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← FOUNDATION MEDICAL PARTNERS INC

Form 990 for tax year 2022

Filed by FOUNDATION MEDICAL PARTNERS INC.

Totals

Total revenue
$125,311,940
Total expenses
$164,929,885
Contributions and grants received
$1,384,443
Grants paid
$0
Program services expenses (Part IX)
$156,501,723
Management and general expenses
$8,428,162
Fundraising expenses
$0
Program service expenses (Part III)
$156,501,723

Program services were 94.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Karen Maynard MD

    Trustee

    Total calculated
    $827,584
    From this org
    $781,132
    From related orgs
    $0
    Other
    $46,452
    Hours/week
    42 + 6 related

    Schedule J breakdown matched by us

    Base
    $770,351
    Bonus
    $0
    Other
    $10,781
    Deferred
    $11,685
    Nontaxable benefits
    $34,767
    Filer's total
    $827,584

  • Colin T McHugh

    SNHMC President/CEO/Secretary

    Total calculated
    $468,987
    From this org
    $0
    From related orgs
    $447,154
    Other
    $21,833
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $375,668 related
    Bonus
    $0 + $69,779 related
    Other
    $0 + $1,707 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $21,833 related
    Filer's total
    $0 + $468,987 related

  • James Watkins

    FMP Interim President

    Total calculated
    $416,000
    From this org
    $0
    From related orgs
    $416,000
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $416,000 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $416,000 related

  • Marc Sadowsky MD

    Trustee

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    2 + 4 related

  • Melliyal Annamalai

    Trustee

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • Sister Paula Marie Buley

    Trustee

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • Alonzo Deberry

    Trustee

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • Michael Gonzales

    Trustee (end 12/2022)

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • Helen Honorow Esq

    Trustee

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • Mary Jordan

    Trustee (end 12/2022)

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • The Hon Joseph N Laplante

    Trustee

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • K Brian McLaughlin

    Trustee

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • Eitan Zeira

    Trustee

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • Craig Fitzgerald

    Acting Chair

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • Timothy Sullivan Esq

    Chair (end 12/2022)

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • Bobbie D Bagley

    Vice Chair

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • Mark William Begor Jr

    Treasurer

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • Michael J DeLeo III

    Chief Medical Officer

    Total calculated
    $1,032,739
    From this org
    $983,049
    From related orgs
    $0
    Other
    $49,690
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $551,672
    Bonus
    $410,417
    Other
    $20,960
    Deferred
    $18,522
    Nontaxable benefits
    $31,168
    Filer's total
    $1,032,739

  • Paul Trainor

    Senior VP, CFO/Treasurer (end 1/23)

    Total calculated
    $526,998
    From this org
    $0
    From related orgs
    $470,498
    Other
    $56,500
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $370,657 related
    Bonus
    $0 + $62,178 related
    Other
    $0 + $37,663 related
    Deferred
    $0 + $53,361 related
    Nontaxable benefits
    $0 + $3,139 related
    Filer's total
    $0 + $526,998 related

  • Tung T Nguyen MD

    Physician

    Total calculated
    $1,206,491
    From this org
    $1,130,714
    From related orgs
    $0
    Other
    $75,777
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,092,108
    Bonus
    $0
    Other
    $38,606
    Deferred
    $41,672
    Nontaxable benefits
    $34,105
    Filer's total
    $1,206,491

  • Michael R Kaczanowski MD

    Physician

    Total calculated
    $1,192,307
    From this org
    $1,092,340
    From related orgs
    $0
    Other
    $99,967
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,072,030
    Bonus
    $0
    Other
    $20,310
    Deferred
    $38,216
    Nontaxable benefits
    $61,751
    Filer's total
    $1,192,307

  • Mollie A MacCormack MD

    Physician

    Total calculated
    $1,121,927
    From this org
    $1,080,110
    From related orgs
    $0
    Other
    $41,817
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,058,800
    Bonus
    $0
    Other
    $21,310
    Deferred
    $37,783
    Nontaxable benefits
    $4,034
    Filer's total
    $1,121,927

  • Witta Jassir

    Physician

    Total calculated
    $1,018,284
    From this org
    $941,718
    From related orgs
    $0
    Other
    $76,566
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $939,396
    Bonus
    $0
    Other
    $2,322
    Deferred
    $40,578
    Nontaxable benefits
    $35,988
    Filer's total
    $1,018,284

  • Edward A Sirlin III MD

    Physician

    Total calculated
    $930,694
    From this org
    $857,507
    From related orgs
    $0
    Other
    $73,187
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $836,521
    Bonus
    $0
    Other
    $20,986
    Deferred
    $35,321
    Nontaxable benefits
    $37,866
    Filer's total
    $930,694

  • Michael S Rose

    Former SNHHS Pres./CEO/Sec.

    Total calculated
    $936,549
    From this org
    $0
    From related orgs
    $936,549
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $936,549 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $936,549 related

  • Susan Desocio

    Former Pres. Fnd. Medical Partners

    Total calculated
    $862,986
    From this org
    $0
    From related orgs
    $862,986
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $862,986 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $862,986 related

  • Robert Dorf DO EO

    Former Pres. Fnd. Medical Partners

    Total calculated
    $401,135
    From this org
    $285,968
    From related orgs
    $104,674
    Other
    $10,493
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $175,472 + $104,674 related
    Bonus
    $0
    Other
    $110,496
    Deferred
    $0
    Nontaxable benefits
    $10,493
    Filer's total
    $296,461 + $104,674 related

  • Scott A Wolf DO

    Former SNHHS Pres./CEO/Sec.

    Total calculated
    $343,308
    From this org
    $0
    From related orgs
    $332,693
    Other
    $10,615
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $332,693 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $10,615 related
    Filer's total
    $0 + $343,308 related

  • Mark Santos

    Former Pres. Fnd. Medical Partners

    Total calculated
    $262,981
    From this org
    $0
    From related orgs
    $242,870
    Other
    $20,111
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $239,242 related
    Bonus
    $0
    Other
    $0 + $3,628 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $20,111 related
    Filer's total
    $0 + $262,981 related

  • Thomas Wilhelmsen Jr

    Former SNHHS Pres./CEO/Sec.

    Total calculated
    $369,231
    From this org
    $0
    From related orgs
    $369,231
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $269,231 related
    Bonus
    $0 + $100,000 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $369,231 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Lines 4a-b
Schedule J, Part 1, Line 4a: Foundation Medical Partners is closely related to and operates in tandem with the Southern New Hampshire Medical Center as part of the Southern New Hampshire Health System. Accordingly, in alignment with IRS Form 990 Instructions, certain key management officers of the Medical Center are also deemed to be officers of Foundation Medical Partners. Michael Rose, who served Southern New Hampshire Medical Center (SNHMC) as its President and CEO, left the organization during a previous tax year. Mr. Rose received severance payments from SNHMC during the 2022 calendar year. Additionally, Susan Desocio, who served as the President of Foundation Medical Partners through November 2019, also received severance compensation during the 2022 calendar year. Scott Wolf, who served as the President of the Medical Center in a previous tax year, also received severance compensation during the 2022 calendar year. Lastly, Robert Dorf, who served as the President of Foundation Medical Partners during this tax year, also began to receive severance compensation during the 2022 calendar year. The severance payments for each of these individuals are reflected in these individuals' respective compensation as reported on Schedule J, Part II, Column B(iii), as follows: Michael Rose - $936,549; Susan Desocio - $862,986; Scott Wolf - $332,693; and Robert Dorf - $106,080. As neither Michael Rose, Susan Desocio, Robert Dorf, nor Scott Wolf served this Organization or a listed related organization in any capacity during this tax year, each individual has been listed as a "former" officer on this Form 990, Part VII and Schedule J, in accordance with IRS Instructions. Thomas Wilhelmsen and Mark Santos were also a former officers for purposes of reporting on this Form 990, Part VII and Schedule J. However, neither Mr. Wilhelmsen nor Mr. Santos received any severance compensation as reported within their 2022 Forms W-2 wages. Schedule J, Part I, Line 4b: Southern New Hampshire Medical Center provides a Supplemental Executive Retirement Plan to certain executives. Funding for this plan during the year was provided as follows: Paul Trainor - $38,861
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 individuals who served as President of Foundation Medical Partners (FMP) were 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. Additionally, SNHMC paid Watkins Associates LLC $416,000 in 2022 in return for consulting services provided by James Watkins in his temporary role as Interim President & CEO of Foundation Medical Partners.
Unrelated Organization Compensation
Marc Sadowsky, is also the Medical Director of the Medical Center's Electro Convulsive Therapy (ECT) unit. During Calendar year 2022, Southern New Hampshire Medical Center paid New England Neurological Association $12,000 in in return for ECT and weekend coverage provided by Dr. Sadowsky to the Southern New Hampshire Health System.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
4 April 2024
IRS schema version
2022v5.0
Source object
202431109349301313

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