ELLIOT HOSPITAL OF THE CITY OF MANCHESTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ELLIOT HOSPITAL OF THE CITY OF MANCHESTER (EIN 02-0232673)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201401349349306155
Schema version: 2012v2.1
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)
Timestamp	2014-05-14T14:55:51-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	020383073	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WILLIAM STEELE & ASSOCIATES PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	40 STARK STREET	AddressLine1
City	MANCHESTER	City
State	NH	State
ZIP Code	03101	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	020232673	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE ELLIOT HOSPITAL OF THE CITY OF MANCHESTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ELLI	NameControl
Phone	6036632033	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	RICHARD ELWELL	Name
Title	CFO	Title
Phone	6036632033	Phone
Date Signed	2014-05-09	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	WILLIAM G STEELE JR CPA	Name
PTIN	P00233103	PTIN
Phone	6036228881	Phone
Date Prepared	2014-05-09	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DOUGLAS DEAN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	388089038	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	ELLIOT-HS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1942	YearFormation
State Legal Domicile	NH	StateLegalDomicile
Activity Or Mission Description	HOSPITAL SERVICES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	3355	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	3106937	TotalGrossUBI
Net Unrelated Business Txbl Income	-912443	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1696012	ContributionsGrantsPriorYear
Contributions Grants Current Year	1241795	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	356361181	ProgramServiceRevenuePriorYear
Program Service Revenue CY	367118203	ProgramServiceRevenueCY
Investment Income Prior Year	3372126	InvestmentIncomePriorYear
Investment Income Current Year	3892829	InvestmentIncomeCurrentYear
Other Revenue Prior Year	14933529	OtherRevenuePriorYear
Other Revenue Current Year	15836211	OtherRevenueCurrentYear
Total Revenue Prior Year	376362848	TotalRevenuePriorYear
Total Revenue Current Year	388089038	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	515623	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	165512221	SalariesEtcPriorYear
Salaries Etc Current Year	174301641	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	207141680	OtherExpensePriorYear
Other Expenses Current Year	212102353	OtherExpensesCurrentYear
Total Expenses Prior Year	372653901	TotalExpensesPriorYear
Total Expenses Current Year	386919617	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	3708947	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1169421	RevenuesLessExpensesCY
Total Assets BOY	354374322	TotalAssetsBOY
Total Assets EOY	364558416	TotalAssetsEOY
Total Liabilities BOY	280440885	TotalLiabilitiesBOY
Total Liabilities EOY	257877350	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	73933437	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	106681066	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	302863835	Expense
Grants	515623	Grants
Revenue	374229581	Revenue
Description	MEDICAL SERVICES PROVIDED TO 14,431 IN-PATIENTS AND 509,986 OUT-PATIENTS INCLUDING FREE CARE IN THE AMOUNT OF $7,023,464 (AT COST) AND CONTRIBUTIONS TO COMMUNITY PROGRAMS	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	620671	Expense
Description	CONTRIBUTIONS TO MANCHESTER COMMUNITY HEALTH CENTER AND I IMAGINE	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	582660	Expense
Description	COMMUNITY BENEFITS INCLUDING EDUCATIONAL PROGRAMS, HEALTH SCREENINGS, HEALTH PUBLICATIONS AND OTHER HEALTH INFORMATION SERVICES	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	304067166	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	251	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	3355	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MARC CULLEROT	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6036632033	TelephoneNumber

Address US AddressUS

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 Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DOUGLAS F DEAN
PRESIDENT & CEO	40.00	4.00	X	X	1996284	0	152995
RICK PHELPS
COO	40.00	2.00	X	X	578667	0	87507
R SCOTT BACON
CHAIR	1.00	1.00	X	X	0	0	0
JAMES C HOOD ESQ
TRUSTEE	1.00	1.00	X		0	0	0
ANN REMUS
SECRETARY	1.00	4.00	X		0	0	0
SELMA NACCACH-HOFF
TRUSTEE	1.00	2.00	X		0	0	0
LOUISE FORSEZE
TRUSTEE	1.00	1.00	X		0	0	0
LAWRENCE M HOEPP MD
TRUSTEE	1.00	41.00	X		0	893217	20864
HOWARD BRODSKY
TRUSTEE	1.00	1.00	X		0	0	0
ROGER A SEVIGNY
TRUSTEE	1.00	1.00	X		0	0	0
DANIEL M MONFRIED
TRUSTEE	1.00	1.00	X		0	0	0
REVEREND JOHN A CERRATO JR
TRUSTEE	1.00	1.00	X		0	0	0
DIANNE M MERCIER
VICE CHAIR	1.00	1.00	X		0	0	0
DAVID R A STEADMAN
TREASURUER	1.00	1.00	X		0	0	0
ROBERT M LAVERY
TRUSTEE	1.00	41.00	X		0	586149	19812
JAMES F FITZGERALD MD
TRUSTEE	1.00	42.00	X		0	212598	22991
RICHARD L WINNEG
TRUSTEE	1.00	2.00	X		0	0	0
BARBARA A RAND
TRUSTEE	1.00	1.00	X		0	0	0
GUS EMMICK MD
TRUSTEE	1.00	42.00	X		0	285153	23587
CHARLES ROLECEK
TRUSTEE	1.00	1.00	X		0	0	0
JOHN A HESSION
TRUSTEE	1.00	1.00	X		0	0	0
JOHN F WEEKS
TRUSTEE	1.00	3.00	X		0	0	0
CHRISTOPHER S CALHOUN MD
TRUSTEE	1.00	40.00	X		0	59883	13355
RICHARD ELWELL
CFO	40.00	3.00		X	485527	0	120861
JOHN FRIBERG
SENIOR VP OF OPERATIONS	40.00	0.00			370511	0	22948	X
ALEXANDER W PETRON
CHIEF MEDICAL INFO OFFICER	40.00	0.00			349923	0	23598		X
MARC G CULLEROT
VP OF FINANCE	40.00	0.00			264441	0	25459		X
ANITA RITENOUR MD
ASST VP MEDICAL AFFAIRS	40.00	0.00			319186	0	30157		X
DENISE P PURINGTON
CHIEF INFORMATION OFFICER	40.00	0.00			262941	0	23374		X
WILLIAM BAXTER
SENIOR VP MEDICAL AFFFAIRS	40.00	2.00			365580	0	23394		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4993060	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2037000	TotalReportableCompFrmRltdOrgs
Total Other Compensation	610902	TotalOtherCompensation
Number Individuals GT100 K	114	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
JIMENEZ CONSULTING SOLUTION
10450 N 74TH ST STE 160	SCOTTSDALE	AZ	85258	ICD-10 TRAINING	1113365
BIANCO ASSOCIATES
18 CENTER ST	CONCORD	NH	03301	REGULATORY AND LEGAL CONSULTING	829277
NH NEUROSPINE INSTITUTE
4 HAWTHORNE DR	BEDFORD	NH	03110	NEUROSURGERY LOCUMS COVERAGE	660000
CHAMBERLIN EDMONDS
3535 PIEDMONT ROAD SUITE 800	ATLANTA	GA	30305	SELF PAY PATIENT BILLING PROVIDER	397224
AMOSKEAG ANESTHESIA PLLC
1 ELLIOT WAY	MANCHESTER	NH	03103	PHYSICIAN SERVICES	359976

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	22	NumberOfContractorsGT100K
All Other Contributions	1241795	AllOtherContributions
Total Contributions	1241795	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROG.SERV.REVENUE-RELATED-990	Description
Business Code	621110	BusinessCode
Total Revenue Column	367118203	TotalRevenueColumn
Related Or Exempt Function Income	367118203	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	367118203	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1863301	TotalRevenueColumn
Unrelated Business Revenue	-69966	UnrelatedBusinessRevenue
Exclusion	$1,933,267	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2510701	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2510701	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2510701	TotalRevenueColumn
Exclusion	$2,510,701	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	2029528	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2029528	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2029528	TotalRevenueColumn
Exclusion	$2,029,528	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
MISCELLANEOUS OTHER	900099	7111378	7111378
LABORATORY SERVICES	621500	2987227		2987227
CAFETERIA REVENUE	722210	1813622			$1,813,622

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1413283	TotalRevenueColumn
Unrelated Business Revenue	189676	UnrelatedBusinessRevenue
Exclusion	$1,223,607	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	13325510	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	388089038	TotalRevenueColumn
Related Or Exempt Function Income	374229581	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3106937	UnrelatedBusinessRevenue
Exclusion	$9,510,725	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	514123	Total
Program Services	514123	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	1500	Total
Program Services	1500	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3430989	Total
Management And General	3430989	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	130455553	Total
Program Services	97838244	ProgramServices
Management And General	32617309	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	17261727	Total
Program Services	12946295	ProgramServices
Management And General	4315432	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13511189	Total
Program Services	10133392	ProgramServices
Management And General	3377797	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9642183	Total
Program Services	7231637	ProgramServices
Management And General	2410546	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	683298	Total
Management And General	683298	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	198600	Total
Management And General	198600	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2115236	Total
Management And General	2115236	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4507171	Total
Program Services	3380378	ProgramServices
Management And General	1126793	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	145140	Total
Program Services	108855	ProgramServices
Management And General	36285	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	340676	Total
Program Services	255508	ProgramServices
Management And General	85168	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	9349959	Total
Program Services	7012469	ProgramServices
Management And General	2337490	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	23309827	Total
Program Services	23309827	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	15934140	Total
Program Services	11950605	ProgramServices
Management And General	3983535	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5514904	Total
Program Services	4136178	ProgramServices
Management And General	1378726	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS	41175801	41175801
SUPPLIES	20586240	20586240
DRUGS & PHARMACEUTICUL	14999286	14999286
MEDICAID ENHANCEMENT TA	11674727		11674727

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	61567348	Total
Program Services	48486828	ProgramServices
Management And General	13080520	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	386919617	Total
Program Services	304067166	ProgramServices
Management And General	82852451	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	21588730	BOY
EOY	25662626	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	6095203	BOY
EOY	6188637	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	34960257	BOY
EOY	40411820	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2143884	BOY
EOY	2405426	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4336045	BOY
EOY	4028986	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	355273770	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	195363647	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	170552056	BOY
EOY	159910123	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	97644472	BOY
EOY	99938667	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	17053675	BOY
EOY	26012131	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	354374322	BOY
EOY	364558416	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	33887118	BOY
EOY	33268898	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	151706117	BOY
EOY	150115157	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	150000	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	94697650	BOY
EOY	74493295	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	280440885	BOY
EOY	257877350	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	60341629	BOY
EOY	92614711	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1696379	BOY
EOY	1801521	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	11895429	BOY
EOY	12264834	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	73933437	BOY
EOY	106681066	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	354374322	BOY
EOY	364558416	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1169421	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	895162	ReconciliationUnrealizedInvest
Reconcilation Other Changes	30683046	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Org Belongs To Affiliated Group	X	OrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	156539	FilingOrganizationsTotals
Affiliated Group Totals	156539	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	156539	FilingOrganizationsTotals
Affiliated Group Totals	156539	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	303910630	FilingOrganizationsTotals
Affiliated Group Totals	408857501	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	304067169	FilingOrganizationsTotals
Affiliated Group Totals	409014040	AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals
Affiliated Group Totals	1000000	AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals
Affiliated Group Totals	250000	AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	348114	CurrentYearMinus3
Current Year Minus2	344636	CurrentYearMinus2
Current Year Minus1	188723	CurrentYearMinus1
Current Year	156539	CurrentYear
Total	1038012	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

Field	Value	IRS element (for citing)
Current Year Minus3	32124	CurrentYearMinus3
Current Year Minus2	33158	CurrentYearMinus2
Total	65282	Total

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13591808	BeginningOfYearBalance
Investment Earnings Or Losses	474547	InvestmentEarningsOrLosses
End Of Year Balance	14066355	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13860491	BeginningOfYearBalance
Investment Earnings Or Losses	-268683	InvestmentEarningsOrLosses
End Of Year Balance	13591808	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12771028	BeginningOfYearBalance
Contributions	50000	Contributions
Investment Earnings Or Losses	1039463	InvestmentEarningsOrLosses
End Of Year Balance	13860491	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12420985	BeginningOfYearBalance
Contributions	174500	Contributions
Investment Earnings Or Losses	175543	InvestmentEarningsOrLosses
End Of Year Balance	12771028	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14078246	BeginningOfYearBalance
Investment Earnings Or Losses	-1657261	InvestmentEarningsOrLosses
End Of Year Balance	12420985	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.12810	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.87190	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6681464	OtherCostOrOtherBasis
Book Value	6681464	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	167964104	OtherCostOrOtherBasis
Depreciation	53724729	Depreciation
Book Value	114239375	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3997535	OtherCostOrOtherBasis
Depreciation	1825640	Depreciation
Book Value	2171895	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	167325151	OtherCostOrOtherBasis
Depreciation	135942619	Depreciation
Book Value	31382532	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9305516	OtherCostOrOtherBasis
Depreciation	3870659	Depreciation
Book Value	5434857	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	159910123	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	BOARD DESIGNATED & DONOR RESTRICTED	Description
Book Value	99938667	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	99938667	TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
FUNDS HELD BY TRUSTEE	3415316
UNAMORTIZED BOND ISSUANCE COSTS	1953547
PENSION CASH SURRENDER VALUE	1321950
DEPOSITS	7606153
OTHER RECEIVABLES	9740211
DUE FROM AFFILIATES	1974954

Field	Value	IRS element (for citing)
Total Book Value Other Assets	26012131	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
PAYABLE TO THIRD PARTY PAYORS	$6,789,469
INTEREST PAYABLE	$2,274,308
ACCRUED PENSION & OTHER	$43,591,648
SELF-INSURANCE RESERVES & OTHER	$20,207,870
CURRENT PORTION OF LONG-TERM DEBT	$1,630,000

Field	Value	IRS element (for citing)
Total Of Amounts	74493295	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	388506181	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	895162	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	895162	RevenueNotRptdF990
Revenue Subtotal	387611019	RevenueSubtotal
Other Revenues Not Included	478019	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	478019	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	388089038	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	363131771	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	363131771	ExpensesSubtotal
Other Expenses Not Included	23787846	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	23787846	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	386919617	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	INCOME OF THE FUNDS HAS BEEN USED FOR OPERATING AND CAPITAL EXPENDITURES
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	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 478,019.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		EXPENSE RECLASS 478,019. PAYMENTS TO AFFILIATES 23,309,827.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	16667	PersonsServed
Total Community Benefit Expense	7023464	TotalCommunityBenefitExpense
Net Community Benefit Expense	7023464	NetCommunityBenefitExpense
Percent Of Total Expense	0.01820	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	47742	PersonsServed
Total Community Benefit Expense	46234454	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14926517	DirectOffsettingRevenue
Net Community Benefit Expense	31307937	NetCommunityBenefitExpense
Percent Of Total Expense	0.08090	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	64409	PersonsServed
Total Community Benefit Expense	53257918	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14926517	DirectOffsettingRevenue
Net Community Benefit Expense	38331401	NetCommunityBenefitExpense
Percent Of Total Expense	0.09910	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	2153	PersonsServed
Total Community Benefit Expense	296421	TotalCommunityBenefitExpense
Direct Offsetting Revenue	350	DirectOffsettingRevenue
Net Community Benefit Expense	296071	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	343	PersonsServed
Total Community Benefit Expense	274488	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	274488	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	13791002	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7228701	DirectOffsettingRevenue
Net Community Benefit Expense	6562301	NetCommunityBenefitExpense
Percent Of Total Expense	0.01700	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	11751	TotalCommunityBenefitExpense
Net Community Benefit Expense	11751	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	69	PersonsServed
Total Community Benefit Expense	620671	TotalCommunityBenefitExpense
Net Community Benefit Expense	620671	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	34	NumberOfActivitiesOrPrograms
Persons Served	2565	PersonsServed
Total Community Benefit Expense	14994333	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7229051	DirectOffsettingRevenue
Net Community Benefit Expense	7765282	NetCommunityBenefitExpense
Percent Of Total Expense	0.02010	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	34	NumberOfActivitiesOrPrograms
Persons Served	66974	PersonsServed
Total Community Benefit Expense	68252251	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22155568	DirectOffsettingRevenue
Net Community Benefit Expense	46096683	NetCommunityBenefitExpense
Percent Of Total Expense	0.11920	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$18,236,762	BadDebtExpenseAmount
Amount Reimbursed By Medicare	84801168	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	110647807	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-25846639	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE ELLIOT HOSPITAL OF CITY OF MANCHSTR	BusinessNameLine1

Address Address

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)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

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)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Develop Community Plan	X	DevelopCommunityPlan
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
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 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. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED." "ACCOUNTS RECEIVABLE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS - ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY(FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE 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.
BAD DEBT EXPENSE IS DETERMINED BASED ON ANALYSIS OF HISTORICAL ACTIVITY. SELF PAY ACCOUNTS ARE GIVEN 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 2
ORGANIZATION NOT CURRENTLY DETERMINING BAD DEBT ACCOUNTS THAT MAY HAVE BEEN CHARITABLE CARE.	PART III, LINE 3
PART V, SECTION B, LINE 3: IN CONDUCTING THE CHNA, ELLIOT WORKED WITH ANOTHER HOSPITAL, CATHOLIC MEDICAL CENTER WITH SUPPORT FROM THE MANCHESTER HEALTH DEPARTMENT. THE TWO HOSPITALS FORMED A NEEDS ASSESSMENT WORK GROUP WITH THREE REPRESENTATIVES FROM EACH HOSPITAL AND A MANCHESTER HEALTH DEPT STAFF MEMBER. A COMMUNITY BENEFIT CONSULTANT WAS CONTRACTED AS PROJECT MANAGER. A SUBCOMMITTEE OF THE WORKGROUP WAS FORMED TO GATHER AND REPORT THE SECONDARY DATA. ADDITIONALLY, ANOTHER SUBCOMMITTEE OVERSAW IDENTIFYING FOCUS GROUPS AND KEY INFORMANTS. THIS COMMITTEE ALSO DISTRIBUTED A SURVEY.DURING MARCH, APRIL AND MAY OF 2013, THE HOSPITALS ALSO CONDUCTED SEVEN FOCUS GROUPS WHICH INCLUDED CLERGY, FIRST RESPONDERS, PREGNANT WOMEN, SCHOOL NURSES, BHUTANESE REFUGEES AS WELL AS TWO SENIOR GROUPS. DUE TO CONCERNS ON THE PART OF MANY PARTICIPANTS, ANONYMITY WAS GUARANTEED AND HENCE, THEY WILL NOT BE LISTED BY NAME. A GROUP DISCUSSION WAS CONDUCTED ON MARCH 25, 2013 WITH MEMBERS OF THE MANCHESTER SUSTAINABLE ACCESS PROJECT WHICH INCLUDED THE PUBLIC HEALTH AND DEPUTY 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. (MANCHESTER SUSTAINABLE ACCESS PROJECT (MSAP) GROUP DISCUSSION ATTENDEES: JENNIFER DRISCOLL, VP, PLANNING AND BUSINESS DEVELOPMENT, ELLIOT HOSPITAL; RAEF FAHMY, DPM, CMO, CATHOLIC MEDICAL CENTER; PETER JANELLE, PRESIDENT, MENTAL HEALTH CENTER OF GREATER MANCHESTER; PAUL MERTZIC, EXECUTIVE DIRECTOR OF OPERATIONS, PPA, PC & COMMUNITY HEALTHSERVICES, CATHOLIC MEDICAL CENTER; STEVE PARIS, MD, MEDICAL DIRECTOR, DARTMOUTH HITCHCOCK MANCHESTER; TIM SOUCY, PUBLIC HEALTH DIR, MANCHESTER HEALTH DEPT; ANNA THOMAS, DEPUTY PUBLIC HEALTH DIRECTOR, MANCHESTER HEALTH DEPT. OTHER KEY INFORMANTS, TED GATSAS, MAYOR OF MANCHESTER, NH; CHRIS PAPPAS, MEMBER EXECUTIVE COUNCIL, STATE OF NH.		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: CHNA WAS COMPLETED IN JUNE FY 2013, END OF THE HOSPITALS FISCAL YEAR. THE IMPLEMENTATION STRATEGY TO ADDRESS IDENTIFIED NEEDS WAS ADOPTED IN OCTOBER 2013.		ELLIOT HOSPITAL OF CITY OF MANCHESTER
PART V, SECTION B, LINE 12H: DECEASED AND HOMELESS PERSONS ARE AUTOMATICALLY CONVERTED TO CHARITABLE CARE. CATASTROPHIC LIMIT CAP SET AT $50,000 FOR SELF-PAY.		ELLIOT HOSPITAL OF CITY OF MANCHESTER
PART VI, LINE 3: PATIENT REGISTRATION AREAS HAVE SIGNAGE INDICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE ORGANIZATION'S CHARITY CARE POLICY. PATIENT BILLS AND STATEMENTS HAVE LANGUAGE THAT OFFERS THE OPPORTUNITY TO APPLY FOR CHARITABLE CARE. FINANCIAL ASSISTANCE OPTIONS ARE ALSO DESCRIBED ON THE ORGANIZATION'S WEB-SITE.
PART VI, LINE 4: THE MANCHESTER HEALTH SERVICE AREA (HSA), A MARKET WHICH IS PRIMARILY SERVED BY CATHOLIC MEDICAL CENTER AND ELLIOT HOSPITAL IS HOME TO APPROXIMATELY 180,000 RESIDENTS AND IS COMPRISED OF THE TOWNS OF AUBURN, BEDFORD, CANDIA, DEERFIELD, GOFFSTOWN, HOOKSETT, NEW BOSTON AS WELL AS THE CITY OF MANCHESTER. THESE TOWNS ARE LOCATED IN THREE DIFFERENT COUNTIES (HILLSBOROUGH, ROCKINGHAM AND MERRIMACK) WITHIN THE STATE OF NEW HAMPSHIRE WITH 60% OF THE RESIDENTS OF THE HSA LIVING WITHIN THE CITY OF MANCHESTER. THE POPULATION OF THE MANCHESTER HSA IS CHANGING; NOT ONLY IS IT IS AGING, IT IS BECOMING INCREASINGLY MULTICULTURAL WITH RESIDENTS REFLECTING A VARIETY OF NATIONALITIES, LANGUAGES, ETHNIC TRADITIONS, RELIGIOUS BELIEFS AND IDEOLOGIES.THE CITY OF MANCHESTER IS HOME TO 60% OF THE RESIDENTS OF THE HSA AND, IN ALIGNMENT WITH THE STATE OF NEW HAMPSHIRE, THE POPULATION OF THE MANCHESTER HSA IS AGING. THE 65+ POPULATION WITHIN THE HSA IS PROJECTED TO REALIZE AN 18% GROWTH THROUGH 2018 AND MANY OTHER TOWNS WITHIN THE HSA WILL EXPERIENCE OVER 30% GROWTH IN THE 65+ AGE GROUP. THIS IS SIGNIFICANT GIVEN A 2012 REPORT FROM THE UNIVERSITY OF NEW HAMPSHIRE CARSEY INSTITUTE WHICH NOTES THAT THE AGING POPULATION WILL INCREASE THE COST OF PROVIDING STATE AND LOCAL SERVICES. IN CONTRAST TO THE GROWING 65+ POPULATION, THE PEDIATRIC POPULATION (AGES 0-17) WITHIN THE MANCHESTER HSA (EXCLUDING THE CITY OF MANCHESTER) IS PROJECTED TO REALIZE A SLIGHT DECLINE OVER THE NEXT FIVE YEARS. THE CITY OF MANCHESTER'S PEDIATRIC POPULATION IS PROJECTED TO REALIZE AN INCREASE OF ABOUT 2% IN CHILDREN AGES 0-17.ACCORDING TO THE 2010 CENSUS DATA, THE MAJORITY OF RACIAL DIVERSITY WITHIN THE MANCHESTER HSA IS WITHIN THE CITY OF MANCHESTER, AS THE CITY HAS NEARLY 84% OF THE MINORITY POPULATION IN THE MANCHESTER HSA RESIDING WITHIN ITS CITY BOUNDARIES. THE CHANGING DIVERSITY OF THE CITY OF MANCHESTER IS PARTLY THE RESULT OF THE CITY BEING A SITE FOR REFUGEE RESETTLEMENT.THE MEDIAN HOUSEHOLD INCOME FOR THE CITY OF MANCHESTER IS $53,278. THIS IS SIGNIFICANTLY LOWER THAN ALL OTHERS TOWNS WITHIN THE MANCHESTER HSA AND IS ALSO LOWER THAN THE MEDIAN HOUSEHOLD INCOME FOR THE STATE, WHICH IS $64,664.SIMILAR TO THE MEDIAN HOUSEHOLD INCOME STATISTICS, THE CITY OF MANCHESTER HAS A SIGNIFICANTLY HIGHER PERCENT OF INDIVIDUALS AND FAMILIES LIVING BELOW POVERTY, 10.2% AND 13.8%, RESPECTIVELY. THIS IS ALSO HIGH COMPARED WITH A STATE AVERAGE OF 5.2% AND 8.0%. MANCHESTER RESIDENTS LIVING BELOW THE POVERTY LEVEL IS CONCENTRATED IN THE EAST AND WESTSIDE CENTER CITY. SINCE POVERTY IS HIGHLY ASSOCIATED WITH INCREASED HEALTH RISK BEHAVIORS, LOW EDUCATIONAL ATTAINMENT, POOR HEALTH STATUS, UNEMPLOYMENT, AND A LOWER SELF-REPORTED QUALITY OF LIFE, THIS IS A SIGNIFICANT TREND.
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.
NH	PART VI, LINE 7	REPORTS FILED WITH STATES

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Purpose Of GrantPurposeOfGrant
CHILD HEALTH SERVICES
1245 ELM STREET	MANCHESTER	NH	03101	020348711	501(C)(3)	96941	13682	FAIR MARKET VALUE	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)	403500			TO ASSIST IN MEETING DAY-TO-DAY OPERATIONS

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: ELLIOT HOSPITAL MAINTAINS MEMBERS ON THE BOARD OF DIRECTORS FOR CHILD HEALTH SERVICES AND MANCHESTER COMMUNITY HEALTH CENTER	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DOUGLAS F DEAN
PRESIDENT & CEO	545926	0	217625	0	1232733	0	140856	0	12139	0	2149279	0	1003896	0
RICK PHELPS
COO	428404	0	105001	0	45262	0	71750	0	15757	0	666174	0	0	0
LAWRENCE M HOEPP MD
TRUSTEE	0	853717	0	0	0	39500	0	7500	0	13364	0	914081	0	0
ROBERT M LAVERY
TRUSTEE	0	547139	0	0	0	39010	0	7500	0	12312	0	605961	0	0
JAMES F FITZGERALD MD
TRUSTEE	0	160528	0	35070	0	17000	0	7456	0	15535	0	235589	0	0
GUS EMMICK MD
TRUSTEE	0	163993	0	104160	0	17000	0	8030	0	15557	0	308740	0	0
RICHARD ELWELL
CFO	346099	0	91351	0	48077	0	109258	0	11603	0	606388	0	0	0
JOHN FRIBERG
SENIOR VP OF OPERATIONS	300738	0	45000	0	24773	0	7500	0	15448	0	393459	0	0	0
ALEXANDER W PETRON
CHIEF MEDICAL INFO OFFICER	271964	0	46750	0	31209	0	7500	0	16098	0	373521	0	0	0
MARC G CULLEROT
VP OF FINANCE	212834	0	29490	0	22117	0	24919	0	540	0	289900	0	0	0
ANITA RITENOUR MD
ASST VP MEDICAL AFFAIRS	277222	0	24964	0	17000	0	14132	0	16025	0	349343	0	0	0
DENISE P PURINGTON
CHIEF INFORMATION OFFICER	200122	0	32130	0	30689	0	22344	0	1030	0	286315	0	0	0
WILLIAM BAXTER
SENIOR VP MEDICAL AFFFAIRS	306110	0	25470	0	34000	0	7500	0	15894	0	388974	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 4B	DOUGLAS DEAN - $108,075; RICK PHELPS - $64,250; RICHARD ELWELL - $73,882; WILLIAM BAXTER - $34,640
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 III	THE SALARIES OF DOUGLAS DEAN, RICK PHELPS, AND RICHARD ELWELL REPRESENT SERVICES PROVIDED TO ALL RELATED ENTITIES.	SUPPLEMENTAL INFORMATION
PART III	PART II LINE 1 - DURING THE YEAR MR DEAN WITHDREW FUNDS FROM HIS DEFERRED COMPENSATION PLAN ($1,003,896) 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.	SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
NH HEALTH & EDUCATION FACILITIES AUTHORITY
A	020279866	644614GK9	2003-10-21	32245816	REFINANCE 1987, 1991, 2001 BONDS	0	0	0
BUSINESS FINANCE AUTHORITY OF THE STATE OF NH REVENUE BONDS - 2009A
B	020279866	64468KBQ8	2009-12-22	130000000	FINANCE/REFINANCE COSTS OF CONSTRUCTION, REFINANCE 2008 BONDS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capitalized InterestCapitalizedInterest	Capital ExpendituresCapitalExpenditures
A	32245816	2810960	28988859	426666	1	1	1	1
B	127806119	11505106	30000000	1980498	1	1	1	1	6134168	78095644

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0.00000	0.00000	0.00000	1	0	0
B	0	0	0	0	0.00000	0.00000	0.00000	1	0	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	0	0	0	0	0	0	0	0
B	0	0	0	0	0	0	0	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	PART V	Identifier
Explanation	POLICY AND PROCEDURES WERE CREATED, APPROVED BY BOARD AND IMPLEMENTED IN FY 2014.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
JAMES C HOOD ESQ
BOARD MEMBER	96749	SEVERAL ATTORNEYS AT NIXON PEABODY, LLP, HAVE BEEN CONSULTED BY ELLIOT HEALTH SYSTEM REGARDING SPECIALIZED CLAIMS AND REGULATORY LEGAL PROJECTS. JAMES HOOD IS A PARTNER AT NIXON PEABODY, LLP.	0
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	66700	THROUGH BMA REAL ESTATE (WHICH PETER IS A MEMBER/MANAGER WITH 50% OWNERSHIP), ELLIOT RENTS 4 ELLIOT WAY, SUITE 102, 104, 106 FOR $66,700 PER YEAR	0
DR LARRY HOEPP
ELLIOT GENERAL SURGERY PA EMPLOYEE	547374	WIFE OF DR HOEPP SOLD MEDICAL CONDOMINIUM TO TARRYTOWN REAL ESTATE HOLDINGS (AN ELLIOT HEALTH SYSTEM ENTITY) FOR $547,374 IN FY 2013	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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	IMPLANTS & PROTHESIS : PROGRAM SERVICE EXPENSES 10,110,506. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,110,506. MAINTENANCE & SERVICE CONTRACTS : PROGRAM SERVICE EXPENSES 7,182,904. MANAGEMENT AND GENERAL EXPENSES 2,394,300. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,577,204. OTHER PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 5,013,925. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,013,925. UTILITIES : PROGRAM SERVICE EXPENSES 3,361,497. MANAGEMENT AND GENERAL EXPENSES 1,120,499. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,481,996. MANAGEMENT FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,160,594. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,160,594. EQUIPMENT RENTAL : PROGRAM SERVICE EXPENSES 2,909,800. MANAGEMENT AND GENERAL EXPENSES 969,933. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,879,733. PHYSICIAN FEES : PROGRAM SERVICE EXPENSES 3,745,723. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,745,723. SOFTWARE LICENSE FEES : PROGRAM SERVICE EXPENSES 3,572,883. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,572,883. CONSULTING FEES : PROGRAM SERVICE EXPENSES 2,789,945. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,789,945. MINOR EQUIPMENT PURCHASES : PROGRAM SERVICE EXPENSES 2,004,178. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,004,178. FOOD & DIETARY : PROGRAM SERVICE EXPENSES 1,865,528. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,865,528. OTHER OPERATING COSTS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,218,156. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,218,156. LAUNDRY & LINENS : PROGRAM SERVICE EXPENSES 1,152,260. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,152,260. RECRUITMENT & RELOCATION FEES : PROGRAM SERVICE EXPENSES 1,079,955. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,079,955. TELEPHONE : PROGRAM SERVICE EXPENSES 720,851. MANAGEMENT AND GENERAL EXPENSES 240,283. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 961,134. MEDICAL SERVICES FEES : PROGRAM SERVICE EXPENSES 925,781. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 925,781. PURCHASED LABOR : PROGRAM SERVICE EXPENSES 833,173. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 833,173. ICD 10 PROJECT : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 733,467. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 733,467. COLLECTION FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 512,096. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 512,096. PRINTING & PUBLICATIONS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 498,331. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 498,331. TRUST FUND FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 478,534. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 478,534. PERMITS & FEES : PROGRAM SERVICE EXPENSES 403,681. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 403,681. POSTAGE & SHIPPING : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 376,889. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 376,889. DUES & MEMBERSHIPS : PROGRAM SERVICE EXPENSES 341,318. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 341,318. BANK & CREDIT CARD FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 310,499. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 310,499. EDUCATION & TRAINING : PROGRAM SERVICE EXPENSES 200,822. MANAGEMENT AND GENERAL EXPENSES 66,939. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 267,761. VEHICLE EXPENSE : PROGRAM SERVICE EXPENSES 179,544. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 179,544. VALET PARKING : PROGRAM SERVICE EXPENSES 92,554. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,554.	ALL OTHER FUNCTIONAL EXPENSES
FORM 990, PART XI, LINE 9:	PENSION ADJUSTMENT 30,210,142. UNREALIZED GAIN/LOSS - TEMPORARILY RESTRICTED FUNDS 105,141. UNREALIZED GAIN/LOSS - PERMANENTLY RESTRICTED FUNDS 367,763. GRANT PROCEEDS RECEIVED FOR CAPITAL PURCHASE	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
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 HEALTH SYSTEM	0
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 HEALTH SYSTEM	1
ELLIOT PROFESSIONAL SERVICES
1070 HOLT AVENUE UNIT 1 STE 2100	MANCHESTER	NH	03109	331003630	PHYSICIAN SERVICES	NH	501(C)3	LINE 9	ELLIOT HEALTH SYSTEM	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 HOSPITAL	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	VNA OF MANCHESTER & SOUTHERN NH INC	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	VNA OF MANCHESTER & SOUTHERN NH INC	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	VNA OF MANCHESTER & SOUTHERN NH INC	0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	ELLIOT COMMON TRUST FUND LLC	BusinessNameLine1

Address US AddressUS

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 Activity	INVESTMENTS	PrimaryActivity
Legal Domicile State	NH	LegalDomicileState
Predominant Income Type	N/A	PredominantIncomeType
Share Of Total Income	3249060	ShareOfTotalIncome
Share Of EOY Assets	71977206	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ELLIOT PROFESSIONAL SERVICES
P	5019419	CASH
ELLIOT PHYSICIAN NETWORK
P	297147	CASH
ELLIOT PROFESSIONAL SERVICES
Q	10490073	CASH
ELLIOT PHYSICIAN NETWORK
Q	14958241	CASH
ELLIOT PROFESSIONAL SERVICES
K	216527	CASH

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Total Grassroots LobbyingTotalGrassrootsLobbying	Total Direct LobbyingTotalDirectLobbying	Total Lobbying ExpendituresTotalLobbyingExpenditures	Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures	Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures	Lobbying NontaxableLobbyingNontaxableAmount	Grassroots NontaxableGrassrootsNontaxableAmount	Tot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontx	Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx	Share Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs	Electing OrgElectingOrg
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	156539	0	156539	0	156539	$31,308	$7,827	148712	125231	0	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