ELLIOT PROFESSIONAL SERVICES: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ELLIOT PROFESSIONAL SERVICES (EIN 33-1003630)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201441349349306064
- 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
| 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 | 331003630 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIOT PROFESSIONAL SERVICES NETWORK INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ELLI | NameControl |
| Phone | 6036638914 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 HOLT AVENUE UNIT 1 SUITE 2100 | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03109 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD ELWELL | Name |
| Title | CFO | Title |
| Phone | 6036638914 | 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 | RICHARD ELWELL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 HOLT AVENUE UNIT 1 SUITE 2100 | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03109 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 55186971 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | TO PROMOTE THE CHARITABLE, MEDICAL AND SCIENTIFIC, AND EDUCATIONAL PURPOSES OF THE ELLIOT HEALTH SYSTEM AND ITS AFFILIATED ORGANIZATIONS THROUGH THE EMPLOYMENT OF PHYSICIANS AND OTHER PROFESSIONAL PERSONNEL TO PROVIDE MEDICAL CARE TO THOSE IN NEED. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 229 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 31753 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 10629 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 46119115 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 55170917 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3100 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5366 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 46153968 | TotalRevenuePriorYear |
| Total Revenue Current Year | 55186912 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 53756604 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 58367780 | 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 | 13000760 | OtherExpensePriorYear |
| Other Expenses Current Year | 14094637 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 66757364 | TotalExpensesPriorYear |
| Total Expenses Current Year | 72462417 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -20603396 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -17275505 | RevenuesLessExpensesCY |
| Total Assets BOY | 4007307 | TotalAssetsBOY |
| Total Assets EOY | 7438393 | TotalAssetsEOY |
| Total Liabilities BOY | 4521249 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5653489 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -513942 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1784904 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ELLIOT PROFESSIONAL SERVICES IS A GROUP OF HIGHLY SPECIALIZED PHYSICIANS AND CARE PROVIDERS, WHICH ARE DEDICATED TO THE PROMOTION OF HIGHEST QUALITY, COMPASSIONATE AND ACCESSIBLE HEALTH CARE. WE REALIZE THE IMPORTANCE OF EACH PATIENT AND EACH PHYSICIAN IN THE PATIENT/PHYSICIAN RELATIONSHIP. WE ARE GUIDED BY THE DESIRE TO WORK WITHIN THE LARGER ELLIOT HEALTH SYSTEM TO CREATE A HEALTHY COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 70420528 | Expense |
| Revenue | 55170917 | Revenue |
| Description | TO PROVIDE QUALIFIED PROFESSIONAL PERSONNEL AND MAKE THE SERVICES OF SUCH HEALTH CARE PROFESSIONALS AVAILABLE TO SUCH PERSONS, INCLUDING INDIGENT PERSONS, REQUIRING MEDICAL CARE | Description |
| Total Program Service Expense | 70420528 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | 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 | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| 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 | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | 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 | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 15 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 229 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | 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 | 6036638977 | 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 (20 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 | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JOHN WEEKS | ||||||||
| CHAIRMAN | 1.00 | 3.00 | X | X | 0 | 0 | 0 | |
| JOHN HESSION | ||||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| BARBARA RAND | ||||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| DOUGLAS DEAN | ||||||||
| CHIEF EXECUTIVE OFFICER | 1.00 | 43.00 | X | X | 0 | 1996284 | 152995 | |
| EMILY BRYANT ARNP | ||||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| PETER CHEUNG MD | ||||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| RICHARD MARCUCCI MD | ||||||||
| TRUSTEE | 40.00 | 1.00 | X | 365251 | 0 | 23528 | ||
| RICHARD PHELPS | ||||||||
| OFFICER | 1.00 | 43.00 | X | X | 0 | 578667 | 87507 | |
| WILLIAM BAXTER MD | ||||||||
| TRUSTEE | 1.00 | 41.00 | X | 0 | 365580 | 15894 | ||
| GUS EMMICK MD | ||||||||
| TRUSTEE | 1.00 | 42.00 | X | 0 | 285153 | 23587 | ||
| JAMES FITZGERALD MD | ||||||||
| TRUSTEE | 1.00 | 42.00 | X | 0 | 212598 | 22991 | ||
| LEA GOTTRESDEN DO | ||||||||
| TRUSTEE | 1.00 | 40.00 | X | 0 | 144147 | 16101 | ||
| ROCHELLE LINDER DMD | ||||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| ANN REMUS | ||||||||
| TRUSTEE | 1.00 | 4.00 | X | 0 | 0 | 0 | ||
| RICHARD A ELWELL | ||||||||
| CHIEF FINANCIAL OFFICER | 1.00 | 43.00 | X | 0 | 485527 | 120861 | ||
| CARL M FIER | ||||||||
| PHYSICIAN | 40.00 | 0.00 | 827035 | 0 | 22669 | X | ||
| LAWRENCE HOEPP | ||||||||
| PHYSICIAN | 40.00 | 2.00 | 893217 | 0 | 20864 | X | ||
| MICHAEL R KACZANOWSKI | ||||||||
| PHYSICIAN | 40.00 | 0.00 | 969189 | 0 | 23770 | X | ||
| BRIAN F GILCHRIST | ||||||||
| PHYSICIAN | 40.00 | 0.00 | 789329 | 0 | 15027 | X | ||
| AYDAMIR ALRAKAWI | ||||||||
| PHYSICIAN | 40.00 | 0.00 | 1052086 | 0 | 24088 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4896107 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4067956 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 569882 | TotalOtherCompensation |
| Number Individuals GT100 K | 133 | 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 |
|---|---|---|---|---|---|
| MASS GENERAL PHYSICIAN ORG | |||||
| 55 FRUIT ST BULLFINCH 208 | BOSTON | MA | 02114 | HEALTH SERVICES | 483329 |
| FAITH MINARD ARNP | |||||
| 445 CYPRESS ST | MANCHESTER | NH | 03103 | PHYSICIAN - PROFESSIONAL SERVICES | 189969 |
| MEDICUS EMERGENCY ROOM SERVICE | |||||
| 7 INDUSTRIAL WAY UNIT 5 | SALEM | NH | 03079 | CONTRACTED LABOR | 187842 |
| MEDICAL DOCTOR ASSOC | |||||
| PO BOX 277185 | ATLANTA | GA | 30384 | LOCUM TENENS | 179147 |
| DARTMOUTH HITCHCOCK CLINIC | |||||
| 100 HITCHCOCK WAY | MANCHESTER | NH | 03104 | PHYSICIAN SERVICES | 150255 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| All Other Contributions | 10629 | AllOtherContributions |
| Total Contributions | 10629 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT REVENUES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 55170917 | TotalRevenueColumn |
| Related Or Exempt Function Income | 55170917 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 55170917 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5425 | TotalRevenueColumn |
| Exclusion | $5,425 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 59 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -59 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -59 | TotalRevenueColumn |
| Exclusion | -$59 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 55186912 | TotalRevenueColumn |
| Related Or Exempt Function Income | 55170917 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $5,366 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 365251 | Total |
| Program Services | 365251 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51989445 | Total |
| Program Services | 51989445 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1181184 | Total |
| Program Services | 1181184 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2536628 | Total |
| Program Services | 2536628 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2295272 | Total |
| Program Services | 2295272 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3151 | Total |
| Program Services | 3151 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 647 | Total |
| Program Services | 647 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10626 | Total |
| Management And General | 10626 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52606 | Total |
| Program Services | 52606 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1471189 | Total |
| Program Services | 1471189 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5032 | Total |
| Program Services | 5032 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 230112 | Total |
| Program Services | 230112 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18366 | Total |
| Program Services | 18366 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBT | 7138869 | 7138869 | |
| BUSINESS SERVICE FEES | 1986511 | 1986511 | |
| SUPPLIES | 1424300 | 1424300 | |
| PHYSICIAN'S EXPENSE | 453656 | 453656 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1299572 | Total |
| Program Services | 1254820 | ProgramServices |
| Management And General | 44752 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72462417 | Total |
| Program Services | 70420528 | ProgramServices |
| Management And General | 2041889 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 329661 | BOY |
| EOY | 1374510 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3153612 | BOY |
| EOY | 5758582 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1004441 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 845677 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 187750 | BOY |
| EOY | 158764 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 336284 | BOY |
| EOY | 146537 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4007307 | BOY |
| EOY | 7438393 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4290198 | BOY |
| EOY | 5244181 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 231051 | BOY |
| EOY | 409308 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4521249 | BOY |
| EOY | 5653489 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -513942 | BOY |
| EOY | 1784904 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -513942 | BOY |
| EOY | 1784904 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4007307 | BOY |
| EOY | 7438393 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -17275505 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 19574351 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 8550 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 31753 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10629 | CurrentTaxYear |
| Total | 50932 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 22503344 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 27480530 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 35321866 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 46119115 | CurrentTaxYearMinus1Year |
| Current Tax Year | 55170917 | CurrentTaxYear |
| Total | 186595772 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 22503344 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 27480530 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 35330416 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 46150868 | CurrentTaxYearMinus1Year |
| Current Tax Year | 55181546 | CurrentTaxYear |
| Total | 186646704 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 186646704 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2111 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6624 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9874 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3100 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5366 | CurrentTaxYear |
| Total | 27075 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2111 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6624 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9874 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3100 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5366 | CurrentTaxYear |
| Total | 27075 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 22505455 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 27487154 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 35340290 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 46153968 | CurrentTaxYearMinus1Year |
| Current Tax Year | 55186912 | CurrentTaxYear |
| Total | 186673779 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99990 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99980 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00010 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00020 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1004441 | OtherCostOrOtherBasis |
| Depreciation | 845677 | Depreciation |
| Book Value | 158764 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 158764 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $362,239 |
| DUE TO THIRD PARTY PAYORS | $47,069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 409308 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 55186912 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 55186912 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 55186912 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 72462417 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 72462417 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 72462417 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | ELLIOT PROFESSIONAL SERVICES NETWORK, INC. IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ELLIOT HOSPITAL. INCLUDED IN THOSE 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 X, ELLIOT PROFESSIONAL SERVICES NETWORK, INC. IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ELLIOT HOSPITAL. INCLUDED IN THOSE 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." |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 DEAN | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | 0 | 545926 | 0 | 217625 | 0 | 1232733 | 0 | 140856 | 0 | 12139 | 0 | 2149279 | 0 | 1003896 |
| RICHARD MARCUCCI MD | ||||||||||||||
| TRUSTEE | 313987 | 0 | 12306 | 0 | 38958 | 0 | 7500 | 0 | 16028 | 0 | 388779 | 0 | 0 | 0 |
| RICHARD PHELPS | ||||||||||||||
| OFFICER | 0 | 428404 | 0 | 105001 | 0 | 45262 | 0 | 71750 | 0 | 15757 | 0 | 666174 | 0 | 0 |
| WILLIAM BAXTER MD | ||||||||||||||
| TRUSTEE | 0 | 306110 | 0 | 25470 | 0 | 34000 | 0 | 0 | 0 | 15894 | 0 | 381474 | 0 | 0 |
| GUS EMMICK MD | ||||||||||||||
| TRUSTEE | 0 | 163993 | 0 | 104160 | 0 | 17000 | 0 | 8030 | 0 | 15557 | 0 | 308740 | 0 | 0 |
| JAMES FITZGERALD MD | ||||||||||||||
| TRUSTEE | 0 | 160528 | 0 | 35070 | 0 | 17000 | 0 | 7456 | 0 | 15535 | 0 | 235589 | 0 | 0 |
| LEA GOTTRESDEN DO | ||||||||||||||
| TRUSTEE | 0 | 121647 | 0 | 0 | 0 | 22500 | 0 | 9954 | 0 | 6147 | 0 | 160248 | 0 | 0 |
| RICHARD A ELWELL | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 0 | 346099 | 0 | 91351 | 0 | 48077 | 0 | 109258 | 0 | 11603 | 0 | 606388 | 0 | 0 |
| CARL M FIER | ||||||||||||||
| PHYSICIAN | 827035 | 0 | 0 | 0 | 0 | 0 | 7500 | 0 | 15169 | 0 | 849704 | 0 | 0 | 0 |
| LAWRENCE HOEPP | ||||||||||||||
| PHYSICIAN | 853717 | 0 | 0 | 0 | 39500 | 0 | 7500 | 0 | 13364 | 0 | 914081 | 0 | 0 | 0 |
| MICHAEL R KACZANOWSKI | ||||||||||||||
| PHYSICIAN | 428461 | 0 | 523728 | 0 | 17000 | 0 | 7500 | 0 | 16270 | 0 | 992959 | 0 | 0 | 0 |
| BRIAN F GILCHRIST | ||||||||||||||
| PHYSICIAN | 766829 | 0 | 0 | 0 | 22500 | 0 | 7500 | 0 | 7527 | 0 | 804356 | 0 | 0 | 0 |
| AYDAMIR ALRAKAWI | ||||||||||||||
| PHYSICIAN | 553500 | 0 | 464586 | 0 | 34000 | 0 | 7500 | 0 | 16588 | 0 | 1076174 | 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 O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ELLIOT HOSPITAL IS THE SOLE MEMBER OF THE REPORTING ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | ELLIOT HOSPITAL 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 XI, LINE 9: | TRANSFER FROM AFFILIATES 19,005,000. PENSION ADJUSTMENT 569,351. | 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 HOSPITAL | ||||||||||
| 1 ELLIOT WAY | MANCHESTER | NH | 03103 | 020232673 | PHYSICIAN SERVICES | NH | 501(C)3 | LINE 3 | ELLIOT HEALTH SYSTEM | 0 |
| ELLIOT PHYSICIAN NETWORK | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 020509589 | PHYSICIAN SERVICES | NH | 501(C)3 | LINE 3 | ELLIOT HEALTH SYSTEM | 0 |
| ELLIOT HEALTH SYSTEM | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 020509911 | MANAGEMENT | NH | 501(C)3 | LINE 11, TYPE II | 0 | |
| VNA OF MANCHESTER & SOUTHERN NH & SUBS | ||||||||||
| 33 SOUTH COMMERCIAL STREET SUITE 40 | MANCHESTER | NH | 03101 | 020395296 | VNA HOLDING COMPANY | NH | 501(C)3 | LINE 7 | ELLIOT 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 |
| 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 | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | 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 | 0 | 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 (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ELLIOT HOSPITAL | ||
| P | 10490073 | CASH |
| ELLIOT HOSPITAL | ||
| Q | 5019419 | CASH |
| ELLIOT HOSPITAL | ||
| J | 216527 | CASH |