FURP.ORG / PUBLIC DATA EXPLORER

HITCHCOCK FOUNDATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
HITCHCOCK FOUNDATION (EIN 02-0222139)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-16
IRS object ID
201611379349304436
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-16T11:28:46-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERSLLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SEAPORT BLVDAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020222139EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Hitchcock FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JENNIFER REININGInCareOfNm
Business Name ControlHITCBusinessNameControlTxt
Phone6036531155PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Medical Center DriveAddressLine1Txt
CityLebanonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03756ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJennifer ReiningPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Signature2016-05-13SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPaul TanisPreparerPersonNm
PTINP01441612PTIN
Phone6175305000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerE Ann Gormley MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Medical Center DriveAddressLine1Txt
CityLebanonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03756ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,585,971GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1946FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionTo advance the study of human ailments & injuries; the causes, prevention, relief, & cure thereof, hygiene, health & public welfare, & to assist in research in the broadest senseActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$32,741TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$27,325NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$699,178PYContributionsGrantsAmt
CY Contributions Grants$1,554,538CYContributionsGrantsAmt
PY Program Service Revenue$3,141,838PYProgramServiceRevenueAmt
CY Program Service Revenue$1,951,305CYProgramServiceRevenueAmt
PY Investment Income$1,023,892PYInvestmentIncomeAmt
CY Investment Income$861,658CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$5,051CYOtherRevenueAmt
PY Total Revenue$4,864,908PYTotalRevenueAmt
CY Total Revenue$4,372,552CYTotalRevenueAmt
PY Grants And Similar Paid$609,711PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$586,979CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,262,332PYOtherExpensesAmt
CY Other Expenses$3,217,332CYOtherExpensesAmt
PY Total Expenses$3,872,043PYTotalExpensesAmt
CY Total Expenses$3,804,311CYTotalExpensesAmt
PY Revenues Less Expenses$992,865PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$568,241CYRevenuesLessExpensesAmt
Total Assets BOY$24,448,974TotalAssetsBOYAmt
Total Assets EOY$24,465,673TotalAssetsEOYAmt
Total Liabilities BOY$1,303,557TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,536,161TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$23,145,417NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,929,512NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE PURPOSE OF THE HITCHCOCK FOUNDATION SHALL BE TO AID AND ADVANCE THE STUDY AND INVESTIGATION OF HUMAN AILMENTS AND INJURIES, AND THE CAUSES, PREVENTION, RELIEF, AND CURE THEREOF, AND THE STUDY AND INVESTIGATION OF PROBLEMS OF HYGIENE, HEALTH AND PUBLIC WELFARE, AND THE PROMOTION OF MEDICAL, SURGICAL AND SCIENTIFIC LEARNING, SKILL, EDUCATION AND INVESTIGATION, AND TO ENGAGE IN AND CONDUCT AND TO AID AND ASSIST IN MEDICAL, SURGICAL AND SCIENTIFIC RESEARCH IN THE BROADEST SENSE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,701,520ExpenseAmt
Grant$586,979GrantAmt
Revenue$1,927,805RevenueAmt
DescThe Hitchcock Foundation provides between 15 and 20 grants per year and sponsors over 400 advised funds that support clinically oriented research and education activities in furtherance of our mission. Sponsored research Funds support discrete clinical and biomedical research projects and are funded by external sources including corporations and foundations. Advised Funds are established by the Executive Director under the authority of the Board of Trustees. They are funded with contributions intended to support activities consistent with our charitable mission - particularly clinical research and education. They are not donor advised funds; rather the advisors are scientists and clinicians with expertise in the areas of research and education supported by the fund. The foundation also provides funding for research grants and fellowships; amounts awarded range from $1,000 to $125,000 and are awarded on a competitive basis.Desc
Total Program Service Expenses$3,701,520TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document57IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJENNIFER REININGPersonNm
Phone6036530481PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER DRIVEAddressLine1Txt
CityLEBANONCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03756ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
E Ann Gormley MD
Board Chair/Physician0.50.0Yes (X)Yes (X)$0$0$0
Michele Lauria MD
Trustee/Physician0.340.0Yes (X)$0$407,978$110,089
Robert Maue PhD
Trustee0.30.0Yes (X)$0$0$0
Richard Powell MD
Vice Chair/Physician0.340.5Yes (X)Yes (X)$0$449,269$145,523
R Brooks Robey MD
Trustee0.30.0Yes (X)$0$0$0
Barry Smith MD
Trustee/Phy0.30.0Yes (X)$0$0$0
Edward Stansfield MA
Board Treasurer0.50.0Yes (X)Yes (X)$0$0$0
Michael Ward MS
Trustee0.50.0Yes (X)$0$0$0
Duane Compton PhD
Trustee Ex-Officio0.32.01Yes (X)$0$0$0
Jeffrey Cohen MD
Trustee Ex-Officio/Physician0.340.0Yes (X)$0$368,461$144,547
William Wickner MD
Trustee0.30.0Yes (X)$0$0$0
Lawrence Dacey MD
Trustee Eff 7/1/20140.313.0Yes (X)$0$132,136$242,566
Michael Zegans MD
Trustee Eff 7/1/20140.30.0Yes (X)$0$0$0
Jennifer Reining
Executive Director40.00.0Yes (X)$0$101,543$21,952
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,459,387TotReportableCompRltdOrgAmt
Total Other Compensation$664,677TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Trustees of Dartmouth College
37 Dewey FieldHANOVERNH03755Contracted Services$1,786,525
Mary Hitchcock Memorial Hospital
One Medical Center DriveLEBANONNH03756Contracted Services$830,332
Dartmouth-Hitchcock Clinic
One Medical Center DriveLEBANONNH03756Contracted Services$373,048
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,554,538AllOtherContributionsAmt
Total Contributions$1,554,538TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSPONSORED RESEARCH, PROGRAM RESEARCH, & EDUCATIONDesc
Business541700BusinessCd
Total Revenue Column$1,951,305TotalRevenueColumnAmt
Related Or Exempt Func Income$1,927,805RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$23,500UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,951,305TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$287,906TotalRevenueColumnAmt
Unrelated Business Revenue$9,241UnrelatedBusinessRevenueAmt
Exclusion$278,665ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,051TotalRevenueColumnAmt
Exclusion$5,051ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,787,171SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,213,419SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$573,752SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$573,752TotalRevenueColumnAmt
Exclusion$573,752ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,372,552TotalRevenueColumnAmt
Related Or Exempt Func Income$1,927,805RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$32,741UnrelatedBusinessRevenueAmt
Exclusion$857,468ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$26,226TotalAmt
Program Services$26,226ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$496,177TotalAmt
Program Services$496,177ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$64,576TotalAmt
Program Services$64,576ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$15,889TotalAmt
Program Services$70ProgramServicesAmt
Management And General$15,819ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$70,734TotalAmt
Management And General$70,734ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,846,004TotalAmt
Program Services$1,846,004ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$726TotalAmt
Program Services$726ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,303TotalAmt
Program Services$11,099ProgramServicesAmt
Management And General$1,204ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$204,121TotalAmt
Program Services$203,574ProgramServicesAmt
Management And General$547ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$220,357TotalAmt
Program Services$211,998ProgramServicesAmt
Management And General$8,359ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$454TotalAmt
Management And General$454ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
TESTS & EXAMINATIONS$4,160$4,160
RESEARCH EXP & SUBJECT FEES$241,732$241,732
EDU MATERIAL & HONORARIUMS$87,148$81,474$5,674
LAB FEES, EQUIPMENT, & SUPLS$299,193$299,193

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$214,511TotalAmt
Program Services$214,511ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,804,311TotalAmt
Program Services$3,701,520ProgramServicesAmt
Management And General$102,791ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$213,490BOYAmt
EOY$182,337EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$171,271BOYAmt
EOY$337,550EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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BOY$9,800BOYAmt
EOY$4,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

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BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,241LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,136LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,560BOYAmt
EOY$1,105EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$24,052,853BOYAmt
EOY$23,940,681EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,448,974BOYAmt
EOY$24,465,673EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$426,939BOYAmt
EOY$379,964EOYAmt

Grants Payable GrantsPayableGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$876,618BOYAmt
EOY$1,156,197EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,303,557BOYAmt
EOY$1,536,161EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,357,898BOYAmt
EOY$14,517,776EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,669,115BOYAmt
EOY$6,293,332EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,118,404BOYAmt
EOY$2,118,404EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,145,417BOYAmt
EOY$22,929,512EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,448,974BOYAmt
EOY$24,465,673EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$568,241ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$784,146NetUnrlzdGainsLossesInvstAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$798,428CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,168,266CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,259,771CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$699,178CurrentTaxYearMinus1YearAmt
Current Tax Year$1,554,538CurrentTaxYearAmt
Total$5,480,181TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$798,428CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,168,266CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,259,771CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$699,178CurrentTaxYearMinus1YearAmt
Current Tax Year$1,554,538CurrentTaxYearAmt
Total$5,480,181TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$544,517SubstantialContributorsTotAmt
Public Support Total170$4,935,664PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$551,891CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,957,819CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,533,451CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$293,945CurrentTaxYearMinus1YearAmt
Current Tax Year$283,716CurrentTaxYearAmt
Total$4,620,822TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$116,558CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,250CurrentTaxYearMinus1YearAmt
Current Tax Year$27,325CurrentTaxYearAmt
Total$173,133TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$10,274,136TotalSupportAmt
Gross Receipts Rltd Activities$17,195,964GrossReceiptsRltdActivitiesAmt
Public Support CY1700.48040PublicSupportCY170Pct
Public Support PY1700.57690PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,658,392BeginningYearBalanceAmt
Contributions$1,303ContributionsAmt
Investment Earnings Or Losses-$7,186InvestmentEarningsOrLossesAmt
Other Expenditures$285,056OtherExpendituresAmt
End Year Balance$6,367,453EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,183,134BeginningYearBalanceAmt
Investment Earnings Or Losses$768,976InvestmentEarningsOrLossesAmt
Other Expenditures$293,718OtherExpendituresAmt
End Year Balance$6,658,392EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,018,116BeginningYearBalanceAmt
Investment Earnings Or Losses$463,734InvestmentEarningsOrLossesAmt
Other Expenditures$298,716OtherExpendituresAmt
End Year Balance$6,183,134EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,143,370BeginningYearBalanceAmt
Contributions$1,171ContributionsAmt
Investment Earnings Or Losses$56,273InvestmentEarningsOrLossesAmt
Other Expenditures$182,698OtherExpendituresAmt
End Year Balance$6,018,116EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,256,297BeginningYearBalanceAmt
Investment Earnings Or Losses$1,041,686InvestmentEarningsOrLossesAmt
Other Expenditures$154,613OtherExpendituresAmt
End Year Balance$6,143,370EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.43894BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.33269PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.22836TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,241OtherCostOrOtherBasisAmt
Depreciation$7,136DepreciationAmt
Book Value$1,105BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$1,105TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescAGENCY ACCOUNTSDesc
Amt$1,156,197Amt
FieldValueIRS element (for citing)
Total Liability$1,156,197TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4FormAndLineReferenceDesc
ExplanationThe Hitchcock Foundation's endowment funds include resources for the following uses: -The Tiffany Blake Endowment supports a research training fellowship for a young investigator at Dartmouth-Hitchcock Medical Center, who is committed to clinically oriented research. -The Henry Heyl Endowment supports medical research grants. -The Helmut Schumann Lecture endowment supports an annual public lecture in "Studies in Healthful Living." -The Helmut Schumann Fellowship endowment supports a fellowship for a Dartmouth-Hitchcock Medical Center faculty to develop programs in primary prevention and health promotion. -The Residents' Revolving Loan Fund Emergency Loan Fund supports Residents and Fellows in training at Dartmouth-Hitchcock. -The Neurosurgical Research Fund (Barry) supports Neurosurgical Research. -The Harold M. Pierce Memorial Fund supports Cancer Research. Schedule D Part X, Line 2 No ASC 740 footnote was included in the audited financial statements as there were no material uncertain tax positions at or since adoption.ExplanationTxt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (13 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Europe (Including Iceland and Greenland)Program ServicesConferences & Travel$27,241
South AsiaProgram ServicesConference & Travel$50
Central America and the CaribbeanProgram ServicesConference & Travel$1,393
East Asia and the PacificProgram ServicesConference & Travel$4,723
Sub-Saharan AfricaProgram ServicesConference & Travel$6,667
Europe (Including Iceland and Greenland)Program ServicesProgram Support$486
South AsiaProgram ServicesProgram Support$3,786
Sub-Saharan AfricaProgram ServicesProgram Support$3,034
Sub-Saharan AfricaProgram ServicesProgram Support$9,100
Europe (Including Iceland and Greenland)GrantmakingProgram Support$58,460
North AmericaGrantmakingProgram Support$3,978
Middle East and North AfricaGrantmakingProgram Support$138
South AsiaGrantmakingProgram Support$2,000
FieldValueIRS element (for citing)
Subtotal Spent$121,056SubtotalSpentAmt
Total Spent$121,056TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionEurope (Including Iceland and Greenland)RegionTxt
Purpose Of GrantProgram SpptPurposeOfGrantTxt
Cash Grant$56,960CashGrantAmt
Manner Of Cash DisbursementCheckMannerOfCashDisbursementTxt
Valuation Method UsedFMVValuationMethodUsedDesc
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule F, Part I, Line 2FormAndLineReferenceDesc
ExplanationMonitoring use of grant funds The Foundation provides unrestricted program support for certain foreign organizations. Program support to specific organizations is chosen and directed by the physicians and/or researchers working directly with the charity.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Community Gallery DBA Ava GalleryBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Bank StreetAddressLine1Txt
CityLebanonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03766ZIPCd
FieldValueIRS element (for citing)
Recipient EIN237394706RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$15,050CashGrantAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Purpose Of GrantCHAD Arts ProgPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
Medical Research Grants13$489,808FMV
Patient Care Support15$6,369FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart 1 Line 2FormAndLineReferenceDesc
ExplanationFellowships and large Program Project Grants are given every two years. Smaller pilot grants are made twice a year. Amounts awarded range from $1,000 to $125,000 and are awarded on a competitive basis. All grant and fellowship-related expenses are reviewed and approved by the Foundation before paid. Requests for expenditures not in pre-approved grant budgets are rejected.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Michele Lauria MD
Trustee/Physician$0$377,045$0$13,961$0$16,972$0$99,255$0$10,834$0$518,067$0$0
Richard Powell MD
Vice Chair/Physician$0$368,104$0$55,633$0$25,532$0$124,282$0$21,241$0$594,792$0$0
Jeffrey Cohen MD
Trustee Ex-Officio/Physician$0$345,819$0$0$0$22,642$0$126,610$0$17,937$0$513,008$0$0
Lawrence Dacey MD
Trustee Eff 7/1/2014$0$82,044$0$9,000$0$41,092$0$230,712$0$11,854$0$374,702$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Supplemental Retirement PlanPart 1, Line 4B The following individuals received amounts from the Dartmouth-Hitchcock Supplemental Retirement Plan (see below for terms). Michele Lauria $16,481 Richard Powell $24,280 Jeffrey Cohen $18,904 Lawrence Dacey $40,914
Defined Contribution Supplemental Retirement PlanPart 1, Line 4B Dartmouth-Hitchcock Supplemental Retirement Plan Terms and Conditions: An eligible employee is a participant in the Dartmouth-Hitchcock Retirement Plan and/or any prior pension arrangements sponsored by Dartmouth-Hitchcock (which consists of Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinic), including a qualified defined benefit plan, who would be entitled to additional contributions or benefit accruals under the terms of the Plans for the plan year, but are limited by IRC Sections 401(a)(17) and/or IRC Section 415. For eligible employees, the Employer will pay the eligible employee an amount determined by the employer each year to offset the amount of the reduction in the benefit accrual or contribution as a result of limitations imposed by IRC Sections 401(a)(17) and/or IRC Section 415.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Business RelationshipsForm 990, Part VI, Section A, Line 2 The Hitchcock Foundation is part of the Dartmouth-Hitchcock Health System, which owns for-profit subsidiaries that provide services and support the mission of the organizations. As a result, some officers of the the Foundation may also be officers of related for-profits entities. Changes to Organizational Documents Form 990, Part VI, Section A, Line 4 During FY15, the Foundation amended its bylaws to clarify composition of the Board of Trustees and to change the qualifications of the Board Chair. The Board Chair was clarified to state that they may not be an employee of the Foundation. This was done in an effort to increase operational efficiencies and to diversify the Trustee's background and experience to further meet the Foundation's mission and vision. Members or Stockholders Form 990, Part VI, Section A, Line 6 The Hitchcock Foundation has the following membership: Dartmouth-Hitchcock Clinic, the sole voting member, retains limited powers in accordance with the bylaws, elects Trustees of the Board, and approves changes in bylaws. The operational management of The Hitchcock Foundation is delegated to the Board of Trustees, in accordance with the bylaws.
Governance & ManagementForm 990, Part VI, Section A, Lines 7a & 7b Dartmouth-Hitchcock Clinic (DHC) is the sole corporate member of The Hitchcock Foundation. As such, DHC retains limited powers in accordance with the bylaws including, but not limited to, electing Trustees of the Board, and approving changes within the bylaws.
Process used by management and/or Governing Body to Review 990Form 990, Part VI, Line 11b The Form 990 is reviewed by an independent accounting firm, The Hitchcock Foundation's (THF) Executive Director and Treasurer of the Board of Trustees. A copy of the return is emailed to the entire board prior to filing.
Conflict of Interest PolicyForm 990, Part VI, Section B, Line 12C The Hitchcock Foundation Board of Trustees approved a policy concerning a voluntary self-disclosure of any potential conflict of interest. The Dartmouth-Hitchcock, Office of Policy Support, Compliance and Audit Services 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 Compliance and Audit Services 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.
Whistleblower PolicyPart VI, Section B, Line 13 The Organization has adopted and follows the policy of a related entity, Dartmouth-Hitchcock Clinic. Document Retention and Destruction Policy Form 990 Part VI, Section B, Line 14 The Organization has adopted and follows the policy of a related entity, Dartmouth-Hitchcock Clinic. Offices & Positions for Which Process was Used & Year Undertaken Form 990, Part VI, Question 15b The Director and staff of The Hitchcock Foundation are donated by Dartmouth-Hitchcock Clinic and Mary Hitchcock Memorial Hospital. Compensation for officers and key employees are evaluated by internal DHC AND MHMH HR staff using national benchmarking data, along with ongoing evaluations by an independent third party firm for reasonableness, with the last formal process in 2012. External benchmarking from an independent third party has been used for any Officer who was hired or received a compensation adjustment since the last process in 2012. Compensation rates are determined by following the guidelines of the compensation committee charter and philosophy documents and/or a formal review by DHC AND MHMH compensation committee members.
Governing documents, COI policy, Financial Statement AvailabilityForm 990, Part VI, Section C, Line 19 THF's governing documents are available through the New Hampshire Department of State. Certain financial information is disclosed through the Community Benefits Annual Report. The audited financial statements, governing documents, and the conflict of interest policy are available upon request in either electronic or hardcopy form.
CompensationForm 990, Part VII, Section A, Line 1 The compensation paid by related organizations was for services provided to the related organizations and not the filing organization, with exception of the Executive Director, of which 100% of their time is spent with the Foundation. Although the individuals spent the time listed as part of their board of trustee duties, they were not compensated with respect to those hours. The time/hours reported at the related organization varies by individual and organization. Other Fees for Services Form 990, Part IX, Line 11G Other Fees for services includes reimbursement for payroll for research and education-related expenses to Dartmouth Hitchcock Clinic, Mary Hitchcock Memorial Hospital, and The Trustees of Dartmouth College in the amount of $1,814,607. The remaining $31,397 was paid to other outside entitites related to the Foundation's mission of providing research and education.
Audit Committee and Financial Statement OversightFROM 990 PART XII, QUESTION 2C THE ORGANIZATION DOES NOT DELEGATE ANY OVERSIGHT OF THE AUDIT TO A SUBCOMMITTEE. THE FULL BOARD REVIEWS AND APPROVES ALL INFORMATION AND FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN THE AUDIT AND FINANCIAL STATEMENTS OF ITS PARENT ORGANIZATION, DARTMOUTH-HITCHCOCK CLINIC. Financial Statements and Reporting FORM 990 Part XII, Question 3a DURING FISCAL YEAR 2015, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FEDERAL FUNDING WHICH MET THE MINIMUM THRESHOLD SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. DUE TO THE NATURE OF THE CONSOLIDATED FINANCIAL STATEMENTS, THE AUDIT WAS PERFORMED ON THE FINANCIAL INFORMATION OF ALL ORGANIZATIONS, INCLUDING THE HITCHCOCK FOUNDATION.
FORM 990 PART IX LINE 11GDESCRIPTION:RESEARCH AND MGMT EXPENS TOTAL FEES:1846004

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Dartmouth-Hitchcock Health
One Medical Center DriveLebanonNH03756264812335Parent OrgNH501(c)(3)7NAfalse
Dartmouth-Hitchcock Clinic
One Medical Center DriveLebanonNH03756222519596Phys SvcNH501(c)(3)9D-HHYes (true)
Hamden Assurance Risk Retention Group
30 Main Street Suite 330BurlingtonVT05401208530788Slf InsuranceVT501(c)(3)11 Type 1DHCYes (true)
Mary Hitchcock Memorial Hospital
One Medical Center DriveLebanonNH03756020222140HospitalNH501(c)(3)3D-HHYes (true)
The New London Hospital Association Inc
273 County RdNew LondonNH03257020222171Health CareNH501(c)(3)3D-HHYes (true)
Windsor Hospital Association
289 Country RoadWindsorVT05089030183721HospitalVT501(C)(3)3D-HHYes (true)
Cheshire Medical Center
580 Court StreetKeeneNH03431020354549HospitalNH501(C)(3)3D-HHYes (true)
Cheshire Health Foundation
580 Court StreetKeeneNH03431020202220SUPPORTNG ORGNH501(C)(3)11 TYPE IICMCYes (true)
Mt Ascutney Hosp Cmmty Hlth Found
289 County RoadWindsorVT05089030300481FoundationVT501(c)(3)3WHAfalse
Historic Homes of Runnemede
289 County RoadWindsorVT05089237396147HealthcareVT501(c)(3)9WHAYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
OBNet Services LLP
1 Med Ctr DrLebanonNH03756043746287Database ServNHNA
Keene Hlth Alliance
580 Crt StKeeneNH03431300179297HealthcareNHNA
DH Master Invst Prg
1 Med Ctr DrLebanonNH03756020505863InvestmentsNHMHMHExcluded$1,038,793$23,940,680false$9,241false0.04254
One Care VT ACOLLC
111 COLCHESTER AVEBurlingtonVT05401455399218Shared SavingVTNA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Pompanoosuc Investment Corp
One Medical Center DriveLebanonNH03756020352330Real Est HldgNHDHCC CorpYes (true)
Hamden Assurance Co LTD
980121409Liab InsDHCC CorpYes (true)44 Church StreetHamiltonHM EXBDBD
Hitchcock Health Connect
1 Medical Ctr DrLebanonNH03756800908979TelehealthDED-HHC CorpYes (true)
Kearsarge Community Services
273 County RoadNew LondonNH03257020460136Real Est HldgNHNLHC CorpYes (true)
New London Physician Group Inc
273 County RoadNew LondonNH03257020494420Physician GroNHNLHC CorpYes (true)
New London Medical Center East
273 County RoadNew LondonNH03257020480857Real EST HLDGNHNLHC CorpYes (true)
Charit Remndr Unitrusts (5)
One Medical Center DriveLebanonNH03756Chart. TrustNHMHMHTRUSTYes (true)
Keene Health Services
580 Court StreetKeeneNH03431020374997Real Est HldgNHCMCC CorpYes (true)
Keene Health Realty
580 Court StreetKeeneNH03431020374998Real Est HldgNHCMCC CorpYes (true)
Keene Health Enterprises
580 Court StreetKeeneNH03431020374999Real Est HldgNHCMCC CorpYes (true)
Cheshire Health Services
580 Court StreetKeeneNH03431473379283HEALTHCARENHCMCC CORPYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Mary Hitchcock Memorial Hospital
P$15,573FMV
Mary Hitchcock Memorial Hospital
Q$37,145FMV
Dartmouth Hitchcock Clinic
P$6,997FMV
Dartmouth Hitchcock Clinic
Q$16,689FMV
Dartmouth-Hitchcock Master Investment Program
R$200,000FMV
Dartmouth-Hitchcock Master Investment Program
S$300,000FMV
Mary Hitchcock Memorial Hospital
B$99,071FMV