2018-05-15T11:01:13-05:00 2017-06-30 PRICEWATERHOUSECOOPERS LLP 101 SEAPORT BLVD BOSTON MA 02210 990 2016-07-01 264812335 Dartmouth-Hitchcock Health % DANIEL JANTZEN DART 6036505000 One Medical Center Drive Lebanon NH 03756 DANIEL JANTZEN CFO 6036505634 2018-05-10 Paul Tanis P01441612 6175305000 2016 2022-09-23 18:48:47Z Joanne Conroy MD One Medical Center Drive Lebanon NH 03756 38446067 false X N/A X 2009 NH To govern for an integrated health care delivery system that best serves the purposes of preventing,diagnosing treating,& curing human illness within the Northern New England Region 13 11 0 11 29430 28430 27403196 36412728 5572222 369310 -1027487 29395 -842395 -1121313 31105536 35690120 849186 626356 0 0 0 0 0 0 1016901 10768787 16032750 11617973 16659106 19487563 19031014 24831076 28702454 7084846 9331423 17746230 19371031 X DARTMOUTH-HITCHCOCK HEALTH (D-HH), IS A NEW HAMPSHIRE (NH) NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). D-HH WAS FORMED IN MAY 2009 WITH OPERATIONS COMMENCING ON OCTOBER 1, 2010. D-HH IS OPERATED FOR THE FOLLOWING CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES: -TO ESTABLISH, MANAGE, GOVERN, AND FUNDRAISE FOR AN INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT BEST SERVES THE PURPOSES OF PREVENTING, DIAGNOSING, TREATING AND CURING HUMAN ILLNESS WITHIN THE NORTHERN NEW ENGLAND REGION; -TO MANAGE A HEALTHCARE SYSTEM THAT PROVIDES HEALTH CARE SERVICES TO THE PUBLIC IN A COST-EFFECTIVE MANNER; -TO ESTABLISH AND MAINTAIN COOPERATIVE HOSPITAL AND PROVIDER RELATIONSHIPS THROUGHOUT ITS SYSTEM; -TO ACHIEVE EXCELLENCE IN CLINICAL INNOVATIONS, SERVICE, QUALITY, COST AND OUTCOMES, SUPPORTED BY A STRONG ACADEMIC PROGRAM; AND TO INTEGRATE RESEARCH, TRAINING, INFORMATION TECHNOLOGY AND ACADEMIC MEDICINE IN THE PROVIDER ORGANIZATIONS THR false false 10863308 626356 Dartmouth-Hitchcock Health continues to work to establish and maintain cooperative hospital and provider relationships throughout the Northern New England region. D-HH continues to refine affiliations with four hospitals and Visiting Nurse and Hospice of Vermont and New Hampshire (VNH). The more recent affiliations with Alice Peck Day Memorial Hospital in Lebanon, NH, and with VNH are allowing more coordinated care and efficiencies across system, as well as more effective utilization of hospital beds and clinical services. Benevera Health, a population health improvement company focused on care coordination and quality improvement, formed with Harvard Pilgrim, Elliot Health System, St Joseph Hospital, and Frisbie Memorial Hospital, began operations on January 1, 2016. As of June 2017, Benevera was responsible for managing the health of more than 100,000 member lives. Improved and coordinated patient care, with early intervention when appropriate, is intended to help drive down the cost of health care, allowing Harvard Pilgrim to keep premiums lower and consistently more competitive for members. 1833002 369310 A major D-HH initiative to create integrated relationships across New Hampshire and Vermont continues. The OneCare Vermont ACO, co-owned by D-HH with the University of Vermont Health Network, is working closely with the State of Vermont to implement the states Global Commitment to Health Section 1115 Waiver from CMS. As of January 1, 2016, D-HH restructured its share risk contract with Harvard Pilgrim Health to include Dartmouth-Hitchcock Clinic, Cheshire Medical Center, And New London Hospital. During FY 17, D-HH worked on becoming a CMS Next Generation ACO, and received approval as of January 1, 2017. Under the Next Generation ACO model, D-HH is sharing financial risk with CMS for the population health management and total cost of care of approximately 21,000 attributed traditional Medicare fee-for-service beneficiaries who have a Dartmouth-Hitchcock Clinic primary care provider in one of the southern NH practices. 457754 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 Centers Prouty race, various events sponsored by the Childrens Hospital at Dartmouth-Hitchcock (CHaD), and the Jack Byrne Center for Palliative & Hospice Care. Approximately 90% of D-HHs philanthropic revenue comes from donor contributions and event revenue. During FY17, more than $18 million was raised on behalf of D-HH through the Joint Development Office. 13154064 true true false false false false false false false false true false false true true false false true false false false false false false true false false true false true false false false false false false false false true true false false false true true true false false true 17 2 true 0 true true true BD false false false false false false false false X 13 11 true 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 X Vincent S Conti MHA Trustee 0.5 1.5 X 0 0 0 James N Weinstein DO MS Trustee Ex-Officio/CEO 6.0 55.51 X X 0 1364537 108831 Robert A Oden Jr PhD Trustee/Vice Chair 1.0 3.0 X X 0 0 0 Barbara J Couch MS Trustee/Board Secretary 1.0 3.0 X X 0 0 0 William J Conaty Trustee 0.5 1.5 X 0 0 0 Denis A Cortese MD Trustee 0.5 1.5 X 0 0 0 Laura K Landy MBA Trustee 0.5 1.5 X 0 0 0 Paul P Danos PhD Trustee 0.5 1.5 X 0 0 0 Steven A Paris MD Trustee/Reg Med Dir 0.5 41.51 X 0 419708 51805 Anne-Lee Verville Trustee/Board Chair 1.0 3.0 X X 0 0 0 Troyen A Brennan MD MPH Trustee 0.5 1.5 X 0 0 0 R William Burgess Jr MBA Trustee end 8/5/16 0.5 1.5 X 0 0 0 Duane A Compton PhD Trustee/Ex-Officio 0.5 1.81 X 0 0 0 Charles G Plimpton MBA Trustee/Board Treasurer 1.0 3.0 X X 0 0 0 Robin Kilfeather-Mackey CPA CFO end 7/15/16 6.0 55.01 X 0 609409 12922 Stephen Leblanc Chief Administrative Officer 6.0 56.01 X 0 671595 128833 Daniel P Jantzen CPA CFO eff 7/16/16 6.0 57.01 X 0 1223270 134426 John Butterly MD Fmr Offr/Exec VP Med Affairs 0.0 42.0 X 0 138766 13418 Thomas Colacchio MD Former Officer/Phys 0.0 41.0 X 0 667401 54165 Kimberly Troland JD Fmr Intrm GC/Deputy Gen Cnsl 0.0 40.0 X 0 369596 39760 0 5464282 544160 0 true true false Raymond James Associates Inc PO Box 23604 ST PETERSBURG FL 33742 Consulting 359712 The Trustees of Dartmouth College 37 DEWEY FIELD HANOVER NH 03755 Developmnt & Svcs 2217518 The Chartis Group LLC Department 5925 CAROL STREAM IL 601225925 Consulting 273050 Tangin LLC 148 Prospect Street Extension LEBANON NH 03766 Consulting 131963 PriceWaterhouseCoopers LLP 101 Seaport Blvd BOSTON MA 02210 Consulting 466241 8 5028261 31384467 1361500 36412728 ACO INCENTIVE INCOME (LOSS) 900004 369310 369310 369310 -92508 -92508 0 0 0 0 0 1555818 1433915 121903 121903 121903 200719 5028261 1322032 -1121313 29430 -1150743 0 0 0 0 0 0 0 35690120 369310 29430 -1121348 X 626356 626356 0 0 0 0 0 0 0 0 0 0 67445 67445 0 0 0 0 7018914 3581317 2420696 1016901 19322 19322 234217 234217 120945 120945 0 90812 90812 15540 15540 0 140488 140488 0 0 25703 25703 24817 24817 RISK SHARING LOSS 6164770 6164770 ACO LOSS 1749750 1749750 NNEAC INVESTMENT REDUCTION 350000 350000 ALL OTHER EXPENSES 10027 10027 16659106 13154064 2488141 1016901 337212 895546 0 0 0 0 6250687 3884372 0 0 0 0 0 0 0 0 0 0 161270 111218 75755 50052 217078 6207 0 0 0 0 0 0 17950344 23866277 24831076 28702454 1671372 6214600 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5413474 3116823 7084846 9331423 X 17746230 19371031 0 0 0 0 17746230 19371031 24831076 28702454 X 19031014 2238805 -19645018 X X false true X true true true X 0 2544108 8320951 8620543 18333930 37819532 0 0 0 2544108 8320951 8620543 18333930 37819532 7593551 30225981 0 42856 20847 29430 93133 0 37912665 30488642 0.79725 0.92793 X Unusual Grants Form 990, Schedule A, Part II, Line 1 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. Form 990, Schedule A, Part II, Line 1 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. Form 990, Schedule A, Part II, Line 1 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. Form 990, Schedule A, Part II, Line 1 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 100830 63719 37111 60440 47499 12941 50052 INVESTMENT IN NNEACC 6752 INVESTMENT IN IVYMD 2510096 INVESTMENT IN ONECARE VT 25000 INVESTMENT IN EVERWELL 250000 INVESTMENT IN BENEVERA 1772006 INVESTMENT IN GREENHEALTH PROJ 150000 INVESTMENT IN IMAGINECARE 19152423 23866277 0 DUE TO AFFILIATES-DHC AND MHMH 3116223 DUE TO AFFILIATES-EVERWELL 600 3116823 AUDITED FINANCIAL STATEMENT FOOTNOTE REGARDING ASC 740 Schedule D, Part X, Line 2 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DOES NOT INCLUDE A FOOTNOTE RELATING TO ASC 740. Prouty Wlk/Bike 2561431 2561431 0 105530 0 2412 60 513597 CHaD Hlf Mthn 800212 800212 0 360293 1254 3375 61621 19989 13 1867337 1666618 200719 0 142883 375 15688 61050 33905 5228980 5028261 200719 0 608706 1629 21475 122731 567491 1322032 -1121313 true Alice Peck Day Memorial Hospital 10 APD Memorial Dr Lebanon NH 03766 020222791 501(C)(3) 25000 FMV Program Support The Trustees of Dartmouth College 1 Rope Ferry Road Hanover NH 03755 020222111 501(c)(3) 200000 FMV Educ and Prog Sppt Granite State United Way 46 South Main Street Concord NH 03301 026006033 501(c)(3) 80000 FMV Program Support City Year Inc 848 Elm Street Suite 201 Manchester NH 03101 222882549 501(c)(3) 150000 FMV Preogram Support Cheshire Medical Center 580-590 Court Street Keene NH 03431 020354549 501(c)(3) 101463 FMV Program Support St Joseph Hospital 172 Kinsley St Nashua NH 03060 020222215 501(c)(3) 25000 FMV Program Support Friends of Recovery New Hampshire 140 Central Street Manchester NH 03103 020521502 501(c)(3) 38580 FMV Program Support Easter Seals New Hampshire 555 Auburn Street Manchester NH 03103 020272825 501(c)(3) 6313 FMV Program Support 8 Procedures for monitoring the use of grant funds Form 990, Schedule I, Part I, Line 2 The organization provides grants and assistance to other organizations based on needs and relation to the mission of Dartmouth-Hitchcock Health. Funds donated are for the general purpose and/or specific purposes defined by our Community Relations team. D-HH staff monitor and sign off on any funds prior to distribution or reimbursement of expenses. true true false false false false false false false James N Weinstein DO MS Trustee Ex-Officio/CEO 0 1268501 0 0 0 96036 0 93402 0 15429 0 1473368 0 0 Robin Kilfeather-Mackey CPA CFO end 7/15/16 0 295990 0 0 0 313419 0 0 0 12922 0 622331 0 0 Stephen Leblanc Chief Administrative Officer 0 554597 0 0 0 116998 0 107109 0 21724 0 800428 0 0 John Butterly MD Fmr Offr/Exec VP Med Affairs 0 82523 0 0 0 56243 0 13274 0 144 0 152184 0 0 Thomas Colacchio MD Former Officer/Phys 0 179518 0 0 0 487883 0 43501 0 10664 0 721566 0 0 Steven A Paris MD Trustee/Reg Med Dir 0 391378 0 0 0 28330 0 36365 0 15440 0 471513 0 0 Kimberly Troland JD Fmr Intrm GC/Deputy Gen Cnsl 0 357838 0 0 0 11758 0 20575 0 19185 0 409356 0 0 Daniel P Jantzen CPA CFO eff 7/16/16 0 570275 0 0 0 652995 0 117793 0 16633 0 1357696 0 0 COMPENSATION OF THE CEO FORM 990, SCHEDULE J, PART I, LINE 3 THE CEO IS PAID BY DARTMOUTH-HITCHCOCK CLINIC, A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION. Severance Payments FORM 990, SCHEDULE J, PART I LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2016: DURING 2012, THOMAS COLACCHIO TRANSITIONED FROM AN OFFICER ROLE TO A STAFF PHYSICIAN ROLE. AS PART OF THIS TRANSITION, THOMAS COLACCHIO RECEIVED A $320,000 CHANGE OF CONTROL PAYMENT FROM DARTMOUTH-HITCHCOCK IN 2016. THE PAYMENT IS INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2016, FORMER CHIEF FINANCIAL OFFICER ROBIN KILFEATHER-MACKEY RECEIVED SEVERANCE PAYMENTS TOTALING $224,351 FROM DARTMOUTH-HITCHCOCK. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. Supplemental Nonqualified Retirement Information Form 990, Schedule J, Part I, Line 4b The following individuals received payments from a supplemental nonqualified retirement plan: James Weinstein $93,750 Robin Kilfeather-Mackey $82,881 Stephen Leblanc $114,904 John Butterly $30,926 Thomas Colacchio $81,489 Stephen Paris $19,684 Kimberly Troland $11,603 THE ANNUAL SERP PROGRAM PROVIDES ELIGIBLE PARTICIPANTS WITH AMOUNTS INTENDED TO REPLACE THE REDUCTION IN QUALIFIED RETIREMENT BENEFITS DUE TO THE APPLICATION OF BENEFIT LIMITATIONS IMPOSED BY IRC SECTIONS 401(A) AND/OR 415. IN ADDITION, ONCE ELIGIBLE PARTICIPANTS QUALIFY FOR SPECIAL EARLY RETIREMENT BENEFITS BASED ON YEARS OF SERVICE PLUS AGE - AS PROVIDED IN THE DEFINED BENEFIT PLAN - THE VALUE OF THE SPECIAL EARLY RETIREMENT BENEFIT, DETERMINED WITHOUT REGARD TO LIMITATIONS IN 401(A) AND 415 IS INCLUDED IN THE PAYMENT. THE FOLLOWING INDIVIDUALS QUALIFIED FOR EARLY RETIREMENT BENEFITS DURING CALENDAR YEAR 2016: DANIEL P. JANTZEN $638,098 Dartmouth-Hitchcock Supplemental Retirement Plan 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)(17) 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 415.401(a)(17) and/or 415. Note regarding compensation amounts Schedule J, Part II 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. X 28 1361500 Fair Market Value false true true Schedule M, Part I, Line 32b 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. Business relationships Form 990, Part VI, Section A, Line 2 Dartmouth-Hitchcock Health owns for-profit subsidiaries that provide services and support the mission of the organization. As a result, some officers of DHH may also be officers of related for-profits entities. Delegation of Committees Form 990, Part VI, Section A, Line 3 THE D-HH BOARD DELEGATES CERTAIN FINANCIAL, AUDIT AND COMPLIANCE OVERSIGHT TO THE FINANCE AND AUDIT AND COMPLIANCE COMMMITTEE OF THE JOINT BOARDS OF TRUSTEES OF MARY HITCHCOCK MEMORIAL HOSPITAL AND DARTMOUTH-HITCHCOCK CLINIC, ACTING JOINTLY AS DARTMOUTH-HITCHCOCK ("D-H"). IN ADDITION, THE D-HH BOARD DELEGATES TO D-H, ACTING THROUGH ITS BOARDS AND APPROPRIATE COMMITTEES AND STAFF, THE OBLIGATION TO OVERSEE THE CLINICAL ACTIVITIES AND RESEARCH OF D-H AND ITS OPERATIONS IN ACCORDANCE WITH CURRENT D-H POLICIES AND PROCEDURES, INCLUDING THOSE FOR MANAGED CARE CONTRACTING, QUALITY OF CARE, AND RESEARCH PROGRAMS AND AFFILIATIONS WHICH POLICIES THE BOARD HEREBY APPROVES AND ENDORSES, PROVIDED THAT ANY SIGNIFICANT CHANGE TO SUCH POLICIES WILL BE SUBMITTED TO THE BOARD FOR APPROVAL. THE D-HH BOARD CONTINUES TO RETAIN FINAL MANAGEMENT POWERS AND DECISIONS PURSUANT TO SECTION 3.9.2 OF THE CORPORATION'S BYLAWS. Process used by management and/or Governing Body to Review 990 Form 990, Part VI, Line 11b 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. Conflict of Interest Policy Form 990, Part VI, Section B, Line 12C 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 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 curcumstances, 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 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 2017. Offices & Positions for Which Process was Used & Year Undertaken Form 990, Part VI, Section B, Line 15b 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 2017. 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. Avail of Gov Docs, Conflict of Interest Policy, & Financial Statements to the General Public Form 990, Part VI, Section C, Line 19 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. Average Hours Per Week Form 990 Part VII, Section A, Line 1A, Column B 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. Other Fee For Service Expenses Form 990, Part IX, Line 11G 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 2017 related organization purchased services totaled $5,751,776. In addition, D-HH paid $1,267,138 for ACO-related, affiliation expenses, and to external consultants. Reconciliation of Net Assets Form 990, Part XI, Line 9 Net Asset Transfer $19,645,018 Delegation of Oversight Form 990, Part XII, Line 2c The D-HH Board delegates certain financial, audit and compliance oversight to the Finance and Audit Commmittee as well as the Compliance Committees of the joint boards of trustees of Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinic, acting jointly as Dartmouth-Hitchcock ("D-H"). The D-HH board continues to retain final management powers and decisions pursuant to Section 3.9.2 of the Corporation's Bylaws. Circular A-133 Audit Requirement Form 990, Part XII, Line 3a DURING FISCAL YEAR 2017, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FUNDS FROM FEDERAL AWARDS IN EXCESS OF THE $750,000 THRESHOLD SET FORTH IN THE OMB UNIFORM GUIDANCE, THEREFORE REQUIRING AN AUDIT. DUE TO THE ISSUANCE OF THE CONSOLIDATED FINANCIAL STATEMENTS, THE SINGLE AUDIT WAS PERFORMED ON THE COMBINED FINANCIAL INFORMATION OF ALL ORGANIZATIONS, INCLUDING DARTMOUTH-HITCHCOCK HEALTH. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:7018914 Dartmouth-Hitchcock Clinic One Medical Center Drive Lebanon NH 03756 222519596 Phys Svcs 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 HLTHCRE RSRCH NH 501(C)(3) 7 DHC true Hamden Risk Retention Group Inc 30 Main Street Suite 330 Burlington VT 05401 208530788 SELF INS. VT 501(C)(3) 12 TYPE I DHC true The New London Hospital Assoc 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 SUPPORTNG ORG NH 501(C)(3) 12 TYPE I CMC true Mt Ascutney Hosp Cmmty Hlth Found 289 Country Road Windsor VT 05089 030300481 Hospital VT 501(c)(3) 3 WHA true Historic Homes of Runnemede 289 Country road Windsor VT 05089 237396147 Healthcare VT 501(c)(3) 10 WHA true Cheshire Health Services 580 Court Street Keene NH 03431 473379283 HEALTHCARE NH 501(c)(3) 3 CMC true Alice Peck Day Memorial Hospital 10 Alice Peck Day Drive Lebanon NH 03766 020222791 Hospital NH 501(c)(3) 3 D-HH true VNA & Hospice of VT and NH 205 Billings Farm 5 Wilder VT 05088 036006494 Hospice VT 501(c)(3) 10 D-HH true D-H Mster Invst Prg 1 Med Ctr Dr Lebanon NH 03756 020505863 Pooled Invest NH MHMH 0 false OneCare VT ACO LLC 111 COLCHESTER AVE Burlington VT 05401 455399218 Shared Saving VT DHH RELATED -1395862 25000 false 0 true 0.50000 Pompanoosuc Investment Corporation One Medical Center Drive Lebanon NH 03756 020352330 Real Est Hldg NH DHC C Corp true Hamden Assurance Company Limited Canons Court 22 Victoria St Hamilton BD HM EX 980121409 Liab Insur. BD DHC Foreign Corp true Hitchcock Health Connect One Medical Center Drive Lebanon NH 03756 800908979 Telehealth DE D-HH C Corp -156859 -4629095 1.00000 true Kearsarge Community Services Inc 273 County Road New London NH 03257 020460136 Real Est Hldg NH NLH C Corp true New London Physician Group Inc 273 County Road New London NH 03257 020494420 Physician Gro NH NLH C Corp true New London Medical Center East 273 County Road New London NH 03257 020480857 Real Est Hold NH NLH C Corp true Keene Health Services 580 Court Street Keene NH 03431 020374997 Real Est Hldg NH CMC C Corp true Keene Health Realty 580 Court Street Keene NH 03431 020374998 Real Est Hldg NH CMC C Corp true Keene Health Enterprises 580 Court Street Keene NH 03431 020374999 Real Est Hldg NH CMC C Corp true Charit Remndr Unitrusts (4) One Medical Center Drive Lebanon NH 03756 Chart. Trust NH MHMH TRUST true ImagineCare One Medical Center Drive Lebanon NH 03756 813105071 Sftwre tchnlgy NH D-HH C Corp 0 -15961680 1.00000 true 88 Prospect Street Condo Owners Assoc 205 Billings Farm Road 205 Wilder VT 05088 020480857 REAL EST HLDG VT VNA C Corp 0 0 true false true true false false false false false false false true false false false true true false false Mary Hitchcock Memorial Hospital Q 1123885 FMV Dartmouth-Hitchcock Clinic Q 481665 FMV Everwell Inc L 1749750 FMV Cheshire Medical Center B 101463 FMV VNA & Hospice of VT and NH C 20317603 FMV