MARY AND JOHN ELLIOT CHARITABLE FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MARY AND JOHN ELLIOT CHARITABLE FOUNDATION (EIN 02-0512229)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201431349349304098
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T14:55:51-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN020383073EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM STEELE & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line140 STARK STREETAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020512229EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARY AND JOHN ELLIOT CHARITABLE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMARYNameControl
Phone6036638977Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11070 HOLT AVENUE UNIT 1 SUITE 2100AddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03109ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD ELWELLName
TitleCFOTitle
Phone6036638977Phone
Date Signed2014-05-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM G STEELE JR CPAName
PTINP00233103PTIN
Phone6036228881Phone
Date Prepared2014-05-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD ELWELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11070 HOLT AVENUE UNIT 1 SUITE 2100AddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03109ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2728226GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionTHE FOUNDATION'S MISSION IS TO SUPPORT THE IMMEDIATE AND ONGOING RESOURCE NEEDS OF THE ELLIOT HOSPITAL.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1739361ContributionsGrantsPriorYear
Contributions Grants Current Year1728985ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year208767InvestmentIncomePriorYear
Investment Income Current Year328424InvestmentIncomeCurrentYear
Other Revenue Prior Year421559OtherRevenuePriorYear
Other Revenue Current Year587978OtherRevenueCurrentYear
Total Revenue Prior Year2369687TotalRevenuePriorYear
Total Revenue Current Year2645387TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1696012GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1241795GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year348561OtherExpensePriorYear
Other Expenses Current Year424501OtherExpensesCurrentYear
Total Expenses Prior Year2044573TotalExpensesPriorYear
Total Expenses Current Year1666296TotalExpensesCurrentYear
Revenues Less Expenses Prior Year325114RevenuesLessExpensesPriorYear
Revenues Less Expenses CY979091RevenuesLessExpensesCY
Total Assets BOY6584489TotalAssetsBOY
Total Assets EOY7552850TotalAssetsEOY
Total Liabilities BOY661947TotalLiabilitiesBOY
Total Liabilities EOY576011TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5922542NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6976839NetAssetsOrFundBalancesEOY
Mission DescriptionTHE FOUNDATION'S MISSION IS TO SUPPORT THE IMMEDIATE AND ONGOING RESOURCE NEEDS OF THE ELLLIOT HOSPITAL.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1666296Expense
Grants1241795Grants
Revenue380287Revenue
DescriptionSUPPORT OF THE FUNDRAISING ACTIVITIES OF THE ELLIOT HOSPITAL AND ITS RELATED TAX EXEMPT ORGANIZATIONSDescription
Total Program Service Expense1666296TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARC CULLEROTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6036635809TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11070 HOLT AVENUE UNIT 1 SUITE 2100AddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03101ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JAMES J TENN ESQUIRE
SECRETARY1.000.00XX000
ANN G REMUS
VICE CHAIR1.004.00XX000
DOUGLAS F DEAN
CHIEF EXECUTIVE OFFICER1.0043.00XX01996284152995
SELMA NACCACH-HOFF
CHAIR1.002.00XX000
RICHARD I WINNEG
TRUSTEE1.002.00X000
SID BAINES
TRUSTEE1.000.00X000
RENEE WALSH
TRUSTEE1.000.00X000
DAVID BELLMAN
TRUSTEE1.000.00X000
CATHY CHAMPAGNE
TRUSTEE1.000.00X000
CHARLES GOODWIN
TRUSTEE1.000.00X000
CHARLES F ROLECEK
TRUSTEE1.000.00X000
RICHARD A ELWELL
CFO1.0043.00X0485527120861
RICHARD PHELPS
OFFICER1.0043.00X057866787507
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3060478TotalReportableCompFrmRltdOrgs
Total Other Compensation361363TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions1728985AllOtherContributions
Total Contributions1728985TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column148561TotalRevenueColumn
Exclusion$148,561ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities179863Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities179863Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column179863TotalRevenueColumn
Exclusion$179,863ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events290530GrossIncomeFundraisingEvents
Fundraising Direct Expenses82839FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column207691TotalRevenueColumn
Exclusion$207,691ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMANAGEMENT FEE INCOMEDescription
Business Code561000BusinessCode
Total Revenue Column380287TotalRevenueColumn
Related Or Exempt Function Income380287RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue380287TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2645387TotalRevenueColumn
Related Or Exempt Function Income380287RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$536,115ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1241795Total
Program Services1241795ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1029Total
Program Services1029ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9632Total
Program Services9632ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1546Total
Program Services1546ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total470Total
Program Services470ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PURCHASED SERVICES232137232137
EVENT COSTS8304583045
TRUST FUND FEES3827438274
CONSULTING FEES2727427274

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total31094Total
Program Services31094ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1666296Total
Program Services1666296ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY773856BOY
EOY859156EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY148416BOY
EOY85402EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16000BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9991LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8355LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2105BOY
EOY1636EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5632528BOY
EOY6577807EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11584BOY
EOY28849EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6584489BOY
EOY7552850EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21947BOY
EOY9811EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY6200EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY640000BOY
EOY560000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY661947BOY
EOY576011EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4854937BOY
EOY5347311EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1067605BOY
EOY1629528EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5922542BOY
EOY6976839EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6584489BOY
EOY7552850EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses979091ReconcilationRevenueExpenses
Reconciliation Unrealized Invest153380ReconciliationUnrealizedInvest
Reconcilation Other Changes-78174ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1013593CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1184977CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years918380CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1844041CurrentTaxYearMinus1Year
Current Tax Year2227206CurrentTaxYear
Total7188197Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1013593CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1184977CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years918380CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1844041CurrentTaxYearMinus1Year
Current Tax Year2227206CurrentTaxYear
Total7188197Total
FieldValueIRS element (for citing)
Public Support Total1707188197PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years204092CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years188299CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years135741CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year139957CurrentTaxYearMinus1Year
Current Tax Year148561CurrentTaxYear
Total816650Total
FieldValueIRS element (for citing)
Total Support8004847TotalSupport
Gross Receipts From Admissions Etc1629444GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.89800PublicSupportPertcentage170
Public Support Pertcent Prior Year0.89700PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1067605BeginningOfYearBalance
Contributions558367Contributions
Investment Earnings Or Losses3556InvestmentEarningsOrLosses
End Of Year Balance1629528EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance775945BeginningOfYearBalance
Contributions282540Contributions
Investment Earnings Or Losses9120InvestmentEarningsOrLosses
End Of Year Balance1067605EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2337619BeginningOfYearBalance
Contributions190477Contributions
Investment Earnings Or Losses18083InvestmentEarningsOrLosses
Other Expenditures1770234OtherExpenditures
End Of Year Balance775945EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1582058BeginningOfYearBalance
Contributions670870Contributions
Investment Earnings Or Losses84691InvestmentEarningsOrLosses
End Of Year Balance2337619EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1097517BeginningOfYearBalance
Contributions413069Contributions
Investment Earnings Or Losses71472InvestmentEarningsOrLosses
End Of Year Balance1582058EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9991OtherCostOrOtherBasis
Depreciation8355Depreciation
Book Value1636BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1636TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionSECURITIES AND OTHER INVESTMENTSDescription
Book Value6577807BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities6577807TotalOfBookValueSecurities
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt1598228TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments153380NetUnrealizedGainsInvestments
Revenue Not Rptd F990153380RevenueNotRptdF990
Revenue Subtotal1444848RevenueSubtotal
Other Revenues Not Included1200539OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1200539RevenueNotRptdOnFinStmt
Total Revenue Per Form9902645387TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt465757TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal465757ExpensesSubtotal
Other Expenses Not Included1200539OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1200539ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901666296TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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 HAS EVALUATED THE SYSTEM'S TAX POSITIONS AND CONCLUDED THE SYSTEM HAS MAINTAINED ITS TAX-EXEMPT STATUS, DOES NOT HAVE ANY SIGNIFICANT UNRELATED BUSINESS INCOME AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS."
PART XI, LINE 4B - OTHER ADJUSTMENTS:EXPENSE RECLASS 1,200,539.
PART XII, LINE 4B - OTHER ADJUSTMENTS:EXPENSE RECLASS 1,200,539.
RECLASSIFICATION OF EXPENSES

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ELLIOT GOLF CLASSICNameOfEvent1
Gross Receipts Event1116194GrossReceiptsEvent1
Gross Revenue Event1116194GrossRevenueEvent1
Non Cash Prizes Event13955NonCashPrizesEvent1
Rent Facility Costs Event110058RentFacilityCostsEvent1
Other Direct Expenses Event11045OtherDirectExpensesEvent1
Name Of Event2ELLIOT HOSPTL GALANameOfEvent2
Gross Receipts Event2161823GrossReceiptsEvent2
Gross Revenue Event2161823GrossRevenueEvent2
Rent Facility Costs Event231634RentFacilityCostsEvent2
Other Direct Expenses Event233531OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events12513GrossReceiptsOtherEvents
Gross Revenue Other Events12513GrossRevenueOtherEvents
Rent Facility Costs Other Events1896RentFacilityCostsOtherEvents
Other Direct Expenses Other Events720OtherDirectExpensesOtherEvents
Gross Receipts Total290530GrossReceiptsTotal
Gross Revenue Total Events290530GrossRevenueTotalEvents
Non Cash Prizes Total Events3955NonCashPrizesTotalEvents
Rent Facility Costs Total Events43588RentFacilityCostsTotalEvents
Other Direct Expenses Total Events35296OtherDirectExpensesTotalEvents
Direct Expense Summary Events82839DirectExpenseSummaryEvents
Net Income Summary207691NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

EIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
THE CAREGIVERS INC
020395429501(C)(3)10000TO SUPPORT A MARKETING INITIATIVE TO RECRUIT NEW VOLUNTEERS
GRANITE STATE INDEPENDENT LIVING
020350170501(C)(3)10000TO PROVIDE SUPPORT TO THE NURSING FACILITY TRANSITION PROGRAM SUPPORTING LOW INCOME ELDERLY
EASTER SEALS OF NEW HAMPSHIRE
020272825501(C)(3)25000TO PROVIDE SUPPORT FOR INITIAL ORAL HEALTH EVALUATIONS AND TREATMENT FOR UNINSURED ELDERLY
THE MOORE CENTER
020261136501(C)(3)15000TO EXPAND SHARED HOUSING FOR THE ELDERLY
ELLIOT HOSPITAL
020232673501(C)(3)25000TO DEVELOP AN AMBULATORY CARE COORDINATION TRAINING PROGRAM FOR THE ELDERLY
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE PEARL MANOR ADVISORY COMMITTEE MEETS TO REVIEW REQUESTS FOR GRANTS, MEET LEADERS OF ORGANIZATIONS REQUESTING GRANT FUNDING, AND REQUIRES UPDATES ON THE USE OF FUNDS IN MANY INSTANCES, BOTH WRITTEN AND PRESENTATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DOUGLAS F DEAN
CHIEF EXECUTIVE OFFICER054592602176250123273301408560121390214927901003896
RICHARD A ELWELL
CFO03460990913510480770109258011603060638800
RICHARD PHELPS
OFFICER04284040105001045262071750015757066617400

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BDOUGLAS DEAN - $108,075; RICK PHELPS - $64,250; RICHARD ELWELL - $73,882; WILLIAM BAXTER - $34,640
PART I, LINE 7THE 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 IIITHE SALARIES OF DOUGLAS DEAN, RICK PHELPS, AND RICHARD ELWELL REPRESENT SERVICES PROVIDED TO ALL RELATED ENTITIES.SUPPLEMENTAL INFORMATION
PART IIIPART 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 O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 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 12COFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED ANNUALLY TO SIGN A CONFLICT OF INTEREST FORM WHICH REQUIRES REPORTING ANY POTENTIAL CONFLICT OF INTEREST ARRANGEMENTS WITH THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION COMMITTEE OF THE BOARD UTILIZES OUTSIDE COMPENSATION CONSULTANTS TO EVALUATE THE SALARIES FOR THE CEO, CFO, AND COO. THE CONSULTANTS UTILIZE THEIR INTERNAL DATA ALONG WITH NATIONAL AND LOCAL BENCHMARK DATA FROM THE INDUSTRY TO DEVELOP SALARY LEVELS. RECOMMENDATIONS OF THE CONSULTANT ARE REVIEWED BY THE COMPENSATION COMMITTEE, WHO RECOMMENDS COMPENSATION LEVELS TO THE FULL BOARD FOR APPROVAL. AN OUTSIDE CONSULTING FIRM IS ALSO USED BY THE ORGANIZATION TO REVIEW THE COMPENSATION OF THE REMAINDER OF THE 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 19EACH OF THESE DOCUMENTS IS FILED WITH THE NEW HAMPSHIRE SECRETARY OF STATE AND IS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:TRANSFERS TO AFFILIATES -78,174.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ELLIOT HEALTH SYSTEM PROFESSIONAL & GENERAL LIABILITY INSURANCE TRUST
1070 HOLT AVENUE UNIT 1 STE 2100MANCHESTERNH03109016217452INSURANCE TRUSTNH501(C)3LINE 11, TYPE IIELLIOT HEALTH SYSTEM0
ELLIOT HOSPITAL
1 ELLIOT WAYMANCHESTERNH03103020232673PHYSICIAN SERVICESNH501(C)3LINE 3ELLIOT HEALTH SYSTEM0
ELLIOT PHYSICIAN NETWORK
1070 HOLT AVENUE UNIT 1 STE 2100MANCHESTERNH03109020509589PHYSICIAN SERVICESNH501(C)3LINE 3ELLIOT HEALTH SYSTEM0
ELLIOT HEALTH SYSTEM
1070 HOLT AVENUE UNIT 1 STE 2100MANCHESTERNH03109020509911MANAGEMENTNH501(C)3LINE 11, TYPE II0
VNA OF MANCHESTER & SOUTHERN NH & SUBS
33 SOUTH COMMERCIAL STREET SUITE 40MANCHESTERNH03101020395296VNA HOLDING COMPANYNH501(C)3LINE 7ELLIOT HOSPITAL0
ELLIOT PROFESSIONAL SERVICES NETWORK
1070 HOLT AVENUE UNIT 1 STE 2100MANCHESTERNH03109331003630PHYSICIAN SERVICESNH501(C)3LINE 7ELLIOT HEALTH SYSTEM0
VNA HOME HEALTH & HOSPICE SERVICES INC
33 SOUTH COMMERCIAL STREET SUITE 40MANCHESTERNH03101020222241HOME CARE & HOSPICE SERVICESNH501(C)3LINE 11, TYPE IIVNA OF MANCHESTER & SOUTHERN NH INC0
VNA COMMUNITY SERVICES INC
33 SOUTH COMMERCIAL STREET SUITE 40MANCHESTERNH03101020396549NURSING SERVICESNH501(C)3LINE 11, TYPE IIVNA OF MANCHESTER & SOUTHERN NH INC0
VNA PERSONAL SERVICES INC
33 SOUTH COMMERCIAL STREET SUITE 40MANCHESTERNH03101020395295PRIVATE HEALTH & HOMEMAKER SERVICESNH501(C)3LINE 11, TYPE IIVNA OF MANCHESTER & SOUTHERN NH INC0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ELLIOT COMMON TRUST FUND LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 ELLIOT WAYAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03103ZIPCode
FieldValueIRS element (for citing)
EIN203653624EIN
Primary ActivityINVESTMENTSPrimaryActivity
Legal Domicile StateNHLegalDomicileState
Predominant Income TypeN/APredominantIncomeType
Share Of Total Income289911ShareOfTotalIncome
Share Of EOY Assets6610630ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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