ELLIOT HOSPITAL OF THE CITY OF MANCHESTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: ELLIOT HOSPITAL OF THE CITY OF MANCHESTER (EIN 02-0232673)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-10
IRS object ID: 201901309349302415
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-10T07:46:20-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	010494526	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER NEWMAN & NOYES LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	650 ELM STREET SUITE 302	AddressLine1Txt
City	MANCHESTER	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03101	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020232673	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Elliot Hospital of the City	BusinessNameLine1Txt
Business Name Line2	of Manchester	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	ELLI	BusinessNameControlTxt
Phone	6036632033	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Elliot Way	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03103	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Michael S Turilli	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6036632033	PhoneNum
Signature	2019-03-20	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Nicholas E Porto	PreparerPersonNm
PTIN	P01310283	PTIN
Phone	8002447444	PhoneNum
Preparation	2019-03-20	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	208.105.168.164	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-03-20	IPDt
IP Tm	14:53:04	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	89E582745F398AB9123794375B037D04AD0E63E3	AtSubmissionCreationDeviceId
At Submission Filing Device Id	86AD5A998A217BD7885303F5109AB5202568ED7D	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	William G Baxter	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Elliot Way	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03103	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$518,384,931	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.elliothospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1942	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	Hospital Services	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	3873	TotalEmployeeCnt
Total Volunteers	310	TotalVolunteersCnt
Total Gross UBI	$9,410,968	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,922,870	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,108,194	PYContributionsGrantsAmt
CY Contributions Grants	$3,604,754	CYContributionsGrantsAmt
PY Program Service Revenue	$450,276,795	PYProgramServiceRevenueAmt
CY Program Service Revenue	$474,338,411	CYProgramServiceRevenueAmt
PY Investment Income	$3,160,000	PYInvestmentIncomeAmt
CY Investment Income	$5,065,448	CYInvestmentIncomeAmt
PY Other Revenue	-$16,619,501	PYOtherRevenueAmt
CY Other Revenue	$4,822,854	CYOtherRevenueAmt
PY Total Revenue	$437,925,488	PYTotalRevenueAmt
CY Total Revenue	$487,831,467	CYTotalRevenueAmt
PY Grants And Similar Paid	$569,949	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$975,311	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$212,546,385	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$224,469,751	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$197,461,786	PYOtherExpensesAmt
CY Other Expenses	$214,537,737	CYOtherExpensesAmt
PY Total Expenses	$410,578,120	PYTotalExpensesAmt
CY Total Expenses	$439,982,799	CYTotalExpensesAmt
PY Revenues Less Expenses	$27,347,368	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$47,848,668	CYRevenuesLessExpensesAmt
Total Assets BOY	$462,330,482	TotalAssetsBOYAmt
Total Assets EOY	$476,544,250	TotalAssetsEOYAmt
Total Liabilities BOY	$319,394,244	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$317,724,792	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$142,936,238	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$158,819,458	NetAssetsOrFundBalancesEOYAmt
Mission	The Elliot Hospital of the City of Manchester, a leader in healthcare, is dedicated to providing its community with excellent services offered with dignity, caring, and respect.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$353,404,571	ExpenseAmt
Revenue	$464,890,546	RevenueAmt
Desc	Medical services provided to 14,237 inpatients and 493,503 outpatients including free care in the amount of $6,048,618 (at cost) and contributions to community programs.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$975,311	ExpenseAmt
Grant	$975,311	GrantAmt
Revenue	$0	RevenueAmt
Desc	Contributions to Manchester Community Health Center and Foundation for Healthy Communities in Manchester, New Hampshire.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$532,495	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	Community benefits including educational programs, health screenings, health publications and other health information services, and cash and in-kind contributions to community agencies.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$354,912,377	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	314	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3873	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Michael S Turilli	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6036632033	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Elliot Way	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03103	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Danielle T Albushies MD
Trustee (end 1/18)	1.00	1.00	Yes (X)	$0	$0	$0
Loretta LC Brady PhD
Trustee	1.00	3.00	Yes (X)	$0	$0	$0
Reverend John A Cerrato Jr
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Kevin P Desrosiers MD
Trustee	1.00	41.00	Yes (X)	$0	$383,826	$24,970
Lawrence M Hoepp MD
Trustee (end 4/18)	1.00	42.00	Yes (X)	$0	$865,838	$26,798
Joseph T Hyatt MD
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Stephen Langan
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
Maryann Leclair
Trustee	1.00	3.50	Yes (X)	$0	$0	$0
Stephen Loosigian DO
Trustee	1.00	42.00	Yes (X)	$0	$535,774	$43,677
Dianne M Mercier
Trustee (end 4/18)	1.00	2.00	Yes (X)	$0	$0	$0
John Mercier
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Holly P Mintz MD
Trustee	1.00	44.00	Yes (X)	$0	$444,335	$42,113
Ann G Remus
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
James J Tenn Jr Esq
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
Adrian J Thomas MD
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
James C Hood Esq
Chair	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
Charles F Rolecek
Vice Chair/Trustee	1.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
Mary Sargent
Vice Chair (end 3/18)/Trustee	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
Daniel M Monfried
Treasurer/Trustee	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
John A Hession
Treasurer (end 1/18)/Trustee	1.00	5.50	Yes (X)	$0	$0	$0	Yes (X)
Paul W Hoff PhD
Secretary/Trustee	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
Howard Brodsky
Secretary (end 1/18)	1.00	4.00	Yes (X)	$0	$0	$0	Yes (X)
Douglas F Dean
President & CEO	41.00	5.50	Yes (X)	$966,430	$0	$60,453	Yes (X)
Michael S Turilli
CFO	40.00	5.50		$0	$0	$0	Yes (X)
Joseph Ingold
CFO (end 6/18)	40.00	5.50		$579,817	$0	$0	Yes (X)
John E Friberg Jr
Senior VP, General Counsel	40.00	0.00		$534,063	$0	$70,791		Yes (X)
William G Baxter
Senior VP, Medical Affairs	40.00	0.00		$565,896	$0	$80,459			Yes (X)
Joseph Kulle
Chief Information Officer	40.00	0.00		$362,528	$0	$32,809			Yes (X)
Samantha L O'Neill
VP, Human Resources	40.00	0.00		$296,812	$0	$19,109			Yes (X)
Alexander W Petron MD
VP, Information Technology	40.00	0.00		$357,931	$0	$33,420			Yes (X)
Jean Ten Haken RN
Sr. VP, Patient Care Services & CNO	40.00	0.00		$345,147	$0	$23,931			Yes (X)
Jeffrey Rooney
Former CFO	0.00	0.00		$109,920	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,118,544	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,229,773	TotReportableCompRltdOrgAmt
Total Other Compensation	$458,530	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	192	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Medical Solutions Inc
1010 North 102nd Street Suite 300	Omaha	NE	68114	Medical Staffing and Placement	$5,280,353
Fastaff LLC
5700 South Quebec Street Suite 300	Greenwood Village	CO	80111	Medical Staffing and Placement	$1,997,476
ARUP Laboratories Inc
500 Chipeta Way	Salt Lake City	UT	84108	Lab Services	$1,597,138
Presidio Networked Solutions LLC
One Penn Plaza Suite 2832	New York	NY	10119	IT Services	$1,467,371

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	57	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,340,971	RelatedOrganizationsAmt
Government Grants	$6,525	GovernmentGrantsAmt
All Other Contributions	$257,258	AllOtherContributionsAmt
Total Contributions	$3,604,754	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Services	621110	$327,832,694	$327,832,694
Laboratory Services	621500	$76,226,951	$72,042,757	$4,184,194
Pharmacy Services	623000	$57,927,606	$53,974,289	$3,953,317
Miscellaneous Program Services	621110	$4,210,257	$4,073,918	$136,339
Management and Consulting	541610	$3,904,654	$3,425,938	$478,716

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,236,249	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,540,950	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$695,299	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$474,338,411	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,082,103	TotalRevenueColumnAmt
Unrelated Business Revenue	-$36,897	UnrelatedBusinessRevenueAmt
Exclusion	$3,119,000	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,822,854	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,822,854	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,822,854	TotalRevenueColumnAmt
Exclusion	$4,822,854	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$32,536,809	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$30,538,044	SecuritiesAmt
Other	$15,420	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,998,765	SecuritiesAmt
Other	-$15,420	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,983,345	TotalRevenueColumnAmt
Exclusion	$1,983,345	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$487,831,467	TotalRevenueColumnAmt
Related Or Exempt Func Income	$464,890,546	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,410,968	UnrelatedBusinessRevenueAmt
Exclusion	$9,925,199	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$975,311	TotalAmt
Program Services	$975,311	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,211,524	TotalAmt
Program Services	$579,817	ProgramServicesAmt
Management And General	$1,631,707	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$173,664,152	TotalAmt
Program Services	$131,228,507	ProgramServicesAmt
Management And General	$42,435,645	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,863,863	TotalAmt
Program Services	$9,720,533	ProgramServicesAmt
Management And General	$3,143,330	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,798,187	TotalAmt
Program Services	$17,874,437	ProgramServicesAmt
Management And General	$5,923,750	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,932,025	TotalAmt
Program Services	$8,949,019	ProgramServicesAmt
Management And General	$2,983,006	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,131,665	TotalAmt
Management And General	$4,131,665	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,599,837	TotalAmt
Management And General	$1,599,837	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$140,730	TotalAmt
Management And General	$140,730	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$97,284	TotalAmt
Management And General	$97,284	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$854,555	TotalAmt
Management And General	$854,555	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,941,015	TotalAmt
Program Services	$21,911,115	ProgramServicesAmt
Management And General	$4,029,900	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,963,241	TotalAmt
Program Services	$4,086	ProgramServicesAmt
Management And General	$1,959,155	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,869,911	TotalAmt
Program Services	$7,209,209	ProgramServicesAmt
Management And General	$3,660,702	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,342,915	TotalAmt
Program Services	$7,535,789	ProgramServicesAmt
Management And General	$807,126	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,603,115	TotalAmt
Program Services	$10,952,336	ProgramServicesAmt
Management And General	$3,650,779	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$359,145	TotalAmt
Program Services	$327,121	ProgramServicesAmt
Management And General	$32,024	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$859,608	TotalAmt
Program Services	$644,706	ProgramServicesAmt
Management And General	$214,902	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,160,179	TotalAmt
Program Services	$5,370,134	ProgramServicesAmt
Management And General	$1,790,045	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,084,180	TotalAmt
Program Services	$12,063,135	ProgramServicesAmt
Management And General	$4,021,045	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,410,111	TotalAmt
Program Services	$1,057,583	ProgramServicesAmt
Management And General	$352,528	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Medical Supplies	$70,117,578	$70,117,578
Medicaid Enhancement Ta	$22,004,678	$22,004,678
Provision For Bad Debts	$21,471,096	$21,471,096
Patient Expenses	$4,137,067	$4,137,067

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,389,827	TotalAmt
Program Services	$779,120	ProgramServicesAmt
Management And General	$1,610,707	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$439,982,799	TotalAmt
Program Services	$354,912,377	ProgramServicesAmt
Management And General	$85,070,422	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$94,093,143	BOYAmt
EOY	$28,041,259	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$38,292,371	BOYAmt
EOY	$47,515,981	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$49,477,585	BOYAmt
EOY	$44,788,605	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$918,905	BOYAmt
EOY	$894,509	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,147,535	BOYAmt
EOY	$3,443,050	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,265,583	BOYAmt
EOY	$6,740,604	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$423,703,243	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$263,711,825	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$153,502,050	BOYAmt
EOY	$159,991,418	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$52,591,565	BOYAmt
EOY	$56,165,818	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$45,343,881	BOYAmt
EOY	$105,643,534	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,100,100	BOYAmt
EOY	$1,700,100	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$187,258	BOYAmt
EOY	$146,401	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$19,410,506	BOYAmt
EOY	$21,472,971	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$462,330,482	BOYAmt
EOY	$476,544,250	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$41,023,340	BOYAmt
EOY	$46,972,745	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
EOY	$67,468	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$703,672	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$171,516,899	BOYAmt
EOY	$166,458,315	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$49,839	BOYAmt
EOY	$11,248	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$106,804,166	BOYAmt
EOY	$103,511,344	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$319,394,244	BOYAmt
EOY	$317,724,792	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$128,273,683	BOYAmt
EOY	$144,014,490	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,269,569	BOYAmt
EOY	$1,343,852	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,392,986	BOYAmt
EOY	$13,461,116	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$142,936,238	BOYAmt
EOY	$158,819,458	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$462,330,482	BOYAmt
EOY	$476,544,250	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$47,848,668	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,802,628	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$34,768,076	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$97,284	FilingOrganizationsTotalAmt
Affiliated Group Total	$103,907	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$97,284	FilingOrganizationsTotalAmt
Affiliated Group Total	$103,907	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$439,885,515	FilingOrganizationsTotalAmt
Affiliated Group Total	$597,141,995	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$439,982,799	FilingOrganizationsTotalAmt
Affiliated Group Total	$597,245,902	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$257,097	CurrentYearMinus3Amt
Current Year Minus2	$267,256	CurrentYearMinus2Amt
Current Year Minus1	$242,175	CurrentYearMinus1Amt
Current Year	$103,907	CurrentYearAmt
Total	$870,435	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,662,555	BeginningYearBalanceAmt
Investment Earnings Or Losses	$142,413	InvestmentEarningsOrLossesAmt
End Year Balance	$14,804,968	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,186,751	BeginningYearBalanceAmt
Investment Earnings Or Losses	$496,610	InvestmentEarningsOrLossesAmt
Other Expenditures	$20,806	OtherExpendituresAmt
End Year Balance	$14,662,555	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,337,465	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$136,806	InvestmentEarningsOrLossesAmt
Other Expenditures	$13,908	OtherExpendituresAmt
End Year Balance	$14,186,751	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,425,677	BeginningYearBalanceAmt
Contributions	$182	ContributionsAmt
Investment Earnings Or Losses	$131,222	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,219,616	OtherExpendituresAmt
End Year Balance	$14,337,465	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,066,355	BeginningYearBalanceAmt
Contributions	$360,570	ContributionsAmt
Investment Earnings Or Losses	$998,752	InvestmentEarningsOrLossesAmt
End Year Balance	$15,425,677	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.90920	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.09080	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,156,178	OtherCostOrOtherBasisAmt
Book Value	$4,156,178	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$186,118,196	OtherCostOrOtherBasisAmt
Depreciation	$84,663,646	DepreciationAmt
Book Value	$101,454,550	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,135,559	OtherCostOrOtherBasisAmt
Depreciation	$2,077,916	DepreciationAmt
Book Value	$57,643	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$214,324,342	OtherCostOrOtherBasisAmt
Depreciation	$176,970,263	DepreciationAmt
Book Value	$37,354,079	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,968,968	OtherCostOrOtherBasisAmt
Book Value	$16,968,968	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$159,991,418	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Alternative Investments	$7,216,263	F
Private Investment Funds	$98,427,271	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$105,643,534	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Payable To Third Party Payors	$16,233,115
Accrued Interest	$1,771,081
Accrued Pension	$66,238,550
Workers Comp Reserves & Other	$2,161,779
Employee Benefit Plans	$17,006,819
Security Deposit	$100,000

Field	Value	IRS element (for citing)
Total Liability	$103,511,344	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$489,052,203	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,802,628	NetUnrealizedGainsInvstAmt
Other Revenue	$559,386	OtherRevenueAmt
Revenue Not Reported	$3,362,014	RevenueNotReportedAmt
Revenue Subtotal	$485,690,189	RevenueSubtotalAmt
Other Revenues Not Included	$2,141,278	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,141,278	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$487,831,467	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$439,607,645	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,513,455	OtherExpensesIncludedAmt
Expenses Not Reported	$1,513,455	ExpensesNotReportedAmt
Expenses Subtotal	$438,094,190	ExpensesSubtotalAmt
Other Expenses Not Included	$1,888,609	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,888,609	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$439,982,799	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	Income from the endowment funds can be used for operating and capital expenditures.
Part X, Line 2:	Elliot Hospital, EPN and EPS are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code, and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the Hospital's tax positions and concluded the Hospital has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to the financial statements.
Part XI, Line 2d - Other Adjustments:	Revenue allocated to EHS Professional & General Liability Insurance Trust 559,386.
Part XI, Line 4b - Other Adjustments:	Expenses included in Revenue per Audited Financial Statements 1,888,609. Unrealized Losses to EHS Professional & General Liability Insurance Trust 252,669.
Part XII, Line 2d - Other Adjustments:	Expenses allocated to EHS Professional & General Liability Insurance Trust 1,513,455.
Part XII, Line 4b - Other Adjustments:	Expenses included in Revenue per Audited Financial Statements 1,888,609.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,	Investments through Elliot Common Trust Fund	$8,423,000
East Asia and the Pacific	Investments through Elliot Common Trust Fund	$16,914,000
Europe (Including Iceland & Greenland)	Investments through Elliot Common Trust Fund	$20,516,000
Middle East and North Africa	Investments through Elliot Common Trust Fund	$2,624,000

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$48,477,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$48,477,000	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule F, Part I, Line 3:	The legal owner of Elliot Hospital's foreign investments is a related organization, Elliot Common Trust Fund. Since a portion of the total foreign investments are allocated to the Hospital's assets on the financial statements, those allocated investments have been disclosed on Schedule F, Part I, Line 3 of Elliot Hospital's Form 990.
Schedule F, Part IV, Line 3:	The Elliot Hospital of the City of Manchester did not have an ownership interest in any foreign corporation that is greater than the 10% filing threshold. Accordingly, IRS Form(s) 5471 is not required to be filed.
Schedule F, Part IV, Line 4:	The Elliot Hospital of the City of Manchester meets the exception for tax-exempt organizations with respect to filing Form 8621. Accordingly, Form 8621 is not required to be filed for the Hospital.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	24764	PersonsServedCnt
Total Community Benefit Expns	$6,048,618	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,048,618	NetCommunityBenefitExpnsAmt
Total Expense	0.01370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	53228	PersonsServedCnt
Total Community Benefit Expns	$71,202,077	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,333,705	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,868,372	NetCommunityBenefitExpnsAmt
Total Expense	0.07470	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	77992	PersonsServedCnt
Total Community Benefit Expns	$77,250,695	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,333,705	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,916,990	NetCommunityBenefitExpnsAmt
Total Expense	0.08840	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	2916	PersonsServedCnt
Total Community Benefit Expns	$548,641	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$548,641	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	397	PersonsServedCnt
Total Community Benefit Expns	$255,942	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$255,942	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$9,330,535	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,832,858	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,497,677	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,937	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,937	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$696,286	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$696,286	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	3313	PersonsServedCnt
Total Community Benefit Expns	$10,838,341	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,832,858	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,005,483	NetCommunityBenefitExpnsAmt
Total Expense	0.01360	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	81305	PersonsServedCnt
Total Community Benefit Expns	$88,089,036	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,166,563	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,922,473	NetCommunityBenefitExpnsAmt
Total Expense	0.10200	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$723,368	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$723,368	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$723,368	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$723,368	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$21,471,096	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$119,057,117	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$156,164,210	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$37,107,093	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Elliot Hospital of City of Manchester	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Elliot Way	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03103	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.elliothospital.org	WebsiteAddressTxt
State License	0018	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Elliot Hospital of City of Manchester	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Part V, Section C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Elliot Hospital of City of Manchester	Part V, Section B, Line 5: Elliot gathered input from various people and organizations in the Greater Manchester community who represent the broad interests of the community served by the hospital. Elliot Hospital was (and is) a key participant of the Manchester Health Advisory Council, a regional network of stakeholders who share the commitment to improving health in the greater Manchester community. The primary focus of this council is to conduct a community needs assessment and health improvement strategy for the City of Manchester, NH. This collaborative effort was coordinated under the direction of the City of Manchester Health Department and the Greater Manchester Regional Public Health Network. The processes, findings, and recommendations associated with this work formed the foundation of our list of community needs and can be found at the following websites:1.) Manchester Neighborhood Health Improvement Strategy 2014www.manchesternh.gov/health/NeighborhoodHealthImprovementStrategy.pdf 2.) Greater Manchester, New Hampshire Health Improvement Plan 2016www.manchesternh.gov/Portals/2/Departments/health/GManCHIP.pdfIn addition to the work noted above, Elliot Hospital conducted several key-informant interviews with area town administrators, public health officials, and others to discuss the health needs in communities outside of Manchester NH to determine if there were additional needs and priorities beyond those identified for the City of Manchester.
Elliot Hospital of City of Manchester	Part V, Section B, Line 6a: Catholic Medical Center
Elliot Hospital of City of Manchester	Part V, Section B, Line 6b: Manchester Health Department
Elliot Hospital of City of Manchester	Part V, Section B, Line 11: Elliot Hospital develops a community health implementation strategy every three years based on the most recent community health needs assessment. Elliot does this in collaboration with other community providers to ensure that the identified community needs are being addressed. Please see the attached, 2106 Greater Manchester Community Health Implementation Strategy that addresses how identified needs will be met.
Schedule H, Part V, Section B, Line 7a & 7b:	The CHNA available at the Hospital facility's website at:http://elliothospital.org/website/downloads/QualitativeNeedsAssessment.pdfAdditionally, it is also available on Catholic Medical Center's website at:www.catholicmedicalcenter.org/about-cmc/in-the-community/community-health-needs-assessment
Schedule H, Part V, Section B, Line 13:	The Elliot Hospital of the City of Manchester's Financial Assistance Policy requires that applicants reside in the State of New Hampshire, except in the case of non-New Hampshire residents who experience an emergeny medical condition in New Hampshire and require immediate care.
Schedule H, Part V, Section B, Line 16a, 16b, & 16c:	The Hospital's Financial Assistance Policy, Plain Language Summary, and Financial Assistance Application can be found at:https://elliothospital.org/website/pay-my-bill-charitable-care-policy.php
Schedule H, Part V, Section B, Line 10:	In addition to being posted on Elliot Hospital's own webiste, the CHNA is available on Catholic Medical Center's website at:www.catholicmedicalcenter.org/about-cmc/in-the-community/community-health-needs-assessment

Field	Value	IRS element (for citing)
Facility	24	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Elliot 1-Day Surgery Ctr River's Edge
185 Queen City Avenue	Manchester	NH	03101	Ambulatory Surgical Center
2 - Elliot Urgent Care at Rivers Edge
185 Queen City Avenue	Manchester	NH	03101	Non-Emergency Walk-In Care Center
3 - Elliot Hospital (HME Manch So NH)
1050 Holt Avenue Suite 5	Manchester	NH	03101	LRDD Medical Gases/Prescription Devices
4 - Elliot Pharmacy River's Edge
185 Queen City Avenue	Manchester	NH	03101	In-State Pharmacy
5 - Elliot Urgent Care Londonderry
40 Buttrick Road	Londonderry	NH	03053	Non-Emergency Walk-In Care Center
6 - Elliot Stat LabCollection Station
200 Technology Drive	Hooksett	NH	03106	Lab & Collection Station
7 - HM Medical Equip and Infusion Services
175 Queen City Avenue	Manchester	NH	03101	Home Care - Durable Medical
8 - Elliot Stat LabCollection Station
40 Buttrick Road	Londonderry	NH	03053	Lab & Collection Station
9 - Elliot Coumadin Clinic 138 Webster St
138 Webster Street	Manchester	NH	03104	Laboratory
10 - Elliot Coumadin Clinic 40 Buttrick Rd
40 Buttrick Road	Londonderry	NH	03053	Laboratory
11 - Elliot POC LabCollection Station
145 Hollis Street	Manchester	NH	03101	Laboratory
12 - Elliot Coumadin Clinic 15 Freetown Rd
15 Freetown Road 8	Raymond	NH	03077	Laboratory
13 - Elliot 1-Day Surgery Center
185 Queen City Avenue	Manchester	NH	03101	Collection Station
14 - Elliot Collection Station 4 Elliot Way
4 Elliot Way	Manchester	NH	03103	Collection Station
15 - Elliot Collection Sta 185 Queen City
185 Queen City Avenue	Manchester	NH	03101	Collection Station
16 - Elliot Collection Sta 190 Tarrytown
275 Mammoth Road	Manchester	NH	03108	Collection Station
17 - Elliot Collection Sta 20 Chambers Rd
20 Chambers Road	Hooksett	NH	03106	Collection Station
18 - Elliot Collection Sta 701 Riverway Pl
701 Riverway Place	Bedford	NH	03110	Collection Station
19 - Elliot Lab at NE Rehab Hospital-Salem
70 Butler Street	Salem	NH	03079	Collection Station
20 - Elliot Urgent Care at Bedford
25 Leavy Drive	Bedford	NH	03110	Non-Emergency Walk-In Care Center
21 - Elliot Urgent Care Lab 185 Queen City
185 Queen City Avenue	Manchester	NH	03101	Laboratory
22 - Elliot Urgent Care Lab 40 Buttrick Rd
40 Buttrick Road	Londonderry	NH	03053	Laboratory
23 - Elliot Urgent Care Lab Bedford
25 Leavy Drive	Bedford	NH	03110	Laboratory
24 - Elliot Pharmacy at Bedford
25 Leavy Drive	Bedford	NH	03110	In-State Pharmacy

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7:	Financial assistance and means tested costs used RCC derived from medicare cost report; other benefits costs derived from actual costs and internal cost accounting system.
Part II, Community Building Activities:	In fiscal year ending June 30, 2018 Elliot provided $723,368 in community support to local organizations. The organizations included Foundations for Health Communities, Alzheimer' Association, American Heart Association, American Red Cross, and Easter Seals. These dollars also went to the medical care of the New Hampshire Hillsborough County & State inmates.
Part III, Line 2:	Bad debt expense is determined based on analysis of historical activity. Self-pay accounts are given an automatic 50% discount off charges; self-pay accounts that do not make payment are transferred to bad debt. Cost of bad debt is derived from an internal cost accounting system.
Part III, Line 3:	Bad debt and charity care cost determined using an internal cost accounting system; self-pay accounts are given an automatic 50% discount off charges; self-pay accounts that do not make payments are transferred to bad debt. Organization is not currently determining bad debt accounts that may have been charitable care.
Part III, Line 4:	See Footnote 2 of the attached audited financial statements.
Part III, Line 8:	Allowable costs are determined using CMS methodology utilized in completing cost report; Medicare shortfall from Part III, Line 7 should be included in community benefits as costs are not fully reimbursed.
Part III, Line 9b:	Collections are not pursued on charity care patients. Collection agencies are supplied information that allows them to identify only those accounts upon which collection efforts should be pursued.
Part VI, Line 2:	In order to assess the healthcare needs of the community for the community health needs assessment, and on an ongoing basis, Elliot Health System partners closely with Catholic Medical Center, the City of Manchester Health Department, and other community providers. As a member of the Manchester Health Advisory Council, Elliot has access to a network of 30 community organizations with a primary goal of assessing community needs and developing health improvement strategies for the City of Manchester, New Hampshire. This collaborative effort is coordinated under the direction of the City of Manchester Health Department and the Greater Manchester Regional Public Health Network. In addition to the work completed by the Manchester Health Advisory Council (see details in Schedule H, Part V, Section C, Line 5) Elliot also gathered and reviewed data from a variety of other sources to complete the CHNA. These sources included the US Census Bureau, the Behavioral Risk Factor Surveillance System, New Hampshire State agency publications, NH HealthWRQS, americashealthrankings.com, and the Healthcare Advisory Board.
Part VI, Line 3:	Elliot's Financial Assistance Policy is available via Elliot's website (www.elliothospital.org) or free copies are available at hospital locations. Also, Patient Financial Advocates are available to assist in person or via telephone. The policy is for people who are underinsured, uninsured, or do not qualify for governmental assistance (Medicare or Medicaid), or who are otherwise unable to pay for medically necessary care and meet the criteria for financial assistance.
Part VI, Line 4:	The 2016 Greater Manchester Community Health Needs Assessment focused on the Health Service Area (HSA) of Greater Manchester, a market that is primarily served by Catholic Medical Center and Elliot Hospital. The Greater Manchester HSA is home to approximately 180,000 residents and is composed of the towns of Auburn, Bedford, Candia, Deerfield, Goffstown, Hooksett, New Boston, and the City of Manchester. These towns are located in three different counties (Hillsborough, Rockingham, and Merrimack) within the state of New Hampshire, with 62% of the residents of the HSA living within the City of Manchester. The population of the Greater Manchester HSA is changing. The HSA is aging and becoming a more diverse population, with residents reflecting a variety of nationalities, languages, ethnic traditions, religious beliefs, and ideologies. The 65+ population within the HSA is projected to realize a 22% growth through 2019, and many other towns within the HSA will experience over 30% growth in the 65+ age group. This is significant given a 2012 report from the University of New Hampshire Carsey Institute, which notes that the aging population will increase the cost of providing state and local services. Unlike the increase in the 65+ population, the pediatric population (ages 0-17) within the Greater Manchester HSA (excluding the City of Manchester) is projected to realize a slight decline over the next five years. In contrast to the HSA, the City of Manchester's pediatric population is projected to realize an increase of about 2%. As stated above, the HSA is becoming a more diverse population, with residents reflecting a variety of nationalities, languages, ethnic traditions, religious beliefs, and ideologies. The majority of racial diversity in the Greater Manchester HSA is within the City of Manchester, as the city has nearly 86% of the minority population of the HSA residing within the City of Manchester. The median household income for the City of Manchester is $55,306. This is significantly lower than all others towns within the Greater Manchester HSA and is also lower than the median household income for New Hampshire, which is $64,664. The City of Manchester also has a significantly higher percent of individuals and families living below poverty, 14.3% and 10.8%, respectively, than other towns in the HSA and the State. Manchester residents living below the poverty level are concentrated in the East and West side center city. Since poverty is highly associated with increased health risk behaviors, low educational attainment, poor health status, unemployment, and a lower self-reported quality of life, this is important to understanding community needs.Low socioeconomic status for youth is associated with higher hospital admission rates, lower utilization of preventive services, and higher rates of chronic disease. A measurement to assess youth poverty is the number of students enrolled in free or reduced meal plans in schools. A student who is eligible for free-meal enrollment must come from a household where the total annual income per family falls below 130% of the federal poverty guidelines (e.g., for a family of four, this would equate to $29,965 or less annually). For a student to be eligible for reduced-meal enrollment, the total annual household income per family must fall below 185% of the federal poverty guidelines (e.g., for a family of four, this would equate to $42,643 or less.)
Part VI, Line 5:	Elliot Hospital (EH) promotes the health of the Greater Manchester community through many ways including the following:- EH offers free health education and support groups to the community- EH provides financial support to local federally qualified health centers- EH provides space for nonprofit organizations that are in need of a location for operation- EH maintains an open medical staff- EH management and staff participate on the boards of many other nonprofit organizations- EH continues to be a host site for many community events including National Drug Take Back Day- EH staff attend community events and provide screenings and educational materials to the communities- EH participates in community emergency response preparedness drills
Part VI, Line 6:	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 EHS's 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 198 employed physicians as far north as Hooksett, east to Raymond, south to Windham and west to New Boston. The EPN has 20 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 the system providers with EH allowing the provider immediate access to all medical care that happened within EHS. The EMR is complete with the latest laboratory results, diagnostic images, and other test results that may affect care given in the local provider's 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 helps individuals and their families face the challenges of recovering from surgery, physical disabilities, and short-term, chronic, and life-limiting illnesses all within the 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.On April 30, 2018 Elliot Health System became part of the new non-profit healthcare organization named SolutionHealth. This new non-profit healthcare entity is the combination of two New Hampshire non-profit health care organizations, Elliot Health System (EHS) and Southern New Hampshire Health System (SNHHS), combining together to protect the future sustainability of accessible, comprehensive, value-based clinical care. SolutionHealth is a regional healthcare system with a governing body with members from both EHS and SNHHS. This new organization services over 400,000 community members, is located in the two largest and most diverse cities in New Hampshire and employs over 700 physicians and advanced practice providers in New Hampshire.
Part VI, Line 7, Reports Filed With States	NH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Foundation for Healthy Communities
125 Airport Road	Concord	NH	03301	020275078	501(c)(3)	$560,870	$0	Provide support for the reauthorization of the NH Medicaid expansion fund
Manchester Community Health Center
1415 Elm Street	Manchester	NH	03101	020458174	501(c)(3)	$390,000		General Operating Support($300,000); fund full-time social worker position ($90,000)	Per Book	Vision Screening Equipment

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Elliot Hospital maintains members on the board of directors for the Manchester Community Health Center. Activities of this organization align with the Hospital's mission in the community and with the Hospital's Implementation Plan developed from its most recent CHNA. The grant to Foundation for Healthy Communities helps support the State's reauthorization of NH Medicaid expansion which is important to providing insurance coverage for many of our most vulnerable citizens.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kevin P Desrosiers MD
Trustee	$0	$361,080	$0	$22,500	$0	$246	$0	$5,400	$0	$19,570	$0	$408,796	$0	$0
Lawrence M Hoepp MD
Trustee (end 4/18)	$0	$828,228	$0	$0	$0	$37,610	$0	$13,500	$0	$13,298	$0	$892,636	$0	$0
Stephen Loosigian DO
Trustee	$0	$507,989	$0	$9,375	$0	$18,410	$0	$23,755	$0	$19,922	$0	$579,451	$0	$0
Holly P Mintz MD
Trustee	$0	$444,030	$0	$0	$0	$305	$0	$26,315	$0	$15,798	$0	$486,448	$0	$0
Douglas F Dean
President & CEO	$876,188	$0	$17,913	$0	$72,329	$0	$45,977	$0	$14,476	$0	$1,026,883	$0	$0	$0
Joseph Ingold
CFO (end 6/18)	$572,317	$0	$0	$0	$7,500	$0	$0	$0	$0	$0	$579,817	$0	$0	$0
John E Friberg Jr
Senior VP, General Counsel	$384,199	$0	$143,957	$0	$5,907	$0	$50,871	$0	$19,920	$0	$604,854	$0	$0	$0
William G Baxter
Senior VP, Medical Affairs	$395,158	$0	$152,101	$0	$18,637	$0	$61,827	$0	$18,632	$0	$646,355	$0	$0	$0
Joseph Kulle
Chief Information Officer	$308,423	$0	$53,798	$0	$307	$0	$13,500	$0	$19,309	$0	$395,337	$0	$0	$0
Samantha L O'Neill
VP, Human Resources	$262,686	$0	$33,836	$0	$290	$0	$5,400	$0	$13,709	$0	$315,921	$0	$0	$0
Alexander W Petron MD
VP, Information Technology	$292,223	$0	$48,187	$0	$17,521	$0	$13,500	$0	$19,920	$0	$391,351	$0	$0	$0
Jean Ten Haken RN
Sr. VP, Patient Care Services & CNO	$243,745	$0	$53,259	$0	$48,143	$0	$5,400	$0	$18,531	$0	$369,078	$0	$0	$0
Jeffrey Rooney
Former CFO	$109,920	$0	$0	$0	$0	$0	$0	$0	$0	$0	$109,920	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Joseph Ingold, who took over as Interim CFO in January 2017, received a housing allowance during the year of $7,500. Douglas Dean, President & CEO, received a housing allowance of $11,371 during calendar year 2017. The aforementioned benefit amounts are additional taxable compensation for each contracted officer.
Part I, Lines 4a-b	Jean Ten Haken was paid a severance of $47,692 during the calendar year. This amount has been included in Schedule J, Part II, Column B(iii). 2017 contributions to the 457(f) plan during the year were made to the following individuals: William G. Baxter-$48,327; John E. Friberg, Jr.-$42,771. The System maintains a defined benefit pension plan for certain employees, the Elliot Health System Pension Plan (the Plan). Effective July 1, 2006, the Plan was amended to close the Plan to employees hired after June 30, 2006. Eligible employees hired prior to July 1, 2006 are grandfathered under the Plan and will continue to accrue benefits as long as they remain at a participating System entity and in an eligible status. The System's funding policy is to contribute amounts to the Plan sufficient to meet minimum funding requirements set forth in the Employee Retirement Income Security Act of 1974, plus such additional amounts as might be determined to be appropriate from time to time. The Plan is intended to constitute a plan described in Section 414(k) of the Internal Revenue Code, under which benefits derived from employer contributions are based on the separate account balances of participants in addition to the defined benefits under the Plan. During calendar year 2017, Douglas F. Dean, an officer of the filing organization, participated in the plan. A defined contribution in the amount of $28,041 was made to his plan, which is included in Mr. Dean's total compensation reported in Schedule J, Part II, Column B(iii) and Form 990, Part VII-A, Column E. Additionally, defined benefit amounts of $45,977, which includes the actuarial change in value for the year, was included in Schedule J, Part II, Column C and Form 990, Part VII-A, Column F as deferred compensation. Additionally, defined benefit amounts for Stephen Loosigian of $23,755 and Holly Mintz of $26,315, which includes their actuarial change in value for the year, are included in Schedule J, Part II, Column C and Form 990, Part VII-A, Column F as deferred compensation for each respective individual.
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 VII-A and Schedule J, Part II:	Jeffrey Rooney, who served as Chief Financial Officer until January 2017, and Joseph Ingold, who took over as Chief Financial Officer at that time until June 2018, were both contracted employees through Martinville Dunn, LLC and Ingold & Associates, LLC, respectively. Both LLCs are unrelated to the filing organization and its affiliates. Compensation in the amount of $109,920 was paid to Martinville, Dunn, LLC during calendar year 2017 by the Hospital for Mr. Rooney's services. The total compensation paid to Mr. Ingold's LLC for his services during 2017 was $579,817. Additionally, Mr. Ingold received a housing allowance in the amount of $7,500 during the calendar year, which is included in the amount paid to Ingold & Associates, LLC. As the fees paid to each LLC were paid for services to the entire related party system, an accurate breakdown of the fees relative to the filing organization is not readily determinable. In accordance with IRS instructions, these fees have been reported as compensation on Form 990, Part VII-A and Schedule J, Part II and further disclosed in Schedule O for Form 990, Part VI, Line 3. See also Schedule L.
Form 990, Part VII-A and Schedule J, Part II:	Mr. Turilli did not begin working for the filing organization and its related entities as Chief Financial Officer until 2018. In accordance with IRS instructions, which stipulate that compensation is to be reported for individuals listed in Form 990, Part VII, Section A based on the calendar year ending within the reportable fiscal year, no compensation has been listed for Mr. Turilli in Form 990, Part VII-A or Schedule J, Part II. Compensation information for Mr. Turilli will be reported on the Organization's Form 990 for the fiscal year ending June 30, 2019.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
NH Health & Education Facilities Authority
A	020279866	2013-09-30	$17,021,000	Refund outstanding prinicipal of 2003 revenue bonds; finance capital project	0	0	0
NH Health & Education Facilities Authority
B	020279866	2016-11-15	$147,020,000	advance refund 2009 bonds; finance capital expenditures; pay issuance costs	0	0	0	6446148D4

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$2,362,583	$17,021,000	$132,029	Yes (1)	0	Yes (1)	Yes (1)
B	$2,550,000	$147,020,000	$1,560,329	Yes (1)	Yes (1)	Yes (1)	Yes (1)	$132,348,714	$20,258,200	$9,745,672

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	0	0	0	0	Yes (1)
B	0	0	0	Yes (1)	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Date Rebate Computation Performed	FormAndLineReferenceDesc
Explanation	Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 09/30/2018 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 09/30/2018	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Joseph Ingold LLC	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Chief Financial Officer	RelationshipDescriptionTxt
Transaction	$579,817	TransactionAmt
Transaction	Joseph Ingold, who served as Chief Financial Officer during the reporting period, was an officer of Ingold & Associates, LLC, an unrelated organization paid by Elliot Hospital for Mr. Ingold's services as CFO to the entire health system. As the fees paid by the Hospital were for Mr. Ingold's services to the entire related party system, an accurate breakdown of this fee relative to the filing organization is not readily determinable. Therefore, the entire payment made to Ingold & Associates, LLC and the related housing allowance for Mr. Ingold have been disclosed here.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 2	Diane Mercier, who served as a Trustee until April 2018, and John Mercier, who began serving as a Trustee in January 2018, have a family relationship. Dianne Mercier and Daniel Monfried have a business relationship.
Form 990, Part VI, Section A, line 3	Jeffrey Rooney, who served as Chief Financial Officer until January 2017, and Joseph Ingold, who took over as Chief Financial Officer at that time until June 2018, were both contracted employees through Martinville Dunn, LLC and Ingold & Associates, LLC, respectively. Both LLCs are unrelated to the filing organization and its affiliates. Compensation in the amount of $109,920 was paid to Martinville, Dunn, LLC during calendar year 2017 by the Hospital for Mr. Rooney's services. The total compensation paid to Mr. Ingold's LLC for his services during 2017 was $579,817. Additionally, Mr. Ingold received a housing allowance in the amount of $7,500 during the calendar year, which is included in the amount paid to Ingold & Associates, LLC. As the fees paid to each LLC were paid for services to the entire related party system, an accurate breakdown of the fees relative to the filing organization is not readily determinable. In accordance with IRS instructions, these fees have been reported as compensation on Form 990, Part VII-A and Schedule J, Part II and further disclosed in Schedule O for Form 990, Part VI, Line 3. See also Schedule L.
Form 990, Part VI, Section A, line 6	Elliot Health System is the sole member of The Elliot Hospital of the City of Manchester.
Form 990, Part VI, Section A, line 7a	Elliot Hospital is governed by a Board of Trustees identical in composition to its sole member, Elliot Health System.
Form 990, Part VI, Section B, line 11b	The completed Form 990 is presented to the full Board prior to filing. Board members can review the draft and bring any questions forward for discussion prior to filing.
Form 990, Part VI, Section B, line 12c	Officers, directors, and key employees are required to sign a conflict of interest form annually, which reports 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 Vice Presidents. Again, national and local benchmarks for salaries are consulted to determine salary levels for these positions.
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.
Form 990, Part VII-A and Schedule J, Part II:	Mr. Turilli did not begin working for the filing organization and its related entities as Chief Financial Officer until 2018. In accordance with IRS instructions, which stipulate that compensation is to be reported for individuals listed in Form 990, Part VII, Section A based on the calendar year ending within the reportable fiscal year, no compensation has been listed for Mr. Turilli in Form 990 Part VII-A or Schedule J, Part II. Compensation information for Mr. Turilli will be reported on the Organization's Form 990 for the fiscal year ending June 30, 2019.
Form 990, Part IX, Column D:	The Mary and John Elliot Charitable Foundations performs all fundraising activities on behalf of The Elliot Hospital of the City of Manchester. All fundraising expenses are reported on the Foundation's separate Form 990.
Form 990, Part XI, line 9:	Pension Adjustment 10,980,648. Transfer to Affiliates -45,748,724.
Form 990, Part XII, Line 2c:	The audit process has not changed from the prior year.
Form 990:	In April 2018, the system signed a combination agreement with Southern New Hampshire Health System to form a new company, SolutionHealth, which became the sole member of the two healthcare systems. SolutionHealth allows the system to establish a regional healthcare organization in New Hampshire that combines resources and skill-sets from both Southern New Hampshire Health System, Inc. and Elliot Health System. As a result of this combination, SolutionHealth became the sole-corporate member of Southern New Hampshire Health System, Inc. and Elliot Health System. This strategic collaboration allows the two Systems to: - support and facilitate an integrated community-based, regional health care delivery system among the Hospital Systems; - align the missions and economic interests of the Hospital Systems to enhance care for the communities served; - engage in collaborative regional planning relating to the delivery of health care services in southern New Hampshire; - create a high degree of interdependence and cooperation in a health care network so as to control costs, increase value, ensure quality, and improve access in the communities served by the Hospital Systems; - enhance regional access for those served by the Hospital Systems; - support, protect and enhance the ability of the Hospital Systems to perform their existing historic charitable mission in the future; and - strengthen the charitable missions of the Hospital Systems, embracing a commitment to southern New Hampshire as a region.
Form 990, Parts VIII-XI:	The consolidated audited financial statements for The Elliot Hospital of the City of Manchester and subsidiaries report various revenue, expense, asset, and net asset amounts for the Hospital inclusive of a related organization, Elliot Health System Professional & General Liability Trust (EIN: 01-6217452). All revenue, expense, and balance sheet items related to Elliot Health System Professional & General Liability Trust have been extracted from amounts reported for the Hospital on this Form 990 and all accompanying schedules. Elliot Health System Professional & General Liability Trust is a separate legal entity filing its own Form 990, and items related to it have been reported there.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Elliot Health System
1070 Holt Avenue Unit 1 Suite 2100	Manchester	NH	03109	020509911	Management	NH	501(c)(3)	Line 12b, II	SolutionHealth	0
Elliot Health System Professional & General LIT
1070 Holt Avenue Unit 1 Suite 2100	Manchester	NH	03109	016217452	Insurance Trust	NH	501(c)(3)	Line 12a, I	Elliot Hospital	Yes (1)
Elliot Hospital Associates
1 Elliot Way	Manchester	NH	031033599	026006214	Auxiliary	NH	501(c)(3)	Line 12d, III-O		0	N/A
Elliot Physician Network
1070 Holt Avenue Unit 1 Suite 2100	Manchester	NH	03109	020509589	Physician Services	NH	501(c)(3)	Line 3	Elliot Hospital	Yes (1)
Elliot Professional Services Network
1070 Holt Avenue Unit 1 Suite 2100	Manchester	NH	03109	331003630	Physician Services	NH	501(c)(3)	Line 10	Elliot Hospital	Yes (1)
Everwell Inc
1 Medical Center Drive	Lebanon	NH	03756	352506275	Supporting Organization	NH	501(c)(3)	Line 12a, I		0	N/A
Foundation Medical Partners Inc
8 Prospect Street	Nashua	NH	03060	020456218	Physician Services	NH	501(c)(3)	Line 10	Southern New Hampshire Health System	0
Mary and John Elliot Charitable Foundation
1070 Holt Avenue Unit 1 Suite 2100	Manchester	NH	03109	020512229	Fundraising	NH	501(c)(3)	Line 7	Elliot Health System	0
SolutionHealth
360 Route 101 Unit 8	Manchester	NH	03110	830741190	Supporting Organization	NH	501(c)(3)	Line 12a, I		0	N/A
Southern New Hampshire Health System
8 Prospect Street	Nashua	NH	03060	020509221	Medical Services	NH	501(c)(3)	Line 12b, II	SolutionHealth	0
Southern New Hampshire Medical Center
8 Prospect Street	Nashua	NH	03060	020483054	Medical Services	NH	501(c)(3)	Line 3	Southern New Hampshire Health System	0
VNA Community Services Inc
1070 Holt Avenue Unit 1 Suite 2100	Manchester	NH	03109	020396549	Nursing Services	NH	501(c)(3)	Line 7	Elliot Health System	0
VNA Home Health and Hospice Services Inc
1070 Holt Avenue Unit 1 Suite 2100	Manchester	NH	03109	020222241	Home Care and Hospice	NH	501(c)(3)	Line 10	Elliot Health System	0
VNA of Manchester & Southern NH Inc
1070 Holt Avenue Unit 1 Suite 2100	Manchester	NH	03109	020395296	VNA Holding Company	NH	501(c)(3)	Line 12b, II	Elliot Health System	0
VNA of Southern New Hampshire Foundation
1070 Holt Avenue Unit 1 Suite 1400	Manchester	NH	03109	223313877	Supporting Organization	NH	501(c)(3)	Line 12b, II	Elliot Health System	0
VNA Personal Services Inc
1070 Holt Avenue Unit 1 Suite 2100	Manchester	NH	03109	020395295	Private Health and Homemaker Services	NH	501(c)(3)	Line 10	Elliot Health System	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Elliot Common Trust Fund LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Elliot Way	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03103	ZIPCd

Field	Value	IRS element (for citing)
EIN	203653624	EIN
Primary Activities	Investments	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Elliot Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	Excluded	PredominantIncomeTypeTxt
Share Of Total Income	$3,275,846	ShareOfTotalIncomeAmt
Share Of EOY Assets	$97,014,189	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
UBI Code V	-$36,897	UBICodeVAmt
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.86000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Elliot Health System Holdings & Subsidiaries	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1070 Holt Avenue Unit 1 Suite 2100	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03109	ZIPCd

Field	Value	IRS element (for citing)
EIN	020512224	EIN
Primary Activities	Management	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Elliot Professional Services Network Inc
O	$11,613,722	Cash
Elliot Physician Network Inc
O	$13,619,166	Cash
Elliot Professional Services Network Inc
P	$1,714,631	Cash
Elliot Physician Network Inc
P	$406,182	Cash
Elliot Professional Services Network Inc
Q	$3,951,762	Cash
Elliot Physician Network Inc
Q	$1,631,022	Cash

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part II:	FormAndLineReferenceDesc
Explanation	Everwell, Inc. was formed in 2014 as a 501(c)(3) organization. It is a joint venture between Elliot Health System and Dartmouth Hitchcock Health, with each entity having equal representation on the Board of Directors. The organization terminated during the fiscal year ended June 30, 2018.	ExplanationTxt

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt	Electing OrganizationElectingOrganizationInd
Elliot Health System
1070 Holt Avenue Unit 1 Suite	2100	Manchester	NH	03109	020509911	$0	$0	$0	$74	$74	$15	$4	$0	$0	$0
VNA of Manchester & Southern New Hampshire Inc
1070 Holt Avenue Unit 1 Suite	2100	Manchester	NH	03101	020395296	$0	$3,358	$3,358	$2,003,587	$2,006,945	$250,347	$62,587	$0	$0	$0
The Elliot Hospital of the City of Manchester
1 Elliot Way		Manchester	NH	03103	020232673	$0	$97,284	$97,284	$439,885,515	$439,982,799	$1,000,000	$250,000	$0	$0	$0	Yes (X)
Elliot Professional Services Network
1070 Holt Avenue Unit 1 Suite	2100	Manchester	NH	03109	331003630	$0	$0	$0	$90,877,735	$90,877,735	$1,000,000	$250,000	$0	$0	$0
Elliot Physician Network
1070 Holt Avenue Unit 1 Suite	2100	Manchester	NH	03109	020509589	$0	$0	$0	$41,070,744	$41,070,744	$1,000,000	$250,000	$0	$0	$0
Mary and John Elliot Charitable Foundation
1070 Holt Avenue Unit 1 Suite	2100	Manchester	NH	03109	020512229	$0	$0	$0	$4,575,401	$4,575,401	$378,770	$94,693	$0	$0	$0
Elliot Health System Professional & General Liability Insurance Trust
1 Elliot Way		Manchester	NH	03101	016217452	$0	$0	$0	$1,513,455	$1,513,455	$225,673	$56,418	$0	$0	$0
VNA Personal Services Inc
1070 Holt Avenue Unit 1 Suite	2100	Manchester	NH	03101	020395295	$0	$0	$0	$738,736	$738,736	$135,810	$33,953	$0	$0	$0
VNA Home Health & Hospice Inc
1070 Holt Avenue Unit 1 Suite	2100	Manchester	NH	03101	020222241	$0	$3,265	$3,265	$16,476,748	$16,480,013	$974,001	$243,500	$0	$0	$0
VNA Community Services Inc
1070 Holt Avenue Unit 1 Suite	2100	Manchester	NH	03101	020396549	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0