2021-05-10T10:32:21-05:00 2020-06-30 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2019-07-01 830741190 Solutionhealth SOLU 6036695300 360 Route 101 Unit 8 Bedford NH 03110 Joseph Felkner Current Executive VP & CFO 6036695300 2021-04-14 1 Nicholas E Porto P01310283 2078792100 2021-04-14 2019 2022-09-23 18:48:47Z SolutionHealth Sherry Hausmann 360 Route 101 Unit 8 Bedford NH 03110 21174050 0 X www.solutionhealth.org X 2018 NH To support and facilitate an integrated community-based, regional health care delivery system among the Southern New Hampshire and Elliot Hospital Systems. 11 8 9 9 0 0 0 0 3375278 21174050 0 0 0 0 3375278 21174050 0 0 0 0 2438173 19350832 0 0 0 949013 1894795 3387186 21245627 -11908 -71577 3870889 14038238 2470353 10768381 1400536 3269857 X SolutionHealth is a highly coordinated community based regional health care network founded by Elliot Health System, Inc. and Southern New Hampshire Health System, Inc. Its purpose is to better serve the healthcare needs and interests in the specific communities served by Elliot and SNHH respectively, and southern New Hampshire as a region by improving and increasing access, quality, value and community benefits, while maintaining the affordability of healthcare. 0 0 20850012 0 21174050 SolutionHealth allows the Elliot Health System and the Southern New Hampshire Health System (the "Hospital Systems") to establish a regional healthcare organization in New Hampshire that combines resources and skill-sets from both Hospital Systems. This strategic collaboration allows the two Hospital Systems to:- support and facilitate an integrated community-based, regional health care delivery system among the Hospital Systems;- align the missions and economic interests of the Hospital Systems to enhance care for the communities served;- engage in collaborative regional planning relating to the delivery of health care services in southern New Hampshire;- create a high degree of interdependence and cooperation in a health care network so as to control costs, increase value, ensure quality, and improve access in the communities served by the Hospital Systems;- enhance regional access for those served by the Hospital Systems;- support, protect and enhance the ability of the Hospital Systems to perform their existing historic charitable mission in the future; and- strengthen the charitable missions of the Hospital Systems, embracing a commitment to southern New Hampshire as a region. 20850012 1 0 0 0 0 0 0 0 0 0 1 1 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 1 1 0 0 1 17 0 1 9 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NH X Joseph Felkner CFO 6036695300 360 Route 101 Unit 8 Bedford NH 03110 Michael S Rose CFO and SNHHS Rep (end 6/20) 1.00 42.00 X 0 1021323 138979 Sherry Hausmann President & CEO 41.00 0.00 X X 986215 0 168506 William G Baxter Elliot Hospital Representative 2.00 51.00 X 0 809867 140398 Lawrence M Hoepp MD Trustee 1.00 40.00 X 0 845816 26217 Kelly Corbi Chief Operations Officer 40.00 0.00 X 610838 0 95090 John E Friberg Chief Legal Officer (begin 1/20) 40.00 0.00 X 0 582670 80987 Stephen Loosigian DO Trustee 1.00 42.00 X 0 533294 47753 Bill Lewkowski Chief Information Officer 40.00 0.00 X 478852 0 75211 Steve Norton Community Service Officer 40.00 0.00 X 294259 0 57058 Sylvie N White Senior Executive Assistant 40.00 0.00 X 148661 0 14595 Colin McHugh Interim SNHHS Representative 2.00 44.00 X 25270 0 2025 Howard Brodsky Trustee 1.00 0.00 X 0 0 0 Clifford Kinghorn Trustee 1.00 0.00 X 0 0 0 James K Steiner Trustee 1.00 0.00 X 0 0 0 Timothy C Sullivan Trustee 1.00 4.00 X 0 0 0 Dianne Mercier Chair 1.00 0.00 X X 0 0 0 Praveen Suchdev MD Vice Chair 1.00 0.00 X X 0 0 0 John A Hession Treasurer 1.00 5.00 X X 0 0 0 Martha E O'Neill Secretary 1.00 0.00 X X 0 0 0 2544095 3792970 846819 5 0 1 0 ECG Topco Holdings LLC 111512 El Camino Real Suite 200 San Diego CA 20958 Investment Management 162594 1 Management fees 541610 21174050 21174050 21174050 21174050 21174050 0 0 1887944 1699150 188794 12132580 12132580 732526 732526 3485131 3485131 1112651 1112651 44098 44098 15325 15325 993658 971281 22377 78049 78049 82186 82186 42835 42835 145559 145559 88639 88639 85120 85120 32686 32686 286640 286640 21245627 20850012 395615 0 1626464 5220280 64460 0 230799 1296242 356329 44595 344420 311734 653727 1110047 951019 6099935 3870889 14038238 609303 6144405 230798 216213 1630252 4407763 2470353 10768381 X 1400536 3269857 1400536 3269857 3870889 14038238 X -71577 1940898 X X 0 1 X 1 0 X X X 6 Elliot Hospital 020232673 3 1 0 9919480 Southern New Hampshire Medical Center 020483054 3 1 0 11326147 Foundation Medical Partners 020456218 10 0 0 0 Elliot Physician Network 020509589 3 0 0 0 Elliot Professional Services Network Inc 331003630 10 0 0 0 Mary and John Elliot Charitable Foundation 020512229 7 0 0 0 6 0 21245627 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Schedule A, Part IV, Section A, Line 1: Some of the organizations listed in Schedule A, Part I, Line 12g are not identified specifically by name in SolutionHealth's governing documents as supported organizations. However, each is part of a designated class of organizations in SolutionHealth's governing documents. Pursuant to its Articles of Agreement, SolutionHealth was established to support or benefit, within the meaning of Section 509(a)(3) of the Internal Revenue Code (the "Code"), Elliot Hospital and Southern New Hampshire Medical Center health systems, and all subsidiaries or affiliates thereto qualifying as organizations described in Section 509(a)(1) or 509(a)(2) of the Code. Accordingly, SolutionHealth, as permitted by its governing and organizing documents, has listed in Schedule A, Part I, Line 12g all affiliates of the aforementioned hospital systems that qualify as Section 509(a)(1) or 509(a)(2) public charities. Schedule A, Part I, Line 12g, Column v & vi: The sole purpose of SolutionHealth is to support the charitable healthcare functions of its related entities. SolutionHealth accomplishes this by providing management and healthcare support services. The monetary value of this support can be approximated by the dollar value of program service revenue SolutionHealth receives in the form of management service fees from each respective supported organization. 199101 19712 179389 157228 24883 132345 311734 Deferred Compensation Plan Investments 1110047 F 1110047 Due from Affiliates 6099935 6099935 Due to Affiliates 3297716 Deferred Compensation Plan Obligations 1110047 4407763 X 21174050 0 21174050 0 21174050 21245627 0 21245627 0 21245627 Part X, Line 2: The System and all related entities, with the exception of Elliot Health System Holdings, Inc. and Subsidiaries, 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 had taken no uncertain tax positions that require adjustment to the financial statements. Elliot Health System Holdings, Inc. is a holding company and its subsidiaries are for-profit companies subject to federal and state taxation. Income taxes are recorded based upon the asset and liability method. X 0 1 X X X X 0 1 0 0 0 0 0 0 0 Michael S Rose CFO and SNHHS Rep (end 6/20) 0 665044 0 307156 0 49123 0 108421 0 30558 0 1160302 0 0 Sherry Hausmann President & CEO 673056 0 270000 0 43159 0 145600 0 22906 0 1154721 0 0 0 William G Baxter Elliot Hospital Representative 0 532468 0 257163 0 20236 0 117694 0 22704 0 950265 0 0 Lawrence M Hoepp MD Trustee 0 821307 0 0 0 24509 0 9725 0 16492 0 872033 0 0 Kelly Corbi Chief Operations Officer 459112 0 116563 0 35163 0 73884 0 21206 0 705928 0 0 0 John E Friberg Chief Legal Officer (begin 1/20) 0 388224 0 174830 0 19616 0 58501 0 22486 0 663657 0 0 Stephen Loosigian DO Trustee 0 503257 0 8438 0 21599 0 24991 0 22762 0 581047 0 0 Bill Lewkowski Chief Information Officer 336513 0 104000 0 38339 0 52951 0 22260 0 554063 0 0 0 Steve Norton Community Service Officer 245692 0 48132 0 435 0 44469 0 12589 0 351317 0 0 0 Sylvie N White Senior Executive Assistant 118801 0 29686 0 174 0 14173 0 422 0 163256 0 0 0 Part I, Line 1a Kelly Corbi and William Lewkowski received housing allowances of $18,433 and $36,356, respectively, which are included in each employee's reportable compensation on Form 990, Part VII, Section A, Column (D) and Schedule J, Part II, Column B(iii). Part I, Line 1b Housing allowances are negotiated by the President & CEO of the organization on a case-by-case basis and only when it is warranted by exceptional circumstances. Any housing allowance allowed by the organization does not result in above market value total compensation paid to any individual. Before agreeing to any compensation package that includes a housing allowance, the President & CEO discusses the package with the organization's independent compensation consultant. Part I, Line 4b The System maintains 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. As SolutionHealth was formed after the system closed its 414(k) plan, and because no officers of SolutionHealth were grandfathered into the system's 414(k) plan, no trustees or officers received any defined benefit payments or contributions from the 414(k) plan in calendar year 2019. Additionally, defined benefit amounts for Stephen Loosigan of $24,991 and Sylvie White of $14,173, which include the actuarial changes in value for the year, are included in Schedule J, Part II, Column C and Form 990, Part VII-A, Column F as deferred compensation. Southern New Hampshire Medical Center provides a Supplemental Executive Retirement Plan, a 457(f) plan, to certain executives. Funding for this plan during the year was provided to Michael S. Rose totaling $97,221. 2019 contributions to the Supplemental Executive Retirement Plans, also 457(f) plans, included a payment for William G. Baxter of $107,969 and John Friberg of $48,776, paid by Elliot Hospital. SolutionHealth made 457(f) contributions in the amount of $140,000 for Sherry Hausmann, $73,884 for Kelly Corbi, $52,951 for Bill Lewkowski, and $39,394 for Steve Norton. Form 990, Part VI, Section A, line 7a The Board of Trustees shall consist of eleven voting members. Each Hospital system is authorized to nominate a replacement for two specific trustee positions. SolutionHealth's board is authorized to nominate a replacement for four specific trustee positions. SolutionHealth's board must include a member of the medical staff of each Hospital. The nominations of new trustees are subject to the approval of the remaining SolutionHealth trustees. Form 990, Part VI, Section B, line 11b A copy of the 990 was prepared by an independent accounting firm and then reviewed by key financial personnel of Elliot Hospital and Southern New Hampshire Medical Center. Once a final version was ready it was presented to the full Board of Trustees prior to submission to the Internal Revenue Service. Form 990, Part VI, Section B, line 12c SolutionHealth officers and trustees are required to disclose to the Board of Trustees anytime a conflict of interest or pecuniary benefit transaction may exist. Every trustee or officer or member of the immediate family of such trustee or officer, who engages in a pecuniary benefit transaction involving SolutionHealth shall provide copies of all contracts, payment records, vouchers, other financial records, or other financial documents at the request of the Director of Charitable Trusts in accordance with N.H. RSA 7:24. All documents provided may be disclosed to the public for inspection and copying, subject to applicable confidentiality laws. SolutionHealth maintains a list disclosing each and every pecuniary benefit transaction, including the names of those whom the benefit accrued and the amount of the benefit, and keeps such list available for public inspection by members of the governing body and contributors to the Organization. Form 990, Part VI, Section B, line 15a The compensation for the Organization's President & CEO was evaluated and established by the officers of the board of directors, based on guidance from an outside compensation consultant and market survey data. The governance committee of the board of directors also acts as the executive compensation committee, and fulfills this function. The President & CEO of SolutionHealth is an employee of SolutionHealth, however, Elliot Hospital serves as the common paymaster for SolutionHealth and issues her W-2. 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 XI, line 9: Transfers from Affiliates 1,940,898. Form 990, Part XII, Line 2C: For its fiscal year ended June 30, 2020, SolutionHealth engaged a third-party independent accounting firm to provide an audit of its financial statements as consolidated with Elliot Health System and the Southern New Hampshire Health System. The audit is overseen by key financial personnel of Elliot Hospital and Southern New Hampshire Medical Center. The audit oversight and review process is unchanged from the audit process utilized by the Elliot Health System, which uses the same independent third-party accounting firm to audit its own financial statements. Elliot Health System 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020509911 Management NH 501(c)(3) Line 12b, II SolutionHealth 1 Elliot Hospital 1 Elliot Way Manchester NH 03103 020232673 Medical Services NH 501(c)(3) Line 3 Elliot Health System 1 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 1 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 1 Southern New Hampshire Health System 8 Prospect Street Nashua NH 03060 020509221 Medical Services NH 501(c)(3) Line 12b, II SolutionHealth 1 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 1 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 VNA Community Services Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020396549 Nursing Services NH 501(c)(3) Line 7 Elliot 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 of Southern New Hampshire Foundation 1070 Holt Avenue Unit 1 Suite 1400 Manchester NH 03109 223313877 Supporting Organization 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 N/A 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 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 Southern New Hampshire Medical Center L 1053081 Actual per Books Elliot Hospital L 1053081 Actual per Books Southern New Hampshire Medical Center O 19350832 Actual per Books Elliot Hospital O 17944164 Actual per Books Southern New Hampshire Medical Center Q 841714 Actual per Books Elliot Hospital Q 841714 Actual per Books