2021-02-04T17:06:59-06:00 2020-06-30 010494526 BAKER NEWMAN & NOYES LLC 650 ELM STREET SUITE 302 MANCHESTER NH 03101 990 2019-07-01 020483054 Southern New Hampshire Medical Center SOUT 6035772000 8 Prospect Street PO Box 2014 Nashua NH 030612014 Colin McHugh Interim President 6035772000 2020-12-03 1 Nicholas E Porto P01310283 8002447444 2020-12-03 2019 2022-09-23 18:48:47Z Colin McHugh 8 Prospect Street PO Box 2014 Nashua NH 030612014 293281922 0 X www.snhhealth.org X 1892 NH Southern New Hampshire Medical Center is dedicated to providing exceptional care that improves the health and well-being of individuals and communities we serve. 15 13 2026 225 417916 0 257544 2029325 194639955 243976402 6521587 11437603 3699358 4964411 205118444 262407741 10000 71121 0 0 92266734 124423050 0 0 0 72763369 98362960 165040103 222857131 40078341 39550610 417395129 464724660 141221761 204427922 276173368 260296738 X Southern New Hampshire Medical Center is dedicated to providing exceptional care that improves the health and well-being of individuals and communities we serve. Southern New Hampshire Medical Center 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 179319788 71121 247471048 Provides acute healthcare services to a diverse population base including indigent within southern and central New Hampshire. Southern New Hampshire Medical Center is a nonprofit hospital, serving all who need care, regardless of ability to pay. Medical services provided included 9,434 inpatient admissions, 212,908 outpatient registrations, 37,392 emergency room visits, 4,785 surgical procedures, and 1,252 births. 6491253 0 0 Charity Care ($3,536,993) and other uncompensated care ($2,954,260) at cost. 1781919 0 0 Community health services and health professional education. 187592960 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 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 0 0 0 1 253 0 1 2026 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 15 13 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Paul Trainor 6032819290 8 Prospect Street Nashua NH 03061 Michael S Rose Pres./CEO & Secretary (end 6/2020) 40.00 2.00 X X 1021323 0 138979 Susan DeSocio Pres. Fnd. Medical Ptrs. (end 12/19) 42.00 1.00 X 555501 0 72411 Paul Trainor Senior VP & CFO, Treasurer 40.00 1.00 X 499991 0 48255 Joseph M Leahy MD Physician 40.00 0.00 X 480126 0 49094 Andrew Watt Assoc. VP Med. Info. 40.00 0.00 X 450872 0 36598 Robert Dorf DO EO Pres. Foundation Medical Partners 42.00 1.00 X 0 431753 43625 Dilip Yarabothu Physician 40.00 0.00 X 385484 0 17959 Marc Sadowsky MD Trustee 8.00 2.00 X 39200 0 0 Colin T McHugh Interim President 42.00 2.00 X X 0 25270 2025 Melliyal Annamalai Trustee 2.00 2.00 X 0 0 0 Robert B Eisenberg Trustee (end 1/2020) 2.00 1.00 X 0 0 0 Colleen P Guiry MD Trustee 2.00 0.00 X 0 0 0 Mary Jordan Trustee 2.00 2.00 X 0 0 0 Joseph N Laplante Trustee 2.00 2.00 X 0 0 0 Mary Prindle Trustee 2.00 2.00 X 0 0 0 Rachel Rowe Trustee 2.00 2.00 X 0 0 0 Marlene Santiago MD Trustee 2.00 2.00 X 0 0 0 Charla B Stevens Esq Trustee 2.00 2.00 X 0 0 0 John J Sullivan Trustee 2.00 2.00 X 0 0 0 Phillip Sullivan MD Trustee 2.00 1.00 X 0 0 0 Timothy C Sullivan Esq Trustee 2.00 2.00 X 0 0 0 Timothy J Whitaker Board Chair 2.00 2.00 X X 0 0 0 Thomas A Pursch Board Vice Chair 2.00 2.00 X X 0 0 0 3432497 457023 408946 249 0 1 1 Fulcrum Associates 5 Tech Circle Amherst NH 03031 Construction 1832737 Cerner Corporation 51 Sawyer Road Waltham MA 02453 System support 1460206 Arup Laboratory 500 Chipeta Way Salt Lake City UT 84108 Lab services 1051264 Janitech Inc 60 Pine Street D Methuen MA 01844 Food services 731672 Weatherby Locum 6451 N Federal Highway Ste 800 Fort Lauderdale FL 33308 Healthcare staffing 628345 17 9990 2019335 2029325 Hospital services 621110 256075030 256075030 Provision for bad debts 621110 -12098628 -12098628 243976402 11829548 11829548 4544055 0 4544055 4544055 3492206 1051849 30482236 30874181 -391945 -391945 -391945 Ancillary- NE Rehab Food Services 722210 328696 328696 Ancillary- NE Rehab Environmental 811000 83700 83700 7960 2440 5520 420356 262407741 247471048 417916 12489452 71121 71121 1747748 1747748 100753578 84800921 15952657 3888908 3403727 485181 10799645 8961208 1838437 7233171 6089446 1143725 158685 158685 150000 150000 15220919 12837132 2383787 897292 897292 582627 582627 3793482 3193648 599834 4689598 3948068 741530 158281 133253 25028 208822 175803 33019 2648863 2230019 418844 5309643 5309643 11736906 9881040 1855866 1529156 1287362 241794 Supplies 29245985 24621544 4624441 NH MET 13353132 13353132 Repairs and maintenance 1664645 1401428 263217 Food services 691715 582339 109376 6323209 5312126 1011083 222857131 187592960 35264171 0 32574574 58214326 212284 14093493 26414725 23346056 3936587 4389498 3035939 3079713 324743991 193870450 118558576 130873541 217618172 216200886 4914593 5417895 10129679 9109252 417395129 464724660 50213845 78417927 994214 3277096 66972754 86007681 23040948 36725218 141221761 204427922 X 273581612 256129172 2591756 4167566 276173368 260296738 417395129 464724660 X 39550610 -8604851 -46822389 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 32048 0 0 0 32048 0 Part II-B, Line 1: Part II-B, Line 1f: the Medical Center partners with various like-minded trade associations which support public policies and initiatives that focus on improving health outcomes and the experience of health care, while also aiming to reduce the overall cost of receiving that care. To maintain these partnerships, the Center is required to pay membership dues back to these various trade associations. A portion of the dues paid to these associations has been designated as available for lobbying expenditures. Any lobbying expenditures paid by the associations are incurred in order to help track and discuss legislation affecting health care policy. The specific dues paid by the Center to the trade associations in this fiscal year, as well as the portion of the dues that were available for lobbying expenditures, are detailed below: New Hampshire Hospital Association - Total dues: $109,579 - Portion of dues available for lobbying: $23,768 American Hospital Association - Total 2019 dues: $35,507 - Portion of dues available for lobbying: $8,280 103449323 3821265 107270588 101098156 2351167 103449323 92152052 8946104 101098156 81781493 10370559 92152052 74065311 7716182 81781493 0.97790 0.02210 0.00000 0 0 15029319 15029319 169303654 98634025 70669629 4921853 2701364 2220489 113367100 92535061 20832039 22122065 22122065 130873541 Unearned income - MOB 90865 Insurance reserves 4409561 Accrued SERP obligations 1621901 Long-term accrued pension expense 26339075 457 (B) deferred comp plan obligations 3234975 Employer social security liabilities 1028841 36725218 X Part V, Line 4: The intended uses of the Organization's endowment funds are to fulfill donors' intentions on the permanently restricted funds and for future plant replacement and technology investments from board designated funds. Part X, Line 2: The System, Medical Center 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. The Legacy Trust, a new corporate-entity for which the System is the sole corporate member, received its IRS Determination Letter approving its tax-exempt status in the fall of 2020. 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 1 X 225.000000000000 0 1 1 1 0 1 1 3515578 3515578 0.01580 36805905 20533068 16272837 0.07300 40321483 20533068 19788415 0.08880 79826 79826 0.00040 575709 575709 0.00260 5586208 2187621 3398587 0.01530 546535 546535 0.00250 6788278 2187621 4600657 0.02080 47109761 22720689 24389072 0.10960 218458 218458 0.00100 19172 19172 0.00010 4913 4913 0.00000 242543 242543 0.00110 1 12098628 2936804 55391570 67701510 -12309940 X 1 1 1 1 Southern New Hampshire Medical Center 8 Prospect Street PO Box 2014 Nashua NH 030612014 www.snhhealth.org 02496 X X X X Southern New Hampshire Medical Center 0 0 1 X X X X X X X X 17 1 1 1 1 X www.snhhealth.org/community-health X 1 18 1 www.snhhealth.org/community-health 0 1 X 225.000000000000 X X X X X X 1 1 X X X X 1 X Please see Part V X Please see Part V X Please see Part V X X X X X X 1 X 0 X X X X X 1 X 0 1 Southern New Hampshire Medical Center Part V, Section B, Line 5: During the process of developing the Community Health Needs Assessment, Nashua residents, medical providers and key leaders in the community were asked to rank the health of the community and to prioritize the needs. The Assessment used a a survey of area residents, conducted by the City of Nashua Department of Public Health, and based on the Centers for Disease Control and Prevention's Community Assessment for Public health Emergency Response (CASPER). The survey process consisted of a two-stage random cluster sampling technique, with one-on-one interviews conducted by survey volunteers: the first stage consisted of interviews with individuals from 7 randomly selected households from each of 30 random census block groups. The second stage, responsive to low completion rates from stage 1, allowed volunteers to seek participation from every third house in each census tract. All participants were asked for answers to 41 health-related questions. The Assessment also draws from additional resources, including Emergency Department and Inpatient Hospitalizations Database, New Hampshire Behavioral Risk Factor Surveillance System, New Hampshire Youth Risk Behavioral System, New Hampshire Environmental Public Health Tracking Program/Environmental Health Data Integration Network, New Hampshire Trauma and Emergency Medical Services Information Systems, and data from the U.S. Census Bureau. Southern New Hampshire Medical Center Part V, Section B, Line 6a: The Hospital's Community Health Needs Assessment was a collaboration of City of Nashua Health Department, Dartmouth-Hitchcock Nashua, and other stakeholders, including St. Joseph Hospital. The Medical Center prepared its own separate assessment, based on that information. Southern New Hampshire Medical Center Part V, Section B, Line 6b: The Hospital's Community Health Needs Assessment was a collaboration of City of Nashua Health Department, Dartmouth-Hitchcock Nashua, and other stakeholders, including St. Joseph Hospital. The Medical Center prepared its own separate assessment, based on that information. Southern New Hampshire Medical Center Part V, Section B, Line 11: The top needs that were identified in the Community Health Needs Assessment were Mental Health/Substance Abuse, Weight Management & Nutrition, and Access to and Coordination of Care. We have addressed these needs in the following manner:Mental Health/Substance Abuse - Southern New Hampshire Health recently expanded our inpatient behavioral health unit from 12 to 18 beds. We also expanded our Partial Hospital Program and opened an Intensive Outpatient Addiction program to address substance misuse in the community. Our Acute Community Crisis Evaluation System is available 24/7 to assist in assessment and triage of patients in crisis. There are staffed Psychiatrists that assist with treatment and evaluation of patients that are inappropriate for the voluntary unit. Additionally, we increased access to continuum of care for mental health and substance use disorders as part of the Delivery System Reform Incentive Program (DSRIP) 1115 Waiver. This allowed us to work with 30 community partners to improve access to behavioral health services in the greater Nashua community. We also constructed an Annex for psychiatric patients to provide them care in the most appropriate setting. Lastly, we are in discussions with health partners regarding protocol screening and diagnosis for clinical depression.Access to and Coordination of Care - Southern New Hampshire Health established multiple Immediate Care Locations within our service area to enhance access to timely care. Southern New Hampshire Health has taken steps to open new locations in Pepperrell, Mass, and Amherst, New Hampshire since 2016. There is staff available on site at the hospital to assist with Medicaid & Expanded Medicaid applications. We actively participate in Medicaid Exchange programs and a Prescription Assistance Program to help those with financial needs. Southern New Hampshire Health has partnered with Massachusetts General Hospital to provide local access to over 35 Boston area specialists. Our OB/GYN Residency program expands access to Woman's Health for low income patients in collaboration with Lamprey. We also have Interpreter Services available 24/7 for those who need it. We are actively working with local organizations such as Greater Nashua Public Health Department and Nashua Humane Society's Safety Net program to reduce barriers to care. Opportunities for Health Living/Obesity - Southern New Hampshire Health supports a variety of health programs in the community including Life Free and Breathe, Prescribe the "Y", Granite State Fit Kids, Fitness 4 Everybody, and Girls on the Run. All Pediatric practices record weight and there is a protocol in the ED to record weight on all patients less than 18 years old. Various health and fitness classes are offered to the public at our facility during the course of the year. Our Primary Care practices are providing community based programs and have partnered with Massachusetts General Hospital on a pediatric obesity project. In addition, we work closely with Greater Nashua Food Council, Nashua Soup Kitchen and Shelter and other community partners to increase access to healthy food.For more information on how Southern New Hampshire Medical Center is addressing the needs identified in the CHNA, our Implementation Strategy is available on our website at https://www.snhhealth.org/community-health. Southern New Hampshire Medical Center Part V, Section B, Line 13b: Southern New Hampshire Medical Center offers a discount equal to the average of their three largest payors plus Medicare to all self pay patients. Discounted care is provided to all uninsured and underinsured patients. Southern New Hampshire Medical Center Part V, Section B, Line 20e: See response for Part III, Section C, Line 9b above.Prior to placing accounts with collection agencies, Southern New Hampshire Medical Center pulls out patients who qualify for charity based on census tract data and does not place those accounts with an agency but rather awards charity or free care assistance for their encounter. Southern New Hampshire Medical Center Part V, Section B, Line 24: Southern New Hampshire Medical Center may charge patients who are having cosmetic or experimental, non-covered services gross charges for that encounter. Schedule H, Part V-B, Line 16a: Southern New Hampshire Medical Center's Financial Assistance Policy is available on their website at: English: https://www.snhhealth.org/SNHH/media/Documents/CharitableCare-eff-04012019-final-english-version-for-posting-update-062420.pdfSpanish: https://www.snhhealth.org/SNHH/media/Documents/CharitableCare-eff-04012019-final-spanish-vesion-update-062020.pdf Schedule H, Part V-B, Line 16b: Southern New Hampshire Medical Center's FAP Application is available on their website at:English: https://www.snhhealth.org/SNHH/media/Documents/SNHH-financial-assistance-application-(english)_1.pdfSpanish: https://www.snhhealth.org/SNHH/media/Documents/SNHH-financial-assistance-application-(spanish)_1.pdf Schedule H, Part V-B, Line 16c: Southern New Hampshire Medical Center's FAP Plain Language Summary is available on their website at:https://www.snhhealth.org/billing-and-insurance/get-help-paying-for-care 10 1 - Southern NH Rehabilitation Center 17 Prospect Street Nashua NH 03060 Rehab 2 - Southern New Hampshire Rehab - Milford 10 Jones Road Milford NH 03055 Rehab 3 - Southern NH Rehabilitation Services 696 Daniel Webster Highway Merrimack NH 03054 Rehab 4 - Cardiac & Pulmonary Rehab -West Campus 29 Northwest Boulevard Nashua NH 03063 Rehab 5 - Pediatric Rehab Center 5 George Street Hudson NH 03051 Rehab 6 - Southern NH Rehabilitation Center 460 Amherst Street Nashua NH 03063 Rehab 7 - Southern New Hampshire Rehab - Hudson 300 Derry Road Hudson NH 03051 Rehab 8 - Southern New Hampshire Lab Services 112A Spit Brook Road Nashua NH 03063 Lab 9 - Southern New Hampshire Lab Services 33 Windham Road Pelham NH 03076 Lab 10 - Southern New Hampshire Lab Services 280 Main Street 1st Floor Nashua NH 03060 Lab Part I, Line 3c: Southern New Hampshire Medical Center offers a discount equal to theaverage of their three largest payors plus Medicare to all self pay patients. Discounted care is provided to all uninsured and underinsured patients. Part I, Line 7: The costing methodology used was the ratio of cost to charge as outlined in Worksheet 2 of the instructions. The only exception to this was for subsidized service area where the cost structure was specific to that service area. For those areas, our Cost Accounting system was used. Part II, Community Building Activities: Southern New Hampshire Medical Center is committed to improving the health and well-being of the Greater Nashua area and our community building activities help us achieve this goal. Through our involvement in the Rotary Club and Nashua Chamber of Commerce, along with other community organizations, we are able to exchange ideas with area leaders concerning health care issues and make informative decisions that best address the health needs of our community. We provide Medicare Counseling to area senior citizens giving them the guidance they need to make informed decisions about their healthcare coverage. Our support of the United Way's Day of Caring has resulted in a growing number of our employees going out into the area and helping members of the community with healthcare and other needs. We are strong in our commitment to the Greater Nashua area and plan to continue to support and grow community building activities that improve the overall health of the area. A majority of the organization's Board of Trustees is comprised of persons who reside in the Primary Service Area (PSA) who otherwise have no relationship with the organization. Many members of the organization volunteer their time to other community agencies in the PSA. Part III, Line 2: Southern New Hampshire Medical Center's Bad Debt Expense includes accounts that have been referred to a collection agency after making reasonable attempts to determine eligibility under the financial assistance policy, along with estimates of current accounts receivable based in historical experience. Part III, Line 3: A significant portion of Southern New Hampshire Medical Center's uninsured patients will be unable or unwilling to pay for the services provided. Thus, Southern New Hampshire Medical Center records a significant provision for bad debts related to uninsured patients in the period the services are provided. The FASB issued an accounting standards update that states that a health care entity that recognizes significant amounts of patient service revenue at the time services are rendered, even though it does not assess the patient's ability to pay, must present bad debts as a reduction of net patient revenue and not as a separate item in the operating expense. The ratio of cost to charge methodology was used to determine costs of these services as outlined in worksheet 2 of the instructions. Consistent with the accounting treatment mentioned above, since the system does not assess the patient's ability to pay, the cost of bad debt for those patients without any form of insurance should be classified as community benefit, consistent with charity care. Part III, Line 4: See page 10 of the attached audited financial statements. Part III, Line 8: The ratio of cost to charge methodology was used to determine cost as outlined in Worksheet 2 of the instructions. There are service areas where government programs such as Medicare and Medicaid do not reimburse the organization adequate amounts to cover the costs to provide those services. Southern New Hampshire Medical Center must provide those services regardless of the financial shortfall. Part III, Line 9b: Southern New Hampshire Medical Center recognizes that not all patients who qualify for financial assistance will follow through with an application for financial assistance. Prior to placing any account with a collection agency, Southern New Hampshire Medical Center uses a financial assistance qualification service to categorize patients based primarily on income and assets estimated from census tract data. Those patients whose estimated income/assets fall within Southern New Hampshire Medical Center's financial assistance guidelines are awarded charity or free care assistance for their encounter. Part VI, Line 2: The Southern New Hampshire Health Systems 2018 Community Health Needs Assessment and Implementation Strategy (released in tax year 2017) was a collaboration with the City of Nashua and other area health partners to conduct this most recent Community Health Needs Assessment (CHNA). Many of the references in this report are from A Community Committed to Health: Community Health Assessment ("the Assessment"), published in September 2017, by the City of Nashua Department of Public Health. Southern New Hampshire Health System leaders worked together to develop the implementation strategy included in this report to best address the needs of the community based on the results of the Assessment. Part VI, Line 3: At each registration point, Southern New Hampshire Medical Center hassignage and brochures explaining our various forms of financialassistance, including charity care. Additionally, patient registrarsoffer the charity brochures to self pay patients. Patients who callregarding billing concerns are offered charity assistance. Additionally,verbiage regarding charity care is printed on each billing statement thepatient receives. Also, charity care information is available on our hospital website. There is staff available on site at the hospital to assist with financial assistance, Medicaid, and Expanded Medicaid applications. We actively participate in Medicaid Exchange programs and a Prescription Assistance Program to help those with financial needs. Part VI, Line 4: Southern New Hampshire Health's service area consists of nineteen NewHampshire and four Massachusetts towns. The service area is divided intoa Primary Service Area (PSA) of twelve New Hampshire towns (Amherst,Brookline, Hollis, Hudson, Litchfield, Lyndeborough, Merrimack, Milford, Mont Vernon, Nashua, Pelham, and Wilton), a Secondary Service Area (SSA) of seven New Hampshire towns (Derry, Greenville, Londonderry, New Boston, New Ipswich, Salem, and Windham) and a Massachusetts Service Area (MSA) of four neighboring Massachusetts towns (Dunstable, Pepperell,Townsend, and Tyngsboro). The 2018 Assessment and the 2019 Community Benefits Reporting Form both refer to the Greater Nashua Public Health Region, as designated by the New Hampshire Office of State Planning, the New Hampshire Department of Health and Human Services, and the Nashua Regional Planning Commission. The Region includes Amherst, Brookline, Hollis, Hudson, Litchfield, Lyndeborough, Mason, Merrimack, Milford, Mont Vernon, Nashua, Pelham, and Wilton. The majority of these towns are included in Southern New Hampshire Health's PSA and reflect the communities that make up the PSA, SSA, and MSA. Approximately 206,000 people live in the 12 towns that comprise the primary service area. Nashua residents are younger than the New Hampshire state average (median age 38.3 vs 41.8 for the state, and also more culturally diverse than the rest of the state (84.8% identified as white versus 93.8% for the state). Part VI, Line 5: Southern New Hampshire Medical Center provides a variety of services that promote the health of the greater Nashua community. Throughout the year we hold Community Medical Education seminars that offer area residents an opportunity to look behind the scenes of medicine and learn more about the latest medical technology, research and advances. We also perform free public health screenings, such as impact testing for sports teams at local schools, and balance and hearing screenings for the elderly. Our commitment to community health is also evident in the time our leadership spends on the boards of several local health organizations to help improve and promote health services available to area residents.In July of 2019, SNHH opened the Center for Recovery Management at Nashua. This program is part of the extensive continuum of care for mental illness and addictions offered by Foundation Medical Partners and Southern New Hampshire Medical Center. Patients can receive comprehensive care coordination and medication for addiction treatment (MAT) for opioid use disorders and alcohol use disorders from a team of experienced providers, nurses and clinicians.In May of 2020, Southern New Hampshire Health opened a point of entry into The Doorway program, the statewide initiative that provides comprehensive addiction services to residents suffering from a substance use disorder. The program helps to facilitate access to treatment and offers ongoing monitoring as needed. The SNHH Doorway, designated the Doorway of Greater Nashua, serves the Greater Nashua area and its team works closely with community partners and first responders to coordinate care. Part VI, Line 6: Southern New Hampshire Health System, Inc. is a not-for-profit entity organized to support Southern NH Medical Center and Foundation Medical Partners, Inc. Both the Medical Center and Foundation are not-for-profit entities, established to provide medical services to the people of the greater Nashua area.On April 30, 2018 Southern New Hampshire 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 Legacy Trust of Southern New Hampshire Health Inc 8 Prospect Street Nashua NH 03060 844779887 501(c)(3) 71121 To further efforts to support the Southern NH Health System. 1 0 Part I, Line 2: All grants paid during the filing period covered by this annual Form 990 were made to related tax-exempt organizations that share a common-control relationship with the Medical Center; both the recipient organization and the Center share Southern New Hampshire Health System as their sole controlling, corporate member. The System exercised control and direction over the funds through the grant-process. X 1 1 X X X X 1 1 0 0 0 0 0 1 0 Michael S Rose Pres./CEO & Secretary (end 6/2020) 665044 0 307156 0 49123 0 108421 0 30558 0 1160302 0 0 0 Susan DeSocio Pres. Fnd. Medical Ptrs. (end 12/19) 356438 0 159114 0 39949 0 68221 0 4190 0 627912 0 0 0 Paul Trainor Senior VP & CFO, Treasurer 357510 0 107292 0 35189 0 45689 0 2566 0 548246 0 0 0 Joseph M Leahy MD Physician 414234 0 64650 0 1242 0 11200 0 37894 0 529220 0 0 0 Andrew Watt Assoc. VP Med. Info. 364932 0 72400 0 13540 0 11200 0 25398 0 487470 0 0 0 Robert Dorf DO EO Pres. Foundation Medical Partners 0 373459 0 57500 0 794 0 11200 0 32425 0 475378 0 0 Dilip Yarabothu Physician 350399 0 21375 0 13710 0 11200 0 6759 0 403443 0 0 0 Part I, Line 1a Southern New Hampshire Medical Center uses the facilities at the Nashua Country Club for meetings and other business related purposes. The Club does not have a corporate membership; therefore, an individual associated with Southern New Hampshire Medical Center must be a member of the Club. The membership is titled in the CEO's name and invoices are addressed to the CEO, not Southern New Hampshire Medical Center. Southern New Hampshire Medical Center pays the annual dues and all related expenses incurred by the organization. The facilities are only available to Club members. Part I, Lines 4a-b Schedule J, Part 1, Line 4a: both Michael Rose and Susan DeSocio, who served the Center as its President & CEO and the FMP President Elect, respectively, began receiving severance payments from the Center in the 2020 calendar year. Michael Rose is entitled to receive bi-weekly severance payments of normal base compensation as reported in Schedule J, Part II, Column B(i) between July 10, 2020 and December 24, 2021. Mr. Rose's severance package will be included in his W-2 taxable wages. Susan DeSocio receives bi-weekly severance payments of normal base compensation as reported in Schedule J, Part II, Column B(i) between November 23, 2019 and November 27, 2020. Ms. DeSocio's total severance package will be included in her W-2 taxable wages. Schedule J, Part I, Line 4b: 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 as follows: Susan DeSocio - $68,221, Michael S. Rose - $97,221, Paul Trainor - $34,489; Robert Dorf - $18,150;. Part I, Line 7 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 reported on the 990 Part VI section B Line 15b. Unrelated Organization Compensation Marc Sadowsky, is also the Medical Director of the Medical Center's Electro Convulsive Therapy (ECT) unit. During Calendar year 2019 the Medical Center paid New England Neurological Association $12,500 for ECT and $26,700 for weekend coverage provided by Dr.Sadowsky to Southern New Hampshire Health System. A NHHEF Authority 020279866 2016-06-07 10500000 Equipment purchase 0 0 0 B NHHEF Authority 020279866 6446147E3 2016-11-01 59345000 Refunding 0 0 0 C NHHEF Authority 020279866 2019-08-30 24500000 Equipment purchase 0 0 0 A 10500000 25802 10474198 0 0 1 1 B 59345000 199985 59145015 0 1 1 1 C 24500000 37729 24462271 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 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 1 0 0 0 0 1 A 1 B 1 C 1 Form 990, Part VI, Section A, line 3 In June of 2020, at the end of the Organization's fiscal year covered by this tax filing period, Michael S. Rose, the President and CEO of the Organization, resigned from his position with the Organization. Colin McHugh, who is the VP of Value Innovation at SolutionHealth, a related tax-exempt entity, has been hired to serve the Organization as an Interim President until such time as a permanent replacement for Mr. Rose can be found; McHugh began spending a portion of his working time with Organization in October of 2019. While Mr. McHugh serves the Organization as its Interim President, a portion of Mr. McHugh's SolutionHealth compensation will be charged to the Southern New Hampshire Health System as a management fee. For the calendar year ending December 31, 2019, SolutionHealth charged the Center a total of $27,295 ($25,270 to cover McHugh's salary and wages and $2,025 for nontaxable benefits) for his services to the Southern New Hampshire Health System. The management fee was paid directly by the Southern New Hampshire Medical Center back to SolutionHealth. Accordingly, McHugh's compensation, as paid by the Center, has been reflected on the Organization's Form 990, Part VII, and is included in Part IX, Line 5. Form 990, Part VI, Section A, line 6 Southern New Hampshire Health System, Inc., is the sole corporate member of Southern New Hampshire Medical Center (SNHMC) and the two (2) organizations have identical boards with the exception of one (1) additional member, who is a physician, serving solely on the SNHMC board. Form 990, Part VI, Section A, line 7a Southern New Hampshire Medical Center is governed by the Board of Trustees, who are elected by the Trustees of its sole member Southern New Hampshire Health System, 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 Southern New Hampshire Medical Center (the Medical Center). In addition to any rights and powers conferred on SNHHS by law or these bylaws, The Medical Center, and in the bylaws of SNHHS, SNHHS shall, after due consultation with the Board of Trustees of the Medical Center: (a) appoint and remove, with or without cause, the President/Chief Executive Officer of the Medical Center, subject to ratification of the Board of Trustees of the Medical Center; (b) conduct system-wide strategic planning encompassing all corporations, including the Medical Center, 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 Medical Center; (c) conduct system-wide financial and capital planning encompassing all corporations, including the Medical Center, 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 Medical Center; (d) periodically conduct by appropriate means an evaluation of the performance of each member of a board of trustees of all corporations, including the Medical Center, 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 Medical Center shall be managed by its board of trustees. The Medical Center's board, however, shall not, without approval of SNHHS: (a) elect or appoint the members of the Medical Center's Board of Trustees or remove such person serving from time to time in that capacity; (b) adopt or amend the Medical Center's Mission Statement; (c) adopt, amend or waive any material provision of the Medical Center's strategic plan or any annual operating or capital improvements 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 Corporation; (f) authorize expenditures contained in a capital and operating budget, even if previously approved by the Board of Trustees of the Medical Center; (g) approve, adopt or enter into a professional or general service contract where the annual expense to the Medical Center exceeds $1,000,000 and that has not been previously approved in SNHMC'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; and (j) elect or remove officers of the Medical Center. 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 our Code of Conduct, which includes our conflict of interest policy. SNHHS/SNHMC 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. Compliance reports are provided to SNHHS/SNHMC's compliance committee and Board of Trustees. Form 990, Part VI, Section B, line 15 The compensation of the CEO and CFO is evaluated by an outside consultant. The compensation of the CEO is approved by the Executive Compensation Committee of the Board and the Board of Trustees. A market analysis is performed for all key employees on an annual basis. Once the 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 and 990-T available for inspection upon request. The Code of Conduct is also available on the organization's website. The Code of Conduct addresses certain corporate policies including confidentiality, conflict of interest, patient rights and other governing documents. The organization also makes all relevant documents available to the public upon request. Form 990, Part XI, line 9: Pension adjustment -13,892,250. Transfers to affiliates -31,974,783. Transfer to SolutionHealth, Inc. -955,356. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Foundation Medical Partners Inc 8 Prospect Street Nashua NH 03060 020456218 Physician Services NH 501(c)(3) Line 10 SNHHS 0 Southern New Hampshire Health System 8 Prospect Street Nashua NH 03060 020509221 Medical Services NH 501(c)(3) Line 12b, II SolutionHealth 0 SolutionHealth 360 Route 101 Unit 8 Manchester NH 03110 830741190 Supporting Organization NH 501(c)(3) Line 12a, I N/A 0 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 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 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 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 Legacy Trust of Southern New Hampshire Health Inc 8 Prospect Street Nashua NH 03060 844779887 Fundraising NH 501(c)(3) Line 7 SNHHS 0 Elliot Common Trust Fund LLC One 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 1 0 0 0 0 0 1 1 1 1 0 1 1 1 1 0