HAMDEN ASSURANCE RISK RETENTION GROUP INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: HAMDEN ASSURANCE RISK RETENTION GROUP INC (EIN 20-8530788)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-15
IRS object ID: 201633209349311443
Schema version: 2015v2.1
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 D
Schedule F
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-15T14:31:08-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PRICEWATERHOUSECOOPERS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SEAPORT BLVD	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02210	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	208530788	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Hamden Assurance Risk Retention Group Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% DANIEL JANTZEN	InCareOfNm
Business Name Control	HAMD	BusinessNameControlTxt
Phone	6036531155	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	30 Main Street Suite 330	AddressLine1Txt
City	Burlington	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANIEL JANTZEN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6036505634	PhoneNum
Signature	2016-11-15	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Paul Tanis	PreparerPersonNm
PTIN	P01441612	PTIN
Phone	6175305000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DANIEL JANTZEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Medical Center Drive	AddressLine1Txt
City	Lebanon	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03756	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,164,741	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2007	FormationYr
Legal Domicile State	VT	LegalDomicileStateCd
Activity Or Mission	See Attachment 1	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	1	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	1	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$625,259	PYProgramServiceRevenueAmt
CY Program Service Revenue	$575,638	CYProgramServiceRevenueAmt
PY Investment Income	$10,345	PYInvestmentIncomeAmt
CY Investment Income	$14,638	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$635,604	PYTotalRevenueAmt
CY Total Revenue	$590,276	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$598,242	PYOtherExpensesAmt
CY Other Expenses	$494,633	CYOtherExpensesAmt
PY Total Expenses	$598,242	PYTotalExpensesAmt
CY Total Expenses	$494,633	CYTotalExpensesAmt
PY Revenues Less Expenses	$37,362	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$95,643	CYRevenuesLessExpensesAmt
Total Assets BOY	$88,377,638	TotalAssetsBOYAmt
Total Assets EOY	$94,887,313	TotalAssetsEOYAmt
Total Liabilities BOY	$86,699,040	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$94,120,569	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,678,598	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$766,744	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO BENEFIT, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF THE CHARITABLE CLASS OF BENEFICIARIES, THROUGH THE PROVISION OF SELF-INSURANCE COVERAGE AND OTHER SERVICES THAT RISK RETENTION GROUPS ARE PERMITTED TO PROVIDE UNDER THE APPLICABLE FEDERAL AND STATE LAW; TO ACQUIRE, ESTABLISH, RETAIN AND MAINTAIN A FUND OR FUNDS TO BE HELD, INVESTED AND USED EXCLUSIVELY FOR THE FOREGOING PURPOSES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$402,831	ExpenseAmt
Revenue	$575,638	RevenueAmt
Desc	Hamden Assurance Risk Retention Group, Inc. (Hamden) was incorporated on February 28, 2007, under the laws of the State of Vermont by its Class A members: Dartmouth-Hitchcock Medical Center, Dartmouth-Hitchcock Clinic, Mary Hitchcock Memorial Hospital and the Trustees of Dartmouth College. Commencing operations on October 1, 2007, Hamden writes medical professional and general liability coverage for its members (insureds) which are also the owners. Insurance coverage is provided through a primary and an excess policy.	Desc
Total Program Service Expenses	$402,831	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	4	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	1	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DANIEL JANTZEN	PersonNm
Phone	6036505634	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE MEDICAL CENTER	AddressLine1Txt
City	Lebanon	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03756	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
Daniel P Jantzen CPA
Vice President	1.0	60.0	Yes (X)	Yes (X)	$0	$676,831	$151,921
Lawrence J Dacey MD MS
President	1.0	40.3	Yes (X)	Yes (X)	$0	$0	$188,491
Robin F Kilfeather-Mackey CPA
Vice President & Treasurer	1.0	60.01	Yes (X)	Yes (X)	$0	$550,797	$175,125
Thomas A Colacchio MD
Chairman	1.0	40.0	Yes (X)	Yes (X)	$0	$1,021,525	$81,611
Robert M Gagliardi
Director	1.0	0.0	Yes (X)		$0	$0	$0
Paul F Greeley
Director	1.0	40.0	Yes (X)		$0	$203,658	$17,737
John Kacavas JD
Secretary Eff 9/9/15	1.0	60.0	Yes (X)	Yes (X)	$0	$242,425	$29,942
Jeanine Arden-Ornt
Secretary End 3/2/2015	1.0	25.0	Yes (X)	Yes (X)	$0	$213,499	$0
Randall L Wachsmann
Assistant Secretary	1.0	0.0		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,908,735	TotReportableCompRltdOrgAmt
Total Other Compensation	$644,827	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	CEDING COMMISSIONS	Desc
Business	524298	BusinessCd
Total Revenue Column	$575,638	TotalRevenueColumnAmt
Related Or Exempt Func Income	$575,638	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$575,638	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,194	TotalRevenueColumnAmt
Exclusion	$14,194	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$574,909	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$574,465	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$444	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$444	TotalRevenueColumnAmt
Exclusion	$444	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$590,276	TotalRevenueColumnAmt
Related Or Exempt Func Income	$575,638	RelatedOrExemptFuncIncomeAmt
Exclusion	$14,638	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

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

Pension Plan Contributions PensionPlanContributionsGrp

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

Other Employee Benefits OtherEmployeeBenefitsGrp

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

Payroll Taxes PayrollTaxesGrp

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

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$104,605	TotalAmt
Program Services	$83,675	ProgramServicesAmt
Management And General	$20,930	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$11,415	TotalAmt
Management And General	$11,415	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$48,359	TotalAmt
Management And General	$48,359	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$5,112	TotalAmt
Management And General	$5,112	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

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

Advertising AdvertisingGrp

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

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$613	TotalAmt
Management And General	$613	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$41,787	TotalAmt
Program Services	$41,787	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

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

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$150	TotalAmt
Program Services	$150	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

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

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

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

Insurance InsuranceGrp

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

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
ACTUARIAL FEES	$170,000	$170,000
PREMIUM TAX EXPENSE	$101,362	$101,362
LETTER OF CREDIT FEES	$3,492	$3,492
STATE FEES AND REG	$1,230	$1,230

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,508	TotalAmt
Program Services	$1,135	ProgramServicesAmt
Management And General	$5,373	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$494,633	TotalAmt
Program Services	$402,831	ProgramServicesAmt
Management And General	$91,802	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$524,508	BOYAmt
EOY	$545,267	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$31,469,562	BOYAmt
EOY	$42,330,403	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$251,685	BOYAmt
EOY	$210,239	EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,074,342	BOYAmt
EOY	$2,388,117	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$54,057,541	BOYAmt
EOY	$49,413,287	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$88,377,638	BOYAmt
EOY	$94,887,313	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$234,746	BOYAmt
EOY	$568,015	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$327,480	BOYAmt
EOY	$248,158	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$86,136,814	BOYAmt
EOY	$93,304,396	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$86,699,040	BOYAmt
EOY	$94,120,569	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow SFAS117	Yes (X)	OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$1,050,000	BOYAmt
EOY	$50,000	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$628,598	BOYAmt
EOY	$716,744	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,678,598	BOYAmt
EOY	$766,744	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$88,377,638	BOYAmt
EOY	$94,887,313	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$95,643	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,497	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,000,000	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
IRS Written Determination	Yes (X)	IRSWrittenDeterminationInd
Supported Organizations	4	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
DARTMOUTH-HITCHCOCK CLINIC
222519596	9	Yes (true)	$0	$0
MARY HITCHCOCK MEMORIAL HOSPITAL
020222140	3	Yes (true)	$0	$0
TRUSTEES OF DARTMOUTH COLLEGE
020222111	2	Yes (true)	$0	$0
DARTMOUTH-HITCHCOCK MEDICAL CENTER
222715483	9	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	4	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	Yes (true)	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Supported Org Class Designated	false	SupportedOrgClassDesignatedInd
Substitution Beyond Org Cntl	false	SubstitutionBeyondOrgCntlInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (true)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Organizations without IRS determination under 509(a)(1) or (2)	FormAndLineReferenceDesc
Explanation	Form 990, Schedule A, Part IV, Section A, Line 2 THE LIST OF SPECIFIED SUPPORTED ORGANIZATIONS OF HAMDEN ASSURANCE RISK RETENTION GROUP, INC. INCLUDES DARTMOUTH-HITCHCOCK MEDICAL CENTER, WHICH ITSELF IS A SUPPORTING ORGANIZATION DESCRIBED IN SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE. AS DESCRIBED TO THE IRS IN HRRG'S FORM 1023 EXEMPTION APPLICATION, DHMC WAS INCLUDED AS A CLASS A MEMBER OF HRRG (AND, THUS, A SPECIFIED SUPPORTED ORGANIZATION) PRIMARILY BASED ON ITS POTENTIAL DESIGNATION AS A DEFENDANT IN ANY LITIGATION AGAINST HRRGS OTHER SPECIFIED SUPPORTED ORGANIZATIONS. FROM THE TIME OF FILING ITS FORM 1023, UP TO AND INCLUDING THE FILING OF THIS FORM 990, THE NEED FOR HRRG TO OPERATE FOR THE BENEFIT OF DHMC OR ANY OTHER SECTION 509(A)(3) ORGANIZATION WAS AND IS A REMOTE CONTINGENCY WITHIN THE MEANING OF TREASURY REGULATION SECTION 1.509(A)-4(D)(4)(I)(B). ACCORDINGLY, HRRG MEETS THE REQUIREMENTS OF TREASURY REGULATION SECTION 1.509(A)-4(D)(2)(II).	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Land		LandGrp
Buildings		BuildingsGrp
Leasehold Improvements		LeaseholdImprovementsGrp
Equipment		EquipmentGrp
Other Land Buildings		OtherLandBuildingsGrp

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DEPOSIT ASSET	$49,410,067
ACCRUED INTEREST	$3,220

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$49,413,287	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEPOSIT LIABILITY	$50,898,214
PREMIUM TAXES PAYABLE	$75,778
DUE TO MEMBERS AND AFFILIATES	$42,330,404

Field	Value	IRS element (for citing)
Total Liability	$93,304,396	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$577,666	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$7,497	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$7,497	RevenueNotReportedAmt
Revenue Subtotal	$585,163	RevenueSubtotalAmt
Investment Expenses Not Incld	$5,113	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$5,113	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$590,276	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$489,520	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$489,520	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$5,113	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$5,113	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$494,633	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	ASC 740 Footnote	FormAndLineReferenceDesc
Explanation	Form 990, Schedule D, Part X, Line 2 No ASC 740 footnote was included in the audited financial statements as there were no material uncertain tax positions at or since adoption.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	Insurance	SpecificServicesProvidedTxt
Region Total Expenditures	$3,152,647	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$3,152,647	SubtotalSpentAmt
Total Spent	$3,152,647	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990, Schedule F, Part I, Column (f)	FormAndLineReferenceDesc
Explanation	The $3,152,647 reported under column (f) to Central America/Caribbean represents the amount accounted for within the balance sheet of the audited financial statements of the organization.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Daniel P Jantzen CPA
Vice President	$0	$514,015	$0	$0	$0	$162,816	$0	$136,497	$0	$15,424	$0	$828,752	$0	$0
Lawrence J Dacey MD MS
President	$0	$0	$0	$0	$0	$0	$0	$178,092	$0	$10,399	$0	$188,491	$0	$0
Robin F Kilfeather-Mackey CPA
Vice President & Treasurer	$0	$513,562	$0	$0	$0	$37,235	$0	$154,998	$0	$20,127	$0	$725,922	$0	$0
Thomas A Colacchio MD
Chairman	$0	$932,710	$0	$0	$0	$88,815	$0	$64,362	$0	$17,249	$0	$1,103,136	$0	$0
Paul F Greeley
Director	$0	$203,042	$0	$0	$0	$616	$0	$16,983	$0	$754	$0	$221,395	$0	$0
John Kacavas JD
Secretary Eff 9/9/15	$0	$242,170	$0	$0	$0	$255	$0	$18,978	$0	$10,964	$0	$272,367	$0	$0
Jeanine Arden-Ornt
Secretary End 3/2/2015	$0	$213,499	$0	$0	$0	$0	$0	$0	$0	$0	$0	$213,499	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Severance Payments	FormAndLineReferenceDesc
Explanation	Form 990, Schedule J, Part I, Line 4a Jeanine Arden-Ornt ended employment with a related organization, MHMH, on 6/30/2014. MHMH engaged the former employee on a consulting basis until 6/30/2015 to assist with Risk Management and Insurance Consulting Services. Schedule J, Part II, Column B(i) consists entirely of IRS Form 1099-Misc compensation. Supplemental Nonqualified Retirement Plan Form 990, Schedule J, Part I, Line 4b The following individuals received funds from a supplemental nonqualified retirement plan: Daniel Jantzen $75,081 Robin Kilfeather-Mackey $16,500 Thomas Colacchio $88,815 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) 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. Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinic, both related organizations, sponsor a split dollar life plan for certain long-term employees. The original objectives for offering these plans were to better enable MHMH to attract and retain quality executive personnel, improve the physicians' post-retirement life insurance benefits, and to replace an increasingly costly retiree life insurance program. The plan was frozen in 1998 and therefore no further costs of the individual employee insurance premiums have been funded by the organization. The number of participants and dollar value continues to dwindle as individuals retire/leave the organization.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Business Relationships	Form 990, Part VI, Section A, Line 2 Hamden Assurance Risk Retention Group is part of the Dartmouth-Hitchcock Health System, which owns for-profit subsidiaries that provide services and supports the mission of the organizations. As a result, some officers of HARRG may also be officers of related for-profits entities. Description of Organization's Delegation of Management Control Form 990, Part VI, Line 3 The Organization has a management agreement with AIG Management Services to provide day-to-day accounting and administrative services (such as legal and insurance registrations). The board retains all voting rights and decision making over the Organization. Description of Classes of Members or Stockholders Form 990, Part VI, Line 6 There are two classes of members: Class A Members and Class B Members. The initial Class A Members shall be Dartmouth-Hitchcock Medical Center, Dartmouth-Hitchcock Clinic, Mary Hitchcock Memorial Hospital, and the Trustees of Dartmouth College. Class B Members shall be entities affiliated with or related to the Class A Members.
Description of Classes of Persons and the Nature of Their Rights	Form 990, Part VI, Line 7a Each class A Member shall have full voting rights. The number of votes Each Class A Member Shall be entitled to cast on each matter submitted to a vote of the members shall be based on a ratio that one class A member's risk bears to risks all Class A members of the corporation as set forth in the Coporation's Bylaws, Predicated on either the class A member's first year premiums or deposits. Class B members shall, voting as a separate class, have the right to elect one Class B Director of the Corporation. Class B Members shall NOT have the right to vote on any other matters submitted to a vote of the Members, except as otherwise provided under Vermont law. Each class B Member shall have one vote for each matter on which the class B members are entitled to vote. In addition to approving board members,HRRG members must approve amendments to the bylaws, articles, and dissolution of the corporation.
Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights	Form 990, Part VI, Line 7b The affairs of the Organization shall be managed by a Board of Directors consisting of at least three and no more than seven members of Dartmouth-Hitchcock Clinic, Mary Hitchcock Memorial Hospital, and the Trustees of Dartmouth College. The Class B Members shall, voting as a separate class, have the right to elect one Class B Director of the Organization. All additional members of the Board of Directors, if any shall be appointed by the Clinic, Hospital, and the Trustees of Dartmouth College.
Governance Over Approval and Filing of 990	Form 990, Part VI, Line 11b An ad hoc committee including at least, but not limited to, the president and vice president, review the form before its filing and report to the board at their annual meeting. A copy of the full form 990 is given to the board before filing.
Conflict of Interest Policy Enforcement	Form 990, Part VI, Line 12c The Hamden Risk Retention Group's BOARD OF TRUSTEES APPROVED A POLICY CONCERNING A VOLUNTARY SELF-DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. THE DARTMOUTH-HITCHCOCK OFFICE OF POLICY SUPPORT, COMPLIANCE AND AUDIT SERVICES CONDUCTS AN ANNUAL SURVEY OF ALL OFFICERS AND TRUSTEES AND PERFORMS OTHER PROCEDURES AS CONSIDERED NECESSARY TO REPORT ON COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT THEN REPORTS TO EACH BOARD ANY POTENTIAL CONFLICTS FOR THEIR REVIEW. PER THE POLICY, ANY CONFLICTS, OR OTHERWISE PERCEIVED CONFLICTS, ARE REQUIRED TO BE ADDRESSED BY THE BOARD OF TRUSTEEES ON AN ONGOING BASIS. IN THE EVENT A CONFLICT ARISES, THE INDIVIDUAL MAY BE REMOVED FROM PARTICIPATING IN ANY DECISION MAKING REGARDING THE IDENTIFIED CONFLICT AND/OR ITS CORRESPONDING TRANSACTIONS. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM SUCH PERSON ON THE BASIS FOR SUCH BELIEF AND AFFORD HIM/HER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INTERESTED PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT SUCH PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR UNDERTAKEN Form 990, Part VI, Section B, Line 15A & 15B Some of the organizations officers are compensated by Dartmouth-Hitchcock Clinic and Mary Hitchcock Memorial Hospital, both related and supported organizations of HRRG. Although paid by a related organization, the Compensation for the reported officers is evaluated by an independent third party firm for reasonableness and national data benchmarking. The DHC and MHMH Compensation Committee, along with Independent DHC and MHMH Trustees approved the final compensation in consideration with the independent third party firm's recommendations and suggestions. This process was contemporaneously documented and last undertaken in 2014. Compensation rates are determined by following guidelines of the compensation committee charter and philosophy documents and/or a formal review by compensation committee members of DHC and MHMH.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public	Form 990, Part VI, Line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Other Changes in Net Assets or Fund Balances	Form 990, Part XI, Line 9 The Organization has obtained a permitted practice from the Vermont Department of Financial Regulation to include a $1,000,000 letter of credit for capitalization purposes as an asset within the presentation of the balance sheet. Generally accepted accounting principles within the United States do not allow for the presentation of letters of credit as assets. As a result, total assets and total net assets have been reduced by $1,000,000 at December 31, 2015 and 2014.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Dartmouth-Hitchcock Clinic
One Medical Center Drive	Lebanon	NH	03756	222519596	PHYSICIAN SVC	NH	501(c)(3)	9	D-HH	Yes (true)
Mary Hitchcock Memorial Hospital
One Medical Center Drive	Lebanon	NH	03756	020222140	Hospital	NH	501(c)(3)	3	D-HH	Yes (true)
Trustees of Dartmouth College
37 Dewey Field Road	Hanover	NH	03755	222527266	Higher Educ.	NH	501(c)(3)	2	NA	false
Dartmouth-Hitchcock Health
One Medical Center Drive	Lebanon	NH	03756	264812335	PARENT ORG	NH	501(c)(3)	7	NA	false
The Hitchcock Foundation
One Medical Center Drive	Lebanon	NH	03756	020222139	HLTHCRE RSRCH	NH	501(c)(3)	7	DHC	Yes (true)
The New London Hospital Association Inc
273 County Rd	New London	NH	03257	020222171	Hospital	NH	501(c)(3)	3	D-HH	Yes (true)
Windsor Hospital Association
289 Country Road	Windsor	VT	05089	030183721	Hospital	VT	501(C)(3)	3	D-HH	Yes (true)
Mt Ascutney Hosp Cmmty Hlth Found
289 Country Road	Windsor	VT	05089	030300481	Foundation	VT	501(c)(3)	3	WHA	Yes (true)
Historic Homes of Runnemede
289 Country Road	Windsor	VT	05089	237396147	Healthcare	VT	501(c)(3)	9	WHA	Yes (true)
Cheshire Medical Center
580 Court Street	Keene	NH	03431	020354549	Hospital	NH	501(c)(3)	3	D-HH	Yes (true)
Cheshire Health Foundation
580 Court Street	Keene	NH	03431	020202220	SUPPORTNG ORG	NH	501(C)(3)	11 TYPE I	CMC	Yes (true)
Dartmouth-Hitchcock Medical Center
One Medical Center Drive	Lebanon	NH	03756	222715483	Supportng Org	NH	501(c)(3)	11 TYPE I	NA	Yes (true)
Cheshire Health Services
580 Court Street	Keene	NH	03431	473379283	HEALTHCARE	NH	501(c)(3)	3	CMC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Obnet Services LLC
1 Med Ctr Dr	Lebanon	NH	03756	043746287	Database Serv	NH	DHC
D-H Master Inv Prog
1 Med Ctr Dr	Lebanon	NH	03756	020505863	Pooled Inv	NH	MHMH
Keene Hlth Alliance
580 Court St	Keene	NH	03431	300179297	Healthcare	NH	NA
One Care VT ACOLLC
111 COLCHESTER AVE	Burlington	VT	05401	455399218	Shared Saving	VT	NA
New Eng Pharm Collab
1 Med Ctr Dr	Lebanon	NH	03756	263819035	Purchasing	NH	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Pompanoosuc Investment Corporation
One Medical Center Drive	Lebanon	NH	03756	020352330	Rl Estate Hld	NH	DHC	C Corp	Yes (true)
Hamden Assurance Company Ltd
				202588083	Liab. Ins		DHC	C Corp	Yes (true)	Canons Court 22 Victoria St	HM EX	Hamilton	BD	BD
Hitchcock Health Connect
One Medical Center Drive	Lebanon	NH	03756	800908979	Telehealth	NH	D-HH	C corp	Yes (true)
Kearsarge Community Services Inc
273 County Road	New London	NH	03257	020460136	Rl Estate Hld	NH	NLH	C Corp	Yes (true)
New London Medical Center East Inc
273 County Road	New London	NH	03257	020480857	Rl Estate Hld	NH	NLH	C Corp	Yes (true)
New London Physician Group Inc
273 County Road	New London	NH	03257	020494420	Physician Gro	NH	NLH	Corp	Yes (true)
Charit Remndr Unitrusts (5)
One Medical Center Drive	Lebanon	NH	03756		Chart. Trust	NH	MHMH	Trust	Yes (true)
Keene Health Services
580 Court Street	Keene	NH	03431	020374997	Real Est Hldg	NH	CMC	C Corp	Yes (true)
Keene Health Realty
580 Court Street	Keene	NH	03431	020374998	Real Est Hldg	NH	CMC	C Corp	Yes (true)
Keene Health Enterprises
580 Court Street	Keene	NH	03431	020374999	Real Est Hldg	NH	CMC	C Corp	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Dartmouth Hitchcock Clinic
Q	$1,394,689	FMV
Mary Hitchcock Memorial Hospital
Q	$3,254,274	FMV
Hamden Assurance Company Ltd
R	$3,152,647	FMV