Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $16,415,579

• 1f · All other contributions, gifts and grants

  $17,078,883

• 2a · Program service revenue: NET PATIENT SERVICE REVENUE

  total $627,079,778 · related or exempt $627,079,778

• 2b · Program service revenue: PHARMACY INCOME

  total $88,908,236 · related or exempt $88,908,236

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $6,182 · unrelated business $4,269 · excluded $1,913

• 6b · Less rental expenses

  real property $2,508

• 6c · Rental income or loss

  real property -$2,508 · personal property $0

• 6d · Net rental income or loss

  total -$2,508 · excluded -$2,508

• 7a · Gross sales of assets other than inventory

  securities -$24,574

• 7c · Gain or loss

  securities -$24,574 · other assets $0

• 7d · Net gain or loss

  total -$24,574 · excluded -$24,574

• 11a · Other revenue: CONTRACTED REVENUE

  total $105,161,812 · related or exempt $104,653,162 · unrelated business $508,650

• 11b · Other revenue: CAFETERIA INCOME

  total $417,914 · excluded $417,914

• 11c · Other revenue: OTHER REVENUE

  total $20,755,356 · related or exempt $20,755,356

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $126,335,082

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $3,523,324 · program services $3,523,324

• 2 · Grants to domestic individuals

  total $266,451 · program services $266,451

• 3 · Grants to foreign organizations and individuals

  total $151,767 · program services $151,767

• 5 · Compensation of officers, directors and key employees

  total $5,812,976 · program services $1,997,262 · management and general $3,586,522 · fundraising $229,192

• 6 · Compensation of disqualified persons

  total $844,867 · program services $410,344 · management and general $428,154 · fundraising $6,369

• 7 · Other salaries and wages

  total $347,908,951 · program services $305,092,063 · management and general $42,816,888

• 8 · Pension plan contributions

  total $23,390,653 · program services $20,349,868 · management and general $3,040,785

• 9 · Other employee benefits

  total $52,920,149 · program services $46,371,476 · management and general $6,548,673

• 10 · Payroll taxes

  total $22,683,978 · program services $19,876,920 · management and general $2,807,058

• 11b · Fees: legal

  total $1,245,217 · program services $55,679 · management and general $1,189,538

• 11c · Fees: accounting

  total $321,445 · program services $55,547 · management and general $265,898

• 11g · Fees: other

  total $76,939,629 · program services $69,312,199 · management and general $7,627,430 · fundraising $0

• 12 · Advertising and promotion

  total $1,041,963 · program services $28,771 · management and general $1,013,192

• 13 · Office expenses

  total $10,033,671 · program services $7,665,991 · management and general $2,367,680

• 14 · Information technology

  total $12,515,929 · program services $1,001,274 · management and general $11,514,655

• 16 · Occupancy

  total $10,330,175 · program services $4,651,913 · management and general $5,678,262

• 17 · Travel

  total $1,515,086 · program services $998,332 · management and general $516,754

• 19 · Conferences, conventions and meetings

  total $156,153 · program services $135,954 · management and general $20,199

• 20 · Interest

  total $9,609,430 · program services $75,946 · management and general $9,533,484

• 22 · Depreciation, depletion and amortization

  total $2,894,714 · program services $1,002,118 · management and general $1,892,596

• 23 · Insurance

  total $8,365,414 · program services $6,726,171 · management and general $1,639,243

• 24a · Other expenses: MEDICAL SUPPLIES

  total $231,428,521 · program services $230,537,003 · management and general $891,518

• 24b · Other expenses: EQUIP REPAIR & MAINTENANCE

  total $8,769,349 · program services $3,856,975 · management and general $4,912,374

• 24c · Other expenses: ACADEMIC, GME, TEACHING & SUPPORT

  total $3,693,531 · program services $3,118,704 · management and general $574,827

• 24d · Other expenses: RECRUITMENT COSTS

  total $1,029,887 · program services $62,496 · management and general $967,391

• 24e · All other expenses

  total $62,360,100 · program services $60,870,844 · management and general $1,489,154 · fundraising $102

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  end of year $649

• 4 · Accounts receivable

  beginning of year $61,758,670 · end of year $9,652,795

• 5 · Loans and receivables from officers and key people

  beginning of year $173,404 · end of year $68,044

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $298,678 · end of year $295,444

• 8 · Inventories for sale or use

  beginning of year $8,550,855 · end of year $10,294,433

• 9 · Prepaid expenses and deferred charges

  end of year $6

• 10a · Land, buildings and equipment: cost or other basis

  $139,210,319

• 10b · Land, buildings and equipment: accumulated depreciation

  $113,990,832

• 10c · Land, buildings and equipment, net

  beginning of year $13,118,228 · end of year $25,219,487

• 11 · Investments: publicly traded securities

  beginning of year $331,022 · end of year $454,768

• 12 · Investments: other securities

  beginning of year $71,147,802 · end of year $75,934,086

• 13 · Investments: program-related

  beginning of year $1,719,520 · end of year $1,744,073

• 15 · Other assets

  beginning of year $139,877,078 · end of year $161,390,072

• 17 · Accounts payable and accrued expenses

  beginning of year $448,670,757 · end of year $435,456,959

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $1,553,369 · end of year $1,138,419

• 25 · Other liabilities

  beginning of year $231,633,142 · end of year $252,446,455

• 27 · Net assets without donor restrictions

  beginning of year -$386,563,240 · end of year -$405,855,169

• 28 · Net assets with donor restrictions

  beginning of year $1,681,229 · end of year $1,867,193

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Discretionary spending account

THE ORGANIZATION HAS IN PLACE A PLAN TO SUPPORT CONTINUING MEDICAL EDUCATION. THE PLAN PROVIDES FIXED DOLLAR LIMITS PER PROVIDER PER 2-YEAR PERIOD THAT CAN BE USED TO DEFRAY THE COSTS OF OBTAINING AND ATTENDING CONTINUING MEDICAL EDUCATION EVENTS AND RELATED TRAVEL. ADDITIONALLY, THESE MONIES CAN BE USED FOR PROFESSIONAL BOOKS, LICENSES, MEMBERSHIPS, AND RELATED EXPENSES. AMOUNTS MUST BE SUBMITTED FOR APPROVAL PRIOR TO REIMBURSEMENT.

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 AND RESPECTIVE EMPLOYER PREMIUMS: DANIEL JANTZEN $148,478 STEPHEN LEBLANC $68,044

Schedule J, Part I, Line 3 ESTABLISHING COMPENSATION CEO

The process for determining compensation of the CEO is the responsibility of the Compensation Committee of Dartmouth Hitchcock Health (DHH). The compensation committee consists of the Chairperson of the Board and three or more members of the board who are elected by the board, acting upon the recommendation of the chairperson and are not employees of DHH, a related organization or a subsidiary organization of a related organization. The compensation committee determines the compensation of the CEO of DHC within ranges established by the board.

Schedule J, Part II NOTE REGARDING COMPENSATION

SCHEDULE J, PART II COLUMN B, PARTS I, II, AND III REPRESENT ACTUAL AMOUNTS PAID TO EMPLOYEES BY DHC AND RELATED ORGANIZATIONS. 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 IN A CALENDAR YEAR. COLUMN D REPRESENTS NONTAXABLE BENEFITS SUCH AS THE COST OF HEALTHCARE COVERAGE PROVIDED BY D-H ON BEHALF OF ITS EMPLOYEES.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• RENAISSANCE PSYCHIATRY OF NEW ENGLAND

  PSYCHIATRY SERVICES · NH · income -$48,157 · assets $699,859

  Directly controlled by Dartmouth-Hitchcock Clinic

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• POMPANOOSUC INVESTMENT CORPORATION

  C Corporation · REAL ESTATE HOLDING · NH · 100% owned · share of income -$125 · share of assets $75,632 · controlled entity

  Directly controlled by Dartmouth-Hitchcock Clinic

• HAMDEN ASSURANCE CO LTD

  C Corporation · LIABILITY INSURANCE · BD · 70.2% owned · share of income $0 · share of assets $62,604,388 · controlled entity

  Directly controlled by Dartmouth-Hitchcock Clinic