ELLIOT HOSPITAL OF THE CITY OF MANCHESTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ELLIOT HOSPITAL OF THE CITY OF MANCHESTER (EIN 02-0232673)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-10
- IRS object ID
- 201841309349301074
- Schema version
- 2016v3.0
- 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 | 2018-05-10T08:47:32-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | 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 | 2016-07-01 | 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 | Joseph Ingold | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6036632033 | PhoneNum |
| Signature | 2018-05-03 | 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 | 2018-05-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Douglas F Dean | 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 | $456,759,757 | 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 | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 3744 | TotalEmployeeCnt |
| Total Volunteers | 383 | TotalVolunteersCnt |
| Total Gross UBI | $7,831,583 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$2,233,236 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,171,829 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,108,194 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $426,398,994 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $450,276,795 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,459,070 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,160,000 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,274,207 | PYOtherRevenueAmt |
| CY Other Revenue | -$16,619,501 | CYOtherRevenueAmt |
| PY Total Revenue | $435,304,100 | PYTotalRevenueAmt |
| CY Total Revenue | $437,925,488 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $710,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $569,949 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $195,250,737 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $212,546,385 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $189,779,135 | PYOtherExpensesAmt |
| CY Other Expenses | $197,461,786 | CYOtherExpensesAmt |
| PY Total Expenses | $385,739,872 | PYTotalExpensesAmt |
| CY Total Expenses | $410,578,120 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $49,564,228 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $27,347,368 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $415,062,492 | TotalAssetsBOYAmt |
| Total Assets EOY | $462,330,482 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $287,041,331 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $319,394,244 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $128,021,161 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $142,936,238 | 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 | $328,105,421 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $442,425,269 | RevenueAmt |
| Desc | Medical services provided to 14,456 inpatients and 497,783 outpatients including free care in the amount of $5,804,982 (at cost) and contributions to community programs. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $569,949 | ExpenseAmt |
| Grant | $569,949 | 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 | $556,868 | ExpenseAmt |
| 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 | $329,232,238 | 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 | 323 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3744 | 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 | Joseph Ingold | 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 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 | 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 | ||||
| Gus Emmick MD | ||||||||||
| Trustee (end 1/17) | 1.00 | 41.00 | Yes (X) | $0 | $323,170 | $33,933 | ||||
| Lawrence M Hoepp MD | ||||||||||
| Trustee | 1.00 | 41.00 | Yes (X) | $0 | $871,110 | $26,252 | ||||
| Paul W Hoff PhD | ||||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Joseph T Hyatt MD | ||||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Joseph R Lachance Jr | ||||||||||
| Trustee (end 10/16) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Maryann Leclair | ||||||||||
| Trustee | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Stephen Loosigian DO | ||||||||||
| Trustee | 41.00 | 1.00 | Yes (X) | $527,598 | $0 | $40,024 | ||||
| Dianne M Mercier | ||||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Holly P Mintz MD | ||||||||||
| Trustee | 1.00 | 43.00 | Yes (X) | $0 | $420,952 | $33,912 | ||||
| Daniel M Monfried | ||||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Barbara Rand | ||||||||||
| Trustee Emeritus (end 12/16) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ann G Remus | ||||||||||
| Trustee Emeritus (end 12/16) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Charles F Rolecek | ||||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| David RA Steadman | ||||||||||
| Trustee (end 1/17) | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Adrian J Thomas MD | ||||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| John F Weeks | ||||||||||
| Trustee (end 1/17) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Richard Winneg | ||||||||||
| Trustee Emeritus (end 12/16) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| James C Hood Esq | ||||||||||
| Chair | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Mary Sargent | ||||||||||
| Vice Chair | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| John A Hession | ||||||||||
| Treasurer | 1.00 | 3.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Howard Brodsky | ||||||||||
| Secretary | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Douglas F Dean | ||||||||||
| CEO | 41.00 | 5.50 | Yes (X) | $246,376 | $0 | $46,945 | Yes (X) | |||
| Arnold Gary Muller | ||||||||||
| Interim CEO (end 8/16) | 41.00 | 5.50 | Yes (X) | $256,360 | $0 | $0 | Yes (X) | |||
| James L Woodward | ||||||||||
| CEO (end 7/16) | 41.00 | 5.50 | Yes (X) | $372,236 | $0 | $84,714 | Yes (X) | |||
| Joseph Ingold | ||||||||||
| CFO | 40.00 | 5.60 | $368,380 | $0 | $0 | Yes (X) | ||||
| Jeffrey Rooney | ||||||||||
| Interim CFO (end 1/17) | 40.00 | 5.60 | $682,824 | $0 | $0 | Yes (X) | ||||
| John E Friberg Jr | ||||||||||
| Senior VP, General Counsel | 40.00 | 0.10 | $748,299 | $0 | $71,341 | Yes (X) | ||||
| William G Baxter | ||||||||||
| Senior VP, Medical Affairs | 40.00 | 0.10 | $867,467 | $0 | $78,376 | Yes (X) | ||||
| Anita R Ritenour MD | ||||||||||
| Hospitalist | 40.00 | 1.50 | $355,218 | $0 | $44,682 | Yes (X) | ||||
| Alexander W Petron MD | ||||||||||
| VP, Information Technology | 40.00 | 0.00 | $385,274 | $0 | $31,943 | Yes (X) | ||||
| Joseph Kulle | ||||||||||
| Chief Information Officer | 40.00 | 0.00 | $354,186 | $0 | $27,363 | Yes (X) | ||||
| Bridget Stewart | ||||||||||
| VP, Physician Services | 40.00 | 0.00 | $318,043 | $0 | $6,461 | Yes (X) | ||||
| Richard A Elwell | ||||||||||
| Former CFO | 0.00 | 0.00 | $976,002 | $0 | $22,748 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,458,263 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,615,232 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $548,694 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 172 | 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 (5 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 | $3,063,318 |
| Cardon Healthcare Holdings | |||||
| 557 E Pikes Peak Ave | Colorado Springs | CO | 80903 | Credit and Collection | $2,229,210 |
| ARUP Laboratories Inc | |||||
| 500 Chipeta Way | Salt Lake City | UT | 84108 | Lab Services | $1,392,245 |
| Pesidio Networked Solutions LLC | |||||
| One Penn Plaza Suite 2832 | New York | NY | 10119 | IT Services | $930,338 |
| Ropes & Gray LLP | |||||
| Prudential Tower 800 Boylston Stre | Boston | MA | 021193600 | Legal Services | $916,075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $912,891 | RelatedOrganizationsAmt |
| All Other Contributions | $195,303 | AllOtherContributionsAmt |
| Total Contributions | $1,108,194 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Services | 621110 | $311,230,353 | $311,230,353 | |
| Laboratory Services | 621500 | $76,850,257 | $73,105,284 | $3,744,973 |
| Pharmacy Services | 623000 | $47,844,556 | $44,916,582 | $2,927,974 |
| Management and Consulting | 541610 | $4,736,701 | $4,131,577 | $605,124 |
| Miscellaneous Program Services | 621110 | $4,692,627 | $4,622,571 | $70,056 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,922,301 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,418,902 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $503,399 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $450,276,795 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,948,537 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$19,943 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,968,480 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,498,363 | 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 | $4,498,363 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,498,363 | TotalRevenueColumnAmt |
| Exclusion | $4,498,363 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,045,732 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,306,696 | SecuritiesAmt |
| Other | $527,573 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $739,036 | SecuritiesAmt |
| Other | -$527,573 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $211,463 | TotalRevenueColumnAmt |
| Exclusion | $211,463 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Loss on Debt Extinguishment | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | -$21,117,864 | TotalRevenueColumnAmt |
| Exclusion | -$21,117,864 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$21,117,864 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $437,925,488 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $442,425,269 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $7,831,583 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$13,439,558 | 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 | $569,949 | TotalAmt |
| Program Services | $569,949 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,445,097 | TotalAmt |
| Program Services | $293,320 | ProgramServicesAmt |
| Management And General | $3,151,777 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,222,564 | TotalAmt |
| Program Services | $123,072,103 | ProgramServicesAmt |
| Management And General | $38,150,461 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,637,801 | TotalAmt |
| Program Services | $12,581,823 | ProgramServicesAmt |
| Management And General | $4,055,978 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,062,808 | TotalAmt |
| Program Services | $15,078,956 | ProgramServicesAmt |
| Management And General | $4,983,852 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,178,115 | TotalAmt |
| Program Services | $8,383,586 | ProgramServicesAmt |
| Management And General | $2,794,529 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,449,148 | TotalAmt |
| Management And General | $3,449,148 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,614,296 | TotalAmt |
| Management And General | $1,614,296 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,503 | TotalAmt |
| Management And General | $119,503 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,175 | TotalAmt |
| Management And General | $242,175 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $735,085 | TotalAmt |
| Management And General | $735,085 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,526,346 | TotalAmt |
| Program Services | $21,324,296 | ProgramServicesAmt |
| Management And General | $6,202,050 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,240,989 | TotalAmt |
| Program Services | $23,839 | ProgramServicesAmt |
| Management And General | $2,217,150 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,313,990 | TotalAmt |
| Program Services | $6,803,025 | ProgramServicesAmt |
| Management And General | $3,510,965 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,884,525 | TotalAmt |
| Program Services | $7,173,746 | ProgramServicesAmt |
| Management And General | $710,779 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,323,784 | TotalAmt |
| Program Services | $8,492,838 | ProgramServicesAmt |
| Management And General | $2,830,946 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,102 | TotalAmt |
| Program Services | $295,814 | ProgramServicesAmt |
| Management And General | $28,288 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,033,205 | TotalAmt |
| Program Services | $774,904 | ProgramServicesAmt |
| Management And General | $258,301 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,601,484 | TotalAmt |
| Program Services | $5,701,113 | ProgramServicesAmt |
| Management And General | $1,900,371 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,052,313 | TotalAmt |
| Program Services | $11,289,235 | ProgramServicesAmt |
| Management And General | $3,763,078 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,194,129 | TotalAmt |
| Program Services | $895,597 | ProgramServicesAmt |
| Management And General | $298,532 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical Supplies | $60,202,775 | $60,202,775 |
| Medicaid Enhancement Ta | $21,273,658 | $21,273,658 |
| Provision For Bad Debts | $20,508,340 | $20,508,340 |
| Patient Expenses | $3,681,624 | $3,681,624 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,140,315 | TotalAmt |
| Program Services | $811,697 | ProgramServicesAmt |
| Management And General | $328,618 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $410,578,120 | TotalAmt |
| Program Services | $329,232,238 | ProgramServicesAmt |
| Management And General | $81,345,882 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,845,611 | BOYAmt |
| EOY | $94,093,143 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,084,827 | BOYAmt |
| EOY | $38,292,371 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,000,445 | BOYAmt |
| EOY | $49,477,585 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $954,278 | BOYAmt |
| EOY | $918,905 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,040,664 | BOYAmt |
| EOY | $3,147,535 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,993,405 | BOYAmt |
| EOY | $4,265,583 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $403,613,135 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $250,111,085 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,840,796 | BOYAmt |
| EOY | $153,502,050 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,122,071 | BOYAmt |
| EOY | $52,591,565 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,696,055 | BOYAmt |
| EOY | $45,343,881 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,100,100 | BOYAmt |
| EOY | $1,100,100 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $187,258 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,384,240 | BOYAmt |
| EOY | $19,410,506 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $415,062,492 | BOYAmt |
| EOY | $462,330,482 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,642,611 | BOYAmt |
| EOY | $41,023,340 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,930,206 | BOYAmt |
| EOY | $171,516,899 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,611,008 | BOYAmt |
| EOY | $49,839 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,857,506 | BOYAmt |
| EOY | $106,804,166 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,041,331 | BOYAmt |
| EOY | $319,394,244 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,834,410 | BOYAmt |
| EOY | $128,273,683 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,186,304 | BOYAmt |
| EOY | $1,269,569 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,000,447 | BOYAmt |
| EOY | $13,392,986 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,021,161 | BOYAmt |
| EOY | $142,936,238 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $415,062,492 | BOYAmt |
| EOY | $462,330,482 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $27,347,368 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $6,262,467 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$18,694,758 | 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $242,175 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $242,175 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $242,175 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $242,175 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $410,335,945 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $585,198,232 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $410,578,120 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $585,440,407 | 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 | $9,572 | CurrentYearMinus3Amt |
| Current Year Minus2 | $257,097 | CurrentYearMinus2Amt |
| Current Year Minus1 | $267,256 | CurrentYearMinus1Amt |
| Current Year | $242,175 | CurrentYearAmt |
| Total | $776,100 | 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 | $14,186,751 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $496,610 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $20,806 | OtherExpendituresAmt |
| End Year Balance | $14,662,555 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,591,808 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $474,547 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $14,066,355 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.89970 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.10030 | 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 | $185,396,767 | OtherCostOrOtherBasisAmt |
| Depreciation | $79,229,688 | DepreciationAmt |
| Book Value | $106,167,079 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,111,202 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,052,007 | DepreciationAmt |
| Book Value | $59,195 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $205,087,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $168,829,390 | DepreciationAmt |
| Book Value | $36,258,084 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,861,514 | OtherCostOrOtherBasisAmt |
| Book Value | $6,861,514 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $153,502,050 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Alternative Investments | $7,311,267 | F |
| Private Investment Funds | $38,032,614 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $45,343,881 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Payable To Third Party Payors | $12,924,786 |
| Accrued Interest | $1,783,786 |
| Accrued Pension | $75,853,540 |
| Workers Comp Reserves & Other | $1,301,829 |
| Employee Benefit Plans | $14,840,225 |
| Security Deposit | $100,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $106,804,166 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $442,976,909 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $6,262,467 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $389,826 | OtherRevenueAmt |
| Revenue Not Reported | $6,652,293 | RevenueNotReportedAmt |
| Revenue Subtotal | $436,324,616 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $774,028 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $826,844 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,600,872 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $437,925,488 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $415,159,229 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $5,925,086 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $5,925,086 | ExpensesNotReportedAmt |
| Expenses Subtotal | $409,234,143 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $774,028 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $569,949 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,343,977 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $410,578,120 | 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 389,826. |
| Part XI, Line 4b - Other Adjustments: | Expenses included in Revenue per Audited Financial Statements 569,949. Unrealized Losses to EHS Professional & General Liability Insurance Trust 256,895. |
| Part XII, Line 2d - Other Adjustments: | Expenses allocated to EHS Professional & General Liability Insurance Trust 5,925,086. |
| Part XII, Line 4b - Other Adjustments: | Expenses included in Revenue per Audited Financial Statements 569,949. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investments through Elliot Common Trust Fund | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $6,393,000 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $6,393,000 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $6,393,000 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | 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 | 23165 | PersonsServedCnt |
| Total Community Benefit Expns | $5,804,982 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,804,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01490 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 53864 | PersonsServedCnt |
| Total Community Benefit Expns | $70,223,229 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,249,100 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,974,129 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07430 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 77029 | PersonsServedCnt |
| Total Community Benefit Expns | $76,028,211 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,249,100 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,779,111 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08920 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 2823 | PersonsServedCnt |
| Total Community Benefit Expns | $293,345 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $293,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 291 | PersonsServedCnt |
| Total Community Benefit Expns | $336,504 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $336,504 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $7,122,515 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,331,461 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,791,054 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00970 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $7,304 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,304 | 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 | $489,664 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $489,664 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 29 | ActivitiesOrProgramsCnt |
| Persons Served | 3114 | PersonsServedCnt |
| Total Community Benefit Expns | $8,249,332 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,331,461 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,917,871 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01270 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 29 | ActivitiesOrProgramsCnt |
| Persons Served | 80143 | PersonsServedCnt |
| Total Community Benefit Expns | $84,277,543 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,580,561 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $39,696,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10190 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $580,751 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $580,751 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $580,751 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $580,751 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $20,508,340 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $107,092,690 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $140,509,025 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$33,416,335 | 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 |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| 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 Hospital 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 over the last two years (2014-2016) has been to conduct a community needs assessment and health improvement strategy for Manchester. This collaborative effort was coordinated under the direction of the City of Manchester Health Department and the Greater Manchester Regional Public Health Network.Elliot's 2016 Greater Manchester Community Health Needs Assessment (completed during tax year 2015) is built upon the 2014 Manchester Neighborhood Health Improvement Strategy, at: http://www.manchesternh.gov/health/NeighborhoodHealthImprovementStrategy.pdf and the 2016 Greater Manchester, New Hampshire Health Improvement Plan, at:https://www.manchesternh.gov/Portals/2/Departments/health/GManCHIP.pdf.The processes, findings, and recommendations associated with this work formed the foundation of our list of community needs. In addition, we have revisited secondary data sources presented in the Community Health Needs Assessment to evaluate their status to date. Finally, Elliot Hospital conducted several key-informant interviews with area town administrators, public health officials, and others to discuss the health needs in their communities and determine if there were additional needs and priorities beyond those identified for the City of Manchester. We also took the opportunity to discuss new and emerging trends in the health of greater Manchester communities. |
| 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: See attached Implementation Plan for CHNA in effect during tax year 2016. |
| 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.pdf)Additionally, it is also available on Catholic Medical Center's website at:https://www.catholicmedicalcenter.org/uploads/Greater_Manchester_Community_Health_Needs_Assessment_June_2016.pdf. |
| 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:https://www.catholicmedicalcenter.org/uploads/CHIS_October_2016_final.pdf |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 25 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Elliot Endoscopy Center Rivers 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 at Londonderry | ||||
| 40 Buttrick Road | Londonderry | NH | 03053 | Non-Emergency Walk-In Care Center |
| 6 - Elliot Hospital (HME Manch So NH) | ||||
| 175 Queen City Avenue | Manchester | NH | 03101 | LRDD Medical Gases/Prescription Devices |
| 7 - Elliot Stat Lab at Hooksett | ||||
| 1256 Hooksett Road | Hooksett | NH | 03106 | Laboratory |
| 8 - Elliot Senior Health Primary Care | ||||
| 138 Webster Street | Manchester | NH | 03104 | Laboratory |
| 9 - Elliot Lab at Elliot MC Londonderry | ||||
| 40 Buttrick Road | Londonderry | NH | 03053 | Laboratory |
| 10 - Elliot Hospital Lab at Manchester CHC | ||||
| 145 Hollis Street | Manchester | NH | 03101 | Laboratory |
| 11 - Elliot 1-Day Surgery Center Lab | ||||
| 185 Queen City Avenue | Manchester | NH | 03101 | Laboratory |
| 12 - Elliot Hospital-4 Elliot Way | ||||
| 4 Elliot Way | Manchester | NH | 03103 | Collection Station |
| 13 - Elliot River's Edge Urgent Care Lab | ||||
| 185 Queen City Avenue | Manchester | NH | 03101 | Laboratory |
| 14 - Elliot Hospital-Tarrytown Road | ||||
| 275 Mammoth Road | Manchester | NH | 03108 | Collection Station |
| 15 - Elliot Collection Sta at Rivers Edge | ||||
| 185 Queen City Avenue | Manchester | NH | 03101 | Collection Station |
| 16 - Elliot DS at Hooksett Ambulatory Care | ||||
| 1256 Hooksett Road | Hooksett | NH | 03106 | Collection Station |
| 17 - Elliot Hospital at Bedford Commons | ||||
| 25 South River Road | Bedford | NH | 03110 | Collection Station |
| 18 - Elliot Medical Center at Londonderry | ||||
| 40 Buttrick Road | Londonderry | NH | 03053 | Laboratory |
| 19 - Urgent Care Center Laboratory | ||||
| 40 Buttrick Road | Londonderry | NH | 03053 | Laboratory |
| 20 - Elliot Draw Station at Cypress Center | ||||
| 445 Cypress Street | Manchester | NH | 03103 | Collection Station |
| 21 - Elliot Lab at Easter Seals | ||||
| 555 Auburn Street | Manchester | NH | 03103 | Collection Station |
| 22 - Elliot Lab at NE Rehab Hospital-Salem | ||||
| 70 Butler Street | Salem | NH | 03079 | Collection Station |
| 23 - Hooksett Lab Draw Station | ||||
| 200 Technology Drive | Hooksett | NH | 03106 | Collection Station |
| 24 - Londonderry Lab Draw Station | ||||
| 40 Buttrick Road | Londonderry | NH | 03053 | Collection Station |
| 25 - EH Lab at Manch Community Health Ctr | ||||
| 145 Hollis Street | Manchester | NH | 03101 | Collection Station |
Supplemental Information Detail SupplementalInformationDetail (14 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 I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 20,508,340. |
| Part II, Community Building Activities: | The health of the community we serve is promoted through Elliot Hospital's building activities with organizations such as the Child Advocacy Center, the Homeless Shelter and others. In probably the most important and basic manner, namely, we directly impact basic living (and in some cases survival) needs. Children, young adults, adults and the elderly share the need for basic nutrition, safety, and shelter. The organizations we choose to support offer and provide some of these necessities for a large portion of the population in the greater Manchester area. Further, we provide support for organizations that understand the importance of education and provide the skills, tools and the information to people so that they can access everything from food for the hungry, shelter, safety from physical and mental harm as well as health care. Elliot Hospital treats many of these individuals in our emergency department. In working with these people to help them recover from illnesses or injuries, we have come to understand the importance and the role other organizations play in the lives of these same people. By supporting these organizations, we know that basic needs are being met, and improved health and wellness for everyone regardless of personal hardship or status may be achieved. |
| Part III, Line 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. Collections agencies are supplied information that allows them to identify only those accounts upon which collection efforts should be pursued. |
| Part VI, Line 2: | The Greater Manchester Community Health Needs Assessment conducted by Catholic Medical Center and the Elliot Health System, with the assistance of the Manchester Health Department, was completed in June 2016. The assessment began with a review of the 2014 Manchester Neighborhood Health Improvement Strategy, (www.manchesternh.gov/health/NeighborhoodHealthImprovementStrategy.pdf) and the 2016 Greater Manchester, New Hampshire Health Improvement Plan,(www.manchesternh.gov/Portals/2/Departments/health/GManCHIP.pdf).A variety of secondary data sources were accessed. They included the Centers for Disease Control and Prevention (CDC), New Hampshire Department of Health and Human Services, NH HealthWRQS and the City of Manchester Department of Health. During February, March, and April of 2016, the hospitals conducted several key-informant interviews with area town administrators, public health officials, and others to discuss the health needs in their communities and determine if there were additional needs and priorities beyond those identified for the City of Manchester. They also took the opportunity to discuss new and emerging trends in the health of greater Manchester communities. |
| Part VI, Line 3: | The Elliot Health System posts the Financial Assistance and Collections Policy on their website at: http://elliothospital.org/website/financial-assistance-policy.php. Additionally, financial assistance Plain Language Summaries are posted in patient waiting rooms and locations throughout the Elliot Health System. Elliot Health System also employs Financial Advocates who are available to meet with patients to assist them with applying for state and federal programs and 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 years and older 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 this same 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 and older 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. Manchester continues to welcome refugees into the city. Since 2008, Manchester has welcomed over 1,500 refugees. 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 its boundaries. One outcome of the increase in refugees over the past seven years is that 80 languages are now spoken in the Manchester school system. Over the past five years an average of 1,800 students in the Manchester school system are considered to have Limited English Proficiency (LEP). This number has been trending down over the past five years. A person with LEP may have difficulty speaking or reading English and thus have difficulty communicating effectively in school. 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.)Homeless children have a higher risk of health conditions than those with a stable home. According to childtrends.org, children who are homeless: - Suffer from hunger, poor physical and emotional health, and missed educational opportunities. - Are twice as likely to go hungry as children who are not homeless. - Are more likely than other children to have moderate to severe acute and chronic health problems, and less access to medical and dental care. - Have a higher prevalence of symptoms of asthma, hyperactivity/inattention, and behavior problems. - Have three times the rate of emotional and behavioral problems, such as anxiety, depression, sleep problems, withdrawal, and aggression. - Are twice as likely as others to repeat a school grade, be expelled or suspended, or drop out of high school. During the 2011-2012 school years the Manchester School District identified 1,115 students who were homeless, representing more than 7% of the total student population. |
| Part VI, Line 5: | Elliot Hospital promotes the health of the Greater Manchester community in many ways, including: - Offering free health education and support groups to the community, - Providing financial support to local federally qualified health centers, - Providing space for nonprofit organizations that are in need of a location for operation, - Maintaining an open medical staff, - Supporting the participation of management and staff on the boards of many other nonprofit organizations, - Continuing to be a host site for many community events such as National Drug Take Back Day, - Providing screenings and offering educational materials to at community events, and - Participating in community emergency response preparedness drills. |
| Part VI, Line 6: | Elliot Health System (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 New Hampshire, serving a regional population of over 250,000 residents, which makes EHS one of the largest providers of comprehensive health care services in southern New Hampshire. 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 Elliot Hospital, a private, not for profit hospital established in 1890, and now a 296-bed acute care facility located in Manchester (New Hampshire's largest city) on EHS's main campus. Elliot Hospital is a premier health care provider in many disciplines, serving as the designated trauma center for the Manchester HSA and as the designated receiving facility for psychiatric patients in the region. In addition, Elliot Hospital provides maternity and pediatric services, newborn intensive care, surgery, pain management, wound management, cardiac care, and much more.EHS, through EPN and EPS, both private, not for profit physician groups, provides primary care and specialty care via over 211 employed physicians as far north as Hooksett, east to Raymond, south to Windham and west to New Boston. Elliot Physician Network has 27 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) program, linking all of these providers with Elliot Hospital, which allows each provider a complete understanding of anything that may have occurred through the emergency department or urgent care throughout the year. The EMR is complete with the latest laboratory results, diagnostic images, and other test results that may affect care given in the local 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 has helped individuals and their families face the challenges of recovering from surgery, physical disabilities, and short-term, chronic, and life-limiting illnesses. Through a TRACE program, EHS can ensure that older adults requiring care and with complex health care histories are given a care plan from the hospital to the nursing home (if necessary) and to the home. All of this care is also linked through the EMR and through our use of Tele-medicine; many patients are monitored "virtually" each day while in their home. Tele-medicine requires a patient in their home to connect to electronic devices that send information back to care providers showing such things as blood pressure, pulse, and respiratory function, so that should intervention be required, a health care team can be sent directly to the patient's 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.Elliot Hospital 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. |
| 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 | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| Foundation for Healthy Communities | ||||||||||
| 125 Airport Road | Concord | NH | 03301 | 020275078 | 501(c)(3) | $263,071 | To provide support for the reauthorization of the NH Medicaid expansion fund for the next two years. | |||
| Manchester Community Health Center | ||||||||||
| 1415 Elm Street | Manchester | NH | 03101 | 020458174 | 501(c)(3) | $300,000 | To assist in meeting day-to-day operations. | $6,878 | 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 (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gus Emmick MD | ||||||||||||||
| Trustee (end 1/17) | $0 | $323,034 | $0 | $0 | $0 | $136 | $0 | $16,587 | $0 | $17,346 | $0 | $357,103 | $0 | $0 |
| Lawrence M Hoepp MD | ||||||||||||||
| Trustee | $0 | $846,789 | $0 | $0 | $0 | $24,321 | $0 | $13,250 | $0 | $13,002 | $0 | $897,362 | $0 | $0 |
| Stephen Loosigian DO | ||||||||||||||
| Trustee | $492,298 | $0 | $17,086 | $0 | $18,214 | $0 | $20,506 | $0 | $19,518 | $0 | $567,622 | $0 | $0 | $0 |
| Holly P Mintz MD | ||||||||||||||
| Trustee | $0 | $420,848 | $0 | $0 | $0 | $104 | $0 | $22,378 | $0 | $11,534 | $0 | $454,864 | $0 | $0 |
| Douglas F Dean | ||||||||||||||
| CEO | $157,118 | $0 | $0 | $0 | $89,258 | $0 | $33,692 | $0 | $13,253 | $0 | $293,321 | $0 | $70,740 | $0 |
| Arnold Gary Muller | ||||||||||||||
| Interim CEO (end 8/16) | $37,500 | $0 | $0 | $0 | $218,860 | $0 | $0 | $0 | $0 | $0 | $256,360 | $0 | $0 | $0 |
| James L Woodward | ||||||||||||||
| CEO (end 7/16) | $355,214 | $0 | $0 | $0 | $17,022 | $0 | $76,040 | $0 | $8,674 | $0 | $456,950 | $0 | $0 | $0 |
| Joseph Ingold | ||||||||||||||
| CFO | $325,088 | $0 | $0 | $0 | $43,292 | $0 | $0 | $0 | $0 | $0 | $368,380 | $0 | $0 | $0 |
| Jeffrey Rooney | ||||||||||||||
| Interim CFO (end 1/17) | $645,970 | $0 | $0 | $0 | $36,854 | $0 | $0 | $0 | $0 | $0 | $682,824 | $0 | $0 | $0 |
| John E Friberg Jr | ||||||||||||||
| Senior VP, General Counsel | $354,136 | $0 | $200,743 | $0 | $193,420 | $0 | $52,648 | $0 | $18,693 | $0 | $819,640 | $0 | $193,164 | $0 |
| William G Baxter | ||||||||||||||
| Senior VP, Medical Affairs | $386,711 | $0 | $246,423 | $0 | $234,333 | $0 | $60,334 | $0 | $18,042 | $0 | $945,843 | $0 | $216,012 | $0 |
| Anita R Ritenour MD | ||||||||||||||
| Hospitalist | $306,156 | $0 | $30,705 | $0 | $18,357 | $0 | $27,232 | $0 | $17,450 | $0 | $399,900 | $0 | $0 | $0 |
| Alexander W Petron MD | ||||||||||||||
| VP, Information Technology | $288,587 | $0 | $79,475 | $0 | $17,212 | $0 | $13,250 | $0 | $18,693 | $0 | $417,217 | $0 | $0 | $0 |
| Joseph Kulle | ||||||||||||||
| Chief Information Officer | $304,845 | $0 | $49,187 | $0 | $154 | $0 | $13,250 | $0 | $14,113 | $0 | $381,549 | $0 | $0 | $0 |
| Bridget Stewart | ||||||||||||||
| VP, Physician Services | $230,122 | $0 | $30,344 | $0 | $57,577 | $0 | $4,858 | $0 | $1,603 | $0 | $324,504 | $0 | $0 | $0 |
| Richard A Elwell | ||||||||||||||
| Former CFO | $281,823 | $0 | $68,200 | $0 | $625,979 | $0 | $16,563 | $0 | $6,185 | $0 | $998,750 | $0 | $607,979 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Jeffrey Rooney, Interim CFO until January 2017, was provided a housing allowance of $36,854 during calendar year 2016. Joseph Ingold, who took over as Interim CFO in January 2017, served with the organization as a non-officer independent contractor during 2016. His housing allowance during the year was $43,292. The aforementioned benefit amounts are additional taxable compensation for each contracted officer. |
| Part I, Lines 4a-b | Arnold Gary Muller, an officer for part of the year, left the organization during the fiscal year and was paid $130,000 in severance during calendar 2016. This amount is reported in Schedule J, Part II, Column B(iii). Bridget Stewart, a top five highest compensated employee, left the organization during the fiscal year and was paid $42,371 in severance during calendar 2016. This amount is reported in Schedule J, Part II, Column B(iii). 2016 contributions to the 457(f) plan during the year were: James Woodward-$70,740; William G. Baxter-$47,084; John E. Friberg, Jr.-$39,398; Richard Elwell-$16,563. |
| 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, were both contracted employees through Martinville Dunn, LLC and Ingold & Associates, LLC, respectively. Both LLCs are unrelated to the Hospital. Compensation in the amount of $645,970 was paid to Martinville, Dunn, LLC by the Hospital for Mr. Rooney's services. The total compensation paid to Mr. Ingold's LLC for his services, both as CFO and in a non-officer capacity prior to his role as CFO, during 2016 was $325,088. Additionally, Mr. Rooney received a housing allowance in the amount of $36,854 during 2016 from the Hospital and Mr. Ingold received a similar housing allowance in the amount of $43,292 during the calendar year. 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. |
| Schedule J, Part II: | During the year Mr. Dean, Mr. Friberg, Dr. Baxter, and Mr. Elwell withdrew funds from their deferred compensation plans ($70,740; $193,164; $216,012; and $607,979, respectively). These amounts are reported as taxable compensation in Part II, Column B(iii). It should be noted that, when appropriate, these amounts were reported, or would have been reported if the individual was required to be reported in Form 990, Part VII, in prior years as deferred compensation in Part II, Column C. Accordingly, these total amounts are reflected in Part II, Column F so as to not overstate compensation in the current year that was earned over a period of years. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Business Finance Authority of the State of NH | ||||||||
| A | 020279866 | 64468KBQ8 | 2009-12-22 | $130,000,000 | Finance/refinance costs of construction; Refinance 2008 bonds | Yes (1) | 0 | 0 |
| NH Health & Education Facilities Authority | ||||||||
| B | 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 | ||||||||
| C | 020279866 | 6446148D4 | 2016-11-15 | $147,020,000 | advance refund 2009 bonds; finance capital expenditures; pay issuance costs | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Refunding EscrowRefundingEscrowAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $930,000 | $126,470,000 | $127,806,119 | $6,134,168 | $1,980,498 | $78,095,644 | 2011 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | ||
| B | $2,362,583 | $17,021,000 | $132,029 | Yes (1) | 0 | Yes (1) | Yes (1) | ||||||
| C | $147,020,000 | $1,560,329 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | $145,330,616 | $28,341,560 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Date Rebate Computation Performed | FormAndLineReferenceDesc |
| Explanation | Issuer Name: Business Finance Authority of the State of NH Date the Rebate Computation was Performed: 09/30/2017 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 09/30/2017 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Martinville Dunn LLC | |||
| Chief Financial Officer | $682,824 | Jeffrey Rooney, who served as Chief Financial Officer during a portion of the reporting period, was an officer of Martinville Dunn, LLC, an unrelated organization paid by Elliot Hospital for Mr. Rooney's services as CFO to the entire health system. As the fees paid by the Hospital were for Mr. Rooney'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 Martinville Dunn, LLC and the related housing allowance for Mr. Rooney have been disclosed here. | 0 |
| Joseph Ingold LLC | |||
| Chief Financial Officer | $368,380 | Joseph Ingold, who served as Chief Financial Officer during a portion of the reporting period, was an officer of Joseph Ingold, 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 Joseph Ingold, LLC and the related housing allowance for Mr. Ingold have been disclosed here. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, were both contracted employees through their respective LLC's, which were both unrelated organizations. Compensation in the amount of $645,970 was paid to Martinville, Dunn, LLC by the Hospital for Mr. Rooney's services. Mr. Ingold served in a non-officer position with the Hospital until 2017. The total compensation paid to his LLC for his services during 2016 was $325,088. Additionally, Mr. Rooney received a housing allowance in the amount of $36,854 during 2016 from the Hospital and Mr. Ingold received a similar housing allowance in the amount of $43,292 during the calendar year. 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 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 19,218,531. Transfer to Affiliates -37,913,289. |
| Form 990, Part XII, Line 2c: | The audit process has not changed from the prior year. |
| Form 990: | On October 30, 2017, the system signed a combination agreement with Southern New Hampshire Health System, Inc. to form a new company, Solution Health, which would become the sole member of the two healthcare systems. As of the filing date of this return, the combination agreement is pending approval by the State of New Hampshire Attorney General's office. |
| 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 (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Elliot Health System | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 020509911 | Management | NH | 501(c)(3) | Line 12b, II | N/A | 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 | Yes (1) | Elliot Hospital | |
| Elliot Hospital Associates | |||||||||||
| 1 Elliot Way | Manchester | NH | 031033599 | 026006214 | Auxiliary | NH | 501(c)(3) | Line 12d, III-O | N/A | 0 | |
| Elliot Physician Network | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 020509589 | Physician Services | NH | 501(c)(3) | Line 3 | Yes (1) | Elliot Hospital | |
| Elliot Professional Services Network | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 331003630 | Physician Services | NH | 501(c)(3) | Line 10 | Yes (1) | Elliot Hospital | |
| Everwell Inc | |||||||||||
| 1 Medical Center Drive | Lebanon | NH | 03756 | 352506275 | Supporting Organization | NH | 501(c)(3) | Line 12a, I | N/A | 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 | 0 | Elliot Health System | |
| VNA Community Services Inc | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 020396549 | Nursing Services | NH | 501(c)(3) | Line 7 | 0 | Elliot Health System | |
| 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 | 0 | Elliot Health System | |
| 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 | 0 | Elliot Health System | |
| 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 | 0 | Elliot Health System | |
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 | $2,159,966 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $92,775,657 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| UBI Code V | -$19,943 | 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 | 0 | 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 (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Elliot Professional Services Network Inc | ||
| O | $3,798,039 | Cash |
| Elliot Physician Network Inc | ||
| O | $1,256,654 | Cash |
| Elliot Health System Holdings & Sub Inc | ||
| O | $4,012,587 | Cash |
| Elliot Professional Services Network Inc | ||
| P | $17,065,809 | Cash |
| Elliot Physician Network Inc | ||
| P | $54,129,180 | Cash |
| Elliot Health System Holdings & Sub Inc | ||
| P | $17,319,857 | Cash |
| Elliot Health System Holdings & Sub Inc | ||
| K | $5,988,197 | 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. | ExplanationTxt |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedScheduleGrp (9 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 | $62,602 | $62,602 | $12,520 | $3,130 | $0 | $0 | $0 | |
| VNA of Manchester & Southern NH & Subsidiaries | ||||||||||||||||
| 1070 Holt Avenue Unit 1 Suite | 2100 | Manchester | NH | 03101 | 020395296 | $0 | $0 | $0 | $19,521,535 | $19,521,535 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| The Elliot Hospital of the City of Manchester | ||||||||||||||||
| 1 Elliot Way | Manchester | NH | 03103 | 020232673 | $0 | $242,175 | $242,175 | $410,335,945 | $410,578,120 | $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 | $84,753,178 | $84,753,178 | $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 | $40,085,509 | $40,085,509 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| Elliot Health System Holdings Inc & Subsidiaries | ||||||||||||||||
| 1070 Holt Avenue Unit 1 Suite | 2100 | Manchester | NH | 03109 | 020512224 | $0 | $0 | $0 | $21,470,366 | $21,470,366 | $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 | $2,190,028 | $2,190,028 | $259,501 | $64,875 | $0 | $0 | $0 | |
| Elliot Common Trust Fund LLC | ||||||||||||||||
| 1 Elliot Way | Manchester | NH | 03103 | 023653624 | $0 | $0 | $0 | $853,983 | $853,983 | $153,097 | $38,274 | $0 | $0 | $0 | ||
| Elliot Health System Professional & General Liability Insurance Trust | ||||||||||||||||
| 1 Elliot Way | Manchester | NH | 03101 | 016217452 | $0 | $0 | $0 | $5,925,086 | $5,925,086 | $446,254 | $111,564 | $0 | $0 | $0 | ||