Dartmouth Hitchcock Clinic
Dartmouth Hitchcock Clinic: Strong Financials, Mission-Focused Spending
EIN: 222519596 · Lebanon, NH · NTEE: E320 · Updated: 2026-04-04
| Metric | Value |
|---|---|
| Total Revenue | $875.8M |
| Total Expenses | $735.8M |
| Program Spending | 86% |
| Net Assets | $-384,882,011 |
| Transparency Score | 85/100 |
Is Dartmouth Hitchcock Clinic Legit?
Appears Legitimate
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
Dartmouth Hitchcock Clinic directs 86% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.
About Dartmouth Hitchcock Clinic
Dartmouth Hitchcock Clinic (EIN: 222519596) is a nonprofit organization based in Lebanon, NH, classified under NTEE code E320. The organization reported total revenue of $875.8M and total assets of $285.1M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Dartmouth Hitchcock Clinic's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
Dartmouth Hitchcock Clinic is a major nonprofit that has been operating for 42 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of 4.6%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $638.4M |
| Total Expenses | $735.8M |
| Surplus / Deficit | $-97,430,707 |
| Total Assets | $297.0M |
| Total Liabilities | $681.9M |
| Net Assets | $-384,882,011 |
| Operating Margin | -15.3% |
| Debt-to-Asset Ratio | 229.6% |
| Months of Reserves | 4.8 months |
Financial Health Grade: C
In 2023, Dartmouth Hitchcock Clinic reported a deficit of $97.4M with expenses exceeding revenue, holds 4.8 months of operating reserves (adequate), has a debt-to-asset ratio of 229.6% (high leverage).
Financial Trends
Over 13 years of filings (2011–2023), Dartmouth Hitchcock Clinic's revenue has grown at a compound annual growth rate (CAGR) of 4.6%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | +4.4% | +11.4% | +21.3% |
| 2022 | -1.9% | +11.6% | -7.0% |
| 2021 | +25.0% | +11.7% | +4.4% |
| 2020 | -2.9% | +6.9% | +9.6% |
| 2019 | +12.6% | +10.2% | +5.2% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1200 |
| IRS Ruling Date | 1984 |
Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.
AI Transparency Report
Mission Effectiveness Score
NonprofitSpending's AI analysis rates Dartmouth Hitchcock Clinic with a Mission Score of 85 out of 100 (Excellent). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Spending Breakdown
- admin: 9%
- programs: 86%
- fundraising: 5%
According to IRS 990 filings, Dartmouth Hitchcock Clinic allocates its expenses as follows: admin: 9%, programs: 86%, fundraising: 5%. With 86% directed toward programs, this reflects a strong commitment to its charitable mission.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a deficit of $97.4M, with expenses exceeding revenue.
- Debt-to-asset ratio: 229.6%.
Executive Compensation Analysis
Executive compensation is not explicitly detailed in the provided data, preventing a specific assessment of individual salaries, but the overall administrative spending is low.
Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.
Strengths
The following positive indicators were identified for Dartmouth Hitchcock Clinic:
- Consistent revenue growth from $421,797,040 in 2016 to $638,417,127 in 2023 demonstrates strong financial health.
- High program spending (86%) indicates a strong commitment to its mission.
- Assets have steadily increased from $254,449,524 in 2016 to $296,975,257 in 2023, reflecting sound financial management.
- Low administrative and fundraising percentages suggest efficient operations and effective resource allocation.
Frequently Asked Questions about Dartmouth Hitchcock Clinic
Is Dartmouth Hitchcock Clinic a legitimate charity?
Based on AI analysis of IRS 990 filings, Dartmouth Hitchcock Clinic (EIN: 222519596) appears legitimate. Mission Score: 85/100. 0 red flags identified, 4 strengths noted.
How does Dartmouth Hitchcock Clinic spend its money?
Dartmouth Hitchcock Clinic directs 86% of its spending to programs and services. The remaining budget covers administration and fundraising costs.
Are donations to Dartmouth Hitchcock Clinic tax-deductible?
Dartmouth Hitchcock Clinic is registered as a tax-exempt nonprofit (EIN: 222519596). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
What percentage of Dartmouth Hitchcock Clinic's spending goes to programs?
Dartmouth Hitchcock Clinic directs 86% to programs, 5% to fundraising. This exceeds the 65% industry benchmark for efficient nonprofits.
How does Dartmouth Hitchcock Clinic compare to similar nonprofits?
With a transparency score of 85/100 (Excellent), Dartmouth Hitchcock Clinic is above average for NTEE category E320 nonprofits. The score reflects financial transparency, program spending efficiency, and governance quality based on IRS 990 data.
Where is Dartmouth Hitchcock Clinic located?
Dartmouth Hitchcock Clinic is headquartered in Lebanon, New Hampshire and files with the IRS under EIN 222519596. It is classified under NTEE code E320.
How many years of IRS 990 filings does Dartmouth Hitchcock Clinic have?
Dartmouth Hitchcock Clinic has 13 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $875.8M in total revenue.
What does Dartmouth Hitchcock Clinic do?
Dartmouth Hitchcock Clinic is a nonprofit organization in the Health Care sector, located in Lebanon, New Hampshire. It is classified under NTEE code E320.
How much revenue does Dartmouth Hitchcock Clinic have?
Dartmouth Hitchcock Clinic reported total revenue of $875,799,166. Based on 13 IRS 990 filings on record.
What are Dartmouth Hitchcock Clinic's total assets?
Dartmouth Hitchcock Clinic holds total assets of $285,053,857 as reported in IRS 990 filings.
Where is Dartmouth Hitchcock Clinic located?
Dartmouth Hitchcock Clinic is based in Lebanon, New Hampshire.
What is Dartmouth Hitchcock Clinic's EIN?
Dartmouth Hitchcock Clinic's Employer Identification Number (EIN) is 222519596. This is the unique tax ID assigned by the IRS for tax-exempt organizations.
What type of nonprofit is Dartmouth Hitchcock Clinic?
Dartmouth Hitchcock Clinic is classified under NTEE code E320 (Health Care).
Is Dartmouth Hitchcock Clinic a registered 501(c)(3)?
Yes, Dartmouth Hitchcock Clinic is recognized as a tax-exempt organization by the IRS. EIN: 222519596.
Does Dartmouth Hitchcock Clinic file IRS Form 990?
Yes, Dartmouth Hitchcock Clinic has 13 IRS Form 990 filings on record. The most recent covers tax period 202306.
What was Dartmouth Hitchcock Clinic's revenue in 2023?
In the 202306 filing period, Dartmouth Hitchcock Clinic reported total revenue of $638,417,127, total expenses of $735,847,834, and net assets of $296,975,257.
Is Dartmouth Hitchcock Clinic's revenue growing or declining?
Dartmouth Hitchcock Clinic's revenue is relatively stable. Revenue went from $611,625,171 (202206) to $638,417,127 (202306), a +4.4% change. Based on 13 filings on record.
What is Dartmouth Hitchcock Clinic's most recent 990 filing?
The most recent IRS Form 990 filing for Dartmouth Hitchcock Clinic covers tax period 202306. It shows revenue of $638,417,127, expenses of $735,847,834, total assets of $296,975,257, and liabilities of $681,857,268.
How much does Dartmouth Hitchcock Clinic spend on programs vs administration?
Based on IRS 990 analysis, Dartmouth Hitchcock Clinic allocates approximately 86% of expenses to program services, 9% to administrative costs, and 5% to fundraising. This indicates strong program focus.
Is Dartmouth Hitchcock Clinic a trustworthy charity?
Based on AI analysis of IRS 990 data, Dartmouth Hitchcock Clinic appears trustworthy. Mission Score: 85/100 (Excellent). No red flags identified. 4 strengths noted.
What are Dartmouth Hitchcock Clinic's strengths?
Positive indicators for Dartmouth Hitchcock Clinic include: Consistent revenue growth from $421,797,040 in 2016 to $638,417,127 in 2023 demonstrates strong financial health.. High program spending (86%) indicates a strong commitment to its mission.. Assets have steadily increased from $254,449,524 in 2016 to $296,975,257 in 2023, reflecting sound financial management.. Low administrative and fundraising percentages suggest efficient operations and effective resource allocation.. These findings are derived from AI analysis of the organization's financial filings.
How does Dartmouth Hitchcock Clinic compensate executives?
Executive compensation is not explicitly detailed in the provided data, preventing a specific assessment of individual salaries, but the overall administrative spending is low. Executive compensation data is sourced from IRS 990 filings, which require disclosure of officer, director, and key employee pay.
How does Dartmouth Hitchcock Clinic manage to maintain such a high program spending percentage while also experiencing consistent revenue and asset growth?
The consistent growth in revenue, from $421M in 2016 to $638M in 2023, coupled with efficient expense management (total expenses consistently below revenue in most years), allows the clinic to allocate a significant portion of its budget to programs while simultaneously building its asset base.
What specific strategies contribute to the clinic's ability to keep fundraising costs at a minimal 5%?
While specific strategies aren't detailed in the provided data, a low fundraising percentage often indicates a strong reputation, established donor base, or reliance on grants and other non-fundraising revenue streams that require less direct solicitation expense.
Filing History
IRS 990 filing history for Dartmouth Hitchcock Clinic showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), Dartmouth Hitchcock Clinic's revenue has grown by 71%, moving from $373.4M to $638.4M. Total assets increased by 3% over the same period, from $288.4M to $297.0M. Total functional expenses rose by 95.4%, from $376.6M to $735.8M. In its most recent filing year (2023), Dartmouth Hitchcock Clinic reported a deficit of $97.4M, with expenses exceeding revenue. The organization holds $681.9M in liabilities against $297.0M in assets (debt-to-asset ratio: 229.6%), resulting in net assets of $-384,882,011.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $638.4M | $735.8M | $297.0M | $681.9M | — | — |
| 2022 | $611.6M | $660.5M | $244.8M | $558.9M | — | View 990 |
| 2021 | $623.4M | $591.7M | $263.3M | $510.3M | — | — |
| 2020 | $498.7M | $529.5M | $252.1M | $558.9M | — | View 990 |
| 2019 | $513.6M | $495.2M | $230.0M | $463.7M | — | View 990 |
| 2018 | $455.9M | $449.3M | $218.5M | $424.1M | — | View 990 |
| 2017 | $439.2M | $442.4M | $219.1M | $444.5M | — | View 990 |
| 2016 | $421.8M | $416.9M | $254.4M | $479.6M | — | View 990 |
| 2015 | $401.5M | $409.2M | $256.2M | $445.4M | — | View 990 |
| 2014 | $397.7M | $396.5M | $233.9M | $372.8M | — | View 990 |
| 2013 | $406.2M | $387.5M | $228.9M | $376.5M | — | View 990 |
| 2012 | $301.2M | $301.9M | $301.6M | $518.8M | — | View 990 |
| 2011 | $373.4M | $376.6M | $288.4M | $495.9M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $638.4M, expenses of $735.8M, and assets of $297.0M (revenue +4.4% year-over-year).
- 2022: Revenue of $611.6M, expenses of $660.5M, and assets of $244.8M (revenue -1.9% year-over-year).
- 2021: Revenue of $623.4M, expenses of $591.7M, and assets of $263.3M (revenue +25.0% year-over-year).
- 2020: Revenue of $498.7M, expenses of $529.5M, and assets of $252.1M (revenue -2.9% year-over-year).
- 2019: Revenue of $513.6M, expenses of $495.2M, and assets of $230.0M (revenue +12.6% year-over-year).
- 2018: Revenue of $455.9M, expenses of $449.3M, and assets of $218.5M (revenue +3.8% year-over-year).
- 2017: Revenue of $439.2M, expenses of $442.4M, and assets of $219.1M (revenue +4.1% year-over-year).
- 2016: Revenue of $421.8M, expenses of $416.9M, and assets of $254.4M (revenue +5.0% year-over-year).
- 2015: Revenue of $401.5M, expenses of $409.2M, and assets of $256.2M (revenue +1.0% year-over-year).
- 2014: Revenue of $397.7M, expenses of $396.5M, and assets of $233.9M (revenue -2.1% year-over-year).
- 2013: Revenue of $406.2M, expenses of $387.5M, and assets of $228.9M (revenue +34.8% year-over-year).
- 2012: Revenue of $301.2M, expenses of $301.9M, and assets of $301.6M (revenue -19.3% year-over-year).
- 2011: Revenue of $373.4M, expenses of $376.6M, and assets of $288.4M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for Dartmouth Hitchcock Clinic:
Data Sources and Methodology
This transparency report for Dartmouth Hitchcock Clinic is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.
IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.
Disclaimer
AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.