| Details | CAH301304-00 | THE NEW LONDON HOSPITAL ASSOCIATION, INC | | Critical Access Hospital | 273 COUNTY ROAD |
| NEW LONDON | NH | 10/21/2021 | | 10/21/2021 1:23 PM |
| Details | DSH220011 | CAMBRIDGE PUBLIC HEALTH COMMISSION | | Disproportionate Share Hospital | 1493 Cambridge Street |
| CAMBRIDGE | MA | 07/01/2019 | | 7/1/2019 12:05 AM |
| Details | DSH300003 | MARY HITCHCOCK MEMORIAL HOSP | | Disproportionate Share Hospital | One Medical Center Drive |
| LEBANON | NH | 07/01/2022 | | 7/1/2022 12:01 AM |
| Details | DSH300012 | ELLIOT HOSPITAL | | Disproportionate Share Hospital | 1 ELLIOT WAY |
| MANCHESTER | NH | 01/01/2019 | 01/01/2020 | 1/1/2020 12:05 AM |
| Details | DSH300012 | ELLIOT HOSPITAL | | Disproportionate Share Hospital | 1 ELLIOT WAY |
| MANCHESTER | NH | 03/12/2021 | 01/01/2023 | 1/1/2023 12:01 AM |
| Details | HV00812 | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part C | Ryan White Part C | One Medical Center Drive |
| Lebanon | NH | 10/25/2022 | | 10/25/2022 1:57 PM |
| Details | HV00812A | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Manchester, Ryan White Part C | Ryan White Part C | 100 Hitchcock Way |
| Manchester | NH | 10/25/2022 | 04/01/2023 | 4/1/2023 12:01 AM |
| Details | HV00812B | Mary Hitchcock Memorial Hospital dba Ryan White Program | Bedford Clinic, Ryan White Part C | Ryan White Part C | 5 Washington Place |
| Bedford | NH | 10/25/2022 | | 10/25/2022 3:13 PM |
| Details | HV00812C | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Nashua, Ryan White Part C | Ryan White Part C | 2300 Southwood Drive |
| Nashua | NH | 10/25/2022 | | 10/25/2022 3:13 PM |
| Details | HV00812D | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part C | Ryan White Part C | 580 Court Street |
| Keene | NH | 04/01/2023 | | 4/1/2023 12:01 AM |
| Details | RRC220110-00 | BRIGHAM AND WOMENS HOSPITAL | | Rural Referral Center | 75 FRANCIS STREET |
| BOSTON | MA | 04/01/2023 | | 4/1/2023 12:01 AM |
| Details | RRC300003-00 | MARY HITCHCOCK MEMORIAL HOSPITAL | | Rural Referral Center | ONE MEDICAL CENTER DRIVE |
| LEBANON | NH | 10/01/2021 | 07/01/2022 | 7/1/2022 12:01 AM |
| Details | RRC300012-00 | ELLIOT HOSPITAL | | Rural Referral Center | 1 ELLIOT WAY |
| MANCHESTER | NH | 07/01/2025 | | 4/10/2025 3:26 PM |
| Details | RW431112 | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Nashua, Ryan White Part D | Ryan White Part D | 2300 Southwood Drive |
| Nashua | NH | 10/25/2022 | 10/01/2024 | 10/1/2024 12:01 AM |
| Details | RW431112A | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part D | Ryan White Part D | One Medical Center Drive |
| Lebanon | NH | 10/25/2022 | 10/01/2024 | 10/1/2024 12:01 AM |
| Details | RW431112B | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Manchester, Ryan White Part D | Ryan White Part D | 100 Hitchcock Way |
| Manchester | NH | 10/25/2022 | 04/01/2023 | 4/1/2023 12:01 AM |
| Details | RW431112C | Mary Hitchcock Memorial Hospital dba Ryan White Program | Bedford Clinic, Ryan White Part D | Ryan White Part D | 5 Washington Place |
| Bedford | NH | 10/25/2022 | 10/01/2024 | 10/1/2024 12:01 AM |
| Details | RW431112D | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part D | Ryan White Part D | 580 Court Street |
| Keene | NH | 04/01/2023 | 10/01/2024 | 10/1/2024 12:01 AM |