2022-05-13T07:17:05-05:00 2021-06-30 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2020-07-01 020512229 Mary and John Elliot Charitable Foundation MARY 6036638977 1070 Holt Avenue Unit 1 No 2100 Manchester NH 03109 Joseph Felkner Executive VP & CFO 6036638977 2022-05-06 1 Joseph Felkner 999009999 Connor Smart P02285543 6036262200 2022-05-06 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z William G Baxter 1070 Holt Avenue Unit 1 No 2100 Manchester NH 03109 5987622 0 X N/A X 2001 NH To support the immediate and ongoing resource needs of the Elliot Health System. 16 14 0 14 0 0 10782742 1708026 0 0 475820 2051731 804663 794334 12063225 4554091 6235606 1632386 0 0 0 0 32305 47500 47500 817057 848618 7084968 2528504 4978257 2025587 25180391 30153591 69286 40603 25111105 30112988 The Mary and John Elliot Foundation's mission is to support the immediate and ongoing resource needs of the Elliot Health System. 0 0 2363637 1632386 827254 Support of the fundraising activities of The Elliot Hospital of the City of Manchester and its related tax exempt organizations. 2363637 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Joseph Felkner 6036638977 360 Route 101 Unit 8 Bedford NH 03110 William G Baxter President & CEO 1.00 48.00 X X 0 694863 143793 Holly P Mintz MD Trustee 1.00 40.00 X 0 435397 24370 Sidney Baines Trustee 1.00 0.00 X 0 0 0 Cathy Champagne Trustee 1.00 0.00 X 0 0 0 Louise G Forseze Trustee 1.00 0.00 X 0 0 0 Charles S Goodwin Trustee 1.00 0.00 X 0 0 0 Keith Janca Trustee 1.00 0.00 X 0 0 0 Selma Naccach-Hoff Trustee 1.00 3.00 X 0 0 0 Richard Rawlings Trustee 1.00 0.00 X 0 0 0 Charles F Rolecek Trustee 1.00 2.00 X 0 0 0 Adrienne Rupp Trustee 1.00 0.00 X 0 0 0 Kurt W Strandson Trustee 1.00 0.00 X 0 0 0 Renee Walsh Trustee 1.00 0.00 X 0 0 0 James J Tenn Esq Chair 1.00 4.00 X X 0 0 0 Paul Hoff PhD Vice Chair 1.00 2.00 X X 0 0 0 David Bellman Secretary 1.00 0.00 X X 0 0 0 Michael S Turilli CFO (end 4/2021) 1.00 47.00 X 0 461619 23287 Joseph Felkner Executive VP & CFO 1.00 47.00 X 0 206989 4788 0 1798868 196238 0 0 1 0 Elliot Hospital of the City of Mancheste One Elliot Way Manchester NH 03103 Staff and operations 560859 1 174265 221691 1312070 5174 1708026 307277 307277 3109684 1365230 1744454 1744454 1744454 27086 174265 64153 -37067 -37067 8295 4148 4147 4147 Reimbursed expenses 561000 827254 827254 827254 4554091 827254 0 2018811 X 1632386 1632386 3780 3780 47500 47500 111837 111837 560859 560859 1750 1750 135808 135808 31724 31724 114 114 2746 2746 2528504 2363637 117367 47500 1251356 1682491 2327278 1920653 27194 998 10496 10496 0 0 20065458 26409718 1493964 95379 15141 44352 25180391 30153591 33786 11603 35500 29000 69286 40603 X 8897651 13070224 16213454 17042764 25111105 30112988 25180391 30153591 2025587 2976296 0 X X 0 1 X 1 0 X 1642060 5117551 10282698 10782742 1708026 29533077 1642060 5117551 10282698 10782742 1708026 29533077 7676943 21856134 146288 160013 188036 181266 307277 982880 84151 9537 3027 96715 30612672 4481251 0.71400 0.72000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16213454 311185 518125 17042764 11525711 4907277 -219534 16213454 4075399 7432589 17723 11525711 1918538 2219772 -62911 4075399 1363908 527394 27236 1918538 0.00000 0.00000 1.00000 0 0 10496 10496 0 0 X 6397141 2976296 68301 3044597 3352544 111837 1089710 1201547 4554091 1395258 68301 68301 1326957 111837 1089710 1201547 2528504 Part V, Line 4: Endowment funds are used to further the missions of the Elliot Health System's not-for-profit entities. Part X, Line 2: The System and all related entities, with the exception of Elliot Health System Holdings, Inc. and Subsidiaries, 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 System's tax positions and concluded the System 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 consolidated financial statements. Part XI, Line 2d - Other Adjustments: Fundraising and gaming expenses 68,301. Part XI, Line 4b - Other Adjustments: Reclassed grant expenses 929,276. Contributions received that were forwarded to related parties 160,434. Part XII, Line 2d - Other Adjustments: Fundraising and gaming expenses 68,301. Part XII, Line 4b - Other Adjustments: Reclassed grant expenses 929,276. Contributions received that were forwarded to related parties 160,434. X X X X X X 1 Workforce Designs 146 Muchado Hill Alton NH 03809 Grant writing 0 0 47500 0 47500 NH Golf Tournaments 120124 99138 20986 12096 20207 5385 1217 Walks for Hope 43527 40427 3100 17209 1 37700 34700 3000 4020 4019 201351 174265 27086 12096 24227 9404 18426 64153 -37067 1 Amoskeag Health 145 Hollis Street Manchester NH 03101 020458174 501(c)(3) 39335 Care coordination and management to reduce barriers for underinsured elder patients Boys and Girls Club of Greater Manchester 555 Union Street Manchester NH 03104 020226033 501(c)(3) 25000 General support Catholic Charities New Hampshire 100 William Loeb Drive Unit 3 Manchester NH 03109 020222163 501(c)(3) 10000 Grow Manchester area clients served by The Caring Cupboard and The Caring Rides programs Easter Seals of New Hampshire 555 Auburn Street Manchester NH 03103 020272825 501(c)(3) 34924 Establish a support system for caregivers of those with FTD (dementia) Elliot Professional Services Network Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 331003630 501(c)(3) 17700 General Support St Joseph Community Services PO Box 910 Merrimack NH 03054 020335003 501(c)(3) 20000 Provide meals to current and incoming Meals on Wheels clients The Elliot Hospital of the City of Manchester 1 Elliot Way Manchester NH 03101 020232673 501(c)(3) 1115523 Funds to support cancer services and general support VNA Home Health and Hospice Services 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020222241 501(c)(3) 329355 General support Waypoint 464 Chestnut Street Box 448 Manchester NH 03105 020222164 501(c)(3) 30000 Home visits to low income seniors to assess needs, coordinate benefits, develop care plans 9 0 Part I, Line 2: The Foundation's Pearl Manor Advisory Committee meets to review requests for grants, meet leaders of organizations requesting grant funding, and requires updates on the use of funds in many instances, both written and presentation. 0 1 0 0 0 0 0 0 0 William G Baxter President & CEO 0 554339 0 120120 0 20404 0 120305 0 23488 0 838656 0 0 Michael S Turilli CFO (end 4/2021) 0 409938 0 50320 0 1361 0 5700 0 17587 0 484906 0 0 Holly P Mintz MD Trustee 0 382126 0 43803 0 9468 0 5700 0 18670 0 459767 0 0 Joseph Felkner Executive VP & CFO 0 161529 0 25000 0 20460 0 0 0 4788 0 211777 0 0 Part I, Line 3 The President and CEO of Mary and John Elliot Charitable Foundation is compensated by a related organization, The Elliot Hospital of the City of Manchester. The Hospital uses a compensation committee, an independent compensation consultant, Forms 990 of other organizations, compensation studies, and approval by the Board or a compensation committee to establish the compensation for the President and CEO. Part I, Line 4b 2020 contributions to William G. Baxter's 457(f) plan during the year totaled $106,205. 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 2020, 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 2020 calendar year. Form 990, Part VI, Section A, line 6 Elliot Health System is the sole member of the reporting organization. Form 990, Part VI, Section A, line 7a Elliot Health System, the sole member of the reporting organization, has the right to ratify the election of all Board members of the Mary & John Elliot Charitable Foundation. The Foundation's Board of Trustees shall be comprised of not more than half and not less than 1/3 of present or former members of the Elliot Health System Board of Directors. Form 990, Part VI, Section A, line 7b The sole member, Elliot Health System, has the right to the following governance decisions: approval of Mary & John Elliot Charitable Foundation's annual budget; approval of Bylaws and Articles of Organization and amendments of same; approval of strategic plans. 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 annually to sign a conflict of interest form which requires reporting any potential conflict of interest arrangements with the organization. Form 990, Part VI, Section B, line 15 The compensation committee of the Board utilizes outside compensation consultants to evaluate the salaries for the CEO, CFO, and COO. The consultants utilize their internal data along with national and local benchmark data from the industry to develop salary levels. Recommendations of the consultant are reviewed by the compensation committee, who recommends compensation levels to the full Board for approval. An outside consulting firm is also used by the organization to review the compensation of the remainder of the Vice Presidents. Again, national and local benchmarks for salaries are consulted to determine salary levels for these positions. 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, line 11g Related organization shared payroll costs: Program service expenses 560,859. Management and general expenses 0. Fundraising expenses 0. Total expenses 560,859. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. 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 0 Elliot Hospital 1 Elliot Way Manchester NH 03103 020232673 Medical Services NH 501(c)(3) Line 3 Elliot Health System 0 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 0 Elliot Professional Services Network Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 331003630 Physician Services NH 501(c)(3) Line 10 Elliot Hospital 0 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 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 Community Services Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020396549 Nursing Services NH 501(c)(3) Line 7 Elliot 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 & Subs 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 2531719 18717819 0 0 0.13410 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 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0