DARTMOUTH-HITCHCOCK CLINIC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: DARTMOUTH-HITCHCOCK CLINIC (EIN 22-2519596)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-15
IRS object ID: 201521359349303382
Schema version: 2013v4.0
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	2015-05-15T10:37:27-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PRICEWATERHOUSECOOPERS LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	125 HIGH STREET	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02110	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	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	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% ROBIN KILFEATHER-MACKEY	InCareOfNm
Business Name Control	DART	BusinessNameControlTxt
Phone	6036505000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE MEDICAL CENTER DRIVE	AddressLine1
Address Line2	Suite	AddressLine2
City	LEBANON	City
State	NH	State
ZIP Code	03756	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Robin Kilfeather-Mackey	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2015-05-12	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Gwen Spencer	PreparerPersonNm
PTIN	P00641463	PTIN

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	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	AddressLine1
City	Lebanon	City
State	NH	State
ZIP Code	03756	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$400,508,542	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	21	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	4504	TotalEmployeeCnt
Total Volunteers	525	TotalVolunteersCnt
Total Gross UBI	$111,475	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,097	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$12	CYContributionsGrantsAmt
PY Program Service Revenue	$312,867,125	PYProgramServiceRevenueAmt
CY Program Service Revenue	$306,275,720	CYProgramServiceRevenueAmt
PY Investment Income	$86,264	PYInvestmentIncomeAmt
CY Investment Income	$903,545	CYInvestmentIncomeAmt
PY Other Revenue	$93,249,217	PYOtherRevenueAmt
CY Other Revenue	$90,486,684	CYOtherRevenueAmt
PY Total Revenue	$406,202,606	PYTotalRevenueAmt
CY Total Revenue	$397,665,961	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,646,503	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,318,322	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$253,764,588	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$258,490,412	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$863,601	CYTotalFundraisingExpenseAmt
PY Other Expenses	$131,081,080	PYOtherExpensesAmt
CY Other Expenses	$135,664,091	CYOtherExpensesAmt
PY Total Expenses	$387,492,171	PYTotalExpensesAmt
CY Total Expenses	$396,472,825	CYTotalExpensesAmt
PY Revenues Less Expenses	$18,710,435	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,193,136	CYRevenuesLessExpensesAmt
Total Assets BOY	$228,949,164	TotalAssetsBOYAmt
Total Assets EOY	$233,852,895	TotalAssetsEOYAmt
Total Liabilities BOY	$376,500,812	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$372,810,439	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$147,551,648	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$138,957,544	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	$317,464,655	ExpenseAmt
Grant	$2,358,532	GrantAmt
Revenue	$393,264,283	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 2014 resulted in approx. 665,319 office visits recorded by Clinic personnel. 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 the 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, including the Pioneer ACO program initiated by the Centers for Medicare and Medicaid (CMS). Unlike the traditional fee for service structure, shared risk/savings programs tie rewards to the achievement of quality and cost goals. In 2014, the D-H Pioneer ACO (now called allwell) added three health systems as participants, bringing the number of covered Medicare patients to 47,000. At the end its first year, allwell was one of only 13 participating ACOs to meet all quality and safety metrics and show significant cost reductions, while providing coordinated, patient-centered care to the assigned Medicare population. Participation also continues to expand for OneCare Vermont, an ACO established by D-HH with Fletcher Allen Health Care, 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. New London Hospital in New Hampshire and Mt Ascutney Hospital and Health System in Vermont became formally affiliated with D-HH in 2014, and discussions are ongoing with other health systems in the two states. In keeping with its sustainable health strategy and mission to provide "the best care, in the right place, at the right time, every time", D-HH entered into an arrangement with CVS MinuteClinic to provide 24/7 urgent care at sites around New Hampshire. This new, lower cost option will allow individuals and families to easily access tests and treatments for illnesses and injuries that do not require the care of an academic medical center or that occur outside normal business hours. 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 18 health systems. 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 is making 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, 2014, the Clinic provided financial assistance to 16,101 patients in the amount of $20,092,472 as measured by gross charges. The estimated cost of providing this care for the year ended June 30, 2014 was $6,495,896. 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 years ended June 30, 2014 was $22,631,075. 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, 2014, the Clinic reported a provision for bad debts of approximately $20,581,584.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$19,829,114	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	$337,293,769	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	Yes (true)	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	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
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4504	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	21	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	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	AddressLine1
City	Lebanon	City
State	NH	State
ZIP Code	03756	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionAGrp (63 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
Alan C Keiller
Trustee/BD Treas End12/31/2013	0.75	1.26	Yes (X)	Yes (X)	$0	$0	$0
Jennie L Norman
Trustee/Board Secretary	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
Hugh C Smith MD
Trustee	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)	$1,010,719	$0	$23,574
Michael J Goran MD
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Vincent S Conti
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Barbara Couch
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Anne-Lee Verville
Trustee/BD Treas 1/1-2/5/14	0.75	1.25	Yes (X)	Yes (X)	$0	$0	$0
William Abdu MD MS
Trustee End 12/31/2013	12.0	28.5	Yes (X)		$604,908	$0	$23,575
Wiley Souba MD ScD
Trustee/Ex-Officio, Dean DMS	0.75	1.26	Yes (X)		$0	$0	$0
Richard S Shreve
Trustee End 12/31/2013	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	0.75	1.26	Yes (X)		$0	$0	$0
Peter A Delong MD
Trustee/Physician	12.0	28.0	Yes (X)		$324,332	$0	$33,087
Richard I Rothstein MD
Trustee/Dept Chair Med	12.0	28.0	Yes (X)		$598,160	$0	$19,452
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
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Steven A Paris MD
Trustee/Medical Director	12.0	28.51	Yes (X)		$362,986	$0	$49,270
Richard J Powell MD
Trustee/Physician	12.0	28.8	Yes (X)		$469,425	$0	$56,580
Paul P Danos
Trustee/BD Treas Eff 2/5/2014	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
Barbara C Jobst MD
Trustee Eff 1/1/14	0.75	0.75	Yes (X)		$0	$0	$0
Wayne G Granquist
Trustee End 12/31/2013	0.75	1.26	Yes (X)
Robin Kilfeather-Mackey CPA
Chief Financial Officer	17.0	44.01		Yes (X)	$508,546	$0	$22,575
Linda Von Reyn
Chf Nursng Officer End 3/22/14	19.0	41.0		Yes (X)	$0	$437,094	$23,460
Daniel Jantzen CPA
Chief Operating Officer	19.0	42.0		Yes (X)	$0	$619,596	$23,450
Stephen LeBlanc
Exec VP Strtgy & Ntwrk Rltns	6.0	54.0		Yes (X)	$626,223	$0	$22,575
Alan Weston
Chief HR Officer End 9/2/2013	19.0	41.0		Yes (X)	$0	$375,545	$42,511
Gregg Meyer MD
CCO/EVP Pop Hlth End 1/02/14	19.0	41.0		Yes (X)	$896,398	$0	$42,589
Neil Castaldo
Sr Advisor to CEO End 7/06/13	19.0	41.0		Yes (X)	$0	$1,003,334	$37,270
Jeanine Arden-Ornt
General Counsel End 6/30/2014	17.0	44.0		Yes (X)	$0	$448,897	$33,700
Vincent Fusca III
Chf Stff/Intrm CHRO 9/3-2/3/14	12.0	28.0		Yes (X)	$0	$253,782	$21,785
Edward Merrens MD
Chief Medical Officer	12.0	28.0		Yes (X)	$386,361	$0	$38,160
George Blike MD
Chief Quality & Value Officer	12.0	28.0		Yes (X)	$441,603	$0	$23,159
Darlene A Saler
Actg Chf Nrsng Ofr Eff 3/23/14	19.0	41.0		Yes (X)	$0	$0	$0
John S Malanowski
Chief HR Officer Eff 2/3/2014	19.0	41.0		Yes (X)	$0	$0	$0
Clifford J Belden MD
Actg Chf Clcl Ofr Ef 2/18/2014	12.0	28.0		Yes (X)	$648,751	$0	$38,476
Terrence P Carroll PHD
Chf Innovtn Officr Eff 8/19/13	12.0	28.0		Yes (X)	$0	$185,713	$18,644
Christine Schon
V.P Comm. Grp. Pract. Ops	12.0	28.01			$226,056	$0	$39,401	Yes (X)
William Mroz
V.P. Op/Clncl Svcs End 7/27/13	19.0	41.0			$0	$191,835	$22,336	Yes (X)
Gail Dahlstrom
V.P. Facilities Mgmt	19.0	41.0			$0	$230,444	$18,533	Yes (X)
Tina Naimie CPA
VP Corporate Finance	12.0	29.5			$0	$217,915	$20,157	Yes (X)
Wendy Fielding
VP Financial Planning	12.0	28.0			$0	$217,934	$38,511	Yes (X)
Thomas Dodds MD
Dept. Chair Anesthesiology	12.0	28.0			$544,134	$0	$48,760	Yes (X)
Wendy Wells MD
Dept. Chair Pathology	12.0	28.0			$434,575	$0	$54,446	Yes (X)
Jocelyn Chertoff MD MS
Dept Chair Diagnost Radiology	12.0	28.5			$504,492	$0	$55,731	Yes (X)
Edward Catherwood MD MS
Center Direct Heart & Vascular	12.0	28.0			$482,747	$0	$18,814	Yes (X)
Douglas Merrill
Center Director Periop Svs	12.0	28.0			$546,540	$0	$46,451	Yes (X)
Stephen Boyce
VP Ambulatory Care	12.0	28.0			$178,649	$0	$29,414	Yes (X)
Jeffrey OBrien
VP Oncology Services	12.0	28.0			$0	$278,646	$40,192	Yes (X)
David Roberts MD
Physician	12.0	28.0			$932,852	$0	$43,992		Yes (X)
Nathan Simmons MD
Physician	12.0	28.0			$853,363	$0	$44,169		Yes (X)
Thomas Colacchio MD
Former Officer/Phys	12.0	29.0			$1,084,720	$0	$43,691		Yes (X)
Daniel Stewart MD
Physician	12.0	28.0			$1,007,047	$0	$35,733		Yes (X)
Faramarz Samie MD
Physician	12.0	28.0			$784,766	$0	$22,779		Yes (X)
Carl DeMatteo MD
Fmr Chf Ql Compl Ofr/Physician	12.0	28.0			$100,582	$0	$1,792			Yes (X)
John Butterly MD
Fmr Offr/Exec VP Med Affairs	4.0	38.0			$556,033	$0	$56,784			Yes (X)
Lawrence Dacey MD
Former CMO/DH Phys	12.0	29.3			$499,139	$0	$15,534			Yes (X)
Mary Oseid
Fmr Key Emp/VP Enterprise Svcs	12.0	28.0			$282,407	$0	$14,338			Yes (X)
Barbara Walters DO MBA
Fmr Key Emp/Med Dir Acct Care	10.0	30.0			$359,144	$0	$19,544			Yes (X)
Mary Kay Boudewyns
Fmr Key Emp/Adm Dir Rev Mgmt	12.0	28.0			$0	$217,526	$8,199			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$16,255,658	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,678,261	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,333,193	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1139	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
All Other Contributions	$12	AllOtherContributionsAmt
Total Contributions	$12	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$306,275,720	TotalRevenueColumnAmt
Related Or Exempt Func Income	$306,275,720	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$306,275,720	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,288	TotalRevenueColumnAmt
Exclusion	$16,288	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	$2,984,348	RealAmt
Personal	$644,024	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$536,458	RealAmt
Personal	$173,829	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,447,890	RealAmt
Personal	$470,195	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,918,085	TotalRevenueColumnAmt
Exclusion	$2,918,085	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$3,019,551	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,821	SecuritiesAmt
Other	$2,126,473	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$5,821	SecuritiesAmt
Other	$893,078	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$887,257	TotalRevenueColumnAmt
Exclusion	$887,257	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	$90,432,905	$90,321,430	$111,475
DHC ALLOCATED LOSS FROM AFFILIATES	621110	-$3,332,867	-$3,332,867
CAFETERIA INCOME	621110	$468,561			$468,561

Field	Value	IRS element (for citing)
Other Revenue Total	$87,568,599	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$397,665,961	TotalRevenueColumnAmt
Related Or Exempt Func Income	$393,264,283	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$111,475	UnrelatedBusinessRevenueAmt
Exclusion	$4,290,191	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	$1,834,013	TotalAmt
Program Services	$1,834,013	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$484,309	TotalAmt
Program Services	$484,309	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	$5,568,476	TotalAmt
Program Services	$1,995,116	ProgramServicesAmt
Management And General	$3,487,821	ManagementAndGeneralAmt
Fundraising	$85,539	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$745,121	TotalAmt
Program Services	$745,121	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$190,327,375	TotalAmt
Program Services	$157,474,237	ProgramServicesAmt
Management And General	$32,853,087	ManagementAndGeneralAmt
Fundraising	$51	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$21,383,827	TotalAmt
Program Services	$17,802,128	ProgramServicesAmt
Management And General	$3,581,693	ManagementAndGeneralAmt
Fundraising	$6	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$27,217,560	TotalAmt
Program Services	$22,658,737	ProgramServicesAmt
Management And General	$4,558,816	ManagementAndGeneralAmt
Fundraising	$7	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,248,053	TotalAmt
Program Services	$11,029,062	ProgramServicesAmt
Management And General	$2,218,988	ManagementAndGeneralAmt
Fundraising	$3	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	$983,758	TotalAmt
Program Services	$42,205	ProgramServicesAmt
Management And General	$941,553	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$274,825	TotalAmt
Management And General	$274,825	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$16,740	TotalAmt
Program Services	$16,740	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	$21,179,125	TotalAmt
Program Services	$17,506,797	ProgramServicesAmt
Management And General	$3,672,328	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,098,674	TotalAmt
Program Services	$12,203	ProgramServicesAmt
Management And General	$1,086,471	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,425,609	TotalAmt
Program Services	$6,744,034	ProgramServicesAmt
Management And General	$681,565	ManagementAndGeneralAmt
Fundraising	$10	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,499,480	TotalAmt
Program Services	$3,114,537	ProgramServicesAmt
Management And General	$384,943	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,204,638	TotalAmt
Program Services	$5,499,699	ProgramServicesAmt
Management And General	$704,939	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,071,311	TotalAmt
Program Services	$631,959	ProgramServicesAmt
Management And General	$439,352	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	$54,532	TotalAmt
Program Services	$52,779	ProgramServicesAmt
Management And General	$1,753	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,758,858	TotalAmt
Program Services	$6,015,384	ProgramServicesAmt
Management And General	$743,474	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,431,125	TotalAmt
Program Services	$15,511,892	ProgramServicesAmt
Management And General	$1,919,233	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,621,316	TotalAmt
Program Services	$1,621,316	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$58,560,594	$58,505,860	$54,734
EQUIP REPAIR & MAINT	$5,150,008	$4,583,507	$566,501
ACADEMIC,GME,TEACHING & SPT	$1,650,989	$1,650,989
ALL OTHER EXPENSES	$2,682,509	$1,761,145	$143,379	$777,985

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$396,472,825	TotalAmt
Program Services	$337,293,769	ProgramServicesAmt
Management And General	$58,315,455	ManagementAndGeneralAmt
Fundraising	$863,601	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,745	BOYAmt
EOY	$17,320	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	-$189,306	BOYAmt
EOY	$1,212,852	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	$35,110,240	BOYAmt
EOY	$36,644,169	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$384,015	BOYAmt
EOY	$203,298	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	$6,679,138	BOYAmt
EOY	$5,698,240	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$330,456	BOYAmt
EOY	$131,794	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	$132,868,928	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$97,648,236	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$41,262,295	BOYAmt
EOY	$35,220,692	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$149,037	BOYAmt
EOY	$177,109	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	$1,500	BOYAmt
EOY	$1,067,143	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	$145,206,044	BOYAmt
EOY	$153,480,278	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$228,949,164	BOYAmt
EOY	$233,852,895	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$65,608,899	BOYAmt
EOY	$107,044,466	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	$56,747,863	BOYAmt
EOY	$54,850,883	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	$16,748,892	BOYAmt
EOY	$15,310,940	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	$237,395,158	BOYAmt
EOY	$195,604,150	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$376,500,812	BOYAmt
EOY	$372,810,439	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$148,777,030	BOYAmt
EOY	-$140,183,441	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$226,923	BOYAmt
EOY	$227,438	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	-$147,551,648	BOYAmt
EOY	-$138,957,544	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$228,949,164	BOYAmt
EOY	$233,852,895	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,193,136	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$28,072	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$7,372,896	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	$142,981	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12	CurrentTaxYearAmt
Total	$142,993	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$365,093,409	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$368,081,102	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$298,584,597	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$402,775,030	CurrentTaxYearMinus1YearAmt
Current Tax Year	$306,275,720	CurrentTaxYearAmt
Total	$1,740,809,858	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	$365,236,390	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$368,081,102	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$298,584,597	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$402,775,030	CurrentTaxYearMinus1YearAmt
Current Tax Year	$306,275,732	CurrentTaxYearAmt
Total	$1,740,952,851	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
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
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$1,740,952,851	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,383,606	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,085,762	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	-$66,568	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$86,263	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,644,660	CurrentTaxYearAmt
Total	$10,133,723	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	$3,383,606	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,085,762	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	-$66,568	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$86,263	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,644,660	CurrentTaxYearAmt
Total	$10,133,723	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$905,573	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,244	CurrentTaxYearMinus1YearAmt
Total	$910,817	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$287,656	CurrentTaxYearMinus3YearsAmt
Total	$287,656	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$368,619,996	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$371,454,520	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$299,423,602	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$402,866,537	CurrentTaxYearMinus1YearAmt
Current Tax Year	$309,920,392	CurrentTaxYearAmt
Total	$1,752,285,047	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99353	PublicSupportCY509Pct
Public Support PY509	0.99135	PublicSupportPY509Pct
Investment Income CY	0.00578	InvestmentIncomeCYPct
Investment Income PY	0.00559	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	$52,080	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$32,267	OtherActivitiesAmt
Total Lobbying Expenditures	$84,347	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. Typical activities include emailing, calling, and meeting with government officials and legislators.For the fiscal year ended June 30, 2014, Dartmouth-Hitchcock Clinic incurred $52,080 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	$1,000,483	BeginningYearBalanceAmt
Contributions	$112,492	ContributionsAmt
Investment Earnings Or Losses	$461	InvestmentEarningsOrLossesAmt
End Year Balance	$1,113,436	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$855,478	BeginningYearBalanceAmt
Contributions	$142,981	ContributionsAmt
End Year Balance	$998,459	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.89670	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.10330	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	$3,051,827	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$7,215,859	OtherCostOrOtherBasisAmt
Book Value	$10,267,686	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$5,489,231	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$72,493,046	OtherCostOrOtherBasisAmt
Depreciation	$54,610,246	DepreciationAmt
Book Value	$23,372,031	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,569,190	OtherCostOrOtherBasisAmt
Depreciation	$26,863,620	DepreciationAmt
Book Value	$705,570	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,049,775	OtherCostOrOtherBasisAmt
Depreciation	$16,174,370	DepreciationAmt
Book Value	$875,405	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$35,220,692	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN CAPTIVE - HAMDEN	$106,524,233
BOND ISSUANCE COSTS - NET	$123,026
DHC 457(B) PLAN ASSETS	$43,542,654
DUE FROM AFFILIATE	$1,351,674
OTHER MISC ASSETS	$1,938,691

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$153,480,278	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INTEREST RATE SWAP	$12,826,322
ACCRUED POST RETIRMNT PENSION	$103,482,645
RESERVES FOR INSUR. RLTD LOSS	$79,316,234
DUE TO AFFILIATES AND 3RD PART	-$21,051

Field	Value	IRS element (for citing)
Total Liability	$195,604,150	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 (16 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	EmployeeEmployeeCnt
East Asia and the Pacific	Program Services	Educational Travel Exp	$3,720
Europe (Including Iceland and Greenland)	Program Services	Collection Services	$5,068
Europe (Including Iceland and Greenland)	Program Services	Dues	$281
Europe (Including Iceland and Greenland)	Program Services	Honorarium Payments	$194
Europe (Including Iceland and Greenland)	Program Services	Insurance	$110,799
Europe (Including Iceland and Greenland)	Program Services	Publications	$1,550
North America	Program Services	Honorarium Payments	$1,428
North America	Program Services	License	$14,005
North America	Program Services	Marketing Services	$11,904
North America	Program Services	Moving and Supplies	$7,815
North America	Program Services	Professional Services	$1,550
North America	Program Services	Publications	$320
North America	Program Services	Software	$8,075
North America	Program Services	Educational Travel Exp	$38,959
North America	Program Services	Waste	$80
Sub-Saharan Africa	Program Services	Medical Svcs in Rwanda	$41,905	3

Field	Value	IRS element (for citing)
Subtotal Employees	3	SubtotalEmployeesCnt
Total Employee	3	TotalEmployeeCnt
Subtotal Spent	$247,653	SubtotalSpentAmt
Total Spent	$247,653	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 (11 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
Good Neighbor Health Clinic
70 No Main St	White River Jct	VT	05001	030346949	501(C)(3)	$20,150	FMV	Program/Clinic Svcs
Stagecoach
7 Bayberry Way	Mont Vernon	NH	03057	030276517	501(C)(3)	$11,625	FMV	Transportn Subsidy
Granite State United Way
46 South Main St	Concord	NH	03301	026006033	501(c)(3)	$8,366	FMV	Program Support
Grafton Country Senior Citizens Council
P O Box 433	Lebanon	NH	03766	237248316	501(C)(3)	$6,204	FMV	Elder Services
David's House
461 Mount Support Rd	Lebanon	NH	03766	222593431	501(C)(3)	$10,385	FMV	Program Support
The Trustees of Dartmouth College
1 Rope Ferry Road	Lebanon	NH	03755	020222111	501(C)(3)	$1,656,956	FMV	Educ and Prog Sppt
Lamprey Health
22 Prospect Street	Nashua	NH	03060	237305106	501(C)(3)	$23,250	FMV	Program Services
Advance Transit
PO Box 1027	Wilder	VT	05088	222558708	501(C)(3)	$31,236	FMV	Transportn Subsidy
Upper Valley Transporation MGMT Association
195 N Main St	WRJ	VT	05001	030355283	501(C)(3)	$9,300	FMV	Transportn Subsidy
City Year NH Pledge
287 Cloumbus Avenue	Boston	MA	02116	222882549	501(C)(3)	$7,750	FMV	Program Support
Upper Valley Housing Coalition
Po Box 17	Lebanon	NH	03766	200363702	501(C)(3)	$6,200	FMV	Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	11	Total501c3OrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
The Trustees of Dartmouth College	54	$265,225	FMV
D-H Tuition Reimbursement Program	516	$206,687	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 (42 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James N Weinstein DO MS
Trustee Ex-Officio/CEO	$945,851	$0	$200	$0	$64,668	$0	$2,250	$0	$21,324	$0	$1,034,293	$0	$0	$0
William Abdu MD MS
Trustee End 12/31/2013	$529,524	$0	$16,343	$0	$59,041	$0	$2,250	$0	$21,325	$0	$628,483	$0	$0	$0
Carl DeMatteo MD
Fmr Chf Ql Compl Ofr/Physician	$98,296	$0	$0	$0	$2,286	$0	$346	$0	$1,446	$0	$102,374	$0	$0	$0
Robin Kilfeather-Mackey CPA
Chief Financial Officer	$474,737	$0	$0	$0	$33,809	$0	$2,250	$0	$20,325	$0	$531,121	$0	$0	$0
Linda Von Reyn
Chf Nursng Officer End 3/22/14	$0	$325,452	$0	$0	$0	$111,642	$0	$3,125	$0	$20,335	$0	$460,554	$0	$0
Daniel Jantzen CPA
Chief Operating Officer	$0	$515,734	$0	$200	$0	$103,662	$0	$3,125	$0	$20,325	$0	$643,046	$0	$0
Stephen LeBlanc
Exec VP Strtgy & Ntwrk Rltns	$478,986	$0	$0	$0	$147,237	$0	$2,250	$0	$20,325	$0	$648,798	$0	$0	$0
John Butterly MD
Fmr Offr/Exec VP Med Affairs	$504,542	$0	$0	$0	$51,491	$0	$35,460	$0	$21,324	$0	$612,817	$0	$0	$0
Lawrence Dacey MD
Former CMO/DH Phys	$444,468	$0	$13,622	$0	$41,049	$0	$2,250	$0	$13,284	$0	$514,673	$0	$0	$0
Alan Weston
Chief HR Officer End 9/2/2013	$0	$261,730	$0	$200	$0	$113,615	$0	$26,790	$0	$15,721	$0	$418,056	$0	$0
David Roberts MD
Physician	$591,354	$0	$267,424	$0	$74,074	$0	$26,790	$0	$17,202	$0	$976,844	$0	$0	$0
Nathan Simmons MD
Physician	$531,422	$0	$267,674	$0	$54,267	$0	$22,200	$0	$21,969	$0	$897,532	$0	$0	$0
Mary Oseid
Fmr Key Emp/VP Enterprise Svcs	$274,655	$0	$0	$0	$7,752	$0	$2,250	$0	$12,088	$0	$296,745	$0	$0	$0
Christine Schon
V.P Comm. Grp. Pract. Ops	$220,913	$0	$300	$0	$4,843	$0	$23,666	$0	$15,735	$0	$265,457	$0	$0	$0
William Mroz
V.P. Op/Clncl Svcs End 7/27/13	$0	$189,736	$0	$0	$0	$2,099	$0	$17,287	$0	$5,049	$0	$214,171	$0	$0
Gail Dahlstrom
V.P. Facilities Mgmt	$0	$221,560	$0	$200	$0	$8,684	$0	$2,799	$0	$15,734	$0	$248,977	$0	$0
Gregg Meyer MD
CCO/EVP Pop Hlth End 1/02/14	$790,556	$0	$502	$0	$105,340	$0	$21,690	$0	$20,899	$0	$938,987	$0	$0	$0
Neil Castaldo
Sr Advisor to CEO End 7/06/13	$0	$273,185	$0	$0	$0	$730,149	$0	$24,915	$0	$12,355	$0	$1,040,604	$0	$0
Peter A Delong MD
Trustee/Physician	$267,828	$0	$51,079	$0	$5,425	$0	$24,495	$0	$8,592	$0	$357,419	$0	$0	$0
Richard I Rothstein MD
Trustee/Dept Chair Med	$541,158	$0	$8,155	$0	$48,847	$0	$2,250	$0	$17,202	$0	$617,612	$0	$0	$0
Thomas Colacchio MD
Former Officer/Phys	$669,732	$0	$0	$0	$414,988	$0	$26,790	$0	$16,901	$0	$1,128,411	$0	$0	$0
Tina Naimie CPA
VP Corporate Finance	$0	$217,604	$0	$200	$0	$111	$0	$17,993	$0	$2,164	$0	$238,072	$0	$0
Wendy Fielding
VP Financial Planning	$0	$217,364	$0	$300	$0	$270	$0	$18,332	$0	$20,179	$0	$256,445	$0	$0
Barbara Walters DO MBA
Fmr Key Emp/Med Dir Acct Care	$335,906	$0	$0	$0	$23,238	$0	$2,250	$0	$17,294	$0	$378,688	$0	$0	$0
Jeanine Arden-Ornt
General Counsel End 6/30/2014	$0	$428,678	$0	$200	$0	$20,019	$0	$21,690	$0	$12,010	$0	$482,597	$0	$0
Vincent Fusca III
Chf Stff/Intrm CHRO 9/3-2/3/14	$0	$251,743	$0	$0	$0	$2,039	$0	$20,034	$0	$1,751	$0	$275,567	$0	$0
Mary Kay Boudewyns
Fmr Key Emp/Adm Dir Rev Mgmt	$0	$205,225	$0	$250	$0	$12,051	$0		$0	$8,199	$0	$225,725	$0	$0
Steven A Paris MD
Trustee/Medical Director	$335,556	$0	$0	$0	$27,430	$0	$32,400	$0	$16,870	$0	$412,256	$0	$0	$0
Richard J Powell MD
Trustee/Physician	$365,871	$0	$67,915	$0	$35,639	$0	$39,030	$0	$17,550	$0	$526,005	$0	$0	$0
Edward Merrens MD
Chief Medical Officer	$373,068	$0	$200	$0	$13,093	$0	$24,240	$0	$13,920	$0	$424,521	$0	$0	$0
George Blike MD
Chief Quality & Value Officer	$428,424	$0	$0	$0	$13,179	$0	$2,250	$0	$20,909	$0	$464,762	$0	$0	$0
Daniel Stewart MD
Physician	$862,843	$0	$106,344	$0	$37,860	$0	$13,764	$0	$21,969	$0	$1,042,780	$0	$0	$0
Clifford J Belden MD
Actg Chf Clcl Ofr Ef 2/18/2014	$621,430	$0	$0	$0	$27,321	$0	$21,690	$0	$16,786	$0	$687,227	$0	$0	$0
Terrence P Carroll PHD
Chf Innovtn Officr Eff 8/19/13	$0	$184,817	$0	$0	$0	$896	$0	$13,353	$0	$5,291	$0	$204,357	$0	$0
Faramarz Samie MD
Physician	$602,251	$0	$165,547	$0	$16,968	$0	$13,764	$0	$9,015	$0	$807,545	$0	$0	$0
Thomas Dodds MD
Dept. Chair Anesthesiology	$510,210		$0	$0	$33,924	$0	$26,790	$0	$21,970	$0	$592,894	$0	$0	$0
Wendy Wells MD
Dept. Chair Pathology	$412,232		$0	$0	$22,343	$0	$32,910	$0	$21,536	$0	$489,021	$0	$0	$0
Jocelyn Chertoff MD MS
Dept Chair Diagnost Radiology	$446,679	$0	$30,558	$0	$27,255	$0	$34,185	$0	$21,546	$0	$560,223	$0	$0	$0
Edward Catherwood MD MS
Center Direct Heart & Vascular	$447,164	$0	$200	$0	$35,383		$2,250	$0	$16,564	$0	$501,561	$0	$0	$0
Douglas Merrill
Center Director Periop Svs	$511,992	$0	$0	$0	$34,548	$0	$24,915	$0	$21,536	$0	$592,991	$0	$0	$0
Stephen Boyce
VP Ambulatory Care	$178,063	$0	$250	$0	$336	$0	$9,578	$0	$19,836	$0	$208,063	$0	$0	$0
Jeffrey OBrien
VP Oncology Services	$0	$271,357	$0	$250	$0	$7,039	$0	$19,841	$0	$20,351	$0	$318,838	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990 SCHEDULE J, PART I, LINE 1A	FormAndLineReferenceDesc
Explanation	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 $320,000 change of control payment from Dartmouth-Hitchcock in 2013. The payment is included on Schedule J, Part II, Column (B)iii. During calendar year 2013, Former Chief Human Resource Officer Alan Weston received a $104,614 severance payment from Dartmouth-Hitchcock. The payment is included on Schedule J, Part II, Column (B)iii. During calendar year 2013, Former Senior Advisor to the CEO Neil Castaldo received a $675,000 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 $63,480 William Abdu $58,267 Peter Delong $5,011 Richard Rothstein $47,767 Steven Paris $18,784 Richard Powell $32,208 Robin Kilfeather-Mackey $15,194 Linda Von Reyn $94,589 Daniel Jantzen $90,628 Stephen Leblanc $109,719 John Butterly $44,117 Alan Weston $8,132 Gregg Meyer $30,800 Neil Castaldo $43,644 Jeanine Arden Ornt $18,109 Edward Merrens $12,823 George Blike $12,765 Mary Oseid $7,682 Cliff Belden $27,195 Barbara Walters $22,050 Daniel Stewart $37,680 David Roberts $69,214 Nathan Simmons $53,997 Thomas Colacchio $94,988 Lawrence Dacey $40,275 Thomas Dodds $33,150 Wendy Wells $21,857 Jocelyn Chertoff $26,481 Edward Catherwood $35,383 Douglass Merrill $31,200 Faramarz Samie $16,920 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	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	020279866	BondIssuerEIN
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	$3,895,747	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	BusinessNameLine1

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	BusinessNameLine1

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 (4 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Michael Ward
Former Key Employee	Split Dollar Life	Yes (X)	$65,346	$65,346	false	Yes (true)	Yes (true)
Stephen LeBlanc
Officer	Split Dollar Life	Yes (X)	$43,293	$43,293	false	Yes (true)	Yes (true)
Mary Oseid
Former Key Employee	Split Dollar Life	Yes (X)	$28,791	$28,791	false	Yes (true)	Yes (true)
Peter Johnson
Former Officer	Split Dollar Life	Yes (X)	$65,868	$65,868	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$203,298	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Janice Kilfeather-Mackey
Officer Kilfeather-Mac.	$82,259	Family member employed by DHC	false
Linda Billings
FMR Key Emp. Mary Oseid	$100,625	Family member employed by DHC	false
Lynn Butterly
Officer John Butterly	$562,237	Family member employed by DHC	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. Description of classes of members, persons, and the nature of their rights 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.
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 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 two supporting organizations Dartmouth-Hitchcock Medical Center and Hamden Risk Retention Group, and a related hospital, 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 $7,372,896 Audited Financial Statements Form 990 Part XII, Line 2d The organization's financial information is included in the audited financial statements of Dartmouth-Hitchcock and Subsidiaries, which consists of Dartmouth-Hitchcock Clinic, Mary Hitchcock Memorial Hospital, and subsidiaries. A-133 Audit Form 990 Part XII, Line 3a DURING FISCAL YEAR 2014, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FUNDS FROM FEDERAL AWARDS IN EXCESS OF THE MINIMUM THRESHHOLD 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 (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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)	11 Type II	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	D-HH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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	$22,928	$419,810	false	$0	Yes (true)	0.50000
D-H Mster Invst Prg
1 Med Ctr Dr	Lebanon	NH	03756	020505863	Pooled Invest	NH	NA	Investment
Keene Hlth Alliance
580 Court St	Keene	NH	03431	300179297	Healthcare	NH	DHC	Related	$846,000	$0	false	$0	Yes (true)	0.50000
One Care VT ACO LLC
111 COLCHESTER AVE	Burlington	VT	05401	455399218	Shared Saving	VT	NA	Related
The Hitchcock Ptshp
1 Med Ctr Dr	Lebanon	NH	03756	020514823	Invst in Ptr	NH	MHMH	Investment	$3,061	$0	false		false	0.38580

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd
Pompanoosuc Investment Corporation
One Medical Center Drive	Lebanon	NH	03756	020352330	Rl Estate Hld	NH	DHC	C CORP	$123	$75,632	1.00000	Yes (true)
Hamden Assurance Company Limited
				980121409	Liab Insur.		DHC	Foreign Corp			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	NA	C Corp				Yes (true)
Kearsarge Community Services
273 County Road	New London	NH	03257	020460136	Real Est Hldg	NH		C Corp				Yes (true)						N/A
New London Physician Group
273 County Road	New London	NH	03257	020494420	Physician Group	NH		C Corp				Yes (true)						N/A
New London Medical Center East
273 County Road	New London	NH	03257	020480857	Real Est Hldg	NH		C Corp				Yes (true)						N/A

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
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	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 (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mary Hitchcock Memorial Hospital
MNOPQ	$14,110,218	FMV
Dartmouth-Hitchcock Medical Center
M	$874,630	FMV
Dartmouth-Hitchcock Medical Center
L	$156,757	FMV
The Hitchcock Foundation
Q	$30,950	FMV
The Hitchcock Foundation
P	$30,950	FMV
Hamden Risk Retention Group
M	$2,818,385	FMV
The New London Hospital Association
Q	$425,172	FMV