2026-04-30T07:31:33-05:00 2025-06-30 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2024-07-01 020483054 Southern New Hampshire Medical Center SOUT 6035772000 8 Prospect Street PO Box 2014 Nashua NH 030612014 Colin T McHugh President & CEO 6035772000 2026-04-20 1 0 Connor Smart P02285543 6036262200 2026-04-20 2024 2025-03-06 01:10:19Z Colin T McHugh 8 Prospect Street PO Box 2014 Nashua NH 030612014 437028667 0 X www.snhhealth.org X 1892 NH Southern New Hampshire Medical Center is dedicated to providing exceptional care that improves the health and well-being of individuals and communities we serve. 15 11 1881 90 476774 0 2161874 183834 370446257 418629985 2548759 6152972 5222454 5327208 380379344 430293999 0 0 0 0 137372678 149527689 0 0 0 195531748 211430226 332904426 360957915 47474918 69336084 431302604 478249276 158883506 152489681 272419098 325759595 X Southern New Hampshire Medical Center is dedicated to providing exceptional care that improves the health and well-being of individuals and communities we serve. Southern New Hampshire Medical Center is a provider of choice, delivering convenient access to high value, quality care in an environment that embraces dignity, compassion and service to the people of our community. 0 0 300768607 0 423480419 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 8,555 inpatient admissions, 270,051 outpatient registrations, 38,070 emergency room visits, 6,227 surgical procedures, and 969 births. 13414275 0 0 Charity Care ($8,231,683) and other uncompensated care ($5,182,592) at cost. 3282120 0 0 Community health services and health professional education. 317465002 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 0 0 0 1 168 0 1 1881 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Kenneth Matsis 6032819286 8 Prospect Street Nashua NH 03061 Colin T McHugh SNHMC President/CEO/Secretary 43.00 8.00 X X 889205 0 55104 Karen Maynard MD Trustee 2.00 46.00 X 0 641220 61863 Brett Sweeney MD Trustee 42.00 0.00 X 443030 0 21084 John E Friberg Esq Interim CEO, SolutionHealth 2.00 50.00 X X 0 1072488 128369 Marc Sadowsky Trustee (end 12/2024) 2.00 4.00 X 48800 0 0 Melliyal Annamalai Trustee 2.00 4.00 X 0 0 0 Peter Apostolicas Trustee (start 12/2024) 2.00 4.00 X 0 0 0 Bobbie D Bagley Trustee 2.00 4.00 X 0 0 0 Heather Bender Trustee (start 12/2024) 2.00 4.00 X 0 0 0 Sister Paula Marie Buley Trustee 2.00 4.00 X 0 0 0 Alonzo DeBerry Trustee 2.00 4.00 X 0 0 0 Helen Honorow Esq Trustee 2.00 4.00 X 0 0 0 K Brian McLaughlin Trustee (end 10/2024) 2.00 4.00 X 0 0 0 Eitan Zeira Trustee 2.00 4.00 X 0 0 0 Craig Fitzgerald Chair 2.00 4.00 X X 0 0 0 The Hon Joseph N Laplante Vice Chair 2.00 4.00 X X 0 0 0 Mark William Begor Jr Treasurer 2.00 4.00 X X 0 0 0 Michael Turilli SVP/CFO, SolutionHealth 2.00 50.00 X 0 783833 123201 Kenneth Matsis VP Finance, Southern NH Health 40.00 8.00 X 0 258010 34880 Salvatore Vella Jr Chief Medical Officer 20.00 20.00 X 0 675176 59217 Joseph M Leahy DO Physician 40.00 0.00 X 722805 0 66515 Susan T Santana SVP/Chief Nursing Officer 40.00 0.00 X 463095 0 16481 Patrick Lee MD Physician 40.00 0.00 X 391431 0 60143 Linda Hatch MD Physician 40.00 0.00 X 330528 0 54088 Erica Lavoie Physician 40.00 0.00 X 393652 0 3174 3682546 3430727 684119 232 0 1 1 AYA Healthcare Inc PO Box 674907 Dallas TX 75267 Healthcare Staffing 8879373 Boston Scientific PO Box 786205 Philadelphia PA 19178 Medical Supplies 2329444 Carefusion 25082 Network Place Chicago IL 60673 Medical Supplies 1811965 Weatherby Locums Inc North Federal Highway 700 Fort Lauderdale FL 33308 Healthcare Staffing 1573508 Baxter Healthcare Corp One Baxter Parkway Deerfield IL 60015 Medical Equipment 951484 27 183834 183834 Hospital services 621110 436787085 436787085 Provision for bad debts 621110 -18157100 -18157100 418629985 4470088 4470088 4850434 0 4850434 4850434 4850434 8417552 6734668 1682884 1682884 1682884 Ancillary- NE Rehab Food Services 722210 382597 382597 Ancillary- NE Rehab Environmental 811000 94177 94177 476774 430293999 423480419 476774 6152972 X 1457222 512914 944308 120404827 100926030 19478797 4066093 3442783 623310 15664280 12936306 2727974 7935267 6696685 1238582 390794 390794 268086 268086 78587747 77635752 951995 134717 134717 77735 77735 459311 387619 71692 5760200 4861115 899085 268264 226392 41872 2780984 2346912 434072 5957639 5957639 15156990 12791200 2365790 2061147 1739431 321716 Supplies 69943761 59026536 10917225 NH MET 19298998 19298998 Repairs and maintenance 2418691 2041168 377523 Food services 693732 585450 108282 7171430 6052072 1119358 360957915 317465002 43492913 0 6855512 10816254 2586951 25377 38242227 45406493 7907899 8278610 3446990 12587119 375382645 250931583 123531668 124451062 230116217 260262399 2407420 2718074 9444819 6855941 6762901 6847947 431302604 478249276 59573633 64220854 96834 139151 72045549 62940998 27167490 25188678 158883506 152489681 X 267420443 321229546 4998655 4530049 272419098 325759595 431302604 478249276 X 69336084 21360562 -37356149 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 38729 0 0 0 38729 0 Part II-B, Line 1: Part II-B, Line 1f: Southern New Hampshire Medical Center partners with various like-minded trade associations which support public policies and initiatives that focus on improving health outcomes and the experience of health care, while also aiming to reduce the overall cost of receiving that care. A portion of the dues paid to these associations has been designated as available for lobbying expenditures. Any lobbying expenditures paid by the associations are incurred in order to help track and discuss legislation affecting health care policy. The specific dues paid by Southern New Hampshire Medical Center to the trade associations in this fiscal year, as well as the portion of the dues that were available for lobbying expenditures, are detailed below: New Hampshire Hospital Association - Total 2024 dues: $122,752 - Portion of dues available for lobbying: $28,295 American Hospital Association - Total 2024 dues: $38,235 - Portion of dues available for lobbying: $10,434 123460001 20139851 143599852 114453806 9006195 123460001 125504047 -11050241 114453806 140891184 -15387137 125504047 107270588 33620596 140891184 0.98353 0.01647 0.00000 0 0 15332049 15332049 187111449 123041343 64070106 5097441 3476649 1620792 162301020 124413591 37887429 5540686 5540686 124451062 Unearned income - MOB 46540 Insurance reserves 5043927 Accrued SERP obligations 397307 Long-term accrued pension expense 6770981 457 (B) deferred comp plan obligations 3942513 Equipment capital leases 2131469 Operating lease liability 6855941 25188678 X Part V, Line 4: The intended uses of the Organization's endowment funds are to fulfill donors' 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, Surgery Center, Legacy Trust 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 has taken no uncertain tax positions that require adjustment to the consolidated financial statements. 1 1 1 X 225.000000000000 0 1 1 1 0 1 1 8472557 8472557 0.02350 54232943 37737486 16495457 0.04570 62705500 37737486 24968014 0.06920 24751 24751 0.00010 2214946 2214946 0.00610 8568277 1805331 6762946 0.01870 99851 99851 0.00030 533491 533491 0.00150 11441316 1805331 9635985 0.02670 74146816 39542817 34603999 0.09590 374839 374839 0.00100 12384 12384 0.00000 17970 17970 0.00000 3888 3888 0.00000 409081 409081 0.00100 1 16989816 1205701 85442148 96651008 -11208860 X 1 1 1 1 Southern New Hampshire Medical Center 8 Prospect Street PO Box 2014 Nashua NH 030612014 www.snhhealth.org 02496 X X X X Southern New Hampshire Medical Center 0 0 1 X X X X X X X X 23 1 1 1 1 X See Part V, Section C X See Part V, Section C X 1 23 1 See Part V, Section C 0 1 X 225.000000000000 X X X X X X 1 1 X X X X 1 X Please see Part V X Please see Part V X Please see Part V X X X X X X 1 X 0 X X X X X 1 X 0 1 Southern New Hampshire Medical Center Part V, Section B, Line 5: Southern New Hampshire Medical Center worked with officials from the City of Nashua Division of Public Health and other members of the community, including local police and fire departments, school officials, ambulance service leaders, directors of community agencies, hospital leaders, physicians and area residents through focus groups to gather input for the community health needs assessment (CHNA).A Community Health Assessment is a vital tool for understanding and improving the health outcomes of our community. By leveraging data from local organizations, healthcare systems, and state agencies, we gain valuable insights into where to focus our efforts. However, our commitment to community health extends beyond data collection. We believe in the power of listening. That's why we hosted listening sessions and distributed surveys to hear directly from community members about their health concerns, experiences during the COVID-19 pandemic, and what they love about their community.The 2023 CHA employed numerous research methods to gather input from the community, including online surveys, in-person interviews, and data analysis. The CHA utilized these methods separately and decisively for each of its identified community health needs.The City of Nashua Division of Public Health and Community Services (DPHCS) utilized listening sessions, community surveys, and online polling to invite Greater Nashua residents to help determine what the biggest health priorities were in their communities, environmental health hazards, and socail and economic factors that effect the populations's health. The DPHCS also regularly published health-related information and shared sources for where additional information regarding health matters such as COVID-19 could be obtained.Through these efforts, the CHA found mental health, homelessness, substance use, access to care, air and water quality, inequities in health, access to food, public safety, education, and child abuse and neglect to be the top-ten biggest health issues of the community. Southern New Hampshire Medical Center Part V, Section B, Line 6a: Southern New Hampshire Medical Center took part in the 2023 Greater Nashua Community Health Assessment for its most recent Community Health Needs Assessment ("CHNA"). This Assessment was conducted by the Nashua Department Division of Public Health and their Public Health Advisory Council partners. It is a product of the dedication and collaboration of many organizations, programs, and City departments serving the GNPHR. A full list of the hospital facilities that participated in this Assessment can be found through the City of Nashua Community Health Assessment homepage at:https://nashuanh.gov/560/Community-Health-Assessment Southern New Hampshire Medical Center Part V, Section B, Line 6b: Southern New Hampshire Medical Center took part in the 2023 Greater Nashua Community Health Assessment for its most recent Community Health Needs Assessment ("CHNA"). This Assessment was conducted by the Nashua Department Division of Public Health and their Public Health Advisory Council partners. It is a product of the dedication and collaboration of many organizations, programs, and City departments serving the GNPHR. A full list of the organizations other than hospital facilities that participated in this Assessment can be found through the City of Nashua Community Health Assessment homepage at:https://nashuanh.gov/560/Community-Health-Assessment Southern New Hampshire Medical Center Part V, Section B, Line 11: Southern New Hampshire Medical Center coordinates with the City of Nashua Division of Public Health and Community Services (DPHCS), as well as other community agencies, partners, and members to create a collaborative and comprehensive Community Health Improvement Plan (CHIP). The CHIP is published in coordination and in response to the Greater Nashua Department of Health CHA. Southern New Hampshire Medical Center also independently prepares and publishes its own Community Health Needs Assessment and Implementation Strategy, unique to Southern New Hampshire Health and SolutionHealth.The Greater Nashua PHAC Executive Committee and CHIP Planning Team chose the following health priority areas for the CHIP 2022 (the most recently published CHIP) based on the 2020 Greater Nashua CHA: 1. Behavioral Health (Suicide, Mental Health, and Substance Use) 2. Chronic Disease (Heart Disease/ Stroke, Diabetes, and Asthma) 3. Communicable diseases 4. Maternal and Child Health 5. Public Health Emergency PreparednessBEHAVIORAL HEALTH:Behavioral health is the scientific study of the emotions, behaviors, and biology relating to a person's mental well-being, their ability to function in everyday life, and their concept of self. Behavioral health encompasses mental health, substance misuse, and suicide prevention and is a top priority in the Greater Nashua Public Health Region (GNPHR) for a variety of reasons. These reasons include our region's high prevalence of substance misuse, high rate of opioid overdose fatalities, high rate of suicide attempts and deaths by suicide, lack of access to timely treatment for those seeking behavioral health services, and limited mental health promotion and awareness. Approximately one in eight visits to emergency departments in the United States (U.S.) involves mental and substance use disorders.Collectively, the main objectives under Behavioral Health include: 1) Reduce substance use among all age groups (illicit Substances, alcohol, tobacco, marijuana 2) Increase awareness of behavioral health resources to improve or maintain mental health in all age groups 3) Improve access to substance use and mental health services through workforce developmentCHRONIC DISEASESApproximately six in ten Americans live with at least one chronic disease, such as heart disease and stroke, cancer, or diabetes. Many chronic diseases are caused by a variety of risk factors that can be reduced by making healthy lifestyle choices. Not only the leading cause of death and disability, chronic diseases are also the leading driver of health care costs in the United States (US). It is a public health priority in the Greater Nashua Public Health Region (GNPHR) to provide health promotion and education to help our community prevent chronic diseases and manage symptoms when prevention is not possible to reduce the burden of chronic disease on our society.Collectively, the main priorities under chronic disease include: 1) Increasing prevention efforts for Type II diabetes 2) Increasing control of hypertension 3) Increase identification and treatment of depression for those with chronic diseaseCOMMUNICABLE DISEASESCommunicable, or infectious diseases, are caused by microorganisms such as bacteria, viruses, parasites and fungi that can be spread, directly or indirectly, from one person to another. Transmission can occur in a variety of ways, including direct physical contact with an infectious person, consuming contaminated foods or beverages, contact with contaminated body fluids, contact with contaminated inanimate objects, or being bitten by an infected insect. In some cases, pathogens that result in infectious diseases can become airborne and spread via the air we breathe (i.e., through inhalation). Some disease agents can be transmitted from animals to humans, and some of these agents can be transmitted in more than one way.Collectively, the main priorities under communicable disease include: 1) Increase vaccination uptake for vaccine preventable diseases 2) Increase community preparedness for communicable disease outbreaks 3) Increase effectiveness of public health system in preventing and addressing communicable disease.MATERNAL AND CHILD HEALTHMaternal health is the health of a woman during her pregnancy, birth, and postpartum period, making it an important predictor of newborn health. Children's health is the physical, mental, emotional, and social well-being of children from infancy all the way through adolescence. Many factors affect maternal and child health, including race and ethnicity, age, income level, educational attainment, medical insurance coverage, access to medical care, pre-pregnancy health, and general health status. The well-being of infants, children, and mothers determines the health of our next generation and can help predict future public health challenges for families, communities, and the healthcare system.Health behaviors and health status before a woman is pregnant can be influenced by a variety of environmental and social factors, such as access to medical care and chronic stress. Some of these factors can affect and compound others, creating a rippling effect. For instance, factors ranging from age to medical insurance coverage affect a woman's general health status; a woman's health status, in turn, directly influences her risk of pregnancy complications and her child's cognitive and physical development.Main takeaways from the Maternal and Child Health CHA: - In 2018, 93.7% of NH moms reported ever breastfeeding, and 69% reported breastfeeding for more than 8 weeks. According to the CDC, only one in four infants in the U.S. are exclusively breastfed for six months. - Children in the GNPHR are at increased risk of high blood lead levels, as 17% of homes were built before 1950, and 10.8% of six year olds are living below the federal poverty level. - In 2018, 7.5% of pregnant women in NH smoked cigarettes in their last three months of pregnancy, and 5.9% used marijuana or hash during their pregnancy. - In 2018, 14.9% of women in NH received follow-up care for depression after giving birth, and 13% women were diagnosed with depression after giving birth. - Approximately 4.6% of Nashua youth (aged 6-18) are uninsured.Collectively, the main priorities under Maternal and Child Health include: 1) Improve access and availability of universal screenings 2) Support access to affordable healthcare and referrals for families 3) Support children's social & emotional development through easily accessible services & supports 4) Improve access and supports for healthy nutrition 5) Increase the capacity of all families to advocate for themselves and their childrenPUBLIC HEALTH EMERGENCY PREPAREDNESSFrom natural disasters to terrorism, all crises have the potential to negatively impact public health. The goal of Public Health Emergency Preparedness (PHEP) is to increase a community's ability to respond in an efficient manner to incidents in order to preserve health and wellbeing of the population. There are 15 functional areas that encompass PHEP as outlined in the CDC's Public Health Emergency Preparedness and Response Capabilities.Main takeaways from the PHEP CHA 2020: - Fewer than 12% of households in Nashua have a written disaster plan. - 97.8% of Nashua households have a smoke detector. - 19% of Nashua households feel well prepared to handle an emergency. - 40% of U.S. adults don't consider themselves prepared but plan to prepare for emergencies and 68% of U.S. adults have set aside some money for an emergency.Collectively, the main priorities under PHEP include: 1) Improving the regional communications structure 2) Increasing public health planning, exercising and training among various sectors 3) Strengthening the working relationship between the region (GNPHR) and the State of New HampshireThe full 2022 CHIP can be found through the following website, in either an interactive web-based format or as a readable PDF:https://nashuanh.gov/564/Community-Health-Improvement-Plan-CHIPThe Southern New Hampshire Health and SolutionHealth Implementation Strategy echos many of the ideas and conclusions of the Greater Nashua Health Department CHIP, focusing on these core areas: 1) Health Behaviors - Tobacco Use, Diet & Exercise, Alcohol & Drug Use, Sexual Activity. 2) Clinical Care - Access to Care, Quality of Care. 3) Social & Economic Factors - Education, Employment, Income, Family & Social Support, Community Safety. And, 4) Physical Environment - Air & Water Quality, Housing & Transit.The full Southern New Hampshire Health and SolutionHealth Implementation Strategy may be found online at:https://www.snhhealth.org/application/files/3217/3384/9839/SNHH-CHNA-Combined-2024.pdf Southern New Hampshire Medical Center Part V, Section B, Line 13b: Southern New Hampshire Medical Center offers a discount equal to the average of their three largest payors plus Medicare to all self pay patients. Discounted care is provided to all uninsured and underinsured patients. Southern New Hampshire Medical Center Part V, Section B, Line 20e: See response for Part III, Section C, Line 9b above.Prior to placing accounts with collection agencies, Southern New Hampshire Medical Center 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 24: Southern New Hampshire Medical Center may charge patients who are having cosmetic or experimental, non-covered services gross charges for that encounter. Schedule H, Part V-B, Line 16a: Southern New Hampshire Medical Center's Financial Assistance Policy is available on the Medical Center's website, both in English and in Spanish. The policy can be found at the website addresses provided below, in the designated language:English:https://www.snhhealth.org/application/files/5217/5614/5029/updated_approved_SNHH_charitable_care_policy.pdfSpanish: https://www.snhhealth.org/application/files/1917/5621/9347/SNHH_Charitable_Care_Spanish_Version.pdf Schedule H, Part V-B, Line 16b: Southern New Hampshire Medical Center's FAP Application is available on the Medical Center's website, both in English and in Spanish. The Application can be found at the website addresses provided below, in the designated language.English:https://www.snhhealth.org/application/files/6917/3376/4787/Charitable-Care-Financial-Assistance-Application-and-Cover-Letter-ENGLISH-050321.pdfSpanish: https://www.snhhealth.org/application/files/7217/3376/4787/Charitable-Care-Financial-Assistance-Application-and-Cover-Letter-SPANISH-050321.pdf Schedule H, Part V-B, Line 16c: Southern New Hampshire Medical Center's FAP Plain Language Summary is available on the Medical Center's website at the following address:https://www.snhhealth.org/patients-and-visitors/patient-information/billing-insurance-and-paymentsSouthern New Hampshire Medical Center's financial assistance policy and other billing information can also be found at the above-listed website. Schedule H, Part V, Section B, Line 7: Access to Southern New Hampshire Medical Center's current and past CHNA reports can be found at the following web-address:https://www.snhhealth.org/about-us/about-snhh/community-engagementThe Southern New Hampshire Health System's 2023-2024 Community Health Needs Assessment and Implementation Strategy is available at the following web-address:https://www.snhhealth.org/application/files/3217/3384/9839/SNHH-CHNA-Combined-2024.pdfAdditionally, the collaborative Greater Nashua CHA, to which Southern New Hampshire Medical Center proudly contributed, can be found at the following web-address:https://nashuanh.gov/560/Community-Health-Assessment Schedule H, Part V, Section B, Line 10: Southern New Hampshire Health is dedicated to meeting the health needs of the communities it serves. We take a number of steps to fulfill this mission; we work collaboratively with the city of Nashua and other social service agencies to identify the health concerns and needs in the city and the greater Nashua region. However, Southern NH Health also completes its own community health needs assessment, building on the city's vital work. We support the city's action plan and broaden our assessment to define and address the unmet health needs in all of the 32 communities we serve. More information about these efforts can be found at the following web address:https://www.snhhealth.org/about-us/about-snhh/community-engagement 10 1 - Southern NH Rehabilitation Center 17 Prospect Street Nashua NH 03060 Rehab 2 - Southern New Hampshire Rehab - Milford 10 Jones Road Milford NH 03055 Rehab 3 - Southern NH Rehabilitation Services 696 Daniel Webster Highway Merrimack NH 03054 Rehab 4 - Cardiac & Pulmonary Rehab -West Campus 29 Northwest Boulevard Nashua NH 03063 Rehab 5 - Pediatric Rehab Center 5 George Street Hudson NH 03051 Rehab 6 - Southern NH Rehabilitation Center 460 Amherst Street Nashua NH 03063 Rehab 7 - Southern New Hampshire Rehab - Hudson 300 Derry Road Hudson NH 03051 Rehab 8 - Southern New Hampshire Lab Services 112A Spit Brook Road Nashua NH 03063 Lab 9 - Southern New Hampshire Lab Services 33 Windham Road Pelham NH 03076 Lab 10 - Southern New Hampshire Lab Services 280 Main Street 1st Floor Nashua NH 03060 Lab Part I, Line 3c: Southern New Hampshire Medical Center offers a discount equal to the average of their three largest payors plus Medicare to all self-pay patients. Discounted care is provided to all uninsured and underinsured patients. Part I, Line 7: The costing methodology 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. The board of directors is made up of community members with varied backgrounds and industries. The Hospital utilizes any surplus funds to further its mission by providing free and low-cost healthcare services, educations offerings, free screenings, support groups, and works collaboratively with other healthcare agencies to meet the identified healthcare needs of our community. Furthermore, executives of Southern New Hampshire Medical Center have been recognized for visionary leadership and their commitment to public health and healthcare excellence. The Medical Center also regularly publishes practical guidance and healthy living instructions online, as well as offering in person classes and seminars. For example, the Medical Center has begun offering instructions on the connection between mental health, depression, and weight gain; and the Medical Center routinely publishes materials on healthy eating and exercise. Additionally, Southern New Hampshire Medical Center deploys a pool of volunteers as well as its own staffing resources to further community engagement and improvement initiatives, through causes such as Holiday food drives, sexual health awareness campaigns, grief and mental health support services, and community events to bring citizens together and to fight the loneliness epidemic. Southern New Hampshire Medical Center makes an intentional effort to ensure its community and public programs reach a wide array of individuals in its service area, providing instructions, resources, and services to persons of all ages, race, or gender. Part III, Line 2: Southern New Hampshire Medical Center's Bad Debt Expense includes accounts that have been referred to a collection agency after making reasonable attempts 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 Southern New Hampshire Medical Center's uninsured patients will be unable or unwilling to pay for the services provided. Thus, Southern New Hampshire 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: See Footnote 2 of the audited financial statements for disclosures regarding the Southern New Hampshire Health System's significant accounting policies. 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. Southern New Hampshire Medical Center must provide those services regardless of the financial shortfall. Part III, Line 9b: Southern New Hampshire Medical Center 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, Southern New Hampshire 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 Southern New Hampshire Medical Center's financial assistance guidelines are awarded charity or free care assistance for their encounter. Part VI, Line 2: Southern New Hampshire Medical Center worked with the City of Nashua Division of Public Health officials and other members of the community, including local police and fire departments, school officials, ambulance service leaders, directors of community agencies, hospital leaders, physicians and area residents through focus groups to gather input for the Community Health Needs Assessment (CHNA).A Community Health Assessment (CHA) is a collaborative process that identifies key health needs and issues through systematic, comprehensive data collection and analysis. CHAs provide information on a variety of health topics and help identify resources which assist with policy formulation, program implementation, and evaluation. CHAs are also a crucial component of accreditation as they help measure how well a public health system is fulfilling the assurance function, one of the three fundamental purposes of public health. The Greater Nashua CHA is part of an ongoing comprehensive community health improvement process. The purpose of the CHA is to identify vulnerable populations using comparable data within the Greater Nashua Public Health Region (GNPHR) and to subsequently identify trends in health issues, environmental health hazards, and social and economic factors that affect the populations' health.Collected and analyzed data will be used to identify priority issues within the GNPHR and develop strategies for further action which are outlined in the form of a community health improvement plan (CHIP). The CHIP creates a foundation for a work plan to improve the health of the community over the course of three years' time.One of the main objectives of the most recent Community Needs Assessment's research was to determine the biggest health concerns in the community in order to determine community health priorities. The research for this report indicated that most people in the Greater Nashua Region are concerned about mental health, homelessness, substance use, access to care, air and water quality, inequities in health, access to food, public safety, education, and child abuse and neglect to be the top-ten biggest health issues of the community. Part VI, Line 3: Southern New Hampshire Medical Center complies with the Southern New Hampshire Health financial assistance policy. Southern NH Health is committed to providing charitable care to persons who have health care needs and are uninsured, underinsured, and ineligible for governmental programs and are otherwise unable to pay for medically necessary care based on their individual financial situations. Southern NH Health strives to ensure that the financial capacity of people who need health care services does not prevent them from seeking or receiving care. Charitable care is not considered to be a substitute for personal responsibility and patients are expected to cooperate with Southern NH Health's policies and procedures for obtaining charitable care and to contribute to the cost of their care based on their individual ability to pay. Patients with the financial capacity to purchase health insurance shall be encouraged to do so, as a means of access to health care services, for their overall personal health and protection of their individual assets. Since July 2010, the State of New Hampshire has mandated that any uninsured patient who receives nonelective, medically necessary hospital services are billed an amount no greater than the amount generally received from patients covered by insurance. Additionally, the 2015 Federal 501(r) regulations further require that when calculating this discount, Medicare reimbursement must be included. Therefore, Southern NH Medical Center reduces the amounts owed by uninsured patients by the uninsured discount prior to the patients receiving their first statements of balances due. These discounted balances, and not gross charges, are the balances upon which financial assistance is based, granted and classified for reporting purposes. The Patient Protection and Affordable Care Act of 2010 (PPACA) mandates insurance coverage for individuals starting on January 1, 2014. Additionally, it expands Medicaid coverage to all individuals at or below 100% of the Federal Poverty Level (FPL). The New Hampshire Legislature approved Medicaid expansion effective August 15, 2014. The Granite Advantage Health Care Program (GAHCP) extends NH Medicaid eligibility to all individuals at or below 138% of the Federal Poverty Level. The granting of charitable care shall be based on an individualized determination of financial need, and shall not take into account age, gender, race, social or immigrant status, sexual orientation or religious affiliation.At each registration point, Southern New Hampshire Medical Center 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. There is staff available on site at the hospital to assist with financial assistance, Medicaid, and Expanded Medicaid applications. We actively participate in Medicaid Exchange programs and a Prescription Assistance Program to help those with financial needs.Additional information regarding Southern New Hampshire Medical Center's financial assistance policies can be found on the Southern New Hampshire Health website, as provided on this Schedule H. Part VI, Line 4: Southern New Hampshire Medical Center serves people of all ages, race, gender, religion, ethnicity regardless of their ability to pay. Southern New Hampshire Health'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).For its 2024 tax year (fiscal year ending June 2025), Southern New Hampshire Medical Center continued to refer and rely on the collaborative Greater Nashua 2023 Community Health Assessment that was prepared and informed in association with the City of Nashua. The four geographies mentioned most often throughout this report are the City of Nashua, the Greater Nashua Public Health Region ("GNPHR"), Hillsborough County, and the State of New Hampshire (NH). Throughout the State of NH, there are 13 public health regions. The GNPHR is composed of the City of Nashua and its 12 surrounding towns which include Amherst, Brookline, Hollis, Hudson, Litchfield, Lyndeborough, Mason, Merrimack, Milford, Mont Vernon, Pelham, and Wilton. The mission of the Greater Nashua Public Health Network (GNPHN) is to facilitate access to programs and services that develop resiliency, promote healthy behaviors, and safeguard the health of the GNPHR through partner engagement and collaboration.As of 2023, the combined population of the Greater Nashua Region was estimated to be about 218,000 individuals (about 91,000 in the City of Nashua). To gauge the demographics of this region, the CHA used a variety of survey and online-polling tools. The 2023 CHA revealed the following demographic information: - The median age in the covered community is 40.1 years old. - The general population by sex and gender is evenly split at 50% male and 50% female. - Approximately 7.5% of the GNPHR population are veterans. - The median household income in Nashua, NH is about $89,000; about $113,000 in the GNPHR; and about $91,000 in NH, state-wide. - Approximately 8% of people in Nashua live in poverty, compared to 5% in the GNPHR and 7% in NH state-wide. - Over 92% of the population in Nashua and over 94% in GNPHR have obtained a high school degree, compared to 93.8% in NH state-wide and to 89.1% in the United States on average. - Furthermore, over 40% of people in Nashua and 43% of people in the GNPHR have obtained a college degree, compared to 39% in NH state-wide and to 34.3% in the United States on average. - Approximately 4-5% of people in the GNPHR are unemployed. - The majority of citizens in the GNPHR are white; approximately 27% of people in Nashua and 17.2% of people in the GNPHR identify as a person of color. - Approximately 9.7% of people in the GNPHR identify as foreign born, and 4% of people self-identify as speaking English "less than very well". 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.While the COVID-19 Pandemic naturally came to the forefront of Southern New Hampshire Medical Center's community health and care programs over some of its most recent years, Southern New Hampshire Medical Center continued to engage its community and to promote the wellbeing of its fellow citizens throughout the year on a variety of levels. For example, Southern New Hampshire Medical Center continued to focus its attention on educating, maintaining, and supporting a highly educated and competent workforce. Additionally, Southern New Hampshire Medical Center continued to advocate for community safety, nutrition, and personal wellness.Additionally, Southern New Hampshire Medical Center continues to focus its community health promotion efforts on the core health concern causes and risk factors identified in its community health assessments and implementation strategies. This includes efforts and services to address: mental and behavioral health; access to care; health education; and social, economic, and physical environmental factors. For example, in furtherance of these causes, Southern New Hampshire Medical Center routinely publishes resources that advise on matters of weight, dietary health, exercise, sexual health, aging in excellence, the value of social connectedness, cancer risks, and childhood health initiatives. The Medical Center provides these resources both online and in-person and ensures such community health initiatives are accessible to the diverse range of populations within the Medical Center's community. Part VI, Line 6: Southern New Hampshire Health System, Inc. is a not-for-profit entity organized to support Southern NH Medical Center and Foundation Medical Partners, Inc. Both Southern New Hampshire Medical Center and Foundation are not-for-profit entities, established to provide medical services to the people of the greater Nashua area.On April 30, 2018 Southern New Hampshire Health System became part of the new non-profit healthcare organization named SolutionHealth. This new non-profit healthcare entity is the combination of two New Hampshire non-profit health care organizations, Elliot Health System (EHS) and Southern New Hampshire Health System (SNHHS), combining together to protect the future sustainability of accessible, comprehensive, value-based clinical care. SolutionHealth is a regional healthcare system with a governing body with members from both EHS and SNHHS. This new organization services over 400,000 community members, is located in the two largest and most diverse cities in New Hampshire and employs over 700 physicians and advanced practice providers in New Hampshire.Additionally, Southern New Hampshire Medical Center frequently and actively collaborates with the City of Nashua Division of Public Health and Community Services as well as other similarly geographically located institutions to enhance the quality and availability of care throughout New Hampshire. 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 John E Friberg Esq Interim CEO, SolutionHealth 0 568989 0 398120 0 105379 0 87501 0 40868 0 1200857 0 0 Colin T McHugh SNHMC President/CEO/Secretary 345389 0 268557 0 275259 0 16500 0 38604 0 944309 0 0 0 Michael Turilli SVP/CFO, SolutionHealth 0 568644 0 196136 0 19053 0 94056 0 29145 0 907034 0 0 Joseph M Leahy DO Physician 462559 0 164961 0 95285 0 16500 0 50015 0 789320 0 0 0 Salvatore Vella Jr Chief Medical Officer 0 482684 0 150500 0 41992 0 6600 0 52617 0 734393 0 0 Karen Maynard MD Trustee 0 636897 0 0 0 4323 0 13835 0 48028 0 703083 0 0 Susan T Santana SVP/Chief Nursing Officer 298910 0 112000 0 52185 0 15321 0 1160 0 479576 0 0 0 Brett Sweeney MD Trustee 409608 0 10000 0 23422 0 16500 0 4584 0 464114 0 0 0 Patrick Lee MD Physician 345097 0 10000 0 36334 0 16500 0 43643 0 451574 0 0 0 Erica Lavoie Physician 383076 0 10000 0 576 0 0 0 3174 0 396826 0 0 0 Linda Hatch MD Physician 330218 0 0 0 310 0 14850 0 39238 0 384616 0 0 0 Kenneth Matsis VP Finance, Southern NH Health 0 198175 0 50312 0 9523 0 0 0 34880 0 292890 0 0 Part I, Line 1a Southern New Hampshire Medical Center may from time-to-time use 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 Southern New Hampshire Medical Center must be a member of the Club. Historically the Medical Center has maintained this membership in the CEO's name, and invoices are addressed to the CEO, not Southern New Hampshire Medical Center. Southern New Hampshire Medical Center pays the annual dues and all related expenses incurred by the organization. The facilities are only available to Club members. Part I, Line 4b Southern New Hampshire Medical Center and Foundation Medical Partners each provide a Section 457(f) Supplemental Executive Retirement Plan to certain executives. The following persons, as listed on this Form 990, Part VII, are participants in these 457(f) plans: - Brett Sweeney. - Susan Santana. - Patrick Lee. Contributions to the 457(f) plan are included in the recipients' 2024 Form W-2, Box 5 wages when paid, and are also included in the amounts reported on this Form 990, Schedule J, Part II, Column B(iii), for any applicable persons. However, while the above-named individuals participated in these 457(f) plans, they received no contributions or deferrals to their plans in this reporting period. Accordingly, no amounts reported on this year's Form 990, Schedule J, Part II relate to the above-named individuals' 457(f) plans. Additionally, SolutionHealth, the parent-organization of Southern New Hampshire Health System, also maintains a 457(f) deferred compensation plan. The following individuals, each of whom qualify as either an officer, director, trustee, key employee, or highest compensated employee on this Form 990, Part VII, participated in the SolutionHealth 457(f) deferred compensation plans during the 2024 calendar year. - Michael Turilli. - John Friberg. - Kenneth Matsis. Michael Turilli received contributions to his 457(f) plan in the 2024 calendar year of $87,156. John Friberg received contributions to his 457(f) plan in the 2024 calendar year of $80,601. Their respective 457(f) plan contributions are included within the amounts disclosed on this Schedule J, Part II, Column C, as Deferred Compensation. Kenneth Matsis did not receive any contributions to his 457(f) plan in the 2024 calendar year. Therefore, while Mr. Matsis participated in the 457(f) plan during this Form 990 reporting period, no amounts are reported on this year's Form 990, Schedule J, Part II, due to Mr. Matsis's participation in the plan. 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. 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. Unrelated Organization Compensation Marc Sadowsky, is also the Medical Director of the Medical Center's Electro Convulsive Therapy (ECT) unit. During Calendar year 2024, Southern New Hampshire Medical Center paid New England Neurological Association $48,800 in in return for ECT and weekend coverage provided by Dr. Sadowsky to the Southern New Hampshire Health System. A NHHEF Authority 020279866 6446147E3 2016-11-01 59345000 Refunding 0 0 0 B NHHEF Authority 020279866 2019-08-30 24500000 Equipment purchase 0 0 0 A 15705000 59345000 199985 59145015 0 1 1 1 B 13717843 24500000 37729 24462271 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 1 A 0 1 0 0 0 0 0 0 1 B 1 0 0 0 0 1 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 one (1) additional member, who is a physician, serving solely on the SNHMC board. Form 990, Part VI, Section A, line 7a Southern New Hampshire 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 sole Member, Southern New Hampshire Health System, Inc. (SNHHS), may consider any issue that may properly come before any meeting of Southern New Hampshire Medical Center (the Medical Center). In addition to any rights and powers conferred on SNHHS by law or these bylaws, The Medical Center, and in the bylaws of SNHHS, SNHHS shall, after due consultation with the Board of Trustees of the Medical Center: (a) appoint and remove, with or without cause, the President/Chief Executive Officer of the Medical Center, subject to ratification of the Board of Trustees of the Medical Center; (b) conduct system-wide strategic planning encompassing all corporations, including the Medical Center, of which SNHHS is the sole corporate member and periodically develop, adopt, and periodically amend or revise a system-wide strategic plan that, among other things, established strategic priorities for the Medical Center; (c) conduct system-wide financial and capital planning encompassing all corporations, including the Medical Center, of which SNHHS is the sole corporate member and periodically develop, adopt, and periodically amend or revise system-wide financial plans and operating and capital improvements budget that, among other things, establish financial and budgetary priorities of the Medical Center; (d) periodically conduct by appropriate means an evaluation of the performance of each member of a board of trustees of all corporations, including the Medical Center, of which SNHHS is the sole corporate member, the results of which shall be used by the SNHHS Governance Committee to determine the Trustee's continued service on such board of trustees. The business and affairs of the Medical Center shall be managed by its board of trustees. The Medical Center's board, however, shall not, without approval of SNHHS: (a) elect or appoint the members of the Medical Center's Board of Trustees or remove such person serving from time to time in that capacity; (b) adopt or amend the Medical Center's Mission Statement; (c) adopt, amend or waive any material provision of the Medical Center's strategic plan or any annual operating or capital improvements plan or budget; (d) incur indebtedness for borrowed money or enter into any capital lease obligation, in either case, that has not been specifically set forth in a written operating budget approved previously by the Member where the amount of the obligation exceeds $1,000,000 in amount; (e) enter into, agree to enter into or otherwise approve of any transaction including an incorporation, merger, consolidation, affiliation, dissolution, liquidation or sale of substantially all of the assets of the Corporation; (f) authorize expenditures contained in a capital and operating budget, even if previously approved by the Board of Trustees of the Medical Center; (g) approve, adopt or enter into a professional or general service contract where the annual expense to the Medical Center exceeds $1,000,000 and that has not been previously approved in SNHMC's annual budget; (h) amend the Articles of Agreement or these Bylaws; (i) acquire or agree to acquire by merging, consolidating with or by purchasing substantially all of the assets of any business or corporation, partnership, joint venture, association, business organization or division thereof; and (j) elect or remove officers of the Medical Center. Form 990, Part VI, Section B, line 11b 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 and will abide by our Code of Conduct, which includes our conflict of interest policy. SNHHS/SNHMC 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. Compliance reports are 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 990-T 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 IX, line 11g Corporate allocation: Program service expenses 72,488,570. Management and general expenses 0. Fundraising expenses 0. Total expenses 72,488,570. Service contracts: Program service expenses 3,436,033. Management and general expenses 635,510. Fundraising expenses 0. Total expenses 4,071,543. Contracted medical services: Program service expenses 1,711,149. Management and general expenses 316,485. Fundraising expenses 0. Total expenses 2,027,634. Form 990, Part XI, line 9: Pension adjustment 728,013. Transfers to affiliates -38,084,162. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Elliot Health System 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020509911 Management NH 501(c)(3) Line 12b, II SolutionHealth 0 Elliot Health System Professional & General LIT 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 016217452 Insurance Trust NH 501(c)(3) Line 12a, I Elliot Hospital 0 Elliot Hospital One Elliot Way Manchester NH 03103 020232673 Medical Services NH 501(c)(3) Line 3 Elliot Health System 0 Elliot Physician Network 10 Prospect Street Manchester NH 03109 020509589 Physician Services NH 501(c)(3) Line 3 Elliot Hospital 0 Elliot Professional Services Network Inc 10 Prospect Street Manchester NH 03109 331003630 Physician Services NH 501(c)(3) Line 10 Elliot Hospital 0 Everwell Inc 1 Medical Center Drive Lebanon NH 03756 352506275 Supporting Organization NH 501(c)(3) Line 12a, I N/A 0 Foundation Medical Partners Inc 8 Prospect Street Nashua NH 03060 020456218 Physician Services NH 501(c)(3) Line 10 SNHHS 0 Home Health and Hospice Care 7 Executive Park Drive Merrimack NH 03054 237331452 Home Care and Hospice NH 501(c)(3) Line 7 SolutionHealth 0 Legacy Trust of Southern New Hampshire Health Inc 8 Prospect Street Nashua NH 03060 844779887 Fundraising NH 501(c)(3) Line 7 SNHHS 0 Mary and John Elliot Charitable Foundation 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020512229 Fundraising NH 501(c)(3) Line 7 Elliot Health System 0 SolutionHealth 360 Route 101 Unit 8 Manchester NH 03110 830741190 Supporting Organization NH 501(c)(3) Line 12a, I N/A 0 Southern New Hampshire Health System 8 Prospect Street Nashua NH 03060 020509221 Medical Services NH 501(c)(3) Line 12b, II SolutionHealth 0 The Surgery Center of Greater Nashua 10 Prospect Street Nashua NH 03060 461084049 Medical Services NH 501(c)(3) Line 3 SNHHS 0 VNA Home Health and Hospice Services Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020222241 Home Care and Hospice NH 501(c)(3) Line 10 Elliot Health System 0 VNA of Manchester & Southern NH Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020395296 VNA Holding Company NH 501(c)(3) Line 12b, II Elliot Health System 0 VNA Personal Services Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020395295 Private Health and Homemaker Services NH 501(c)(3) Line 10 Elliot Health System 0 Elliot Common Trust Fund LLC One Elliot Way Manchester NH 03103 203653624 Investments NH N/A 0 0 Elliot Health System Holdings & Subsidiaries 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020512224 Management NH N/A C 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 1 1 1 1 0