GRANITEONE HEALTH: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- GRANITEONE HEALTH (EIN 81-4663563)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-14
- IRS object ID
- 202302269349300310
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-14T06:58:55-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman & Noyes | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 507 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814663563 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GraniteOne Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GRAN | BusinessNameControlTxt |
| Phone | 6036683545 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 McGregor Street | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03102 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Pamela J Martel | PersonNm |
| Person Title | Vice President & CFO | PersonTitleTxt |
| Phone | 6036683545 | PhoneNum |
| Signature | 2023-08-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Pamela | PersonFirstNm |
| Person Last | Martel | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Connor Smart | PreparerPersonNm |
| PTIN | P02285543 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2023-08-10 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Alexander J Walker Esq | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 McGregor Street | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,237,816 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.graniteonehealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | To provide accessible, patient-centered, high quality care to our communities through exceptional collaboration and integration across the continuum of health. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,160,739 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,237,816 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $8,160,739 | PYTotalRevenueAmt |
| CY Total Revenue | $2,237,816 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,160,739 | PYOtherExpensesAmt |
| CY Other Expenses | $2,237,816 | CYOtherExpensesAmt |
| PY Total Expenses | $8,160,739 | PYTotalExpensesAmt |
| CY Total Expenses | $2,237,816 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,202,880 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,024,266 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,211,656 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,033,042 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$8,776 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$8,776 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Our mission is to provide accessible, patient-centered, high quality care to our communities through exceptional collaboration and integration across the continuum of health. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $2,170,790 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,237,816 | RevenueAmt |
| Desc | 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 covered by this tax return, 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. The parties anticipate completing these processes within the 2023 fiscal year. | Desc |
| Total Program Service Expenses | $2,170,790 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pamela J Martel VP & CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6036683545 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 McGregor Street | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03102 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| Alexander J Walker Esq | ||||||||
| Trustee/COO/CMC CEO | 0.50 | 42.70 | Yes (X) | $0 | $809,150 | $370,512 | ||
| Cynthia K McGuire FACHE | ||||||||
| Trustee/MCH CEO | 0.60 | 55.00 | Yes (X) | $0 | $431,184 | $47,697 | ||
| Jeremy S Roberge CPA | ||||||||
| Trustee/HH CEO | 0.40 | 40.00 | Yes (X) | $0 | $373,930 | $8,368 | ||
| Andy Crews | ||||||||
| Trustee | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Leslie NH MacLeod | ||||||||
| Trustee | 0.60 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Maria C Mongan | ||||||||
| Trustee | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Marcia Ober | ||||||||
| Trustee | 0.60 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Rick Botnick | ||||||||
| Chair | 0.40 | 0.30 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Joseph Graham | ||||||||
| Vice Chair | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Marie McKay CPA | ||||||||
| Treasurer | 0.50 | 1.30 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Matthew Albuquerque | ||||||||
| Secretary | 0.50 | 1.10 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Edward L Dudley III | ||||||||
| CFO | 0.00 | 40.80 | $0 | $651,499 | $261,225 | Yes (X) | ||
| Joseph Pepe MD | ||||||||
| Former GOH CEO/CMC CEO (end 6/22) | 0.00 | 0.00 | $0 | $1,046,725 | $639,851 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,312,488 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,327,653 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Winston & Strawn | |||||
| 35 W Wacker Drive | Chicago | IL | 60601 | Legal services | $1,490,315 |
| The Chartis Group | |||||
| 509 Forest Avenue Suite 250 | Portland | ME | 04101 | Healthcare advisory and analytics | $601,650 |
| Catholic Medical Center | |||||
| 100 McGregor Street | Manchester | NH | 03102 | Staffing | $253,272 |
| NERA Economic Consulting | |||||
| 1166 Avenue of the Americas 24 Flo | New York | NY | 10036 | Business consulting and analytics | $180,840 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net management fees | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $2,237,816 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,237,816 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,237,816 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,237,816 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,237,816 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,899,873 | TotalAmt |
| Program Services | $1,899,873 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,107 | TotalAmt |
| Management And General | $39,107 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,272 | TotalAmt |
| Program Services | $259,272 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296 | TotalAmt |
| Program Services | $296 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,349 | TotalAmt |
| Program Services | $11,349 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,919 | TotalAmt |
| Management And General | $27,919 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,237,816 | TotalAmt |
| Program Services | $2,170,790 | ProgramServicesAmt |
| Management And General | $67,026 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,743 | BOYAmt |
| EOY | $208,503 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $831,137 | BOYAmt |
| EOY | $815,763 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,202,880 | BOYAmt |
| EOY | $1,024,266 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,211,656 | BOYAmt |
| EOY | $1,033,042 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,211,656 | BOYAmt |
| EOY | $1,033,042 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$8,776 | BOYAmt |
| EOY | -$8,776 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$8,776 | BOYAmt |
| EOY | -$8,776 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,202,880 | BOYAmt |
| EOY | $1,024,266 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 3 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (3 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| Catholic Medical Center | ||||
| 020315693 | 3 | Yes (1) | $0 | $1,644,009 |
| Huggins Hospital | ||||
| 020223332 | 3 | Yes (1) | $0 | $269,487 |
| Monadnock Community Hospital | ||||
| 020222157 | 3 | Yes (1) | $0 | $324,320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 3 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $2,237,816 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Joseph Pepe MD | ||||||||||||||
| Former GOH CEO/CMC CEO (end 6/22) | $0 | $566,670 | $0 | $121,817 | $0 | $358,238 | $0 | $622,599 | $0 | $17,252 | $0 | $1,686,576 | $0 | $0 |
| Alexander J Walker Esq | ||||||||||||||
| Trustee/COO/CMC CEO | $0 | $595,758 | $0 | $157,597 | $0 | $55,795 | $0 | $300,538 | $0 | $69,974 | $0 | $1,179,662 | $0 | $0 |
| Edward L Dudley III | ||||||||||||||
| CFO | $0 | $472,397 | $0 | $135,503 | $0 | $43,599 | $0 | $207,331 | $0 | $53,894 | $0 | $912,724 | $0 | $0 |
| Cynthia K McGuire FACHE | ||||||||||||||
| Trustee/MCH CEO | $0 | $314,498 | $0 | $89,903 | $0 | $26,783 | $0 | $21,870 | $0 | $25,827 | $0 | $478,881 | $0 | $17,500 |
| Jeremy S Roberge CPA | ||||||||||||||
| Trustee/HH CEO | $0 | $325,180 | $0 | $48,750 | $0 | $0 | $0 | $8,188 | $0 | $180 | $0 | $382,298 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $338,462 during calendar year 2021, after his formal retirement in June, 2021. This severance was included in his 2021 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 2021 contributions for many years of service, and are included in the total deferred compensation reported on this Schedule J, Part II, Column C. Joseph Pepe: $608,099 Alexander Walker, Jr., Esq.: $288,938 Edward L. Dudley, III: $196,427 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | On September 30, 2019, GraniteOne, Catholic Medical Center (CMC), the Catholic Medical Center System (the System), certain subsidiaries of the System, Huggins Hospital (HH) and Monadnock Community Hospital (MCH) entered into a Combination Agreement (the Agreement) with Dartmouth-Hitchcock Health (D-HH) to combine GraniteOne and D-HH and its members into a more fully integrated healthcare delivery system. The combining parties began the state and federal regulatory review process with the filing of a Joint Notice of Change of Control to the New Hampshire Attorney General (AG), Director of Charitable Trusts pursuant to New Hampshire RSA 7:19-b on December 30, 2019. On May 13, 2022, the New Hampshire Attorney General's office issued its report objecting to the proposed combination. On May 31, 2022, GraniteOne, the Medical Center, the System, certain subsidiaries of the System, HH, MCH and D-HH entered into an Agreement to Mutually Terminate the Combination Agreement ending the efforts to combine the healthcare systems. Upon the termination of the combination efforts with D-HH, 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. The parties mutually agreed to work together over several months to wind down GraniteOne. The parties intend to continue their clinical collaborations after the withdrawal and wind down of GraniteOne. The parties anticipate completing these processes within the 2023 fiscal year. |
| 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 perform a final in-house review prior to submission to the Board of Directors 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 253,272. Management and general expenses 0. Fundraising expenses 0. Total expenses 253,272. Consulting fees: Program service expenses 6,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (1) | |
| CMC Healthcare System | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 010568516 | Management | NH | 501(c)(3) | Line 12b, II | 0 | N/A | |
| 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 | 0 | N/A | |
| Huggins Hospital | |||||||||||
| 240 South Main Street | Wolfeboro | NH | 03894 | 020223332 | Hospital | NH | 501(c)(3) | Line 3 | GraniteOne Health | Yes (1) | |
| Monadnock Community Hospital | |||||||||||
| 452 Old Street Road | Peterborough | NH | 03458 | 020222157 | Hospital | NH | 501(c)(3) | Line 3 | GraniteOne Health | Yes (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 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Catholic Medical Center | ||
| O | $253,272 | Actual per Books |
| Catholic Medical Center | ||
| L | $1,644,009 | Actual per Books |
| Huggins Hospital | ||
| L | $269,487 | Actual per Books |
| Monadnock Community Hospital | ||
| L | $324,320 | Actual per Books |
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