2024-02-14T09:11:25-06:00 2023-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2022-10-01 020222122 Granite VNA Inc GRAN 6032244093 30 Pillsbury Street Concord NH 03301 James Manahan CFO 6032244093 2024-02-13 1 James Manahan 999009999 1 Melissa Magoon CPA P01712842 2077752387 2024-02-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Beth J Slepian 30 Pillsbury Street Concord NH 03301 63278068 0 X www.granitevna.org X 1899 NH 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, Personal Home Services; 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 17 17 582 124 0 0 4140158 12989218 34963551 35884540 2740612 2579428 -19675 -12073 41824646 51441113 4000 4000 0 0 36828553 40700144 0 0 49177 9011083 8412348 45843636 49116492 -4018990 2324621 51710798 55185431 4227521 4489975 47483277 50695456 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 23730350 25788107 Home Health Care - provides skilled care services to patients who qualify for care in their home. Services were rendered to 10,770 patients including 160,526 visits and 13,059 additional visits for indigent patients. Charity care is provided to individuals who are uninsured, underinsured, or otherwise unable to pay the published fee for service. 7185945 7646431 Hospice - supportive care for the terminally ill on a 24-hour basis. Services were rendered to 1158 patients providing 44,707 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. 2841357 2229566 Personal Care Services - Provides care and support primarily to frail elders who need assistance to stay living independently in their own homes. 3147037 4000 220436 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. 3147037 4000 220436 36904689 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 1 0 0 0 0 1 0 0 0 1 97 0 1 582 1 0 0 0 0 0 0 0 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 Joel Arsenault Trustee 1.00 X 0 0 0 Brian D Duffy Trustee 1.00 X 0 0 0 Michelline Dufort Trustee/Past Chair 1.00 X X 0 0 0 Mark Edelstein Trustee 1.00 X 0 0 0 Paul Greenan Trustee 1.00 X 0 0 0 Susan Houghton Trustee 1.00 X 0 0 0 Lyn Lindpaintner 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 Steven Whitley Trustee 1.00 X 0 0 0 Michael T Griffin Chair/Past Vice 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 Patricia Bourgault Past Trustee 1.00 X 0 0 0 Deacon Winton DeRosia Past Trustee 1.00 X 0 0 0 David Huot Past Trustee 1.00 X 0 0 0 Andrew Livernois Past Trustee 1.00 X 0 0 0 J Kristen Gardiner Past Ex-Officio Trustee 1.00 X 0 0 0 Melvin J Severance CFP Past Ex-Officio Trustee 1.00 X 0 0 0 James Manahan Chief Financial Officer 50.00 X 0 0 0 Beth J Slepian President & CEO 50.00 X 443841 0 15799 Geraldine Holmes Past Chief Financial Officer 50.00 X 238970 0 40401 Lisa Dupuis Past COO 50.00 X 231459 0 29703 Jason Edwards RN 58.00 X 283859 0 31772 Deborah Mullen CIO 50.00 X 200417 0 19880 Art Savage PT 50.00 X 166774 0 28146 Shaz Anwar Hospice Medical Dir 50.00 X 141235 0 6319 1706555 0 172020 45 0 1 0 Cerner Corporation PO BOX 959156 St Louis MO 631959156 Software 1246405 Core Medical PO Box 306478 Nashville TN 372306430 Healthcare Staffing 884803 Concord Hospital 250 Pleasant Street Concord NH 03301 Shared Services 597615 Simitree 4130 Whitney Ave Hamden CT 06518 Management Consulting/Interim Admin Staf 409625 KBW Financial Staffing & Recruiting 5 Bedford Farms Dr Suite 304 Bedford NH 03110 Interim Finance Staffing 126057 5 5352 122350 7046442 5815074 683050 12989218 Home Care Revenue 621610 25788107 25788107 Hospice Revenue 623000 7646431 7646431 Personal Home Services Revenue 621610 2229566 2229566 Community Services Revenue 621990 220436 220436 35884540 753946 753946 13637269 11811787 1825482 1825482 1825482 12105 122350 25168 -13063 -13063 990 0 990 990 51441113 35884540 0 2567355 4000 4000 693048 693048 31956873 25973185 5937724 45964 1265836 1027942 237894 4425082 3551804 873278 2359305 1880076 476016 3213 63846 63846 129000 129000 141045 141045 1611137 1128869 482268 160144 160144 567244 21350 545894 1186529 1186529 383142 227895 155247 1191327 1135379 55948 125883 37911 87972 516893 49299 467594 276003 276003 Medical Supplies 1860160 1860160 Dues & Subscriptions 124708 124708 Fundraising Expenses 75287 6819 68468 49116492 36904689 12162626 49177 X 576473 14085 3836705 4964985 312802 6630038 10652489 8745556 851571 681394 10928130 5635563 5720642 5292567 28133804 24125560 1626312 4731246 51710798 55185431 3342314 3915265 783057 469748 102150 104962 4227521 4489975 X 40676386 41122624 6806891 9572832 47483277 50695456 51710798 55185431 X 2324621 834434 2 53122 X 0 1 X 1 0 X 548033 1569428 10191773 4140158 12989218 29438610 32145012 31878337 36058675 34963551 35884540 170930115 32693045 33447765 46250448 39103709 48873758 200368725 10000 11000 7040 28040 0 10000 11000 7040 28040 200340685 559632 559411 511750 954322 753946 3339061 559632 559411 511750 954322 753946 3339061 990 990 33252677 34007176 46762198 40058031 49628694 203708776 0.98350 0.98310 0.01640 0.01670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7669 7669 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. 19306027 2157000 8797266 12665761 24218517 -3586632 1325858 19306027 21943979 2944400 669862 24218517 3571777 17045988 1996076 669862 21943979 3634552 109087 171862 3571777 0.72474 0.27526 0 0 306000 306000 5745191 1173304 4571887 1160818 1065509 95309 3716121 3396750 319371 5292567 Beneficial Interest in Perpetual Trusts 1577284 Deferred Compensation 104962 Asset held for Sale 674000 Hospice House Lease Receivable 2375000 4731246 Deferred Compensation 104962 104962 X 52212792 834434 25168 859602 51353190 141045 -53122 87923 51441113 49000615 25168 25168 48975447 141045 141045 49116492 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 25,168. Part XI, Line 4b - Other Adjustments: Change in Fair Value of Beneficial Interest in Perpetual Trusts -53,122. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 25,168. Passion for Caring 51234 39129 12105 1750 5305 4372 Lights, Life and Memories 63046 63046 9407 1 20175 20175 4334 134455 122350 12105 1750 5305 18113 25168 -13063 X X X X X 0 0 0 0 0 0 0 1 0 Beth J Slepian President & CEO 401282 0 38750 0 3809 0 13585 0 2214 0 459640 0 0 0 Jason Edwards RN 282805 0 870 0 184 0 12254 0 19518 0 315631 0 0 0 Geraldine Holmes Past Chief Financial Officer 223070 0 15867 0 33 0 10542 0 29859 0 279371 0 0 0 Lisa Dupuis Past COO 215279 0 15867 0 313 0 10079 0 19624 0 261162 0 0 0 Deborah Mullen CIO 188600 0 11811 0 6 0 8573 0 11307 0 220297 0 0 0 Art Savage PT 165934 0 646 0 194 0 7399 0 20747 0 194920 0 0 0 Part I, Line 7 The bonus compensation paid to Beth Slepian & Geraldine Holmes are determined based on the executive compensation policy conducted for the Organization, and therefore are non-fixed in nature. The bonus compensation paid to Jason Edwards, Linda Flewelling, Deborah Mullen, Lisa Dupuis, Art Savage, and Andrew Westbrook was part of an agency recognition which was given to all staff. Kristin Green Family Member of Vice Chair 16185 Wages 0 X 3 674000 Appraised Value X Auction Items 3 9050 FMV 0 0 0 Form 990, Part I, Line 1 Description of Organization Mission (Cont'd): House. Patients who are uninsured, underinsured, or otherwise unable to pay the published fees for services are provided charity care. In the Fiscal Year 2023, Granite VNA, Inc.'s Home Care Program provided care to 10,070 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 1158 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 Personal Care Services program was closed on 10/31/2022 Form 990, Part VI, Section A, line 4 The Organization made changes on the Board of Trustee, including the number of members and composition, the terms of office, removal of trustee, quorum and voting. 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 has expanded to include review of the agency's 990. The Audit Committee engages the auditors and receives the audit and the 990 Report. The Audit Committee receives a complete copy of the 990 including all schedules. The initial presentation of the FY2023 audit and the 990 Form will occur at the December 12th, 2023, meeting of the Audit/Finance Committee meeting. 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 FY2023, 100% of the Board of Trustees returned the signed conflict of interest forms. The Audit Committee at its May 11th, 2023, 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 13, 2023, 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 2022, 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 53,122. 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 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 Concord Hospital Inc L 105685 Concord Hospital Inc P 284515