2022-12-19T09:38:12-06:00 2022-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2021-10-01 020222122 Granite VNA Inc GRAN 6032244093 30 Pillsbury Street Concord NH 03301 Geraldine Holmes CFO 6032244093 2022-12-19 1 Geraldine Holmes 999009999 Barbara J McGuan CPA P00219457 2077752387 2022-12-19 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Beth J Slepian 30 Pillsbury Street Concord NH 03301 63408528 0 X www.granitevna.org X 1899 NH Granite VNA, 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 9,900 patients annually and provides more than 158,000 homecare visits and approximately 56,600 hospice days annually, including a 10-bed Hospice House. 20 20 610 140 0 0 10191773 4140158 36058675 34963551 2214532 2740612 -6976 -19675 48458004 41824646 4000 4000 0 0 33613685 36828553 0 0 41935 8370027 9011083 41987712 45843636 6470292 -4018990 68541110 51710798 8557464 4227521 59983646 47483277 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 0 21248372 23707696 Home Health Care - provides skilled care services to patients who qualify for care in their home. Services were rendered to 8,556 patients including 139,594 visits and 29,368 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. 9426314 10599709 Hospice - supportive care for the terminally ill on a 24-hour basis. Services were rendered to 947 patients providing 56,655 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. 1734737 340770 Personal Care Services - Provides care and support primarily to frail elders who need assistance to stay living independently in their own homes. 1646949 4000 315376 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. 1646949 4000 315376 34056372 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 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 17 0 1 610 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 1 1 1 0 NH X Geraldine Holmes 6032244093 30 Pillsbury Street Concord NH 03301 Erin Feltes Past Trustee 1.00 X 0 0 0 Andrea M Stevenson Trustee-Representative at Large 1.00 X 0 0 0 Corrine Smith Trustee 1.00 X 0 0 0 Melvin J Severance CFP Ex-Officio Trustee 1.00 X 0 0 0 Robin Michaud Trustee 1.00 X 0 0 0 Andrew Livernois Trustee 1.00 X 0 0 0 Lyn Lindpaintner Trustee 1.00 X 0 0 0 David Huot Trustee 1.00 X 0 0 0 Paul Greenan Trustee 1.00 X 0 0 0 David Green Trustee 1.00 X 0 0 0 J Kristen Gardiner Ex-Officio Trustee 1.00 X 0 0 0 Brian D Duffy Trustee 1.00 X 0 0 0 Deacon Winton DeRosia Trustee 1.00 X 0 0 0 Patricia Bourgault Trustee 1.00 X 0 0 0 Joel Arsenault Trustee 1.00 X 0 0 0 Daniel L Andrus Trustee 1.00 X 0 0 0 Brett Allard Trustee 1.00 X 0 0 0 Mark Edelstein Secretary 1.00 X X 0 0 0 James Mullins Treasurer 1.00 X X 0 0 0 Michael T Griffin Vice Chair 1.00 X X 0 0 0 Michelline Dufort Chair 1.00 X X 0 0 0 Geraldine Holmes Chief Financial Officer 50.00 X 237717 0 28486 Beth J Slepian President & CEO 50.00 X 377694 0 15465 Art Savage PT 50.00 X 152022 0 25904 Lisa Dupuis COO 45.00 X 168781 0 20792 Deborah Mullen CIO 45.00 X 188889 0 18676 Linda Flewelling CHRO 45.00 X 193415 0 19397 Jason Edwards RN 50.00 X 193531 0 26283 Andrew Westbrook Former Hospice Medical Director 40.00 X 154550 0 8340 1666599 0 163343 34 1 1 0 CoreMedical Group PO Box 306478 Nashville TN 372306430 Healthcare Staffing 733885 Concord Hospital IT 250 Pleasant Street Concord NH 03301 IT Services, Supplies and Maintenance 543495 Montagne Powers LLC 814 Elm Street Suite 205 Manchester NH 03101 Strategic Communications Services 239514 Netsmart Technologies Inc PO Box 713519 Philadelphia PA 19171 Electronic Medical Record Support Servic 223937 Blacktree Healthcare Consulting 1030 Continental Drive King of Prussia PA 19406 Healthcare Consulting Services 195541 8 5560 100709 1720410 2313479 4140158 Home Care Revenue 621610 23707696 23707696 Hospice Revenue 623000 10599709 10599709 Personal Home Services Revenue 621610 340770 340770 Community Services Revenue 621990 315376 315376 34963551 954322 954322 23343762 21557472 1786290 1786290 1786290 6075 100709 26410 -20335 -20335 660 0 660 660 41824646 34963551 0 2720937 4000 4000 659362 620046 39316 28279308 23105351 5173957 1038548 848629 189919 4847585 3893299 954286 2003750 1602277 398854 2619 70426 70426 89700 89700 200868 200868 2249810 1180789 1069021 270536 270536 462647 22148 440499 1043388 1043388 393833 100597 293236 971984 930847 41137 148631 16880 131751 557274 295242 262032 254519 254519 Medical Supplies 2187031 2056313 130718 Dues & Subscriptions 110436 110436 45843636 34056372 11745329 41935 X 5648997 576473 4350648 3836705 161179 312802 8280252 10652489 359804 851571 10839311 5118669 6077151 5720642 41946957 28133804 1716122 1626312 68541110 51710798 3477493 3342314 4923889 783057 156082 102150 8557464 4227521 X 52037115 40676386 7946531 6806891 59983646 47483277 68541110 51710798 X -4018990 -8255876 -225503 X 0 1 X 1 0 X 838170 548033 1569428 10191773 4140158 17287562 32194737 32145012 31878337 36058675 34963551 167240312 33032907 32693045 33447765 46250448 39103709 184527874 11000 10000 11000 32000 0 11000 10000 11000 32000 184495874 553130 559632 559411 511750 954322 3138245 553130 559632 559411 511750 954322 3138245 33586037 33252677 34007176 46762198 40058031 187666119 0.98310 0.98550 0.01670 0.01430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9142 9142 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. 24218517 -3586632 1325858 19306027 21943979 2944400 669862 24218517 3571777 17045988 1996076 669862 21943979 3634552 109087 171862 3571777 3509436 296978 171862 3634552 0.82527 0.17473 0.00000 0 0 306000 306000 5745191 947525 4797666 1160818 1019322 141496 3627302 3151822 475480 5720642 Deferred Compensation 102150 102150 X 33168809 -8255876 26410 -8229466 41398275 200868 225503 426371 41824646 45669178 26410 26410 45642768 200868 200868 45843636 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 26,410. Part XI, Line 4b - Other Adjustments: Change in Fair Value of Beneficial Interest in Perpetual Trusts 225,503. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 26,410. Passion for Caring 41625 35550 6075 750 4819 3804 Lights, Life and Memories 65159 65159 17037 106784 100709 6075 750 4819 20841 26410 -20335 X X X X X 0 0 0 0 0 0 0 1 0 Beth J Slepian President & CEO 345112 0 30027 0 2555 0 12398 0 3067 0 393159 0 0 0 Geraldine Holmes Chief Financial Officer 221686 0 15419 0 612 0 10319 0 18167 0 266203 0 0 0 Jason Edwards RN 188661 0 2758 0 2112 0 8368 0 17915 0 219814 0 0 0 Linda Flewelling CHRO 181801 0 11514 0 100 0 8338 0 11059 0 212812 0 0 0 Deborah Mullen CIO 177311 0 11478 0 100 0 8073 0 10603 0 207565 0 0 0 Lisa Dupuis COO 155493 0 13288 0 0 0 7317 0 13475 0 189573 0 0 0 Art Savage PT 147627 0 3045 0 1350 0 6664 0 19240 0 177926 0 0 0 Andrew Westbrook Former Hospice Medical Director 152742 0 608 0 1200 0 6601 0 1739 0 162890 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. Form 990, Part I, Line 1 Description of Organization Mission (Cont'd): Patients who are uninsured, underinsured, or otherwise unable to pay the published fees for services are provided charity care. In the Fiscal Year 2022, Granite VNA, Inc.'s Home Care Program provided care to 8,556 patients. Twelve percent (12%) of the patients served in the Home Care Program were uninsured or received funding from Medicaid. In addition, 69% of the Home Care patients had Medicare or Medicare replacement plans as their insurance plan. The Hospice program provided care to 947 patients. Eighty nine percent (89%) of the Hospice patients had Medicare and 8% 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 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'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 FY2022 audit and the 990 Form will occur at the November 29th, 2022, 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 FY2022, 100% of the Board of Trustees returned the signed conflict of interest forms. The Audit Committee at its June 9th, 2022, 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 14th, 2022, 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 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 VI, Line 13 Whistleblower Policy: Although the Organization does not have a formal whistleblower policy, there is a compliance and reporting plan in place. 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 -225,503. 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 114540 Concord Hospital Inc P 245456