DARTMOUTH-HITCHCOCK CLINIC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: DARTMOUTH-HITCHCOCK CLINIC (EIN 22-2519596)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201431359349304633
Schema version: 2012v2.3
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)
Timestamp	2014-05-15T11:45:56-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	222519596	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	DARTMOUTH-HITCHCOCK CLINIC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% ROBIN KILFEATHER-MACKEY	InCareOfName
Name Control	DART	NameControl
Phone	6036505000	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Robin Kilfeather-Mackey	Name
Title	CFO	Title
Date Signed	2014-05-09	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6175305000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	James Weinstein DO MS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	407298233	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.dartmouth-hitchcock.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1983	YearFormation
State Legal Domicile	NH	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	4484	TotalNbrEmployees
Total Nbr Volunteers	600	TotalNbrVolunteers
Total Gross UBI	624628	TotalGrossUBI
Net Unrelated Business Txbl Income	5244	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	247880635	ProgramServiceRevenuePriorYear
Program Service Revenue CY	312867125	ProgramServiceRevenueCY
Investment Income Prior Year	-66567	InvestmentIncomePriorYear
Investment Income Current Year	86264	InvestmentIncomeCurrentYear
Other Revenue Prior Year	53429403	OtherRevenuePriorYear
Other Revenue Current Year	93249217	OtherRevenueCurrentYear
Total Revenue Prior Year	301243471	TotalRevenuePriorYear
Total Revenue Current Year	406202606	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	173027	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2646503	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	189868415	SalariesEtcPriorYear
Salaries Etc Current Year	253764588	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	884514	TotalFundrsngExpCurrentYear
Other Expense Prior Year	111870818	OtherExpensePriorYear
Other Expenses Current Year	131081080	OtherExpensesCurrentYear
Total Expenses Prior Year	301912260	TotalExpensesPriorYear
Total Expenses Current Year	387492171	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-668789	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	18710435	RevenuesLessExpensesCY
Total Assets BOY	301634312	TotalAssetsBOY
Total Assets EOY	228949164	TotalAssetsEOY
Total Liabilities BOY	518759859	TotalLiabilitiesBOY
Total Liabilities EOY	376500812	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-217125547	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-147551648	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	320097884	Expense
Grants	230215	Grants
Revenue	402644857	Revenue
Description	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 that operates clinics throughout New Hampshire and Vermont, provides medical services to patients and performs medical education and research. Health care services in 2013 resulted in approx. 665,693 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 is a member 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 Hospital, Dartmouth-Hitchcock Clinic (the Clinic), 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 hospital and only academic medical center in New Hampshire, and for the designation by the federal government as a Rural Referral Center for northern New England. The shared mission of the Hospital and Clinic 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. In 2012, Dartmouth-Hitchcock (D-H) was selected by the Centers for Medicare and Medicaid (CMS) as one of 32 organizations nationally to participate in the Pioneer Accountable Care demonstration project. At the end of one year, it was one of only 13 to meet all quality and safety metrics and show significant cost reductions, while providing coordinated, patient-centered care to the assigned Medicare population. Also in 2012, D-H joined with Fletcher Allen Health Care, Vermont's academic medical center, to form OneCare Vermont, an ACO 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). During the same period, Dartmouth-Hitchcock entered into a non-ownership affiliation with Mayo Clinic as part of the Mayo Clinic Care Network. 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 in 2012. 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. The Dartmouth-Hitchcock Center for Telehealth currently offers neurological and stroke care via telemedicine, as well as dermatology services. Additional care disciplines are being brought on line as of this writing. In late 2012, Dartmouth-Hitchcock formed the Partners in Community Wellness, a group of more than 300 volunteer members from throughout New Hampshire and Vermont. With the resources of D-H, the group is engaged in education and community health initiatives. An example is the Vial of Life campaign, through which the Partners have distributed, at no charge, more than 10,000 emergency information kits to physicians, emergency responders, fire departments and public safety organizations, and businesses and individuals. This ongoing effort will next focus on getting the kits to more than 1,000 schools in the region. 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 19 health systems and the TRICARE system of the Department of Defense. Together, they have a patient base of more than 100 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 Clinic and Hospital were 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 most recent Community Benefit Reports are available upon request or can be found on Dartmouth-Hitchcock's web site (www.dartmouth-hitchcock.org). 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, 2013 the Hospital provided financial assistance to patients in the amount of $21,329,978, as measured by gross charges. The estimated cost of providing this care for the year ended June 30, 2013 was $6,861,854. The Clinic also routinely provides services to Medicaid patients at reimbursement levels that are well below the cost of the care provided. The community health activities section of the report includes the cost or value of several different types of hospital-sponsored programs, such as 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 partnering with the Healthy Eating Active Living NH initiative, the Partners in Community Wellness, ReThink Health, the Women's Health Resource Center, and smoking prevention and cessation programs. 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 reported as provision for bad debts, which is not included in the amounts reported above. During the year ended June 30, 2013, the Clinic reported a bad debt expense of $17,325,863.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	19572548	Expense
Grants	2416288	Grants
Revenue	130172	Revenue
Description	As a component of an integrated academic medical center, the Clinic provides significant support for academic and research programs. Through its affiliation with The Geisel School of Medicine at Dartmouth, the Clinic provides support for physicians' unpaid teaching time, 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 awarded to the Hospital and Medical School, to offset costs in excess of grant awards. 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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	339670432	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	true	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	true	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	4484	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	BD	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ROBIN KILFEATHER-MACKEY	NamePerson
Telephone Number	6036505634	TelephoneNumber

Address US AddressUS

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	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (56 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Wayne G Granquist
Trustee/Brd Chair end 12/31/12	2.0	5.5	X	X	0	0	0
Alan C Keiller
Trustee/Board Treasurer	2.0	4.5	X	X	0	0	0
Jennie L Norman
Trustee/Board Secretary	2.0	4.0	X	X	0	0	0
Hugh C Smith MD
Trustee	1.0	2.0	X		0	0	0
James Weinstein DO MS
Trustee Ex-Officio/CEO	17.0	44.5	X	X	833051	0	59682
Michael J Goran MD
Trustee	1.0	2.0	X		0	0	0
Vincent S Conti
Trustee	1.0	2.0	X		0	0	0
Barbara Couch
Trustee	1.0	2.0	X		0	0	0
Anne-Lee Verville
Trustee	1.0	2.0	X		0	0	0
William Abdu MD MS
Trustee/Physician	12.0	29.0	X		634897	0	60774
Wiley Souba MD ScD
Trustee/Ex-Officio, Dean DMS	1.0	2.5	X		0	0	0
Richard S Shreve
Trustee/Ex Officio Pres Apptee	1.0	2.0	X		0	0	0
William J Conaty
Trustee	1.0	2.0	X		0	0	0
Robert A Oden Jr PhD
Trustee/Board Chair Eff 1/1/13	2.0	4.0	X	X	0	0	0
Stephen D Surgenor MD MS
Trustee End 2/29/13 Physician	12.0	29.0	X		406696	0	63062
Nancy Formella MSN RN
Trustee Advisor End 12/1/2012	18.0	42.5	X	X	0	3209060	58814
William W Helman IV
Trustee	1.0	2.5	X		0	0	0
Ruth Williams Brinkley
Trustee Ended 11/2/12	1.0	2.0	X		0	0	0
Peter Delong MD
Trustee/Physician	12.0	28.0	X		270762	0	48410
Richard I Rothstein MD
Trustee/Dept Chair Med	12.0	28.0	X		564259	0	51200
Denis A Cortese MD
Trustee Eff 1/1/13	1.0	2.0	X		0	0	0
Matthew B Dunne
Trustee Eff 1/1/13	1.0	2.0	X		0	0	0
Senator Judd A Gregg
Trustee Eff 1/1/13	1.0	2.0	X		0	0	0
Laura K Landy
Trustee Eff 1/1/13	1.0	2.0	X		0	0	0
Steven A Paris MD
Trustee Eff 2/1/13	1.0		X		351548	0	56119
Richard J Powell MD
Trustee Eff 2/1/13/Phys	12.0	28.3	X		520702	0	92517
Robin Kilfeather-Mackey CPA
Chief Financial Officer	17.0	44.0		X	451645	0	37043
Linda Von Reyn
Chief Nursing Officer	19.0	41.0		X	0	458727	37027
Daniel Jantzen CPA
Chief Operating Officer	19.0	42.0		X	0	608217	59542
Stephen LeBlanc
ExecVP Strtgy&Ntwrk Eff 2/3/13	6.0	54.0		X	535986	0	36773
John Butterly MD
Exec VP of Med Affairs, D-HH	8.0	52.0		X	538707	0	93348
Alan Weston
Chief Human Resources Officer	19.0	41.0		X	0	311437	65426
Gregg Meyer MD
CCO/EVP Pop Hlth	19.0	41.0		X	531180	0	97818
Neil Castaldo
Sr Advisor to CEO Eff 7/1/12	19.0	41.0		X	0	622913	70272
Jeanine Arden Ornt
General Counsel	17.0	39.0		X	0	415319	72262
Vincent Fusca
Chief of Staff	19.0	41.0		X	0	230806	20753
Edward Merrens MD
CMO Eff 9/1/12	12.0	28.0		X	343307	0	65544
George Blike MD
Chf Qlty&Value Ofr Eff 7/1/12	19.0	41.0		X	389078	0	48677
Mary Oseid
V.P Ambulatory Care	12.0	28.0			258638	0	45523	X
Christine Schon
V.P Comm. Grp. Pract. Ops	12.0	28.0			209756	0	58175	X
William Mroz
V.P. Operations/Clinical Svcs	19.0	41.0			0	245900	48844	X
Gail Dahlstrom
V.P. Facilities Mgmt	19.0	41.0			0	225829	32934	X
Michael Ward
V.P. Cancer Svcs end 7/31/12	12.0	28.0			182530	0	29397	X
Tina Naimie CPA
VP Corporate Finance	12.0	29.5			0	213338	39214	X
Wendy Fielding
VP Financial Planning	12.0	28.0			0	213833	70331	X
Barbara Walters DO MBA
Med Dir/Dir Acct Care eff 11/1	12.0	28.0			353318	0	57527	X
David Roberts MD
Physician	12.0	28.0			856984	0	81196		X
Nathan Simmons MD
Physician	12.0	28.0			753172	0	75941		X
Kadir Erkmen MD
Physician	12.0	28.0			1123113	0	49966		X
Thomas Colacchio MD
Former Officer/Phys	12.0	29.0			1041556	0	66668		X
Daniel Stewart MD
Physician	12.0	28.0			824442	0	67649		X
Carl DeMatteo MD
Former Chf Qual Compl Ofr	12.0	28.0			496126	0	7530			X
Lawrence Dacey MD
Former CMO END 6/30/12/DH Phys	12.0	29.0			507485	0	37711			X
Andrew Gettinger MD
Former Chief Med Info Ofr	12.0	28.0			336449	0	39315			X
Sandra Dickau
Former VP Ops/Ptnt Care	12.0	28.0			0	127765	0			X
Mary Kay Boudewyns
Former Key Employee	12.0	28.0			0	212298	48103			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	13315387	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	7095442	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2051087	TotalOtherCompensation
Number Individuals GT100 K	1095	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

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

Field	Value	IRS element (for citing)
Address Of Contractor		AddressOfContractor

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REVENUE	Description
Business Code	621110	BusinessCode
Total Revenue Column	312867125	TotalRevenueColumn
Related Or Exempt Function Income	312867125	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	312867125	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	16245	TotalRevenueColumn
Exclusion	$16,245	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2961261	Real
Personal	644024	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	741230	Real
Personal	147370	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2220031	Real
Personal	496654	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2716685	TotalRevenueColumn
Exclusion	$2,716,685	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	-19842	Securities
Other	296888	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	207027	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-19842	Securities
Other	89861	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	70019	TotalRevenueColumn
Exclusion	$70,019	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
CONTRACTED REVENUE	621110	83453774	82829694	624080
RISK SHARING REVENUE & INCOME FROM AFFILIATES	211110	3359593	3359593
DHC ALLOCATED REVENUE	621110	3247560	3247012	548

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	471605	TotalRevenueColumn
Related Or Exempt Function Income	471605	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	90532532	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	406202606	TotalRevenueColumn
Related Or Exempt Function Income	402775029	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	624628	UnrelatedBusinessRevenue
Exclusion	$2,802,949	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2180200	Total
Program Services	2180200	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	466303	Total
Program Services	466303	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	6273875	Total
Program Services	2940966	ProgramServices
Management And General	3017365	ManagementAndGeneral
Fundraising	315544	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	795167	Total
Program Services	795167	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	184443212	Total
Program Services	161133099	ProgramServices
Management And General	23310071	ManagementAndGeneral
Fundraising	42	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	23797653	Total
Program Services	20790083	ProgramServices
Management And General	3007565	ManagementAndGeneral
Fundraising	5	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	25435333	Total
Program Services	22220791	ProgramServices
Management And General	3214536	ManagementAndGeneral
Fundraising	6	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	13019348	Total
Program Services	11373950	ProgramServices
Management And General	1645395	ManagementAndGeneral
Fundraising	3	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	978313	Total
Program Services	5941	ProgramServices
Management And General	972372	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	178938	Total
Management And General	178938	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	30167	Total
Program Services	30167	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	22365473	Total
Program Services	18084362	ProgramServices
Management And General	4281111	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	743367	Total
Program Services	9369	ProgramServices
Management And General	733998	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6792446	Total
Program Services	6327115	ProgramServices
Management And General	465321	ManagementAndGeneral
Fundraising	10	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2413185	Total
Program Services	2413185	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6174205	Total
Program Services	5155472	ProgramServices
Management And General	1018733	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	987590	Total
Program Services	563704	ProgramServices
Management And General	423886	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	41573	Total
Program Services	41225	ProgramServices
Management And General	348	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6807571	Total
Program Services	5718360	ProgramServices
Management And General	1089211	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16983654	Total
Program Services	14264214	ProgramServices
Management And General	2719440	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1501356	Total
Program Services	1088301	ProgramServices
Management And General	413055	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	54368048	54368048
EQUIP REPAIR & MAINT	4667337	3920563	746774
ACADEMIC,GME,TEACHING & SPT	1038771	1038771
BOND RELATED EXPENSES	1106068	929097	176971

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3903018	Total
Program Services	3811979	ProgramServices
Management And General	-477865	ManagementAndGeneral
Fundraising	568904	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	387492171	Total
Program Services	339670432	ProgramServices
Management And General	46937225	ManagementAndGeneral
Fundraising	884514	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	24313	BOY
EOY	15745	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	149198	BOY
EOY	-189306	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	36877683	BOY
EOY	35110240	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	354641	BOY
EOY	384015	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	6476070	BOY
EOY	6679138	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	339320	BOY
EOY	330456	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	140069768	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	98807473	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	46183158	BOY
EOY	41262295	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	93523	BOY
EOY	149037	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	1500	BOY
EOY	1500	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	211134906	BOY
EOY	145206044	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	301634312	BOY
EOY	228949164	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	56965205	BOY
EOY	65608899	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	58555011	BOY
EOY	56747863	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	18108655	BOY
EOY	16748892	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	385130988	BOY
EOY	237395158	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	518759859	BOY
EOY	376500812	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-218350102	BOY
EOY	-148777030	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	226096	BOY
EOY	226923	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	998459	BOY
EOY	998459	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-217125547	BOY
EOY	-147551648	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	301634312	BOY
EOY	228949164	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	18710435	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	55513	ReconciliationUnrealizedInvest
Reconcilation Other Changes	50807951	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4383	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	142981	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	147364	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	434650631	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	365093409	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	368081102	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	298584597	CurrentTaxYearMinus1Year
Current Tax Year	402775030	CurrentTaxYear
Total	1869184769	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Total	0	Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

Field	Value	IRS element (for citing)
Total	0	Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	434655014	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	365236390	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	368081102	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	298584597	CurrentTaxYearMinus1Year
Current Tax Year	402775030	CurrentTaxYear
Total	1869332133	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	1869332133	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4052931	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3383606	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3085762	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	-66568	CurrentTaxYearMinus1Year
Current Tax Year	86263	CurrentTaxYear
Total	10541994	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Total	0	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4052931	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3383606	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3085762	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	-66568	CurrentTaxYearMinus1Year
Current Tax Year	86263	CurrentTaxYear
Total	10541994	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	905573	CurrentTaxYearMinus1Year
Current Tax Year	5244	CurrentTaxYear
Total	910817	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4574675	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	287656	CurrentTaxYearMinus2Years
Total	4862331	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	443282620	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	368619996	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	371454520	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	299423602	CurrentTaxYearMinus1Year
Current Tax Year	402866537	CurrentTaxYear
Total	1885647275	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99135	PublicSupportPercentage509
Prior Year Support Percentage	0.98834	PriorYearSupportPercentage
Investment Income Percentage	0.00559	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00773	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$58,687	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$28,670	OtherActivitiesAmount
Total Lobbying Expenditures IIB	87357	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Lobbying activity explanation	Identifier
Return Reference	FORM 990 SCHEDULE C, PART II B, LINES 1B & 1G	ReturnReference
Explanation	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, 2013, Dartmouth-Hitchcock Clinic incurred $58,687 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.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	999533	BeginningOfYearBalance
Investment Earnings Or Losses	950	InvestmentEarningsOrLosses
End Of Year Balance	1000483	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	998459	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	1074	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	999533	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	998459	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	0	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	998459	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	855478	BeginningOfYearBalance
Contributions	142981	Contributions
End Of Year Balance	998459	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	137536	BeginningOfYearBalance
Contributions	717942	Contributions
End Of Year Balance	855478	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.99910	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00090	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	3816840	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	7215859	OtherCostOrOtherBasis
Book Value	11032699	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	11337976	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	72493046	OtherCostOrOtherBasis
Depreciation	55849675	Depreciation
Book Value	27981347	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27569189	OtherCostOrOtherBasis
Depreciation	26672990	Depreciation
Book Value	896199	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17636858	OtherCostOrOtherBasis
Depreciation	16284808	Depreciation
Book Value	1352050	BookValue

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildings
Total Of Book Value Land Buildings	41262295	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
INVESTMENT IN CAPTIVE - HAMDEN	109432393
BOND ISSUANCE COSTS - NET	130231
DHC 457(B) PLAN ASSETS	34264377
DUE FROM AFFILIATE	1029043
NOTES RECEIVABLE	350000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	145206044	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
INTEREST RATE SWAP	$13,544,983
ACCRUED POST RETIRMNT PENSION	$122,106,863
RESERVES FOR INSUR. RLTD LOSS	$89,334,998
DUE TO AFFILIATES AND 3RD PARTY ESTIMATES	$12,408,314

Field	Value	IRS element (for citing)
Total Of Amounts	237395158	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	INTENDED USE OF ENDOWMENT FUNDS	Identifier
Return Reference	FORM 990 SCHEDULE D PART V LINE 4	ReturnReference
Explanation	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.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (16 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures	Number Of EmployeesNumberOfEmployees
Central America and the Caribbean	Program Services	Educational Travel Exp	4159
East Asia and the Pacific	Program Services	Educational Travel Exp	1877
Europe (Including Iceland and Greenland)	Program Services	Educational Travel Exp	16375
Middle East and North Africa	Program Services	Educational Travel Exp	1325
North America	Program Services	Educational Travel Exp	14313
South America	Program Services	Educational Travel Exp	1151
Sub-Saharan Africa	Program Services	Educational Travel Exp	319
North America	Program Services	Medical Labs & Suppls	488140
Europe (Including Iceland and Greenland)	Program Services	Medical Labs & Suppls	184646
Europe (Including Iceland and Greenland)	Program Services	Insurance Services	108190
Middle East and North Africa	Program Services	Collection Services	9724
North America	Program Services	Dues, Lic, & Publicatn	3809
North America	Program Services	Marketing Services	7141
North America	Program Services	IT Services & Misc	13541
Sub-Saharan Africa	Program Services	Medical Svcs in Rwanda	34664	1
Sub-Saharan Africa	Fundraising	Fundraising Event	1362

Field	Value	IRS element (for citing)
Subtotal Number Of Employees	1	SubtotalNumberOfEmployees
Total Number Of Employees	1	TotalNumberOfEmployees
Subtotal Amount Spent	890736	SubtotalAmountSpent
Total Amount Spent	890736	TotalAmountSpent
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	true	PassiveForeignInvestCo
Foreign Partnership	true	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Purpose Of GrantPurposeOfGrant
Good Neighbor Health Clinic
70 No Main St	White River Jct	VT	05001	030346949	501(C)(3)	20150	FMV	Program/Clinic Svcs
Stagecoach
7 Bayberry Way	Mont Vernon	NH	03057	030276517	501(C)(3)	11625	FMV	Transportn Subsidy
Granite State United Way
46 South Main St	Concord	NH	03301	026006033	501(c)(3)	9920	FMV	Program Support
Grafton Country Senior Citizens Council
P O Box 433	Lebanon	NH	03766	237248316	501(C)(3)	11160	FMV	Elder Services
Indian Stream Health Center
141 Corliss Ln	Colebrook	NH	03756	200999212	501(C)(3)	15500	FMV	Program/Clinic Svcs
David's House
461 Mount Support Rd	Lebanon	NH	03766	222593431	501(C)(3)	10385	FMV	Program Support
The Trustees of Dartmouth College
1 Rope Ferry Road	Lebanon	NH	03755	020222111	501(C)(3)	1949985	FMV	Educ and Prog Svcs
Lamprey Health
22 Prospect Street	Nashua	NH	03060	237305106	501(C)(3)	23029	FMV	Program Services
Albert Schweitzer Fellowship Inc
10 Sausville Road	Etna	NH	03750	131982786	501(C)(3)	6200	FMV	Program Support
Advance Transit
PO Box 1027	Wilder	VT	05088	222558708	501(C)(3)	29748	FMV	Transportn Subsidy
Connecticut River Transit
706 Rockingham Road	Rockingham	VT	05101	861069523	501(C)(3)	9300	FMV	Transportn Subsidy
City of Manchester NH
1 City Hall Plaza	Manchester	NH	03101			7750	FMV	Child Hlth Svcs
Child Health Services
1245 Elm St	Manchester	NH	03105	020348711	501(C)(3)	18427	FMV	Program Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	13	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation
The Dartmouth Institute Scholarships	45	264171	FMV
D-H Tuition Reimbursement Program	294	189731	FMV
Varnum Nursing Awards	34	12400	FMV

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Form 990, Schedule I	Identifier
Return Reference	Description of Organization's Procedures for Monitoring the Use of Grants	ReturnReference
Explanation	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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (38 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
James Weinstein DO MS
Trustee Ex-Officio/CEO	777576	0	0	0	55475	0	38368	0	21314	0	892733	0	0	0
William Abdu MD MS
Trustee/Physician	541170	0	39445	0	54282	0	39460	0	21314	0	695671	0	0	0
Stephen D Surgenor MD MS
Trustee End 2/29/13 Physician	330926	0	59000	0	16770	0	41323	0	21739	0	469758	0	0	0
Carl DeMatteo MD
Former Chf Qual Compl Ofr	56240	0	0	0	439886	0	6733	0	797	0	503656	0	0	0
Robin Kilfeather-Mackey CPA
Chief Financial Officer	420635	0	0	0	31010	0	17000	0	20043	0	488688	0	0	0
Linda Von Reyn
Chief Nursing Officer	0	310148	0	0	0	148579	0	17000	0	20027	0	495754	0	0
Daniel Jantzen CPA
Chief Operating Officer	0	477890	0	0	0	130327	0	39500	0	20042	0	667759	0	0
Stephen LeBlanc
ExecVP Strtgy&Ntwrk Eff 2/3/13	451778	0	0	0	84208	0	17000	0	19773	0	572759	0	0	0
John Butterly MD
Exec VP of Med Affairs, D-HH	491826	0	0	0	46881	0	72035	0	21313	0	632055	0	0	0
Lawrence Dacey MD
Former CMO END 6/30/12/DH Phys	464816	0	0	0	42669	0	24265	0	13446	0	545196	0	0	0
Alan Weston
Chief Human Resources Officer	0	307083	0	0	0	4354	0	45316	0	20110	0	376863	0	0
David Roberts MD
Physician	597676	0	192665	0	66643	0	63995	0	17201	0	938180	0	0	0
Nathan Simmons MD
Physician	513705	0	192665	0	46802	0	53995	0	21946	0	829113	0	0	0
Kadir Erkmen MD
Physician	597982	0	495107	0	30024	0	28697	0	21269	0	1173079	0	0	0
Mary Oseid
V.P Ambulatory Care	251102	0	0	0	7536	0	34000	0	11523	0	304161	0	0	0
Christine Schon
V.P Comm. Grp. Pract. Ops	206145	0	0	0	3611	0	42749	0	15426	0	267931	0	0	0
William Mroz
V.P. Operations/Clinical Svcs	0	242039	0	0	0	3861	0	40833	0	8011	0	294744	0	0
Sandra Dickau
Former VP Ops/Ptnt Care	0	0	0	0	0	127765	0	0	0	0	0	127765	0	0
Gail Dahlstrom
V.P. Facilities Mgmt	0	219112	0	0	0	6717	0	17000	0	15934	0	258763	0	0
Michael Ward
V.P. Cancer Svcs end 7/31/12	177843	0	0	0	4687	0	20568	0	8829	0	211927	0	0	0
Nancy Formella MSN RN
Trustee Advisor End 12/1/2012	0	699182	0	0	0	2509878	0	39000	0	19814	0	3267874	0	0
Gregg Meyer MD
CCO/EVP Pop Hlth	530732	0	0	0	448	0	83828	0	13990	0	628998	0	0	0
Andrew Gettinger MD
Former Chief Med Info Ofr	190974	0	0	0	145475	0	31490	0	7825	0	375764	0	0	0
Neil Castaldo
Sr Advisor to CEO Eff 7/1/12	0	490202	0	70000	0	62711	0	48907	0	21365	0	693185	0	0
Peter Delong MD
Trustee/Physician	245333	0	25159	0	270	0	39245	0	9165	0	319172	0	0	0
Richard I Rothstein MD
Trustee/Dept Chair Med	499410	0	24162	0	40687	0	34000	0	17200	0	615459	0	0	0
Thomas Colacchio MD
Former Officer/Phys	987376	0	0	0	54180	0	46995	0	19673	0	1108224	0	0	0
Tina Naimie CPA
VP Corporate Finance	0	213166	0	0	0	172	0	37410	0	1804	0	252552	0	0
Wendy Fielding
VP Financial Planning	0	213563	0	0	0	270	0	50447	0	19884	0	284164	0	0
Barbara Walters DO MBA
Med Dir/Dir Acct Care eff 11/1	330728	0	0	0	22590	0	39421	0	18106	0	410845	0	0	0
Jeanine Arden Ornt
General Counsel	0	413330	0	0	0	1989	0	58995	0	13267	0	487581	0	0
Vincent Fusca
Chief of Staff	0	228833	0	0	0	1973	0	19471	0	1282	0	251559	0	0
Mary Kay Boudewyns
Former Key Employee	0	203146	0	0	0	9152	0	39000	0	9103	0	260401	0	0
Steven A Paris MD
Trustee Eff 2/1/13	329228	0	0	0	22320	0	40093	0	16026	0	407667	0	0	0
Richard J Powell MD
Trustee Eff 2/1/13/Phys	353783	0	144900	0	22019	0	70995	0	21522	0	613219	0	0	0
Edward Merrens MD
CMO Eff 9/1/12	331888	0	0	0	11419	0	51519	0	14025	0	408851	0	0	0
George Blike MD
Chf Qlty&Value Ofr Eff 7/1/12	376104	0	0	0	12974	0	27682	0	20995	0	437755	0	0	0
Daniel Stewart MD
Physician	739910	0	60000	0	24532	0	45697	0	21952	0	892091	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	CHARTERED TRAVEL SERVICES	Identifier
Return Reference	FORM 990 SCHEDULE J, PART I, LINE 1A	ReturnReference
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. 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 2012: During 2012 Nancy Formella received a $2,281,750 separation package which included severance pay, medical and dental benefits, life and disability benefits (including tax gross-up, and a SERP make-up benefit). The separation payment is in lieu of a multi-year contractual obligation.The payment is included on Schedule J, Line B, Part iii. 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. The payment is included on Schedule J, Line B, Part i. During 2012 Carl Dematteo received a $436,667 separation payment in lieu of a multi-year contracutal obligation.The payment is included on Schedule J, Line B, Part 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)): William Mroz $2,955 Nancy Formella $223,316 Andrew Gettinger $145,475 Neil Castaldo $40,949 Richard Rothstein $40,121 Thomas Colacchio $54,180 Barbara Walters $21,402 James Weinstein $53,721 William Abdu $53,677 Stephen Surgenor $16,546 Carl DeMatteo $2,020 Robin Kilfeather-Mackey $13,832 Linda Von Reyn $117,277 Daniel Jantzen $98,663 Stephen LeBlanc $61,531 John Butterly $43,380 Lawrence Dacey $41,895 Alan Weston $3,580 David Roberts $61,449 Nathan Simmons $46,532 Kadir Erkman $29,969 Mary Oseid $7,536 Richard Powell $21,555 Edward Merrens $11,149 George Blike $12,560 Daniel Stewart $24,376 Thomas Dodds $32,130 Wendy Wells $2,823 Cliff Belden $21,264 Douglass Merrill $25,500 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. retire/leave the organization.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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)
Issuer EIN	020279866	IssuerEIN
Date Issued	2011-08-31	DateIssued
Issue Price	61582591	IssuePrice
Description Of Purpose	Current Refund 2001(A)	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	61582591	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	152499	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	0	CapitalExpenditures
Other Spent Proceeds	61430092	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2011	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
Rebate Not Due Yet	true	RebateNotDueYet
Exception To Rebate	true	ExceptionToRebate
No Rebate Due	false	NoRebateDue
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	true	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	Morgan Stanley	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of Hedge	29.8	TermOfHedge
Superintegrated Hedge	true	SuperintegratedHedge
Hedge Terminated	false	HedgeTerminated
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Written Proc To Monitor Reqs	true	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	true	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Additional Information Part I(F)	Identifier
Return Reference	0	ReturnReference
Explanation	Form 990 Schedule K, Tax-Exempt Bonds Current Refund 2001(A), Issued 10/17/2001, Which Advance Refunds 1997 & 1994	Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (7 entries)

Relationship With OrganizationRelationshipWithOrganization	Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
Thomas Colacchio
Former Officer	Split Dollar Life	X	$52,828	52828	false	true	true
Stephen LeBlanc
Officer	Split Dollar Life	X	$40,776	40776	false	true	true
Mary Oseid
Key Employee	Split Dollar Life	X	$27,130	27130	false	true	true
David Roberts
Highly-Compensated	Split Dollar Life	X	$72,474	72474	false	true	true
Michael Ward
Key Employee	Split Dollar Life	X	$61,612	61612	false	true	true
Andrew Gettinger
Former Officer	Split Dollar Life	X	$56,363	56363	false	true	true
Richard Rothstein
Trustee	Split Dollar Life	X	$72,832	72832	false	true	true

Field	Value	IRS element (for citing)
Total Balance Due	384015	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Janice Kilfeather-Mackey
Officer Kilfeather-Mac.	76465	Family member employed by DHC	false
Linda Billings
Key Emp. Mary Oseid	79057	Family member employed by DHC	false
Lynn Butterly
Officer John Butterly	432342	Family member employed by DHC	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Changes to Organizational Documents Since Last 990 Filing	FORM 990 Part VI Section A Line 4	Effective January 1, 2013, the Dartmouth-Hitchcock Clinic (DHC) Board of Trustees amended and restated the DHC Bylaws. The primary purpose of the amendments was to simplify the corporation's governance structure, which had become unwieldy. The amendments did not alter the mission of DHC, the role of its Board of Trustees, the Trustees' oversight of the chief executive officer selection, performance and compensation, the disposition of assets upon dissolution, or any other fundamental component of the DHC governance documents. The following is a brief statement of the significant changes to the DHC Bylaws: 1. The number of Trustees was reduced from 28 to a range from 17 to 24. Two new categories of Trustees also were established: a physician Trustee who is a Clinical Chair or Center Director, and a physician who practices in one of the Community Group Practices. 2. The Assembly of Overseers, primarily responsible for nominating Trustees and serving in an advisory role to the Board, was eliminated. The Bylaws now provide for different nominations by category of Trustee. For example, the Board of Governors will nominate physician positions, and the DHC Board will nominate candidates for the Public Trustee positions. Others serve ex officio. 3. The Board of Governors was reduced in size from 31 to 18 and will be chaired by the DHC President/CEO. Three new categories of Governors were established: a provider from a Community Group Practice, a nurse, and an associate provider. The Board of Governors' role was consolidated to the following three functions: -Serve as the executive committee of the professional staff in satisfaction of Joint Commission requirements; -Provide input and make recommendations to the CEO as to management issues and matters of concern to the professional staff; and -Provide input and make recommendations to the DHC Board of Trustees. 4. The selection process for a new President/CEO must be reviewed by the Board of Governors and include two criteria: (1) the candidate must be a licensed physician; and (2) a preference for an internal candidate. 5. The Committees of the DHC Board were reorganized into six standing committees: Governance, Value, Finance, Compensation, Research and Education, and Audit and Compliance. 6. The process for amending or repealing the DHC Bylaws, which maintain the requirements of a 2/3 majority vote of all Trustees, was modified to require the following in lieu of the requirements contained in the previous DHC Bylaws regarding the change in control process and involvement of the Divisional Boards of Governors of the Community Practices: - The proposed amendment(s) and the reason for it must be published and available to all Dartmouth-Hitchcock employees. - All Dartmouth-Hitchcock employees will be given the opportunity to provide input to the Trustees about the amendment. - All physicians credentialed at any Dartmouth-Hitchcock facility will have the opportunity to vote on an advisory recommendation regarding the amendment. - All associate providers credentialed at any Dartmouth-Hitchcock facility will have the opportunity to vote on an advisory recommendation regarding the amendment. - The Board of Trustees must request the written advice and recommendation of the Board of Governors on each proposed amendment.
Description of classes of Members, Persons, and their rights	Form 990, Part VI, Question 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. In addition, The Dartmouth-Hitchcock Assembly of Overseers (Overseers) acts in an advisory capacity to the DHC Board of Trustees. It elects the Public Trustee members of the DHC Board, subject to the subsequent confirmation of such members by the D-HH Board of Trustees. The Overseers have no other voting rights with respect to the Board of Trustees. Form 990, Part VI, Question 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 Audit Committee of the DHC Board of Trustees is presented with a substantially complete Form 990. 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. The Committee members are expected to review these forms before the meeting. AT THE MEETING A PRESENTATION IS MADE BY THE VICE PRESIDENT OF CORPORATE FINANCE, WITH TIME ALLOTTED FOR QUESTIONS FROM THE COMMITTEE. ONCE THE RETURN HAS BEEN FULLY PREPARED A FINAL 990 AND 990-T COMPLETE ELECTRONIC VERSION IS SENT OUT TO EACH BOARD MEMBER PRIOR TO THE OFFICIAL FILING.
Description of Process to Monitor Transactions For Conflicts of Interest	Form 990, Part VI, Question 12c	The Dartmouth-Hitchcock Clinic Board of Trustees approved a policy concerning a voluntary self-disclosure of any potential conflict of interest. The Compliance and Audit Services Department conducts an annual survey 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 the 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 Trustees on an ongoing basis. If a conflict arises, the individual is asked to recuse themselves from voting on any related items. The policy applies to all trustees, employees, and their immediate family members. All DHC board members are included in the annual conflict of interest survey.
Offices & Positions for Which Process was Used & Year Undertaken	Form 990, Part VI, Question 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 2013.
Form 990, Part VI, Question 15b		Compensation for Officers and Key Employees are 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 2013 for each person identified as an Officer or Key Employee.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public	Form 990, Part VI, Question 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 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. 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, Question 5	Other Changes in Net Assets Include: Pension-related charges and other ($50,807,951) Audited Financial Statements Form 990 Part XII, Question 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, Question 3a DURING FISCAL YEAR 2013, 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

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Mary Hitchcock Memorial Hospital
One Medical Center Drive	Lebanon	NH	03756	020222140	Healthcare	NH	501(c)(3)	3	D-HH	true
Dartmouth-Hitchcock Medical Center
One Medical Center Drive	Lebanon	NH	03756	222715483	SUPPORTNG ORG	NH	501(c)(3)	11 TYPE I	NA	true
The Hitchcock Foundation
One Medical Center Drive	Lebanon	NH	03756	020222139	HLTHCRE RSRCH	NH	501(c)(3)	7	DHC	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	true
Dartmouth-Hitchcock Health
One Medical Center Drive	Lebanon	NH	03756	264812335	SUPPORTNG ORG	NH	501(c)(3)	11 Type II	NA	false

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
OBNET Services LLC
1 Med Ctr Dr	Lebanon	NH	03756	043746287	Database Serv	NH	DHC	Related	54794	352749	false	$0	true	0.50000
D-H Mster Invst Prg
1 Med Ctr Dr	Lebanon	NH	03756	020505863	Pooled Invest	NH	NA
Keene Hlth Alliance
580 Court St	Keene	NH	03431	300179297	Healthcare	NH	NA	Related	-683000	0	false	$0	false	0.50000
The Hitchcock Ptshp
1 Med Ctr Dr	Lebanon	NH	03756	020514823	Invst in Ptnr	NH	MHMH	Investment	6123	76534	false	$0	false	0.38580
One Care VT ACO LLC
111 COLCHESTER AVE	Burlington	VT	05401	455399218	Shared Saving	VT	NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Pompanoosuc Investment Corporation
One Medical Center Drive	Lebanon	NH	03756	020352330	Rl Estate Hld	NH	DHC	C CORP	-2654	75632	1.00000	true
Hamden Assurance Company Limited
				980121409	Liab Insur.		DHC	C CORP	0	0	0.70200	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	0	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Mary Hitchcock Memorial Hospital
MNOPQ	103062318	FMV
Dartmouth-Hitchcock Health
Q	1015909	FMV
Dartmouth-Hitchcock Health
P	872491	FMV
Dartmouth-Hitchcock Medical Center
M	691264	FMV
Dartmouth-Hitchcock Medical Center
L	156069	FMV
The Hitchcock Foundation
Q	526632	FMV
The Hitchcock Foundation
P	340833	FMV
Hamden Risk Retention Group
M	2473146	FMV