2011-05-12T15:45:01-05:00 2010-09-30 WILLIAM STEELE & ASSOCIATES PC 40 STARK STREET MANCHESTER NH 03101 990 2009-10-01 020354549 THE CHESHIRE MEDICAL CENTER CHES 6033524111 580 COURT STREET KEENE NH 03431 Jill Batty 6033524111 2011-05-05 1 Michael A Barbarita 6036228881 2009 2016-02-24 21:20:13Z ARTHUR NICHOLS 580 COURT STREET KEENE NH 03431 158174790 0 X www.cheshire-med.com X 1980 NH THE PRIMARY PURPOSE OF THE CHESHIRE MEDICAL CENTER IS TO ENSURE ACCESS TO QUALITY HEALTH CARE SERVICES TO ALL RESIDENTS OF THE MONADNOCK REGION. THE ORGANIZATION'S CHARITABLE MISSION IS ENHANCED THROUGH THE OPERATION OF A JOINT OPERATING PARTNERSHIP AGREEMENT WITH THE HITCHCOCK CLINIC. THE PURPOSE OF THE JOINT OPERATING PARTNERSHIP AGREEMENT IS TO PROVIDE A MORE EXTENSIVE AND EFFECTIVE HEALTH CARE DELIVERY SYSTEM TO THE COMMUNITIES IN THE MONADNOCK REGION BY ESTABLISHING JOINT PLANNING AND DECISION MAKING PROCESSES, INTERGRATING HEALTH CARE SERVICES AND ESTABLISHING MECHANISMS FOR THE REINVESTMENT OF RESOURCES TO IMPROVE COMMUNITY HEALTH. THE FINANCIAL RESULTS OF THE JOINT OPERATING PARTNERSHIP ARE REPORTED ANNUALLY ON FORM 1065, US PARTNERSHIP RETURN OF INCOME. 20 18 1198 229 149430 -179076 672571 784279 141041867 153761651 376232 432176 3246458 3041232 145337128 158019338 0 0 58292883 58039730 0 0 82942404 99301760 141235287 157341490 4101841 677848 127117916 124631712 66044504 71976783 61073412 52654929 THE PRIMARY PURPOSE OF THE CHESHIRE MEDICAL CENTER IS TO ENSURE ACCESS TO QUALITY HEALTH CARE SERVICES TO ALL RESIDENTS OF THE MONADNOCK REGION. THE ORGANIZATION'S CHARITABLE MISSION IS ENHANCED THROUGH THE OPERATION OF A JOINT OPERATING PARTNERSHIP AGREEMENT WITH THE HITCHCOCK CLINIC. THE PURPOSE OF THE JOINT OPERATING PARTNERSHIP AGREEMENT IS TO PROVIDE A MORE EXTENSIVE AND EFFECTIVE HEALTH CARE DELIVERY SYSTEM TO THE COMMUNITIES IN THE MONADNOCK REGION BY ESTABLISHING JOINT PLANNING AND DECISION MAKING PROCESSES, INTERGRATING HEALTH CARE SERVICES AND ESTABLISHING MECHANISMS FOR THE REINVESTMENT OF RESOURCES TO IMPROVE COMMUNITY HEALTH. THE FINANCIAL RESULTS OF THE JOINT OPERATING PARTNERSHIP ARE REPORTED ANNUALLY ON FORM 1065, US PARTNERSHIP RETURN OF INCOME. 0 0 140472945 155106750 The Cheshire Medical Center is a community health care organization serving as a regional referral center for Keene and the surrounding service area. It is fully committed to meeting the health care needs of these communities and providing access to quality health care services and programs. As a non-profit corporation, the Cheshire Medical Center acknowledges its commitment to provide services to the community. These services arise primarily from the four following general service categories. 1) Subsidization of government-sponsored healthcare programs - principally Medicare and Medicaid. 2) Sponsorship and/or subsidization of health-related community services and educational programs. 3) Provision of healthcare at no charge or reduced charge, according to financial need. 4) Provision of 24-hour emergency room services, without regard for ability to pay. The Cheshire Medical Center, as a matter of policy and practice has provided, and will continue to provide, a significant contribution to the communities it serves. 140472945 1 1 0 1 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 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 93 0 1 1198 1 1 1 0 0 0 0 0 0 0 0 20 18 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X MARY SHERWIN CONTROLLER 6033545400 CHESHIRE MEDICAL CENTER 580 COURT keene NH 03431 patty farmer 2.00 X 0 0 0 larry jaeger md 2.00 X 0 0 0 james putnam 2.00 X X 0 0 0 walter rohr 2.00 X 0 0 0 jay kahn 2.00 X 0 0 0 john cunningham 2.00 X 0 0 0 jane beauchamp 2.00 X 0 0 0 joseph bergman md 2.00 X 228230 0 0 greg mcconahey 2.00 X X 0 0 0 charles prigge 2.00 X 0 0 0 sylvia mcbeth 2.00 X X 0 0 0 MATTHEW GUILTINAN md 2.00 X 0 0 0 judy kalich 2.00 X 0 0 0 RICK CHURCH 2.00 X 0 0 0 ROBERT MUCHA 2.00 X 0 0 0 leslie pitts md 2.00 X X 0 0 0 arthur nichols 53.00 X X 451851 0 59406 ED BERGERON 2.00 X 0 0 0 JOSEPH HALLIDAY 2.00 X 0 0 0 STEVE HORTON 2.00 X 0 0 0 MARY LOUISE CAFFREY 2.00 X 0 0 0 JOHN SCHLEGELMILCH 1.00 X 0 0 0 kathleen cronin 52.00 X 214208 0 47658 jill batty 52.00 X 285348 0 52043 Paul pezone 51.00 X 172276 0 42582 julie green 51.00 X 173780 0 47212 ERLI CHEN 50.00 X 206637 0 35930 larry miller 50.00 X 189970 0 41537 deannE burtchell 50.00 X 161496 0 19183 kristin rossi 50.00 X 157498 0 42313 2241294 0 387864 29 0 1 0 HUTTER CONSTRUCTION 130 SPIT BROOK ROAD NASHUA NH 03062 CONSTRUCTION MANAGERS 1395361 HARVEY CONSTRUCTION 10 HARVEY RD BEDFORD NH 03110 CONSTRUCTION MANAGERS 1108504 QUEST DIAGNOSTICS 5763 COLLECTION CENTER DRIVE CHICAGO IL 60693 LAB DIAGNOSTIC SERVICES 872619 NEW ENGLAND MEDICAL TRANSCRIPTION PO BOX 430 WOOLWICH ME 04579 TRANSCRIPTION 632202 MARY HITCHCOCK MEMORIAL ONE MEDICAL CENTER DR LEBANON NH 03755 LAB DIAGNOSTIC SERVICES 452452 24 350127 434152 784279 PATIENT SERVICE REVENU 621300 146388223 146388223 DSH REVENUE 621300 7373428 7373428 153761651 587628 587628 155452 -155452 -155452 -155452 Pharmacy & Drugs 621300 1193909 1193909 Food Service 621300 936056 936056 Child Care Center 624410 515699 366269 149430 395568 391202 4366 3041232 158019338 155106750 149430 1978879 1860877 1581745 279132 41739311 35396834 6342477 5219161 4425849 793312 5815920 4931900 884020 3404461 2886983 517478 46072 46072 107605 107605 368253 312279 55974 287428 287428 428468 363341 65127 6205305 5262099 943206 203286 203286 1510895 1281239 229656 7674237 6507753 1166484 1303943 1105744 198199 DRUGS, CHEMICALS, SUPPL 13169668 13169668 CONTRACT LABOR 11110356 11110356 BAD DEBTS 8496964 8496964 LICENSES & TAXES 7385147 6262605 1122542 MEDICAID ENHANCEMENT TA 7167247 7167247 33836886 29719625 4117261 157341490 140472945 16868545 0 1 19499909 14984165 15290701 18778536 1685155 2251617 1212542 1603607 157805730 88769483 66812310 69036247 10825075 11988185 11792223 5989355 127117916 124631712 13847684 11798315 38831 12682600 12291042 15303487 14959855 24210733 32888740 66044504 71976783 X 59593932 50209368 1479480 2445561 61073412 52654929 127117916 124631712 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 20513 20513 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: A PORTION OF AHA & NHHA DUES ARE ALLOCATED TO LOBBYING EXPENSE 1479480 164317 1124611 322848 2445561 1408853 88740 18113 1479480 1.00000 0 0 4058474 4058474 74303185 34209220 40093965 79444071 54560263 24883808 69036247 POOLED INVESTMENTS 11043434 F FUNDED DEPR ACCOUNT 944751 F 11988185 PENSION LIABILITY 29279881 AMOUNTS PAYABLE TO THIRD PARTY 3097738 MISCELLANEOUS OTHER LIABILITIES 511121 32888740 158019338 157341490 677848 874516 -9970847 -9096331 -8418483 156403562 0 156403562 1615776 1615776 158019338 149873152 0 149873152 7468338 7468338 157341490 Part XI, Line 8 - Other Adjustments: pension liability adjustment: -9626682. transfers: -120671. net assets released from restrictions: -223494. Part XII, Line 4b - Other Adjustments: reclass from revenue to expense: 1510938. restricted fund revenue: 104838. Part XIII, Line 4b - Other Adjustments: reclass from revenue to expense: 1510938. JOA Gain Share: 5957400. 1 1 1 X 225.000000000000 1 X 1 1 0 1 1 1978 2641221 2641221 0.01680 4585237 4585237 0.02910 1978 7226458 7226458 0.04590 77721 1330440 159722 1170718 0.00740 983 235742 235742 0.00150 295 431848 14000 417848 0.00270 3 104095 5000 99095 0.00060 4573 289830 289830 0.00180 83575 2391955 178722 2213233 0.01400 85553 9618413 178722 9439691 0.05990 51900 302811 143866 158945 0.00100 4653 707612 105075 602537 0.00380 90 184198 21169 163029 0.00100 56643 1194621 270110 924511 0.00580 1 3993573 998393 42570067 45967701 -3397634 X 1 0 KEENE HEALTH ALLIANCE Integrating health care services to provide effective delivery system 0.50000 0.00000 0.00000 HEALTHSOUTH Mgmt of inpatient and outpatient rehab at Cheshire Medical Center 0.00000 0.00000 0.00000 NEW ENGLAND LIFE CARE INC A not-for-profit home infusion therApy cooperative. 0.02000 0.00000 0.00000 NH LITHOTRIPSY Lithotripcy services 0.03750 0.00000 0.00000 NH IMAGING IMAGING SERVICES 0.08330 0.00000 0.00000 CHESHIRE MEDICAL CENTER

580 COURT STREET KEENE NH 03431

X X X Part III, Line 4: Cheshire Medical Center Management estimates that approximately 25% of bad debt expense (approximately 5 times the region's poverty rate) is an appropriate esimation of patients who would have been eligible for the organization's financial assistance program but did not apply. This estimation is based on the recognition that the financial assistance program is available to residents with incomes of up to three times the federally defined poverty income levels and the assumption that patients who choose not to pay their bills are more likely to fall within the lower income levels. For 2010, the estimated amount of bad debt expense (at cost) attributable to patients who would have been eligible for financial assistance is $998,393. Part III, Line 8: This shortfall should be considered community benefit because we are the only hospital/medical center in Cheshire County, New Hampshire and we are designated by CMS as a Medicare Dependent Hospital (MDH) due to greater than 60% of our average daily census being comprised of Medicare Patients. Our presence in the community allows the residents of Cheshire County, especially the elderly population, to receive comprehensive hospital and medical services close to home. Part III, Line 9b: Systems are in place to capture financial assistance accounts prior to a bill going to the patient Part VI, Line 2: The community needs assessment was coordinated with the assistance of the broad-based community health coalition, the Council for a Healthier Community. In promoting the healthiest community initiative, known locally as Vision 2020, the Council identified community needs toward a goal of becoming the healthiest community in the nation by the year 2020. The Council formed five workgroups around strategic themes including: health status, healthcare access; health literacy, wellness, and social capital. The workgroups met from January 2008 - October 2009 to identify key goals, key measures, and local community assets. This work is summarized in the community needs assessment found at the web site healthiestcommunity.org. We hosted a planning Summit in May of 2010 to identify contributing factors for each indicator in the community assessment. The 215 attendees also identified possible programs and policies to address each need. Summit information will be used to develop action plans during the fall and winter of 2010. Cheshire Medical Center provides staff for the Vision 2020 initiative and funded the community assessment process through an evaluation partnership contract with Antioch New England University. The Community Advisory Committee, serving in an advisory capacity for both Home Healthcare, Hospice and Community Services, and Cheshire Medical Center/Dartmouth Hitchcock Keene, reviewed and commented on the community benefit plan. The report is available to the public on the Cheshire Medical Center website: cheshiremed.org Part VI, Line 3: CMC is committed to providing medically necessary care to patients regardless of their ability to pay for services. Non-emergency patients sign a financial responsibility statement upon admission to certify recognition of their responsibility for payment of their bills. However, there will be instances where the patient, due to the lack of funds or third party coverage, will not be able to meet this obligation. CMC notifies patients of their potential to obtain assistance through the registration and billing processes. Upon registration, patients without insurance are offered the opportunity to apply for financial assistance. In addition, receptionists and clinicians in all areas are educated to refer patients to the financial assistance process in the event patients express concerns with their ability to pay for services. The application information is posted on the intranet and brochures describing the program are readily available to patients. Patients are informed of the program availability on any invoices they receive and individuals who attempt to collect patient balances are also trained to refer patients to the financial assistance process. The financial assistance application process is comprehensive and evaluates a patients eligibility for a variety of federal, state, and local government programs in addition to CMC's internally funded financial assistance program. Part VI, Line 4: The Medical Center is the only hospital in its primary service area (PSA). Management defines its PSA as the City of Keene and 19 geographically proximate communities. Towns and cities included in the PSA include Alstead, Chesterfield, Fitzwilliam, Gilsum, Harrisville/Chesham, Keene, Marlborough, Marlow, Nelson/Munsonville, Richmond, Roxbury, Stoddard, Sullivan, Surry, Swanzey, Troy, Walpole, Westmoreland and Winchester, all located in Cheshire County. For the year 2007, the PSA accounted for 76.7% (4,065) of the Medical Center's total (5,300) discharges with Keene providing the largest number of discharges (34.6%). According to the 2000 Census, the Medical Center's PSA represented approximately 4.6% of New Hampshire's population. The PSA's total population was 57,340, with 22,563 residing in Keene, the largest community in the service area. For 2007, the population of the Medical Center's PSA was projected by the New Hampshire Office of State Planning to reach 59,329, a 3.5% increase from 2000 As of 2000, 8,115 or 14.1% of the Medical Centers PSA residents were 65 years of age or older. Approximately 2,193 residents, or 3.3% of the total PSA population, were 80 years of age or older. As of 2000, approximately 39% of the population of the Medical Centers PSA was 45 years of age or older, compared with 36% in the State. Approximately 43% of the population of the Medical Centers PSA was between 15 and 44, the same as the State average As of April 2009, the State unemployment rate was 6.4% and the PSA unemployment rate was 5.6%. The poverty rate in the Medical Centers PSA is 4.8%. Part VI, Line 5: The Medical Center has been actively engaged since the spring of 2006 in Vision 2020: to make Keene and the surrounding region the healthiest in the nation by the year 2020. Over the past three years the organization has focused on streamlining and improving internal operations to create the strength necessary to lead and facilitate this initiative within the broader community. Management has created community-based workgroups to define the objectives, tasks, and changes necessary to achieve Vision 2020. The campus has built on its existing strong relationships with other regional providers, agencies, and businesses to support the plan and has started implementing a variety of pilot programs related to population health management and employee wellness. The organization is a founding member of the Council for Health Communities which has been in existence for more than 10 years and has developed a variety of prevention, transportation, referral, and health promotion programs. Part VI, Line 6: A complete copy of the organizations Community Benefit report can be found at:http://www.cheshire-med.com/images/stories/commhealth/cheshmedctr_commbenreport2010.pdfThe Medical Center plays an active role in promoting community health and offers educational programs including classes and workshops in diabetes and asthma, stress management, nutritional counseling, smoking cessation, healthy back, weight control, time management and breast self-examination. In addition, the Medical Center works with the Council for a Healthier Community, comprised of community leaders, to offer several community programs including: Cheshire Smiles, a school-based dental health program for children in grades K-3, provides screening, prevention and restorative dental care for children in Cheshire County schools. A public health hygienist hired by the Medical Center is assisted by area dentists. Cheshire Medical Center /Dartmouth-Hitchcock Keene also works in partnership with other community health and human service organizations to meet the dental health needs of underserved populations such as the chronically mentally ill, pregnant women who cannot afford dental care, children identified through the school based Cheshire Smiles Program, and others. The Medical Center sponsors patient visits at Dental Health Works, a public/private program serving underserved residents of Cheshire County. Cheshire Coalition for Tobacco-Free Youth is committed to reducing the number of young people in the community who use tobacco products. Working with local schools, police and health providers, the coalition has implemented vendor compliance programs, has provided a tobacco avoidance curriculum for use in area schools and has produced its own television and radio public service announcements addressing tobacco use. Medication Assistance Program addresses the critical need for programs to help low income people afford medications. The Medication Assistance Program at the Medical Center was initiated in March, 1999. It was the first hospital-based program of its kind in the State of New Hampshire and was the first recipient of the New Hampshire Medication Bridge Award. Advocates for Healthy Youth (AFHY) is a community coalition supported by the Medical Center which has been working closely with community health providers, Keene State College, Antioch University New England, Keene Parks and Recreation Center, and area schools to address the epidemic of childhood obesity. In 2005, AFHY completed implementation of a pilot program in two area schools. In 2006 the program expanded efforts by offering small grants to schools and after school programs to support costs of physical activity and nutrition programs. Grant projects incorporated the key lessons learned during the pilot project. In 2007, AFHY began taking steps to implement the 5-2-1-0 community public messaging campaign to educate families about childhood obesity and to advocate health promotion options to prevent or reduce obesity. In 2009 the program is working with local schools and afterschool programs to implement the priorities of the statewide Healthy Eating Active Living (HEAL) program. Senior Passport Program is designed to serve the Medical Centers communities elders. Passport membership, which is offered at no cost to those sixty years and older, entitles holders to enjoy low cost, heart healthy meals in the Medical Center cafeteria, and attend workshops and health lectures with a senior focus. A newsletter is sent quarterly to Passport holders. The total expenditures associated with these and other programs for period ending 9/30/10 is $5,778,965. NH X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 joseph bergman md 228230 0 0 0 0 0 0 0 0 0 228230 0 0 0 arthur nichols 321768 0 87175 0 42908 0 31892 0 27514 0 511257 0 0 0 kathleen cronin 157532 0 15000 0 41676 0 31558 0 16100 0 261866 0 0 0 jill batty 224948 0 20000 0 40400 0 26807 0 25236 0 337391 0 0 0 Paul pezone 125651 0 11750 0 34875 0 18003 0 24579 0 214858 0 0 0 julie green 123706 0 12500 0 37574 0 21925 0 25287 0 220992 0 0 0 ERLI CHEN 176365 0 400 0 29872 0 21704 0 14226 0 242567 0 0 0 larry miller 166802 0 400 0 22768 0 23770 0 17767 0 231507 0 0 0 deannE burtchell 144596 0 400 0 16500 0 11427 0 7756 0 180679 0 180680 0 kristin rossi 135100 0 398 0 22000 0 16587 0 25726 0 199811 0 0 0 Part I, Line 1a CHESHIRE MEDICAL CENTER does not reimburse expenses for first class travel, housing allowance, health or social club dues, personal services, business use of personal residence, discretionary spending accounts, or provide tax indemnification or gross up payments. CHESIRE MEDICAL CENTER DOES REIMBURSE BOARD MEMBERS FOR COMPANION TRAVEL TO BUSINESS RELATED MEETING UNDER SPECIFIC CIRCUMSTANCES. ALL REIMBUrSeMENTS ARE REPORTED ON FORM 1099 ISSUEd TO THE BOARD MEMBER. NO SUCH REIMBURSEMENTS WERE MADE IN CALENDAR YEAR 2009. Part I, Line 4a ARTHUR NICHOLS PARTICIPATED IN A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE CURRENT YEAR BENEFIT WAS $52,728. Part I, Line 7 Senior Management is eligible for an incentive comp payment at the discretion of the Board based on, but not directly related to, overall organizational financial performance and other discretionary measures. nh health & education facilities authority 020279866 2009-08-27 15000000 refund commercial debt, aquisition of equipment, renovations 0 0 15000000 5667081 244244 578021 8510663 2009 0 0 1 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 1 1 1 TD BANK NA 7.000000000000 0 0 0 Form 990, Part VI, Section A, line 4 THE BY-LAWS OF THE CHESHIRE MEDICAL CENTER WERE AMENDED TO INCLUDE THE FOLLOWING PROVISIONS: A PROVISION ALLOWING participation in a meeting via telephone has been added. The role of the Cheshire Medical Center CEO serving as Chief Administrative Officer of Keene Health Alliance IS CODIFIED. THE ROLE OF THE Executive Committee IS DESCRIBED in greater detail. THE Executive Committee IS AUTHORIZED to act on behalf of the board for routine matters Between meeting DATES. AUTHORIZES THE Executive Committee to ACT AS THE Executive Compensation Committee IN ACCORDANCE WITH the Medical Centers Executive Compensation Committee Charter. CODIFIES the past practice by the Governance Committee to include two members of the Council of Advisors annually during its process. Form 990, Part VI, Section A, line 6 The sole member of the Cheshire MEdical Center is the Cheshire Health Foundation Form 990, Part VI, Section A, line 7a The Board of Trustees consists of no fewer than 15 voting members which includes the President/CEO and President of the Medical Staff. Other members are nominated by the Cheshire Health Foundaiton Governance Committee and elected by the Foundation Board Form 990, Part VI, Section B, line 11 Copy of 990 is available for any Board member to review prior to filing. The Board has formally delegated review of the 990 to the Finance and Audit Committee. Committee members receive copies of the 990 and it is reviewed in a meeting prior to filing. Form 990, Part VI, Section B, line 12c Officer, board members and key employees annually disclose potential conflicts of interest and are required to recuse themselves from all board activity realted to all conflicts. Form 990, Part VI, Section B, line 15 Cheshire Medical Center has retained Yaffe & Company, Inc. to provide consultation to the Executive Committee of the Board of Trustees regarding executive compensation, benefits, and perquisites. Yaffe & Company, Inc. is a independent consulting firm with 33 years of service and provides services to not-for-profit hospitals and health systems. Further Yaffe & Company, Inc. has been engaged directly by the Board of Trustees of Cheshire Medical Center through its Executive Committee to only provide services to the Board. An Executive Committee d/b/a Compensation Committee Charter and Compensation Philosophy (approved by the Board) documents the compensation review process and guidelines so as to provide an orderly structure for executive total compensation decisions. Annually, a multi-tiered approach using independent comparability data is utilized to gauge appropriate comparative market levels of compensation and benefits. An annual performance evaluation is based on subjective and objective criteria which flow from the strategic plan. By way of questionnaire, Board members participate in the performance review process and a summary report is shared with the CEO. Variable pay is awarded based on achievement of specific qualitative and quantitative goals. In conjunction with the Executive Committee, challenging and measurable goals are established for the Office of the President which provides an alignment between executive compensation and achievement of the hospitals strategic goals. Form 990, Part VI, Section C, line 19 CMC makes governing documents, conflict of interest policy and financial statements available to members of the public upon request, through its annual report, and through state and federal filings. CHESHIRE HEALTH FOUNDATION 580 COURT STREET KEENE NH 03431 020202220 MANAGEMENT OF ENDOWMENT FUNDS NH 501(C)(3) Line 11b, II KEENE HEALTH ALLIANCE 580 COURT STREET KEENE NH 03431 300179297 HEALTHCARE NH MEDICAL CARE 3576000 0 1 KEENE HEALTH SERVICES 580 COURT STREET KEENE NH 03431 020374997 INVESTMENTS REAL ESTATE NH CHESHIRE HEALTH FOUNDATION C -26360 391955 1.00000 kEENE HEALTH REALTY 580 COURT STREET KEENE NH 03431 020374998 INVESTMENTS REAL ESTATE NH KEENE HEALTH SERVICES C -38735 238823 1.00000 KEENE HEALTH ENTERPRISES 580 COURT STREET KEENE NH 03431 020374999 INVESTMENTS REAL ESTATE NH KEENE HEALTH SERVICES C 1.00000 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 CHESHIRE HEALTH FOUNDATION C 176112 CHESHIRE HEALTH FOUNDATION D 4292361 CHESHIRE HEALTH FOUNDATION F 820525 CHESHIRE HEALTH FOUNDATION M 1201986 CHESHIRE HEALTH FOUNDATION Q 58039