2024-04-19T13:22:11-05:00 2023-06-30 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2022-07-01 020456218 Foundation Medical Partners FOUN 6035772000 8 Prospect Street Nashua NH 030603928 Colin T McHugh President of FMP 6035772000 2024-04-04 1 Colin McHugh 999009999 0 Connor Smart P02285543 6036262200 2024-04-04 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z Colin T McHugh 8 Prospect Street Nashua NH 030603928 125311940 0 X www.snhhs.org X 1992 NH The Organization is dedicated to providing exceptional care that improves the health and well-being of individuals and communities we serve 14 10 1017 13 0 0 2079698 1384443 124025260 122539200 -100009 0 1388297 1388297 127393246 125311940 0 0 0 0 106615016 112233692 0 0 0 56716987 52696193 163332003 164929885 -35938757 -39617945 51959863 57147729 55213822 59510897 -3253959 -2363168 X The Organization is dedicated to providing exceptional care that improves the health and well-being of individuals and communities we serve. The Organization is a provider of choice, delivering convenient access to high value, quality care in an environment that embraces dignity, compassion and service to the people of our community. 0 0 156501723 123927497 Health Care Services 156501723 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 50 0 1 1017 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NH MA X Kenneth Matsis 6032819286 8 Prospect Street Nashua NH 030603928 X Karen Maynard MD Trustee 42.00 6.00 X 781132 0 46452 Colin T McHugh SNHMC President/CEO/Secretary 2.00 48.00 X X 0 447154 21833 James Watkins FMP Interim President 40.00 0.00 X X 0 416000 0 Marc Sadowsky MD Trustee 2.00 4.00 X 0 12000 0 Melliyal Annamalai Trustee 2.00 4.00 X 0 0 0 Sister Paula Marie Buley Trustee 2.00 4.00 X 0 0 0 Alonzo Deberry Trustee 2.00 4.00 X 0 0 0 Michael Gonzales Trustee (end 12/2022) 2.00 4.00 X 0 0 0 Helen Honorow Esq Trustee 2.00 4.00 X 0 0 0 Mary Jordan Trustee (end 12/2022) 2.00 4.00 X 0 0 0 The Hon Joseph N Laplante Trustee 2.00 4.00 X 0 0 0 K Brian McLaughlin Trustee 2.00 4.00 X 0 0 0 Eitan Zeira Trustee 2.00 4.00 X 0 0 0 Craig Fitzgerald Acting Chair 2.00 4.00 X X 0 0 0 Timothy Sullivan Esq Chair (end 12/2022) 2.00 4.00 X X 0 0 0 Bobbie D Bagley Vice Chair 2.00 4.00 X X 0 0 0 Mark William Begor Jr Treasurer 2.00 4.00 X X 0 0 0 Michael J DeLeo III Chief Medical Officer 40.00 0.00 X 983049 0 49690 Paul Trainor Senior VP, CFO/Treasurer (end 1/23) 2.00 48.00 X 0 470498 56500 Tung T Nguyen MD Physician 40.00 0.00 X 1130714 0 75777 Michael R Kaczanowski MD Physician 40.00 0.00 X 1092340 0 99967 Mollie A MacCormack MD Physician 40.00 0.00 X 1080110 0 41817 Witta Jassir Physician 40.00 0.00 X 941718 0 76566 Edward A Sirlin III MD Physician 40.00 0.00 X 857507 0 73187 Michael S Rose Former SNHHS Pres./CEO/Sec. 0.00 0.00 X 0 936549 0 Susan Desocio Former Pres. Fnd. Medical Partners 0.00 0.00 X 0 862986 0 Robert Dorf DO EO Former Pres. Fnd. Medical Partners 0.00 0.00 X 285968 104674 10493 Scott A Wolf DO Former SNHHS Pres./CEO/Sec. 0.00 0.00 X 0 332693 10615 Mark Santos Former Pres. Fnd. Medical Partners 0.00 0.00 X 0 242870 20111 Thomas Wilhelmsen Jr Former SNHHS Pres./CEO/Sec. 0.00 0.00 X 0 369231 0 7152538 4194655 583008 257 1 1 1 Medicus Radiology Services LLC 22 Roulston Road Windham NH 03087 Professional services 844621 Weatherby Locum 6451 North Federal Hwy Suite 800 Fort Lauderdale FL 33308 Professional services 621677 Virtual Radiologic Corp 11995 Singletree Lane Suite 5000 Minneapolis MN 55344 Medical services 550861 ASD Specialty Healthcare Inc 1 West First Avenue Conshohocken PA 19428 Professional services 479153 Medicus Healthcare Solutions LLC 22 Roulston Road Windham NH 03087 Professional services 242194 7 1384443 1384443 Offices of physicians 621110 126922735 126922735 Provision for bad debt 621110 -4383535 -4383535 122539200 1388297 0 1388297 1388297 1388297 125311940 123927497 0 0 X 1860323 1860323 91071096 87139579 3931517 4997252 4715709 281543 8814998 8330232 484766 5490023 5149590 340433 22160201 21524332 635869 97633 91579 6054 376159 352835 23324 7914994 7498277 416717 644253 535711 108542 234200 234200 841350 798132 43218 2826841 2826841 Drugs/medical supplies 16518893 16461074 57819 Physician recruitment 631359 631359 Linen and laundry 239680 239680 Telephone 128474 124637 3837 82156 82156 164929885 156501723 8428162 0 11017449 8629488 1604657 511782 1364945 2042825 23816312 18641684 5738623 5174628 4639568 32234189 36149438 51959863 57147729 6913329 6389696 3678117 3332745 44622376 49788456 55213822 59510897 X -3253959 -2363168 -3253959 -2363168 51959863 57147729 X -39617945 40508736 X X 0 1 X 1 0 X 1271609 1384443 2656052 93780320 117018082 126187618 126221646 123927497 587135163 93780320 117018082 126187618 127493255 125311940 589791215 0 0 0 589791215 93780320 117018082 126187618 127493255 125311940 589791215 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 470501 470501 7091866 4033505 3058361 9022483 8195479 827004 7231462 6412700 818762 5174628 Pension and insurance obligations 36091003 Long-term portion of sign-on-bonus 58435 36149438 Accrued pension liability 36091003 Accrued payroll liability 6732615 Malpractice obligations 1305936 Accrued benefits 928471 Other liabilities 90863 Operating lease liability 4007377 Current portion of Operating Leaase Liability 632191 49788456 X Part X, Line 2: The System, Medical Center, Surgery Center, Legacy Trust and Foundation 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 System's tax positions and concluded the System has maintained its tax-exempt status, does not have any significant unrelated business income and has taken no uncertain tax positions that require adjustment to the consolidated financial statements. 1 1 0 0 0 0 0 1 0 Tung T Nguyen MD Physician 1092108 0 0 0 38606 0 41672 0 34105 0 1206491 0 0 0 Michael R Kaczanowski MD Physician 1072030 0 0 0 20310 0 38216 0 61751 0 1192307 0 0 0 Mollie A MacCormack MD Physician 1058800 0 0 0 21310 0 37783 0 4034 0 1121927 0 0 0 Michael J DeLeo III Chief Medical Officer 551672 0 410417 0 20960 0 18522 0 31168 0 1032739 0 0 0 Witta Jassir Physician 939396 0 0 0 2322 0 40578 0 35988 0 1018284 0 0 0 Michael S Rose Former SNHHS Pres./CEO/Sec. 0 0 0 0 0 936549 0 0 0 0 0 936549 0 0 Edward A Sirlin III MD Physician 836521 0 0 0 20986 0 35321 0 37866 0 930694 0 0 0 Susan Desocio Former Pres. Fnd. Medical Partners 0 0 0 0 0 862986 0 0 0 0 0 862986 0 0 Karen Maynard MD Trustee 770351 0 0 0 10781 0 11685 0 34767 0 827584 0 0 0 Paul Trainor Senior VP, CFO/Treasurer (end 1/23) 0 370657 0 62178 0 37663 0 53361 0 3139 0 526998 0 0 Colin T McHugh SNHMC President/CEO/Secretary 0 375668 0 69779 0 1707 0 0 0 21833 0 468987 0 0 James Watkins FMP Interim President 0 416000 0 0 0 0 0 0 0 0 0 416000 0 0 Robert Dorf DO EO Former Pres. Fnd. Medical Partners 175472 104674 0 0 110496 0 0 0 10493 0 296461 104674 0 0 Thomas Wilhelmsen Jr Former SNHHS Pres./CEO/Sec. 0 269231 0 100000 0 0 0 0 0 0 0 369231 0 0 Scott A Wolf DO Former SNHHS Pres./CEO/Sec. 0 0 0 0 0 332693 0 0 0 10615 0 343308 0 0 Mark Santos Former Pres. Fnd. Medical Partners 0 239242 0 0 0 3628 0 0 0 20111 0 262981 0 0 Part I, Lines 4a-b Schedule J, Part 1, Line 4a: Foundation Medical Partners is closely related to and operates in tandem with the Southern New Hampshire Medical Center as part of the Southern New Hampshire Health System. Accordingly, in alignment with IRS Form 990 Instructions, certain key management officers of the Medical Center are also deemed to be officers of Foundation Medical Partners. Michael Rose, who served Southern New Hampshire Medical Center (SNHMC) as its President and CEO, left the organization during a previous tax year. Mr. Rose received severance payments from SNHMC during the 2022 calendar year. Additionally, Susan Desocio, who served as the President of Foundation Medical Partners through November 2019, also received severance compensation during the 2022 calendar year. Scott Wolf, who served as the President of the Medical Center in a previous tax year, also received severance compensation during the 2022 calendar year. Lastly, Robert Dorf, who served as the President of Foundation Medical Partners during this tax year, also began to receive severance compensation during the 2022 calendar year. The severance payments for each of these individuals are reflected in these individuals' respective compensation as reported on Schedule J, Part II, Column B(iii), as follows: Michael Rose - $936,549; Susan Desocio - $862,986; Scott Wolf - $332,693; and Robert Dorf - $106,080. As neither Michael Rose, Susan Desocio, Robert Dorf, nor Scott Wolf served this Organization or a listed related organization in any capacity during this tax year, each individual has been listed as a "former" officer on this Form 990, Part VII and Schedule J, in accordance with IRS Instructions. Thomas Wilhelmsen and Mark Santos were also a former officers for purposes of reporting on this Form 990, Part VII and Schedule J. However, neither Mr. Wilhelmsen nor Mr. Santos received any severance compensation as reported within their 2022 Forms W-2 wages. Schedule J, Part I, Line 4b: Southern New Hampshire Medical Center provides a Supplemental Executive Retirement Plan to certain executives. Funding for this plan during the year was provided as follows: Paul Trainor - $38,861 Part I, Line 7 Foundation Medical Partners providers participate in an incentive compensation plan. Payments are made under the Plan upon providers meeting certain productivity and quailty goals. Total payments under the Plan are subject to a maximum cap. The maximum possible incentive payment available under the Plan is considered by the organization's compensation committee when determining the reasonableness of compensation paid. There is an additional compensation plan available to managers, directors, and senior management that is part of their annual performance plan. The plan takes into consideration quality measures, patient satisfaction, individual goals, budget adherence, and overall organizational performance. The range and overall pool is reviewed and approved by the Board of Trustees. The amount designated for the CEO and CFO are considered in the compensation consultant's analysis of executive compensation. Part I, Line 3: The individuals who served as President of Foundation Medical Partners (FMP) were paid by a related organization, Southern New Hampshire Medical Center (SNHMC). SNHMC uses a compensation committee, independent compensation consultant, a compensation survey, and approval by the board or compensation committee to establish the compensation of the organization's CEO. Additionally, SNHMC paid Watkins Associates LLC $416,000 in 2022 in return for consulting services provided by James Watkins in his temporary role as Interim President & CEO of Foundation Medical Partners. Unrelated Organization Compensation Marc Sadowsky, is also the Medical Director of the Medical Center's Electro Convulsive Therapy (ECT) unit. During Calendar year 2022, Southern New Hampshire Medical Center paid New England Neurological Association $12,000 in in return for ECT and weekend coverage provided by Dr. Sadowsky to the Southern New Hampshire Health System. Form 990, Part VI, Section A, line 6 The sole corporate member of the Foundation is Southern New Hampshire Health System, Inc. Form 990, Part VI, Section A, line 7a Southern New Hampshire Health System, Inc. is the sole corporate member of the Foundation Medical Partners, Inc. and the two organizations have overlapping boards with one additional member on the Foundation Medical Partners Inc.'s board--the President of the Foundation Medical Partners, Inc. who serves as ex-officio but not on the board of Southern New Hampshire Health Systems, Inc. Form 990, Part VI, Section A, line 7b The sole Member, Southern New Hampshire Health System, Inc. (SNHHS), may consider any issue that may properly come before any meeting of Foundation Medical Partners (the Foundation). In addition, to any rights and powers conferred on SNHHS by law or these bylaws, the Foundation, and in the bylaws of SNHHS, SNHHS shall, after due consultation with the Board of Trustees of the Foundation: (a) appoint and remove, the President/Chief Executive Officer of the Foundation, subject to ratification of the Board of Trustees of the Foundation; (b) conduct system-wide strategic planning encompassing all corporations, including the Foundation, of which SNHHS is the sole corporate member and periodically develop, adopt, and periodically amend or revise a system-wide strategic plan that, among other things, established strategic priorities for the Foundation; (c) conduct system-wide financial and capital planning encompassing all corporations, including the Foundation, of which SNHHS is the sole corporate member and periodically develop, adopt, and periodically amend or revise system-wide financial plans and operating and capital improvements budget that, among other things, establish financial and budgetary priorities of the Foundation; (d) periodically conduct by appropriate means an evaluation of the performance of each member of a board of trustees of all corporations, including the Foundation, of which SNHHS is the sole corporate member, the results of which shall be used by the SNHHS Governance Committee to determine the Trustee's continued service on such board of trustees. The business and affairs of the Foundation shall be managed by its board of trustees. The Foundation's board, however, shall not, without approval of SNHHS: (a) elect or appoint the members of the Foundation's Board of Trustees or remove such person serving from time to time in that capacity; (b) adopt or amend the Foundation's Mission Statement; (c) adopt, amend or waive any material provision of the Foundation's strategic plan or any annual operating plan or budget; (d) incur indebtedness for borrowed money or enter into any capital lease obligation, in either case, that has not been specifically set forth in a written operating budget approved previously by the Member where the amount of the obligation exceeds $1,000,000 in amount; (e) enter into, agree to enter into or otherwise approve of any transaction including an incorporation, merger, consolidation, affiliation, dissolution, liquidation or sale of substantially all of the assets of the Foundation; (f) authorize expenditures contained in a capital and operating budget, even if previously approved by the Board of Trustees of the Foundation; (g) approve, adopt or enter into a professional or general services contract where the annual expense to the Foundation exceeds $1,000,000 and that has not previously been approved in the Foundation's annual budget; (h) amend the Articles of Agreement or these Bylaws; (i) acquire or agree to acquire by merging, consolidating with or by purchasing substantially all of the assets of any business or corporation, partnership, joint venture, association, business organization or division thereof, except with respect to an entity that is engaged in operating or maintaining a medical practice; and (j) elect or remove officers of the Foundation. Form 990, Part VI, Section B, line 11b A copy of the 990 was presented to the full Board and approved by the Finance Committee of the Board of Trustees prior to submission. Form 990, Part VI, Section B, line 12c The organization requires all its personnel, including Leaders, to formally acknowledge that they have read and will abide by the Code of Conduct, which includes the conflict of interest policy. The Foundation monitors compliance of its conflict of interest process, which requires completion of disclosure forms by all Leaders on an annual basis or on a reappointment basis (every two years) for medical/allied staff, to ensure full compliance. Interim disclosures are also required and reviewed should a subsequent conflict arise. Any related party disclosures require review and approval by a designated committee. An annual compliance report is provided to the Foundation's compliance committee and Board of Trustees. Form 990, Part VI, Section B, line 15 A market analysis is performed for all key employees including the FMP President/CEO on an annual basis. Once the Southern New Hampshire Health System CEO and CFO approve the final compensation figures for key employees, the CEO reports these figures to the chairperson and vice chairperson of the Board. Form 990, Part VI, Section C, line 19 The organization makes its 990 available for inspection upon request. The code of conduct is available on the organization's website. The code of Conduct addresses certain corporate policies including confidentiality, conflicts of interest, patient rights, and governing policies. Form 990, Part VII, Related Organization Compensation The individuals who served as President of Foundation Medical Partners (FMP) were paid by a related organization, Southern New Hampshire Medical Center (SNHMC). SNHMC uses a compensation committee, independent compensation consultant, a compensation survey, and approval by the board or compensation committee to establish the compensation of the organization's CEO. Additionally, SNHMC paid Watkins Associates LLC $416,000 in 2021 in return for consulting services provided by James Watkins. Form 990, Part IX, line 11g Purchased services: Program service expenses 21,524,332. Management and general expenses 635,869. Fundraising expenses 0. Total expenses 22,160,201. Form 990, Part XI, line 9: Transfers from affiliate 40,508,736. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. 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 0 Elliot Hospital One Elliot Way Manchester NH 03103 020232673 Medical Services NH 501(c)(3) Line 3 Elliot Health System 0 Elliot Physician Network 10 Prospect Street Manchester NH 03109 020509589 Physician Services NH 501(c)(3) Line 3 Elliot Hospital 0 Elliot Professional Services Network Inc 10 Prospect Street Manchester NH 03109 331003630 Physician Services NH 501(c)(3) Line 10 Elliot Hospital 0 Everwell Inc 1 Medical Center Drive Lebanon NH 03756 352506275 Supporting Organization NH 501(c)(3) Line 12a, I N/A 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 SNHHS 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 Inc 8 Prospect Street Nashua NH 03060 020509221 Medical Services NH 501(c)(3) Line 12b, II SolutionHealth 0 Southern New Hampshire Medical Center 10 Prospect Street Nashua NH 03060 020483054 Medical Services NH 501(c)(3) Line 3 SNHHS 0 The Surgery Center of Greater Nashua 10 Prospect Street Nashua NH 03060 461084049 Medical Services NH 501(c)(3) Line 3 SNHHS 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 One Elliot Way Manchester NH 03103 203653624 Investments NH N/A 0 0 Elliot Health System Holdings & Subsidiaries 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020512224 Management NH N/A C 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 1 1 1 0 1