Dartmouth-Hitchcock Clinic
Dartmouth-Hitchcock Clinic
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About this organization
Mission
Advancing Health Through Research, Education, Clinical Practice, Community Partnerships, providing each person the best care in the right place, at the right time,every time.
About
Dartmouth-Hitchcock Clinic (the Clinic) is a not-for-profit organization as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from Federal income taxes on related income pursuant to Section 501(a) of the Code. The Clinic and subsidiaries, a multispecialty physician practice group which operates clinics throughout New Hampshire and Vermont, provides, among other things, medical services to patients, medical education and research. Health care services in 2018 resulted in 1,334,758 office visits recorded by Clinic personnel, with 364,061 unique patients served. The promotion of health through the medical practice activities of the Clinic provides the basis for the organization's tax exempt activities. The Clinic operates as an integral component of Dartmouth-Hitchcock Medical Center (DHMC), a New Hampshire nonprofit corporation organized for the exploration and coordination of matters of mutual interest among its members: the Clinic, Mary Hitchcock Memorial Hospital (the Hospital), Geisel School of Medicine (GSM), a component of Dartmouth College, and the Veterans Affairs Medical Center in White River Junction, Vermont. The Clinic provides the physician staff to the Hospital and the sophistication essential for the development 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 the Clinic and Hospital 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 Mary Hitchcock Memorial Hospital, the Clinic 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. The Clinic actively supports community-based health care and promotes the coordination of services among health care providers and social services organizations. The Clinic also seeks to work collaboratively with other area health care providers to improve the health status of the region. Dartmouth-Hitchcock and Cheshire Medical Center are playing key coordinating roles in the implementation of CMS's 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 and substance use disorder treatment, physical health, social needs, housing, transportation, and the criminal justice system into a coordinated effort that provides care for New Hampshire's most vulnerable residents. The DSRIP activities are also an integral part of Dartmouth-Hitchcock's efforts at addressing the opioid abuse crisis, which impacts so many patients in the Clinic's service area. In addition to the alternative payment models and integrated care delivery relationships noted above for D-HH and MHMH, the Clinic has several shared risk contracts with the largest commercial insurance carriers in its market. The Clinic was responsible for managing the cost of care and health of approximately 100,000 attributed members across these patient populations during fiscal year 2018. The Jack Byrne Center for Palliative & Hospice Care, coordinates the clinical, educational, and research efforts of the Clinic and visiting nurse alliances around the region, to offer much-needed care for patients at the end of life, in a clinical setting that meets the needs of patients and their families. The Clinic files an annual Community Benefits Report with the State of New Hampshire which outlines the community and charitable benefits they provide. The complete and updated Community Benefits Reports are available upon request or can be found on Dartmouth-Hitchcock's web site. The broad categories used in the Community Benefit Report to summarize these benefits are as follows: Financial assistance, formerly called charity care, 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, 2018, the Clinic provided financial assistance to 7,096 patients in the amount of $12,951,955 as measured by gross charges. The estimated cost of providing this care for the year ended June 30, 2018 was $3,736,639. The Clinic also routinely provides services to Medicaid patients at reimbursement levels that are below the cost of the care provided. The uncompensated cost of care for Medicaid patients for the year ended June 30, 2018 was $33,199,304. Community health activities includes 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. This category also includes financial contributions and the contribution of time and services to community programs, hospitals and agencies. The Clinic 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 year ended June 30, 2018, the Clinic reported a provision for bad debts of approximately $20,997,019.
Interesting data from their 2019 990 filing
The non-profit's mission, as described in the filing, is “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.”.
When describing its duties, they were characterized as: “Advancing health through research, education, clinical practice, community partnerships, providing each person the best care in the right place, at the right time,every time.”.
- The non-profit has complied with legal regulations by reporting their state of operation as NH.
- The filing shows that the non-profit's address as of 2019 is One Medical Center Drive, Lebanon, NH, 03756.
- As of 2019, the non-profit has reported a total of 5227 employees on their form.
- The non-profit has loans outstanding as of 2019.
- Does not operate a hospital.
- Does not operate a school.
- Does not collect art.
- Does not provide credit counseling.
- Has foreign activities.
- Is not a donor-advised fund.
- Is not a private foundation.
- Expenses are greater than $1,000,000.
- Revenue is greater than $1,000,000.
- Revenue less expenses is $6,657,286.
- The compensation of the CEO of the organization is subject to review and approval by an independent body.
- The organization elects its board members.
- The organization has a written policy that describes how long it will retain documents.
- The organization has a foreign financial account.
- The organization has 15 independent voting members.
- The organization was formed in 1983.
- The organization has a written policy that addresses conflicts of interest.
- The organization is required to file Schedule J.
- The organization is required to file Schedule O.
- The organization engages in lobbying activities.
- The organization pays $285,481,234 in salary, compensation, and benefits to its employees.
- The organization pays $69,102 in fundraising expenses.
- The organization provides Form 990 to its governing body.
- The organization pays grants to individuals.
- The organization has minutes of its meetings.
- The organization has a written whistleblower policy.
- The organization grants to a related person.
- The organization has a business related family member transaction.
- The organization has a business related organization transaction.
- The organization has grants to organizations.
- The organization's financial statements were reviewed by an accountant.