ELLIOT HOSPITAL OF THE CITY OF MANCHESTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ELLIOT HOSPITAL OF THE CITY OF MANCHESTER (EIN 02-0232673)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-08
- IRS object ID
- 201201299349301670
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
- Affiliated Group Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-08T14:54:15-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM STEELE & ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 STARK STREET | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020232673 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ELLIOT HOSPITAL OF THE CITY OF MANCHESTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ELLI | NameControl |
| Phone | 6036632033 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 ELLIOT WAY | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03103 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD EWELL | Name |
| Title | CFO | Title |
| Phone | 6036632033 | Phone |
| Date Signed | 2012-04-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL A BARBARITA CPA | Name |
| Phone | 6036228881 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DOUGLAS DEAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 ELLIOT WAY | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 344208458 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | ELLIOT-HS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1942 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | HOSPITAL SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 24 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3155 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 6167114 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 937241 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 599090 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 302860034 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 321386340 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5869189 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5998990 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 14891261 | OtherRevenuePriorYear |
| Other Revenue Current Year | 16179365 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 324557725 | TotalRevenuePriorYear |
| Total Revenue Current Year | 344163785 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 467405 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 581686 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 153637660 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 167657511 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 162703631 | OtherExpensePriorYear |
| Other Expenses Current Year | 169848856 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 316808696 | TotalExpensesPriorYear |
| Total Expenses Current Year | 338088053 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7749029 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6075732 | RevenuesLessExpensesCY |
| Total Assets BOY | 349524251 | TotalAssetsBOY |
| Total Assets EOY | 354022964 | TotalAssetsEOY |
| Total Liabilities BOY | 267460033 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 239186805 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 82064218 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 114836159 | NetAssetsOrFundBalancesEOY |
| Mission Description | ELLIOT HOSPITAL OF THE CITY OF MANCHESTER, A LEADER IN HEALTHCARE, IS DEDICATED TO PROVIDING IT'S COMMUNITY WITH EXCELLENT SERVICES OFFERED WITH DIGNITY, CARING, AND RESPECT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 269276181 | Expense |
| Revenue | 321386340 | Revenue |
| Description | MEDICAL SERVICES PROVIDED TO 14,271 IN-PATIENTS AND 489,920 OUT-PATIENTS INCLUDING FREE CARE IN THE AMOUNT OF 10,537,000 (AT COST) AND CONTRIBUTIONS TO COMMUNITY PROGRAMS | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 581686 | Expense |
| Description | CONTRIBUTIONS TO CHILD HEALTH SERVICES, MANCHESTER COMMUNITY HEALTH CENTER, AND I-IMAGINE CAMPAIGN | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3935912 | Expense |
| Description | COMMUNITY BENEFITS INCLUDING EDUCATIONAL PROGRAMS, HEALTH SCREENINGS, HEALTH PUBLICATIONS, PATIENT TRANSPORT SERVICE AND OTHER HEALTH INFORMATION SERVICES | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 273793779 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 232 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3155 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 24 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARC CULLEROT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6036632033 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 HOLT AVENUE UNIT 1 SUITE 2100 | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03109 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DOUGLAS F DEAN | ||||||||
| PRESIDENT & CEO | 40.00 | X | X | 704950 | 0 | 261330 | ||
| RICK PHELPS | ||||||||
| COO | 40.00 | X | X | 491309 | 0 | 272443 | ||
| R SCOTT BACON | ||||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| JAMES C HOOD ESQ | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ANN REMUS | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | |||
| SELMA NACCACH-HOFF | ||||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| RICHARD GUSTAFSON PHD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| PETER CHEUNG MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| WAYNE E ROBINSON | ||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| RICHARD MARCUCCI MD | ||||||||
| TRUSTEE | 40.00 | X | 0 | 307678 | 18272 | |||
| MALCOLM WIDNESS | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| EDWARD P MITCHELL | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MARYANN LECLAIR | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DIANNE M MERCIER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DAVID R A STEADMAN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT M LAVERY | ||||||||
| TRUSTEE | 1.00 | X | 34000 | 0 | 0 | |||
| HAROLD TURNER JR | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD L WINNEG | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| BARBARA A RAND | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ANITA R RITENOUR MD | ||||||||
| TRUSTEE | 40.00 | X | 339832 | 0 | 32630 | |||
| RAYMOND E CLOSSON | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| GUS EMMICK MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 301577 | 25897 | |||
| CHARLES ROLECEK | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| PETER VAN DER MEER MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JOHN F WEEKS | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD ELWELL | ||||||||
| CFO | 40.00 | X | 501663 | 0 | 122412 | |||
| KEVIN DONOVAN | ||||||||
| VP PHYSICIAN SERVICES | 40.00 | 173538 | 0 | 10043 | X | |||
| MARC CULLEROT | ||||||||
| VP/FINANCE | 40.00 | 255782 | 0 | 24465 | X | |||
| DENISE PURINGTON | ||||||||
| VP/CIO | 40.00 | 256223 | 0 | 23016 | X | |||
| ELIZABETH A HALE-CAMPOLI | ||||||||
| VP OF PATIENT CARE SERVICES | 40.00 | 235054 | 0 | 2441 | X | |||
| JOHN FRIBERG | ||||||||
| SENIOR VP OF OPERATIONS | 40.00 | 264160 | 0 | 17537 | X | |||
| WILLIAM BAXTER | ||||||||
| VP MEDICAL AFFAIRS | 40.00 | 347844 | 0 | 18300 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3604355 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 609255 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 828786 | TotalOtherCompensation |
| Number Individuals GT100 K | 111 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| AW ROSE CONSTRUCTION LLC | |||||
| 33 SOUTH COMMERCIAL STREET | MANCHESTER | NH | 03101 | CONSTRUCTION | 3286448 |
| MARTINI NORTHERN LLC | |||||
| 299 HANOVER STREET | PORTSMOUTH | NH | 03801 | GENERAL CONTRACTOR | 2384938 |
| CEG ADVISORY | |||||
| 152 WASHINGTON STREET | NEWTON | MA | 02458 | CLINICAL AND BUSINESS SOLUTIONS | 892264 |
| CUBE 3 STUDIO LLC | |||||
| 360 MERRIMACK STREET | LAWRENCE | MA | 01843 | ARCHITECTURAL DESIGN SERVICES | 834441 |
| BIANCO PROFESSIONAL ASSOCIATION | |||||
| 18 CENTRE STREET | CONCORD | NH | 03301 | CONSULTING | 669160 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 29 | NumberOfContractorsGT100K |
| All Other Contributions | 599090 | AllOtherContributions |
| Total Contributions | 599090 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROG.SERV.REVENUE-RELA | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 321386340 | TotalRevenueColumn |
| Related Or Exempt Function Income | 321386340 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 321386340 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2924964 | TotalRevenueColumn |
| Exclusion | $2,924,964 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1413301 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 44673 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1368628 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1368628 | TotalRevenueColumn |
| Exclusion | $1,368,628 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3074026 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3074026 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3074026 | TotalRevenueColumn |
| Exclusion | $3,074,026 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| MISCELLANEOUS OTHER | 900099 | 6506960 | 6506960 | ||
| LABORATORY SERVICES | 621500 | 5512754 | 5512754 | ||
| CAFETERIA REVENUE | 722210 | 1497600 | $1,497,600 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1293423 | TotalRevenueColumn |
| Related Or Exempt Function Income | 148062 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 654360 | UnrelatedBusinessRevenue |
| Exclusion | $491,001 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 14810737 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 344163785 | TotalRevenueColumn |
| Related Or Exempt Function Income | 328041362 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 6167114 | UnrelatedBusinessRevenue |
| Exclusion | $9,356,219 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 581686 | Total |
| Program Services | 581686 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1871459 | Total |
| Management And General | 1871459 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129165509 | Total |
| Program Services | 96874132 | ProgramServices |
| Management And General | 32291377 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13056773 | Total |
| Program Services | 9792580 | ProgramServices |
| Management And General | 3264193 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13899711 | Total |
| Program Services | 10424783 | ProgramServices |
| Management And General | 3474928 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9664059 | Total |
| Program Services | 7248044 | ProgramServices |
| Management And General | 2416015 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 278105 | Total |
| Management And General | 278105 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 157900 | Total |
| Management And General | 157900 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2554543 | Total |
| Management And General | 2554543 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4712259 | Total |
| Program Services | 3534194 | ProgramServices |
| Management And General | 1178065 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148166 | Total |
| Program Services | 111124 | ProgramServices |
| Management And General | 37042 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 419202 | Total |
| Program Services | 314402 | ProgramServices |
| Management And General | 104800 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5357184 | Total |
| Program Services | 4017888 | ProgramServices |
| Management And General | 1339296 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19863681 | Total |
| Program Services | 19863681 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14740175 | Total |
| Program Services | 11055131 | ProgramServices |
| Management And General | 3685044 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4076399 | Total |
| Program Services | 3057299 | ProgramServices |
| Management And General | 1019100 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | 29570066 | 29570066 | |
| SUPPLIES | 20015215 | 20015215 | |
| DRUGS & PHARMACEUTICUL | 14099230 | 14099230 | |
| IMPLANTS & PROTHESIS | 9577011 | 9577011 | |
| MAINTENANCE & SERVICE C | 8466417 | 6349814 | 2116603 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35813303 | Total |
| Program Services | 27307499 | ProgramServices |
| Management And General | 8505804 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 338088053 | Total |
| Program Services | 273793779 | ProgramServices |
| Management And General | 64294274 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12739160 | BOY |
| EOY | 14174647 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15669787 | BOY |
| EOY | 11013768 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29248241 | BOY |
| EOY | 30971984 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2094294 | BOY |
| EOY | 2184163 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2889049 | BOY |
| EOY | 3574037 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 339174159 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 162570591 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122689368 | BOY |
| EOY | 176603568 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153002696 | BOY |
| EOY | 101624135 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11191656 | BOY |
| EOY | 13876662 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 349524251 | BOY |
| EOY | 354022964 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35673540 | BOY |
| EOY | 31791324 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152703888 | BOY |
| EOY | 153194328 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79082605 | BOY |
| EOY | 54201153 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267460033 | BOY |
| EOY | 239186805 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69293191 | BOY |
| EOY | 100975670 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1406996 | BOY |
| EOY | 1722983 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11364031 | BOY |
| EOY | 12137506 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82064218 | BOY |
| EOY | 114836159 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 349524251 | BOY |
| EOY | 354022964 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6075732 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 26696209 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Belongs To Affiliated Group | X | OrgBelongsToAffiliatedGroup |
Total Grassroots Lobbying TotalGrassrootsLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 33158 | FilingOrganizationsTotals |
| Affiliated Group Totals | 33158 | AffiliatedGroupTotals |
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 311478 | FilingOrganizationsTotals |
| Affiliated Group Totals | 311478 | AffiliatedGroupTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 344636 | FilingOrganizationsTotals |
| Affiliated Group Totals | 344636 | AffiliatedGroupTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 332034991 | FilingOrganizationsTotals |
| Affiliated Group Totals | 414409132 | AffiliatedGroupTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 332379627 | FilingOrganizationsTotals |
| Affiliated Group Totals | 414753768 | AffiliatedGroupTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
| Affiliated Group Totals | 1000000 | AffiliatedGroupTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
| Affiliated Group Totals | 250000 | AffiliatedGroupTotals |
Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
| Affiliated Group Totals | 0 | AffiliatedGroupTotals |
Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
| Affiliated Group Totals | 0 | AffiliatedGroupTotals |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 412757 | CurrentYearMinus3 |
| Current Year Minus2 | 238276 | CurrentYearMinus2 |
| Current Year Minus1 | 348114 | CurrentYearMinus1 |
| Current Year | 344636 | CurrentYear |
| Total | 1343783 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 25967 | CurrentYearMinus3 |
| Current Year Minus2 | 29212 | CurrentYearMinus2 |
| Current Year Minus1 | 32124 | CurrentYearMinus1 |
| Current Year | 33158 | CurrentYear |
| Total | 120461 | Total |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | 1 | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | 1 | DisclosedForCharitablePurposes |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12771028 | BeginningOfYearBalance |
| Contributions | 50000 | Contributions |
| Investment Earnings Or Losses | 1039463 | InvestmentEarningsOrLosses |
| End Of Year Balance | 13860491 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12420985 | BeginningOfYearBalance |
| Contributions | 174500 | Contributions |
| Investment Earnings Or Losses | 175543 | InvestmentEarningsOrLosses |
| End Of Year Balance | 12771028 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14078246 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1657261 | InvestmentEarningsOrLosses |
| End Of Year Balance | 12420985 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6681464 | OtherCostOrOtherBasis |
| Book Value | 6681464 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 163607768 | OtherCostOrOtherBasis |
| Depreciation | 43157943 | Depreciation |
| Book Value | 120449825 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4213786 | OtherCostOrOtherBasis |
| Depreciation | 1678704 | Depreciation |
| Book Value | 2535082 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 155411452 | OtherCostOrOtherBasis |
| Depreciation | 114146635 | Depreciation |
| Book Value | 41264817 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9259689 | OtherCostOrOtherBasis |
| Depreciation | 3587309 | Depreciation |
| Book Value | 5672380 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 176603568 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BOARD DESIGNATED & DONOR RESTRICTED | Description |
| Book Value | 101624135 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 101624135 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PAYABLE TO THIRD PARTY PAYORS | $6,942,850 |
| INTEREST PAYABLE | $2,281,592 |
| ACCRUED PENSION & OTHER | $25,662,414 |
| SELF-INSURANCE RESERVES & OTHER | $17,317,888 |
| CURRENT PORTION OF LONG-TERM DEBT | $1,996,409 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 54201153 | TotalOfAmounts |
| Total Revenue | 344163785 | TotalRevenue |
| Total Expenses | 338088053 | TotalExpenses |
| Excess Or Deficit For Year | 6075732 | ExcessOrDeficitForYear |
| Other | $26,696,209 | OtherAmount |
| Total Adjustments | 26696209 | TotalAdjustments |
| Excess Or Deficit Per FS | 32771941 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 343750366 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 343750366 | RevenueSubtotal |
| Other Revenues Not Included | 413418 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 413418 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 344163784 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 317810953 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 317810953 | ExpensesSubtotal |
| Other Expenses Not Included | 20277099 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 20277099 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 338088052 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | INCOME OF THE FUNDS HAS BEEN USED FOR OPERATING AND CAPITAL EXPENDITURES |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | UNREALIZED GAIN/LOSS - UNRESTRICTED FUND 6,610,387. PENSION ADJUSTMENT 19,166,314. UNREALIZED GAIN/LOSS - TEMPORARILY RESTRICTED FUNDS 202,096. UNREALIZED GAIN/LOSS - PERMANENTLY RESTRICTED FUNDS 717,412. GRANT PROCEEDS RECEIVED FOR CAPITAL PURCHASE | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSE RECLASS 413,418. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSE RECLASS 413,418. PAYMENTS TO AFFILIATES 19,863,681. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 400.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 21527 | PersonsServed |
| Total Community Benefit Expense | 9065582 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9065582 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02680 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 37591 | PersonsServed |
| Total Community Benefit Expense | 27225480 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10340367 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16885113 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04990 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 59118 | PersonsServed |
| Total Community Benefit Expense | 36291062 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10340367 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25950695 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07670 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 23 | NumberOfActivitiesOrPrograms |
| Persons Served | 3768 | PersonsServed |
| Total Community Benefit Expense | 3319096 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 185543 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3133553 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00930 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 831 | PersonsServed |
| Total Community Benefit Expense | 2045975 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 436804 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1609171 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00480 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 7971843 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2538137 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5433706 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01610 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 26849 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 26849 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 351 | PersonsServed |
| Total Community Benefit Expense | 752373 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 752373 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 55 | NumberOfActivitiesOrPrograms |
| Persons Served | 4950 | PersonsServed |
| Total Community Benefit Expense | 14116136 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3160484 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10955652 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03250 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 55 | NumberOfActivitiesOrPrograms |
| Persons Served | 64068 | PersonsServed |
| Total Community Benefit Expense | 50407198 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13500851 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 36906347 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10920 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 12850 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12850 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 12850 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12850 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $13,897,931 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 67421982 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 87752060 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -20330078 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ELLIOT HOSPITAL OF CITY OF MANCHSTR | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 ELLIOT WAY | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Childrens Hospital | X | ChildrensHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART II: THE HEALTH OF THE COMMUNITY WE SERVE IS PROMOTED THROUGH EHS 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 15% 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: OUR AUDITED FINANCIAL STATEMENTS DO NOT CURRENTLY, NOR HAVE THEY IN THE PAST, CONTAINED A FOOTNOTE FOR BAD DEBTS. | ||
| 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 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 FOR THE GREATER 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 STATES TOTAL BIRTHS AND 10% OF THE STATES 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 STATES TOTAL POPULATION. THE TABLE BELOW DISPLAYS HOW THE POPULATION OF 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 AGES 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 HSAS 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 MANCHESTERS 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 MANCHESTERS RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT 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-AGE CHILDREN HAS DECREASED FROM 19.2% TO 14.8%.WITHIN 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, WHILE 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 STATES 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 FAILING 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. THIS 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 6: EH BELIEVES STRONGLY THAT OUR INVOLVEMENT IN COMMUNITY ORGANIZATIONS SUCH AS CHILD HEALTH SERVICES, MANCHESTER COMMUNITY HEALTH CENTER, 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 STRUCK BY POWER OUTAGES FROM AN ICE STORM LASTING DAYS, EH KEPT PATIENTS (FREE OF CHARGE) IN THE HOSPITAL UNTIL POWER IN THE HOME WAS RESTORED SO THAT THEY WOULD NOT SUFFER THE HARDSHIP OF LIVING WITHOUT HEAT AND POWER. FOR DAY-TO-DAY STRUGGLES, EITHER WITH HOW TO COPE WITH THE LOSS OF A LOVED ONE OR WITH HOW TO COPE WITH CANCER, EH STAFF AND PROFESSIONALS OFFER FREE COMMUNITY SUPPORT GROUPS AND CLASSES TO REACH PEOPLE WHO ARE IN NEED OF HELP.EH PRIDES ITSELF ON THESE ACTS OF HUMANITY BECAUSE IT DOES MEET OUR PURPOSE AND MISSION AND, WITHOUT QUESTION, PROMOTES THE HEALTH OF THE COMMUNITY. | ||
| PART VI, LINE 7: 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 EHSS 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 170 EMPLOYED PHYSICIANS AS FAR NORTH AS HOOKSETT, EAST TO RAYMOND, SOUTH TO WINDHAM AND WEST TO NEW BOSTON. THE EPN HAS 22 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 PROVIDERS 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 PATIENTS 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. | ||
| NH | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|---|
| CHILD HEALTH SERVICES | ||||||||||
| 1245 ELM STREET | MANCHESTER | NH | 03101 | 020348711 | 501(C)(3) | 205886 | 15448 | FMV | FINANCIAL REPORTING AND ACCOUNTS PAYABLE SERVICES | TO ASSIST IN MEETING DAY-TO-DAY OPERATIONS, PROVIDE SUPPORT FOR THE ACCOUNTING AND BOOKKEEPING DEPARTMENT |
| MANCHESTER COMMUNITY HEALTH CENTER | ||||||||||
| 1415 ELM STREET | MANCHESTER | NH | 03101 | 020458174 | 501(C)(3) | 303334 | TO ASSIST IN MEETING DAY-TO-DAY OPERATIONS | |||
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| PROVIDING TRANSPORTATION ASSISTANCE TO LOW INCOME FAMILIES WITH BABIES IN THE NICU (I-IMAGINE PROGRAM) | 16 | 200 |
| PROVIDE INTERIM ASSISTANCE OF FOOD AND CLOTHING TO FAMILIES (I-IMAGINE PROGRAM) | 20 | 600 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: ELLIOT HOSPITAL MAINTAINS MEMBERS ON THE BOARD OF DIRECTORS FOR CHILD HEALTH SERVICES AND MANCHESTER COMMUNITY HEALTH CENTER | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOUGLAS F DEAN | |||||||||||||
| 511147 | 0 | 145008 | 0 | 48795 | 0 | 249340 | 0 | 11990 | 0 | 966280 | 0 | 0 | 0 |
| RICK PHELPS | |||||||||||||
| 360367 | 0 | 89296 | 0 | 41646 | 0 | 255766 | 0 | 16677 | 0 | 763752 | 0 | 0 | 0 |
| RICHARD MARCUCCI MD | |||||||||||||
| 0 | 269178 | 0 | 0 | 0 | 38500 | 0 | 1460 | 0 | 16812 | 0 | 325950 | 0 | 0 |
| ANITA R RITENOUR MD | |||||||||||||
| 289776 | 0 | 20250 | 0 | 29806 | 0 | 15801 | 0 | 16829 | 0 | 372462 | 0 | 0 | 0 |
| GUS EMMICK MD | |||||||||||||
| 0 | 285077 | 0 | 0 | 0 | 16500 | 0 | 9537 | 0 | 16360 | 0 | 327474 | 0 | 0 |
| RICHARD ELWELL | |||||||||||||
| 326312 | 0 | 128137 | 0 | 47214 | 0 | 110716 | 0 | 11696 | 0 | 624075 | 0 | 0 | 0 |
| KEVIN DONOVAN | |||||||||||||
| 125335 | 0 | 29468 | 0 | 18735 | 0 | 232 | 0 | 9811 | 0 | 183581 | 0 | 0 | 0 |
| MARC CULLEROT | |||||||||||||
| 203780 | 0 | 30002 | 0 | 22000 | 0 | 23936 | 0 | 529 | 0 | 280247 | 0 | 0 | 0 |
| DENISE PURINGTON | |||||||||||||
| 189656 | 0 | 36243 | 0 | 30324 | 0 | 21848 | 0 | 1168 | 0 | 279239 | 0 | 0 | 0 |
| ELIZABETH A HALE-CAMPOLI | |||||||||||||
| 202714 | 0 | 16350 | 0 | 15990 | 0 | 1124 | 0 | 1317 | 0 | 237495 | 0 | 0 | 0 |
| JOHN FRIBERG | |||||||||||||
| 202249 | 0 | 45715 | 0 | 16196 | 0 | 1317 | 0 | 16220 | 0 | 281697 | 0 | 0 | 0 |
| WILLIAM BAXTER | |||||||||||||
| 288684 | 0 | 26160 | 0 | 33000 | 0 | 1702 | 0 | 16598 | 0 | 366144 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 4B | DOUGLAS DEAN - $216,975; RICHARD ELWELL - $76,924; RICK PHELPS - $253,745; KEVIN DONOVAN - 5,742; | |
| PART I, LINE 7 | THE ORGANIZATION HAS ADOPTED AN INCENTIVE PAY PROGRAM THAT PROVIDES DESIGNATED MANAGEMENT EMPLOYEES AN OPPORTUNITY TO EARN A DESIGNATED PERCENTAGE OF SALARY BASED ON THE ACHIEVEMENT BY THE ORGANIZATION OF A NUMBER OF CRITICAL SUCCESS FACTORS. THE CRITICAL SUCCESS FACTORS ARE ESTABLISHED ANNUALLY BY THE INDEPENDENT EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES WITH ASSISTANCE FROM AN INDEPENDENT NATIONAL COMPENSATION CONSULTING COMPANY. THE MAXIMUM POTENTIAL INCENTIVE PAYMENTS UNDER THE PLAN ARE CONSIDERED BY THE COMPENSATION CONSULTANT IN ENSURING THAT MANAGEMENT COMPENSATION IS REASONABLE. | |
| PART III | THE SALARIES OF DOUGLAS DEAN, RICK PHELPS, AND RICHARD ELWELL REPRESENT SERVICES PROVIDED TO ALL RELATED ENTITIES. | SUPPLEMENTAL INFORMATION |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| NH HEALTH & EDUCATION FACILITIES AUTHORITY | |||||||
| 020279866 | 644614GK9 | 2003-10-21 | 32245816 | REFINANCE 1987, 1991, 2001 BONDS | 0 | 0 | 0 |
| BUSINESS FINANCE AUTHORITY OF THE STATE OF NH REVENUE BONDS - 2009A | |||||||
| 020279866 | 64468KBQ8 | 2009-12-22 | 130000000 | FINANCE/REFINANCE COSTS OF CONSTRUCTION, REFINANCE 2008 BONDS | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|
| 32500000 | 2810960 | 28988859 | 445997 | 1 | 1 | 1 | 1 | |
| 127806119 | 11505106 | 30000000 | 2071200 | 1 | 1 | 1 | 1 | 84229813 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 1 | 0 | 0 | 0 | 0 |
| 0 | 1 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| SCOTT BACON | |||
| BOARD MEMBER | 30000000 | ON 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. | 0 |
| JAMES C HOOD ESQ | |||
| BOARD MEMBER | 117938 | JAMES V. HATEM, A PARTNER AT NIXON PEABODY, LLP, HAS BEEN CONSULTED BY ELLIOT HEALTH SYSTEM REGARDING SEVERAL MATTERS INCLUDING MALPRACTICE TRUST, HEALTH CARE COMPLIANCE MATTERS, NEW MARKETS TAX CREDIT WORK,HITECH AND BASIC. JAMES HOOD IS A PARTNER AT NIXON PEABODY, LLP. | 0 |
| PETER KACHAVOS MD | |||
| ELLIOT BAY MEDICAL ASSOCIATES EMPLOYEE | 66705 | THROUGH BMA REAL ESTATE (WHICH PETER IS A MEMBER/MANAGER WITH 50% OWNERSHIP), ELLIOT RENTS 4 ELLIOT WAY, SUITE 102, 104, 106 FOR $5,558.75 PER MONTH. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ELLIOT HEALTH SYSTEM IS THE SOLE MEMBER OF THE REPORTING ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | ELLIOT HEALTH SYSYTEM IS THE SOLE MEMBER OF THE REPORTING ORGANIZATION, AND HAS BOARD MEMBERS WHO ARE ALSO BOARD MEMBERS OF THE REPORTING ORGANIZATION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE COMPLETED 990 IS PRESENTED TO THE BOARD PRIOR TO FILING. SPECIFIC KEY SECTIONS OF THE 990 ARE SINGLED OUT FOR ADDITIONAL DISCUSSION AND INPUT FROM BOARD MEMBERS. | |
| OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED ANNUALLY TO SIGN A CONFLICT OF INTEREST FORM WHICH REQUIRES REPORTING ANY POTENTIAL CONFLICT OF INTEREST ARRANGEMENTS WITH THE ORGANIZATION. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE COMPENSATION COMMITTEE OF THE BOARD UTILIZES OUTSIDE COMPENSATION CONSULTANTS TO EVALUATE THE SALARIES FOR THE CEO, CFO, AND COO. THE CONSULTANTS UTILIZE THEIR INTERNAL DATA ALONG WITH NATIONAL AND LOCAL BENCHMARK DATA FROM THE INDUSTRY TO DEVELOP SALARY LEVELS. RECOMMENDATIONS OF THE CONSULTANT ARE REVIEWED BY THE COMPENSATION COMMITTEE, WHO RECOMMENDS COMPENSATION LEVELS TO THE FULL BOARD FOR APPROVAL. AN OUTSIDE CONSULTING FIRM IS ALSO USED BY THE ORGANIZATION TO REVIEW THE COMPENSATION OF THE REMAINDER OF THE VP'S. AGAIN NATIONAL AND LOCAL BENCHMARKS FOR SALARIES ARE CONSULTED TO DETERMINE SALARY LEVELS FOR THESE VP'S. | FORM 990, PART VI, SECTION B, LINE 15 | |
| EACH OF THESE DOCUMENTS IS FILED WITH THE NEW HAMPSHIRE SECRETARY OF STATE AND IS AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| ALL OTHER FUNCTIONAL EXPENSES | OTHER PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 4,611,673. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,611,673. UTILITIES : PROGRAM SERVICE EXPENSES 3,027,194. MANAGEMENT AND GENERAL EXPENSES 1,009,064. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,036,258. MANAGEMENT FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,872,254. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,872,254. SOFTWARE LICENSE FEES : PROGRAM SERVICE EXPENSES 3,098,501. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,098,501. CONSULTING FEES : PROGRAM SERVICE EXPENSES 3,024,353. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,024,353. EQUIPMENT RENTAL : PROGRAM SERVICE EXPENSES 1,691,030. MANAGEMENT AND GENERAL EXPENSES 563,676. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,254,706. FOOD & DIETARY : PROGRAM SERVICE EXPENSES 2,160,673. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,160,673. PHYSICIAN FEES : PROGRAM SERVICE EXPENSES 2,120,882. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,120,882. MINOR EQUIPMENT PURCHASES : PROGRAM SERVICE EXPENSES 2,074,383. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,074,383. RECRUITMENT & RELOCATION FEES : PROGRAM SERVICE EXPENSES 1,295,852. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,295,852. LAUNDRY & LINENS : PROGRAM SERVICE EXPENSES 1,266,648. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,266,648. TELEPHONE : PROGRAM SERVICE EXPENSES 692,330. MANAGEMENT AND GENERAL EXPENSES 230,775. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 923,105. OTHER OPERATING COSTS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 890,552. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 890,552. MEDICAL SERVICES FEES : PROGRAM SERVICE EXPENSES 746,404. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 746,404. PRINTING & PUBLICATIONS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 560,547. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 560,547. TRUST FUND FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 413,418. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 413,418. COLLECTION FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 404,982. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 404,982. PURCHASED LABOR : PROGRAM SERVICE EXPENSES 337,323. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 337,323. DUES & MEMBERSHIPS : PROGRAM SERVICE EXPENSES 304,698. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 304,698. PERMITS & FEES : PROGRAM SERVICE EXPENSES 279,268. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 279,268. EDUCATION & TRAINING : PROGRAM SERVICE EXPENSES 209,322. MANAGEMENT AND GENERAL EXPENSES 69,772. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 279,094. POSTAGE & SHIPPING : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 272,987. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 272,987. VEHICLE EXPENSE : PROGRAM SERVICE EXPENSES 221,948. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 221,948. BANK & CREDIT CARD FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 217,777. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 217,777. VALET PARKING : PROGRAM SERVICE EXPENSES 145,017. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,017. | FORM 990, PART X, LINE 24F |
| CHANGES IN NET ASSETS OR FUND BALANCES: | UNREALIZED GAIN/LOSS - UNRESTRICTED FUND 6,610,387. PENSION ADJUSTMENT 19,166,314. UNREALIZED GAIN/LOSS - TEMPORARILY RESTRICTED FUNDS 202,096. UNREALIZED GAIN/LOSS - PERMANENTLY RESTRICTED FUNDS 717,412. GRANT PROCEEDS RECEIVED FOR CAPITAL PURCHASE TOTAL TO FORM 990, PART XI, LINE 5: 26,696,209. | FORM 990, PART XI, LINE 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| ELLIOT HEALTH SYSTEM PROFESSIONAL & GENERAL LIABILITY INSURANCE TRUST | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 016217452 | INSURANCE TRUST | NH | 501(C)3 | LINE 11, TYPE II | ELLIOT HEALTH SYSTEM | 0 |
| ELLIOT HEALTH SYSTEM | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 020509911 | HOLDING COMPANY | NH | 501(C)3 | LINE 3 | 0 | |
| ELLIOT PHYSICIAN NETWORK | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 020509589 | PHYSICIAN SERVICES | NH | 501(C)3 | LINE 3 | ELLIOT HEALTH SYSTEM | 1 |
| ELLIOT PROFESSIONAL SERVICES | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 331003630 | PHYSICIAN SERVICES | NH | 501(C)3 | LINE 9 | ELLIOT HEALTH SYSTEM | 1 |
| VNA OF MANCHESTER & SOUTHERN NH & SUBS | ||||||||||
| 33 SOUTH COMMERCIAL STREET SUITE 40 | MANCHESTER | NH | 03101 | 020395296 | VNA HOLDING COMPANY | NH | 501(C)3 | LINE 7 | ELLIOT HOSPITAL | 0 |
| JOHN & MARY ELLIOT CHARITABLE FOUNDATION | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 020512229 | FUNDRAISING | NH | 501(C)3 | LINE 7 | ELLIOT HEALTH SYSTEM | 0 |
| VNA HOME HEALTH & HOSPICE SERVICES INC | ||||||||||
| 33 SOUTH COMMERCIAL STREET SUITE 40 | MANCHESTER | NH | 03101 | 020222241 | HOME CARE & HOSPICE SERVICES | NH | 501(C)3 | LINE 11, TYPE II | VNA OF MANCHESTER & SOUTHERN NH INC | 0 |
| VNA COMMUNITY SERVICES INC | ||||||||||
| 33 SOUTH COMMERCIAL STREET SUITE 40 | MANCHESTER | NH | 03101 | 020396549 | NURSING SERVICES | NH | 501(C)3 | LINE 11, TYPE II | VNA OF MANCHESTER & SOUTHERN NH INC | 0 |
| VNA PERSONAL SERVICES INC | ||||||||||
| 33 SOUTH COMMERCIAL STREET SUITE 40 | MANCHESTER | NH | 03101 | 020395295 | PRIVATE HEALTH & HOMEMAKER SERVICES | NH | 501(C)3 | LINE 11, TYPE II | VNA OF MANCHESTER & SOUTHERN NH INC | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIOT COMMON TRUST FUND LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 ELLIOT WAY | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203653624 | EIN |
| Primary Activity | INVESTMENTS | PrimaryActivity |
| Legal Domicile State | NH | LegalDomicileState |
| Predominant Income Type | N/A | PredominantIncomeType |
| Share Of Total Income | 3518603 | ShareOfTotalIncome |
| Share Of EOY Assets | 65712308 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 1 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ELLIOT PROFESSIONAL SERVICES | ||
| H | 137176 | CASH |
| ELLIOT PHYSICIAN NETWORK | ||
| H | 124990 | CASH |
| ELLIOT PROFESSIONAL SERVICES | ||
| O | 3280868 | CASH |
| ELLIOT PHYSICIAN NETWORK | ||
| O | 1383115 | CASH |
| ELLIOT PROFESSIONAL SERVICES | ||
| P | 7356790 | CASH |
| ELLIOT PHYSICIAN NETWORK | ||
| P | 16671038 | CASH |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedSchedule (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Total Grassroots LobbyingTotalGrassrootsLobbying | Total Direct LobbyingTotalDirectLobbying | Total Lobbying ExpendituresTotalLobbyingExpenditures | Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures | Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures | Lobbying NontaxableLobbyingNontaxableAmount | Grassroots NontaxableGrassrootsNontaxableAmount | Tot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontx | Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx | Share Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs | Electing OrgElectingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELLIOT HEALTH SYSTEM | |||||||||||||||
| 1070 HOLT AVE UNIT 1 SUITE 2100 | MANCHESTER | NH | 03109 | 020509911 | 0 | 0 | 0 | 0 | 0 | $0 | $0 | 0 | 0 | 0 | |
| VNA OF MANCHESTER AND SOUTHERN NH INC & SUBSIDIARIES | |||||||||||||||
| 33 SOUTH COMMERCIAL ST SUITE 401 | MANCHESTER | NH | 03101 | 020395296 | 0 | 0 | 0 | 0 | 0 | $0 | $0 | 0 | 0 | 0 | |
| ELLIOT HOSPITAL | |||||||||||||||
| 1 ELLIOT WAY | MANCHESTER | NH | 03103 | 020232673 | 33158 | 311478 | 344636 | 0 | 344636 | $68,927 | $17,232 | 15926 | 275709 | 0 | X |
| ELLIOT PROFESSIONAL SERVICES | |||||||||||||||
| 1070 HOLT AVE UNIT 1 SUITE 2100 | MANCHESTER | NH | 03109 | 331003630 | 0 | 0 | 0 | 0 | 0 | $0 | $0 | 0 | 0 | 0 | |
| ELLIOT PHYSICIAN NETWORK | |||||||||||||||
| 1070 HOLT AVE UNIT 1 SUITE 2100 | MANCHESTER | NH | 03109 | 020509589 | 0 | 0 | 0 | 0 | 0 | $0 | $0 | 0 | 0 | 0 | |
| ELLIOT HEALTH SYSTEM HOLDINGS INC & SUBSIDIARIES | |||||||||||||||
| 1070 HOLT AVE UNIT 1 SUITE 2100 | MANCHESTER | NH | 03109 | 020512224 | 0 | 0 | 0 | 0 | 0 | $0 | $0 | 0 | 0 | 0 | |
| JOHN & MARY ELLIOT CHARITABLE FOUNDATION | |||||||||||||||
| 1070 HOLT AVE UNIT 1 SUITE 2100 | MANCHESTER | NH | 03109 | 020512229 | 0 | 0 | 0 | 0 | 0 | $0 | $0 | 0 | 0 | 0 | |
| ELLIOT COMMON TRUST FUND LLC | |||||||||||||||
| 1 ELLIOT WAY | MANCHESTER | NH | 03103 | 023653624 | 0 | 0 | 0 | 0 | 0 | $0 | $0 | 0 | 0 | 0 | |
| ELLIOT HEALTH SYSTEM PROFESSIONAL & GENERAL LIABILITY INSURANCE TRUST | |||||||||||||||
| 1 ELLIOT WAY | MANCHESTER | NH | 03101 | 016217452 | 0 | 0 | 0 | 0 | 0 | $0 | $0 | 0 | 0 | 0 | |
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