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Nonprofiteer
← DARTMOUTH-HITCHCOCK HEALTH

Form 990 for tax year 2023

Filed by DARTMOUTH-HITCHCOCK HEALTH.

Totals

Total revenue
$40,238,499
Total expenses
$40,369,720
Contributions and grants received
$26,688,226
Grants paid
$0
Program service revenue
$3,833,814
Investment income
$3,372,984
Other revenue
$6,343,475
Total assets, end of year
$1,118,499,012
Total liabilities, end of year
$1,177,709,078
Net assets or fund balances, end of year
-$59,210,066
Program services expenses (Part IX)
$19,283,609
Management and general expenses
$13,188,528
Fundraising expenses
$7,897,583
Program service expenses (Part III)
$19,283,609

Program services were 47.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $7,080,802

  • 1f · All other contributions, gifts and grants

    $19,607,424

  • 1g · Noncash contributions included above

    $4,614,685

  • 2a · Program service revenue: ACO revenue

    total $3,833,814 · related or exempt $3,833,814

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $2,890,880 · unrelated business $270,747 · excluded $2,620,133

  • 4 · Income from investment of tax-exempt bond proceeds

    total $482,104 · excluded $482,104

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8a · Fundraising events: gross income

    $122,727

  • 8a · Fundraising events: contributions included on line 1c

    $7,080,802

  • 8b · Fundraising events: direct expenses

    $501,838

  • 8c · Net income from fundraising events

    total -$379,111 · excluded -$379,111

  • 9a · Gaming: gross income

    $8,607

  • 9c · Net income from gaming

    total $8,607 · excluded $8,607

  • 11a · Other revenue: SHARED SERVICES

    total $6,713,979 · related or exempt $6,713,979

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $6,713,979

Functional expenses

Part IX, the statement of functional expenses.

  • 11b · Fees: legal

    total $1,527,531 · program services $1,527,531

  • 11e · Fees: professional fundraising services

    total $91,642 · fundraising $91,642

  • 11g · Fees: other

    total $25,668,732 · program services $6,532,192 · management and general $11,682,280 · fundraising $7,454,260

  • 12 · Advertising and promotion

    total $1,516,500 · program services $17,600 · management and general $1,423,482 · fundraising $75,418

  • 13 · Office expenses

    total $280,921 · management and general $33,504 · fundraising $247,417

  • 17 · Travel

    total $30,392 · program services $16,614 · fundraising $13,778

  • 19 · Conferences, conventions and meetings

    total $75,140 · program services $45,150 · management and general $17,231 · fundraising $12,759

  • 20 · Interest

    total $10,475,267 · program services $10,475,267

  • 23 · Insurance

    total $31,449 · management and general $31,449

  • 24a · Other expenses: Debt Service Cost

    total $608,964 · program services $608,964

  • 24b · Other expenses: OTHER

    total $46,413 · program services $44,104 · fundraising $2,309

  • 24c · Other expenses: OTHER TAXES

    total $16,769 · program services $16,187 · management and general $582

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $946,114 · end of year $2,902,433

  • 2 · Savings and temporary cash investments

    beginning of year $18,240,417 · end of year $109,206,132

  • 3 · Pledges and grants receivable

    beginning of year $6,378,949 · end of year $11,014,223

  • 4 · Accounts receivable

    beginning of year $13,972,560 · end of year $14,643,085

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $843,946,183 · end of year $838,175,734

  • 9 · Prepaid expenses and deferred charges

    beginning of year $108,425 · end of year $94,538

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

    $161,270

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

    $161,270

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $120,176,936 · end of year $115,556,843

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $501,487 · end of year $26,906,024

  • 17 · Accounts payable and accrued expenses

    beginning of year $20,387,638 · end of year $20,050,369

  • 19 · Deferred revenue

    beginning of year $4,899,097 · end of year $4,656,972

  • 20 · Tax-exempt bond liabilities

    beginning of year $539,755,000 · end of year $526,390,000

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $503,926,392 · end of year $626,611,737

  • 27 · Net assets without donor restrictions

    beginning of year -$64,706,794 · end of year -$59,219,804

  • 28 · Net assets with donor restrictions

    beginning of year $9,738 · end of year $9,738

Mission and programs · 2023

Mission

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.

Activities or mission (Part I)

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.

  • 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 six 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.

    Expenses $19,283,609 · Revenue $10,547,793

  • 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 90% OF D-HH'S PHILANTHROPIC REVENUE COMES FROM DONOR CONTRIBUTIONS AND EVENT REVENUE. DURING FY24, MORE THAN $20 MILLION WAS RAISED THROUGH THE JOINT DEVELOPMENT OFFICE FOR THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM.

As filed on the 2023 return.

Listed in Part VII

  • Charles G Plimpton MBA

    Trustee/Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Edward H Stansfield III MA

    Trustee/Chair

    Total calculated
    $0
    Hours/week
    1 + 2.1 related

  • Joanne M Conroy MD

    Trustee, Ex-officio, CEO

    Total calculated
    $2,129,141
    From this org
    $0
    From related orgs
    $2,078,492
    Other
    $50,649
    Hours/week
    2 + 54.1 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,470,830 related
    Bonus
    $0 + $420,000 related
    Other
    $0 + $187,662 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $19,059 related
    Filer's total
    $0 + $2,129,141 related

  • David P Paul

    Trustee (through 12/31/23)

    Total calculated
    $0
    Hours/week
    1 + 1.5 related

  • Duane A Compton PHD

    Trustee / Ex-Officio (through 12/31/23)

    Total calculated
    $0
    Hours/week
    0.5 + 1.9 related

  • Geraldine Bednash PHD RN FAAN

    Trustee (through 12/31/23)

    Total calculated
    $0
    Hours/week
    0.5 + 1.6 related

  • Jennifer L Moyer MBA

    Trustee (through 12/31/23)

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Mark W Begor MBA

    Trustee

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Pamela Thompson MSRNCENP

    Trustee

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Paul A Taheri MD MBA

    Trustee

    Total calculated
    $0
    Hours/week
    0.8 + 1.6 related

  • Richard J Powell MD

    TRUSTEE / Section Chief

    Total calculated
    $804,892
    From this org
    $0
    From related orgs
    $747,593
    Other
    $57,299
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $689,148 related
    Bonus
    $0
    Other
    $0 + $58,445 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $25,709 related
    Filer's total
    $0 + $804,892 related

  • Roberta L Hines MD

    Trustee (through 12/31/23)

    Total calculated
    $0
    Hours/week
    0.5 + 3 related

  • Thomas Glynn PHD

    Trustee (as of 1/1/24)

    Total calculated
    $0
    Hours/week
    0.5 + 1.6 related

  • Thomas Raffio

    Trustee (as of 1/1/24)

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Daniel P Jantzen

    Chief Financial Officer

    Total calculated
    $1,172,612
    From this org
    $0
    From related orgs
    $1,105,647
    Other
    $66,965
    Hours/week
    2 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $812,887 related
    Bonus
    $0 + $148,750 related
    Other
    $0 + $144,010 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $35,375 related
    Filer's total
    $0 + $1,172,612 related

  • John Kacavas

    Chief Legal Officer (as of 1/8/24)

    Total calculated
    $55,362
    From this org
    $0
    From related orgs
    $55,362
    Other
    $0
    Hours/week
    2 + 41 related

  • Kimberly Troland JD

    Interim Chief Legal Officer (through 1/7/24)

    Total calculated
    $646,144
    From this org
    $0
    From related orgs
    $632,259
    Other
    $13,885
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $481,706 related
    Bonus
    $0 + $90,995 related
    Other
    $0 + $59,558 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $13,885 related
    Filer's total
    $0 + $646,144 related

  • Patrick F Jordan III MBA

    Chief Operating Officer

    Total calculated
    $1,051,138
    From this org
    $0
    From related orgs
    $979,872
    Other
    $71,266
    Hours/week
    2 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $777,017 related
    Bonus
    $0 + $140,000 related
    Other
    $0 + $62,855 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $39,676 related
    Filer's total
    $0 + $1,051,138 related

  • Stephen Leblanc

    Chief Strategy Officer

    Total calculated
    $984,376
    From this org
    $0
    From related orgs
    $918,361
    Other
    $66,015
    Hours/week
    2 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $686,348 related
    Bonus
    $0 + $122,500 related
    Other
    $0 + $109,513 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $34,425 related
    Filer's total
    $0 + $984,376 related

  • Aimee M Claiborne

    Officer

    Total calculated
    $636,779
    From this org
    $0
    From related orgs
    $591,866
    Other
    $44,913
    Hours/week
    0 + 40.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $486,033 related
    Bonus
    $0 + $85,825 related
    Other
    $0 + $20,008 related
    Deferred
    $0 + $24,990 related
    Nontaxable benefits
    $0 + $19,923 related
    Filer's total
    $0 + $636,779 related

  • Edward J Merrens MD

    Officer

    Total calculated
    $982,066
    From this org
    $0
    From related orgs
    $931,192
    Other
    $50,874
    Hours/week
    0 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $723,268 related
    Bonus
    $0 + $131,250 related
    Other
    $0 + $76,674 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $19,284 related
    Filer's total
    $0 + $982,066 related

  • Maria Padin MD

    Officer

    Total calculated
    $628,700
    From this org
    $0
    From related orgs
    $560,847
    Other
    $67,853
    Hours/week
    0 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $484,606 related
    Bonus
    $0 + $35,700 related
    Other
    $0 + $40,541 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $36,263 related
    Filer's total
    $0 + $628,700 related

  • Matthew Haag

    Officer

    Total calculated
    $525,116
    From this org
    $0
    From related orgs
    $482,401
    Other
    $42,715
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $365,972 related
    Bonus
    $0 + $69,125 related
    Other
    $0 + $47,304 related
    Deferred
    $0 + $24,990 related
    Nontaxable benefits
    $0 + $17,725 related
    Filer's total
    $0 + $525,116 related

  • Susan A Reeves EDD RN

    Officer

    Total calculated
    $960,668
    From this org
    $0
    From related orgs
    $917,950
    Other
    $42,718
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $674,530 related
    Bonus
    $0 + $113,800 related
    Other
    $0 + $129,620 related
    Deferred
    $0 + $31,590 related
    Nontaxable benefits
    $0 + $11,128 related
    Filer's total
    $0 + $960,668 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
The CEO IS EMPLOYED AND PAID BY A RELATED ORGANIZATION WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, FORM 990 INFORMATION FROM OTHER ORGANIZATIONS, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION.
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 $68,044 Daniel Jantzen $148,478
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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

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

  • D-HH Accountable Care LLC

    Health Improvement · NH · income $0 · assets $0

    Directly controlled by Dartmouth Hitchcock Health

  • Dartmouth Health Performance Network LLC

    Health Improvement · NH · income $0 · assets $0

    Directly controlled by DARTMOUTH HITCHCOCK HEALTH

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Help at Home LLC

    N/A · Home Care · VT

    Directly controlled by VNA

  • DH Specialty Services LLC

    N/A · Shared Saving Program · NH

    Directly controlled by D-HH

  • New England Alliance for Health LLC

    N/A · Health Improvement · NH

    Directly controlled by MHMH

  • Renaissance Psychiatry of New England LLC

    N/A · Psychiatry Services · NH

    Directly controlled by DHC

Related corporations and trusts

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

  • POMPANOOSUC INVESTMENT CORP

    C Corporation · REAL EST HLDG · NH

    Directly controlled by DHC

  • HAMDEN ASSURANCE CO LTD

    C Corporation · LIABILITY INSURANCE · BD

    Directly controlled by NA

  • KEENE HEALTH SERVICES

    C Corporation · REAL EST HLDG · NH

    Directly controlled by Cheshire Medical Center

  • KEENE HEALTH REALTY

    C Corporation · REAL EST HLDG · NH

    Directly controlled by Cheshire Medical Center

  • KEENE HEALTH ENTERPRISES

    C Corporation · REAL EST HLDG · NH

    Directly controlled by Cheshire Medical Center

  • Charitable Remainder UNITRUSTS (4)

    Trust · Charitable TRUST · NH

    Directly controlled by NA

  • 88 PROSPECT STREET CONDO OWNERS ASSOC

    C Corporation · REAL ESTATE HOLDINGS · VT

    Directly controlled by VNA

  • MOUNT ASCUTNEY PROFESSIONAL CONDO OWNERS

    C Corporation · REAL ESTATE HOLDINGS · VT

    Directly controlled by MAHHC

Provenance

Return type
form_990
Tax year
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202501339349301345

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