ELLIOT HOSPITAL OF THE CITY OF MANCHESTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: ELLIOT HOSPITAL OF THE CITY OF MANCHESTER (EIN 02-0232673)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-09
IRS object ID: 201701299349301485
Schema version: 2015v3.0
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	2017-05-09T13:29:13-05:00	ReturnTs
Tax Period End	2016-06-30	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	2015-07-01	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	2017-05-05	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	2017-05-05	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$507,158,027	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.elliothospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1942	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	Hospital Services	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	3686	TotalEmployeeCnt
Total Volunteers	332	TotalVolunteersCnt
Total Gross UBI	$9,538,676	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,677,814	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,196,842	PYContributionsGrantsAmt
CY Contributions Grants	$1,171,829	CYContributionsGrantsAmt
PY Program Service Revenue	$411,772,355	PYProgramServiceRevenueAmt
CY Program Service Revenue	$426,398,994	CYProgramServiceRevenueAmt
PY Investment Income	$4,196,222	PYInvestmentIncomeAmt
CY Investment Income	$3,459,070	CYInvestmentIncomeAmt
PY Other Revenue	$4,252,195	PYOtherRevenueAmt
CY Other Revenue	$4,274,207	CYOtherRevenueAmt
PY Total Revenue	$421,417,614	PYTotalRevenueAmt
CY Total Revenue	$435,304,100	CYTotalRevenueAmt
PY Grants And Similar Paid	$354,008	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$710,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$192,741,584	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$195,250,737	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$184,695,100	PYOtherExpensesAmt
CY Other Expenses	$189,779,135	CYOtherExpensesAmt
PY Total Expenses	$377,790,692	PYTotalExpensesAmt
CY Total Expenses	$385,739,872	CYTotalExpensesAmt
PY Revenues Less Expenses	$43,626,922	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$49,564,228	CYRevenuesLessExpensesAmt
Total Assets BOY	$418,736,519	TotalAssetsBOYAmt
Total Assets EOY	$415,062,492	TotalAssetsEOYAmt
Total Liabilities BOY	$280,279,657	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$287,041,331	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$138,456,862	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$128,021,161	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	$308,686,647	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$416,855,850	RevenueAmt
Desc	Medical services provided to 14,450 in-patients and 518,746 out-patients including free care in the amount of $7,200,993 (at cost) and contributions to community programs.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$710,000	ExpenseAmt
Grant	$710,000	GrantAmt
Revenue	$0	RevenueAmt
Desc	Contributions to Manchester Community Health Center and the Child Advocacy Center in Manchester, New Hampshire.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$341,276	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	Community benefits including educational programs, health screenings, health publications and other health information services, and cash and in-kind contributions to community agencies.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$309,737,923	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	301	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3686	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	16	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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 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
R Scott Bacon
Trustee (until 1/16)	1.00	1.00	Yes (X)	$0	$0	$0
Howard Brodsky
Trustee	1.00	3.00	Yes (X)	$0	$0	$0
Christopher S Calhoun MD
Trustee (until 1/16)	1.00	41.00	Yes (X)	$0	$169,922	$33,620
Reverend John A Cerrato Jr
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Gus Emmick MD
Trustee	1.00	41.00	Yes (X)	$0	$257,384	$30,792
Lawrence M Hoepp MD
Trustee	1.00	41.00	Yes (X)	$0	$905,445	$25,685
Paul W Hoff PhD
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Joseph Hyatt MD
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Joseph R Lachance Jr
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Maryann Leclair
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Dianne M Mercier
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Daniel M Monfried
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Anita R Ritenour MD
Trustee (until 1/16)	41.00	4.00	Yes (X)	$366,060	$0	$41,494
Charles F Rolecek
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
David RA Steadman
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Adrian J Thomas MD
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
John F Weeks
Trustee	1.00	3.00	Yes (X)	$0	$0	$0
James C Hood Esq
Chair	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
John A Hession
Vice Chair & Treasurer	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
Mary Sargent
Secretary	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
Ann G Remus
Secretary (until 1/16)	1.00	4.00	Yes (X)	$0	$0	$0	Yes (X)
James L Woodward
CEO	41.00	4.10	Yes (X)	$912,315	$0	$221,732	Yes (X)
Jeffrey Rooney
CFO	41.00	4.00		$0	$0	$0	Yes (X)
Richard A Elwell
CFO (until 12/15)	40.00	4.00		$545,414	$0	$95,283	Yes (X)
John E Friberg Jr
Senior VP, General Counsel	40.00	0.00		$413,134	$0	$52,893		Yes (X)
William G Baxter
Senior VP, Medical Affairs	40.00	0.10		$499,788	$0	$61,074			Yes (X)
Craig Williams
COO	40.00	0.00		$416,974	$0	$449			Yes (X)
Alexander W Petron MD
Physician	40.00	0.00		$372,271	$0	$31,030			Yes (X)
James Kulle MD
Physician	40.00	0.00		$277,546	$0	$14,404			Yes (X)
Marc Cullerot
VP of Finance	40.00	0.00		$291,135	$0	$472			Yes (X)
Douglas F Dean
Former President & CEO	0.00	0.00		$251,909	$0	$58,768				Yes (X)
Richard Phelps
Former President & COO	0.00	0.00		$534,037	$0	$11,106				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,880,583	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,332,751	TotReportableCompRltdOrgAmt
Total Other Compensation	$678,802	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	173	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
Cardon Healthcare Holdings
557 E Pikes Peak Ave	Colorado Springs	CO	80903	Patient Credit and Collection	$2,494,685
Arup Laboratories Inc
500 Chipeta Way	Salt Lake City	UT	84108	Lab Services	$1,552,542
PriceWaterhouseCoopers LLP
PO Box 7247-8001	Philadelphia	PA	19170	Professional Services	$605,939
Harger Howe and Associates
111 S Bedford St Ste 201	Burlington	MA	01803	Executive Recruitment	$462,061
Amoskeag Anesthesia PLLC
One Elliot Way	Manchester	NH	03103	Physician Services	$383,036

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	38	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,171,829	RelatedOrganizationsAmt
Total Contributions	$1,171,829	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Services	621110	$344,843,608	$344,843,608
Laboratory Services	621500	$47,799,986	$44,094,830	$3,705,156
Pharmacy Services	623000	$16,576,506	$14,808,375	$1,768,131
Miscellaneous Program Services	621110	$9,057,511	$9,057,511
Management and Consulting	541610	$4,587,423	$940,443	$3,646,980

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,533,960	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,111,083	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$422,877	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$426,398,994	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,260,739	TotalRevenueColumnAmt
Unrelated Business Revenue	-$4,468	UnrelatedBusinessRevenueAmt
Exclusion	$2,265,207	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,274,207	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	$4,274,207	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,274,207	TotalRevenueColumnAmt
Exclusion	$4,274,207	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$73,052,258	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$71,815,381	SecuritiesAmt
Other	$38,546	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,236,877	SecuritiesAmt
Other	-$38,546	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,198,331	TotalRevenueColumnAmt
Exclusion	$1,198,331	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$435,304,100	TotalRevenueColumnAmt
Related Or Exempt Func Income	$416,855,850	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,538,676	UnrelatedBusinessRevenueAmt
Exclusion	$7,737,745	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	$710,000	TotalAmt
Program Services	$710,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,648,325	TotalAmt
Program Services	$407,554	ProgramServicesAmt
Management And General	$2,240,771	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$149,809,694	TotalAmt
Program Services	$113,668,903	ProgramServicesAmt
Management And General	$36,140,791	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,255,678	TotalAmt
Program Services	$10,177,345	ProgramServicesAmt
Management And General	$3,078,333	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,039,915	TotalAmt
Program Services	$14,311,407	ProgramServicesAmt
Management And General	$4,728,508	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,497,125	TotalAmt
Program Services	$7,872,844	ProgramServicesAmt
Management And General	$2,624,281	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,360,278	TotalAmt
Management And General	$3,360,278	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$831,878	TotalAmt
Management And General	$831,878	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$103,587	TotalAmt
Management And General	$103,587	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$267,256	TotalAmt
Management And General	$267,256	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$620,729	TotalAmt
Management And General	$620,729	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,037,498	TotalAmt
Program Services	$21,584,704	ProgramServicesAmt
Management And General	$6,452,794	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,994,084	TotalAmt
Program Services	$25,292	ProgramServicesAmt
Management And General	$1,968,792	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,015,326	TotalAmt
Program Services	$7,540,203	ProgramServicesAmt
Management And General	$3,475,123	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,888,577	TotalAmt
Program Services	$6,263,969	ProgramServicesAmt
Management And General	$624,608	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,126,399	TotalAmt
Program Services	$9,094,799	ProgramServicesAmt
Management And General	$3,031,600	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$303,586	TotalAmt
Program Services	$274,053	ProgramServicesAmt
Management And General	$29,533	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$748,809	TotalAmt
Program Services	$561,607	ProgramServicesAmt
Management And General	$187,202	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,056,995	TotalAmt
Program Services	$6,042,746	ProgramServicesAmt
Management And General	$2,014,249	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,343,631	TotalAmt
Program Services	$10,757,723	ProgramServicesAmt
Management And General	$3,585,908	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,314,823	TotalAmt
Program Services	$986,117	ProgramServicesAmt
Management And General	$328,706	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Medical Supplies	$58,982,121	$58,982,121
Medicaid Enhancement Ta	$21,584,396	$21,584,396
Provision For Bad Debts	$14,411,000	$14,411,000
Patient Expenses	$3,604,014	$3,604,014

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,184,148	TotalAmt
Program Services	$877,126	ProgramServicesAmt
Management And General	$307,022	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$385,739,872	TotalAmt
Program Services	$309,737,923	ProgramServicesAmt
Management And General	$76,001,949	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$54,377,006	BOYAmt
EOY	$68,845,611	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$22,684,216	BOYAmt
EOY	$14,084,827	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$44,489,099	BOYAmt
EOY	$48,000,445	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$979,300	BOYAmt
EOY	$954,278	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,985,254	BOYAmt
EOY	$3,040,664	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,481,704	BOYAmt
EOY	$4,993,405	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$391,936,540	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$235,095,744	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$155,053,210	BOYAmt
EOY	$156,840,796	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$73,565,697	BOYAmt
EOY	$41,122,071	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$7,924,094	BOYAmt
EOY	$59,696,055	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,200,026	BOYAmt
EOY	$1,100,100	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$49,996,913	BOYAmt
EOY	$16,384,240	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$418,736,519	BOYAmt
EOY	$415,062,492	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$39,087,561	BOYAmt
EOY	$35,642,611	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$139,775,707	BOYAmt
EOY	$134,930,206	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,594,394	BOYAmt
EOY	$2,611,008	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$98,821,995	BOYAmt
EOY	$113,857,506	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$280,279,657	BOYAmt
EOY	$287,041,331	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$124,119,397	BOYAmt
EOY	$113,834,410	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,244,235	BOYAmt
EOY	$1,186,304	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,093,230	BOYAmt
EOY	$13,000,447	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$138,456,862	BOYAmt
EOY	$128,021,161	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$418,736,519	BOYAmt
EOY	$415,062,492	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$49,564,228	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$5,898,325	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$54,101,604	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	$267,256	FilingOrganizationsTotalAmt
Affiliated Group Total	$267,256	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$267,256	FilingOrganizationsTotalAmt
Affiliated Group Total	$267,256	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$385,472,616	FilingOrganizationsTotalAmt
Affiliated Group Total	$555,920,432	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$385,739,872	FilingOrganizationsTotalAmt
Affiliated Group Total	$556,187,688	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	$156,539	CurrentYearMinus3Amt
Current Year Minus2	$9,572	CurrentYearMinus2Amt
Current Year Minus1	$257,097	CurrentYearMinus1Amt
Current Year	$267,256	CurrentYearAmt
Total	$690,464	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	$14,337,465	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$136,806	InvestmentEarningsOrLossesAmt
Other Expenditures	$13,908	OtherExpendituresAmt
End Year Balance	$14,186,751	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,860,491	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$268,683	InvestmentEarningsOrLossesAmt
End Year Balance	$13,591,808	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.91640	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.08360	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	$6,681,464	OtherCostOrOtherBasisAmt
Book Value	$6,681,464	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$182,635,730	OtherCostOrOtherBasisAmt
Depreciation	$73,604,780	DepreciationAmt
Book Value	$109,030,950	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,074,517	OtherCostOrOtherBasisAmt
Depreciation	$2,011,449	DepreciationAmt
Book Value	$63,068	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$191,553,462	OtherCostOrOtherBasisAmt
Depreciation	$159,479,515	DepreciationAmt
Book Value	$32,073,947	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,991,367	OtherCostOrOtherBasisAmt
Book Value	$8,991,367	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$156,840,796	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Alternative Investments	$7,087,945	F
Private Investment Funds	$52,608,110	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$59,696,055	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Payable To Third Party Payors	$8,011,643
Interest Payable	$1,922,028
Accrued Pension	$89,731,351
Workers Comp Reserves & Other	$1,378,153
Employee Benefit Plans	$12,714,331
Security Deposit	$100,000

Field	Value	IRS element (for citing)
Total Liability	$113,857,506	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$435,512,847	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$5,898,325	NetUnrealizedGainsInvstAmt
Other Revenue	$7,473,232	OtherRevenueAmt
Revenue Not Reported	$1,574,907	RevenueNotReportedAmt
Revenue Subtotal	$433,937,940	RevenueSubtotalAmt
Investment Expenses Not Incld	$656,160	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$710,000	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,366,160	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$435,304,100	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$386,121,186	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,747,474	OtherExpensesIncludedAmt
Expenses Not Reported	$1,747,474	ExpensesNotReportedAmt
Expenses Subtotal	$384,373,712	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$656,160	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$710,000	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,366,160	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$385,739,872	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 has 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 7,320,638. Unrealized Gains to EHS Professional & General Liability Insurance Trust 152,594.
Part XI, Line 4b - Other Adjustments:	Expenses included in Revenue per Audited Financial Statements 710,000.
Part XII, Line 2d - Other Adjustments:	Expenses allocated to EHS Professional & General Liability Insurance Trust 1,747,474.
Part XII, Line 4b - Other Adjustments:	Expenses included in Revenue per Audited Financial Statements 710,000.

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	$4,879,000	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	$4,879,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$4,879,000	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

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

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	33192	PersonsServedCnt
Total Community Benefit Expns	$7,200,993	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,200,993	NetCommunityBenefitExpnsAmt
Total Expense	0.01940	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	66418	PersonsServedCnt
Total Community Benefit Expns	$78,410,144	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,318,056	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,092,088	NetCommunityBenefitExpnsAmt
Total Expense	0.09720	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	99610	PersonsServedCnt
Total Community Benefit Expns	$85,611,137	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,318,056	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,293,081	NetCommunityBenefitExpnsAmt
Total Expense	0.11660	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	1302	PersonsServedCnt
Total Community Benefit Expns	$270,468	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$270,468	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	472	PersonsServedCnt
Total Community Benefit Expns	$277,895	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$277,895	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$9,879,266	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,464,993	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,414,273	NetCommunityBenefitExpnsAmt
Total Expense	0.01190	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$6,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,901	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	5	PersonsServedCnt
Total Community Benefit Expns	$496,012	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$496,012	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	31	ActivitiesOrProgramsCnt
Persons Served	1779	PersonsServedCnt
Total Community Benefit Expns	$10,930,542	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,464,993	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,465,549	NetCommunityBenefitExpnsAmt
Total Expense	0.01460	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	31	ActivitiesOrProgramsCnt
Persons Served	101389	PersonsServedCnt
Total Community Benefit Expns	$96,541,679	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,783,049	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,758,630	NetCommunityBenefitExpnsAmt
Total Expense	0.13120	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$107,620	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$107,620	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$107,620	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$107,620	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$14,411,000	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$102,081,777	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$122,745,245	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$20,663,468	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	00018	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
Information Gaps	Yes (X)	InformationGapsInd
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 VI, Section C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Part VI, 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	https://www.catholicmedicalcenter.org/uploads/CHIS_October_2016_final.pdf	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
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 (that was effective in tax year 2013) 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 2015.
Elliot Hospital of City of Manchester	Part V, Section B, Line 22d: The hospital utilized a look back method using Medicare and all other payors to determine a maximum amount that could be charged to FAP individuals.
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

Field	Value	IRS element (for citing)
Facility	23	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 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 Urgent Care Londonberry
40 Buttrick Road	Londonberry	NH	03053	Non-Emergency Walk-In Care Center
4 - Elliot Stat Lab at Hooksett
200 Technology Drive	Hooksett	NH	03106	Laboratory
5 - Elliot 1-Day Surgery Center Lab
185 Queen City Avenue	Manchester	NH	03101	Laboratory
6 - Elliot Hospital Lab at Manchester CHC
145 Hollis Street	Manchester	NH	03101	Laboratory
7 - Elliot After Hours at Raymond
15 Freetown Road 8	Raymond	NH	03077	Non-Emergency Walk-In Care Center
8 - Elliot Lab at Elliot MC Londonberry
40 Buttrick Road	Londonberry	NH	03053	Laboratory
9 - Elliot Senior Health Primary Care
138 Webster Street	Manchester	NH	03104	Laboratory
10 - Elliot Hospital-4 Elliot Way
4 Elliot Way	Manchester	NH	03103	Collection Station
11 - Elliot River's Edge Urgent Care Lab
185 Queen City Avenue	Manchester	NH	03101	Laboratory
12 - Elliot Hospital-Tarrytown Road
190 Tarrytown Road	Manchester	NH	03103	Collection Station
13 - Elliot Collection Sta at Rivers Edge
185 Queen City Avenue	Manchester	NH	03101	Collection Station
14 - Elliot DS at Hooksett Ambulatory Care
1256 Hooksett Road	Hooksett	NH	03106	Collection Station
15 - Elliot Draw Station at Cypress Center
445 Cypress Street	Manchester	NH	03103	Collection Station
16 - Elliot Hospital at Bedford Commons
701 River Place	Bedford	NH	03110	Collection Station
17 - Elliot Medical Center at Londonberry
40 Buttrick Road	Londonberry	NH	03053	Laboratory
18 - Elliot Lab NE Rehab Hospital-Salem
70 Butler Street	Salem	NH	03079	Collection Station
19 - Urgent Care Center Laboratory
40 Buttrick Road	Londonberry	NH	03053	Laboratory
20 - Elliot Lab Easter Seals
555 Auburn Street	Manchester	NH	03103	Collection Station
21 - Hooksett Lab Draw Station
200 Technology Drive	Hooksett	NH	03106	Collection Station
22 - Londonberry Lab Draw Station
40 Buttrick Road	Londonberry	NH	03053	Collection Station
23 - EH Lab Manchester 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 $ 14,411,000.
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. EH treats many of these individuals in our emergency department. In working with these people to help them recover from illnesses or injuries, we have come to understand the importance and the role other organizations play in the lives of these same people. By supporting these organizations, we know that basic needs are being met, and improved health and wellness for everyone regardless of personal hardship or status may be achieved.
Part III, Line 2:	Bad debt expense is determined based on analysis of historical activity. Self pay accounts are given an automatic 25% discount off charges; self pay accounts that do not make payment are transferred to bad debt. Cost of bad debt is derived from internal cost accounting system.
Part III, Line 3:	Bad debt and charity care cost determined using internal cost accounting system; self pay accounts given automatic 25% discount off charges; self pay accounts that do not make payment 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 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, http://www.manchesternh.gov/health/NeighborhoodHealthImprovementStrategy.pdf and the 2016 Greater Manchester, New Hampshire Health Improvement Plan https://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:	Elliot Health System posts the Financial Assistance and Collections Policy on their website at: http://elliothospital.org/website/downloads/Financial-Assistance-Policy.pdf. Additionally, financial assistance plain language summaries are posted in patient waiting rooms and locations throughout the Elliot Health System, and are available on the website in English, Spanish, and French. 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+ population within the HSA is projected to realize a 22% growth through 2019, and many other towns within the HSA will experience over 30% growth in the 65+ age group. This is significant given a 2012 report from the University of New Hampshire Carsey Institute, which notes that the aging population will increase the cost of providing state and local services. Unlike the increase in the 65+ population, the pediatric population (ages 0-17) within the Greater Manchester HSA (excluding the City of Manchester) is projected to realize a slight decline over the next five years. In contrast to the HSA, the City of Manchester's pediatric population is projected to realize an increase of about 2%. As stated above, the HSA is becoming a more diverse population, with residents reflecting a variety of nationalities, languages, ethnic traditions, religious beliefs, and ideologies. 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 believes strongly that our involvement in community organizations such as Child Health Services, Manchester Mental Health Center, YMCA and many more, is critical to our exempt purpose. We deploy hundreds of volunteers throughout the state to work with non-profit organizations that are doing their part to help eradicate illnesses and poor health conditions or improve the health and wellness of people. Many of our leaders serve on the boards of these organizations to share insight and to participate in helping them achieve their mission. In addition to the volunteer time and energy, Elliot Hospital also provides hundreds of thousands of dollars in financial support to ensure that the critical work of these organizations is achieved and people are helped with a range of issues from mental health care to obtaining food and shelter.Additionally, given our health care system and how widespread Elliot Hospital has become in the community, we open our doors and provide the staff and the resources for local issues that are unforeseen but create urgent situations. For example, when New Hampshire residents were stuck by power outages from an ice storm lasting days, Elliot Hospital kept patients (free of charge) in the hospital until power in the home as restored so that they would not suffer the hardship of living without heat and power. For day-to-day struggles, either with how to cope with the loss of a loved one or with how to cope with cancer, EH staff and professionals offer free community support groups and classes to reach people who are in need of help.Elliot Hospital prides itself on these acts of humanity because it does meet our purpose and mission and without question, promotes the health of the community.
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 and making it 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 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 the 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. The EPN 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) linking all of these providers with Elliot Hospital, allowing the provider a complete understanding of anything that may have occurred through the emergency department or urgent care throughout the year. The EMR is complete with the latest laboratory results, diagnostic images, and other test results that may affect care given in the local 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	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
Child Advocacy Center of Hillsborough County
960 Auburn Street	Manchester	NH	03103	900524874	501(c)(3)	$410,000	$0	To assist in meeting day-to-day operations.
Manchester Community Health Center
1415 Elm Street	Manchester	NH	03101	020458174	501(c)(3)	$300,000		To assist in meeting day-to-day operations.

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 Child Advocacy Center and Manchester Community Health Center. Additionally, activities of both organizations align with the Hospital's mission in the community and with the Hospital's implementation plan developed from its most recent CHNA. Additional monitoring is not deemed necessary.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
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 (14 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
Christopher S Calhoun MD
Trustee (until 1/16)	$0	$169,922	$0	$0	$0	$0	$0	$17,062	$0	$16,558	$0	$203,542	$0	$0
Gus Emmick MD
Trustee	$0	$257,384	$0	$0	$0	$0	$0	$14,451	$0	$16,341	$0	$288,176	$0	$0
Lawrence M Hoepp MD
Trustee	$0	$887,445	$0	$0	$0	$18,000	$0	$13,250	$0	$12,435	$0	$931,130	$0	$0
Anita R Ritenour MD
Trustee (until 1/16)	$326,686	$0	$21,374	$0	$18,000	$0	$24,226	$0	$17,268	$0	$407,554	$0	$0	$0
James L Woodward
CEO	$677,538	$0	$202,583	$0	$32,194	$0	$204,256	$0	$17,476	$0	$1,134,047	$0	$0	$0
Richard A Elwell
CFO (until 12/15)	$402,046	$0	$116,667	$0	$26,701	$0	$82,653	$0	$12,630	$0	$640,697	$0	$0	$0
John E Friberg Jr
Senior VP, General Counsel	$337,201	$0	$70,738	$0	$5,195	$0	$35,282	$0	$17,611	$0	$466,027	$0	$0	$0
William G Baxter
Senior VP, Medical Affairs	$394,179	$0	$87,609	$0	$18,000	$0	$43,297	$0	$17,777	$0	$560,862	$0	$0	$0
Craig Williams
COO	$381,557	$0	$35,417	$0	$0	$0	$0	$0	$449	$0	$417,423	$0	$0	$0
Alexander W Petron MD
Physician	$295,046	$0	$59,675	$0	$17,550	$0	$13,250	$0	$17,780	$0	$403,301	$0	$0	$0
James Kulle MD
Physician	$244,119	$0	$33,427	$0	$0	$0	$3,975	$0	$10,429	$0	$291,950	$0	$0	$0
Marc Cullerot
VP of Finance	$251,422	$0	$39,713	$0	$0	$0	$0	$0	$472	$0	$291,607	$0	$0	$0
Douglas F Dean
Former President & CEO	$163,169	$0	$0	$0	$88,740	$0	$46,298	$0	$12,470	$0	$310,677	$0	$70,740	$0
Richard Phelps
Former President & COO	$13,122	$0	$47,769	$0	$473,146	$0	$0	$0	$11,106	$0	$545,143	$0	$13,154	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Richard Elwell, CFO, had a social club membership during the filing period for which the Hospital paid $6,700. James Woodward, CEO, was provided a housing allowance of $8,444 for his relocation to the area during the fiscal year. The aforementioned fringe benefit amounts are included as additional taxable compensation for each employee.
Part I, Lines 4a-b	Richard Phelps received a severance payment of $459,992 in 2015. 2015 contributions to the 457(f) plan during the year were: James Woodward-$191,006; Richard Elwell-$82,653.
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 during the fiscal year covered by this 990 filing, was a contracted employee through Martinville Dunn, LLC, an unrelated organization. Compensation, totaling $291,819, was paid to the LLC by the Hospital for his services. As the fees paid to Martinville Dunn, LLC were paid 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. In accordance with IRS instructions, this fee is not to be reported as compensation on Form 990, Part VII-A or Schedule J, Part II. Rather, it is disclosed in Schedule O for Form 990, Part Part VI, Line 3 and further described in the supplemental information section of Schedule J, Part III. See also, Schedule L.
Schedule J, Part II:	During the year Mr. Dean and Mr. Phelps withdrew funds from their deferred compensation plans ($70,740 and $13,154, respectively). These amounts are reported as taxable compensation in Part II, Column B(iii). It should be noted that these amounts were reported in prior years as deferred compensation in Part II, Column C. Accordingly, these amounts are also reflected in Part II, Column F.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 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	0	0	0
NH Health & Education Facilities Authority
B	020279866		2013-09-30	$17,021,000	Refund outstanding prinicipal of 2003 revenue bonds; pay issuance costs	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$930,000	$127,806,119	$11,499,845	$6,134,168	$30,000,000	$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)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Date Rebate Computation Performed	FormAndLineReferenceDesc
Explanation	Issuer Name: Business Finance Authority of the State of NH Date the Rebate Computation was Performed: 09/30/2016 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 09/30/2016	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Dianne M Mercier
Board Member	$0	Ms. Mercier is President of People's United Bank, which is a depository for Granite Shield Insurance Exchange of which Elliot Hospital was a member for part of the year.	0
Martinville Dunn LLC
Chief Financial Officer	$291,819	Jeffrey Rooney, who served as Chief Financial Officer during 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 to Martinville Dunn, LLC were paid by the Hospital 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 has 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 during the fiscal year covered by this 990 filing, was a contracted employee through Martinville Dunn, LLC, an unrelated organization. Compensation, totaling $291,819, was paid to the LLC by the Hospital for his services. As the fees paid to Martinville Dunn, LLC were paid 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. In accordance with IRS instructions, this fee is not to be reported as compensation on Form 990, Part VII-A or Schedule J, Part II. Rather, it is disclosed in Schedule O for Form 990, Part Part VI, Line 3 and further described in the supplemental information section of Schedule J, Part III. 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 11	The completed Form 990 is presented to the full Board prior to filing. Board members can review the draft and bring any questions forward for discussion prior to filing.
Form 990, Part VI, Section B, line 12c	Officers, directors, and key employees are required to sign a conflict of interest form annually, which reports any potential conflict of interest arrangements with the organization.
Form 990, Part VI, Section B, line 15	The compensation committee of the Board utilizes outside compensation consultants to evaluate the salaries for the CEO, CFO, and COO. The consultants utilize their internal data along with national and local benchmark data from the industry to develop salary levels. Recommendations of the consultant are reviewed by the compensation committee, who recommends compensation levels to the full Board for approval. An outside consulting firm is also used by the organization to review the compensation of the remainder of the Vice Presidents. Again, national and local benchmarks for salaries are consulted to determine salary levels for these positions.
Form 990, Part VI, Section C, line 19	Each of these documents is filed with the New Hampshire Secretary of State and is available upon request.
Form 990, Part VII:	In March of 2017, former Elliot Health System's Chief Executive Officer, Douglas F. Dean, came out of retirement to again resume this role that he previously had held before retiring in June 2014. As this event occurred after the fiscal year covered by this Form 990 filing, he is being listed in Part VII as a "former officer" in accordance with IRS instructions.
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 -28,286,604. Transfer to Affiliates -25,815,000.
Form 990, Part XII, Line 2c:	The audit process has not changed from the prior year.
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 11b, 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 11b, II		Yes (1)	Elliot Hospital
Elliot Hospital Associates
1 Elliot Way	Manchester	NH	031033599	026006214	Auxiliary	NH	501(c)(3)	Line 11d, III-O		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 9		Yes (1)	Elliot Hospital
Everwell Inc
1 Medical Center Drive	Lebanon	NH	03756	352506275	Supporting Organization	NH	501(c)(3)	Line 11a, 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 9		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 9		0	Elliot Health System
VNA of Manchester & Southern NH & Subs
1070 Holt Avenue Unit 1 Suite 2100	Manchester	NH	03109	020395296	VNA Holding Company	NH	501(c)(3)	Line 11b, 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 9		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	$2,696,192	ShareOfTotalIncomeAmt
Share Of EOY Assets	$86,063,263	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
UBI Code V	-$4,468	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 (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Elliot Professional Services Network
K	$206,617	Cash
Elliot Professional Services Network
P	$4,048,815	Cash
Elliot Physician Network
P	$243,454	Cash
Elliot Professional Services Network
Q	$11,264,055	Cash
Elliot Physician Network
Q	$17,156,355	Cash
Elliot Hospital Associates
P	$108,000	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	$81	$81	$16	$4	$0	$0	$0
VNA of Manchester & Southern NH & Subsidiaries
1070 Holt Avenue Unit 1 Suite	2100	Manchester	NH	03101	020395296	$0	$0	$0	$17,646,081	$17,646,081	$1,000,000	$250,000	$0	$0	$0
The Elliot Hospital of the City of Manchester
1 Elliot Way		Manchester	NH	03103	020232673	$0	$267,256	$267,256	$385,472,616	$385,739,872	$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	$83,291,784	$83,291,784	$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	$38,703,077	$38,703,077	$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	$26,161,662	$26,161,662	$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	$2,191,342	$2,191,342	$259,567	$64,892	$0	$0	$0
Elliot Common Trust Fund LLC
1 Elliot Way		Manchester	NH	03103	023653624	$0	$0	$0	$706,315	$706,315	$130,947	$32,737	$0	$0	$0
Elliot Health System Professional & General Liability Insurance Trust
1 Elliot Way		Manchester	NH	03101	016217452	$0	$0	$0	$1,747,474	$1,747,474	$237,374	$59,344	$0	$0	$0