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        <ExplanationTxt>AS STATED IN DHMC'S BYLAWS AND FORM 1023, THE ORGANIZATION ALSO SUPPORTS THE VETERANS AFFAIRS MEDICAL CENTER (VAMC), A GOVERNMENTAL AGENCY LOCATED IN WHITE RIVER JUNCTION, VT. THERE WERE NO FINANCIAL TRANSACTIONS BETWEEN THE VAMC AND DHMC DURING THE SHORT PERIOD.</ExplanationTxt>
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        <ExplanationTxt>AND RESEARCH, GOVERNMENT AND PUBLIC RELATIONS, CHARITABLE FUNDRAISING AND OTHER RESOURCE DEVELOPMENT ACTIVITIES CONSISTENT WITH THE PURPOSES OF THE SUPPORTED ORGANIZATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S TREASURER IS COMPENSATED BY MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH), A RELATED AND SUPPORTED ORGANIZATION OF DHMC. AS PART OF HIS ROLE AT MHMH, HIS COMPENSATION IS REVIEWED BY EXTERNAL PARTIES AND MHMH'S COMPENSATION COMMITTEE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>DHMC HAS FOUR MEMBERS, REFERRED TO AS COMPONENTS: DARTMOUTH COLLEGE/GEISEL SCHOOL OF MEDICINE; DARTMOUTH-HITCHCOCK CLINIC; MARY HITCHCOCK MEMORIAL HOSPITAL, AND THE VETERANS AFFAIRS MEDICAL CENTER.</ExplanationTxt>
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        <ExplanationTxt>THE COMPONENTS SHALL BE REPRESENTED, RESPECTIVELY, BY THE DEAN OF GEISEL SCHOOL OF MEDICINE, PRESIDENT OF THE CLINIC, PRESIDENT OF THE HOSPITAL, AND DIRECTOR OF THE VETERANS AFFAIRS, ALL OF WHOM SHALL BE EX-OFFICIO. THE COLLEGE/MEDICAL SCHOOL, CLINIC, AND HOSPITAL SHALL EACH BE REPRESENTED BY TWO INDIVIDUALS (COMPONENT TRUSTEES), NOMINATED BY THEIR RESPECTIVE BOARDS OF TRUSTEES AND ELECTED BY THE DHMC BOARD. SUCH INDIVIDUALS SHOULD NORMALLY BE TRUSTEES OF THE COMPONENT BOARDS, BUT THIS IS NOT A REQUIREMENT. ALL MEMBERS OF THE BOARD, BOTH ELECTED AND EX-OFFICIO, SHALL HAVE VOTING RIGHTS. IN ADDITION, THE DHMC BOARD MAY ELECT AS MANY AS FIVE NON-COMPONENT TRUSTEES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 8B DOCUMENTATION OF MEETINGS HELD BY COMMITTEES OF GOVERNING BODY</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DARTMOUTH-HITCHCOCK MEDICAL CENTER BOARD OF TRUSTEES APPROVED A POLICY CONCERNING A VOLUNTARY SELF-DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. THE DARTMOUTH-HITCHCOCK COMPLIANCE AND AUDIT SERVICES DEPARTMENT CONDUCTS AN ANNUAL SURVEY OF ALL OFFICERS AND TRUSTEES AND PERFORMS OTHER PROCEDURES AS CONSIDERED NECESSARY TO REPORT ON COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE DEPARTMENT THEN REPORTS TO EACH BOARD ANY POTENTIAL CONFLICTS FOR THEIR REVIEW. PER THE POLICY, ANY CONFLICTS OR OTHERWISE PERCEIVED CONFLICTS ARE REQUIRED TO BE ADDRESSED BY THE BOARD OF TRUSTEES ON AN ONGOING BASIS. IN THE EVENT A CONFLICT ARISES, THE INDIVIDUAL MAY BE REMOVED FROM PARTICIPATING IN ANY DECISION MAKING REGARDING THE IDENTIFIED CONFLICT AND/OR ITS CORRESPONDING TRANSACTIONS. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM SUCH PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD HIM/HER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INTERESTED PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT SUCH PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION MAKES ITS AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST IN HARDCOPY OR ELECTRONIC FORM.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A COMPENSATION PAID BY THE FILING OR A RELATED ORGANIZATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS FORM 990 FILING IS FOR THE SHORT TAX YEAR BEGINNING JULY 1, 2025 AND ENDING SEPTEMBER 30, 2025. PURSUANT TO THE IRS INSTRUCTIONS TO FORM 990, COLUMNS (D), (E), AND (F) OF PART VII SECTION A SHOULD BE BLANK FOR A SHORT-YEAR RETURN THAT IS NOT A FINAL RETURN AND IN WHICH THERE IS NO CALENDAR YEAR THAT ENDS WITH OR WITHIN THE SHORT YEAR. THEREFORE, ALTHOUGH THE ORGANIZATION REPORTS INDIVIDUALS ON ITS FORM 990 PART VII SECTION A WHO RECEIVE COMPENSATION FROM THE FILING ORGANIZATION AND/OR FROM RELATED ORGANIZATIONS, COMPENSATION AMOUNTS REPORTED ON PART VII SECTION A OF THIS SHORT YEAR FORM 990 ARE ZERO IN ACCORDANCE WITH THE IRS INSTRUCTIONS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS TRANSFERRED TO AFFILIATE - -174100; TOTAL - -174100;</ExplanationTxt>
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