2015-04-24T11:35:51-05:00 2014-09-30 010494526 Baker Newman & Noyes LLC 650 Elm Street Suite 302 Manchester NH 03101 990 2013-10-01 020483054 Southern New Hampshire Medical Center SOUT 6035772000 8 Prospect Street PO Box 2014 Nashua NH 030612014 Thomas E Wilhelmsen Jr President / CEO 6035772000 2015-04-10 1 Timothy R Hepburn CPA P00182393 8002447444 2015-04-10 2013 2016-04-25 22:37:26Z Thomas E Wilhelmsen Jr 8 Prospect Street PO Box 2014 Nashua NH 030612014 215938950 0 X www.snhhs.org X 1892 NH Southern New Hampshire Medical Center is committed to improving, maintaining, and preserving the overall health and well being of individuals living in the Greater Nashua area by providing information, education and access to exceptional health and medical care services. 13 12 1813 321 377260 -15066 130903 171063 198523922 204823470 10221616 10496444 441578 447973 209318019 215938950 0 0 0 0 96542258 97414267 0 0 0 74401589 79720718 170943847 177134985 38374172 38803965 334813337 349867545 149580410 150055996 185232927 199811549 X Southern New Hampshire Medical Center is committed to improving, maintaining, and preserving the overall health and well being of individuals living in the Greater Nashua area by providing information, education and access to exceptional health and medical care services. 0 0 131029719 0 204885731 Provides acute healthcare services to a diverse population base including indigent within southern and central New Hampshire. Southern New Hampshire Medical Center is a nonprofit hospital, serving all who need care, regardless of ability to pay. Medical services provided included 8,737 inpatient admissions, 229,141 outpatient registrations, 40,855 emergency room visits, 4,958 surgical procedures and 1,242 births. 9390093 0 0 Charity Care ($3,918,951) and other uncompensated care ($5,471,142) at cost. 1876499 0 8452 Community health services and health professional education. 142296311 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 218 0 1 1813 1 1 1 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Michael Rose 6035772004 8 Prospect Street Nashua NH 030612014 J Terrance Buchannan MD Trustee 1.00 0.00 X 0 0 0 Robert B Eisenberg Trustee 1.00 2.00 X 0 0 0 Colleen P Guiry MD Trustee 1.00 0.00 X 0 0 0 Holly J Harmon-Morse Trustee 1.00 2.00 X 0 0 0 Clifford R Kinghorn Jr Judge Trustee 1.00 2.00 X 0 0 0 John M Mercier Trustee 1.00 2.00 X 0 0 0 Martha E O'Neil Esq Trustee 1.00 2.00 X 0 0 0 Thomas A Pursch Trustee 1.00 2.00 X 0 0 0 James K Steiner Trustee 1.00 2.00 X 0 0 0 Praveen K Sudchev MD Trustee 1.00 2.00 X 0 0 0 Timothy C Sullivan Chair 1.00 2.00 X X 0 0 0 Timothy J Whitaker Vice Chair 1.00 2.00 X X 0 0 0 Thomas E Wilhelmsen Jr President/CEO 40.00 2.00 X X 740710 0 86735 Michael S Rose Treasurer 40.00 2.00 X 373471 0 65208 Susan Desocio President FMP 40.00 2.00 X 323959 0 43333 Richard Duguay VP Clinical Services 40.00 0.00 X 224800 0 30245 Colette Tilton VP PT Care Services 40.00 0.00 X 237030 0 28326 Stephanie Wolf-Rosenblum VP Med Affairs 40.00 0.00 X 311518 69491 6680 Andrew Watt Assoc. VP Medical Informat 40.00 0.00 X 359384 0 30813 Scott Westover VP Strategy 40.00 0.00 X 224518 0 35226 Joesph M Leahy Physician 40.00 0.00 X 389038 0 41761 Dillip Yorabothu Physician 40.00 0.00 X 307204 0 19707 Daniel Weidner Physician 40.00 0.00 X 310614 0 44596 Marc DeBell Physician 40.00 0.00 X 308223 0 18997 Peter Row Physician 40.00 0.00 X 306943 0 41960 4417412 69491 493587 82 0 1 0 Fulcrum Associates 5 Tech Circle Amherst NH 03031 Construction 3973670 Sodexo Inc 9801 Washington Blvd Gaithersburg MD 20878 Food Services 967570 Jim Allard Contracting 26 Cherokee Avenue Nashua NH 03062 Construction 796059 Siemens Medical Solutions Dept At 40065 Atlanta GA 31192 System Support 595889 Arup Laboratories Inc 500 Chipeta Way Salt lake City UT 841081221 Lab 518789 26 X 171063 171063 Hospital Services 621110 204823470 204823470 204823470 10488993 10488993 7451 0 7451 7451 7451 Ancillary-NE Rehab Food Services 722210 302690 302690 Other Revenue 900099 73593 70713 2880 Ancillary-NE Rehab Environmental 811000 71690 71690 447973 215938950 204894183 377260 10496444 3121956 3121956 80169766 63775671 16394095 1858276 1478273 380003 6461572 5140231 1321341 5802697 4616091 1186606 190148 190148 144522 144522 10195283 8476454 1718829 807796 807796 739121 739121 1999051 1590261 408790 5006145 3982427 1023718 31891 25369 6522 311678 247942 63736 4545372 3615879 929493 2723219 2723219 11783612 9373955 2409657 1260408 1002664 257744 Supplies 22698875 20528074 2170801 New Hampshire Medicaid 10349872 10349872 6933725 5369929 1563796 177134985 142296311 34838674 0 X 18567157 21273529 23076652 23144260 23174204 21748812 2809265 2878114 3099955 3213939 250853555 132759768 115457969 118093787 133895550 146788200 4078190 4362986 630526 584485 10023869 7779433 334813337 349867545 40394464 43563226 92400213 89437273 430843 168739 16354890 16886758 149580410 150055996 X 182817632 197372151 59782 73884 2355513 2365514 185232927 199811549 334813337 349867545 X 38803965 -24225343 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 7401 0 0 0 7401 0 Part II-B, Line 1: 23.65% of dues to American Hospital Association are available for lobbying expenses. 68039314 7220299 75259613 60583371 7455943 68039314 51079549 9503822 60583371 50596135 483414 51079549 46166746 4429389 50596135 0.96860 0.03140 0.00000 0 0 10801630 10801630 146914864 69353137 77561727 2554348 1559988 994360 81031149 61846643 19184506 9551564 9551564 118093787 Unearned Income - MOB 141837 Insurance Reserves 1929556 Other Liabilities SERP 2865954 Accrued Pension Expense - LT 9928259 457 (B) Deferred Comp Plan 2021152 16886758 X Part V, Line 4: The intended uses of the organization's endowment funds are to fulfill donor's intentions on the permanently restricted funds and for future plant replacement and technology investments from board designated funds. Part X, Line 2: The System, Medical Center and Foundation are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code, and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. 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 consolidated financial statements. With few exceptions, the System is no longer subject to income tax examination by the U.S. federal or state tax authorities for years before 2011. 1 1 1 X 225.000000000000 0 1 1 0 1 1 3918951 60000 3858951 0.02180 25740162 9894565 15845597 0.08950 29659113 9954565 19704548 0.11130 162125 8452 153673 0.00090 1416601 0 1416601 0.00800 2482578 1364085 1118493 0.00630 19619 0 19619 0.00010 225937 0 225937 0.00130 4306860 1372537 2934323 0.01660 33965973 11327102 22638871 0.12790 2314 0 2314 0.00000 40149 0 40149 0.00020 7406 0 7406 0.00000 3627 0 3627 0.00000 7178 0 7178 0.00000 60674 60674 0.00020 1 19881510 5471142 46862033 50185227 -3323194 X 1 1 1 1 Southern New Hampshire Medical Center 8 Prospect Street PO Box 2014 Nashua NH 030612014 www.snhhs.org 02496 X X X Southern New Hampshire Medical Center 1 1 X X X X X X X X 12 1 1 1 X X X X X X X X X X 1 0 1 1 225.000000000000 0 0 1 1 X X X X 1 0 X X X X 1 X 0 1 Southern New Hampshire Medical Center Part V, Section B, Line 3: During the process of developing the Community Health Needs Assessment, Nashua residents, medical providers and key leaders in the community were asked to rank the health of the community and to prioritize the needs. Assessment teams approached 833 households in Nashua and completed 207 surveys. Respondents to the Nashua Community Health Survey identified issues considered to be major problems in their community and for families. There were also two focus groups whose members included 16 key leaders and 18 Medical Partners. KEY LEADERS: Sanders Burnstein, MD Medical Director Dartmouth-Hitchcock (Nashua); Danielle Fuller Director, Human Resources Gateways; Rolf Goodwin Vice Chair, Board of Directors United Way of Greater Nashua; Tracey Goyette, RN BSN School Nurse City of Nashua, Nashua School District; Donnalee Lozeau Mayor City of Nashua; Melinda Luther, RN Professor, Nursing Department Nashua Community College; Ann Peters CEO Lamprey Health Care Nashua Center; David Ross President & CEO St. Joseph Hospital; Melissa Sears Vice President, Strategy/Business Development St. Joseph Hospital; Jason Smith Executive Director Courville at Nashua; Susan Stearns Director, Development Greater Nashua Mental Health Center of Community Council; Anthony Storace, DMD Chairman City of Nashua, Board of Health; Dedra Twomey Business Manager Greater Nashua Dental Connection; Ronald Vaillancourt Director, Field Operations Rockingham Regional Ambulance; Scott Westover Vice President, Planning and Communication Southern New Hampshire Medical Center; Tom Wilhelmsen President & CEO Southern New Hampshire Medical Center Facilitator; Kathy Hersh, Nashua Community Development Division Director Focus Group: Albee Budnitz, MD Internal Medicine Southern New Hampshire Medical Center; Mark Conway, MD Obstetrics & Gynecology St. Joseph Hospital; Rebecca Cooper Piela, APRN Internal Medicine Southern New Hampshire Medical Center; Leslie Dionne, MD Internal Medicine Dartmouth-Hitchcock; Rob Dorf, MD Family Medicine Southern New Hampshire Medical Center; Jack Faraci, MD Obstetrics & Gynecology St. Joseph Hospital; Larry Learner, MD Pediatrics Merrimack Valley Pediatrics; Donald Levi, MD Pediatrics St. Joseph Hospital; Louise Mermer, APRN Pediatrics St. Joseph Hospital; Dana O'Shea, MD Internal Medicine Harbor Care Clinic; Mary Peterson, PA Internal Medicine St. Joseph Hospital; Joanne Pomeranz, ARPN Internal Medicine Harbor Care Clinic; Donald Reape, MD Internal Medicine St. Joseph Hospital; Chris Riccio, MD Internal Medicine/ Pediatrics Southern New Hampshire Medical Center; Ajay Sharma, MD Family Medicine City of Nashua, Board of Health; Edward Scully, MD Medical Director Lamprey Health Care Nashua Center; Jon Thyng, MD Family Medicine Dartmouth-Hitchcock; Barbara Watrous, CNM Obstetrics & Gynecology St. Joseph Hospital Facilitator; Debbie Daniels, MD, MPH, Medical Director for DPHCS Southern New Hampshire Medical Center Part V, Section B, Line 4: The hospital's Community Health Needs Assessement was a collaboration of City of Nashua Health Department and other stakeholders, including St. Joseph Hospital. The Medical Center prepared its own separate assessment, based on that information. Southern New Hampshire Medical Center Part V, Section B, Line 11: The State of New Hampshire mandates a discount for all uninsured patients. This discount is equal to the average discount negotiated by the top (by volume) three commercial insurers. This discount for the uninsured is automatic and applied to all balances prior to sending the first billing statement to the patient. Southern New Hampshire Medical Center Part V, Section B, Line 12i: The Medical Center's written financial assistance policy does not detail how charges are calculated, however the Medical Center provides a discount to all uninsured patients equal to the average of its three largest payors. Southern New Hampshire Medical Center Part V, Section B, Line 18e: See response for III.C.9b above. Prior to placing accounts with collection agencies, SNHMC pulls out patients who qualify for charity based on census tract data and does not place those accounts with an agency but rather, awards charity or free care assistance for their encounter. Southern New Hampshire Medical Center Part V, Section B, Line 20d: The State of New Hampshire mandates a discount for all uninsured patients. This discount is equal to the average discount negotiated by the top (by volume) three commercial insurers. This discount for the uninsured is automatic and applied to all balances prior to sending the first billing statement to the patient. Southern New Hampshire Medical Center Part V, Section B, Line 22: SNHMC may charge patients who are having cosmetic or experimental, non-covered services gross charges for that encounter. Part I, Line 3c: The Medical Center offers a discount equal to the average of their three largest payors to all self pay patients. Part I, Line 7: The costing methodolgy used was the ratio of cost to charge as outlined in Worksheet 2 of the instructions. The only exception to this was for subsidized service area where the cost structure was specific to that service area. For those areas, our Cost Accounting system was used. Part II, Community Building Activities: Southern New Hampshire Medical Center is committed to improving the health and well-being of the Greater Nashua area and our community building activities help us achieve this goal. Through our involvement in the Rotary Club and Nashua Chamber of Commerce, along with other community organizations, we are able to exhange ideas with area leaders concerning health care issues and make informative decisions that best address the health needs of our community. We provide Medicare Counseling to area senior citizens giving them the guidance they need to make informed decisions about their healthcare coverage. Our support of the United Way's Day of Caring has resulted in a growing number of our employees going out into the area and helping members of the community with healthcare and other needs. We are strong in our commitment to the Greater Nashua area and plan to continue to support and grow community building activites that improve the overall health of the area.A majority of the organization's Board of Trustees is comprised of persons who reside in the Primary Service Area (PSA) who otherwise have no relationship with the organization. Many members of the organization volunteer their time to other community agencies in the PSA. Part III, Line 2: The Medical Center's Bad Debt Expense includes accounts that have been referred to a collection agency after making reasonable efforts to determine eligibility under the financial assistance policy, along with estimates of current accounts receivable based in historical experience. Part III, Line 3: A significant portion of the Medical Center's uninsured patients will be unable or unwilling to pay for the services provided. Thus, The Medical Center records a significant provision for bad debts related to uninsured patients in the period the services are provided. The FASB issued an accounting standards update that states that a health care entity that recognizes significant amounts of patient service revenue at the time services are rendered, even though it does not assess the patient's ability to pay, must present bad debts as a reduction of net patient revenue and not as a separate item in the operating expense. The ratio of cost to charge methodology was used to determine costs of these services as outlined in worksheet 2 of the instructions. Consistent with the accounting treatment mentioned above, since the system does not assess the patient's ability to pay, the cost of bad debt for those patients without any form of insurance should be classified as community benefit, consistent with charity care. Part III, Line 4: Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the System analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the System analyzes contractually due amounts and provides an allowance for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the System records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.The System's allowance for doubtful accounts was 17% and 18% of accounts receivable as of September 30, 2014 and 2013, respectively. The System's self-pay bad debt writeoffs increased $4.7 million from $20.5 million for fiscal year 2013 to $25.2 million for fiscal year 2014. The increase in the bad debt write-offs was a result of higher patient responsible deductibles, and changes in eligibility of free care and self-pay discounts. Part III, Line 8: The ratio of cost to charge methodology was used to determine cost as outlined in Worksheet 2 of the instructions. There are service areas where government programs such as Medicare and Medicaid do not reimburse the organization adequate amounts to cover the costs to provide those services. The hospital must provide those services regardless of the financial shortfall. Part III, Line 9b: SNHMC recognizes that not all patients who qualify for financial assistance will follow through with an application for financial assistance. Prior to placing any account with a collection agency, the Medical Center uses a financial assistance qualification service to categorize patients based primarily on income and assets estimated from census tract data. Those patients whose estimated income/assets fall within the Medical Center's financial assistance guidelines are awarded charity or free care assistance for their encounter. Part VI, Line 2: The Southern New Hampshire Health Systems 2012 Community Health Needs Assessment and Implementation Strategy was a collaboration with the City of Nashua and other area health partners. The 2011 Creating a Healthier Community: City of Nashua Health Assessment (the Assessment) was published by the City of Nashua Division of Public Health and Community Services on September 9,2011. The program coordinators of the Assessment were Ashley Conley, epidemiologist, and Debbie Daniels, medical director from the Nashua Department of Public Health. The assessment results include information gathered from a door-to-door survey of 833 households in Nashua conducted in October and November 2010. In conjunction with this, in March 2011, data were gathered from two focus groups, one with area key leaders, the other consisting of medical partners from the greater Nashua area. Part VI, Line 3: At each registration point, SNHMC has signage and brochures explaining our various forms of financial assistance, including charity care. Additionally, patient registrars offer the charity brochures to self pay patients. Patients who call regarding billing concerns are offered charity assistance. Additionally, verbiage regarding charity care is printed on each billing statement the patient receives. Also, charity care information is available on our hospital website. Part VI, Line 4: SNHHS's service area consists of nineteen New Hampshire and four Massachusetts towns. The service area is divided into a Primary Service Area (PSA) of twelve New Hampshire towns (Amherst, Brookline, Hollis, Hudson, Litchfield, Lyndeborough, Merrimack, Milford, Mont Vernon, Nashua, Pelham and Wilton), a Secondary Service Area (SSA) of seven New Hampshire towns (Derry, Greenville, Londonderry, New Boston, New Ipswich, Salem and Windham) and a Massachusetts Service Area (MSA) of four neighboring Massachusetts towns (Dunstable, Pepperell, Townsend and Tyngsboro). According to the 2012 needs assessment, the population of the Greater Nashua Region is growing ( 4.5% growth from 2000 to 2010), younger than the New Hampshire state average (53.5% under 40 years of age compared with 50.7% for the state) , and also more culturally diverse than the rest of the state (85.7% identified as white versus 94.8% for the state) . Part VI, Line 5: Southern New Hampshire Medical Center provides a variety of services that promote the health of the greater Nashua community. Throughout the year we hold Community Medical Education seminars that offer area residents an opportunity to look behind the scenes of medicine and learn more about the latest medical technology, research and advances. We also perform free public health screenings, such as impact testing for sports teams at local schools, and balance and hearing screenings for the elderly. Our commitment to community health is also evident in the time our leadership spends on the boards of several local health organizations to help improve and promote health services available to area residents. Part VI, Line 6: Southern NH Health System, Inc. is a not-for-profit entity organized to support Southern NH Medical Center and Foundation Medical Partners, Inc. Both the Medical Center and Foundation are not-for-profit entities, established to provide medical services to the people of the greater Nashua area. Part VI, Line 7, Reports Filed With States NH X 1 1 X X X X 0 1 0 0 0 0 0 1 0 Thomas E Wilhelmsen Jr President/CEO 507069 0 172251 0 61390 0 52974 0 33761 0 827445 0 0 0 Michael S Rose Treasurer 272766 0 58017 0 42688 0 26400 0 38808 0 438679 0 0 0 Susan Desocio President FMP 253735 0 51355 0 18869 0 26892 0 16441 0 367292 0 0 0 Richard Duguay VP Clinical Services 169777 0 29252 0 25771 0 0 0 30245 0 255045 0 0 0 Colette Tilton VP PT Care Services 187476 0 23396 0 26158 0 0 0 28326 0 265356 0 0 0 Stephanie Wolf-Rosenblum VP Med Affairs 231372 69491 30000 0 50146 0 0 0 6680 0 318198 69491 0 0 Andrew Watt Assoc. VP Medical Informat 309741 0 39400 0 10243 0 0 0 30813 0 390197 0 0 0 Scott Westover VP Strategy 173382 0 35000 0 16136 0 0 0 35226 0 259744 0 0 0 Joesph M Leahy Physician 338828 0 31900 0 18310 0 0 0 41761 0 430799 0 0 0 Dillip Yorabothu Physician 269887 0 12875 0 24442 0 0 0 19707 0 326911 0 0 0 Daniel Weidner Physician 251827 0 12875 0 45912 0 0 0 44596 0 355210 0 0 0 Marc DeBell Physician 286194 0 10875 0 11154 0 0 0 18997 0 327220 0 0 0 Peter Row Physician 249517 0 11875 0 45551 0 0 0 41960 0 348903 0 0 0 Part I, Line 1a Southern New Hampshire Medical Center uses the facilities at the Nashua Country Club for meetings and other business related purposes. The Club does not have a corporate membership, therefore, an individual associated with the Medical Center must be a member of the Club. The membership is titled in the CEO's name and invoices are addressed to the CEO, not SNHMC. SNHMC pays the annual dues and all related expenses incurred by the organization. The facilities are only available to Club members. Part I, Line 3 The compensation of the CEO and CFO is evaluated by an outside consultant. The compensation of the CEO is approved by the Executive Compensation Committee of the Board and the Board of Trustees. A market analysis is performed for all key employees on an annual basis. Once the CEO and CFO approved the final compensation figures for key employees, the CEO reports these figures to the chairperson and vice chairperson of the Board. Part I, Line 4b The Medical Center provides a Supplemental Executive Retirement Plan, a 457(f) plan, to certain executives. Funding for this plan during the year was: Susan DeSocio - $26,892, Michael S. Rose - $26,400, Thomas E. Wilhelmsen, Jr. - $52,974. Part I, Line 7 There is an additional compensation plan available to managers, directors and senior management that is part of their annual performance plan. The plan takes into consideration quality measures, patient satisfaction, individual goals, budget adherence and overall organizational performance. The range and overall pool is reviewed and approved by the Board of Trustees' Executive Compensation Committee. The amount designated for the CEO and CFO are considered in the compensation consultant's analysis of executive compensation reported on the 990 Part VI section B Line 15b. A NHHEF Authority 020279866 644614SWO 2007-08-30 89836797 Refunding and New Construction 1 0 0 B NHHEF Authority 020279866 2010-12-15 5500000 Equipment Purchase 0 0 0 A 89836797 49731438 949525 39155834 1 1 1 1 B 5500000 25672 5474328 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 1 0 0 0 0 1 B 1 0 0 0 0 0 A 1 B 1 Form 990, Part VI, Section A, line 6 Southern New Hampshire Health System, Inc., is the sole corporate member of Southern New Hampshire Medical Center (SNHMC) and the two (2) organizations have identical boards with the exception of two (2) additional members serving solely on the SNHMC board. These include a physician member and the current SNHMC chief of staff who is an ex-officio member. Form 990, Part VI, Section A, line 7a The Medical Center is governed by the Board of Trustees, who are elected by the Trustees of its sole member Southern New Hampshire Health System, Inc. Form 990, Part VI, Section A, line 7b The Medical Center is governed by the Board of Trustees, who are elected by the Trustees of its sole member Southern New Hampshire Health System, Inc. Form 990, Part VI, Section B, line 11 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 & will abide by our Code of Conduct, which includes our conflict of interest policy. SNHHS/SNMC 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 SNHHS/SNHMC's compliance committee and Board of Trustees. Form 990, Part VI, Section B, line 15 The compensation of the CEO and CFO is evaluated by an outside consultant. The compensation of the CEO is approved by the Executive Compensation Committee of the Board and the Board of Trustees. A market analysis is performed for all key employees on an annual basis. Once the CEO and CFO approve the final compensation figures for key employees, the CEO reports these figures to the chairperson and vice chairperson of the Board. Form 990, Part VI, Section C, line 19 The organization makes its 990 and 990T available for inspection upon request. The Code of Conduct is also available on the organization's website. The Code of Conduct addresses certain corporate policies including confidentiality, conflict of interest, patient rights and other governing documents. The organization also makes all relevant documents available to the public upon request. Form 990, Part VIII, Line 3 Part VIII, Line 3 reflects all investment earnings including net gains of $7,477,657, net of investment management fees. Form 990, Part X, Line 2 Part X, Line 2 beginning balance of $23,076,652 was moved to properly classify cash in interest bearing account to line 2 consistent with current year. Form 990, Part X, Line 13 Part X, line 13 beginning balance of $4,078,190 was reclassed from line 15 to properly classify Investments in Subsidiaries with current year. Form 990, Part XI, line 9: Transfers to affiliates -20,778,264. Pension Adjustment -3,447,079. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Foundation Medical Partners Inc 8 Prospect Street Nashua NH 03060 020456218 Physician Services NH 501(c)(3) 9 SNHHS 0 Southern New Hampshire Health System 8 Prospect Street Nashua NH 03060 020509221 Medical Services NH 501(c)(3) 11 N/A 0 Advantage Network PHO 10 Prospect Street Nashua NH 03060 020482950 Medical Services NH SNHMC C 115970 56183 0.50000 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 1 1 1 1 0 Advantage Network PHO O 8359 Fair Market Value