ELLIOT HOSPITAL OF THE CITY OF MANCHESTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ELLIOT HOSPITAL OF THE CITY OF MANCHESTER (EIN 02-0232673)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-10
IRS object ID
201331309349301753
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)
EIN020232673EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE ELLIOT HOSPITAL OF THE CITY OF MANCHESTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlELLINameControl
Phone6036632033Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 ELLIOT WAYAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03103ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD ELWELLName
TitleCFOTitle
Phone6036632033Phone
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 TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDOUGLAS DEANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 ELLIOT WAYAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03103ZIPCode
FieldValueIRS element (for citing)
Gross Receipts376362848GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteELLIOT-HS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1942YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionHOSPITAL SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees3309TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI4842780TotalGrossUBI
Net Unrelated Business Txbl Income-480386NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year599090ContributionsGrantsPriorYear
Contributions Grants Current Year1696012ContributionsGrantsCurrentYear
Program Service Revenue Prior Year321386340ProgramServiceRevenuePriorYear
Program Service Revenue CY356361181ProgramServiceRevenueCY
Investment Income Prior Year5998990InvestmentIncomePriorYear
Investment Income Current Year3372126InvestmentIncomeCurrentYear
Other Revenue Prior Year16179365OtherRevenuePriorYear
Other Revenue Current Year14933529OtherRevenueCurrentYear
Total Revenue Prior Year344163785TotalRevenuePriorYear
Total Revenue Current Year376362848TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year581686GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year167657511SalariesEtcPriorYear
Salaries Etc Current Year165512221SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year169848856OtherExpensePriorYear
Other Expenses Current Year207141680OtherExpensesCurrentYear
Total Expenses Prior Year338088053TotalExpensesPriorYear
Total Expenses Current Year372653901TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6075732RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3708947RevenuesLessExpensesCY
Total Assets BOY354022964TotalAssetsBOY
Total Assets EOY354374322TotalAssetsEOY
Total Liabilities BOY239186805TotalLiabilitiesBOY
Total Liabilities EOY280440885TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY114836159NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY73933437NetAssetsOrFundBalancesEOY
Mission DescriptionELLIOT HOSPITAL OF THE CITY OF MANCHESTER, A LEADER IN HEALTHCARE, IS DEDICATED TO PROVIDING IT'S COMMUNITY WITH EXCELLENT SERVICES OFFERED WITH DIGNITY, CARING, AND RESPECT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense285352590Expense
Revenue361805156Revenue
DescriptionMEDICAL SERVICES PROVIDED TO 14,594 IN-PATIENTS AND 516,395 OUT-PATIENTS INCLUDING FREE CARE IN THE AMOUNT OF $7,324,556 (AT COST) AND CONTRIBUTIONS TO COMMUNITY PROGRAMSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense225000Expense
DescriptionCONTRIBUTIONS TO EASTER SEALS FOR CHILD CARE SERVICES FOR THE COMMUNITYDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4562308Expense
DescriptionCOMMUNITY BENEFITS INCLUDING EDUCATIONAL PROGRAMS, HEALTH SCREENINGS, HEALTH PUBLICATIONS, PATIENT TRANSPORT SERVICE AND OTHER HEALTH INFORMATION SERVICESDescription
FieldValueIRS element (for citing)
Total Program Service Expense290139898TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Liabilities1ReportOtherLiabilities
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
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 Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096272NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3309NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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 Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
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 Number6036632033TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DOUGLAS F DEAN
PRESIDENT & CEO40.00XX7753400337512
RICK PHELPS
COO40.00XX686077069674
R SCOTT BACON
CHAIR1.00XX000
JAMES C HOOD ESQ
TRUSTEE1.00X000
ANN REMUS
SECRETARY1.00X000
SELMA NACCACH-HOFF
TRUSTEE1.00XX000
LOUISE FORSEZE
TRUSTEE1.00X000
PETER CHEUNG MD
TRUSTEE1.00X000
JOHN T BRODERICK JR
TRUSTEE1.00XX000
RICHARD MARCUCCI MD
TRUSTEE40.00X036799618588
DANIEL M MONFRIED
TRUSTEE1.00X000
EDWARD P MITCHELL
TRUSTEE1.00X000
DIANNE M MERCIER
VICE CHAIR1.00X000
DAVID R A STEADMAN
TREASURUER1.00X000
ROBERT M LAVERY
TRUSTEE1.00X057469312456
HAROLD TURNER JR
TRUSTEE1.00X000
RICHARD L WINNEG
TRUSTEE1.00X000
BARBARA A RAND
TRUSTEE1.00X000
GUS EMMICK MD
TRUSTEE40.00X030229817764
CHARLES ROLECEK
TRUSTEE1.00X000
PETER VAN DER MEER MD
TRUSTEE1.00X000
JOHN F WEEKS
TRUSTEE1.00X000
CHRISTOPHER S CALHOUN MD
TRUSTEE40.00X014257427040
RICHARD ELWELL
CFO40.00X7119780127871
JOHN FRIBERG
SENIOR VP OF OPERATIONS40.00318000017230X
ALEXANDER W PETRON
CHIEF MEDICAL INFO OFFICER40.00310528014488X
KEVIN B COUGHLIN
SENIOR VP PHYSICIAN SERVICES40.00295306014163X
ANITA RITENOUR MD
ASST VP MEDICAL AFFAIRS40.00348201035321X
ELIZABETH A HALE-CAMPOLI
VP OF PATIENT CARE SERVICE40.0028262103558X
WILLIAM BAXTER
SENIOR VP MEDICAL AFFFAIRS40.00366044018163X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4094095TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1387561TotalReportableCompFrmRltdOrgs
Total Other Compensation713828TotalOtherCompensation
Number Individuals GT100 K121NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MARTINI NORTHERN LLC
299 HANOVER STREETPORTSMOUTHNH03801GENERAL CONTRACTOR1910408
AW ROSE CONSTRUCTION LLC
33 SOUTH COMMERCIAL STREETMANCHESTERNH03101CONSTRUCTION1823989
MAYO COLLABORATIVE
PO BOX 9146MINNEAPOLISMN55480LABORATORY SERVICE1684168
BIANCO ASSOCIATES
18 CENTER STCONCORDNH03301REGULATORY AND LEGAL CONSULTING827234
GRANITE STATE PLUMBING
10 N RIVERDALE RDWEARENH03281PLUMBING CONTRACTOR671508
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
All Other Contributions1696012AllOtherContributions
Total Contributions1696012TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROG.SERV.REVENUE-RELADescription
Business Code621110BusinessCode
Total Revenue Column356361181TotalRevenueColumn
Related Or Exempt Function Income356361181RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue356361181TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2013623TotalRevenueColumn
Unrelated Business Revenue-107002UnrelatedBusinessRevenue
Exclusion$2,120,625ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2429012Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2429012Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2429012TotalRevenueColumn
Exclusion$2,429,012ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1358503Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1358503Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1358503TotalRevenueColumn
Exclusion$1,358,503ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
MISCELLANEOUS OTHER90009954439755443975
LABORATORY SERVICES62150047547134754713
CAFETERIA REVENUE7222101696095$1,696,095

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column609734TotalRevenueColumn
Unrelated Business Revenue195069UnrelatedBusinessRevenue
Exclusion$414,665ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue12504517TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column376362848TotalRevenueColumn
Related Or Exempt Function Income361805156RelatedOrExemptFunctionIncome
Unrelated Business Revenue4842780UnrelatedBusinessRevenue
Exclusion$8,018,900ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2491397Total
Management And General2491397ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total127729511Total
Program Services95797133ProgramServices
Management And General31932378ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10564383Total
Program Services7923287ProgramServices
Management And General2641096ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15152979Total
Program Services11364734ProgramServices
Management And General3788245ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9573951Total
Program Services7180463ProgramServices
Management And General2393488ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total333267Total
Management And General333267ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total112000Total
Management And General112000ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2474084Total
Management And General2474084ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4954760Total
Program Services3716070ProgramServices
Management And General1238690ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total149684Total
Program Services112263ProgramServices
Management And General37421ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total223111Total
Program Services167334ProgramServices
Management And General55777ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total9486840Total
Program Services7115130ProgramServices
Management And General2371710ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total19466623Total
Program Services19466623ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17375327Total
Program Services13031495ProgramServices
Management And General4343832ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total864808Total
Program Services648606ProgramServices
Management And General216202ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS4100995041009950
SUPPLIES2025144120251441
MEDICAID ENHANCEMENT TA1610710016107100
DRUGS & PHARMACEUTICUL1449557314495573

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total59837112Total
Program Services47859796ProgramServices
Management And General11977316ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total372653901Total
Program Services290139898ProgramServices
Management And General82514003ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14174647BOY
EOY21588730EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY11013768BOY
EOY6095203EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY30971984BOY
EOY34960257EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2184163BOY
EOY2143884EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3574037BOY
EOY4336045EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis350112460LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec179560404LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY176603568BOY
EOY170552056EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY101624135BOY
EOY97644472EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13876662BOY
EOY17053675EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY354022964BOY
EOY354374322EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY31791324BOY
EOY33887118EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY153194328BOY
EOY151706117EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY150000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY54201153BOY
EOY94697650EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY239186805BOY
EOY280440885EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY100975670BOY
EOY60341629EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1722983BOY
EOY1696379EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY12137506BOY
EOY11895429EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY114836159BOY
EOY73933437EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY354022964BOY
EOY354374322EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3708947ReconcilationRevenueExpenses
Reconcilation Other Changes-44611669ReconcilationOtherChanges
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)
Hospital170b1 AiiiXHospital170b1Aiii

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals188723FilingOrganizationsTotals
Affiliated Group Totals188723AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals188723FilingOrganizationsTotals
Affiliated Group Totals188723AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals290139899FilingOrganizationsTotals
Affiliated Group Totals391476290AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals290328622FilingOrganizationsTotals
Affiliated Group Totals391665013AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3238276CurrentYearMinus3
Current Year Minus2348114CurrentYearMinus2
Current Year Minus1344636CurrentYearMinus1
Current Year188723CurrentYear
Total1119749Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus329212CurrentYearMinus3
Current Year Minus232124CurrentYearMinus2
Current Year Minus133158CurrentYearMinus1
Current Year0CurrentYear
Total94494Total

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance13860491BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses-268683InvestmentEarningsOrLosses
End Of Year Balance13591808EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance12771028BeginningOfYearBalance
Contributions50000Contributions
Investment Earnings Or Losses1039463InvestmentEarningsOrLosses
End Of Year Balance13860491EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12420985BeginningOfYearBalance
Contributions174500Contributions
Investment Earnings Or Losses175543InvestmentEarningsOrLosses
End Of Year Balance12771028EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance14078246BeginningOfYearBalance
Investment Earnings Or Losses-1657261InvestmentEarningsOrLosses
End Of Year Balance12420985EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.12480BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.87520PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6681464OtherCostOrOtherBasis
Book Value6681464BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis167568502OtherCostOrOtherBasis
Depreciation48480879Depreciation
Book Value119087623BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3445505OtherCostOrOtherBasis
Depreciation1747545Depreciation
Book Value1697960BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis163066061OtherCostOrOtherBasis
Depreciation125602389Depreciation
Book Value37463672BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9350928OtherCostOrOtherBasis
Depreciation3729591Depreciation
Book Value5621337BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings170552056TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionBOARD DESIGNATED & DONOR RESTRICTEDDescription
Book Value97644472BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities97644472TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
PAYABLE TO THIRD PARTY PAYORS$7,885,294
INTEREST PAYABLE$2,295,750
ACCRUED PENSION & OTHER$67,958,763
SELF-INSURANCE RESERVES & OTHER$14,880,980
CURRENT PORTION OF LONG-TERM DEBT$1,676,863
FieldValueIRS element (for citing)
Total Of Amounts94697650TotalOfAmounts
Total Revenue376362848TotalRevenue
Total Expenses372653901TotalExpenses
Excess Or Deficit For Year3708947ExcessOrDeficitForYear
Other-$44,611,669OtherAmount
Total Adjustments-44611669TotalAdjustments
Excess Or Deficit Per FS-40902722ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt374230546TotRevenueEtcAuditedFinclStmt
Other Revenues-1724797OtherRevenues
Revenue Not Rptd F990-1724797RevenueNotRptdF990
Revenue Subtotal375955343RevenueSubtotal
Other Revenues Not Included407505OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt407505RevenueNotRptdOnFinStmt
Total Revenue Per Form990376362848TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt352779773TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal352779773ExpensesSubtotal
Other Expenses Not Included19874128OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt19874128ExpensesNotRptdOnFinStmt
Total Expenses Per Form990372653901TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:INCOME OF THE FUNDS HAS BEEN USED FOR OPERATING AND CAPITAL EXPENDITURES
PART XI, LINE 8 - OTHER ADJUSTMENTS:UNREALIZED GAIN/LOSS - UNRESTRICTED FUND -1,724,800. PENSION ADJUSTMENT -42,588,265. UNREALIZED GAIN/LOSS - TEMPORARILY RESTRICTED FUNDS -26,604. UNREALIZED GAIN/LOSS - PERMANENTLY RESTRICTED FUNDS -272,000. GRANT PROCEEDS RECEIVED FOR CAPITAL PURCHASE TOTAL TO SCHEDULE D, PART XI, LINE 8: -44,611,669.
PART XII, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED LOSS -1,724,797.
PART XII, LINE 4B - OTHER ADJUSTMENTS:EXPENSE RECLASS 407,505.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:EXPENSE RECLASS 407,505. PAYMENTS TO AFFILIATES 19,466,623.
PART X, INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS WAS THE FOLLOWING, "MANAGEMENT EVALUATED THE HOSPITAL'S TAX POSITIONS AND CONCLUDED THE HOSPITAL HAS MAINTAINED ITS TAX-EXEMPT STATUS, DOES NOT HAVE ANY SIGNIFICANT UNRELATED BUSINESS INCOME AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS."

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served20805PersonsServed
Total Community Benefit Expense7323386TotalCommunityBenefitExpense
Net Community Benefit Expense7323386NetCommunityBenefitExpense
Percent Of Total Expense0.01970PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served50664PersonsServed
Total Community Benefit Expense45876805TotalCommunityBenefitExpense
Direct Offsetting Revenue13409977DirectOffsettingRevenue
Net Community Benefit Expense32466828NetCommunityBenefitExpense
Percent Of Total Expense0.08710PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served0PersonsServed

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served71469PersonsServed
Total Community Benefit Expense53200191TotalCommunityBenefitExpense
Direct Offsetting Revenue13409977DirectOffsettingRevenue
Net Community Benefit Expense39790214NetCommunityBenefitExpense
Percent Of Total Expense0.10680PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs13NumberOfActivitiesOrPrograms
Persons Served2509PersonsServed
Total Community Benefit Expense362643TotalCommunityBenefitExpense
Direct Offsetting Revenue1345DirectOffsettingRevenue
Net Community Benefit Expense361298NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served364PersonsServed
Total Community Benefit Expense740826TotalCommunityBenefitExpense
Net Community Benefit Expense740826NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense12805364TotalCommunityBenefitExpense
Direct Offsetting Revenue5584123DirectOffsettingRevenue
Net Community Benefit Expense7221241NetCommunityBenefitExpense
Percent Of Total Expense0.01940PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense25189TotalCommunityBenefitExpense
Net Community Benefit Expense25189NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served72PersonsServed
Total Community Benefit Expense417544TotalCommunityBenefitExpense
Net Community Benefit Expense417544NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs41NumberOfActivitiesOrPrograms
Persons Served2945PersonsServed
Total Community Benefit Expense14351566TotalCommunityBenefitExpense
Direct Offsetting Revenue5585468DirectOffsettingRevenue
Net Community Benefit Expense8766098NetCommunityBenefitExpense
Percent Of Total Expense0.02360PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs41NumberOfActivitiesOrPrograms
Persons Served74414PersonsServed
Total Community Benefit Expense67551757TotalCommunityBenefitExpense
Direct Offsetting Revenue18995445DirectOffsettingRevenue
Net Community Benefit Expense48556312NetCommunityBenefitExpense
Percent Of Total Expense0.13040PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense12770TotalCommunityBuildingExpense
Net Community Building Expense12770NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense12770TotalCommunityBuildingExpense
Net Community Building Expense12770NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$19,274,676BadDebtExpenseAmount
Amount Reimbursed By Medicare82376465AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare106174435CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-23797970MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE ELLIOT HOSPITAL OF CITY OF MANCHSTRBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11 ELLIOT WAYAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03103ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ELLIOT HOSPITAL OF CITY OF MANCHESTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART II: THE HEALTH OF THE COMMUNITY WE SERVE IS PROMOTED THROUGH EH'S BUILDING ACTIVITIES WITH ORGANIZATIONS SUCH AS THE CHILD ADVOCACY CENTER, THE HOMELESS SHELTER AND OTHERS. IN PROBABLY THE MOST IMPORTANT AND BASIC MANNER, NAMELY, WE DIRECTLY IMPACT BASIC LIVING (AND IN SOME CASES SURVIVAL) NEEDS. CHILDREN, YOUNG ADULTS, ADULTS AND THE ELDERLY SHARE THE NEED FOR BASIC NUTRITION, SAFETY, AND SHELTER. THE ORGANIZATIONS WE CHOOSE TO SUPPORT OFFER AND PROVIDE SOME OF THESE NECESSITIES FOR A LARGE PORTION OF THE POPULATION IN THE GREATER MANCHESTER AREA. FURTHER, WE PROVIDE SUPPORT FOR ORGANIZATIONS THAT UNDERSTAND THE IMPORTANCE OF EDUCATION AND PROVIDE THE SKILLS, TOOLS AND THE INFORMATION TO PEOPLE SO THAT THEY CAN ACCESS EVERYTHING FROM FOOD FOR THE HUNGRY, SHELTER, SAFETY FROM PHYSICAL AND MENTAL HARM AS WELL AS HEALTH CARE. EH TREATS MANY OF THESE INDIVIDUALS IN OUR EMERGENCY DEPARTMENT. IN WORKING WITH THESE PEOPLE TO HELP THEM RECOVER FROM ILLNESSES OR INJURIES, WE HAVE COME TO UNDERSTAND THE IMPORTANCE AND THE ROLE OTHER ORGANIZATIONS PLAY IN THE LIVES OF THESE SAME PEOPLE. BY SUPPORTING THESE ORGANIZATIONS, WE KNOW THAT BASIC NEEDS ARE BEING MET, AND IMPROVED HEALTH AND WELLNESS FOR EVERYONE REGARDLESS OF PERSONAL HARDSHIP OR STATUS MAY BE ACHIEVED.
PART III, LINE 4: BAD DEBT AND CHARITY CARE COST DETERMINED USING INTERNAL COST ACCOUNTING SYSTEM.SELF PAY ACCOUNTS GIVEN AUTOMATIC 25% DISCOUNT OFF CHARGES; SELF PAY ACCOUNTS THAT DO NOT MAKE PAYMENT ARE TRANSFERRED TO BAD DEBT. ORGANIZATION NOT CURRENTLY DETERMINING BAD DEBT ACCOUNTS THAT MAY HAVE BEEN CHARITABLE CARE.BAD DEBT FOOTNOTE: "NET PATIENT SERVICE REVENUES - .... THE HOSPITAL RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS, THE HOSPITAL PROVIDES A DISCOUNT APPROXIMATELY EQUAL TO THAT OF ITS LARGEST PRIVATE INSURANCE PAYORS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED." "ACCOUNTS RECEIVABLE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS - ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS., IF NECESSARY(FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8: ALLOWABLE COSTS DETERMINED USING CMS METHODOLOGY UTILIZED IN COMPLETING COST REPORT; MEDICARE SHORTFALL TO BE INCLUDED IN COMMUNITY BENEFITS
PART III, LINE 9B: COLLECTIONS ARE NOT PURSUED ON CHARITY CARE PATIENTS. COLLECTIONS AGENCY IS SUPPLIED INFORMATION THAT ALLOWS THEM TO IDENTIFY ONLY THOSE ACCOUNTS UPON WHICH COLLECTION EFFORTS SHOULD BE PURSUED.
PART V, SECTION B, LINE 11H: DECEASED AND HOMELESS PERSONS ARE AUTOMATICALLY CONVERTED TO CHARITABLE CARE. CATASTROPHIC LIMIT CAP SET AT $50,000 FOR SELF-PAY.ELLIOT HOSPITAL OF CITY OF MANCHESTER
PART VI, LINE 2: IN 2009, THE DEVELOPMENT OF A COMMUNITY NEEDS ASSESSMENT TITLED "BELIEVE IN A HEALTHY COMMUNITY" WAS COMPLETED BY A COLLABORATIVE COMMUNITY GROUP, THE MANCHESTER SUSTAINABLE ACCESS PROJECT (MSAP). THE DATA ANALYSIS AND REPORT DESIGN WAS DEVELOPED UNDER THE OVERSIGHT OF THE CITY OF MANCHESTER HEALTH DEPARTMENT AND THE NH DEPARTMENT OF HEALTH AND HUMAN SERVICES. FUNDING FOR THIS PROJECT WAS PROVIDED BY ELLIOT HEALTH SYSTEM (EHS), CATHOLIC MEDICAL CENTER (ANOTHER ACUTE CARE HOSPITAL IN MANCHESTER), AND DARTMOUTH-HITCHCOCK MANCHESTER (A COMMUNITY EXTENSION OF DARTMOUTH-HITCHCOCK MEDICAL CENTER).THE PROCESS BEGAN WITH A REVIEW OF THE HEALTHY MANCHESTER 2015 STRATEGIC IMPERATIVES FRAMEWORK BY THE MEMBERS OF THE MANCHESTER SUSTAINABLE ACCESS PROJECT (MSAP) DATA SUB-COMMITTEE. THE STRATEGIC IMPERATIVES PROVIDED THE PLANNING AND ORGANIZATIONAL STRUCTURE FOR THE REPORT. ONE HUNDRED AND FIFTEEN INDIVIDUALS FROM THIRTEEN COMMUNITIES PARTICIPATED IN THIRTEEN COMMUNITY FOCUS GROUPS. BETWEEN MARCH AND MAY 2009, THE COMMUNITY HEALTH INSTITUTE (CHI) STAFF INTERVIEWED TWENTY-SIX KEY LEADERS FROM THE MANCHESTER HEALTH SERVICE AREA IDENTIFIED BY THEIR PEERS AS BEING LEADERS WHO UNDERSTOOD CURRENT AND EMERGING ISSUES FRO THE GRATER MANCHESTER COMMUNITY. THE KEY LEADERS REPRESENTED CITY/TOWN GOVERNMENT, EDUCATION, HEALTH CARE DELIVERY, BUSINESSES, NON-PROFIT ORGANIZATIONS AND MUNICIPALITIES. IN ADDITION, EACH KEY LEADER COMPLETED A STANDARD PAPER SURVEY. FOR EACH FOCUS GROUP, AND KEY LEADER INTERVIEW, A NOTE TAKER DOCUMENTED THE MAJOR THEMES AND POINTS AT EACH DISCUSSION. ALL FOCUS GROUPS WERE RECORDED AND NOTES WERE INPUT INTO NVIVO 8 STATISTICAL SOFTWARE AND AN SPSS DATABASE WAS USED FOR DESCRIPTIVE ANALYSIS OF THE DATA COLLECTED.A FULL COPY OF "BELIEVE IN A HEALTHY COMMUNITY" IS AVAILABLE AT THE CITY OF MANCHESTER, MANCHESTER HEALTH DEPARTMENT WEBSITE: HTTP://WWW.MANCHESTERNH.GOV/WEBSITE/DEPARTMENTS/HEALTH/TABID/177/DEFAULT.ASPX
PART VI, LINE 3: PATIENT REGISTRATION AREAS HAVE SIGNAGE INDICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE ORGANIZATION'S CHARITY CARE POLICY. PATIENT BILLS AND STATEMENTS HAVE LANGUAGE THAT OFFERS THE OPPORTUNITY TO APPLY FOR CHARITABLE CARE. FINANCIAL ASSISTANCE OPTIONS ARE ALSO DESCRIBED ON THE ORGANIZATION'S WEB-SITE.
PART VI, LINE 4: THE DESCRIPTION BELOW INCLUDES SOME REVISED EXCERPTS FROM "BELIEVE IN A HEALTHY COMMUNITY".MANCHESTER AND THE SURROUNDING TOWNS OF AUBURN, BEDFORD, CANDIA, DEERFIELD, GOFFSTOWN, HOOKSETT AND NEW BOSTON, MAKE UP WHAT IS KNOWN AS THE MANCHESTER HEALTH SERVICE AREA (HSA). THE HSA HAS A POPULATION OF 179,894 PERSONS (2007) REPRESENTING APPROXIMATELY 14% OF THE NH STATE POPULATION (1,315,829) AND MAKES UP MOST OF THE MAJOR SERVICE AREA OF EHS, THE UMBRELLA ORGANIZATION UNDER WHICH ELLIOT HOSPITAL (EH) OPERATES. IN 2006, THE HSA EXPERIENCED 11.3% OF THE STATE'S TOTAL BIRTHS AND 10% OF THE STATE'S TOTAL DEATHS.THE CITY OF MANCHESTER IS THE LARGEST COMMUNITY IN NORTHERN NEW ENGLAND. WITH A TOTAL POPULATION OF 108,874 RESIDENTS, MANCHESTER REPRESENTS 60.5% OF THE HSA AND 8.3% OF THE STATE'S TOTAL POPULATION. THE TABLE BELOW DISPLAYS HOW THE POPULATION IN MANCHESTER IS DISTRIBUTED BY AGE AND GENDER.MORE PEOPLE ARE LIVING LONGER AND INDIVIDUALS IN THE LARGE "BABY BOOMER" AGE GROUP ARE NOW REACHING THE AGE OF 65. IN THE NEXT FORTY YEARS, THE NUMBER OF PEOPLE IN THE NATION AGE 65 AND OLDER IS EXPECTED TO MORE THAN DOUBLE AND THE POPULATION OF THE MANCHESTER HSA IS EXPECTED TO EXPERIENCE THE SAME TYPE OF GROWTH. FOR EXAMPLE, THE NUMBER OF MANCHESTER ADULTS AGE 65 AND OLDER GREW BY 13% FROM 1980 TO 2000. IT IS PROJECTED THAT THIS POPULATION WILL GROW BY ANOTHER 85% FROM 2000 TO 2020. THE POPULATION OF OLDER ADULTS IN THE OTHER HSA TOWNS GREW BY 82% FROM 1980 TO 2000 AND IS PROJECTED TO MORE THAN DOUBLE FROM 2000 TO 2020. THIS HIGH GROWTH RATE OF THE ELDERLY GROUP IN THE MANCHESTER HSA SUGGESTS HEALTH CARE LEADERS SHOULD ANTICIPATE AND PLAN FOR AN INCREASED DEMAND FOR SERVICES THAT ADEQUATELY ADDRESS THE NEEDS OF OLDER ADULTS.OVER THE LAST DECADE, IN ADDITION TO GROWING IN SIZE, MANCHESTER HSA'S POPULATION HAS BECOME MORE DIVERSE IN ITS CULTURES, LANGUAGES, RELIGIOUS BELIEFS AND OTHER IDEOLOGIES. THIS IS ESPECIALLY TRUE FOR MANCHESTER, WHICH IS A REFUGEE RESETTLEMENT SITE. AS OF 2007, NEARLY 10% OF MANCHESTER RESIDENTS WERE BORN OUTSIDE OF THE UNITED STATES, WHICH IS TWICE THE PERCENT OF PEOPLE IN ALL OF NH WHO ARE FOREIGN BORN. OVER 17% OF MANCHESTER'S RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH IN HOME. AROUND 5% OF HOUSEHOLDS ARE LINGUISTICALLY ISOLATED, MEANING THAT ALL MEMBERS OF THE HOUSEHOLD AGES 14 AND OLDER HAVE AT LEAST SOME DIFFICULTY WITH ENGLISH. ACROSS THE UNITED STATES, FAMILY HOUSEHOLDS TAKE A VARIETY OF FORMS. HOUSEHOLDS MAY BE HEADED BY MARRIED OR UNMARRIED PARTNERS AS WELL AS BY INDIVIDUALS. THEY MAY OR MAY NOT HAVE SCHOOL-AGE CHILDREN PRESENT. THEY MAY BE HEADED BY GRANDPARENTS. THEY MAY CONTAIN FOSTER CHILDREN. OVER THE PAST SEVEN YEARS, THE PERCENT OF HOUSEHOLDS IN MANCHESTER COMPOSED OF TWO MARRIED PARENTS WITH THEIR OWN SCHOOL-AGED CHILDREN HAS DECREASED FROM 19.2% TO 14.8%.WITH THE HSA, BEDFORD HAS THE HIGHEST MEDIAN HOUSEHOLD INCOME AND THE CITY OF MANCHESTER HAS THE LOWEST. SIMILARLY, MANCHESTER HAS THE HIGHEST PERCENTAGE OF FAMILIES LIVING IN POVERTY, WHOLE DEERFIELD HAS THE LOWEST. IN 2005 IN MANCHESTER, A FAMILY OF FOUR WITH BOTH PARENTS WORKING NEEDED TO MAKE $50,031 ANNUALLY ($12.03 PER HOUR) TO MEET BASIC NEEDS. THAT SAME YEAR THE MEDIAN HOUSEHOLD INCOME IN MANCHESTER ($50,199) WAS A BIT ABOVE THE BASIC NEEDS LEVEL ($50,404). HOWEVER, IN 2007, ONLY 55% OF THE HOUSEHOLDS IN MANCHESTER REACHED THE LIVABLE WAGE LEVEL, WHICH HAD INCREASED TO $53,192 (EQUIVALENT WAGE OF $12.79 PER HOUR). ACCORDING TO THE AMERICAN COMMUNITY SURVEY, THE MOST COMMON TYPE OF EMPLOYMENT IN MANCHESTER IS IN EDUCATIONAL SERVICES, HEALTH CARE, AND SOCIAL ASSISTANCE (20.3%). MANCHESTER MAKES UP 8.2% OF THE STATE'S LABOR FORCE.THE POPULATION OF THE GREATER MANCHESTER HSA IS GROWING IN SIZE, AND LIVING LONGER; IS INCREASINGLY MULTICULTURAL WITH RESIDENTS REFLECTING A VARIETY OF NATIONALITIES, LANGUAGES, ETHNIC TRADITIONS, RELIGIOUS BELIEFS AND IDEOLOGIES; AND IS COMPOSED OF MANY DIFFERENT FAMILY STRUCTURES. THE MANCHESTER HSA HAS THE LARGEST POPULATION AND NUMBER OF JOBS, BUT ALSO HAS THE LOWEST AVERAGE INCOME LEVELS IN THE STATE. INCREASINGLY, INCOMES ARE AILING TO MEET THE COSTS OF LIVING, INCLUDING THE COSTS OF STAYING HEALTHY AND PREPARING FOR EMERGENCIES. POVERTY IS HIGHLY ASSOCIATED WITH RISKY BEHAVIORS, EDUCATIONAL ATTAINMENT, HEALTH STATUS, EMPLOYMENT, AND SELF-REPORTED QUALITY OF LIFE. RESIDENTS EXPERIENCE DISCREPANCIES IN HEALTH AND HEALTH CARE ACCESS THAT ARE ASSOCIATED WITH THEIR AGE, INCOMES, EDUCATIONAL ATTAINMENT AND NEIGHBORHOOD. THE ASSESSMENT IDENTIFIES A VARIETY OF HEALTH-RELATED CONCERNS IN THE CITY OF MANCHESTER AND THE HEALTH SERVICE AREA INCLUDING HEART DISEASE, MENTAL HEALTH, AMBULATORY-CARE SENSITIVE CONDITIONS, HEALTH RISK BEHAVIORS, SEXUAL HEALTH, SUBSTANCE ABUSE, EMERGENCY DEPARTMENT USE AND PREMATURE DEATH. INADEQUATE TRANSPORTATION, HIGH COST OF HEALTH CARE, AND MEDICALLY UNDERSERVED AREAS EXIST IN THE REGION, AS DOES UNDER AND OVERUSE OF EXISTING HEALTH SERVICES RESULTING IN A FINANCIAL BURDEN FOR THE WHOLE COMMUNITY.
PART VI, LINE 5: EH BELIEVES STRONGLY THAT OUR INVOLVEMENT IN COMMUNITY ORGANIZATIONS SUCH AS CHILD HEALTH SERVICES, MANCHESTER MENTAL HEALTH CENTER, YMCA AND MANY MORE, IS CRITICAL TO OUR EXEMPT PURPOSE WE DEPLOY HUNDREDS OF VOLUNTEERS THROUGHOUT THE STATE TO WORK WITH NON-PROFIT ORGANIZATIONS THAT ARE DOING THEIR PART TO HELP ERADICATE ILLNESSES AND POOR HEALTH CONDITIONS OR IMPROVE THE HEALTH AND WELLNESS OF PEOPLE. MANY OF OUR LEADERS SERVE ON THE BOARDS OF THESE ORGANIZATIONS TO SHARE INSIGHT AND TO PARTICIPATE IN HELPING THEM ACHIEVE THEIR MISSION. IN ADDITION TO THE VOLUNTEER TIME AND ENERGY, EH ALSO PROVIDES HUNDREDS OF THOUSANDS OF DOLLARS IN FINANCIAL SUPPORT TO ENSURE THAT THE CRITICAL WORK OF THESE ORGANIZATIONS IS ACHIEVED AND PEOPLE ARE HELPED WITH A RANGE OF ISSUES FROM MENTAL HEALTH CARE TO OBTAINING FOOD AND SHELTER.ADDITIONALLY, GIVEN OUR HEALTH CARE SYSTEM AND HOW WIDESPREAD EH HAS BECOME IN THE COMMUNITY, WE OPEN OUR DOORS AND PROVIDE THE STAFF AND THE RESOURCES FOR LOCAL ISSUES THAT ARE UNFORESEEN BUT CREATE URGENT SITUATIONS. FOR EXAMPLE, WHEN NH RESIDENTS WERE STUCK BY POWER OUTAGES FROM AN ICE STORM LASTING DAYS, EH KEPT PATIENTS (FREE OF CHARGE) IN THE HOSPITAL UNTIL POWER IN THE HOME AS RESTORED SO THAT THEY WOULD NOT SUFFER THE HARDSHIP OF LIVING WITHOUT HEAT AND POWER. FOR DAY-TO-DAY STRUGGLES, EITHER WITH HOW TO COPE WITH THE LOSS OF A LOVED ONE OR WITH HOW TO COPE WITH CANCER, EH STAFF AND PROFESSIONALS OFFER FREE COMMUNITY SUPPORT GROUPS AND CLASSES TO REACH PEOPLE WHO ARE IN NEED OF HELP. EH PRIDES ITSELF ON THESE ACTS OF HUMANITY BECAUSE IT DOES MEET OUR PURPOSE AND MISSION AND WTIHOUT QUESTION, PROMOTES THE HEALTH OF THE COMMUNITY.
PART VI, LINE 6: EHS IS THE UMBRELLA ORGANIZATION UNDER WHICH ELLIOT HOSPITAL (EH), ELLIOT PHYSICIAN NETWORK (EPN), ELLIOT PROFESSIONAL SERVICES (EPS), THE VISITING NURSE ASSOCIATION OF MANCHESTER AND SOUTHERN NH (VNA), AND THE MARY & JOHN ELLIOT CHARITABLE FOUNDATION OPERATE. ELLIOT HEALTH SYSTEM IS A HEALTH CARE SYSTEM THAT PROVIDES CARE TO RESIDENTS OF SOUTHERN NH SERVING A REGIONAL POPULATION OF OVER 250,000 RESIDENTS, MAKING IT ONE OF THE LARGEST PROVIDERS OF COMPREHENSIVE HEALTH CARE SERVICES IN SOUTHERN NH. EACH OF THESE ORGANIZATIONS PLAYS A CRITICAL ROLE IN THE CONTINUUM OF CARE EHS DELIVERS TO THE COMMUNITY THUS PROMOTING HEALTH. THE CORNERSTONE OF EHS IS EH, A PRIVATE, NOT FOR PROFIT HOSPITAL ESTABLISHED IN 1890, AND NOW A 296-BED ACUTE CARE FACILITY LOCATED IN MANCHESTER (NH'S LARGEST CITY) ON EHS'S MAIN CAMPUS. EH IS A PREMIER HEALTH CARE PROVIDER IN MANY DISCIPLINES, SERVING AS THE DESIGNATED TRAUMA CENTER FOR THE MANCHESTER HSA, AND DESIGNATED RECEIVING FACILITY FOR PSYCHIATRIC PATIENTS IN THE REGION. IN ADDITION EH PROVIDES MATERNITY AND PEDIATRIC SERVICES, NEWBORN INTENSIVE CARE, SURGERY, PAIN MANAGEMENT, WOUND MANAGEMENT, CARDIAC CARE, AND MUCH MORE. EHS THROUGH THE EPN AND EPS, BOTH PRIVATE, NOT FOR PROFIT PHYSICIAN GROUPS, PROVIDES PRIMARY CARE AND SPECIALTY CARE VIA OVER 210 EMPLOYED PHYSICIANS AS FAR NORTH AS HOOKSETT, EAST TO RAYMOND, SOUTH TO WINDHAM AND WEST TO NEW BOSTON. THE EPN HAS 26 PHYSICIAN PRACTICES IN THE GREATER MANCHESTER AREA. PROVIDING ACCESS TO PROVIDERS THROUGHOUT THE LOCAL COMMUNITY IS CRITICAL TO SUPPORTING THE NEED TO HELP INDIVIDUALS BECOME ACTIVE IN THEIR HEALTH CARE AND VIGILANT ABOUT THEIR YEARLY EXAMS, VACCINES, AND MEDICATIONS. EHS HAS A ROBUST ELECTRONIC MEDICAL RECORD (EMR) LINKING ALL OF THESE PROVIDERS WITH EH ALLOWING THE PROVIDER A COMPLETE UNDERSTANDING OF ANYTHING THAT MAY HAVE OCCURRED THROUGH THE EMERGENCY DEPARTMENT OR URGENT CARE THROUGHOUT THE YEAR. THE EMR IS COMPLETE WITH THE LATEST LABORATORY RESULTS, DIAGNOSTIC IMAGES, AND OTHER TEST RESULTS THAT MAY AFFECT CARE GIVEN IN THE LOCAL PROVIDER'S OFFICE. THE VNA IS ONE OF THE REGION'S OLDEST AND MOST COMPREHENSIVE NOT FOR PROFIT HOME HEALTH PROVIDERS, DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY SINCE 1897. THE VNA HAS HELPED INDIVIDUALS AND THEIR FAMILIES FACE THE CHALLENGES OF RECOVERING FROM SURGERY, PHYSICAL DISABILITIES, AND SHORT-TERM, CHRONIC, AND LIFE-LIMITING ILLNESSES. THROUGH A TRACE PROGRAM, EHS CAN ENSURE THAT OLDER ADULTS REQUIRING CARE AND WITH COMPLEX HEALTH CARE HISTORIES ARE GIVEN A CARE PLAN FROM THE HOSPITAL TO THE NURSING HOME (IF NECESSARY) AND TO THE HOME. ALL OF THIS CARE IS ALSO LINKED THROUGH THE EMR AND THROUGH OUR USE OF TELE-MEDICINE; MANY PATIENTS ARE MONITORED "VIRTUALLY" EACH DAY WHILE IN THEIR HOME. TELE-MEDICINE REQUIRES A PATIENT IN THEIR HOME TO CONNECT TO ELECTRONIC DEVICES THAT SEND INFORMATION BACK TO CARE PROVIDERS SHOWING SUCH THINGS AS BLOOD PRESSURE, PULSE, AND RESPIRATORY FUNCTION, SO THAT SHOULD INTERVENTION BE REQUIRED, A HEALTH CARE TEAM CAN BE SENT DIRECTLY TO THE PATIENT'S HOME. FINALLY, THE MARY & JOHN ELLIOT CHARITABLE FOUNDATION IS A NOT FOR PROFIT, CHARITABLE ORGANIZATION CREATED TO PROVIDE FINANCIAL SUPPORT TO THE VARIOUS NEEDS OF EHS. THE FOUNDATION IS COMMITTED TO BUILDING AN ONGOING CIRCLE OF FRIENDS WHOSE FINANCIAL SUPPORT WILL HELP EHS IDENTIFY AND MEET EMERGING HEALTHCARE NEEDS.EH AND AFFILIATES (COLLECTIVELY EHS), WORK COLLABORATIVELY AND COLLECTIVELY (THROUGH THE EMR) ALLOWING EHS TO SERVE THE HEALTH CARE NEEDS OF PEOPLE IN THE MOST EFFICIENT MANNER AND HAS PROVIDED A PLATFORM FOR PROACTIVE PLANS FOR HEALTH MANAGEMENT.
NHREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
CHILD HEALTH SERVICES
1245 ELM STREETMANCHESTERNH03101020348711501(C)(3)14161815015FMVFINANCIAL REPORTING AND ACCOUNTS PAYABLE SERVICESTO ASSIST IN MEETING DAY-TO-DAY OPERATIONS, PROVIDE SUPPORT FOR THE ACCOUNTING AND BOOKKEEPING DEPARTMENT
MANCHESTER COMMUNITY HEALTH CENTER
1415 ELM STREETMANCHESTERNH03101020458174501(C)(3)175000TO ASSIST IN MEETING DAY-TO-DAY OPERATIONS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
PROVIDING TRANSPORTATION ASSISTANCE TO LOW INCOME FAMILIES(I-IMAGINE PROGRAM)11200
PROVIDE INTERIM ASSISTANCE OF FOOD, CLOTHING, AND BICYCLE HELMETS TO FAMILIES (I-IMAGINE PROGRAM)361133

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: ELLIOT HOSPITAL MAINTAINS MEMBERS ON THE BOARD OF DIRECTORS FOR CHILD HEALTH SERVICES AND MANCHESTER COMMUNITY HEALTH CENTERExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
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 (13 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
5298090191570053961032529301221901112852000
RICK PHELPS
37436701204260191284053493016181075575101496840
RICHARD MARCUCCI MD
03294960003850002179016409038658400
ROBERT M LAVERY
05361930003850000012456058714900
GUS EMMICK MD
02857980001650001826015938032006200
CHRISTOPHER S CALHOUN MD
01365630006011011224015816016961400
RICHARD ELWELL
338211010537702683900116187011684083984902212900
JOHN FRIBERG
249679045000023321014790157510335230000
ALEXANDER W PETRON
29603800014490000144880325016000
KEVIN B COUGHLIN
244671024750025885000141630309469000
ANITA RITENOUR MD
2990750219810271450189050164160383522000
ELIZABETH A HALE-CAMPOLI
25178101854001230001214023440286179000
WILLIAM BAXTER
303380029664033000019740161890384207000

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 7 - DURING THE YEAR DR PHELPS AND MR ELWELL EACH WITHDREW FUNDS FROM THEIR DEFERRED COMPENSATION PLANS ($149,684 AND $221,290 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NH HEALTH & EDUCATION FACILITIES AUTHORITY
020279866644614GK92003-10-2132245816REFINANCE 1987, 1991, 2001 BONDS000
BUSINESS FINANCE AUTHORITY OF THE STATE OF NH REVENUE BONDS - 2009A
02027986664468KBQ82009-12-22130000000FINANCE/REFINANCE COSTS OF CONSTRUCTION, REFINANCE 2008 BONDS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapitalized InterestCapitalizedInterestCapital ExpendituresCapitalExpenditures
322458162810960289888594266661111
127806119115051063000000019804981111613416878095644

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000.000000.000000.000001
00000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
010000
010000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SCOTT BACON
BOARD MEMBER30000000ON JANUARY 15, 2009 TD BANKNORTH CLOSED A $30,000,000 LOAN TO ELLIOT HOSPITAL, GUARANTEED BY ELLIOT HEALTH SYSTEM. SCOTT BACON IS PRESIDENT AND CEO OF TD BANKNORTH. SUCH LOAN WAS REPAID IN DECEMBER OF 2009.0
JAMES C HOOD ESQ
BOARD MEMBER76072JAMES V. HATEM, A PARTNER AT NIXON PEABODY, LLP, HAS BEEN CONSULTED BY ELLIOT HEALTH SYSTEM REGARDING SPECIALIZED CLAIMS AND REGULATORY LEGAL PROJECTS. JAMES HOOD IS A PARTNER AT NIXON PEABODY, LLP.0
JOHN FRIBERG JR
EMPLOYEELONG STANDING AND ONGOING ATTORNEY-CLIENT RELATIONSHIP BETWEEN EHS AND WADLEIGH LAW FIRM. JOHN FRIBERG JR'S FATHER IS EMPLOYED BY THE WADLEIGH FIRM AND HAS WORKED ON MEDICAL MALPRACTICE CLAIMS FOR THE HOSPITAL.0
DIANNE MERCIER
BOARD MEMBERDIANNE IS PRESIDENT OF PEOPLE'S UNITED BANK AND SHE WAS THE TRUSTEE FOR THE JAN 2009 BOND PROCEEDS. THE BANK IS ALSO DEPOSITORY FOR GRANITE SHIELD INSURANCE EXCHANGE OF WHICH EHS IS A MEMBER.0
PETER KACHAVOS MD
ELLIOT BAY MEDICAL ASSOCIATES EMPLOYEE66700THROUGH BMA REAL ESTATE (WHICH PETER IS A MEMBER/MANAGER WITH 50% OWNERSHIP), ELLIOT RENTS 4 ELLIOT WAY, SUITE 102, 104, 106 FOR $66,700 PER YEAR0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6ELLIOT HEALTH SYSTEM IS THE SOLE MEMBER OF THE REPORTING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AELLIOT HEALTH SYSYTEM IS THE SOLE MEMBER OF THE REPORTING ORGANIZATION, AND HAS BOARD MEMBERS WHO ARE ALSO BOARD MEMBERS OF THE REPORTING ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 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 X, LINE 24EIMPLANTS & PROTHESIS : PROGRAM SERVICE EXPENSES 9,285,771. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,285,771. MAINTENANCE & SERVICE CONTRACTS : PROGRAM SERVICE EXPENSES 6,904,147. MANAGEMENT AND GENERAL EXPENSES 2,301,381. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,205,528. OTHER PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 5,520,790. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,520,790. UTILITIES : PROGRAM SERVICE EXPENSES 3,422,825. MANAGEMENT AND GENERAL EXPENSES 1,140,942. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,563,767. SOFTWARE LICENSE FEES : PROGRAM SERVICE EXPENSES 3,411,629. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,411,629. EQUIPMENT RENTAL : PROGRAM SERVICE EXPENSES 2,490,843. MANAGEMENT AND GENERAL EXPENSES 830,281. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,321,124. PHYSICIAN FEES : PROGRAM SERVICE EXPENSES 3,014,349. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,014,349. MANAGEMENT FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,883,389. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,883,389. CONSULTING FEES : PROGRAM SERVICE EXPENSES 2,329,621. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,329,621. RESTRUCTURING COSTS : PROGRAM SERVICE EXPENSES 1,711,410. MANAGEMENT AND GENERAL EXPENSES 570,470. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,281,880. FOOD & DIETARY : PROGRAM SERVICE EXPENSES 1,955,306. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,955,306. MINOR EQUIPMENT PURCHASES : PROGRAM SERVICE EXPENSES 1,939,929. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,939,929. LAUNDRY & LINENS : PROGRAM SERVICE EXPENSES 1,287,095. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,287,095. RECRUITMENT & RELOCATION FEES : PROGRAM SERVICE EXPENSES 1,092,818. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,092,818. TELEPHONE : PROGRAM SERVICE EXPENSES 816,386. MANAGEMENT AND GENERAL EXPENSES 272,128. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,088,514. OTHER OPERATING COSTS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 985,218. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 985,218. ICD 10 PROJECT : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 940,735. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 940,735. MEDICAL SERVICES FEES : PROGRAM SERVICE EXPENSES 905,926. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 905,926. PURCHASED LABOR : PROGRAM SERVICE EXPENSES 701,559. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 701,559. PRINTING & PUBLICATIONS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 530,646. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 530,646. TRUST FUND FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 407,505. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 407,505. COLLECTION FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 377,702. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 377,702. POSTAGE & SHIPPING : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 366,166. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 366,166. BANK & CREDIT CARD FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 300,437. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 300,437. DUES & MEMBERSHIPS : PROGRAM SERVICE EXPENSES 283,441. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 283,441. EDUCATION & TRAINING : PROGRAM SERVICE EXPENSES 210,953. MANAGEMENT AND GENERAL EXPENSES 70,316. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 281,269. PERMITS & FEES : PROGRAM SERVICE EXPENSES 271,650. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 271,650. VEHICLE EXPENSE : PROGRAM SERVICE EXPENSES 188,556. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 188,556. VALET PARKING : PROGRAM SERVICE EXPENSES 114,792. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 114,792.ALL OTHER FUNCTIONAL EXPENSES
FORM 990, PART XI, LINE 5:UNREALIZED GAIN/LOSS - UNRESTRICTED FUND -1,724,800. PENSION ADJUSTMENT -42,588,265. UNREALIZED GAIN/LOSS - TEMPORARILY RESTRICTED FUNDS -26,604. UNREALIZED GAIN/LOSS - PERMANENTLY RESTRICTED FUNDS -272,000. GRANT PROCEEDS RECEIVED FOR CAPITAL PURCHASE TOTAL TO FORM 990, PART XI, LINE 5: -44,611,669.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 HEALTH SYSTEM
1070 HOLT AVENUE UNIT 1 STE 2100MANCHESTERNH03109020509911HOLDING COMPANYNH501(C)3LINE 30
ELLIOT PHYSICIAN NETWORK
1070 HOLT AVENUE UNIT 1 STE 2100MANCHESTERNH03109020509589PHYSICIAN SERVICESNH501(C)3LINE 3ELLIOT HEALTH SYSTEM1
ELLIOT PROFESSIONAL SERVICES
1070 HOLT AVENUE UNIT 1 STE 2100MANCHESTERNH03109331003630PHYSICIAN SERVICESNH501(C)3LINE 9ELLIOT HEALTH SYSTEM1
VNA OF MANCHESTER & SOUTHERN NH & SUBS
33 SOUTH COMMERCIAL STREET SUITE 40MANCHESTERNH03101020395296VNA HOLDING COMPANYNH501(C)3LINE 7ELLIOT HOSPITAL0
JOHN & MARY ELLIOT CHARITABLE FOUNDATION
1070 HOLT AVENUE UNIT 1 STE 2100MANCHESTERNH03109020512229FUNDRAISINGNH501(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 Income2060060ShareOfTotalIncome
Share Of EOY Assets66661940ShareOfEOYAssets
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 Assets1ExchangeOfAssets
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 Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ELLIOT PROFESSIONAL SERVICES
H15433CASH
ELLIOT PROFESSIONAL SERVICES
O4704102CASH
ELLIOT PHYSICIAN NETWORK
O640860CASH
ELLIOT PROFESSIONAL SERVICES
P10735014CASH
ELLIOT PHYSICIAN NETWORK
P15625121CASH
ELLIOT HEALTH SYSTEM PROFESSIONAL & GENERAL LIABILITY INSURANCE TRUST
R5264808CASH

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINTotal Grassroots LobbyingTotalGrassrootsLobbyingTotal Direct LobbyingTotalDirectLobbyingTotal Lobbying ExpendituresTotalLobbyingExpendituresOther Exempt Purpose ExpendituresOtherExemptPurposeExpendituresTotal Exempt Purpose ExpendituresTotalExemptPurposeExpendituresLobbying NontaxableLobbyingNontaxableAmountGrassroots NontaxableGrassrootsNontaxableAmountTot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontxTot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontxShare Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrsElecting OrgElectingOrg
ELLIOT HEALTH SYSTEM
1070 HOLT AVE UNIT 1 SUITE 2100MANCHESTERNH0310902050991100000$0$0000
VNA OF MANCHESTER AND SOUTHERN NH INC & SUBSIDIARIES
33 SOUTH COMMERCIAL ST SUITE 401MANCHESTERNH0310102039529600000$0$0000
ELLIOT HOSPITAL
1 ELLIOT WAYMANCHESTERNH0310302023267318872301887230188723$37,745$9,4361792871509780X
ELLIOT PROFESSIONAL SERVICES
1070 HOLT AVE UNIT 1 SUITE 2100MANCHESTERNH0310933100363000000$0$0000
ELLIOT PHYSICIAN NETWORK
1070 HOLT AVE UNIT 1 SUITE 2100MANCHESTERNH0310902050958900000$0$0000
ELLIOT HEALTH SYSTEM HOLDINGS INC & SUBSIDIARIES
1070 HOLT AVE UNIT 1 SUITE 2100MANCHESTERNH0310902051222400000$0$0000
JOHN & MARY ELLIOT CHARITABLE FOUNDATION
1070 HOLT AVE UNIT 1 SUITE 2100MANCHESTERNH0310902051222900000$0$0000
ELLIOT COMMON TRUST FUND LLC
1 ELLIOT WAYMANCHESTERNH0310302365362400000$0$0000
ELLIOT HEALTH SYSTEM PROFESSIONAL & GENERAL LIABILITY INSURANCE TRUST
1 ELLIOT WAYMANCHESTERNH0310101621745200000$0$0000

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