2024-05-07T15:52:23-05:00 2023-06-30 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2022-07-01 020232673 The Elliot Hospital of the City of Manchester ELLI 6036632033 1 Elliot Way Manchester NH 03103 Michael Turilli CFO 6036632033 2024-04-15 1 Michael Turilli 999009999 0 Connor Smart P02285543 6036262200 2024-04-15 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z William G Baxter 1 Elliot Way Manchester NH 03103 693275540 0 X www.elliothospital.org X 1942 NH Hospital Services 22 17 3632 112 11236373 0 7074194 8289284 595514472 655339132 26145512 6978953 5971911 5979219 634706089 676586588 1278798 1332444 0 0 220754343 245158886 0 0 0 308469241 333769951 530502382 580261281 104203707 96325307 647940005 662848004 329257759 297588250 318682246 365259754 The Elliot Hospital of the City of Manchester, a leader in healthcare, is dedicated to providing its community with excellent services offered with dignity, caring, and respect. 0 0 438051292 0 644182525 Medical services provided to tens of thousands of inpatients and outpatients, including free care in the amount of $9,259,419 (at cost) and contributions to community programs. Additional information regarding the Hospital's medical services and community programs can be found on this Form 990, Schedule H. 1332444 1332444 0 The Hospital provides grants to various organizations to advance public health, wellness, and the quality of life of its community at large.Major contributions to community organizations during this tax year included Amoskeag Health (formerly Manchester Community Health Center); Easter Seals New Hampshire; and Foundation for Healthy Communities in Manchester, New Hampshire. 601871 0 0 Community benefits including educational programs, health screenings, health publications and other health information services, and cash and in-kind contributions to community agencies. 439985607 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 222 0 1 3632 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 22 17 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Michael Turilli 6036632033 1 Elliot Way Manchester NH 03103 Marina Feldman MD Trustee 1.00 43.00 X 0 801066 51237 William G Baxter President & CEO 41.00 8.00 X X 1063301 0 182409 Carl Fier MD Trustee 1.00 41.00 X 0 932605 41894 Nancy Husarik MD Trustee 1.00 41.00 X 0 236068 36630 Marjan Makatam-Abrams MD Trustee 1.00 41.00 X 0 270203 34753 David Bellman Trustee (start 1/2023) 1.00 2.00 X 0 0 0 Karen Van Der Beken Trustee 1.00 1.00 X 0 0 0 Susan Critz Trustee (end 1/2023) 1.00 1.00 X 0 0 0 David Cuzzi Trustee 1.00 3.00 X 0 0 0 Robert Fremeau Trustee (start 1/2023) 1.00 1.00 X 0 0 0 Charles Goodwin Trustee 1.00 6.00 X 0 0 0 James C Hood Esq Trustee 1.00 1.00 X 0 0 0 Dottie Kelley Trustee 1.00 1.00 X 0 0 0 Linda Lassonde Trustee (start 1/2023) 1.00 1.00 X 0 0 0 Heidi Meinz MD Trustee 1.00 1.00 X 0 0 0 John Mercier Trustee 1.00 1.00 X 0 0 0 Daniel M Monfried Trustee 1.00 1.00 X 0 0 0 Charles F Rolecek Trustee 1.00 2.00 X 0 0 0 Philip Taub Trustee 1.00 1.00 X 0 0 0 James J Tenn Jr Esq Chair/Trustee 1.00 2.00 X X 0 0 0 Loretta LC Brady PhD Vice Chair/Trustee 1.00 1.00 X X 0 0 0 Stephen Langan Treasurer/Trustee 1.00 3.00 X X 0 0 0 Paul W Hoff PhD Secretary/Trustee 1.00 2.00 X X 0 0 0 Michael Turilli SVP Finance/CFO, SolutionHealth 1.00 48.00 X 0 463240 29058 Brad Kreick President & CEO, SolutionHealth 1.00 42.00 X 0 1131927 205476 Joseph T Curti Chief Operating Officer 40.00 0.00 X 464784 0 46038 Kevin Desrosiers MD CMO & EMG Acute Care Services 40.00 0.00 X 517864 0 43841 Martha Leighton MD Senior VP & CNO 40.00 0.00 X 343855 0 26990 Holly Mintz SVP, CMO, EMG Ambulatory Care 40.00 1.00 X 486656 0 37719 L John Klunk SVP, CMO, EMG Ambulatory Care 40.00 0.00 X 318701 0 45549 Sherry Hausmann Former Pres/CEO, SolutionHealth 0.00 0.00 X 0 910000 0 Joseph Felkner Former SVP/CFO 0.00 0.00 X 0 958845 180437 3195161 5703954 962031 340 1 1 0 NH Oncology-Hematology PA 11 Kimball Drive Unit 125 Hooksett NH 03106 Physician services 4310137 Amoskeag Anesthesia PLLC 1 Elliot Way Manchester NH 03103 Medical services 1358154 Granite State Plumbing and Heating 17 Oil Mill Road Weare NH 03328 HVAC installation and service 587609 NH Neurospine Institute 4 Hawthorne Drive Bedford NH 03110 Medical services 535016 Chris Nelson Contracting 767 Western Avenue Henniker NH 03242 Construction services 494045 22 1106790 6172586 1009908 8289284 Laboratory services 621500 226711006 223273677 3437329 Patient services 621110 211068344 211068344 Pharmacy services 623000 178924103 172823621 6100482 Disproportionate share funding 722511 21092642 21092642 Hospital Auxiliary Services 621990 17543037 15924241 1618796 655339132 6016372 58678 5957694 5979219 0 5979219 5979219 21088 5958131 16371533 1280000 15119465 1569487 1252068 -289487 962581 962581 676586588 644182525 11236373 12878406 X 1332444 1332444 1245710 1070919 174791 196671822 169075959 27595863 8289497 7126362 1163135 26268421 22582587 3685834 12683436 10903769 1779667 89993750 89993750 7500 7500 69750 69750 56691 56691 616791 616791 22120386 20874020 1246366 349067 349067 6189693 4466055 1723638 1350385 946037 404348 15456900 11592675 3864225 340787 255590 85197 506904 380178 126726 5604959 4203719 1401240 19249449 14437087 4812362 2909568 2182176 727392 Medical supplies 118283403 118283403 NH MET 28595535 28595535 Provision for bad debts 15218372 15218372 Patient expenses 5284694 5284694 1565367 1174026 391341 580261281 439985607 140275674 0 114289403 58592705 2974781 15528676 129643 201828 45862484 55871853 776689 751045 6773725 6992774 2493413 3216056 555892390 359884007 187455026 196008383 67199613 95000152 159095934 184822439 100 10723515 60889194 35138578 647940005 662848004 57631685 46005038 4493 73402 310807 348061 157333036 136662488 843278 14269147 113134460 100230114 329257759 297588250 X 303189019 349250424 15493227 16009330 318682246 365259754 647940005 662848004 X 96325307 10190527 -59938326 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 56691 62746 56691 62746 580204590 767192791 580261281 767255537 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 73421 45574 66003 62746 247744 250000 250000 250000 250000 1000000 1500000 15493227 516103 16009330 17064868 -1571641 15493227 15212757 50000 1802111 17064868 15039613 28666 144478 15212757 14804968 234645 15039613 0.00000 0.90630 0.09370 0 0 4156178 4156178 256714834 116720283 139994551 2128534 2123049 5485 284657458 241040675 43616783 8235386 8235386 196008383 Alternative investments 119551249 F Fixed income securities 65271190 F 184822439 Pension cash surrender value 1527379 Deposits 1880 Employee benefit plans 30560330 Due from affiliates 3048989 35138578 Accrued interest 1507219 Pension and retirement obligations 19292369 Amounts payable to third-party payors 30168053 Net due to related organizations 6248356 Operating lease liabilities 9732831 Self-insurance reserves and other liabilities 33281286 100230114 X 671882103 10190527 2627997 12818524 659063579 604479 16918530 17523009 676586588 564995736 1889750 1889750 563105986 604479 16550816 17155295 580261281 Part V, Line 4: Income from the endowment funds can be used for operating and capital expenditures. Part X, Line 2: Elliot Hospital, EPN and EPS are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code, and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the Hospital's tax positions and concluded the Hospital has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to the financial statements. Part XI, Line 2d - Other Adjustments: Revenue allocated to EHS Prof. and Gen. Liability Insurance Trust 93,551. Net periodic pension gain, net of service cost 2,130,378. Unrealized gain allocated to EHS Prof. and Gen. Liability Insurance Trust 404,068. Part XI, Line 4b - Other Adjustments: Provision for bad debts 15,218,372. Grants included with revenue in the Audited Financial Statements 1,332,444. Capital Loss allocated to EHS Prof. and Gen. Liability Insurance Trust 367,714. Part XII, Line 2d - Other Adjustments: Expenses Allocated to EHS Prof. and Gen. Liability Insurance Trust 1,889,750. Part XII, Line 4b - Other Adjustments: Provision for bad debts 15,218,372. Grants included with revenue in the Audited Financial Statements 1,332,444. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Investments through Elliot Common Trust Fund 109000 North America - Canada and Mexico, but not the United States 0 0 Investments through Elliot Common Trust Fund 830000 0 0 0 0 0 0 939000 0 939000 1 0 1 1 1 0 Part III Accounting Method: Schedule F, Part I, Line 3: The legal owner of Elliot Hospital's foreign investments is a related organization, Elliot Common Trust Fund. Since a portion of the total foreign investments are allocated to the Hospital's assets on the financial statements, those allocated investments have been disclosed on Schedule F, Part I, Line 3 of Elliot Hospital's Form 990. Schedule F, Part IV, Line 1: The Elliot Hospital of the City of Manchester did not make any transfers to foreign corporations for $100,000 or more during the applicable filing period covered by this Form 990, nor did the Hospital's ownership percentage in any foreign corporation exceed 10% during this tax year. Accordingly, the Hospital is not required to file Form 926 with its 2022 tax filings. 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. 1 1 1 X 250.000000000000 0 1 1 1 0 1 1 21984 9259419 9259419 0.01640 72971 100231918 48599785 51632133 0.09140 94955 109491337 48599785 60891552 0.10780 9 16980 168159 168159 0.00030 4 296 402275 402275 0.00070 8 31932857 11033218 20899639 0.03700 1 36290 36290 0.00010 7 1550 1327591 1327591 0.00230 29 18826 33867172 11033218 22833954 0.04040 29 113781 143358509 59633003 83725506 0.14820 126379 126379 0.00020 6074 6074 0.00000 132453 132453 0.00020 0 15218372 0 153266606 217373727 -64107121 X 1 1 1 1 Elliot Hospital of City of Manchester 1 Elliot Way Manchester NH 03103 www.elliothospital.org 0018 X X X X Elliot Hospital of City of Manchester 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X See Part V, Section C X See Part V, Section C X 1 22 1 See Part V, Section C 0 1 X 250.000000000000 X X X X X X 1 1 X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X 1 X 0 X X X X 1 X 0 0 Elliot Hospital of City of Manchester Part V, Section B, Line 5: The 2022 CHNA Report was developed by the City of Manchester Health Department, which serves as the chief strategist for health and wellness-related issues for the Greater Manchester Public Health Region. The Department conducts this assessment in partnership with Catholic Medical Center, Dartmouth Health, and Elliot Health System. This report was produced with funding and support from the three health systems. Technical assistance was provided by JSI Research and Training Institute (JSI) in Bow, New Hampshire, in the collection and summary of Key Informant Interviews and Resident Surveys to provide resident input on major issues facing the Greater Manchester Region. The City of Manchester Health Department also secured the consulting expertise of Michelle Graham for much of the content of the report, and Department Staff contributed time and resources to review this report prior to its finalization. In addition, JSI contributed to the design and production of this CHNA. 20 leaders and 204 residents provided their perspectives on health and wellness in Manchester as part of gathering community input for this CHNA. Elliot Hospital of City of Manchester Part V, Section B, Line 6a: The Hospital's CHNA was conducted with other hospital partners and facilities, including Catholic Medical Center of Manchester, NH, and Dartmouth Health. Elliot Hospital of City of Manchester Part V, Section B, Line 6b: The Hospital CHNA was conducted with organizations other than hospital facilities. Such additional partners included Manchester Proud, LAUNCH Manchester, Makin' It Happen, Health Care for the Homeless, The Mental Health Center of Greater Manchester, Families in Transition, Manchester Food Collaborative, Neighborworks, and Amoskeag Health Elliot Hospital of City of Manchester Part V, Section B, Line 11: Elliot Hospital uses the City of Manchester Community Health Assessment to determine and address the significant health needs impacting its community. As of the publication of the 2022 CHNA, Elliot Hospital is focusing its community health efforts towards addressing food insecurity (especially as impacts youth populations in Manchester as well as food insecure individuals who are also facing cancer) lead poisoning in children, workforce development (with a focus on high school student engagement), reading proficiency in Manchester, SUD and behavioral health needs of our community, and trauma prevention. Additionally, the Hospital has organized its efforts to focus on obesity, diabetes, and older adult health needs. The Hospital also acknowledges that access to affordable housing is another area of significant need in its community that impacts public health, and that is frequently cited in community health and wellness reports. However, while the Hospital may provide services and benefits that indirectly address this issue, the Hospital recognizes that other organizations are already working on and better equipped to address challenges in housing. Accordingly, the Hospital does not have an active focus on affordable housing needs. Schedule H, Part V, Section B, Line 7a & 7b: The CHNA available at the Hospital facility's website at:https://www.elliothospital.org/application/files/9516/8746/2883/Manchester-Community-Health-Needs-Assessment-2022.pdfThe Hospital's Implementation Plan is available on the website at: https://www.elliothospital.org/application/files/9717/0671/8234/2022_CHNA_Outcomes_Document_Final.pdf Schedule H, Part V, Section B, Line 13: Elliot Hospital's Financial Assistance Policy is available via the Hospital's website (www.elliothospital.org) Additionally free copies are available at hospital locations. Also, Patient Financial Advocates are available to assist in person or via telephone. The policy is for people who are underinsured, uninsured, or do not qualify for governmental assistance (Medicare or Medicaid), or who are otherwise unable to pay for medically necessary care and meet the criteria for financial assistance. Schedule H, Part V, Section B, Line 16a, 16b, & 16c: The Hospital's Financial assistance Policy, Plain Language Summary, and Financial Assistance Application can be accessed on the following page:https://www.elliothospital.org/website/pay-my-bill-financial-assistance.phpThe Financial Assistance Plain Language Summary may also be found at:https://www.elliothospital.org/application/files/9517/0111/1070/EHS_Financial_Assistance_8.5x11_-_Spring_2023_Update.pdfThe Complete Financial Assistance, Billing, and Collection Policy may also be found at:https://www.elliothospital.org/application/files/9216/8684/6557/Billing_Financial-Assistance-Policy-12-22-22.pdfLastly, the Financial Assistance Application may also be found at:https://www.elliothospital.org/application/files/6716/8684/6557/Billing_Financial-Assistance-Appllication_Process_and_Form.pdf 21 1 - Elliot 1-Day Srgry CenterRivers Edge 185 Queen City Avenue Manchester NH 03101 Ambulatory Surgical Center 2 - Elliot Urgent Care At River's Edge 185 Queen City Avenue Manchester NH 03101 Non-Emergency Walk-In Care Center 3 - Elliot Hospital of Manchester NH 1050 Holt Ave Ste 5 175 Queen City Manchester NH 03109 LRDD Medical Gases/Prescription Devices, Home Care - Durable Medical 4 - Elliot Pharmacy At River's Edge 185 Queen City Avenue Manchester NH 03101 In-State Pharmacy 5 - Elliot Urgent Care Londonderry 40 Buttrick Road Londonderry NH 03053 Non-Emergency Walk-In Care Center 6 - Elliot Urgent Care at Bedford 25 Leavy Drive Bedford NH 03110 Non-Emergency Walk-In Care Center 7 - Elliot Stat LabCollection Station 40 Buttrick Road Londonderry NH 03053 Laboratory 8 - Elliot Pharmacy at Bedford 25 Leavy Drive Bedford NH 03110 In-State Pharmacy 9 - Elliot Coumadin Clinic 40 Buttrick 40 Buttrick Road Londonderry NH 03053 Laboratory 10 - Elliot Coumadin Clinic 138 Webster 138 Webster Street Manchester NH 03104 Laboratory 11 - Elliot Poc LabCollection Station145 145 Hollis Street Manchester NH 03101 Laboratory 12 - Elliot Coumadin Clinic 15 Freetown 15 Freetown Road 8 Raymond NH 03077 Laboratory 13 - Elliot Collection Station 185 Queen 185 Queen City Avenue Manchester NH 03101 Collecting Station 14 - Elliot One Day Srgry Center185 Queen 185 Queen City Avenue Manchester NH 03101 Laboratory 15 - Elliot One Day Surgery Center 185 Queen City Avenue Manchester NH 03101 Practitioner Office 16 - Elliot Collection Station 4 Elliot 4 Elliot Way Manchester NH 03103 Collecting Station 17 - Elliot Collect'n Stat'n190 Tarrytow 275 Mammoth Road Manchester NH 03103 Collecting Station 18 - Elliot Collection Station20 Chambers 20 Chambers Road Hooksett NH 03106 Collecting Station 19 - Elliot Urgent Care Lab185 Queen City 185 Queen City Avenue Manchester NH 03101 Laboratory 20 - Elliot Urgent Care Lab 40 Buttrick 40 Buttrick Road Londonderry NH 03053 Laboratory 21 - Elliot Urgent Care Lab Bedford 25 Leavy Drive Bedford NH 03110 Laboratory 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 $ 15,218,372. Form 990, Schedule H, Part I, Lines 3b/3c; and Part V, Lines 13a/13b: The Hospital is part of the SolutionHealth network. Financial assistance eligibility determinations shall be based on SolutionHealth's policy and an assessment of financial need. Patients and the community within SolutionHealth's service area will be informed of the Financial Assistance, Billing and Collection policy and the process for submitting an application by many methods and in many venues. Patients, or a patient's guarantor, have a responsibility to cooperate in applying for financial assistance by providing information and documentation on family size, income and assets. Patients who meet the following criteria and comply may be eligible for financial assistance:(1) Applicants for financial assistance must reside in the State of New Hampshire or the Massachusetts border towns of Dunstable, Pepperell, Townsend or Tyngsboro and must have exhausted all other sources of payment including insurance, public assistance, litigation, or third-party liability before any financial assistance shall be granted. A patient is typically not eligible for financial assistance until he or she has applied for and is determined to be ineligible for applicable federal and state governmental assistance programs. SolutionHealth will offer assistance to patients applying for public programs. SolutionHealth may decide, at its discretion, to process a financial assistance application without a determination of ineligibility by the federal or state governmental assistance program or commercial insurer provided an appropriate rationale is documented.(2) Financial assistance may also be provided to residents of areas not specified above if an emergency medical condition arises while in New Hampshire or the border towns specified above and requires immediate care.(3) Eligibility for financial assistance will be determined based on a combination of family income and assets. The Federal Poverty Guidelines in effect at the time of the determination will be used to determine a patient's eligibility for financial assistance. Financial assistance is a complete write-off of SolutionHealth charges for eligible services. Financial assistance is available to patients, or their guarantors, with annual family income at or below 250% of Federal Poverty Guidelines (FPG). Assets greater than $300,000 such as real estate, 401k, 403b, and savings will also be considered in determining eligibility on a case by case basis. In order to qualify for financial assistance, all other payment options must be exhausted, including private coverage, federal, state and local medical assistance programs, and other forms of assistance provided by third parties. Part II, Community Building Activities: For the fiscal year ending June 30,2023, Elliot Hospital provided $132,453 in community and program support to local organizations. These organizations included Foundations for Healthy Communities, Amoskeag Health, Valley Street Jail, (medical care for Hillsborough County and State Inmates) Easter Seals NH, ORIS/Fresh Start Farms, and Manchester Proud. Elliot Hospital also provided an additional $85,248 in sponsorship/partnership support to community organizations such as Greater Manchester Boys and Girls Club, YWCA NH, Manchester Police Athletic League (MPAL), Alzheimer's Association, Waypoint, Makin' It Happen, and Friends of Aine. Part III, Line 2: Bad debt expense is determined based on analysis of historical activity. Self-pay accounts are given an automatic 59% discount off charges; self-pay accounts that do not make payment are transferred to bad debt. Cost of bad debt is derived from an internal cost accounting system. Part III, Line 3: Self-pay accounts are given an automatic 59% discount off charges; self-pay accounts that do not make payments are transferred to bad debt. Organization is not currently determining bad debt accounts that may have been charitable care. Part III, Line 4: See Footnote 2 of the attached audited financial statements. Part III, Line 8: Allowable costs are determined using CMS methodology utilized in completing cost report; Medicare shortfall from Part III, Line 7 should be included in community benefits as costs are not fully reimbursed. Part III, Line 9b: Collections are not pursued on charity care patients. Collection agencies are supplied information that allows them to identify only those accounts upon which collection efforts should be pursued. Part VI, Line 2: In order to assess the health needs of the community on an ongoing basis, Elliot Health System partners closely with Catholic Medical Center, Dartmouth Health, Amoskeag Health, City of Manchester Public Health Department and other community organizations. As a member of the Manchester Health Advisory Committee, Manchester CoC for Homelessness, Manchester SUD Collaborative, Manchester Food Collaborative, Elliot Health System works collaboratively with the primary goal of assessing community needs and developing health improvement strategies for the City of Manchester, NH. The work for addressing CHNA priorities is coordinated under the discretion of the City of Manchester Public Health Department. The latest CHNA was released in Fall, 2022.In addition to the ongoing work completed related to the CHNA and various working groups in Manchester, Elliot also uses CHNA, Healthy People 2030, CHiP and other community data (example, overdose and SUD reports from AMR and SUD Collaborative). Other sources include US Census, Behavioral Risk Factor Survey and NH State agency publications and the Healthcare Advisory Board.The Elliot focuses on addressing key SoDH identified through or clinical care across Elliot Health System. We use our EMR/EPIC to screen for critical health determinants as well as healthy equity measures and needs in the primary care and other specialty settings. Part VI, Line 3: Elliot's Financial Assistance Policy is available via Elliot's website (www.elliothospital.org) or free copies are available at hospital locations. Also, Patient Financial Advocates are available to assist in person or via telephone. The policy is for people who are underinsured, uninsured, or do not qualify for governmental assistance (Medicare or Medicaid), or who are otherwise unable to pay for medically necessary care and meet the criteria for financial assistance. Part VI, Line 4: The 2022 Greater Manchester Community Health Needs Assessment focused on the City of Manchester, and the surrounding Greater Manchester Community. Greater Manchester includes both the Greater Manchester Public Health Region (Auburn, Bedford, Candia, Deerfield, Goffstown, Manchester, and New Boston), as well as the Hospital Service Area (Public Health Region Towns plus Londonderry). These eight communities are home to approximately 116,000 residents. The City of Manchester is not only home to over half of the Greater Manchester Community but it is the largest city in the State of New Hampshire.The population of the Greater Manchester Area is aging and becoming a more diverse population, with residents reflecting a variety of nationalities, languages, ethnic traditions, religious beliefs, and ideologies. New Hampshire has the second highest median age in the nation with 19% of the state population over the age of 65. Thirteen percent of the City of Manchester residents (over 14,000) are ages 65 or older. Part VI, Line 5: Elliot Hospital ("EH") promotes the health of the Greater Manchester community through many ways including the following: - EH offers free health education and support group programs to the community. - EH provides financial support to local Federally Qualified Health Centers and other non-profit organizations in the community. Additionally, we provide partnership programs with community organizations like the Wellness On Wheels program which brought over 10 community agencies and non-profits together in underserved neighborhoods. - EH maintains an open medical staff. - EH management and staff participate on board of other nonprofits such as Waypoint, Easter Seals NH, and Mental Health Center of Greater Manchester as well as local and state public health committees. - EH continues to be a host partner and location for many community events including National Drug Take Back Day with the Manchester Police Department, DEA and Makin' It Happen and we are one of the largest sites for community blood drives with the American Red Cross and monthly blood drives on campus. - EH staff and providers attend community events and partner with local schools and organizations to provide awareness, screening and educational materials. - EH participates in community emergency response preparedness drills. - EH also focuses on our Implementation Strategies, which are developed from the key SoDH from the Community Health Needs Assessment. In FY23m there was also a Board Designated goal developed for CHNA program implementation focused on food insecurity and Medicaid enrollment. - The Elliot Health System Board of Directors began an educational series called Listening to Lead to learn more about critical drivers of health disparities in greater Manchester. Two sessions were held in fiscal year 2023. - Elliot Hospital leads a partnership with Boys and Girls Club of Manchester and ORIS/Fresh Start Farm for a farm share mobile market that was held in fall and spring of fiscal year 2023. Part VI, Line 6: EHS is the umbrella organization under which Elliot Hospital (EH), Elliot Physician Network (EPN), Elliot Professional Services (EPS), the Visiting Nurse Association of Manchester and Southern NH (VNA), and the Mary & John Elliot Charitable Foundation operate. Elliot Health System is a health care system that provides care to residents of southern NH serving a regional population of over 250,000 residents, making it one of the largest providers of comprehensive health care services in southern NH. Each of these organizations plays a critical role in the continuum of care EHS delivers to the community thus promoting health. The cornerstone of EHS is Elliot Hospital (EH), a 296-bed acute care facility located at the hospital's main campus. EH and the surrounding campus is home to Elliot Emergency and Trauma services which includes a dedicated pediatric emergency department and the ACS verified Level II Trauma Center, inpatient and outpatient behavioral health services, a Level III Newborn Intensive Care Unit, and the Solinsky Center for Cancer Care at the Elliot. Elliot Hospital also services the community through various ambulatory care centers located throughout the Greater Manchester area including the Towns of Bedford, Londonderry, and Hooksett. In addition, EH offers specialty services at 250,000 square foot ambulatory care center, The Elliot at River's Edge, which houses the Elliot Breast Health Center, Urgent Care, Wound Care, Pain Management, and Surgical Services. In addition, EH offers the community a dedicated senior center also located in the City of Manchester.EHS, through the Elliot Physician Network (EPN) and Elliot Professional Services (EPS), both not for profit physician groups, provide primary care and specialty care to the Greater Manchester area. Combined, EPN and EPS employ over 200 physicians as far north as Hooksett, east to Raymond, and south to Windham. The Elliot Physician Network has 17 primary care practices in the Greater Manchester area. EHS has a robust electronic medical record (EMR) linking all of the system providers with EH allowing the provider immediate access to all medical care that happened within EHS. The EMR is complete with the latest laboratory results, diagnostic images, and other test results that may affect care given in the local provider's office.EH and Affiliates (collectively EHS), work collaboratively and collectively (through the EMR) allowing EHS to serve the health care needs of people in the most efficient manner and has provided a platform for proactive plans for health management.On April 30, 2018 Elliot Health System became part of the new non-profit healthcare organization named SolutionHealth. This new non-profit healthcare entity is the combination of two New Hampshire non-profit health care organizations, Elliot Health System (EHS) and Southern New Hampshire Health System (SNHHS), combining together to protect the future sustainability of accessible, comprehensive, value-based clinical care. SolutionHealth is a regional healthcare system with a governing body with members from both EHS and SNHHS. This new organization services over 400,000 community members, is located in the two largest and most diverse cities in New Hampshire and employs over 700 physicians and advanced practice providers in New Hampshire. Part VI, Line 7, Reports Filed With States NH 1 Amoskeag Health 1415 Elm Street Manchester NH 03101 020458174 501(c)(3) 300000 0 Community benefit grant for health worker services in school districts Easter Seals New Hampshire 555 Auburn Street Manchester NH 03103 020272825 501(c)(3) 52575 0 Support Veterans Count program Foundation for Healthy Communities 125 Airport Road Concord NH 03301 020275078 501(c)(3) 699156 0 Healthcare services and support, and general operations Fresh Start Food Hub 434 Lake Avenue Floor 2 Manchester NH 03103 760826598 501(c)(3) 11081 0 For Boys & Girls Club Farm Share Greater Manchester Chamber of Commerce 54 Hanover Street Manchester NH 03101 020161920 501(c)(6) 10600 0 Influencer Level membership to the Chamber of Commerce The New England Council 98 N Washington Street 303 Boston MA 02114 041661090 501(c)(6) 10000 0 Annual mmembership to the Chamber of Commerce 4 2 Part I, Line 2: Elliot Hospital maintains members on the board of directors for Amoskeag Health (formerly Manchester Community Health Center). Activities of this organization align with the Hospital's mission in the community and with the Hospital's Implementation Plan developed from its most recent CHNA. The grant to Foundation for Healthy Communities helps support the State's reauthorization of NH Medicaid expansion which is important to providing insurance coverage for many of our most vulnerable citizens. The grants to the Easter Seals New Hampshire support programs that provide health and wellness support for some of the region's most vulnerable populations. The grant to the Fresh Start Food Hub is to encourage and promote healthy lifestyles through school and youth programs. Lastly, the grants to the Greater Manchester Chamber of Commerce and the New England Council are to maintain and promote the development of business and relationships in the Greater Manchester and New England communities. The Hospital also gives donations and grants of $5,000 or less to various other recipients which are not detailed on this Schedule I in accordance with IRS Instructions. All charitable donations paid by the Hospital are made to further community health or to advance programs, causes, and/or networks that contribute to the Hospital's exempt mission. X X X X X 1 1 0 0 0 0 0 1 0 Brad Kreick President & CEO, SolutionHealth 0 941976 0 187833 0 2118 0 204430 0 1046 0 1337403 0 0 William G Baxter President & CEO 801517 0 240000 0 21784 0 146657 0 35752 0 1245710 0 0 0 Joseph Felkner Former SVP/CFO 0 644355 0 143999 0 170491 0 167805 0 12632 0 1139282 0 155050 Carl Fier MD Trustee 0 930283 0 0 0 2322 0 9150 0 32744 0 974499 0 0 Sherry Hausmann Former Pres/CEO, SolutionHealth 0 0 0 0 0 910000 0 0 0 0 0 910000 0 0 Marina Feldman MD Trustee 0 779277 0 21249 0 540 0 9150 0 42087 0 852303 0 0 Kevin Desrosiers MD CMO & EMG Acute Care Services 453734 0 63136 0 994 0 9150 0 34691 0 561705 0 0 0 Holly Mintz SVP, CMO, EMG Ambulatory Care 398840 0 63136 0 24680 0 9150 0 28569 0 524375 0 0 0 Joseph T Curti Chief Operating Officer 368717 0 74668 0 21399 0 11174 0 34864 0 510822 0 0 0 Michael Turilli SVP Finance/CFO, SolutionHealth 0 459108 0 0 0 4132 0 0 0 29058 0 492298 0 0 Martha Leighton MD Senior VP & CNO 284395 0 58000 0 1460 0 12932 0 14058 0 370845 0 0 0 L John Klunk SVP, CMO, EMG Ambulatory Care 288474 0 29496 0 731 0 9538 0 36011 0 364250 0 0 0 Marjan Makatam-Abrams MD Trustee 0 253339 0 0 0 16864 0 8541 0 26212 0 304956 0 0 Nancy Husarik MD Trustee 0 231616 0 3470 0 982 0 11167 0 25463 0 272698 0 0 Part I, Lines 4a-b Schedule J, Line 4a, Severance Payments: SolutionHealth, a related organization, is the direct controlling entity of Elliot Health Systems, which is in turn the direct controlling entity of the Elliot Hospital of the City of Manchester. Sherry Hausmann served as the CEO of SolutionHealth through October 2021. As Ms. Hausmann ended her term of service in a previous tax year, she has been deemed a "Former Officer" on this Form 990. Pursuant to the end of her term of service, Ms. Hausmann received gross severance compensation during the 2022 calendar year in the amount of $910,000, which has been reported on this Form 990, Schedule J, Part II, Column B(iii) as "Other Compensation". Of this $910,000 total payment, Ms. Hausmann elected to defer $19,000 to her 457(b) plan. Schedule J, Line 4b, Supplemental Non-Qualified Retirement Plans: The Elliot Health System and SolutionHealth, the parent-organization of the System, maintain 457(f) deferred compensation plans. William G. Baxter, President & CEO of the Elliot Health System; Brad Kreick, current President & CEO of SolutionHealth; and Joseph Felkner, the Former SVP/CFO of SolutionHealth, each received contributions to their 457(f) deferred compensation plans during the 2022 calendar year. (As Mr. Felkner's term of service with SolutionHealth ended in a previous tax year, he has been deemed to be a "Former Officer" on this Form 990, Part VII, and Schedule J.) The contributions received by each individual to their respective 457(f) plan were as follows: William G. Baxter - $137,507; Brad Kreick - $199,123; and Joseph Felkner - $164,925. These amounts have been reported within the named individuals' deferred compensation figures as shown on this Schedule J, Part II, Column C. Additionally, Mr. Felkner took taxable distributions from his 457(f) plan during the 2022 calendar year in the amount of $155,050. Such amounts have been included within "Other Compensation" as reported on this Schedule J, Part II, Column B(iii). Furthermore, as such distributions relate to and have been paid from previous tax year 457(f) plan deferrals, the $155,050 2022 taxable distributions have also been reported as Prior Compensation, as shown on this Schedule J, Part II, Column F. The System historically maintained a defined benefit pension plan for certain employees, the Elliot Health System Pension Plan (the Plan). Effective July 1, 2006, the Plan was amended to close the Plan to employees hired after June 30, 2006. Eligible employees hired prior to July 1, 2006 are grandfathered under the Plan and will continue to accrue benefits as long as they remain at a participating System entity and in an eligible status. The System's funding policy is to contribute amounts to the Plan sufficient to meet minimum funding requirements set forth in the Employee Retirement Income Security Act of 1974, plus such additional amounts as might be determined to be appropriate from time to time. The Plan is intended to constitute a plan described in Section 414(k) of the Internal Revenue Code, under which benefits derived from employer contributions are based on the separate account balances of participants in addition to the defined benefits under the Plan. In calendar year 2022, no officers or other employees of Elliot Hospital received defined contributions under the now-closed 414(K) plan. Additionally, there were no defined benefit accrual adjustments for any of the Organization's listed individuals for the 2022 calendar year. 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 of a number of critical Board Designated Goals. These goals are established annually by the management team with final approval by the independent Compensation Committee of the Board of Trustees with assistance from an independent national compensation consulting firm. The incentive award payments under the plan are considered by the compensation consultant and presented to and approved by the Compensation Committee of the Board of Trustees. A NH Health & Education Facilities Authority 020279866 6446148D4 2016-11-15 147020000 advance refund 2009 bonds; finance capital expenditures; pay issuance costs 0 0 0 B NH Health & Education Facilities Authority 020279866 2019-08-30 20500000 Lease equipment for the purpose of equipping projects 0 0 0 A 4850000 147020000 133100707 1560329 30000000 2018 1 1 1 1 B 1982478 20462431 37569 20500000 115 2020 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 Date Rebate Computation Performed Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 09/30/2020 Form 990, Part VI, Section A, line 6 Elliot Health System is the sole member of The Elliot Hospital of the City of Manchester. Form 990, Part VI, Section A, line 7a Elliot Hospital is governed by a Board of Trustees identical in composition to its sole member, Elliot Health System. Form 990, Part VI, Section B, line 11b The completed Form 990 is presented to the full Board prior to filing. Board members can review the draft and bring any questions forward for discussion prior to filing. Form 990, Part VI, Section B, line 12c Officers, directors, and key employees are required to sign a conflict of interest form annually, which reports any potential conflict of interest arrangements with the organization. Form 990, Part VI, Section B, line 15 The Compensation Committee of the Board of Trustees retains independent compensation consultants to evaluate the total compensation of the President and CEO and their executive direct reports. The consultants utilize independent market data reflecting comparable benchmarks from like organizations. Recommendations of the consultant, covering total compensation, are reviewed and approved by the Compensation Committee of the Board of Trustees. The Compensation Committee retains minutes of its meetings. The Compensation Committee is comprised of Board members who are independent and have no conflicts of interest. An independent consulting firm is also retained by the organization to review the compensation of the other officers and key employees. The consultants utilize independent market data reflecting comparable benchmarks from like organizations and this information is presented to the President and CEO for review and approval. 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: Net periodic pension gain, net of service cost 2,130,378. Pension liability adjustment 5,767,685. Transfers to affiliates (net) -67,836,389. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Form 990, Parts VIII-XI: The consolidated audited financial statements for The Elliot Hospital of the City of Manchester and subsidiaries report various revenue, expense, asset, and net asset amounts for the Hospital inclusive of a related organization, Elliot Health System Professional & General Liability Trust (EIN: 01-6217452). All revenue, expense, and balance sheet items related to Elliot Health System Professional & General Liability Trust have been extracted from amounts reported for the Hospital on this Form 990 and all accompanying schedules. Elliot Health System Professional & General Liability Trust is a separate legal entity filing its own Form 990, and items related to it have been reported there. Elliot Health System 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020509911 Management NH 501(c)(3) Line 12b, II SolutionHealth 0 Elliot Health System Professional & General LIT 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 016217452 Insurance Trust NH 501(c)(3) Line 12a, I Elliot Hospital 1 Elliot Hospital Associates 1 Elliot Way Manchester NH 031033599 026006214 Auxiliary NH 501(c)(3) Line 12d, III-O N/A 0 Elliot Physician Network 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020509589 Physician Services NH 501(c)(3) Line 3 Elliot Hospital 1 Elliot Professional Services Network 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 331003630 Physician Services NH 501(c)(3) Line 10 Elliot Hospital 1 Foundation Medical Partners Inc 8 Prospect Street Nashua NH 03060 020456218 Physician Services NH 501(c)(3) Line 10 Southern New Hampshire Health System 0 Home Health and Hospice Care 7 Executive Park Drive Merrimack NH 03054 237331452 Home Care and Hospice NH 501(c)(3) Line 7 SolutionHealth 0 Legacy Trust of Southern New Hampshire Health Inc 8 Prospect Street Nashua NH 03060 844779887 Fundraising NH 501(c)(3) Line 7 Southern New Hampshire Health System 0 Mary and John Elliot Charitable Foundation 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020512229 Fundraising NH 501(c)(3) Line 7 Elliot Health System 0 SolutionHealth 360 Route 101 Unit 8 Manchester NH 03110 830741190 Supporting Organization NH 501(c)(3) Line 12a, I N/A 0 Southern New Hampshire Health System 8 Prospect Street Nashua NH 03060 020509221 Medical Services NH 501(c)(3) Line 12b, II SolutionHealth 0 Southern New Hampshire Medical Center 8 Prospect Street Nashua NH 03060 020483054 Medical Services NH 501(c)(3) Line 3 Southern New Hampshire Health System 0 The Surgery Center of Greater Nashua 10 Prospect Street Nashua NH 03060 461084049 Medical Services NH 501(c)(3) Line 3 Southern New Hampshire Health System 0 VNA Home Health and Hospice Services Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020222241 Home Care and Hospice NH 501(c)(3) Line 10 Elliot Health System 0 VNA of Manchester & Southern NH Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020395296 VNA Holding Company NH 501(c)(3) Line 12b, II Elliot Health System 0 VNA Personal Services Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020395295 Private Health and Homemaker Services NH 501(c)(3) Line 10 Elliot Health System 0 Elliot Common Trust Fund LLC 1 Elliot Way Manchester NH 03103 203653624 Investments NH Elliot Hospital Excluded 3934756 126194103 0 0 0.79010 Elliot Health System Holdings & Subsidiaries 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020512224 Management NH N/A C 0 0 1 1 1 1 0 0 0 0 1 1 0 1 0 1 1 1 1 1 Elliot Professional Services Network Inc D 1576951 Cash Value Elliot Physician Network Inc D 1569760 Cash Value Elliot Professional Services Network Inc J 1587497 Cash Value Elliot Professional Services Network Inc P 6887340 Cash Value Elliot Physician Network Inc P 6857780 Cash Value Elliot Professional Services Network Inc Q 18088925 Cash Value Elliot Physician Network Inc Q 21615315 Cash Value Elliot Professional Services Network Inc R 42460000 Cash Value Elliot Physician Network Inc R 11270000 Cash Value Elliot Common Trust Fund LLC B 172518 Cash Value Elliot Common Trust Fund LLC S 10500 Cash Value Elliot Health System 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020509911 0 0 0 76 76 15 4 0 0 0 VNA of Manchester & Southern New Hampshire Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03101 020395296 0 2697 2697 1928462 1931159 246558 61640 0 0 0 The Elliot Hospital of the City of Manchester 1 Elliot Way Manchester NH 03103 020232673 X 0 56691 56691 580204590 580261281 1000000 250000 0 0 0 Elliot Professional Services Network 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 331003630 0 0 0 116821735 116821735 1000000 250000 0 0 0 Elliot Physician Network 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020509589 0 0 0 47956802 47956802 1000000 250000 0 0 0 Mary and John Elliot Charitable Foundation 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020512229 0 0 0 2886789 2886789 294339 73585 0 0 0 Elliot Health System Professional & General Liability Insurance Trust 1 Elliot Way Manchester NH 03101 016217452 0 0 0 1889750 1889750 244488 61122 0 0 0 VNA Personal Services Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03101 020395295 0 0 0 52424 52424 10485 2621 0 0 0 VNA Home Health & Hospice Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03101 020222241 0 3358 3358 15452163 15455521 922776 230694 0 0 0