2015-07-21T08:14:44-05:00 2014-12-31 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2014-01-01 020275078 Foundation for Healthy Communities FOUN 6032250900 125 Airport Road Concord NH 03301 Stephen M Ahnen Treasurer/Secretary 6032250900 2015-07-14 1 Barbara J McGuan CPA P00219457 2077752387 2015-07-14 2014 2016-03-07 17:11:31Z Stephen M Ahnen 125 Airport Road Concord NH 03301 3829034 0 X www.healthynh.com X 1968 NH To improve health and health care delivery in New Hampshire. 24 22 22 22 0 0 1521591 1843556 649306 1824643 9010 16080 0 0 2179907 3684279 24850 131500 0 0 1051331 1359327 0 0 0 882865 1856357 1959046 3347184 220861 337095 1690286 2354174 233158 539474 1457128 1814700 X The Foundation for Healthy Communities is an organization with a mission to improve health and health care in New Hampshire through partnerships with organizations and individuals. 0 0 3222693 131500 1824643 Expenses incurred related to collecting and analyzing data about health and health services, along with publishing information, sponsoring education and training, and facilitating seminars and meetings to help improve health and the creation of healthy communities. NH Medication Bridge builds upon and expands community efforts to improve access to free medications from pharmaceutical companies. Healthy Eating Active Living fosters implementation of effective interventions to promote healthy eating and active living which result in a positive and demonstrable impact on health and quality of life. Hospital Preparedness assists in emergency preparedness planning by providing the coordination and funding to upgrade the preparedness of acute care hospitals for responding to incidents such as bioterrorism, outbreaks of infectious disease, and natural or man made disasters within their communities. NH Health Access Network strengthens the NH health care safety net by improving financial access systems based on a uniform approach for low-income, uninsured and under-insured people statewide. The Community Health Improvement program supports new strategies to improve health. Rural Quality Improvement Network helps to improve the quality of care in small rural hospitals. The Health and Equity Partnership works to eliminate disparities based on race, ethnicity, language barriers, etc. to insure all people have access to high quality health services. NH Comprehensive Cancer Collaboration works to prevent and reduce the cancer burden for people in NH. The Foundation for Healthy Communities has entered into a partnership with the Health Research & Educational Trust (HRET) to adopt evidence-based practices that have the potential to reduce harm in ten areas. It will build upon New Hampshire's Initiative to Eliminate Harm by 2015. In addition, FHC and HRET will equip hospital teams with leadership skills, including the areas of change management, facilitation, quality improvement and teamwork and safety culture. 3222693 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 31 0 1 22 1 0 0 0 0 0 0 0 0 0 0 X 24 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NH X Stephen M Ahnen 6032250900 125 Airport Road Concord NH 03301 Gregory Walker Trustee 0.50 1.00 X 0 0 0 Stephen Ahnen Treasurer & Secretary/CEO 0.50 40.00 X X 0 329684 37237 Mary DeVeau Vice Chair 0.50 X X 0 0 0 Richard LaFleur MD Trustee 0.50 X 0 0 0 Robert Duhaime RN Trustee 0.50 X 0 0 0 Scott McKinnon Chair 0.50 1.00 X X 0 0 0 Michelle McEwen Trustee 0.50 X 0 0 0 Paul Gardent Trustee 0.50 X 0 0 0 Arthur Nichols Trustee 0.50 1.00 X 0 0 0 Keith Shute MD Trustee 0.50 1.00 X 0 0 0 Stephanie Wolf-Rosenblum MD Trustee 0.50 X 0 0 0 James Roche Trustee 0.50 X 0 0 0 Shawn LaFrance Executive Director/Trustee 40.00 X X 120346 0 29611 Jeanne Ryer Trustee 0.50 X 0 0 0 William Brewster MD Trustee 0.50 X 0 0 0 Mary Ellen Fleeger PhD RN Trustee 0.50 X 0 0 0 Arthur O'Leary Trustee 0.50 X 0 0 0 Helen Pervanas PharmD Trustee 0.50 X 0 0 0 John Robb MD Trustee 0.50 X 0 0 0 Maria Ryan PhD APRN Trustee 0.50 X 0 0 0 Chris Accashian Trustee 0.50 X 0 0 0 George Blike MD Trustee 0.50 X 0 0 0 Trinidad Tellez MD Trustee 0.50 X 0 0 0 Rick Phelps MD Trustee 0.50 X 0 0 0 Anne Diefendorf Associate Executive Direct 40.00 X 134138 0 27078 254484 329684 93926 2 0 1 0 0 363120 1480436 1843556 Program Revenue 900099 1302263 1302263 Project Income 900099 180293 180293 Seminars/Meetings/Work 900099 161731 161731 Indirect Program Incom 900099 110563 110563 Planning Guides 900099 64354 64354 5439 5439 1824643 15189 15189 145646 144755 891 891 891 3684279 1824643 0 16080 X 131500 131500 149957 149957 978596 924963 53633 37335 34653 2682 111510 87346 24164 81929 77826 4103 31125 28012 3113 1384973 1384973 94367 94367 46662 12270 34392 52002 52002 182418 182418 4841 3873 968 3590 2154 1436 Advance Care Guides 52733 52733 Staff Development 1888 1888 Dues & Subscriptions 1758 1758 3347184 3222693 124491 0 X 200 50 895798 816436 106809 787115 4362 4256 137128 129647 12322 7481 609680 648056 61115 90780 1690286 2354174 99022 284348 95985 205936 38151 49190 233158 539474 X 332241 575041 1124887 1239659 1457128 1814700 1690286 2354174 337095 20477 0 X 0 1 X 1 0 X 1151150 1235262 1393910 1521591 1843556 7145469 1643699 839481 1816375 649306 1824643 6773504 2794849 2074743 3210285 2170897 3668199 13918973 0 0 0 13918973 9425 9828 16140 10693 15189 61275 9425 9828 16140 10693 15189 61275 2804274 2084571 3226425 2181590 3683388 13980248 0.99560 0.99580 0.00440 0.00420 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1118 1118 0 136010 128529 7481 7481 Due to Affiliate 49190 49190 3704756 20477 20477 3684279 0 3684279 3347184 0 3347184 0 3347184 1 American Lung Association of the Northeast Inc 45 Ash Street East Hartford CT 06108 060646594 501(c)3 4000 Fair Market Value Promoting and Coordinating Best Practice Lung Cancer Screening in NH- Summit:Convene a summit of key stakeholders to define what lung cancer screening system in NH should look like and take practical steps toward implementing a comprehensive statewide lung cancer screening system for NH. Trustees of Dartmouth College 7 Lebanon Street Suite 302 No 6015 Hanover NH 03755 020222111 501(c)3 5000 Fair Market Value Mobilizing Youth for Healthier Communities (partial funding of 2 year project):a) Educate high school students about harmful effects of tobacco use and exposure, to promote healthy choices among the students, and to arm them with research and advocacy skills that they can employ over their lives as engaged community members.b) Educate and promote healthy behavior in youth by engaging them in their own health as well as the health of their communities.c) Encourage youth to gain ownership of their projects and to inspire them to advocate for new policies and pursue community action aimed at reducing tobacco use and exposure.d) Create a replicable and scalable model for educating, empowering, and motivating teens to advocate for changes in public policies in their communities. NH Hospice & Palliative Care Organization 125 Airport Road Concord NH 03301 020471780 501(c)3 2500 Fair Market Value Improving Utilization of Palliative Care:a) Purchase detailed Medicare data reports from Hospice Analytics to provide a baseline of information on utilization of advanced illness cancer care to recipients of Medicare in New Hampshire. b) Target additional ways to provide our palliative care toolkit resources to hospitals and other healthcare settings with high percentages of cancer patientsc) Educate providers on how to get reimbursed for the palliative care consults and services that they provide. Promoting best practice in palliative care service reimbursement will allow time for clinicians to have conversations about goals of care that will better support patients and families with quality of life while living with serious illness. Goodwill Industries of Northern New England 75 Washington Avenue No 300 Portland ME 04101 010284340 501(c)3 5000 Fair Market Value To prevent obesity and ensure that the people of New Hampshire enjoy health and quality of life through healthy eating and active living. To inspire, promote and advance policy and environmental changes that foster healthy people in healthy places throughout the state. To develop local solutions for improving access to affordable, healthy foods and opportunities for active living. YMCA of Greater Nashua 6 Henry Clay Drive Merrimack NH 03054 020222250 501(c)3 30000 Fair Market Value To prevent obesity and ensure that the people of New Hampshire enjoy health and quality of life through healthy eating and active living. To inspire, promote and advance policy and environmental changes that foster healthy people in healthy places throughout the state. To develop local solutions for improving access to affordable, healthy foods and opportunities for active living. Bike-Walk Alliance of New Hampshire 2 Whitney Road Suite 11 Concord NH 03301 205710218 501(c)3 15000 Fair Market Value To prevent obesity and ensure that the people of New Hampshire enjoy health and quality of life through healthy eating and active living. To inspire, promote and advance policy and environmental changes that foster healthy people in healthy places throughout the state. To develop local solutions for improving access to affordable, healthy foods and opportunities for active living. Town of Warner 5 East Main Street PO Box 265 Warner NH 03278 Government Entity 5000 Fair Market Value To prevent obesity and ensure that the people of New Hampshire enjoy health and quality of life through healthy eating and active living. To inspire, promote and advance policy and environmental changes that foster healthy people in healthy places throughout the state. To develop local solutions for improving access to affordable, healthy foods and opportunities for active living. City of Lebanon 51 N Park Street Lebanon NH 03766 Government Entity 10000 Fair Market Value To prevent obesity and ensure that the people of New Hampshire enjoy health and quality of life through healthy eating and active living. To inspire, promote and advance policy and environmental changes that foster healthy people in healthy places throughout the state. To develop local solutions for improving access to affordable, healthy foods and opportunities for active living. City of Manchester 1 City Hall Plaza Manchester NH 03101 Government Entity 5000 Fair Market Value To prevent obesity and ensure that the people of New Hampshire enjoy health and quality of life through healthy eating and active living. To inspire, promote and advance policy and environmental changes that foster healthy people in healthy places throughout the state. To develop local solutions for improving access to affordable, healthy foods and opportunities for active living. Town of Belmont 143 Main Street PO Box 310 Belmont NH 03220 Government Entity 25000 Fair Market Value To prevent obesity and ensure that the people of New Hampshire enjoy health and quality of life through healthy eating and active living. To inspire, promote and advance policy and environmental changes that foster healthy people in healthy places throughout the state. To develop local solutions for improving access to affordable, healthy foods and opportunities for active living. Town of Littleton 125 Main Street Suite 200 Littleton NH 03561 Government Entity 25000 Fair Market Value To prevent obesity and ensure that the people of New Hampshire enjoy health and quality of life through healthy eating and active living. To inspire, promote and advance policy and environmental changes that foster healthy people in healthy places throughout the state. To develop local solutions for improving access to affordable, healthy foods and opportunities for active living. 11 0 Part I, Line 2: Organization has executed Letters of Agreement with all the grantees which lays out the purpose of the grants, scope of services, budget and use of grant funds requirements, and reporting requirements. X X X 0 0 0 0 0 0 0 0 0 Stephen Ahnen Treasurer & Secretary/CEO 0 329234 0 0 0 450 0 12500 0 24737 0 366921 0 0 Anne Diefendorf Associate Executive Direct 133751 0 0 0 387 0 6707 0 20371 0 161216 0 0 0 Form 990, Part VI, Section B, line 11 The Form 990 and all schedules were made available to the board prior to filing the form. The Secretary/Treasurer and Executive Director reviewed the Form 990 and all schedules with accounting staff and return preparer to ensure accuracy prior to filing. Form 990, Part VI, Section B, line 12c Each member of the Board is required to sign a conflict of interest policy at each yearly meeting. The Board members are asked at each Board meeting if any conflicts have arisen since the prior meeting. The conflict of interest policy is reviewed by the Executive Secretary. Form 990, Part VI, Section B, line 15a The Executive Committee of the New Hampshire Hospital Association contracts with a third party organization to produce a comparable association CEO compensation study. Additional information from a state hospital association salary survey is used for comparative purposes. The Executive Committee reviews CEO performance and makes a recommendation on compensation to the full NHHA Board. The full NHHA Board votes on final compensation package for CEO. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990, Part IX, line 11g Outside Services - Core: Program service expenses 981. Management and general expenses 0. Fundraising expenses 0. Total expenses 981. Contracted Services - Projects / EP: Program service expenses 1,383,992. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,383,992. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Foundation for Healthy Communities 125 Airport Road Concord, NH 03301 EIN: 02-0275078 Foundation for Healthy Communities is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). New Hampshire Hospital Association 125 Airport Road Concord NH 03301 026012527 Consulting and Management Services to Hospitals and Health Facilities NH 501(c)(6) N/A 0 Health Shared Services Inc 125 Airport Road Concord NH 03301 020376847 Administrative Services NH New Hampshire Hospital Association C 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 New Hampshire Hospital Association C 363120 Fair Market Value New Hampshire Hospital Association O 111180 Fair Market Value New Hampshire Hospital Association D 90780 Fair Market Value