2025-08-15T08:15:47-05:00 2024-09-30 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2023-10-01 814663563 GraniteOne Health GRAN 3066683545 100 McGregor Street Manchester NH 03102 Sidi Cuko Catholic Healthcare Trust Pres./CEO 3066683545 2025-08-14 1 0 Connor Smart P02285543 2078792100 2025-08-06 2023 2025-03-06 01:10:19Z Sidi Cuko 100 McGregor Street Manchester NH 03102 55000 0 X N/A 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 158402 55000 0 0 0 0 158402 55000 0 0 0 0 0 0 0 0 0 155506 55620 155506 55620 2896 -620 1006018 506198 1011898 512698 -5880 -6500 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 55000 0 55000 GraniteOne Health operated 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 were to promote savings, improve efficiencies, and enhance patient care services. During the period covered by this Form 990, GraniteOne Health's supported hospitals elected to dissociate from and ultimately dissolve the Organization. Since that election occurred, GraniteOne Health's operations consisted of administrative wind-down procedures and transferring remaining net assets to the supported organizations. 55000 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 3066683545 100 McGregor Street Manchester NH 03102 Alexander J Walker Esq Trustee/COO/CMC CEO 0.10 40.90 X 0 717524 351171 Cynthia K McGuire FACHE Trustee/MCH CEO 0.10 40.00 X 0 435263 52064 Jeremy S Roberge CPA Trustee/HH CEO 0.10 40.00 X 0 406600 37533 Andy Crews Trustee 0.30 0.00 X 0 0 0 Leslie NH MacLeod Trustee 0.10 0.00 X 0 0 0 Maria C Mongan Trustee 0.10 0.80 X 0 0 0 Marcia Ober Trustee 0.10 0.00 X 0 0 0 Rick Botnick Chair 0.10 0.20 X X 0 0 0 Joseph Graham Vice Chair 0.00 0.00 X X 0 0 0 Marie McKay CPA Treasurer 0.10 1.40 X X 0 0 0 Matthew Albuquerque Secretary 0.10 1.20 X X 0 0 0 Pamela Martel Executive VP & CFO 0.00 40.40 X 0 345190 19006 Edward L Dudley III Former Executive VP & CFO 0.00 0.00 X 0 159007 132010 0 2063584 591784 0 1 1 0 0 Net management fees 561000 55000 55000 55000 55000 55000 0 0 X 620 620 55000 55000 55620 55000 620 0 215784 122138 790234 384060 1006018 506198 1011898 512698 1011898 512698 X 0 0 0 0 -5880 -6500 -5880 -6500 1006018 506198 -620 0 X X 0 0 0 X X 3 Catholic Medical Center 020315693 3 1 0 33000 Huggins Hospital 020223332 3 1 0 11000 Monadnock Community Hospital 020222157 3 1 0 11000 3 0 55000 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. Schedule A, Part I, Line 12g, Column i: GraniteOne Health's historically supported organizations have consisted of Cathlic Medical Center, Monadnock Community Hospital ("MCH") and Huggins Hospital ("HH"). Pursuant to the Affiliation Agreement that formed GraniteOne, the Medical Center, HH and MCH each had a right, after two years of participation in GraniteOne, to evaluate whether they would continue participation in the system. Upon review, each participant within GraniteOne concluded it was best to withdraw from GraniteOne and subsequently provided the required notice on October 28, 2022. On June 16, 2023, the parties 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 on December 1, 2023, clearing the way for the parties to complete the disaffiliation. The parties' respective boards each approved changes to their governing documents to unwind the reserved powers and dissolve GraniteOne. On May 30, 2024, the parties filed amendments to their respective governing documents with the New Hampshire Secretary of State as well as the Statement of Dissolution of GraniteOne to complete the wind-down requirements of the GraniteOne system. Since these documents were amended and filed, GraniteOne Health's operations have consisted solely of wind-down and administrative procedures. However, until such time that GraniteOne Health has fully ceased all operations and dissolved all remaining net assets, GraniteOne Health continues to name the three hospitals as supported organizations on this Form 990, Schedule A, Part I, as these wind-down procedures and subsequent net asset transfers either directly indirectly relate to the promotion of the entities' charitable missions. Additionally, the three hospitals and their successor officers and administartors also continue to oversee the wind-down and dissolution of GraniteOne Health as of the end of this tax year. It is expected that GraniteOne Health will be fully terminated in the near future. 0 1 0 0 0 0 0 0 0 Alexander J Walker Esq Trustee/COO/CMC CEO 0 646076 0 0 0 71448 0 270586 0 80585 0 1068695 0 0 Cynthia K McGuire FACHE Trustee/MCH CEO 0 343108 0 69719 0 22436 0 24100 0 27964 0 487327 0 0 Jeremy S Roberge CPA Trustee/HH CEO 0 345000 0 61600 0 0 0 11250 0 26283 0 444133 0 0 Pamela Martel Executive VP & CFO 0 343946 0 0 0 1244 0 4068 0 14938 0 364196 0 0 Edward L Dudley III Former Executive VP & CFO 0 154615 0 0 0 4392 0 120092 0 11918 0 291017 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, Line 4b Schedule J, Page 1, Line 4b, supplemental non-qualified retirement plans: Cynthia McGuire, President & CEO, 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 2023, 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, $18,626 of compensation is reported in Column B(iii), which represents the vested 2020 contribution of $17,500 and earnings of $1,126. The $17,500 has also been reported on this Schedule J, Part II, Column F, as compensation deferred in a previous period which became taxable during this filing period (calendar year 2023 for purposes of income and benefit reporting). Additionally, the following individuals take part in a section 457(f) forfeitable non-qualified deferred compensation plan. The amounts listed represent calendar year 2023 contributions for many years of service, and are included in the total deferred compensation reported on this Schedule J, Part II, Column C. - Edward Dudley, III: $108,804 - Alexander Walker, Jr., Esq.: $258,386 Form 990, Part III, line 3 On December 30, 2016, the Catholic Medical Center System became affiliated with Huggins Hospital (HH), a 25-bed critical access hospital in Wolfeboro, New Hampshire, and Monadnock Community Hospital (MCH), a 25-bed critical access hospital in Peterborough, New Hampshire, through the formation of a common parent, GraniteOne Health (GraniteOne). However, pursuant to the Affiliation Agreement that formed GraniteOne, the Medical Center, HH and MCH each had a right, after two years of participation in GraniteOne, to evaluate whether they would continue participation in the system. Upon review, each participant within GraniteOne concluded it was best to withdraw from GraniteOne and subsequently provided the required notice on October 28, 2022. On June 16, 2023, the parties 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 on December 1, 2023, clearing the way for the parties to complete the disaffiliation. The parties' respective boards each approved changes to their governing documents to unwind the reserved powers and dissolve GraniteOne. On May 30, 2024, the parties filed amendments to their respective governing documents with the New Hampshire Secretary of State as well as the Statement of Dissolution of GraniteOne to complete the wind-down requirements of the GraniteOne system. Since these documents were amended and filed, GraniteOne Health's operations have consisted solely of winddown and administrative procedures, and occassionally forwarding its remaining net assets to the previously supported organizations. GraniteOne Health expects to be fully terminated with all operations concluded and net assets dissolved in the near future. Form 990, Part VI, Section B, line 11b Historically, GraniteOne Health's Board was composed of representatives from its member hospitals, including the Catholic Medical Center, Huggins Hospital, and Monadnock Community Hospital. Effective May 2024, the hospitals filed amendments to their respective governing documents with the New Hampshire Secretary of State as well as the Statement of Dissolution of GraniteOne to complete the wind-down requirements of the GraniteOne system. Additionally, on September 26, 2023, the Catholic Medical Center, and by association its affiliated entities within the CMC Health System, executed a letter of intent with an affiliate of Healthcare Corporation of America (HCA) which provided a framework for the sale of substantially all the assets of the Medical Center to HCA. New Hampshire's attorney general approved the acquisition on January 6, 2025, and the parties closed and completed the transaction shortly thereafter. Through this period, the GraniteOne Health retained an independent public accounting firm to prepare its Form 990 tax return. However, as of the time of filing this Form 990, the Organization's Board of Directors, as it operated during the year ending September 30, 2024, has been fundamentally changed and largely disbanded due to the disaffiliation and merger agreements noted in the previous paragraphs. However, upon its completion, a draft of the Form 990 was still sent to the standing finance personnel, advisors, and executives overseeing the transition processes of the Medical Center into HCA as well as the wind-down of GraniteOne Health, the majority of whom were intimately familiar with the Medical Center's and GraniteOne Health's financial and tax reporting obligations, to ensure the tax return was subject to proper oversight and review procedures prior to its filing. Additionally, the Form 990 was made available to the Board of the Catholic Healthcare Trust, the successor charitable entity of the Catholic Medical Center. 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 Consulting: Program service expenses 55,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 55,000. Form 990, Part XII, Lines 2: Historically, GraniteOne Health's Board was composed of representatives from its member hospitals, including the Catholic Medical Center, Huggins Hospital, and Monadnock Community Hospital, and GraniteOne Health's operations were intrinsically connected to these hospitals. Accordingly, during its time affiliated with these hospitals, GraniteOne Health's financial statements would be audited in conjunction with the Catholic Medical Center. However, effective May 2024, all three hospitals filed amendments to their respective governing documents with the New Hampshire Secretary of State as well as the Statement of Dissolution of GraniteOne to complete the wind-down requirements of the GraniteOne system. Accordingly, GraniteOne Health's financial statements were not audited for the period covered by this Form 990, the tax year ending September 30, 2024, as a result of the disaffiliation transactions. 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 (end 524) 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 (end 524) 1 Monadnock Community Hospital 452 Old Street Road Peterborough NH 03458 020222157 Hospital NH 501(c)(3) Line 3 GraniteOne Health (end 524) 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 L 33000 Actual per Books Huggins Hospital L 11000 Actual per Books Monadnock Community Hospital L 11000 Actual per Books