2022-02-09T12:36:26-06:00 2021-09-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2020-10-01 020222122 Granite VNA Inc GRAN 6032244093 30 Pillsbury Street Concord NH 03301 Beth J Slepian President & CEO 6032244093 2022-02-08 1 Beth Slepian 999009999 Melissa Magoon CPA P01712842 2077752387 2022-02-08 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X Beth J Slepian 30 Pillsbury Street Concord NH 03301 54763783 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 7,786 patients annually and provides approximately 156,659 homecare visits and more than 55,000 hospice days annually, including a 10-bed 21 20 491 155 0 0 1569428 10191773 31878337 36058675 1040830 2214532 -7186 -6976 34481409 48458004 4000 4000 0 0 30664913 33613685 0 0 33790 5974733 8370027 36643646 41987712 -2162237 6470292 51502232 68541110 18386196 8557464 33116036 59983646 X The Mission of Granite VNA, Inc. is we enhance dignity and independence for people by delivering quality health care and promoting wellness in homes and communities through all stages of life. 0 0 21559440 23958321 Home Health Care - provides skilled care services to patients who qualify for care in their home. Services were rendered to 7,786 patients including 132,427 visits and 23,573 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. 10399687 11428897 Hospice - supportive care for the terminally ill on a 24 hour basis. Services were rendered to 1,019 patients providing over 55,000 of 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, under-insured, or otherwise unable to pay the published fee for services or for the house room and board. 1780890 428530 Personal Care Services - Provides care and support primarily to frail elders who need assistance to stay living independently in their own homes. 1276540 4000 242927 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. "Powerful Tools for Caregivers" is also an educational program offered for caregivers who are caring for someone with advance dementia or other cognitive impairments; in addition, a monthly Capital Area Memory Cafe is offered to support those who are caring for someone with advance dementia to help connect them with others for peer group support. Monthly walk in clinics and our "Dying to Talk Cafe's" are offered to help those living with a chronic illness, life limiting illness or anyone in the community who would like to explore how to begin having the conversation about advanced care planning and their end of life wishes.In 2018, a new program was launched in partnership with CATCH for Freedman Court 2 residents. The program is designed to assist residents with enhancing their overall health and wellness, and support their independence.In 2016, The Aging Mastery Program began engaging adults in a fun and innovative way that empowers them to embrace their longevity and address their physical, financial, and emotional wellness. The Aging Mastery Program is a 10-week nationwide program from the National Council on Aging that includes 10, 90-minute classes.This program benefits older adults who want to:o Improve healtho Strengthen economic securityo Enhance well-beingo Increase societal participationThe art of aging gracefully has changed. Traditional retirement plans are disappearing, the cost of daily living continues to rise, and nearly all people aged 65+ live with at least one chronic condition. This program uses a proven model of behavior change incentives with a primary emphasis on getting older adults to improve their lives. 1276540 4000 242927 35016557 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 5 0 1 491 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 20 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Geraldine Holmes 6032244093 30 Pillsbury Street Concord NH 03301 Michelline Dufort Chair 1.00 X X 0 0 0 Michael T Griffin Vice Chair 1.00 X X 0 0 0 James Mullins Treasurer 1.00 X X 0 0 0 Mark Edelstein Secretary 1.00 X X 0 0 0 Brett Allard Trustee 1.00 X 0 0 0 Daniel L Andrus Trustee 1.00 X 0 0 0 Joel Arsenault Trustee 1.00 X 0 0 0 Patricia Bourgault Trustee 1.00 X 0 0 0 Deacon Winton DeRosia Trustee 1.00 X 0 0 0 Brian D Duffy Trustee 1.00 X 0 0 0 Erin Feltes Trustee 1.00 X 0 0 0 J Kristen Gardiner Trustee 1.00 X 0 0 0 David Green Trustee 1.00 X 0 0 0 Paul Greenan Trustee 1.00 X 0 0 0 David Huot Trustee 1.00 X 0 0 0 Lyn Lindpaintner Trustee 1.00 X 0 0 0 Andrew Livernois Trustee 1.00 X 0 0 0 Robin Michaud Trustee 1.00 X 0 0 0 Melvin J Severance CFP Trustee 1.00 X 0 0 0 Corrine Smith Trustee 1.00 X 0 0 0 Andrea M Stevenson Trustee 1.00 X 0 0 0 Tim Lesko Past Trustee 1.00 X 0 0 0 Beth J Slepian President & CEO 50.00 X X 300773 0 14386 Geraldine Holmes Chief Financial Officer 50.00 X 194205 0 26209 Andrea Patrick Baudet CCO 40.00 X 140077 0 7899 Andrew Westbrook Hospice Medical Director 40.00 X 210444 0 10895 Deborah Mullen CIO 40.00 X 158394 0 17771 Jason Edwards RN 40.00 X 165337 0 24678 Linda Flewelling CHRO 40.00 X 165898 0 18150 1335128 0 119988 28 0 1 0 Concord Hospital IT 250 Pleasant Street Concord NH 03301 IT Services, Supplies and Maintenance 984684 Montagne Communications Inc 814 Elm Street Suite 205 Manchester NH 03101 PR Services 239514 Blacktree Healthcare Consulting 1030 Continental Drive King of Prussia PA 19406 Project Management 195541 BerryDunn 2211 Congress Street Portland ME 04102 Accounting & Consulting 120035 New England Life Care 41 Terrill Park Dr C Concord NH 03301 Home Infusion Therapy Services 102968 5 5859 113825 8389971 1682118 10191773 Home Care Revenue 621610 23958321 23958321 Hospice Revenue 623000 11428897 11428897 Personal Home Services Revenue 621610 428530 428530 Community Services Revenue 621990 242927 242927 36058675 511750 511750 7997370 6294588 1702782 1702782 1702782 4215 113825 11191 -6976 -6976 48458004 36058675 0 2207556 4000 4000 522415 490899 31516 25474745 22943946 2530799 1007872 903369 104503 4646029 4150739 495290 1962624 1723958 236392 2274 31310 31310 83834 83834 169271 169271 2294198 1683724 610474 219153 219153 599037 60142 538895 610222 610222 317851 155894 161957 884208 855742 28466 113253 11657 101596 456144 273865 182279 153213 153213 Medical Supplies 2316639 2158361 158278 Dues & Subscriptions 117187 91160 26027 Disposal of Fixed Asset 4507 4507 41987712 35016557 6937365 33790 X 5648997 16492635 4350648 110142 161179 5873410 8280252 284531 359804 10638546 4561395 3847993 6077151 23592479 41946957 1301042 1716122 51502232 68541110 3673182 3477493 8426760 4923889 6169200 117054 156082 18386196 8557464 X 26131815 52037115 6984221 7946531 33116036 59983646 51502232 68541110 X 6470292 2063857 18333461 X 0 1 X 1 0 X 629195 838170 548033 1569428 10191773 13776599 32703281 32194737 32145012 31878337 36058675 164980042 33332476 33032907 32693045 33447765 46250448 178756641 10000 11000 10000 11000 42000 0 10000 11000 10000 11000 42000 178714641 408153 553130 559632 559411 511750 2592076 408153 553130 559632 559411 511750 2592076 33740629 33586037 33252677 34007176 46762198 181348717 0.98550 0.98430 0.01430 0.01550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8768 8768 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. 21943979 2944400 669862 24218517 3571777 17045988 1996076 669862 21943979 3634552 109087 171862 3571777 3509436 296978 171862 3634552 3407569 273729 171862 3509436 0.83613 0.14070 0.02317 0 0 306000 306000 5745191 714815 5030376 1160818 966809 194009 3426537 2879771 546766 6077151 Deferred Compensation 156082 156082 68692735 2063857 18344652 20408509 48284226 169271 4507 173778 48458004 41825125 11191 11191 41813934 169271 4507 173778 41987712 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 XI, Line 2d - Other Adjustments: Fundraising Expenses 11,191. Change in Fair Value of Beneficial Interest in Perpetual Trusts 196,954. Transfer From Affiliate 18,136,507. Part XI, Line 4b - Other Adjustments: Disposal of Fixed Asset 4,507. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 11,191. Part XII, Line 4b - Other Adjustments: Disposal of Fixed Asset 4,507. Lights of Life 72340 72340 8039 Passion for Caring 45700 41485 4215 3152 118040 113825 4215 11191 11191 -6976 X X X X X 0 0 0 0 0 0 0 1 0 Beth J Slepian President & CEO 274368 0 25811 0 594 0 12113 0 2273 0 315159 0 0 0 Andrew Westbrook Hospice Medical Director 203499 0 6945 0 0 0 8944 0 1951 0 221339 0 0 0 Geraldine Holmes Chief Financial Officer 181047 0 12712 0 446 0 8448 0 17761 0 220414 0 0 0 Jason Edwards RN 158945 0 5946 0 446 0 7174 0 17504 0 190015 0 0 0 Linda Flewelling CHRO 156369 0 9456 0 73 0 7154 0 10996 0 184048 0 0 0 Deborah Mullen CIO 149228 0 9093 0 73 0 6775 0 10996 0 176165 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 Linda Flewelling, Deborah Mullen, Dr. Andrew Westbrook was part of a management bonus which was given to all managers. Form 990, Part I, Line 1 Description of Organization Mission (Cont'd): 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 2021, Granite VNA, Inc.'s Home Care Program provided care to 7,786 patients. Fourteen percent (14%) of the patients served in the Home Care Program were uninsured or received funding from Medicaid. In addition, 64% of the Home Care patients had Medicare or Medicare replacement plans as their insurance plan. The Hospice program provided care to 891 patients. Eighty eight percent (88%) of the Hospice patients had Medicare and 6% 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, Inc. 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 VI, Section A, line 4 During the fiscal year, the Organization made the folowing significant changes: The Organization changed its name from Concord Regional Visiting Nurse Association, Inc. to Granite VNA, Inc. During the Integration Period, the Board of Trustees shall be composed of twenty-one (21) voting trustees, fourteen (14) of whom will be nominated by CRVNA (the "CRVNA Nominees") and seven (7) of whom will be nominated by CNHVNAH (the "CNHVNAH Nominees"). Upon conclusion of the Integration Period, the Board of Trustees shall be composed of no less than fifteen (15) and a maximin of twenty-one (21) members and shall be responsible for nominating its members. One-third of the membership of the Board of Trustees of the surviving entity, Concord Regional Visiting Nurse Association, Inc., shall reside, work, or receive services in, or otherwise be representative of the interests of, a community currently served by Central VNA, unless at the time of any trustee election there are an insufficient number of candidates available to meet the one-third requirement despite the best recruitment efforts of the surviving entity. The foregoing condition will not apply during the 24-month Integration Period. The Combined Entity Chief Executive Officer will serve on the Combined Entity Board ex officio, without voting rights. The Chair and one (1) member of the Board of Trustees shall serve as members of the Board of Trustees of the Member. C. Governance Decisions Requiring Supermajority Approval by the Board. To help further the purposes described in Article II of the Articles of Agreement, the following decisions of the Combined Entity Board will require an affirmative vote of three-fourths (3/4) of the members of the Combined Entity Board entitled to vote (and not simply three-fourths of the trustees participating in a meeting at which a quorum is present) ("by supermajority vote"): Capital Expenditures; Debt. Any unbudgeted capital expenditure or incurrence of debt, either in a singular instance or in a series of related transactions, in excess of $100,000; Material Change in Clinical Services/Programs. Except for actions necessitated by regulatory requirements, the material expansion or contraction of any clinical services or programs of the Corporation; Principal Office and Location or Closure, Geographic Change in Service Area. The relocation or closure of any principal office or any existing principal clinical facility of either CRVNA or CNHVNAH , or the expansion or contraction of the former service areas of CRVNA and CNHVNAH.respectively; Use of Board Designated Funds. The expenditure of Board designated funds of either CRVNA or CNHVNAH for joint activities; Corporate Reorganization. The merger or reorganization of the Corporation with another organization, or the substitution or elimination of the existing sole corporate member of the Corporation; Dissolution. The dissolution or other cessation of operations of the Corporation; and Amendment to Governing Documents. Any amendment to the Articles of Agreement or Bylaws of the Corporation which modifies or removes these supermajority voting provisions. D. Decisions of Board of Trustees During Integration Period. The following actions require a supermajority vote of the Board during the Integration Period. Hiring and Termination of Chief Executive Officer. The hiring, evaluation, compensation and/or termination of the Corporation's Chief Executive Officer; Budgets. The approval of operating and capital budgets for the Corporation and its related operations and any proposed deviations in excess of $100,000 from such budgets; and Endowment and Investment Policies. A material change in the Corporation's Endowment and Investment Policies. 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 Granite VNA Inc.'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 FY2021 audit and the 990 Form will occur at the December 1, 2021 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 FY2021, 100% of the Board of Trustees returned the signed conflict of interest forms. The Audit Committee at its May 4, 2021 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 May 11, 2021 meeting approved the conflict of interest disclosures. In addition to the annual completion of the form, Trustees were asked at every Board meeting during Fiscal Year 2021, 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 May 8, 2018 meeting adopted an Executive Compensation policy for the CEO/CFO positions. The Executive Committee's compensation philosophy is to pay the CEO and CFO at the appropriate level of compensation based on market data and surveys. The compensation will be performance based using the salary information available. The Executive Committee commissions a bi-annual review by an independent consulting firm to evaluate the organization's executive compensation program against the competitive market. The evaluation is intended to ensure that the compensation program falls within a reasonable range of competitive practices for comparable positions among similarly situated organizations. 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 196,954. Transfer From Affiliate 18,136,507. 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 1 0 0 0 0 1 0 0 0 0 0 0