ELLIOT HOSPITAL OF THE CITY OF MANCHESTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ELLIOT HOSPITAL OF THE CITY OF MANCHESTER (EIN 02-0232673)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201531349349305593
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
- Affiliated Group Schedule
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 | 020232673 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ELLIOT HOSPITAL OF THE CITY OF MANCHESTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ELLI | BusinessNameControlTxt |
| Phone | 6036632033 | PhoneNum |
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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD ELWELL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6036632033 | 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 | DOUGLAS DEAN | PrincipalOfficerNm |
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) |
|---|---|---|
| Gross Receipts | $400,655,790 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | ELLIOT-HS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1942 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | HOSPITAL SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 3355 | TotalEmployeeCnt |
| Total Volunteers | 410 | TotalVolunteersCnt |
| Total Gross UBI | $4,214,701 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$236,087 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,241,795 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,495,386 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $367,118,203 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $370,619,166 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,892,829 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,909,059 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,836,211 | PYOtherRevenueAmt |
| CY Other Revenue | $24,632,179 | CYOtherRevenueAmt |
| PY Total Revenue | $388,089,038 | PYTotalRevenueAmt |
| CY Total Revenue | $400,655,790 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $515,623 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $348,005 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $174,301,641 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $179,041,231 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $212,102,353 | PYOtherExpensesAmt |
| CY Other Expenses | $208,105,273 | CYOtherExpensesAmt |
| PY Total Expenses | $386,919,617 | PYTotalExpensesAmt |
| CY Total Expenses | $387,494,509 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,169,421 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,161,281 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $364,558,416 | TotalAssetsBOYAmt |
| Total Assets EOY | $386,720,826 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $257,877,350 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $261,493,814 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $106,681,066 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $125,227,012 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ELLIOT HOSPITAL OF THE CITY OF MANCHESTER, A LEADER IN HEALTHCARE, IS DEDICATED TO PROVIDING IT'S COMMUNITY WITH EXCELLENT SERVICES OFFERED WITH DIGNITY, CARING, AND RESPECT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $296,663,421 | ExpenseAmt |
| Grant | $348,005 | GrantAmt |
| Revenue | $382,533,644 | RevenueAmt |
| Desc | MEDICAL SERVICES PROVIDED TO 14,428 IN-PATIENTS AND 508,833 OUT-PATIENTS INCLUDING FREE CARE IN THE AMOUNT OF $11,321,496 (AT COST) AND CONTRIBUTIONS TO COMMUNITY PROGRAMS | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $510,171 | ExpenseAmt |
| Desc | CONTRIBUTIONS TO MANCHESTER COMMUNITY HEALTH CENTER AND I IMAGINE | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $652,502 | ExpenseAmt |
| Desc | COMMUNITY BENEFITS INCLUDING EDUCATIONAL PROGRAMS, HEALTH SCREENINGS, HEALTH PUBLICATIONS AND OTHER HEALTH INFORMATION SERVICES | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $297,826,094 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 263 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3355 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | 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 | 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 | 6036632033 | 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| DOUGLAS F DEAN | |||||||||
| PRESIDENT & CEO | 40.00 | 4.00 | Yes (X) | Yes (X) | $1,123,034 | $0 | $49,296 | ||
| R SCOTT BACON | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES C HOOD ESQ | |||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANN REMUS | |||||||||
| SECRETARY | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LOUISE FORSEZE | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LAWRENCE M HOEPP MD | |||||||||
| TRUSTEE | 1.00 | 41.00 | Yes (X) | $0 | $916,820 | $20,254 | |||
| HOWARD BRODSKY | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL M MONFRIED | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| REVEREND JOHN A CERRATO JR | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DIANNE M MERCIER | |||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID R A STEADMAN | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ANITA RITENOUR MD | |||||||||
| ASST VP MEDICAL AFFAIRS | 40.00 | 1.00 | Yes (X) | $312,225 | $0 | $34,861 | |||
| JAMES F FITZGERALD MD | |||||||||
| TRUSTEE | 1.00 | 43.00 | Yes (X) | $0 | $187,312 | $23,877 | |||
| RICHARD L WINNEG | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA A RAND | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| GUS EMMICK MD | |||||||||
| TRUSTEE | 1.00 | 43.00 | Yes (X) | $0 | $320,276 | $26,378 | |||
| CHARLES ROLECEK | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN A HESSION | |||||||||
| TREASURER | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN F WEEKS | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER S CALHOUN MD | |||||||||
| TRUSTEE | 1.00 | 41.00 | Yes (X) | $0 | $148,094 | $27,155 | |||
| PAUL W HOFF PHD | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH R LACHANCE JR | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY SARGENT | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBER M LAVERY MD | |||||||||
| TRUSTEE THRU JAN 2014 | 1.00 | 1.00 | Yes (X) | $0 | $574,058 | $19,925 | |||
| SELMA NACCAH-HOFF | |||||||||
| TRUSTEE THRU JAN 2014 | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| RICK PHELPS | |||||||||
| COO | 40.00 | 4.00 | Yes (X) | $606,201 | $0 | $102,457 | |||
| RICHARD ELWELL | |||||||||
| CFO | 40.00 | 4.00 | Yes (X) | $487,314 | $0 | $228,846 | |||
| JOHN FRIBERG | |||||||||
| SENIOR VP, GENERAL COUNSEL | 40.00 | $361,684 | $0 | $55,413 | Yes (X) | ||||
| ALEXANDER W PETRON | |||||||||
| CHIEF MEDICAL INFO OFFICER | 40.00 | $349,160 | $0 | $24,649 | Yes (X) | ||||
| WILLIAM BAXTER | |||||||||
| SENIOR VP MEDICAL AFFFAIRS | 40.00 | 2.00 | $374,021 | $0 | $59,878 | Yes (X) | |||
| KEVIN B COUGHLIN | |||||||||
| SENIOR VP PHYSICIAN SERVICES | 40.00 | 0.00 | $352,696 | $0 | $23,972 | Yes (X) | |||
| JUERGEN H BLUDEAU | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $285,581 | $0 | $4,620 | Yes (X) | |||
| RACHEL D VERVILLE | |||||||||
| VP OF REVENUE CYCLE | 40.00 | 0.00 | $264,715 | $0 | $18,840 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,516,631 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,146,560 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $720,421 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 137 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRICE WATERHOUSE COOPERS LLP | |||||
| PO BOX 7247-8001 | PHILADELPHIA | PA | 19170 | PROFESSIONAL SERVICES | $1,723,937 |
| ARUP LABORATORIES | |||||
| 500 CHIPETA WAY | SALT LAKE CITY | UT | 84108 | LAB SERVICES | $1,540,282 |
| NH NEUROSPINE INSTITUTE | |||||
| 4 HAWTHORNE DR | BEDFORD | NH | 03110 | NEUROSURGERY LOCUMS COVERAGE | $597,500 |
| ROPES & GRAY | |||||
| PO BOX 414265 | BOSTON | MA | 02241 | LEGAL CONSULTING | $494,400 |
| CHAMBERLIN EDMONDS | |||||
| 3535 PIEDMONT ROAD SUITE 800 | ATLANTA | GA | 30305 | SELF PAY PATIENT BILLING PROVIDER | $356,057 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,495,386 | RelatedOrganizationsAmt |
| Total Contributions | $1,495,386 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROG.SERV.REVENUE-RELATED-990 | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $370,619,166 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $370,619,166 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $370,619,166 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,992,370 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$83,609 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,075,979 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,359,287 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,359,287 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,359,287 | TotalRevenueColumnAmt |
| Exclusion | $2,359,287 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,916,689 | 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 | $1,916,689 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,916,689 | TotalRevenueColumnAmt |
| Exclusion | $1,916,689 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| MISCELLANEOUS OTHER | 900099 | $13,031,115 | $13,031,115 | ||
| LABORATORY SERVICES | 621500 | $3,903,429 | $3,903,429 | ||
| PHARMACY | 446110 | $3,305,256 | $306,331 | $2,998,925 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,033,092 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $88,550 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,944,542 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $22,272,892 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $400,655,790 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $383,650,281 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,214,701 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,295,422 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,205 | TotalAmt |
| Program Services | $346,205 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,800 | TotalAmt |
| Program Services | $1,800 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,667,863 | TotalAmt |
| Management And General | $3,667,863 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,408,776 | TotalAmt |
| Program Services | $101,556,582 | ProgramServicesAmt |
| Management And General | $33,852,194 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,329,523 | TotalAmt |
| Program Services | $9,247,142 | ProgramServicesAmt |
| Management And General | $3,082,381 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,589,740 | TotalAmt |
| Program Services | $13,192,305 | ProgramServicesAmt |
| Management And General | $4,397,435 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,045,329 | TotalAmt |
| Program Services | $7,533,997 | ProgramServicesAmt |
| Management And General | $2,511,332 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $849,015 | TotalAmt |
| Management And General | $849,015 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,000 | TotalAmt |
| Management And General | $131,000 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,121,690 | TotalAmt |
| Management And General | $2,121,690 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,742,567 | TotalAmt |
| Program Services | $4,306,925 | ProgramServicesAmt |
| Management And General | $1,435,642 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,903 | TotalAmt |
| Program Services | $100,427 | ProgramServicesAmt |
| Management And General | $33,476 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,750 | TotalAmt |
| Program Services | $353,813 | ProgramServicesAmt |
| Management And General | $117,937 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,719,939 | TotalAmt |
| Program Services | $6,539,954 | ProgramServicesAmt |
| Management And General | $2,179,985 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,811,712 | TotalAmt |
| Program Services | $21,811,712 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,091,443 | TotalAmt |
| Program Services | $10,568,582 | ProgramServicesAmt |
| Management And General | $3,522,861 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,364,099 | TotalAmt |
| Program Services | $4,773,074 | ProgramServicesAmt |
| Management And General | $1,591,025 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $26,228,813 | $26,228,813 | |
| PROVISION FOR BAD DEBTS | $23,878,308 | $23,878,308 | |
| MEDICAID ENHANCEMENT TA | $17,095,883 | $17,095,883 | |
| DRUGS & PHARMACEUTICUL | $16,428,295 | $16,428,295 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,036,856 | TotalAmt |
| Program Services | $50,958,160 | ProgramServicesAmt |
| Management And General | $13,078,696 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $387,494,509 | TotalAmt |
| Program Services | $297,826,094 | ProgramServicesAmt |
| Management And General | $89,668,415 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,662,626 | BOYAmt |
| EOY | $36,827,783 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,188,637 | BOYAmt |
| EOY | $6,243,747 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,411,820 | BOYAmt |
| EOY | $40,888,876 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,405,426 | BOYAmt |
| EOY | $2,429,569 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,028,986 | BOYAmt |
| EOY | $3,823,713 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $365,415,895 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $208,245,036 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,910,123 | BOYAmt |
| EOY | $157,170,859 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,938,667 | BOYAmt |
| EOY | $108,916,522 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,012,131 | BOYAmt |
| EOY | $30,419,757 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,558,416 | BOYAmt |
| EOY | $386,720,826 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,268,898 | BOYAmt |
| EOY | $35,823,111 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,115,157 | BOYAmt |
| EOY | $143,285,006 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,493,295 | BOYAmt |
| EOY | $82,385,697 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $257,877,350 | BOYAmt |
| EOY | $261,493,814 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,614,711 | BOYAmt |
| EOY | $109,801,334 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,801,521 | BOYAmt |
| EOY | $2,444,027 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,264,834 | BOYAmt |
| EOY | $12,981,651 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,681,066 | BOYAmt |
| EOY | $125,227,012 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,558,416 | BOYAmt |
| EOY | $386,720,826 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $13,161,281 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,159,649 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,774,983 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
Total Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $9,572 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $9,572 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $9,572 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $9,572 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $300,572,828 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $414,234,899 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $300,582,400 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $414,244,471 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $344,636 | CurrentYearMinus3Amt |
| Current Year Minus2 | $188,723 | CurrentYearMinus2Amt |
| Current Year Minus1 | $156,539 | CurrentYearMinus1Amt |
| Current Year | $9,572 | CurrentYearAmt |
| Total | $699,470 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $33,158 | CurrentYearMinus3Amt |
| Total | $33,158 | TotalAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,066,355 | BeginningYearBalanceAmt |
| Contributions | $360,570 | ContributionsAmt |
| Investment Earnings Or Losses | $998,752 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $15,425,677 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,591,808 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $474,547 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $14,066,355 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,860,491 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$268,683 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $13,591,808 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,771,028 | BeginningYearBalanceAmt |
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,039,463 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $13,860,491 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,420,985 | BeginningYearBalanceAmt |
| Contributions | $174,500 | ContributionsAmt |
| Investment Earnings Or Losses | $175,543 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $12,771,028 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.15840 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.84160 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,681,464 | OtherCostOrOtherBasisAmt |
| Book Value | $6,681,464 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $170,730,567 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,782,192 | DepreciationAmt |
| Book Value | $111,948,375 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,236,186 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,910,887 | DepreciationAmt |
| Book Value | $2,325,299 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $174,463,095 | OtherCostOrOtherBasisAmt |
| Depreciation | $143,547,518 | DepreciationAmt |
| Book Value | $30,915,577 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,304,583 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,004,439 | DepreciationAmt |
| Book Value | $5,300,144 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $157,170,859 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BOARD DESIGNATED & DONOR RESTRICTED | Desc |
| Book Value | $108,916,522 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $108,916,522 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| FUNDS HELD BY TRUSTEE | $2,621,420 |
| UNAMORTIZED BOND ISSUANCE COSTS | $1,795,804 |
| PENSION CASH SURRENDER VALUE | $1,157,661 |
| DEPOSITS | $10,580,943 |
| OTHER RECEIVABLES | $11,771,256 |
| DUE FROM AFFILIATES | $2,492,673 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $30,419,757 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| PAYABLE TO THIRD PARTY PAYORS | $6,155,949 |
| INTEREST PAYABLE | $1,941,486 |
| ACCRUED PENSION & OTHER | $48,835,575 |
| SELF-INSURANCE RESERVES & OTHER | $23,131,185 |
| CURRENT PORTION OF LONG-TERM DEBT | $2,321,502 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $82,385,697 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $408,227,121 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $8,159,649 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $8,159,649 | RevenueNotReportedAmt |
| Revenue Subtotal | $400,067,472 | RevenueSubtotalAmt |
| Other Revenues Not Included | $588,318 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $588,318 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $400,655,790 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $365,094,480 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $365,094,480 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $22,400,030 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $22,400,030 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $387,494,510 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | INCOME OF THE FUNDS HAS BEEN USED FOR OPERATING AND CAPITAL EXPENDITURES |
| PART X, LINE 2: | PART X, INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS WAS THE FOLLOWING, "MANAGEMENT EVALUATED THE HOSPITAL'S TAX POSITIONS AND CONCLUDED THE HOSPITAL HAS MAINTAINED ITS TAX-EXEMPT STATUS, DOES NOT HAVE ANY SIGNIFICANT UNRELATED BUSINESS INCOME AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS." |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | EXPENSE RECLASS 588,318. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSE RECLASS 588,318. PAYMENTS TO AFFILIATES 21,811,712. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 35201 | PersonsServedCnt |
| Total Community Benefit Expns | $11,321,496 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,321,496 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02920 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 53910 | PersonsServedCnt |
| Total Community Benefit Expns | $51,998,846 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,845,390 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,153,456 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08300 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 89111 | PersonsServedCnt |
| Total Community Benefit Expns | $63,320,342 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,845,390 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $43,474,952 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11220 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 650 | PersonsServedCnt |
| Total Community Benefit Expns | $293,560 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $315 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $293,245 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 280 | PersonsServedCnt |
| Total Community Benefit Expns | $348,366 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $348,366 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $12,155,961 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,620,974 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,534,987 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01170 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $10,576 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,576 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 4 | PersonsServedCnt |
| Total Community Benefit Expns | $510,171 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $510,171 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 38 | ActivitiesOrProgramsCnt |
| Persons Served | 934 | PersonsServedCnt |
| Total Community Benefit Expns | $13,318,634 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,621,289 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,697,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01470 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 38 | ActivitiesOrProgramsCnt |
| Persons Served | 90045 | PersonsServedCnt |
| Total Community Benefit Expns | $76,638,976 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,466,679 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $49,172,297 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12690 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,468 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,468 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $23,878,307 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $94,800,735 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $118,059,123 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$23,258,388 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ELLIOT HOSPITAL OF CITY OF MANCHSTR | 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) |
|---|---|---|
| State License | 00018 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIOT HOSPITAL OF CITY OF MANCHESTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://ELLIOTHOSPITAL.ORG/WEBSITE/ | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ELLIOT HOSPITAL OF CITY OF MANCHESTER | PART V, SECTION B, LINE 3: DURING MARCH, APRIL AND MAY OF 2013, THE HOSPITALS ALSO CONDUCTED SEVEN FOCUS GROUPS WHICH INCLUDED MEMBERS OF CLERGY, FIRST RESPONDERS, PREGNANT WOMEN, SCHOOL NURSES, BHUTANESE REFUGEES AS WELL AS TWO SENIORS GROUPS. A GROUP DISCUSSION WAS CONDUCTED ON MARCH 25, 2013 WITH MEMBERS OF THE MANCHESTER SUSTAINABLE ACCESS PROJECT WHICH INCLUDED THE PUBLIC HEALTH AND DEPUTY PUBLIC HEALTH DIRECTORS, MANCHESTER HEALTH DEPARTMENT; THE PRESIDENT, MENTAL HEALTH CENTER OF GREATER MANCHESTER; THE CHIEF MEDICAL OFFICER, AND DIRECTOR, COMMUNITY HEALTH, CATHOLIC MEDICAL CENTER; VICE PRESIDENT OF PLANNING AND BUSINESS DEVELOPMENT, ELLIOT HEALTH SYSTEM AND THE MEDICAL DIRECTOR, DARTMOUTH-HITCHCOCK MANCHESTER CLINIC. DURING THIS SAME PERIOD OF TIME, A SURVEY WAS DISTRIBUTED TO SENIORS AT THE MANCHESTER SENIOR CENTER, THE ROTARY AND THE CLIENTS, PATIENTS, AND STAFF AT THE MENTAL HEALTH CENTER OF GREATER MANCHESTER, WITH 50 RESPONSES BEING RETURNED. ALL OF THIS DATA WAS USED TO CREATE THE CHNA. THE FINAL LIST OF PRIORITY NEEDS AND HEALTH CONCERNS OF THE EHS COMMUNITY ARE DOCUMENTED UNDER SECTION 3. |
| ELLIOT HOSPITAL OF CITY OF MANCHESTER | PART V, SECTION B, LINE 4: CATHOLIC MEDICAL CENTER HOSPITAL OF MANCHESTER |
| ELLIOT HOSPITAL OF CITY OF MANCHESTER | PART V, SECTION B, LINE 7: THE HEALTH SYSTEM ADDRESSED MOST OF THE NEEDS IDENTIFIED IN THE CHNA, TO SOME DEGREE, PRIMARILY INVESTING IN BEHAVIORAL HEALTH, ACCESS TO CARE, ISSUES WITH AGING, CHRONIC DISEASE, DENTAL HEALTH AND PREVENTATIVE CARE. THE HEALTH SYSTEM DID NOT FULLY ADDRESS ALL IDENTIFIED ISSUES AS OTHER AGENCIES IN THE GREATER MANCHESTER SERVICE AREA WERE EITHER ALREADY ADDRESSING THESE NEEDS OR WERE BETTER POSITIONED TO ADDRESS THESE NEEDS. FOR EXAMPLE, THE HEALTH SYSTEM OFFERS CARE TO VICTIMS OF VIOLENCE AND CRIME AND WORKS WITH VICTIMS TO DIRECT THEM TO APPROPRIATE COMMUNITY SUPPORT PROGRAMS. THE HEALTH SYSTEM ALSO SUBSIDIZES PROGRAMS THAT TREAT VICTIMS, SUCH AS THE CHILD ADVOCACY CENTER. HOWEVER, IT IS OUTSIDE THE CAPABILITY OF THE HEALTH SYSTEM TO ADDRESS THE ROOT CAUSES OF VIOLENCE AND CRIME IN OUR NEIGHBORHOODS. |
| ELLIOT HOSPITAL OF CITY OF MANCHESTER | PART V, SECTION B, LINE 12I: DECEASED AND HOMELESS PERSONS ARE AUTOMATICALLY CONVERTED TO CHARITABLE CARE. CATASTROPHIC LIMIT CAP SET AT $50,000 FOR SELF-PAY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 16 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| ELLIOT ENDOSCOPY CENTER RIVERS EDGE | ||||
| 185 QUEEN CITY AVENUE | MANCHESTER | NH | 031010000 | AMBULATORY SURGICAL CENTER |
| ELLIOT URGENT CARE AT RIVER'S EDGE | ||||
| 185 QUEEN CITY AVENUE | MANCHESTER | NH | 031010000 | NON-EMERGENCY WALK-IN CARE CENTER |
| ELLIOT URGENT CARE LONDONDERRY | ||||
| 40 BUTTRICK ROAD | LONDONDERRY | NH | 030530000 | NON-EMERGENCY WALK-IN CARE CENTER |
| ELLIOT STAT LAB AT HOOKSETT | ||||
| 1256 HOOKSETT ROAD | HOOKSETT | NH | 031060000 | LABORATORY |
| ELLIOT LAB ELLIOT MED CNTR LONDONDERRY | ||||
| 40 BUTTRICK ROAD | LONDONDERRY | NH | 030530000 | LABORATORY |
| ELLIOT HOSPITAL LAB MANCHESTER CHC | ||||
| 145 HOLLIS STREET | MANCHESTER | NH | 03101 | LABORATORY |
| ELLIOT AT RIVER'S EDGE URGENT CARE LAB | ||||
| 185 QUEEN CITY AVENUE | MANCHESTER | NH | 031010000 | LABORATORY |
| ELLIOT HOSPITAL-TARRYTOWN ROAD | ||||
| 275 MAMMOTH ROAD | MANCHESTER | NH | 031090000 | COLLECTING STATION |
| ELLIOT COLLECTION STATION RIVERS EDGE | ||||
| 185 QUEEN CITY AVENUE | MANCHESTER | NH | 031010000 | COLLECTING STATION |
| ELLIOT DS HOOKSETT AMBULATORY CARE CNT | ||||
| 1256 HOOKSETT ROAD | HOOKSETT | NH | 031060000 | COLLECTING STATION |
| ELLIOT DRAW STATION CYPRESS CENTER | ||||
| 445 CYPRESS STREET | MANCHESTER | NH | 03103 | COLLECTING STATION |
| ELLIOT HOSPITAL - 4 ELLIOT WAY | ||||
| 4 ELLIOT WAY | MANCHESTER | NH | 031033599 | COLLECTING STATION |
| ELLIOT HOSPITAL BEDFORD COMMONS | ||||
| 25 SOUTH RIVER RD | BEDFORD | NH | 03110 | COLLECTING STATION |
| ELLIOT MEDICAL CENTER LONDONDERRY | ||||
| 40 BUTTRICK ROAD | LONDONDERRY | NH | 030530000 | LABORATORY |
| ELLIOT SENIOR HEALTH PRIMARY CARE | ||||
| 138 WEBSTER STREET | MANCHESTER | NH | 031040000 | LABORATORY |
| ELLIOT AFTER HOURS AT RAYMOND | ||||
| 15 FREETOWN RD 8 | RAYMOND | NH | 03077 | NON-EMERGENCY WALK-IN CARE CENTER |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | FINANCIAL ASSISTANCE AND MEANS TESTED COSTS USED RCC DERIVED FROM MEDICARE COST REPORT; OTHER BENEFITS COSTS DERIVED FROM ACTUAL COSTS AND INTERNAL COST ACCOUNTING SYSTEM. |
| PART I, LINE 3C | ELLIOT HOSPITAL USES FPG METHODOLOGY |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HEALTH OF THE COMMUNITY WE SERVE IS PROMOTED THROUGH EH'S BUILDING ACTIVITIES WITH ORGANIZATIONS SUCH AS THE CHILD ADVOCACY CENTER, THE HOMELESS SHELTER AND OTHERS. IN PROBABLY THE MOST IMPORTANT AND BASIC MANNER, NAMELY, WE DIRECTLY IMPACT BASIC LIVING (AND IN SOME CASES SURVIVAL) NEEDS. CHILDREN, YOUNG ADULTS, ADULTS AND THE ELDERLY SHARE THE NEED FOR BASIC NUTRITION, SAFETY, AND SHELTER. THE ORGANIZATIONS WE CHOOSE TO SUPPORT OFFER AND PROVIDE SOME OF THESE NECESSITIES FOR A LARGE PORTION OF THE POPULATION IN THE GREATER MANCHESTER AREA. FURTHER, WE PROVIDE SUPPORT FOR ORGANIZATIONS THAT UNDERSTAND THE IMPORTANCE OF EDUCATION AND PROVIDE THE SKILLS, TOOLS AND THE INFORMATION TO PEOPLE SO THAT THEY CAN ACCESS EVERYTHING FROM FOOD FOR THE HUNGRY, SHELTER, SAFETY FROM PHYSICAL AND MENTAL HARM AS WELL AS HEALTH CARE. EH TREATS MANY OF THESE INDIVIDUALS IN OUR EMERGENCY DEPARTMENT. IN WORKING WITH THESE PEOPLE TO HELP THEM RECOVER FROM ILLNESSES OR INJURIES, WE HAVE COME TO UNDERSTAND THE IMPORTANCE AND THE ROLE OTHER ORGANIZATIONS PLAY IN THE LIVES OF THESE SAME PEOPLE. BY SUPPORTING THESE ORGANIZATIONS, WE KNOW THAT BASIC NEEDS ARE BEING MET, AND IMPROVED HEALTH AND WELLNESS FOR EVERYONE REGARDLESS OF PERSONAL HARDSHIP OR STATUS MAY BE ACHIEVED. |
| PART III, LINE 4: | BAD DEBT FOOTNOTE: "NET PATIENT SERVICE REVENUES - .... THE HOSPITAL RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS, THE HOSPITAL PROVIDES A DISCOUNT APPROXIMATELY EQUAL TO THAT OF ITS LARGEST PRIVATE INSURANCE PAYORS. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO SELF-PAY PATIENTS , INCLUDING BOTH INSURANCE PATIENTS AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THEIR BALANCE. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS |
| PART III, LINE 8: | ALLOWABLE COSTS DETERMINED USING CMS METHODOLOGY UTILIZED IN COMPLETING COST REPORT; MEDICARE SHORTFALL TO BE INCLUDED IN COMMUNITY BENEFITS |
| PART III, LINE 9B: | COLLECTIONS ARE NOT PURSUED ON CHARITY CARE PATIENTS. COLLECTIONS AGENCY IS SUPPLIED INFORMATION THAT ALLOWS THEM TO IDENTIFY ONLY THOSE ACCOUNTS UPON WHICH COLLECTION EFFORTS SHOULD BE PURSUED. |
| PART III, LINE 2 | BAD DEBT EXPENSE IS DETERMINED BASED ON ANALYSIS OF HISTORICAL ACTIVITY. SELF PAY ACCOUNTS ARE GIVEN AN AUTOMATIC 25% DISCOUNT OFF CHARGES; SELF PAY ACCOUNTS THAT DO NOT MAKE PAYMENT ARE TRANSFERRED TO BAD DEBT. COST OF BAD DEBT IS DERIVED FROM INTERNAL COST ACCOUNTING SYSTEM. |
| PART III, LINE 3 | ORGANIZATION IS NOT CURRENTLY DETERMINING BAD DEBT ACCOUNTS THAT MAY HAVE BEEN CHARITABLE CARE. |
| PART III, LINE 4 | BAD DEBT AND CHARITY CARE COST DETERMINED USING INTERNAL COST ACCOUNTING SYSTEM; SELF PAY ACCOUNTS GIVEN AUTOMATIC 25% DISCOUNT OFF CHARGES; SELF PAY ACCOUNTS THAT DO NOT MAKE PAYMENT ARE TRANSFERRED TO BAD DEBT. ORGANIZATION NOT CURRENTLY DETERMINING BAD DEBT ACCOUNTS THAT MAY HAVE BEEN CHARITABLE CARE. |
| PART III, LINE 8 | ALLOWABLE COSTS DETERMINED USING CMS METHODOLOGY UTILIZED IN COMPLETING COST REPORT; MEDICARE SHORTFALL FROM PART III, LINE 7 SHOULD BE INCLUDED IN COMMUNITY BENEFITS AS COSTS ARE NOT FULLY REIMBURSED. |
| PART VI, LINE 2: | THE MANCHESTER HSA COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY CATHOLIC MEDICAL CENTER AND THE ELLIOT HEALTH SYSTEM, WITH THE ASSISTANCE OF THE MANCHESTER HEALTH DEPARTMENT, WAS COMPLETED IN JUNE 2013. THE ASSESSMENT BEGAN WITH A REVIEW OF THE 2009 COMMUNITY HEALTH NEEDS ASSESSMENT, BELIEVE IN A HEALTHY COMMUNITY.A VARIETY OF DIFFERENT SECONDARY DATA SOURCES WERE ACCESSED. THEY INCLUDED THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), NEW HAMPSHIRE DEPARTMENT OF HEALTH AND HUMAN SERVICES, NH HEALTHWRQS AND THE CITY OF MANCHESTER DEPARTMENT OF HEALTH. HEALTHY PEOPLE 2020 (HP 2020) IS A CDC INITIATIVE TO TRACK HEALTH BEHAVIORS AND TRENDS ACROSS THE COUNTRY. PART OF THIS PROGRAM IS THE CREATION OF HEALTH RELATED TARGETS AND GOALS THAT COMMUNITIES AND STATES STRIVE TO MEET. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) UTILIZED AS MANY OF THOSE TARGETS AS WERE AVAILABLE AND APPLICABLE.DURING MARCH, APRIL AND MAY OF 2013, THE HOSPITALS ALSO CONDUCTED SEVEN FOCUS GROUPS WHICH INCLUDED MEMBERS OF CLERGY, FIRST RESPONDERS, PREGNANT WOMEN, SCHOOL NURSES, BHUTANESE REFUGEES AS WELL AS TWO SENIORS GROUPS. A GROUP DISCUSSION WAS CONDUCTED ON MARCH 25, 2013 WITH MEMBERS OF THE MANCHESTER SUSTAINABLE ACCESS PROJECT WHICH INCLUDED THE PUBLIC HEALTH AND DEPUTY PUBLIC HEALTH DIRECTORS, MANCHESTER HEALTH DEPARTMENT; THE PRESIDENT, MENTAL HEALTH CENTER OF GREATER MANCHESTER; THE CHIEF MEDICAL OFFICER, AND DIRECTOR, COMMUNITY HEALTH, CATHOLIC MEDICAL CENTER; VICE PRESIDENT OF PLANNING AND BUSINESS DEVELOPMENT, ELLIOT HEALTH SYSTEM AND THE MEDICAL DIRECTOR, DARTMOUTH-HITCHCOCK MANCHESTER CLINIC. DURING THIS SAME PERIOD OF TIME, A SURVEY WAS DISTRIBUTED TO SENIORS AT THE MANCHESTER SENIOR CENTER, THE ROTARY AND THE CLIENTS, PATIENTS, AND STAFF AT THE MENTAL HEALTH CENTER OF GREATER MANCHESTER, WITH 50 RESPONSES BEING RETURNED. ALL OF THIS DATA WAS USED TO CREATE THE CHNA. THE FINAL LIST OF PRIORITY NEEDS AND HEALTH CONCERNS OF THE EHS COMMUNITY ARE DOCUMENTED UNDER SECTION 3. |
| PART VI, LINE 3: | THE ELLIOT HEALTH SYSTEM POSTS THE FINANCIAL ASSISTANCE AND COLLECTIONS POLICY ON THEIR WEBSITE AT: HTTP://ELLIOTHOSPITAL.ORG/WEBSITE/FINANCIAL-ASSISTANCE-POLICY.PHP. ADDITIONALLY, FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARIES ARE POSTED IN PATIENT WAITING ROOMS AND LOCATIONS THROUGHOUT THE ELLIOT HEALTH SYSTEM. ELLIOT HEALTH SYSTEM ALSO EMPLOYS FINANCIAL ADVOCATES WHO ARE AVAILABLE TO MEET WITH PATIENTS TO ASSIST THEM WITH APPLYING FOR STATE AND FEDERAL PROGRAMS AND FINANCIAL ASSISTANCE. |
| PART VI, LINE 4: | MANCHESTER AND THE SURROUNDING TOWNS OF AUBURN, BEDFORD, CANDIA, DEERFIELD, GOFFSTOWN, HOOKSETT AND NEW BOSTON, MAKE UP WHAT IS KNOWN AS THE MANCHESTER HEALTH SERVICE AREA (HSA). THE HSA HAS A POPULATION OF 179,894 PERSONS (2007) REPRESENTING APPROXIMATELY 14% OF THE NH STATE POPULATION (1,315,829) AND MAKES UP MOST OF THE MAJOR SERVICE AREA OF EHS, THE UMBRELLA ORGANIZATION UNDER WHICH ELLIOT HOSPITAL (EH) OPERATES. IN 2006, THE HSA EXPERIENCED 11.3% OF THE STATE'S TOTAL BIRTHS AND 10% OF THE STATE'S TOTAL DEATHS.THE CITY OF MANCHESTER IS THE LARGEST COMMUNITY IN NORTHERN NEW ENGLAND. WITH A TOTAL POPULATION OF 108,874 RESIDENTS, MANCHESTER REPRESENTS 60.5% OF THE HSA AND 8.3% OF THE STATE'S TOTAL POPULATION. THE TABLE BELOW DISPLAYS HOW THE POPULATION IN MANCHESTER IS DISTRIBUTED BY AGE AND GENDER.MORE PEOPLE ARE LIVING LONGER AND INDIVIDUALS IN THE LARGE "BABY BOOMER" AGE GROUP ARE NOW REACHING THE AGE OF 65. IN THE NEXT FORTY YEARS, THE NUMBER OF PEOPLE IN THE NATION AGE 65 AND OLDER IS EXPECTED TO MORE THAN DOUBLE AND THE POPULATION OF THE MANCHESTER HSA IS EXPECTED TO EXPERIENCE THE SAME TYPE OF GROWTH. FOR EXAMPLE, THE NUMBER OF MANCHESTER ADULTS AGE 65 AND OLDER GREW BY 13% FROM 1980 TO 2000. IT IS PROJECTED THAT THIS POPULATION WILL GROW BY ANOTHER 85% FROM 2000 TO 2020. THE POPULATION OF OLDER ADULTS IN THE OTHER HSA TOWNS GREW BY 82% FROM 1980 TO 2000 AND IS PROJECTED TO MORE THAN DOUBLE FROM 2000 TO 2020. THIS HIGH GROWTH RATE OF THE ELDERLY GROUP IN THE MANCHESTER HSA SUGGESTS HEALTH CARE LEADERS SHOULD ANTICIPATE AND PLAN FOR AN INCREASED DEMAND FOR SERVICES THAT ADEQUATELY ADDRESS THE NEEDS OF OLDER ADULTS.OVER THE LAST DECADE, IN ADDITION TO GROWING IN SIZE, MANCHESTER HSA'S POPULATION HAS BECOME MORE DIVERSE IN ITS CULTURES, LANGUAGES, RELIGIOUS BELIEFS AND OTHER IDEOLOGIES. THIS IS ESPECIALLY TRUE FOR MANCHESTER, WHICH IS A REFUGEE RESETTLEMENT SITE. AS OF 2007, NEARLY 10% OF MANCHESTER RESIDENTS WERE BORN OUTSIDE OF THE UNITED STATES, WHICH IS TWICE THE PERCENT OF PEOPLE IN ALL OF NH WHO ARE FOREIGN BORN. OVER 17% OF MANCHESTER'S RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH IN HOME. AROUND 5% OF HOUSEHOLDS ARE LINGUISTICALLY ISOLATED, MEANING THAT ALL MEMBERS OF THE HOUSEHOLD AGES 14 AND OLDER HAVE AT LEAST SOME DIFFICULTY WITH ENGLISH. ACROSS THE UNITED STATES, FAMILY HOUSEHOLDS TAKE A VARIETY OF FORMS. HOUSEHOLDS MAY BE HEADED BY MARRIED OR UNMARRIED PARTNERS AS WELL AS BY INDIVIDUALS. THEY MAY OR MAY NOT HAVE SCHOOL-AGE CHILDREN PRESENT. THEY MAY BE HEADED BY GRANDPARENTS. THEY MAY CONTAIN FOSTER CHILDREN. OVER THE PAST SEVEN YEARS, THE PERCENT OF HOUSEHOLDS IN MANCHESTER COMPOSED OF TWO MARRIED PARENTS WITH THEIR OWN SCHOOL-AGED CHILDREN HAS DECREASED FROM 19.2% TO 14.8%.WITH THE HSA, BEDFORD HAS THE HIGHEST MEDIAN HOUSEHOLD INCOME AND THE CITY OF MANCHESTER HAS THE LOWEST. SIMILARLY, MANCHESTER HAS THE HIGHEST PERCENTAGE OF FAMILIES LIVING IN POVERTY, WHOLE DEERFIELD HAS THE LOWEST. IN 2005 IN MANCHESTER, A FAMILY OF FOUR WITH BOTH PARENTS WORKING NEEDED TO MAKE $50,031 ANNUALLY ($12.03 PER HOUR) TO MEET BASIC NEEDS. THAT SAME YEAR THE MEDIAN HOUSEHOLD INCOME IN MANCHESTER ($50,199) WAS A BIT ABOVE THE BASIC NEEDS LEVEL ($50,404). HOWEVER, IN 2007, ONLY 55% OF THE HOUSEHOLDS IN MANCHESTER REACHED THE LIVABLE WAGE LEVEL, WHICH HAD INCREASED TO $53,192 (EQUIVALENT WAGE OF $12.79 PER HOUR). ACCORDING TO THE AMERICAN COMMUNITY SURVEY, THE MOST COMMON TYPE OF EMPLOYMENT IN MANCHESTER IS IN EDUCATIONAL SERVICES, HEALTH CARE, AND SOCIAL ASSISTANCE (20.3%). MANCHESTER MAKES UP 8.2% OF THE STATE'S LABOR FORCE.THE POPULATION OF THE GREATER MANCHESTER HSA IS GROWING IN SIZE, AND LIVING LONGER; IS INCREASINGLY MULTICULTURAL WITH RESIDENTS REFLECTING A VARIETY OF NATIONALITIES, LANGUAGES, ETHNIC TRADITIONS, RELIGIOUS BELIEFS AND IDEOLOGIES; AND IS COMPOSED OF MANY DIFFERENT FAMILY STRUCTURES. THE MANCHESTER HSA HAS THE LARGEST POPULATION AND NUMBER OF JOBS, BUT ALSO HAS THE LOWEST AVERAGE INCOME LEVELS IN THE STATE. INCREASINGLY, INCOMES ARE AILING TO MEET THE COTS OF LIVING, INCLUDING THE COTS OF STAYING HEALTHY AND PREPARING FOR EMERGENCIES. POVERTY IS HIGHLY ASSOCIATED WITH RISKY BEHAVIORS, EDUCATIONAL ATTAINMENT, HEALTH STATUS, EMPLOYMENT, AND SELF-REPORTED QUALITY OF LIFE. RESIDENTS EXPERIENCE DISCREPANCIES IN HEALTH AND HEALTH CARE ACCESS THAT ARE ASSOCIATED WITH THEIR AGE, INCOMES, EDUCATIONAL ATTAINMENT AND NEIGHBORHOOD. THE ASSESSMENT IDENTIFIES A VARIOUS OF HEALTH-RELATED CONCERNS IN THE CITY OF MANCHESTER AND THE HEALTH SERVICE AREA INCLUDING HEART DISEASE, MENTAL HEALTH, AMBULATORY-CARE SENSITIVE CONDITIONS, HEALTH RISK BEHAVIORS, SEXUAL HEALTH, SUBSTANCE ABUSE, EMERGENCY DEPARTMENT USE AND PREMATURE DEATH. INADEQUATE TRANSPORTATION, HIGH COST OF HEALTH CARE, AND MEDICALLY UNDERSERVED AREAS EXIST IN THE REGION, AS DOES UNDER AND OVERUSE OF EXISTING HEALTH SERVICES RESULTING IN A FINANCIAL BURDEN FOR THE WHOLE COMMUNITY. |
| PART VI, LINE 5: | EH BELIEVES STRONGLY THAT OUR INVOLVEMENT IN COMMUNITY ORGANIZATIONS SUCH AS CHILD HEALTH SERVICES, MANCHESTER MENTAL HEALTH CENTER, YMCA AND MANY MORE, IS CRITICAL TO OUR EXEMPT PURPOSE WE DEPLOY HUNDREDS OF VOLUNTEERS THROUGHOUT THE STATE TO WORK WITH NON-PROFIT ORGANIZATIONS THAT ARE DOING THEIR PART TO HELP ERADICATE ILLNESSES AND POOR HEALTH CONDITIONS OR IMPROVE THE HEALTH AND WELLNESS OF PEOPLE. MANY OF OUR LEADERS SERVE ON THE BOARDS OF THESE ORGANIZATIONS TO SHARE INSIGHT AND TO PARTICIPATE IN HELPING THEM ACHIEVE THEIR MISSION. IN ADDITION TO THE VOLUNTEER TIME AND ENERGY, EH ALSO PROVIDES HUNDREDS OF THOUSANDS OF DOLLARS IN FINANCIAL SUPPORT TO ENSURE THAT THE CRITICAL WORK OF THESE ORGANIZATIONS IS ACHIEVED AND PEOPLE ARE HELPED WITH A RANGE OF ISSUES FROM MENTAL HEALTH CARE TO OBTAINING FOOD AND SHELTER.ADDITIONALLY, GIVEN OUR HEALTH CARE SYSTEM AND HOW WIDESPREAD EH HAS BECOME IN THE COMMUNITY, WE OPEN OUR DOORS AND PROVIDE THE STAFF AND THE RESOURCES FOR LOCAL ISSUES THAT ARE UNFORESEEN BUT CREATE URGENT SITUATIONS. FOR EXAMPLE, WHEN NH RESIDENTS WERE STUCK BY POWER OUTAGES FROM AN ICE STORM LASTING DAYS, EH KEPT PATIENTS (FREE OF CHARGE) IN THE HOSPITAL UNTIL POWER IN THE HOME AS RESTORED SO THAT THEY WOULD NOT SUFFER THE HARDSHIP OF LIVING WITHOUT HEAT AND POWER. FOR DAY-TO-DAY STRUGGLES, EITHER WITH HOW TO COPE WITH THE LOSS OF A LOVED ONE OR WITH HOW TO COPE WITH CANCER, EH STAFF AND PROFESSIONALS OFFER FREE COMMUNITY SUPPORT GROUPS AND CLASSES TO REACH PEOPLE WHO ARE IN NEED OF HELP.EH PRIDES ITSELF ON THESE ACTS OF HUMANITY BECAUSE IT DOES MEET OUR PURPOSE AND MISSION AND WITHOUT QUESTION, PROMOTES THE HEALTH OF THE COMMUNITY |
| PART VI, LINE 6: | EHS IS THE UMBRELLA ORGANIZATION UNDER WHICH ELLIOT HOSPITAL (EH), ELLIOT PHYSICIAN NETWORK (EPN), ELLIOT PROFESSIONAL SERVICES (EPS), THE VISITING NURSE ASSOCIATION OF MANCHESTER AND SOUTHERN NH (VNA), AND THE MARY & JOHN ELLIOT CHARITABLE FOUNDATION OPERATE. ELLIOT HEALTH SYSTEM IS A HEALTH CARE SYSTEM THAT PROVIDES CARE TO RESIDENTS OF SOUTHERN NH SERVING A REGIONAL POPULATION OF OVER 250,000 RESIDENTS, MAKING IT ONE OF THE LARGEST PROVIDERS OF COMPREHENSIVE HEALTH CARE SERVICES IN SOUTHERN NH. EACH OF THESE ORGANIZATIONS PLAYS A CRITICAL ROLE IN THE CONTINUUM OF CARE EHS DELIVERS TO THE COMMUNITY THUS PROMOTING HEALTH. THE CORNERSTONE OF EHS IS EH, A PRIVATE, NOT FOR PROFIT HOSPITAL ESTABLISHED IN 1890, AND NOW A 296-BED ACUTE CARE FACILITY LOCATED IN MANCHESTER (NH'S LARGEST CITY) ON EHS'S MAIN CAMPUS. EH IS A PREMIER HEALTH CARE PROVIDER IN MANY DISCIPLINES, SERVING AS THE DESIGNATED TRAUMA CENTER FOR THE MANCHESTER HSA, AND DESIGNATED RECEIVING FACILITY FOR PSYCHIATRIC PATIENTS IN THE REGION. IN ADDITION EH PROVIDES MATERNITY AND PEDIATRIC SERVICES, NEWBORN INTENSIVE CARE, SURGERY, PAIN MANAGEMENT, WOUND MANAGEMENT, CARDIAC CARE, AND MUCH MORE. EHS THROUGH THE EPN AND EPS, BOTH PRIVATE, NOT FOR PROFIT PHYSICIAN GROUPS, PROVIDES PRIMARY CARE AND SPECIALTY CARE VIA OVER 211 EMPLOYED PHYSICIANS AS FAR NORTH AS HOOKSETT, EAST TO RAYMOND, SOUTH TO WINDHAM AND WEST TO NEW BOSTON. THE EPN HAS 27 PHYSICIAN PRACTICES IN THE GREATER MANCHESTER AREA. PROVIDING ACCESS TO PROVIDERS THROUGHOUT THE LOCAL COMMUNITY IS CRITICAL TO SUPPORTING THE NEED TO HELP INDIVIDUALS BECOME ACTIVE IN THEIR HEALTH CARE AND VIGILANT ABOUT THEIR YEARLY EXAMS, VACCINES, AND MEDICATIONS. EHS HAS A ROBUST ELECTRONIC MEDICAL RECORD (EMR) LINKING ALL OF THESE PROVIDERS WITH EH ALLOWING THE PROVIDER A COMPLETE UNDERSTANDING OF ANYTHING THAT MAY HAVE OCCURRED THROUGH THE EMERGENCY DEPARTMENT OR URGENT CARE THROUGHOUT THE YEAR. THE EMR IS COMPLETE WITH THE LATEST LABORATORY RESULTS, DIAGNOSTIC IMAGES, AND OTHER TEST RESULTS THAT MAY AFFECT CARE GIVEN IN THE LOCAL PROVIDER'S OFFICE. THE VNA IS ONE OF THE REGION'S OLDEST AND MOST COMPREHENSIVE NOT FOR PROFIT HOME HEALTH PROVIDERS, DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY SINCE 1897. THE VNA HAS HELPED INDIVIDUALS AND THEIR FAMILIES FACE THE CHALLENGES OF RECOVERING FROM SURGERY, PHYSICAL DISABILITIES, AND SHORT-TERM, CHRONIC, AND LIFE-LIMITING ILLNESSES. THROUGH A TRACE PROGRAM, EHS CAN ENSURE THAT OLDER ADULTS REQUIRING CARE AND WITH COMPLEX HEALTH CARE HISTORIES ARE GIVEN A CARE PLAN FROM THE HOSPITAL TO THE NURSING HOME (IF NECESSARY) AND TO THE HOME. ALL OF THIS CARE IS ALSO LINKED THROUGH THE EMR AND THROUGH OUR USE OF TELE-MEDICINE; MANY PATIENTS ARE MONITORED "VIRTUALLY" EACH DAY WHILE IN THEIR HOME. TELE-MEDICINE REQUIRES A PATIENT IN THEIR HOME TO CONNECT TO ELECTRONIC DEVICES THAT SEND INFORMATION BACK TO CARE PROVIDERS SHOWING SUCH THINGS AS BLOOD PRESSURE, PULSE, AND RESPIRATORY FUNCTION, SO THAT SHOULD INTERVENTION BE REQUIRED, A HEALTH CARE TEAM CAN BE SENT DIRECTLY TO THE PATIENT'S HOME. FINALLY, THE MARY & JOHN ELLIOT CHARITABLE FOUNDATION IS A NOT FOR PROFIT, CHARITABLE ORGANIZATION CREATED TO PROVIDE FINANCIAL SUPPORT TO THE VARIOUS NEEDS OF EHS. THE FOUNDATION IS COMMITTED TO BUILDING AN ONGOING CIRCLE OF FRIENDS WHOSE FINANCIAL SUPPORT WILL HELP EHS IDENTIFY AND MEET EMERGING HEALTHCARE NEEDS.EH AND AFFILIATES (COLLECTIVELY EHS), WORK COLLABORATIVELY AND COLLECTIVELY (THROUGH THE EMR) ALLOWING EHS TO SERVE THE HEALTH CARE NEEDS OF PEOPLE IN THE MOST EFFICIENT MANNER AND HAS PROVIDED A PLATFORM FOR PROACTIVE PLANS FOR HEALTH MANAGEMENT. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NH |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| CHILD HEALTH SERVICES | ||||||||||
| 1245 ELM STREET | MANCHESTER | NH | 03101 | 020348711 | 501(C)(3) | $29,551 | $16,654 | FAIR MARKET VALUE | FINANCIAL REPORTING AND ACCOUNTS PAYABLE SERVICES | TO ASSIST IN MEETING DAY-TO-DAY OPERATIONS, PROVIDE SUPPORT FOR THE ACCOUNTING AND BOOKKEEPING DEPARTMENT |
| MANCHESTER COMMUNITY HEALTH CENTER | ||||||||||
| 1415 ELM STREET | MANCHESTER | NH | 03101 | 020458174 | 501(C)(3) | $300,000 | TO ASSIST IN MEETING DAY-TO-DAY OPERATIONS | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | 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 | ELLIOT HOSPITAL MAINTAINS MEMBERS ON THE BOARD OF DIRECTORS FOR CHILD HEALTH SERVICES AND MANCHESTER COMMUNITY HEALTH CENTER | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (15 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 | ||||||||||||||
| PRESIDENT & CEO | $581,126 | $0 | $184,359 | $0 | $357,549 | $0 | $38,245 | $0 | $11,051 | $0 | $1,172,330 | $0 | $306,534 | $0 |
| LAWRENCE M HOEPP MD | ||||||||||||||
| TRUSTEE | $0 | $865,815 | $0 | $10,505 | $0 | $40,500 | $0 | $8,895 | $0 | $11,359 | $0 | $937,074 | $0 | $0 |
| ANITA RITENOUR MD | ||||||||||||||
| ASST VP MEDICAL AFFAIRS | $256,234 | $0 | $21,701 | $0 | $34,290 | $0 | $19,468 | $0 | $15,393 | $0 | $347,086 | $0 | $0 | $0 |
| JAMES F FITZGERALD MD | ||||||||||||||
| TRUSTEE | $0 | $141,210 | $0 | $30,329 | $0 | $15,773 | $0 | $8,838 | $0 | $15,039 | $0 | $211,189 | $0 | $0 |
| GUS EMMICK MD | ||||||||||||||
| TRUSTEE | $0 | $197,301 | $0 | $105,475 | $0 | $17,500 | $0 | $11,321 | $0 | $15,057 | $0 | $346,654 | $0 | $0 |
| CHRISTOPHER S CALHOUN MD | ||||||||||||||
| TRUSTEE | $0 | $133,090 | $0 | $5,696 | $0 | $9,308 | $0 | $11,878 | $0 | $15,277 | $0 | $175,249 | $0 | $0 |
| ROBER M LAVERY MD | ||||||||||||||
| TRUSTEE THRU JAN 2014 | $0 | $534,681 | $0 | $0 | $0 | $39,377 | $0 | $8,925 | $0 | $11,000 | $0 | $593,983 | $0 | $0 |
| RICK PHELPS | ||||||||||||||
| COO | $453,482 | $0 | $112,219 | $0 | $40,500 | $0 | $87,122 | $0 | $15,335 | $0 | $708,658 | $0 | $0 | $0 |
| RICHARD ELWELL | ||||||||||||||
| CFO | $349,013 | $0 | $89,820 | $0 | $48,481 | $0 | $217,795 | $0 | $11,051 | $0 | $716,160 | $0 | $0 | $0 |
| JOHN FRIBERG | ||||||||||||||
| SENIOR VP, GENERAL COUNSEL | $292,598 | $0 | $43,605 | $0 | $25,481 | $0 | $40,137 | $0 | $15,276 | $0 | $417,097 | $0 | $0 | $0 |
| ALEXANDER W PETRON | ||||||||||||||
| CHIEF MEDICAL INFO OFFICER | $267,862 | $0 | $47,300 | $0 | $33,998 | $0 | $8,925 | $0 | $15,724 | $0 | $373,809 | $0 | $0 | $0 |
| WILLIAM BAXTER | ||||||||||||||
| SENIOR VP MEDICAL AFFFAIRS | $314,340 | $0 | $24,681 | $0 | $35,000 | $0 | $44,258 | $0 | $15,620 | $0 | $433,899 | $0 | $0 | $0 |
| KEVIN B COUGHLIN | ||||||||||||||
| SENIOR VP PHYSICIAN SERVICES | $270,319 | $0 | $40,370 | $0 | $42,007 | $0 | $8,454 | $0 | $15,518 | $0 | $376,668 | $0 | $0 | $0 |
| JUERGEN H BLUDEAU | ||||||||||||||
| PHYSICIAN | $262,581 | $0 | $0 | $0 | $23,000 | $0 | $3,825 | $0 | $795 | $0 | $290,201 | $0 | $0 | $0 |
| RACHEL D VERVILLE | ||||||||||||||
| VP OF REVENUE CYCLE | $217,201 | $0 | $39,563 | $0 | $7,951 | $0 | $3,514 | $0 | $15,326 | $0 | $283,555 | $0 | $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; WILLIAM BAXTER - $35,333; JOHN E FRIBERG, JR. - $31,212 |
| 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 K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUSINESS FINANCE AUTHORITY OF THE STATE OF NH REVENUE BONDS - 2009A | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 020279866 | BondIssuerEIN |
| CUSIP | 64468KBQ8 | CUSIPNum |
| Bond Issued | 2009-12-22 | BondIssuedDt |
| Issue Price | $130,000,000 | IssuePriceAmt |
| Purpose | FINANCE/REFINANCE COSTS OF CONSTRUCTION, REFINANCE 2008 BONDS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $127,806,119 | TotalProceedsAmt |
| In Reserve Fund | $11,505,106 | InReserveFundAmt |
| Capitalized Interest | $6,134,168 | CapitalizedInterestAmt |
| Refunding Escrow | $30,000,000 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $1,980,498 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $78,095,644 | CapitalExpendituresAmt |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (1) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd | TransactionTransactionAmt |
|---|---|---|---|
| JOHN FRIBERG JR | |||
| EMPLOYEE | LONG STANDING AND ONGOING ATTORNEY-CLIENT RELATIONSHIP BETWEEN EHS AND WADLEIGH LAW FIRM. JOHN FRIBERG JR'S FATHER IS EMPLOYED BY THE WADLEIGH FIRM AND HAS WORKED ON MEDICAL MALPRACTICE CLAIMS FOR THE HOSPITAL. | 0 | |
| DIANNE MERCIER | |||
| BOARD MEMBER | DIANNE IS PRESIDENT OF PEOPLE'S UNITED BANK, WHICH IS A DEPOSITORY FOR GRANITE SHIELD INSURANCE EXCHANGE OF WHICH EHS IS A MEMBER | 0 | |
| PETER KACHAVOS MD | |||
| ELLIOT BAY MEDICAL ASSOCIATES EMPLOYEE | THROUGH BMA REAL ESTATE (WHICH PETER IS A MEMBER/MANAGER WITH 50% OWNERSHIP), ELLIOT RENTS 4 ELLIOT WAY, SUITE 102, 104, 106 FOR $104,264 PER YEAR | 0 | $104,264 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 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 SYSYTEM IS THE SOLE MEMBER OF THE REPORTING ORGANIZATION, AND HAS BOARD MEMBERS WHO ARE ALSO BOARD MEMBERS OF THE REPORTING ORGANIZATION. |
| 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 IX, LINE 24E | MAINTENANCE & SERVICE CONTRACTS : PROGRAM SERVICE EXPENSES 7,975,169. MANAGEMENT AND GENERAL EXPENSES 2,658,389. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,633,558. IMPLANTS & PROTHESIS : PROGRAM SERVICE EXPENSES 7,902,834. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,902,834. OTHER PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 7,295,814. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,295,814. UTILITIES : PROGRAM SERVICE EXPENSES 3,282,640. MANAGEMENT AND GENERAL EXPENSES 1,094,213. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,376,853. SOFTWARE LICENSE FEES : PROGRAM SERVICE EXPENSES 3,937,905. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,937,905. CONSULTING FEES : PROGRAM SERVICE EXPENSES 3,906,876. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,906,876. EQUIPMENT RENTAL : PROGRAM SERVICE EXPENSES 2,808,842. MANAGEMENT AND GENERAL EXPENSES 936,281. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,745,123. PHYSICIAN FEES : PROGRAM SERVICE EXPENSES 3,414,354. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,414,354. MANAGEMENT FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,845,384. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,845,384. OTHER OPERATING COSTS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,119,443. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,119,443. FOOD & DIETARY : PROGRAM SERVICE EXPENSES 2,021,588. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,021,588. MINOR EQUIPMENT PURCHASES : PROGRAM SERVICE EXPENSES 2,005,729. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,005,729. PURCHASED LABOR : PROGRAM SERVICE EXPENSES 1,992,395. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,992,395. MEDICAL SERVICES FEES : PROGRAM SERVICE EXPENSES 1,046,274. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,046,274. LAUNDRY & LINENS : PROGRAM SERVICE EXPENSES 1,006,092. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,006,092. TELEPHONE : PROGRAM SERVICE EXPENSES 723,755. MANAGEMENT AND GENERAL EXPENSES 241,251. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 965,006. COLLECTION FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 681,221. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 681,221. RECRUITMENT & RELOCATION FEES : PROGRAM SERVICE EXPENSES 612,430. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 612,430. TRUST FUND FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 588,317. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 588,317. PRINTING & PUBLICATIONS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 519,118. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 519,118. ICD 10 PROJECT : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 509,830. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 509,830. POSTAGE & SHIPPING : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 436,575. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 436,575. BANK & CREDIT CARD FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 382,490. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 382,490. PERMITS & FEES : PROGRAM SERVICE EXPENSES 328,684. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 328,684. EDUCATION & TRAINING : PROGRAM SERVICE EXPENSES 198,555. MANAGEMENT AND GENERAL EXPENSES 66,184. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 264,739. DUES & MEMBERSHIPS : PROGRAM SERVICE EXPENSES 228,898. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 228,898. VEHICLE EXPENSE : PROGRAM SERVICE EXPENSES 178,175. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 178,175. VALET PARKING : PROGRAM SERVICE EXPENSES 91,151. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 91,151. |
| FORM 990, PART XI, LINE 9: | PENSION ADJUSTMENT -4,131,381. UNREALIZED GAIN/LOSS - TEMPORARILY RESTRICTED FUNDS 642,508. UNREALIZED GAIN/LOSS - PERMANENTLY RESTRICTED FUNDS 713,890. |
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 | Yes (1) |
| ELLIOT HEALTH SYSTEM | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 020509911 | HOLDING COMPANY | NH | 501(C)3 | LINE 3 | 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 | Yes (1) |
| ELLIOT PROFESSIONAL SERVICES | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 331003630 | PHYSICIAN SERVICES | NH | 501(C)3 | LINE 9 | ELLIOT HOSPITAL | Yes (1) |
| 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 |
| JOHN & MARY ELLIOT CHARITABLE FOUNDATION | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 020512229 | FUNDRAISING | NH | 501(C)3 | LINE 7 | ELLIOT HEALTH SYSTEM | 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 |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIOT HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
| Share Of Total Income | $4,487,161 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $86,942,706 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.86000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIOT HEALTH SYSTEMS HOLDINGS & SUBSIDIARIES | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 HOLT AVENUE UNIT 1 STE 2100 | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03109 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020512224 | EIN |
| Primary Activities | MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| 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 | 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 | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | 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 | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ELLIOT PROFESSIONAL SERVICES NETWORK | ||
| I | $41,387 | CASH |
| ELLIOT PROFESSIONAL SERVICES NETWORK | ||
| K | $226,322 | CASH |
| ELLIOT PROFESSIONAL SERVICES NETWORK | ||
| P | $3,775,682 | CASH |
| ELLIOT PHYSICIAN NETWORK | ||
| P | $328,973 | CASH |
| ELLIOT PROFESSIONAL SERVICES NETWORK | ||
| Q | $11,286,418 | CASH |
| ELLIOT PHYSICIAN NETWORK | ||
| Q | $15,798,539 | CASH |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedScheduleGrp (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Total Grassroots LobbyTotalGrassrootsLobbyAmt | Total Direct LobbyTotalDirectLobbyAmt | Total Lobby ExpenditureTotalLobbyExpenditureAmt | Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt | Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt | Lobby NontxLobbyNontxAmt | Grassroots NontxGrassrootsNontxAmt | Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt | Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt | Share Excess Lobby ExpendShareExcessLobbyExpendAmt | Electing OrganizationElectingOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELLIOT HEALTH SYSTEM | |||||||||||||||
| 1070 HOLT AVE UNIT 1 SUITE 2100 | MANCHESTER | NH | 03109 | 020509911 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| VNA OF MANCHESTER AND SOUTHERN NH INC & SUBSIDIARIES | |||||||||||||||
| 33 SOUTH COMMERCIAL ST SUITE 401 | MANCHESTER | NH | 03101 | 020395296 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| ELLIOT HOSPITAL | |||||||||||||||
| 1 ELLIOT WAY | MANCHESTER | NH | 03103 | 020232673 | $9,572 | $0 | $9,572 | $0 | $9,572 | $1,914 | $479 | $9,093 | $7,658 | $0 | Yes (X) |
| ELLIOT PROFESSIONAL SERVICES | |||||||||||||||
| 1070 HOLT AVE UNIT 1 SUITE 2100 | MANCHESTER | NH | 03109 | 331003630 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| ELLIOT PHYSICIAN NETWORK | |||||||||||||||
| 1070 HOLT AVE UNIT 1 SUITE 2100 | MANCHESTER | NH | 03109 | 020509589 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| ELLIOT HEALTH SYSTEM HOLDINGS INC & SUBSIDIARIES | |||||||||||||||
| 1070 HOLT AVE UNIT 1 SUITE 2100 | MANCHESTER | NH | 03109 | 020512224 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| JOHN & MARY ELLIOT CHARITABLE FOUNDATION | |||||||||||||||
| 1070 HOLT AVE UNIT 1 SUITE 2100 | MANCHESTER | NH | 03109 | 020512229 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| ELLIOT COMMON TRUST FUND LLC | |||||||||||||||
| 1 ELLIOT WAY | MANCHESTER | NH | 03103 | 023653624 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| ELLIOT HEALTH SYSTEM PROFESSIONAL & GENERAL LIABILITY INSURANCE TRUST | |||||||||||||||
| 1 ELLIOT WAY | MANCHESTER | NH | 03101 | 016217452 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |