2025-08-26T11:47:03-05:00 2024-12-31 850436347 PELTIER GUSTAFSON & MILLER P A 7020 PROSPECT PLACE NE ALBUQUERQUE NM 87110 990 2024-01-01 870933859 GRAPHITE HEALTH INC GRAP 5053622639 240 N EAST PROMONTORY SUITE 200 FARMINGTON UT 84025 LYNNE HUNT VP OF FINANCE 5053622639 2025-08-20 1 0 DONALD H MILLER P00024321 5058813953 2024 2025-03-06 01:10:19Z LYNNE HUNT 240 N EAST PROMONTORY SUITE 200 FARMINGTON UT 84025 17004 0 X GRAPHITEHEALTH.IO X 2021 DE SEE PART III. 6 5 34 0 0 0 0 0 0 0 16786 17004 0 0 16786 17004 0 0 0 0 7743860 6185230 0 0 0 7256217 6974199 15000077 13159429 -14983291 -13142425 4489201 4147137 31886801 44687162 -27397600 -40540025 X GRAPHITE HEALTH IS A 501(C)(4) WITH A MISSION TO ESTABLISH A TRUSTED DIGITAL ECOSYSTEM COMPOSED OF AN INTEROPERABLE DATA PLATFORM AND THE S2 STANDARD, A FLEXIBLE AND OPEN INFORMATION STANDARD, THAT WILL DRIVE THE ADVANCEMENT OF HEALTHCARE FOR PATIENTS. 0 1 5886420 PLATFORM DEVELOPMENT - IN 2024, GRAPHITE CONTINUED TO ENHANCE ITS PLATFORM SOFTWARE AND REFINED ITS CAPABILITIES. IT WAS ABLE TO DEMONSTRATE ITS CAPABILITIES IN A TEST ENVIRONMENT AT A POTENTIAL CUSTOMER/MEMBER. 125813 MARKETPLACE DEVELOPMENT - IN FEBRUARY 2024, GRAPHITE CHANGED ITS DIRECTION AWAY FROM DEVELOPMENT OF THE MARKETPLACE. 3535990 S2 STANDARD DEVELOPMENT - IN 2024, GRAPHITE CONTINED DEVELOPMENT OF A NEW STANDARD WHICH ENCODES OPERATIONAL SEMANTICS OF HEALTH DATA, ENABLING PROCESS AUTOMATION AND INTEROPERABILITY FOR FRICTIONLESS COMPUTING. 9548223 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 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 34 0 34 1 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X LYNNE HUNT 5058813953 240 N EAST PROMONTORY STE 200 FARMINGTON UT 84025 RYAN SMITH INTERIM CEO 60.00 X X 851876 0 43587 DAN LILJENQUIST CHAIRMAN OF THE BOARD 5.00 X 0 0 0 DALE MAXWELL DIRECTOR 5.00 X 0 0 0 CARTER DREDGE DIRECTOR 5.00 X 0 0 0 BRIDGET KARLIN DIRECTOR 5.00 X 0 0 0 SAAD CHAUDRHY DIRECTOR 5.00 X 0 0 0 NEIL COWLES DIRECTOR 5.00 X 0 0 0 MATTHEW DAVIE DIRECTOR 5.00 X 0 0 0 SWAMINATHAN SUNDARAMURTHY SVP OF TECHNOLOGY 60.00 X 512076 0 14695 JENNIFER COREY SCHMID CHIEF COMMERCIAL OFFICER 60.00 X 443054 0 39029 LYNNE HUNT VP OF FINANCE 60.00 X 299605 0 20733 THOMAS BEALE VP OF INFORMATICS 60.00 X 416342 0 43503 JOSEPH COYLE SENIOR MEDICAL INFORMATICIST 40.00 X 327076 0 11058 ADAM HUTSON PRINCIPAL SOFTWARE ENGINEER 40.00 X 307518 0 26571 MAO GENG PRINCIPAL SOFTWARE ENGINEER 40.00 X 286946 0 25042 ADAM CARROLL VP OF OPERATIONS 60.00 X 276326 0 37235 HAROLD GAUBERT FORMER CHIEF TECHNOLOGY OFFICER 40.00 X 188726 0 4244 JENNIFER BROWN FORMER CHIEF ADMINISTRATIVE OFFICER & GC 40.00 X 158561 0 13447 4068106 0 279144 11 1 1 0 CLINICAL ARCHITECTURE 1161 N MERIDIAN ST 5TH DL CARMEL IN 46023 TECHNOLOGY SERVER LICENSE 200000 ABUNDANT VENTURES INNOVATION ACCELERATOR 515 N STATE STE 300 CHICAGO IL 60654 CORPORATE MESSAGING 198961 MICROSOFT ONE MICROSOFT WAY REDMOND WA 98052 AZURE CLOUD SERVICES 184673 MEDICAL LTD OSOJNIKOVA ULICA 15A SI-2000 MARIBOR SI CINICAL ELEMENT MODEL BUILDING 144775 FISHER & PHILLIPS PO BOX 931195 ATLANTA GA 30328 LEGAL SERVICES 141965 7 17004 17004 17004 0 0 17004 X 3878324 2700075 1178249 1401470 1082426 319044 165357 124219 41138 366386 307279 59107 373693 289407 84286 295098 295098 112557 112557 846691 650477 196214 8949 6875 2074 2032 1561 471 896327 688613 207714 39778 30560 9218 94360 72493 21867 13562 10419 3143 4621513 3550528 1070985 26125 20071 6054 PROFESSIONAL ORGANIZATI 9655 7418 2237 TAXES, LICENSES, & FEES 5458 4193 1265 DUES & SUBSCRIPTIONS 2094 1609 485 13159429 9548223 3611206 0 2352033 426271 630143 1147147 254426 172808 1252599 2400911 4489201 4147137 274414 249320 31416329 44437842 196058 0 31886801 44687162 X -27397600 -40540025 -27397600 -40540025 4489201 4147137 -13142425 0 X 0 0 0 0 CAPITALIZED SOFTWARE DEVELOPMENT COSTS, NET 2400911 2400911 X X X X 1 0 0 0 0 0 0 0 0 RYAN SMITH INTERIM CEO 650276 0 201600 0 0 0 13800 0 29787 0 895463 0 0 0 SWAMINATHAN SUNDARAMURTHY SVP OF TECHNOLOGY 427076 0 85000 0 0 0 13800 0 895 0 526771 0 0 0 JENNIFER COREY SCHMID CHIEF COMMERCIAL OFFICER 367654 0 75400 0 0 0 11601 0 27428 0 482083 0 0 0 THOMAS BEALE VP OF INFORMATICS 347042 0 69300 0 0 0 13800 0 29703 0 459845 0 0 0 JOSEPH COYLE SENIOR MEDICAL INFORMATICIST 262076 0 65000 0 0 0 10016 0 1042 0 338134 0 0 0 ADAM HUTSON PRINCIPAL SOFTWARE ENGINEER 245018 0 62500 0 0 0 0 0 26571 0 334089 0 0 0 LYNNE HUNT VP OF FINANCE 249605 0 50000 0 0 0 10222 0 10511 0 320338 0 0 0 ADAM CARROLL VP OF OPERATIONS 230126 0 46200 0 0 0 9819 0 27416 0 313561 0 0 0 MAO GENG PRINCIPAL SOFTWARE ENGINEER 234446 0 52500 0 0 0 4695 0 20347 0 311988 0 0 0 HAROLD GAUBERT FORMER CHIEF TECHNOLOGY OFFICER 99727 0 0 0 88999 0 3983 0 261 0 192970 0 0 0 JENNIFER BROWN FORMER CHIEF ADMINISTRATIVE OFFICER 158561 0 0 0 0 0 6405 0 7042 0 172008 0 0 0 IHC HEALTH SERVICES MEMBER OPERATIONAL X 9000000 11123764 0 1 1 SSM HEALTHCARE MEMBER OPERATIONAL X 9000000 11128087 0 1 1 PRESBYTERIAN HEATH CARE SERVICES MEMBER OPERATIONAL X 9000000 11132797 0 1 1 KAISER FOUNDATION HEALTH PLAN MEMBER OPERATIONAL X 9000000 11053194 0 1 1 44437842 FORM 990, PART III, LINE 3 DURING 2024, GRAPHITE HEALTH FOCUSED ALL OF ITS EFFORTS ON DEVELOPING ITS PLATFORM AND S2. IN 2025, GRAPHITE WOUND DOWN ITS OPERATIONS DUE TO LACK OF ADDITIONAL FUNDING. THE ORGANIZAITON WILL FILE A FINAL FORM 990 IN 2025. FORM 990, PART VI, SECTION A, LINE 6 GRAPHITE HEALTH'S GOVERNING DOCUMENTS ALLOW FOR THREE CLASSES OF MEMBERS: GOVERNING, FOUNDING, AND SUBSCRIBING. EACH CLASS HAS DISTINCT RIGHTS AND PRIVILEGES. FORM 990, PART VI, SECTION A, LINE 7A EACH GOVERNING MEMBER HAS THE RIGHT TO NOMINATE ONE INDIVIDUAL TO SERVE ON GRAPHITE HEALTH'S BOARD OF DIRECTORS. GOVERNING MEMBERS ALSO HAVE THE RIGHT TO SELECT ONE INDIVIDUAL TO SIT ON EACH OF ITS ADVISORY COMMITTEES. FOUNDING MEMBERS HAVE NO VOTING RIGHTS AS THOSE ARE CONFERRED UPON THE GOVERNING MEMBERS. FOUNDING MEMBERS HAVE THE RIGHT TO DESIGNATE INDIVIDUALS TO SERVE ON THE THREE ADVISORY COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B SINCE GRAPHITE HEALTH, INC. DISSOLVED DURING 2025, THE BOARD OF DIRECTORS NO LONGER EXISTED. THEREFORE, THERE IS NO LONGER A FORMAL GOVERNING BODY TO REVIEW THE FORM 990. THE FORMER VP OF FINANCE STILL PROVIDES INDEPENDENT CONTRACTING FOR GRAPHITE HEALTH, INC. TO ASSIST IN THE DISSOLUTION PROCESS. SHE REVIEWED THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND OTHER SENIOR LEADERS HAVE BEEN PROVIDED TRAINING ON THE CONFLICT OF INTEREST POLICY, ARE SURVEYED FOR POSSIBLE CONFLICTS OF INTEREST AND REQUIRED TO DISCLOSE ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 GRAPHITE HEALTH RETAINS INDEPENDENT COMPENSATION CONSULTANTS TO DEVELOP COMPENSATION RANGES AND REBUTTABLE PRESUMPTION OF REASONABLENESS OPINIONS FOR ALL SENIOR EXECUTIVES. OFFERS TO THESE LEVELS OF EMPLOYEES MUST BE APPROVED BY THE BOARD OF DIRECTORS. IT ALSO EMPLOYS INDEPENDENT CONSULTANTS, COMPENSATION SURVEYS, AND OFFERS FROM SIMILAR INSTITUTIONS TO DETERMINE THE COMPENSATION FOR ALL OTHER EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VI, LINE 13 GRAPHITE HEALTH HAS A WHISTLEBLOWER POLICY WHICH EACH EMPLOYEE IS REQUIRED TO READ AND ACKNOWLEDGE THAT THEY HAVE READ IT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G, OTHER FEES ADMINISTRATIVE CONSULTING: PROGRAM SERVICE EXPENSE 97,790 MANAGMENT AND GENERAL EXPENSE 29,498 FUNDRAISING 0 TOTAL EXPENSES 127,288 DEVELOPMENT AND ENGINEERING CONSULTING: PROGRAM SERVICE EXPENSE 270,057 MANAGMENT AND GENERAL EXPENSE 81,460 FUNDRAISING 0 TOTAL EXPENSES 351,517 MARKET ANALYSIS: PROGRAM SERVICE EXPENSE 206,984 MANAGMENT AND GENERAL EXPENSE 62,437 FUNDRAISING 0 TOTAL EXPENSES 269,421 RECRUITING: PROGRAM SERVICE EXPENSE 29,499 MANAGMENT AND GENERAL EXPENSE 8,899 FUNDRAISING 0 TOTAL EXPENSES 38,398 POLICY CONSULTING: PROGRAM SERVICE EXPENSE 15,365 MANAGMENT AND GENERAL EXPENSE 4,635 FUNDRAISING 0 TOTAL EXPENSES 20,000 PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSE 30,782 MANAGMENT AND GENERAL EXPENSE 9,285 FUNDRAISING 0 TOTAL EXPENSES 40,067