SolutionHealth
Nonprofit profile at a glance
- EIN
- 830741190
- IRS 990 coverage
- 2018–2024
- Official website data refreshed
- Jul 2026
- Forms available
- Form 990 2024, Form 990-T 2022
- Location
- Bedford, NH, USA
- Phone
- 6036695300
- Rating
- 82
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Single Organization Support
Reported finances
- Revenue
- $162,531,262
- Expenses
- $162,531,262
- Assets
- $52,436,187
- Liabilities
- $23,861,961
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
20 people listed
Executive titles in this filing
- John E Friberg Esq (Interim CEO)
- William G Baxter (Elliot Health President/CEO)
- Colin T McHugh (SNHHS President/CEO)
- Jessica Connare (Executive Director Human Resources)
- Bradley Kreick (Former SH President & CEO (end 4/24))
Highest reported compensation
- Bradley Kreick (Former SH President & CEO (end 4/24)): $2,009,281 total reported compensation
- William G Baxter (Elliot Health President/CEO): $1,581,095 total reported compensation
- John E Friberg Esq (Interim CEO): $1,200,857 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To support and facilitate an integrated community-based, regional health care delivery system among the Southern New Hampshire and Elliot Hospital Systems. In collaboration with the Massachusetts General Hospital Cancer Center, the **SolutionHealth Cancer Institute** offers advanced cancer care, locally, with two easily accessible campuses and a world-class multi-disciplinary team of physicians, nurse navigators, and support staff. We provide comprehensive cancer care – including medical, radiation, and surgical oncology – with cutting-edge diagnostic and therapeutic technologies, access to clinical trials, nurse navigators, and a wide range of support services. Critical Care SolutionHealth Intensive Care Units (ICU), located at The Elliot and Southern New Hampshire Medical Center, have a combined capacity of 27 beds for critically ill patients.
What it reported doing in 2024
SolutionHealth allows the Elliot Health System and the Southern New Hampshire Health System (the "Hospital Systems") to establish a regional healthcare organization in New Hampshire that combines resources and skill-sets from both Hospital Systems. This strategic collaboration allows the two Hospital Systems to:- support and facilitate an integrated community-based, regional health care delivery system among the Hospital Systems;- align the missions and economic interests of the Hospital Systems to enhance care for the communities served;- engage in collaborative regional planning relating to the delivery of health care services in southern New Hampshire;- create a high degree of interdependence and cooperation in a health care network so as to control costs, increase value, ensure quality, and improve access in the communities served by the Hospital Systems;- enhance regional access for those served by the Hospital Systems;- support, protect and enhance the ability of the Hospital Systems to perform their existing historic charitable mission in the future; and- strengthen the charitable missions of the Hospital Systems, embracing a commitment to southern New Hampshire as a region.
Operating model
- Revenue model
- Earned-program. 100% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.
Rating breakdown
- Financial Efficiency: 83
- Transparency & Controls: 88
- Accountability: 81
- Sustainability: 25
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 93.2%; rating input score 93
- Program expense ratio: 93.2%; rating input score 93
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Pass
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 75%; rating input score 75; 24th percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 0%; rating input score 29; 29th percentile among comparable filings
- Total-asset coverage ratio: 0.32; rating input score 11; 11th percentile among comparable filings
- Liabilities to assets ratio: 0.46; rating input score 40; 40th percentile among comparable filings
- Officer compensation ratio: 3.9%; rating input score 26; 26th percentile among comparable filings
Growth
- Program expense growth: 28.4% per year; rating input score 100; 96th percentile among comparable filings
- Revenue growth: 28.3% per year; rating input score 100; 97th percentile among comparable filings
- Asset growth: 23.7% per year; rating input score 100; 95th percentile among comparable filings
Details
- What they do: 1 programs and campaigns described on the official site
- Where the money goes: 93.2% of revenue deployed · 93.2% of spending went to programs
- Governance: 6 of 8 board members independent · 8 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $151.4M in reported program spending
- Leadership: top reported pay $2M · 20 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $9.2M reported
- Consistency: 32 of 32 current checks pass
- Schedules: 5 filed schedules · includes executive pay
- Filing history: 7 filing years from 2018 to 2024
- Contacts: How to reach this organization
- Money network: 8 filed money-flow records
- Related organizations: 17 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- High — Sustainability: Operating margin scored 29/100.
- High — Sustainability: Total-asset coverage ratio scored 11/100.
- Review — Accountability: Governance controls: Other executive compensation review process not reported.
- High — Sustainability: Officer compensation ratio scored 26/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 40/100.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.