2011-05-13T12:31:42-05:00 2010-06-30 WILLIAM STEELE & ASSOCIATES PC 40 STARK STREET MANCHESTER NH 03101 990 2009-07-01 020512229 MARY AND JOHN ELLIOT CHARITABLE FOUNDATION MARY 6036638977 1070 HOLT AVENUE UNIT 1 SUITE 2100 MANCHESTER NH 03109 richard elwell 6036638977 2011-05-09 1 WILLIAM G STEELE JR CPA 6036228881 2009 2016-02-24 21:20:13Z richard elwell 1070 HOLT AVENUE UNIT 1 SUITE 2100 MANCHESTER NH 03109 1967082 0 X N/A X 2001 NH the foundation's mission is to support the immediate and ongoing resource needs of the ellliot hospital. 8 6 0 0 0 0 1013593 1184977 0 -1263514 506615 295231 275490 45310 1967082 517250 937241 0 0 0 0 335905 321454 853155 1258695 -807845 708387 7054245 8308570 260 497187 7053985 7811383 the foundation's mission is to support the immediate and ongoing resource needs of the ellliot hospital. 0 0 1258695 937241 SUPPORT OF THE FUNDRAISING ACTIVITIES OF THE ELLIOT HOSPITAL AND ITS RELATED TAX EXEMPT ORGANIZATIONS 1258695 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 8 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X MARC CULLEROT 6036635809 1070 holt avenue unit 1 suite 2100 manchester NH 03101 X MARY ELLEN BISER 1.00 X X 0 26188 5113 JAMES F CONWAY JR MD 1.00 X 0 0 0 DOUGLAS F DEAN 40.00 X X 0 639646 39432 SELMA NACCACH-HOFF 1.00 X X 0 0 0 RICHARD I WINNEG 1.00 X 0 0 0 RICHARD RAWLINGS 1.00 X 0 0 0 WAYNE ROBINSON 1.00 X 0 0 0 ruth ansell esquire 1.00 X 0 0 0 RICHARD A ELWELL 40.00 X 0 423172 43001 richard phelps 40.00 X 0 455631 19932 0 1544637 107478 0 0 1 0 0 1184977 1184977 188299 188299 318316 318316 318316 318316 MANAGEMENT FEE INCOME 561000 275490 275490 275490 1967082 275490 0 506615 937241 937241 1229 1229 9325 9325 6193 6193 470 470 Purchased Services 220109 220109 Trust Fund Fees 30218 30218 Printing/Publications 18624 18624 Provision For Bad Debts 14516 14516 Consulting Fees 11713 11713 9057 9057 1258695 1258695 0 0 1096285 882791 1080885 902396 -18837 458975 8956 5911 3515 3045 4879904 6060918 12493 445 7054245 8308570 260 1222 491600 0 4365 260 497187 X 5471927 5473764 1582058 2337619 7053985 7811383 7054245 8308570 X 0 1 1 X 0 X 1699780 878268 2137287 1013593 1184977 6913905 1699780 878268 2137287 1013593 1184977 6913905 1079710 5834195 102241 147883 147115 204092 188299 789630 7703535 1632433 0.75730 0.67730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1582058 670870 84691 2337619 1097517 413069 71472 1582058 1.00000 0 0 8956 5911 3045 3045 Securities and other investments 6060918 C 6060918 due to affiliates 4365 4365 1967082 1258695 708387 49011 49011 757398 1212817 49011 49011 1163806 803276 803276 1967082 455419 0 455419 803276 803276 1258695 reclassification of expenses X X X X X X sale of elliot brand wear 8143 8143 7752 breast health sales 10600 10600 175 2071 18743 18743 175 9823 9998 8745 1 seniors count 020272825 501(c)(3) 17099 FMV funded a project manager and part-time assistant for the neighborhood Procedure for Monitoring Grants in the U.S.: Part I, Line 2: 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. 1 X X X X X X 0 1 0 0 0 0 0 1 0 DOUGLAS F DEAN 0 408259 0 108711 0 122676 0 27836 0 11596 0 679078 0 0 RICHARD A ELWELL 0 280314 0 58589 0 84269 0 31657 0 11344 0 466173 0 0 richard phelps 0 342063 0 66941 0 46627 0 3752 0 16180 0 475563 0 0 Part I, Line 4a douglas dean - $90,300; richard elwell - $53,623; rick phelps - $21,480 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. Form 990, Part VI, Section B, line 11 the completed 990 is presented to the board prior to filing. specific key sections of the 990 are singled out for additional discussion and input from board members. Form 990, Part VI, Section B, line 12c officers, directors and key employees are required annually to sign a conflict of interest form which requires reporting any potential conflict of interest arrangements with the organization. Form 990, Part VI, Section B, line 15 the compensation committee of the board utilizes outside compensation consultants to evaluate the salaries for the CEO, CFO, and COO. The consultants utilize their internal data along with national and local benchmark data from the industry to develop salary levels. recommendations of the consultant are reviewed by the compensation committee, who recommends compensation levels to the full board for approval. an outside consulting firm is also used by the organization to review the compensation of the remainder of the vp's. again national and local benchmarks for salaries are consulted to determine salary levels for these vp's. Form 990, Part VI, Section C, line 19 each of these documents is filed with the New Hampshire secretary of state and is available upon request. 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 elliot hospital 1 elliot way manchester NH 03103 020232673 physician services NH 501(c)3 line 3 elliot health system 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 elliot health system 1070 holt avenue unit 1 ste 2100 manchester NH 03109 020509911 management NH 501(c)3 line 11, type II 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 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 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 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 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 elliot common trust fund llc 1 elliot way manchester NH 03103 203653624 investments NH n/a 452031 5611324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0