2016-05-16T11:28:46-05:00 2015-06-30 PRICEWATERHOUSECOOPERS LLP 101 SEAPORT BLVD BOSTON MA 02210 990 2014-07-01 264812335 Dartmouth-Hitchcock Health % ROBIN KILFEATHER-MACKEY DART 6036531155 One Medical Center Drive Lebanon NH 03756 Robin Kilfeather-Mackey CFO 2016-05-13 Paul Tanis P01441612 6175305000 2014 2016-08-17 19:52:53Z JAMES WEINSTEIN DO MS One Medical Center Drive Lebanon NH 03756 20416974 false X N/A X 2009 NH To govern for an integrated health care delivery system that best serves the purposes of preventing,diagnosing treating,& curing human illness within the Northern New England Region 16 11 0 11 49767 42856 2544108 8320951 3437334 11580018 -267144 24 0 -287793 5714298 19613200 1625000 454651 0 0 1851213 0 0 0 139480 3368243 15861216 6844456 16315867 -1130158 3297333 8065542 16044581 8255484 12937190 -189942 3107391 X DARTMOUTH-HITCHCOCK HEALTH (D-H HEALTH), IS A NEW HAMPSHIRE (NH) NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). D-H HEALTH WAS FORMED IN MAY 2009 WITH OPERATIONS COMMENCING ON OCTOBER 1, 2010. D-H HEALTH IS OPERATED FOR THE FOLLOWING CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES: -TO ESTABLISH, MANAGE, GOVERN, AND FUNDRAISE FOR AN INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT BEST SERVES THE PURPOSES OF PREVENTING, DIAGNOSING, TREATING AND CURING HUMAN ILLNESS WITHIN THE NORTHERN NEW ENGLAND REGION; TO MANAGE A HEALTHCARE SYSTEM THAT PROVIDES HEALTH CARE SERVICES TO THE PUBLIC IN A COST-EFFECTIVE MANNER; -TO ESTABLISH AND MAINTAIN COOPERATIVE HOSPITAL AND PROVIDER RELATIONSHIPS THROUGHOUT ITS SYSTEM; -TO ACHIEVE EXCELLENCE IN CLINICAL INNOVATIONS, SERVICE, QUALITY, COST AND OUTCOMES, SUPPORTED BY A STRONG ACADEMIC PROGRAM; AND TO INTEGRATE RESEARCH, TRAINING, INFORMATION TECHNOLOGY AND ACADEMIC MEDICINE IN THE PROVIDER false false 5015728 454651 3151811 As part of its strategy to create a sustainable health system that will improve the lives of the people and communities it serves for generations to come, Dartmouth-Hitchcock-Health continues to work to establish and maintain cooperative hospital and provider relationships throughout the Northern New England region. In addition to continued work with the New England Alliance for Health, which it established as a voluntary shared services organization, D-HH has finalized affiliations with two other partner hospitals, Cheshire Medical Center and Mount Ascutney Hospital & Health Center, and is in the regulatory review process for two other affiliations, with Alice Peck Day Memorial Hospital in Lebanon, NH, and Visiting Nurse and Hospice of Vermont and New Hampshire. D-HH also furthered its relationship with Harvard Pilgrim Health Care, Elliot Health System, and Frisbie Memorial Hospital, with the creation of Benevera Health, a population health improvement company focused on care coordination and quality improvement. The result of improved and coordinated patient care, with early intervention when appropriate, will help drive down the cost of health care, allowing Harvard Pilgrim to keep premiums lower and consistently more competitive for members by an estimated 4% differential in 2016, the first year of the program. 2385694 A major D-HH initiative to create integrated relationships across New Hampshire and Vermont continues, with a goal of improving population health, offering value-based care, and embracing new payment models that move away from fee for service. The OneCare Vermont ACO with Fletcher Allen Health Care includes all Vermont hospitals and hundreds of primary care physicians and specialists, two federally qualified health centers, and several rural health clinics, to coordinate the health care of approximately 42,000 of Vermont's 118,000 Medicare beneficiaries. D-HH continues to look for synergies with VT and ME providers and has been an active participant in Vermont's creation of a single payer health system. The recent affiliations with New London Hospital in NH and Mt. Ascutney in VT, as well as the latest affiliation with Cheshire Medical Center in NH, are allowing more coordinated care and efficiencies across systems, as well as more effective utilization of hospital beds. 8192704 8428207 D-HH continues to build its telemedicine program to provide care across its rural region and in particular to make specialist consultation and care available to community hospitals. It has purchased telemedicine equipment for more than 35 sites in Vermont and New Hampshire, including rural acute care hospitals, ambulatory care sites, rehabilitation sites and behavioral health centers. This allows caregivers at remote locations to access specialists at Dartmouth-Hitchcock and bring them "virtually" to the patient's bedside. Through its Telestroke program, hospitals in Vermont and New Hampshire are able to access specialty care from Dartmouth-Hitchcock, augmented by its Mayo Clinic partner in Arizona. Investment in telemedicine will continue, along with development of in-home monitoring, as a powerful tool to offer timely, convenient, high-quality care, improve population health, foster integration, and lower health care costs across the region. As a key element in its work to improve population health and move to new payment models, Dartmouth-Hitchcock (D-H) is participating in a number of shared risk/shared savings programs with government and commercial payors. In 2015, D-H formally withdrew from CMS's Pioneer ACO, but D-H's application for participation in the Centers for Medicare and Medicaid Services' "Next Generation" ACO has been accepted. D-H is awaiting final contract details on Next Generation before finally committing to the program. Participation also continues to expand for OneCare Vermont, an ACO established by D-HH with the University of Vermont Health System, Vermont's academic medical center, that includes all 14 of the state's hospitals, hundreds of primary care physicians and specialists, two federally qualified health centers, and several rural health clinics, to coordinate the health care of approximately 42,000 of Vermont's 118,000 Medicare beneficiaries (40 percent of the Hospital and Clinic patients are from Vermont). D-HH continues to be a member of the Mayo Clinic Care Network, a non-ownership affiliation. This arrangement allows D-H physicians to partner with colleagues from Mayo for second opinions and consultations, thus bringing the expertise of both organizations to individual patient care. Much of the consultation is done via telemedicine, another expanding initiative of D-H. The program is intended to strengthen our ability to serve patients in our region with the highest-quality care, close to home. It also allows the Hospital and Clinic to get care to patients in emergency situations quickly and to partner with local health organizations in the delivery of care, something that is particularly important in our rural area. Regionally, as part of its work to create a sustainable health system, D-HH continues to build collaborations with other providers and to look for ways to make care more affordable and convenient for patients and families, while ensuring highest quality. Cheshire Medical Center in Keene, NH, and Mount Ascutney Hospital & Health Center in Windsor, VT, became formally affiliated with D-HH in 2015, and discussions are ongoing with other health systems in the two states. Nationally, Dartmouth-Hitchcock is a founding member, with Mayo Clinic, Intermountain Health Care, Denver Health, and The Dartmouth Institute for Health Policy and Clinical Practice, of the High Value Healthcare Collaborative (HVHC). The Collaborative currently comprises more than a dozen health systems across the country. Together, they have a patient base of more than 70 million. The goal of the Collaborative is to improve the quality of health care while lowering costs. Through data sharing and defining of best practices for 8 high-cost, high-variation conditions, the members are improving outcomes and already seeing cost savings. A $26 million grant from CMS made it possible to integrate shared decision making - the Hospital was the first in the nation to create a Center for Shared Decision Making and integrate tools into clinical care - into the work of the Collaborative. Beyond that grant, however, the HVHC is self-funded by the member health systems. 15594126 true true false false false false false false false false true false false true true false false true false false false false false false true false false true false true false false false false false false false false true false false false false true true true false false true 3 0 0 true true true BD false false false false false false false false X 16 11 true false false false false false false true true false false true true true true true true false false true true NH X ROBIN KILFEATHER-MACKEY 6036505668 ONE MEDICAL CENTER DRIVE Lebanon NH 03756 X Vincent S Conti MHA Trustee 0.5 1.5 X 0 0 0 Jennie L Norman Trustee/Board Sec End 12/31/14 1.0 3.0 X X 0 0 0 Wiley Souba MD ScD Trustee/Ex-Officio End 7/1/14 0.5 1.51 X 0 0 0 James N Weinstein DO MS Trustee Ex-Officio/CEO 6.0 55.01 X X 0 1229653 225752 William W Helman IV Trustee End 9/30/14 0.5 1.51 X 0 0 0 Robert A Oden Jr PhD Trustee/Board Chair 1.0 3.0 X X 0 0 0 Hugh C Smith MD Trustee End 12/31/14 0.5 1.5 X 0 0 0 Barbara J Couch MS Trustee/Board Sec Eff 1/1/15 0.5 1.5 X X 0 0 0 William J Conaty Trustee 0.5 1.5 X 0 0 0 Denis A Cortese MD Trustee 0.5 1.5 X 0 0 0 Matthew B Dunne Trustee 0.5 1.5 X 0 0 0 Laura K Landy MBA Trustee 0.5 1.5 X 0 0 0 Paul P Danos PhD Trustee/BD Treasurer 1.0 3.0 X X 0 0 0 Steven A Paris MD Trustee 0.5 40.01 X 0 357571 117329 Richard J Powell MD Trustee 0.5 40.3 X 0 449269 145523 Anne-Lee Verville Trustee 0.5 1.5 X 0 0 0 Michael J Goran MD Trustee End 12/31/14 0.5 1.5 X 0 0 0 Troyen A Brennan MD MPH Trustee Eff 3/20/15 0.5 1.5 X 0 0 0 R William Burgess Jr MBA Trustee Eff 9/19/14 0.5 1.5 X 0 0 0 Duane A Compton PhD Trustee/Ex-Officio Eff 7/15/14 0.5 1.81 X 0 0 0 Charles G Plimpton MBA Trustee Eff 3/20/15 0.5 1.5 X 0 0 0 Robin Kilfeather-Mackey CPA Chief Financial Officer 6.0 55.01 X 0 520432 214698 Stephen Leblanc Exec VP Strtgy & Ntwrk Rltns 39.0 21.01 X 0 602197 269589 Kimberly Troland JD Intrm Genrl Counsel Eff 7/1/15 6.0 54.0 X 0 248343 34246 John Butterly MD Fmr Offr/Exec VP Med Affairs 26.0 6.0 X 0 552569 72826 Jeanine Arden Ornt Fmr General Counsel 6.0 55.0 X 0 361457 42717 Carl Dematteo MD Fmr Chf Ql Compl Ofr/Physician 40.0 X 0 114301 2381 Thomas Colacchio MD Former Officer/Phys 41.0 X 0 1067539 130947 0 5503331 1256008 0 true true false Northern New Engld Acctble Care Col 7 Lebanon St Suite 302 HANOVER NH 03755 Accountable Cr Data 1415000 The Trustees of Dartmouth College 37 DEWEY FIELD HANOVER NH 03755 Developmnt & Svcs 1745000 Raymond James Associates 880 Carillon Parkway ST PETERSBURG FL 33716 Affl Support 239774 Avera Health 3900 West Avera Drive SIOUX FALLS SD 57108 Telehealth Svcs 350000 PriceWaterhouseCoopers LLP 101 Seaport Blvd BOSTON MA 02210 Accounting svcs 281719 5 5342846 2978105 558112 8320951 MEMBER ASSESSMENTS 900004 3151811 3151811 ACO INCENTIVE INCOME 900004 5352257 5352257 EVERWELL SHARED SERVICES 900004 3075950 3075950 11580018 0 0 0 0 0 0 2546 2522 24 24 24 513459 5342846 801252 -287793 49767 -337560 0 0 0 19613200 11580018 49767 -337536 X 454651 454651 0 0 0 0 0 0 0 0 0 0 67556 67556 20793 20793 0 0 0 14753479 14259567 493912 0 143876 143876 0 0 120527 120527 23396 23396 0 142885 142885 0 0 14872 14872 55145 55145 MEDICAL SUPPLIES & MEDICATIONS 139207 139207 NNEACC DUES 240000 240000 GIFT IN KIND EXPENSES 139480 139480 16315867 15594126 582261 139480 365449 117617 0 0 0 0 4232011 11573754 0 0 0 0 0 0 0 0 150000 0 161270 70643 105499 90627 0 0 0 0 0 0 0 0 3212583 4262583 8065542 16044581 2832249 5202291 0 0 175000 0 0 0 0 0 0 0 0 0 0 0 5248235 7734899 8255484 12937190 X -189942 3107391 0 0 0 0 -189942 3107391 8065542 16044581 3297333 X X false true X true true true X 0 0 0 2544108 8320951 10865059 0 0 0 0 0 2544108 8320951 10865059 670842 10194217 0 42856 42856 0 10907915 23223385 0.93457 0.00000 X 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 100830 39912 60918 60440 30731 29709 90627 INVESTMENT IN AFL & JOINT VENT 4262583 4262583 0 DUE TO AFFILIATES 7734899 7734899 Schedule D, Part X, Line 2 AUDITED FINANCIAL STATEMENT FOOTNOTE REGARDING ASC 740 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A FOOTNOTE RELATING TO ASC 740 SINCE THERE HAVE BEEN NO CHANGES SINCE INCEPTION. Prouty Wlk/Bike 4045530 3828245 217285 135597 17552 293006 CHAD Hlf Mthn 693704 640329 53375 53653 4242 60045 -244 13 1117071 874272 242799 425617 8235 63155 -259606 5856305 5342846 513459 614867 30029 123200 33156 801252 -287793 true Grafton County Senior Citizens Council PO Box 433 Lebanon NH 03766 237248316 501(C)(3) 80885 FMV Elder Services David's House 461 Mount Support Rd Lebanon NH 03766 222593431 501(C)(3) 33260 FMV Program Support Good Neighbor Health Clinic 70 N MAIN ST WHITE RIVER JCT VT 05001 030346949 501(C)(3) 65000 FMV PROGRAM/CLINIC SVCS Ottauquechee Health Foundation 32 PLEASANT STREET PO BOX 784 WOODSTOCK VT 05091 030197766 501(C)(3) 20000 FMV PROGRAM SUPPORT Mascoma Valley Health Initiative PO Box 2013 Canaan NH 03741 752991608 501(C)(3) 19165 FMV Hlth Adv Cnsl Sppt S Listen Lebanon In Service To Each Neighbor 60 Hanover Street Lebanon NH 03766 237225952 501(C)(3) 16000 FMV Program Services Town of Enfield PO Box 373 Enfield NH 03748 11000 FMV Program Support Second Growth Inc PO Box 5227 West Lebanon NH 03784 020519093 501(C)(3) 5149 FMV Program Support VNH Hospice of VTNH 205 Billings Farm Road Building 5 White River Jct VT 05001 036006494 501(C)(3) 10000 FMV Program Support Alice Peck Day Memorial Hospital 10 APD Memorial Dr Lebanon NH 03766 020222791 501(C)(3) 36000 FMV Dental Prog Svcs 10 Procedures for monitoring the use of grant funds Schedule I part I, line 2 The organization provides grants and assistance to other organizations based on needs and relation to the mission of Dartmouth-Hitchcock Health. Funds donated are for the general purpose and/or specific purpose. D-HH staff monitor and sign off on any funds prior to distribution or reimbursement of expenses. true true false false false false false false false James N Weinstein DO MS Trustee Ex-Officio/CEO 0 1145559 0 0 0 84094 0 209341 0 16411 0 1455405 0 0 Robin Kilfeather-Mackey CPA Chief Financial Officer 0 500806 0 0 0 19626 0 194123 0 20575 0 735130 0 0 Stephen Leblanc Exec VP Strtgy & Ntwrk Rltns 0 478894 0 0 0 123303 0 249014 0 20575 0 871786 0 0 John Butterly MD Fmr Offr/Exec VP Med Affairs 0 498440 0 0 0 54129 0 72826 0 0 0 625395 0 0 Jeanine Arden Ornt Fmr General Counsel 0 340566 0 0 0 20891 0 38457 0 4260 0 404174 0 0 Carl Dematteo MD Fmr Chf Ql Compl Ofr/Physician 0 112103 0 0 0 2198 0 1080 0 1301 0 116682 0 0 Thomas Colacchio MD Former Officer/Phys 0 648749 0 0 0 418790 0 116627 0 14320 0 1198486 0 0 Steven A Paris MD Trustee 0 329589 0 0 0 27982 0 100968 0 16361 0 474900 0 0 Richard J Powell MD Trustee 0 368104 0 55633 0 25532 0 124282 0 21241 0 594792 0 0 Kimberly Troland JD Intrm Genrl Counsel Eff 7/1/15 0 248150 0 0 0 193 0 16308 0 17938 0 282589 0 0 Severance Payments Form 990, Schedule J, Part I line 4a During 2012, Thomas Colacchio transitioned from an officer role to a staff physician role. As part of this transition, Thomas Colacchio received a $320,000 change of control payment from Dartmouth-Hitchcock in 2014. The payment is included on Schedule J, Part II, Column (B)iii. Supplemental Retirement Information Form 990 Schedule J, Part III - line 4b Schedule J Part II Column B (iii) The following individuals received payments from a supplemental nonqualified retirement plan: James Weinstein $82,952 Robin Kilfeather-Mackey $19,090 Stephen Leblanc $121,249 John Butterly $47,038 Jeanine Arden Ornt $19,862 Thomas Colacchio $98,790 Stephen Paris $19,669 Richard Powell $24,280 Dartmouth-Hitchcock Supplemental Retirement Plan Terms and Conditions: An eligible employee is a participant in the Dartmouth-Hitchcock Retirement Plan and/or any prior pension arrangements sponsored by Dartmouth-Hitchcock (including a qualified defined benefit plan) who would be entitled to additional contributions or benefit accruals under the terms of the Plans for the plan year, but are limited by IRC Section 401 (a)(17) and/or 415. For eligible employees, the Employer will pay the eligible employee an amount determined by the employer each year to offset the amount of the reduction in the benefit accrual or contributions as a result of limitations imposed by IRC Sections 401(a)(17) and/or 415. 401(a)(17) and/or 415. X 5 8004 Fair Market Value X 4 Fair Market Value X 12521 Fair Market Value X 10 37732 Fair Market Value X 48 50015 Fair Market Value X Various items for events, hear aids, & supplies 290 449836 Fair Market Value false true true Schedule M, Part I, Line 32b The organization utilizes a Joint Development Office (JDO) contract with the Trustees of Dartmouth College to assist with solicitation of donors and gifts. Contributions solicited by D-HH may be utilized by related organizations including, but not limited to Dartmouth-Hitchcock Clinic and Mary Hitchcock Memorial Hospital. Business relationships Form 990, Part VI, Section A, Line 2 Dartmouth-Hitchcock Health owns for-profit subsidiaries that provide services and support the mission of the organization. As a result, some officers of the Hospital also are officers of for-profit entities within the healthcare system. Delegation of Committees Form 990, Part VI, Section A, Line 3 THE D-HH BOARD DELEGATES CERTAIN FINANCIAL, AUDIT AND COMPLIANCE OVERSIGHT TO THE FINANCE AND AUDIT AND COMPLIANCE COMMMITTEE OF THE JOINT BOARDS OF TRUSTEES OF MARY HITCHCOCK MEMORIAL HOSPITAL AND DARTMOUTH-HITCHCOCK CLINIC, ACTING JOINTLY AS DARTMOUTH-HITCHCOCK ("D-H"). IN ADDITION, THE D-HH BOARD DELEGATES TO D-H, ACTING THROUGH ITS BOARDS AND APPROPRIATE COMMITTEES AND STAFF, THE OBLIGATION TO OVERSEE THE CLINICAL ACTIVITIES AND RESEARCH OF D-H AND ITS OPERATIONS IN ACCORDANCE WITH CURRENT D-H POLICIES AND PROCEDURES, INCLUDING THOSE FOR MANAGED CARE CONTRACTING, QUALITY OF CARE, AND RESEARCH PROGRAMS AND AFFILIATIONS WHICH POLICIES THE BOARD HEREBY APPROVES AND ENDORSES, PROVIDED THAT ANY SIGNIFICANT CHANGE TO SUCH POLICIES WILL BE SUBMITTED TO THE BOARD FOR APPROVAL. THE D-HH BOARD CONTINUES TO RETAIN FINAL MANAGEMENT POWERS AND DECISIONS PURSUANT TO SECTION 3.9.2 OF THE CORPORATION'S BYLAWS. Process used by management and/or Governing Body to Review 990 Form 990, Part VI, Line 11b THE FORMS 990 AND 990-T ARE EACH REVIEWED BY THE DIRECTOR OF CORPORATE FINANCE, VICE PRESIDENT OF CORPORATE FINANCE, AND THE CHIEF FINANCIAL OFFICER BEFORE THE FILING OF THE RETURNS. ONCE THE RETURNS HAVE BEEN FULLY PREPARED A FINAL 990 AND 990-T COMPLETE ELECTRONIC VERSION IS SENT OUT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS/RESPONSES PRIOR TO OFFICIAL FILING. Conflict of Interest Policy Form 990, Part VI, Section B, Line 12C The Dartmouth-Hitchcock Health BOARD OF TRUSTEES APPROVED A POLICY CONCERNING A VOLUNTARY SELF-DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. THE DARTMOUTH-HITCHCOCK OFFICE OF POLICY SUPPORT, COMPLIANCE AND AUDIT SERVICES CONDUCTS AN ANNUAL SURVEY OF ALL OFFICERS AND TRUSTEES AND PERFORMS OTHER PROCEDURES AS CONSIDERED NECESSARY TO REPORT ON COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE COMPLIANCE AND AUDIT SERVICES 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 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 IN 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR UNDERTAKEN Form 990, Part VI, Line 15a Although paid by a related organization, Dartmouth-Hitchcock Clinic, the Compensation for the Chief Executive Officer is evaluated by an independent third party firm for reasonableness and national data benchmarking. The Compensation Committee along with Independent Trustees approve the final compensation in consideration with the independent third party firm's recommendations and suggestions. This process was last undertaken in 2014. Offices & Positions for Which Process was Used & Year Undertaken Form 990, Part VI, Line 15b D-HH uses the staff of related organizations, Dartmouth-Hitchcock Clinic (DHC) and Mary Hitchcock Memorial Hospital (MHMH). Compensation for officers and key employees are evaluated by internal HR staff using national benchmarking data, along with ongoing evaluations by an independent third party firm for reasonableness, with the last formal process in 2012. External benchmarking from an independent third party has been used for any Officer who was hired or received a compensation adjustment since the last process 2012. Compensation rates are determined by following the guidelines of the compensation committee charter and philosophy documents and/or a formal review by compensation committee members. Avail of Gov Docs, Conflict of Interest Policy, & Financial Statements to the General Public Form 990, Part VI, Line 19 D-HH's governing documents are available through the New Hampshire Secretary of State. The audited financial statements, governing documents, and conflict of interest policy are available upon request either in electronic or hardcopy form. Average Hours Per Week Form 990 Part VII, Section A, Line 1A, Column B Dartmouth-Hitchcock Health is the sole corporate Member of Dartmouth-Hitchcock Clinic (DHC), and Mary Hitchcock Memorial Hospital (MHMH), as well as other related and supporting organizations. As part of DHC's and MHMH's affiliation agreement, the three organizations share officers. As such, the average hours per week are allocated between the organization's 990s even though compensation reported in part VII is based on the entity issuing the W-2. Other Fee For Service Expenses Form 990, Part IX, Line 11G D-HH purchases program and management staff from its supported tax-exempt entities Dartmouth-Hitchcock Clinic and Mary Hitchcock Memorial Hospital to fulfill its mission and ongoing duties. Services purchased for the Fiscal Year 2015 totalled $3,119,388. In addition, D-HH paid $11,960,183 for ACO-related, affiliation expenses, and other external consultants. Delegation of Oversight Form 990, Part XII, Line 2c The D-HH Board delegates certain financial, audit and compliance oversight to the Finance and Audit Commmittee as well as the Compliance Committees of the joint boards of trustees of Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinic, acting jointly as Dartmouth-Hitchcock ("D-H"). The D-HH board continues to retain final management powers and decisions pursuant to Section 3.9.2 of the Corporation's Bylaws. A-133 Audit Form 990 Part XII, Line 3a DURING FISCAL YEAR 2015, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FUNDS FROM FEDERAL AWARDS IN EXCESS OF THE MINIMUM THRESHHOLD SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133, THEREFORE REQUIRING AN AUDIT. DUE TO THE ISSUANCE OF THE COMBINED FINANCIAL STATEMENTS, THE SINGLE AUDIT WAS PERFORMED ON THE COMBINED FINANCIAL INFORMATION OF ALL ORGANIZATIONS, INCLUDING DARTMOUTH-HITCHCOCK HEALTH. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:14753479 Dartmouth-Hitchcock Clinic One Medical Center Drive Lebanon NH 03756 222519596 Phys Svcs NH 501(C)(3) 9 D-HH true Mary Hitchcock Memorial Hospital One Medical Center Drive Lebanon NH 03756 020222140 Hospital NH 501(C)(3) 3 D-HH true The Hitchcock Foundation One Medical Center Drive Lebanon NH 03756 020222139 HLTHCRE RSRCH NH 501(C)(3) 7 DHC true Hamden Risk Retention Group Inc 30 Main Street Suite 330 Burlington VT 05401 208530788 SELF INS. VT 501(C)(3) 11 TYPE I DHC true The New London Hospital Assoc Inc 273 County Road New London NH 03257 020222171 Hospital NH 501(c)(3) 3 D-HH true Windsor Hospital Association 289 Country Road Windsor VT 05089 030183721 Hospital VT 501(C)(3) 3 D-HH true Cheshire Medical Center 580 Court Street Keene NH 03431 020354549 Hospital NH 501(C)(3) 3 D-HH true Cheshire Health Foundation 580 Court Street Keene NH 03431 020202220 SUPPORTNG ORG NH 501(C)(3) 11 TYPE II CMC true Mt Ascutney Hospital 289 Country Road Windosr VT 05089 030300481 Hospital VT 501(c)(3) 3 WHA true Historic Homes of Runnemede 289 Country road Windsor VT 05089 237396147 Healthcare VT 501(c)(3) 9 WHA true OBNET Services LLC 1 Med Ctr Dr Lebanon NH 03756 043746287 Database Serv NH DHC 0 D-H Mster Invst Prg 1 Med Ctr Dr Lebanon NH 03756 020505863 Pooled Invest NH MHMH 0 Keene Hlth Alliance 580 Court St Keene NH 03431 300179297 Healthcare NH DHC 0 OneCare VT ACOLLC 111 COLCHESTER AVE Burlington VT 05401 455399218 Shared Saving VT DHH Related 0 25000 false 0 false 0.50000 Pompanoosuc Investment Corporation One Medical Center Drive Lebanon NH 03756 020352330 Rl Estate Hld NH DHC C Corp true Hamden Assurance Company Limited Canons Court 22 Victoria St Hamilton BD HM EX 980121409 Liab Insur. BD DHC Foreign Corp true Hitchcock Health Connect One Medical Center Drive Lebanon NH 03756 800908979 Telehealth DE D-HH C Corp -125 799523 1.00000 true Kearsarge Community Services 273 County Road New Lodnon NH 03257 020460136 Real Est Hldg NH NLH C Corp true New London Physician Group 273 Country Road New London NH 03257 020494420 Physician Gro NH NLH C Corp true New London Medical Center East 273 County Road New London NH 03257 020480857 Real Est Hold NH NLH C Corp true Keene Health Services 580 Court Street Keene NH 03431 020374997 Real Est Hldg NH CMC C Corp true Keene Health Realty 580 Court Street Keene NH 03431 020374998 Real Est Hldg NH CMC C Corp true Keene Health Enterprises 580 Court Street Keene NH 03431 020374999 Real Est Hldg NH CMC C Corp true Charit Remndr Unitrusts (5) One Medical Center Drive Lebanon NH 03756 Chart. Trust NH MHMH TRUST true Cheshire Health Services 580 Court Street Keene NH 03431 473379283 HEALTHCARE NH CMC C CORP true false false false false false false false false false false true false false false true true false false Mary Hitchcock Memorial Hospital P 2174750 FMV Mary Hitchcock Memorial Hospital Q 2174750 FMV Dartmouth-Hitchcock Clinic P 977061 FMV Dartmouth-Hitchcock Clinic Q 977061 FMV Dartmouth-Hitchcock Medical Center Q 2163598 FMV Onecare VT ACO P 1596080 FMV Everwell Inc L 3075950 FMV