2026-06-15T06:59:11+00:00 2025-06-30 350921680 CROWE LLP 4801 Olympia Park Plaza Suite 4000 Louisville KY 402412098 990 2024-07-01 222519596 Dartmouth-Hitchcock Clinic DART 6036531154 One Medical Center Drive Lebanon NH 03756 Wendy Fielding CFO 6036531154 2026-06-15 true true Rachel Spurlock P00520729 5023263996 2026-06-15 2024 2025-03-06 01:10:19Z Joanne M Conroy MD One Medical Center Drive Lebanon NH 03756 933976465 false X www.dartmouth-hitchcock.org X 1983 NH Advancing health through research, education, clinical practice, and community partnerships; providing each person the best care in the right place, at the right time, every time 18 12 6428 294 432215 0 33494462 50924952 715988014 758353553 -18392 46262 126332574 124651698 875796658 933976465 3941542 4334056 0 453561574 446552832 0 211112 442250214 581620249 899753330 1032507137 -23956672 -98530672 285053857 303009481 689041833 787244073 -403987976 -484234592 WE ADVANCE HEALTH THROUGH RESEARCH, EDUCATION, CLINICAL PRACTICE, AND COMMUNITY PARTNERSHIPS, PROVIDING EACH PERSON THE BEST CARE, IN THE RIGHT PLACE, AT THE RIGHT TIME, EVERY TIME. false false 864439183 4334056 880576924 Dartmouth-Hitchcock Clinic (DHC) is a not-for-profit organization as described in Section 501(c)(3) of the Internal Revenue Code (Code) and is exempt from federal income taxes on related income, pursuant to Section 501(a) of the Code. DHC and its subsidiaries form a multispecialty physician practice which operates throughout New Hampshire and Vermont and provides both medical services to patients and medical education and research. Health care services provided during fiscal year 2025 resulted in 1,487,233 office visits, with 351,992 unique patients served. The promotion of health through the medical practice activities of DHC provides the basis for the organization's tax-exempt status. DHC operates as an integral component of (and is fully owned by) Dartmouth-Hitchcock Health (D-HH), (continued on schedule o) 44753811 1495276 As a component of an integrated academic medical center, Dartmouth-Hitchcock Clinic (DHC) provides significant support for academic and research programs through its support of the Geisel School of Medicine at Dartmouth College (GSM). DHC provides support for physicians' unpaid teaching time as part of its community benefit initiatives, consisting of the time physicians spend providing clinical supervision and education for residents and medical students. In addition, DHC provides in-kind support for research and other grants representing costs in excess of awards for numerous grant-funded health research and service initiatives awarded to Mary Hitchcock Memorial Hospital (MHMH) and GSM. Other community benefit initiatives include subsidizing the costs of providing medical and clinical education to professionals across New Hampshire, Vermont, and beyond as well as uncompensated costs of academic and medical research activities. 909192994 true true false true false false false false false true true true false true true false false true false true true true false false false false false true true true true false false false false false true false false true false false false false false true true true true false false true X 0 0 6428 true true true true BD false false false false false false false false true false X 18 12 false false false false true true true true true false false false true true true true true true true true false false NH X WENDY E FIELDING 6036531154 One Medical Center Drive Lebanon NH 03756 David P Paul Trustee / Secretary/Treasurer 0.8 1.8 X X 0 0 0 Joanne M Conroy MD Trustee, Ex-Officio, CEO 16.2 39.9 X X 2473236 0 52662 ROBERTA L HINES MD TRUSTEE / Chair 1.5 2.0 X X 0 0 0 Celestina M Dooley-Jones PHD Trustee 0.8 0.8 X 0 0 0 Duane A Compton PHD Trustee / Ex-Officio 0.8 1.7 X 0 0 0 Emily Zeitler Staff Physician/Trustee (as of 1/1/25) 28.0 12.0 X 516001 0 69972 Gary V Desir Trustee 0.8 0.8 X 0 0 0 Geraldine Bednash PHD RN FAAN Trustee 0.8 1.3 X 0 0 0 Jason T Garbarino DNP RN GERO-BC Trustee (as of 1/18/25) 0.8 1.3 X 0 0 0 Jennifer L Moyer MBA Trustee 0.8 1.3 X 0 0 0 Jonathan B Thyng MD Trustee/Medical Director 12.0 28.0 X 378761 0 77043 Keith Loud MD Trustee /VP Svc Ln & Dept Chair - Pedi 40.0 0.1 X 543027 0 70523 Laura Chiang Trustee / Physician 12.0 28.0 X 417975 0 67621 Laurel J Richie Trustee (as of 1/1/25) 0.8 1.3 X 0 0 0 M Elyse Allan Trustee 0 X 0 0 0 Marcus Coe MD GME Program Director/Trustee 40.0 0.1 X 836390 0 70093 Mark S Speers MBA Trustee 0.8 0.8 X 0 0 0 Nancy M Dunbar MD Trustee / Physician (Through 12/31/24) 12.0 28.0 X 394799 0 70831 Sherri C Oberg Trustee 0.8 0.8 X 0 0 0 Aimee M Claiborne Chief Human Resource Officer 12.0 28.5 X 0 670485 53691 Edward J Merrens MD Chief Clinical Officer 12.0 29.0 X 1051727 0 49303 John Kacavas Chief Legal Officer 12.0 31.0 X 0 792086 53353 Matthew Haag Chief Development Officer 12.0 28.5 X 0 517588 43749 Patrick F Jordan III MBA Chief Operating Officer - DHC (through 6/21/25) 12.0 31.5 X 0 1132708 79260 Stephen LeBlanc Chief Strategy Officer 12.0 31.0 X 1016111 0 69299 Susan A Reeves EDD RN Executive VP (medical center) 12.0 28.0 X 0 216596 12996 Wendy Fielding Chief Financial Officer 12.0 29.5 X 0 537524 68364 David F Duncan System VP - Facilities Mgmt 12.0 29.0 X 0 367601 47168 Simon C Hillier Dept Chair ANESTHESIOLOGY 12.0 28.0 X 433831 0 68285 Tracy Galvin Chief Nursing Officer 12.0 28.0 X 0 394259 47519 Adam Pearson Section Chief 40.0 0 X 1051525 0 70500 John Nigriny Physician 40.0 0 X 1299631 0 78056 Linton Evans GME Program Director 40.0 0 X 1161802 0 28463 Lixia Z Ellis Physician 40.0 0 X 1332481 0 64786 Matthew LeBoeuf Physician 12.0 28.0 X 1180803 0 44542 Daniel P Jantzen CFO D-HH/Former CFO MHMH 12.0 31.0 X 0 1184287 71877 David Gladstone MD CHF CLNCL PHYSCN - RADIOLOGY-FORMER DHC 40.0 0.0 X 171236 0 10274 Kimberly Troland JD Former Interim Chief Legal Officer 0.0 40.0 X 0 581281 52939 Maria Padin MD Former Officer/Chief medical Officer, CGP 12.0 30.5 X 599295 0 68542 Peter D Solberg MD Chief Health Information Officer (DHC) - Former 40.0 0.0 X 588556 0 77090 Staci Hermann PHARMD MS Former Chief Pharmacy Officer 0.0 40.0 X 0 122608 10389 15447187 6517023 1649190 2223 true true false 0 33547156 17377796 50924952 NET PATIENT SERVICE REVENUE 621300 659912408 659912408 PHARMACY INCOME 446110 98441145 98441145 0 0 0 0 758353553 40230 2722 37508 0 0 6032 6032 0 6032 6032 CONTRACTED REVENUE 621300 108212518 107783025 429493 CAFETERIA INCOME 722514 503558 503558 OTHER REVENUE 621300 15935622 15935622 0 0 0 0 124651698 933976465 882072200 432215 547098 X 4100226 4100226 162539 162539 71291 71291 4914415 1644388 3058915 211112 1017352 240808 776544 348933709 300483763 48449946 23921838 20572781 3349057 45332022 39010179 6321843 22433496 19292835 3140661 1680466 59801 1620665 292131 53763 238368 70724101 64227636 6496465 0 1174357 25167 1149190 10554705 6556062 3998643 12920181 1162816 11757365 9582210 771136 8811074 1632646 1124328 508318 182070 151011 31059 8053433 59261 7994172 3143880 1077713 2066167 6213234 4970587 1242647 MEDICAL SUPPLIES 239671323 237230726 2440597 EQUIP REPAIR & MAINTENANCE 9198913 3017347 6181566 ACADEMIC, GME, TEACHING & SUPPORT 3611037 3049882 561155 RECRUITMENT COSTS 869722 27088 842634 202115840 200049860 2065980 0 1032507137 909192994 123103031 211112 2502650 649 11247 9652795 4318413 68044 70131 0 0 295444 0 10294433 11602101 6 0 139165174 114663462 25219487 24501712 454768 542250 75934086 88415913 1744073 1822213 161390072 169222851 285053857 303009481 435456959 509609286 10485000 0 0 1138419 700353 252446455 266449434 689041833 787244073 X -405855169 -486297233 1867193 2062641 -403987976 -484234592 285053857 303009481 X -98530672 486432 17797624 X false true true true true X 74843390 39587886 41922401 33494462 50924951 240773090 545666182 570079194 594533735 841234689 882072200 3433586000 0 0 0 620509572 609667080 636456136 874729151 932997151 3674359090 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3674359090 909298 963456 902261 1913 37508 2814436 0 909298 963456 902261 1913 37508 2814436 0 0 0 0 338902 388346 436994 417914 503558 2085714 621757772 611018882 637795391 875148978 933538217 3679259240 0.99867 0.99822 0 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 338902.0, COLUMN B - 388346.0, COLUMN C - 436994.0, COLUMN D - 417914.0, COLUMN E - 503558.0, COLUMN F - 2085714.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 69384 69384 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1I DHC PAYS DUES TO VARIOUS ORGANIZATIONS RELATED TO ITS EXEMPT MISSION. THE AMOUNT REPORTED UNDER OTHER ACTIVITIES ON LINE 1I REFERS TO THE AMOUNT OF LOBBYING ACTIVITIES IDENTIFIED IN DUES PAYMENTS TO OUTSIDE ORGANIZATIONS. 1798955 199475 4032 1994398 1612990 192149 6184 1798955 1522069 97122 6201 1612990 1705532 -116575 66888 1522069 1360094 368174 22736 1705532 0.0 0.501 0.499 false false 2505032 18634179 21139211 73965665 70603164 3362501 27567760 27567760 0 16492538 16492538 0 24501712 Closely-held equity interests Financial derivatives Investment in Pooled Funds 2021858 F INVESTMENT IN CAPTIVE 86394055 F 88415913 DHC 457(B) PLAN ASSETS 169222851 DUE FROM AFFILIATE OTHER MISC ASSETS ESTIMATED THIRD PARTY SETTLEMENT 169222851 Federal Income Taxes ACCRUED POST RETIREMENT PENSION 145975542 RESERVES FOR INSURANCE RELATED LOSS 113969380 ESTIMATED THIRD PARTY SETTLEMENT 6503503 DUE TO AFFILIATE 1009 266449434 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 ASC 740 (FIN 48) FOOTNOTE NO ASC 740 (FIN 48) FOOTNOTE WAS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS AS THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AT OR SINCE ADOPTION. Schedule D, Part V, Line 4 Intended uses of endowment funds THE ENDOWMENT FUND WAS ESTABLISHED TO PROVIDE RESEARCH AND CLINICAL SUPPORT FOR THE CARDIOTHORACIC SURGERY CHAIR AT DARTMOUTH-HITCHCOCK CLINIC true Central America and the Caribbean 0 0 Investments 86394055 South Asia 0 2 Program Services DOCTORS HELPED TO LAUNCH LIFE SAVING EMERGENCY MEDICAL EDUCATION TO BHUTAN 4238 Europe (Including Iceland and Greenland) 0 0 Grant to recipients located in the region 32672 North America (Canada & Mexico only) 0 0 Fundraising,Grant to recipients located in the region 29325 Sub-Saharan Africa 0 2 Fundraising,Program Services,Grant to recipients located in the region PROVIDERS WENT TO RWANDA TO HELP TRAIN AND DELIVER EMDOSCOPIC CARE ALONGSIDE RWANDAN PEERS. 80016 0 4 0 0 0 4 86540306 0 86540306 Sub-Saharan Africa PROGRAM SUPPORT 32131 CASH FMV Europe (Including Iceland and Greenland) PROGRAM SUPPORT 19960 CASH FMV Europe (Including Iceland and Greenland) PROGRAM SUPPORT 12713 CASH FMV North America (Canada & Mexico only) PROGRAM SUPPORT 6487 CASH FMV 4 0 true false true false true false Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds THE CLINIC PROVIDES UNRESTRICTED PROGRAM SUPPORT FOR CERTAIN FOREIGN ORGANIZATIONS. PROGRAM SUPPORT TO SPECIFIC ORGANIZATIONS IS CHOSEN AND DIRECTED BY THE PHYSICIANS AND/OR RESEARCHERS WORKING DIRECTLY WITH THE CHARITY. Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH ASIA-Accrual; SUB-SAHARAN AFRICA-Accrual Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SUB-SAHARAN AFRICA-Accrual true Advance Transit PO Box 1027 Wilder VT 05088 222558708 501(c)3 39718 FMV CHARITABLE PROGRAM SUPPORT American Cancer Society 2 Commerce Drive Suite 110 BEDFORD NH 03110 131788491 501(c)3 10400 FMV PROGRAM SUPPORT American Heart Association POBox 1590 Hagerstown MD 217411590 135613797 501(c)3 13000 FMV CHARITABLE PROGRAM SUPPORT Amoskeag Health 145 Hollis Street MANCHESTER NH 03101 020458174 501(c)3 7800 FMV PROGRAM SUPPORT BAYLOR COLLEGE OF MEDICINE PO BOX 301207 DALLAS TX 753031207 741613878 501(c)3 5310 FMV CHARITABLE RESEARCH BOARD OF REGENTS OF UNIV OF NEBRASKA UNIV OF NEBRASKA MEDICAL CENTER 985045 NEBRASKA MED CTR OMAHA NE 681985045 470049123 STATE OF NE 15012 FMV EDUCATIONAL SERVICES BOSTON MEDICAL CENTER ATTN ELTA ETIENNE 660 HARRISON AVE GAMBRO 2 BOSTON MA 02118 043314093 501(c)3 13172 FMV CHARITABLE RESEARCH CASE WESTERN RESERVE UNIVERSITY PO BOX 92910 CLEVELAND OH 44194 341018992 501(C)3 11808 FMV EDUCATIONAL SERVICES CENTERSTONE RESEARCH INSTITUTE INC 44 VANTAGE WAY NASHVILLE TN 372197520 262505456 501(c)3 34336 FMV CHARITABLE RESEARCH CHILDREN'S HOSPITAL OF PHILADELPHIA LOCKBOX 7932 PHILADELPHIA PA 191787932 042774441 501(c)3 29789 FMV CHARITABLE RESEARCH COLBY-SAWYER COLLEGE FINANCIAL SERVICES 541 MAIN STREET NEW LONDON NH 03257 020222120 STATE OF NH 19691 FMV EDUCATIONAL SERVICES COMMUNITY COLLEGE SYSTEM NEW HAMPSHIRE C/O RIVER VALLEY COMM COLLEGE ONE COLLEGE DRIVE CLAREMONT NH 037439707 900531902 STATE OF NH 17964 FMV EDUCATIONAL SERVICES Community Nurse Connection PO Box 1302 LEBANON NH 03766 831224873 501(c)3 6500 FMV CHARITABLE PROGRAM SUPPORT DANA-FARBER CANCER INSTITUTE INC PO BOX 412846 BOSTON MA 022412846 042263040 501(c)3 10893 FMV CHARITABLE PROGRAM SUPPORT Early Care and Education Association Po Box 5428 WEST LEBANON NH 03784 853076751 501(c)3 19500 FMV PROGRAM SUPPORT FAMILIES FLOURISH NORTHEAST INC 235 Whitford Street MANCHESTER NH 03104 844591232 501(c)3 14318 FMV PROGRAM SUPPORT Good Neighbor Health Clinic POBox 1250 WHITE RIVER JUNCTION VT 05001 030346949 501(c)3 13000 FMV PROGRAM SUPPORT Grafton County Senior Citizens Council 10 Campbell St LEBANON NH 03766 237248316 501(c)3 5980 FMV PROGRAM SUPPORT GRANITE UNITED WAY 22 CONCORD STREET MANCHESTER NH 03101 026006033 501(c)3 30232 FMV EDUCATIONAL SERVICES HEADREST INC 141 MASCOMA STREET LEBANON NH 03766 237256865 501(c)3 17177 FMV CHARITABLE PROGRAM SUPPORT HIVHCV Resource Center 2 Blacksmith Street LEBANON NH 03766 223104237 501(c)3 5850 FMV PROGRAM SUPPORT INDIANA INSTITUTE FOR MEDICAL RESEARCH PO BOX 47769 INDIANAPOLIS IN 46247 351781809 501(c)3 18135 FMV CHARITABLE RESEARCH JOHNS HOPKINS UNIVERSITY 3910 KESWICK ROAD N4327-B BALTIMORE MD 21211 520595110 501(c)3 125648 FMV EDUCATIONAL SERVICES KAISER FOUNDATION RESEARCH INSTITUTE KAISER FOUNDATION HOSPITAL P O BOX 748165 LOS ANGELES CA 900748165 941105628 501(c)3 264415 FMV CHARITABLE RESEARCH LISTEN COMMUNITY SERVICES 60 HANOVER ST LEBANON NH 03766 237225952 501(c)3 32599 FMV CHARITABLE PROGRAM SUPPORT LITTLE RIVERS HEALTHCARE INC 4628 Main Street POBox 8 Newbury VT 05051 161678092 501(c)3 8808 FMV CHARITABLE PROGRAM SUPPORT MAGEE-WOMENS RESEARCH INSTITUTE AND FDN 3240 CRAFT PLACE PITTSBURGH PA 15213 251462312 501(c)3 38564 FMV CHARITABLE RESEARCH MAINE COUNCIL ON AGING PO BOX 988 BRUNSWICK ME 04011 461549012 501(c)3 9595 FMV CHARITABLE PROGRAM SUPPORT Mascoma Community Healthcare PO Box 550 Canaan NH 03741 465672753 501(c)3 6500 FMV CHARITABLE PROGRAM SUPPORT MASSACHUSETTS GENERAL HOSPITAL 100 CHARLES RIVER PLAZA STE 600 BOSTON MA 021142792 042697983 501(c)3 21399 FMV CHARITABLE PROGRAM SUPPORT MAYO CLINIC ARIZONA PO BOX 860334 MINNEAPOLIS MN 554860334 860800150 501(c)3 8078 FMV CHARITABLE RESEARCH MEDICAL UNIVERSITY OF SOUTH CAROLINA 268 Calhoun Street CHARLESTON SC 29407 576000722 STATE OF SC 110761 FMV EDUCATIONAL SERVICES MEMORIAL SLOAN-KETTERING CANCER CENTER PO BOX 27084 NEW YORK NY 100876352 131924236 501(c)3 19646 FMV CHARITABLE RESEARCH Mt Ascutney Hospital and Health Center 289 COUNTY RD WINDSOR VT 05089 030183721 501(c)3 7800 FMV CHARITABLE RESEARCH NAVAL HEALTH RESEARCH CENTER 140 SYLVESTER ROAD SAN DIEGO CA 92106 800520146 501(c)3 66632 FMV CHARITABLE RESEARCH NEW HAMPSHIRE LEGAL ASSISTANCE 117 NORTH STATE STREET CONCORD NH 03301 020300897 501(c)3 34462 FMV CHARITABLE PROGRAM SUPPORT NEW YORK UNIVERSITY 433 FIRST AVENUE 6TH FLOOR New York NY 10010 135562308 STATE OF NY 17233 FMV EDUCATIONAL SERVICES NORTH COUNTRY HEALTH CONSORTIUM INC 262 COTTAGE STREET LITTLETON NH 03561 020503184 501(c)3 50866 FMV CHARITABLE PROGRAM SUPPORT NORTHEASTERN VT REGIONAL HOSPITAL PO BOX 905 ST JOHNSBURY VT 058190905 036013761 501(c)3 7174 FMV CHARITABLE PROGRAM SUPPORT NORTHWESTERN UNIVERSITY 633 NORTH ST CLAIR STREET CHICAGO IL 60611 362167817 501(c)3 19653 FMV CHARITABLE EDUCATIONAL SERVICES OREGON CLINIC PC 847 NE 19TH AVENUE PORTLAND OR 97232 931127856 501(c)3 37857 FMV CHARITABLE RESEARCH OREGON HEALTH & SCIENCE UNIVERSITY PO BOX 575 PORTLAND OR 97207 931176109 501(c)3 67533 FMV CHARITABLE EDUCATIONAL SERVICES PUBLIC HEALTH COUNC OF THE UPPER VALLEY ONE COURT STREET LEBANON NH 03766 752991608 501(c)3 5934 FMV CHARITABLE PROGRAM SUPPORT PUBLIC HEALTH COUNC OF THE UPPER VALLEY ONE COURT STREET LEBANON NH 03766 752991608 501(c)3 10400 FMV CHARITABLE PROGRAM SUPPORT RECTOR & VISITORS OF UNIV OF VIRGINIA JOHN W STEINKE PO BOX 801355 CHARLOTTESVILLE VA 229081355 546001796 STATE OF VA 10709 FMV EDUCATIONAL SERVICES RHODE ISLAND HOSPITAL PO BOX 373 PROVIDENCE RI 02901 050258954 501(c)3 6468 FMV CHARITABLE RESEARCH RUTGERS THE STATE UNIVERSITY OF NJ 33 KNIGHTSBRIDGE ROAD PISCATAWAY NJ 08854 226001086 501(c)3 6375 FMV EDUCATIONAL SERVICES SEVEN COUNTIES SERVICES INC ATTN ACCTS RECEIVABLE 10401 LINN STATION RD LOUISVILLE KY 40223 310939757 501(c)3 63405 FMV CHARITABLE RESEARCH SINAI HOSPITAL OF BALTIMORE INC 2401 W BELVEDERE AVENUE BALTIMORE MD 21215 520486540 501(c)3 13903 FMV CHARITABLE RESEARCH Southeast Vermont Transit Inc 706 Rockingham Road ROCKINGHAM VT 05101 030353976 501(c)3 7800 FMV PROGRAM SUPPORT STANFORD UNIVERSITY ADMINISTRATION PO BOX 884253 LOS ANGELES CA 900884253 941156365 501(c)3 17639 FMV CHARITABLE PROGRAM SUPPORT THE BRIGHAM AND WOMEN'S HOSPITAL INC 75 FRANCIS ST BOSTON MA 02115 042312909 501(c)3 19838 FMV CHARITABLE RESEARCH THE FAMILY RESOURCE CENTER AT GORHAM 123 MAIN STREET STE 1 GORHAM NH 03581 043383141 501(c)3 5647 FMV CHARITABLE PROGRAM SUPPORT TRUSTEES OF DARTMOUTH COLLEGE CASHIERS OFFICE / AR 6132 MCNUTT RM 103 HANOVER NH 03755 020222111 501(c)3 80867 FMV CHARITABLE EDUCATIONAL SERVICES THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO 7703 FLOYD CURL DRIVE SAN ANTONIO TX 782293900 741586031 STATE OF TX 44419 FMV EDUCATIONAL SERVICES Tri-Valley Transit 279 Creek Road MIDDLEBURY VT 05753 030335768 501(c)3 8415 FMV PROGRAM SUPPORT TRUSTEES COLUMBIA UNIVERSITY 710 W 168TH STREET NEW YORK NY 10032 135598093 501(c)3 5017 FMV CHARITABLE EDUCATIONAL SERVICES TRUSTEES OF DARTMOUTH COLLEGE CASHIERS OFFICE / AR 6132 MCNUTT RM 103 HANOVER NH 03755 020222111 501(c)3 1091164 FMV CHARITABLE EDUCATIONAL SERVICES TRUSTEES OF THE UNIV OF PENNSYLVANIA THE WHARTON SCHOOL LOCKBOX 9726 PHILADELPHIA PA 191789726 231352685 STATE OF PA 44519 FMV EDUCATIONAL SERVICES Twin Pines Housing Trust 226 Holiday Drive Suite 20 WHITE RIVER JUNCTION VT 05001 222809527 501(c)3 10400 FMV PROGRAM SUPPORT UNIVERSITY OF ALABAMA AT BIRMINGHAM GRANTS CONTRACTS ACCOUNTING 1720 2ND AVE SOUTH BIRMINGHAM AL 352940109 636005396 STATE OF AL 388171 FMV EDUCATIONAL SERVICES UNIVERSITY OF COLORADO ANSCHUTZ UNIVERSITY OF COLORADO 12801 E 17th AVE L18-10101 MAIL AURORA CO 80045 846000555 STATE OF CO 34885 FMV EDUCATIONAL SERVICES UNIVERSITY OF FLORIDA 123 GRINTER HALL GAINESVILLE FL 32611 596002052 STATE OF FL 35328 FMV EDUCATIONAL SERVICES UNIVERSITY OF MARYLAND PO BOX 41428 BALTIMORE MD 212036428 526002033 STATE OF MD 43024 FMV EDUCATIONAL SERVICES UNIVERSITY OF MINNESOTA PO BOX 1450 MINNEAPOLIS MN 554855960 416007513 STATE OF MN 28374 FMV EDUCATIONAL SERVICES UNIVERSITY OF PITTSBURGH PO BOX 640458 PITTSBURGH PA 152640458 250965591 STATE OF PA 14115 FMV EDUCATIONAL SERVICES UNIVERSITY OF TEXAS SOUTHWESTERN MED CTR 5323 HARRY HINES BLVD DALLAS TX 752359029 756002868 STATE OF TX 22510 FMV EDUCATIONAL SERVICES UNIVERSITY OF UTAH GRANTS CONTRACTS ACCOUNTING 201 S PRESIDENTS CIR RM 406 SALT LAKE CITY UT 841129020 876000525 STATE OF UT 9586 FMV EDUCATIONAL SERVICES UNIVERSITY OF VERMONT MEDICAL CENTER PO BOX 1902 BURLINGTON VT 05402 030179440 STATE OF VT 15411 FMV EDUCATIONAL SERVICES UNIVERSITY OF WASHINGTON GRANT CONTRACT ACCOUNTING 12455 COLLECTIONS DRIVE CHICAGO IL 60693 916001537 STATE OF WA 20722 FMV EDUCATIONAL SERVICES UNIVERSITY SYSTEM OF NEW HAMPSHIRE 5 CHANELL DRIVE CONCORD NH 03301 026000937 STATE OF NH 11078 FMV EDUCATIONAL SERVICES Upper Valley Haven 713 Hartford Ave WHITE RIVER JUNCTION VT 05001 030277908 501(c)3 18824 FMV PROGRAM SUPPORT Upper Valley Lake Sunapee Regional Planning Foundation 10 Water Street Ste 225 LEBANON NH 037661604 834074101 501(c)3 7800 FMV PROGRAM SUPPORT VANDERBILT UNIVERSITY MEDICAL CENTER VUMC FINANCE DEPT 1236 DALLAS TX 753121236 352528741 501(c)3 28804 FMV CHARITABLE EDUCATIONAL SERVICES VIRGINIA COMMONWEALTH UNIVERSITY BOX 843035 RICHMOND VA 23219 546001758 STATE OF VA 14374 FMV EDUCATIONAL SERVICES WAKE FOREST UNIVERSITY OFFICE OF CONT MEDICAL EDUC MEDICAL CENTER BOULEVARD WINSTONSALEM NC 271571028 560532138 501(c)3 10916 FMV EDUCATIONAL SERVICES WASHINGTON UNIVERSITY 7425 FORSYTH ST LOUIS MO 63105 430653611 STATE OF MO 15893 FMV EDUCATIONAL SERVICES WEILL MEDICAL COLLEGE OF CORNELL ATTN CORNELL ECHO 2001 525 EAST 68TH ST BOX 222 NEW YORK NY 10021 131623978 STATE OF VA 55182 FMV EDUCATIONAL SERVICES WESTAT INC PO BOX 1004 ATTN ACCOUNTS RECEIVA ROCKVILLE MD 20850 840529566 For Profit 6876 FMV CHARITABLE RESEARCH WILLING HANDS 198 CHURCH STREET NORWICH VT 05055 202204811 501(c)3 5590 FMV CHARITABLE PROGRAM SUPPORT WMU HOMER STRYKER MD SCHOOL OF MEDICINE PO BOX 50391 KALAMAZOO MI 490050391 454135256 501(c)3 18703 FMV EDUCATIONAL SERVICES Women's Information Service of the Upper Valley 38 Bank Street LEBANON NH 03766 020346512 501(c)3 5200 FMV PROGRAM SUPPORT 81 1 Awards and Educational Assistance 27 108424 FMV Patient Assistance 900 54115 FMV Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds EACH AWARD ESTABLISHED BY DARTMOUTH-HITCHCOCK CLINIC (DHC) HAS WRITTEN GUIDELINES AND PROCEDURES. AWARD PAYMENTS ARE PROCESSED IN ACCORDANCE WITH THE SPECIFIC TERMS OF EACH AWARD. THE DARTMOUTH INSTITUTE SCHOLARSHIPS (TDI) ARE PAID DIRECTLY TO DARTMOUTH COLLEGE ON BEHALF OF THE INDIVIDUALS RECEIVING THE AWARD. THE COORDINATORS OF THE PROGRAMS ARE RESPONSIBLE FOR ASSURING THAT ALL TERMS ARE MET, INCLUDING PROPER DOCUMENTATION OF EXPENSES WITH RECEIPTS. X true true X X X X false true false false false false false false false Joanne M Conroy MD Trustee, Ex-Officio, CEO 1685674 0 552000 0 235562 0 32970 0 19692 0 2525898 0 0 0 Nancy M Dunbar MD Trustee / Physician (Through 12/31/24) 363926 0 0 0 30873 0 26070 0 44761 0 465630 0 0 0 Laura Chiang Trustee / Physician 392389 0 0 0 25586 0 25500 0 42121 0 485596 0 0 0 Marcus Coe MD GME Program Director/Trustee 789876 0 0 0 46514 0 26070 0 44023 0 906483 0 0 0 Keith Loud MD Trustee /VP Svc Ln & Dept Chair - Pedi 505321 0 0 0 37706 0 32970 0 37553 0 613550 0 0 0 Jonathan B Thyng MD Trustee/Medical Director 362780 0 0 0 15981 0 32970 0 44073 0 455804 0 0 0 Emily Zeitler Staff Physician/Trustee (as of 1/1/25) 482221 0 0 0 33780 0 26070 0 43902 0 585973 0 0 0 Daniel P Jantzen CFO D-HH/Former CFO MHMH 0 859350 0 180000 0 144937 0 32970 0 38907 0 1256164 0 0 Maria Padin MD Former Officer/Chief medical Officer, CGP 505838 0 62420 0 31037 0 32970 0 35572 0 667837 0 0 0 Kimberly Troland JD Former Interim Chief Legal Officer 0 474470 0 35350 0 71461 0 28272 0 24667 0 634220 0 0 David Gladstone MD CHF CLNCL PHYSCN - RADIOLOGY-FORMER DHC 148236 0 0 0 23000 0 10274 0 0 0 181510 0 0 0 Wendy Fielding Chief Financial Officer 0 434374 0 47500 0 55650 0 32970 0 35394 0 605888 0 0 Aimee M Claiborne Chief Human Resource Officer 0 535867 0 110000 0 24618 0 26070 0 27621 0 724176 0 0 Patrick F Jordan III MBA Chief Operating Officer - DHC (through 6/21/25) 0 875781 0 180000 0 76927 0 32970 0 46290 0 1211968 0 0 John Kacavas Chief Legal Officer 0 752457 0 38400 0 1229 0 20700 0 32653 0 845439 0 0 Stephen LeBlanc Chief Strategy Officer 733963 0 155000 0 127148 0 32970 0 36329 0 1085410 0 0 0 Edward J Merrens MD Chief Clinical Officer 796803 0 165000 0 89924 0 32970 0 16333 0 1101030 0 0 0 Susan A Reeves EDD RN Executive VP (medical center) 0 216346 0 250 0 0 0 12996 0 0 0 229592 0 0 Matthew Haag Chief Development Officer 0 394030 0 85000 0 38558 0 26070 0 17679 0 561337 0 0 Staci Hermann PHARMD MS Former Chief Pharmacy Officer 0 114027 0 0 0 8581 0 5984 0 4405 0 132997 0 0 Peter D Solberg MD Chief Health Information Officer (DHC) - Former 478082 0 62100 0 48374 0 32970 0 44120 0 665646 0 0 0 Simon C Hillier Dept Chair ANESTHESIOLOGY 372348 0 0 0 61483 0 32970 0 35315 0 502116 0 0 0 David F Duncan System VP - Facilities Mgmt 0 327795 0 33460 0 6346 0 20700 0 26468 0 414769 0 0 Tracy Galvin Chief Nursing Officer 0 361375 0 29600 0 3284 0 20700 0 26819 0 441778 0 0 Lixia Z Ellis Physician 1016716 0 292495 0 23270 0 20700 0 44086 0 1397267 0 0 0 John Nigriny Physician 1180120 0 0 0 119511 0 32970 0 45086 0 1377687 0 0 0 Matthew LeBoeuf Physician 1114968 0 0 0 65835 0 15642 0 28900 0 1225345 0 0 0 Linton Evans GME Program Director 1100568 0 0 0 61234 0 26070 0 2393 0 1190265 0 0 0 Adam Pearson Section Chief 995167 0 0 0 56358 0 26070 0 44430 0 1122025 0 0 0 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 $152,890 STEPHEN LEBLANC $70,131 Separate from the Split Dollar Life plan, the following individuals received payments from a nonqualified retirement plan (which are reflected in schedule J, Part II, Column B (III)): Staci Hermann $4,512 Wendy Fielding $13,607 Joanne Conroy $190,800 Daniel Jantzen $86,134 David Duncan $431 Patrick Jordan $73,201 Edward Merrens $66,150 Stephen LeBlanc $65,562 John Nigriny $94,285 Jonathan Thyng $4,800 Keith Loud $12,480 Laura Chiang $2,586 Linton Evans $61,234 Marcus Coe $46,244 Aimee Claiborne $24,576 Matthew LeBoeuf $42,655 Nancy Dunbar $7,460 Maria Padin $25,884 Simon Hillier $33,600 Kimberly Troland $29,340 Matthew Haag $14,931 Adam Pearson $56,088 Emily Zeitler $10,600 Peter Solberg $24,600 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. A NH Health and Education Facilities Authority 020279866 64461XMG7 2025-05-28 10560443 Land Purchase false false false A 10560443 75443 10485000 2025 false false true true A false false false false false false 0.0 0.0 0.0 false false 0 false true A false true false false true false 0 false false false 0 false false true A true Schedule K, Part I Part I, Bond A The proceeds of this bond issue benefited the following subsidiaries of Dartmouth-Hitchcock Obligated group - Dartmouth-Hitchcock Health (EIN: 26-4812335), Alice Peck Day Memorial Hospital (EIN: 02-0222791), Mary Hitchcock Memorial Hospital (EIN: 02-0222140), Cheshire Medical Center (EIN: 02-0354549), Valley Regional Hospital, Inc. (EIN: 02-0222118), and Dartmouth-Hitchcock Clinic (EIN: 22-2519596). The portion of the issue that has been loaned to each subsidiary is being reported on that subsidiary member's schedule K. Schedule K, Part I, Column (f) Bond A This Form 990 Schedule K represents only the portion of the bond issue that is allocable to Dartmouth-Hitchcock Clinic. The proceeds of this portion of the issue will be used to finance capital projects and pay a portion of cost of issuance. Stephen Leblanc Officer Split Dollar Life X 0 70131 false true true 70131 Tung Nguyen Family member of Trustee Laura Chiang 686004 Employment Compensation false Nina Sand Loud Family member of Trustee Keith Loud 222218 Employment Compensation false RACHEL BLACK FAMILY MEMBER OF FORMER OFFICER MARIA PADIN 243015 EMPLOYMENT COMPENSATION false COLLIN BLACK FAMILY MEMBER OF FORMER OFFICER MARIA PADIN 143091 EMPLOYMENT COMPENSATION false Form 990, Part III, Line 4a Program Service Accomplishment a New Hampshire not-for-profit corporation organized to support medical organizations like DHC. DHC provides the physician and advanced practice provider staff to a related affiliate, Mary Hitchcock Memorial Hospital (MHMH, also a fully-owned member of D-HH) and the related sophistication essential for the development and operations of the Hospital as the largest teaching hospital in New Hampshire and the designation by the federal government as a rural referral center for northern New England. The shared mission of DHC and MHMH is to advance health through research, education, clinical practice, and community partnerships, providing each person the best care, in the right place, at the right time, every time. Consistent with this mission, and in partnership with MHMH, DHC provides high-quality, cost-effective, comprehensive, and integrated health care to individuals, families, and the communities it serves regardless of a patient's ability to pay. DHC actively supports community-based health care and promotes the coordination of services among health care providers and social services organizations within the regions it serves. DHC also seeks to work collaboratively with other area health care providers to improve the health status of residents in the region. Project ECHO (Extension for Community Healthcare Outcomes) In partnership with Mary Hitchcock Memorial Hospital, DHC supports Project ECHO, a nationally recognized tele-mentoring model that expands access to specialty knowledge by connecting community-based clinicians with interdisciplinary expert teams. Through regularly-scheduled virtual learning sessions, Project ECHO builds local capacity to manage complex conditions, improves quality of care in community settings, and reduces the need for patients to travel long distances for specialty services. This initiative supports DHC's academic, educational, and community benefit mission. DHC and MHMH jointly file an annual community benefits report with the State of New Hampshire which outlines the community and charitable benefits the two organizations provide. The complete and updated community benefits reports are available upon request; these reports can also be found on the organization's website. The broad categories used in the community benefit report to summarize the benefits mentioned here include: "financial assistance" (formerly called "charity care"), which represents services provided to patients who cannot afford health care services due to inadequate financial resources resulting from being uninsured or underinsured. For the year ended June 30, 2025, DHC provided financial assistance to 17,723 patients in the amount of $14,608,139 (as measured by gross charges). The cost of providing this care for the year ended June 30, 2024, was $13,965,815. DHC also routinely provides services to Medicaid patients at reimbursement levels that are well below the cost of the care provided. The uncompensated cost of care for Medicaid patients for the year ended June 30, 2025 was $73,468,637. Community health activities include the cost or value of several different types of programs, including the cost of community-based education, health fairs, health screenings, support groups, and programs and materials that promote wellness and prevent illness. Examples of these types of efforts include Granite State Fit Kids Health Program for elementary schools, the Women's Health Resource Centers in Lebanon, NH, and Smoking Prevention and Cessation programs. This category also includes financial contributions and the donation of time and services to community programs, hospitals, and agencies. DHC also provides a significant amount of uncompensated care to its patients that is reported as "bad debt," which is not included in the amounts reported above. For the fiscal year ended June 30, 2025, DHC reported expense for bad debts of approximately $12,226,715. Form 990, Part VI, Line 1a Delegate broad authority to a committee The DARTMOUTH-HITCHCOCK CLINIC (DHC) board has a Governance Committee who has the authority/responsibility of the DHC Board to ensure that DHC continues to fulfill its central mission and vision. This committee has authority to act on behalf of the full Board when the need arises. The chairs of the following committees and the CEO serve on the governance committee: Board committee, Talent Development and Compensation Committee, Research and Education Committee, Finance Committee, and Value Committee. Form 990, Part VI, Line 6 Classes of members or stockholders DARTMOUTH-HITCHCOCK HEALTH (D-HH) IS THE SOLE CORPORATE MEMBER OF DARTMOUTH-HITCHCOCK CLINIC (DHC). D- HH HAS SPECIFIC AUTHORITY AND RESERVED POWERS, INCLUDING THE POWER TO CONFIRM THE ELECTION OF MEMBERS OF DHC'S BOARD OF TRUSTEES AND THE POWER TO APPROVE SIGNIFICANT GOVERNANCE, FINANCIAL AND OPERATIONAL DECISIONS OF DHC'S TRUSTEES. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body DARTMOUTH-HITCHCOCK HEALTH (D-HH) IS THE SOLE CORPORATE MEMBER OF DARTMOUTH-HITCHCOCK CLINIC (DHC). D-HH HAS SPECIFIC AUTHORITY AND RESERVED POWERS, INCLUDING THE POWER TO CONFIRM THE ELECTION OF MEMBERS OF DHC'S BOARD OF TRUSTEES AND THE POWER TO APPROVE SIGNIFICANT GOVERNANCE, FINANCIAL AND OPERATIONAL DECISIONS OF DHC'S TRUSTEES. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders IN ADDITION TO RESERVED POWERS, DARTMOUTH-HITCHCOCK HEALTH (D-HH) SHALL HAVE THE AUTHORITY TO TAKE ACTIONS TO ESTABLISH, MANAGE, AND GOVERN THE SYSTEM AS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM IN FURTHERANCE OF DHC'S MISSION. THESE POWERS INCLUDE BUT ARE NOT LIMITED TO ITEMS SUCH AS THE ABILITY TO APPROVE, DISAPPROVE, OR MODIFY ALL MATERIAL GOVERNANCE, PROGRAMMATIC, AND FINANCIAL DECISIONS OF DHC'S BOARD OF TRUSTEES, TO APPOINT OR REMOVE A MEMBER OF DHC'S BOARD OF TRUSTEES, ASSESS DHC A MONETARY AMOUNT FOR THE PAYMENT OF THE EXPENSES OF D-HH, APPROVE DHC'S BUDGET, APPROVE THE BORROWINGS OR DISPOSITIONS OF ASSETS BY DHC, APPROVE KEY STRATEGIC RELATIONSHIPS, APPROVE THE ELIMINATION OR ADDITION OF ANY MATERIAL HEALTH CARE SERVICE OR PROGRAM, AND OTHER AUTHORITY TO TAKE ACTION ON BEHALF OF DHC. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORMS 990 AND 990-T ARE REVIEWED BY THE DIRECTOR OF FINANCIAL COMPLIANCE, VICE PRESIDENT OF CORPORATE FINANCE, AND BY EXTERNAL CONSULTANTS ALONG WITH THE CHIEF FINANCIAL OFFICER BEFORE THE FILING OF THE RETURN. ONCE THE RETURN HAS BEEN FULLY PREPARED, A FINAL 990 AND 990-T IS SENT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS AND RESPONSES PRIOR TO OFFICIAL FILING OF THE FORMS. Form 990, Part VI, Line 12c Conflict of interest policy THE DARTMOUTH-HITCHCOCK CLINIC (DHC) BOARD OF TRUSTEES APPROVED A POLICY CONCERNING A VOLUNTARY SELF DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. DARTMOUTH-HITCHCOCK HEALTH'S COMPLIANCE AND AUDIT SERVICES DEPARTMENT CONDUCTS AN ANNUAL SURVEY OF ALL OFFICERS, TRUSTEES, AND KEY EMPLOYEES 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 INVOLVED 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 UNDER 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 15a Process to establish compensation of top management official 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 CONSULTATION WITH THE INDEPENDENT THIRD PARTY FIRM'S RECOMMENDATIONS AND SUGGESTIONS. THIS PROCESS WAS CONTEMPORANEOUSLY DOCUMENTED AND LAST UNDERTAKEN IN 2025. Form 990, Part VI, Line 15b Process to establish compensation of other employees COMPENSATION FOR OFFICERS AND KEY EMPLOYEES ARE EVALUATED BY INTERNAL HUMAN RESOURCES STAFF USING NATIONAL BENCHMARKING DATA, ALONG WITH ONGOING EVALUATIONS BY AN INDEPENDENT THIRD PARTY FIRM FOR REASONABLENESS, WITH THE LAST FORMAL PROCESS IN 2025. THIS PROCESS WAS CONTEMPORANEOUSLY DOCUMENTED. 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. THE PROCESS DESCRIBED ABOVE TO ESTABLISH COMPENSATION WAS USED FOR THE FOLLOWING POSITIONS: Chief Financial Officer, Chief Strategy Officer, Chief Clinical Officer, Chief Legal Officer, Chief Human Resources Officer, Chief Operating Officer, Chief Nursing - Executive, Chief Nursing Officer, Chief Pharmacy Officer, Chief Quality & Value Officer, Department Chair - Anesthesia, Department Chair - Pathology, and similar positions. Form 990, Part VI, Line 19 Required documents available to the public DHC'S GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE NEW HAMPSHIRE SECRETARY OF STATE. CERTAIN FINANCIAL INFORMATION IS DISCLOSED THROUGH THE COMMUNITY BENEFITS ANNUAL REPORT. THE AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST EITHER IN ELECTRONIC OR HARD COPY FORM. Form 990, Part VII, Section A, Line 1a, Column (B) AVERAGE HOURS PER WEEK AS PART OF DARTMOUTH-HITCHCOCK CLINIC'S (DHC) AND MARY HITCHCOCK MEMORIAL HOSPITAL'S (MHMH) AFFILIATION AGREEMENT, THE TWO ORGANIZATIONS SHARE OFFICERS. AS SUCH, THE AVERAGE HOURS PER WEEK ARE ALLOCATED BETWEEN THE TWO ORGANIZATIONS ON THEIR FORM 990'S EVEN THOUGH COMPENSATION REPORTED IN PART VII IS BASED ON THE ENTITY ISSUING THE W-2. IN ADDITION, CERTAIN OFFICERS SPEND TIME ON DARTMOUTH-HITCHCOCK HEALTH (D-HH), THE SOLE CORPORATE MEMBER OF BOTH MHMH AND DHC, ALONG WITH TWO SUPPORTING ORGANIZATIONS: DARTMOUTH-HITCHCOCK MEDICAL CENTER (DHMC) AND HAMDEN RISK RETENTION GROUP (HAMDEN). CERTAIN OFFICERS ALSO SPEND TIME ON RELATED ENTITIES, INCLUDING ALICE PECK DAY MEMORIAL HOSPITAL (APD), WINDSOR HOSPITAL CORPORATION (DBA MOUNT ASCUTNEY HOSPITAL AND HEALTH CENTER) (MAHHC), MOUNT ASCUTNEY HOSPITAL COMMUNITY HEALTH FOUNDATION, HISTORIC HOMES OF RUNNEMEDE, CHESHIRE MEDICAL CENTER (CHESHIRE), CHESHIRE HEALTH FOUNDATION, CHESHIRE HEALTH SERVICES, THE NEW LONDON HOSPITAL ASSOCIATION (NLH), VISITING NURSE ASSOCIATION & HOSPICE OF VT AND NH (VNA), THE HITCHCOCK FOUNDATION (THF), AND SOUTHWESTERN VERMONT HEALTH CARE (SVHC). Form 990, Part VII, Section B, Line 1 INDEPENDENT CONTRACTORS DARTMOUTH-HITCHCOCK CLINIC (DHC) IS PART OF THE DARTMOUTH-HITCHCOCK HEALTH (D-HH) SYSTEM, WHICH INCLUDES DHC, MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH), AND ITS SUBSIDIARIES. MHMH RECEIVED AUTHORITY FROM THE INTERNAL REVENUE SERVICE TO ACT AS DHC'S PAY AGENT AND IMPLEMENTED THIS PROCESS AT THE BEGINNING OF FISCAL YEAR 2010. ALL EXPENSES ARE PAID DIRECTLY BY MHMH AND REIMBURSED BY DHC. MHMH MANAGES ALL REQUIRED IRS REPORTING RELATED TO THESE DISBURSEMENTS. Form 990, Part IX, Column (A) STATEMENT OF FUNCTIONAL EXPENSES MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) AND DARTMOUTH-HITCHCOCK CLINIC (DHC) OPERATE UNDER AN AFFILIATION AGREEMENT AS DIRECTED BY DARTMOUTH-HITCHCOCK HEALTH (D-HH), THE SOLE CORPORATE MEMBER OF BOTH ENTITIES. DUE TO THE INTEGRATED OPERATING STRUCTURE, RELATED MISSION, AND CLOSE RELATIONSHIP OF DHC AND MHMH, EXPENSES ARE SHARED BETWEEN THE TWO ENTITIES. ALL EXPENSES REPORTED WITHIN THIS FORM 990 ARE DHC'S SHARE OF EXPENSES AS DESIGNATED BY THE AFFILIATION AGREEMENT. Form 990, Part IX, Line 11g Other Expenses OTHER - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 2065980, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances NET ASSET RELEASED FROM RESTRICTED - 17797624; Total - 17797624; RENAISSANCE PSYCHIATRY OF NEW ENGLAND ONE MEDICAL CENTER DRIVE LEBANON NH 03756 813076466 PSYCHIATRY SERVICES NH -309927 698404 Dartmouth-Hitchcock Clinic MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020222140 HOSPITAL NH 501(c)(3) 3 D-HH false HITCHCOCK FOUNDATION ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020222139 HeaLTH CaRE ReSeaRCH NH 501(c)(3) 7 DHC true HAMDEN ASSURANCE RISK RETENTION GROUP INC 30 MAIN STREET STE 330 BURLINGTON VT 05401 208530788 SELF INSURANCE VT 501(c)(3) Type I DHC true DARTMOUTH-HITCHCOCK HEALTH ONE MEDICAL CENTER DRIVE LEBANON NH 03756 264812335 PARENT ORGANIZATION NH 501(c)(3) 7 NA false THE NEW LONDON HOSPITAL ASSOCIATION INC 273 COUNTY ROAD NEW LONDON NH 03257 020222171 HOSPITAL NH 501(c)(3) 3 D-HH false WINDSOR HOSPITAL CORPORATION 289 COUNTY ROAD WINDSOR VT 05089 030183721 HOSPITAL VT 501(c)(3) 3 D-HH false CHESHIRE MEDICAL CENTER 580 COURT STREET KEENE NH 03431 020354549 HOSPITAL NH 501(c)(3) 3 D-HH false ALICE PECK DAY MEMORIAL HOSPITAL 10 ALICE PECK DAY DRIVE LEBANON NH 03766 020222791 HOSPITAL NH 501(c)(3) 3 D-HH false DARTMOUTH HEALTH HOME CARE INC 88 Prospect Street White River Junction VT 05001 036006494 HOSPICE VT 501(c)(3) 10 D-HH false SOUTHWESTERN VERMONT HEALTH CARE CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 HOSPITAL VT 501(c)(3) 3 D-HH false Valley Regional Healthcare Inc 243 ELM STREET CLAREMONT NH 03743 020397338 SUPPORT ORGANIZATION NH 501(c)(3) Type II D-HH false POMPANOOSUC INVESTMENT CORPORATION ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020352330 REAL ESTATE HOLDING NH Dartmouth-Hitchcock Clinic C Corporation -120 75632 1 true HAMDEN ASSURANCE CO LTD 3 GORHAM ROAD HAMILTON BD 980121409 LIABILITY INSURANCE BD Dartmouth-Hitchcock Clinic C Corporation 0 74355288 0.702 true false false true false true false false false false true true true true true true true true true true HITCHCOCK FOUNDATION O 417743 FMV HAMDEN ASSURANCE RISK RETENTION GROUP INC M 7300572 FMV