Dartmouth Hitchcock Medical Center

Dartmouth Hitchcock Medical Center (DHMC), located at 1 Medical Center Drive, Lebanon, NH, is New Hampshire's only academic medical center and Level I Trauma Center. Consistently ranked as the #1 hospital in New Hampshire by U.S. News & World Report, DHMC offers advanced medical care, research, and education in partnership with the Geisel School of Medicine at Dartmouth. As a leading healthcare provider in northern New England, we provide access to nearly 1,000 primary care doctors and specialists. Our mission is to advance health through research, education, clinical practice, and community partnerships, delivering the best care to each person, in the right place, at the right time, every time.

Identifiers

Hospital Name Dartmouth Hitchcock Medical Center
Facility ID 300003

Location

Address 1 MEDICAL CENTER DRIVE
City/Town Lebanon
State NH
ZIP Code 3756
County/Parish GRAFTON

Health System

Health System Dartmouth Health
Health System Website Domain dartmouth-health.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 8
Health System Total Beds 966
Health System Hospital Locations New Hampshire and Vermont

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Dartmouth Health
Emergency Services Yes

No leaders were identified on Dartmouth Hitchcock Medical Center's website

Residency Programs

Allopathic Residency Program Yes
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 396

Staffing & Personnel

FTE Employees on Payroll 4137
FTE Interns & Residents 388

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 40417
Inpatient Days (Title XIX) 1129
Total Inpatient Days 120109
Bed Count 486
Available Bed Days 149321
Discharges (Title V) NA
Discharges (Title XVIII) 6215
Discharges (Title XIX) 137
Total Discharges 19723

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 35361
Inpatient Days (Title XIX; Adults & Peds) 736
Total Inpatient Days (Adults & Peds) 91346
Bed Count (Adults & Peds) 396
Available Bed Days (Adults & Peds) 116471
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 6215
Discharges (Title XIX; Adults & Peds) 137
Total Discharges (Adults & Peds) 19723

Quality Summary

Care Quality Stengths High overall patient satisfaction. Hospital does an above-average job of ensuring patients at the hospital do not get infections.
Care Quality Concerns Hospital has an long ER wait time. It takes on average over 3 hours for patients to be seen and treated Hospital does not do a good job of treating conditions like heart failure so that patients don't have to come back to the hospital.

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 79%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients No Different Than National Average
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients No Different Than National Average
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications No Different Than National Average
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate Worse Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate Worse Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 289

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients -5.7
Readmission Score Hospital Return Days for Heart Failure Patients 25.5
Readmission Score Hospital Return Days for Pneumonia Patients 3.6
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 14.7
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 9.9
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 7.8
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.8
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 13.5
Readmission Score Rate of Readmission for CABG 11.5
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.8
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.4
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.4
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.8
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.9
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients More Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Worse Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Better than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG No Different Than the National Rate
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement No Different Than the National Rate
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 0.806
CAUTI SIR (Standardized Infection Ratio) 0.728
SSI SIR (Standardized Infection Ratio) 1.042
CDI SIR (Standardized Infection Ratio) 0.613
MRSA SIR (Standardized Infection Ratio) 0.435

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $16,291
Bad Debt Expense $26,379
Uncompensated Care Cost $24,549
Total Uncompensated Care $118,918

Operating Expenses ($ thousands)

Total Salaries $384,899
Overhead Expenses (Non-Salary) $958,817
Depreciation Expense $43,062
Total Operating Costs $1,267,808

Charges ($ thousands)

Inpatient Charges $1,573,480
Outpatient Charges $2,536,742
Total Patient Charges $4,110,222

Wage-Related Details ($ thousands)

Core Wage Costs $111,719
Wage Costs (RHC/FQHC)
Adjusted Salaries $384,899
Contract Labor (Patient Care) $94,513
Wage Costs (Part A Teaching) $578
Wage Costs (Interns & Residents) $7,207

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $-2,296
Short-Term Investments $92
Notes Receivable $14,308
Accounts Receivable $236,010
Allowance for Doubtful Accounts
Inventory $-44,655
Prepaid Expenses $36,309
Other Current Assets $67,590
Total Current Assets $650,309

Balance Sheet – Fixed Assets ($ thousands)

Land Value $21,743
Land Improvements Value $40,265
Building Value $868,887
Leasehold Improvements $651
Fixed Equipment Value
Major Movable Equipment $715,547
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $607,973

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $896,088
Other Assets $74,320
Total Other Assets $970,408
Total Assets $2,228,690

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $141,493
Salaries & Wages Payable $97,178
Payroll Taxes Payable $695
Short-Term Debt $50,071
Deferred Revenue
Other Current Liabilities $32,158
Total Current Liabilities $321,595

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $800,163
Unsecured Loans
Other Long-Term Liabilities $107,255
Total Long-Term Liabilities $907,418
Total Liabilities $1,229,013

Balance Sheet – Equity ($ thousands)

General Fund Balance $999,677
Total Fund Balances $999,677
Total Liabilities & Equity $2,228,690

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $25,212
DRG (Post-Oct 1) $77,316
Outlier Payments
DSH Adjustment $3,327
Eligible DSH % $0
Simulated MC Payments $45,662
Total IME Payments $41,597

Revenue & Income Statement ($ thousands)

Inpatient Revenue $1,571,059
Outpatient Revenue $2,556,013
Total Patient Revenue $4,127,073
Contractual Allowances & Discounts $2,700,669
Net Patient Revenue $1,426,403
Total Operating Expenses $1,909,498
Net Service Income $-483,095
Other Income $594,794
Total Income $111,699
Other Expenses
Net Income $111,699

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $91,548
Medicaid Charges $604,343
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing No

ERP Information

ERP Infor
ERP Version Cloudsuite
EHR is Changing No