Dartmouth-Hitchcock Clinic in Lebanon, New Hampshire (NH)

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Dartmouth-Hitchcock Clinic
Employer Identification Number (EIN)222519596
Name of OrganizationDartmouth-Hitchcock Clinic
In Care of NameRobin Kilfeather-Mackey
Address1 Medical Center Dr, Lebanon, NH 03756-1000
ActivitiesGroup medical practice association, In faculty group practice association
SubsectionCharitable Organization, Educational Organization
Ruling Date08/1984
DeductibilityContributions are deductible
FoundationOrganization that normally receives no more than one third of its support from gross investment income and unrelated business income and at the same time more than one third of its support from contributions, fees, and gross receipts related to exempt purposes
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period06/2013
Assets$50,000,000 to greater
Income$50,000,000 to greater
Filing Requirement990 (all other) or 990EZ return
Asset Amount$228,949,164
Amount of Income$407,298,233
Form 990 Revenue Amount$406,202,606
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Ambulatory Health Center, Community Clinic


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Amount of income in 2013: $407,298,233
Dartmouth-Hitchcock Clinic: 

 $407,298,233
Other organizations performing similar types of work: 

 $11,586,981

Assets in 2013: $228,949,164
This organization: 

 $228,949,164
Other organizations performing similar types of work: 

 $7,879,718

Expenses in 2013: $387,492,171
Dartmouth-Hitchcock Clinic: 

 $387,492,171
Other organizations performing similar types of work: 

 $11,640,907

Income to expenses ratio in 2013: 1.1
Dartmouth-Hitchcock Clinic: 

 1.1
Other organizations performing similar types of work: 

 1.0

Expenses allocated to program services in 2007: 86.5%
This organization: 

 86.5%
Other organizations performing similar types of work: 

 83.9%

Number of employees in 2013: 4,484
Dartmouth-Hitchcock Clinic: 

 4,484
Other organizations performing similar types of work: 

 160

Employees paid over $100,000 in 2013: 24.4%
This organization: 

 24.4%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 0.0%
Dartmouth-Hitchcock Clinic: 

 0.0%
Other organizations performing similar types of work: 

 29.2%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Support schedule

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?YesNo
Is the organization required to complete Schedule B, Schedule of Contributors?NoNo
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?YesNo
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?YesNo
Did the organization report an amount for land, buildings, and equipment?YesYes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?NoNo
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?YesYes
Did the organization report an amount for other liabilities?YesYes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?NoNo
Did the organization obtain separate, independent audited financial statements for the tax year?NoNo
Was the organization included in consolidated, independent audited financial statements for the tax year?YesYes
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?YesNo
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?NoNo
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?NoNo
Did the organization attach a copy of its audited financial statements?NoNo
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?YesYes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?YesYes
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?YesYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?YesYes
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?YesYes
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?YesYes
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?YesYes
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?YesYes
Did the organization receive more than $25,000 in non-cash contributions?NoNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?NoNo
Was the organization related to any tax-exempt or taxable entity?YesYes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?YesYes
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 109600
The number of Forms W-2G00
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?YesYes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return4,3994,484
Did the organization file all required federal employment tax returns?YesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?YesYesYes
Has it filed a Form 990-T for this year?YesYes
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?YesYes
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNo
Did the organization file Form 8886-T?NoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNo
Did the organization notify the donor of the value of the goods or services provided?NoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNo
The amount of tax-exempt interest received or accrued during the year$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0
The amount of reserves on hand$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNo
Has it filed a Form 720 to report these payments?NoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$12,052,690$13,315,387
Total reportable compensation from related organizations$4,255,420$7,095,442
Total estimated amount of other compensation from the organization and related organizations$885,229$2,051,087
Total number of individuals who received more than $100,000 of reportable compensation from the organization1,0441,095
Total number of independent contractors who received more than $100,000 of compensation from the organization00
Statement of Revenue
201120122013
Total revenue$373,428,889$301,246,471$406,202,606
Contributions, Gifts, Grants and Other Similar Amounts$0$0$0
Program Service Revenue$305,530,025$247,880,635$312,867,125
621110$247,880,635$312,867,125
All other program service revenue$0$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$27,824$43,914$16,245
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$2,815,870$1,822,869$2,716,685
Gross rents (Real / Personal)$3,057,938 / $626,505$2,036,071 / $450,854$2,961,261 / $644,024
Less: rental expenses (Real / Personal)$131,306 / $737,267$522,053 / $142,003$741,230 / $147,370
Rental income or (loss) (Real / Personal)$2,926,632 / $-110,762$1,514,018 / $305,851$2,220,031 / $496,654
Net gain/loss from sales of assets other than inventory$-38,380$-110,481$70,019
Gross amount from sales of assets other than inventory (Securities / Other)$0 / $0$0 / $0$-19,842 / $296,888
Less: cost or other basis and sales expenses (Securities / Other)$3,168 / $35,212$4,978 / $105,502$0 / $207,027
Gain or (loss) (Securities / Other)$-3,168 / $-35,212$-4,978 / $-105,502$-19,842 / $89,861
Net income/loss from fundraising events$0$0$0
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$0$0$0
Miscellaneous Revenue$65,093,550$51,609,534$90,532,532
621110$49,084,781$83,453,774
211110$298,185$3,359,593
621110$2,226,568$3,247,560
All other revenue$0$471,605
Statement of Functional Expenses
201120122013
Total functional expenses$376,642,115$301,912,260$387,492,171
Grants and other assistance to domestic organizations and domestic governments$70,715$2,180,200
Grants and other assistance to domestic individuals$102,312$466,303
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0$0
Benefits paid to or for members$0$0
Compensation of current officers, directors, trustees, and key employees$3,559,211$3,982,227$6,273,875
Compensation not included above, to disqualified persons$121,246$795,167
Other salaries and wages$169,952,650$136,134,928$184,443,212
Pension plan accruals and contributions$19,083,660$23,797,653
Other employee benefits$20,624,752$25,435,333
Payroll taxes$12,081,547$9,921,602$13,019,348
Fees for services (non-employees)
Management$0$0
Legal$728,298$978,313
Accounting$133,489$178,938
Lobbying$0$30,167
Professional fundraising services$0$0$0
Investment management fees$0$0
Other$21,188,144$22,365,473
Advertising and promotion$496,352$743,367
Office expenses$4,955,988$6,792,446
Information technology$1,762,722$2,413,185
Royalties$0$0
Occupancy$4,818,000$6,174,205
Travel$625,534$987,590
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$5,831$41,573
Interest$4,592,650$6,807,571
Payments to affiliates$0$0
Depreciation, depletion, and amortization$12,871,640$16,983,654
Insurance$1,830,289$1,501,356
Other expenses$39,956,945$54,368,048
Other expenses$8,125,918$4,667,337
Other expenses$3,481,077$1,038,771
Other expenses$1,141,142$1,106,068
Other expenses$0$3,903,018
Balance Sheet
201120122013
Total assets$288,378,675$301,634,312$228,949,164
Cash - non-interest-bearing$24,313$15,745
Savings and temporary cash investments$149,198$-189,306
Pledges and grants receivable, net$0$0
Accounts receivable, net$36,877,683$35,110,240
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$354,641$384,015
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0
Notes and loans receivable, net$6,476,070$6,679,138
Inventories for sale or use$339,320$330,456
Prepaid expenses and deferred charges$0$0
Land, buildings, and equipment: cost or other basis$46,183,158$41,262,295
Investments - publicly traded securities$93,523$149,037
Investments - other securities$0$0
Investments - program-related$1,500$1,500
Intangible assets$0$0
Other assets$211,134,906$145,206,044
Total liabilities$495,861,274$518,759,856$376,500,812
Accounts payable and accrued expenses$56,965,205$65,608,899
Grants payable$0$0
Deferred revenue$0$0
Tax-exempt bond liabilities$58,555,011$58,555,011$56,747,863
Escrow or custodial account liability$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0
Secured mortgages and notes payable to unrelated third parties$18,108,655$18,108,655$16,748,892
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$385,130,988$237,395,158
Total net assets or fund balances$-207,482,599$-217,125,547$-147,551,648
Unrestricted net assets$-218,350,102$-148,777,030
Temporarily restricted net assets$226,096$226,923
Permanently restricted net assets$998,459$998,459
Capital stock or trust principal, or current funds$0$0
Paid-in or capital surplus, or land, building, or equipment fund$0$0
Retained earnings, endowment, accumulated income, or other funds$0$0$0
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Number of organizations supported0
Sum of amounts of support$0
Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013)
2009 - 2013 Total
Public support$1,869,332,133
Subtotal$1,869,332,133
Gifts, grants, contributions, and membership fees received$147,364
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose$1,869,184,769
Gross receipts from activities that are not an unrelated trade or business under section 513$0
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf$0
The value of services or facilities furnished by a governmental unit to the organization without charge$0
Less$0
Amounts received from disqualified persons$0
Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support$0
Total support$1,885,647,275
Public support$1,869,332,133
Subtotal$10,541,994
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources$10,541,994
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975$0
Net income from unrelated business activities, whether or not the business is regularly carried on$910,817
Other income$4,862,331
Revenue, Expenses, and Changes in Net Assets or Fund Balances
20002001200220032004200520062007
Total revenue$271,867,156$288,147,485$303,745,700$343,689,263$353,594,361$367,792,068$392,882,830$411,613,567
Contributions, gifts, grants, and similar amounts received$99,923$101,481$144,386$490,580$191,592$165,589$342,844$57,550
Contributions to donor advised funds$0$0
Direct public support$99,923$101,481$144,386$147,721$144,685$165,589$342,844$57,550
Indirect public support$0$0$0$0$0$0$0$0
Government contributions (grants)$0$0$0$342,859$46,907$0$0$0
Program service revenue including government fees and contracts$255,828,903$251,075,887$256,716,070$280,298,466$287,163,288$292,491,181$295,206,026$294,104,110
Membership dues and assessments$0$0$0$0$0$0$0$0
Interest on savings and temporary cash investments$4,256,760$2,386,045$1,309,657$205,240$216,253$401,935$475,241$393,334
Dividends and interest from securities$0$347,700$264,948$262,869$284,756$283,353$71,176$45,567
Net rental income or (loss)$829,084$2,116,895$1,764,184$1,963,474$1,841,627$1,849,591$2,878,239$3,609,103
Gross rents$1,270,088$2,533,100$2,117,801$2,335,508$2,111,078$2,115,326$3,028,956$3,761,701
Less: rental expenses$441,004$416,205$353,617$372,034$269,451$265,735$150,717$152,598
Other investment income$0$0$0$0$0$0$0$0
Gain or (loss) from sales of assets other than inventory$58,926$-131,436$-1,130,047$-29,769$46,538$-72,718$-587,034$28,270
Gross amount from sales of assets other than inventory$231,686$1,927$653,733$76,684$108,359$53,635$408,840$154,724
Less: cost or other basis and sales expenses$172,760$133,363$1,783,780$106,453$61,821$126,353$995,874$126,454
Net income or (loss) from special events and activities$0$0$0$0$0$0$0$0
Gross revenue$0$0$0$0$0$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0$0$0$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0$0$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0$0$0$0
Other revenue$10,793,560$32,250,913$44,676,502$60,498,403$63,850,307$72,673,137$94,496,338$113,375,633
Total expenses$265,447,824$283,791,520$305,520,966$336,812,600$350,049,341$368,697,613$387,271,097$404,728,715
Program services$224,583,179$244,437,727$264,408,144$295,069,484$306,802,484$313,922,756$338,085,439$350,088,270
Management and general$40,740,136$39,194,975$40,930,783$41,557,071$43,047,832$54,584,192$48,974,808$54,412,007
Fundraising$124,509$158,818$182,039$186,045$199,025$190,665$210,850$228,438
Payments to affiliates$0$0$0$0$0$0$0$0
Net assets or fund balances at end of year$30,303,634$4,414,196$-60,232,841$-37,304,755$-83,287,932$-26,960,651$-65,474,711$-80,635,825
Excess or (deficit) for the year$6,419,332$4,355,965$-1,775,266$6,876,663$3,545,020$-905,545$5,611,733$6,884,852
Net assets or fund balances at beginning of year$22,814,592$30,303,634$4,414,196$-60,232,841$-37,304,755$-83,287,932$-26,960,651$-65,474,711
Other changes in net assets or fund balances$1,069,710$-30,245,403$-62,871,771$16,051,423$-49,528,197$57,232,826$-44,125,793$-22,045,966
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$404,728,715$350,088,270$54,412,007$228,438
Grants paid from donor advised funds$0
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$4,225,406$1,817,997$2,407,409$0
Compensation of former officers, directors, key employees, etc.$1,437,170$1,437,170$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$214,577,898$189,574,103$25,003,795$0
Pension plan contributions not included above$43,542,144$38,343,317$5,198,827$0
Employee benefits not included above$29,748,299$26,196,424$3,551,875$0
Payroll taxes$16,500,247$14,530,157$1,970,090$0
Professional fundraising fees$228,438$0$0$228,438
Accounting fees$187,423$0$187,423$0
Legal fees$1,885,426$0$1,885,426$0
Supplies$6,670,921$6,670,921$0$0
Telephone$1,307,301$562,573$744,728$0
Postage and shipping$1,876,679$262,305$1,614,374$0
Occupancy$4,054,471$3,973,382$81,089$0
Equipment rental and maintenance$2,567,958$1,640,338$927,620$0
Printing and publications$28,876$28,425$451$0
Travel$845,880$479,374$366,506$0
Conferences, conventions, and meetings$0$0$0$0
Interest$4,100,054$4,018,053$82,001$0
Depreciation, depletion, etc.$9,119,601$8,937,209$182,392$0
Other expenses not covered above$61,824,523$51,616,522$10,208,001$0
Balance Sheets
20002001200220032004200520062007
Total assets$228,257,498$234,436,915$235,730,990$253,920,942$260,092,825$268,249,590$278,300,892$294,914,164
Cash - non-interest-bearing$23,561,200$6,218,765$8,959,239$0$0$0$14,512$15,567
Savings and temporary cash investments$0$0$0$1,403,664$6,318,029$5,650,565$9,411,894$8,499,274
Accounts receivable less allowance for doubtful accounts$18,249,307$20,266,633$23,915,559$23,188,110$24,349,713$27,346,374$31,110,653$31,548,512
Pledges receivable less allowance for doubtful accounts$0$0$0$0$0$0$0$0
Grants receivable$0$0$0$0$0$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$10,576,373$8,646,913$8,846,288$9,581,502$9,707,173$234,315$253,464
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$9,935,918$0$0$0$0$0$9,610,548$9,224,375
Inventories for sale or use$1,031,727$1,056,934$997,342$1,160,982$764,727$79,648$24,561$76,372
Prepaid expenses and deferred charges$8,370,289$20,176,474$17,235,638$22,238,143$24,363,437$11,892,470$1,733,433$2,518,108
Investments - publicly-traded securities$1,621,901$1,453,375
Investments - other securities$50,338,043$36,383,725$9,140,346$1,147,036$960,131$0$0$0
Investments - land, buildings, and equipment less accumulated depreciation$3,934,255$3,857,421$3,801,153$3,723,162$3,645,153$3,567,175$3,618,191$3,528,992
Investments - other$42,186,018$43,032,719$55,478,227$62,703,883$69,588,432$70,192,665$77,874,600$87,389,187
Land, buildings, and equipment less accumulated depreciation$65,241,516$70,104,808$73,941,774$76,780,257$77,128,516$74,763,988$71,170,869$68,836,907
Other assets, including program-related investments$5,409,225$22,763,064$33,614,799$52,729,417$43,393,185$65,049,532$71,875,415$81,570,031
Total liabilities$197,953,864$230,022,719$295,963,831$291,225,697$343,380,757$295,210,241$343,775,603$375,549,989
Accounts payable and accrued expenses$28,928,352$60,610,474$68,353,668$73,271,560$69,655,621$82,204,628$167,941,260$192,679,931
Grants payable$0$0$0$0$0$0$0$0
Deferred revenue$2,850,000$1,350,000$0$0$0$0$0$0
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Tax-exempt bond liabilities$65,713,200$77,743,698$76,452,123$75,099,768$73,680,555$72,194,484$70,638,516$69,006,573
Mortgages and other notes payable$20,865,561$20,253,184$20,469,974$23,870,267$25,437,212$24,731,661$23,711,625$22,640,955
Other liabilities$79,596,751$70,065,363$130,688,066$118,984,102$174,607,369$116,079,468$81,484,202$91,222,530
Total liabilities and net assets/fund balances$228,257,498$234,436,915$235,730,990$253,920,942$260,092,825$268,249,590$278,300,892$294,914,164
Total net assets or fund balances$30,303,634$4,414,196$-60,232,841$-37,304,755$-83,287,932$-26,960,651$-65,474,711$-80,635,825
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20002001200220032004200520062007
Total revenue$271,867,156$288,147,485$303,745,700$343,689,263$353,594,361$367,792,068$392,882,830$411,613,567
Total revenue, gains, and other support per audited financial statements$272,805,727$287,812,927$759,338,382$847,356,126$901,603,000$952,573,747$1,043,811,349$997,173,780
Other expenses$1,069,710$-174,552$470,216,778$540,498,371$585,537,278$632,212,509$704,519,881$649,928,212
Net unrealized gains on investments$1,069,710$-174,552$-495,359$36,811$-83,968$131,931$-33,819$0
Donated services and use of facilities$0$0$0$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0$0$0$0
Other$0$0$470,712,137$540,461,560$585,621,246$632,080,578$704,553,700$649,928,212
Other revenue$131,139$160,006$14,624,096$36,831,508$37,528,639$47,430,830$53,591,362$64,367,999
Investment expenses$0$0$0$0$0$0$0$0
Other$131,139$160,006$14,624,096$36,831,508$37,528,639$47,430,830$53,591,362$64,367,999
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
20002001200220032004200520062007
Total expenses$265,447,824$283,791,520$305,520,966$336,812,600$350,049,341$368,697,613$387,271,097$404,728,715
Total expenses and losses per audited financial statements$265,316,685$283,631,514$721,555,426$795,320,118$842,935,872$912,600,913$969,765,483$1,031,940,255
Other revenue$0$0$430,658,556$494,996,167$530,368,263$591,334,130$636,085,748$691,579,539
Donated services and use of facilities$0$0$0$0$0$0$0$0
Prior year adjustments$0$0$0$0$0$0$0$0
Losses$0$0$0$0$0$0$0$0
Other$0$0$430,658,556$494,996,167$530,368,263$591,334,130$636,085,748$691,579,539
Other expenses$131,139$160,006$14,624,096$36,488,649$37,481,732$47,430,830$53,591,362$64,367,999
Investment expenses$0$0$0$0$0$0$0$0
Other$131,139$160,006$14,624,096$36,488,649$37,481,732$47,430,830$53,591,362$64,367,999
Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to positionCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
60$265,326$55,478$144
70$619,704$64,780$0
60$488,814$65,400$5,143
60$437,419$36,281$414
1$3,943$0$0
1$169,173$46,161$144
60$513,033$79,438$5,698
60$376,592$75,480$519
60$417,819$58,180$4,067
60$378,704$56,882$670
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings16
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?Yes
Does the organization have a written conflict of interest policy?Yes
Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits
Loans and AdvancesCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
$0$432,318$66,334$414
$0$353,339$39,280$139
$0$495,491$47,107$2,748
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?Yes
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20064,056
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$496,254$5,757,669$405,302,094
Program service revenue
Program service revenue 1000000$000$0$293,941,780
Program service revenue 2000000$000$0$162,330
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$393,334$0
Dividends and interest from securities000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$45,567$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$0Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)$3,609,103$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$28,270$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenueOther professional, scientific, and technical services$496,254Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))$1,681,395$111,197,984
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
98012140970%$0$83,266,901
04374628750%$101,500$341,969
020352330100%$0$75,632
30017929750%$157,366,000$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$779,317$113,968$2,262
$703,818$104,181$122
$407,706$359,349$414
$611,081$123,841$100
$640,856$92,673$151
Total number of other employees paid over $50,0001,597
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$78,940
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
The total number of donor advised funds owned at the end of the tax year$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isOrganization that normally receives: less than 1/3 of its support from gross investment income and unrelated taxable business income and more than 1/3 of its support from contribution, membership fees
Support Schedule
19992000200120022003200420052006
Total$346,231,668$272,249,234$288,278,921$305,229,364$344,091,066$352,386,221$364,102,986$389,192,153
Gifts, grants, and contributions received$146,859$99,923$101,481$144,386$490,580$191,592$165,589$342,844
Membership fees received$0$0$0$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$341,416,088$266,078,713$283,063,435$301,192,705$340,431,769$349,712,131$361,458,408$385,424,653
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$4,668,721$5,526,848$4,850,640$3,692,406$2,803,617$2,230,222$2,433,192$3,424,656
Net income from unrelated business activities not included above$0$543,750$263,365$199,867$365,100$252,276$45,797$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0$0$0$0
Other income$0$0$0$0$0$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
Unrelated Trade or Business Income (for 2008)
IncomeExpensesNet
Total$496,254$0$496,254
Gross receipts or sales less returns and allowances$0$0$0
Cost of goods sold$0$0$0
Gross profit$0$0$0
Capital gain net income$0$0$0
Net gain$0$0$0
Capital loss deduction for trusts$0$0$0
Income (loss) from partnerships and S corporations$0$0$0
Rent income$0$0$0
Unrelated debt-financed income$0$0$0
Interest, annuities, royalties, and rents from controlled organizations$0$0$0
Investment income of a section 501(c)(7), (9), or (17) organization$0$0$0
Exploited exempt activity income$0$0$0
Advertising income$0$0$0
Other income$496,254$0$496,254
Deductions Not Taken Elsewhere (for 2008)
Total deductions$575,652
Compensation of officers, directors, and trustees$0
Salaries and wages$366,780
Repairs and maintenance$0
Bad debts$0
Interest$0
Taxes and licenses$0
Charitable contributions$0
Depreciation$0
Depletion$0
Contributions to deferred compensation plans$0
Employee benefit programs$124,412
Excess exempt expenses$0
Excess readership costs$0
Other deductions$84,460
Unrelated business taxable income$-79,398
Unrelated business taxable income before net operating loss deduction$-79,398
Net operating loss deduction$0
Unrelated business taxable income before specific deduction$-79,398
Specific deduction$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Dartmouth-Hitchcock Clinic1 Medical Center Dr, Lebanon, NH 03756-1000NH1984-08$407,298,233
2Valley Community Health CentersPO BOX 160, Northwood, ND 58267-0160ND2003-07$4,265,446
3Unity Health Care Inc1220 12th St Se Ste 120, Washington, DC 20003-3733DC1988-11$98,607,864
4Venice Family Clinic604 Rose Ave, Venice, CA 90291-2767CA1977-04$34,893,915
5Three Lower Counties Community Services IncPO BOX 1978, Salisbury, MD 21802-1978MD1994-10$33,680,088
6Whittier Street Health Center Committere Inc1290 Tremont St, Roxbury, MA 02120-3432MA$23,258,590
7University Mcduffie County Regional Medical Center Inc1350 Walton Way, Augusta, GA 30901-2612GA2014-08$18,289,008
8Teche Action Board Inc1115 Weber St, Franklin, LA 70538-4124LA1975-01$18,125,031
9Castle Family Health Centers Inc3605 Hospital Rd Ste H, Atwater, CA 95301-5173CA2007-06$17,094,950
10Shore Clinical Foundation Inc219 S Washington St, Easton, MD 21601-2913MD1996-05$14,910,343
11Wisconsin Dialysis Inc3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125WI2003-01$12,878,771
12Seattle Indian Health Board611 12th Ave S, Seattle, WA 98144-1910WA1971-02$12,282,116
13Lamprey Health Care Inc207 S Main St, Newmarket, NH 03857-1843NH1973-09$12,129,918
14St Lukes Health Resources2720 Stone Park Blvd, Sioux City, IA 51104-3734IA1976-12$11,783,399
15Waikiki Health277 Ohua Ave, Honolulu, HI 96815-6612HI1975-06$11,488,341
16Southern Indian Health Council4058 Willows Rd, Alpine, CA 91901-1668CA1985-10$11,395,684
17South Bay Family Healthcare Center23430 Hawthorne Blvd Ste 210, Torrance, CA 90505-4732CA1969-10$11,109,688
18St Joseph Ambulatory Care IncPO BOX 403, Bangor, ME 04402-0403ME1984-01$10,717,915
19Ammonoosuc Community Health Services Inc25 Mount Eustis Rd, Littleton, NH 03561-3712NH1995-02$8,224,094
20Goodwin Community Health311 Route 108, Somersworth, NH 03878-1522NH1973-03$7,967,063
Number of organizations performing similar types of work
Alaska2
Alabama5
Arkansas6
Arizona7
California43
Colorado3
Connecticut5
District of Columbia1
Delaware1
Florida9
Georgia8
Hawaii2
Iowa3
Idaho2
Illinois12
Indiana4
Kentucky6
Louisiana6
Massachusetts14
Maryland5
Maine6
Michigan12
Minnesota7
Missouri7
Mississippi11
Montana1
North Carolina9
North Dakota3
Nebraska2
New Hampshire4
New Jersey7
New Mexico2
New York16
Ohio12
Oklahoma4
Oregon1
Pennsylvania17
Rhode Island1
South Carolina3
South Dakota1
Tennessee6
Texas18
Virginia5
Vermont1
Washington13
Wisconsin5
West Virginia4
Wyoming1
International6
Total329

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