2020-07-13T18:01:27-05:00 2019-06-30 350921680 CROWE LLP 175 Powder Forest Drive Simsbury CT 060897902 990 2018-07-01 264812335 Dartmouth-Hitchcock Health DART 6036505000 One Medical Center Drive Lebanon NH 03756 Daniel Jantzen CFO 2020-07-13 true KRISTIN ANDERSON P01231300 8606789200 2018 2020-09-23 17:36:50Z Joanne Conroy MD One Medical Center Drive Lebanon NH 03756 20578517 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. 12 10 0 10 14462 10666 12170752 12188188 0 5010504 9172473 2838173 -1841927 -162207 19501298 19874658 0 0 0 0 0 0 123349 86125 2717909 18287492 14622316 18410841 14708441 1090457 5166217 726006386 725328229 699744751 693976011 26261635 31352218 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 7526982 0 0 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. 2703062 0 0 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 FY19, MORE THAN $15 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. 57461 0 5010504 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 CMS, 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 Year 2019, 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 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. D-HH elected to voluntarily withdraw from the CMS Next Generation ACO Program with an effective termination date of March 30, 2019. 10287505 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 false true true false false false false false false false false false false true true false false true true true true false false true 13 3 true 0 true true false false false false true true true false false false false false X 12 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 Joanne M Conroy MD Trustee, Ex-officio, CEO 6.0 54.1 X X 0 1246925 52162 Vincent S Conti MHA Trustee/Board Chair (Effective 1/1/19) 0.5 1.5 X X 0 0 0 Barbara J Couch MS Trustee/ Board Secretary (Through 12/31/18) 1.0 3.0 X X 0 0 0 Robert A Oden Jr PHD Trustee / Vice Chair 1.0 3.0 X X 0 0 0 Charles G Plimpton MBA Trustee/Board Treasurer/Secretary (Effective 1/19) 1.0 3.0 X X 0 0 0 Anne-Lee Verville Trustee/ Board Chair (Through 12/31/18) 1.0 3.0 X X 0 0 0 Duane A Compton PHD Trustee / Ex-Officio 0.5 1.9 X 0 0 0 William J Conaty Trustee 0.5 1.5 X 0 0 0 Paul P Danos PHD Trustee 0.5 1.5 X 0 0 0 Laura K Landy MBA Trustee 0.5 1.5 X 0 0 0 Steven A Paris MD Trustee / Regional Med Dir 0.5 41.5 X 0 431163 53561 Edward H Stansfield III MA Trustee 0.5 2.0 X 0 0 0 Pamela Thompson MSRNCENP Trustee 0.5 1.5 X 0 0 0 Marc B Wolpow JDMBA Trustee 0.5 1.5 X 0 0 0 Aimee M Giglio Chief HR Officer 6.0 40.0 X 0 358762 47278 DANIEL P JANTZEN CPA Chief Financial Officer 6.0 55.0 X 0 802407 55803 Patrick Jordan III MBA Chief Operating Officer 6.0 54.0 X 0 595187 58364 JOHN KACAVAS Chief Legal Officer 6.0 41.0 X 0 628988 52416 Stephen Leblanc Chief Strategy Officer 6.0 42.0 X 0 678320 60874 EDWARD MERRENS Chief Clinical Officer 6.0 41.0 X 0 710556 48934 Maria Padin MD Chief Medical Officer 6.0 41.0 X 0 405936 74170 Susan A Reeves EDDRN Chief Nursing Executive 6.0 48.0 X 0 460665 56959 Matthew Haag VP Development 6.0 40.0 X 0 100204 7675 Kimberly Troland JD FORMER INTERIM GC/DEPUTY GEN CNSL 0.0 40.0 X 0 405537 50301 James N Weinstein DO MS Former Trustee/CEO 0.0 0.0 X 0 963321 34820 0 7787971 653317 0 true true false THE TRUSTEES OF DARTMOUTH COLLEGE 37 DEWEY FIELD HANOVER NH 03755 DEVELOPMENT & SRVCS 2774524 The Chartis Group LLC Dept 5925 Carol Stream IL 601225925 Advisory Services 1251479 Price Waterhouse Coopers LLP PO Box 7247-8001 Philadelphia PA 191708001 Tax and Auditing Services 295972 Hawkins Delafield & Wood LLP One Chase Manhattan Pl Flr 42 New York NY 10005 Legal Services 164000 Kaufman Hall & Associates Inc 8610 Solution Center Chicago IL 606778006 Legal Services 149326 8 4901387 7286801 730085 12188188 ACO Incentive Income 900099 5010504 5010504 0 0 0 0 5010504 2794580 2794580 0 0 43593 43593 0 43593 43593 541652 4901387 703859 -162207 14462 -176669 0 0 0 0 0 19874658 5010504 14462 2661504 X 0 0 1407621 1407621 204873 204873 86125 86125 8711919 6123727 90533 2497659 85679 85679 141336 95703 45633 67700 67700 10570 10570 160691 160691 3809217 3809217 14020 14020 2813 2813 Unrelated Business Income Taxes 5877 5877 0 0 0 0 14708441 10287505 1703027 2717909 2886604 956688 131477893 41229972 0 0 11963947 12169418 0 0 0 554771376 553483380 0 0 0 0 161270 139258 36032 22012 0 0 92594370 0 0 0 24870534 24872389 726006386 725328229 13948867 10721267 0 0 0 0 644519750 643257351 0 0 0 0 0 0 0 41276134 39997393 699744751 693976011 X 26261635 31333945 0 18273 0 0 0 0 0 0 0 0 26261635 31352218 726006386 725328229 X 5166217 1090634 -1166268 X false true X true false X 8320951 8620543 18333930 12170752 12188188 59634364 0 0 8320951 8620543 18333930 12170752 12188188 59634364 5681091 53953273 9163396 2794580 11957976 42856 20847 29430 35735 14462 143330 0 513459 753169 200719 525352 1992699 73728369 22532054 0.7318 0.7038 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. DURING FISCAL YEAR 2015, CHESHIRE MEDICAL CENTER AND WINDSOR HOSPITAL ASSOCIATION DBA MT. ASCUTNEY HOSPITAL AND HEALTH CENTER, AFFILIATED WITH DARTMOUTH-HITCHCOCK HEALTH. DARTMOUTH-HITCHCOCK HEALTH RECOGNIZED $128,147,000 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 FY15. DURING FISCAL YEAR 2014, THE NEW LONDON HOSPITAL ASSOCIATION AFFILIATED WITH DARTMOUTH-HITCHCOCK HEALTH. DARTMOUTH-HITCHCOCK HEALTH RECOGNIZED $36,131,000 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 FY14. Schedule A, Part II, Line 10 Other Income DESCRIPTION - , COLUMN A - 0.0, COLUMN B - 513459.0, COLUMN C - 753169.0, COLUMN D - 200719.0, COLUMN E - 525352.0, COLUMN F - 1992699.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 100830 80525 20305 60440 58733 1707 22012 Investment in MIP 92594370 F 92594370 Due to Affiliates-DHC and MHMH 39997393 39997393 X true VDMBorns Group LLC 1610 14th Ave SE Watertown SD 57201 Mailings false 273153 86125 187028 273153 86125 187028 FL NH PA Prouty walk/bike 3472553 3353237 119316 0 108551 13955 33124 2811 225798 CHaD half marathon 805131 718930 86201 0 33001 0 79 59594 78524 12 1165355 829220 336135 0 34761 0 1885 72824 38952 5443039 4901387 541652 0 176313 13955 35088 135229 343274 703859 -162207 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. false false false false false false false false false James N Weinstein DO MS Former Trustee/CEO 0 782744 0 0 0 180577 0 26580 0 8240 0 998141 0 0 Joanne M Conroy MD Trustee, Ex-officio, CEO 0 954614 0 253555 0 38756 0 26580 0 25582 0 1299087 0 0 Steven A Paris MD Trustee / Regional Med Dir 0 391287 0 250 0 39626 0 26580 0 26981 0 484724 0 0 Kimberly Troland JD FORMER INTERIM GC/DEPUTY GEN CNSL 0 362975 0 250 0 42312 0 21080 0 29221 0 455838 0 0 Aimee M Giglio Chief HR Officer 0 318913 0 10250 0 29599 0 12648 0 34630 0 406040 0 0 DANIEL P JANTZEN CPA Chief Financial Officer 0 621847 0 10250 0 170310 0 26580 0 29223 0 858210 0 0 Patrick Jordan III MBA Chief Operating Officer 0 593349 0 250 0 1588 0 21080 0 37284 0 653551 0 0 JOHN KACAVAS Chief Legal Officer 0 528095 0 10250 0 90643 0 21080 0 31336 0 681404 0 0 Stephen Leblanc Chief Strategy Officer 0 640573 0 10250 0 27497 0 26580 0 34294 0 739194 0 0 EDWARD MERRENS Chief Clinical Officer 0 629398 0 10250 0 70908 0 28864 0 20070 0 759490 0 0 Maria Padin MD Chief Medical Officer 0 369274 0 5250 0 31412 0 37334 0 36836 0 480106 0 0 Susan A Reeves EDDRN Chief Nursing Executive 0 457787 0 250 0 2628 0 26580 0 30379 0 517624 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 3 Arrangement used to establish the top management official's compensation THE CEO IS PAID BY DARTMOUTH-HITCHCOCK CLINIC, A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION. 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 A 247498134 101080932 1445384 144971818 2017 true true true true B 95257887 856898 1000000 93400989 2018 true false true 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 A false true false false false false false false true B false true false false false false false false true A true B 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 X 5 9001 Market value X 2062 Market value X 1407 Market value X 46 46 Market value X Electronics 4 789 Market value X Various Items for Events 520 712745 Market value X Toys 89 4035 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 2019. 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 2019. 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 ORGANIZATION'S 990S EVEN THOUGH COMPENSATION REPORTED IN PART VII IS BASED ON THE ENTITY ISSUING THE W-2. Form 990, Part IX, Line 11g Other Fee for Service Expenses 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 2019 RELATED ORGANIZATION PURCHASED SERVICES TOTALED $2,917,250. IN ADDITION, D-HH PAID $5,794,669 FOR ACO-RELATED, AFFILIATION EXPENSES, AND TO EXTERNAL CONSULTANTS. Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - Total Expense: 8711919, Program Service Expense: 6123727, Management and General Expenses: 90533, Fundraising Expenses: 2497659; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Asset Transfer From (To) Affiliates - -1166268; 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 Windor 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 KEENE NH 03431 030300481 SUPPORTING ORG VT 501(c)(3) 3 WHC false HISTORIC HOMES OF RUNNEMEDE 289 COUNTY ROAD KEENE NH 03431 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 205 BILLINGS FARM ROAD 5 WILDER VT 05088 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 662161 687161 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 -19210923 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 205 BILLING FARM ROAD WILDER VT 05088 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 false true Mary Hitchcock Memorial Hosptial S 14708458 FMV New London Hospital S 782046 FMV