MARY AND JOHN ELLIOT CHARITABLE FOUNDATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MARY AND JOHN ELLIOT CHARITABLE FOUNDATION (EIN 02-0512229)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201611349349300246
- Schema version
- 2014v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T11:03:22-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER NEWMAN & NOYES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 ELM STREET SUITE 302 | AddressLine1Txt |
| City | MANCHESTER | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020512229 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mary and John Elliot Charitable Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARY | BusinessNameControlTxt |
| Phone | 6036638977 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 Holt Avenue Unit 1 Suite 2100 | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03109 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeffrey Rooney | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6036638977 | PhoneNum |
| Signature | 2016-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Timothy R Hepburn | PreparerPersonNm |
| PTIN | P00182393 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2016-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James Woodward | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 Holt Avenue Unit 1 Suite 2100 | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,510,442 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | The Mary and John Elliot Foundation's mission is to support the immediate and ongoing resource needs of the Elliot Health System. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,904,287 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,718,143 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $393,394 | PYInvestmentIncomeAmt |
| CY Investment Income | $340,196 | CYInvestmentIncomeAmt |
| PY Other Revenue | $575,967 | PYOtherRevenueAmt |
| CY Other Revenue | $379,580 | CYOtherRevenueAmt |
| PY Total Revenue | $3,873,648 | PYTotalRevenueAmt |
| CY Total Revenue | $2,437,919 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,612,023 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,174,592 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $376,046 | PYOtherExpensesAmt |
| CY Other Expenses | $477,957 | CYOtherExpensesAmt |
| PY Total Expenses | $2,988,069 | PYTotalExpensesAmt |
| CY Total Expenses | $1,652,549 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $885,579 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $785,370 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,109,282 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,082,709 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $520,927 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $410,737 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,588,355 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,671,972 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,560,165 | ExpenseAmt |
| Grant | $1,174,592 | GrantAmt |
| Revenue | $423,211 | RevenueAmt |
| Desc | Support of the fundraising activities of The Elliot Hospital of the City of Manchester and its related tax exempt organizations. | Desc |
| Total Program Service Expenses | $1,560,165 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jeffrey Rooney | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6036638977 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 Holt Avenue Unit 1 Suite 2100 | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03109 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| Sid Baines | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| David Bellman | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Cathy Champagne | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Charles Goodwin | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| John A Hession CPA | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | 2.00 | |
| Selma Naccach-Hoff | |||||||
| Trustee (until Jan 2014) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Richard Rawlings | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Renee Walsh | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Richard Winneg | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | 2.00 | |
| Ann G Remus | |||||||
| Chair | 1.00 | Yes (X) | $0 | $0 | $0 | 2.00 | Yes (X) |
| Charles F Rolocek | |||||||
| Vice Chair | 1.00 | Yes (X) | $0 | $0 | $0 | 2.00 | Yes (X) |
| James J Tenn Esq | |||||||
| Secretary | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| James Woodward | |||||||
| CEO (beginning 8/1/14) | 1.00 | Yes (X) | $0 | $283,595 | $37,558 | 43.00 | Yes (X) |
| Douglas F Dean | |||||||
| President & CEO (until 8/1/14) | 1.00 | Yes (X) | $0 | $934,341 | $55,063 | 43.00 | Yes (X) |
| Richard Phelps | |||||||
| President & COO (until 6/20/14) | 1.00 | $0 | $1,250,999 | $46,389 | 43.00 | Yes (X) | |
| Richard Elwell | |||||||
| CFO | 1.00 | $0 | $507,499 | $133,327 | 43.00 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,976,434 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $272,337 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $237,388 | FundraisingAmt |
| All Other Contributions | $1,480,755 | AllOtherContributionsAmt |
| Noncash Contributions | $53,760 | NoncashContributionsAmt |
| Total Contributions | $1,718,143 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $135,908 | TotalRevenueColumnAmt |
| Exclusion | $135,908 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $204,288 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $204,288 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $204,288 | TotalRevenueColumnAmt |
| Exclusion | $204,288 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $27,280 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $237,388 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $72,523 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$45,243 | TotalRevenueColumnAmt |
| Exclusion | -$45,243 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $1,612 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,612 | TotalRevenueColumnAmt |
| Exclusion | $1,612 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Reimbursed Expenses | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $423,211 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $423,211 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $423,211 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,437,919 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $423,211 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $296,565 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,174,592 | TotalAmt |
| Program Services | $1,174,592 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,520 | TotalAmt |
| Management And General | $2,520 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,162 | TotalAmt |
| Management And General | $54,162 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,486 | TotalAmt |
| Program Services | $286,784 | ProgramServicesAmt |
| Management And General | $35,702 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,803 | TotalAmt |
| Program Services | $87,803 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,560 | TotalAmt |
| Program Services | $8,560 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $844 | TotalAmt |
| Program Services | $844 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $994 | TotalAmt |
| Program Services | $994 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $588 | TotalAmt |
| Program Services | $588 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,652,549 | TotalAmt |
| Program Services | $1,560,165 | ProgramServicesAmt |
| Management And General | $92,384 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,081,627 | BOYAmt |
| EOY | $1,073,056 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,143 | BOYAmt |
| EOY | $40,188 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,496 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,514 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,570 | BOYAmt |
| EOY | $982 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,349,280 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,964,482 | BOYAmt |
| EOY | $609,888 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,460 | BOYAmt |
| EOY | $9,315 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,109,282 | BOYAmt |
| EOY | $8,082,709 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,927 | BOYAmt |
| EOY | $4,937 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000 | BOYAmt |
| EOY | $5,800 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $480,000 | BOYAmt |
| EOY | $400,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $520,927 | BOYAmt |
| EOY | $410,737 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,509,813 | BOYAmt |
| EOY | $6,736,576 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,078,542 | BOYAmt |
| EOY | $935,396 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,588,355 | BOYAmt |
| EOY | $7,671,972 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,109,282 | BOYAmt |
| EOY | $8,082,709 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $785,370 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$161,808 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,539,945 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $918,380 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,844,041 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,227,206 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,158,445 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,718,143 | CurrentTaxYearAmt |
| Total | $9,866,215 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $918,380 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,844,041 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,227,206 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,158,445 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,718,143 | CurrentTaxYearAmt |
| Total | $9,866,215 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,690,461 | SubstantialContributorsTotAmt |
| Public Support Total170 | $8,175,754 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $135,741 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $139,957 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $148,561 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $153,440 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $135,908 | CurrentTaxYearAmt |
| Total | $713,607 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $10,579,822 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,905,451 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.77280 | PublicSupportCY170Pct |
| Public Support PY170 | 0.92420 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,078,542 | BeginningYearBalanceAmt |
| Contributions | $484,442 | ContributionsAmt |
| Investment Earnings Or Losses | -$109,697 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,517,891 | OtherExpendituresAmt |
| End Year Balance | $935,396 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,629,528 | BeginningYearBalanceAmt |
| Contributions | $349,989 | ContributionsAmt |
| Investment Earnings Or Losses | $99,025 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,078,542 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,067,605 | BeginningYearBalanceAmt |
| Contributions | $558,367 | ContributionsAmt |
| Investment Earnings Or Losses | $3,556 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,629,528 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $775,945 | BeginningYearBalanceAmt |
| Contributions | $282,540 | ContributionsAmt |
| Investment Earnings Or Losses | $9,120 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,067,605 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,337,619 | BeginningYearBalanceAmt |
| Contributions | $190,477 | ContributionsAmt |
| Investment Earnings Or Losses | $18,083 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,770,234 | OtherExpendituresAmt |
| End Year Balance | $775,945 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,496 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,514 | DepreciationAmt |
| Book Value | $982 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $982 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Alternative Investments through Elliot Common Trust Fund | Desc |
| Book Value | $609,888 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $609,888 | TotalBookValueSecuritiesAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,139,055 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$161,810 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$161,810 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,300,865 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $54,162 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $1,082,892 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,137,054 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,437,919 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,055,440 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,539,945 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,539,945 | ExpensesNotReportedAmt |
| Expenses Subtotal | $515,495 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $54,162 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $1,082,892 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,137,054 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,652,549 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. With few exceptions, the System is no longer subject to income tax examination by the U.S. Federal or state tax authorities for years before 2012. 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. 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 (2012 and thereafter) based on an assessment of many factors and 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 1,082,892. |
| Part XII, Line 2d - Other Adjustments: | Transfers to Affiliates 1,539,945. |
| Part XII, Line 4b - Other Adjustments: | Reclassed Grant Expenses 1,082,892. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investments through Elliot Common Trust Fund | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $447,170 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $447,170 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $447,170 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, However, any required IRS Forms 926 nad other foreign reporting obligations are filed by the legal owner, Elliot Common Trust Fund. |
| 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 Hospital. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Gala | Event1Nm |
| Gross Receipts Event1 | $145,788 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $125,913 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $19,875 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $30,118 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,208 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $4,200 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $22,516 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf Classic | Event2Nm |
| Gross Receipts Event2 | $118,880 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $111,475 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $7,405 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $3,938 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $9,721 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $822 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $264,668 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $237,388 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $27,280 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $3,938 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $39,839 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,208 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $4,200 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $23,338 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $72,523 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$45,243 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| The Caregivers Inc | ||||||||
| 19 Harvey Road | Bedford | NH | 03110 | 020395429 | 501(c)(3) | $6,700 | Add 50 additional clients and inaugurate a bi-annual food drive | |
| Child & Family Services of New Hampshire | ||||||||
| 464 Chestnut Street Box 448 | Manchester | NH | 03105 | 020222164 | 501(c)(3) | $25,000 | Care management and in-home support/ services for frail, impoverished senior citizens | |
| Easter Seals of New Hampshire | ||||||||
| 555 Auburn Street | Manchester | NH | 03103 | 020272825 | 501(c)(3) | $25,000 | Enhance quality of in-home care provided for low income seniors with Alzheimer's Disease | |
| The Elliot Hospital of the City of Manchester | ||||||||
| 1 Elliot Way | Manchester | NH | 03103 | 020232673 | 501(c)(3) | $953,819 | Support the programmatic and capital needs of the Hospital | |
| Elliot Professional Services Network | ||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 331003630 | 501(c)(3) | $27,641 | $15,000-develop Memory and Mobility website for caregivers and others; $12,641-general support | |
| New Hampshire Association for the Blind | ||||||||
| McGreal Sight Center 25 Walker | Concord | NH | 03301 | 020223606 | 501(c)(3) | $10,000 | Vision rehabilitation services for blind and visually impaired elderly men and women | Street |
| St Joseph Community Services | ||||||||
| PO Box 910 | Merrimack | NH | 03054 | 020335003 | 501(c)(3) | $10,000 | Assist in the provision of 893 rides to 45 Manchester elderly residents | |
| VNA Home Health & Hospice Services Inc | ||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 020222241 | 501(c)(3) | $43,434 | General Operating Support | |
| VNA of Manchester and Southern NH and Subs | ||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 020395296 | 501(c)(3) | $65,000 | General Operating Support | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James Woodward | ||||||||||||||
| CEO (beginning 8/1/14) | $0 | $251,894 | $0 | $25,000 | $0 | $6,701 | $0 | $32,500 | $0 | $5,058 | $0 | $321,153 | $0 | $0 |
| Douglas F Dean | ||||||||||||||
| President & CEO (until 8/1/14) | $0 | $460,654 | $0 | $216,000 | $0 | $257,687 | $0 | $43,667 | $0 | $11,396 | $0 | $989,404 | $0 | $251,913 |
| Richard Phelps | ||||||||||||||
| President & COO (until 6/20/14) | $0 | $389,700 | $0 | $141,185 | $0 | $720,114 | $0 | $34,500 | $0 | $11,889 | $0 | $1,297,388 | $0 | $720,114 |
| Richard Elwell | ||||||||||||||
| CFO | $0 | $395,794 | $0 | $104,884 | $0 | $6,821 | $0 | $121,931 | $0 | $11,396 | $0 | $640,826 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The CEO's of Mary & John Elliot Charitable Foundation, Doug Dean until August 2014, and James Woodward beginning in August 2014, are 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-b | Richard Phelps, who was employed by a related organization, The Elliot Hospital of the City of Manchester, received a severence payment of $150,382 in 2014. 2014 contributions to the related organization's 457(f) plan were: James Woodward-$32,500; Richard Elwell-$80,049; Richard Phelps-$34,500. |
| Form 990, Part VII-A and Schedule J, Part II: | Douglas Dean served as CEO of Elliot Hospital, a related organization, until August 2014 and was compensated by that organization. After his retirement, he continued to serve on the Board and work with the Hospital and related organizations as a non-officer employee. Of his reported compensation, $76,155 was compensation paid as a non-officer employee. |
| Part II Lines 2 and 3 | During the year Mr. Dean and Mr. Phelps withdrew funds from their deferred compensation plans ($251,913 and $720,114, respectively). These amounts are reported as taxable compensation in Part II, Column B(iii). It should be noted that amounts that were reported in prior years as deferred compensation in Part II, Column C. Accordingly, the prior year deferrals are also reflected in Part II, Column F. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $52,552 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Stock Market Value | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Beverages for Special Event | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,208 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Fair Market Value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 32b: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 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 11 | The completed Form 990 is provided to the full Board for questions, comments, and review 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 XI, line 9: | Transfers to Affiliates -1,539,945. |
| Form 990, Part XII, Line 2c: | The audit process did not change from the prior year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Elliot Health System | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 020509911 | Management | NH | 501(c)(3) | Line 11b, II | 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 11b, II | 0 | Elliot Health System | |
| Elliot Hospital | |||||||||||
| 1 Elliot Way | Manchester | NH | 03103 | 020232673 | Physician Services | NH | 501(c)(3) | Line 3 | 0 | Elliot Health System | |
| Elliot Physician Network | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 331003630 | Physician Services | NH | 501(c)(3) | Line 3 | 0 | Elliot Hospital | |
| Elliot Professional Services Network Inc | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 331003630 | Physician Services | NH | 501(c)(3) | Line 9 | 0 | Elliot Hospital | |
| Everwell Inc | |||||||||||
| 1 Medical Center Drive | Lebanon | NH | 03756 | 352506275 | Supporting Organization | NH | 501(c)(3) | Line 11a, I | 0 | N/A | |
| VNA Community Services Inc | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 020396549 | Nursing Services | NH | 501(c)(3) | Line 9 | 0 | Elliot Health System | |
| 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 9 | 0 | Elliot Health System | |
| 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 11b, II | 0 | Elliot Health System | |
| 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 9 | 0 | Elliot Health System | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Elliot Common Trust Fund LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Elliot Way | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203653624 | EIN |
| Primary Activities | Investments | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Elliot Health System Holdings & Subsidiaries | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 Holt Avenue Unit 1 Suite 2100 | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020512224 | EIN |
| Primary Activities | Management | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II | FormAndLineReferenceDesc |
| Explanation | Everwell, Inc. was formed in 2014 as a 501c(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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