DARTMOUTH-HITCHCOCK HEALTH
One Medical Center Drive, Lebanon, NH 03756

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Organizations Filed Purposes: 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 manner. - Establish and maintain cooperative hospital and provider relationships throughout the System - Achieve excellence in clinical innovations, service, quality, cost and outcomes - Integrate research, training, IT, and academic medicine in the provider organizations throughout the System.

TO GOVERN AN INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT BEST SERVES THE PURPOSES OF PREVENTING, DIAGNOSING, TREATING, AND CURING HUMAN ILLNESS WITHIN THE NORTHERN NEW ENGLAND REGION.

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 five hospitals and Visiting Nurse and Hospice of Vermont and NH (VNH), D-HH is also reaching out to other health care organizations in hopes of further coordinating care and creating greater efficiencies in health care 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, VARIOUS EVENTS SPONSORED BY THE CHILDREN'S HOSPITAL AT DARTMOUTH-HITCHCOCK (CHAD), AND THE FASHION SHOW SPONSORED BY THE HEART & VASCULAR CENTER. APPROXIMATELY 85% OF D-HH'S PHILANTHROPIC REVENUE COMES FROM DONOR CONTRIBUTIONS AND EVENT REVENUE. DURING FY20, MORE THAN $21.7 MILLION WAS RAISED THROUGH THE JOINT DEVELOPMENT OFFICE FOR THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM. THE RELATED REVENUES AND EXPENSES FOR FUND RAISING EVENTS HAVE BEEN REPORTED ON SCHEDULE G.

D-HH AND THE UNIVERSITY OF VERMONT HEALTH NETWORK ARE THE CO-FOUNDERS OF ONECARE VERMONT ACCOUNTABLE CARE ORGANIZATION, LLC. ("ONECARE"). ONECARE HELD ALTERNATIVE PAYMENT MODEL CONTRACTS WITH THE CENTERS FOR MEDICARE AND MEDICAID (CMS) AND THE CENTERS FOR MEDICARE AND MEDICAID INNOVATION CENTER (CMMI); THE STATE OF VERMONT MEDICAID PROGRAM; AND BLUE CROSS AND BLUE SHIELD OF VERMONT AS PART OF ITS CONTINUED WORK WITH THE STATE OF VERMONT TO IMPLEMENT THE STATE'S GLOBAL COMMITMENT TO HEALTH SECTION 1115 WAIVER ("ALL PAYOR WAIVER") FROM CMS. DURING FISCAL 2020 D-HH CONTINUED TO PARTICIPATE IN AN ALTERNATIVE PAYMENT MODEL CONTRACT WITH HARVARD PILGRIM HEALTH CARE IN WHICH D-HH SHARED FINANCIAL RISK WITH HARVARD PILGRIM HEALTH CARE AND OTHER PROVIDER MEMBERS OF BENEVERA HEALTH, LLC FOR THE POPULATION OF HEALTH MANAGEMENT AND TOTAL COST OF CARE OF HARVARD PILGRIM HEALTH CARE FULLY INSURED COMMERCIAL MEMBERS WHO WERE ATTRIBUTED TO A PRIMARY CARE PROVIDER OTHER THAN ONE ASSOCIATED WITH A BENEVERA HEALTH LLC MEMBER ORGANIZATION.

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