After a rigorous and comprehensive executive search, Granite VNA, New Hampshire’s largest not-for-profit home health and hospice agency, has named James Culhane as its next President and CEO. He will succeed Beth Slepian, who has served in that role since 2015, upon her retirement in June 2026.

Culhane has served as President and CEO of Lake Sunapee Region VNA & Hospice in New London, New Hampshire, since 2015.

“Jim’s extensive experience in healthcare leadership and advocacy, track record of operational excellence, and a passion for advancing high quality care will be integral to the ongoing success of Granite VNA,” said Granite VNA Board Chair David Green, MD. “Strong organizations are built on mission-driven teams, collaborative partnerships, and trust within the communities we serve, and we are confident Jim will continue the great work already underway: strengthening clinical excellence, expanding access to care, supporting our workforce, and ensuring long-term sustainability.”

Culhane brings more than 25 years of healthcare and non-profit leadership experience to the Granite VNA role. Prior to joining Lake Sunapee Region VNA & Hospice, he served in a leadership role with The Elliot VNA from 2011-2015 and served in progressively higher management and director positions at Granite VNA from 2002-2011.

“I am honored by the opportunity to serve in this role,” said Culhane. “Granite VNA has a solid foundation built by a dedicated and compassionate team committed to delivering exceptional care. I look forward to working together to advance our mission and continue the legacy of service to our community.”

Culhane has helped Lake Sunapee Region VNA & Hospice navigate organizational change during challenging times, including healthcare reforms, technology upgrades, evolving reimbursement landscapes, and the COVID pandemic. He successfully navigated the Agency’s merger with Connecticut Valley Home Care, expanding its service area to 32 towns across Merrimack, Grafton, and Sullivan Counties while thoughtfully aligning team members, patients, and operations within a unified organization.

“Jim is a strong, thoughtful leader, and Granite VNA will be in excellent hands,” said current Granite VNA President and CEO Beth Slepian. “I feel confident passing this role to him and wish him well as he guides the Agency’s next chapter.”

Culhane holds a holds a master’s degree in business administration from the University of New Hampshire, a master’s degree in social work from the University of North Carolina-Chapel Hill, and a bachelor’s degree from Canisius College in Buffalo, New York. Active in the community and home health and hospice industry, he serves on the boards of the Rural Homecare Network; Community Nurse Connections – Upper Valley; and the Homecare, Hospice & Palliative Care Alliance of New Hampshire. He served on the board of the Foundation for Health Communities from 2018-2024.

Culhane resides in Henniker, New Hampshire with his family.