2016-07-26T13:58:00-05:00 2015-12-31 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2015-01-01 020275078 Foundation for Healthy Communities FOUN 6032250900 125 Airport Road Concord NH 03301 Stephen M Ahnen Treasurer/Secretary 6032250900 2016-07-18 1 Barbara J McGuan CPA P00219457 2077752387 2016-07-18 2015 2016-12-15 16:53:06Z Stephen M Ahnen 125 Airport Road Concord NH 03301 4224975 0 X www.healthynh.com X 1968 NH To improve health and health care delivery in New Hampshire. 25 23 21 24 0 0 1843556 1587028 1824643 2373861 16080 59324 0 0 3684279 4020213 131500 29496 0 0 1359327 1354564 0 0 0 1856357 2517145 3347184 3901205 337095 119008 2354174 2237214 539474 375108 1814700 1862106 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 3777072 29496 2373861 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. 3777072 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 30 0 1 21 1 0 0 0 0 0 0 0 0 0 0 X 25 23 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 329229 40618 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 Past Trustee 0.50 X 0 0 0 Shawn LaFrance Executive Director/Trustee 40.00 X X 122028 0 20790 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 Corin DeChirico DO Trustee 0.50 X 0 0 0 Peter Evers Trustee 0.50 X 0 0 0 Helen Taft Trustee 0.50 X 0 0 0 Anne Diefendorf Associate Executive Director 40.00 X 133648 0 27976 255676 329229 89384 2 0 1 0 Dartmouth-Hitchcock Medical Center 1 Medical Center Drive Lebanon NH 03756 Medical Services 217866 Frisbee Memorial Hospital 11 Whitehall Road Rochester NH 03867 Medical Services 215866 Safety Inc 119 Foster Street Building 6 Peabody MA 01960 Maintenance Services 134898 Kuehn Consulting Inc 1155 South Springdale Road Waukesha WI 53186 Training Services 128068 4 363120 1223908 1587028 Program Revenue 900099 1892311 1892311 Seminars/Meetings/Work 900099 216231 216231 Indirect Program Incom 900099 136497 136497 Project Income 900099 67386 67386 Other Program Revenue 900099 61436 61436 2373861 15275 15275 248811 204762 44049 44049 44049 4020213 2373861 0 59324 X 29496 29496 142818 142818 986494 932861 53633 41713 39031 2682 101610 77446 24164 81929 77826 4103 31153 28038 3115 2035014 2035014 97951 97951 55833 21441 34392 73454 73454 172200 172200 2788 2230 558 3715 2229 1486 Advance Care Guides 39699 39699 Dues & Subscriptions 2507 2507 Staff Development 2253 2253 Miscellaneous 578 578 3901205 3777072 124133 0 X 50 50 816436 564648 787115 968845 4256 5170 137128 132435 7481 4693 648056 633288 90780 60520 2354174 2237214 284348 253041 205936 74754 49190 47313 539474 375108 X 575041 587728 1239659 1274378 1814700 1862106 2354174 2237214 119008 -71602 0 X 0 1 X 1 1 1 X 1235262 1393910 1521591 1843556 1587028 7581347 839481 1816375 649306 1824643 2373861 7503666 2074743 3210285 2170897 3668199 3960889 15085013 0 0 0 15085013 9828 16140 10693 15189 15275 67125 9828 16140 10693 15189 15275 67125 2084571 3226425 2181590 3683388 3976164 15152138 0.99560 0.99560 0.00440 0.00440 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1118 1118 0 136010 131317 4693 4693 Due to Affiliate 47313 47313 3948611 -71602 -71602 4020213 0 4020213 3901205 0 3901205 0 3901205 1 Trustees of Dartmouth College 7 Lebanon Street Suite 302 No 6015 Hanover NH 03755 020222111 501(c)(3) 7450 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. Manchester Community Health Center 145 Hollis Street Manchester NH 03101 020458174 501(c)(3) 8000 Fair Market Value The NH Comprehensive Cancer Collaboration signed an LOA to award $8,000 to the Manchester Community Health Center to increase the percent of average risk patients who receive colorectal cancer screening using a take home FOBT (fecal occult blood test) or FIT (Fecal immunochemical test) method. This would include a health systems approach to train team members in offering these methods as testing options, purchase of the test cards and placement in each treatment room, provide employee recognition for those who accomplish the FIT/FOBT training checklist, and incorporate electronic health record reminders for providers and patient mail reminders. Funding for this initiative concludes June 30, 2016. Plymouth State University 1 Leavitt Lane Durham NH 03824 026000937 501(c)(3) 9496 Fair Market Value Healthy Eating Active Living (HEAL) NH entered into an agreement to award Plymouth State University $9,496 to analyze the 2014 STRAVA dataset to develop metrics and decision support tools for evaluating bikability and walkability in New Hampshire. The STRAVA dataset, in conjunction with census demographic data, and data from the NH Department of Transportation and Regional Planning Commissions (RPC), has the potential to be transformed into a spatially explicit decision-support tool for state and local decision-makers. This project will provide an incredibly rich baseline dataset from which the impact of road improvements can be assessed and future HEAL, transportation, and redevelopment efforts can be prioritized, as well as help identify barriers to increased physical activity. Within GIS, model-based tools will be developed to summarize the 2014 STRAVA dataset, compare summary results to 2014 RPC manual counts, analyze spatial patterns in walking and biking and assess their relation 3 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 328779 0 0 0 450 0 13000 0 27618 0 369847 0 0 Anne Diefendorf Associate Executive Director 133054 0 0 0 594 0 6653 0 21323 0 161624 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 state hospital association CEO compensation study, which 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 3,311. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,311. Contracted Services - Projects / EP: Program service expenses 2,031,703. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,031,703. 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 86252 Fair Market Value New Hampshire Hospital Association D 60520 Fair Market Value