Civic Intelligence

Solutionhealth

990 • Fiscal year 2024 • EIN 83-0741190

Jul 01, 2023 to Jun 30, 2024 • Filed on May 13, 2025

360 Route 101 Unit 8Bedford, NH 03110

(603) 669-5300

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

68th percentile

0.48x

Higher debt load relative to assets than 68% of similar nonprofits.

2024 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

29th percentile

0.21x

Higher debt load relative to revenue than 29% of similar nonprofits.

2024 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

22nd percentile

-4.2%

Higher net margin than 22% of similar nonprofits.

2024 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

92nd percentile

$1,994,170

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 1.3% of source-year revenue.

2024 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

93rd percentile

33%

Faster asset growth than 93% of similar nonprofits.

2024 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

63rd percentile

14%

Faster revenue growth than 63% of similar nonprofits.

2024 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$69,653,141

Up $17,323,207 (+33%) from 2023

Net Assets

Up

$35,964,495

Up $8,874,723 (+33%) from 2023

Liabilities

Up

$33,688,646

Up $8,448,484 (+33%) from 2023

Revenue

Up

$158,374,673

Up $18,899,497 (+14%) from 2023

Expenses

Up

$164,999,950

Up $23,498,360 (+17%) from 2023

Net Income

Down

-$6,625,277

Down $4,598,863 (-227%) from 2023

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$80M$60M$40M$20M$0Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018Assets 2019: $3,870,889Liabilities 2019: $2,470,353Net Assets 2019: $1,400,5362019Assets 2020: $14,038,238Liabilities 2020: $10,768,381Net Assets 2020: $3,269,8572020Assets 2021: $43,298,954Liabilities 2021: $34,380,726Net Assets 2021: $8,918,2282021Assets 2022: $61,075,440Liabilities 2022: $53,351,073Net Assets 2022: $7,724,3672022Assets 2023: $52,329,934Liabilities 2023: $25,240,162Net Assets 2023: $27,089,7722023Assets 2024: $69,653,141Liabilities 2024: $33,688,646Net Assets 2024: $35,964,4952024

Highlighted filing

2024

Assets$69,653,141
Liabilities$33,688,646
Net Assets$35,964,495

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$200M$150M$100M$50M$0-$50MRevenue 2018: $318,820Expenses 2018: $318,820Net Income 2018: $02018Revenue 2019: $3,375,278Expenses 2019: $3,387,186Net Income 2019: -$11,9082019Revenue 2020: $21,174,050Expenses 2020: $21,245,627Net Income 2020: -$71,5772020Revenue 2021: $93,816,355Expenses 2021: $93,850,857Net Income 2021: -$34,5022021Revenue 2022: $136,993,038Expenses 2022: $138,186,899Net Income 2022: -$1,193,8612022Revenue 2023: $139,475,176Expenses 2023: $141,501,590Net Income 2023: -$2,026,4142023Revenue 2024: $158,374,673Expenses 2024: $164,999,950Net Income 2024: -$6,625,2772024

Highlighted filing

2024

Revenue$158,374,673
Expenses$164,999,950
Net Income-$6,625,277
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 13, 2025
Return Version
2023v6.0
Gross Receipts
$158,374,673
Mission and Program Overview

Mission

SolutionHealth is a highly coordinated community based regional health care network founded by Elliot Health System, Inc. and Southern New Hampshire Health System, Inc. Its purpose is to better serve the healthcare needs and interests in the specific communities served by Elliot and SNHH respectively, and southern New Hampshire as a region by improving and increasing access, quality, value and community benefits, while maintaining the affordability of healthcare.

To support and facilitate an integrated community-based, regional health care delivery system among the Southern New Hampshire and Elliot Hospital Systems.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$18,044,126$17,967,884▼ $76,242
Cash and Non-Interest-Bearing Accounts$4,783,858$13,794,705▲ $9,010,847
Prepaid Expenses and Deferred Charges$9,341,192$7,535,575▼ $1,805,617
Investments Other Securities$1,514,015$1,285,861▼ $228,154
Intangible Assets$407,531$330,313▼ $77,218
Accounts Receivable$1,770,445$230,341▼ $1,540,104
Total Assets$52,329,934$69,653,141▲ $17,323,207
Other Assets Total$16,468,767$28,508,462▲ $12,039,695
Liabilities
Accounts Payable and Accrued Expenses$19,046,761$29,695,334▲ $10,648,573
Other Liabilities$6,193,401$3,993,312▼ $2,200,089
Total Liabilities$25,240,162$33,688,646▲ $8,448,484
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$27,089,772$35,964,495▲ $8,874,723
Net Assets With Donor Restrictions-$0-
Total Net Assets Fund Balance$27,089,772$35,964,495▲ $8,874,723
Total Liabilities and Net Assets / Fund Balance$52,329,934$69,653,141▲ $17,323,207

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$15,790,421$9,848,196$25,638,617
Other Land Buildings$2,055,825-$2,055,825
Buildings$121,638$77,463$199,101
Other Assets Org$964,823--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Brad KreickSolutionHealth CEO (end 4/2024)FT$961,200$505,607$1,466,807
Michael TurilliSVP/CFOFT$491,010$216,867$707,877
John E Friberg JrInterim CEO of SHFT$464,742$219,239$683,981
Jason ElliotSVP/Chief Human Resources OfficerFT$355,299$181,413$536,712
Debra DulacSVP/Chief Information OfficerFT$341,158$84,750$425,908
Isideal CukoChief Operating OfficerFT$205,546$115,279$320,825
Mary GuarinoVP Revenue CycleFT$221,874$96,609$318,483
Alisha FeightnerVP Operational ExcellenceFT$250,797$40,089$290,886

Board Members and Trustees

NameTitle
Clifford KinghornTrustee/Chair
William G BaxterElliot Health President/CEO
Colin McHughSNHHS President/CEO
Charla Stevens EsqTrustee/Vice Chair
Bobbie BagleyTrustee
Dianne MercierTrustee
Howard BrodskyTrustee
Martha E O'NeillTrustee
Paul W Hoff PhDTrustee (end 2/2024)
David BellmanTrustee (end 3/2024)
Charles RolecekTrustee (start 4/2024)
Stephen Loosigian DOTrustee/Secretary
Timothy WhitakerTrustee/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Eclipse Insights LLCRevenue cycle management1830 Braeburn Circle SE, Atlanta, GA 30316$2,631,838
BCA Financial Services IncBusiness management services18001 Old Cutler Road 462, Miami, FL 33157$1,760,793
Workday IncFiancial management services6110 Stoneridge Mall Road, Pleasanton, CA 94588$1,536,246
Clinical Financial Resource IncCoding services97 Cove Street 12, New Bedford, MA 02744$1,188,944
Echostor Technologies IncSoftware services45 South Street, Hopkinton, MA 01748$963,029
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$158,374,673
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-6,625,277

Audited Revenue Reconciliation

Revenue per Audited Statements
$158,374,673
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$158,374,673
Total Revenue per Form 990
$158,374,673
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$97,374,131
Other Expenses$67,625,819
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$74,533,922--$74,533,922
Fees for Services Other$14,373,893$9,989,934-$24,363,827
Information Technology$20,434,640--$20,434,640
Other Employee Benefits$11,716,468--$11,716,468
Depreciation Depletion$6,625,277--$6,625,277
Payroll Taxes$5,373,751--$5,373,751
Pension Plan Contributions$2,891,325--$2,891,325
Current Officers, Directors, Trustees, and Key Employees$2,572,799$285,866-$2,858,665
Office Expenses-$2,651,408-$2,651,408
Occupancy$2,334,339--$2,334,339
Advertising$2,197,454--$2,197,454
Fees for Services Legal-$882,676-$882,676
Insurance$643,535--$643,535
Fees for Services Accounting-$294,996-$294,996
Conferences and Meetings$189,998--$189,998
Other Expenses$59,714--$59,714
Total Functional Expenses$150,895,070$14,104,880$0$164,999,950

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$164,999,950
Total Expenses per Audited Statements$164,999,950
Total Expenses per Form 990$164,999,950
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred compensation obligations$2,296,731
Due to affiliates$1,366,268
Operating lease liabilities$330,313
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 7A

The Board of Trustees shall consist of up to eleven voting members. Each Hospital system is authorized to nominate a replacement for two specific trustee positions. SolutionHealth's board is authorized to nominate a replacement for four specific trustee positions. SolutionHealth's board must include a member of the medical staff of each Hospital. The nominations of new trustees are subject to the approval of the remaining SolutionHealth trustees.

Form 990, Part VI, Section B, line 11B

A copy of the 990 was prepared by an independent accounting firm and then reviewed by key financial personnel of Elliot Hospital, Southern New Hampshire Medical Center, and SolutionHealth. Once a final version was ready it was presented to the full Board of Trustees prior to submission to the Internal Revenue Service.

Form 990, Part VI, Section B, line 12C

SolutionHealth officers and trustees are required to disclose to the Board of Trustees anytime a conflict of interest or pecuniary benefit transaction may exist. Every trustee or officer or member of the immediate family of such trustee or officer, who engages in a pecuniary benefit transaction involving SolutionHealth shall provide copies of all contracts, payment records, vouchers, other financial records, or other financial documents at the request of the Director of Charitable Trusts in accordance with N.H. RSA 7:24. All documents provided may be disclosed to the public for inspection and copying, subject to applicable confidentiality laws. SolutionHealth maintains a list disclosing each and every pecuniary benefit transaction, including the names of those whom the benefit accrued and the amount of the benefit, and keeps such list available for public inspection by members of the governing body and contributors to the Organization.

Form 990, Part VI, Section B, line 15A

The compensation for the Organization's President & CEO was evaluated and established by the officers of the board of directors, based on guidance from an outside compensation consultant and market survey data. The governance committee of the board of directors also acts as the executive compensation committee, and fulfills this function. The President & CEO of SolutionHealth is an employee of SolutionHealth, however, Elliot Hospital serves as the common paymaster for SolutionHealth and issues the SolutionHealth CEO's W-2.

Form 990, Part VI, Section C, line 19

Each of these documents is filed with the New Hampshire Secretary of State and is available upon request.

Filing and Contact Details

Filer

Filer Name
Solutionhealth
EIN
83-0741190
Phone
6036695300
Address
360 Route 101 Unit 8, Bedford, NH 03110

Signing Officer

Name
Michael Turilli
Title
CFO
Phone
6036695300
Signed
2025-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John E Friberg Jr
Formed
2018
Legal Domicile
Nh
Voting Board Members
10
Independent Board Members
8
Employees
1,022
Volunteers
10

Preparer

Firm
Baker Newman & Noyes
Address
PO Box 507, Portland, ME 04112
Preparer
Connor Smart
Phone
2078792100
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Purchased professional services and labor: Program service expenses 14,373,893. Management and general expenses 9,989,934. Fundraising expenses 0. Total expenses 24,363,827.

Form 990, Part XI, line 9:

Net transfers (to)/from affiliates 15,500,000.

Form 990, Part XII, Line 2C:

The audit process has not changed from the previous year.

Financial Statement Notes

Part X, Line 2:

The System and all related entities, with the exception of Elliot Health System Holdings, Inc. and Subsidiaries, are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the System's tax positions and concluded the System has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to the financial statements.

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IRS990/Form990PartVIISectionAGrp/PersonNm0Brad Kreick
IRS990/Form990PartVIISectionAGrp/PersonNm1John E Friberg Jr
IRS990/Form990PartVIISectionAGrp/PersonNm2Stephen Loosigian DO
IRS990/Form990PartVIISectionAGrp/PersonNm3Bobbie Bagley
IRS990/Form990PartVIISectionAGrp/PersonNm4David Bellman
IRS990/Form990PartVIISectionAGrp/PersonNm5Howard Brodsky
IRS990/Form990PartVIISectionAGrp/PersonNm6Paul W Hoff PhD
IRS990/Form990PartVIISectionAGrp/PersonNm7Dianne Mercier
IRS990/Form990PartVIISectionAGrp/PersonNm8Martha E O'Neill
IRS990/Form990PartVIISectionAGrp/PersonNm9Charles Rolecek
IRS990/Form990PartVIISectionAGrp/PersonNm10Clifford Kinghorn
IRS990/Form990PartVIISectionAGrp/PersonNm11Charla Stevens Esq
IRS990/Form990PartVIISectionAGrp/PersonNm12Timothy Whitaker
IRS990/Form990PartVIISectionAGrp/PersonNm13William G Baxter
IRS990/Form990PartVIISectionAGrp/PersonNm14Michael Turilli
IRS990/Form990PartVIISectionAGrp/PersonNm15Colin McHugh
IRS990/Form990PartVIISectionAGrp/PersonNm16Isideal Cuko
IRS990/Form990PartVIISectionAGrp/PersonNm17Debra Dulac
IRS990/Form990PartVIISectionAGrp/PersonNm18Mary Guarino
IRS990/Form990PartVIISectionAGrp/PersonNm19Jason Elliot
IRS990/Form990PartVIISectionAGrp/PersonNm20Alisha Feightner
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IRS990/Form990PartVIISectionAGrp/TitleTxt0SolutionHealth CEO (end 4/2024)
IRS990/Form990PartVIISectionAGrp/TitleTxt1Interim CEO of SH
IRS990/Form990PartVIISectionAGrp/TitleTxt2Trustee/Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt3Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt4Trustee (end 3/2024)
IRS990/Form990PartVIISectionAGrp/TitleTxt5Trustee
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IRS990/Form990PartVIISectionAGrp/TitleTxt11Trustee/Vice Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt12Trustee/Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt13Elliot Health President/CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt14SVP/CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt15SNHHS President/CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt16Chief Operating Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt17SVP/Chief Information Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt18VP Revenue Cycle
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IRS990/MissionDesc0SolutionHealth is a highly coordinated community based regional health care network founded by Elliot Health System, Inc. and Southern New Hampshire Health System, Inc. Its purpose is to better serve the healthcare needs and interests in the specific communities served by Elliot and SNHH respectively, and southern New Hampshire as a region by improving and increasing access, quality, value and community benefits, while maintaining the affordability of healthcare.
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