MARY AND JOHN ELLIOT CHARITABLE FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MARY AND JOHN ELLIOT CHARITABLE FOUNDATION (EIN 02-0512229)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-10
IRS object ID
201801309349300975
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-10T08:50:30-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1650 ELM STREET SUITE 302AddressLine1Txt
CityMANCHESTERCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020512229EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mary and John Elliot CharitableBusinessNameLine1Txt
Business Name Line2FoundationBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMARYBusinessNameControlTxt
Phone6036638977PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11070 Holt Avenue Unit 1 No 2100AddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03109ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJeffrey RooneyPersonNm
Person TitleCFOPersonTitleTxt
Phone6036638977PhoneNum
Signature2018-05-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicholas E PortoPreparerPersonNm
PTINP01310283PTIN
Phone8002447444PhoneNum
Preparation2018-05-03PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDouglas F DeanPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11070 Holt Avenue Unit 1 No 2100AddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03109ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,658,002GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionTo support the immediate and ongoing resource needs of the Elliot Health System.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,959,427PYContributionsGrantsAmt
CY Contributions Grants$1,642,060CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$244,452PYInvestmentIncomeAmt
CY Investment Income$228,334CYInvestmentIncomeAmt
PY Other Revenue$476,597PYOtherRevenueAmt
CY Other Revenue$695,807CYOtherRevenueAmt
PY Total Revenue$2,680,476PYTotalRevenueAmt
CY Total Revenue$2,566,201CYTotalRevenueAmt
PY Grants And Similar Paid$1,631,087PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,428,832CYGrantsAndSimilarPaidAmt
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$560,255PYOtherExpensesAmt
CY Other Expenses$761,196CYOtherExpensesAmt
PY Total Expenses$2,191,342PYTotalExpensesAmt
CY Total Expenses$2,190,028CYTotalExpensesAmt
PY Revenues Less Expenses$489,134PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$376,173CYRevenuesLessExpensesAmt
Total Assets BOY$8,153,844TotalAssetsBOYAmt
Total Assets EOY$8,855,201TotalAssetsEOYAmt
Total Liabilities BOY$411,999TotalLiabilitiesBOYAmt
Total Liabilities EOY$336,872TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,741,845NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,518,329NetAssetsOrFundBalancesEOYAmt
MissionThe Mary and John Elliot Foundation's mission is to support the immediate and ongoing resource needs of the Elliot Health System.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,063,287ExpenseAmt
Grant$1,428,832GrantAmt
Revenue$701,579RevenueAmt
DescSupport of the fundraising activities of The Elliot Hospital of the City of Manchester and its related tax exempt organizations.Desc
Total Program Service Expenses$2,063,287TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Joseph IngoldBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6036638977PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11070 Holt Avenue Unit 1 No 2100AddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03109ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Sidney Baines
Trustee1.000.00Yes (X)$0$0$0
David Bellman
Trustee1.000.00Yes (X)$0$0$0
Cathy Champagne
Trustee1.000.00Yes (X)$0$0$0
Louise Forseze
Trustee1.000.00Yes (X)$0$0$0
Charles Goodwin
Trustee1.000.00Yes (X)$0$0$0
Selma Naccach-Hoff
Trustee1.001.50Yes (X)$0$0$0
Richard Rawlings
Trustee1.000.00Yes (X)$0$0$0
Renee Walsh
Trustee1.000.00Yes (X)$0$0$0
Richard I Winneg
Trustee1.002.00Yes (X)$0$0$0
Charles F Rolecek
Chair1.002.00Yes (X)$0$0$0Yes (X)
John A Hession
Vice Chair1.003.50Yes (X)$0$0$0Yes (X)
James J Tenn Esq
Secretary1.000.00Yes (X)$0$0$0Yes (X)
Douglas F Dean
CEO1.0045.50Yes (X)$0$246,376$46,945Yes (X)
Arnold Gary Mueller
Interim CEO (end 8/16)1.0045.50Yes (X)$0$256,360$0Yes (X)
James L Woodward
CEO (end 7/16)1.0045.50Yes (X)$0$372,236$84,714Yes (X)
Joseph Ingold
CFO1.0044.60$0$368,380$0Yes (X)
Jeffrey Rooney
Interim CFO (end 1/17)1.0044.60$0$682,824$0Yes (X)
Richard A Elwell
Former CFO0.000.00$0$976,002$22,748Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,902,178TotReportableCompRltdOrgAmt
Total Other Compensation$154,407TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Elliot Hospital of the City of ManchesteBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Elliot WayAddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03103ZIPCd
FieldValueIRS element (for citing)
ServicesStaff and OperationsServicesDesc
Compensation$443,756CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$344,747FundraisingAmt
Related Organizations$174,816RelatedOrganizationsAmt
Government Grants$72,105GovernmentGrantsAmt
All Other Contributions$1,050,392AllOtherContributionsAmt
Noncash Contributions$63,887NoncashContributionsAmt
Total Contributions$1,642,060TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$146,288TotalRevenueColumnAmt
Exclusion$146,288ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,114,411SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,032,365SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$82,046SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,046TotalRevenueColumnAmt
Exclusion$82,046ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$53,164FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$344,747ContriRptFundraisingEventAmt
Fundraising Direct Expenses$59,436FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,272TotalRevenueColumnAmt
Exclusion-$6,272ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$500GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$500TotalRevenueColumnAmt
Exclusion$500ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescReimbursed ExpensesDesc
Business561000BusinessCd
Total Revenue Column$701,579TotalRevenueColumnAmt
Related Or Exempt Func Income$701,579RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$701,579OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,566,201TotalRevenueColumnAmt
Related Or Exempt Func Income$701,579RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$222,562ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,428,832TotalAmt
Program Services$1,428,832ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$750TotalAmt
Management And General$750ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$59,385TotalAmt
Management And General$59,385ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$508,577TotalAmt
Program Services$443,756ProgramServicesAmt
Management And General$64,821ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,785TotalAmt
Management And General$1,785ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$176,944TotalAmt
Program Services$176,944ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,579TotalAmt
Program Services$10,579ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,485TotalAmt
Program Services$1,485ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,462TotalAmt
Program Services$1,462ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$229TotalAmt
Program Services$229ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,190,028TotalAmt
Program Services$2,063,287ProgramServicesAmt
Management And General$126,741ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,062,435BOYAmt
EOY$1,005,893EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$36,893BOYAmt
EOY$33,745EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$998EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,496LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,074LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$651BOYAmt
EOY$422EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,470,813BOYAmt
EOY$7,184,214EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$569,449BOYAmt
EOY$603,560EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,603BOYAmt
EOY$26,369EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,153,844BOYAmt
EOY$8,855,201EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,299BOYAmt
EOY$9,671EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$83,700BOYAmt
EOY$87,200EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$320,000BOYAmt
EOY$240,001EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$411,999BOYAmt
EOY$336,872EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,377,937BOYAmt
EOY$6,599,791EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,363,908BOYAmt
EOY$1,918,538EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,741,845BOYAmt
EOY$8,518,329EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,153,844BOYAmt
EOY$8,855,201EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$376,173ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$400,311NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,227,206CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,158,445CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,718,143CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,959,427CurrentTaxYearMinus1YearAmt
Current Tax Year$1,642,060CurrentTaxYearAmt
Total$10,705,281TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,227,206CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,158,445CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,718,143CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,959,427CurrentTaxYearMinus1YearAmt
Current Tax Year$1,642,060CurrentTaxYearAmt
Total$10,705,281TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,117,982SubstantialContributorsTotAmt
Public Support Total170$9,587,299PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$148,561CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$153,440CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$135,908CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$142,262CurrentTaxYearMinus1YearAmt
Current Tax Year$146,288CurrentTaxYearAmt
Total$726,459TotalAmt
FieldValueIRS element (for citing)
Total Support$11,431,740TotalSupportAmt
Gross Receipts Rltd Activities$2,409,661GrossReceiptsRltdActivitiesAmt
Public Support CY1700.83870PublicSupportCY170Pct
Public Support PY1700.81450PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,363,908BeginningYearBalanceAmt
Contributions$527,394ContributionsAmt
Investment Earnings Or Losses$27,236InvestmentEarningsOrLossesAmt
End Year Balance$1,918,538EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$935,396BeginningYearBalanceAmt
Contributions$391,254ContributionsAmt
Investment Earnings Or Losses$37,258InvestmentEarningsOrLossesAmt
End Year Balance$1,363,908EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,078,542BeginningYearBalanceAmt
Contributions$484,442ContributionsAmt
Investment Earnings Or Losses-$109,697InvestmentEarningsOrLossesAmt
Other Expenditures$1,517,891OtherExpendituresAmt
End Year Balance$935,396EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,629,528BeginningYearBalanceAmt
Contributions$349,989ContributionsAmt
Investment Earnings Or Losses$99,025InvestmentEarningsOrLossesAmt
End Year Balance$2,078,542EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,067,605BeginningYearBalanceAmt
Contributions$558,367ContributionsAmt
Investment Earnings Or Losses$3,556InvestmentEarningsOrLossesAmt
End Year Balance$1,629,528EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,496OtherCostOrOtherBasisAmt
Depreciation$10,074DepreciationAmt
Book Value$422BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$422TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescAlternative Investments through Elliot Common Trust FundDesc
Book Value$603,560BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$603,560TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,786,295TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$400,311NetUnrealizedGainsInvstAmt
Revenue Not Reported$400,311RevenueNotReportedAmt
Revenue Subtotal$1,385,984RevenueSubtotalAmt
Investment Expenses Not Incld$59,385InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,120,832OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,180,217RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,566,201TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,009,811TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,009,811ExpensesSubtotalAmt
Investment Expenses Not Incld2$59,385InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$1,120,832OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,180,217ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,190,028TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. Elliot Health System Holdings, Inc. is a holding company and its subsidiaries are for-profit companies subject to federal and state taxation. Income taxes are recorded based upon the asset and liability method. At June 30, 2017, the System has recorded $254,565 of prepaid federal and state income taxes in other current assets and, at June 30, 2016 the System has recorded $117,577 of accrued federal and state income taxes recorded in accounts payable and accrued expenses. The total provision for federal and state current tax expense is recorded in other nonoperating (losses) gains and is $240,258 and $110,936 at June 30, 2017 and 2016, respectively. At June 30, 2017, the System has a deferred tax asset of $3,064,832 which is included in other assets, mainly relating to depreciation differences between book and tax on property, plant and equipment. A valuation allowance that was previously established to offset the deferred tax asset was reversed in 2017, as a history of cumulative taxable income indicating the realizability of the deferred tax asset in future years became probable. As a result of the valuation allowance reversal, the System recognized a deferred tax benefit of $3,064,382 in nonoperating (losses) gains. Elliot Health System Holdings, Inc. believes that it has appropriate support for the income tax positions taken and to be taken on tax returns, and that their accruals for tax liabilities are adequate for all open tax years based on an assessment of many factors including experience and interpretations of tax laws applied to the facts of each matter. Elliot Health System Holdings, Inc. has concluded there are no significant uncertain tax positions requiring disclosure and there is no material liability for unrecognized tax benefits. Elliot Health System Holdings, Inc.'s policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in income tax expense.
Part XI, Line 4b - Other Adjustments:Reclassed Grant Expenses 1,120,832.
Part XII, Line 4b - Other Adjustments:Reclassed Grant Expenses 1,120,832.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedInvestments through Elliot Common Trust FundTypeOfActivitiesConductedTxt
Region Total Expenditures$418,000RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$418,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$418,000TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule F, Part I, Line 3:The legal owner of Mary and John Elliot Charitable Foundation's foreign investments is a related organization, Elliot Common Trust Fund. Since a portion of the total foreign investments are allocated to the Foundation's assets on the financial statements, those allocated investments have been disclosed on Schedule F, Part I, Line 3 of the Foundation's Form 990.
Schedule F, Part IV, Line 3:The Mary and John Elliot Charitable Foundation 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 Mary and John Elliot Charitable Foundation meets the exception for tax-exempt organizations with respect to filing Form 8621. Accordingly, Form 8621 is not required to be filed for the Foundation.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GalaEvent1Nm
Gross Receipts Event1$229,872GrossReceiptsEvent1Amt
Charitable Contri Event1$193,357CharitableContriEvent1Amt
Gross Revenue Event1$36,515GrossRevenueEvent1Amt
Rent Facility Costs Event1$8,254RentFacilityCostsEvent1Amt
Food And Beverage Event1$18,550FoodAndBeverageEvent1Amt
Entertainment Event1$1,850EntertainmentEvent1Amt
Other Direct Expenses Event1$12,833OtherDirectExpensesEvent1Amt
Event2Golf ClassicEvent2Nm
Gross Receipts Event2$168,039GrossReceiptsEvent2Amt
Charitable Contri Event2$151,390CharitableContriEvent2Amt
Gross Revenue Event2$16,649GrossRevenueEvent2Amt
Non Cash Prizes Event2$5,297NonCashPrizesEvent2Amt
Rent Facility Costs Event2$11,304RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$1,348OtherDirectExpensesEvent2Amt
Gross Receipts Total$397,911GrossReceiptsTotalAmt
Charitable Contributions Tot$344,747CharitableContributionsTotAmt
Gross Revenue Total Events$53,164GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$5,297NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$19,558RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$18,550FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,850EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$14,181OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$59,436DirectExpenseSummaryEventsAmt
Net Income Summary-$6,272NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
The Caregivers Inc
19 Harvey RoadBedfordNH03110020395429501(c)(3)$10,000Caring Cupboard Program
Child & Family Services of New Hampshire
464 Chestnut Street Box 448ManchesterNH03105020222164501(c)(3)$40,000Coordination of services to low income senior citizens through the Homecare Program
Easter Seals of New Hampshire
555 Auburn StreetManchesterNH03103020272825501(c)(3)$40,000Develop a Caregiver Coaching Model
The Elliot Hospital of the City of Manchester
1 Elliot WayManchesterNH03101020232673501(c)(3)$912,891Programmatic and capital needs
Elliot Physician Network
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03101020232673501(c)(3)$21,059General Operating Support
Elliot Professional Services Network
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03101331003630501(c)(3)$13,634General Operating Support
Granite State Independent Living
21 Chenell DriveConcordNH03301020350170501(c)(3)$8,000Assist with longterm support for senior citizens to live independently
The Granite YMCA
117 Market StreetManchesterNH03101020222248501(c)(3)$50,000Expand services that improve quality of life for area low income seniors
Granite United Way
22 Concord Street Floor 2ManchesterNH03101026006033501(c)(3)$50,000Increase socialization and independent living opportunities for area seniors
Manchester Community Health Center
145 Hollis StreetManchesterNH03101020458174501(c)(3)$30,000Reduce barriers to care and provide care coordination/management to seniors
The Mental Health Center of Greater Manchester
401 Cypress StreetManchesterNH03103020258994501(c)(3)$25,000Senior Experience Community Resources Awareness Initiative
New Hampshire Association for the Blind
McGreal Sight Center 25 WalkerConcordNH03301020223606501(c)(3)$25,000Address unmet needs of senior citizens with vision loss.Street
New Hampshire Legal Assistance
117 North State StreetConcordNH03301020300897501(c)(3)$10,000Provide free legal services for needy senior citizens
St Joseph Community Services
PO Box 910MerrimackNH03054020335003501(c)(3)$20,000Support restoration of fifth delivery day for Meals on Wheels
VNA of Southern New Hampshire Foundation
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109020222241501(c)(3)$103,392General Operating Support
FieldValueIRS element (for citing)
Total501c3 Org15Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe 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. For allocations of support to related organizations, additional monitoring is not deemed necessary.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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
Douglas F Dean
CEO$0$157,118$0$0$0$89,258$0$33,692$0$13,253$0$293,321$0$70,740
Arnold Gary Mueller
Interim CEO (end 8/16)$0$37,500$0$0$0$218,860$0$0$0$0$0$256,360$0$0
James L Woodward
CEO (end 7/16)$0$355,214$0$0$0$17,022$0$76,040$0$8,674$0$456,950$0$0
Joseph Ingold
CFO$0$325,088$0$0$0$43,292$0$0$0$0$0$368,380$0$0
Jeffrey Rooney
Interim CFO (end 1/17)$0$645,970$0$0$0$36,854$0$0$0$0$0$682,824$0$0
Richard A Elwell
Former CFO$0$281,823$0$68,200$0$625,979$0$16,563$0$6,185$0$998,750$0$607,979

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The 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 CEO.
Part I, Lines 4a-bArnold Gary Muller, an officer of the filing organization who was compensated by a related organization, The Elliot Hospital of the City of Manchester, received a severance payment of $130,000 during calendar year 2016. This amount is reported in Schedule J, Part II, Column B(iii). 2016 contributions to the 457(f) plan of The Elliot Hospital of the City of Manchester, a related organization, during the year were: James Woodward-$70,740; Richard Elwell-$16,563.
Schedule J, Part II:During the year, Mr. Dean and Mr. Elwell withdrew funds from their deferred compensation plans ($70,740 and $607,979, respectively). These amounts are reported as taxable compensation in Part III, Column B(iii). It should be noted that, when appropriate, these amounts were reported, or would have been reported if the individual was required to be reported in Form 990, Part VII, in prior years as deferred compensation in Part II, Column C. Accordingly, these amounts are also reflected in Part II, Column F so as to not overstate compensation in the current year that was earned over a period of years.
Form 990, Part VII-A and Schedule J, Part II:Jeffrey Rooney, who served as Chief Financial Officer until January 2017, and Joseph Ingold, who took over as Chief Financial Officer at that time, were both contracted employees through Martinville Dunn, LLC and Ingold & Associates, LLC, respectively. Both LLCs are unrelated to Mary and John Elliot Charitable Foundation and were paid by The Elliot Hospital of the City of Manchester, a related organization. Compensation in the amount of $645,970 was paid to Martinville, Dunn, LLC by the Hospital for Mr. Rooney's services. The total compensation paid to Mr. Ingold's LLC for his services, both as a CFO and in a non-officer capacity prior to his role as CFO, during 2016 was $325,088. Additionally, Mr. Rooney received a housing allowance in the amount of $36,854 during 2016 from the Hospital and Mr. Ingold received a similar housing allowance in the amount of $43,292 during the calendar year. As the fees paid to each LLC were paid for services to the entire related party system, an accurate breakdown of the fees relative to the filing organization is not readily determinable. In accordance with IRS instructions, these fees have been reported as compensation on Form 990, Part VII-A and Schedule J, Part II and further disclosed in Schedule O for Form 990, Part VI, Line 3. See also Schedule L.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Martinville Dunn LLC
Chief Financial Officer$682,824Jeffrey Rooney, who served as Chief Financial Officer during a portion of the reporting period, was an officer of Martinville Dunn, LLC, an unrelated organization paid by Elliot Hospital for Mr. Rooney's services as CFO to the entire health system. As the fees paid to Martinville Dunn, LLC were paid by the Hospital for Mr. Rooney's services to the entire related party system, an accurate breakdown of this fee relative to the filing organization is not readily determinable. Therefore, the entire payment made to Martinville Dunn, LLC has been disclosed here.0
Ingold & Associates LLC
Chief Financial Officer$386,380Joseph Ingold, who served as Chief Financial Officer during a portion of the reporting period, was an officer of Ingold & Associates, LLC, an unrelated organization paid by Elliot Hospital for Mr. Ingold's services as CFO to the entire health system. As the fees paid to Martinville Dunn, LLC were paid by the Hospital for Mr. Rooney's services to the entire related party system, an accurate breakdown of this fee relative to the filing organization is not readily determinable. Therefore, the entire payment made to Martinville Dunn, LLC has been disclosed here.0

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$8,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Event Prizes and Gifts4$54,387Fair Market Value
Yes (X)Food and Beverages2$1,500Fair Market Value
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 32b:FormAndLineReferenceDesc
ExplanationThe 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3Jeffrey Rooney, who served as Chief Financial Officer until January 2017, and Joseph Ingold, who took over as Chief Financial Officer at that time, were both contracted employees through Martinville Dunn, LLC and Ingold & Associates, LLC, respectively. Both LLCs are unrelated to Mary and John Elliot Charitable Foundation and were paid by The Elliot Hospital of the City of Manchester, a related organization. Compensation in the amount of $645,970 was paid to Martinville, Dunn, LLC by the Hospital for Mr. Rooney's services. The total compensation paid to Mr. Ingold's LLC for his services, both as a CFO and in a non-officer capacity prior to his role as CFO, during 2016 was $325,088. Additionally, Mr. Rooney received a housing allowance in the amount of $36,854 during 2016 from the Hospital and Mr. Ingold received a similar housing allowance in the amount of $43,292 during the calendar year. As the fees paid to each LLC were paid for services to the entire related party system, an accurate breakdown of the fees relative to the filing organization is not readily determinable. In accordance with IRS instructions, these fees have been reported as compensation on Form 990, Part VII-A and Schedule J, Part II and further disclosed in Schedule O for Form 990, Part VI, Line 3. See also Schedule L.
Form 990, Part VI, Section A, line 6Elliot Health System is the sole member of the reporting organization.
Form 990, Part VI, Section A, line 7aElliot 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 50% 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 7bThe 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 11bThe 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 12cOfficers, 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 15The 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 19Each of these documents is filed with the New Hampshire Secretary of State and is available upon request.
Form 990, Part XII, Line 2c:The audit process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Elliot Health System
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109020509911ManagementNH501(c)(3)Line 12b, IIN/A0
Elliot Health System Professional & General LIT
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109016217452Insurance TrustNH501(c)(3)Line 12a, I0Elliot Health System
Elliot Hospital
1 Elliot WayManchesterNH03103020232673Physician ServicesNH501(c)(3)Line 30Elliot Health System
Elliot Physician Network
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109331003630Physician ServicesNH501(c)(3)Line 30Elliot Hospital
Elliot Professional Services Network Inc
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109331003630Physician ServicesNH501(c)(3)Line 100Elliot Hospital
Elliot Hospital Associates
1 Elliot WayManchesterNH031033599026006214AuxilaryNH501(c)(3)Line 12d, III-ON/A0
Everwell Inc
1 Medical Center DriveLebanonNH03756352506275Supporting OrganizationNH501(c)(3)Line 12a, IN/A0
VNA Community Services Inc
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109020396549Nursing ServicesNH501(c)(3)Line 70Elliot Health System
VNA Home Health and Hospice Services Inc
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109020222241Home Care and HospiceNH501(c)(3)Line 100Elliot Health System
VNA of Manchester & Southern NH & Subs
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109020395296VNA Holding CompanyNH501(c)(3)Line 12b, II0Elliot Health System
VNA Personal Services Inc
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109020395295Private Health and Homemaker ServicesNH501(c)(3)Line 100Elliot Health System

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Elliot Common Trust Fund LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Elliot WayAddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03103ZIPCd
FieldValueIRS element (for citing)
EIN203653624EIN
Primary ActivitiesInvestmentsPrimaryActivitiesTxt
Legal Domicile StateNHLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Elliot Health System Holdings & SubsidiariesBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11070 Holt Avenue Unit 1 Suite 2100AddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03109ZIPCd
FieldValueIRS element (for citing)
EIN020512224EIN
Primary ActivitiesManagementPrimaryActivitiesTxt
Legal Domicile StateNHLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part II:FormAndLineReferenceDesc
ExplanationEverwell, Inc. was formed in 2014 as a 501(c)(3) organization. It is a joint venture between Elliot Health System and Dartmouth Hitchcock Health, with each entity having equal representation on the Board of Directors.ExplanationTxt

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