| Form 990, Part VI, Line 15b Compensation Review |
THE ORGANIZATION'S TREASURER IS COMPENSATED BY MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH), A RELATED AND SUPPORTED ORGANIZATION OF DHMC. AS PART OF THEIR ROLE AT MHMH, THEIR COMPENSATION IS REVIEWED BY EXTERNAL PARTIES AND MHMH'S COMPENSATION COMMITTEE. |
| Form 990, Part VI, Line 15a Offices & Positions for Which Process was Used & Year Undertaken |
ALTHOUGH PAID BY A RELATED ORGANIZATION, DARTMOUTH-HITCHCOCK CLINIC, THE COMPENSATION FOR THE CEO IS EVALUATED BY AN INDEPENDENT THIRD PARTY FIRM FOR REASONABLENESS AND NATIONAL DATA BENCHMARKING. THE TALENT DEVELOPMENT AND 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 CONTEMPORANEOUSLY DOCUMENTED AND LAST UNDERTAKEN IN 2020. |
| Form 990, Part VI, Line 6 Classes of members or stockholders |
DHMC HAS FOUR MEMBERS, REFERRED TO AS COMPONENTS: DARTMOUTH COLLEGE/GEISEL SCHOOL OF MEDICINE; DARTMOUTH-HITCHCOCK CLINIC; MARY HITCHCOCK MEMORIAL HOSPITAL, AND THE VETERANS AFFAIRS MEDICAL CENTER. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body |
THE COMPONENTS SHALL BE REPRESENTED, RESPECTIVELY, BY THE DEAN OF GEISEL SCHOOL OF MEDICINE, PRESIDENT OF THE CLINIC, PRESIDENT OF THE HOSPITAL, AND DIRECTOR OF THE VETERANS AFFAIRS, ALL OF WHOM SHALL BE EX-OFFICIO. THE COLLEGE/MEDICAL SCHOOL, CLINIC, AND HOSPITAL SHALL EACH BE REPRESENTED BY TWO INDIVIDUALS (COMPONENT TRUSTEES), NOMINATED BY THEIR RESPECTIVE BOARDS OF TRUSTEES AND ELECTED BY THE DHMC BOARD. SUCH INDIVIDUALS SHOULD NORMALLY BE TRUSTEES OF THE COMPONENT BOARDS, BUT THIS IS NOT A REQUIREMENT. ALL MEMBERS OF THE BOARD, BOTH ELECTED AND EX-OFFICIO, SHALL HAVE VOTING RIGHTS. IN ADDITION, THE DHMC BOARD MAY ELECT AS MANY AS FIVE NON-COMPONENT TRUSTEES. |
| Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body |
There are no committees empowered to act on behalf of the governing body. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body |
AFTER PREPARATION AND REVIEW BY D-H TAX STAFF, THE RETURN IS REVIEWED BY THE TREASURER. THE FINAL FORM 990 IS SHARED ELECTRONICALLY WITH THE TRUSTEES. PRIOR TO FILING THE TRUSTEES ARE PROVIDED AN OPPORTUNITY TO REVIEW, ASK QUESTIONS, AND RECOMMEND CHANGES TO THE RETURN. |
| Form 990, Part VI, Line 12c Conflict of interest policy |
THE DARTMOUTH-HITCHCOCK MEDICAL CENTER BOARD OF TRUSTEES APPROVED A POLICY CONCERNING A VOLUNTARY SELF-DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. THE DARTMOUTH-HITCHCOCK COMPLIANCE AND AUDIT SERVICES DEPARTMENT 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 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. |
| Form 990, Part VI, Line 19 Required documents available to the public |
THE ORGANIZATION MAKES ITS AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST IN HARDCOPY OR ELECTRONIC FORM. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances |
Net Assets Transfered to Affiliates - -12500; |
| Form 990, Part XII, Line 2c Audit Committee |
THE ORGANIZATION'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF DARTMOUTH-HITCHCOCK HEALTH AND SUBSIDIARIES, WHICH CONSISTS OF THE FOLLOWING ORGANIZATIONS AND THEIR RELATED SUBSIDIARIES: DARTMOUTH-HITCHCOCK CLINIC, MARY HITCHCOCK MEMORIAL HOSPITAL, DARTMOUTH HITCHCOCK MEDICAL CENTER, MOUNT ASCUTNEY HOSPITAL AND HEALTH CENTER, CHESHIRE MEDICAL CENTER, THE NEW LONDON HOSPITAL ASSOCIATION, ALICE PECK DAY MEMORIAL HOSPITAL, AND VISITING NURSE ASSOCIATION & HOSPICE OF VT AND NH. |
| Form 990, Part VII, Section A, Line 1 Reported Compensation |
THE COMPENSATION PAID BY RELATED ORGANIZATIONS WAS FOR SERVICES PROVIDED TO THOSE RELATED ORGANIZATIONS AND NOT THE FILING ORGANIZATION. ALTHOUGH THE INDIVIDUALS WORKED THE TIME LISTED AS PART OF THEIR BOARD OF TRUSTEE DUTIES, THEY WERE NOT COMPENSATED WITH RESPECT TO THOSE HOURS. THE TIME/HOURS AT THE RELATED ORGANIZATIONS VARY BY INDIVIDUAL AND ORGANIZATION. THE COMBINED HOURS FROM THE FILING ORGANIZATION AND RELATED ORGANIZATIONS REFLECTS THE TYPICAL HOURS WORKED PER WEEK FOR ALL RELATED ORGANIZATIONS. |
Attach to Form 990 or 990-EZ.