Civic Intelligence

Graniteone Health

990 • Fiscal year 2017 • EIN 81-4663563

Nov 21, 2016 to Sep 30, 2017 • Filed on Jul 30, 2018

100 McGregor StreetManchester, NH 03102

(603) 668-3545

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

95th percentile

1.05x

Higher debt load relative to assets than 95% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Liabilities / Revenue

96th percentile

1.05x

Higher debt load relative to revenue than 96% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Net Margin

29th percentile

-5.3%

Higher net margin than 29% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Top Officer Pay

100th percentile

$860,190

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 180.6% of source-year revenue.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2017

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2017

Assets

$476,320

No earlier filing loaded for comparison.

Net Assets

-$25,251

No earlier filing loaded for comparison.

Liabilities

$501,571

No earlier filing loaded for comparison.

Revenue

$476,320

No earlier filing loaded for comparison.

Expenses

$501,571

No earlier filing loaded for comparison.

Net Income

-$25,251

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$8.0M$6.0M$4.0M$2.0M$0-$2.0MAssets 2017: $476,320Liabilities 2017: $501,571Net Assets 2017: -$25,2512017Assets 2018: $312,930Liabilities 2018: $326,180Net Assets 2018: -$13,2502018Assets 2019: $2,951,154Liabilities 2019: $2,973,765Net Assets 2019: -$22,6112019Assets 2020: $6,721,882Liabilities 2020: $6,730,658Net Assets 2020: -$8,7762020Assets 2021: $1,202,880Liabilities 2021: $1,211,656Net Assets 2021: -$8,7762021Assets 2022: $1,024,266Liabilities 2022: $1,033,042Net Assets 2022: -$8,7762022Assets 2023: $1,006,018Liabilities 2023: $1,011,898Net Assets 2023: -$5,8802023Assets 2024: $506,198Liabilities 2024: $512,698Net Assets 2024: -$6,5002024

Highlighted filing

2017

Assets$476,320
Liabilities$501,571
Net Assets-$25,251

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$10M$5.0M$0-$5.0MRevenue 2017: $476,320Expenses 2017: $501,571Net Income 2017: -$25,2512017Revenue 2018: $462,927Expenses 2018: $450,926Net Income 2018: $12,0012018Revenue 2019: $3,423,954Expenses 2019: $3,433,315Net Income 2019: -$9,3612019Revenue 2020: $4,211,375Expenses 2020: $4,197,540Net Income 2020: $13,8352020Revenue 2021: $8,160,739Expenses 2021: $8,160,739Net Income 2021: $02021Revenue 2022: $2,237,816Expenses 2022: $2,237,816Net Income 2022: $02022Revenue 2023: $158,402Expenses 2023: $155,506Net Income 2023: $2,8962023Revenue 2024: $55,000Expenses 2024: $55,620Net Income 2024: -$6202024

Highlighted filing

2017

Revenue$476,320
Expenses$501,571
Net Income-$25,251
Jump To
Filing Snapshot
Filing Period
Nov 21, 2016 to Sep 30, 2017
Signed
Jul 30, 2018
Return Version
2016v3.0
Gross Receipts
$476,320
Mission and Program Overview

Mission

Our mission is to provide accessible, patient-centered, high quality care to our communities through exceptional collaboration and integration across the continuum of health.

To provide accessible, patient-centered, high quality care to our communities through exceptional collaboration and integration across the continuum of health.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable-$476,320-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$-25,251▼ $25,251
Total Assets$0$476,320▲ $476,320
Liabilities
Accounts Payable and Accrued Expenses-$501,571-
Total Liabilities$0$501,571▲ $501,571
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$-25,251▼ $25,251
Total Liabilities and Net Assets / Fund Balance$0$476,320▲ $476,320
Compensation and Service Providers

Board Members and Trustees

NameTitle
Rick BotnickChairperson
Joseph GrahamVice Chairperson
Andy CrewsTrustee
Keith A Stahl MDTrustee
Leslie NH MacLeodTrustee
Marcia OberTrustee
Maria C MonganTrustee
Alexander J Walker EsqTrustee/CMC CEO Designee
Jeremy S Roberge CPATrustee/HH CEO
Cynthia K McGuire FACHETrustee/MCH CEO
Joseph Pepe MDCEO/CMC CEO
Edward L Dudley IIICFO
Matthew AlbuquerqueSecretary
Marie McKay CPATreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Catholic Medical CenterStaffing100 McGregor Street, Manchester, NH 03102$342,878
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$476,320
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-25,251

Audited Revenue Reconciliation

Revenue per Audited Statements
$476,320
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$476,320
Total Revenue per Form 990
$476,320
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$501,571
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$342,878$93,780-$436,658
Office Expenses$25,499--$25,499
Fees for Services Accounting-$25,250-$25,250
Insurance-$8,500-$8,500
Fees for Services Legal-$5,664-$5,664
Total Functional Expenses$368,377$133,194$0$501,571

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$501,571
Total Expenses per Audited Statements$501,571
Total Expenses per Form 990$501,571
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, line 11B

The Form 990 is prepared by an independent accounting firm (Baker Newman Noyes). Upon completion, a draft of the Form 990 is reviewed by the Organization's staff leadership prior to submission to the Board of Trustees for final approval. Upon approval from the Board, the Form 990 is filed with the Internal Revenue Services.

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 directors 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 directors 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.

Filing and Contact Details

Filer

Filer Name
GraniteOne Health
EIN
81-4663563
Phone
6036683545
Address
100 McGregor Street, Manchester, NH 03102

Signing Officer

Name
Edward L Dudley III
Title
Chief Financial Officer
Phone
6036683545
Signed
2018-07-30

Organization Details

Principal Officer
Joseph Pepe MD
Formed
2016
Legal Domicile
Nh
Voting Board Members
13
Independent Board Members
8
Employees
0
Volunteers
8

Preparer

Firm
Baker Newman & Noyes
Address
PO Box 507, Portland, ME 04112
Preparer
Nicholas E Porto
Phone
2078792100
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Organization Staffing: Program service expenses 342,878. Management and general expenses 0. Fundraising expenses 0. Total expenses 342,878. Consulting Fees: Program service expenses 0. Management and general expenses 93,780. Fundraising expenses 0. Total expenses 93,780.

Form 990, Part XII, Line 2C:

The 2016 Form 990 for the short period ending September 30, 2017, was the organization's initial tax year. The organization's financial statements underwent a review by an independent accounting firm and was included in the combined financial statements of CMC Healthcare System, Inc. and GraniteOne Health and Affiliates.

Financial Statement Notes

Part X, Line 2:

The parent companies, hospitals and affiliates comprising the System, with the exception of Enterprises, DMA, CAHS, BASC and MOB, are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the System's tax positions and concluded the System has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to the combined financial statements. Enterprises, DMA, CAHS (dissolved in September 2017), BASC and MOB are for-profit organizations and, in accordance with federal and state tax laws, file income tax returns, as applicable. No significant income taxes were incurred or paid for the nine-month period ended September 30, 2017. There are no significant deferred tax assets or liabilities at September 30, 2017. These entities have concluded there are no significant uncertain tax positions requiring disclosure and there is no material liability for unrecognized tax benefits. It is the policy of these entities to recognize interest related to unrecognized tax benefits in interest expense and penalties in income tax expense.

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IRS990/MissionDesc0Our mission is to provide accessible, patient-centered, high quality care to our communities through exceptional collaboration and integration across the continuum of health.
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IRS990/PrincipalOfficerNm0Joseph Pepe MD
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0The 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.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1The 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.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part I, Line 12g, Column vi:
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1Part IV, Section B, Line 1:
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IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt295264
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0Catholic Medical Center
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1Huggins Hospital
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2Monadnock Community Hospital
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IRS990ScheduleD/RevenueSubtotalAmt0476320
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The parent companies, hospitals and affiliates comprising the System, with the exception of Enterprises, DMA, CAHS, BASC and MOB, are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the System's tax positions and concluded the System has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to the combined financial statements. Enterprises, DMA, CAHS (dissolved in September 2017), BASC and MOB are for-profit organizations and, in accordance with federal and state tax laws, file income tax returns, as applicable. No significant income taxes were incurred or paid for the nine-month period ended September 30, 2017. There are no significant deferred tax assets or liabilities at September 30, 2017. These entities have concluded there are no significant uncertain tax positions requiring disclosure and there is no material liability for unrecognized tax benefits. It is the policy of these entities to recognize interest related to unrecognized tax benefits in interest expense and penalties in income tax expense.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount50
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt20
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