2025-05-15T08:04:27-05:00 2024-06-30 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2023-07-01 830741190 Solutionhealth SOLU 6036695300 360 Route 101 Unit 8 Bedford NH 03110 Michael Turilli CFO 6036695300 2025-05-13 1 0 Connor Smart P02285543 2078792100 2025-05-13 2023 2025-03-06 01:10:19Z John E Friberg Jr 360 Route 101 Unit 8 Bedford NH 03110 158374673 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. 10 8 1022 10 0 0 0 0 139475176 158374673 0 0 0 0 139475176 158374673 0 0 0 0 88272874 97374131 0 0 0 53228716 67625819 141501590 164999950 -2026414 -6625277 52329934 69653141 25240162 33688646 27089772 35964495 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 150895070 0 158374673 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. 150895070 1 0 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 1 0 0 0 1 329 0 1 1022 1 0 0 0 0 0 0 0 0 0 0 1 0 X 10 8 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NH X Michael Turilli CFO 6036695300 360 Route 101 Unit 8 Bedford NH 03110 Brad Kreick SolutionHealth CEO (end 4/2024) 41.00 2.00 X X 1269289 0 197518 John E Friberg Jr Interim CEO of SH 40.00 0.00 X X 568294 0 115687 Stephen Loosigian DO Trustee/Secretary 1.00 40.00 X X 0 587804 47656 Bobbie Bagley Trustee 1.00 0.00 X 0 0 0 David Bellman Trustee (end 3/2024) 1.00 3.00 X 0 0 0 Howard Brodsky Trustee 1.00 0.00 X 0 0 0 Paul W Hoff PhD Trustee (end 2/2024) 1.00 2.00 X 0 0 0 Dianne Mercier Trustee 1.00 0.00 X 0 0 0 Martha E O'Neill Trustee 1.00 0.00 X 0 0 0 Charles Rolecek Trustee (start 4/2024) 1.00 3.00 X 0 0 0 Clifford Kinghorn Trustee/Chair 1.00 0.00 X X 0 0 0 Charla Stevens Esq Trustee/Vice Chair 1.00 0.00 X X 0 0 0 Timothy Whitaker Trustee/Treasurer 1.00 0.00 X X 0 0 0 William G Baxter Elliot Health President/CEO 1.00 48.00 X 0 1787964 206206 Michael Turilli SVP/CFO 41.00 8.00 X 597609 0 110268 Colin McHugh SNHHS President/CEO 1.00 49.00 X 0 724184 50993 Isideal Cuko Chief Operating Officer 40.00 0.00 X 278542 0 42283 Debra Dulac SVP/Chief Information Officer 40.00 0.00 X 410130 0 15778 Mary Guarino VP Revenue Cycle 40.00 0.00 X 285370 0 33113 Jason Elliot SVP/Chief Human Resources Officer 40.00 0.00 X 428419 0 108293 Alisha Feightner VP Operational Excellence 40.00 0.00 X 285084 0 5802 4122737 3099952 933597 188 0 1 0 Eclipse Insights LLC 1830 Braeburn Circle SE Atlanta GA 30316 Revenue cycle management 2631838 BCA Financial Services Inc 18001 Old Cutler Road 462 Miami FL 33157 Business management services 1760793 Workday Inc 6110 Stoneridge Mall Road Pleasanton CA 94588 Fiancial management services 1536246 Clinical Financial Resource Inc 97 Cove Street 12 New Bedford MA 02744 Coding services 1188944 Echostor Technologies Inc 45 South Street Hopkinton MA 01748 Software services 963029 95 Management fees 541610 158374673 158374673 158374673 158374673 158374673 0 0 X 2858665 2572799 285866 74533922 74533922 2891325 2891325 11716468 11716468 5373751 5373751 882676 882676 294996 294996 24363827 14373893 9989934 2197454 2197454 2651408 2651408 20434640 20434640 2334339 2334339 189998 189998 6625277 6625277 643535 643535 Recruiting fees 3604721 3604721 Repairs and maintenance 3343234 3343234 Food and dining 59714 59714 164999950 150895070 14104880 0 4783858 13794705 1770445 230341 9341192 7535575 27893543 9925659 18044126 17967884 1514015 1285861 407531 330313 16468767 28508462 52329934 69653141 19046761 29695334 6193401 3993312 25240162 33688646 X 27089772 35964495 0 27089772 35964495 52329934 69653141 X -6625277 15500000 X X 0 1 X 1 1 1 X X X 7 Elliot Hospital 020232673 3 1 0 98499217 Southern New Hampshire Medical Center 020483054 3 1 0 57533207 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 Home Health and Hospice Care 237331452 7 0 0 1299996 7 0 157332420 0 0 0 0 1 1 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. Schedule A, Part IV, Section A, Line 5a: For the Form 990 covering the year ended June 30, 2024, the Organization is listing Home Health and Hospice Care (EIN: 23-7331452) as a Supported Organization on its Schedule A, Line 12g. Home Health and Hospice Care is a 501(c)(3) public charity based in Merrimack, NH, which provides patient centered services that enhance the care recipients' independence and quality of life. In a previous tax year, SolutionHealth became the Sole Member of Home Health and Hospice Care; accordingly, Home Health and Hospice Care is also a related organization to SolutionHealth. The sole purpose of SolutionHealth is to support the charitable healthcare functions of its related entities. Accordingly, Home Health and Hospice Care constitutes a class of supported organizations already designated in SolutionHealth's governing documents. For more information regarding SolutionHealth's supporting services for its member and related organizations, please see the supplemental narratives included on this Schedule A for Part IV, Section A, Line 1; and for Schedule A, Part I, Line 12g, Column v & vi. 199101 77463 121638 25638617 9848196 15790421 2055825 2055825 17967884 Due from affiliates 27543639 Medicare escrows 964823 28508462 Due to affiliates 1366268 Deferred compensation obligations 2296731 Operating lease liabilities 330313 3993312 X 158374673 0 158374673 0 158374673 164999950 0 164999950 0 164999950 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. 1 X X X X 0 1 0 0 0 0 0 1 0 William G Baxter Elliot Health President/CEO 0 841445 0 234988 0 711531 0 168887 0 37319 0 1994170 0 652089 Brad Kreick SolutionHealth CEO (end 4/2024) 961200 0 303275 0 4814 0 195181 0 2337 0 1466807 0 0 0 Colin McHugh SNHHS President/CEO 0 576681 0 139898 0 7605 0 15250 0 35743 0 775177 0 0 Michael Turilli SVP/CFO 491010 0 102300 0 4299 0 83285 0 26983 0 707877 0 0 0 John E Friberg Jr Interim CEO of SH 464742 0 83862 0 19690 0 75717 0 39970 0 683981 0 0 0 Stephen Loosigian DO Trustee/Secretary 0 567628 0 0 0 20176 0 14500 0 33156 0 635460 0 0 Jason Elliot SVP/Chief Human Resources Officer 355299 0 48534 0 24586 0 72073 0 36220 0 536712 0 0 0 Debra Dulac SVP/Chief Information Officer 341158 0 63700 0 5272 0 14451 0 1327 0 425908 0 0 0 Isideal Cuko Chief Operating Officer 205546 0 50744 0 22252 0 7468 0 34815 0 320825 0 0 0 Mary Guarino VP Revenue Cycle 221874 0 36444 0 27052 0 5458 0 27655 0 318483 0 0 0 Alisha Feightner VP Operational Excellence 250797 0 33767 0 520 0 5319 0 483 0 290886 0 0 0 Part I, Line 4b The Elliot Health System and SolutionHealth, the parent-organization of the System, maintain 457(f) deferred compensation plans. The following individuals, each of whom qualify as either an officer, director, trustee, key employee, or highest compensated employee on this Form 990, Part VII, received contributions to their 457(f) deferred compensation plans during the 2023 calendar year as follows: - William G. Baxter: $162,287 - Michael Turilli: $80,692 - John E. Friberg, Esq.: $69,117 - Brad Kreick: $195,181 - Debra Dulac: $8,600 - Jason Elliot: $67,890 These amounts have been reported within the named individuals' deferred compensation figures as shown on this Schedule J, Part II, Column C. Additionally, Mr. Baxter took taxable distributions from his 457(f) plan during the 2023 calendar year in the amount of $689,747. Such amounts have been included within "Other Compensation" as reported on this Schedule J, Part II, Column B(iii). Furthermore, as such distributions relate to and have been paid from previous tax year 457(f) plan deferrals, $652,089 of the 2023 taxable distributions have also been reported as Prior Compensation, as shown on this Schedule J, Part II, Column F. The System historically maintained 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. In calendar year 2023, no officers or other employees of Elliot Hospital received defined contributions under the now-closed 414(K) plan. Additionally, there were no defined benefit accrual adjustments for any of the Organization's listed individuals for the 2023 calendar year. Part I, Line 7 The Organization has adopted an incentive pay program that provides designated management employees an opportunity to earn a designated percentage of salary based on the achievement by the Organization of a number of critical success factors. The critical success factors are established annually by the independent executive compensation committee of the Board of Trustees with assistance from an independent national compensation consulting company. The maximum potential incentive payments under the plan are considered by the compensation consultant in ensuring that management compensation is reasonable. Form 990, Part VI, Section A, line 7a The Board of Trustees shall consist of up to 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, Southern New Hampshire Medical Center, and SolutionHealth. 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 the SolutionHealth CEO's 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 IX, line 11g Purchased professional services and labor: Program service expenses 14,373,893. Management and general expenses 9,989,934. Fundraising expenses 0. Total expenses 24,363,827. Form 990, Part XI, line 9: Net transfers (to)/from affiliates 15,500,000. Form 990, Part XII, Line 2C: The audit process has not changed from the previous year. 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 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 1 Elliot Way Manchester NH 03103 020232673 Medical Services NH 501(c)(3) Line 3 Elliot Health System 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 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 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 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 1 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 1 1 0 0 0 0 0 0 1 0 0 1 0 0 0 1 Southern New Hampshire Medical Center D 299667 Actual per Books Elliot Hospital E 15868612 Actual per Books Southern New Hampshire Medical Center E 10737809 Actual per Books Elliot Hospital L 98499217 Actual per Books Home Health and Hospice Care L 1299996 Actual per Books Southern New Hampshire Medical Center L 57533207 Actual per Books Elliot Hospital S 8000000 Actual per Books Southern New Hampshire Medical Center S 7500000 Actual per Books