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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T11:28:46-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRICEWATERHOUSECOOPERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SEAPORT BLVD | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222519596 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DARTMOUTH-HITCHCOCK CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ROBIN KILFEATHER-MACKEY | InCareOfNm |
| Business Name Control | DART | BusinessNameControlTxt |
| Phone | 6036531155 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MEDICAL CENTER DRIVE | AddressLine1Txt |
| City | LEBANON | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03756 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Robin Kilfeather-Mackey | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2016-05-13 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Paul Tanis | PreparerPersonNm |
| PTIN | P01441612 | PTIN |
| Phone | 6175305000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James Weinstein DO MS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Medical Center Drive | AddressLine1Txt |
| City | Lebanon | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03756 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $402,849,476 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.dartmouth-hitchcock.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | Advancing Health Through Research, Education, Clinical Practice, Community Partnerships, providing each person the best care in the right place, at the right time, every time | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 4653 | TotalEmployeeCnt |
| Total Volunteers | 480 | TotalVolunteersCnt |
| Total Gross UBI | $103,904 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,697 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $306,275,720 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $323,150,656 | CYProgramServiceRevenueAmt |
| PY Investment Income | $903,545 | PYInvestmentIncomeAmt |
| CY Investment Income | $329,033 | CYInvestmentIncomeAmt |
| PY Other Revenue | $90,486,684 | PYOtherRevenueAmt |
| CY Other Revenue | $78,062,583 | CYOtherRevenueAmt |
| PY Total Revenue | $397,665,961 | PYTotalRevenueAmt |
| CY Total Revenue | $401,542,272 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,318,322 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $824,075 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $258,490,412 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $269,903,825 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $970,038 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $135,664,091 | PYOtherExpensesAmt |
| CY Other Expenses | $138,495,237 | CYOtherExpensesAmt |
| PY Total Expenses | $396,472,825 | PYTotalExpensesAmt |
| CY Total Expenses | $409,223,137 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,193,136 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,680,865 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $233,852,895 | TotalAssetsBOYAmt |
| Total Assets EOY | $256,167,630 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $372,810,439 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $445,362,999 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$138,957,544 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$189,195,369 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE ADVANCE HEALTH THROUGH RESEARCH, EDUCATION, CLINICAL PRACTICE, AND COMMUNITY PARTNERSHIPS, PROVIDING EACH PERSON THE BEST CARE, IN THE RIGHT PLACE, AT THE RIGHT TIME, EVERY TIME. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $326,925,499 | ExpenseAmt |
| Grant | $824,075 | GrantAmt |
| Revenue | $397,956,831 | RevenueAmt |
| Desc | Dartmouth-Hitchcock Clinic (the Clinic) is a not-for-profit organization as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from Federal income taxes on related income pursuant to Section 501(a) of the Code. The Clinic and subsidiaries, a multispecialty physician practice group which operates clinics throughout New Hampshire and Vermont, provides, among other things, medical services to patients, medical education and research. Health care services in 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $19,431,077 | ExpenseAmt |
| Desc | As a component of an integrated academic medical center, the Clinic provides significant support for academic and research programs through its support of The Geisel School of Medicine at Dartmouth (GSM). DHC provides support for Physicians' unpaid teaching time as part of its Community Benefit Initiatives, consisting of the time physicians spend providing clinical supervision and education for residents and medical students. In addition, the Clinic provides in-kind support for research and other grants representing costs in excess of awards for numerous grant-funded health research and service initiatives awarded to the Hospital and GSM. Other community benefit initiatives include subsidizing the costs of providing medical and clinical education to professionals across New Hampshire, Vermont, and beyond as well as uncompensated costs of academic and medical research activities. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $346,356,576 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | Yes (true) | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 4653 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | BD | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBIN KILFEATHER-MACKEY | PersonNm |
| Phone | 6036505634 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MEDICAL CENTER DRIVE | AddressLine1Txt |
| City | Lebanon | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03756 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (65 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Jennie L Norman | ||||||||||
| Trustee/Board Sec End 12/31/14 | 1.5 | 2.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Hugh C Smith MD | ||||||||||
| Trustee End 12/31/14 | 0.75 | 1.25 | Yes (X) | $0 | $0 | $0 | ||||
| James N Weinstein DO MS | ||||||||||
| Trustee Ex-Officio/CEO | 17.0 | 44.01 | Yes (X) | Yes (X) | $1,229,653 | $0 | $225,752 | |||
| Michael J Goran MD | ||||||||||
| Trustee End 12/31/14 | 0.75 | 1.25 | Yes (X) | $0 | $0 | $0 | ||||
| Vincent S Conti MHA | ||||||||||
| Trustee | 0.75 | 1.25 | Yes (X) | $0 | $0 | $0 | ||||
| Barbara Couch MS | ||||||||||
| Trustee/Board Sec Eff 1/1/15 | 0.75 | 1.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Anne-Lee Verville | ||||||||||
| Trustee | 0.75 | 1.25 | Yes (X) | $0 | $0 | $0 | ||||
| William J Conaty | ||||||||||
| Trustee | 0.75 | 1.25 | Yes (X) | $0 | $0 | $0 | ||||
| Robert A Oden Jr PhD | ||||||||||
| Trustee/Board Chair | 1.5 | 2.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| William W Helman IV | ||||||||||
| Trustee End 9/30/14 | 0.75 | 1.26 | Yes (X) | $0 | $0 | $0 | ||||
| Peter A Delong MD | ||||||||||
| Trustee/Physician End 12/31/14 | 12.0 | 28.0 | Yes (X) | $325,355 | $0 | $42,570 | ||||
| Richard I Rothstein MD | ||||||||||
| Trustee/Dept Chair Med | 12.0 | 28.0 | Yes (X) | $536,148 | $0 | $159,867 | ||||
| Denis A Cortese MD | ||||||||||
| Trustee | 0.75 | 1.25 | Yes (X) | $0 | $0 | $0 | ||||
| Matthew B Dunne | ||||||||||
| Trustee | 0.75 | 1.25 | Yes (X) | $0 | $0 | $0 | ||||
| Senator Judd A Gregg | ||||||||||
| Trustee | 0.75 | 0.75 | Yes (X) | $0 | $0 | $0 | ||||
| Laura K Landy MBA | ||||||||||
| Trustee | 0.75 | 1.25 | Yes (X) | $0 | $0 | $0 | ||||
| Steven A Paris MD | ||||||||||
| Trustee/Medical Director | 12.0 | 28.51 | Yes (X) | $357,571 | $0 | $117,329 | ||||
| Richard J Powell MD | ||||||||||
| Trustee/Physician | 12.0 | 28.8 | Yes (X) | $449,269 | $0 | $145,523 | ||||
| Paul P Danos PhD | ||||||||||
| Trustee/BD Treasurer | 1.5 | 2.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Barbara C Jobst MD | ||||||||||
| Trustee | 0.75 | 0.75 | Yes (X) | $0 | $0 | $0 | ||||
| Troyen Brennan MD MPH | ||||||||||
| Trustee Eff 3/20/15 | 0.75 | 1.25 | Yes (X) | $0 | $0 | $0 | ||||
| R William Burgess Jr MBA | ||||||||||
| Trustee Eff 1/1/15 | 0.75 | 1.25 | Yes (X) | $0 | $0 | $0 | ||||
| Duane A Compton PhD | ||||||||||
| Trustee/Ex-Officio Eff 7/15/14 | 0.75 | 1.56 | Yes (X) | $0 | $0 | $0 | ||||
| M Brooke Herndon MD | ||||||||||
| Trustee Eff 3/20/15 | 0.75 | 0.75 | Yes (X) | $0 | $0 | $0 | ||||
| Charles G Plimpton MBA | ||||||||||
| Trustee Eff 3/20/15 | 0.75 | 1.25 | Yes (X) | $0 | $0 | $0 | ||||
| Robin Kilfeather-Mackey CPA | ||||||||||
| Chief Financial Officer | 17.0 | 44.01 | Yes (X) | $520,432 | $0 | $214,698 | ||||
| Daniel Jantzen CPA | ||||||||||
| Chief Operating Officer | 19.0 | 42.0 | Yes (X) | $0 | $604,478 | $210,934 | ||||
| Stephen LeBlanc | ||||||||||
| Exec VP Strtgy & Ntwrk Rltns | 6.0 | 54.01 | Yes (X) | $602,197 | $0 | $269,589 | ||||
| Vincent Fusca III | ||||||||||
| Chief of Staff | 12.0 | 28.0 | Yes (X) | $0 | $308,695 | $22,752 | ||||
| Edward Merrens MD | ||||||||||
| Chief Medical Officer | 12.0 | 28.0 | Yes (X) | $386,917 | $0 | $94,435 | ||||
| George Blike MD | ||||||||||
| Chief Quality & Value Officer | 12.0 | 28.0 | Yes (X) | $447,955 | $0 | $263,509 | ||||
| Darlene A Saler | ||||||||||
| Actg Chf Nrsg Ofr End 9/27/14 | 19.0 | 41.0 | Yes (X) | $0 | $170,680 | $117,273 | ||||
| John S Malanowski MILR | ||||||||||
| Chief HR Officer | 19.0 | 41.0 | Yes (X) | $0 | $446,455 | $54,754 | ||||
| Clifford J Belden MD | ||||||||||
| Chf Clncl Offr End 6/22/15 | 12.0 | 28.0 | Yes (X) | $710,709 | $0 | $55,414 | ||||
| Terrence P Carroll PHD | ||||||||||
| Chief Innovation Officer | 12.0 | 28.0 | Yes (X) | $0 | $641,630 | $53,393 | ||||
| John Birkmeyer MD | ||||||||||
| Chf Clncl Offr/EVP Entprs Sup | 17.0 | 43.0 | Yes (X) | $261,699 | $0 | $34,858 | ||||
| Gay Landstrom PhD RN NEA-BC | ||||||||||
| Chf Nursing Offr Eff 9/28/14 | 19.0 | 41.0 | Yes (X) | $0 | $281,442 | $27,901 | ||||
| Kimberly Troland JD | ||||||||||
| General Counsel End 4/19/15 | 17.0 | 43.0 | Yes (X) | $0 | $248,343 | $34,246 | ||||
| Robert Greene MD MHCDS FACP | ||||||||||
| Chf Popul Mgmt Ofr Eff 7/28/14 | 19.0 | 41.0 | Yes (X) | $374,106 | $0 | $27,231 | ||||
| John Kacavas JD | ||||||||||
| General Counsel Eff 4/20/15 | 19.0 | 41.0 | Yes (X) | $0 | $0 | $0 | ||||
| Christine Schon | ||||||||||
| V.P Comm. Grp. Pract. Ops | 12.0 | 28.01 | $227,406 | $0 | $58,292 | Yes (X) | ||||
| Gail Dahlstrom | ||||||||||
| V.P. Facilities Mgmt | 19.0 | 41.0 | $0 | $230,720 | $102,141 | Yes (X) | ||||
| Tina Naimie CPA | ||||||||||
| VP Corporate Finance | 12.0 | 29.5 | $0 | $222,873 | $25,900 | Yes (X) | ||||
| Wendy Fielding | ||||||||||
| VP Financial Planning | 12.0 | 28.0 | $0 | $220,559 | $57,824 | Yes (X) | ||||
| Wendy Wells MD | ||||||||||
| Dept. Chair Pathology | 12.0 | 28.0 | $430,798 | $0 | $168,546 | Yes (X) | ||||
| Jocelyn Chertoff MD MS | ||||||||||
| Dept Chair Diagnost Radiology | 12.0 | 28.0 | $513,849 | $0 | $204,718 | Yes (X) | ||||
| Douglas Merrill | ||||||||||
| Center Director Periop Svs | 12.0 | 28.0 | $558,557 | $0 | $55,489 | Yes (X) | ||||
| Stephen Boyce | ||||||||||
| VP Ambulatory Care | 12.0 | 28.0 | $196,780 | $0 | $60,119 | Yes (X) | ||||
| David Roberts MD | ||||||||||
| Physician | 12.0 | 28.0 | $787,982 | $0 | $148,398 | Yes (X) | ||||
| Nathan Simmons MD | ||||||||||
| Physician | 12.0 | 28.0 | $724,968 | $0 | $76,167 | Yes (X) | ||||
| Thomas Colacchio MD | ||||||||||
| Former Officer/Phys | 12.0 | 29.0 | $1,067,539 | $0 | $130,947 | Yes (X) | ||||
| Daniel Stewart MD | ||||||||||
| Physician | 12.0 | 28.0 | $968,731 | $0 | $57,269 | Yes (X) | ||||
| Faramarz Samie MD | ||||||||||
| Physician | 12.0 | 28.0 | $745,481 | $0 | $23,425 | Yes (X) | ||||
| Carl DeMatteo MD | ||||||||||
| Fmr Chf Ql Compl Ofr/Physician | 12.0 | 28.0 | $114,301 | $0 | $2,381 | Yes (X) | ||||
| Linda Von Reyn | ||||||||||
| Fmr Chf Nursng Officer | 19.0 | 41.0 | $0 | $230,017 | $104,641 | Yes (X) | ||||
| John Butterly MD | ||||||||||
| Fmr Offr/Exec VP Med Affairs | 4.0 | 28.0 | $552,569 | $0 | $72,826 | Yes (X) | ||||
| Lawrence Dacey MD | ||||||||||
| Former CMO/DH Phys | 12.0 | 1.3 | $132,136 | $0 | $242,566 | Yes (X) | ||||
| Alan Weston | ||||||||||
| Fmr Chief HR Officer | 19.0 | 41.0 | $0 | $295,536 | $0 | Yes (X) | ||||
| Jeanine Arden-Ornt | ||||||||||
| Fmr General Counsel | 17.0 | 44.0 | $0 | $361,457 | $42,717 | Yes (X) | ||||
| Mary Oseid | ||||||||||
| Fmr Key Emp/VP Ambulatory Care | 12.0 | 28.0 | $374,245 | $0 | $240,234 | Yes (X) | ||||
| Barbara Walters DO MBA | ||||||||||
| Fmr Key Emp/Med Dir Acct Care | 10.0 | 22.0 | $329,833 | $0 | $21,631 | Yes (X) | ||||
| Mary Kay Boudewyns | ||||||||||
| Fmr Key Emp/VP Rev Mgmt | 12.0 | 28.0 | $0 | $213,992 | $129,667 | Yes (X) | ||||
| Thomas Dodds MD | ||||||||||
| Former Key Emp/Dept Chr Anesth | 12.0 | 28.0 | $535,557 | $0 | $231,969 | Yes (X) | ||||
| Edward Catherwood MD MS | ||||||||||
| Former Key Emp/Ctr Dir Hrt/Vsc | 12.0 | 28.0 | $443,720 | $0 | $148,473 | Yes (X) | ||||
| Jeffrey OBrien | ||||||||||
| Fmr Key Emp/VP Oncology | 12.0 | 28.0 | $0 | $276,051 | $41,966 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $14,906,463 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,752,928 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,620,334 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1126 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | See Schedule O | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Address | ContractorAddress |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $323,150,656 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $323,150,656 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $323,150,656 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,122 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $68 | UnrelatedBusinessRevenueAmt |
| Exclusion | $45,054 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,503,330 | RealAmt |
| Personal | $634,750 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $283,224 | RealAmt |
| Personal | $150,969 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,220,106 | RealAmt |
| Personal | $483,781 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,703,887 | TotalRevenueColumnAmt |
| Exclusion | $2,703,887 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $166,297 | SecuritiesAmt |
| Other | $990,625 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $173,604 | SecuritiesAmt |
| Other | $699,407 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$7,307 | SecuritiesAmt |
| Other | $291,218 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $283,911 | TotalRevenueColumnAmt |
| Exclusion | $283,911 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CONTRACTED REVENUE | 621110 | $80,313,348 | $80,209,512 | $103,836 | |
| CAFETERIA INCOME | 621110 | $448,685 | $448,685 | ||
| ALLOCATED OTHER REVENUE | 621110 | -$5,403,337 | -$5,403,337 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $75,358,696 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $401,542,272 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $397,956,831 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $103,904 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,481,537 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,465 | TotalAmt |
| Program Services | $522,465 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,610 | TotalAmt |
| Program Services | $301,610 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,786,968 | TotalAmt |
| Program Services | $1,285,910 | ProgramServicesAmt |
| Management And General | $3,419,392 | ManagementAndGeneralAmt |
| Fundraising | $81,666 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,517,903 | TotalAmt |
| Program Services | $2,517,903 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,491,734 | TotalAmt |
| Program Services | $168,030,487 | ProgramServicesAmt |
| Management And General | $34,458,956 | ManagementAndGeneralAmt |
| Fundraising | $2,291 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,714,067 | TotalAmt |
| Program Services | $14,747,037 | ProgramServicesAmt |
| Management And General | $2,967,025 | ManagementAndGeneralAmt |
| Fundraising | $5 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,178,561 | TotalAmt |
| Program Services | $23,424,625 | ProgramServicesAmt |
| Management And General | $4,753,929 | ManagementAndGeneralAmt |
| Fundraising | $7 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,214,592 | TotalAmt |
| Program Services | $11,833,709 | ProgramServicesAmt |
| Management And General | $2,380,879 | ManagementAndGeneralAmt |
| Fundraising | $4 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $934,922 | TotalAmt |
| Program Services | $28,056 | ProgramServicesAmt |
| Management And General | $906,866 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,471 | TotalAmt |
| Management And General | $220,471 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,600 | TotalAmt |
| Program Services | $18,600 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,506,352 | TotalAmt |
| Program Services | $19,201,613 | ProgramServicesAmt |
| Management And General | $4,304,739 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,330,370 | TotalAmt |
| Program Services | $9,157 | ProgramServicesAmt |
| Management And General | $1,321,213 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,222,346 | TotalAmt |
| Program Services | $2,167,703 | ProgramServicesAmt |
| Management And General | $1,054,612 | ManagementAndGeneralAmt |
| Fundraising | $31 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,566,643 | TotalAmt |
| Program Services | $3,174,312 | ProgramServicesAmt |
| Management And General | $392,331 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,120,820 | TotalAmt |
| Program Services | $5,426,766 | ProgramServicesAmt |
| Management And General | $694,054 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,588,362 | TotalAmt |
| Program Services | $741,552 | ProgramServicesAmt |
| Management And General | $846,810 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,845 | TotalAmt |
| Program Services | $31,055 | ProgramServicesAmt |
| Management And General | $790 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,936,221 | TotalAmt |
| Program Services | $5,283,237 | ProgramServicesAmt |
| Management And General | $652,984 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,951,551 | TotalAmt |
| Program Services | $15,975,764 | ProgramServicesAmt |
| Management And General | $1,975,787 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,580,689 | TotalAmt |
| Program Services | $1,580,689 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $409,223,137 | TotalAmt |
| Program Services | $346,356,576 | ProgramServicesAmt |
| Management And General | $61,896,523 | ManagementAndGeneralAmt |
| Fundraising | $970,038 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,320 | BOYAmt |
| EOY | $296,113 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,212,852 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,644,169 | BOYAmt |
| EOY | $43,289,761 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,298 | BOYAmt |
| EOY | $609,545 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,698,240 | BOYAmt |
| EOY | $4,523,347 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,794 | BOYAmt |
| EOY | $72,717 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $131,047,461 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $99,993,832 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,220,692 | BOYAmt |
| EOY | $31,053,629 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,109 | BOYAmt |
| EOY | $195,671 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,067,143 | BOYAmt |
| EOY | $1,060,068 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,480,278 | BOYAmt |
| EOY | $175,066,779 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,852,895 | BOYAmt |
| EOY | $256,167,630 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,044,466 | BOYAmt |
| EOY | $162,970,145 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,850,883 | BOYAmt |
| EOY | $52,859,936 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,310,940 | BOYAmt |
| EOY | $13,486,290 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,604,150 | BOYAmt |
| EOY | $216,046,628 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $372,810,439 | BOYAmt |
| EOY | $445,362,999 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$140,183,441 | BOYAmt |
| EOY | -$190,437,406 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,438 | BOYAmt |
| EOY | $243,578 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $998,459 | BOYAmt |
| EOY | $998,459 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$138,957,544 | BOYAmt |
| EOY | -$189,195,369 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,852,895 | BOYAmt |
| EOY | $256,167,630 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,680,865 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$18,563 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$42,538,397 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $12 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $368,081,102 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $298,584,597 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $402,775,030 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $306,275,720 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $323,150,656 | CurrentTaxYearAmt |
| Total | $1,698,867,105 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $368,081,102 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $298,584,597 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $402,775,030 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $306,275,732 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $323,150,656 | CurrentTaxYearAmt |
| Total | $1,698,867,117 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,698,867,117 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,085,762 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$66,568 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $86,263 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,644,660 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,183,134 | CurrentTaxYearAmt |
| Total | $9,933,251 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,085,762 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$66,568 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $86,263 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,644,660 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,183,134 | CurrentTaxYearAmt |
| Total | $9,933,251 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $905,573 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,244 | CurrentTaxYearMinus2YearsAmt |
| Total | $910,817 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $287,656 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year | $75,358,696 | CurrentTaxYearAmt |
| Total | $75,646,352 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $371,454,520 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $299,423,602 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $402,866,537 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $309,920,392 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $401,692,486 | CurrentTaxYearAmt |
| Total | $1,785,357,537 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.95156 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99353 | PublicSupportPY509Pct |
| Investment Income CY | 0.00556 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00578 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $74,261 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $32,825 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $107,086 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Lobbying activity explanation | FORM 990 SCHEDULE C, PART II B, LINES 1B & 1G Dartmouth-Hitchcock Clinic employs two full time staff whose duties include lobbying. Typical expenses associated with the lobbying activities include staff salary, travel, membership fees and dues. From time to time, Dartmouth-Hitchcock Clinic, through its employees and the use of consultants, contacts government officials and legislators. This contact is for the purpose of proposing legislation or expressing an opinion on changes in legislation that affect the Clinic and its ability to carry out its mission. The typical activities may include sending letters to, calling, and meeting with government officials and legislators. For the fiscal year ended June 30, 2015, Dartmouth-Hitchcock Clinic incurred $74,261 in conjunction with these activities. |
| Form 990 Schedule C, Part II B, Line 1I | DHC pays dues to various organizations related to its exempt mission. The amount reported under other activities on line 1I refers to the amount of lobbying activities identified in dues payments to outside organizations. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,113,436 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $16,985 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,454 | OtherExpendituresAmt |
| End Year Balance | $1,128,967 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,000,483 | BeginningYearBalanceAmt |
| Contributions | $112,492 | ContributionsAmt |
| Investment Earnings Or Losses | $461 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,113,436 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $999,533 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $950 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,000,483 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $998,459 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $1,074 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $999,533 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $998,459 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $998,459 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.88440 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.11560 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,776,827 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $7,215,859 | OtherCostOrOtherBasisAmt |
| Book Value | $9,992,686 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $4,045,165 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $72,493,045 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,552,799 | DepreciationAmt |
| Book Value | $19,985,411 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,569,190 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,019,588 | DepreciationAmt |
| Book Value | $549,602 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,947,375 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,421,445 | DepreciationAmt |
| Book Value | $525,930 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $31,053,629 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $175,066,779 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| INTEREST RATE SWAP | $12,725,447 |
| ACCRUED POST RETIRMNT PENSION | $126,760,735 |
| RESERVES FOR INSUR. RLTD LOSS | $76,560,446 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $216,046,628 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| INTENDED USE OF ENDOWMENT FUNDS | FORM 990 SCHEDULE D PART V LINE 4 THE ENDOWMENT FUND WAS ESTABLISHED TO PROVIDE RESEARCH AND CLINICAL SUPPORT FOR THE CARDIOTHORACIC SURGERY CHAIR AT DARTMOUTH-HITCHCOCK CLINIC. |
| ASC 740 (FIN 48) Footnote | Form 990 Schedule D, Part X No ASC 740 (Fin 48) footnote was included in the audited financial statements as there were no material uncertain tax positions at or since adoption. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (27 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt | EmployeeEmployeeCnt |
|---|---|---|---|---|
| East Asia and the Pacific | Program Services | Educational Travel Exp | $108 | |
| Europe (Including Iceland and Greenland) | Program Services | Dues | $139 | |
| Europe (Including Iceland and Greenland) | Program Services | Honorarium Payments | $615 | |
| Europe (Including Iceland and Greenland) | Program Services | Software | $3,687 | |
| Europe (Including Iceland and Greenland) | Program Services | Insurance | $46,500 | |
| Europe (Including Iceland and Greenland) | Program Services | Travel | $11,874 | |
| Europe (Including Iceland and Greenland) | Program Services | Publications | $1,307 | |
| North America | Program Services | Honorarium Payments | $366 | |
| North America | Program Services | License | $705 | |
| North America | Program Services | Software | $2,590 | |
| North America | Program Services | Office Equipment | $50,912 | |
| North America | Program Services | Travel | $14,504 | |
| North America | Program Services | Services | $10,465 | |
| North America | Program Services | Publications | $338 | |
| North America | Program Services | Waste | $31 | |
| North America | Program Services | Studies Book | $1,550 | |
| North America | Program Services | Outdoor Lighting | $182 | |
| North America | Program Services | Activities Supplies | $83 | |
| Middle East and North Africa | Program Services | Software | $4,278 | |
| South America | Program Services | Travel | $290 | |
| Central America and the Caribbean | Program Services | Travel | $2,419 | |
| South America | Program Services | Medical Services | $7,371 | 6 |
| South Asia | Program Services | Medical Services | $496 | 1 |
| East Asia and the Pacific | Program Services | Medical Services | $4,081 | 2 |
| Central America and the Caribbean | Program Services | Medical Services | $1,539 | 3 |
| Sub-Saharan Africa | Program Services | Medical Services | $221,970 | 7 |
| Central America and the Caribbean | Investments | Insurance Services | $102,707,195 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Continutation Total Employee | 19 | ContinutationTotalEmployeeCnt |
| Total Employee | 19 | TotalEmployeeCnt |
| Subtotal Spent | $145,873 | SubtotalSpentAmt |
| Continuation Spent | $102,949,722 | ContinuationSpentAmt |
| Total Spent | $103,095,595 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (true) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (true) | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| Granite State United Way | ||||||||
| 46 South Main St | Concord | NH | 03301 | 026006033 | 501(c)(3) | $8,370 | FMV | Program Support |
| Indian Stream Health Center | ||||||||
| 141 Corliss Ln | Colebrook | NH | 03756 | 200999212 | 501(C)(3) | $15,500 | FMV | Program/Clinic Svcs |
| David's House | ||||||||
| 461 Mount Support Rd | Lebanon | NH | 03766 | 222593431 | 501(C)(3) | $10,230 | FMV | Program Support |
| The Trustees of Dartmouth College | ||||||||
| 1 Rope Ferry Road | Lebanon | NH | 03755 | 020222111 | 501(C)(3) | $310,000 | FMV | Educ and Prog Sppt |
| Advance Transit | ||||||||
| PO Box 1027 | Wilder | VT | 05088 | 222558708 | 501(C)(3) | $33,723 | FMV | Transportn Subsidy |
| City Year NH Pledge | ||||||||
| 287 Cloumbus Avenue | Boston | MA | 02116 | 222882549 | 501(C)(3) | $7,750 | FMV | Program Support |
| Mascoma Valley Health Initiative | ||||||||
| PO Box 2013 | Canaan | NH | 03741 | 752991608 | 501(C)(3) | $5,115 | FMV | Program Support |
| Southwestern VT Healthcare | ||||||||
| 100 Hospital Dr Box 41 | Bennington | VT | 05201 | 030179435 | 501(C)(3) | $5,813 | FMV | Program Support |
| American Cancer Society | ||||||||
| 250 Williams Street NW | Atlanta | GA | 30303 | 131788491 | 501(c)(3) | $5,231 | FMV | Program Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc |
|---|---|---|---|
| The Trustees of Dartmouth College | 13 | $61,209 | FMV |
| D-H Tuition Reimbursement Program | 604 | $228,005 | FMV |
| Varnum Nursing Awards | 43 | $12,397 | FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule I | FormAndLineReferenceDesc |
| Explanation | Description 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (44 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James N Weinstein DO MS | ||||||||||||||
| Trustee Ex-Officio/CEO | $1,145,559 | $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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | CHARTERED TRAVEL SERVICES | FormAndLineReferenceDesc |
| Explanation | 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 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New Hampshire Health and Education Facilities Auth | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 020279866 | BondIssuerEIN |
| CUSIP | 000000000 | CUSIPNum |
| Bond Issued | 2011-08-31 | BondIssuedDt |
| Issue Price | $61,582,591 | IssuePriceAmt |
| Purpose | Current Refund 2001(A) | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $5,695,174 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $61,582,591 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $152,499 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $61,430,092 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (true) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Morgan Stanley | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 29.8 | TermOfHedgePct |
| Superintegrated Hedge | Yes (true) | SuperintegratedHedgeInd |
| Hedge Terminated | false | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Additional Information Part I(F) | FormAndLineReferenceDesc |
| Explanation | Form 990 Schedule K, Tax-Exempt Bonds Current Refund 2001(A), Issued 10/17/2001, Which Advance Refunded 1997 & 1994 | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (9 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| Michael Ward | |||||||
| Former Key EE | Split Dollar Life | Yes (X) | $94,348 | $94,348 | false | Yes (true) | Yes (true) |
| Stephen LeBlanc | |||||||
| Officer | Split Dollar Life | Yes (X) | $45,771 | $45,771 | false | Yes (true) | Yes (true) |
| Mary Oseid | |||||||
| Former Key EE | Split Dollar Life | Yes (X) | $30,427 | $30,427 | false | Yes (true) | Yes (true) |
| Peter Johnson | |||||||
| Former Officer | Split Dollar Life | Yes (X) | $64,460 | $64,460 | false | Yes (true) | Yes (true) |
| Edward Catherwood | |||||||
| Key EE | Split Dollar Life | Yes (X) | $99,065 | $99,065 | false | Yes (true) | Yes (true) |
| Thomas Colacchio | |||||||
| Former Officer | Split Dollar Life | Yes (X) | $56,973 | $56,973 | false | Yes (true) | Yes (true) |
| Andrew Gettinger | |||||||
| Former Officer | Split Dollar Life | Yes (X) | $63,536 | $63,536 | false | Yes (true) | Yes (true) |
| Richard Rothstein | |||||||
| Trustee | Split Dollar Life | Yes (X) | $80,544 | $80,544 | false | Yes (true) | Yes (true) |
| David Roberts | |||||||
| Highly Comp EE | Split Dollar Life | Yes (X) | $74,421 | $74,421 | false | Yes (true) | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $609,545 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Janice Kilfeather-Mackey | |||
| Officer Kilfeather-Mac. | $74,180 | Family member employed by DHC | false |
| Roshini C Pinto-Powell | |||
| Trustee Powell | $327,173 | Family member employed by DHC | false |
| Lynn Butterly | |||
| Frmr Offcr John Butterly | $573,075 | Family member employed by DHC | false |
| Linda Dacey | |||
| Frmr Offcr Larry Dacey | $160,608 | Family member employed by DHC | false |
| Erica Myruski Plimpton | |||
| Trustee Plimpton | $96,848 | Family member employed by DHC | false |
| Nancy Birkmeyer | |||
| Officer John Birkmeyer | $11,664 | Family member employed by DHC | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Business Relationships | FORM 990, PART VI, SECTION A, LINE 2 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 990 | Form 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 Interest | 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, 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 Undertaken | Form 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 Undertaken | Form 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 Public | Form 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 REPORTING | Form 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Mary Hitchcock Memorial Hospital | ||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 020222140 | Hospital | NH | 501(c)(3) | 3 | D-HH | Yes (true) |
| Dartmouth-Hitchcock Medical Center | ||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 222715483 | SUPPORTNG ORG | NH | 501(c)(3) | 11 TYPE I | NA | Yes (true) |
| The Hitchcock Foundation | ||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 020222139 | HLTHCRE RSRCH | NH | 501(c)(3) | 7 | DHC | Yes (true) |
| Hamden Risk Retention Group Inc | ||||||||||
| 30 Main Street Suite 330 | Burlington | VT | 05401 | 208530788 | SELF INS. | VT | 501(c)(3) | 11 TYPE I | DHC | Yes (true) |
| Dartmouth-Hitchcock Health | ||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 264812335 | SUPPORTNG ORG | NH | 501(c)(3) | 7 | NA | false |
| The New London Hospital Association Inc | ||||||||||
| 273 County Rd | New London | NH | 03257 | 020222171 | Hospital | NH | 501(c)(3) | 3 | D-HH | Yes (true) |
| EverWell Inc | ||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 352506275 | Supportng Org | NH | 501(c)(3) | 11 Type I | NA | Yes (true) |
| Windsor Hospital Association | ||||||||||
| 289 Country Road | Windsor | VT | 05089 | 030183721 | Hospital | VT | 501(C)(3) | 3 | D-HH | Yes (true) |
| Cheshire Medical Center | ||||||||||
| 580 Court Street | Keene | NH | 03431 | 020354549 | Hospital | NH | 501(C)(3) | 3 | D-HH | Yes (true) |
| Cheshire Health Foundation | ||||||||||
| 580 Court Street | Keene | NH | 03431 | 020202220 | SUPPORTNG ORG | NH | 501(C)(3) | 11 TYPE II | CMC | Yes (true) |
| Mt Ascutney Hosp Cmmty Hlth Found | ||||||||||
| 289 Country Road | Windsor | VT | 05089 | 030300481 | Hospital | VT | 501(c)(3) | 3 | WHA | false |
| Historic Homes of Runnemede | ||||||||||
| 289 Country Road | Windsor | VT | 05089 | 237396147 | Healthcare | VT | 501(c)(3) | 9 | WHA | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OBNET Services LLC | ||||||||||||||
| 1 Med Ctr Dr | Lebanon | NH | 03756 | 043746287 | Database Serv | NH | DHC | Related | $42,421 | $357,100 | false | $0 | Yes (true) | 0.50000 |
| D-H Mster Invst Prg | ||||||||||||||
| 1 Med Ctr Dr | Lebanon | NH | 03756 | 020505863 | Pooled Invest | NH | NA | Investment | $44,077 | $1,015,818 | false | $68 | false | 0.00181 |
| Keene Hlth Alliance | ||||||||||||||
| 580 Court St | Keene | NH | 03431 | 300179297 | Healthcare | NH | DHC | Related | -$337,000 | false | $0 | Yes (true) | 0.50000 | |
| One Care VT ACO LLC | ||||||||||||||
| 111 COLCHESTER AVE | Burlington | VT | 05401 | 455399218 | Shared Saving | VT | NA | Related | ||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Pompanoosuc Investment Corporation | |||||||||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 020352330 | Rl Estate Hld | NH | DHC | C CORP | -$125 | $75,632 | 1.00000 | Yes (true) | |||||
| Hamden Assurance Company Limited | |||||||||||||||||
| 980121409 | Liab Insur. | DHC | Foreign Corp | $0 | $102,707,195 | 0.70200 | Yes (true) | Canons Court 22 Victoria St | Hamilton | BD | HM EX | BD | |||||
| Hitchcock Health Connect | |||||||||||||||||
| 1 Medical Ctr Dr | Lebanon | NH | 03756 | 800908979 | Telehealth | DE | D-HH | C Corp | Yes (true) | ||||||||
| Kearsarge Community Services | |||||||||||||||||
| 273 County Road | New London | NH | 03257 | 020460136 | Real Est Hldg | NH | NLH | C Corp | Yes (true) | ||||||||
| New London Physician Group | |||||||||||||||||
| 273 County Road | New London | NH | 03257 | 020494420 | Physician Gro | NH | NLH | C Corp | Yes (true) | ||||||||
| New London Medical Center East | |||||||||||||||||
| 273 County Road | New London | NH | 03257 | 020480857 | Real Est Hldg | NH | NLH | C Corp | Yes (true) | ||||||||
| Keene Health Services | |||||||||||||||||
| 580 Court Street | Keene | NH | 03431 | 020374997 | Real Est Hldg | NH | CMC | C Corp | Yes (true) | ||||||||
| Keene Health Realty | |||||||||||||||||
| 580 Court Street | Keene | NH | 03431 | 020374998 | Real Est Hldg | NH | CMC | C Corp | Yes (true) | ||||||||
| Keene Health Enterprises | |||||||||||||||||
| 580 Court Street | Keene | NH | 03431 | 020374999 | Real Est Hldg | NH | CMC | C Corp | Yes (true) | ||||||||
| Charit Remndr Unitrusts (5) | |||||||||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | Chart. Trust | NH | MHMH | Trust | Yes (true) | |||||||||
| Cheshire Health Services | |||||||||||||||||
| 580 Court Street | Keene | NH | 03431 | 473379283 | HEALTHCARE | NH | CMC | C CORP | Yes (true) | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Mary Hitchcock Memorial Hospital | ||
| MNOPQ | $29,325,261 | FMV |
| Dartmouth-Hitchcock Medical Center | ||
| L | $959,306 | FMV |
| The Hitchcock Foundation | ||
| Q | $6,997 | FMV |
| The Hitchcock Foundation | ||
| P | $16,689 | FMV |
| Hamden Risk Retention Group | ||
| M | $2,414,286 | FMV |
| The New London Hospital Association | ||
| Q | $869,460 | FMV |
| Windsor Hospital Association | ||
| Q | $633,510 | FMV |
| Cheshire Medical Center | ||
| Q | $1,262,000 | FMV |