MARY AND JOHN ELLIOT CHARITABLE FOUNDATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MARY AND JOHN ELLIOT CHARITABLE FOUNDATION (EIN 02-0512229)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201501349349305940
- Schema version
- 2013v4.0
- 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 G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T14:42:06-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 ELM STREET SUITE 302 | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03109 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD ELWELL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6036638977 | PhoneNum |
| Signature | 2015-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM G STEELE JR | PreparerPersonNm |
| PTIN | P00233103 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2015-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD ELWELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 HOLT AVENUE UNIT 1 SUITE 2100 | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03109 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,946,464 | 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 FOUNDATION'S MISSION IS TO SUPPORT THE IMMEDIATE AND ONGOING RESOURCE NEEDS OF THE ELLIOT HEALTH SYSTEM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,728,985 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,904,287 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $328,424 | PYInvestmentIncomeAmt |
| CY Investment Income | $393,394 | CYInvestmentIncomeAmt |
| PY Other Revenue | $587,978 | PYOtherRevenueAmt |
| CY Other Revenue | $575,967 | CYOtherRevenueAmt |
| PY Total Revenue | $2,645,387 | PYTotalRevenueAmt |
| CY Total Revenue | $3,873,648 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,241,795 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,612,023 | 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 | $424,501 | PYOtherExpensesAmt |
| CY Other Expenses | $376,046 | CYOtherExpensesAmt |
| PY Total Expenses | $1,666,296 | PYTotalExpensesAmt |
| CY Total Expenses | $2,988,069 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $979,091 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $885,579 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,552,850 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,109,282 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $576,011 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $520,927 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,976,839 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,588,355 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE 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 | $2,988,069 | ExpenseAmt |
| Grant | $2,612,023 | GrantAmt |
| Revenue | $394,625 | RevenueAmt |
| Desc | SUPPORT OF THE FUNDRAISING ACTIVITIES OF THE ELLIOT HOSPITAL AND ITS RELATED TAX EXEMPT ORGANIZATIONS | Desc |
| Total Program Service Expenses | $2,988,069 | 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 | 0 | 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 | 0 | 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 | 8 | 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 | 0 | QuidProQuoContributionsInd |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | MARC CULLEROT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6036635809 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 HOLT AVENUE UNIT 1 SUITE 2100 | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| JAMES J TENN ESQUIRE | |||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANN G REMUS | |||||||
| VICE CHAIR | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DOUGLAS F DEAN | |||||||
| CHIEF EXECUTIVE OFFICER | 1.00 | 43.00 | Yes (X) | Yes (X) | $0 | $1,123,034 | $49,296 |
| RICHARD I WINNEG | |||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| SID BAINES | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RENEE WALSH | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID BELLMAN | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| CATHY CHAMPAGNE | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| CHARLES GOODWIN | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| CHARLES F ROLECEK | |||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD RAWLINGS | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SELMA NACCACH-HOFF | |||||||
| CHAIR | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RICHARD A ELWELL | |||||||
| CFO | 1.00 | 43.00 | Yes (X) | $0 | $487,314 | $228,846 | |
| RICHARD PHELPS | |||||||
| OFFICER | 1.00 | 43.00 | Yes (X) | $0 | $606,201 | $102,457 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,216,549 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $380,599 | 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 |
| All Other Contributions | $2,904,287 | AllOtherContributionsAmt |
| Total Contributions | $2,904,287 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $153,440 | TotalRevenueColumnAmt |
| Exclusion | $153,440 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $239,954 | 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 | $239,954 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $239,954 | TotalRevenueColumnAmt |
| Exclusion | $239,954 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $254,158 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $72,816 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $181,342 | TotalRevenueColumnAmt |
| Exclusion | $181,342 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MANAGEMENT FEE INCOME | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $394,625 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $394,625 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $394,625 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,873,648 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $394,625 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $574,736 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,612,023 | TotalAmt |
| Program Services | $2,612,023 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,238 | TotalAmt |
| Program Services | $1,238 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,385 | TotalAmt |
| Program Services | $9,385 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,077 | TotalAmt |
| Program Services | $2,077 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $540 | TotalAmt |
| Program Services | $540 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PURCHASED SERVICES | $234,160 | $234,160 |
| TRUST FUND FEES | $52,460 | $52,460 |
| CONSULTING FEES | $46,977 | $46,977 |
| PRINTING/PUBLICATIONS | $9,351 | $9,351 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,858 | TotalAmt |
| Program Services | $19,858 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,988,069 | TotalAmt |
| Program Services | $2,988,069 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $859,156 | BOYAmt |
| EOY | $1,081,627 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,402 | BOYAmt |
| EOY | $37,143 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,496 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,926 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,636 | BOYAmt |
| EOY | $1,570 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,577,807 | BOYAmt |
| EOY | $7,964,482 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,849 | BOYAmt |
| EOY | $24,460 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,552,850 | BOYAmt |
| EOY | $9,109,282 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,811 | BOYAmt |
| EOY | $35,927 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,200 | BOYAmt |
| EOY | $5,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $560,000 | BOYAmt |
| EOY | $480,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $576,011 | BOYAmt |
| EOY | $520,927 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,347,311 | BOYAmt |
| EOY | $6,509,813 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,629,528 | BOYAmt |
| EOY | $2,078,542 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,976,839 | BOYAmt |
| EOY | $8,588,355 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,552,850 | BOYAmt |
| EOY | $9,109,282 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $885,579 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $769,225 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$43,288 | OtherChangesInNetAssetsAmt |
| 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 | $1,184,977 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $918,380 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,844,041 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,227,206 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,158,445 | CurrentTaxYearAmt |
| Total | $9,333,049 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,184,977 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $918,380 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,844,041 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,227,206 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,158,445 | CurrentTaxYearAmt |
| Total | $9,333,049 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $9,333,049 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $188,299 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $135,741 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $139,957 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $148,561 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $153,440 | CurrentTaxYearAmt |
| Total | $765,998 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $10,099,047 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,728,838 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.92420 | PublicSupportCY170Pct |
| Public Support PY170 | 0.89800 | 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 | $1,629,528 | BeginningYearBalanceAmt |
| Contributions | $349,989 | ContributionsAmt |
| Investment Earnings Or Losses | $99,025 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,078,542 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,582,058 | BeginningYearBalanceAmt |
| Contributions | $670,870 | ContributionsAmt |
| Investment Earnings Or Losses | $84,691 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,337,619 | 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 | $8,926 | DepreciationAmt |
| Book Value | $1,570 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,570 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SECURITIES AND OTHER INVESTMENTS | Desc |
| Book Value | $7,964,482 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $7,964,482 | TotalBookValueSecuritiesAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,139,867 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $769,225 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $769,225 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,370,642 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,503,006 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,503,006 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,873,648 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $485,063 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $485,063 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,503,006 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,503,006 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,988,069 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TO FURTHER THE MISSIONS OF THE ELLIOT HEALTH SYSTEM'S NOT-FOR-PROFIT ENTITIES. |
| PART X, LINE 2: | PART X, INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS WAS THE FOLLOWING, "MANAGEMENT HAS EVALUATED THE SYSTEM'S TAX POSITIONS AND CONCLUDED THE SYSTEM HAS MAINTAINED ITS TAX-EXEMPT STATUS, DOES NOT HAVE ANY SIGNIFICANT UNRELATED BUSINESS INCOME AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS." |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | EXPENSE RECLASS 2,503,006. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSE RECLASS 2,503,006. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ELLIOT GOLF CLASSIC | NameOfEvent1Amt |
| Gross Receipts Event1 | $108,370 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $108,370 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $3,963 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $9,693 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $1,119 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | ELLIOT HOSPTL GALA | NameOfEvent2Amt |
| Gross Receipts Event2 | $145,788 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $145,788 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $30,118 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $27,923 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $254,158 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $254,158 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $3,963 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $39,811 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $29,042 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $72,816 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $181,342 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (10 entries)
| Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|
| THE CAREGIVERS INC | |||
| 020395429 | 501(C)(3) | $10,000 | TO SUPPORT A MARKETING INITIATIVE TO RECRUIT NEW VOLUNTEERS |
| EASTER SEALS OF NEW HAMPSHIRE | |||
| 020272825 | 501(C)(3) | $15,000 | TO PROVIDE RESOURCE SHARING, EDUCATION AND SUPPORT FOR CAREGIVERS OF FRAIL SENIOR CITIZENS |
| ELLIOT HOSPITAL | |||
| 020232673 | 501(C)(3) | $1,495,386 | TO SUPPORT THE CAPITAL AND PROGRAM NEEDS OF THE HOSPITAL |
| NEW HAMPSHIRE ASSOCIATION FOR THE BLIND | |||
| 020223606 | 501(C)(3) | $15,000 | TO PROVIDE COMPREHENSIVE VISION REHAB SERVICES FOR BLIND AND VISUALLY IMPAIRED ELDERLY MEN |
| ST JOSEPH COMMUNITY SERVICES | |||
| 020335003 | 501(C)(3) | $10,000 | TO ASSIST IN THE PROVISION OF NO FEWER THAN 7,500 MEALS TO OLDER ADULTS |
| CHILD & FAMILY SERVICES | |||
| 020222164 | 501(C)(3) | $15,000 | TO PROVIDE CARE MGMT AND IN-HOME SUPPORT & SERVICES FOR IMPOVERISHED, FRAIL SENIORS |
| ELLIOT PHYSICIAN NETWORK | |||
| 020509589 | 501(C)(3) | $5,000 | TO SUPPORT THE CAPITAL AND PROGRAM NEEDS OF THE ORGANIZATION |
| ELLIOT PROFESSIONAL SERVICES NETWORK | |||
| 331003630 | 501(C)(3) | $26,709 | TO SUPPORT THE CAPITAL AND PROGRAM NEEDS OF THE ORGANIZATION |
| VNA OF MANCHESTER & SOUTHERN NH | |||
| 020395296 | 501(C)(3) | $401,200 | TO SUPPORT THE CAPITAL AND PROGRAM NEEDS OF THE ORGANIZATION |
| VNA HOME HEALTH & HOSPICE SERVICES INC | |||
| 020222241 | 501(C)(3) | $499,054 | TO SUPPORT THE CAPITAL AND PROGRAM NEEDS OF THE ORGANIZATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE 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. ALSO, MEMBERS OF THE FOUNDATION'S BOARD OF DIRECTORS ARE IN COMMUNICATION WITH THE BOARDS AND MANAGEMENT OF RECIPIENT ORGANIZATIONS DURING THE YEAR. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOUGLAS F DEAN | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $0 | $581,126 | $0 | $184,359 | $0 | $357,549 | $0 | $38,245 | $0 | $11,051 | $0 | $1,172,330 | $0 | $306,534 |
| RICHARD A ELWELL | ||||||||||||||
| CFO | $0 | $349,013 | $0 | $89,820 | $0 | $48,481 | $0 | $217,795 | $0 | $11,051 | $0 | $716,160 | $0 | $0 |
| RICHARD PHELPS | ||||||||||||||
| OFFICER | $0 | $453,482 | $0 | $112,219 | $0 | $40,500 | $0 | $87,122 | $0 | $15,335 | $0 | $708,658 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | RICK PHELPS - $79,472; RICHARD ELWELL - $175,913 |
| PART I, LINE 7 | THE ORGANIZATION HAS ADOPTED AN INCENTIVE PAY PROGRAM THAT PROVIDES DESIGNATED MANAGEMENT EMPLOYEES AN OPPORTUNITY TO EARN A DESIGNATED PERCENTAGE OF SALARY BASED ON THE ACHIEVEMENT BY THE ORGANIZATION OF A NUMBER OF CRITICAL SUCCESS FACTORS. THE CRITICAL SUCCESS FACTORS ARE ESTABLISHED ANNUALLY BY THE INDEPENDENT EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES WITH ASSISTANCE FROM AN INDEPENDENT NATIONAL COMPENSATION CONSULTING COMPANY. THE MAXIMUM POTENTIAL INCENTIVE PAYMENTS UNDER THE PLAN ARE CONSIDERED BY THE COMPENSATION CONSULTANT IN ENSURING THAT MANAGEMENT COMPENSATION IS REASONABLE. |
| PART II | THE SALARIES OF DOUGLAS DEAN, RICK PHELPS, AND RICHARD ELWELL REPRESENT SERVICES PROVIDED TO ALL RELATED ENTITIES. |
| PART II LINE 1 | DURING THE YEAR MR DEAN WITHDREW FUNDS FROM HIS DEFERRED COMPENSATION PLAN ($306,534) AS SUCH THIS AMOUNT IS REPORTED IN COLUMN B(III) AND IN PRIOR YEARS CONTRIBUTIONS TO HIS DEFERRED COMPENSATION PLAN WHICH SUPPORT THE CURRENT DISTRIBUTION WERE REPORTED IN COLUMN C. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE COMPLETED 990 IS PRESENTED TO THE BOARD PRIOR TO FILING. SPECIFIC KEY SECTIONS OF THE 990 ARE SINGLED OUT FOR ADDITIONAL DISCUSSION AND INPUT FROM BOARD MEMBERS. |
| 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 VP'S. AGAIN NATIONAL AND LOCAL BENCHMARKS FOR SALARIES ARE CONSULTED TO DETERMINE SALARY LEVELS FOR THESE VP'S. |
| 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 -43,288. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ELLIOT HEALTH SYSTEM PROFESSIONAL & GENERAL LIABILITY INSURANCE TRUST | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 016217452 | INSURANCE TRUST | NH | 501(C)3 | LINE 11, TYPE II | ELLIOT HOSPITAL | 0 |
| ELLIOT HOSPITAL | ||||||||||
| 1 ELLIOT WAY | MANCHESTER | NH | 03103 | 020232673 | PHYSICIAN SERVICES | NH | 501(C)3 | LINE 3 | ELLIOT HEALTH SYSTEM | 0 |
| ELLIOT PHYSICIAN NETWORK | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 020509589 | PHYSICIAN SERVICES | NH | 501(C)3 | LINE 3 | ELLIOT HOSPITAL | 0 |
| ELLIOT HEALTH SYSTEM | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 020509911 | MANAGEMENT | NH | 501(C)3 | LINE 11, TYPE II | 0 | |
| VNA OF MANCHESTER & SOUTHERN NH & SUBS | ||||||||||
| 33 SOUTH COMMERCIAL STREET SUITE 40 | MANCHESTER | NH | 03101 | 020395296 | VNA HOLDING COMPANY | NH | 501(C)3 | LINE 7 | ELLIOT HEALTH SYSTEM | 0 |
| ELLIOT PROFESSIONAL SERVICES NETWORK | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 331003630 | PHYSICIAN SERVICES | NH | 501(C)3 | LINE 7 | ELLIOT HOSPITAL | 0 |
| VNA HOME HEALTH & HOSPICE SERVICES INC | ||||||||||
| 33 SOUTH COMMERCIAL STREET SUITE 40 | MANCHESTER | NH | 03101 | 020222241 | HOME CARE & HOSPICE SERVICES | NH | 501(C)3 | LINE 11, TYPE II | ELLIOT HEALTH SYSTEM | 0 |
| VNA COMMUNITY SERVICES INC | ||||||||||
| 33 SOUTH COMMERCIAL STREET SUITE 40 | MANCHESTER | NH | 03101 | 020396549 | NURSING SERVICES | NH | 501(C)3 | LINE 11, TYPE II | ELLIOT HEALTH SYSTEM | 0 |
| VNA PERSONAL SERVICES INC | ||||||||||
| 33 SOUTH COMMERCIAL STREET SUITE 40 | MANCHESTER | NH | 03101 | 020395295 | PRIVATE HEALTH & HOMEMAKER SERVICES | NH | 501(C)3 | LINE 11, TYPE II | ELLIOT HEALTH SYSTEM | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIOT COMMON TRUST FUND LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 ELLIOT WAY | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203653624 | EIN |
| Primary Activities | INVESTMENTS | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | 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 |
Comments