Dartmouth-hitchcock Health

Nonprofit profile at a glance

EIN
264812335
IRS 990 coverage
2010–2025
Forms available
Form 990 2025, Form 990-T 2025, Form 990-N 2009
Location
Lebanon, NH, USA
Phone
6036505000
Rating
84
Verdict
STRONG
Rating confidence
Standard
Sector
Management & Technical Assistance

Official website

Reported finances

Revenue
$5,676,896
Expenses
$10,968,621
Assets
$1,611,629,914
Liabilities
$1,662,516,499

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

13 people listed

Executive titles in this filing

  • JOANNE M CONROY MD (TRUSTEE, EX-OFFICIO, CEO)

People named in this filing

  • EDWARD H STANSFIELD III MA (TRUSTEE/SECRETARY)
  • JOANNE M CONROY MD (TRUSTEE, EX-OFFICIO, CEO)
  • MARK W BEGOR MBA (TRUSTEE / CHAIR)

Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

D-hh operates to establish, manage, govern, and fundraise for an integrated healthcare delivery system. To that end, d-hh is particularly focused to: - manage the healthcare system to provide services to the public in the most cost-effective (continued on schedule o)

What it reported doing in 2025

Dartmouth-hitchcock health (d-hh) continues to establish and maintain cooperative hospital and provider relationships throughout the northern new england region. While d-hh continues to refine its affiliations with seven hospitals and dartmouth health home care, d-hh is also reaching out to other healthcare organizations in hopes of further coordinating care and creating greater efficiencies in healthcare delivery throughout northern new england. Philanthropy across the d-hh system is coordinated by a joint development office, working on behalf of d-hh and the geisel school of medicine at dartmouth. The joint development office also manages revenue from events such as the norris cotton cancer center's prouty race, and various events sponsored by the children's hospital at dartmouth-hitchcock (chad). During the three-month short-year reporting period, close to $2.5 million was raised through the joint development office for the dartmouth-hitchcock health system.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
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.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 80
  • Transparency & Controls: 96
  • Accountability: 82
  • Sustainability: 40
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 73.5%; rating input score 73
  • Fundraising efficiency: $1.76 raised per $1 spent on fundraising; rating input score 4; 4th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 94.1%; rating input score 94; 23rd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 70%; rating input score 70; 13th percentile among comparable filings
  • Governance controls: 7 of 7 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -93.2%; rating input score 1; 1st percentile among comparable filings
  • Total-asset coverage ratio: 146.93; rating input score 99; 99th percentile among comparable filings
  • Liabilities to assets ratio: 1.03; rating input score 2; 2nd percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 90; 90th percentile among comparable filings

Growth

  • Program expense growth: 5.3% per year; rating input score 100; 38th percentile among comparable filings
  • Revenue growth: 6.2% per year; rating input score 100; 46th percentile among comparable filings
  • Asset growth: 17.7% per year; rating input score 100; 80th percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 73.5% of spending went to programs
  • Governance: 7 of 10 board members independent · 7 of 7 filing controls reported
  • Programs: 1 filed program accomplishment · $8.1M in reported program spending
  • Leadership: top reported pay $0 · 13 people listed
  • Consistency: 26 of 27 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors and related organizations
  • Filing history: 15 filing years from 2010 to 2025
  • Contacts: How to reach this organization
  • Related organizations: 35 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.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Financial Efficiency: Fundraising efficiency scored 4/100.
  • High — Sustainability: Operating margin scored 1/100.
  • Moderate — Transparency & Controls: Schedule M noncash within contributions did not reconcile in the filed values.
  • High — Sustainability: Liabilities to assets ratio scored 2/100.