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HITCHCOCK FOUNDATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HITCHCOCK FOUNDATION (EIN 02-0222139)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-16
IRS object ID
201911369349301091
Schema version
2017v2.3
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)
Return2019-05-16T18:13:35-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

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
Phone6036530481PhoneNum

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
Phone6036530481PhoneNum
Signature2019-05-01SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address130.189.185.98IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id02156120191345000005FederalOriginalSubmissionId
Federal Original Submission Id2019-05-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdED30FEC3EA8C97295B0D3555F7F04FCCC741E361AtSubmissionCreationDeviceId
At Submission Filing Device Id8754BDCA76DE6AB38AF93E83577F37D68CF10907AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$13,359,400GrossReceiptsAmt
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 Body11VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI-$9,581TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$9,581NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,362,918PYContributionsGrantsAmt
CY Contributions Grants$1,417,468CYContributionsGrantsAmt
PY Program Service Revenue$1,338,302PYProgramServiceRevenueAmt
CY Program Service Revenue$1,550,433CYProgramServiceRevenueAmt
PY Investment Income$1,159,150PYInvestmentIncomeAmt
CY Investment Income$1,464,624CYInvestmentIncomeAmt
PY Other Revenue$3,836PYOtherRevenueAmt
CY Other Revenue$734CYOtherRevenueAmt
PY Total Revenue$3,864,206PYTotalRevenueAmt
CY Total Revenue$4,433,259CYTotalRevenueAmt
PY Grants And Similar Paid$348,028PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$396,023CYGrantsAndSimilarPaidAmt
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$2,647,906PYOtherExpensesAmt
CY Other Expenses$2,523,566CYOtherExpensesAmt
PY Total Expenses$2,995,934PYTotalExpensesAmt
CY Total Expenses$2,919,589CYTotalExpensesAmt
PY Revenues Less Expenses$868,272PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,513,670CYRevenuesLessExpensesAmt
Total Assets BOY$24,876,365TotalAssetsBOYAmt
Total Assets EOY$26,896,903TotalAssetsEOYAmt
Total Liabilities BOY$186,168TotalLiabilitiesBOYAmt
Total Liabilities EOY$220,573TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$24,690,197NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,676,330NetAssetsOrFundBalancesEOYAmt
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$2,776,124ExpenseAmt
Grant$396,023GrantAmt
Revenue$1,550,433RevenueAmt
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$2,776,124TotalProgramServiceExpensesAmt
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 Document34IRPDocumentCnt
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
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
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 (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
E Ann Gormley MD
Trustee/Physician0.340.0Yes (X)$0$497,960$336,136
Robert Maue PhD
Trustee0.30.0Yes (X)$0$0$0
R Brooks Robey MD
Trustee0.30.0Yes (X)$0$0$0
Barry Smith MD
Trustee/Board Secretary0.50.0Yes (X)$0$0$0Yes (X)
Edward Stansfield III MA
Trustee/Board Treasurer0.52.0Yes (X)$0$0$0Yes (X)
Michael Ward MS
Trustee0.30.0Yes (X)$0$0$0
Duane Compton PhD
Trustee Ex-Officio0.32.01Yes (X)$0$0$0
Jeffrey Cohen MD
Trustee Ex-Officio/Physician3.040.0Yes (X)$0$437,776$88,112
William Wickner MD
Trustee0.30.0Yes (X)$0$0$0
Lawrence Dacey MD
Chair/Physician0.51.0Yes (X)$0$74,882$197,191
Philip Goodney MD
Trustee/Physician0.340.0Yes (X)$0$512,774$51,863
Jennifer Reining
Executive Director40.00.0$0$107,123$17,948Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,630,515TotReportableCompRltdOrgAmt
Total Other Compensation$691,250TotalOtherCompensationAmt
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$137,812
Mary Hitchcock Memorial Hospital
One Medical Center DriveLEBANONNH03756Contracted Services$1,116,836
Dartmouth-Hitchcock Clinic
One Medical Center DriveLEBANONNH03756Contracted Services$478,644
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$564,553RelatedOrganizationsAmt
All Other Contributions$852,915AllOtherContributionsAmt
Total Contributions$1,417,468TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSPONSORD RSRCH, PROGRAM RSRCH, & ED RSRCHDesc
Business541700BusinessCd
Total Revenue Column$1,550,433TotalRevenueColumnAmt
Related Or Exempt Func Income$1,550,433RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,550,433TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$344,914TotalRevenueColumnAmt
Unrelated Business Revenue-$9,581UnrelatedBusinessRevenueAmt
Exclusion$354,495ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$734TotalRevenueColumnAmt
Exclusion$734ExclusionAmt

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$10,045,851SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$8,926,141SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,119,710SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,119,710TotalRevenueColumnAmt
Exclusion$1,119,710ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

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$4,433,259TotalRevenueColumnAmt
Related Or Exempt Func Income$1,550,433RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$9,581UnrelatedBusinessRevenueAmt
Exclusion$1,474,939ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$30,000TotalAmt
Program Services$30,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$316,628TotalAmt
Program Services$316,628ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$49,395TotalAmt
Program Services$49,395ProgramServicesAmt

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$42,880TotalAmt
Program Services$42,880ProgramServicesAmt

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$139,107TotalAmt
Management And General$139,107ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,738,764TotalAmt
Program Services$1,738,764ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,426TotalAmt
Program Services$1,891ProgramServicesAmt
Management And General$535ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,001TotalAmt
Program Services$3,001ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$123,331TotalAmt
Program Services$123,331ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$221,409TotalAmt
Program Services$218,571ProgramServicesAmt
Management And General$2,838ManagementAndGeneralAmt

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$187TotalAmt
Management And General$187ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
RESEARCH EXP & SUBJECT FEES$76,867$76,867
EDU MATERIAL & HONORARIUMS$43,953$43,953
LAB FEES, EQUIPMENT, & SUPLS$70,570$70,570
TESTS & EXAMINATIONS$12,212$12,212

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$48,859TotalAmt
Program Services$48,061ProgramServicesAmt
Management And General$798ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,919,589TotalAmt
Program Services$2,776,124ProgramServicesAmt
Management And General$143,465ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$82,861BOYAmt
EOY$196,177EOYAmt

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$328,486BOYAmt
EOY$440,679EOYAmt

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$4,000BOYAmt
EOY$2,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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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$5,153LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,120LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$220BOYAmt
EOY$33EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$24,460,798BOYAmt
EOY$26,258,014EOYAmt

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$24,876,365BOYAmt
EOY$26,896,903EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$141,091BOYAmt
EOY$169,987EOYAmt

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$45,077BOYAmt
EOY$50,586EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$186,168BOYAmt
EOY$220,573EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,879,585BOYAmt
EOY$18,516,947EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,666,399BOYAmt
EOY$6,015,170EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,144,213BOYAmt
EOY$2,144,213EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,690,197BOYAmt
EOY$26,676,330EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,876,365BOYAmt
EOY$26,896,903EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,513,670ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$472,463NetUnrlzdGainsLossesInvstAmt
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$699,178CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,554,538CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,416,161CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,362,918CurrentTaxYearMinus1YearAmt
Current Tax Year$1,417,468CurrentTaxYearAmt
Total$6,450,263TotalAmt

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$699,178CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,554,538CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,416,161CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,362,918CurrentTaxYearMinus1YearAmt
Current Tax Year$1,417,468CurrentTaxYearAmt
Total$6,450,263TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,099,368SubstantialContributorsTotAmt
Public Support Total170$5,350,895PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$293,945CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$283,716CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$292,323CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$309,545CurrentTaxYearMinus1YearAmt
Current Tax Year$355,229CurrentTaxYearAmt
Total$1,534,758TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,250CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,325CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,061CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$5,308CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$54,328TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$8,039,349TotalSupportAmt
Gross Receipts Rltd Activities$5,674,558GrossReceiptsRltdActivitiesAmt
Public Support CY1700.66559PublicSupportCY170Pct
Public Support PY1700.55121PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

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$6,415,167BeginningYearBalanceAmt
Investment Earnings Or Losses$446,684InvestmentEarningsOrLossesAmt
Other Expenditures$28,306OtherExpendituresAmt
End Year Balance$6,833,545EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,967,215BeginningYearBalanceAmt
Investment Earnings Or Losses$633,313InvestmentEarningsOrLossesAmt
Other Expenditures$185,360OtherExpendituresAmt
End Year Balance$6,415,168EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,367,453BeginningYearBalanceAmt
Contributions$6,701ContributionsAmt
Investment Earnings Or Losses-$120,263InvestmentEarningsOrLossesAmt
Other Expenditures$286,676OtherExpendituresAmt
End Year Balance$5,967,215EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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
FieldValueIRS element (for citing)
Board Designated Balance EOY0.44510BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.31380PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.24110TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,153OtherCostOrOtherBasisAmt
Depreciation$5,120DepreciationAmt
Book Value$33BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$33TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescAGENCY ACCOUNTSDesc
Amt$50,586Amt
FieldValueIRS element (for citing)
Total Liability$50,586TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceUse of Endowment FundsFormAndLineReferenceDesc
ExplanationForm 990, Schedule D, Part V, Line 4 The 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. Form 990, 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 (3 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
East Asia and the PacificProgram ServicesProgram Support$2,000
Europe (Including Iceland and Greenland)Program ServicesProgram Support$57,550
Sub-Saharan AfricaProgram ServicesProgram Support$35,825
FieldValueIRS element (for citing)
Subtotal Spent$95,375SubtotalSpentAmt
Total Spent$95,375TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionEurope (Including Iceland and Greenland)RegionTxt
Purpose Of GrantProgram SpptPurposeOfGrantTxt
Cash Grant$49,395CashGrantAmt
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 ReferenceMonitoring use of grant fundsFormAndLineReferenceDesc
ExplanationForm 990, Schedule F, Part I, Line 2 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 Line1Mayo ClinicBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 San Pablo RdAddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32224ZIPCd
FieldValueIRS element (for citing)
Recipient EIN416011702RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$30,000CashGrantAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Purpose Of GrantResearch SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
Medical Research Grants25$292,492FMV
Patient Care Support27$24,136FMV

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. Small 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
E Ann Gormley MD
Trustee/Physician$0$458,643$0$0$0$39,317$0$318,826$0$17,310$0$834,096$0$0
Jeffrey Cohen MD
Trustee Ex-Officio/Physician$0$411,216$0$0$0$26,560$0$65,523$0$22,589$0$525,888$0$0
Lawrence Dacey MD
Chair/Physician$0$73,694$0$0$0$1,188$0$188,237$0$8,954$0$272,073$0$0
Philip Goodney MD
Trustee/Physician$0$490,249$0$0$0$22,525$0$29,459$0$22,404$0$564,637$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Supplemental Nonqualified Retirement PlanForm 990, Schedule J, Part I, Line 4B The following individuals received payments from a supplemental nonqualified retirement plan (see below for terms). Jeffrey Cohen $17,913 Elizabeth Ann Gormley $38,544 Philip Goodney $22,345 Form 990, Schedule J, Part 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.
Note regarding compensationSchedule J, Part II Column B, parts I, II, and III represent actual amounts paid to employees by MHMH or DHC, related entities of THF. These amounts are reported to employees on their annual W-2 forms as compensation. Columns C and D represent items earned, however, not paid directly to the employee as cash payments during the calendar year. Column C includes retirement benefits as well as any changes in pension actuarial value (if applicable) in a calendar year. Column D represents nontaxable benefits such as the cost of healthcare coverage provided by D-H on behalf of its employees.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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 supports the mission of the organizations. As a result, some officers of THF may also be officers of related for-profits entities. Related for-profit entities: Lawrence Dacey- Hamden Assurance Co. Governance & Management Form 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 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 Compliance and Audit Services Department 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 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 curcumstances, 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 PolicyForm 990, Part 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 (DHC) and Mary Hitchcock Memorial Hospital (MHMH). 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 2017. External benchmarking from an independent third party has been used for any Officer who was hired or received a compensation adjustment since the last formal process. Compensation rates are determined by following the guidelines of the compensation committee charter and philosophy documents and a formal review by 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. 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 $1,733,292. The remaining $5,472 was paid to other outside entities 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 2017, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FUNDS FROM FEDERAL AWARDS IN EXCESS OF THE $750,000 THRESHOLD SET FORTH IN THE OMB UNIFORM GUIDANCE, THEREFORE REQUIRING AN AUDIT. DUE TO THE ISSUANCE OF THE CONSOLIDATED FINANCIAL STATEMENTS, THE SINGLE AUDIT WAS PERFORMED ON THE COMBINED FINANCIAL INFORMATION OF ALL ORGANIZATIONS, INCLUDING THE HITCHCOCK FOUNDATION.
FORM 990 PART IX LINE 11GDESCRIPTION:RESEARCH AND MGMT EXPENSES TOTAL FEES:1738764

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 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)10D-HHYes (true)
Hamden Assurance Risk Retention Group
30 Main Street Suite 330BurlingtonVT05401208530788Slf InsuranceVT501(c)(3)12 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)12 TYPE ICMCYes (true)
Mt Ascutney Hosp Cmmty Hlth Found
289 County RoadWindsorVT05089030300481FoundationVT501(c)(3)3WHAYes (true)
Historic Homes of Runnemede
289 County RoadWindsorVT05089237396147HealthcareVT501(c)(3)10WHAYes (true)
Alice Peck Day Memorial Hospital
10 Alice Peck Day DriveLebanonNH03766020222791HospitalNH501(c)(3)3D-HHYes (true)
Cheshire Health Services
580 Court StreetKeeneNH03431473379283HEALTHCARENH501(c)(3)3CMCYes (true)
VNA and Hospice of VT & NH
205 Billings Farm Road 5WilderVT05088036006494HEALTHCAREVT501(c)(3)10D-HHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 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
DH Master Invst Prg
1 Med Ctr DrLebanonNH03756020505863InvestmentsNHMHMHEXCLUDED$1,797,216$26,258,014false-$9,581false0.04068
One Care VT ACOLLC
111 COLCHESTER AVEBurlingtonVT05401455399218Shared SavingVTNA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Pompanoosuc Investment Corp
One Medical Center DriveLebanonNH03756020352330Real Est HldgNHDHCC CorpYes (true)
Hamden Assurance Co LTD
980121409Liab InsDHCC CorpYes (true)3 Gorham RoadHamiltonBD08BD
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)
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)
Imaginecare
One Medical Center DriveLebanonNH03756813105071TelehealthNHD-HHC 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 OrgYes (true)GiftGrntCapContriFromOthOrgInd
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 OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Mary Hitchcock Memorial Hospital
P$1,116,836FMV
Dartmouth Hitchcock Clinic
P$478,644FMV
Dartmouth Hitchcock Clinic
C$169,366FMV
Mary Hitchcock Memorial Hospital
C$395,187FMV