Dartmouth-Hitchcock Health

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2009

Legal Domicile

Phone

6036505000

Tax Period

2024-07-01 to 2025-06-30

Dartmouth-Hitchcock Health, founded in 2009, is a mid-sized nonprofit in the Health Care sector that reported $36.1M in total revenue in fiscal year 2024. Revenue decreased 10% compared to the prior year. Expenses of $56.0M exceeded revenue, resulting in a 55% operating deficit.

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)

Program Service Accomplishments

Program 1

Expenses: $34,411,408 Revenue: $8,015,740

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...

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 Visiting Nurse and Hospice of Vermont and NH (VNH), 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 FY25, MORE THAN $24 MILLION WAS RAISED THROUGH THE JOINT DEVELOPMENT OFFICE FOR THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $24,407,758

Program Service Revenue $8,015,740

Investment Income $4,267,840

Other Revenue $-609,202

TOTAL REVENUE $36,082,136

Expense Breakdown

Grants Paid $0

Salaries & Benefits $0

Fundraising Expenses $8,969,768

Program Expenses $34,411,408

Other Expenses $55,951,365

TOTAL EXPENSES $55,951,365

Year-over-Year Comparison

	2024	2023	Change
Revenue	$36,082,136	$40,238,499	-0.1%
Expenses	$55,951,365	$40,369,720	+0.4%
Net Income	$-19,869,229	$-131,221	+150.4%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

N/A

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$6,924,879

Total Directors

$4,097,790

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Charles G Plimpton MBA	Trustee/Secretary/Treasurer (through 12/31/24)	1.0	Officer Director	$0	$0	$0
Edward H Stansfield III MA	Trustee/Chair (through 12/31/24) /Secretary (as of 1/1/25)	1.0	Officer Director	$0	$0	$0
Joanne M Conroy MD	Trustee, Ex-officio, CEO	2.0	Officer Director	$0	$52,662	$2,525,898
Mark W Begor MBA	Trustee / Chair (as of 1/1/25)	0.5	Officer Director	$0	$0	$0
Thomas Glynn PHD	Trustee / Treasurer (as of 1/1/25)	1.0	Officer Director	$0	$0	$0
Kathleen Fisher	Trustee (as of 1/1/25)	0.5	Director	$0	$0	$0
Maria Padin MD	Trustee (as of 7/26/24)	0.5	Director	$0	$68,542	$667,837
Pamela Thompson MSRNCENP	Trustee	0.5	Director	$0	$0	$0
Paul A Taheri MD MBA	Trustee	0.8	Director	$0	$0	$0
Richard J Powell MD	TRUSTEE / Section Chief	0.5	Director	$0	$60,364	$904,055
Thomas Raffio	Trustee	0.5	Director	$0	$0	$0
Daniel P Jantzen	Chief Financial Officer	2.0	Officer	$0	$71,877	$1,256,164
John Kacavas	Chief Legal Officer	2.0	Officer	$0	$53,353	$845,439
Patrick F Jordan III MBA	Chief Operating Officer (through 6/21/25)	2.0	Officer	$0	$79,260	$1,211,968
Stephen LeBlanc	Chief Strategy Officer	2.0	Officer	$0	$69,299	$1,085,410
Kimberly Troland JD	Former Interim Chief Legal Officer	0.0		$0	$52,939	$634,220

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$36,082,136	$55,951,365	$1,366,320,259	$-19,869,229
2024	$40,238,499	$40,369,720	$1,118,499,012	$-131,221
2023	$23,210,504	$33,297,141	$1,004,271,071	$-10,086,637
2022	$24,571,640	$31,772,392	$1,171,203,101	$-7,200,752
2021	$17,116,192	$26,019,886	$1,251,160,419	$-8,903,694
2020	$894,560	$17,940,882	$1,327,157,812	$-17,046,322
2019	$19,874,658	$14,708,441	$725,328,229	$5,166,217
2018	$19,501,298	$18,410,841	$726,006,386	$1,090,457