MARY AND JOHN ELLIOT CHARITABLE FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MARY AND JOHN ELLIOT CHARITABLE FOUNDATION (EIN 02-0512229)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-10
IRS object ID
201301309349301610
Schema version
2011v1.5
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)
Timestamp2013-05-10T10:12:27-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2013-05-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM G STEELE JR CPAName
PTINP00233103PTIN
Phone6036228881Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts2384257GrossReceipts
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 Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year924388ContributionsGrantsPriorYear
Contributions Grants Current Year1739361ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year589924InvestmentIncomePriorYear
Investment Income Current Year208767InvestmentIncomeCurrentYear
Other Revenue Prior Year340979OtherRevenuePriorYear
Other Revenue Current Year421559OtherRevenueCurrentYear
Total Revenue Prior Year1855291TotalRevenuePriorYear
Total Revenue Current Year2369687TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year599090GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1696012GrantsAndSimilarAmntsCY
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 Year385712OtherExpensePriorYear
Other Expenses Current Year348561OtherExpensesCurrentYear
Total Expenses Prior Year984802TotalExpensesPriorYear
Total Expenses Current Year2044573TotalExpensesCurrentYear
Revenues Less Expenses Prior Year870489RevenuesLessExpensesPriorYear
Revenues Less Expenses CY325114RevenuesLessExpensesCY
Total Assets BOY7130550TotalAssetsBOY
Total Assets EOY6584489TotalAssetsEOY
Total Liabilities BOY724470TotalLiabilitiesBOY
Total Liabilities EOY661947TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6406080NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5922542NetAssetsOrFundBalancesEOY
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
Expense2044573Expense
Grants1696012Grants
Revenue331449Revenue
DescriptionSUPPORT OF THE FUNDRAISING ACTIVITIES OF THE ELLIOT HOSPITAL AND ITS RELATED TAX EXEMPT ORGANIZATIONSDescription
Total Program Service Expense2044573TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MARY ELLEN BISER
SECRETARY1.00XX0228084331
JAMES F CONWAY JR MD
VICE CHAIR1.00X000
DOUGLAS F DEAN
CHIEF EXECUTIVE OFFICER40.00XX0775340337512
SELMA NACCACH-HOFF
CHAIR1.00XX000
RICHARD I WINNEG
TRUSTEE1.00X000
RICHARD RAWLINGS
TRUSTEE1.00X000
WAYNE ROBINSON
TRUSTEE1.00X000
RUTH ANSELL ESQUIRE
TRUSTEE1.00X000
SID BAINES
TRUSTEE1.00X000
RENEE WALSH
TRUSTEE1.00X000
RICHARD A ELWELL
CFO40.00X0711978127871
RICHARD PHELPS
OFFICER40.00X068607769674
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2196203TotalReportableCompFrmRltdOrgs
Total Other Compensation539388TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions1739361AllOtherContributions
Total Contributions1739361TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column139957TotalRevenueColumn
Exclusion$139,957ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities68810Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities68810Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column68810TotalRevenueColumn
Exclusion$68,810ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events104680GrossIncomeFundraisingEvents
Fundraising Direct Expenses14570FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column90110TotalRevenueColumn
Exclusion$90,110ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT FEE INCOME561000325169325169
OTHER REVENUE90009962806280
FieldValueIRS element (for citing)
Total Other Revenue331449TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2369687TotalRevenueColumn
Related Or Exempt Function Income331449RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$298,877ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1696012Total
Program Services1696012ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1523Total
Program Services1523ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8908Total
Program Services8908ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total770Total
Program Services770ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total470Total
Program Services470ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PURCHASED SERVICES224192224192
CONSULTING FEES3530735307
TRUST FUND FEES2728927289
PRINTING/PUBLICATIONS1760717607

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total32495Total
Program Services32495ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2044573Total
Program Services2044573ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY895971BOY
EOY773856EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY602484BOY
EOY148416EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY125200BOY
EOY16000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9991LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7886LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2575BOY
EOY2105EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5491120BOY
EOY5632528EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13200BOY
EOY11584EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7130550BOY
EOY6584489EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4470BOY
EOY21947EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY720000BOY
EOY640000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY724470BOY
EOY661947EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5630135BOY
EOY4854937EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY775945BOY
EOY1067605EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6406080BOY
EOY5922542EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7130550BOY
EOY6584489EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses325114ReconcilationRevenueExpenses
Reconcilation Other Changes-808652ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years2137287CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1013593CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1184977CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year918380CurrentTaxYearMinus1Year
Current Tax Year1844041CurrentTaxYear
Total7098278Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2137287CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1013593CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1184977CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year918380CurrentTaxYearMinus1Year
Current Tax Year1844041CurrentTaxYear
Total7098278Total
FieldValueIRS element (for citing)
Public Support Total1707098278PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years147115CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years204092CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years188299CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year135741CurrentTaxYearMinus1Year
Current Tax Year139957CurrentTaxYear
Total815204Total
FieldValueIRS element (for citing)
Total Support7913482TotalSupport
Gross Receipts From Admissions Etc1739134GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.89700PublicSupportPertcentage170
Public Support Pertcent Prior Year0.88170PublicSupportPertcentPriorYear
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 Balance775945BeginningOfYearBalance
Contributions282540Contributions
Investment Earnings Or Losses9120InvestmentEarningsOrLosses
End Of Year Balance1067605EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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
Depreciation7886Depreciation
Book Value2105BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2105TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionSECURITIES AND OTHER INVESTMENTSDescription
Book Value5632528BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities5632528TotalOfBookValueSecurities
Total Revenue2369687TotalRevenue
Total Expenses2044573TotalExpenses
Excess Or Deficit For Year325114ExcessOrDeficitForYear
Net Unrealized GL On Investments-136775NetUnrealizedGLOnInvestments
Other-$671,877OtherAmount
Total Adjustments-808652TotalAdjustments
Excess Or Deficit Per FS-483538ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt603942TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-136775NetUnrealizedGainsInvestments
Revenue Not Rptd F990-136775RevenueNotRptdF990
Revenue Subtotal740717RevenueSubtotal
Other Revenues Not Included1628970OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1628970RevenueNotRptdOnFinStmt
Total Revenue Per Form9902369687TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt415603TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal415603ExpensesSubtotal
Other Expenses Not Included1628970OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1628970ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902044573TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:TRANSFERS TO AFFILIATES -671,877.
PART XII, LINE 4B - OTHER ADJUSTMENTS:EXPENSE RECLASS 1,628,970.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:EXPENSE RECLASS 1,628,970.
RECLASSIFICATION OF EXPENSES
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."

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1104680GrossReceiptsEvent1
Gross Revenue Event1104680GrossRevenueEvent1
Non Cash Prizes Event13945NonCashPrizesEvent1
Rent Facility Costs Event19884RentFacilityCostsEvent1
Other Direct Expenses Event1741OtherDirectExpensesEvent1
Gross Receipts Total104680GrossReceiptsTotal
Gross Revenue Total Events104680GrossRevenueTotalEvents
Non Cash Prizes Total Events3945NonCashPrizesTotalEvents
Rent Facility Costs Total Events9884RentFacilityCostsTotalEvents
Other Direct Expenses Total Events741OtherDirectExpensesTotalEvents
Direct Expense Summary Events14570DirectExpenseSummaryEvents
Net Income Summary90110NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

EIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
THE CAREGIVERS INC
020395429501(C)(3)10000SUPPORTED EXPANSION AND ENHANCEMENT EFFORTS OF THE CARING CUPBOARD
CHILD AND FAMILY SERVICES
020222164501(C)(3)30000PROVIDED HOME CARE SERVICES FOR TWENTY LOW INCOME ELDERLY INDIVIDUALS
EASTER SEALS OF NEW HAMPSHIRE
020272825501(C)(3)25000PROVIDED DENTAL SERVICES TO INDIGENT, FRAIL SENIORS IN THE GREATER MANCHESTER AREA
THE MOORE CENTER
020261136501(C)(3)25000ASSISTED THE MOORE OPTIONS FOR SENIORS PROGRAM IN DEVELOPING SHARED HOUSING FOR ELDERLY
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
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)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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)

Base 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
0529809019157005396103252930122190111285200
RICHARD A ELWELL
033821101053770268390011618701168408398490221290
RICHARD PHELPS
03743670120426019128405349301618107557510149684

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BDOUGLAS DEAN - $287,928; RICK PHELPS - $51,158; RICHARD ELWELL - $75,929; WILLIAM BAXTER - $33,960
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 2 AND 3 - DURING THE YEAR MR ELWELL AND DR PHELPS EACH WITHDREW FUNDS FROM THEIR DEFERRED COMPENSATION PLANS ($221,290 AND $149,684 RESPECTIVELY) AS SUCH THESE AMOUNTS ARE REPORTED IN COLUMN B(III) AND IN PRIOR YEARS CONTRIBUTIONS TO THEIR DEFERRED COMPENSATION PLANS WHICH SUPPORT THE CURRENT DISTRIBUTION 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 5:NET UNREALIZED LOSSES ON INVESTMENTS: -136,775. TRANSFERS TO AFFILIATES -671,877. TOTAL TO FORM 990, PART XI, LINE 5: -808,652.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 Income161514ShareOfTotalIncome
Share Of EOY Assets5685104ShareOfEOYAssets
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
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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