2023-04-14T12:26:43-05:00 2022-06-30 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2021-07-01 020232673 The Elliot Hospital of the City of Manchester ELLI 6036632033 1 Elliot Way Manchester NH 03103 Michael Turilli CFO 6036632033 2023-03-20 1 Michael Turilli 999009999 Connor Smart P02285543 6036262200 2023-03-20 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z William G Baxter 1 Elliot Way Manchester NH 03103 951043379 0 X www.elliothospital.org X 1942 NH Hospital Services 21 15 3692 90 8670588 0 14445481 7074194 544960931 595514472 30109690 26145512 5262785 5971911 594778887 634706089 1070264 1278798 0 0 236084337 220754343 0 0 0 249617512 308469241 486772113 530502382 108006774 104203707 676110969 647940005 388564695 329257759 287546274 318682246 The Elliot Hospital of the City of Manchester, a leader in healthcare, is dedicated to providing its community with excellent services offered with dignity, caring, and respect. 0 0 395551747 0 586855454 Medical services provided to 14,568 inpatients and 578,392 outpatients including free care in the amount of $7,974,629 (at cost) and contributions to community programs. 1278798 1278798 0 Contributions to employee assistance and relief programs, as well as to community organizations including Amoskeag Health (formerly Manchester Community Health Center); City of Manchester, NH; Easter Seals New Hampshire; and Foundation for Healthy Communities in Manchester, New Hampshire. 1516810 0 8068 Community benefits including educational programs, health screenings, health publications and other health information services, and cash and in-kind contributions to community agencies. 398347355 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 205 0 1 3692 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 21 15 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Michael Turilli 6036632033 1 Elliot Way Manchester NH 03103 Elizabeth Sailhamer Soukup MD Trustee (end 1/2022) 2.00 41.00 X 0 650162 46420 Marina Feldman MD Trustee 2.00 41.00 X 0 808463 54310 William G Baxter President & CEO 42.00 8.00 X X 1048277 0 136855 Stephen Loosigian DO Trustee (end 1/2022) 2.00 42.00 X 0 587804 47657 Matt Dayno MD Trustee (end 1/2022) 2.00 41.00 X 0 348211 50148 Sherry Hausmann Pres/CEO, SolutionHealth (end 10/21) 2.00 42.00 X 0 1660268 181051 Linda Kornfeld MD Trustee (end 1/2022) 2.00 44.00 X 0 279848 17659 Carl Fier MD Trustee 2.00 41.00 X 0 878593 45722 Nancy Hursarik MD Trustee 2.00 41.00 X 0 194153 48044 Marjan Makatam-Abrams MD Trustee 2.00 41.00 X 0 267953 38372 Brad Kreick President & CEO, SolutionHealth 2.00 42.00 X X 0 46000 0 Karen Van Der Beken Trustee 1.00 1.00 X 0 0 0 Reverend John A Cerrato Jr Trustee (end 1/2022) 1.00 1.00 X 0 0 0 Susan Critz Trustee 1.00 1.00 X 0 0 0 David Cuzzi Trustee 1.00 3.00 X 0 0 0 Charles Goodwin Trustee 1.00 1.00 X 0 0 0 John A Hession Trustee (end 1/2022) 1.00 2.00 X 0 0 0 Paul W Hoff PhD Trustee 1.00 2.00 X 0 0 0 James C Hood Esq Trustee 1.00 1.00 X 0 0 0 Joseph T Hyatt MD Trustee (end 1/2022) 1.00 1.00 X 0 0 0 Dottie Kelley Trustee 1.00 1.00 X 0 0 0 Peter van der Meer MD Trustee (end 1/2022) 1.00 1.00 X 0 0 0 Heidi Meinz MD Trustee 1.00 1.00 X 0 0 0 Charles F Rolecek Trustee 1.00 2.00 X 0 0 0 Philip Taub Trustee 1.00 1.00 X 0 0 0 Daniel M Monfried Chair/Trustee 1.00 1.00 X X 0 0 0 James J Tenn Jr Esq Vice Chair/Trustee 1.00 4.00 X X 0 0 0 Stephen Langan Treasurer/Trustee 1.00 3.00 X X 0 0 0 John Mercier Treasurer/Trustee 1.00 1.00 X X 0 0 0 Loretta LC Brady PhD Secretary/Trustee 1.00 3.00 X X 0 0 0 Joseph Felkner VP/CFO, SolutionHealth (end 6/22) 2.00 47.00 X 0 730580 36679 Michael Turilli CFO (left 4/2021, returned 6/2022) 42.00 7.00 X 127815 0 8780 Kevin Desrosiers MD Physician 40.00 0.00 X 477874 0 48043 Joseph T Curti Chief Operating Officer 40.00 0.00 X 438194 0 48208 Martha Leighton MD Chief Nursing Officer 40.00 0.00 X 321734 0 24961 L John Klunk Chief Quality Officer 40.00 0.00 X 313553 0 46074 Brian Frechette VP Ambulatory Care Services 40.00 0.00 X 298492 0 50337 3025939 6452035 929320 222 0 1 0 NH Oncology-Hematology PA 11 Kimball Drive Unit 125 Hooksett NH 03106 Physician services 4165970 Amoskeag Anesthesia PLLC 1 Elliot Way Manchester NH 03103 Medical services 1426850 NH Neurospine Institute 4 Hawthorne Drive Bedford NH 03110 Diagnosis and treatment services 521756 Chris Nelson Contracting 767 Western Avenue Henniker NH 03242 Construction services 451851 Orchestrate Healthcare Consulting PO Box 913076 Denver CO 80291 Healthcare IT and consulting 403095 24 2239376 3903224 931594 32159 7074194 Patient services 621110 272896270 272896270 Pharmacy services 623000 157759316 153089850 4669466 Laboratory services 621500 133476053 130790599 2685454 Disproportionate share funding 722511 20824655 20824655 Hospital Aux Services 621990 10558178 9262148 1296030 595514472 3659818 3659818 5971911 0 5971911 5971911 19638 5952273 338817984 5000 316305811 31479 22512173 -26479 22485694 22485694 634706089 586863522 8670588 32097785 X 1278798 1278798 1321727 1148472 173255 179493761 155965319 23528442 7806948 6783596 1023352 20235129 17582663 2652466 11896778 10337322 1559456 88665383 88665383 17300 17300 60682 60682 197601 197601 19793876 18839416 954460 268127 268127 5859106 4181592 1677514 1134236 766651 367585 13972847 10479635 3493212 299185 224389 74796 307644 230733 76911 5960853 4470640 1490213 19243813 14432860 4810953 2688920 2016690 672230 Medical supplies 104611311 104611311 NH MET 26037731 26037731 Provision for bad debts 13079493 13079493 Patient expenses 4706778 4706778 1564355 1173266 391089 530502382 398347355 132155027 0 141091060 114289403 9797387 2974781 333805 129643 38172392 45862484 809087 776689 5625234 6773725 3265683 2493413 528206636 340751610 182109620 187455026 151182603 67199613 92958105 159095934 784521 100 23833 0 49957639 60889194 676110969 647940005 48327649 57631685 10142 4493 236247 310807 165923068 157333036 1441432 843278 172626157 113134460 388564695 329257759 X 270481406 303189019 17064868 15493227 287546274 318682246 676110969 647940005 X 104203707 -51140710 -21927025 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 60682 66003 60682 66003 530441700 705203481 530502382 705269484 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 59067 73421 45574 66003 244065 250000 250000 250000 250000 1000000 1500000 17064868 -1571641 15493227 15212757 50000 1802111 17064868 15039613 28666 144478 15212757 14804968 234645 15039613 14662555 142413 14804968 0.00000 0.90520 0.09480 0 0 4156178 4156178 227248816 109952569 117296247 2149777 2142634 7143 264038256 228656407 35381849 30613609 30613609 187455026 Alternative investments 109722274 F Fixed income securities 49373660 F 159095934 Pension cash surrender value 1261372 Deposits 1880 Employee benefit plans 26723673 Due from affiliates 32902269 60889194 Payable to third party payors 35438760 Accrued interest 1567512 Pension and retirement obligations 59133608 Workers comp reserves & other 3188076 Medicare obligations 7435046 Net due to related organizations 6371458 113134460 X 570720247 -51140710 2074610 -49066100 619786347 223248 14696494 14919742 634706089 517807490 1894523 1894523 515912967 223248 14366167 14589415 530502382 Part V, Line 4: Income from the endowment funds can be used for operating and capital expenditures. Part X, Line 2: Elliot Hospital, EPN and EPS are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code, and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the Hospital's tax positions and concluded the Hospital has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to the financial statements. Part XI, Line 2d - Other Adjustments: Revenue allocated to EHS Prof. and Gen. Liability Insurance Trust 1,446,679. Net periodic pension gain, net of service cost 627,931. Part XI, Line 4b - Other Adjustments: Provision for bad debts 13,079,493. Grants included with revenue in the Audited Financial Statements 1,278,798. State Taxes included with revenue per Audited Financial Statements 7,876. Unrealized loss allocated to EHS Prof. and Gen. Liability Insurance Trust 330,327. Part XII, Line 2d - Other Adjustments: Expenses Allocated to EHS Prof. and Gen. Liability Insurance Trust 1,894,523. Part XII, Line 4b - Other Adjustments: Provision for bad debts 13,079,493. Grants included with revenue in the Audited Financial Statements 1,278,798. State Taxes included with revenue per Audited Financial Statements 7,876. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Investments through Elliot Common Trust Fund 726000 North America - Canada and Mexico, but not the United States 0 0 Investments through Elliot Common Trust Fund 679000 0 0 0 0 0 0 1405000 0 1405000 0 0 1 1 1 0 Part III Accounting Method: Schedule F, Part I, Line 3: The legal owner of Elliot Hospital's foreign investments is a related organization, Elliot Common Trust Fund. Since a portion of the total foreign investments are allocated to the Hospital's assets on the financial statements, those allocated investments have been disclosed on Schedule F, Part I, Line 3 of Elliot Hospital's Form 990. Schedule F, Part IV, Line 3: The Elliot Hospital of the City of Manchester did not have an ownership interest in any foreign corporation that is greater than the 10% filing threshold. Accordingly, IRS Form(s) 5471 is not required to be filed. Schedule F, Part IV, Line 4: The Elliot Hospital of the City of Manchester meets the exception for tax-exempt organizations with respect to filing Form 8621. Accordingly, Form 8621 is not required to be filed for the Hospital. Schedule F, Part IV, Line 5: The Elliot Hospital of the City of Manchester did not have an ownership interest in any foreign partnership that was greater than the 10% Form 8865 filing threshold, nor did the Hospital have claim to $100,000 or more of transfers to any foreign partnership during the year. Accordingly, The Hospital is not required to file any Form 8865 for this filing period. 1 1 1 X 225.000000000000 1 X 1 1 1 0 1 1 24143 7974629 0 7974629 0.01540 76700 99507189 50441432 49065757 0.09480 100843 107481818 50441432 57040386 0.11020 10 12434 644528 8068 636460 0.00120 5 190 276065 276065 0.00050 7 19119323 4746459 14372864 0.02780 1 24875 24875 0.00000 11 1557 1850140 1850140 0.00360 34 14181 21914931 4754527 17160404 0.03310 34 115024 129396749 55195959 74200790 0.14330 2 289 358879 358879 0.00070 2 289 358879 358879 0.00070 0 13079493 0 148999830 191885396 -42885566 X 1 1 1 1 Elliot Hospital of City of Manchester 1 Elliot Way Manchester NH 03103 www.elliothospital.org 0018 X X X X Elliot Hospital of City of Manchester 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X See Part V, Section C X See Part V, Section C X 1 19 1 See Part V, Section C 0 1 X 225.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X 1 X 0 X X X X 1 X 0 0 Elliot Hospital of City of Manchester Part V, Section B, Line 5: The Hospital participated in the preparation and release of the 2022 Greater Manchester Community Health Needs Assessment (CHNA), which was published shortly after the close of the period covered by this tax return. While the 2022 CHNA has since been published, in accordance with IRS Instructions, this Schedule H is listing the 2018 CHNA as the last conducted assessment, as the 2022 CHNA was not published until after this tax year closed.As part of the 2022 Greater Manchester Community Health Needs Assessment (CHNA), qualitative and quantitative data was compiled, with interviews of key community leaders (12) from the greater Manchester Community were conducted. Key leaders represented government, education, health delivery, nonprofit, social service, and police. 204 local residents were also interviewed. A list of those interviews is available in the 2022 CHNA appendix 1 located at:https://www.elliothospital.org/website/downloads/Manchester-Community-Health-Needs-Assessment-2022.pdf Elliot Hospital of City of Manchester Part V, Section B, Line 6a: Catholic Medical Center, Manchester, NH; and Dartmouth Health. Elliot Hospital of City of Manchester Part V, Section B, Line 6b: Manchester Health Department, Manchester, NH; Amoskeag Health; The Mental Health Center of Greater Manchester; and Families in Transition & Neighborhoods. Elliot Hospital of City of Manchester Part V, Section B, Line 11: Elliot Hospital is developing a 3 year implementation strategy to address key social determinants of health impacting the residents of Manchester. These strategies will guide our work around issues of substance use disorder and behavioral health, obesity and physical activity, aging population needs, length of life, and disease prevention, and has been expanded to address reading proficiency in Manchester schools, workforce development, and food insecurity issues in greater Manchester. At the time of preparation for this Schedule H, the Implementation Strategy to coordinate with the 2021 (fiscal year 2022) CHNA has not yet been published. Accordingly, the 2019 Implementation Strategy remains the most recently adopted document. However, it is expected that the fiscal year 2022 Implementation Strategy will be published in early 2023.The Hospital's needs assessments and implementation strategies may be found on the Hospital's website, at:https://www.elliothospital.org/website/about-us-ethics.php Schedule H, Part V, Section B, Line 7a & 7b: The CHNA available at the Hospital facility's website at:https://www.elliothospital.org/website/downloads/Manchester-Report-Final-compressed.pdfAdditionally, it is also available on Catholic Medical Center's website at:https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/AboutUs/GreaterManchesterCommunityNeedsHealthAssessment_1019.pdf Schedule H, Part V, Section B, Line 10: In addition to being posted on Elliot Hospital's own website, the CHNA is available on Catholic Medical Center's website at:https://www.catholicmedicalcenter.org/about-cmc/in-the-community/community-health-needs-assessmentThe Hospital's Implementation Plan is available on the website at: www.elliothospital.org/website/downloads/Community-Health-Needs-Assessment-With-Section-C-11-2019.pdf Schedule H, Part V, Section B, Line 13: Elliot's Financial Assistance Policy is available via Elliot's website (www.elliothospital.org) or free copies are available at hospital locations. Also, Patient Financial Advocates are available to assist in person or via telephone. The policy is for people who are underinsured, uninsured, or do not qualify for governmental assistance (Medicare or Medicaid), or who are otherwise unable to pay for medically necessary care and meet the criteria for financial assistance. Schedule H, Part V, Section B, Line 16a, 16b, & 16c: The Hospital's Financial assistance Policy, Plain Language Summary, and Financial Assistance Application can be accessed on the following page:https://www.elliothospital.org/website/pay-my-bill-charitable-care-policy.phpThe Financial Assistance Plain Language Summary may also be found at:https://www.elliothospital.org/website/downloads/PlainLanguageSummary.pdfThe Summary is also available in French and Spanish through the Hospital's website.The Complete Financial Assistance, Billing, and Collection Policy may also be found at:https://www.elliothospital.org/website/downloads/201904-Financial-Assistance-Policy.pdfLastly, the Financial Assistance Application may also be found at:https://www.elliothospital.org/website/downloads/20151020ApplicationEH-332_11043646.pdf 21 1 - Elliot 1-Day Srgry CenterRivers Edge 185 Queen City Avenue Manchester NH 03101 Ambulatory Surgical Center 2 - Elliot Urgent Care At River's Edge 185 Queen City Avenue Manchester NH 03101 Non-Emergency Walk-In Care Center 3 - Elliot Hospital of Manchester NH 1050 Holt Ave Ste 5 175 Queen City Manchester NH 03109 LRDD Medical Gases/Prescription Devices, Home Care - Durable Medical 4 - Elliot Pharmacy At River's Edge 185 Queen City Avenue Manchester NH 03101 In-State Pharmacy 5 - Elliot Urgent Care Londonderry 40 Buttrick Road Londonderry NH 03053 Non-Emergency Walk-In Care Center 6 - Elliot Urgent Care at Bedford 25 Leavy Drive Bedford NH 03110 Non-Emergency Walk-In Care Center 7 - Elliot Stat LabCollection Station 40 Buttrick Road Londonderry NH 03053 Laboratory 8 - Elliot Pharmacy at Bedford 25 Leavy Drive Bedford NH 03110 In-State Pharmacy 9 - Elliot Coumadin Clinic 40 Buttrick 40 Buttrick Road Londonderry NH 03053 Laboratory 10 - Elliot Coumadin Clinic 138 Webster 138 Webster Street Manchester NH 03104 Laboratory 11 - Elliot Poc LabCollection Station145 145 Hollis Street Manchester NH 03101 Laboratory 12 - Elliot Coumadin Clinic 15 Freetown 15 Freetown Road 8 Raymond NH 03077 Laboratory 13 - Elliot Collection Station 185 Queen 185 Queen City Avenue Manchester NH 03101 Collecting Station 14 - Elliot One Day Srgry Center185 Queen 185 Queen City Avenue Manchester NH 03101 Laboratory 15 - Elliot One Day Surgery Center 185 Queen City Avenue Manchester NH 03101 Practitioner Office 16 - Elliot Collection Station 4 Elliot 4 Elliot Way Manchester NH 03103 Collecting Station 17 - Elliot Collect'n Stat'n190 Tarrytow 275 Mammoth Road Manchester NH 03103 Collecting Station 18 - Elliot Collection Station20 Chambers 20 Chambers Road Hooksett NH 03106 Collecting Station 19 - Elliot Urgent Care Lab185 Queen City 185 Queen City Avenue Manchester NH 03101 Laboratory 20 - Elliot Urgent Care Lab 40 Buttrick 40 Buttrick Road Londonderry NH 03053 Laboratory 21 - Elliot Urgent Care Lab Bedford 25 Leavy Drive Bedford NH 03110 Laboratory Part I, Line 7: Financial assistance and means tested costs used RCC derived from Medicare cost report; other benefits costs derived from actual costs and internal cost accounting system. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 13,079,493. Part II, Community Building Activities: For the fiscal year ending June 30, 2022, Elliot Hospital provided $358,879 in community and program support to local organizations. These organizations included Foundations for Healthy Communities, Amoskeag Health, Valley Street Jail, (medical care for Hillsborough County and State Inmates) Easter Seals NH, ORIS/Fresh Start Farms, Manchester Proud and Families in Transition. Elliot Hospital also provided an additional $1,027,970 in sponsorship/partnership support to community organizations such as Greater Manchester Boys and Girls Club, YWCA NH, American Heart Association and Friends of Aine. Part III, Line 2: Bad debt expense is determined based on analysis of historical activity. Self-pay accounts are given an automatic 57% discount off charges; self-pay accounts that do not make payment are transferred to bad debt. Cost of bad debt is derived from an internal cost accounting system. Part III, Line 3: Self-pay accounts are given an automatic 57% discount off charges; self-pay accounts that do not make payments are transferred to bad debt. Organization is not currently determining bad debt accounts that may have been charitable care. Part III, Line 4: See Footnote 2 of the attached audited financial statements. Part III, Line 8: Allowable costs are determined using CMS methodology utilized in completing cost report; Medicare shortfall from Part III, Line 7 should be included in community benefits as costs are not fully reimbursed. Part III, Line 9b: Collections are not pursued on charity care patients. Collection agencies are supplied information that allows them to identify only those accounts upon which collection efforts should be pursued. Part VI, Line 2: In order to assess the health needs of the community on an ongoing basis, Elliot Health System partners closely with Catholic Medical Center, Dartmouth Health, Amoskeag Health, City of Manchester Public Health Department and other community organizations. As a member of the Manchester Health Advisory Committee, Manchester CoC for Homelessness, Manchester SUD Collaborative, Manchester Food Collaborative, and Elliot Health System works collaboratively with the primary goal of assessing community needs and developing health improvement strategies for the City of Manchester, NH. The work for addressing CHNA priorities is coordinated under the discretion of the City of Manchester Public Health Department. During FY22, we continued care coordination of COVID-19 response for the community in partnership with these key organizations.In addition to the ongoing work completed related to the CHNA and various working groups in Manchester, Elliot also uses CHNA, Healthy People 2030, CHiP and other community data (example, overdose and SUD reports from AMR and SUD Collaborative). Other sources include US Census, Behavioral Risk Factor Survey and NH State agency publications and the Healthcare Advisory Board. Part VI, Line 3: Elliot's Financial Assistance Policy is available via Elliot's website www.elliothospital.org) or free copies are available at hospital locations. Also, Patient Financial Advocates are available to assist in person or via telephone. The policy is for people who are underinsured, uninsured, or do not qualify for governmental assistance (Medicare or Medicaid), or who are otherwise unable to pay for medically necessary care and meet the criteria for financial assistance. Part VI, Line 4: The 2022 Greater Manchester Community Health Needs Assessment focused on the City of Manchester, and the surrounding Greater Manchester Community. Greater Manchester includes both the Greater Manchester Public Health Region (Auburn, Bedford, Candia, Deerfield, Goffstown, Manchester, and New Boston), as well as the Hospital Service Area (Public Health Region Towns plus Londonderry). These eight communities are home to approximately 116,000 residents. The City of Manchester is not only home to over half of the Greater Manchester Community but it is the largest city in the State of New Hampshire. The population of the Greater Manchester Area is aging and becoming a more diverse population, with residents reflecting a variety of nationalities, languages, ethnic traditions, religious beliefs, and ideologies. New Hampshire has the second highest median age in the nation with 19% of the state population over the age of 65. Thirteen percent of the City of Manchester residents (over 14,000) are ages 65 or older. Part VI, Line 5: Elliot Hospital promotes the health of the Greater Manchester community through many ways including the following:- EH offers free health education and support group programs to the community- EH provides financial support to local Federally Qualified Health Centers and other non-profit organizations in the community. Additionally, we provide partnership programs with community organizations like the Wellness On Wheels program which brought over 10 community agencies and non-profits together in underserved neighborhoods.- EH maintains an open medical staff- EH management and staff participate on board of other nonprofits such as Waypoint, Easter Seals NH, and Mental Health Center of Greater Manchester as well as local and state public health committees.- EH continue to be a host partner and location for many community events including National Drug Take Back Day with the Manchester Police Department, DEA and Makin' It Happen and we are one of the largest sites for community blood drives with the American Red Cross which continued during Covid.- EH staff and providers attend community events and partner with local schools and organizations to provide awareness, screening and educational materials. This has continued to be limited due to COVID-19 during the winter and spring but we have attended events in the summer of FY 22 and provided impactful health information.- EH participate in community emergency response preparedness drills. - EH also focuses on our Implementation Strategies, which are developed from the key SoDH from the Community Health Needs Assessment. Part VI, Line 6: EHS is the umbrella organization under which Elliot Hospital (EH), Elliot Physician Network (EPN), Elliot Professional Services (EPS), the Visiting Nurse Association of Manchester and Southern NH (VNA), and the Mary & John Elliot Charitable Foundation operate. Elliot Health System is a health care system that provides care to residents of southern NH serving a regional population of over 250,000 residents, making it one of the largest providers of comprehensive health care services in southern NH. Each of these organizations plays a critical role in the continuum of care EHS delivers to the community thus promoting health. The cornerstone of EHS is Elliot Hospital (EH), a 296-bed acute care facility located at the hospital's main campus. EH and the surrounding campus is home to Elliot Emergency and Trauma services which includes a dedicated pediatric emergency department and the ACS verified Level II Trauma Center, inpatient and outpatient behavioral health services, a Level III Newborn Intensive Care Unit, and the Solinsky Center for Cancer Care at the Elliot. Elliot Hospital also services the community through various ambulatory care centers located throughout the Greater Manchester area including the Towns of Bedford, Londonderry, and Hooksett. In addition, EH offers specialty services at 250,000 square foot ambulatory care center, The Elliot at River's Edge, which houses the Elliot Breast Health Center, Urgent Care, Wound Care, Pain Management, and Surgical Services. In addition, EH offers the community a dedicated senior center also located in the City of Manchester.EHS, through the Elliot Physician Network (EPN) and Elliot Professional Services (EPS), both not for profit physician groups, provide primary care and specialty care to the Greater Manchester area. Combined, EPN and EPS employ over 200 physicians as far north as Hooksett, east to Raymond, and south to Windham. The Elliot Physician Network has 17 primary care practices in the Greater Manchester area. EHS has a robust electronic medical record (EMR) linking all of the system providers with EH allowing the provider immediate access to all medical care that happened within EHS. The EMR is complete with the latest laboratory results, diagnostic images, and other test results that may affect care given in the local provider's office.EH and Affiliates (collectively EHS), work collaboratively and collectively (through the EMR) allowing EHS to serve the health care needs of people in the most efficient manner and has provided a platform for proactive plans for health management.On April 30, 2018 Elliot Health System became part of the new non-profit healthcare organization named SolutionHealth. This new non-profit healthcare entity is the combination of two New Hampshire non-profit health care organizations, Elliot Health System (EHS) and Southern New Hampshire Health System (SNHHS), combining together to protect the future sustainability of accessible, comprehensive, value-based clinical care. SolutionHealth is a regional healthcare system with a governing body with members from both EHS and SNHHS. This new organization services over 400,000 community members, is located in the two largest and most diverse cities in New Hampshire and employs over 700 physicians and advanced practice providers in New Hampshire. Part VI, Line 7, Reports Filed With States NH 1 Amoskeag Health 1415 Elm Street Manchester NH 03101 020458174 501(c)(3) 420000 0 Community benefit grant for health worker services in school districts Easter Seals New Hampshire 555 Auburn Street Manchester NH 03103 020272825 501(c)(3) 48843 0 Support Veterans Count program Foundation for Healthy Communities 125 Airport Road Concord NH 03301 020275078 501(c)(3) 694861 0 Healthcare services and support, and general operations Fresh Start Food Hub 434 Lake Avenue Foor 2 Manchester NH 03103 760826598 501(c)(3) 28000 0 For Boys & Girls Club Farm Share Greater Manchester Chamber of Commerce 54 Hanover Street Manchester NH 03101 020161920 501(c)(6) 9050 0 Influencer Level membership to the Chamber of Commerce QC Bike Collective 80 Clarke Street Manchester NH 03104 474147461 501(c)(3) 20000 0 Earn-a-Bike funding for programs at elementary schools 5 1 Part I, Line 2: Elliot Hospital maintains members on the board of directors for Amoskeag Health (formerly Manchester Community Health Center). Activities of this organization align with the Hospital's mission in the community and with the Hospital's Implementation Plan developed from its most recent CHNA. The grant to Foundation for Healthy Communities helps support the State's reauthorization of NH Medicaid expansion which is important to providing insurance coverage for many of our most vulnerable citizens. The grants to the Easter Seals New Hampshire support programs that provide health and wellness support for some of the region's most vulnerable populations. The grants to the QC Bike Collective and the Fresh Start Food Hub are to encourage and promote healthy lifestyles through school and youth programs. Lastly, the grant to the Greater Manchester Chamber of Commerce is to maintain and promote the development of business and relationships in the Greater Manchester community. X X X X X 1 1 0 0 0 0 0 1 0 Sherry Hausmann Pres/CEO, SolutionHealth (end 10/21) 0 797554 0 0 0 862714 0 149224 0 31827 0 1841319 0 171000 William G Baxter President & CEO 694565 0 331973 0 21739 0 102231 0 34624 0 1185132 0 0 0 Carl Fier MD Trustee 0 875502 0 0 0 3091 0 14500 0 31222 0 924315 0 0 Marina Feldman MD Trustee 0 779564 0 27759 0 1140 0 14500 0 39810 0 862773 0 0 Joseph Felkner VP/CFO, SolutionHealth (end 6/22) 0 575556 0 101999 0 53025 0 14500 0 22179 0 767259 0 0 Elizabeth Sailhamer Soukup MD Trustee (end 1/2022) 0 649022 0 0 0 1140 0 14500 0 31920 0 696582 0 0 Stephen Loosigian DO Trustee (end 1/2022) 0 565647 0 0 0 22157 0 14500 0 33157 0 635461 0 0 Kevin Desrosiers MD Physician 416300 0 60672 0 902 0 14500 0 33543 0 525917 0 0 0 Joseph T Curti Chief Operating Officer 346148 0 71752 0 20294 0 14500 0 33708 0 486402 0 0 0 Matt Dayno MD Trustee (end 1/2022) 0 301506 0 32670 0 14035 0 14500 0 35648 0 398359 0 0 L John Klunk Chief Quality Officer 285160 0 27139 0 1254 0 14112 0 31962 0 359627 0 0 0 Brian Frechette VP Ambulatory Care Services 258845 0 38813 0 834 0 14500 0 35837 0 348829 0 0 0 Martha Leighton MD Chief Nursing Officer 238907 0 82060 0 767 0 13130 0 11831 0 346695 0 0 0 Marjan Makatam-Abrams MD Trustee 0 249127 0 0 0 18826 0 13254 0 25118 0 306325 0 0 Linda Kornfeld MD Trustee (end 1/2022) 0 264249 0 10513 0 5086 0 13280 0 4379 0 297507 0 0 Nancy Hursarik MD Trustee 0 189433 0 3181 0 1539 0 10254 0 37790 0 242197 0 0 Part I, Lines 4a-b Schedule J, Line 4a, Severance Payments: SolutionHealth, a related organization, is the direct controlling entity of Elliot Health Systems, which is in turn the direct controlling entity of the Elliot Hospital of the City of Manchester. Sherry Hausmann served as the CEO of SolutionHealth through October, 2021. In accordance with the terms of Sherry Hausmann's termination of service with SolutionHealth, Sherry Hausmann received $157,500 in severance compensation. These payments are included in Sherry Hausmann's 2021 Form W-2, Box 5 wages, and are reported on this Schedule J, Part II, as Other Compensation, in accordance with IRS Instructions. Schedule J, Line 4b, Supplemental Non-Qualified Retirement Plans: 2021 contributions to William G. Baxter's 457(f) plan and to Sherry Hausmann's 457(f) plan during the year totaled $87,731 and $143,424, respectively. Additionally, Sherry Hausmann received $671,309 of taxable 457(f) distributions during the 2021 Calendar Year. The distributions are included in her Other Compensation figures as reported on this Schedule J, Part II, Column B(iii). $171,000 of these distributions were reported as deferred compensation as prior year Schedules J filed by the Hospital. The System historically maintained a defined benefit pension plan for certain employees, the Elliot Health System Pension Plan (the Plan). Effective July 1, 2006, the Plan was amended to close the Plan to employees hired after June 30, 2006. Eligible employees hired prior to July 1, 2006 are grandfathered under the Plan and will continue to accrue benefits as long as they remain at a participating System entity and in an eligible status. The System's funding policy is to contribute amounts to the Plan sufficient to meet minimum funding requirements set forth in the Employee Retirement Income Security Act of 1974, plus such additional amounts as might be determined to be appropriate from time to time. The Plan is intended to constitute a plan described in Section 414(k) of the Internal Revenue Code, under which benefits derived from employer contributions are based on the separate account balances of participants in addition to the defined benefits under the Plan. In calendar year 2021, no officers or other employees of Elliot Hospital received defined contributions under the now-closed 414(K) plan. Additionally, there were no defined benefit accrual adjustments for any of the Organization's listed individuals for the 2021 calendar year. Part I, Line 7 The Organization has adopted an incentive pay program that provides designated management employees an opportunity to earn a designated percentage of salary based on the achievement of a number of critical Board Designated Goals. These goals are established annually by the management team with final approval by the independent Compensation Committee of the Board of Trustees with assistance from an independent national compensation consulting firm. The incentive award payments under the plan are considered by the compensation consultant and presented to and approved by the Compensation Committee of the Board of Trustees. A NH Health & Education Facilities Authority 020279866 2013-09-30 17021000 Refund outstanding prinicipal of 2003 revenue bonds; finance capital project 0 0 0 B NH Health & Education Facilities Authority 020279866 6446148D4 2016-11-15 147020000 advance refund 2009 bonds; finance capital expenditures; pay issuance costs 0 0 0 C NH Health & Education Facilities Authority 020279866 2019-08-30 20500000 Lease equipment for the purpose of equipping projects 0 0 0 A 2567884 17021000 132029 1 0 1 1 B 5965000 147020000 133100707 1560329 30000000 2018 1 1 1 1 C 1944807 20462431 37569 20500000 115 2020 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 Date Rebate Computation Performed Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 09/30/2020 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 09/30/2020 X 2 32159 Gift Date FMV 0 1 1 Part I, Line 32b: The Organization sells contributions of securities through the investment management group of its financial institution. All gifts of securities are sold as soon as administratively possible. Form 990, Part VI, Section A, line 6 Elliot Health System is the sole member of The Elliot Hospital of the City of Manchester. Form 990, Part VI, Section A, line 7a Elliot Hospital is governed by a Board of Trustees identical in composition to its sole member, Elliot Health System. Form 990, Part VI, Section B, line 11b The completed Form 990 is presented to the full Board prior to filing. Board members can review the draft and bring any questions forward for discussion prior to filing. Form 990, Part VI, Section B, line 12c Officers, directors, and key employees are required to sign a conflict of interest form annually, which reports any potential conflict of interest arrangements with the organization. Form 990, Part VI, Section B, line 15 The Compensation Committee of the Board of Trustees retains independent compensation consultants to evaluate the total compensation of the President and CEO and their executive direct reports. The consultants utilize independent market data reflecting comparable benchmarks from like organizations. Recommendations of the consultant, covering total compensation, are reviewed and approved by the Compensation Committee of the Board of Trustees. The Compensation Committee retains minutes of its meetings. The Compensation Committee is comprised of Board members who are independent and have no conflicts of interest. An independent consulting firm is also retained by the organization to review the compensation of the other officers and key employees. The consultants utilize independent market data reflecting comparable benchmarks from like organizations and this information is presented to the President and CEO for review and approval. Form 990, Part VI, Section C, line 19 Each of these documents is filed with the New Hampshire Secretary of State and is available upon request. Form 990, Part IX, Column D: The Mary and John Elliot Charitable Foundations performs all fundraising activities on behalf of The Elliot Hospital of the City of Manchester. All fundraising expenses are reported on the Foundation's separate Form 990. Form 990, Part XI, line 9: Net periodic pension gain, net of service cost 627,931. Pension liability adjustment 24,370,044. Transfer to affiliates -46,925,000. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Form 990, Parts VIII-XI: The consolidated audited financial statements for The Elliot Hospital of the City of Manchester and subsidiaries report various revenue, expense, asset, and net asset amounts for the Hospital inclusive of a related organization, Elliot Health System Professional & General Liability Trust (EIN: 01-6217452). All revenue, expense, and balance sheet items related to Elliot Health System Professional & General Liability Trust have been extracted from amounts reported for the Hospital on this Form 990 and all accompanying schedules. Elliot Health System Professional & General Liability Trust is a separate legal entity filing its own Form 990, and items related to it have been reported there. Elliot Health System 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020509911 Management NH 501(c)(3) Line 12b, II SolutionHealth 0 Elliot Health System Professional & General LIT 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 016217452 Insurance Trust NH 501(c)(3) Line 12a, I Elliot Hospital 1 Elliot Hospital Associates 1 Elliot Way Manchester NH 031033599 026006214 Auxiliary NH 501(c)(3) Line 12d, III-O N/A 0 Elliot Physician Network 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020509589 Physician Services NH 501(c)(3) Line 3 Elliot Hospital 1 Elliot Professional Services Network 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 331003630 Physician Services NH 501(c)(3) Line 10 Elliot Hospital 1 Foundation Medical Partners Inc 8 Prospect Street Nashua NH 03060 020456218 Physician Services NH 501(c)(3) Line 10 Southern New Hampshire Health System 0 Legacy Trust of Southern New Hampshire Health Inc 8 Prospect Street Nashua NH 03060 844779887 Fundraising NH 501(c)(3) Line 7 Southern New Hampshire Health System 0 Mary and John Elliot Charitable Foundation 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020512229 Fundraising NH 501(c)(3) Line 7 Elliot Health System 0 SolutionHealth 360 Route 101 Unit 8 Manchester NH 03110 830741190 Supporting Organization NH 501(c)(3) Line 12a, I N/A 0 Southern New Hampshire Health System 8 Prospect Street Nashua NH 03060 020509221 Medical Services NH 501(c)(3) Line 12b, II SolutionHealth 0 Southern New Hampshire Medical Center 8 Prospect Street Nashua NH 03060 020483054 Medical Services NH 501(c)(3) Line 3 Southern New Hampshire Health System 0 The Surgery Center of Greater Nashua 10 Prospect Street Nashua NH 03060 461084049 Medical Services NH 501(c)(3) Line 3 Southern New Hampshire Health System 0 VNA Home Health and Hospice Services Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020222241 Home Care and Hospice NH 501(c)(3) Line 10 Elliot Health System 0 VNA of Manchester & Southern NH Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020395296 VNA Holding Company NH 501(c)(3) Line 12b, II Elliot Health System 0 VNA Personal Services Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020395295 Private Health and Homemaker Services NH 501(c)(3) Line 10 Elliot Health System 0 Elliot Common Trust Fund LLC 1 Elliot Way Manchester NH 03103 203653624 Investments NH Elliot Hospital Excluded 11332408 122097329 0 0 0.79010 Elliot Health System Holdings & Subsidiaries 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020512224 Management NH N/A C 0 0 1 1 1 1 0 0 0 0 1 1 0 1 0 1 1 1 1 0 Elliot Professional Services Network Inc D 1525206 Cash Value Elliot Physician Network Inc D 1335233 Cash Value Elliot Professional Services Network Inc J 1652388 Cash Value Elliot Professional Services Network Inc P 10698794 Cash Value Elliot Physician Network Inc P 6886046 Cash Value Elliot Professional Services Network Inc Q 19513912 Cash Value Elliot Physician Network Inc Q 19398145 Cash Value Elliot Professional Services Network Inc R 38340000 Cash Value Elliot Physician Network Inc R 8585000 Cash Value Elliot Common Trust Fund LLC B 798315 Cash Value Elliot Common Trust Fund LLC C 14800 Cash Value Elliot Health System 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020509911 0 0 0 67 67 13 3 0 0 0 VNA of Manchester & Southern New Hampshire Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03101 020395296 0 1963 1963 2009341 2011304 250565 62641 0 0 0 The Elliot Hospital of the City of Manchester 1 Elliot Way Manchester NH 03103 020232673 X 0 60682 60682 530441700 530502382 1000000 250000 0 0 0 Elliot Professional Services Network 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 331003630 0 0 0 108176761 108176761 1000000 250000 0 0 0 Elliot Physician Network 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020509589 0 0 0 43146432 43146432 1000000 250000 0 0 0 Mary and John Elliot Charitable Foundation 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020512229 0 0 0 3843484 3843484 342174 85544 0 0 0 Elliot Health System Professional & General Liability Insurance Trust 1 Elliot Way Manchester NH 03101 016217452 0 0 0 1894524 1894524 244726 61182 0 0 0 VNA Personal Services Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03101 020395295 0 0 0 822497 822497 148375 37094 0 0 0 VNA Home Health & Hospice Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03101 020222241 0 3358 3358 14868675 14872033 893602 223401 0 0 0