Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics

Legal name: Dartmouth-Hitchcock Clinic

Overview

Mission

The Partners for Community Wellness (PCW) are people who engage with us to improve the health and wellness of the communities we serve. Project Medical Education Project Medical Education (PME) at Dartmouth Hitchcock Medical Center is an interactive 1 1/2-day program designed to educate policy makers and leaders about the role of a teaching hospital. Our goal is to enhance participants' understanding of the complex system of medical education and the mission of a teaching hospital in training health care providers, conducting research, providing patient care, and meeting the needs of underserved populations. Learn more about Project Medical Education.

What it reported doing in 2024

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.

Operating model

Revenue model
Other-operating. 95% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

Nonprofit profile at a glance

EIN
222519596
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Headquarters
Lebanon, NH, USA
Phone
6036531154
Rating
81
Verdict
STRONG
Rating confidence
Standard
Sector
Ambulatory Health Center, Community Clinic

Official website

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 93
  • Transparency & Controls: 76
  • Accountability: 81
  • Sustainability: 13
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 97.3%; rating input score 97
  • Program expense ratio: 88.1%; rating input score 88
  • Fundraising efficiency: $241.22 raised per $1 spent on fundraising; rating input score 91; 91st percentile among comparable filings

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: 1 of 8 controls in place; rating input score 12
    • Claims monitoring procedures: Pass
    • Requires narrative reports: Fail
    • Conducts field audits: Fail
    • May suspend future funding: Fail
    • Requires financial reports: Fail
    • Conducts site visits: Fail
    • Requires grant agreements: Fail
    • May require repayment: Fail
  • Grant itemization coverage: 93.9%; rating input score 94; 25th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 66.7%; rating input score 67; 18th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -10.5%; rating input score 7; 7th percentile among comparable filings
  • Total-asset coverage ratio: 0.29; rating input score 9; 9th percentile among comparable filings
  • Liabilities to assets ratio: 2.6; rating input score 1; 1st percentile among comparable filings
  • Officer compensation ratio: 1.7%; rating input score 62; 62nd percentile among comparable filings

Growth

  • Program expense growth: 9.4% per year; rating input score 100; 72nd percentile among comparable filings
  • Revenue growth: 6.2% per year; rating input score 100; 54th percentile among comparable filings
  • Asset growth: -0.1% per year; rating input score 0; 7th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 97.3% of revenue deployed · 88.1% of spending went to programs
  • Governance: 12 of 18 board members independent · 9 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $909.2M in reported program spending
  • Leadership: top reported pay $2.5M · 41 people listed · 4 of 6 pay-setting controls reported
  • Consistency: 40 of 41 current checks pass · 1 finding to review
  • Schedules: 11 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
  • Filing history: 15 annual filings from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 100 filed money-flow records
  • Related organizations: 96 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Leadership & pay

41 people listed

Highest reported compensation

  • Joanne M Conroy MD (Trustee, Ex-Officio, CEO): $2,525,898 total reported compensation
  • Lixia Z Ellis (Physician): $1,397,267 total reported compensation
  • John Nigriny (Physician): $1,377,687 total reported compensation

Source: IRS Form 990. Selected filing: FY2024.