MARY AND JOHN ELLIOT CHARITABLE FOUNDATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MARY AND JOHN ELLIOT CHARITABLE FOUNDATION (EIN 02-0512229)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-08
- IRS object ID
- 201221299349301597
- 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 D
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
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 | 020512229 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY AND JOHN ELLIOT CHARITABLE FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MARY | NameControl |
| Phone | 6036638977 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 HOLT AVENUE UNIT 1 SUITE 2100 | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03109 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD ELWELL | Name |
| Title | CFO | Title |
| Phone | 6036638977 | Phone |
| Date Signed | 2012-04-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM G STEELE JR 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 | RICHARD ELWELL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 HOLT AVENUE UNIT 1 SUITE 2100 | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03109 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1855291 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | THE FOUNDATION'S MISSION IS TO SUPPORT THE IMMEDIATE AND ONGOING RESOURCE NEEDS OF THE ELLLIOT HOSPITAL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1184977 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 924388 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 506615 | InvestmentIncomePriorYear |
| Investment Income Current Year | 589924 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 275490 | OtherRevenuePriorYear |
| Other Revenue Current Year | 340979 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1967082 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1855291 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 937241 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 599090 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | 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 | 321454 | OtherExpensePriorYear |
| Other Expenses Current Year | 385712 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1258695 | TotalExpensesPriorYear |
| Total Expenses Current Year | 984802 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 708387 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 870489 | RevenuesLessExpensesCY |
| Total Assets BOY | 8308570 | TotalAssetsBOY |
| Total Assets EOY | 7130550 | TotalAssetsEOY |
| Total Liabilities BOY | 497187 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 724470 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7811383 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6406080 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE FOUNDATION'S MISSION IS TO SUPPORT THE IMMEDIATE AND ONGOING RESOURCE NEEDS OF THE ELLLIOT HOSPITAL. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 984802 | Expense |
| Revenue | 599090 | Revenue |
| Description | SUPPORT OF THE FUNDRAISING ACTIVITIES OF THE ELLIOT HOSPITAL AND ITS RELATED TAX EXEMPT ORGANIZATIONS | Description |
| Total Program Service Expense | 984802 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | 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 | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| 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 | 1 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | 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 | 6036635809 | 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 | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| MARY ELLEN BISER | ||||||
| SECRETARY | 1.00 | X | X | 0 | 24746 | 5762 |
| JAMES F CONWAY JR MD | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| DOUGLAS F DEAN | ||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | X | X | 0 | 704950 | 261330 |
| SELMA NACCACH-HOFF | ||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 |
| RICHARD I WINNEG | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| RICHARD RAWLINGS | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| WAYNE ROBINSON | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| RUTH ANSELL ESQUIRE | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| RICHARD A ELWELL | ||||||
| CFO | 40.00 | X | 0 | 501663 | 122412 | |
| RICHARD PHELPS | ||||||
| OFFICER | 40.00 | X | 0 | 491309 | 272443 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1722668 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 661947 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 924388 | AllOtherContributions |
| Total Contributions | 924388 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 135741 | TotalRevenueColumn |
| Exclusion | $135,741 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 454183 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 454183 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 454183 | TotalRevenueColumn |
| Exclusion | $454,183 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MANAGEMENT FEE INCOME | Description |
| Business Code | 561000 | BusinessCode |
| Total Revenue Column | 340979 | TotalRevenueColumn |
| Related Or Exempt Function Income | 340979 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 340979 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1855291 | TotalRevenueColumn |
| Related Or Exempt Function Income | 340979 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $589,924 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 599090 | Total |
| Program Services | 599090 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1032 | Total |
| Program Services | 1032 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8736 | Total |
| Program Services | 8736 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7025 | Total |
| Program Services | 7025 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 470 | Total |
| Program Services | 470 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PURCHASED SERVICES | 271399 | 271399 |
| TRUST FUND FEES | 34867 | 34867 |
| CONSULTING FEES | 31127 | 31127 |
| PRINTING/PUBLICATIONS | 9803 | 9803 |
| RECOGNITION PROGRAM | 4825 | 4825 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16428 | Total |
| Program Services | 16428 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 984802 | Total |
| Program Services | 984802 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 882791 | BOY |
| EOY | 895971 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 902396 | BOY |
| EOY | 602484 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 458975 | BOY |
| EOY | 125200 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8956 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 6381 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3045 | BOY |
| EOY | 2575 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6060918 | BOY |
| EOY | 5491120 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 445 | BOY |
| EOY | 13200 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8308570 | BOY |
| EOY | 7130550 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1222 | BOY |
| EOY | 4470 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 491600 | BOY |
| EOY | 720000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4365 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 497187 | BOY |
| EOY | 724470 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5473764 | BOY |
| EOY | 5630135 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2337619 | BOY |
| EOY | 775945 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7811383 | BOY |
| EOY | 6406080 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8308570 | BOY |
| EOY | 7130550 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 870489 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2275792 | 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 | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 878268 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2137287 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1013593 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1184977 | CurrentTaxYearMinus1Year |
| Current Tax Year | 918380 | CurrentTaxYear |
| Total | 6132505 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 878268 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2137287 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1013593 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1184977 | CurrentTaxYearMinus1Year |
| Current Tax Year | 918380 | CurrentTaxYear |
| Total | 6132505 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 6132505 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 147883 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 147115 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 204092 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 188299 | CurrentTaxYearMinus1Year |
| Current Tax Year | 135741 | CurrentTaxYear |
| Total | 823130 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 6955635 | TotalSupport |
| Gross Receipts From Admissions Etc | 1707769 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.88170 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.75730 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2337619 | BeginningOfYearBalance |
| Contributions | 190477 | Contributions |
| Investment Earnings Or Losses | 18083 | InvestmentEarningsOrLosses |
| Other Expenditures | 1770234 | OtherExpenditures |
| End Of Year Balance | 775945 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1582058 | BeginningOfYearBalance |
| Contributions | 670870 | Contributions |
| Investment Earnings Or Losses | 84691 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2337619 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1097517 | BeginningOfYearBalance |
| Contributions | 413069 | Contributions |
| Investment Earnings Or Losses | 71472 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1582058 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8956 | OtherCostOrOtherBasis |
| Depreciation | 6381 | Depreciation |
| Book Value | 2575 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2575 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SECURITIES AND OTHER INVESTMENTS | Description |
| Book Value | 5491120 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 5491120 | TotalOfBookValueSecurities |
| Total Revenue | 1855291 | TotalRevenue |
| Total Expenses | 984802 | TotalExpenses |
| Excess Or Deficit For Year | 870489 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 603761 | NetUnrealizedGLOnInvestments |
| Other | -$2,879,553 | OtherAmount |
| Total Adjustments | -2275792 | TotalAdjustments |
| Excess Or Deficit Per FS | -1405303 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1842196 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 603761 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 603761 | RevenueNotRptdF990 |
| Revenue Subtotal | 1238435 | RevenueSubtotal |
| Other Revenues Not Included | 616856 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 616856 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1855291 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 367946 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 367946 | ExpensesSubtotal |
| Other Expenses Not Included | 616856 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 616856 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 984802 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | TRANSFERS TO AFFILIATES -2,879,553. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSE RECLASS 616,856. |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSE RECLASS 616,856. |
| RECLASSIFICATION OF EXPENSES |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SENIORS COUNT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 020272825 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 17099 | AmountOfCashGrant |
| Method Of Valuation | FMV | MethodOfValuation |
| Purpose Of Grant | FUNDED A PROJECT MANAGER AND PART-TIME ASSISTANT FOR THE NEIGHBORHOOD | PurposeOfGrant |
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: THE PEARL MANOR ADVISORY COMMITTEE MEETS TO REVIEW REQUESTS FOR GRANTS, MEET LEADERS OF ORGANIZATIONS REQUESTING GRANT FUNDING, AND REQUIRES UPDATES ON THE USE OF FUNDS IN MANY INSTANCES, BOTH WRITTEN AND PRESENTATION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 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 | |||||||||||||
| 0 | 511147 | 0 | 145008 | 0 | 48795 | 0 | 249340 | 0 | 11990 | 0 | 966280 | 0 | 0 |
| RICHARD A ELWELL | |||||||||||||
| 0 | 326312 | 0 | 128137 | 0 | 47214 | 0 | 110716 | 0 | 11696 | 0 | 624075 | 0 | 0 |
| RICHARD PHELPS | |||||||||||||
| 0 | 360367 | 0 | 89296 | 0 | 41646 | 0 | 255766 | 0 | 16677 | 0 | 763752 | 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 - $253,766 | |
| 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 M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 81397 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 603,761. TRANSFERS TO AFFILIATES -2,879,553. TOTAL TO FORM 990, PART XI, LINE 5: -2,275,792. | 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 HOSPITAL | ||||||||||
| 1 ELLIOT WAY | MANCHESTER | NH | 03103 | 020232673 | PHYSICIAN SERVICES | NH | 501(C)3 | LINE 3 | ELLIOT HEALTH SYSTEM | 0 |
| ELLIOT PHYSICIAN NETWORK | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 020509589 | PHYSICIAN SERVICES | NH | 501(C)3 | LINE 3 | ELLIOT HEALTH SYSTEM | 0 |
| ELLIOT HEALTH SYSTEM | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 020509911 | MANAGEMENT | NH | 501(C)3 | LINE 11, TYPE II | 0 | |
| VNA OF MANCHESTER & SOUTHERN NH & SUBS | ||||||||||
| 33 SOUTH COMMERCIAL STREET SUITE 40 | MANCHESTER | NH | 03101 | 020395296 | VNA HOLDING COMPANY | NH | 501(C)3 | LINE 7 | ELLIOT HOSPITAL | 0 |
| ELLIOT PROFESSIONAL SERVICES NETWORK | ||||||||||
| 1070 HOLT AVENUE UNIT 1 STE 2100 | MANCHESTER | NH | 03109 | 331003630 | PHYSICIAN SERVICES | 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 | 545770 | ShareOfTotalIncome |
| Share Of EOY Assets | 5578829 | 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 | 0 | 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 | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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