2023-05-25T11:13:28-05:00 2022-12-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2022-01-01 010227184 Androscoggin Home Health Services Inc ANDR 2077777740 15 Strawberry Ave Lewiston ME 04240 Robert Gagnon Chief Financial & Operating Officer 2077777740 2023-05-23 1 Robert Gagnon 999009999 1 Melissa Magoon CPA P01712842 6036697337 2023-05-23 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Androscoggin Home Healthcare & Hospice Robert Gagnon 15 Strawberry Ave Lewiston ME 04240 86848543 0 X www.androscoggin.org X 1966 ME Androscoggin Home Healthcare and Hospice is an organization about living, dedicated to enhancing quality of life by providing innovative and compassionate medical care for all. 16 15 664 118 0 0 7035602 3049416 42149036 45769932 2596881 316801 284524 437862 52066043 49574011 0 0 0 0 36692993 44402385 0 0 718757 10119480 13921620 46812473 58324005 5253570 -8749994 55511179 45557510 8965405 10389075 46545774 35168435 Androscoggin Home Healthcare and Hospice is an organization about living, dedicated to enhancing quality of life by providing innovative and compassionate medical care for all. 0 0 50114602 45769932 Home Care Services - Provides health and hospice services to individuals at their homes or in a health care clinic. 50114602 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 108 0 1 664 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X Robert Gagnon 2077777740 15 Strawberry Ave Lewiston ME 04240 Elizabeth Keene Board Chair 1.00 X X 0 0 0 Michael Martel Vice Chair 1.00 X X 0 0 0 Jeffrey Gosselin Treasurer 1.00 X X 0 0 0 Mavis Dubord Secretary 1.00 X X 0 0 0 Kenneth Albert President/CEO 40.00 X X 351101 0 16982 John Alexander Board Member 1.00 X 0 0 0 Paul Andersen Board Member 1.00 X 0 0 0 Phillip Crowell Jr Board Member 1.00 X 0 0 0 Debra Fournier Board Member 1.00 X 0 0 0 Christopher Gagnon Board Member 1.00 X 0 0 0 Philip Harriman Board Member 1.00 X 0 0 0 James Joseph Member At Large 1.00 X X 0 0 0 David MacMahon Board Member 1.00 X 0 0 0 John O'Malley Board Member 1.00 X 0 0 0 Christopher Pezzullo Board Member 1.00 X 0 0 0 Heather Printup Board Member 1.00 X 0 0 0 Robert Gagnon Chief Financial & Operating Officer 40.00 X 202392 0 31259 Vance Brown Chief Medical Officer 40.00 X 306532 0 31227 Myra Ross Physician 40.00 X 256520 0 13197 Cynthia DeSoi Physician 40.00 X 246386 0 12819 Leann Sebrey Chief Clinical Officer 40.00 X 221640 0 25990 Elizabeth Hart Hospice Medical Director 40.00 X 198305 0 22645 1782876 0 154119 40 0 1 0 Integrity Services of Maine 862 Maine Street Poland ME 04274 Consultation 588231 StateServHospicelink 1201 S Alma School Rd Suite 4000 Mesa AZ 85210 Consultation 579790 Coremedical Group PO Box 306478 Nashville TN 372306478 Contract staffing 503113 SimiTree Healthcare Consulting 4130 Whitney Avenue Hampton CT 06518 Consultation 469623 Healthcare Support Staffing PO Box 734073 Dallas TX 753734073 Contract staffing 459037 18 X 2362798 686618 3049416 Home Care Services 621610 45769932 45769932 45769932 562908 562908 6098 0 6098 6098 6098 36975617 37217068 4656 -241451 -4656 -246107 -246107 180889 52808 128081 128081 303683 0 303683 303683 49574011 45769932 0 754663 601734 601734 35465506 31175606 3973903 315997 1107881 978148 119788 9945 4345744 3783723 523550 38471 2881520 2493956 362207 25357 44972 44972 74700 74700 59688 59688 3217110 2231247 985863 174400 150943 23457 885627 790522 95105 734050 635320 98730 1168429 1011275 157154 1221426 1145839 75587 203031 175723 27308 104367 90330 14037 1301773 1126685 163632 11456 252571 218600 33971 Program supplies 2242419 2242419 Other expenses 1826199 1508668 317531 Equipment rental/repair 410858 355598 55260 58324005 50114602 7490646 718757 X 5116587 2358772 7058892 4570033 131652 114750 5266599 6202449 342208 682997 17757335 9296592 5523991 8460743 32071250 18073363 5094403 55511179 45557510 3786493 5311899 4000000 3864948 1178912 1212228 8965405 10389075 X 46200813 34939388 344961 229047 46545774 35168435 55511179 45557510 -8749994 -2627345 0 X 0 1 X 1 1 1 X 602705 431747 2064390 7035602 3049416 13183860 34936948 39876751 41537697 42149036 45769932 204270364 55084 181897 303683 540664 35539653 40308498 43657171 49366535 49123031 217994888 15930 20495 36425 0 15930 20495 36425 217958463 542904 719542 686523 757118 569006 3275093 542904 719542 686523 757118 569006 3275093 119875 91829 54317 102627 128081 496729 36202432 41119869 44398011 50226280 49820118 221766710 0.98280 0.98160 0.01480 0.01580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10000 10000 10000 10000 10000 10000 10000 10000 10000 10000 1.00000 0 0 542964 542964 11981902 5296227 6685675 98595 50728 47867 3898846 3179945 718901 1235028 769692 465336 8460743 Due to third-party payors 250141 Operating Lease Obligation 962087 1212228 X 46886978 -2627345 -2627345 49514323 59688 59688 49574011 58264317 0 58264317 59688 59688 58324005 Part V, Line 4: Restricted by donors to be maintained by the association in perpetuity. Part X, Line 2: The Association is a public charity under Section 501(c)(3) of the Internal Revenue Code. 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 position and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. Autumn Night Out 109860 109860 25878 Hospice Hike 28535 28535 5932 4 42494 42494 20998 180889 180889 52808 52808 128081 X X X X 0 0 0 0 0 0 0 1 0 Kenneth Albert President/CEO 308955 0 15208 0 26938 0 14034 0 2948 0 368083 0 0 0 Vance Brown Chief Medical Officer 284969 0 15183 0 6380 0 12244 0 18983 0 337759 0 0 0 Myra Ross Physician 242959 0 10691 0 2870 0 10249 0 2948 0 269717 0 0 0 Cynthia DeSoi Physician 241237 0 599 0 4550 0 9871 0 2948 0 259205 0 0 0 Leann Sebrey Chief Clinical Officer 179274 0 23496 0 18870 0 9000 0 16990 0 247630 0 0 0 Robert Gagnon Chief Financial & Operating Officer 178705 0 10598 0 13089 0 8239 0 23020 0 233651 0 0 0 Elizabeth Hart Hospice Medical Director 193191 0 564 0 4550 0 5225 0 17420 0 220950 0 0 0 Part I, Line 7 The bonuses paid out in 2022 were for 2021 performance goals established by Senior leadership and the Board of Directors through an incentive compensation plan. The performance goals are determined based on where senior leadership needs the organization to improve performance and are approved by Chief Executive Officer for executive team and Executive Committee of the Board of Directors for the Chief Executive Officer. Form 990, Part I, Item C DBA: Androscoggin Home Healthcare & Hospice DBA: Maine Center for Palliative Medicine Form 990, Part VI, Section B, line 11b A copy of the return is available to the Board of Directors prior to submission and a printed final copy is available upon request. Form 990, Part VI, Section B, line 12c Policy is reviewed annually with the board of directors. Each member is asked to sign an affidavit acknowledging they have read the policy, understand the policy, and are in compliance with the policy. Form 990, Part VI, Section B, line 15 The CEO is reviewed annually by the executive committee of the board of directors using external benchmarks. Officers are reviewed annually by the CEO. Form 990, Part VI, Section C, line 19 Information is made available to the public with the publication of the Annual Report, filing of the IRS Form 990 and upon request. Form 990 - Additional Information The Organization receives significant non-cash contributions of clothing and housewares which are sold at our thrift shop. The sales are reported on Part VIII, Line 10. Form 990, Part X, Line 10: Land, Buildings, and Equipment: Androscoggin Home Health Services, Inc. 15 Strawberry Ave Lewiston, ME 04240 EIN: 01-0227184 Section 1.263(a)-3(n) Election: Androscoggin Home Health Services, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).