FOUNDATION MEDICAL PARTNERS INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- FOUNDATION MEDICAL PARTNERS INC (EIN 02-0456218)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-02-04
- IRS object ID
- 202120359349301612
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-02-04T17:06:39-06:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER NEWMAN & NOYES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 ELM STREET SUITE 302 | AddressLine1Txt |
| City | MANCHESTER | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020456218 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Medical Partners | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FOUN | BusinessNameControlTxt |
| Phone | 6035772000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030603928 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Robert Dorf DO | PersonNm |
| Person Title | President of FMP | PersonTitleTxt |
| Phone | 6035772000 | PhoneNum |
| Signature | 2020-12-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2020-12-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Robert Dorf DO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030603928 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $117,018,082 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.snhhs.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | The Organization is dedicated to providing exceptional care that improves the health and well-being of individuals and communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1212 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $92,753,417 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $115,675,283 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,026,903 | PYOtherRevenueAmt |
| CY Other Revenue | $1,342,799 | CYOtherRevenueAmt |
| PY Total Revenue | $93,780,320 | PYTotalRevenueAmt |
| CY Total Revenue | $117,018,082 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $85,995,768 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $113,403,922 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $35,798,102 | PYOtherExpensesAmt |
| CY Other Expenses | $46,076,008 | CYOtherExpensesAmt |
| PY Total Expenses | $121,793,870 | PYTotalExpensesAmt |
| CY Total Expenses | $159,479,930 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$28,013,550 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$42,461,848 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $49,368,758 | TotalAssetsBOYAmt |
| Total Assets EOY | $50,683,382 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $50,111,831 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $61,913,520 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$743,073 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$11,230,138 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The Organization is dedicated to providing exceptional care that improves the health and well-being of individuals and communities we serve. The Organization is a provider of choice, delivering convenient access to high value, quality care in an environment that embraces dignity, compassion and service to the people of our community. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $149,516,241 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $117,018,082 | RevenueAmt |
| Desc | Health Care Services | Desc |
| Total Program Service Expenses | $149,516,241 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 50 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1212 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Paul Trainor | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6035772000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030603928 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Michael S Rose | ||||||||
| SNHHS Pres./CEO & Sec. (end 6/2020) | 1.00 | 42.00 | Yes (X) | Yes (X) | $0 | $1,021,323 | $138,979 | |
| Mollie A MacCormack MD | ||||||||
| Physician | 40.00 | 0.00 | $1,007,106 | $0 | $42,062 | Yes (X) | ||
| Tung T Nguyen MD | ||||||||
| Physician | 40.00 | 0.00 | $884,306 | $0 | $66,146 | Yes (X) | ||
| Michael R Kaczanowski MD | ||||||||
| Physician | 40.00 | 0.00 | $690,389 | $0 | $57,131 | Yes (X) | ||
| Karen Maynard MD | ||||||||
| Physician | 40.00 | 0.00 | $671,946 | $0 | $54,379 | Yes (X) | ||
| Paul F Boffetti MD | ||||||||
| Physician | 40.00 | 0.00 | $633,638 | $0 | $59,260 | Yes (X) | ||
| Michael J DeLeo III MD | ||||||||
| Chief Medical Officer | 40.00 | 0.00 | Yes (X) | $549,785 | $0 | $60,940 | ||
| Susan DeSocio | ||||||||
| Pres. Fnd Medical Ptrs. (end 12/19) | 1.00 | 42.00 | Yes (X) | Yes (X) | $0 | $555,501 | $72,411 | |
| Paul Trainor | ||||||||
| Senior VP & CFO SNHHS, Treasurer | 1.00 | 43.00 | Yes (X) | $0 | $499,991 | $48,255 | ||
| Robert Dorf DO | ||||||||
| Pres. Foundation Medical Partners | 1.00 | 42.00 | Yes (X) | Yes (X) | $431,753 | $0 | $43,625 | |
| Marc Sadowsky MD | ||||||||
| Trustee | 1.00 | 9.00 | Yes (X) | $0 | $39,200 | $0 | ||
| Colin T McHugh | ||||||||
| SNHHS Interim President | 1.00 | 43.00 | Yes (X) | Yes (X) | $0 | $25,270 | $2,025 | |
| Melliyal Annamalai | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Robert B Eisenberg | ||||||||
| Trustee (end 1/2020) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Mary Jordan | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Joseph N Laplante | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Mary Prindle | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Rachel Rowe | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Marlene Santiago MD | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Charla B Stevens Esq | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| John J Sullivan | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Timothy C Sullivan Esq | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Timothy J Whitaker | ||||||||
| Board Chair | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Thomas A Pursch | ||||||||
| Board Vice Chair | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,868,923 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,141,285 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $645,213 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 249 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CHG Companies Inc | |||||
| PO Box 972651 | Dallas | TX | 75397 | Professional services | $552,390 |
| Electromedical Associates Inc | |||||
| PO Box 473 | Amherst | NH | 03031 | Collection services | $402,029 |
| Medicus Radiology Services LLC | |||||
| 22 Roulston Road | Windham | NH | 03087 | Professional services | $340,982 |
| Virtual Radiologic Corp | |||||
| 11995 Singletree Lane Ste 5000 | Minneapolis | MN | 55344 | Professional services | $221,472 |
| David Gossman | |||||
| 8 Prospect Street | Nashua | NH | 03060 | Medical services | $182,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Offices of physicians | 621110 | $120,664,453 | $120,664,453 |
| Provision for bad debt | 621110 | -$4,989,170 | -$4,989,170 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $115,675,283 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,342,799 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,342,799 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,342,799 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,342,799 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,018,082 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $117,018,082 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,120,717 | TotalAmt |
| Management And General | $1,120,717 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,906,282 | TotalAmt |
| Program Services | $88,516,668 | ProgramServicesAmt |
| Management And General | $4,389,614 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,706,860 | TotalAmt |
| Program Services | $4,442,082 | ProgramServicesAmt |
| Management And General | $264,778 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,212,192 | TotalAmt |
| Program Services | $8,710,452 | ProgramServicesAmt |
| Management And General | $501,740 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,457,871 | TotalAmt |
| Program Services | $5,138,619 | ProgramServicesAmt |
| Management And General | $319,252 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,293,135 | TotalAmt |
| Program Services | $10,978,198 | ProgramServicesAmt |
| Management And General | $2,314,937 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,301 | TotalAmt |
| Program Services | $99,142 | ProgramServicesAmt |
| Management And General | $6,159 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,316 | TotalAmt |
| Program Services | $423,971 | ProgramServicesAmt |
| Management And General | $26,345 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,156,908 | TotalAmt |
| Program Services | $6,884,502 | ProgramServicesAmt |
| Management And General | $272,406 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,401 | TotalAmt |
| Program Services | $495,162 | ProgramServicesAmt |
| Management And General | $65,239 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,548 | TotalAmt |
| Management And General | $294,548 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,433,113 | TotalAmt |
| Program Services | $1,175,799 | ProgramServicesAmt |
| Management And General | $257,314 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,114,539 | TotalAmt |
| Program Services | $2,114,539 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Drugs/medical supplies | $19,371,199 | $19,295,895 | $75,304 |
| Telephone | $490,445 | $435,153 | $55,292 |
| Physician recruitment | $477,574 | $477,574 | |
| Linen and laundry | $204,204 | $204,160 | $44 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,325 | TotalAmt |
| Program Services | $124,325 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,479,930 | TotalAmt |
| Program Services | $149,516,241 | ProgramServicesAmt |
| Management And General | $9,963,689 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$597,515 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,153,322 | BOYAmt |
| EOY | $9,138,406 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $788,820 | BOYAmt |
| EOY | $959,299 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,139,507 | BOYAmt |
| EOY | $1,680,221 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $23,292,265 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,795,364 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,632,450 | BOYAmt |
| EOY | $7,496,901 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,252,174 | BOYAmt |
| EOY | $31,408,555 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,368,758 | BOYAmt |
| EOY | $50,683,382 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,107,041 | BOYAmt |
| EOY | $7,906,782 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $137,349 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,591,040 | BOYAmt |
| EOY | $4,306,017 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,413,750 | BOYAmt |
| EOY | $49,563,372 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,111,831 | BOYAmt |
| EOY | $61,913,520 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$743,073 | BOYAmt |
| EOY | -$11,230,138 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$743,073 | BOYAmt |
| EOY | -$11,230,138 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,368,758 | BOYAmt |
| EOY | $50,683,382 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$42,461,848 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $31,974,783 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $102,625,995 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $106,314,095 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $114,160,768 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $93,780,320 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,018,082 | CurrentTaxYearAmt |
| Total | $533,899,260 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $102,625,995 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $106,314,095 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $114,160,768 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $93,780,320 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,018,082 | CurrentTaxYearAmt |
| Total | $533,899,260 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $533,899,260 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $102,625,995 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $106,314,095 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $114,160,768 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $93,780,320 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,018,082 | CurrentTaxYearAmt |
| Total | $533,899,260 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $470,501 | OtherCostOrOtherBasisAmt |
| Book Value | $470,501 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,091,866 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,501,614 | DepreciationAmt |
| Book Value | $3,590,252 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,766,276 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,321,104 | DepreciationAmt |
| Book Value | $1,445,172 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,963,622 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,972,646 | DepreciationAmt |
| Book Value | $1,990,976 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,496,901 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Pension and insurance obligations | $31,363,451 |
| Long-term portion of sign-on-bonus | $45,104 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $31,408,555 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued pension liability | $31,363,451 |
| Accrued payroll liability | $10,160,763 |
| Malpractice obligations | $1,222,115 |
| Accrued benefits | $852,594 |
| Other liabilities | $50,872 |
| Accrued Medicare accelerated payments | $5,000,000 |
| Employer social security liabilities | $913,577 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $49,563,372 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michael S Rose | ||||||||||||||
| SNHHS Pres./CEO & Sec. (end 6/2020) | $0 | $665,044 | $0 | $307,156 | $0 | $49,123 | $0 | $108,421 | $0 | $30,558 | $0 | $1,160,302 | $0 | $0 |
| Mollie A MacCormack MD | ||||||||||||||
| Physician | $1,005,296 | $0 | $1,000 | $0 | $810 | $0 | $39,244 | $0 | $2,818 | $0 | $1,049,168 | $0 | $0 | $0 |
| Tung T Nguyen MD | ||||||||||||||
| Physician | $863,064 | $0 | $1,000 | $0 | $20,242 | $0 | $37,393 | $0 | $28,753 | $0 | $950,452 | $0 | $0 | $0 |
| Michael R Kaczanowski MD | ||||||||||||||
| Physician | $652,509 | $0 | $18,070 | $0 | $19,810 | $0 | $25,732 | $0 | $31,399 | $0 | $747,520 | $0 | $0 | $0 |
| Karen Maynard MD | ||||||||||||||
| Physician | $668,840 | $0 | $1,000 | $0 | $2,106 | $0 | $15,333 | $0 | $39,046 | $0 | $726,325 | $0 | $0 | $0 |
| Paul F Boffetti MD | ||||||||||||||
| Physician | $598,574 | $0 | $12,500 | $0 | $22,564 | $0 | $27,425 | $0 | $31,835 | $0 | $692,898 | $0 | $0 | $0 |
| Michael J DeLeo III MD | ||||||||||||||
| Chief Medical Officer | $499,021 | $0 | $31,278 | $0 | $19,486 | $0 | $22,053 | $0 | $38,887 | $0 | $610,725 | $0 | $0 | $0 |
| Susan DeSocio | ||||||||||||||
| Pres. Fnd Medical Ptrs. (end 12/19) | $0 | $356,438 | $0 | $159,114 | $0 | $39,949 | $0 | $68,221 | $0 | $4,190 | $0 | $627,912 | $0 | $0 |
| Paul Trainor | ||||||||||||||
| Senior VP & CFO SNHHS, Treasurer | $0 | $357,510 | $0 | $107,292 | $0 | $35,189 | $0 | $45,689 | $0 | $2,566 | $0 | $548,246 | $0 | $0 |
| Robert Dorf DO | ||||||||||||||
| Pres. Foundation Medical Partners | $373,459 | $0 | $57,500 | $0 | $794 | $0 | $11,200 | $0 | $32,425 | $0 | $475,378 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Lines 4a-b | Schedule J, Part 1, Line 4a: both Michael Rose and Susan DeSocio, who served as the President & CEO and the FMP President for the Southern New Hampshire Medical Center (a related organization), 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: A related organization, SNHMC, provides a Supplemental Employee 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. FMP provides a Supplemental Employee Retirement Plan, a 457(f) plan, to certain providers. Funding for this plan during the year was provided as follows: Robert Dorf - $18,150; Michael J. DeLeo - $16,453; Karen Maynard - $9,733; Tung T. Nguyen - $31,793; Paul F. Boffetti - $21,825; Mollie A. MacCormac - $33,644; Michael R. Kaczanowski - $20,132. |
| Part I, Line 7 | Foundation Medical Partners providers participate in an incentive compensation plan. Payments are made under the Plan upon providers meeting certain productivity and quailty goals. Total payments under the Plan are subject to a maximum cap. The maximum possible incentive payment available under the Plan is considered by the organization's compensation committee when determining the reasonableness of compensation paid. There is an additional compensation plan available to managers, directors, and senior management that is part of their annual performance plan. The plan takes into consideration quality measures, patient satisfaction, individual goals, budget adherence, and overall organizational performance. The range and overall pool is reviewed and approved by the Board of Trustees. The amount designated for the CEO and CFO are considered in the compensation consultant's analysis of executive compensation. |
| Part I, Line 3: | The President of Foundation Medical Partners (FMP) is paid by a related organization, Southern New Hampshire Medical Center (SNHMC). SNHMC uses a compensation committee, independent compensation consultant, a compensation survey, and approval by the board or compensation committee to establish the compensation of the organization's CEO. |
| Unrelated Organization Compensation | Marc Sadowsky, who serves on the Board of Directors for Foundation Medical Partners, is also the Medical Director of the Southern New Hampshire 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $30,029 ($25,270 to cover McHugh's salary and wages; $2,025 for nontaxable benefits, and $2,734 for payroll taxes) 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 | The sole corporate member of the Foundation is Southern New Hampshire Health System, Inc. |
| Form 990, Part VI, Section A, line 7a | Southern New Hampshire Health System, Inc. is the sole corporate member of the Foundation Medical Partners, Inc. and the two organizations have overlapping boards with one additional member on the Foundation Medical Partners Inc.'s board--the President of the Foundation Medical Partners, Inc. who serves as ex-officio but not on the board of Southern New Hampshire Health Systems, Inc. |
| Form 990, Part VI, Section A, line 7b | The sole Member, Southern New Hampshire Health System, Inc. (SNHHS), may consider any issue that may properly come before any meeting of Foundation Medical Partners (the Foundation). In addition, to any rights and powers conferred on SNHHS by law or these bylaws, the Foundation, and in the bylaws of SNHHS, SNHHS shall, after due consultation with the Board of Trustees of the Foundation: (a) appoint and remove, the President/Chief Executive Officer of the Foundation, subject to ratification of the Board of Trustees of the Foundation; (b) conduct system-wide strategic planning encompassing all corporations, including the Foundation, of which SNHHS is the sole corporate member and periodically develop, adopt, and periodically amend or revise a system-wide strategic plan that, among other things, established strategic priorities for the Foundation; (c) conduct system-wide financial and capital planning encompassing all corporations, including the Foundation, of which SNHHS is the sole corporate member and periodically develop, adopt, and periodically amend or revise system-wide financial plans and operating and capital improvements budget that, among other things, establish financial and budgetary priorities of the Foundation; (d) periodically conduct by appropriate means an evaluation of the performance of each member of a board of trustees of all corporations, including the Foundation, of which SNHHS is the sole corporate member, the results of which shall be used by the SNHHS Governance Committee to determine the Trustee's continued service on such board of trustees. The business and affairs of the Foundation shall be managed by its board of trustees. The Foundation's board, however, shall not, without approval of SNHHS: (a) elect or appoint the members of the Foundation's Board of Trustees or remove such person serving from time to time in that capacity; (b) adopt or amend the Foundation's Mission Statement; (c) adopt, amend or waive any material provision of the Foundation's strategic plan or any annual operating plan or budget; (d) incur indebtedness for borrowed money or enter into any capital lease obligation, in either case, that has not been specifically set forth in a written operating budget approved previously by the Member where the amount of the obligation exceeds $1,000,000 in amount; (e) enter into, agree to enter into or otherwise approve of any transaction including an incorporation, merger, consolidation, affiliation, dissolution, liquidation or sale of substantially all of the assets of the Foundation; (f) authorize expenditures contained in a capital and operating budget, even if previously approved by the Board of Trustees of the Foundation; (g) approve, adopt or enter into a professional or general services contract where the annual expense to the Foundation exceeds $1,000,000 and that has not previously been approved in the Foundation's annual budget; (h) amend the Articles of Agreement or these Bylaws; (i) acquire or agree to acquire by merging, consolidating with or by purchasing substantially all of the assets of any business or corporation, partnership, joint venture, association, business organization or division thereof, except with respect to an entity that is engaged in operating or maintaining a medical practice; and (j) elect or remove officers of the Foundation. |
| Form 990, Part VI, Section B, line 11b | A copy of the 990 was presented to the full Board and approved by the Finance Committee of the Board of Trustees prior to submission. |
| Form 990, Part VI, Section B, line 12c | The organization requires all its personnel, including Leaders, to formally acknowledge that they have read and will abide by the Code of Conduct, which includes the conflict of interest policy. The Foundation monitors compliance of its conflict of interest process, which requires completion of disclosure forms by all Leaders on an annual basis or on a reappointment basis (every two years) for medical/allied staff, to ensure full compliance. Interim disclosures are also required and reviewed should a subsequent conflict arise. Any related party disclosures require review and approval by a designated committee. An annual compliance report is provided to the Foundation's compliance committee and Board of Trustees. |
| Form 990, Part VI, Section B, line 15 | A market analysis is performed for all key employees including the FMP President/CEO on an annual basis. Once the Southern New Hampshire Health System CEO and CFO approve the final compensation figures for key employees, the CEO reports these figures to the chairperson and vice chairperson of the Board. |
| Form 990, Part VI, Section C, line 19 | The organization makes its 990 available for inspection upon request. The code of conduct is available on the organization's website. The code of Conduct addresses certain corporate policies including confidentiality, conflicts of interest, patient rights, and governing policies. |
| Form 990, Part XI, line 9: | Transfers from affiliate 31,974,783. |
| Form 990, Part XII, Line 2c: | The audit process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Southern New Hampshire Medical Center | |||||||||||
| 10 Prospect Street | Nashua | NH | 03060 | 020483054 | Medical Services | NH | 501(c)(3) | Line 3 | SNHHS | 0 | |
| Southern New Hampshire Health System Inc | |||||||||||
| 8 Prospect Street | Nashua | NH | 03060 | 020509221 | Medical Services | NH | 501(c)(3) | Line 12b, II | SolutionHealth | 0 | |
| SolutionHealth | |||||||||||
| 360 Route 101 Unit 8 | Manchester | NH | 03110 | 830741190 | Supporting Organization | NH | 501(c)(3) | Line 12a, I | 0 | N/A | |
| 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 | 0 | N/A | |
| 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 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Elliot Common Trust Fund LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Elliot Way | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203653624 | EIN |
| Primary Activities | Investments | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Elliot Health System Holdings & Subsidiaries | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 Holt Avenue Unit 1 Suite 2100 | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020512224 | EIN |
| Primary Activities | Management | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |