ELLIOT HOSPITAL OF THE CITY OF MANCHESTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ELLIOT HOSPITAL OF THE CITY OF MANCHESTER (EIN 02-0232673)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201101339349302890
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T12:31:42-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM STEELE & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line140 STARK STREETAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020232673EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD EWELLName
TitlecfoTitle
Phone6036632033Phone
Date Signed2011-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMichael A BarbaritaName
Phone6036228881Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer Persondouglas deanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 ELLIOT WAYAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03103ZIPCode
FieldValueIRS element (for citing)
Gross Receipts324685562GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteELLIOT-HS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1942YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionHOSPITAL SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees3053TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI6433200TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year517250ContributionsGrantsPriorYear
Contributions Grants Current Year937241ContributionsGrantsCurrentYear
Program Service Revenue Prior Year288553927ProgramServiceRevenuePriorYear
Program Service Revenue CY302860034ProgramServiceRevenueCY
Investment Income Prior Year-14813606InvestmentIncomePriorYear
Investment Income Current Year5869189InvestmentIncomeCurrentYear
Other Revenue Prior Year14183053OtherRevenuePriorYear
Other Revenue Current Year14891261OtherRevenueCurrentYear
Total Revenue Prior Year288440624TotalRevenuePriorYear
Total Revenue Current Year324557725TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year480246GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY467405GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year149086756SalariesEtcPriorYear
Salaries Etc Current Year153637660SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year148185287OtherExpensePriorYear
Other Expenses Current Year162703631OtherExpensesCurrentYear
Total Expenses Prior Year297752289TotalExpensesPriorYear
Total Expenses Current Year316808696TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-9311665RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7749029RevenuesLessExpensesCY
Total Assets BOY226526461TotalAssetsBOY
Total Assets EOY349524251TotalAssetsEOY
Total Liabilities BOY147339398TotalLiabilitiesBOY
Total Liabilities EOY267460033TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY79187063NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY82064218NetAssetsOrFundBalancesEOY
Mission Descriptionelliot hospital of the city of manchester, a leader in healthcare, is dedicated to providing it's community with excellent services offered with dignity, caring, and respect.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense253414948Expense
Revenue311716865Revenue
DescriptionMEDICAL SERVICES PROVIDED TO 14,434 IN-PATIENTS AND 472,294 OUT-PATIENTS INCLUDING FREE CARE IN THE AMOUNT OF 16,140,527 AND CONTRIBUTIONS TO COMMUNITY PROGRAMSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense498055Expense
Grants498055Grants
DescriptionCONTRIBUTIONS TO CHILD HEALTH SERVICES, MANCHESTER COMMUNITY HEALTH CENTER, and I-Imagine CampaignDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3753441Expense
DescriptionCOMMUNITY BENEFITS INCLUDING EDUCATIONAL PROGRAMS, HEALTH SCREENINGS, HEALTH PUBLICATIONS, PATIENT TRANSPORT SERVICE AND OTHER HEALTH INFORMATION SERVICESDescription
FieldValueIRS element (for citing)
Total Program Service Expense257666444TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096232NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3053NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1marc cullerotBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6036632033TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11070 holt avenue unit 1 suite 2100AddressLine1
CitymanchesterCity
StateNHState
ZIP Code03109ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DOUGLAS F DEAN
PRESIDENT & CEO40.00XX639646039432
rick phelps
coo40.00XX455631019932
martin ginsberg md
TRUSTEE1.00X000
r scott bacon
vice chair1.00XX000
SIDNEY BAINES
secretary1.00XX000
james c hood esq
tRUSTEE1.00X000
ann remus
TRUSTEE1.00X000
SELMA NACCACH-HOFF
chair1.00XX000
RICHARD GUSTAFSON PHD
truSTEE1.00X000
ROBERT NORMANDEAU
TRUSTEE1.00X000
PETER CHEUNG MD
TRUSTEE1.00X000
WAYNE E ROBINSON
treasurer1.00XX000
richard marcucci md
tRUSTEE40.00X035824016464
malcolm widness
tRUSTEE1.00X000
edward p mitchell
trustee1.00X000
maryann leclair
truSTEE1.00X000
dianne m mercier
truSTEE1.00X000
david r a steadman
truSTEE1.00X000
marguerite l wageling e
truSTEE1.00X000
peter kachavos md
truSTEE40.00X025109617115
robert m lavery
truSTEE1.00X000
harold turner jr
truSTEE1.00X000
richard l winneg
truSTEE1.00X000
barbara a rand
truSTEE1.00X000
anita r ritenour md
truSTEE40.00X344776028868
raymond e closson
truSTEE1.00X000
RICHARD ELWELL
cfo40.00X423172043001
kevin donovan
employee40.00224320017351X
marc cullerot
vp/finance40.00238250021059X
denise purington
vp/cio40.00239882017790X
susan larman
vp visiting nurse associ40.00216299011565X
brennan a macdonald
chief medical physicist40.00207703024531X
william baxter
vp medical affairs40.00362259016662X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3351938TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs609336TotalReportableCompFrmRltdOrgs
Total Other Compensation273770TotalOtherCompensation
Number Individuals GT100 K69NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
cube 3 studio llc
360 merrimack streetlawrenceMA01843architecture planning3673358
aw rose construction llc
33 south commercial streetmanchesterNH03101construction3238162
bianco professional association
18 centre streetconcordNH03301attorneys614124
shaheen & gordon prof assn
848 elm streetmanchesterNH03301attorneys550952
ceg advisory
152 washington streetnewtonMA02458clinical and business solutions273520
FieldValueIRS element (for citing)
Number Of Contractors GT100 K21NumberOfContractorsGT100K
All Other Contributions937241AllOtherContributions
Total Contributions937241TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionProg.serv.revenue-RelaDescription
Business Code621110BusinessCode
Total Revenue Column302860034TotalRevenueColumn
Related Or Exempt Function Income302860034RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue302860034TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2264632TotalRevenueColumn
Related Or Exempt Function Income2264632RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1092260Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real127837Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real964423Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column964423TotalRevenueColumn
Related Or Exempt Function Income1092260RelatedOrExemptFunctionIncome
Exclusion-$127,837ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3604557Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3604557Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3604557TotalRevenueColumn
Exclusion$3,604,557ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
LABORATORY SERVICES62150057079545707954
MISCELLANEOUS OTHER90009953700835370083
Cafeteria Revenue7222101440247$1,440,247

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1408554TotalRevenueColumn
Related Or Exempt Function Income129856RelatedOrExemptFunctionIncome
Unrelated Business Revenue725246UnrelatedBusinessRevenue
Exclusion$553,452ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue13926838TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column324557725TotalRevenueColumn
Related Or Exempt Function Income311716865RelatedOrExemptFunctionIncome
Unrelated Business Revenue6433200UnrelatedBusinessRevenue
Exclusion$5,470,419ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total467405Total
Program Services467405ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1742769Total
Management And General1742769ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total121427955Total
Program Services92378044ProgramServices
Management And General29049911ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8270632Total
Program Services6202974ProgramServices
Management And General2067658ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13185929Total
Program Services9889447ProgramServices
Management And General3296482ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9010375Total
Program Services6757781ProgramServices
Management And General2252594ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total770435Total
Management And General770435ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total112200Total
Management And General112200ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2367792Total
Management And General2367792ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4058972Total
Program Services3044229ProgramServices
Management And General1014743ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total153524Total
Program Services115144ProgramServices
Management And General38380ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total442014Total
Program Services331511ProgramServices
Management And General110503ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3068501Total
Program Services2301376ProgramServices
Management And General767125ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total19768281Total
Program Services19768281ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15448163Total
Program Services11586123ProgramServices
Management And General3862040ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total9153219Total
Program Services6864914ProgramServices
Management And General2288305ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Provision For Bad Debts2861415628614156
Supplies1877903918779039
Drugs & Pharmaceuticul1348763013487630
Maintenance & Service C777143858285791942859
Implants & Prothesis61218746121874

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total32586393Total
Program Services25127937ProgramServices
Management And General7458456ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total316808696Total
Program Services257666444ProgramServices
Management And General59142252ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12072415BOY
EOY12739160EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4890165BOY
EOY15669787EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY29741130BOY
EOY29248241EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1987212BOY
EOY2094294EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2773693BOY
EOY2889049EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis272340612LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec149651244LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY84719182BOY
EOY122689368EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY84501450BOY
EOY155174115EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5841214BOY
EOY9020237EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY226526461BOY
EOY349524251EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY25546181BOY
EOY35673540EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY26893078BOY
EOY152703888EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY30000000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY64900139BOY
EOY79082605EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY147339398BOY
EOY267460033EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY66766078BOY
EOY69293191EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1248255BOY
EOY1406996EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11172730BOY
EOY11364031EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY79187063BOY
EOY82064218EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY226526461BOY
EOY349524251EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals32124FilingOrganizationsTotals
Affiliated Group Totals32124AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals315990FilingOrganizationsTotals
Affiliated Group Totals315990AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals348114FilingOrganizationsTotals
Affiliated Group Totals348114AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals257318330FilingOrganizationsTotals
Affiliated Group Totals333895458AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals257666444FilingOrganizationsTotals
Affiliated Group Totals334243572AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

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

Grassroots Nontaxable GrassrootsNontaxableAmount

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

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

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

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

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

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

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

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3310121CurrentYearMinus3
Current Year Minus2412757CurrentYearMinus2
Current Year Minus1238276CurrentYearMinus1
Current Year348114CurrentYear
Total1309268Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

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

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus316593CurrentYearMinus3
Current Year Minus225967CurrentYearMinus2
Current Year Minus129212CurrentYearMinus1
Current Year32124CurrentYear
Total103896Total

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal Control1DisclosedOrgsLegalControl
Disclosed For Charitable Purposes1DisclosedForCharitablePurposes

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance14078246BeginningOfYearBalance
Investment Earnings Or Losses-1657261InvestmentEarningsOrLosses
End Of Year Balance12420985EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3853401OtherCostOrOtherBasis
Book Value3853401BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis69239518OtherCostOrOtherBasis
Depreciation39483074Depreciation
Book Value29756444BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1908416OtherCostOrOtherBasis
Depreciation1614187Depreciation
Book Value294229BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis142528023OtherCostOrOtherBasis
Depreciation105093612Depreciation
Book Value37434411BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis54811254OtherCostOrOtherBasis
Depreciation3460371Depreciation
Book Value51350883BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings122689368TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Due from Affiliates2171419C
Board Designated & Donor Restricted153002696C
FieldValueIRS element (for citing)
Total Of Book Value Securities155174115TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Payable To Third Party Payors$7,858,413
Interest Payable$2,300,876
Accrued Pension & Other$43,547,100
Self-Insurance Reserves & Other$23,232,425
Current Portion of Long-Term Debt$2,143,791
FieldValueIRS element (for citing)
Total Of Amounts79082605TotalOfAmounts
Total Revenue324557725TotalRevenue
Total Expenses316808696TotalExpenses
Excess Or Deficit For Year7749029ExcessOrDeficitForYear
Other-$4,871,874OtherAmount
Total Adjustments-4871874TotalAdjustments
Excess Or Deficit Per FS2877155ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt324179362TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal324179362RevenueSubtotal
Other Revenues Not Included378363OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt378363RevenueNotRptdOnFinStmt
Total Revenue Per Form990324557725TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt296662052TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal296662052ExpensesSubtotal
Other Expenses Not Included20146644OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt20146644ExpensesNotRptdOnFinStmt
Total Expenses Per Form990316808696TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:income of the funds has been used for operating and capital expenditures
Part XI, Line 8 - Other Adjustments:UNREALIZED GAIN/LOSS - UNRESTRICTED FUND: -211749. pension adjustment: -5166694. UNREALIZED GAIN/LOSS - TEMPORARILY RESTRICTED FUNDS: -108531. UNREALIZED GAIN/LOSS - PERMANENTLY RESTRICTED FUNDS: 403240. grant proceeds received for capital purchase: 211860.
Part XII, Line 4b - Other Adjustments:expense reclass: 378363.
Part XIII, Line 4b - Other Adjustments:expense reclass: 378363. payments to affiliates: 19768281.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage400.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served20272PersonsServed
Total Community Benefit Expense7008754TotalCommunityBenefitExpense
Net Community Benefit Expense7008754NetCommunityBenefitExpense
Percent Of Total Expense0.02210PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served38061PersonsServed
Total Community Benefit Expense28964481TotalCommunityBenefitExpense
Direct Offsetting Revenue13640293DirectOffsettingRevenue
Net Community Benefit Expense15324188NetCommunityBenefitExpense
Percent Of Total Expense0.04840PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served0PersonsServed

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served58333PersonsServed
Total Community Benefit Expense35973235TotalCommunityBenefitExpense
Direct Offsetting Revenue13640293DirectOffsettingRevenue
Net Community Benefit Expense22332942NetCommunityBenefitExpense
Percent Of Total Expense0.07050PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs25NumberOfActivitiesOrPrograms
Persons Served11808PersonsServed
Total Community Benefit Expense3474906TotalCommunityBenefitExpense
Direct Offsetting Revenue4200DirectOffsettingRevenue
Net Community Benefit Expense3470706NetCommunityBenefitExpense
Percent Of Total Expense0.01100PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs13NumberOfActivitiesOrPrograms
Persons Served767PersonsServed
Total Community Benefit Expense2563695TotalCommunityBenefitExpense
Direct Offsetting Revenue491014DirectOffsettingRevenue
Net Community Benefit Expense2072681NetCommunityBenefitExpense
Percent Of Total Expense0.00650PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Total Community Benefit Expense9801439TotalCommunityBenefitExpense
Direct Offsetting Revenue3306020DirectOffsettingRevenue
Net Community Benefit Expense6495419NetCommunityBenefitExpense
Percent Of Total Expense0.02050PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense75902TotalCommunityBenefitExpense
Net Community Benefit Expense75902NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs13NumberOfActivitiesOrPrograms
Persons Served1807PersonsServed
Total Community Benefit Expense949359TotalCommunityBenefitExpense
Net Community Benefit Expense949359NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs60NumberOfActivitiesOrPrograms
Persons Served14382PersonsServed
Total Community Benefit Expense16865301TotalCommunityBenefitExpense
Direct Offsetting Revenue3801234DirectOffsettingRevenue
Net Community Benefit Expense13064067NetCommunityBenefitExpense
Percent Of Total Expense0.04120PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs60NumberOfActivitiesOrPrograms
Persons Served72715PersonsServed
Total Community Benefit Expense52838536TotalCommunityBenefitExpense
Direct Offsetting Revenue17441527DirectOffsettingRevenue
Net Community Benefit Expense35397009NetCommunityBenefitExpense
Percent Of Total Expense0.11170PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense15105TotalCommunityBuildingExpense
Net Community Building Expense15105NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense15105TotalCommunityBuildingExpense
Net Community Building Expense15105NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$13,305,583BadDebtExpenseAmount
Amount Reimbursed By Medicare62371250AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare81747622CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-19376372MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE ELLIOT HOSPITAL OF CITY OF ManchstrBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11 elliot wayAddressLine1
CitymanchesterCity
StateNHState
ZIP Code03103ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnotePart 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 eventually transferred to bad debt. Organization not currently determining bad debt accounts that may have been charitable care.Organization does not have a bad debt footnote in it's audited financial statements; financial statements indicate amount of bad debt actually incurred as well as estimate on open account balances.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: Allowable costs determined using CMS methodology utilized in completing cost report; Medicare shortfall to be reported as community benefitShortfallAsCommunityBenefit
Debt Collection PolicyPart III, Line 9b: Collections are not performed on patients who are deemed eligible for charity care or financial assistance.DebtCollectionPolicy
Needs AssessmentPart 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.aspxNeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart 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.CommunityInformation
Community Building ActivitiesPart VI, Line 5: 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.CommunityBuildingActivities
Other InformationPart 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.OtherInformation
Affiliated Health Care SystemPart 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.AffiliatedHealthCareSystem
Reports Filed With StatesNHReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
child health services
1245 elm streetmanchesterNH03101020348711501(c)(3)15000014722fmvfinancial reporting and accounts payable servicesto assist in meeting day-to-day operations, provide support for the accounting and bookkeeping department
manchester community health center
1415 elm streetmanchesterNH03101020458174501(c)(3)333333to assist in meeting day-to-day operations
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
bike helmet program (i-imagine program)571829
PROVIDING TRANSPORTATION ASSISTANCE TO LOW INCOME FAMILIES with babies IN THE NICU (I-IMAGINE PROGRAM)16650
emergency management packets for seniors (i-imagine program)43506351
provide interim assistance of food and clothing to families (i-imagine program)201200

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: elliot hospital maintains members on the board of directors for child health services and manchester community health centerExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DOUGLAS F DEAN
408259010871101226760278360115960679078000
rick phelps
342063066941046627037520161800475563000
richard marcucci md
0325240000330000139016325037470400
peter kachavos md
02241960002690001157015958026821100
anita r ritenour md
2956540170450320770126100162580373644000
RICHARD ELWELL
2803140585890842690316570113440466173000
kevin donovan
162928022094039298019520153990241671000
marc cullerot
19020902604102200002054405150259309000
denise purington
185113024445030324016737010530257672000
susan larman
214799000150004900110750227864000
brennan a macdonald
2051030002600084080161230232234000
william baxter
29421303504603300005000161620378921000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 4adouglas dean - $90,300; richard elwell - $53,623; rick phelps - $21,480; peter kachavos - $10,400; richard marcucci - $16,500; anita ritenour - $15,577; kevin donovan - $13,950; william baxter - $16,500; denise purington - $3,900
Part I, Line 7The Organization has adopted an incentive pay program that provides designated management employees an opportunity to earn a designated percentage of salary based on the achievement by the Organization of a number of critical success factors. The critical success factors are established annually by the independent executive compensation committee of the Board of Trustees with assistance from an independent national compensation consulting company. The maximum potential incentive payments under the plan are considered by the compensation consultant in ensuring that management compensation is reasonable.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
nh health & education facilities authority
020279866644614gk92003-10-2132245816refinance 1987, 1991, 2001 bonds00
business finance authority of the state of nh revenue bonds - 2009a
02027986664468kbq82009-12-22130000000finance/refinance costs of construction, refinance 2008 bonds00

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
325000002810960289888594459971111
12780611911505106300000002071200111184229813

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000010.000000.000000.000001
000010.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
scott bacon
board member30000000On January 15, 2009 TD BankNorth closed a $30,000,000 loan to Elliot Hospital, guaranteed by Elliot Health System. SCott Bacon is President and CEO of TD BankNorth.0
james c hood esq
board member185674james v. hatem, a partner at Nixon Peabody, LLP, has been consulted by Elliot Health System regarding the appointment of elliot health system professional and general liability self-insurance trust. james hood is a partner at nixon peabody, llp.nixon peabody has also been retained to represent the elliot hospital in its rivers edge project with regard to securing and structuring new market tax credits to assist financing the project.0
peter kachavos md
elliot bay medical associates employee66705through 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 (6 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6elliot health system is the sole member of the reporting organization.
Form 990, Part VI, Section A, line 7aelliot health sysytem is the sole member of the reporting organization, and has board members who are also board members of the reporting organization.
Form 990, Part VI, Section B, line 11the completed 990 is presented to the board prior to filing. specific key sections of the 990 are singled out for additional discussion and input from board members.
Form 990, Part VI, Section B, line 12cofficers, directors, and key employees are required annually to sign a conflict of interest form which requires reporting any potential conflict of interest arrangements with the organization.
Form 990, Part VI, Section B, line 15the compensation committee of the board utilizes outside compensation consultants to evaluate the salaries for the CEO, CFO, and COO. The consultants utilize their internal data along with national and local benchmark data from the industry to develop salary levels. recommendations of the consultant are reviewed by the compensation committee, who recommends compensation levels to the full board for approval. an outside consulting firm is also used by the organization to review the compensation of the remainder of the vp's. again national and local benchmarks for salaries are consulted to determine salary levels for these vp's.
Form 990, Part VI, Section C, line 19each of these documents is filed with the New Hampshire secretary of state and is available upon request.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
elliot health system professional & general liability insurance trust
1070 holt avenue unit 1 ste 2100manchesterNH03109016217452insurance trustNH501(c)3line 11, type IIelliot health system
elliot health system
1070 holt avenue unit 1 ste 2100manchesterNH03109020509911holding companyNH501(c)3line 3
elliot physician network
1070 holt avenue unit 1 ste 2100manchesterNH03109020509589physician servicesNH501(c)3line 3elliot health system
elliot professional services
1070 holt avenue unit 1 ste 2100manchesterNH03109331003630physician servicesNH501(c)3line 9elliot health system
VNA of manchester & southern NH & subs
33 south commercial street suite 40manchesterNH03101020395296vna holding companyNH501(c)3line 7elliot hospital
john & mary elliot charitable foundation
1070 holt avenue unit 1 ste 2100manchesterNH03109020512229fundraisingNH501(c)3line 7elliot health system
vna home health & hospice services inc
33 south commercial street suite 40manchesterNH03101020222241home care & hospice servicesNH501(c)3line 11, type IIvna of manchester & southern Nh inc
vna community services inc
33 south commercial street suite 40manchesterNH03101020396549nursing servicesNH501(c)3line 11, type IIvna of manchester & southern Nh inc
vna personal services inc
33 south commercial street suite 40manchesterNH03101020395295private health & homemaker servicesNH501(c)3line 11, type IIvna of manchester & southern Nh inc

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1elliot common trust fund llcBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 elliot wayAddressLine1
CitymanchesterCity
StateNHState
ZIP Code03103ZIPCode
FieldValueIRS element (for citing)
EIN203653624EIN
Primary ActivityinvestmentsPrimaryActivity
Legal Domicile StateNHLegalDomicileState
Predominant Income Typen/aPredominantIncomeType
Share Of Total Income4525778ShareOfTotalIncome
Share Of EOY Assets56191536ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
elliot professional services
H13190
elliot physician network
H82702
elliot professional services
O2847029
elliot physician network
O591246
elliot professional services
P5332819
elliot physician network
P15666818

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINTotal Grassroots LobbyingTotalGrassrootsLobbyingTotal Direct LobbyingTotalDirectLobbyingTotal Lobbying ExpendituresTotalLobbyingExpendituresOther Exempt Purpose ExpendituresOtherExemptPurposeExpendituresTotal Exempt Purpose ExpendituresTotalExemptPurposeExpendituresLobbying NontaxableLobbyingNontaxableAmountGrassroots NontaxableGrassrootsNontaxableAmountTot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontxTot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontxShare Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrsElecting OrgElectingOrg
elliot Health system
1070 holt ave unit 1 suite 2100manchesterNH03109020509911000475942475942$95,188$23,797000
vna of manchester and southern nh inc & subsidiaries
33 south commercial st suite 401manchesterNH0310102039529600000$0$0000
elliot hospital
1 elliot waymanchesterNH0310302023267332124315990348114257318330257666444$1,000,000$250,000000X
elliot professional services
1070 holt ave unit 1 suite 2100manchesterNH031093310036300003720126737201267$1,000,000$250,000000
elliot physician network
1070 holt ave unit 1 suite 2100manchesterNH031090205095890003119468931194689$1,000,000$250,000000
elliot health system holdings inc & subsidiaries
1070 holt ave unit 1 suite 2100manchesterNH0310902051222400000$0$0000
john & mary elliot charitable foundation
1070 holt ave unit 1 suite 2100manchesterNH0310902051222900012586951258695$200,870$50,218000
elliot common trust fund llc
1 elliot waymanchesterNH0310302365362400000$0$0000
elliot health system professional & general liability insurance trust
1 elliot waymanchesterNH0310101621745200064465356446535$472,327$118,082000

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