2026-08-17T11:53:48+00:00 2025-09-30 415375658 CROWE ADVISORY LLC 4801 OLYMPIA PARK PLAZA SUITE 4000 LOUISVILLE KY 402412098 990 2025-07-01 222519596 DARTMOUTH-HITCHCOCK CLINIC DART 6036531154 ONE MEDICAL CENTER DRIVE LEBANON NH 03756 TAMARA H ROCKWELL CFO 2026-08-17 true RACHEL SPURLOCK P00520729 5023263996 2026-08-17 2025 2025-03-06 01:10:19Z JOANNE M CONROY MD ONE MEDICAL CENTER DRIVE LEBANON NH 03756 242871810 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 0 294 50975 0 50924952 11554046 758353553 198136376 46262 38212 124651698 33143176 933976465 242871810 4334056 1407786 0 446552832 121269043 0 36925 581620249 118091058 1032507137 240767887 -98530672 2103923 303009481 309285410 787244073 780832020 -484234592 -471546610 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 197746397 1407786 230682889 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 SHORT PERIOD ENDING SEPTEMBER 2025 RESULTED IN 380,201 OFFICE VISITS, WITH 184,473 UNIQUE PATIENTS SERVED. (CONTINUED ON SCHEDULE O) 12047475 405625 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. 209793872 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 false 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 0 true true true BD false false false false false false false false false false X 18 12 false false false false true true true true true false false false true true true true true true false false false false NH X WENDY E FIELDING 6036531154 ONE MEDICAL CENTER DRIVE LEBANON NH 03756 DAVID P PAUL MBA 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 0 0 0 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 (ENDED 9/15/25) 0.8 1.7 X 0 0 0 EMILY ZEITLER MD MHS FACC FHRS STAFF PHYSICIAN/TRUSTEE 28.0 12.0 X 0 0 0 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 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 0 0 0 KEITH LOUD MD TRUSTEE /VP SVC LN & DEPT CHAIR - PEDI 40.0 0.1 X 0 0 0 LAURA CHIANG MD TRUSTEE / PHYSICIAN 12.0 28.0 X 0 0 0 LAUREL J RICHIE TRUSTEE 0.8 1.3 X 0 0 0 M ELYSE ALLAN MBA TRUSTEE 0.8 0.8 X 0 0 0 MARCUS COE MD GME PROGRAM DIRECTOR/TRUSTEE 40.0 0.1 X 0 0 0 MARK S SPEERS MBA TRUSTEE 0.8 0.8 X 0 0 0 SHERRI C OBERG MBA TRUSTEE 0.8 0.8 X 0 0 0 STEVEN D LEACH MD TRUSTEE / EX-OFFICIO (AS OF 9/15/2025) 0.8 0.9 X 0 0 0 AIMEE M CLAIBORNE CHIEF HUMAN RESOURCE OFFICER 12.0 29.0 X 0 0 0 EDWARD J MERRENS MD CHIEF CLINICAL OFFICER 12.0 29.0 X 0 0 0 JOHN KACAVAS CHIEF LEGAL OFFICER 12.0 31.0 X 0 0 0 MATTHEW HAAG CHIEF DEVELOPMENT OFFICER 12.0 28.5 X 0 0 0 STEPHEN LEBLANC CHIEF STRATEGY OFFICER 12.0 31.0 X 0 0 0 SUSAN A REEVES EDD RN EXECUTIVE VP (MEDICAL CENTER) 12.0 28.0 X 0 0 0 WENDY FIELDING CHIEF FINANCIAL OFFICER 12.0 29.5 X 0 0 0 0 0 0 0 false false false 0 6660227 4893819 11554046 NET PATIENT SERVICE REVENUE 621300 169935949 169935949 PHARMACY INCOME 446110 28200427 28200427 0 0 0 0 198136376 15405 15405 0 0 22807 22807 0 22807 22807 0 CONTRACTED REVENUE 621300 28699990 28649015 50975 CAFETERIA INCOME 722514 140063 140063 OTHER REVENUE 621300 4303123 4303123 0 0 0 0 33143176 242871810 231088514 50975 178275 1328492 1328492 40940 40940 38354 38354 801867 319913 445029 36925 116611 7346 109265 95208404 82998741 12209663 6749316 5871905 877411 13041948 11346495 1695453 5350897 4655280 695617 331933 30597 301336 71564 11788 59776 19910660 18227386 1683274 0 338673 9175 329498 2400171 1670683 729488 3594316 323488 3270828 2564428 215493 2348935 345690 199366 146324 57346 50736 6610 2465906 9880 2456026 840053 275743 564310 1325045 1325045 MEDICAL SUPPLIES 66596978 65927543 669435 EQUIP REPAIR & MAINTENANCE 2441428 988240 1453188 ACADEMIC, GME, TEACHING & SUPPORT 1000313 847070 153243 RECRUITMENT COSTS 354154 5901 348253 13452400 13068272 384128 0 240767887 209793872 30937090 36925 2502650 1750328 11247 0 4318413 166942 70131 46377 0 0 0 4199 11602101 14025610 0 139165174 114672812 24501712 24492362 542250 593467 88415913 88664424 1822213 767664 169222851 178774037 303009481 309285410 509609286 519953732 10485000 10485000 0 0 700353 689650 266449434 249703638 787244073 780832020 X -486297233 -473605662 2062641 2059052 -484234592 -471546610 303009481 309285410 X 2103923 244231 10339828 X false true true true true X 39587886 41922401 33494462 50924952 11554046 177483747 570079194 594533735 841234689 882072200 231088514 3119008332 0 0 0 0 0 0 609667080 636456136 874729151 932997152 242642560 3296492079 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3296492079 963456 902261 1913 37508 15405 1920543 0 0 963456 902261 1913 37508 15405 1920543 0 0 0 0 388346 436994 417914 503558 140063 1886875 611018882 637795391 875148978 933538218 242798028 3300299497 0.99885 0.99867 0 0 X SCHEDULE A, PART III THE AMOUNTS REPORTED IN THE 2025 COLUMN OF FORM 990 SCHEDULE A PART III REFLECT THE SHORT TAX YEAR BEGINNING JULY 1, 2025, AND ENDING SEPTEMBER 30, 2025. SCHEDULE A, PART III, LINE 12 OTHER INCOME DESCRIPTION - OTHER INCOME, COLUMN A - 388346.0, COLUMN B - 436994.0, COLUMN C - 417914.0, COLUMN D - 503558.0, COLUMN E - 140063.0, COLUMN F - 1886875.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 9841 9841 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. 1994398 96507 17288 2073617 1798955 199475 4032 1994398 1612990 192149 6184 1798955 1522069 97122 6201 1612990 1705532 -116575 66888 1522069 0.0 0.482 0.518 false false 2505032 18634179 21139211 73965665 70612514 3353151 27567760 27567760 0 16492538 16492538 0 24492362 CLOSELY-HELD EQUITY INTERESTS FINANCIAL DERIVATIVES INVESTMENT IN POOLED FUNDS 2118365 F INVESTMENT IN CAPTIVE 86546059 F 88664424 DHC 457(B) PLAN ASSETS 178774037 DUE FROM AFFILIATE OTHER MISC ASSETS ESTIMATED THIRD PARTY SETTLEMENT 178774037 FEDERAL INCOME TAXES ACCRUED POST RETIREMENT PENSION 136402057 RESERVES FOR INSURANCE RELATED LOSS 112063386 ESTIMATED THIRD PARTY SETTLEMENT 1237186 DUE TO AFFILIATE 1009 249703638 0 0 0 0 0 0 0 0 0 0 0 0 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 86546059 MIDDLE EAST AND NORTH AFRICA 0 1 PROGRAM SERVICES PATHOLOGY PROGRAM 2273 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 GRANT TO RECIPIENTS LOCATED IN THE REGION 23387 NORTH AMERICA (CANADA & MEXICO ONLY) 0 0 GRANT TO RECIPIENTS LOCATED IN THE REGION 3146 SUB-SAHARAN AFRICA 0 0 GRANT TO RECIPIENTS LOCATED IN THE REGION 11821 SUB-SAHARAN AFRICA 0 0 FUNDRAISING 52580 0 1 0 0 0 1 86639266 0 86639266 SUB-SAHARAN AFRICA PROGRAM SUPPORT 11821 CASH FMV EUROPE (INCLUDING ICELAND AND GREENLAND) PROGRAM SUPPORT 23387 CASH FMV 2 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; MIDDLE EAST AND NORTH AFRICA-ACCRUAL; NORTH AMERICA (CANADA & MEXICO ONLY)-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; SUB-SAHARAN AFRICA-ACCRUAL true ADVANCE TRANSIT PO BOX 1027 WILDER VT 05088 222558708 501(C)3 9929 CHARITABLE PROGRAM SUPPORT AMOSKEAG HEALTH 020458174 501(C)3 7800 PROGRAM SUPPORT BOARD OF REGENTS OF UNIV OF NEBRASKA 470049123 STATE OF NE 7459 EDUCATIONAL SERVICES CHILDREN'S HOSPITAL OF PHILADELPHIA 231352166 501(C)3 8328 CHARITABLE RESEARCH COLBY-SAWYER COLLEGE 020222120 STATE OF NH 5945 EDUCATIONAL SERVICES DANA-FARBER CANCER INSTITUTE INC 042263040 501(C)3 25299 CHARITABLE PROGRAM SUPPORT EARLY CARE AND EDUCATION ASSOCIATION 853076751 501(C)3 6500 PROGRAM SUPPORT GOOD NEIGHBOR HEALTH CLINIC 030346949 501(C)3 16900 PROGRAM SUPPORT GRANITE UNITED WAY 026006033 501(C)3 9620 PROGRAM SUPPORT INDIANA INSTITUTE FOR MEDICAL RESEARCH 351781809 501(C)3 6279 CHARITABLE RESEARCH JOHNS HOPKINS UNIVERSITY 520595110 501(C)3 5444 EDUCATIONAL SERVICES KAISER FOUNDATION RESEARCH INSTITUTE 941105628 501(C)3 233394 CHARITABLE RESEARCH LITTLETON HOSPITAL ASSOCIATION 020222152 501(C)3 6191 CHARITABLE RESEARCH MAGEE-WOMENS RESEARCH INSTITUTE AND FDN 251462312 501(C)3 7768 CHARITABLE RESEARCH MASSACHUSETTS GENERAL HOSPITAL 042697983 501(C)3 31238 CHARITABLE PROGRAM SUPPORT MEDICAL UNIVERSITY OF SOUTH CAROLINA 576000722 STATE OF SC 20819 EDUCATIONAL SERVICES MEMORIAL SLOAN-KETTERING CANCER CENTER 131924236 501(C)3 7436 CHARITABLE RESEARCH NEW HAMPSHIRE LEGAL ASSISTANCE 020300897 501(C)3 7122 CHARITABLE PROGRAM SUPPORT NORTH COUNTRY HEALTH CONSORTIUM INC 020503184 501(C)3 35339 CHARITABLE PROGRAM SUPPORT NORTHEASTERN VT REGIONAL HOSPITAL 036013761 501(C)3 6461 CHARITABLE PROGRAM SUPPORT OREGON CLINIC PC 931127856 15932 CHARITABLE RESEARCH OREGON HEALTH & SCIENCE UNIVERSITY 931176109 501(C)3 32825 CHARITABLE EDUCATIONAL SERVICES RECTOR & VISITORS OF UNIV OF VIRGINIA 546001796 STATE OF VA 7864 EDUCATIONAL SERVICES SEVEN COUNTIES SERVICES INC 310939757 501(C)3 51630 CHARITABLE RESEARCH SOUTHEAST VERMONT TRANSIT INC 030353976 501(C)3 7800 CHARITABLE RESEARCH STANFORD UNIVERSITY 941156365 501(C)3 5045 CHARITABLE PROGRAM SUPPORT TAMPA VA RESEARCH & EDUCATION FOUNDATION 593444354 501(C)3 11211 CHARITABLE RESEARCH THE UNIVERSITY OF TEXAS HEALTH SCIENCE 741586031 STATE OF TX 22967 EDUCATIONAL SERVICES TRUSTEES OF DARTMOUTH COLLEGE 020222111 501(C)3 309723 CHARITABLE EDUCATIONAL SERVICES TRUSTEES OF THE UNIV OF PENNSYLVANIA 231352685 STATE OF PA 6199 EDUCATIONAL SERVICES UNIVERSITY OF ALABAMA AT BIRMINGHAM 636005396 STATE OF AL 58575 EDUCATIONAL SERVICES UNIVERSITY OF FLORIDA 596002052 STATE OF FL 8973 EDUCATIONAL SERVICES UNIVERSITY OF MINNESOTA 416007513 STATE OF MN 7500 EDUCATIONAL SERVICES UNIVERSITY OF NEW MEXICO HEALTH SCIENCES 856000642 STATE OF NM 7625 EDUCATIONAL SERVICES UNIVERSITY OF PITTSBURGH 250965591 STATE OF PA 5696 EDUCATIONAL SERVICES VANDERBILT UNIVERSITY MEDICAL CENTER 352528741 501(C)3 21069 CHARITABLE EDUCATIONAL SERVICES WEILL MEDICAL COLLEGE OF CORNELL 131623978 STATE OF NY 14399 EDUCATIONAL SERVICES WOMEN'S INFORMATION SERVICE OF THE UPPER VALLEY 020346512 501(C)3 5200 PROGRAM SUPPORT 37 1 AWARDS AND EDUCATIONAL ASSISTANCE 9 30406 PATIENT ASSISTANCE 139 10534 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. 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 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 46377 false true true 46377 TUNG NGUYEN FAMILY MEMBER OF TRUSTEE LAURA CHIANG 185591 EMPLOYMENT COMPENSATION false FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED) 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), 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 SHORT PERIOD ENDED SEPTEMBER 30, 2025, DHC PROVIDED FINANCIAL ASSISTANCE TO 4,755 PATIENTS IN THE AMOUNT OF $8,969,378 (AS MEASURED BY GROSS CHARGES). THE COST OF PROVIDING THIS CARE FOR THE YEAR ENDED JUNE 30, 2025, WAS $14,608,139. 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 SHORT PERIOD SEPTEMBER 30, 2025 WAS $19,381,092. 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 SEPTEMBER 30, 2025, DHC REPORTED EXPENSE FOR BAD DEBTS OF APPROXIMATELY $6,133,562. 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. THIS PROCESS OCCURS ANNUALLY; HOWEVER, IT DID NOT TAKE PLACE DURING THE SHORT TAX PERIOD JULY 1, 2025 THROUGH SEPTEMBER 30, 2025. THEREFORE, LINE 15A HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE IRS INSTRUCTIONS TO FORM 990. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY 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. THIS PROCESS OCCURS ANNUALLY; HOWEVER, IT DID NOT TAKE PLACE DURING THE SHORT TAX PERIOD JULY 1, 2025 THROUGH SEPTEMBER 30, 2025. THEREFORE, LINE 15B HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE IRS INSTRUCTIONS TO FORM 990. 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 TRUSTEES 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 OF 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 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 COMPENSATION PAID BY THE FILING OR A RELATED ORGANIZATION THIS FORM 990 FILING IS FOR THE SHORT TAX YEAR BEGINNING JULY 1, 2025 AND ENDING SEPTEMBER 30, 2025. PURSUANT TO THE IRS INSTRUCTIONS TO FORM 990, COLUMNS (D), (E), AND (F) OF PART VII SECTION A SHOULD BE BLANK FOR A SHORT-YEAR RETURN THAT IS NOT A FINAL RETURN AND IN WHICH THERE IS NO CALENDAR YEAR THAT ENDS WITH OR WITHIN THE SHORT YEAR. THEREFORE, ALTHOUGH THE ORGANIZATION REPORTS INDIVIDUALS ON ITS FORM 990 PART VII SECTION A WHO RECEIVE COMPENSATION FROM THE FILING ORGANIZATION AND/OR FROM RELATED ORGANIZATIONS, COMPENSATION AMOUNTS REPORTED ON PART VII SECTION A OF THIS SHORT YEAR FORM 990 ARE ZERO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES NET ASSETS RELEASED FROM RESTRICTION - 10339828; TOTAL - 10339828; SHORT PERIOD FORM 990 ACCOUNTING PERIOD CHANGE REVENUE PROCEDURE 85-58 RULES APPLY. RENAISSANCE PSYCHIATRY OF NEW ENGLAND ONE MEDICAL CENTER DRIVE LEBANON NH 03756 813076466 PSYCHIATRY SERVICES NH -530885 696701 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 COOPERATIVE ORG. 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 0 1 true HAMDEN ASSURANCE CO LTD 3 GORHAM ROAD HAMILTON BD 980121409 LIABILITY INSURANCE BD DARTMOUTH-HITCHCOCK CLINIC C CORPORATION 0 0.702 true false false false false true false false false false true true true true true true true true true true HAMDEN ASSURANCE RISK RETENTION GROUP INC M 1500410 FMV HITCHCOCK FOUNDATION O 104867 FMV