2024-08-14T07:32:09-05:00 2023-09-30 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2022-10-01 814663563 GraniteOne Health GRAN 6036683545 100 McGregor Street Manchester NH 03102 Pamela J Martel Vice President & CFO 6036683545 2024-08-01 1 0 Connor Smart P02285543 2078792100 2024-08-01 2022 2024-08-08 14:25:15Z Alexander J Walker Esq 100 McGregor Street Manchester NH 03102 158402 0 X www.graniteonehealth.org X 2016 NH To provide accessible, patient-centered, high quality care to our communities through exceptional collaboration and integration across the continuum of health. 11 8 0 8 0 0 0 0 2237816 158402 0 0 0 0 2237816 158402 0 0 0 0 0 0 0 0 0 2237816 155506 2237816 155506 0 2896 1024266 1006018 1033042 1011898 -8776 -5880 X Our mission is to provide accessible, patient-centered, high quality care to our communities through exceptional collaboration and integration across the continuum of health. 0 1 153026 0 158402 GraniteOne Health operates exclusively to benefit three publicly supported 501(c)(3) New Hampshire hospitals: Catholic Medical Center in Manchester, Huggins Hospital in Wolfeboro, and Monadnock Community Hospital in Peterborough. Its principal purposes in support of these hospitals are to: - Promote cost savings, efficiencies, and quality improvements in the provision of healthcare services to the communities in which the hospitals operate. - Preserve the charitable missions of the supported hospitals and protect their ability to perform their missions by creating a regional healthcare network that will allow the hospitals collectively to address challenges in a way that is not possible for each hospital to address independently. - Integrate the management, administrative, and clinical functions of the supported hospitals in a way that will align their missions, clinical services, and economic interests. This integrated healthcare system will allow for greater coordination of care, implementation of best practices, elimination of inefficiencies, and collaborative regional planning, all of which will improve the quality and reduce the cost of care for the communities served. - Enhance the charitable missions of each of the supported hospitals by: (1) developing a clinical integration program to evaluate and modify provider practices; (2) creating a high degree of interdependence and cooperation to control costs; (3) ensuring quality of care and greater patient access to care; and (4) broadening the nature of the charitable services provided collectively to the communities served by Catholic Medical Center, Huggins Hospital, and Monadnock Community Hospital.To accomplish these goals, GraniteOne Health's role is to: oversee long-term strategic planning for the integrated system; approve budgets and enumerated decisions of each supported hospital's board; and coordinate the new integrated healthcare system by overseeing the centralization of agreed upon administrative, management, financial, technology, specialization, and compliance functions.During the period ending September 30, 2022, the parties of GraniteOne Health mutually agreed to work together over several months to seek the necessary regulatory approvals and wind down GraniteOne. The parties intend to continue their clinical collaborations after the withdrawal and wind down of GraniteOne. 153026 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NH X Pamela J Martel VP & CFO 6036683545 100 McGregor Street Manchester NH 03102 Alexander J Walker Esq Trustee/COO/CMC CEO 0.40 43.50 X 0 705005 397339 Cynthia K McGuire FACHE Trustee/MCH CEO 0.40 40.00 X 0 361273 49483 Jeremy S Roberge CPA Trustee/HH CEO 0.30 40.00 X 0 434865 30011 Andy Crews Trustee 0.30 0.00 X 0 0 0 Leslie NH MacLeod Trustee 0.40 0.00 X 0 0 0 Maria C Mongan Trustee 0.30 0.80 X 0 0 0 Marcia Ober Trustee 0.30 0.00 X 0 0 0 Rick Botnick Chair 0.30 0.20 X X 0 0 0 Joseph Graham Vice Chair 0.30 0.00 X X 0 0 0 Marie McKay CPA Treasurer 0.30 1.90 X X 0 0 0 Matthew Albuquerque Secretary 0.20 2.40 X X 0 0 0 Edward L Dudley III CMC CFO (end 2/2023) 0.00 40.10 X 0 548250 278328 Pamela Martel CMC CFO 0.00 40.40 X 0 179495 18897 Joseph Pepe MD Former GOH CEO/CMC CEO (end 6/22) 0.00 0.50 X 0 733333 0 0 2962221 774058 0 1 1 0 Catholic Medical Center 100 McGregor Street Manchester NH 03102 Staffing 144245 1 Net management fees 561000 158402 158402 158402 158402 158402 0 0 X 2480 2480 144245 144245 506 506 8275 8275 155506 153026 2480 0 208503 215784 815763 790234 1024266 1006018 1033042 1011898 1033042 1011898 X 0 0 0 0 -8776 -5880 -8776 -5880 1024266 1006018 2896 0 X 0 0 0 X X X 3 Catholic Medical Center 020315693 3 1 0 95952 Huggins Hospital 020223332 3 1 0 31225 Monadnock Community Hospital 020222157 3 1 0 31225 3 0 158402 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Schedule A, Part I, Line 12g, Column vi: The amount of non-monetary support listed Schedule A, Part I, Line 12g, Column vi is an allocation of total membership fees received by GraniteOne Health from its respective supported organizations. These amounts effectively represent amounts expended or services rendered by GraniteOne Health to or for the benefit of the supported organizations in carrying out GraniteOne Health's exempt mission on behalf of its supported organizations. Schedule A, Part IV, Section B, Line 1: The power to appoint and/or remove Trustees is allocated among the three supported organizations as follows: the CEO or CEO designee of each supported hospital serves as a Trustee of the filing organization. Additionally, seven Board members are to be appointed by Catholic Medical Center and one member each by Huggins Hospital and Monadnock Community Hospital. 1 1 0 0 0 0 0 0 0 Alexander J Walker Esq Trustee/COO/CMC CEO 0 627831 0 0 0 77174 0 292846 0 104493 0 1102344 0 0 Edward L Dudley III CMC CFO (end 2/2023) 0 494403 0 338 0 53509 0 222434 0 55894 0 826578 0 0 Joseph Pepe MD Former GOH CEO/CMC CEO (end 6/22) 0 0 0 0 0 733333 0 0 0 1338 0 734671 0 0 Jeremy S Roberge CPA Trustee/HH CEO 0 372265 0 62600 0 0 0 9567 0 20444 0 464876 0 0 Cynthia K McGuire FACHE Trustee/MCH CEO 0 338350 0 0 0 22923 0 23600 0 25883 0 410756 0 0 Pamela Martel CMC CFO 0 178567 0 0 0 928 0 7491 0 11406 0 198392 0 0 Part I, Line 3 The CEO of GraniteOne Health is compensated by a related organization, Catholic Medical Center. That organization used a compensation committee, independent compensation consultant, Form 990 of other organizations, a compensation study/survey, and approval by the board of directors/compensation committee to determine the CEO's compensation and benefits. Part I, Lines 4a-b Schedule J, Page 1, Line 4a, severance payments: Dr. Joseph Pepe, who previously served as President and CEO of Catholic Medical Center, a related organization, retired in June, 2021. As part of his retirement, Dr. Pepe became entitled to severance compensation as per his employment agreement. Dr. Pepe received severance compensation of $733,333 during calendar year 2022, after his formal retirement in June, 2021. This severance was included in his 2022 Form W-2 wages, and is also included in the amount of compensation reported on this Schedule J, Part II, Column B(iii). Schedule J, Page 1, Line 4b, supplemental non-qualified retirement plans: Cynthia McGuire, President & CEO of Monadnock Community Hospital, participates in a 457(f) plan with Monadnock Community Hospital. After a three year vesting period, amounts previously contributed to her by Monadnock Community Hospital are reported as part of her W-2 wages. In calendar year 2021, a total of $17,500 was deposited into Ms. McGuire's 457(f) plan account, which is included in the amount reported on Schedule J, Part II, Column C for this current fiscal year Form 990 filing. Additionally, $24,803 of compensation is reported in Column B(iii), which represents the vested 2017 contribution of $17,500 and earnings of $7,303. Additionally, the following individuals take part in a section 457(f) forfeitable nonqualified deferred compensation plan within the Catholic Medical Center System. The amounts listed represent calendar year 2022 contributions for many years of service, and are included in the total deferred compensation reported on this Schedule J, Part II, Column C. - Alexander Walker, Jr., Esq.: $280,646 - Edward L. Dudley, III: $211,145 Form 990, Part III, line 3 Pursuant to the Affiliation Agreement that formed GraniteOne, Catholic Medical Center ("the Medical Center"), Huggins Hospital ("HH") and Monadnock Community Hospital ("MCH") each had a right, after two years of being members of GraniteOne, to evaluate whether they would continue participation in the system. The time period on this limited right to withdraw had been extended a number of times. The Medical Center, MCH and HH each assessed their continued participation in GraniteOne and after a six-month review process, each concluded it was best to withdraw from GraniteOne and subsequently provided the required notice. Accordingly, as of the filing of this Form 990, the parties have submitted a Joint Notice to the Director of Charitable Trusts pursuant to New Hampshire RSA 7:19-b to the State of New Hampshire and received the Director of Charitable Trusts no action report, clearing the way for the parties to complete the disaffiliation. The parties' respective boards each provided their final approvals at meetings in February 2024, and completed the disaffiliation and dissolution of GraniteOne with the filing of the Articles of Dissolution with the State of New Hampshire on May 30, 2024. Form 990, Part VI, Section B, line 11b Form 990 is prepared by an independent tax accounting firm (Baker Newman Noyes). Upon completion, a draft of the Form 990 is sent to the Organization, where the Executive Director of Finance and Assistant Controller of Catholic Medical Center perform a final in-house review prior to submission to the Board of Trustees for final approval. Upon approval from Board, the Form 990 is filed with the Internal Revenue Service. Form 990, Part VI, Section B, line 12c All organization officers and directors are required to disclose any potential conflicts of interest upon joining the organization and annually thereafter. The Board Chair becomes familiar with the listed potential conflicts submitted by all officers and directors to guide his or her conduct if a conflict arises. Officers and trustees are also required to disclose any matter that comes before the Board or a committee that may give rise to a conflict of interest, whether or not it has been previously disclosed. To determine if a conflict exists, the interested person will leave the room and the remaining Board or committee members will determine if a conflict exists according to the guidelines outlined in the conflict of interest policy. In addition to disclosing all potential conflicts of interest, officers and trustees must annually submit a statement that they have received, read, and understood the conflict of interest policy and agree to be bound by its terms. Form 990, Part VI, Section B, line 15 The organization does not directly compensate any officers or key employees. All officers are compensated by related organizations, which do include reviews, approval by independent persons, comparability data, and contemporaneous substantiation as part of their compensation determination processes. Form 990, Part VI, Section C, line 19 GraniteOne Health makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part VI, Section B, Lines 13 and 14: GraniteOne Health does not directly employ any staff members. However, all employees who provide services to GraniteOne Health are compensated by one of the hospitals supported by the filing organization and are covered by the written whistleblower and document retention/destruction policies of their respective employer. Form 990, Part IX, line 11g Organization staffing: Program service expenses 144,245. Management and general expenses 0. Fundraising expenses 0. Total expenses 144,245. Alliance Ambulatory Services 100 McGregor Street Manchester NH 03102 020519436 Ambulatory Surgical Center NH 501(c)(3) Line 10 CMC Healthcare System 0 Alliance Health Services 100 McGregor Street Manchester NH 03102 611508839 Practices NH 501(c)(3) Line 10 CMC Healthcare System 0 Alliance Resources 100 McGregor Street Manchester NH 03102 020398138 Real Estate NH 501(c)(3) Line 12b, II CMC Healthcare System 0 Catholic Medical Center 100 McGregor Street Manchester NH 03102 020315693 Hospital NH 501(c)(3) Line 3 GraniteOne Health 1 CMC Healthcare System 100 McGregor Street Manchester NH 03102 010568516 Management NH 501(c)(3) Line 12b, II N/A 0 CMC Physician Practice Associates 100 McGregor Street Manchester NH 03102 020460245 Practices NH 501(c)(3) Line 10 CMC Healthcare System 0 Hospital and Community Aid Association Inc PO Box 1377 Wolfeboro NH 03894 026008048 Supporting Organization NH 501(c)(3) Line 12b, II N/A 0 Huggins Hospital 240 South Main Street Wolfeboro NH 03894 020223332 Hospital NH 501(c)(3) Line 3 GraniteOne Health 1 Monadnock Community Hospital 452 Old Street Road Peterborough NH 03458 020222157 Hospital NH 501(c)(3) Line 3 GraniteOne Health 1 Monadnock Health Services 452 Old Street Road Peterborough NH 03102 020420789 Inactive NH 501(c)(3) Line 12a, I Monadnock Community Hospital 0 St Peter's Home 100 McGregor Street Manchester NH 03102 020222228 Day Care Services NH 501(c)(3) Line 10 CMC Healthcare System 0 Bedford Ambulatory Surgical Center 11 Washington Place Bedford NH 03110 020519727 Surgical Center NH N/A 0 0 Alliance Urgent Services 100 McGregor Street Manchester NH 03110 831238167 Health Care Services NH N/A 0 0 Alliance Enterprises 100 McGregor Street Manchester NH 03102 020386795 Real Estate NH N/A C 0 Doctors' Medical Association 100 McGregor Street Manchester NH 03102 020340690 Medical Office Building NH N/A C 0 Huggins Senior Housing PO Box 912 Wolfeboro NH 03894 020490445 Elderly Housing NH N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 Catholic Medical Center O 144245 Actual per Books Catholic Medical Center L 95951 Actual per Books Huggins Hospital L 31225 Actual per Books Monadnock Community Hospital L 31225 Actual per Books