2020-07-14T08:00:39-05:00 2019-06-30 350921680 CROWE LLP 175 Powder Forest Drive Simsbury CT 060897902 990 2018-07-01 222519596 Dartmouth-Hitchcock Clinic DART 6036531155 One Medical Center Drive Lebanon NH 03756 Daniel P Jantzen CPA CFO 2020-07-14 true Kristin Anderson P01231300 8606789200 2018 2021-01-29 14:40:06Z Joanne M Conroy MD One Medical Center Drive Lebanon NH 03756 514120063 false X www.dartmouth-hitchcock.org X 1983 NH Advancing health through research, education, clinical practice, and community partnerships; and providing each person the best care in the right place, at the right time, every time. 18 11 5281 623 373106 0 0 8020230 364143295 391029523 76287 1974910 91703961 112531662 455923543 513556325 1387188 1697267 0 0 285481234 304820322 0 0 88227 162397835 188699423 449266257 495217012 6657286 18339313 218528160 229963525 424050787 463672940 -205522627 -233709415 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 382676808 0 501408190 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 heath 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. During fiscal year 2019, DHC continued the transition of research activities and management from GSM to DHC, under the leadership of the Vice President for Research. 30045676 1697267 393926 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 group which operates throughout New Hampshire and Vermont and provides both medical services to patients and medical education and research. Health care services provided during 2019 resulted in 1,329,567 office visits recorded by DHC personnel, with 326,965 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), a New Hampshire not-for-profit corporation organized to support medical organizations like DHC. DHC provides the physician 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 and only 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. DHC, MHMH, and Cheshire Medical Center (Cheshire) are playing key coordinating roles in the implementation of CMS1S Delivery System Reform Incentive Payment (DSRIP) Program, better known as a "1115 Waiver." This statewide initiative will integrate and improve behavioral and physical health care. The effort ties together mental health, substance use and disorder treatment, physical health, social needs, housing, transportation, and the criminal justice system to form a coordinated effort that provides care for New Hampshire's most vulnerable residents in the DSRIP. These activities are also an integral part of DHC's and MHMH's efforts at addressing the opioid abuse crisis, which impacts so many patients in DHC's service area. In addition to the alternative payment models and integrated care delivery relationships noted above, DHC has several shared risk contracts with the largest commercial insurance carriers in its market. DHC was responsible for managing the cost of care and health of approximately 100,000 members across these patient populations during fiscal year 2019. The Jack Byrne Center for Palliative & Hospice Care coordinates the clinical, education, and research efforts of DHC and Visiting Nurse alliances around the region. This effort provides much-needed end-of-life care for patients in a clinical setting that meets the needs of patients and their families. DHC files an annual community benefits report with the State of New Hampshire which outlines the community and charitable benefits DHC provides. 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 which result from being uninsured or underinsured. For the year ended June 30, 2019, DHC provided financial assistance to 23,833 patients in the amount of $15,029,423 as measured by gross charges. The estimated cost of providing this care for the year ended June 30, 2019, was $4,344,664. 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, 2019 was $31,102,839. 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 contribution 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 "provision for bad debts," which is not included in the amounts reported above. For the fiscal year ended June 30, 2019, DHC reported a provision for bad debts of approximately $25,736,010. 412722484 true true false true false false false false true true true false true true false false true false true true false false false false false false true true true false false false true false false true false false false false false true true true true false false true 0 0 5281 true true true false false false false false true false false false false false X 18 11 false false false false true true true true true false false true true true true true true true true false NH X Daniel P Jantzen 6036505634 One Medical Center Drive Lebanon NH 03756 Joanne M Conroy MD Trustee, Ex-Officio, CEO 16.2 43.9 X X 1246925 0 52162 Vincent S Conti MHA Trustee/Board Chair (Effective 1/1/19) 0.8 1.3 X X 0 0 0 Barbara J Couch MS Trustee/ Board Secretary (Through 12/31/18) 1.5 2.5 X X 0 0 0 Robert A Oden Jr PHD Trustee /Vice Chair Through 12/31/2018 1.5 2.5 X X 0 0 0 Charles G Plimpton MBA Board Treasurer (Through 12/18)/Secretary (Effective 1/19) 1.5 2.5 X X 0 0 0 Edward H Stansfield III MA Trustee/ Vice Chair (Effective 1/1/19) 0.8 1.8 X X 0 0 0 Anne-Lee Verville Trustee/ Board Chair (Through 12/31/18) 1.5 2.5 X X 0 0 0 ROBERTA L HINES MD TRUSTEE/TREASURER 12.0 28.0 X X 0 0 0 Jocelyn Chertoff MD Trustee/ VP SRVC LN/DPT CHCR DGNSTC RAD 12.0 28.0 X 612747 0 42285 Jeffrey A Cohen MD Trustee (Through 12/31/18) 12.0 31.0 X 439846 0 64361 Duane A Compton PHD Trustee / Ex-Officio 0.8 1.7 X 0 0 0 William J Conaty Trustee 0.8 1.3 X 0 0 0 Paul P Danos PHD Trustee 0.8 1.3 X 0 0 0 Cherie Holmes MD Trustee 12.0 29.0 X 429451 0 54176 Senator Judd A Greg Trustee 0.8 0.8 X 0 0 0 Laura K Landy MBA Trustee 0.8 1.3 X 0 0 0 Kari M Rosenkranz MD Trustee / Physician 12.0 28.0 X 521915 0 35773 Brian C Spence MDMHCDS Trustee (Through 12/31/18) / Physician 12.0 28.0 X 473411 0 57091 Pamela Thompson MSRNCENP Trustee 0.8 1.3 X 0 0 0 Jon Wahrenberger MDFAHAFAC Trustee 12.0 28.0 X 346803 0 65665 Marc B Wolpow JDMBA Trustee 0.8 1.3 X 0 0 0 KURT K RHYNHART MD TRUSTEE 12.0 28.0 X 477049 0 42072 Aimee M Giglio Chief HR Officer 12.0 34.0 X 0 358762 47278 DANIEL P JANTZEN CPA CFO 15.0 46.0 X 0 802407 55803 Patrick Jordan III MBA Chief Operating Officer 15.0 45.0 X 0 595187 58364 JOHN KACAVAS Chief Legal Officer 12.0 35.0 X 0 628988 52416 Stephen Leblanc Chief Administrative Officer 12.0 36.0 X 678320 0 60874 EDWARD MERRENS Chief Clinical Officer 12.0 35.0 X 710556 0 48934 Maria Padin MD Chief Medical Officer 12.0 35.0 X 405936 0 74170 Susan A Reeves EDDRN Chief Nursing Executive 12.0 42.0 X 0 460665 56959 Matthew Haag VP Development 12.0 34.0 X 0 100204 7675 GEORGE T BLIKE MD Chief Quality & Value Officer 12.0 29.0 X 488455 0 89309 Karen Clements RNBSNMSB Chief Nursing Officer 12.0 28.0 X 0 354860 33093 Staci Hermann PHARMDMS INTERIM CHIEF PHARMACY OFFICER 12.0 28.0 X 0 198201 22260 Simon Hillier InterIM Dept Chair ANESTHESIOLOGY 12.0 28.0 X 528291 0 56469 Jeffrey Obrien MHA KEY EMP/ VP CLINICAL OPS 12.0 28.0 X 0 365136 57115 Peter D Solberg MD Chief Medical Information Officer 12.0 28.0 X 384275 0 56111 Sandra Wong MD SVP SVC LN & Chair of Surgery 12.0 28.0 X 788615 0 32833 David Bauer MD Staff Physician 12.0 28.0 X 935620 0 45960 Nathan Simmons MD Physician 12.0 28.0 X 1054450 0 54604 Daniel Stewart MD Physician 12.0 28.0 X 1240845 0 50805 John Nigriny Staff Physcian 40.0 0 X 905010 0 57091 Timothy Ryken Staff Physician 0 X 946671 0 56878 Steven Boyce FMR KEY EMP/ADM VP MED SPCLTS 12.0 28.0 X 128301 0 30179 Wendy Fielding MBA FMR KEY EMP/ VP FINANCE PLANNING 12.0 29.0 X 0 247327 49988 Robert Greene MDMHCDSFACP Former Key Employee 12.0 28.0 X 122058 0 0 Tina E Naimie CPA FMR KEY EMP/ VP CORP FINANCE 12.0 29.0 X 0 257299 28591 Christine Schon MPA FMR KEY EMP/ VP Ambulatory Care 1.0 41.0 X 280023 0 43714 Thomas J Siepka Chief Pharm Officer 12.0 28.0 X 0 113190 6151 Wendy Wells MD FMR KEY EMP/DEPT CHR PATHOLOGY 12.0 28.0 X 506952 0 60768 Thomas Dodds MD FMR KEY EMP/DEPT CHR ANESTH 12.0 28.0 X 123247 0 12597 John Birkmeyer MD Former CCO/EVP ENTPRS SP 0.0 0.0 X 328004 0 0 John S Malanowski MILR Former Chief HR Officer 0 X 0 138656 0 Richard I Rothstein MD Former Dept Chair/Srvc LN LDR - MED 12.0 28.0 X 787038 0 56413 Kimberly Troland JD FMR INTRM GC/DEPUTY GEN CNSL 12.0 28.0 X 0 405537 50301 Sowmya Viswanathan MD Former Chief ACO Officer 0.0 0.0 X 161538 0 0 James N Weinstein DO MS Former Trustee/CEO 0.0 0.0 X 963321 0 34820 17015673 5026419 1862108 1403 true true false 0 4172033 3848197 8020230 NET PATIENT SERVICE REVENUE 621110 391029523 391029523 0 0 0 0 391029523 65695 65695 878309 64774 39428 3542 838881 61232 900113 900113 349983 2080000 321501 199267 28482 1880733 1909215 1909215 CONTRACTED REVENUE 621110 93821564 93448458 373106 CAFETERIA INCOME 722212 485850 485850 ALLOCATED OTHER REVENUE 621110 17324135 17324135 0 0 0 0 111631549 513556325 501802116 373106 3360873 1025908 1025908 671359 671359 0 0 3953010 1257811 2627706 67493 1071604 580549 470321 20734 239374785 209027157 30347628 12643566 11041974 1601592 32017492 27961756 4055736 15759865 8502804 7257061 824493 25002 799491 278419 278419 11700 11700 35820668 30115530 5705138 0 1211033 9449 1201584 6828346 5070852 1757494 6628234 501590 6126644 6990091 374350 6615741 1731583 1016406 715177 81640 81149 491 6199231 619923 5579308 3517953 1019328 2498625 3342286 2322521 1019765 MEDICAL SUPPLIES 102715211 102652118 63093 EQUIP REPAIR & MAINTENANCE 6140285 4128282 2012003 ACADEMIC, GME, TEACHING & SUPPORT 2984086 2293726 690360 RECRUITMENT COSTS 805225 703225 102000 2588939 1719715 869224 0 495217012 412722484 82406301 88227 0 0 47522818 57629020 186474 155947 0 0 2960814 2097728 428577 586067 126407467 106081119 22369496 20326348 705040 666552 55138628 57742694 855304 152738 88361009 90606431 218528160 229963525 188056385 203815575 0 0 0 10390823 6660425 225603579 253196940 424050787 463672940 X -206950402 -235130437 429316 422563 998459 998459 -205522627 -233709415 218528160 229963525 X 18339313 23533 -46549634 X false true X true false X 0 0 0 0 8020230 8020230 397956831 419623067 437313420 454429030 501802116 2211124464 0 0 0 397956831 419623067 437313420 454429030 509822346 2219144694 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2219144694 2741634 1411061 735442 770344 1008778 6667259 0 2741634 1411061 735442 770344 1008778 6667259 103904 230170 -172489 346528 365521 873634 75358696 61525638 83083146 90978791 111631549 422577820 476161065 482789936 520959519 546524693 622828194 2649263407 0.8376 0.8419 0.0025 0.0046 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 75358696.0, COLUMN B - 61525638.0, COLUMN C - 83083146.0, COLUMN D - 90978791.0, COLUMN E - XXX-XX-XXXX.0, COLUMN F - XXX-XX-XXXX.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 113724 false true 53739 167463 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINES IB & 1G DARTMOUTH-HITCHCOCK CLINIC EMPLOYS THREE FULL TIME STAFF WHOSE DUTIES INCLUDE LOBBYING. TYPICAL EXPENSES ASSOCIATED WITH THE LOBBYING ACTIVITIES INCLUDE STAFF SALARY, TRAVEL, MEMBERSHIP FEES AND DUES. FROM TIME TO TIME, DARTMOUTH HITCHCOCK CLINIC (DHC), THROUGH ITS EMPLOYEES AND THE USE OF CONSULTANTS, CONTACTS GOVERNMENT OFFICIALS AND LEGISLATORS. THIS CONTACT IS FOR THE PURPOSE OF PROPOSING LEGISLATION OR EXPRESSING AN OPINION ON CHANGES IN LEGISLATION THAT AFFECT DHC AND ITS ABILITY TO CARRY OUT ITS MISSION. THE TYPICAL ACTIVITIES MAY INCLUDE SENDING LETTERS TO, CALLING, AND MEETING WITH GOVERNMENT OFFICIALS AND LEGISLATORS. FOR THE FISCAL YEAR ENDED JUNE 30, 2019, DARTMOUTH HITCHCOCK CLINIC INCURRED $113,724 IN CONJUNCTION WITH THESE ACTIVITIES. 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. 1340985 61035 56203 1345817 1284444 1105 55436 1340985 1214414 72236 2206 1284444 1128967 102466 -10712 6307 1214414 1113436 16985 1454 1128967 0.0 0.7419 0.2581 false false 2505032 7215859 9720891 72493046 61988838 10504208 27567760 27490774 76986 16625770 16601507 24263 20326348 Public Equities Funds 125943 F Private Equities Funds 600288 F Hedge Funds 56188 F Other Secuities 135426 F INVESTMENT IN CAPTIVE - HAMDEN 56824849 F 57742694 DHC 457(B) PLAN ASSETS 78940654 DUE FROM AFFILIATE 11665777 90606431 ACCRUED POST RETIREMENT PENSION 189512412 RESERVES FOR INSURANCE RELATED LOSS 60346669 ESTIMATED THIRD PARTY SETTLEMENT 3337859 253196940 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 North America (Canada & Mexico only) Program Services Advertising 6865 North America (Canada & Mexico only) Program Services Honorarium Payments 1050 North America (Canada & Mexico only) Program Services Dues & Licenses 151 North America (Canada & Mexico only) 3 Program Services Consultant 9704 Central America and the Caribbean 5 Program Services Medical Services in Haiti (TB & HIV) and Nicaragua (hearing loss) 11484 South Asia 4 Program Services Medical Services in India 79743 Sub-Saharan Africa 6 Program Services Medical services in Rwanda and Tanzania for infectious diseases and healthcare development 55809 North America (Canada & Mexico only) Program Services Software 86386 Europe (Including Iceland and Greenland) Program Services Medical program 2093 East Asia and the Pacific Program Services Medical program 374 Central America and the Caribbean Investments Investment in captive 56824849 North America (Canada & Mexico only) Program Services Medical program 1752 0 18 0 0 0 18 57080260 0 57080260 true false true true 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 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. true Upper Valley Haven 713 Hartford Avenue White River Junction VT 05001 030277908 501 (c) (3) 17888 FMV Program Support American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501 (c) (3) 10500 FMV Program Support Grafton County Senior Citizens Council 10 Campbell Street Lebanon NH 03766 237248316 501 (c) (3) 5400 FMV Program Support Public Health Council of the Upper Valley One Court Street 378 Lebanon NH 03766 752991608 501 (c) (3) 16500 FMV Program Support Manchester Community Health Center 145 Hollis Street Manchester NH 03101 020458174 501 (c) (3) 15750 FMV Program Support Good Neighbor Health Clinic 70 North Main Street White River Junction VT 05001 030346949 501 (c) (3) 24000 FMV Program Support NH Hospital Association 125 Airport Road Concord NH 03301 026012527 501 (c) (3) 341447 FMV Program Support Mt Ascutney Hospital and Health Center 289 County Road Windsor VT 05089 030183721 501 (c) (3) 12000 FMV Program Support New London Hospital 273 Country Road New London NH 03257 020222171 501 (c) (3) 7500 FMV Program Support Tri-Valley Transit 279 Creek Road Middlebury VT 05753 030335768 501 (c) (3) 12750 FMV Transportation Subsidy Advance Transit PO Box 1027 Wilder VT 05088 222558708 501 (c) (3) 33520 FMV Transportation Subsidy Southeast VT Transit 45 Mill Street Wilmington VT 05363 030353976 501 (c) (3) 9000 FMV Transportation Subsidy March of Dimes 1550 Crystal Dr Suite 1300 Arlington VA 22202 131846366 501 (c) (3) 6000 FMV Program Support Cheshire Medical Center 580 Court Street 590 Keene NH 03431 020354549 501 (c) (3) 36000 FMV Program Support New Hampshire Charitable Foundation 37 Pleasant Street Concord NH 03301 026005625 501 (c) (3) 18000 FMV Program Support Listen Community Services 60 Hanover St Lebanon NH 03766 237225952 501 (c) (3) 15000 FMV Program Support Families in Transition 122 Market Street Manchester NH 03101 020475414 501 (c) (3) 19125 FMV Program Support Twin Pines Housing Trust 226 Holiday Drive Suite 20 White River Junction VT 05001 222809527 501 (c) (3) 15000 FMV Program Support Southwestern Community Services PO Box 603 63 Community Way Keene NH 03431 026013808 501 (c) (3) 41178 FMV Program Support Mascoma Community Healthcare Inc 18 Roberts Road PO Box 550 Canaan NH 03741 465672753 501 (c) (3) 15000 FMV Program Support Conservation Law Foundation 62 Summer Street Boston MA 02110 046149986 501 (c) (3) 15000 FMV Program Support American Cancer Society 2 Commerce Drive Suite 100 Bedford NH 03110 131788491 501 (c) (3) 11850 FMV Program Support Upper Valley Community Nursing Project PO Box 1302 Lebanon NH 03766 831224873 501 (c) (3) 9000 FMV Program Support Alice Peck Day Memorial Hospital 10 Alice Peck Day Dr Lebanon NH 03766 020222791 501 (c) (3) 7500 FMV Program Support St Joseph Hospital 172 Kinsley Street Nashua NH 030603648 020222215 501 (c) (3) 7500 FMV Program Support Granite United Way 22 Concord Street Floor 2 Manchester NH 03101 026006033 501 (c) (3) 13500 FMV Program Support Visions for Creative Housing Solutions 8 Sunrise Farm Lane Enfield NH 03748 800868234 501 (c) (3) 7500 FMV Program Support JSI Research & Training Institute 501 South Street Bow NH 03304 042679824 501 (c) (3) 6000 FMV Program Support City Year Inc 248 Elm Street Suite 201 Manchester NH 03101 222882549 501 (c) (3) 6750 FMV Program Support Health Care Without Harm 12355 Sunrise Valley Dr Suite 680 Reston VA 20191 522358837 501 (c) (3) 9000 FMV Program Support Granite YMCA Corporate Office 117 Market Street Manchester NH 03101 020222248 501 (c) (3) 5850 FMV Program Support Boys & Girls Club of Manchester 555 Union Street Manchester NH 03104 020226033 501 (c) (3) 6150 FMV Program Support TLC Family Resource Center PO Box 1098 Claremont NH 03743 522439830 501 (c) (3) 16324 FMV Program Support Valley Regional Healthcare 243 Elm Street Claremont NH 03743 020397338 501 (c) (3) 33001 FMV Program Support Headrest Inc 141 Mascoma St Lebanon NH 03766 237256865 501 (c) (3) 12660 FMV Program Support Monadnock Collaborative 105 Castle Street Keene NH 03431 020526791 501 (c) (3) 5560 FMV Program Support 36 0 Awards and Educational Assistance 63 289421 D-H Tuition Reimbursement Program 468 356265 Patient Assistance 181 25673 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 X X X true false false false false false false false false James N Weinstein DO MS Former Trustee/CEO 782744 0 0 0 180577 0 26580 0 8240 0 998141 0 0 0 Joanne M Conroy MD Trustee, Ex-Officio, CEO 954614 0 253555 0 38756 0 26580 0 25582 0 1299087 0 0 0 Jocelyn Chertoff MD Trustee/ VP SRVC LN/DPT CHCR DGNSTC RAD 559809 0 250 0 52688 0 26580 0 15705 0 655032 0 0 0 Jeffrey A Cohen MD Trustee (Through 12/31/18) 394582 0 250 0 45014 0 26580 0 37781 0 504207 0 0 0 Cherie Holmes MD Trustee 393474 0 250 0 35727 0 38328 0 15848 0 483627 0 0 0 Kari M Rosenkranz MD Trustee / Physician 495650 0 250 0 26015 0 21080 0 14693 0 557688 0 0 0 Brian C Spence MDMHCDS Trustee (Through 12/31/18) / Physician 451894 0 250 0 21267 0 21080 0 36011 0 530502 0 0 0 Jon Wahrenberger MDFAHAFAC Trustee 342647 0 250 0 3906 0 26580 0 39085 0 412468 0 0 0 KURT K RHYNHART MD TRUSTEE 436988 0 250 0 39811 0 21343 0 20729 0 519121 0 0 0 John Birkmeyer MD Former CCO/EVP ENTPRS SP 0 0 0 0 328004 0 0 0 0 0 328004 0 0 0 John S Malanowski MILR Former Chief HR Officer 0 0 0 0 0 138656 0 0 0 0 0 138656 0 0 Richard I Rothstein MD Former Dept Chair/Srvc LN LDR - MED 780410 0 250 0 6378 0 26640 0 29773 0 843451 0 0 0 Kimberly Troland JD FMR INTRM GC/DEPUTY GEN CNSL 0 362975 0 250 0 42312 0 21080 0 29221 0 455838 0 0 Sowmya Viswanathan MD Former Chief ACO Officer 0 0 0 0 161538 0 0 0 0 0 161538 0 0 0 Aimee M Giglio Chief HR Officer 0 318913 0 10250 0 29599 0 12648 0 34630 0 406040 0 0 DANIEL P JANTZEN CPA CFO 0 621847 0 10250 0 170310 0 26580 0 29223 0 858210 0 0 Patrick Jordan III MBA Chief Operating Officer 0 593349 0 250 0 1588 0 21080 0 37284 0 653551 0 0 JOHN KACAVAS Chief Legal Officer 0 528095 0 10250 0 90643 0 21080 0 31336 0 681404 0 0 Stephen Leblanc Chief Administrative Officer 640573 0 10250 0 27497 0 26580 0 34294 0 739194 0 0 0 EDWARD MERRENS Chief Clinical Officer 629398 0 10250 0 70908 0 28864 0 20070 0 759490 0 0 0 Maria Padin MD Chief Medical Officer 369274 0 5250 0 31412 0 37334 0 36836 0 480106 0 0 0 Susan A Reeves EDDRN Chief Nursing Executive 0 457787 0 250 0 2628 0 26580 0 30379 0 517624 0 0 Steven Boyce FMR KEY EMP/ADM VP MED SPCLTS 127572 0 250 0 479 0 10843 0 19336 0 158480 0 0 0 Wendy Fielding MBA FMR KEY EMP/ VP FINANCE PLANNING 0 228163 0 250 0 18914 0 19118 0 30870 0 297315 0 0 Robert Greene MDMHCDSFACP Former Key Employee 0 0 0 0 122058 0 0 0 0 0 122058 0 0 0 Tina E Naimie CPA FMR KEY EMP/ VP CORP FINANCE 0 256492 0 250 0 557 0 19498 0 9093 0 285890 0 0 Christine Schon MPA FMR KEY EMP/ VP Ambulatory Care 251113 0 250 0 28660 0 26580 0 17134 0 323737 0 0 0 Thomas J Siepka Chief Pharm Officer 0 104506 0 5000 0 3684 0 5492 0 659 0 119341 0 0 Wendy Wells MD FMR KEY EMP/DEPT CHR PATHOLOGY 460678 0 250 0 46024 0 37543 0 23225 0 567720 0 0 0 Thomas Dodds MD FMR KEY EMP/DEPT CHR ANESTH 120987 0 250 0 2010 0 8783 0 3814 0 135844 0 0 0 GEORGE T BLIKE MD Chief Quality & Value Officer 420654 0 5250 0 62551 0 52781 0 36528 0 577764 0 0 0 Karen Clements RNBSNMSB Chief Nursing Officer 0 325478 0 600 0 28782 0 21080 0 12013 0 387953 0 0 Staci Hermann PHARMDMS INTERIM CHIEF PHARMACY OFFICER 0 197813 0 250 0 138 0 8349 0 13911 0 220461 0 0 Simon Hillier InterIM Dept Chair ANESTHESIOLOGY 481194 0 250 0 46847 0 26580 0 29889 0 584760 0 0 0 Jeffrey Obrien MHA KEY EMP/ VP CLINICAL OPS 0 326402 0 250 0 38484 0 24226 0 32889 0 422251 0 0 Peter D Solberg MD Chief Medical Information Officer 357928 0 5250 0 21097 0 21497 0 34614 0 440386 0 0 0 Sandra Wong MD SVP SVC LN & Chair of Surgery 729365 0 250 0 59000 0 21080 0 11753 0 821448 0 0 0 David Bauer MD Staff Physician 875926 0 250 0 59444 0 12648 0 33312 0 981580 0 0 0 Nathan Simmons MD Physician 948007 0 250 0 106193 0 21785 0 32819 0 1109054 0 0 0 Daniel Stewart MD Physician 1146052 0 250 0 94543 0 21080 0 29725 0 1291650 0 0 0 John Nigriny Staff Physcian 837702 0 250 0 67058 0 21080 0 36011 0 962101 0 0 0 Timothy Ryken Staff Physician 898762 0 250 0 47659 0 21080 0 35798 0 1003549 0 0 0 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 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 D-H ON BEHALF OF ITS EMPLOYEES. Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2018. DURING CALENDAR YEAR 2018, FORMER CHIEF CLINICAL OFFICER JOHN BIRKMEYER RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $328,004 FROM DHC. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2018, FORMER CHIEF HR OFFICER JOHN MALANOWSKI RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $138,656 FROM MHMH. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B) III. DURING CALENDAR YEAR 2018, FORMER CHIEF POPULATION MANAGEMENT OFFICER ROBERT GREENE RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $122,058 FROM DHC THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2018, FORMER CHIEF AGO OFFICER SOWMYA VISWANATHAN RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $161,538 FROM DHC. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. Stephen Leblanc Officer Split Dollar Life X 0 57192 false true true Richard Rothstein Former Officer Split Dollar Life X 0 98755 false true true 155947 Amy Stansfield Family member of Trustee Ed Stansfield 223612 Employment Compensation false 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. Members include the following who are all members of the governing board: Edward H. Stansfield, III, MA (Board Chair and Chair of Governance Committee) William J. Conaty (Chair - Talent Development and Compensation Committee) Roberta L. Hines, MD (Chair - Research and Education Committee) Charles G. Plimpton, MBA (Chair- Finance Committee) Pamela A. Thompson, MS, RN, CENP, FAAN (Chair - Value Committee) Ex Officio member: Dr. Joanne Conroy (CEO) 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 CORPORATE FINANCE, VICE PRESIDENT OF CORPORATE FINANCE, AND 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 2019. 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 2019. 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), AND THE HITCHCOCK FOUNDATION (THC). 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 XI, Line 9 Other changes in net assets or fund balances PENSION AND OTHER CHARGES - -46481846; NET ASSETS RELEASED FROM RESTRICTION - -67788; Form 990, Part XII, Line 2c AUDITED FINANCIAL STATEMENTS THE ORGANIZATION'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF DARTMOUTH-HITCHCOCK HEALTH AND SUBSIDIARIES, WHICH CONSISTS OF THE FOLLOWING ORGANIZATIONS AND THEIR RELATED SUBSIDIARIES: DARTMOUTH-HITCHCOCK CLINIC, MARY HITCHCOCK MEMORIAL HOSPITAL, MOUNT ASCUTNEY HOSPITAL AND HEALTH CENTER, CHESHIRE MEDICAL CENTER, THE NEW LONDON HOSPITAL ASSOCIATION, ALICE PECK DAY MEMORIAL HOSPITAL, AND VISITING NURSE ASSOCIATION & HOSPICE OF VT AND NH. RENAISSANCE PSYCHIATRY OF NEW ENGLAND ONE MEDICAL CENTER DRIVE LEBANON NH 03756 813076466 PSYCH SERVICES NH -111521 1414180 D-HC MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020222140 HOSPITAL NH 501(c)(3) 3 D-HH false THE HITCHCOCK FOUNDATION ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020222139 HeaLTH CaRE ReSeaRCH NH 501(c)(3) 7 DHC true HAMDEN RISK RETENTION GROUP 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 ORG 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 Visiting Nurse Association & HOSPICE OF VT AND NH INC 205 BILLINGS FARM ROAD 5 WILDER VT 05088 036006494 HOSPICE VT 501(c)(3) 10 D-HH false POMPANOOSUC INVESTMENT CORPoration ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020352330 REAL ESTate HoLDinG NH DHC C Corporation -127 75632 1 true HAMDEN ASSURANCE CO LTD 980121409 Liability INSURANCE BD DHC C Corporation 14428591 51072292 0.702 true false true false false true false false false false true true true true true true true true true true