Let us help you through your practice's biggest challenges

Our Team + Your Practice
= Endless Possibilities

From Revenue Cycle Management to Human Resources, we can help you streamline all of your practice's functions under one roof.


With our team of certified coders and billing professionals, we can help you manage your revenue cycle to increase collections and decrease lag time.


Let our team become your team. Our specialized team of pratice managers can assist you with everything from scheduling to supply management.


Discover a better way to manage your employees’ benefits and insurance coverages, licensing, and automated payroll services.

Our Team

Our incredible team of experts is here to help you manage every aspect of your practice in an efficient and effective way.

Susan Dennis

Business Administrator

Susan joined Orchard Medical Management, LLC in July of 2017.  She previously worked for 30 years as the Director of Finance in Concord, NH.  She oversaw all aspects of the financial operation for three entities including two Self-insured Workers’ Compensation Trusts and oversaw all human resources, benefits and payroll functions.  Making improvements to the accounting process and control systems is what she enjoys.  Outside of Orchard, Susan enjoys staying busy in her gardens and has a passion for cycling, staying fit, and spending time with her family.

Melinda Silvernale

Director of Revenue Cycle Management

Melinda is an experienced organizational leader specializing in medical practice operations and revenue cycle management. Using a high-touch approach and effective communication, she strategically drives the revenue cycle across multispecialty organizations by optimizing efficiency, increasing patient and provider engagement, as well as contract negotiation. Skilled in data analytics, she designs and implements operational policy with a demonstrated record of success in increasing profits and improving the patient and client experience. She enjoys the relationships she has made along her journey in healthcare administration, having been with Orchard and its affiliated medical practices since 2008.

Danielle Bachelder

Billing Supervisor

Danielle leads a team of billing specialists and propels the revenue cycle through skilled reporting and a keen eye for innovative ways to improve efficiency and increase net collections for her clients. Danielle initially started within the organization at Apple Therapy Milford in 2017, where she operated as the Office Manager.  She advanced her career by joining the billing team in 2018, where she has implemented best practices in billing procedures and accounts receivables. She received her bachelor of science in business management from Norwich University in 2010, and utilizes her skills to guide her team and her clients to success. Danielle is a dedicated team member, and multi- tasks outside of the office as both a devoted wife and mother.

Jonathan April

Billing Supervisor

Jonathan April is experienced in all facets of the revenue cycle for clients of multiple specialties. Jonathan streamlines process and communication between insurance carriers and the insured, by taking initiative; prioritizing follow through and creating a reliable environment for each client. Prior to joining Orchard Medical in 2015, he worked as an accounts receivable specialist for MGH. During his time at Orchard, he has become a Certified Professional Coder and obtained a degree in Business Management. Outside of work, he is an avid music enthusiast and loves to cook.

Donna Howe

Human Resources

Donna joined Orchard Medical Management in August 2010. Primarily in a teaching career, she owned her own daycare business for 5 years. Prior to that she worked in Human Resources as a Compensation Analyst. Currently Donna processes Payroll and Benefits for all Orchard Medical Management employees. She is also involved in employee relations. In addition, she performs Accounts Payable and Accounting functions for our Urgent Care/Occupational Health Companies. Outside of Orchard, Donna is busy with her family and spending time with her children and grandchildren.

Our Clients


Occupational Medicine & Urgent Care, located in Manchester and Salem, NH

Sports & Rehab

Physical Therapy, located in Salem, Hampstead and Derry, NH.

North Country Medical

Primary Care/Walk-in medical practice, located in Colebrook, NH.

Apple Therapy Services

Physical & Occupational Therapy, located in Manchester, Bedford, Londonderry, Amherst and Nashua, NH.


Durable Medical Equipment supplier.

Patriot Health Partners

Pratice Management

Client Testimonials

Don’t take our word for it – here’s what our clients say:

The staff at Orchard Medical Management is a pleasure to work with. They ensure the “behind the scenes” of our practice is running smoothly on a daily basis. Sue has worked to perfect the month end closing process, Mindy is our go-to for all insurance and coding needs, and Danielle has streamlined our billing process. Thank you for all you do!

Laura Jackson

Clinic Director, Apple Therapy Services

As a small, privately owned Family Practice, we depend on Orchard Medical Management to handle most of our Administrative needs. We cannot afford to have our own staff on site for Billing, Human Resources, Payroll, Accounting, and Practice Management, so we contracted with Orchard to assign members of their knowledgeable staff to manage these important functions for us. This allows us to focus on what we do best; patient care. We could not function as a business without them.
We have Susan Dennis to pay our bills, manage our bank accounts, handle vendor contracts, and our business insurance needs. Jon April handles our medical billing. We can call on him for coding questions as well. Donna Howe is our Human Resources contact, who handles our Payroll, Benefits, and multiple other Personnel issues. Mindy Silvernale is our Practice Manager. She provides us with monthly financial statements and so much more. She helped us with credentialing, and maintains all of these obligations for us. She has initiated Practice Promotions for us, and is our overall champion.
Everyone on the Orchard Staff is very responsive to our calls and emails. They are all friendly and helpful. They make us feel that we are their # 1 priority. We trust them to keep us on track as a business while we practice medicine. The value that we get for the fees that we pay is outstanding.

Kathryn Martin, PA-C

North Country Medical & Wellness

As the Executive Director of ExpressMED/BOAC my role is diverse each day.  However, every day without exception, there is one thing that we consistently focus on and that is our Client/Customer and their satisfaction with the service we provide.
 I want to take the time to say thank you for all you do for us.  The billing services that Orchard provides for us directly impacts our Clients satisfaction with ExpressMED/BOAC and I am writing to you today to thank you for all you do to consistently exceed our expectations! Additionally, I recognize that we require a fair amount of customization with regards to the to A/P & A/R protocols we require to satisfy our Clients standards and we are so very appreciative of your willingness and flexibility to work with us to meet these needs!
Thank you for working with us, acting as a true partner with not only the interest of ExpressMED/BOAC in the forefront but also our Client.

Dianne Annon

Executive Director, ExpressMED/BOAC

The services and expertise that Orchard Medical Management provides are critical to running a successful and profitable medical practice. Their guidance, knowledge, and commitment to excellent customer service in areas such as human resources, benefits management, payroll, and accounting have proven valuable to Patriot Health Partners’ mission of Empowering Private Practice and has helped greatly to grow our membership.

Matthew Kaplan

COO, Patriot Health Partners

Contact us

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