2021-05-12T13:30:58-05:00 2020-06-30 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2019-07-01 264812335 Dartmouth-Hitchcock Health DART 6036505000 One Medical Center Drive Lebanon NH 03756 Daniel Jantzen CFO 2021-05-12 true Kim Scifres P01316095 5023263996 2019 2022-09-23 18:48:47Z Joanne Conroy MD One Medical Center Drive Lebanon NH 03756 1502173 false X N/A X 2009 NH TO GOVERN AN INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT BEST SERVES THE PURPOSES OF PREVENTING, DIAGNOSING, TREATING, AND CURING HUMAN ILLNESS WITHIN THE NORTHERN NEW ENGLAND REGION. 11 10 0 10 1059 0 12188188 14939780 5010504 5369324 2838173 -19428810 -162207 14266 19874658 894560 40593 0 0 86125 143245 3166132 14622316 17757044 14708441 17940882 5166217 -17046322 725328229 1327157812 693976011 1321276697 31352218 5881115 D-HH operates to establish, manage, govern, and fundraise for an integrated healthcare delivery System. To that end, D-HH is particularly focused to: - Manage the healthcare System to provide services to the public in the most cost-effective manner. - Establish and maintain cooperative hospital and provider relationships throughout the System - Achieve excellence in clinical innovations, service, quality, cost and outcomes - Integrate research, training, IT, and academic medicine in the provider organizations throughout the System. false false 9522056 40593 Dartmouth-Hitchcock Health (D-HH) continues to establish and maintain cooperative hospital and provider relationships throughout the Northern New England region. While D-HH continues to refine its affiliations with five hospitals and Visiting Nurse and Hospice of Vermont and NH (VNH), D-HH is also reaching out to other health care organizations in hopes of further coordinating care and creating greater efficiencies in health care delivery throughout northern New England. 3151327 PHILANTHROPY ACROSS THE D-HH SYSTEM IS COORDINATED BY A JOINT DEVELOPMENT OFFICE, WORKING ON BEHALF OF D-HH AND THE GEISEL SCHOOL OF MEDICINE AT DARTMOUTH. THE JOINT DEVELOPMENT OFFICE ALSO MANAGES REVENUE FROM EVENTS SUCH AS THE NORRIS COTTON CANCER CENTER'S PROUTY RACE, VARIOUS EVENTS SPONSORED BY THE CHILDREN'S HOSPITAL AT DARTMOUTH-HITCHCOCK (CHAD), AND THE FASHION SHOW SPONSORED BY THE HEART & VASCULAR CENTER. APPROXIMATELY 85% OF D-HH'S PHILANTHROPIC REVENUE COMES FROM DONOR CONTRIBUTIONS AND EVENT REVENUE. DURING FY20, MORE THAN $21.7 MILLION WAS RAISED THROUGH THE JOINT DEVELOPMENT OFFICE FOR THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM. THE RELATED REVENUES AND EXPENSES FOR FUND RAISING EVENTS HAVE BEEN REPORTED ON SCHEDULE G. 65249 5369324 D-HH AND THE UNIVERSITY OF VERMONT HEALTH NETWORK ARE THE CO-FOUNDERS OF ONECARE VERMONT ACCOUNTABLE CARE ORGANIZATION, LLC. ("ONECARE"). ONECARE HELD ALTERNATIVE PAYMENT MODEL CONTRACTS WITH THE CENTERS FOR MEDICARE AND MEDICAID (CMS) AND THE CENTERS FOR MEDICARE AND MEDICAID INNOVATION CENTER (CMMI); THE STATE OF VERMONT MEDICAID PROGRAM; AND BLUE CROSS AND BLUE SHIELD OF VERMONT AS PART OF ITS CONTINUED WORK WITH THE STATE OF VERMONT TO IMPLEMENT THE STATE'S GLOBAL COMMITMENT TO HEALTH SECTION 1115 WAIVER ("ALL PAYOR WAIVER") FROM CMS. DURING FISCAL 2020 D-HH CONTINUED TO PARTICIPATE IN AN ALTERNATIVE PAYMENT MODEL CONTRACT WITH HARVARD PILGRIM HEALTH CARE IN WHICH D-HH SHARED FINANCIAL RISK WITH HARVARD PILGRIM HEALTH CARE AND OTHER PROVIDER MEMBERS OF BENEVERA HEALTH, LLC FOR THE POPULATION OF HEALTH MANAGEMENT AND TOTAL COST OF CARE OF HARVARD PILGRIM HEALTH CARE FULLY INSURED COMMERCIAL MEMBERS WHO WERE ATTRIBUTED TO A PRIMARY CARE PROVIDER OTHER THAN ONE ASSOCIATED WITH A BENEVERA HEALTH LLC MEMBER ORGANIZATION. 12738632 true true false false false false false false false true true false false true false false true false false false false false true true false false false true true true false false false false false false false false false false true true false false true true true true false false true 14 3 true 0 true true false false false false true true false false false false false false X 11 10 false false false false false false false true true false false true true true true true true false false false NH X Daniel Jantzen 6036505634 One Medical Center Drive Lebanon NH 03756 Charles G Plimpton MBA Trustee/Secretary/Treasurer 1.0 3.0 X X 0 0 0 Edward H Stansfield III MA Trustee/Chair (effective 1/1/20) 1.0 2.0 X X 0 0 0 Joanne M Conroy MD Trustee, Ex-officio, CEO 2.0 54.1 X X 0 1356521 53900 Vincent S Conti MHA Trustee/Board Chair (Through 12/31/19) 1.0 1.5 X X 0 0 0 Duane A Compton PHD Trustee / Ex-Officio 0.5 1.9 X 0 0 0 Laura K Landy MBA Trustee 0.5 1.5 X 0 0 0 Marc B Wolpow JDMBA Trustee 0.5 1.5 X 0 0 0 Pamela Thompson MSRNCENP Trustee 0.5 1.5 X 0 0 0 Paul P Danos PHD Trustee 0.5 1.5 X 0 0 0 RICHARD J POWELL MD TRUSTEE (EFFECTIVE 1/1/20) 0.5 40.0 X 0 567594 54477 Robert A Oden Jr PHD Trustee 1.0 3.0 X 0 0 0 Steven A Paris MD Trustee (Through 12/31/19) 0.5 41.5 X 0 421973 57245 William J Conaty Trustee 0.5 1.5 X 0 0 0 DANIEL P JANTZEN CPA Chief Financial Officer 2.0 55.0 X 0 821761 56733 JOHN KACAVAS Chief Legal Officer 2.0 41.0 X 0 714988 57857 Patrick F Jordan III MBA Chief Operating Officer 2.0 55.0 X 0 770233 64134 Stephen Leblanc Chief Strategy Officer 2.0 40.5 X 0 828259 52333 Aimee M Claiborne Chief HR Officer 0.0 40.0 X 0 452838 48214 EDWARD MERRENS Chief Clinical Officer 0.0 41.0 X 0 794781 43222 Kimberly Troland JD FORMER INTERIM GC/DEPUTY GEN CNSL 0.0 40.0 X 0 397737 42204 Maria Padin MD Chief Medical Officer 0.0 42.0 X 0 430924 64642 Matthew Haag VP Development 0.0 40.0 X 0 371795 35780 Susan A Reeves EDDRN Chief Nursing Executive 0.0 40.5 X 0 577922 56445 0 8507326 687186 0 true true false THE TRUSTEES OF DARTMOUTH COLLEGE 37 DEWEY FIELD HANOVER NH 03755 DEVELOPMENT & SRVCS 3234847 MAYER BROWN LLP 71 SOUTH WACKER DRIVE CHICAGO IL 60606 LEGAL SERVICES 2079719 NATL ECONOMIC RESEARCH ASSN INC PO BOX 7247-6754 PHILADELPHIA PA 191706754 ECONOMIC RESEARCH 1428658 THE CHARTIS GROUP LLC DEPT 5925 CAROL STREAM IL 601225925 ADVISORY SERVICES 634333 Price Waterhouse Coopers LLP PO Box 7247-8001 Philadelphia PA 191708001 Tax and Auditing Services 353908 10 3376218 11563562 845186 14939780 ACO Incentive Income 900099 5369324 5369324 0 0 0 0 5369324 2248028 2248028 788005 788005 0 0 -22464843 0 -22464843 0 -22464843 -22464843 621879 3376218 607613 14266 1059 13207 0 0 0 0 0 894560 5369324 1059 -19415603 X 40593 40593 2318353 2193020 125333 143245 143245 9221404 4723646 1910785 2586973 58018 58018 98843 88838 10005 5393 5393 8454 8454 234641 234641 4919823 4919823 14021 14021 30519 30519 Unrelated Business Income Taxes 2390 2390 OTHER 845185 507813 337372 0 0 0 0 17940882 12738632 2036118 3166132 956688 7477741 41229972 344907268 0 12169418 15097188 0 0 0 0 553483380 848262531 0 0 161270 153277 22012 7993 92594370 109161030 0 0 24872389 2244061 725328229 1327157812 10721267 19937023 0 0 643257351 539755000 0 0 0 0 0 39997393 761584674 693976011 1321276697 X 31333945 5881115 18273 0 0 0 31352218 5881115 725328229 1327157812 X -17046322 878709 -9303490 X false true X true false X 8620543 18333930 12170752 12188188 14939780 66253193 0 0 8620543 18333930 12170752 12188188 14939780 66253193 6795433 59457760 9163396 2794580 2243451 14201427 20847 29430 35735 14462 0 100474 753169 200719 322302 541652 621879 2439721 82994815 16321360 0.7164 0.7318 X Schedule A, Part II, Line 1 Unusual Grants DURING FISCAL YEAR 2017, VNA AND HOSPICE OF VT & NH AFFILIATED WITH DARTMOUTH-HITCHCOCK HEALTH DARTMOUTH-HITCHCOCK HEALTH RECOGNIZED $20,215,103 IN NON OPERATING REVENUE ON ITS AUDITED FINANCIAL STATEMENTS AS PART OF THIS TRANSACTION. AS SUCH, D-HH EXCLUDED THIS AMOUNT FROM SCHEDULE A CALCULATIONS AS AN UNUSUAL GRANT FOR FY17. DURING FISCAL YEAR 2016, ALICE PECK DAY MEMORIAL HOSPITAL AFFILIATED WITH DARTMOUTH-HITCHCOCK HEALTH DARTMOUTH-HITCHCOCK HEALTH RECOGNIZED $18,782,653 IN NON-OPERATING REVENUE ON ITS AUDITED FINANCIAL STATEMENTS AS PART OF THIS TRANSACTION. AS SUCH, D-HH EXCLUDED THIS AMOUNT FROM SCHEDULE A CALCULATIONS AS AN UNUSUAL GRANT FOR FY16. Schedule A, Part II, Line 10 Other Income DESCRIPTION - , COLUMN A - 753169.0, COLUMN B - 200719.0, COLUMN C - 322302.0, COLUMN D - 541652.0, COLUMN E - 621879.0, COLUMN F - 2439721.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 100830 92837 7993 60440 60440 0 7993 Investment in MIP 109161030 F 109161030 Due to Affiliates-DHC and MHMH 250646070 Bonds Payable 428102000 Unamortized Bond Premiums 82836604 761584674 X X X X X true VDMBorns Group LLC 1610 14th Ave SE Watertown SD 57201 Mailings false 302691 143245 159446 302691 143245 159446 CT FL ME MA NH NY PA RI PROUTY WALK/BIKE 2070185 2044852 25333 5975 17792 1349 106051 CHAD HALF MARATHON 734765 700267 34498 40979 397 32751 685 14 1193147 631099 562048 290418 10014 96628 4574 3998097 3376218 621879 337372 28203 130728 111310 607613 14266 Schedule G, Part I, Line 2b(v) Amount Paid to Fundraiser Dartmouth Hitchcock Health (D-HH) pays VDM/Borns to manage solicitations for D-HH's fundraising programs. The amounts paid to VDM/Borns include the costs of paper, envelopes, printing and postage. The actual amount paid for professional fundraising services is not broken out from the cost of supplies. true HOPE FUND EMERGENCY ASSISTANCE 11 40593 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The Hope Fund Grant has written guidelines and procedures for eligibility and is managed by the Benefits Administration Office of Dartmouth-Hitchcock Health. Applications are reviewed and approved by the Hope Fund Committee in accordance with Hope Fund Grant guidelines. false true false false false false false false false Joanne M Conroy MD Trustee, Ex-officio, CEO 0 1030023 0 184500 0 141998 0 26955 0 26945 0 1410421 0 0 Steven A Paris MD Trustee (Through 12/31/19) 0 399982 0 0 0 21991 0 26955 0 30290 0 479218 0 0 RICHARD J POWELL MD TRUSTEE (EFFECTIVE 1/1/20) 0 515603 0 0 0 51991 0 26955 0 27522 0 622071 0 0 Aimee M Claiborne Chief HR Officer 0 371431 0 45600 0 35807 0 12813 0 35401 0 501052 0 0 EDWARD MERRENS Chief Clinical Officer 0 648460 0 80400 0 65921 0 26955 0 16267 0 838003 0 0 Maria Padin MD Chief Medical Officer 0 394016 0 0 0 36908 0 26955 0 37687 0 495566 0 0 Susan A Reeves EDDRN Chief Nursing Executive 0 493481 0 60350 0 24091 0 26955 0 29490 0 634367 0 0 Kimberly Troland JD FORMER INTERIM GC/DEPUTY GEN CNSL 0 365343 0 0 0 32394 0 21355 0 20849 0 439941 0 0 Matthew Haag VP Development 0 352781 0 0 0 19014 0 21355 0 14425 0 407575 0 0 DANIEL P JANTZEN CPA Chief Financial Officer 0 643403 0 80400 0 97958 0 26955 0 29778 0 878494 0 0 Patrick F Jordan III MBA Chief Operating Officer 0 654825 0 80400 0 35008 0 21355 0 42779 0 834367 0 0 JOHN KACAVAS Chief Legal Officer 0 586982 0 74400 0 53606 0 23617 0 34240 0 772845 0 0 Stephen Leblanc Chief Strategy Officer 0 662188 0 80400 0 85671 0 26955 0 25378 0 880592 0 0 Schedule J, Part II, Column (B) Note Regarding Compensation Amounts Column B, parts I, II, and III represent actual amounts paid to employees by related entities Dartmouth-Hitchcock Clinic or Mary Hitchcock Memorial Hospital. These amounts are reported to employees on their annual W-2 forms as compensation. Columns C and D represent items earned, however, not paid directly to the employee as cash payments during the calendar year. Column C includes retirement benefits as well as any changes in pension actuarial value (if applicable) in a calendar year. Column D represents nontaxable benefits such as the cost of healthcare coverage provided by DHC or MHMH on behalf of its employees. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Dartmouth Hitchcock Clinic (DHC) and Mary Hitchcock Memorial Hospital (MHMH) sponsor a split dollar life plan for certain long-term employees. The original objectives for offering these plans were to better enable DHC and 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 to new participants in 1998. The number of participants and dollar value continues to dwindle as individuals retire/leave the organization. THE FOLLOWING INDIVIDUALS HAVE A SPLIT DOLLAR LIFE PLAN ARRANGEMENT: Stephen LeBlanc $59,434 Daniel Jantzen #130,828 A NH Health and Ed Facilities Authority 020279866 000000000 2017-12-21 247498134 PURPOSE: TO REFUND SUBSIDIARY BOND ISSUES FOR MHMH/DHC DATED 8/19/09, 6/16/10, 11/28/12 false false false B NH Health and Ed Facilities Authority 020279866 64461XFR1 2018-02-21 95257887 PURPOSE: TO REFUND SUB. BOND ISSUES FOR MHMH/DHC DATED 7/1/16, 9/1/15, AND FINANCE 1,000,000 CAP PRO false false false C NH HEALTH AND ED FACILITIES AUTHORITY 020279866 64461XFU4 2019-10-10 107703526 TO FINANCE CAPITAL PROJECTS false false false D NH HEALTH AND ED FACILITIES AUTHORITY 020279866 64461XFV2 2020-01-29 182632500 TO FINANCE CAPITAL PROJECTS false false false A 247498134 54663429 1445384 191389321 2017 true true true true B 95257887 856898 1000000 93400989 2018 true false true true C 108209632 721382 45172651 62315599 false false false true D 182914262 1476156 181438106 false false false true A false false false false 0.0 0.0 0.0 false false true B false true false false 0.0 0.0 0.0 false false true C false false false false 0.0 0.0 0.0 false false true D false false false false 0.0 0.0 0.0 false false true A false true false false false false false false true B false true false false false false false false true C false true false false false false false false true D false true false false false false false false true A true B true C true D true Schedule K, Part II, Line 11 COLUMNS A & B COLUMNS A & B: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW Schedule K, Part II, Line 3 COLUMN C THE AMOUNT LISTED AS TOTAL PROCEEDS OF THE ISSUE EXCEEDS THE ISSUE PRICE LISTED IN PART i DUE TO INVESTMENT PROCEEDS IN THE AMOUNT OF $506,106.06 Schedule K, Part II, Line 3 COLUMN D THE AMOUNT LISTED AS TOTAL PROCEEDS OF THE ISSUE EXCEEDS THE ISSUE PRICE LISTED IN PART I DUE TO INVESTMENT PROCEEDS IN THE AMOUNT OF $281,762.25. X 8 115232 Market value X 44 Market value X 6375 Market value X 31 17316 Market value X PERSONAL PROTECTIVE SUPPLIES 397 126381 Market value X Various Items for Events 509 560974 Market value X Toys 75 4014 Market value X GIFT CERTIFICATES 91 14850 Market value 0 false true true Schedule M, Part I Column B THE ORGANIZATION IS REPORTING THE NUMBER OF INDIVIDUAL ITEMS RECEIVED DURING THE FISCAL YEAR. Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions THE ORGANIZATION UTILIZES A JOINT DEVELOPMENT OFFICE (JDO) CONTRACT WITH THE TRUSTEES OF DARTMOUTH COLLEGE TO ASSIST WITH SOLICITATION OF DONORS AND GIFTS ON BEHALF OF THE ENTIRE DARTMOUTH-HITCHCOCK HEALTH SYSTEM. CONTRIBUTIONS SOLICITED BY D-HH MAY BE UTILIZED BY RELATED ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO, DARTMOUTH-HITCHCOCK CLINIC AND MARY HITCHCOCK MEMORIAL HOSPITAL. Form 990, Part VI, Line 15a Offices & Positions for Which Process was Used & Year Undertaken ALTHOUGH PAID BY A RELATED ORGANIZATION, DARTMOUTH-HITCHCOCK CLINIC, THE COMPENSATION FOR THE CEO IS EVALUATED BY AN INDEPENDENT THIRD PARTY FIRM FOR REASONABLENESS AND NATIONAL DATA BENCHMARKING. THE TALENT DEVELOPMENT AND COMPENSATION COMMITTEE, ALONG WITH INDEPENDENT TRUSTEES, APPROVE THE FINAL COMPENSATION IN CONSIDERATION WITH THE INDEPENDENT THIRD PARTY FIRM'S RECOMMENDATIONS AND SUGGESTIONS. THIS PROCESS WAS CONTEMPORANEOUSLY DOCUMENTED AND LAST UNDERTAKEN IN 2020. Form 990, Part VI, Line 15b Offices & Positions for Which Process was Used & Year Undertaken D-HH USES THE STAFF OF RELATED ORGANIZATIONS, DARTMOUTH-HITCHCOCK CLINIC (DHC) AND MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH). COMPENSATION FOR OFFICERS AND KEY EMPLOYEES ARE EVALUATED BY INTERNAL HR STAFF USING NATIONAL BENCHMARKING DATA, ALONG WITH ONGOING EVALUATIONS BY AN INDEPENDENT THIRD PARTY FIRM FOR REASONABLENESS, WITH THE LAST FORMAL PROCESS IN 2020. EXTERNAL BENCHMARKING FROM AN INDEPENDENT THIRD PARTY HAS BEEN USED FOR ANY OFFICER WHO WAS HIRED OR RECEIVED A COMPENSATION ADJUSTMENT SINCE THE LAST FORMAL PROCESS. COMPENSATION RATES ARE DETERMINED BY FOLLOWING THE GUIDELINES OF THE COMPENSATION COMMITTEE CHARTER AND PHILOSOPHY DOCUMENTS AND A FORMAL REVIEW BY COMPENSATION COMMITTEE MEMBERS. Form 990, Part VI, Line 1a Delegate broad authority to a committee The Dartmouth-Hitchcock Health (D-HH) Board has an Executive Committee who has the authority/responsibility of the D-HH Board as delegated - such as: overseeing day-to-day operations; reviewing the corporation's budget prior to submittal to the Board; overseeing implementation of decisions made by the Board; and ensuring the critical issues are brought back to the Board. Members of the committee include the following who are all members of the board: Edward H. Stansfield, III, MA (Board Chair and Chair of Governance Committee) Charles G. Plimpton, MBA (Chair- Finance Committee) Pamela A. Thompson, MS, RN, CENP, FAAN (Chair - Value Committee) Ex Officio members: Dr. Joanne Conroy (CEO) and Duane A. Compton, PhD (Dean, GSM) Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORMS 990 AND 990-T ARE REVIEWED BY EXTERNAL TAX ADVISORS, THE DIRECTOR OF CORPORATE FINANCE, VICE PRESIDENT OF CORPORATE FINANCE, AND THE CHIEF FINANCIAL OFFICER PRIOR TO THE FILING OF THE RETURNS. ONCE THE RETURNS HAVE BEEN FULLY PREPARED, A FINAL 990 AND 990-T COMPLETE ELECTRONIC VERSION IS SENT OUT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS/RESPONSES PRIOR TO OFFICIAL FILING. Form 990, Part VI, Line 12c Conflict of interest policy THE DARTMOUTH-HITCHCOCK HEALTH 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 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. Form 990, Part VI, Line 19 Required documents available to the public D-HH'S GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE NEW HAMPSHIRE SECRETARY OF STATE. THE AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST EITHER IN ELECTRONIC OR HARDCOPY FORM. Form 990, Part VII, Section A, Line 1a, Column (B) Average Hours per Week DARTMOUTH-HITCHCOCK HEALTH IS THE SOLE CORPORATE MEMBER OF DARTMOUTH-HITCHCOCK CLINIC (DHC), AND MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH), AS WELL AS OTHER RELATED AND SUPPORTING ORGANIZATIONS. AS PART OF DHC'S AND MHMH'S AFFILIATION AGREEMENT, THE THREE ORGANIZATIONS SHARE OFFICERS. AS SUCH, THE AVERAGE HOURS PER WEEK ARE ALLOCATED BETWEEN THE ORGANIZATIONS' 990S EVEN THOUGH COMPENSATION REPORTED IN PART VII IS BASED ON THE ENTITY ISSUING THE W-2. Form 990, Part IX, Line 11g OTHER FEES FOR SERVICES D-HH PURCHASES PROGRAM AND MANAGEMENT STAFF FROM ITS SUPPORTED TAX-EXEMPT ENTITIES DARTMOUTH-HITCHCOCK CLINIC AND MARY HITCHCOCK MEMORIAL HOSPITAL TO FULFILL ITS MISSION AND ONGOING DUTIES. FOR FISCAL YEAR 2020 RELATED-ORGANIZATION PURCHASED SERVICES TOTALED $3,976,564. IN ADDITION, D-HH PAID $6,036,290 FOR ACO-RELATED EXPENSES, AFFILIATION EXPENSES, AND TO EXTERNAL CONSULTANTS. Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - Total Expense: 9221404, Program Service Expense: 4723646, Management and General Expenses: 1910785, Fundraising Expenses: 2586973; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Asset Transfer From (To) Affiliates - -9303490; D-HH Accountable Care LLC One Medical Center Drive Lebanon NH 03756 611862039 Health Improvement NH 0 0 Dartmouth Hitchcock Health Dartmouth-Hitchcock Clinic One Medical Center Drive Lebanon NE 03756 222519596 Physician Services NH 501(c)(3) 10 D-HH true Mary Hitchcock Memorial Hospital One Medical Center Drive Lebanon NH 03756 020222140 Hospital NH 501(c)(3) 3 D-HH true The Hitchcock Foundation One Medical Center Drive Lebanon NH 03756 020222139 healthcare research NH 501(c)(3) 7 DHC false Hamden Risk Retention Group Inc 30 Main Street Suite 330 Burlington VT 05401 208530788 Self Insurance VT 501(c)(3) Type I DHC false The New London Hospital Association Inc 273 County Road New London NH 03257 020222171 Hospital NH 501(c)(3) 3 D-HH true Windsor Hospital Corporation 289 County Road Windsor VT 05089 030183721 Hospital VT 501(c)(3) 3 D-HH true Cheshire Medical Center 580 Court Street Keene NH 03431 020354549 Hospital NH 501(c)(3) 3 D-HH true CHESHIRE HEALTH FOUNDATION 580 COURT STREET KEENE NH 03431 020202220 SUPPORTING ORG NH 501(c)(3) Type I CMC false Mount ASCUTNEY Hospital Community Health Foundation 289 COUNTY ROAD Windsor VT 05089 030300481 SUPPORTING ORG VT 501(c)(3) 3 WHC false HISTORIC HOMES OF RUNNEMEDE 289 COUNTY ROAD Windsor VT 05089 237396147 HEALTHCARE VT 501(c)(3) 10 WHC false CHESHIRE HEALTH SERVICES 580 COURT STREET KEENE NH 03431 473379283 HEALTHCARE NH 501(c)(3) 3 CMC false ALICE PECK DAY MEMORIAL HOSPITAL 10 ALICE PECK DAY DRIVE LEBANON NH 03766 020222791 HOSPITAL NH 501(c)(3) 3 D-HH true Visiting Nurse Association AND HOSPICE OF VT & NH Inc 88 Prospect Street White River Junction VT 05001 036006494 HEALTHCARE VT 501(c)(3) 10 D-HH true ALICE PECK DAY LIFECARE CENTER 10 ALICE PECK DAY DRIVE LEBANON NH 03766 020479094 INDEPENDENT AND ASSISTED LIVING NH 501(c)(3) 10 APD false DARTMOUTH-HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE LEBANON NH 03756 222715483 SUPPORTING ORGANIZATION NH 501(c)(3) Type I NA false ONECARE VT ACO LLC 111 COLCHESTER AVE BURLINGTON VT 05401 455399218 SHARED SAVING VT DHH Related 2605358 3103986 false true 0.5 Help at Home LLC 88 Prospect Street White River Junction VT 05001 474711823 Home Care VT VNA N/A DH Specialty Services LLC One Medical Center Drive Lebanon NH 03756 460876427 Shared Saving Program NH D-HH N/A New England Alliance for Health LLC One Medical Center Drive Lebanon NH 03756 264232401 Health Improvement NH MHMH N/A Renaissance Psychiatry of New England LLC One Medical Center Drive Lebanon NH 03756 813076466 Psychiatry Services NH DHC N/A POMPANOOSUC INVESTMENT CORP ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020352330 REAL EST HLDG NH DHC C Corporation false HAMDEN ASSURANCE CO LTD 980121409 LIABILITY INSURANCE BD NA C Corporation false HITCHCOCK HEALTH CONNECT ONE MEDICAL CENTER DRIVE LEBANON NH 03756 800908979 TELEHEALTH DE D-HH C Corporation 0 0 1 true KEARSARGE COMMUNITY SERVICES 273 COUNTY ROAD NEW LONDON NH 03257 020460136 REAL EST HLDG NH NLH C Corporation false NEW LONDON PHYSICIAN GROUP INC 273 COUNTY ROAD NEW LONDON NH 03257 020494420 REAL ESTATE NH NLH C Corporation false NEW LONDON MEDICAL CENTER EAST 273 COUNTY ROAD NEW LONDON NH 03257 020480857 PHYSICIAN GRP NH NLH C Corporation false KEENE HEALTH SERVICES 580 COURT STREET KEENE NH 03431 020374997 REAL EST HLDG NH Cheshire Medical Center C Corporation false KEENE HEALTH REALTY 580 COURT STREET KEENE NH 03431 020374998 REAL EST HLDG NH Cheshire Medical Center C Corporation false KEENE HEALTH ENTERPRISES 580 COURT STREET KEENE NH 03431 020374999 REAL EST HLDG NH Cheshire Medical Center C Corporation false IMAGINE CARE ONE MEDICAL CENTER DRIVE LEBANON NH 03756 813105071 TELEHEALTH NH D-HH C Corporation 0 1 true Charitable Remainder UNITRUSTS (4) ONE MEDICAL CENTER DRIVE LEBANON NH 03756 Charitable TRUST NH NA Trust false 88 PROSPECT STREET CONDO OWNERS ASSOC 88 Prospect Street White River Junction VT 05001 371841885 REAL ESTATE HOLDINGS VT VNA C Corporation false MOUNT ASCUTNEY PROFESSIONAL CONDO OWNERS 289 COUNTY ROAD WINDSOR VT 05089 030320283 REAL ESTATE HOLDINGS VT MAHHC C Corporation false false false false true false false false false false false false true false false false true true true true Mary Hitchcock Memorial Hosptial S 38942093 FMV New London Hospital S 1042000 FMV DARTMOUTH HITCHCOCK CLINIC R 5198656 FMV WINDSOR HOSPITAL CORPORATION D 6600000 FMV MARY HITCHCOCK MEMORIAL HOSPITAL D 290336026 FMV MARY HITCHCOCK MEMORIAL HOSPITAL Q 9281135 FMV MARY HITCHCOCK MEMORIAL HOSPITAL R 13679900 FMV