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Nonprofiteer
← DARTMOUTH-HITCHCOCK HEALTH

Form 990 for tax year 2022

Filed by DARTMOUTH-HITCHCOCK HEALTH.

Totals

Total revenue
$23,210,504
Total expenses
$33,297,141
Contributions and grants received
$16,344,610
Grants paid
$0
Program services expenses (Part IX)
$10,864,686
Management and general expenses
$13,396,415
Fundraising expenses
$9,036,040
Program service expenses (Part III)
$10,864,686

Program services were 32.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

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
    $1,713,475
    From this org
    $0
    From related orgs
    $1,666,034
    Other
    $47,441
    Hours/week
    2 + 54.1 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,473,908 related
    Bonus
    $0
    Other
    $0 + $192,126 related
    Deferred
    $0 + $29,250 related
    Nontaxable benefits
    $0 + $18,191 related
    Filer's total
    $0 + $1,713,475 related

  • David P Paul

    Trustee

    Total calculated
    $0
    Hours/week
    1 + 1.5 related

  • Duane A Compton PHD

    Trustee / Ex-Officio

    Total calculated
    $0
    Hours/week
    0.5 + 1.9 related

  • Geraldine Bednash PHD RN FAAN

    Trustee

    Total calculated
    $0
    Hours/week
    0.5 + 1.6 related

  • Jennifer L Moyer MBA

    Trustee

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Marc B Wolpow JDMBA

    Trustee (through 11/16/22)

    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 (as of 6/24/23)

    Total calculated
    $0
    Hours/week
    0.8 + 1.6 related

  • Paul P Danos PHD

    Trustee (through 12/31/22)

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • RICHARD J POWELL MD

    TRUSTEE / Section Chief

    Total calculated
    $677,800
    From this org
    $0
    From related orgs
    $615,158
    Other
    $62,642
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $556,866 related
    Bonus
    $0
    Other
    $0 + $58,292 related
    Deferred
    $0 + $29,250 related
    Nontaxable benefits
    $0 + $33,392 related
    Filer's total
    $0 + $677,800 related

  • ROBERTA L HINES MD

    Trustee

    Total calculated
    $0
    Hours/week
    0.5 + 3 related

  • DANIEL P JANTZEN

    Chief Financial Officer

    Total calculated
    $1,033,483
    From this org
    $0
    From related orgs
    $968,827
    Other
    $64,656
    Hours/week
    2 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $815,505 related
    Bonus
    $0
    Other
    $0 + $153,322 related
    Deferred
    $0 + $29,250 related
    Nontaxable benefits
    $0 + $35,406 related
    Filer's total
    $0 + $1,033,483 related

  • JOHN KACAVAS

    Chief Legal Officer (through 12/31/22)

    Total calculated
    $875,216
    From this org
    $0
    From related orgs
    $805,496
    Other
    $69,720
    Hours/week
    2 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $680,386 related
    Bonus
    $0
    Other
    $0 + $125,110 related
    Deferred
    $0 + $29,250 related
    Nontaxable benefits
    $0 + $40,470 related
    Filer's total
    $0 + $875,216 related

  • Kimberly Troland JD

    Interim Chief Legal Officer (as of 1/1/23)

    Total calculated
    $481,961
    From this org
    $0
    From related orgs
    $435,137
    Other
    $46,824
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $385,359 related
    Bonus
    $0
    Other
    $0 + $49,778 related
    Deferred
    $0 + $23,150 related
    Nontaxable benefits
    $0 + $23,674 related
    Filer's total
    $0 + $481,961 related

  • Patrick F Jordan III MBA

    Chief Operating Officer

    Total calculated
    $898,896
    From this org
    $0
    From related orgs
    $829,011
    Other
    $69,885
    Hours/week
    2 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $777,526 related
    Bonus
    $0
    Other
    $0 + $51,485 related
    Deferred
    $0 + $29,250 related
    Nontaxable benefits
    $0 + $40,635 related
    Filer's total
    $0 + $898,896 related

  • Stephen Leblanc

    Chief Strategy Officer

    Total calculated
    $847,439
    From this org
    $0
    From related orgs
    $782,783
    Other
    $64,656
    Hours/week
    2 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $687,948 related
    Bonus
    $0
    Other
    $0 + $94,835 related
    Deferred
    $0 + $29,250 related
    Nontaxable benefits
    $0 + $35,406 related
    Filer's total
    $0 + $847,439 related

  • Aimee M Claiborne

    Officer

    Total calculated
    $561,394
    From this org
    $0
    From related orgs
    $518,080
    Other
    $43,314
    Hours/week
    0 + 40.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $486,145 related
    Bonus
    $0
    Other
    $0 + $31,935 related
    Deferred
    $0 + $23,150 related
    Nontaxable benefits
    $0 + $20,164 related
    Filer's total
    $0 + $561,394 related

  • EDWARD MERRENS

    Officer

    Total calculated
    $851,308
    From this org
    $0
    From related orgs
    $801,775
    Other
    $49,533
    Hours/week
    0 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $725,384 related
    Bonus
    $0
    Other
    $0 + $76,391 related
    Deferred
    $0 + $29,250 related
    Nontaxable benefits
    $0 + $20,283 related
    Filer's total
    $0 + $851,308 related

  • Maria Padin MD

    Officer

    Total calculated
    $592,094
    From this org
    $0
    From related orgs
    $526,550
    Other
    $65,544
    Hours/week
    0 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $475,513 related
    Bonus
    $0
    Other
    $0 + $51,037 related
    Deferred
    $0 + $29,250 related
    Nontaxable benefits
    $0 + $36,294 related
    Filer's total
    $0 + $592,094 related

  • Matthew Haag

    Officer

    Total calculated
    $444,752
    From this org
    $0
    From related orgs
    $403,945
    Other
    $40,807
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $368,250 related
    Bonus
    $0
    Other
    $0 + $35,695 related
    Deferred
    $0 + $23,150 related
    Nontaxable benefits
    $0 + $17,657 related
    Filer's total
    $0 + $444,752 related

  • Susan A Reeves EDDRN

    Officer

    Total calculated
    $778,770
    From this org
    $0
    From related orgs
    $717,088
    Other
    $61,682
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $639,528 related
    Bonus
    $0 + $250 related
    Other
    $0 + $77,310 related
    Deferred
    $0 + $29,250 related
    Nontaxable benefits
    $0 + $32,432 related
    Filer's total
    $0 + $778,770 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 — 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 $65,927 Daniel Jantzen $144,065
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.

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202401349349308420

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