Liabilities / Assets
30th percentile
Higher debt load relative to assets than 30% of similar nonprofits.
EIN 02-0222122 • 501(c)3 • Concord, NH
Profile
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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
30th percentile
Higher debt load relative to assets than 30% of similar nonprofits.
Liabilities / Revenue
21st percentile
Higher debt load relative to revenue than 21% of similar nonprofits.
Net Margin
24th percentile
Higher net margin than 24% of similar nonprofits.
Top Officer Pay
63rd percentile
Higher top officer pay than 63% of similar nonprofits.
Top officer pay equals 1.1% of source-year revenue.
Asset Growth
18th percentile
Faster asset growth than 18% of similar nonprofits.
Revenue Growth
26th percentile
Faster revenue growth than 26% of similar nonprofits.
Assets
Down$51,532,496
Down $1,389,819 (-2.6%) from 2024
Liabilities
Down$4,241,677
Down $735,234 (-15%) from 2024
Net Assets
Down$47,290,819
Down $654,585 (-1.4%) from 2024
Revenue
Down$41,688,359
Down $480,253 (-1.1%) from 2024
Expenses
Down$43,041,796
Down $6,638,741 (-13%) from 2024
Net Income
Up-$1,353,437
Up $6,158,488 (+82%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
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.
See Schedule O
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $29,458,363 | $33,401,401 | ▲ $3,943,038 |
| Land, Buildings, and Equipment, Net | $5,088,562 | $4,846,304 | ▼ $242,258 |
| Accounts Receivable | $5,574,461 | $3,707,310 | ▼ $1,867,151 |
| Pledges and Grants Receivable | $6,336,963 | $2,598,534 | ▼ $3,738,429 |
| Savings and Temporary Cash Investments | $1,655,041 | $2,310,875 | ▲ $655,834 |
| Prepaid Expenses and Deferred Charges | $477,968 | $628,511 | ▲ $150,543 |
| Cash and Non-Interest-Bearing Accounts | $600 | $775 | ▲ $175 |
| Total Assets | $52,922,315 | $51,532,496 | ▼ $1,389,819 |
| Other Assets Total | $4,330,357 | $4,038,786 | ▼ $291,571 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $4,672,800 | $4,129,781 | ▼ $543,019 |
| Other Liabilities | $110,355 | $109,688 | ▼ $667 |
| Deferred Revenue | $193,756 | $2,208 | ▼ $191,548 |
| Total Liabilities | $4,976,911 | $4,241,677 | ▼ $735,234 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $37,094,281 | $36,059,309 | ▼ $1,034,972 |
| Net Assets With Donor Restrictions | $10,851,123 | $11,231,510 | ▲ $380,387 |
| Total Net Assets Fund Balance | $47,945,404 | $47,290,819 | ▼ $654,585 |
| Total Liabilities and Net Assets / Fund Balance | $52,922,315 | $51,532,496 | ▼ $1,389,819 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $4,295,265 | $1,670,421 | $5,965,686 |
| Equipment | $235,269 | $3,659,839 | $3,895,108 |
| Leasehold Improvements | $0 | $1,160,818 | $1,160,818 |
| Land | $306,000 | - | $306,000 |
| Other Land Buildings | $9,770 | - | $9,770 |
| Other Assets Org | $2,125,000 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $15,713,386 | $4,124,328 | ▲ $1,992,373 | $3,625,183 | $18,204,904 |
| 2023 | $13,306,494 | - | ▲ $3,624,881 | $1,217,989 | $15,713,386 |
| 2022 | $19,780,766 | - | ▲ $2,324,994 | $8,799,266 | $13,306,494 |
| 2021 | $24,218,517 | - | ▼ $3,586,632 | $851,119 | $19,780,766 |
| 2020 | $21,943,979 | - | ▲ $2,944,400 | $669,862 | $24,218,517 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Beth J Slepian | President/CEO | FT | $407,693 | $45,401 | $453,094 |
| Jason Edwards | Nurse | FT | $270,326 | $37,092 | $307,418 |
| James Manahan | CFO | FT | $240,923 | $10,239 | $251,162 |
| Deb Mullen | CIO | FT | $196,787 | $20,946 | $217,733 |
| Sarah DeFalco | CAO | FT | $190,832 | $8,110 | $198,942 |
| Dan Ray | Hospice Medical Director | FT | $168,937 | $15,047 | $183,984 |
| Angela Arria | VP | FT | $154,256 | $6,556 | $160,812 |
| Name | Title |
|---|---|
| David Green MD | Board Chair |
| Michael Griffin | Ex-officio/Past Board Chair |
| Natalya Pearl | Vice Chair |
| Brian Duffy | Past Trustee |
| Joel Arsenault | Past Trustee |
| Mark Edelstein | Past Trustee |
| Michelline Dufort | Past Trustee |
| Corinne Smith | Trustee |
| Daniel Andrus | Trustee |
| Daniel Kaplan | Trustee |
| Lyn Lindpaintner MD | Trustee |
| Maura Weston | Trustee |
| Neiko Lavery Esq | Trustee |
| Oreste Mosca | Trustee |
| Steven Whitley | Trustee |
| Susan Houghton | Trustee |
| Tonya Rochette | Trustee |
| James Mullins | Past Treasurer |
| Robin Michaud | Representative-at-large |
| Andrea Stevenson | Secretary |
| Chris Parkinson | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Concord Hospital | Shared Services | 250 Pleasant Street, Concord, NH 03301 | $568,119 |
| HEALTHCAREfirst | Coding/OASIS review | 343 E Kingsley Street Suite G, Springfield, MO 65804 | $115,366 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Other Non Cash Contri Table | 105 | $17,970 | Donor Declared |
| Clothing and Household Goods | - | $5,630 | Donor Declared |
| Works of Art | 2 | $1,999 | Donor Declared |
| Books and Publications | - | $142 | Donor Declared |
| Total Noncash Contributions | 107 | $25,741 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $36,259,096 |
| Other Expenses | $6,740,279 |
| Total Fundraising Expense | $87,591 |
| Professional Fundraising Fees | $39,000 |
| Grants and Similar Amounts Paid | $3,421 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $23,167,430 | $4,617,824 | - | $27,785,254 |
| Other Employee Benefits | $3,602,625 | $790,313 | - | $4,392,938 |
| Payroll Taxes | $1,852,270 | $419,405 | $3,282 | $2,274,957 |
| Information Technology | - | $1,361,903 | - | $1,361,903 |
| Pension Plan Contributions | $917,794 | $183,897 | - | $1,101,691 |
| Travel | $775,945 | $84,546 | - | $860,491 |
| Current Officers, Directors, Trustees, and Key Employees | - | $658,947 | $45,309 | $704,256 |
| Fees for Services Other | $42,483 | $494,064 | - | $536,547 |
| Office Expenses | $428,247 | $73,195 | - | $501,442 |
| Depreciation Depletion | $339,189 | $77,147 | - | $416,336 |
| Occupancy | $287,246 | $65,549 | - | $352,795 |
| Insurance | $196,771 | $44,903 | - | $241,674 |
| Advertising | $126,089 | $28,774 | - | $154,863 |
| Fees for Service Investment Mgmnt Fees | - | $141,533 | - | $141,533 |
| Fees for Services Accounting | - | $92,615 | - | $92,615 |
| Fees for Services Legal | - | $52,041 | - | $52,041 |
| Other Expenses | $49,590 | $48,154 | - | $49,590 |
| Conferences and Meetings | $33,472 | $7,638 | - | $41,110 |
| Fees for Services Professional Fundraising | - | - | $39,000 | $39,000 |
| Grants to Domestic Individuals | $3,421 | - | - | $3,421 |
| Total Functional Expenses | $33,711,757 | $9,242,448 | $87,591 | $43,041,796 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $43,041,796 |
| Total Expenses per Audited Statements | $42,936,891 |
| Expenses per Audited Statements | $42,900,263 |
| Expenses Not Reported on Financial Statements | $141,533 |
| Expenses Not Reported on Form 990 | $36,628 |
| Line Item | Amount |
|---|---|
| Gaming Gross Income | $95,699 |
| Professional Fundraising Fees | $39,000 |
| Fundraising Direct Expenses | $29,128 |
| Fundraising Gross Income | $21,994 |
| Gaming Direct Expenses | $7,500 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Season of Remembrance | $56,759 | - | $3,525 | - |
| Passion for Caring | $74,479 | $21,994 | $11,040 | $10,954 |
| Total Events | $161,073 | $21,994 | $29,128 | $-7,134 |
| Liability | Amount |
|---|---|
| Deferred Compensation | $109,688 |
“Capital Region HealthCare Corporation is the sole member of Granite VNA Inc.”
“Capital Region HealthCare Corporation accepts any changes made to the bylaws by the governing body.”
“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.”
“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”
“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.”
“The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.”
“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.”
“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).”
“Change in Fair Value of Beneficial Interest in Perpetual Trusts 34,096.”
“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.”
“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.”
“Fundraising Expenses 29,128. Change in Fair Value of Beneficial Interest in Perpetual Trusts 34,096. Gaming Expenses 7,500.”
“Fundraising Expenses 29,128. Gaming Expenses 7,500.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 4672800 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 4129781 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 5574461 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 3707310 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | See Schedule O |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 28774 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 126089 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 154863 |
| IRS990/AllOtherContributionsAmt | 0 | 1072377 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Beth J Slepian |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6032244093 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 30 Pillsbury Street |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Concord |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NH |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 03301 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 600 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 775 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
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| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 658947 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 704256 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 7638 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 33472 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 41110 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
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| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 115366 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 343 E Kingsley Street Suite G |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Springfield |
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| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Coding/OASIS review |
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| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 3421 |
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| IRS990/CYOtherExpensesAmt | 0 | 6740279 |
| IRS990/CYOtherRevenueAmt | 0 | 81065 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 35959197 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -1353437 |
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| IRS990/CYTotalExpensesAmt | 0 | 43041796 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 87591 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 39000 |
| IRS990/CYTotalRevenueAmt | 0 | 41688359 |
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| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 1 |
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| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 2208 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
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| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 339189 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 416336 |
| IRS990/Desc | 0 | 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. |
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| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 11231510 |
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| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 39000 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 70.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 17 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 18 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 19 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 20 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 42305 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 10239 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 37092 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 20946 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 8110 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 15047 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 6556 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | David Green MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Natalya Pearl |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Chris Parkinson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Andrea Stevenson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Robin Michaud |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Michael Griffin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Daniel Andrus |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Susan Houghton |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Daniel Kaplan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Neiko Lavery Esq |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Lyn Lindpaintner MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Oreste Mosca |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Tonya Rochette |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Corinne Smith |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Maura Weston |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Steven Whitley |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Joel Arsenault |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Brian Duffy |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Michelline Dufort |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Mark Edelstein |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | James Mullins |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Beth J Slepian |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | James Manahan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | Jason Edwards |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | Deb Mullen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | Sarah DeFalco |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | Dan Ray |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | Angela Arria |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 410789 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 240923 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 270326 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 196787 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 190832 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 168937 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 154256 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Board Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Representative-at-large |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Ex-officio/Past Board Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Past Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Past Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Past Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Past Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Past Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | President/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Nurse |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | CAO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | Hospice Medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | VP |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1899 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 139079 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 29128 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 21994 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -1221 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 2054409 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GamingDirectExpensesAmt | 0 | 7500 |
| IRS990/GamingGrossIncomeAmt | 0 | 95699 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 16 |
| IRS990/GovernmentGrantsAmt | 0 | 626074 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 3421 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 3421 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 198779 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 9845827 |
| IRS990/GrossReceiptsAmt | 0 | 49716405 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 16 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 60 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 1361903 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1361903 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 44903 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 196771 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 241674 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1751852 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1751852 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 29458363 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 33401401 |
| IRS990/IRPDocumentCnt | 0 | 11 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 6491078 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 5088562 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 4846304 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 11337382 |
| IRS990/LegalDomicileStateCd | 0 | NH |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 200000 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 7791418 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
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