Granite VNA

What Granite VNA does

Granite VNA is a 501(c)(3) not-for-profit home health and hospice agency headquartered in Concord, New Hampshire, founded in 1899 and operating as the largest not-for-profit home health and hospice provider in the state. The organization delivers post-acute home care, hospice, pediatric and maternal-child health, advanced illness management, caregiver support, and community wellness services to residents of 72 communities across central New Hampshire, the Greater Capital Region, and the Lakes Region, including Belknap County, Merrimack County, and southern Grafton County. In FY2025 (October 2024 - September 2025), the agency recorded approximately 151,014 patient visits across home care (111,331 visits to 6,096 patients), hospice (28,176 visits to 799 patients), the 10-bed Hospice House (11,507 visits to 419 patients), and maternal-child visits, supported by a clinical and operational team of more than 400 employees and 8,884 volunteer hours.

The agency operates four physical locations: a Concord headquarters at 30 Pillsbury Street, a Laconia office at 780 North Main Street, a Wolfeboro office at 645 South Main Street, and the 10-bed Granite VNA Hospice House at 240 Pleasant Street in Concord, which provides 24-hour inpatient end-of-life care. Its technology stack includes the Ibis Health telemonitoring platform (launched April 2026) for continuous remote monitoring of chronic conditions, covered as a Medicare Part B benefit, and the StrongerMemory brain health curriculum (launched December 2025, licensed from Goodwin Living), positioning Granite VNA as the only community-based provider of that program in the Northeast.

Revenue is generated primarily through Medicare and Medicaid fee-for-service reimbursement for home health, hospice, pediatric, and advanced illness services, supplemented by private insurance and self-pay, charitable donations and fundraising events (Passion for Caring, Season of Remembrance, Harleys for Hospice, Hospice Home & Garden Tour), and planned giving through the Legacy Society. As a nonprofit, the organization reports community benefit ($6.1M in FY2025) rather than profit and reinvests surpluses into charity care ($142,500 in FY2025), subsidized hospice operations ($2.45M), and community wellness programming (156 programs reaching 1,435 community members, 3,197 foot care clinic visits). Leadership is in transition: Beth Slepian retired as President and CEO on June 12, 2026 after serving since 2015, with James Culhane succeeding her effective July 2026.

Name

Granite VNA

Legal name

Granite VNA

Website

https://granitevna.org

Company type

Private

Founded year

1899

Operating status

Operating

Headcount range

251–500 employees

Short description

Granite VNA is a 501(c)(3) nonprofit home health, hospice, and community wellness agency founded in 1899, serving 72 communities in central New Hampshire through 400+ staff and a 10-bed Hospice House, with revenue from Medicare/Medicaid reimbursement and charitable donations.

Ownership category

akta.pro rank

Product category

Home Health and Hospice Services

NAICS

Home Health Care Services (62161)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Home Hospice Agencies (HLAFAEAC)

akta.pro secondary industries

Residential Hospice / Hospice House (Facility-Based) (HLADAHAC), Home Hospice (Routine Home Care) (HLADAHAA), Hospice Care in Assisted Living / Residential Care Facilities (HLADAHAE), Palliative Care, Hospice & Serious Illness Support (BPAGACAK)

Keywords

• Home health services
• Hospice care
• Community wellness programs
• Pediatric home care
• Caregiver support

Headquarters

HQ city

Concord

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Medicare and Medicaid Reimbursement: The agency generates the majority of its revenue through Medicare and Medicaid reimbursements for home health, hospice, and pediatric services. Home healthcare organizations face workforce shortages and proposed Medicare payment reductions, making government reimbursement a critical but variable revenue stream.
2. Hospice House Operations: Granite VNA operates a 10-bed nonprofit Hospice House in Concord, providing 24/7 end-of-life care. The facility generated $2,449,361 in subsidized health services in FY2025, reflecting significant charity care investment.
3. Donations and Fundraising: As a 501(c)(3) nonprofit, Granite VNA relies on charitable donations, fundraising events, and planned giving programs. Major annual events include Passion for Caring (raised nearly $76,000), Season of Remembrance ($53,000+), Hospice Home & Garden Tour ($29,000+), Harleys for Hospice raffle, and e-bike raffle.
4. Community Health Services and Wellness Programs: The agency delivers community wellness programs, foot care clinics, educational programs, and support groups. These include 156 in-person and online wellness programs for 1,435 community members, and 3,197 foot care clinic visits.
5. Private Pay and Insurance: Services are billed to private insurance plans, and the agency offers charity care ($142,500 in FY2025) to individuals who are uninsured, underinsured, or unable to pay out-of-pocket fees.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels7 records

Core offering

Granite VNA is a not-for-profit home health and hospice agency delivering skilled nursing, therapy, hospice, pediatric, and advanced illness management services directly to patients in their homes and at its 10-bed Hospice House in Concord, NH. The agency also operates community wellness, caregiver support, grief support, and brain health programs for residents of 72 central New Hampshire communities.

Product overview

Granite VNA is New Hampshire's largest not-for-profit home health and hospice agency offering a comprehensive suite of healthcare services. The core portfolio includes Home Care (post-procedure/illness recovery), Hospice, Hospice House (10-bed residential facility), Pediatrics and Maternal Child Health, and Advanced Illness Management. The agency supplements clinical services with wellness and support offerings including Grief Support, Community Wellness Programs, Caregiver Support Programs, and the StrongerMemory brain health program. A notable addition is Telemonitoring Services, delivered in partnership with Ibis Health, which extends continuous monitoring capabilities for chronic condition management. The organization serves 72 communities across central New Hampshire.

Differentiator

Problem solved

Functional benefit

Products and services

• Home Care Skilled nursing, wound care, physical/occupational/speech therapy, and medication management delivered in patients' homes, assisted living communities, retirement communities, and skilled nursing facilities. For adult patients recovering from illness, surgery, or managing chronic conditions.
• Hospice End-of-life care for patients with life-limiting illnesses, providing pain management, nursing, spiritual care, emotional support, companionship, and family caregiver respite. Delivered at home, in assisted living, in retirement communities, and at Granite VNA's Hospice House.
• Hospice House A 10-bed nonprofit residential hospice facility in Concord, NH providing around-the-clock end-of-life inpatient care for hospice patients who cannot be cared for at home. Generated 11,507 visits to 419 patients in FY2025.
• Pediatrics and Maternal Child Health Specialized home care for children born prematurely, with physical impairments, or with chronic conditions, and maternal-child home visiting support through the Healthy Families America program. Includes 920 baby first homecoming visits annually.
• Advanced Illness Management A specialized program supporting patients coping with difficult-to-manage medical situations and new or worsening health symptoms who are not yet ready for hospice.
• Telemonitoring Services Continuous remote patient monitoring via the Ibis Health tablet platform providing daily vital signs monitoring, medication reminders, and 24/7 clinical care team support for homecare patients managing chronic conditions such as congestive heart failure and COPD. Medicare Part B benefit with no upfront cost.
• Grief Support Counseling and support services for individuals and families navigating grief, including support groups such as the Living with Grief Support Group and educational resources.
• Community Wellness Programs Community education programs, foot care clinics, caregiver resources, flu shot clinics, and wellness initiatives promoting health and independence for community members of all ages across central New Hampshire.
• StrongerMemory Program An evidence-informed brain health program for older adults using daily reading out loud, simple writing, and math exercises to improve cognitive function and help alleviate symptoms of mild cognitive impairment and early-stage dementia.
• Caregiver Support Programs Multi-program support offering for family caregivers including Caregiver Connection peer support, Powerful Tools for Caregivers education, Walk-In Wednesday social work consultations, and Capital Area Memory Café for dementia caregivers.

Quantifiable outcome

• 111,331 home care visits to 6,096 patients and 28,176 hospice visits to 799 patients in FY2025
• +4 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Nine partnerships are on record, tiered minor and core.

• Laconia Harley-DavidsonminorGTM or Marketing Partner · 1 June 2026Granite VNA partners with Laconia Harley-Davidson for the annual 'Harleys for Hospice' motorcycle raffle during Laconia Motorcycle Week. A custom-designed 2026 Harley-Davidson FLHC Heritage Classic is raffled to raise critical funding for hospice services serving 72 communities in central New Hampshire. The partnership generates community visibility and charitable donations.
• Passion for Caring 2026 SponsorsminorGTM or Marketing Partner · 1 May 2026Multiple corporate sponsors supported Granite VNA's Passion for Caring 2026 fundraiser including Cambridge Trust (Presenting Sponsor), Bank of New Hampshire (Platinum), and CGI Business Solutions, MatrixCare, New England Employee Benefits Company (Gold), among others.
• Ibis HealthcoreTechnology or Integration · 1 April 2026Granite VNA partnered with Ibis Health, a digital medical company serving Medicare patients, to introduce telehealth telemonitoring services for homecare patients managing chronic conditions such as congestive heart failure and COPD. Ibis Health provides 24/7 daily vital signs monitoring via tablet, medication reminders, and specialized clinical care team support. Even after patients are discharged from homecare services, Ibis Health continues supporting them and can reconnect patients to Granite VNA as needed.
• Goodwin Living (Northern Virginia)minorStrategic or Co-development Partner · 1 December 2025Granite VNA licensed the StrongerMemory program from Goodwin Living of Northern Virginia, an evidence-informed brain health program for older adults. Granite VNA is the only organization in the Northeast and one of few in the U.S. to offer this as a community-based program.
• Season of Remembrance 2025 SponsorsminorGTM or Marketing Partner · 1 October 2025Corporate sponsors for the 2025 Season of Remembrance campaign include Bridge & Byron Printers, Concord Hospital, New England Employee Benefits Company, SimiTree, The Colony Group, The Lawson Group (Luminaria sponsors), and Carlson Investments, Encompass Health, Focus Partners, NBT Bank, Nathan Wechsler & Company, Wilkinson-Beane-Simoneau-Paquette Funeral Home (Candlelight sponsors).
• American Red CrossminorGTM or Marketing PartnerGranite VNA partnered with the American Red Cross to host community blood drives in Laconia, supporting regional blood supply needs.
• Jimmy 'Snaz' MacKenzie (North Street Tattoo)minorGTM or Marketing PartnerAcclaimed local tattoo artist featured on Spike TV's Ink Master designed the custom artwork for the 2026 Harley-Davidson Heritage Classic raffle benefiting Granite VNA hospice services.
• Cornerstone VNAcoreStrategic or Co-development PartnerCornerstone VNA (formerly part of the merged Granite VNA entity) reported 43% growth in home health census over five years. Industry context: providers like Cornerstone VNA are cited alongside Granite VNA as leading New Hampshire home health agencies navigating workforce shortages and Medicare payment challenges.
• The Wright Museum of World War IIminorGTM or Marketing PartnerGranite VNA was one of five local nonprofit beneficiaries of the 2025 Wolfeboro Festival of Trees, held at the Wright Museum. The festival raised over $7,000 to support Granite VNA home care and hospice services.

Scale indicators9 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Addus HomeCare: Personal care, home health, and hospice operator serving Medicaid and Medicare populations across multiple states. Comparable in serving government-pay patients with home and community-based services, including personal care and hospice similar to Granite VNA's offerings.
• BrightSpring Health Services: National provider of home and community-based health services including home health, hospice, and pharmacy support. Comparable in offering home- and community-based care across the full continuum, though at far greater scale and as a publicly traded, for-profit platform.
• Bayada Home Health Care: Large national nonprofit home health, hospice, and personal care provider operating across many U.S. states. Comparable as a scaled, mission-driven home health and hospice operator with pediatric, adult, and senior service lines similar to Granite VNA's portfolio.
• Compassus: National hospice, palliative, and home health provider operating across the U.S. Directly comparable in hospice and palliative service offerings to Granite VNA's hospice program and Hospice House, though as a multi-state for-profit versus a regional nonprofit.
• Amedisys: National home health and hospice operator (now affiliated with UnitedHealth/Optum) offering skilled nursing, therapy, and hospice services across the U.S. Comparable at the service-line level — home health and hospice — though operating as a for-profit incumbent rather than a regional nonprofit.
• Encompass Health: National post-acute care provider that acquired LHC Group in 2022, adding a sizable home health and hospice footprint. Comparable on the home health/hospice service portfolio, though much larger and operating across many states versus Granite VNA's regional footprint.

Regional players

• Concord Hospital Visiting Nurse Association: Hospital-affiliated home health and hospice service associated with Concord Hospital in New Hampshire. Comparable as a regional NH provider of home health and hospice with overlapping service area and likely referral overlap with Granite VNA in the Greater Concord region.

Direct peers

• The Elliot VNA: New Hampshire-based VNA affiliated with Elliot Hospital providing home health and hospice across southern NH. Comparable nonprofit/community-based VNA operating in the same state, with overlapping service lines and referral networks.
• Lake Sunapee Region VNA & Hospice: New Hampshire-based nonprofit VNA providing home health, hospice, and palliative services. Highly comparable as a regional nonprofit VNA; incoming Granite VNA CEO James Culhane led Lake Sunapee from 2015 until 2026.
• Cornerstone VNA: New Hampshire-based nonprofit VNA offering home health, hospice, and palliative care across the Lakes Region. Directly comparable as a fellow NH nonprofit VNA; data even references Cornerstone VNA's 43% home health census growth alongside Granite VNA as a regional peer.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/GraniteVNA
• Facebookfacebook.com/ConcordRegionalVisitingNurseAssociation

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Granite VNA