ELLIOT HOSPITAL OF THE CITY OF MANCHESTER: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ELLIOT HOSPITAL OF THE CITY OF MANCHESTER (EIN 02-0232673)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201601349349303130
- Schema version
- 2014v6.0
- 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 | 2016-05-13T11:02:09-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | 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 | 2014-07-01 | 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 of Manchester | BusinessNameLine1Txt |
| 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 | Jeffrey Rooney | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6036632033 | PhoneNum |
| Signature | 2016-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Timothy R Hepburn | PreparerPersonNm |
| PTIN | P00182393 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2016-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James Woodward | 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 | $421,449,282 | 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 | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 3495 | TotalEmployeeCnt |
| Total Volunteers | 340 | TotalVolunteersCnt |
| Total Gross UBI | $8,614,265 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$187,867 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,495,386 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,196,842 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $370,619,166 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $411,772,355 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,909,059 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,196,222 | CYInvestmentIncomeAmt |
| PY Other Revenue | $24,632,179 | PYOtherRevenueAmt |
| CY Other Revenue | $4,252,195 | CYOtherRevenueAmt |
| PY Total Revenue | $400,655,790 | PYTotalRevenueAmt |
| CY Total Revenue | $421,417,614 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $348,005 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $354,008 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $179,041,231 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $192,741,584 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $208,105,273 | PYOtherExpensesAmt |
| CY Other Expenses | $184,695,100 | CYOtherExpensesAmt |
| PY Total Expenses | $387,494,509 | PYTotalExpensesAmt |
| CY Total Expenses | $377,790,692 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,161,281 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $43,626,922 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $386,720,826 | TotalAssetsBOYAmt |
| Total Assets EOY | $418,736,519 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $261,493,814 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $280,279,657 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $125,227,012 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $138,456,862 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The Elliot Hospital of the City of Manchester, a leader in healthcare, is dedicated to providing it's community with excellent services offered with dignity, caring, and respect. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $303,261,788 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $403,440,990 | RevenueAmt |
| Desc | Medical services provided to 14,799 in-patients and 512,475 out-patients including free care in the amount of $7,803,214 (at cost) and contributions to community programs. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $354,008 | ExpenseAmt |
| Grant | $354,008 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Contributions to Manchester Community Health Center, Child Health Services, and I Imagine. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $789,528 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $280 | 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 | $304,405,324 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | 280 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3495 | 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 | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | Jeffrey Rooney | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6036632033 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Elliot Way | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03103 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 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 |
|---|---|---|---|---|---|---|---|---|---|
| R Scott Bacon | |||||||||
| Trustee | 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 | 1.00 | 41.00 | Yes (X) | $0 | $161,284 | $28,012 | |||
| 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 | $309,934 | $28,258 | |||
| James F Fitzgerald | |||||||||
| Trustee (until 1/21/15) | 1.00 | 41.00 | Yes (X) | $0 | $222,940 | $25,926 | |||
| Louise Forseze | |||||||||
| Trustee (until 10/16/14) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Lawrence M Hoepp MD | |||||||||
| Trustee | 1.00 | 41.00 | Yes (X) | $0 | $903,841 | $24,777 | |||
| Paul W Hoff PhD | |||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Joseph Hyatt MD | |||||||||
| Trustee (begin 2/19/15) | 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 | |||
| Daniel M Monfried | |||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Barbara A Rand | |||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Anita R Ritenour MD | |||||||||
| Trustee | 41.00 | 1.00 | Yes (X) | $349,304 | $0 | $37,565 | |||
| Charles F Rolocek | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Mary Sargent | |||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| David RA Steadman | |||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| John F Weeks | |||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard I Winneg | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Dianne M Mercier | |||||||||
| Chair | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| James C Hood | |||||||||
| Vice Chair | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| John A Hession | |||||||||
| Treasurer | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Ann G Remus | |||||||||
| Secretary | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| James Woodward | |||||||||
| CEO (begin 8/1/14) | 40.00 | 4.00 | Yes (X) | $283,595 | $0 | $37,558 | Yes (X) | ||
| Douglas F Dean | |||||||||
| President & CEO (until 8/1/14) | 40.00 | 4.00 | Yes (X) | $934,341 | $0 | $55,063 | Yes (X) | ||
| Richard Phelps | |||||||||
| President & COO (until 6/20/14) | 40.00 | 4.00 | $1,250,999 | $0 | $46,389 | Yes (X) | |||
| Richard A Elwell | |||||||||
| CFO | 40.00 | 4.00 | $507,499 | $0 | $133,327 | Yes (X) | |||
| John E Friberg Jr | |||||||||
| Senior VP, General Counsel | 40.00 | $373,832 | $0 | $60,651 | Yes (X) | ||||
| William G Baxter | |||||||||
| Senior VP, Medical Affairs | 40.00 | $424,555 | $0 | $65,175 | Yes (X) | ||||
| Kevin B Coughlin | |||||||||
| Senior VP, Physician Services | 40.00 | $465,402 | $0 | $15,523 | Yes (X) | ||||
| Alexander W Petron | |||||||||
| Physician | 40.00 | $345,973 | $0 | $29,239 | Yes (X) | ||||
| Juergen H Bludau | |||||||||
| Physician | 40.00 | $285,581 | $0 | $5,995 | Yes (X) | ||||
| Denise Purington | |||||||||
| Physician | 40.00 | $287,601 | $0 | $3,335 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,508,682 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,597,999 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $596,793 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 163 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| PriceWaterhouseCoopers LLP | |||||
| PO Box 7247-8001 | Philadelphia | PA | 19170 | Professional Services | $1,620,706 |
| Arup Laboratories Inc | |||||
| 500 Chipeta Way | Salt Lake City | UT | 84108 | Lab Services | $1,560,479 |
| Cardon Healthcare Holdings LLC | |||||
| 557 East Pikes Peak Avenue | Colorado Springs | CO | 80903 | Patient Account Credit and Collection | $911,715 |
| NH Neurospine Inst | |||||
| 4 Hawthorne Dr | Bedford | NH | 03110 | Neurosurgery Locums Coverage | $401,500 |
| Amoskeag Anesthesia PLLC | |||||
| One Elliot Way | Manchester | NH | 03103 | Physician Services | $352,456 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 33 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $953,819 | RelatedOrganizationsAmt |
| Government Grants | $225,341 | GovernmentGrantsAmt |
| All Other Contributions | $17,682 | AllOtherContributionsAmt |
| Total Contributions | $1,196,842 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Services | 621110 | $325,281,421 | $325,281,421 | |
| Laboratory Services | 621500 | $48,830,523 | $45,165,122 | $3,665,401 |
| Pharmacy Services | 623000 | $15,141,130 | $14,657,104 | $484,026 |
| Miscellaneous Program Services | 621110 | $14,892,104 | $14,892,104 | |
| Management and Consulting | 541610 | $4,390,381 | $76,995 | $4,313,386 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,236,796 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,085,344 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $151,452 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $411,772,355 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,263,335 | TotalRevenueColumnAmt |
| Exclusion | $2,263,335 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,969,015 | 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 | $3,969,015 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,969,015 | TotalRevenueColumnAmt |
| Exclusion | $3,969,015 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,964,555 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $31,668 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,964,555 | SecuritiesAmt |
| Other | -$31,668 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,932,887 | TotalRevenueColumnAmt |
| Exclusion | $1,932,887 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $283,180 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $283,180 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $283,180 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $421,417,614 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $403,441,270 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,614,265 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,165,237 | 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 | $353,808 | TotalAmt |
| Program Services | $353,808 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200 | TotalAmt |
| Program Services | $200 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,070,123 | TotalAmt |
| Management And General | $4,070,123 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,672,658 | TotalAmt |
| Program Services | $111,279,171 | ProgramServicesAmt |
| Management And General | $33,393,487 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,838,907 | TotalAmt |
| Program Services | $10,603,661 | ProgramServicesAmt |
| Management And General | $3,235,246 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,561,508 | TotalAmt |
| Program Services | $14,724,565 | ProgramServicesAmt |
| Management And General | $4,836,943 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,598,388 | TotalAmt |
| Program Services | $7,948,791 | ProgramServicesAmt |
| Management And General | $2,649,597 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,638,761 | TotalAmt |
| Management And General | $2,638,761 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,636 | TotalAmt |
| Management And General | $727,636 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,050 | TotalAmt |
| Management And General | $138,050 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $617,946 | TotalAmt |
| Management And General | $617,946 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,823,604 | TotalAmt |
| Program Services | $18,919,823 | ProgramServicesAmt |
| Management And General | $2,903,781 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,173,668 | TotalAmt |
| Program Services | $5,468 | ProgramServicesAmt |
| Management And General | $2,168,200 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,440,525 | TotalAmt |
| Program Services | $12,283,607 | ProgramServicesAmt |
| Management And General | $5,156,918 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,255,544 | TotalAmt |
| Program Services | $5,774,129 | ProgramServicesAmt |
| Management And General | $481,415 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,327,935 | TotalAmt |
| Program Services | $9,245,951 | ProgramServicesAmt |
| Management And General | $3,081,984 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,790 | TotalAmt |
| Program Services | $305,255 | ProgramServicesAmt |
| Management And General | $29,535 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $629,481 | TotalAmt |
| Program Services | $472,111 | ProgramServicesAmt |
| Management And General | $157,370 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,120,767 | TotalAmt |
| Program Services | $6,090,575 | ProgramServicesAmt |
| Management And General | $2,030,192 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,605,303 | TotalAmt |
| Program Services | $10,203,977 | ProgramServicesAmt |
| Management And General | $3,401,326 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,916,272 | TotalAmt |
| Program Services | $4,437,204 | ProgramServicesAmt |
| Management And General | $1,479,068 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical and Pharmaceuti | $55,714,391 | $55,714,391 |
| Medicaid Enhancement Ta | $17,568,030 | $17,568,030 |
| Provision For Bad Debts | $14,808,502 | $14,808,502 |
| Other Patient Expenses | $3,452,986 | $3,452,986 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,909 | TotalAmt |
| Program Services | $213,119 | ProgramServicesAmt |
| Management And General | $187,790 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,790,692 | TotalAmt |
| Program Services | $304,405,324 | ProgramServicesAmt |
| Management And General | $73,385,368 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,827,783 | BOYAmt |
| EOY | $54,377,006 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,243,747 | BOYAmt |
| EOY | $22,684,216 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,888,876 | BOYAmt |
| EOY | $44,489,099 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $979,300 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,429,569 | BOYAmt |
| EOY | $2,985,254 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,823,713 | BOYAmt |
| EOY | $5,481,704 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $376,220,765 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $221,167,555 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,170,859 | BOYAmt |
| EOY | $155,053,210 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $73,565,697 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,916,522 | BOYAmt |
| EOY | $7,924,094 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,200,026 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,419,757 | BOYAmt |
| EOY | $49,996,913 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $386,720,826 | BOYAmt |
| EOY | $418,736,519 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,823,111 | BOYAmt |
| EOY | $39,087,561 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,285,006 | BOYAmt |
| EOY | $139,775,707 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,594,394 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,385,697 | BOYAmt |
| EOY | $98,821,995 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $261,493,814 | BOYAmt |
| EOY | $280,279,657 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,801,334 | BOYAmt |
| EOY | $124,119,397 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,444,027 | BOYAmt |
| EOY | $1,244,235 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,981,651 | BOYAmt |
| EOY | $13,093,230 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,227,012 | BOYAmt |
| EOY | $138,456,862 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $386,720,826 | BOYAmt |
| EOY | $418,736,519 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $43,626,922 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$361,776 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $174,274 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$30,209,570 | 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 | $257,097 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $257,097 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $257,097 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $257,097 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $377,790,692 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $493,319,017 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $378,047,789 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $493,576,114 | 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 | $188,723 | CurrentYearMinus3Amt |
| Current Year Minus2 | $156,539 | CurrentYearMinus2Amt |
| Current Year Minus1 | $9,572 | CurrentYearMinus1Amt |
| Current Year | $257,097 | CurrentYearAmt |
| Total | $611,931 | 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,771,028 | BeginningYearBalanceAmt |
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,039,463 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $13,860,491 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.08680 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.91320 | PrmnntEndowmentBalanceEOYPct |
| 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 | $179,158,959 | OtherCostOrOtherBasisAmt |
| Depreciation | $68,091,657 | DepreciationAmt |
| Book Value | $111,067,302 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,074,517 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,971,050 | DepreciationAmt |
| Book Value | $103,467 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $179,696,908 | OtherCostOrOtherBasisAmt |
| Depreciation | $151,104,848 | DepreciationAmt |
| Book Value | $28,592,060 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,608,917 | OtherCostOrOtherBasisAmt |
| Book Value | $8,608,917 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $155,053,210 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Funds held by trustee | $14,111,390 |
| Unamortized Bond issuance Costs | $1,710,926 |
| Pension Cash Surrender Value | $1,157,661 |
| Deposits | $10,000 |
| Other Receivables | $18,907,444 |
| Due From Affiliates | $2,360,767 |
| Employee Benefit Plans | $11,738,725 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $49,996,913 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Payable To Third Party Payors | $5,278,527 |
| Interest Payable | $1,932,306 |
| Accrued Pension | $59,549,691 |
| Self-Insurance Reserves & Other | $20,222,746 |
| Employee Benefit Plans | $11,738,725 |
| Security Deposit | $100,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $98,821,995 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $411,702,380 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$361,776 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$8,386,108 | OtherRevenueAmt |
| Revenue Not Reported | -$8,747,884 | RevenueNotReportedAmt |
| Revenue Subtotal | $420,450,264 | RevenueSubtotalAmt |
| Other Revenues Not Included | $967,350 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $967,350 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $421,417,614 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $397,888,494 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $21,820,055 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $21,820,055 | ExpensesNotReportedAmt |
| Expenses Subtotal | $376,068,439 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,722,253 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,722,253 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $377,790,692 | 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 consolidated financial statements. With few exceptions, the Hospital is no longer subject to income tax examination by the U.S. federal or state tax authorities for years before 2012. |
| Part XI, Line 2d - Other Adjustments: | Pension Adjustment -8,389,520. Revenue allocated to EHS Professional & General Liability Insurance Trust 3,412. |
| Part XI, Line 4b - Other Adjustments: | Expenses included in Revenue per Audited Financial Statements 967,350. |
| Part XII, Line 2d - Other Adjustments: | Transfer to Affiliates 21,820,055. |
| Part XII, Line 4b - Other Adjustments: | Expenses included in Revenue per Audited Financial Statements 967,350. Expenses allocated to EHS Professional & General Liability Insurance Trust 754,903. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investments through Elliot Common Trust Fund | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $5,809,944 | 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 | $5,809,944 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $5,809,944 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | 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. However, any required IRS Forms 926 and other foreign tax reporting obligations are filed by the legal owner, Elliot Common Trust Fund. |
| 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 |
| Percent400 | Yes (X) | Percent400Ind |
| 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 | 26235 | PersonsServedCnt |
| Total Community Benefit Expns | $7,803,214 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,803,214 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 72594 | PersonsServedCnt |
| Total Community Benefit Expns | $63,196,256 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,268,937 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,927,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09620 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 98829 | PersonsServedCnt |
| Total Community Benefit Expns | $70,999,470 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,268,937 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,730,533 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 1119 | PersonsServedCnt |
| Total Community Benefit Expns | $248,785 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $280 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $248,505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 298 | PersonsServedCnt |
| Total Community Benefit Expns | $339,482 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $339,482 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $10,447,778 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,425,102 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,022,676 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01380 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,456 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,456 | 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 | 3 | PersonsServedCnt |
| Total Community Benefit Expns | $549,813 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $549,813 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 35 | ActivitiesOrProgramsCnt |
| Persons Served | 1420 | PersonsServedCnt |
| Total Community Benefit Expns | $11,591,314 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,425,382 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,165,932 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01690 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 35 | ActivitiesOrProgramsCnt |
| Persons Served | 100249 | PersonsServedCnt |
| Total Community Benefit Expns | $82,590,784 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,694,319 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,896,465 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13460 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $219,181 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $219,181 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $219,181 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $219,181 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $14,808,502 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $101,899,007 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $122,915,882 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$21,016,875 | 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 | 13 | 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 | http://elliothospital.org/website/downloads/QualitativeNeedsAssessment.pdf | OwnWebsiteURLTxt |
| Other Website URL | Multiple-please see response for Line 7d. | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | 0 | 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 | 400.000000000000 | 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 | https://elliothospital.org/website/downloads/Financial-Assistance-Policy.pd | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://elliothospital.org/website/downloads/20151020ApplicationEH-332_1104 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://elliothospital.org/website/downloads/PlainLanguageSummary.pdf | 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 (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Elliot Hospital of City of Manchester | Part V, Section B, Line 5: During March, April and May of 2013, the hospitals conducted seven focus groups which included members of the clergy, first responders, pregnant women, school nurses, and Bhutanese refugees, as well as two seniors groups. A group discussion was conducted on March 25, 2013 with members of the Manchester Sustainable Access Project, which included the Public Health and Deputy Public Health Directors, Manchester Health Department; the President, Mental Health Center of Greater Manchester; the Chief Medical Officer and the Director of Community Health, Catholic Medical Center; Vice President of Planning and Business Development, Elliot Health System; and the Medical Director, Dartmouth-Hitchcock Manchester Clinic. During this same period of time, a survey was distributed to seniors at the Manchester Senior Center; the Rotary; and the clients, patients, and staff at The Mental Health Center of Greater Manchester. Fifty responses were returned. All of this data were used to create the CHNA. |
| 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 7d: In addition to making the CHNA available on its own website, the 2013 CHNA is available on the following websites:http://www.library.unh.edu/digital/object/mrg:0103https://www.catholicmedicalcenter.org/uploads/2013%20CHNA%20FINAL%207-10-13.pdf |
| Elliot Hospital of City of Manchester | Part V, Section B, Line 11: The Elliot Hospital of the City of Manchester has addressed the needs identified in the 2013 CHNA through the implementation of new programs and services, as well as through continued operation of programs and services that were already in place throughout the Manchester health service area (HSA).-Behavioral Health Issues, including mental health services and access, substance abuse - specifically illicit drug use and tobacco use: Mental and behavioral health issues are a growing concern in the area. Therefore, Elliot Hospital and its related organizations have been working with local and state officials to address these issues. During the fiscal year, the organization subsidized outpatient behavioral health sessions by serving approximately 22,000 people in Elliot clinics and subsidizing Intensive Psychiatric Care in the amount of $727,411. In 2015, Elliot Health System started an integrated care program at three sites, which creates access to a therapist while patients visit their primary care providers, offering short term treatments of 6-8 therapy sessions to help patients get back on their feet.-Obesity, including diabetes, poor eating habits, lack of physical activity: Elliot Hospital offered comprehensive diabetic care and subsidized services in its Diabetes and Endocrinology Clinics in the amount of over $500,000 during the fiscal year. -Aging Issues, including stroke, Alzheimer's, pneumonia, transportation, medication coordination, caregiver support, inadequate out of home care: The number of adults age 65 and older is expected to increase 18% through the year 2018, with many of the towns within the Hospital's service area experiencing over 30% growth in this age group. Elliot Hospital and related organizations provided more than $2.3 million in subsidized services for this population during the filing period, including a geropsychiatric program, a medication management program, and the Pearl Manor Fund. Managed by one of the Hospital's affiliate organizations, the Pearl Manor Fund supports efforts that benefit elderly residents in the area. -Chronic disease, especially heart disease, cancer, COPD and Asthma: Elliot Hospital and affiliates offer support groups for managing chronic illnesses, including cancer and chronic pain, and subsidize cardiac rehabilitation services, pulmonary services, rheumatology services, and palliative care. Within this care area, Elliot Health System recognizes that asthma is a growing issue in the region, and is working on a multi-year, multi-step Asthma Collaborative. The goals of this initiative include increasing patient identification through standardized diagnosis, increasing provider and patient education, and improving patient care through standardized care guidelines and decreased emergency department usage. The collaborative is designed to meet the needs of patients of all ages.-Barriers to access of health care services related to poverty: Elliot Hospital and its affiliates provide cash and in-kind donations to community access agencies, including Manchester Community Health Center (MCHC), a Federally Qualified Health Center, and Child Health Services (CHS). In kind donations and services include providing support services in Finance, Accounting, Engineering, and Laboratory work; and providing space for MCHC's 2nd FQHC site on the Hospital's main campus. The organizations also provide consultations with an Ambulatory Social Work department and subsidize services in primary care and community health services regardless of a patient's ability to pay. Finally, Elliot Health System is committed to education future healthcare professionals and serves as a primary teaching site for medical, nursing, and allied health professionals in the region.Additional needs identified in the 2013 CHNA include the following:-Teen Pregnancy: Elliot Hospital and its affiliates are not specifically addressing this community need above and beyond what is done in the normal course of business, as it is being addressed by other community organizations, including partner in the CHNA, Catholic Medical Center.-STD's, specifically chlamydia: These needs are addressed through Elliot Primary Care primarily through education, vaccination, early detection and treatment. For patients outside Elliot Health System's network, other local CHNA partners address these issues through clinics and/or education.-Dental services/access, specifically for adults: This need is addressed by other community organizations, including partner in the CHNA, Catholic Medical Center. Additionally, Elliot Hospital provides oral/maxillofacial services to patients in need of advanced medical/dental treatment and repair through the Center for Oral & Maxillofacial Surgery, which is open to all patients regardless of their ability to pay. Other CHNA partners provide preventative dental care through their programs.-Violence & Crime, including neglect and abuse, safe neighborhoods, suicide, youth crime: Although outside Elliot Hospital's primary scope of work, Elliot does support agencies through subsidies that serve in this capacity including the Child Advocacy Center and the Manchester Community Health Center. Moreover, Elliot does address many of the underlying factors contributing to violence and crime through its emergency, acute inpatient, and outpatient behavioral health care services. |
| Elliot Hospital of City of Manchester | Part V, Section B, Line 22d: The State of New Hampshire mandates a discount for all uninsured patients. This discount is equal to the average discount negotiated by the largest (by dollar) three commercial insurers. The Elliot Hospital of the City of Manchester has always been in full compliance with the laws of the State of New Hampshire, and is currently working to ensure the hospital is in full compliance with final 501(r) regulations prior to the deadline in areas where federal regulations differ from or are more stringent than those issued by the state. |
| Schedule H, Part V-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. |
| Part V, Section B, Line 16 | Financial Assistance Policy Website Availability |
| Elliot Hospital of City of Manchester Part V, Section B, line 16a website: | https://elliothospital.org/website/downloads/Financial-Assistance-Policy.pd |
| Elliot Hospital of City of Manchester Part V, Section B, line 16b website: | https://elliothospital.org/website/downloads/20151020ApplicationEH-332_1104 |
| Elliot Hospital of City of Manchester Part V, Section B, line 16c website: | https://elliothospital.org/website/downloads/PlainLanguageSummary.pdf |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 17 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Elliot Urgent Care at Rivers Edge | ||||
| 185 Queen City Avenue | Manchester | NH | 03101 | Non-Emergency Walk-In Care Center |
| Elliot Endoscopy Center Rivers Edge | ||||
| 185 Queen City Avenue | Manchester | NH | 03101 | Ambulatory Surgical Center |
| Elliot Urgent Care at Londonberry | ||||
| 40 Buttrick Road | Londonberry | NH | 03053 | Non-Emergency Walk-In Care Center |
| Elliot Hospital-4 Elliot Way | ||||
| 4 Elliot Way | Manchester | NH | 03103 | Collecting Station |
| Elliot Lab at Elliot MC Londonberry | ||||
| 40 Buttrick Road | Londonberry | NH | 03053 | Laboratory |
| Elliot Hospital Lab at Manchester CHC | ||||
| 145 Hollis Street | Manchester | NH | 03101 | Laboratory |
| Elliot Stat Lab at Hooksett | ||||
| 1256 Hooksett Road | Hooksett | NH | 03106 | Laboratory |
| Elliot 1-Day Surgery Center Lab | ||||
| 185 Queen City Avenue | Manchester | NH | 03101 | Laboratory |
| Elliot River's Edge Urgent Care Lab | ||||
| 185 Queen City Avenue | Manchester | NH | 03101 | Laboratory |
| Elliot Hospital-Tarrytown Road | ||||
| 275 Mammoth Road | Manchester | NH | 03109 | Collecting Station |
| Elliot Collection Sta at Rivers Edge | ||||
| 185 Queen City Avenue | Manchester | NH | 03101 | Collecting Station |
| Elliot DS at Hooksett Ambulatory Care | ||||
| 1256 Hooksett Road | Hooksett | NH | 03106 | Collecting Station |
| Elliot Draw Station at Cypress Center | ||||
| 445 Cypress Street | Manchester | NH | 03103 | Collecting Station |
| Elliot Hospital at Bedford Commons | ||||
| 25 South River Road | Bedford | NH | 03110 | Collecting Station |
| Elliot Medical Center at Londonberry | ||||
| 40 Buttrick Road | Londonberry | NH | 03053 | Laboratory |
| Elliot Senior Health Primary Care | ||||
| 138 Webster Street | Manchester | NH | 03104 | Laboratory |
| Elliot After Hours at Raymond | ||||
| 15 Freetown Road 8 | Raymond | NH | 03077 | Non-Emergency Walk-In Care Center |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Financial assistance and means tested costs used RCC derived from medicare cost report; other benefits costs derived from actual costs and internal cost accounting system. |
| Part 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 $ 14,808,502. |
| Part II, Community Building Activities: | The health of the community we serve is promoted through Elliot Hospital's building activities with organizations such as the Child Advocacy Center, the Homeless Shelter and others in probably the most important and basic manner. Namely, we directly impact basic living (and in some cases survival) needs. Children, young adults, adults and the elderly share the need for basic nutrition, safety, and shelter. The organizations we choose to support offer and provide some of these necessities for a large portion of the population in the greater Manchester area. Further, we provide support for organizations that understand the importance of education and provide the skills, tools and the information to people so that they can access everything from food for the hungry, shelter, safety from physical and mental harm as well as health care. Elliot Hospital treats many of these individuals in our emergency department. In working with these people to help them recover from illnesses or injuries, we have come to understand the important 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 4: | The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. The Hospital records a provision for bad debts in the period services are provided related to self-pay patients, including both insurance patients and patients with deductible and copayment balances due for which third-party coverage exists for a portion of their balance.Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for doubtful accounts. The decrease in the provision for bad debts in 2015 is driven primarily by revisions made in fiscal year 2014 to the Hospital's charity care policy eligibility and an overall reduction in self pay accounts receivable. Accounts receivable are written off after collection efforts have been followed in accordance with internal policies. |
| 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 agency is supplied information that allows them to identify only those accounts upon which collection efforts should be pursued. |
| Part VI, Line 2: | The Manchester HSA 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 2013. The assessment began with a review of the 2009 Community Health Needs Assessment, Believe in a Healthy Community.A variety of different 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. Healthy People 2020 (HP 2020) is a CDC initiative to track health behaviors and trends across the country. Part of this program is the creation of health related targets and goals that communities and states strive to meet. The Community Health Needs Assessment (CHNA) utilized as many of those targets as were available and applicable.During March, April and May of 2013, the hospitals also conducted seven focus groups which included members of the clergy, first responders, pregnant women, school nurses, and Bhutanese refugees, as well as two seniors groups. A group discussion was conducted on March 25, 2013 with members of the Manchester Sustainable Access Project, which included the Public Health and Deputy Public Health Directors, Manchester Health Department; the President, Mental Health Center of Greater Manchester; the Chief Medical Officer and the Director of Community Health, Catholic Medical Center; Vice President of Planning and Business Development, Elliot Health System; and the Medical Director, Dartmouth-Hitchcock Manchester Clinic. During this same period of time, a survey was distributed to seniors at the Manchester Senior Center; the Rotary; and the clients, patients, and staff at The Mental Health Center of Greater Manchester. Fifty responses were returned. All of this data was used to create the CHNA. The Final list of priority needs and health concerns of the Elliot Health System community are documented under Section 3. |
| 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: | Manchester and the surrounding towns of Auburn, Bedford, Candia, Deerfield, Goffstown, Hooksett and New Boston, make up what is known as the Manchester Health Service Area (HSA). The HSA has a population of 179,894 persons (2007) representing approximately 14% of the NH state population (1,315,829) and makes up most of the major service area of Elliot Health System, the umbrella organization under which Elliot Hospital operates. In 2006, the HSA experienced 11.3% of the state's total births and 10% of the state's total deaths. The City of Manchester is the largest community in northern New England. With a total population of 108,874 residents, Manchester represents 60.5% of the HSA and 8.3% of the state's total population.More people are living longer and individuals in the large "baby boomer" age group are now reaching the age of 65. In the next forty years, the number of people in the nation age 65 and older is expected to more than double and the population of the Manchester HSA is expected to experience the same type of growth. For example, the number of Manchester adults age 65 and older grew by 13% from 1980 to 2000. It is projected that this population will grow by another 85% from 2000 to 2020. The population of older adults in the other HSA towns grew by 82% from 1980 to 2000 and is projected to more than double from 2000 to 2020. This high growth rate of the elderly group in the Manchester HSA suggests health care leaders should anticipate and plan for an increased demand for services that adequately address the needs of older adults.Over the last decade, in addition to growing in size, Manchester HSA's population has become more diverse in its cultures, languages, religious beliefs and other ideologies. This is especially true for Manchester, which is a refugee resettlement site. As of 2007, nearly 10% of Manchester residents were born outside of the United States, which is twice the percent of people in all of NH who are foreign born. Over 17% of Manchester's residents speak a language other than English in the home. Around 5% of households are linguistically isolated, meaning that all members of the household ages 14 and older have at least some difficulty with English. Across the United States, family households take a variety of forms. Households may be headed by married or unmarried partners as well as by individuals. They may or may not have school-age children present. They may be headed by grandparents. They may contain foster children. Elliot Hospital's HSA mirrors this national trend; over the past seven years, the percent of households in Manchester composed of two married parents with their own school-aged children has decreased from 19.2% to 14.8%.Within the HSA, Bedford has the highest median household income and the City of Manchester has the lowest. Similarly, Manchester has the highest percentage of families living in poverty, while Deerfield has the lowest. In 2005 in Manchester, a family of four with both parents working needed to make $50,031 annually to meet basic needs. That same year the median household income in Manchester ($50,199) was a bit above the basic needs level. However, in 2007, only 55% of the households in Manchester reached the livable wage level, which had increased to $53,192 (equivalent wage of $12.79 per hour). According to the American Community Survey, the most common type of employment in Manchester is in educational services, health care, and social assistance (20.3%). Manchester makes up 8.2% of the state's labor force.The Manchester HSA has the largest population and number of jobs, but also has the lowest average income levels in the state. Increasingly, incomes are failing to meet the cost of living, including the cost of staying healthy and preparing for emergencies. Poverty is highly associated with risky behaviors, educational attainment, health status, employment, and self-reported quality of life. Residents experience discrepancies in health and health care access that are associated with their age, incomes, educational attainment and neighborhood. The assessment identifies a variety of health-related concerns in the City of Manchester and the Health Service Area including heart disease, mental health, ambulatory-care sensitive conditions, health risk behaviors, sexual health, substance abuse, emergency department use and premature death. Inadequate transportation, high cost of health care, and medically underserved areas exist in the region, as does under and overuse of existing health services resulting in a financial burden for the whole community. |
| 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 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 experienced power outages from an ice storm lasting days, Elliot Hospital kept patients (free of charge) in the hospital until power in the home was restored so that they would not suffer the hardship of living without heat and power. For day-to-day struggles, either with how to cope with the loss of a loved one or with how to cope with cancer, Elliot Hospital 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 | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| Child Health Services | ||||||||||
| 1245 Elm Street | Manchester | NH | 03101 | 020348711 | 501(c)(3) | $41,212 | $12,596 | Fair Market Value | Financial Reporting and Accounts Payable Services | To assist in meeting day-to-day operations, provide support for the accounting and bookkeeping department. |
| 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 Child Health Services 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 (15 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 | $0 | $161,284 | $0 | $0 | $0 | $0 | $0 | $12,338 | $0 | $15,674 | $0 | $189,296 | $0 | $0 |
| Gus Emmick MD | ||||||||||||||
| Trustee | $0 | $309,934 | $0 | $0 | $0 | $0 | $0 | $12,921 | $0 | $15,337 | $0 | $338,192 | $0 | $0 |
| James F Fitzgerald | ||||||||||||||
| Trustee (until 1/21/15) | $0 | $222,940 | $0 | $0 | $0 | $0 | $0 | $10,582 | $0 | $15,344 | $0 | $248,866 | $0 | $0 |
| Lawrence M Hoepp MD | ||||||||||||||
| Trustee | $0 | $903,841 | $0 | $0 | $0 | $0 | $0 | $13,000 | $0 | $11,777 | $0 | $928,618 | $0 | $0 |
| Anita R Ritenour MD | ||||||||||||||
| Trustee | $319,593 | $0 | $28,511 | $0 | $1,200 | $0 | $21,874 | $0 | $15,691 | $0 | $386,869 | $0 | $0 | $0 |
| James Woodward | ||||||||||||||
| CEO (begin 8/1/14) | $251,894 | $0 | $25,000 | $0 | $6,701 | $0 | $32,500 | $0 | $5,058 | $0 | $321,153 | $0 | $0 | $0 |
| Douglas F Dean | ||||||||||||||
| President & CEO (until 8/1/14) | $460,654 | $0 | $216,000 | $0 | $257,687 | $0 | $43,667 | $0 | $11,396 | $0 | $989,404 | $0 | $251,913 | $0 |
| Richard Phelps | ||||||||||||||
| President & COO (until 6/20/14) | $389,700 | $0 | $141,185 | $0 | $720,114 | $0 | $34,500 | $0 | $11,889 | $0 | $1,297,388 | $0 | $720,114 | $0 |
| Richard A Elwell | ||||||||||||||
| CFO | $395,794 | $0 | $104,884 | $0 | $6,821 | $0 | $121,931 | $0 | $11,396 | $0 | $640,826 | $0 | $0 | $0 |
| John E Friberg Jr | ||||||||||||||
| Senior VP, General Counsel | $317,045 | $0 | $49,937 | $0 | $6,850 | $0 | $44,836 | $0 | $15,815 | $0 | $434,483 | $0 | $0 | $0 |
| William G Baxter | ||||||||||||||
| Senior VP, Medical Affairs | $368,026 | $0 | $56,529 | $0 | $0 | $0 | $49,039 | $0 | $16,136 | $0 | $489,730 | $0 | $0 | $0 |
| Kevin B Coughlin | ||||||||||||||
| Senior VP, Physician Services | $315,604 | $0 | $146,232 | $0 | $3,566 | $0 | $4,560 | $0 | $10,963 | $0 | $480,925 | $0 | $0 | $0 |
| Alexander W Petron | ||||||||||||||
| Physician | $299,223 | $0 | $46,750 | $0 | $0 | $0 | $13,000 | $0 | $16,239 | $0 | $375,212 | $0 | $0 | $0 |
| Juergen H Bludau | ||||||||||||||
| Physician | $285,581 | $0 | $0 | $0 | $0 | $0 | $5,200 | $0 | $795 | $0 | $291,576 | $0 | $0 | $0 |
| Denise Purington | ||||||||||||||
| Physician | $248,841 | $0 | $35,660 | $0 | $3,100 | $0 | $0 | $0 | $3,335 | $0 | $290,936 | $0 | $0 | $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 $14,823 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 $150,382 in 2014. 2014 contributions to the organization's 457(f) plan were: James Woodward-$32,500; Richard Elwell-$80,049; Richard Phelps-$34,500. |
| 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. |
| Schedule J, Part II, Lines 7 and 8: | During the year Mr. Dean and Mr. Phelps withdrew funds from their deferred compensation plans ($251,913 and $720,114, respectively). These amounts are reported as taxable compensation in Part II, Column B(iii). It should be noted that amounts that were reported in prior years as deferred compensation in Part II, Column C. Accordingly, the prior year deferrals are also reflected in Part II, Column F. |
| Form 990, Part VII-A and Schedule J, Part II: | Douglas Dean served as CEO of Elliot Hospital until August 2014. After his retirement, he continued to serve on the Board and work with the Hospital and related organizations as a non-officer employee. Of his reported compensation, $76,155 was compensation paid as a non-officer employee. |
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 | $700,000 | $127,806,119 | $11,505,106 | $6,134,168 | $30,000,000 | $1,980,498 | $78,095,644 | 2011 | Yes (1) | Yes (1) | Yes (1) | Yes (1) |
| B | $1,467,061 | $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 | Yes (1) | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | Yes (1) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
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: 09/30/2015 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 09/30/2015 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd | TransactionTransactionAmt |
|---|---|---|---|
| Dianne M Mercier | |||
| Board Member | 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 | |
| James C Hood Esq | |||
| Board Member | Several attorneys at Nixon Peabody LLP have been consulted by Elliot Hospital regarding specialized claims and regulatory legal projects. Mr. Hood is a partner of Nixon Peabody. | 0 | $190,908 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 4 | The following reportable changes were made to the filing organization's bylaws during the fiscal year: 1. An Action by Writing paragraph was added, which reads "Any action required or permitted to be taken at any meeting of the Trustees may be taken without a meeting if all the Trustees consent to the action in writing and the written consents are filed with the records of the meetings of the Trustees. Unless otherwise provided by law or the Articles of Organization a "writing" shall include communication from a Trustee by electronic mail ("email"), facsimile, scan, or similar electronic communication. Such consents shall be treated for all purposes as a vote at a meeting." 2. A Presence Through Communications Equipment paragraph was added, which reads, "Unless otherwise provided by law or the Articles of Organization, Trustees may participate in a meeting of the Board of Trustees by means of a conference telephone or similar communications equipment by which all persons participating in the meeting can hear each other at the same time, and participation by such means shall constitute presence in person at a meeting." 3. The following powers/corporate actions were added to the Duties and Powers specifically reserved to the Board of Directors: a. Election or removal of any or all of the Trustees of the Corporation; b. Election or removal of any or all committee chairs of the Board of Trustees of the Corporation; c. Transfer of 5% or more of the assets of the Corporation; d. Financing transactions concerning the Corporation, including any mortgage, pledge, encumbrance or disposition of real property, except in the ordinary course of business; e. Merger, consolidation, sale, lease, mortgage, pledge, or other disposition of all or substantially all assets of the Corporation; f. Change in legal form of organization of the Corporation; g. Dissolution of the Corporation; h. Appointment or removal of external auditors; i. Filing for bankruptcy or receivership; j. Creation of a subsidiary; k. Formation of any partnership or joint venture. 4. Additionally, the following change was made in the Duties and Powers article of the by-laws: "The approval of the annual budget for the Corporation" was updated to "The approval of, and any amendment to, the annual budget for the Corporation." 5. The phrase "with vote" was added the sentence "The CEO shall serve as an ex officio member of the Board of Directors with vote and all the rights, privileges, and obligations incident thereto." in the article outlining the responsibilities of the Chief Executive Officer. |
| Form 990, Part VI, Section A, line 6 | Elliot Health System is the sole member of the reporting organization. |
| 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 provided to the full Board for questions, comments, and review prior to filing. |
| Form 990, Part VI, Section B, line 12c | Officers, directors, and key employees are required annually to sign a conflict of interest form which requires reporting any potential conflict of interest arrangements with the organization. |
| Form 990, Part VI, Section B, line 15 | The compensation committee of the Board utilizes outside compensation consultants to evaluate the salaries for the CEO, CFO, and COO. The consultants utilize their internal data along with national and local benchmark data from the industry to develop salary levels. Recommendations of the consultant are reviewed by the compensation committee, who recommends compensation levels to the full Board for approval. An outside consulting firm is also used by the organization to review the compensation of the remainder of the Vice Presidents. Again, national and local benchmarks for salaries are consulted to determine salary levels for these positions. |
| Form 990, Part VI, Section C, line 19 | Each of these documents is filed with the New Hampshire Secretary of State and is available upon request. |
| Form 990, Part IX, Column D: | The Mary and John Elliot Charitable Foundations performs all fundraising activities on behalf of The Elliot Hospital of the City of Manchester. All fundraising expenses are reported on the Foundation's separate Form 990. |
| Form 990, Part XI, line 9: | Pension Adjustment -8,389,515. Transfer to Affiliates -21,820,055. |
| Form 990, Part XII, Line 2c: | The audit process did not change 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 | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Elliot Health System | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 020509911 | Management | NH | 501(c)(3) | Line 11b, II | 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 | 0 | N/A | |
| 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 | Investment | PredominantIncomeTypeTxt |
| Share Of Total Income | $3,090,744 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $89,491,818 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| UBI Code V | -$4,541 | 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 | 0 | 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 (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Elliot Professional Services Network | ||
| K | $221,108 | Cash |
| Elliot Professional Services Network | ||
| P | $3,467,449 | Cash |
| Elliot Physician Network | ||
| P | $250,953 | Cash |
| Elliot Professional Services Network | ||
| Q | $11,251,322 | Cash |
| Elliot Physician Network | ||
| Q | $16,643,257 | 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 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| VNA of Manchester & Southern NH & Subsidiaries | ||||||||||||||||
| 1070 Holt Avenue Unit 1 Suite | 2100 | Manchester | NH | 03101 | 020395296 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| The Elliot Hospital of the City of Manchester | ||||||||||||||||
| 1 Elliot Way | Manchester | NH | 03103 | 020232673 | $0 | $257,097 | $257,097 | $0 | $257,097 | $51,419 | $12,855 | $0 | $205,678 | $0 | Yes (X) | |
| Elliot Professional Services Network | ||||||||||||||||
| 1070 Holt Avenue Unit 1 Suite | 2100 | Manchester | NH | 03109 | 331003630 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| Elliot Physician Network | ||||||||||||||||
| 1070 Holt Avenue Unit 1 Suite | 2100 | Manchester | NH | 03109 | 020509589 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| Elliot Health System Holdings Inc & Subsidiaries | ||||||||||||||||
| 1070 Holt Avenue Unit 1 Suite | 2100 | Manchester | NH | 03109 | 020512224 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| Mary and John Elliot Charitable Foundation | ||||||||||||||||
| 1070 Holt Avenue Unit 1 Suite | 2100 | Manchester | NH | 03109 | 020512229 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| Elliot Common Trust Fund LLC | ||||||||||||||||
| 1 Elliot Way | Manchester | NH | 03103 | 023653624 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| Elliot Health System Professional & General Liability Insurance Trust | ||||||||||||||||
| 1 Elliot Way | Manchester | NH | 03101 | 016217452 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||