FURP.ORG / PUBLIC DATA EXPLORER

HITCHCOCK FOUNDATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HITCHCOCK FOUNDATION (EIN 02-0222139)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-15
IRS object ID
201541359349303429
Schema version
2013v4.0
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)
Return2015-05-15T10:37:26-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERS LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1125 HIGH STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020222139EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Hitchcock FoundationBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% JENNIFER REININGInCareOfNm
Business Name ControlHITCBusinessNameControlTxt
Phone6036505000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Medical Center DriveAddressLine1
Address Line2SuiteAddressLine2
CityLebanonCity
StateNHState
ZIP Code03756ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJenniger ReiningPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Signature2015-05-13SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGwen SpencerPreparerPersonNm
PTINP00641463PTIN
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerE Ann Gormley MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Medical Center DriveAddressLine1
CityLebanonCity
StateNHState
ZIP Code03756ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$8,300,438GrossReceiptsAmt
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$34,759TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$29,250NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,259,771PYContributionsGrantsAmt
CY Contributions Grants$699,178CYContributionsGrantsAmt
PY Program Service Revenue$2,815,858PYProgramServiceRevenueAmt
CY Program Service Revenue$3,141,838CYProgramServiceRevenueAmt
PY Investment Income$1,533,451PYInvestmentIncomeAmt
CY Investment Income$1,023,892CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,609,080PYTotalRevenueAmt
CY Total Revenue$4,864,908CYTotalRevenueAmt
PY Grants And Similar Paid$559,708PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$609,711CYGrantsAndSimilarPaidAmt
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$4,262,935PYOtherExpensesAmt
CY Other Expenses$3,262,332CYOtherExpensesAmt
PY Total Expenses$4,822,643PYTotalExpensesAmt
CY Total Expenses$3,872,043CYTotalExpensesAmt
PY Revenues Less Expenses$786,437PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$992,865CYRevenuesLessExpensesAmt
Total Assets BOY$22,768,062TotalAssetsBOYAmt
Total Assets EOY$24,448,974TotalAssetsEOYAmt
Total Liabilities BOY$1,269,923TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,303,557TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,498,139NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,145,417NetAssetsOrFundBalancesEOYAmt
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$3,750,389ExpenseAmt
Grant$609,876GrantAmt
Revenue$3,141,838RevenueAmt
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$3,750,389TotalProgramServiceExpensesAmt
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 Document80IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
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
Phone6036531231PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER DRIVEAddressLine1
CityLEBANONCity
StateNHState
ZIP Code03756ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Peter Anderson MD
Board Secretry/Phy End 5/1/140.540.0Yes (X)Yes (X)$0$228,359$23,432
Jocelyn Chertoff MD MS
Board Chair/Phy End 5/1/140.5Yes (X)Yes (X)$0$504,492$55,731
Peter Gardner Esq
Trustee End 3/14/140.3Yes (X)$0$0$0
E Ann Gormley MD
Board Chair/Physician0.5Yes (X)Yes (X)$0$0$0
Michele Lauria MD
Trustee/Phy0.340.0Yes (X)$0$407,680$40,935
Robert Maue PhD
Trustee0.3Yes (X)$0$0$0
Richard Powell MD
Vice Chair/Physician0.340.0Yes (X)Yes (X)$0$469,425$56,580
R Brooks Robey MD
Trustee0.3Yes (X)$0$0$0
Barry Smith MD
Trustee/Phy0.3Yes (X)$0$0$0
Edward Stansfield MA
Board Treasurer0.5Yes (X)Yes (X)$0$0$0
Michael Ward MS
Trustee0.3Yes (X)$0$0$0
Susan Pepin MD
Trustee/Phy End 6/30/140.3Yes (X)$0$0$0
Duane Compton PhD
Trustee Ex-Officio0.3Yes (X)$0$0$0
Jeffrey Cohen MD
Trustee Ex-Officio/Physician0.340.0Yes (X)$0$395,808$23,480
Edward Boraz PhD
Trustee/Phy End 10/1/130.3Yes (X)$0$0$0
Aine Donovan EdD
Trustee End 10/1/130.3Yes (X)$0$0$0
William Wickner MD
Trustee0.3Yes (X)$0$0$0
Jennifer Reining
Executive Director40.0Yes (X)$0$97,079$24,566
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,102,843TotReportableCompRltdOrgAmt
Total Other Compensation$224,724TotalOtherCompensationAmt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Trustees of Dartmouth College
37 Dewey FieldHANOVERNH03755Contracted Services$1,873,684
Mary Hitchcock Memorial Hospital
One Medical Center DriveLEBANONNH03756Contracted Services$1,065,922
Dartmouth-Hitchcock Clinic
One Medical Center DriveLEBANONNH03756Contracted Services$478,892
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$699,178AllOtherContributionsAmt
Total Contributions$699,178TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSPONSORED RESEARCH, PROGRAM RESEARCH, & EDUCATIONDesc
Business541700BusinessCd
Total Revenue Column$3,141,838TotalRevenueColumnAmt
Related Or Exempt Func Income$3,108,338RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$33,500UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,141,838TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$295,204TotalRevenueColumnAmt
Unrelated Business Revenue$1,259UnrelatedBusinessRevenueAmt
Exclusion$293,945ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

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$4,164,218SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,435,530SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$728,688SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$728,688TotalRevenueColumnAmt
Exclusion$728,688ExclusionAmt

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$4,864,908TotalRevenueColumnAmt
Related Or Exempt Func Income$3,108,338RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$34,759UnrelatedBusinessRevenueAmt
Exclusion$1,022,633ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$92,205TotalAmt
Program Services$92,205ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$484,113TotalAmt
Program Services$484,113ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$33,393TotalAmt
Program Services$33,393ProgramServicesAmt

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$0TotalAmt

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$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,944,191TotalAmt
Program Services$1,932,256ProgramServicesAmt
Management And General$11,935ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,430TotalAmt
Program Services$355ProgramServicesAmt
Management And General$1,075ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$45,802TotalAmt
Program Services$43,661ProgramServicesAmt
Management And General$2,141ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,624TotalAmt
Program Services$2,624ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$176,660TotalAmt
Program Services$176,626ProgramServicesAmt
Management And General$34ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$103,717TotalAmt
Program Services$98,049ProgramServicesAmt
Management And General$5,668ManagementAndGeneralAmt

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$535TotalAmt
Management And General$535ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
TESTS & EXAMINATIONS$14,736$14,736
RESEARCH EXP & SUBJECT FEES$81,534$81,534
EDU MATERIAL & HONORARIUMS$115,789$115,589$200
LAB FEES, EQUIPMENT,& SUPLS$428,756$427,718$1,038

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$346,558TotalAmt
Program Services$247,530ProgramServicesAmt
Management And General$99,028ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,872,043TotalAmt
Program Services$3,750,389ProgramServicesAmt
Management And General$121,654ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$365,277BOYAmt
EOY$213,490EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$620,155BOYAmt
EOY$171,271EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$11,800BOYAmt
EOY$9,800EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,241LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,681LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,160BOYAmt
EOY$1,560EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$21,769,670BOYAmt
EOY$24,052,853EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
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$22,768,062BOYAmt
EOY$24,448,974EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$238,999BOYAmt
EOY$426,939EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,030,924BOYAmt
EOY$876,618EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,269,923BOYAmt
EOY$1,303,557EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,967,711BOYAmt
EOY$14,357,898EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,412,024BOYAmt
EOY$6,669,115EOYAmt

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$21,498,139BOYAmt
EOY$23,145,417EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,768,062BOYAmt
EOY$24,448,974EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$992,865ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,956,535NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,302,122OtherChangesInNetAssetsAmt
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 CommitteeYes (true)AuditCommitteeInd
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$2,896,407CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$798,428CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,168,266CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,259,771CurrentTaxYearMinus1YearAmt
Current Tax Year$699,178CurrentTaxYearAmt
Total$6,822,050TotalAmt

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$2,896,407CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$798,428CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,168,266CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,259,771CurrentTaxYearMinus1YearAmt
Current Tax Year$699,178CurrentTaxYearAmt
Total$6,822,050TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$6,822,050PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$520,396CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$551,891CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,957,819CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,533,451CurrentTaxYearMinus1YearAmt
Current Tax Year$293,945CurrentTaxYearAmt
Total$4,857,502TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$116,558CurrentTaxYearMinus1YearAmt
Current Tax Year$29,250CurrentTaxYearAmt
Total$145,808TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$11,825,360TotalSupportAmt
Gross Receipts Rltd Activities$20,073,254GrossReceiptsRltdActivitiesAmt
Public Support CY1700.57690PublicSupportCY170Pct
Public Support PY1700.74082PublicSupportPY170Pct
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$6,183,134BeginningYearBalanceAmt
Investment Earnings Or Losses$768,976InvestmentEarningsOrLossesAmt
Other Expenditures$293,718OtherExpendituresAmt
End Year Balance$6,658,392EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,864,103BeginningYearBalanceAmt
Investment Earnings Or Losses$546,304InvestmentEarningsOrLossesAmt
Other Expenditures$154,110OtherExpendituresAmt
End Year Balance$5,256,297EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.43860BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.31820PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.24320TermEndowmentBalanceEOYPct
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$6,681DepreciationAmt
Book Value$1,560BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$1,560TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescAGENCY ACCOUNTSDesc
Amt$876,618Amt
FieldValueIRS element (for citing)
Total Liability$876,618TotalLiabilityAmt

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 (Fin 48) footnote was included in the audited financial statements as there were no material uncertain tax positions at or since adoption.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (6 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Europe (Including Iceland and Greenland)Program ServicesConferences & Travel$678
Central America and the CaribbeanProgram ServicesConferences & Travel$1,965
North AmericaProgram ServicesConference & Travel$4,975
East Asia and the PacificProgram ServicesConference & Travel$7,249
South AsiaProgram ServicesConference & Travel$6,000
Sub-Saharan AfricaProgram ServicesConference & Travel$3,127
FieldValueIRS element (for citing)
Subtotal Spent$23,994SubtotalSpentAmt
Total Spent$23,994TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)

RegionRegionTxtPurpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmtManner Of Cash DisbursementMannerOfCashDisbursementTxtValuation Method UsedValuationMethodUsedDesc
Europe (Including Iceland and Greenland)Program Sppt$27,195CheckFMV
Sub-Saharan AfricaProgram Sppt$6,398CheckFMV
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
Community Gallery DBA Ava Gallery
11 Bank StreetLebanonNH03766237394706501(C)(3)$13,750FMVCHAD Arts Prog
Trustees of Dartmouth College
1 Rope Ferry RoadHanoverNH03755020222111501(c)(3)$14,415FMVResearch Sppt
Connecticut Pharmacists Foundation Inc
35 Cold Springs RoadRocky HillCT06067651193552501(C)(3)$60,000FMVPharm Edu
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
Medical Research Grants12$477,639FMV
Patient Care Support15$6,474FMV

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 (5 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
Peter Anderson MD
Board Secretry/Phy End 5/1/14$0$207,066$0$21,293$0$0$0$23,432$0$0$0$251,791$0$0
Jocelyn Chertoff MD MS
Board Chair/Phy End 5/1/14$0$446,679$0$30,558$0$27,255$0$34,185$0$21,546$0$560,223$0$0
Michele Lauria MD
Trustee/Phy$0$379,527$0$14,279$0$13,874$0$28,065$0$12,870$0$448,615$0$0
Richard Powell MD
Vice Chair/Physician$0$365,871$0$67,915$0$35,639$0$39,030$0$17,550$0$526,005$0$0
Jeffrey Cohen MD
Trustee Ex-Officio/Physician$0$308,467$0$74,000$0$13,341$0$2,250$0$21,230$0$419,288$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 $13,388 Richard Powell $32,208 Jeffrey Cohen $13,221
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part VI Governance, Management and DisclosureForm 990, 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.
Part VI Governance, Management and DisclosureForm 990 Section A, Line 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. A copy of the return is emailed to the entire board prior to filing. In addition, the Treasurer of THF Board of Trustees will review prior to filing the return.
Description of Process to Monitor Transactions For Conflicts of InterestForm 990, Part VI Section B Line 12C The Dartmouth 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 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 2012. Compensation rates are determined by following the guidelines of the compensation committee charter and philosophy documents and/or a formal review by compensation committee members.
Part VI Governance, Management and DisclosureForm 990, Section B, 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 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. Form 990, Part IX, Line 11G Other Fees for Services 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 $1,718,896. The remaining $225,295 was paid to other outside entitites related to the Foundation's mission of providing research and education. Form 990, Part XI, Line 9 Reconciliation of Net Assets-Other Changes Net assets released from restriction: ($1,302,122 )
Financial Statements and ReportingFORM 990 Part XII, Question 3a DURING FISCAL YEAR 2014, 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 FOUNDATION.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled 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)
Dartmouth Hitchcock Medical Ctr
One Medical Center DriveLebanonNH03756222715483Supportng OrGNH501(c)(3)11 Type 1NAYes (true)
The New London Hospital Association Inc
273 County RdNew LondonNH03257020222171Health CareNH501(c)(3)3D-H HealthYes (true)
EverWell Inc
One Medical Center DriveLebanonNH03756352505275Supportng OrgNH501(c)(3)11 Type ID-HHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtOwnershipOwnershipPct
OBNet Services LLP
1 Med Ctr DrLebanonNH03756043746287Database ServNHNA
Keene Hlth Alliance
580 Crt StKeeneNH03431300179297HealthcareNHNA
DH Master Invst Prg
1 Med Ctr DrLebanonNH03756020505863InvestmentsNHMHMHExcluded$2,883,183$24,052,852false$1,2590.04084
The Hitchcock Ptshp
1 Med Ctr DrLebanonNH03756020514823Pooled InvstNHNA
One Care VT ACOLLC
111 COLCHESTER AVEBurlingtonVT05401455399218Shared SavingVTNA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1CityForeignAddress/CityProvince Or StateForeignAddress/ProvinceOrStateCountryForeignAddress/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACd
Pompanoosuc Investment Corp
One Medical Center DriveLebanonNH03756020352330Real Est HldgNHNAC CorpYes (true)
Hamden Assurance Co LTD
980121409Liab InsNAC CorpYes (true)44 Church StreetHamiltonHM EXBDBD
Hitchcock Health Connect
1 Medical Ctr DrLebanonNH03756800908979TelehealthDENAC CorpYes (true)
Kearsarge Community Services
273 County RoadNew LondonNH03257020460136Real Est HldgNHC CorpYes (true)N/A
New London Physician Group Inc
273 County RoadNew LondonNH03257020494420Physician GroupNHC CorpYes (true)N/A
New London Medical Center East
273 COunty RoadNew LodnonNH03257020480857Real EST HLDGNHC CorpYes (true)N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
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 (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Mary Hitchcock Memorial Hospital
P$68,890FMV
Mary Hitchcock Memorial Hospital
Q$68,890FMV
Dartmouth Hitchcock Clinic
P$30,950FMV
Dartmouth Hitchcock Clinic
Q$30,950FMV
Dartmouth-Hitchcock Master Investment Program
R$600,000FMV