2026-02-11T13:35:21-06:00 2025-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2024-10-01 020222122 Granite VNA Inc GRAN 6032244093 30 Pillsbury Street Concord NH 03301 Beth J Slepian President & CEO 6032244093 2026-02-10 1 1 Melissa Magoon CPA P01712842 2077752387 2026-02-10 2024 2025-03-06 01:10:19Z Beth J Slepian 30 Pillsbury Street Concord NH 03301 49716405 0 X www.granitevna.org X 1899 NH See Schedule O 16 16 508 181 0 0 3284207 1843057 37659583 35959197 1168026 3805040 56796 81065 42168612 41688359 2000 3421 0 0 42187002 36259096 0 39000 87591 7491535 6740279 49680537 43041796 -7511925 -1353437 52922315 51532496 4976911 4241677 47945404 47290819 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 21885325 23344340 Home Health Care - provides skilled care services to patients who qualify for care in their home. Services were rendered to 9,565 patients including 141,548 visits. Charity care is provided to individuals who are uninsured, underinsured, or otherwise unable to pay the published fee for service. 11474206 12239149 Hospice - supportive care for the terminally ill on a 24-hour basis. Services were rendered to 1,029 patients providing 58,526 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. 352226 3421 375708 Community Health Services - provides community based health care services including senior health clinics, immunization clinics, and community health education including "Healthy Steps for Older Adults" a program to assist older adults reduce their fall risk by increasing awareness and teaching them how to make changes to their health habits and lifestyle to improve safety and well-being and "A Matter of Balance" a program that assists older adults in reducing their fear of falling and improving their activity levels. 33711757 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 11 0 1 508 1 0 0 0 0 0 0 1 1 0 0 0 0 0 X 16 16 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Beth J Slepian 6032244093 30 Pillsbury Street Concord NH 03301 David Green MD Board Chair 3.00 0.20 X X 0 0 0 Natalya Pearl Vice Chair 1.00 0.04 X X 0 0 0 Chris Parkinson Treasurer 1.00 0.00 X X 0 0 0 Andrea Stevenson Secretary 1.00 0.00 X X 0 0 0 Robin Michaud Representative-at-large 1.00 0.00 X X 0 0 0 Michael Griffin Ex-officio/Past Board Chair 1.00 2.00 X X 0 0 0 Daniel Andrus Trustee 1.00 0.00 X 0 0 0 Susan Houghton Trustee 1.00 0.00 X 0 0 0 Daniel Kaplan Trustee 1.00 0.00 X 0 0 0 Neiko Lavery Esq Trustee 1.00 0.00 X 0 0 0 Lyn Lindpaintner MD Trustee 1.00 0.00 X 0 0 0 Oreste Mosca Trustee 1.00 0.00 X 0 0 0 Tonya Rochette Trustee 1.00 0.00 X 0 0 0 Corinne Smith Trustee 1.00 0.00 X 0 0 0 Maura Weston Trustee 1.00 0.00 X 0 0 0 Steven Whitley Trustee 1.00 0.00 X 0 0 0 Joel Arsenault Past Trustee 0.00 0.00 X 0 0 0 Brian Duffy Past Trustee 1.00 0.00 X 0 0 0 Michelline Dufort Past Trustee 1.00 0.00 X 0 0 0 Mark Edelstein Past Trustee 1.00 0.00 X 0 0 0 James Mullins Past Treasurer 1.00 0.00 X X 0 0 0 Beth J Slepian President/CEO 55.00 10.00 X 410789 0 42305 James Manahan CFO 50.00 0.00 X 240923 0 10239 Jason Edwards Nurse 70.00 0.00 X 270326 0 37092 Deb Mullen CIO 50.00 0.00 X 196787 0 20946 Sarah DeFalco CAO 50.00 0.00 X 190832 0 8110 Dan Ray Hospice Medical Director 50.00 0.00 X 168937 0 15047 Angela Arria VP 50.00 0.00 X 154256 0 6556 1632850 0 140295 60 0 1 0 Concord Hospital 250 Pleasant Street Concord NH 03301 Shared Services 568119 HEALTHCAREfirst 343 E Kingsley Street Suite G Springfield MO 65804 Coding/OASIS review 115366 2 5527 139079 626074 1072377 25741 1843057 Home Care Revenue 621610 23344340 23344340 Hospice Revenue 623000 12239149 12239149 Community Services Revenue 621990 375708 375708 35959197 1751852 1751852 9845827 198779 7791418 200000 2054409 -1221 2053188 2053188 21994 139079 29128 -7134 -7134 95699 7500 88199 88199 41688359 35959197 0 3886105 3421 3421 704256 658947 45309 27785254 23167430 4617824 1101691 917794 183897 4392938 3602625 790313 2274957 1852270 419405 3282 52041 52041 92615 92615 39000 39000 141533 141533 536547 42483 494064 154863 126089 28774 501442 428247 73195 1361903 1361903 352795 287246 65549 860491 775945 84546 41110 33472 7638 416336 339189 77147 241674 196771 44903 Medical Supplies 1673743 1673743 Dues & Subscriptions 263596 215442 48154 Fundraising Expenses 49590 49590 43041796 33711757 9242448 87591 X 600 775 1655041 2310875 6336963 2598534 5574461 3707310 477968 628511 11337382 6491078 5088562 4846304 29458363 33401401 4330357 4038786 52922315 51532496 4672800 4129781 193756 2208 110355 109688 4976911 4241677 X 37094281 36059309 10851123 11231510 47945404 47290819 52922315 51532496 X -1353437 664756 34096 X 0 1 X 1 0 X 10191773 4140158 12989218 3284207 1843057 32448413 36058675 34963551 35884540 37659583 35959197 180525546 46250448 39103709 48873758 40943790 37802254 212973959 7040 5685 33532 46257 0 7040 5685 33532 46257 212927702 511750 954322 753946 727326 1751852 4699196 511750 954322 753946 727326 1751852 4699196 990 68124 88199 157313 46762198 40058031 49628694 41739240 39642305 217830468 0.97750 0.98300 0.02160 0.01650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3947 3947 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. 15713386 4124328 1992373 3625183 18204904 13306494 3624881 1217989 15713386 19780766 2324994 8799266 13306494 24218517 -3586632 851119 19780766 21943979 2944400 669862 24218517 0.69748 0.30252 0.00000 0 0 306000 306000 5965686 1670421 4295265 1160818 1160818 0 3895108 3659839 235269 9770 9770 4846304 Beneficial Interest in Perpetual Trusts 1804098 Deferred Compensation 109688 Hospice House Lease Receivable 2125000 4038786 Deferred Compensation 109688 109688 X 42282306 664756 70724 735480 41546826 141533 141533 41688359 42936891 36628 36628 42900263 141533 141533 43041796 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 " "Healthy Steps for Older Adults" a program to assist older adults reduce their fall risk by increasing awareness and teaching them how to make changes to their health habits and lifestyle to improve safety and well-being 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, 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 29,128. Change in Fair Value of Beneficial Interest in Perpetual Trusts 34,096. Gaming Expenses 7,500. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 29,128. Gaming Expenses 7,500. X X X X X X 1 Puleo & Company 57 Millstone Drive Concord NH 03301 Consultative Services 0 0 39000 0 39000 Passion for Caring 74479 52485 21994 2250 6240 11040 Season of Remembrance 56759 56759 3525 1 29835 29835 6073 161073 139079 21994 2250 6240 20638 29128 -7134 95699 7500 0 95699 7500 7500 88199 NH 1 0 1 0 0.00000 1.00000 Beth J Slepian 30 Pillsbury Street Concord NH 03301 1 95699 7500 Filotimo Casino 1279 S Willow St Manchester NH 03103 Julie Stone X 0 X X X X X 0 0 0 0 0 0 0 0 0 Beth J Slepian President/CEO 407693 0 0 0 3096 0 15304 0 27001 0 453094 0 0 0 Jason Edwards Nurse 270326 0 0 0 0 0 11576 0 25516 0 307418 0 0 0 James Manahan CFO 240923 0 0 0 0 0 10239 0 0 0 251162 0 0 0 Deb Mullen CIO 196787 0 0 0 0 0 8435 0 12511 0 217733 0 0 0 Sarah DeFalco CAO 190832 0 0 0 0 0 8110 0 0 0 198942 0 0 0 Dan Ray Hospice Medical Director 168937 0 0 0 0 0 7214 0 7833 0 183984 0 0 0 Angela Arria VP 154256 0 0 0 0 0 6556 0 0 0 160812 0 0 0 X 2 1999 Donor Declared X 142 Donor Declared X 5630 Donor Declared X Other 105 17970 Donor Declared 0 0 0 0 Form 990, Part I, Line 1 Description of Organization Mission: 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, Pediatric Care; Nutritional Counseling; Senior Health Clinics; Flu 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 72 communities in central New Hampshire. Granite VNA serves over 10,594 patients annually and provides more than 114,528 homecare visits and approximately 58,526 hospice days annually, including a 10-bed 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 2025, Granite VNA, Inc.'s Home Care Program provided care to 9,565 patients. Seven percent (7%) of the patients served in the Home Care Program were uninsured or received funding from Medicaid. In addition, 55% of the Home Care patients had Medicare or Medicare replacement plans as their insurance plan. The Hospice program provided care to 1,029 patients. Ninety one percent (91%) of the Hospice patients had Medicare and 1% 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 includes review of the agency's 990. The Audit Committee engages the auditors and receives the fiscal audit and the 990 Report. The Audit Committee receives a complete copy of the 990 including all schedules. The initial presentation of the FY2025 audit and the 990 Form will occur at the January 28th, 2026, meeting of the joint Audit & Finance Committee. 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 FY2025, 100% of the Board of Trustees returned the signed conflict of interest forms. The Audit Committee at its April 22, 2025, 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 10, 2025, meeting approved the conflict-of-interest disclosures. There was one pecuniary conflict reported. In addition to the annual completion of the form, Trustees were asked at every Board meeting during Fiscal Year 2025, 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 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 34,096. 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 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 Concord Hospital Inc L 105800 FMV Concord Hospital Inc P 588471 FMV Concord Hospital Inc C 85000 FMV