2025-02-05T15:23:32-06:00 2024-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2023-10-01 020222122 Granite VNA Inc GRAN 6032244093 30 Pillsbury Street Concord NH 03301 James Manahan CFO 6032244093 2025-02-04 1 1 Barbara J McGuan CPA P00219457 2077752387 2025-02-04 2023 2025-03-06 01:10:19Z Beth J Slepian 30 Pillsbury Street Concord NH 03301 50209753 0 X www.granitevna.org X 1899 NH See Schedule O 17 17 507 187 0 0 12989218 3284207 35884540 37659583 2579428 1168026 -12073 56796 51441113 42168612 4000 2000 0 0 40700144 42187002 0 0 45445 8412348 7491535 49116492 49680537 2324621 -7511925 55185431 52922315 4489975 4976911 50695456 47945404 X The Mission of Granite VNA, Inc. is we enhance dignity and independence for people delivering quality health care and promoting wellness in homes and communities through all stages of life. 0 1 24417414 26011233 Home Health Care - provides skilled care services to patients who qualify for care in their home. Services were rendered to 8,039 patients including 141,235 visits. Charity care is provided to individuals who are uninsured, underinsured, or otherwise unable to pay the published fee for service. 11094909 11587728 Hospice - supportive care for the terminally ill on a 24-hour basis. Services were rendered to 1,251 patients providing 45,288 hospice care days. Hospice care is provided in a ten-bed house for those who require twenty-four-hour skilled nursing care for symptom management and in the community. Charity care is provided to individuals who are uninsured, underinsured, or otherwise unable to pay the published fee for services or for the house room and board. 2609215 2000 60622 Community Health Services - provides community based health care services in individual homes and clinic setting including senior health clinics, immunization clinics, and community health education including "Better Choices, Better Health" a program that assists older adults in learning more effective ways of self-managing their chronic condition to improve their quality of life and "A Matter of Balance" a program that assists older adults in reducing their fear of falling and improving their activity levels. 38121538 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 161 0 1 507 1 0 0 0 0 0 0 1 1 0 0 0 0 0 X 17 17 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X James Manahan 6032244093 30 Pillsbury Street Concord NH 03301 Daniel L Andrus Trustee 1.00 X 0 0 0 Brian D Duffy Trustee 1.00 X 0 0 0 Michelline Dufort Trustee 1.00 X 0 0 0 Mark Edelstein Trustee 1.00 X 0 0 0 Susan Houghton Trustee 1.00 X 0 0 0 Daniel Kaplan Trustee 1.00 X 0 0 0 Lyn Lindpaintner MD Trustee 1.00 X 0 0 0 Chris Parkinson Trustee 1.00 X 0 0 0 Natalya Pearl Trustee 1.00 X 0 0 0 Corrine Smith Trustee 1.00 X 0 0 0 Maura Weston Trustee 1.00 X 0 0 0 Steven Whitley Trustee 1.00 X 0 0 0 Michael T Griffin Chair 1.00 X X 0 0 0 Dr David Green Vice Chair 1.00 X X 0 0 0 James Mullins Treasurer 1.00 X X 0 0 0 Andrea M Stevenson Secretary 1.00 X X 0 0 0 Robin Michaud Representative-At-Large 1.00 X X 0 0 0 Joel Arsenault Past Trustee 1.00 X 0 0 0 Paul Greenan Past Trustee 1.00 X 0 0 0 James Manahan Chief Financial Officer 55.00 X 59971 0 0 Beth J Slepian President & CEO 60.00 X 402396 0 23025 Geraldine Holmes Past Chief Financial Officer 40.00 X 188145 0 48596 Sarah DeFalco CHRO 55.00 X 185403 0 7880 Jason Edwards RN 60.00 X 323939 0 39505 Deborah Mullen CIO 50.00 X 191108 0 20663 Arthur Savage PT 55.00 X 186496 0 8309 Shaz Anwar Medical Director 50.00 X 239450 0 10177 1776908 0 158155 59 0 1 0 CoreMedical Group PO Box 306478 Nashville TN 372306430 Healthcare Staffing 722590 Concord Hospital 250 Pleasant Street Concord NH 03301 Shared Services 395432 Healthcare First PO Box 202975 Dallas TX 753202975 OASIS Coding 127619 3 144704 1212012 1927491 6450 3284207 Home Care Revenue 621610 26011233 26011233 Hospice Revenue 623000 11587728 11587728 Community Services Revenue 621990 60622 60622 37659583 727326 727326 8197687 256320 7539307 474000 658380 -217680 440700 440700 9006 144704 20334 -11328 -11328 75624 7500 68124 68124 42168612 37659583 0 1224822 2000 2000 722134 679592 42542 31264459 26003688 5260771 1396665 1156175 240490 6501307 5337292 1164015 2302437 1875980 423554 2903 35534 35534 64600 64600 130787 130787 1266463 706353 560110 178128 178128 466455 30997 435458 1119142 1119142 411105 118420 292685 1049414 991135 58279 94896 9273 85623 439179 51593 387586 262872 262872 Medical Supplies 1835623 1835623 Dues & Subscriptions 97789 97789 Fundraising Expenses 39548 3009 36539 49680537 38121538 11513554 45445 X 14085 5765 4964985 2414823 6630038 6336963 8745556 5574461 681394 477968 11163304 6074742 5292567 5088562 24125560 28693416 4731246 4330357 55185431 52922315 3915265 4672800 469748 193756 104962 110355 4489975 4976911 X 41122624 37094281 9572832 10851123 50695456 47945404 55185431 52922315 X -7511925 4569155 192718 X 0 1 X 1 1 1 X 1569428 10191773 4140158 12989218 3284207 32174784 31878337 36058675 34963551 35884540 37659583 176444686 33447765 46250448 39103709 48873758 40943790 208619470 11000 7040 5685 23725 0 11000 7040 5685 23725 208595745 559411 511750 954322 753946 727326 3506755 559411 511750 954322 753946 727326 3506755 990 68124 69114 34007176 46762198 40058031 49628694 41739240 212195339 0.98300 0.98350 0.01650 0.01640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4384 4384 0 Part II-B, Line 1: The Organization pays dues to various organizations, some to which a portion of the dues are attributable to lobbying expenses. 12665761 3240785 1215989 14690557 19306027 2157000 8797266 12665761 24218517 -3586632 1325858 19306027 21943979 2944400 669862 24218517 3571777 17045988 1996076 669862 21943979 0.73095 0.26905 0.00000 0 0 306000 306000 5941828 1422121 4519707 1160818 1125875 34943 3754658 3526746 227912 5088562 Beneficial Interest in Perpetual Trusts 1770002 Deferred Compensation 110355 Asset held for Sale 200000 Hospice House Lease Receivable 2250000 4330357 Deferred Compensation 110355 110355 X 46827532 4569155 220552 4789707 42037825 130787 130787 42168612 49577584 27834 27834 49549750 130787 130787 49680537 Part V, Line 4: The Endowment funds are used to subsidize charitable care, support community programs that have no outside funding, provide seed money for program expansion and new programs and to make capital improvements to the Hospice House. Programs and Services supported by the Agency's funds include Community Health Education including "Better Choices, Better Health" a program that assists older adults in learning more effective ways of self-managing their chronic condition to improve their quality of life and "A Matter of Balance" a program that assists older adults in reducing their fear of falling and improving their activity levels, health clinics for seniors that provide screenings, footcare, ear wax removal, and other related services and immunization clinics. In addition, the Hospice Program and the Hospice House are supported through charitable funds to provide subsidized or free services; bereavement support groups, Hospice volunteer training and community education. Part X, Line 2: The Association is a tax-exempt entity under Section 501(c)(3) of the Internal Revenue Code (IRC). As a public charity, the Association is exempt from state and federal income taxes on income earned in accordance with its tax-exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Association's tax positions and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. Part XI, Line 2d - Other Adjustments: Fundraising Expenses 20,334. Change in Fair Value of Beneficial Interest in Perpetual Trusts 192,718. Gaming Expenses 7,500. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 20,334. Gaming Expenses 7,500. Passion for Caring 67856 58850 9006 2000 6240 3915 Lights, Life and Memories 57939 57939 4722 1 27915 27915 3457 153710 144704 9006 2000 6240 12094 20334 -11328 75624 7500 0 75624 7500 7500 68124 NH 1 0 1 0 0.00000 1.00000 James Manahan 30 Pillsbury Street Concord NH 03301 1 65859 7500 Filotimo Casino 1279 S Willow St Manchester NH 03103 Julie Stone X 0 Schedule G, Part III, Line 15a: The Organization had an agreement with Filotimo Casino, where Filotimo Casino would pay the organization a portion of its gross revenue from games of chance commissions for pre-specified event dates. The Organization was charged and paid rent $7,500 for the event dates. Granite VNA was not directly involved in administrating any of the games of chance. X X X X X 0 0 0 0 0 0 0 0 0 Beth J Slepian President & CEO 399400 0 0 0 2996 0 14025 0 9000 0 425421 0 0 0 Jason Edwards RN 323939 0 0 0 0 0 13989 0 25516 0 363444 0 0 0 Shaz Anwar Medical Director 239200 0 0 0 250 0 10177 0 0 0 249627 0 0 0 Geraldine Holmes Past Chief Financial Officer 173623 0 0 0 14522 0 8312 0 40284 0 236741 0 0 0 Deborah Mullen CIO 190784 0 0 0 324 0 8153 0 12510 0 211771 0 0 0 Arthur Savage PT 186496 0 0 0 0 0 8309 0 0 0 194805 0 0 0 Sarah DeFalco CHRO 185403 0 0 0 0 0 7880 0 0 0 193283 0 0 0 Kristine Green Family Member of Vice Chair 183503 Wages 0 Form 990, Part I, Line 1 Description of Organization Mission: Granite VNA, Inc., incorporated in 1899, is a home health and hospice care provider, offering both preventive and supportive health care services. Our mission is to provide and facilitate comprehensive care in the home and community to optimize health, well-being, and independence. Our services include Skilled Nursing; Physical Therapy, Occupational Therapy, & Speech Therapy; Homemaking; Maternal/Child Health; Social Work; Hospice Care; Palliative Care, Pediatric Care; Nutritional Counseling; Senior Health Clinics; Flu Immunization Clinics; Immunization Clinics; Blood Pressure Clinics; and Community Education. The agency's service area includes Merrimack County Belknap County, Carroll County, and portions of Hillsborough County, representing more than 82 communities in central New Hampshire. Granite VNA serves over 11,228 patients annually and provides more than 173,585 homecare visits and approximately 44,707 hospice days annually, including a 10-bed Hospice House. Patients who are uninsured, underinsured, or otherwise unable to pay the published fees for services are provided charity care. In the Fiscal Year 2024, Granite VNA, Inc.'s Home Care Program provided care to 8,039 patients. Twelve percent (12%) of the patients served in the Home Care Program were uninsured or received funding from Medicaid. In addition, 74% of the Home Care patients had Medicare or Medicare replacement plans as their insurance plan. The Hospice program provided care to 1,251 patients. Eighty nine percent (89%) of the Hospice patients had Medicare and 2% of the patients were uninsured or received funding from Medicaid. We are a 501(c)(3) non-profit agency and a subsidiary of Capital Region Health Care. Granite VNA is a Medicare and Medicaid Certified Home Health and Hospice Provider and is licensed by the State of New Hampshire Bureau of Health Care Facilities. In addition, Granite VNA's Hospice House, an inpatient setting providing care and comfort for the terminally ill, is licensed by the State of New Hampshire as a Supportive Residential Care Facility. Form 990, Part III, line 3 The Organization ceased operating as a contracted provider to The John H Whitaker Place, an assisted living community. Form 990, Part VI, Section A, line 4 During the year, the Organization amended their bylaws to change the maximum number of members from 17 to 18 on the Board of Trustees. Form 990, Part VI, Section A, line 6 Capital Region HealthCare Corporation is the sole member of Granite VNA Inc. Form 990, Part VI, Section A, line 7a Capital Region HealthCare Corporation accepts any changes made to the bylaws by the governing body. Form 990, Part VI, Section B, line 11b The role of Concord Regional Visiting Nurse Association's Audit Committee includes review of the agency's 990. The Audit Committee engages the auditors and receives the fiscal audit and the 990 Report. The Audit Committee receives a complete copy of the 990 including all schedules. The initial presentation of the FY2024 audit and the 990 Form will occur at the December 12th, 2024, meeting of the joint Audit & Finance Committee. Subsequent Audit Committee meetings will occur if necessary to complete the review. The Audit Committee will report to the Board of Trustees that a review of the 990 has occurred. The Board of Trustees accepts the Audit Committee reports, the audit, and the 990 documents. All members of the Board will have access to the reports. The Form 990 is available to the public upon request. Form 990, Part VI, Section B, line 12c The Conflict of Interest, Statement of Conflict of Interest with Respect to a Relationship, Transaction and/or Financial Interest form was revised by the Audit Committee in February 2010 and approved by the Board in March 2010. The form was revised to ensure compliance with the State of NH Pecuniary Benefit Law (Chapter 7: RSA 7:19a) and the revised IRS 990 disclosure requirements. The Executive Assistant worked with Board members to ensure each member had returned the Conflict-of-Interest Forms. In FY2024, 100% of the Board of Trustees returned the signed conflict of interest forms. The Audit Committee at its May 7th, 2024, meeting reviewed the forms for those Trustees that reported a conflict of interest. The Audit Committee reported to the full Board the conflict-of-interest transactions that had been disclosed on the conflict-of-interest forms. The Board at its June 11, 2024, meeting approved the conflict-of-interest disclosures. There was one pecuniary conflict reported. In addition to the annual completion of the form, Trustees were asked at every Board meeting during Fiscal Year 2024, if there were any conflicts that they have identified that should be reported to Management and the Board. Form 990, Part VI, Section B, line 15 The Board at its November 10, 2020, meeting updated the Executive Compensation policy. The Board of Trustees of Granite VNA's primary objective with this policy is to provide a reasonable and competitive total compensation package consistent with market-based compensation practices for the Chief Executive Officer, and other members of the leadership team, who possess the experience and skills needed to achieve the goals of the organization. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Granite VNA, Inc. 30 Pillsbury Street Concord, NH 03301 EIN 02-0222122 Granite VNA, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Change in Fair Value of Beneficial Interest in Perpetual Trusts 192,718. Capital Region Health Care Corporation 250 Pleasant Street Concord NH 03301 020222123 Health Care Services NH 501(c)(3) Line 12b, II N/A 0 Concord Hospital Inc 250 Pleasant Street Concord NH 03301 222594672 Patient Care Services NH 501(c)(3) Line 3 N/A 0 Riverbend Community Mental Health Inc 3-5 North State Street PO Box 2032 Concord NH 03302 020264383 Mental Health Services NH 501(c)(3) Line 7 N/A 0 Capital Region Health Care Development Corporation 250 Pleasant Street Concord NH 03301 020429749 Management of Real Estate Holdings NH 501(c)(2) N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 Concord Hospital Inc L 104305 FMV Concord Hospital Inc P 580693 FMV Concord Hospital Inc C 100000 FMV