2012-05-08T14:54:15-05:00 2011-06-30 WILLIAM STEELE & ASSOCIATES PC 40 STARK STREET MANCHESTER NH 03101 990 2010-07-01 020232673 THE ELLIOT HOSPITAL OF THE CITY OF MANCHESTER ELLI 6036632033 1 ELLIOT WAY MANCHESTER NH 03103 RICHARD EWELL 6036632033 2012-04-30 1 MICHAEL A BARBARITA CPA 6036228881 2010 2016-02-24 21:20:13Z DOUGLAS DEAN 1 ELLIOT WAY MANCHESTER NH 03103 344208458 0 X ELLIOT-HS.ORG X 1942 NH HOSPITAL SERVICES 24 19 3155 0 6167114 0 937241 599090 302860034 321386340 5869189 5998990 14891261 16179365 324557725 344163785 467405 581686 0 0 153637660 167657511 0 0 0 162703631 169848856 316808696 338088053 7749029 6075732 349524251 354022964 267460033 239186805 82064218 114836159 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. 0 0 269276181 321386340 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 581686 CONTRIBUTIONS TO CHILD HEALTH SERVICES, MANCHESTER COMMUNITY HEALTH CENTER, AND I-IMAGINE CAMPAIGN 3935912 COMMUNITY BENEFITS INCLUDING EDUCATIONAL PROGRAMS, HEALTH SCREENINGS, HEALTH PUBLICATIONS, PATIENT TRANSPORT SERVICE AND OTHER HEALTH INFORMATION SERVICES 273793779 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 232 0 1 3155 1 1 1 0 0 0 0 0 0 0 X 24 19 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X MARC CULLEROT 6036632033 1070 HOLT AVENUE UNIT 1 SUITE 2100 MANCHESTER NH 03109 DOUGLAS F DEAN 40.00 X X 704950 0 261330 RICK PHELPS 40.00 X X 491309 0 272443 R SCOTT BACON 1.00 X X 0 0 0 JAMES C HOOD ESQ 1.00 X 0 0 0 ANN REMUS 1.00 X 0 0 0 SELMA NACCACH-HOFF 1.00 X X 0 0 0 RICHARD GUSTAFSON PHD 1.00 X 0 0 0 PETER CHEUNG MD 1.00 X 0 0 0 WAYNE E ROBINSON 1.00 X X 0 0 0 RICHARD MARCUCCI MD 40.00 X 0 307678 18272 MALCOLM WIDNESS 1.00 X 0 0 0 EDWARD P MITCHELL 1.00 X 0 0 0 MARYANN LECLAIR 1.00 X 0 0 0 DIANNE M MERCIER 1.00 X 0 0 0 DAVID R A STEADMAN 1.00 X 0 0 0 ROBERT M LAVERY 1.00 X 34000 0 0 HAROLD TURNER JR 1.00 X 0 0 0 RICHARD L WINNEG 1.00 X 0 0 0 BARBARA A RAND 1.00 X 0 0 0 ANITA R RITENOUR MD 40.00 X 339832 0 32630 RAYMOND E CLOSSON 1.00 X 0 0 0 GUS EMMICK MD 1.00 X 0 301577 25897 CHARLES ROLECEK 1.00 X 0 0 0 PETER VAN DER MEER MD 1.00 X 0 0 0 JOHN F WEEKS 1.00 X 0 0 0 RICHARD ELWELL 40.00 X 501663 0 122412 KEVIN DONOVAN 40.00 X 173538 0 10043 MARC CULLEROT 40.00 X 255782 0 24465 DENISE PURINGTON 40.00 X 256223 0 23016 ELIZABETH A HALE-CAMPOLI 40.00 X 235054 0 2441 JOHN FRIBERG 40.00 X 264160 0 17537 WILLIAM BAXTER 40.00 X 347844 0 18300 3604355 609255 828786 111 0 1 0 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 29 599090 599090 PROG.SERV.REVENUE-RELA 621110 321386340 321386340 321386340 2924964 2924964 1413301 44673 1368628 1368628 1368628 3074026 3074026 3074026 3074026 MISCELLANEOUS OTHER 900099 6506960 6506960 LABORATORY SERVICES 621500 5512754 5512754 CAFETERIA REVENUE 722210 1497600 1497600 1293423 148062 654360 491001 14810737 344163785 328041362 6167114 9356219 581686 581686 1871459 1871459 129165509 96874132 32291377 13056773 9792580 3264193 13899711 10424783 3474928 9664059 7248044 2416015 278105 278105 157900 157900 2554543 2554543 4712259 3534194 1178065 148166 111124 37042 419202 314402 104800 5357184 4017888 1339296 19863681 19863681 14740175 11055131 3685044 4076399 3057299 1019100 PROVISION FOR BAD DEBTS 29570066 29570066 SUPPLIES 20015215 20015215 DRUGS & PHARMACEUTICUL 14099230 14099230 IMPLANTS & PROTHESIS 9577011 9577011 MAINTENANCE & SERVICE C 8466417 6349814 2116603 35813303 27307499 8505804 338088053 273793779 64294274 0 12739160 14174647 15669787 11013768 29248241 30971984 2094294 2184163 2889049 3574037 339174159 162570591 122689368 176603568 153002696 101624135 11191656 13876662 349524251 354022964 35673540 31791324 152703888 153194328 79082605 54201153 267460033 239186805 X 69293191 100975670 1406996 1722983 11364031 12137506 82064218 114836159 349524251 354022964 X 6075732 26696209 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 33158 33158 311478 311478 344636 344636 332034991 414409132 332379627 414753768 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 412757 238276 348114 344636 1343783 250000 250000 250000 250000 1000000 1500000 25967 29212 32124 33158 120461 1 1 12771028 50000 1039463 13860491 12420985 174500 175543 12771028 14078246 -1657261 12420985 0 0 6681464 6681464 163607768 43157943 120449825 4213786 1678704 2535082 155411452 114146635 41264817 9259689 3587309 5672380 176603568 BOARD DESIGNATED & DONOR RESTRICTED 101624135 C 101624135 PAYABLE TO THIRD PARTY PAYORS 6942850 INTEREST PAYABLE 2281592 ACCRUED PENSION & OTHER 25662414 SELF-INSURANCE RESERVES & OTHER 17317888 CURRENT PORTION OF LONG-TERM DEBT 1996409 54201153 344163785 338088053 6075732 26696209 26696209 32771941 343750366 0 343750366 413418 413418 344163784 317810953 0 317810953 20277099 20277099 338088052 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. 1 1 1 X 400.000000000000 1 X 1 1 0 1 1 21527 9065582 9065582 0.02680 37591 27225480 10340367 16885113 0.04990 0 59118 36291062 10340367 25950695 0.07670 23 3768 3319096 185543 3133553 0.00930 12 831 2045975 436804 1609171 0.00480 7 0 7971843 2538137 5433706 0.01610 1 0 26849 26849 0.00010 12 351 752373 752373 0.00220 55 4950 14116136 3160484 10955652 0.03250 55 64068 50407198 13500851 36906347 0.10920 1 12850 12850 0.00000 1 12850 12850 0 13897931 67421982 87752060 -20330078 X 1 1 1 1 THE ELLIOT HOSPITAL OF CITY OF MANCHSTR

1 ELLIOT WAY MANCHESTER NH 03103

X X X X NOT REQUIRED 1 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. REPORTS FILED WITH STATES PART VI, LINE 7 NH 1 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 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 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ELLIOT HOSPITAL MAINTAINS MEMBERS ON THE BOARD OF DIRECTORS FOR CHILD HEALTH SERVICES AND MANCHESTER COMMUNITY HEALTH CENTER X 1 1 X X X X X X 0 1 0 0 0 0 0 1 0 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 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. SUPPLEMENTAL INFORMATION PART III THE SALARIES OF DOUGLAS DEAN, RICK PHELPS, AND RICHARD ELWELL REPRESENT SERVICES PROVIDED TO ALL RELATED ENTITIES. 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 32500000 2810960 28988859 445997 1 1 1 1 127806119 11505106 30000000 2071200 84229813 1 1 1 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 1 0 0 0 0 0 1 0 0 0 0 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 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. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED ANNUALLY TO SIGN A CONFLICT OF INTEREST FORM WHICH REQUIRES REPORTING ANY POTENTIAL CONFLICT OF INTEREST ARRANGEMENTS WITH THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD UTILIZES OUTSIDE COMPENSATION CONSULTANTS TO EVALUATE THE SALARIES FOR THE CEO, CFO, AND COO. THE CONSULTANTS UTILIZE THEIR INTERNAL DATA ALONG WITH NATIONAL AND LOCAL BENCHMARK DATA FROM THE INDUSTRY TO DEVELOP SALARY LEVELS. RECOMMENDATIONS OF THE CONSULTANT ARE REVIEWED BY THE COMPENSATION COMMITTEE, WHO RECOMMENDS COMPENSATION LEVELS TO THE FULL BOARD FOR APPROVAL. AN OUTSIDE CONSULTING FIRM IS ALSO USED BY THE ORGANIZATION TO REVIEW THE COMPENSATION OF THE REMAINDER OF THE VP'S. AGAIN NATIONAL AND LOCAL BENCHMARKS FOR SALARIES ARE CONSULTED TO DETERMINE SALARY LEVELS FOR THESE VP'S. FORM 990, PART VI, SECTION C, LINE 19 EACH OF THESE DOCUMENTS IS FILED WITH THE NEW HAMPSHIRE SECRETARY OF STATE AND IS AVAILABLE UPON REQUEST. ALL OTHER FUNCTIONAL EXPENSES FORM 990, PART X, LINE 24F 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: 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. 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 ELLIOT COMMON TRUST FUND LLC 1 ELLIOT WAY MANCHESTER NH 03103 203653624 INVESTMENTS NH N/A 3518603 65712308 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 1 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 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 X 33158 311478 344636 0 344636 68927 17232 15926 275709 0 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