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ObjectId: 201841309349300974 - Submission: 2018-05-10
TIN: 02-0395296
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Information about Schedule R (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
16
Open to Public Inspection
Name of the organization
Visiting Nurse Association of Manchester
and Southern New Hampshire Inc
Employer identification number
02-0395296
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
Elliot Health System
1070 Holt Avenue Unit 1 Suite 2100
Manchester
,
NH
03109
02-0509911
Management
NH
501(c)(3)
Line 12b, II
N/A
No
(2)
Elliot Health System Professional and General LIT
1070 Holt Avenue Unit 1 Suite 2100
Manchester
,
NH
03109
01-6217452
Insurance Trust
NH
501(c)(3)
Line 12a, I
Elliot Hospital
No
(3)
Elliot Hospital
1 Elliot Way
Manchester
,
NH
03109
02-0232673
Physician Services
NH
501(c)(3)
Line 3
Elliot Health System
No
(4)
Elliot Physician Network
1070 Holt Avenue Unit 1 Suite 2100
Manchester
,
NH
03109
02-0509589
Physician Services
NH
501(c)(3)
Line 3
Elliot Hospital
No
(5)
Elliot Professional Services Network Inc
1070 Holt Avenue Unit 1 Suite 2100
Manchester
,
NH
03109
33-1003630
Physician Services
NH
501(c)(3)
Line 10
Elliot Hospital
No
(6)
Everwell Inc
1 Medical Center Drive
Lebanon
,
NH
03756
35-2506275
Supporting Organization
NH
501(c)(3)
Line 12a, I
N/A
No
(7)
Mary and John Elliot Charitable Foundation
1070 Holt Avenue Unit 1 Suite 2100
Manchester
,
NH
03109
02-0512229
Fundraising
NH
501(c)(3)
Line 7
Elliot Health System
No
(8)
VNA Community Services Inc
1070 Holt Avenue Unit 1 Suite 2100
Manchester
,
NH
03109
02-0396549
Nursing Services
NH
501(c)(3)
Line 7
Elliot Health System
No
(9)
VNA Personal Services Inc
1070 Holt Avenue Unit 1 Suite 2100
Manchester
,
NH
03109
02-0395295
Private Health and Homemaker Services
NH
501(c)(3)
Line 10
Elliot Health System
No
(10)
VNA Home Health and Hospice Services Inc
1070 Holt Avenue Unit 1 Suite 2100
Manchester
,
NH
03109
02-0222241
Home Care and Hospice
NH
501(c)(3)
Line 10
Elliot Health System
No
(11)
VNA of Southern New Hampshire Foundation
1070 Holt Avenue Unit 1 Suite 2100
Manchester
,
NH
03109
22-3313877
Supporting Organization
NH
501(c)(3)
Line 12a, I
VNA of Manchester & SNH
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2016
Page 2
Schedule R (Form 990) 2016
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
Elliot Common Trust Fund LLC
One Elliot Way
Manchester
,
NH
03103
20-3653624
Investments
NH
N/A
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
Elliot Health System Holdings & Subsidiaries
1070 Holt Avenue Unit 1 Suite 2100
Manchester
,
NH
03109
02-0512224
Management
NH
N/A
C
No
Schedule R (Form 990) 2016
Page 3
Schedule R (Form 990) 2016
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
No
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
No
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
No
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
No
q
Reimbursement paid by related organization(s) for expenses
............................
1q
Yes
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
Schedule R (Form 990) 2016
Page 4
Schedule R (Form 990) 2016
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2016
Page 5
Schedule R (Form 990) 2016
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2016
Additional Data
Software ID:
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