2025-05-15T08:02:34-05:00 2024-06-30 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2023-07-01 020232673 The Elliot Hospital of the City of Manchester ELLI 6036632033 1 Elliot Way Manchester NH 03103 Michael Turilli CFO 6036632033 2025-05-13 1 0 Connor Smart P02285543 6036262200 2025-05-13 2023 2025-03-06 01:10:19Z William G Baxter 1 Elliot Way Manchester NH 03103 757349444 0 X www.elliothospital.org X 1942 NH Hospital Services 19 14 3611 175 4071289 0 8289284 14788073 655339132 709334033 6978953 7842189 5979219 4719169 676586588 736683464 1332444 737125 0 0 245158886 256410883 0 0 0 333769951 392623749 580261281 649771757 96325307 86911707 662848004 706210829 297588250 288090789 365259754 418120040 The Elliot Hospital of the City of Manchester, a leader in healthcare, is dedicated to providing its community with excellent services offered with dignity, caring, and respect. 0 0 476227769 0 705279350 Medical services provided to tens of thousands of inpatients and outpatients, including free care and contributions to community programs. Additional information regarding the Hospital's medical services and community programs can be found on this Form 990, Schedule H. 737125 737125 0 The Hospital provides grants to various organizations to advance public health, wellness, and the quality of life of its community at large.Major contributions to community organizations during this tax year included Amoskeag Health (formerly Manchester Community Health Center); Easter Seals New Hampshire; and Foundation for Healthy Communities in Manchester, New Hampshire. 2098402 0 0 Community benefits including educational programs, health screenings, health publications and other health information services, and cash and in-kind contributions to community agencies. 479063296 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 719 0 1 3611 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 19 14 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Michael Turilli 6036632033 1 Elliot Way Manchester NH 03103 Marina Feldman MD Trustee 1.00 43.00 X 0 798114 47849 William G Baxter President & CEO 41.00 8.00 X X 1787964 0 206206 Carl Fier MD Trustee 1.00 41.00 X 0 936937 41890 Nancy Hursarik MD Trustee (end 2/2024) 1.00 41.00 X 0 238266 38181 Marjan Makatam-Abrams MD Trustee (end 2/2024) 1.00 41.00 X 0 315330 33678 Todd Burdette MD Trustee (eff. 2/2024) 1.00 41.00 X 0 653245 40966 Joyia Fazelat MD Trustee (eff. 2/2024) 1.00 41.00 X 0 330495 42270 David Bellman Trustee 1.00 2.00 X 0 0 0 David Cuzzi Trustee 1.00 3.00 X 0 0 0 Richard Fisher Trustee (start 2/2024) 1.00 1.00 X 0 0 0 Charles Goodwin Trustee 1.00 6.00 X 0 0 0 Lara Hanlon MD Trustee (start 2/2024) 1.00 1.00 X 0 0 0 James C Hood Esq Trustee (end 1/2024) 1.00 1.00 X 0 0 0 Linda Lassonde Trustee 1.00 1.00 X 0 0 0 Andrew MacWilliam Trustee (start 2/2024) 1.00 1.00 X 0 0 0 Priscilla Marsicovetere Trustee (start 2/2024) 1.00 1.00 X 0 0 0 Heidi Meinz MD Trustee (end 2/2024) 1.00 1.00 X 0 0 0 John Mercier Trustee (end 2/2024) 1.00 1.00 X 0 0 0 Daniel M Monfried Trustee (end 2/2024) 1.00 1.00 X 0 0 0 Selma Naccah-Hoff Trustee (start 2/2024) 1.00 2.00 X 0 0 0 Charles F Rolecek Trustee (end 1/2024) 1.00 1.00 X 0 0 0 Philip Taub Trustee 1.00 1.00 X 0 0 0 James J Tenn Jr Esq Chair/Trustee 1.00 2.00 X X 0 0 0 Loretta LC Brady PhD Vice Chair/Trustee 1.00 1.00 X X 0 0 0 Robert Fremeau DMD Treasurer/Trustee 1.00 1.00 X X 0 0 0 Stephen Langan Treasurer/Trustee (end 2/2024) 1.00 3.00 X X 0 0 0 Paul W Hoff PhD Secretary/Trustee (end 2/2024) 1.00 2.00 X X 0 0 0 Karen Van Der Beken Secretary/Trustee 1.00 1.00 X X 0 0 0 Michael Turilli SVP/CFO, SolutionHealth 1.00 48.00 X 0 597609 110268 Brad Kreick Pres./CEO, SolutionHealth (end 4/24) 1.00 42.00 X 0 1269289 197518 John E Friberg Esq Interim CEO, SolutionHealth 40.00 15.00 X 0 568294 115687 Joseph T Curti Chief Operating Officer 40.00 0.00 X 573246 0 41945 Kevin Desrosiers MD CMO & EMG Acute Care Services 40.00 0.00 X 561059 0 44530 Martha Leighton MD Senior VP & CNO 40.00 0.00 X 359700 0 22496 Holly Mintz SVP, CMO, EMG Ambulatory Care 40.00 1.00 X 526819 0 38083 Shawn Stapp DO SVP, CMO, EMG Ambulatory Care 40.00 0.00 X 399476 0 45244 4208264 5707579 1066811 394 0 1 0 AYA Healthcare 5930 Cornerstone Court West Suite San Diego CA 92121 Nurse staffing 22117631 Amoskeag Anesthesia PLLC 1 Elliot Way Manchester NH 03103 Medical services 5043430 Bond Brothers 10 Cabot Road 300 Medford MA 02155 Construction 3132001 NH Oncology-Hemeatology 250 Pleasent Street Concord NH 03301 Medical services 1881350 Arup Laboratories Inc 500 Chipeta Way Salt Lake City UT 84108 Lab and testing services 1587769 62 303262 14483661 1150 14788073 Laboratory services 621500 248027424 246150587 1876837 Patient services 621110 226540447 226540447 Pharmacy services 623000 198276175 196888021 1388154 Disproportionate share funding 722511 26173605 26173605 Hospital Auxiliary Services 621990 10316382 9526690 789692 709334033 7422421 7422421 4719169 0 4719169 4719169 16606 4702563 21085075 673 20665980 0 419095 673 419768 419768 736683464 705279350 4071289 12544752 X 737125 737125 1994170 1718737 275433 202768789 174762505 28006284 8738440 7531493 1206947 29541045 25460856 4080189 13368439 11522000 1846439 103965529 103965529 47250 47250 62786 62786 229738 229738 24439774 24347319 92455 215793 215793 10124876 8604013 1520863 1330190 1330190 15824781 8387134 7437647 298816 158372 140444 5221808 2621713 2600095 19858242 9169435 10688807 7299295 3868626 3430669 Medical supplies 135534319 135534319 NH MET 30422378 30422378 Provision for bad debts 27405423 27405423 Repairs and maintaince 10342751 5481658 4861093 649771757 479063296 170708461 0 58592705 49945641 15528676 1210057 201828 0 55871853 70899705 751045 726714 6992774 7905380 3216056 3239683 581739344 380166253 196008383 201573091 95000152 111658516 184822439 208270591 10723515 9023364 35138578 41758087 662848004 706210829 46005038 40318742 73402 60753 348061 330602 136662488 130751563 14269147 12043068 100230114 104586061 297588250 288090789 X 349250424 399990535 16009330 18129505 365259754 418120040 662848004 706210829 X 86911707 29756565 -63807986 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 62786 68750 62786 68750 649708971 851759761 649771757 851828511 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 45574 66003 62746 68750 243073 250000 250000 250000 250000 1000000 1500000 16009330 1150 2119025 18129505 15493227 516103 16009330 17064868 -1571641 15493227 15212757 50000 1802111 17064868 15039613 28666 144478 15212757 0.00000 0.85030 0.14970 0 0 4156178 4156178 266836401 124914419 141921982 2128534 2123797 4737 294292168 253128037 41164131 14326063 14326063 201573091 Alternative investments 137009554 F Fixed income securities 71261037 F 208270591 Pension cash surrender value 1555572 Deposits 480994 Employee benefit plans 35727408 Due from affiliates 3648985 Malpractice insurance assets 345128 41758087 Accrued interest 1443755 Pension and retirement obligations 12516090 Amounts payable to third-party payors 26409411 Net due to related organizations 15868612 Operating lease liabilities 9052071 Self-insurance reserves and other liabilities 39296122 104586061 X 742367012 29756565 3996980 33753545 708613467 229956 27840041 28069997 736683464 625762280 4363027 4363027 621399253 229956 28142548 28372504 649771757 Part V, Line 4: Income from the endowment funds can be used for operating and capital expenditures. Part X, Line 2: Elliot Hospital, EPN and EPS 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 Hospital's tax positions and concluded the Hospital 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. Part XI, Line 2d - Other Adjustments: Reimbursement allocated to EHS Prof. and Gen. Liability Insurance Trust 2,566,360. Net periodic pension gain, net of service cost 1,430,620. Part XI, Line 4b - Other Adjustments: Provision for bad debts 27,405,423. Grants paid net of revenues in the Audited Financial Statements 299,285. Unrealized losses allocated to EHS Prof. and Gen. Liability Insurance Trust 130,610. Realized losses allocated to EHS Prof. and Gen. Liability Insurance Trust 4,723. Part XII, Line 2d - Other Adjustments: Expenses allocated to EHS Prof. and Gen. Liability Insurance Trust 4,354,476. Investment fees allocated to EHS Prof. and Gen. Liability Insurance Trust 8,551. Part XII, Line 4b - Other Adjustments: Provision for bad debts 27,405,423. Grants paid net of revenues in the Audited Financial Statements 299,285. Grant payments attributed from related organizations 437,840. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Investments through Elliot Common Trust Fund 110000 North America - Canada and Mexico, but not the United States 0 0 Investments through Elliot Common Trust Fund 1137000 0 0 0 0 0 0 1247000 0 1247000 1 0 1 1 1 0 Schedule F, Part I, Line 3: The legal owner of Elliot Hospital's foreign investments is a related organization, Elliot Common Trust Fund. Since a portion of the total foreign investments are allocated to the Hospital's assets on the financial statements, those allocated investments have been disclosed on Schedule F, Part I, Line 3 of Elliot Hospital's Form 990. Schedule F, Part IV, Line 1: Through its standard investment activities, the Elliot Hospital of the City of Manchester may make transfers to foreign corporations for $100,000 or more during an applicable filing period as covered by its Form 990 tax filing. Accordingly, when such foreign transfers occur, the Hospital will timely and completely file Forms 926 with the IRS as part of its annual tax return preparation and submission procedures. Schedule F, Part IV, Line 3: The Elliot Hospital of the City of Manchester did not have an ownership interest in any foreign corporation that is greater than the 10% filing threshold. Accordingly, IRS Form(s) 5471 is not required to be filed. Schedule F, Part IV, Line 4: The Elliot Hospital of the City of Manchester meets the exception for tax-exempt organizations with respect to filing Form 8621. Accordingly, Form 8621 is not required to be filed for the Hospital. 1 1 1 X 250.000000000000 0 1 1 1 0 1 1 12197454 12197454 0.01960 126251412 64050721 62200691 0.09990 138448866 64050721 74398145 0.11950 14 9245 515080 515080 0.00080 5 416 879301 879301 0.00140 8 61824216 16708626 45115590 0.07250 1 117827 117827 0.00020 9 1603 1141199 1141199 0.00180 37 11264 64477623 16708626 47768997 0.07670 37 11264 202926489 80759347 122167142 0.19620 142610 142610 0.00020 39510 39510 0.00010 182120 182120 0.00030 0 13079493 0 64050721 126251412 -62200691 X 1 1 1 1 Elliot Hospital of City of Manchester 1 Elliot Way Manchester NH 03103 www.elliothospital.org 0018 X X X X Elliot Hospital of City of Manchester 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X See Part V, Section C X See Part V, Section C X 1 22 1 See Part V, Section C 0 1 X 250.000000000000 X X X X X X 1 1 X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X 1 X 0 X X X X 1 X 0 0 Elliot Hospital of City of Manchester Part V, Section B, Line 5: The 2022 CHNA Report was developed by the City of Manchester Health Department, which serves as the chief strategist for health and wellness-related issues for the Greater Manchester Public Health Region. The Department conducts this assessment in partnership with Catholic Medical Center, Dartmouth Health, and Elliot Health System. This report was produced with funding and support from the three health systems. Technical assistance was provided by JSI Research and Training Institute (JSI) in Bow, New Hampshire, in the collection and summary of Key Informant Interviews and Resident Surveys to provide resident input on major issues facing the Greater Manchester Region. The City of Manchester Health Department also secured the consulting expertise of Michelle Graham for much of the content of the report, and Department Staff contributed time and resources to review this report prior to its finalization. In addition, JSI contributed to the design and production of this CHNA. 20 leaders and 204 residents provided their perspectives on health and wellness in Manchester as part of gathering community input for this CHNA. Elliot Hospital of City of Manchester Part V, Section B, Line 6a: The Hospital's CHNA was conducted with other hospital partners and facilities, including Catholic Medical Center of Manchester, NH, and Dartmouth Health. Elliot Hospital of City of Manchester Part V, Section B, Line 6b: The Hospital CHNA was conducted with organizations other than hospital facilities. Such additional partners included Manchester Proud, LAUNCH Manchester, Makin' It Happen, Health Care for the Homeless, The Mental Health Center of Greater Manchester, Families in Transition, Manchester Food Collaborative, Neighborworks, and Amoskeag Health Elliot Hospital of City of Manchester Part V, Section B, Line 11: Elliot Hospital uses the City of Manchester Community Health Assessment to determine and address the significant health needs impacting its community. As of the publication of the 2022 CHNA, Elliot Hospital is focusing its community health efforts towards addressing food insecurity (especially as impacts youth populations in Manchester as well as food insecure individuals who are also facing cancer) lead poisoning in children, workforce development (with a focus on high school student engagement), reading proficiency in Manchester, SUD and behavioral health needs of our community, and trauma prevention. Additionally, the Hospital has organized its efforts to focus on obesity, diabetes, and older adult health needs. The Hospital also acknowledges that access to affordable housing is another area of significant need in its community that impacts public health, and that is frequently cited in community health and wellness reports. However, while the Hospital may provide services and benefits that indirectly address this issue, the Hospital recognizes that other organizations are already working on and better equipped to address challenges in housing. Accordingly, the Hospital does not have an active focus on affordable housing needs. Schedule H, Part V, Section B, Line 7a & 7b: All the Hospital's Community Benefit Reports are available online at:https://www.elliothospital.org/about-us/community-engagement/community-benefits-reportingSpecifically, the 2022-2025 Greater Manchester Community Health Needs Assessment is available at the following web address:https://www.elliothospital.org/application/files/9516/8746/2883/Manchester-Community-Health-Needs-Assessment-2022.pdfThe Hospital's Implementation Plan is also available on the Hospital's website at: https://www.elliothospital.org/application/files/9717/0671/8234/2022_CHNA_Outcomes_Document_Final.pdfLastly, the Hospital's most recent Community Benefits Plan Report is available online at:https://www.elliothospital.org/application/files/2317/1829/4819/2023-elliot-health-system.pdf Schedule H, Part V, Section B, Line 13: Elliot Hospital's Financial Assistance Policy is available via the Hospital's website (www.elliothospital.org) Additionally free copies are available at hospital locations. Also, Patient Financial Advocates are available to assist in person or via telephone. The policy is for people who are underinsured, uninsured, or do not qualify for governmental assistance (Medicare or Medicaid), or who are otherwise unable to pay for medically necessary care and meet the criteria for financial assistance. Schedule H, Part V, Section B, Line 16a, 16b, & 16c: The Hospital's Plain Language Summary, as well as additional financial education resources for patients, can be accessed on the following page:https://www.elliothospital.org/patients-and-visitors/patient-information/billing-insurance-and-paymentsThe Complete Financial Assistance, Billing, and Collection Policy may also be found at:https://www.elliothospital.org/application/files/9317/3885/0379/EHS_Financial_Assistance_-_Feb_2025.pdfLastly, the Financial Assistance Application may also be found at:https://www.elliothospital.org/application/files/6716/8684/6557/Billing_Financial-Assistance-Appllication_Process_and_Form.pdf 48 1 - Elliot 1-Day Srgry CenterRivers Edge 185 Queen City Avenue Manchester NH 03101 Ambulatory Surgical Center 2 - Elliot Urgent Care At River's Edge 185 Queen City Avenue Manchester NH 03101 Non-Emergency Walk-In Care Center 3 - Elliot Hospital of Manchester NH 1050 Holt Ave Ste 5 175 Queen City Manchester NH 03109 LRDD Medical Gases/Prescription Devices, Home Care - Durable Medical 4 - Elliot Pharmacy At River's Edge 185 Queen City Avenue Manchester NH 03101 In-State Pharmacy 5 - Elliot Urgent Care Londonderry 40 Buttrick Road Londonderry NH 03053 Non-Emergency Walk-In Care Center 6 - Elliot Urgent Care at Bedford 25 Leavy Drive Bedford NH 03110 Non-Emergency Walk-In Care Center 7 - Elliot Stat LabCollection Station 40 Buttrick Road Londonderry NH 03053 Laboratory 8 - Elliot Pharmacy at Bedford 25 Leavy Drive Bedford NH 03110 In-State Pharmacy 9 - Elliot Coumadin Clinic 40 Buttrick 40 Buttrick Road Londonderry NH 03053 Laboratory 10 - Elliot Coumadin Clinic 138 Webster 138 Webster Street Manchester NH 03104 Laboratory 11 - Elliot Poc LabCollection Station145 145 Hollis Street Manchester NH 03101 Laboratory 12 - Elliot Coumadin Clinic 15 Freetown 15 Freetown Road 8 Raymond NH 03077 Laboratory 13 - Elliot Collection Station 185 Queen 185 Queen City Avenue Manchester NH 03101 Collecting Station 14 - Elliot One Day Srgry Center185 Queen 185 Queen City Avenue Manchester NH 03101 Laboratory 15 - Elliot One Day Surgery Center 185 Queen City Avenue Manchester NH 03101 Practitioner Office 16 - Elliot Collection Station 4 Elliot 4 Elliot Way Manchester NH 03103 Collecting Station 17 - Elliot Collect'n Stat'n190 Tarrytow 275 Mammoth Road Manchester NH 03103 Collecting Station 18 - Elliot Collection Station20 Chambers 20 Chambers Road Hooksett NH 03106 Collecting Station 19 - Elliot Urgent Care Lab185 Queen City 185 Queen City Avenue Manchester NH 03101 Laboratory 21 - Elliot Urgent Care Lab Bedford 25 Leavy Drive Bedford NH 03110 Laboratory 22 - Center Recovery Management Manchester 140 Tarrytown Road Manchester NH 03103 Specialty Care 23 - Doctors Park Lab 190 Tarrytown Road Manchester NH 03103 Specialty Care 24 - Elliot Behavorial Health Services 445 Cypress Street Manchester NH 03103 Specialty Care 25 - Elliot Breast Health Center 185 Queen City Avenue Manchester NH 03101 Specialty Care 26 - Elliot Cardiovascular Consultants 1 Elliot Way Manchester NH 03103 Specialty Care 27 - Elliot DevelopmentalBehavioral Ped's 275 Mammoth Road Manchester NH 03109 Specialty Care 28 - Elliot Gastroenterology 185 Queen City Avenue Manchester NH 03101 Specialty Care 29 - Elliot General Surgery 185 Queen City Avenue Manchester NH 03101 Specialty Care 30 - Elliot Maternal Fetal Medicine 4 Elliot Way Manchester NH 03103 Specialty Care 31 - Elliot Neurocognitive Services 445 Cypress Street Manchester NH 03103 Specialty Care 32 - Elliot Neurological Specialties 130 Tarrytown Road Manchester NH 03103 Specialty Care 33 - Elliot Neurology Associates 185 Queen City Avenue Manchester NH 03101 Specialty Care 34 - Elliot Oral Maxillofacial Surgery Center 1 Elliot Way Manchester NH 03103 Specialty Care 35 - Elliot Orthopaedic Surgical Specialists 185 Queen City Avenue Manchester NH 03101 Specialty Care 36 - Elliot Orthopaedics and Sports Medicine 20 Chambers Drive Hooksett NH 03106 Specialty Care 37 - Elliot Pain MgmtIntervention Spine Ctr 185 Queen City Avenue Manchester NH 03101 Specialty Care 38 - Elliot Palliative Care Services 445 Cypress Street Manchester NH 03103 Specialty Care 39 - Elliot Pediatric Audiology 275 Mammoth Road Manchester NH 03109 Specialty Care 40 - Elliot Pediatric Gastroenterology 275 Mammoth Road Manchester NH 03109 Specialty Care 41 - Elliot Pediatric Neurology 275 Mammoth Road Manchester NH 03109 Specialty Care 42 - Elliot Pediatric Surgery Associates 1 Elliot Way Manchester NH 03103 Specialty Care 43 - Elliot Pharmacy at Solinsky Center 1 Elliot Way Manchester NH 03103 Pharmacy 44 - Elliot Plastic & Reconstructive Surgery 185 Queen City Avenue Manchester NH 03101 Specialty Care 45 - Elliot Pulmonary Medicine Associates 185 Queen City Avenue Manchester NH 03101 Specialty Care 46 - Substance Use Disorder Services 300 Hanover Street Manchester NH 03104 Specialty Care 47 - The Center for WoundHyperbaric Med 185 Queen City Avenue Manchester NH 03104 Specialty Care 48 - Trauma and Acute Care Services (TRACS) 4 Elliot Way Manchester NH 03103 Specialty Care 49 - Home Med Equip Manchester & SNH 1050 Holt Avenue Manchester NH 03103 Specialty Care Part I, Line 7: Financial assistance and means tested costs used RCC derived from Medicare cost report; other benefits costs derived from actual costs and internal cost accounting system. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 27,405,423. Form 990, Schedule H, Part I, Lines 3b/3c; and Part V, Lines 13a/13b: The Hospital is part of the SolutionHealth network. Financial assistance eligibility determinations shall be based on SolutionHealth's policy and an assessment of financial need. Patients and the community within SolutionHealth's service area will be informed of the Financial Assistance, Billing and Collection policy and the process for submitting an application by many methods and in many venues. Patients, or a patient's guarantor, have a responsibility to cooperate in applying for financial assistance by providing information and documentation on family size, income and assets. Patients who meet the following criteria and comply may be eligible for financial assistance:(1) Applicants for financial assistance must reside in the State of New Hampshire or the Massachusetts border towns of Dunstable, Pepperell, Townsend or Tyngsboro and must have exhausted all other sources of payment including insurance, public assistance, litigation, or third-party liability before any financial assistance shall be granted. A patient is typically not eligible for financial assistance until he or she has applied for and is determined to be ineligible for applicable federal and state governmental assistance programs. SolutionHealth will offer assistance to patients applying for public programs. SolutionHealth may decide, at its discretion, to process a financial assistance application without a determination of ineligibility by the federal or state governmental assistance program or commercial insurer provided an appropriate rationale is documented.(2) Financial assistance may also be provided to residents of areas not specified above if an emergency medical condition arises while in New Hampshire or the border towns specified above and requires immediate care.(3) Eligibility for financial assistance will be determined based on a combination of family income and assets. The Federal Poverty Guidelines in effect at the time of the determination will be used to determine a patient's eligibility for financial assistance. Financial assistance is a complete write-off of SolutionHealth charges for eligible services. Financial assistance is available to patients, or their guarantors, with annual family income at or below 250% of Federal Poverty Guidelines (FPG). Assets greater than $300,000 such as real estate, 401k, 403b, and savings will also be considered in determining eligibility on a case by case basis. In order to qualify for financial assistance, all other payment options must be exhausted, including private coverage, federal, state and local medical assistance programs, and other forms of assistance provided by third parties. Part II, Community Building Activities: For the fiscal year ending June 30,2023, Elliot Hospital provided $132,453 in community and program support to local organizations. These organizations included Foundations for Healthy Communities, Amoskeag Health, Valley Street Jail, (medical care for Hillsborough County and State Inmates) Easter Seals NH, ORIS/Fresh Start Farms, and Manchester Proud. Elliot Hospital also provided an additional $85,248 in sponsorship/partnership support to community organizations such as Greater Manchester Boys and Girls Club, YWCA NH, Manchester Police Athletic League (MPAL), Alzheimer's Association, Waypoint, Makin' It Happen, and Friends of Aine. Part III, Line 2: Bad debt expense is determined based on an historical lookback of bad debt activity. The historical percentages are then applied to accounts receivable. Patients that are true self pay (uninsured) are given an automatic 59% discount off charges, and this amount is reflected as Charity Care. Remaining self pay accounts follow our Credit and Collection policy where they receive 4 statements and after 120 days the accounts are transferred to Bad Debt. Part III, Line 3: Patients that are true self pay (uninsured) are given an automatic 59% discount off charges, and this amount is reflected as Charity Care. Remaining self pay accounts follow our Credit and Collection policy where they receive 4 statements and after 120 days the accounts are transferred to Bad Debt. The current Financial Assistance Policy allows for self pay patient balances that are in Bad Debt to be considered Charity Care. The accounts are transferred from the Bad Debt Agency to an Internal Agency for tracking purposes. Part III, Line 4: See Footnote 2 of the attached audited financial statements. Part III, Line 8: Allowable costs are determined using CMS methodology utilized in completing cost report; Medicare shortfall from Part III, Line 7 should be included in community benefits as costs are not fully reimbursed. Part III, Line 9b: Collections are not pursued on charity care patients. Collection agencies are supplied information that allows them to identify only those accounts upon which collection efforts should be pursued. Part VI, Line 2: In order to assess the health needs of the community on an ongoing basis, Elliot Health System partners closely with Catholic Medical Center, Dartmouth Health, Amoskeag Health, City of Manchester Public Health Department and other community organizations. As a member of the Manchester Health Advisory Committee, Manchester CoC for Homelessness, Manchester SUD Collaborative, Manchester Food Collaborative, Elliot Health System works collaboratively with the primary goal of assessing community needs and developing health improvement strategies for the City of Manchester, NH. The work for addressing CHNA priorities is coordinated under the discretion of the City of Manchester Public Health Department. The latest CHNA was released in Fall, 2022.In addition to the ongoing work completed related to the CHNA and various working groups in Manchester, Elliot also uses CHNA, Healthy People 2030, CHiP and other community data (example, overdose and SUD reports from AMR and SUD Collaborative). Other sources include US Census, Behavioral Risk Factor Survey and NH State agency publications and the Healthcare Advisory Board.The Elliot focuses on addressing key SoDH identified through or clinical care across Elliot Health System. We use our EMR/EPIC to screen for critical health determinants as well as healthy equity measures and needs in the primary care and other specialty settings.The CHNA process will begin in January, 2025 for release of the new CHNA will be released in June 2025. Part VI, Line 3: Elliot's Financial Assistance Policy is available via Elliot's website (www.elliothospital.org) or free copies are available at hospital locations. Also, Patient Financial Advocates are available to assist in person or via telephone. The policy is for people who are underinsured, uninsured, or do not qualify for governmental assistance (Medicare or Medicaid), or who are otherwise unable to pay for medically necessary care and meet the criteria for financial assistance. Part VI, Line 4: The 2022 Greater Manchester Community Health Needs Assessment focused on the City of Manchester, and the surrounding Greater Manchester Community. Greater Manchester includes both the Greater Manchester Public Health Region (Auburn, Bedford, Candia, Deerfield, Goffstown, Manchester, and New Boston), as well as the Hospital Service Area (Public Health Region Towns plus Londonderry). These eight communities are home to approximately 116,000 residents. The City of Manchester is not only home to over half of the Greater Manchester Community but it is the largest city in the State of New Hampshire.The population of the Greater Manchester Area is aging and becoming a more diverse population, with residents reflecting a variety of nationalities, languages, ethnic traditions, religious beliefs, and ideologies. New Hampshire has the second highest median age in the nation with 19% of the state population over the age of 65. Thirteen percent of the City of Manchester residents (over 14,000) are ages 65 or older. Part VI, Line 5: Elliot Hospital promotes the health of the Greater Manchester community through many waysincluding the following: - EH offers free health education and support group programs to the community. - EH provides financial support to local Federally Qualified Health Centers and other non-profit organizations in the community. Additionally, we provide partnership programs with community organizations like the Wellness On Wheels program which brought over 10 community agencies and non-profits together in underserved neighborhoods. - EH maintains an open medical staff. - EH management and staff participate on board of other nonprofits such as Waypoint, Easter Seals NH, and Mental Health Center of Greater Manchester as well as local and state public health committees. - EH continue to be a host partner and location for many community events including National Drug Take Back Day with the Manchester Police Department, DEA and Makin' It Happen and we are one of the largest sites for community blood drives with the American Red Cross and monthly blood drives on campus. - EH staff and providers attend community events and partner with local schools and organizations to provide awareness, screening and educational materials. - EH participate in community emergency response preparedness drills. - EH also focuses on our Implementation Strategies, which are developed from the key SoDH from the Community Health Needs Assessment. In FY24 there was also a Board Designated goal developed for CHNA program implementation focused on food insecurity and other community engagement opportunities, in FY24 Elliot convened an inter-agency workgroup to address increased suicides in Manchester from city bridges. We received approval from the Mayor & Board of Alderman to place Suicide Prevention signs on 5 bridges in Manchester. The workgroup included Elliot, City of Manchester Health Department, Mental Health Center of Greater Manchester, NAMI NH, VA Medical Center Manchester, Makin' It Happen, City of Manchester DPW. - The EHS Board of Directors began an educational series called Listening to Lead to learn more about critical drivers of health disparities in greater Manchester. Three sessions held in FY24. - Elliot leads a partnership with Boys and Girls Club of Manchester and ORIS/Fresh Start Farm for a farm share mobile market held in fall and spring in FY24. Part VI, Line 6: EHS is the umbrella organization under which Elliot Hospital (EH), Elliot Physician Network (EPN), Elliot Professional Services (EPS), the Visiting Nurse Association of Manchester and Southern NH (VNA), and the Mary & John Elliot Charitable Foundation operate. Elliot Health System is a health care system that provides care to residents of southern NH serving a regional population of over 250,000 residents, making it one of the largest providers of comprehensive health care services in southern NH. Each of these organizations plays a critical role in the continuum of care EHS delivers to the community thus promoting health. The cornerstone of EHS is Elliot Hospital (EH), a 296-bed acute care facility located at the hospital's main campus. EH and the surrounding campus is home to Elliot Emergency and Trauma services which includes a dedicated pediatric emergency department and the ACS verified Level II Trauma Center, inpatient and outpatient behavioral health services, a Level III Newborn Intensive Care Unit, and the Solinsky Center for Cancer Care at the Elliot. Elliot Hospital also services the community through various ambulatory care centers located throughout the Greater Manchester area including the Towns of Bedford, Londonderry, and Hooksett. In addition, EH offers specialty services at 250,000 square foot ambulatory care center, The Elliot at River's Edge, which houses the Elliot Breast Health Center, Urgent Care, Wound Care, Pain Management, and Surgical Services. In addition, EH offers the community a dedicated senior center also located in the City of Manchester.EHS, through the Elliot Physician Network (EPN) and Elliot Professional Services (EPS), both not for profit physician groups, provide primary care and specialty care to the Greater Manchester area. Combined, EPN and EPS employ over 200 physicians as far north as Allenstown, east to Raymond, and south to Windham. The Elliot Physician Network has 17 primary care practices in the Greater Manchester area. EHS has a robust electronic medical record (EMR) linking all of the system providers with EH allowing the provider immediate access to all medical care that happened within EHS. The EMR is complete with the latest laboratory results, diagnostic images, and other test results that may affect care given in the local provider's office.EH and Affiliates (collectively EHS), work collaboratively and collectively (through the EMR) allowing EHS to serve the health care needs of people in the most efficient manner and has provided a platform for proactive plans for health management.On April 30, 2018 Elliot 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. Part VI, Line 7, Reports Filed With States NH 1 Amoskeag Health 145 Hollis Street Manchester NH 03101 020458174 501(c)(3) 150000 0 Community benefit grant to improve health and wellness. Catie's Closet Inc 28 Loon Hill Road Dracut MA 01826 272531953 501(c)(3) 25000 0 Community benefit grant to improve health and wellness. Easter Seals New Hampshire 555 Auburn Street Manchester NH 03103 020272825 501(c)(3) 38008 0 Community benefit grant to improve health and wellness. Foundation for Healthy Communities 125 Airport Road Concord NH 03301 020275078 501(c)(3) 323715 0 Community benefit grant to improve health and wellness. Granite United Way 22 Concord Street Floor 4 Manchester NH 03101 026006033 501(c)(3) 23500 0 Community benefit grant to improve health and wellness. Greater Manchester Chamber of Commerce 54 Hanover Street Manchester NH 03101 020161920 501(c)(6) 7500 0 Community benefit grant to improve health and wellness. Mary and John Elliot Charitable Foundation 1070 Holt Avenue Unit 1 Manchester NH 03109 020512229 501(c)(3) 0 15706 Book value First aid kits Community benefit grant to improve health and wellness. Organzation for Refugee and Immigrant Success 434 Lake Avenue Floor 2 Manchester NH 03103 760826598 501(c)(3) 20160 0 Community benefit grant to improve health and wellness. Queen City Bike Collective 35 Elm Street Manchester NH 03101 474147461 501(c)(3) 20000 0 Community benefit grant to improve health and wellness. Town of Hooksett 35 Main Street Hooksett NH 03106 GOV 10000 0 Community benefit grant to improve health and wellness. Town of Hudson 12 School Street Hudson NH 03051 GOV 7500 0 Community benefit grant to improve health and wellness. 10 1 Part I, Line 2: Elliot Hospital maintains members on the board of directors for Amoskeag Health (formerly Manchester Community Health Center). Activities of this organization align with the Hospital's mission in the community and with the Hospital's Implementation Plan developed from its most recent CHNA. Some other significant grants paid in 2024 include the following: - Foundation for Healthy Communities helps support the State's reauthorization of NH Medicaid expansion which is important to providing insurance coverage for many of our most vulnerable citizens. - Easter Seals New Hampshire supports programs that provide health and wellness support for some of the region's most vulnerable populations. - Greater Manchester Chamber of Commerce maintain and promotes the development of business and relationships in the Greater Manchester and New England communities. Additionally, the Hospital may from time to time grant funds to other recipients that are below the Schedule I disclosure threshold of more than $5,000 during the year. In every instance, funds granted by the Hospital are made to further community health or to advance programs, causes, and/or networks that contribute meaningfully to the Hospital's exempt mission. X X X X X 0 1 0 0 0 0 0 1 0 William G Baxter President & CEO 841445 0 234988 0 711531 0 168887 0 37319 0 1994170 0 652089 0 Brad Kreick Pres./CEO, SolutionHealth (end 4/24) 0 961200 0 303275 0 4814 0 195181 0 2337 0 1466807 0 0 Carl Fier MD Trustee 0 934615 0 0 0 2322 0 7616 0 34274 0 978827 0 0 Marina Feldman MD Trustee 0 776871 0 21243 0 0 0 6600 0 41249 0 845963 0 0 Michael Turilli SVP/CFO, SolutionHealth 0 491010 0 102300 0 4299 0 83285 0 26983 0 707877 0 0 Todd Burdette MD Trustee (eff. 2/2024) 0 629503 0 0 0 23742 0 8198 0 32768 0 694211 0 0 John E Friberg Esq Interim CEO, SolutionHealth 0 464742 0 83862 0 19690 0 75717 0 39970 0 683981 0 0 Joseph T Curti Chief Operating Officer 404300 0 145468 0 23478 0 2661 0 39284 0 615191 0 0 0 Kevin Desrosiers MD CMO & EMG Acute Care Services 472608 0 87400 0 1051 0 6600 0 37930 0 605589 0 0 0 Holly Mintz SVP, CMO, EMG Ambulatory Care 416404 0 83600 0 26815 0 6735 0 31348 0 564902 0 0 0 Shawn Stapp DO SVP, CMO, EMG Ambulatory Care 333566 0 42750 0 23160 0 6439 0 38805 0 444720 0 0 0 Martha Leighton MD Senior VP & CNO 301142 0 57027 0 1531 0 5604 0 16892 0 382196 0 0 0 Joyia Fazelat MD Trustee (eff. 2/2024) 0 277283 0 30219 0 22993 0 5666 0 36604 0 372765 0 0 Marjan Makatam-Abrams MD Trustee (end 2/2024) 0 290889 0 7500 0 16941 0 6123 0 27555 0 349008 0 0 Nancy Hursarik MD Trustee (end 2/2024) 0 233500 0 3685 0 1081 0 4097 0 34084 0 276447 0 0 Part I, Line 4b The Elliot Health System and SolutionHealth, the parent-organization of the System, maintain 457(f) deferred compensation plans. 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, received contributions to their 457(f) deferred compensation plans during the 2023 calendar year as follows: - William G. Baxter: $162,287 - Michael Turilli: $80,692 - John E. Friberg, Esq.: $69,117 - Brad Kreick: $195,181 These amounts have been reported within the named individuals' deferred compensation figures as shown on this Schedule J, Part II, Column C. Additionally, Mr. Baxter took taxable distributions from his 457(f) plan during the 2023 calendar year in the amount of $689,747. Such amounts have been included within "Other Compensation" as reported on this Schedule J, Part II, Column B(iii). Furthermore, as such distributions relate to and have been paid from previous tax year 457(f) plan deferrals, $652,089 of the 2023 taxable distributions have also been reported as Prior Compensation, as shown on this Schedule J, Part II, Column F. The System historically maintained a defined benefit pension plan for certain employees, the Elliot Health System Pension Plan (the Plan). Effective July 1, 2006, the Plan was amended to close the Plan to employees hired after June 30, 2006. Eligible employees hired prior to July 1, 2006 are grandfathered under the Plan and will continue to accrue benefits as long as they remain at a participating System entity and in an eligible status. The System's funding policy is to contribute amounts to the Plan sufficient to meet minimum funding requirements set forth in the Employee Retirement Income Security Act of 1974, plus such additional amounts as might be determined to be appropriate from time to time. The Plan is intended to constitute a plan described in Section 414(k) of the Internal Revenue Code, under which benefits derived from employer contributions are based on the separate account balances of participants in addition to the defined benefits under the Plan. In calendar year 2023, no officers or other employees of Elliot Hospital received defined contributions under the now-closed 414(K) plan. Additionally, there were no defined benefit accrual adjustments for any of the Organization's listed individuals for the 2023 calendar year. Part I, Line 7 The Organization has adopted an incentive pay program that provides designated management employees an opportunity to earn a designated percentage of salary based on the achievement of a number of critical Board Designated Goals. These goals are established annually by the management team with final approval by the independent Compensation Committee of the Board of Trustees with assistance from an independent national compensation consulting firm. The incentive award payments under the plan are considered by the compensation consultant and presented to and approved by the Compensation Committee of the Board of Trustees. A NH Health & Education Facilities Authority 020279866 6446148D4 2016-11-15 147020000 advance refund 2009 bonds; finance capital expenditures; pay issuance costs 0 0 0 B NH Health & Education Facilities Authority 020279866 2019-08-30 20500000 Lease equipment for the purpose of equipping projects 0 0 0 A 5105000 147020000 133100707 1560329 30000616 2018 1 1 1 1 B 2020878 20462431 37569 20500000 115 2020 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 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 Date Rebate Computation Performed Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 09/30/2020 Form 990, Part VI, Section A, line 6 Elliot Health System is the sole member of The Elliot Hospital of the City of Manchester. Form 990, Part VI, Section A, line 7a Elliot Hospital is governed by a Board of Trustees identical in composition to its sole member, Elliot Health System. Form 990, Part VI, Section B, line 11b The completed Form 990 is presented to the full Board prior to filing. Board members can review the draft and bring any questions forward for discussion prior to filing. Form 990, Part VI, Section B, line 12c Officers, directors, and key employees are required to sign a conflict of interest form annually, which reports any potential conflict of interest arrangements with the organization. Form 990, Part VI, Section B, line 15 The Compensation Committee of the Board of Trustees retains independent compensation consultants to evaluate the total compensation of the President and CEO and their executive direct reports. The consultants utilize independent market data reflecting comparable benchmarks from like organizations. Recommendations of the consultant, covering total compensation, are reviewed and approved by the Compensation Committee of the Board of Trustees. The Compensation Committee retains minutes of its meetings. The Compensation Committee is comprised of Board members who are independent and have no conflicts of interest. An independent consulting firm is also retained by the organization to review the compensation of the other officers and key employees. The consultants utilize independent market data reflecting comparable benchmarks from like organizations and this information is presented to the President and CEO for review and approval. 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. Form 990, Part IX, Column D: The Mary and John Elliot Charitable Foundations performs all fundraising activities on behalf of The Elliot Hospital of the City of Manchester. All fundraising expenses are reported on the Foundation's separate Form 990. Form 990, Part XI, line 9: Pension liability adjustment 1,430,620. Net periodic pension gain, net of service cost -1,916,446. Net transfers to affiliates -63,760,000. Grant payments attributed from related organizations 437,840. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Form 990, Parts VIII-XI: The consolidated audited financial statements for The Elliot Hospital of the City of Manchester and subsidiaries report various revenue, expense, asset, and net asset amounts for the Hospital inclusive of a related organization, Elliot Health System Professional & General Liability Trust (EIN: 01-6217452). All revenue, expense, and balance sheet items related to Elliot Health System Professional & General Liability Trust have been extracted from amounts reported for the Hospital on this Form 990 and all accompanying schedules. Elliot Health System Professional & General Liability Trust is a separate legal entity filing its own Form 990, and items related to it have been reported there. 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 1 Elliot Hospital Associates 1 Elliot Way Manchester NH 031033599 026006214 Auxiliary NH 501(c)(3) Line 12d, III-O N/A 0 Elliot Physician Network 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020509589 Physician Services NH 501(c)(3) Line 3 Elliot Hospital 1 Elliot Professional Services Network 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 331003630 Physician Services NH 501(c)(3) Line 10 Elliot Hospital 1 Foundation Medical Partners Inc 8 Prospect Street Nashua NH 03060 020456218 Physician Services NH 501(c)(3) Line 10 Southern New Hampshire Health System 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 Southern New Hampshire Health System 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 Southern New Hampshire Medical Center 8 Prospect Street Nashua NH 03060 020483054 Medical Services NH 501(c)(3) Line 3 Southern New Hampshire Health System 0 The Surgery Center of Greater Nashua 10 Prospect Street Nashua NH 03060 461084049 Medical Services NH 501(c)(3) Line 3 Southern New Hampshire Health System 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 1 Elliot Way Manchester NH 03103 203653624 Investments NH Elliot Hospital Excluded 2320116 128515369 0 0 0.79680 Elliot Health System Holdings & Subsidiaries 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020512224 Management NH N/A C 0 0 1 1 1 1 0 0 0 0 1 1 0 1 0 1 1 1 1 1 Elliot Professional Services Network Inc D 1782288 Cash Value Elliot Physician Network Inc D 1517357 Cash Value Elliot Professional Services Network Inc P 3133940 Cash Value Elliot Professional Services Network Inc Q 7248737 Cash Value Elliot Physician Network Inc Q 6174161 Cash Value Elliot Professional Services Network Inc R 45490000 Cash Value Elliot Physician Network Inc R 10270000 Cash Value Elliot Common Trust Fund LLC R 1150 Cash Value Elliot Health System 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020509911 0 0 0 0 0 0 0 0 0 0 VNA of Manchester & Southern New Hampshire Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03101 020395296 0 2606 2606 1935154 1937760 246888 61722 0 0 0 The Elliot Hospital of the City of Manchester 1 Elliot Way Manchester NH 03103 020232673 X 0 62786 62786 649708971 649771757 1000000 250000 0 0 0 Elliot Professional Services Network 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 331003630 0 0 0 127158090 127158090 1000000 250000 0 0 0 Elliot Physician Network 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020509589 0 0 0 51887170 51887170 1000000 250000 0 0 0 Mary and John Elliot Charitable Foundation 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03109 020512229 0 0 0 1332636 1332636 208264 52066 0 0 0 Elliot Health System Professional & General Liability Insurance Trust 1 Elliot Way Manchester NH 03101 016217452 0 0 0 4363027 4363027 368151 92038 0 0 0 VNA Personal Services Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03101 020395295 0 0 0 102121 102121 20424 5106 0 0 0 VNA Home Health & Hospice Inc 1070 Holt Avenue Unit 1 Suite 2100 Manchester NH 03101 020222241 0 3358 3358 15272592 15275950 913798 228450 0 0 0