finance12.029.5$0$222,873$25,900Yes (X)
Wendy Fielding
VP Financial Planning12.028.0$0$220,559$57,824Yes (X)
Wendy Wells MD
Dept. Chair Pathology12.028.0$430,798$0$168,546Yes (X)
Jocelyn Chertoff MD MS
Dept Chair Diagnost Radiology12.028.0$513,849$0$204,718Yes (X)
Douglas Merrill
Center Director Periop Svs12.028.0$558,557$0$55,489Yes (X)
Stephen Boyce
VP Ambulatory Care12.028.0$196,780$0$60,119Yes (X)
David Roberts MD
Physician12.028.0$787,982$0$148,398Yes (X)
Nathan Simmons MD
Physician12.028.0$724,968$0$76,167Yes (X)
Thomas Colacchio MD
Former Officer/Phys12.029.0$1,067,539$0$130,947Yes (X)
Daniel Stewart MD
Physician12.028.0$968,731$0$57,269Yes (X)
Faramarz Samie MD
Physician12.028.0$745,481$0$23,425Yes (X)
Carl DeMatteo MD
Fmr Chf Ql Compl Ofr/Physician12.028.0$114,301$0$2,381Yes (X)
Linda Von Reyn
Fmr Chf Nursng Officer19.041.0$0$230,017$104,641Yes (X)
John Butterly MD
Fmr Offr/Exec VP Med Affairs4.028.0$552,569$0$72,826Yes (X)
Lawrence Dacey MD
Former CMO/DH Phys12.01.3$132,136$0$242,566Yes (X)
Alan Weston
Fmr Chief HR Officer19.041.0$0$295,536$0Yes (X)
Jeanine Arden-Ornt
Fmr General Counsel17.044.0$0$361,457$42,717Yes (X)
Mary Oseid
Fmr Key Emp/VP Ambulatory Care12.028.0$374,245$0$240,234Yes (X)
Barbara Walters DO MBA
Fmr Key Emp/Med Dir Acct Care10.022.0$329,833$0$21,631Yes (X)
Mary Kay Boudewyns
Fmr Key Emp/VP Rev Mgmt12.028.0$0$213,992$129,667Yes (X)
Thomas Dodds MD
Former Key Emp/Dept Chr Anesth12.028.0$535,557$0$231,969Yes (X)
Edward Catherwood MD MS
Former Key Emp/Ctr Dir Hrt/Vsc12.028.0$443,720$0$148,473Yes (X)
Jeffrey OBrien
Fmr Key Emp/VP Oncology12.028.0$0$276,051$41,966Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$14,906,463TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,752,928TotReportableCompRltdOrgAmt
Total Other Compensation$4,620,334TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1126IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonSee Schedule OPersonNm
FieldValueIRS element (for citing)
Contractor AddressContractorAddress
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621110BusinessCd
Total Revenue Column$323,150,656TotalRevenueColumnAmt
Related Or Exempt Func Income$323,150,656RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$323,150,656TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,122TotalRevenueColumnAmt
Unrelated Business Revenue$68UnrelatedBusinessRevenueAmt
Exclusion$45,054ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,503,330RealAmt
Personal$634,750PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$283,224RealAmt
Personal$150,969PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,220,106RealAmt
Personal$483,781PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,703,887TotalRevenueColumnAmt
Exclusion$2,703,887ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$166,297SecuritiesAmt
Other$990,625OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$173,604SecuritiesAmt
Other$699,407OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$7,307SecuritiesAmt
Other$291,218OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$283,911TotalRevenueColumnAmt
Exclusion$283,911ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CONTRACTED REVENUE621110$80,313,348$80,209,512$103,836
CAFETERIA INCOME621110$448,685$448,685
ALLOCATED OTHER REVENUE621110-$5,403,337-$5,403,337
FieldValueIRS element (for citing)
Other Revenue Total$75,358,696OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$401,542,272TotalRevenueColumnAmt
Related Or Exempt Func Income$397,956,831RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$103,904UnrelatedBusinessRevenueAmt
Exclusion$3,481,537ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$522,465TotalAmt
Program Services$522,465ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$301,610TotalAmt
Program Services$301,610ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,786,968TotalAmt
Program Services$1,285,910ProgramServicesAmt
Management And General$3,419,392ManagementAndGeneralAmt
Fundraising$81,666FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$2,517,903TotalAmt
Program Services$2,517,903ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$202,491,734TotalAmt
Program Services$168,030,487ProgramServicesAmt
Management And General$34,458,956ManagementAndGeneralAmt
Fundraising$2,291FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$17,714,067TotalAmt
Program Services$14,747,037ProgramServicesAmt
Management And General$2,967,025ManagementAndGeneralAmt
Fundraising$5FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$28,178,561TotalAmt
Program Services$23,424,625ProgramServicesAmt
Management And General$4,753,929ManagementAndGeneralAmt
Fundraising$7FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,214,592TotalAmt
Program Services$11,833,709ProgramServicesAmt
Management And General$2,380,879ManagementAndGeneralAmt
Fundraising$4FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$934,922TotalAmt
Program Services$28,056ProgramServicesAmt
Management And General$906,866ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$220,471TotalAmt
Management And General$220,471ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$18,600TotalAmt
Program Services$18,600ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,506,352TotalAmt
Program Services$19,201,613ProgramServicesAmt
Management And General$4,304,739ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,330,370TotalAmt
Program Services$9,157ProgramServicesAmt
Management And General$1,321,213ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,222,346TotalAmt
Program Services$2,167,703ProgramServicesAmt
Management And General$1,054,612ManagementAndGeneralAmt
Fundraising$31FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,566,643TotalAmt
Program Services$3,174,312ProgramServicesAmt
Management And General$392,331ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,120,820TotalAmt
Program Services$5,426,766ProgramServicesAmt
Management And General$694,054ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,588,362TotalAmt
Program Services$741,552ProgramServicesAmt
Management And General$846,810ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$31,845TotalAmt
Program Services$31,055ProgramServicesAmt
Management And General$790ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,936,221TotalAmt
Program Services$5,283,237ProgramServicesAmt
Management And General$652,984ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,951,551TotalAmt
Program Services$15,975,764ProgramServicesAmt
Management And General$1,975,787ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,580,689TotalAmt
Program Services$1,580,689ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$62,451,951$62,414,359$37,592
EQUIP REPAIR & MAINT$5,359,049$4,769,554$589,495
ACADEMIC,GME,TEACHING & SPT$2,640,304$2,640,304
ALL OTHER EXPENSES$2,034,741$230,109$918,598$886,034

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$409,223,137TotalAmt
Program Services$346,356,576ProgramServicesAmt
Management And General$61,896,523ManagementAndGeneralAmt
Fundraising$970,038FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,320BOYAmt
EOY$296,113EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,212,852BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$36,644,169BOYAmt
EOY$43,289,761EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$203,298BOYAmt
EOY$609,545EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$5,698,240BOYAmt
EOY$4,523,347EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$131,794BOYAmt
EOY$72,717EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$131,047,461LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$99,993,832LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$35,220,692BOYAmt
EOY$31,053,629EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$177,109BOYAmt
EOY$195,671EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,067,143BOYAmt
EOY$1,060,068EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$153,480,278BOYAmt
EOY$175,066,779EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$233,852,895BOYAmt
EOY$256,167,630EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$107,044,466BOYAmt
EOY$162,970,145EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,850,883BOYAmt
EOY$52,859,936EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$15,310,940BOYAmt
EOY$13,486,290EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$195,604,150BOYAmt
EOY$216,046,628EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$372,810,439BOYAmt
EOY$445,362,999EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$140,183,441BOYAmt
EOY-$190,437,406EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$227,438BOYAmt
EOY$243,578EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$998,459BOYAmt
EOY$998,459EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$138,957,544BOYAmt
EOY-$189,195,369EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$233,852,895BOYAmt
EOY$256,167,630EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$7,680,865ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$18,563NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$42,538,397OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$12TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$368,081,102CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$298,584,597CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$402,775,030CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$306,275,720CurrentTaxYearMinus1YearAmt
Current Tax Year$323,150,656CurrentTaxYearAmt
Total$1,698,867,105TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$368,081,102CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$298,584,597CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$402,775,030CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$306,275,732CurrentTaxYearMinus1YearAmt
Current Tax Year$323,150,656CurrentTaxYearAmt
Total$1,698,867,117TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,698,867,117PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,085,762CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$66,568CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86,263CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,644,660CurrentTaxYearMinus1YearAmt
Current Tax Year$3,183,134CurrentTaxYearAmt
Total$9,933,251TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,085,762CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$66,568CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86,263CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,644,660CurrentTaxYearMinus1YearAmt
Current Tax Year$3,183,134CurrentTaxYearAmt
Total$9,933,251TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$905,573CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,244CurrentTaxYearMinus2YearsAmt
Total$910,817TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$287,656CurrentTaxYearMinus4YearsAmt
Current Tax Year$75,358,696CurrentTaxYearAmt
Total$75,646,352TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$371,454,520CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$299,423,602CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$402,866,537CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$309,920,392CurrentTaxYearMinus1YearAmt
Current Tax Year$401,692,486CurrentTaxYearAmt
Total$1,785,357,537TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95156PublicSupportCY509Pct
Public Support PY5090.99353PublicSupportPY509Pct
Investment Income CY0.00556InvestmentIncomeCYPct
Investment Income PY0.00578InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$74,261DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$32,825OtherActivitiesAmt
Total Lobbying Expenditures$107,086TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Lobbying activity explanationFORM 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, 2015, Dartmouth-Hitchcock Clinic incurred $74,261 in conjunction with these activities.
Form 990 Schedule C, Part II B, Line 1IDHC 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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$998,459BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$1,074InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$999,533EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$998,459BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$998,459EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.88440PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.11560TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,776,827InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$7,215,859OtherCostOrOtherBasisAmt
Book Value$9,992,686BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,045,165InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$72,493,045OtherCostOrOtherBasisAmt
Depreciation$56,552,799DepreciationAmt
Book Value$19,985,411BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,569,190OtherCostOrOtherBasisAmt
Depreciation$27,019,588DepreciationAmt
Book Value$549,602BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,947,375OtherCostOrOtherBasisAmt
Depreciation$16,421,445DepreciationAmt
Book Value$525,930BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$31,053,629TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN CAPTIVE - HAMDEN$102,707,195
BOND ISSUANCE COSTS - NET$115,822
DHC 457(B) PLAN ASSETS$48,254,019
DUE FROM AFFILIATE$23,516,996
OTHER MISC ASSETS$472,747
FieldValueIRS element (for citing)
Total Book Value Other Assets$175,066,779TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INTEREST RATE SWAP$12,725,447
ACCRUED POST RETIRMNT PENSION$126,760,735
RESERVES FOR INSUR. RLTD LOSS$76,560,446
FieldValueIRS element (for citing)
Total Liability$216,046,628TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
INTENDED USE OF ENDOWMENT FUNDSFORM 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) FootnoteForm 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

Account Activities Outside US AccountActivitiesOutsideUSGrp (27 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmtEmployeeEmployeeCnt
East Asia and the PacificProgram ServicesEducational Travel Exp$108
Europe (Including Iceland and Greenland)Program ServicesDues$139
Europe (Including Iceland and Greenland)Program ServicesHonorarium Payments$615
Europe (Including Iceland and Greenland)Program ServicesSoftware$3,687
Europe (Including Iceland and Greenland)Program ServicesInsurance$46,500
Europe (Including Iceland and Greenland)Program ServicesTravel$11,874
Europe (Including Iceland and Greenland)Program ServicesPublications$1,307
North AmericaProgram ServicesHonorarium Payments$366
North AmericaProgram ServicesLicense$705
North AmericaProgram ServicesSoftware$2,590
North AmericaProgram ServicesOffice Equipment$50,912
North AmericaProgram ServicesTravel$14,504
North AmericaProgram ServicesServices$10,465
North AmericaProgram ServicesPublications$338
North AmericaProgram ServicesWaste$31
North AmericaProgram ServicesStudies Book$1,550
North AmericaProgram ServicesOutdoor Lighting$182
North AmericaProgram ServicesActivities Supplies$83
Middle East and North AfricaProgram ServicesSoftware$4,278
South AmericaProgram ServicesTravel$290
Central America and the CaribbeanProgram ServicesTravel$2,419
South AmericaProgram ServicesMedical Services$7,3716
South AsiaProgram ServicesMedical Services$4961
East Asia and the PacificProgram ServicesMedical Services$4,0812
Central America and the CaribbeanProgram ServicesMedical Services$1,5393
Sub-Saharan AfricaProgram ServicesMedical Services$221,9707
Central America and the CaribbeanInvestmentsInsurance Services$102,707,195
FieldValueIRS element (for citing)
Continutation Total Employee19ContinutationTotalEmployeeCnt
Total Employee19TotalEmployeeCnt
Subtotal Spent$145,873SubtotalSpentAmt
Continuation Spent$102,949,722ContinuationSpentAmt
Total Spent$103,095,595TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
Granite State United Way
46 South Main StConcordNH03301026006033501(c)(3)$8,370FMVProgram Support
Indian Stream Health Center
141 Corliss LnColebrookNH03756200999212501(C)(3)$15,500FMVProgram/Clinic Svcs
David's House
461 Mount Support RdLebanonNH03766222593431501(C)(3)$10,230FMVProgram Support
The Trustees of Dartmouth College
1 Rope Ferry RoadLebanonNH03755020222111501(C)(3)$310,000FMVEduc and Prog Sppt
Advance Transit
PO Box 1027WilderVT05088222558708501(C)(3)$33,723FMVTransportn Subsidy
City Year NH Pledge
287 Cloumbus AvenueBostonMA02116222882549501(C)(3)$7,750FMVProgram Support
Mascoma Valley Health Initiative
PO Box 2013CanaanNH03741752991608501(C)(3)$5,115FMVProgram Support
Southwestern VT Healthcare
100 Hospital Dr Box 41BenningtonVT05201030179435501(C)(3)$5,813FMVProgram Support
American Cancer Society
250 Williams Street NWAtlantaGA30303131788491501(c)(3)$5,231FMVProgram Support
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
The Trustees of Dartmouth College13$61,209FMV
D-H Tuition Reimbursement Program604$228,005FMV
Varnum Nursing Awards43$12,397FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule IFormAndLineReferenceDesc
ExplanationDescription of Organization's Procedures for Monitoring the Use of Grants For each award established by Dartmouth-Hitchcock Clinic there are written and established guidelines and procedures. Grant award payments are processed in accordance with the specific terms of each of the grants noted above. The Dartmouth Institute Scholarships (TDI) are paid directly to the College on the 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

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (44 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James N Weinstein DO MS
Trustee Ex-Officio/CEO$1,145,559$0$0$0$84,094$0$209,341$0$16,411$0$1,455,405$0$0$0
Carl DeMatteo MD
Fmr Chf Ql Compl Ofr/Physician$112,103$0$0$0$2,198$0$1,080$0$1,301$0$116,682$0$0$0
Robin Kilfeather-Mackey CPA
Chief Financial Officer$500,806$0$0$0$19,626$0$194,123$0$20,575$0$735,130$0$0$0
Linda Von Reyn
Fmr Chf Nursng Officer$0$133,716$0$0$0$96,301$0$99,057$5,584$0$334,658$0$0
Daniel Jantzen CPA
Chief Operating Officer$0$515,042$0$0$0$89,436$0$190,359$0$20,575$0$815,412$0$0
Stephen LeBlanc
Exec VP Strtgy & Ntwrk Rltns$478,894$0$0$0$123,303$0$249,014$0$20,575$0$871,786$0$0$0
John Butterly MD
Fmr Offr/Exec VP Med Affairs$498,440$0$0$0$54,129$0$72,826$0$0$0$625,395$0$0$0
Lawrence Dacey MD
Former CMO/DH Phys$82,044$0$9,000$0$41,092$0$230,712$0$11,854$0$374,702$0$0$0
Alan Weston
Fmr Chief HR Officer$0$0$0$0$0$295,536$0$0$0$0$0$295,536$0$0
David Roberts MD
Physician$584,709$0$116,816$0$86,457$0$131,986$0$16,412$936,380$0$0$0
Nathan Simmons MD
Physician$537,471$0$120,079$0$67,418$0$54,917$0$21,250$0$801,135$0$0$0
Mary Oseid
Fmr Key Emp/VP Ambulatory Care$365,364$0$0$0$8,881$0$228,572$0$11,662$0$614,479$0$0$0
Christine Schon
V.P Comm. Grp. Pract. Ops$223,696$0$0$0$3,710$0$42,762$0$15,530$0$285,698$0$0$0
Gail Dahlstrom
V.P. Facilities Mgmt$0$226,090$0$0$0$4,630$0$86,615$0$15,526$0$332,861$0$0
Peter A Delong MD
Trustee/Physician End 12/31/14$261,137$0$53,232$0$10,986$0$34,288$0$8,282$0$367,925$0$0$0
Richard I Rothstein MD
Trustee/Dept Chair Med$529,679$0$0$0$6,469$0$143,455$0$16,412$0$696,015$0$0$0
Thomas Colacchio MD
Former Officer/Phys$648,749$0$0$0$418,790$0$116,627$0$14,320$0$1,198,486$0$0$0
Tina Naimie CPA
VP Corporate Finance$0$222,765$0$0$0$108$0$24,097$0$1,803$0$248,773$0$0
Wendy Fielding
VP Financial Planning$0$220,289$0$0$0$270$0$37,462$0$20,362$0$278,383$0$0
Barbara Walters DO MBA
Fmr Key Emp/Med Dir Acct Care$286,993$0$0$0$42,840$0$21,631$0$0$0$351,464$0$0$0
Jeanine Arden-Ornt
Fmr General Counsel$0$340,566$0$0$0$20,891$0$38,457$0$4,260$0$404,174$0$0
Vincent Fusca III
Chief of Staff$0$306,308$0$0$0$2,387$0$21,284$0$1,468$0$331,447$0$0
Mary Kay Boudewyns
Fmr Key Emp/VP Rev Mgmt$0$206,293$0$0$0$7,699$0$121,696$0$7,971$0$343,659$0$0
Steven A Paris MD
Trustee/Medical Director$329,589$0$0$0$27,982$0$100,968$0$16,361$0$474,900$0$0$0
Richard J Powell MD
Trustee/Physician$368,104$0$55,633$0$25,532$0$124,282$0$21,241$0$594,792$0$0$0
Edward Merrens MD
Chief Medical Officer$368,912$0$0$0$18,005$0$73,184$0$21,251$0$481,352$0$0$0
George Blike MD
Chief Quality & Value Officer$402,600$0$0$0$45,355$0$242,258$0$21,251$0$711,464$0$0$0
Daniel Stewart MD
Physician$915,419$0$0$0$53,312$0$36,017$0$21,252$0$1,026,000$0$0$0
Darlene A Saler
Actg Chf Nrsg Ofr End 9/27/14$0$169,385$0$0$0$1,295$0$101,528$0$15,745$0$287,953$0$0
John S Malanowski MILR
Chief HR Officer$0$432,266$0$0$0$14,189$0$37,650$0$17,104$0$501,209$0$0
Clifford J Belden MD
Chf Clncl Offr End 6/22/15$668,497$0$0$0$42,212$0$41,093$0$14,321$0$766,123$0$0$0
Terrence P Carroll PHD
Chief Innovation Officer$0$540,130$0$100,000$0$1,500$0$37,650$0$15,743$0$695,023$0$0
Faramarz Samie MD
Physician$586,095$0$121,395$0$37,991$0$15,533$0$7,892$0$768,906$0$0$0
Thomas Dodds MD
Former Key Emp/Dept Chr Anesth$499,435$0$0$0$36,122$0$210,719$0$21,250$0$767,526$0$0$0
Wendy Wells MD
Dept. Chair Pathology$406,536$0$0$0$24,262$0$147,305$0$21,241$0$599,344$0$0$0
Jocelyn Chertoff MD MS
Dept Chair Diagnost Radiology$454,304$0$28,500$0$31,045$0$183,467$0$21,251$0$718,567$0$0$0
Edward Catherwood MD MS
Former Key Emp/Ctr Dir Hrt/Vsc$440,464$0$0$0$3,256$0$132,062$0$16,411$0$592,193$0$0$0
Douglas Merrill
Center Director Periop Svs$297,465$0$0$0$261,092$0$42,850$0$12,639$0$614,046$0$0$0
Stephen Boyce
VP Ambulatory Care$190,631$0$0$0$6,149$0$39,913$0$20,206$0$256,899$0$0$0
Jeffrey OBrien
Fmr Key Emp/VP Oncology$0$273,570$0$0$0$2,481$0$21,530$0$20,436$0$318,017$0$0
John Birkmeyer MD
Chf Clncl Offr/EVP Entprs Sup$211,596$0$0$0$50,103$0$30,458$0$4,400$0$296,557$0$0$0
Gay Landstrom PhD RN NEA-BC
Chf Nursing Offr Eff 9/28/14$0$219,611$0$50,000$0$11,831$0$21,842$0$6,059$0$309,343$0$0
Kimberly Troland JD
General Counsel End 4/19/15$0$248,150$0$0$0$193$0$16,308$0$17,938$0$282,589$0$0
Robert Greene MD MHCDS FACP
Chf Popul Mgmt Ofr Eff 7/28/14$219,696$0$150,000$0$4,410$0$20,150$0$7,081$0$401,337$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceCHARTERED TRAVEL SERVICESFormAndLineReferenceDesc
ExplanationForm 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 TRAVELLING 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 listed individuals received Severance and/or change in control payments during calendar year 2013: During 2012, Thomas Colacchio transitioned from an officer role to a staff physician role. As part of this transition, Thomas Colacchio received a multi-year $320,000 change of control payment from Dartmouth-Hitchcock in 2014. The payment is included on Schedule J, Part II, Column (B)iii. During calendar year 2014, Former Chief Human Resource Officer Alan Weston received a one-time $295,536 severance payment from Dartmouth-Hitchcock. The payment is 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)): James Weinstein $82,952 Peter Delong $10,588 Richard Rothstein $4,911 Steven Paris $19,669 Richard Powell $24,280 Robin Kilfeather-Mackey $19,090 Linda Von Reyn $95,981 Daniel Jantzen $73,637 Stephen Leblanc $121,249 John Butterly $47,038 Jeanine Arden Ornt $19,862 Edward Merrens $17,745 George Blike $44,957 Mary Oseid $8,881 Cliff Belden $42,160 Barbara Walters $41,835 Daniel Stewart $53,139 David Roberts $81,784 Nathan Simmons $67,158 Thomas Colacchio $98,790 Lawrence Dacey $40,914 Thomas Dodds $35,378 Wendy Wells $22,757 Jocelyn Chertoff $30,301 Edward Catherwood $3,256 Douglas Merrill $38,160 Faramarz Samie $37,944 Jeffrey OBrien $2,000 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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1New Hampshire Health and Education Facilities AuthBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN020279866BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2011-08-31BondIssuedDt
Issue Price$61,582,591IssuePriceAmt
PurposeCurrent Refund 2001(A)PurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$5,695,174RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$61,582,591TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$152,499IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$61,430,092OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2011SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Private Bus Use By Others0PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecYes (true)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1Morgan StanleyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge29.8TermOfHedgePct
Superintegrated HedgeYes (true)SuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceAdditional Information Part I(F)FormAndLineReferenceDesc
ExplanationForm 990 Schedule K, Tax-Exempt Bonds Current Refund 2001(A), Issued 10/17/2001, Which Advance Refunded 1997 & 1994ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (9 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
Michael Ward
Former Key EESplit Dollar LifeYes (X)$94,348$94,348falseYes (true)Yes (true)
Stephen LeBlanc
OfficerSplit Dollar LifeYes (X)$45,771$45,771falseYes (true)Yes (true)
Mary Oseid
Former Key EESplit Dollar LifeYes (X)$30,427$30,427falseYes (true)Yes (true)
Peter Johnson
Former OfficerSplit Dollar LifeYes (X)$64,460$64,460falseYes (true)Yes (true)
Edward Catherwood
Key EESplit Dollar LifeYes (X)$99,065$99,065falseYes (true)Yes (true)
Thomas Colacchio
Former OfficerSplit Dollar LifeYes (X)$56,973$56,973falseYes (true)Yes (true)
Andrew Gettinger
Former OfficerSplit Dollar LifeYes (X)$63,536$63,536falseYes (true)Yes (true)
Richard Rothstein
TrusteeSplit Dollar LifeYes (X)$80,544$80,544falseYes (true)Yes (true)
David Roberts
Highly Comp EESplit Dollar LifeYes (X)$74,421$74,421falseYes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$609,545TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Janice Kilfeather-Mackey
Officer Kilfeather-Mac.$74,180Family member employed by DHCfalse
Roshini C Pinto-Powell
Trustee Powell$327,173Family member employed by DHCfalse
Lynn Butterly
Frmr Offcr John Butterly$573,075Family member employed by DHCfalse
Linda Dacey
Frmr Offcr Larry Dacey$160,608Family member employed by DHCfalse
Erica Myruski Plimpton
Trustee Plimpton$96,848Family member employed by DHCfalse
Nancy Birkmeyer
Officer John Birkmeyer$11,664Family member employed by DHCfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Business RelationshipsFORM 990, PART VI, SECTION A, LINE 2 DARTMOUTH-HITCHCOCK CLINIC OWNS FOR-PROFIT SUBSIDIARIES THAT PROVIDE SERVICES AND SUPPORT THE MISSION OF THE ORGANIZATION. AS A RESULT, SOME OFFICERS OF THE CLINIC ALSO ARE OFFICERS OF FOR-PROFIT ENTITIES WITHIN THE HEALTHCARE SYSTEM. Description of classes of members, persons, and the nature of their rights Form 990, Part VI, 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 the DHC's Board of Trustees and the power to approve significant governance, financial and operational decisions of DHC's Trustees. Governance decisions Form 990, Part VI, 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. the Clinic.
Process used by management and/or Governing Body to Review 990Form 990, Part VI, 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.
Description of Process to Monitor Transactions For Conflicts of InterestForm 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, OFFICE OF POLICY SUPPORT, COMPLIANCE AND AUDIT SERVICES CONDUCTS AN ANNUAL SURVEY OF ALL OFFICERS AND TRUSTEES AND PERFORMS OTHER PROCEDURES AS CONSIDERED NECESSARY TO REPORT ON COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE COMPLIANCE AND AUDIT SERVICES 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 CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT SUCH PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
Offices & Positions for Which Process was Used & Year UndertakenForm 990, Part VI, Line 15a Compensation for the President is evaluated by an independent third party firm for reasonableness and national data benchmarking. The 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 2014.
Offices & Positions for Which Process was Used & Year UndertakenForm 990, Part VI, 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 2012. External benchmarking from an independent third party has been used for any Officer who was hired or received a compensation adjustment since the last process 2012. Compensation rates are determined by following the guidelines of the compensation committee charter and philosophy documents and/or a formal review by compensation committee members.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen PublicForm 990, Part VI, 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 DHC'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 hospitals, Mount Ascutney Hospital and Health Center, Cheshire Medical Center, and New London Hospital. 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 REPORTINGForm 990 Part XI, Line 9 Other Changes in Net Assets Include: Pension-related charges and other ($42,538,397) 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 Dartmouth-Hitchcock Clinic, Mary Hitchcock Memorial Hospital, Mount Ascutney Hospital and Health Center, Cheshire Medical Center, New London Hospital, and subsidiaries. A-133 Audit Form 990 Part XII, Line 3a DURING FISCAL YEAR 2015, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FUNDS FROM FEDERAL AWARDS IN EXCESS OF THE MINIMUM THRESHOLD SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133, THEREFORE REQUIRING AN AUDIT. DUE TO THE ISSUANCE OF THE COMBINED FINANCIAL STATEMENTS, THE SINGLE AUDIT WAS PERFORMED ON THE COMBINED FINANCIAL INFORMATION OF ALL ORGANIZATIONS, INCLUDING DARTMOUTH-HITCHCOCK CLINIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Mary Hitchcock Memorial Hospital
One Medical Center DriveLebanonNH03756020222140HospitalNH501(c)(3)3D-HHYes (true)
Dartmouth-Hitchcock Medical Center
One Medical Center DriveLebanonNH03756222715483SUPPORTNG ORGNH501(c)(3)11 TYPE INAYes (true)
The Hitchcock Foundation
One Medical Center DriveLebanonNH03756020222139HLTHCRE RSRCHNH501(c)(3)7DHCYes (true)
Hamden Risk Retention Group Inc
30 Main Street Suite 330BurlingtonVT05401208530788SELF INS.VT501(c)(3)11 TYPE IDHCYes (true)
Dartmouth-Hitchcock Health
One Medical Center DriveLebanonNH03756264812335SUPPORTNG ORGNH501(c)(3)7NAfalse
The New London Hospital Association Inc
273 County RdNew LondonNH03257020222171HospitalNH501(c)(3)3D-HHYes (true)
EverWell Inc
One Medical Center DriveLebanonNH03756352506275Supportng OrgNH501(c)(3)11 Type INAYes (true)
Windsor Hospital Association
289 Country RoadWindsorVT05089030183721HospitalVT501(C)(3)3D-HHYes (true)
Cheshire Medical Center
580 Court StreetKeeneNH03431020354549HospitalNH501(C)(3)3D-HHYes (true)
Cheshire Health Foundation
580 Court StreetKeeneNH03431020202220SUPPORTNG ORGNH501(C)(3)11 TYPE IICMCYes (true)
Mt Ascutney Hosp Cmmty Hlth Found
289 Country RoadWindsorVT05089030300481HospitalVT501(c)(3)3WHAfalse
Historic Homes of Runnemede
289 Country RoadWindsorVT05089237396147HealthcareVT501(c)(3)9WHAYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
OBNET Services LLC
1 Med Ctr DrLebanonNH03756043746287Database ServNHDHCRelated$42,421$357,100false$0Yes (true)0.50000
D-H Mster Invst Prg
1 Med Ctr DrLebanonNH03756020505863Pooled InvestNHNAInvestment$44,077$1,015,818false$68false0.00181
Keene Hlth Alliance
580 Court StKeeneNH03431300179297HealthcareNHDHCRelated-$337,000false$0Yes (true)0.50000
One Care VT ACO LLC
111 COLCHESTER AVEBurlingtonVT05401455399218Shared SavingVTNARelated

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Pompanoosuc Investment Corporation
One Medical Center DriveLebanonNH03756020352330Rl Estate HldNHDHCC CORP-$125$75,6321.00000Yes (true)
Hamden Assurance Company Limited
980121409Liab Insur.DHCForeign Corp$0$102,707,1950.70200Yes (true)Canons Court 22 Victoria StHamiltonBDHM EXBD
Hitchcock Health Connect
1 Medical Ctr DrLebanonNH03756800908979TelehealthDED-HHC CorpYes (true)
Kearsarge Community Services
273 County RoadNew LondonNH03257020460136Real Est HldgNHNLHC CorpYes (true)
New London Physician Group
273 County RoadNew LondonNH03257020494420Physician GroNHNLHC CorpYes (true)
New London Medical Center East
273 County RoadNew LondonNH03257020480857Real Est HldgNHNLHC CorpYes (true)
Keene Health Services
580 Court StreetKeeneNH03431020374997Real Est HldgNHCMCC CorpYes (true)
Keene Health Realty
580 Court StreetKeeneNH03431020374998Real Est HldgNHCMCC CorpYes (true)
Keene Health Enterprises
580 Court StreetKeeneNH03431020374999Real Est HldgNHCMCC CorpYes (true)
Charit Remndr Unitrusts (5)
One Medical Center DriveLebanonNH03756Chart. TrustNHMHMHTrustYes (true)
Cheshire Health Services
580 Court StreetKeeneNH03431473379283HEALTHCARENHCMCC CORPYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Mary Hitchcock Memorial Hospital
MNOPQ$29,325,261FMV
Dartmouth-Hitchcock Medical Center
L$959,306FMV
The Hitchcock Foundation
Q$6,997FMV
The Hitchcock Foundation
P$16,689FMV
Hamden Risk Retention Group
M$2,414,286FMV
The New London Hospital Association
Q$869,460FMV
Windsor Hospital Association
Q$633,510FMV
Cheshire Medical Center
Q$1,262,000FMV