2021-04-27T10:18:33-05:00 2020-12-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2020-01-01 010227184 Androscoggin Home Health Services Inc ANDR 2077777740 15 Strawberry Ave Lewiston ME 04240 Robert Gagnon Chief Financial Officer 2077777740 2021-04-26 1 Robert Gagnon 999009999 Barbara J McGuan CPA P00219457 6036697337 2021-04-26 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Androscoggin Home Healthcare & Hospice Robert Gagnon 15 Strawberry Ave Lewiston ME 04240 62221818 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. 13 12 563 213 0 0 431747 2064390 39876751 41537697 972285 863241 91829 109401 41372612 44574729 0 0 0 0 30798525 33540636 0 0 256598 8144586 9191356 38943111 42731992 2429501 1842737 42897686 52313396 3922278 10226234 38975408 42087162 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 37097530 41537697 Home Care Services - Provides health and hospice services to individuals at their homes or in a health care clinic 37097530 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 1 107 0 1 563 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Robert Gagnon 2077777740 15 Strawberry Ave Lewiston ME 04240 Christopher Gagnon Chair 1.00 X X 0 0 0 Elizabeth Keene 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 Michael Martel Board Member at Large 1.00 X X 0 0 0 Christine Bosse Board Member 1.00 X 0 0 0 David MacMahon Board Member 1.00 X 0 0 0 Annette Nadeau Board Member 1.00 X 0 0 0 John O'Malley Board Member 1.00 X 0 0 0 Phillip Crowell Jr Board Member 1.00 X 0 0 0 Paul Andersen Board Member 1.00 X 0 0 0 James Joseph Board Member 1.00 X 0 0 0 Kenneth Albert CEO/President 40.00 X X 278974 0 12024 Robert Gagnon CFO 40.00 X 170627 0 16983 Myra Ross MD Home Hospice Physician 40.00 X 254133 0 12762 Leann Sebrey Chief Clinical Officer 40.00 X 187991 0 23015 Elizabeth Hart MD Medical Director 40.00 X 258746 0 26505 Vance Brown Chief Medical Officer 40.00 X 144848 0 7527 Cynthia Desoi Physician 40.00 X 140238 0 2692 1435557 0 101508 35 0 1 0 Health Recovery Solutions Inc 50 Harrison Street Suite 310 Hoboken NJ 07030 Service Consultation 464100 Coremedical Group 655 South Willow Street Suite 128 Manchester NH 03103 Contract Staffing 361160 Brightree Home Health & Hospice LLC PO Box 101233 Atlanta GA 303921233 Service Consultation 349583 Wellsky PO Box 207613 Dallas TX 753207613 Service Consultation 326165 Integrity Services of Maine 862 Maine Street Poland ME 04274 Service Consultation 302768 16 1702327 362063 2064390 Home Care Services 621610 41537697 41537697 41537697 686523 686523 17799248 17622530 176718 176718 176718 78876 24559 54317 54317 55084 0 55084 55084 44574729 41537697 0 972642 478608 478608 26784587 23875171 2780568 128848 755914 662710 89651 3553 3342792 2930626 396455 15711 2178735 1910097 258398 10240 15811 15811 62410 62410 110637 110637 1781833 1002131 779702 56801 49797 7004 98495 86351 12144 709980 622439 87541 527827 462746 65081 739999 723957 15067 975 66260 58090 8170 567497 497525 67305 2667 167331 146699 20632 Program supplies 2524232 2524232 Other expenses 1160492 1032115 50553 77824 Telephone 302893 265546 37347 Equipment rental/repair 127023 111361 15662 171835 135937 19118 16780 42731992 37097530 5377864 256598 X 700 1300 5821832 13010832 174346 105642 6077442 5316712 333822 160878 12915638 7707636 3664990 5208002 26824554 28510030 42897686 52313396 3258200 3764832 65822 48296 598256 6413106 3922278 10226234 X 38965408 42057512 10000 29650 38975408 42087162 42897686 52313396 1842737 1269017 0 X 0 1 X 1 1 1 X 557579 361841 602705 431747 2064390 4018262 32135057 32067689 34936948 39876751 41537697 180554142 55084 55084 32692636 32429530 35539653 40308498 43657171 184627488 0 0 0 184627488 546108 536804 542904 719542 686523 3031881 546108 536804 542904 719542 686523 3031881 203228 151461 119875 91829 54317 620710 33441972 33117795 36202432 41119869 44398011 188280079 0.98060 0.97970 0.01610 0.01620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10000 10000 10000 10000 10000 10000 10000 10000 10000 10000 1.00000 0 0 495364 495364 7997098 4492406 3504692 35034 35034 0 3478729 2422031 1056698 909413 758165 151248 5208002 Due To Third Party Payor 231755 CARES Act Funding 6181351 6413106 X 45733109 1269017 1269017 44464092 110637 110637 44574729 42621355 0 42621355 110637 110637 42731992 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 52533 52533 14940 Butterfly Release 15340 15340 6569 67873 67873 21509 21509 46364 X X X X 0 0 0 0 0 0 0 0 0 Kenneth Albert CEO/President 278974 0 0 0 0 0 9190 0 2834 0 290998 0 0 0 Elizabeth Hart MD Medical Director 258746 0 0 0 0 0 8649 0 17856 0 285251 0 0 0 Myra Ross MD Home Hospice Physician 254133 0 0 0 0 0 9994 0 2768 0 266895 0 0 0 Leann Sebrey Chief Clinical Officer 187991 0 0 0 0 0 7520 0 15495 0 211006 0 0 0 Robert Gagnon CFO 170627 0 0 0 0 0 6902 0 10081 0 187610 0 0 0 Vance Brown Chief Medical Officer 144848 0 0 0 0 0 0 0 7527 0 152375 0 0 0 Form 990, Part I, Item C DBA: Androscoggin Home Healthcare & Hospice DBA: Maine Center for Palliative Medicine 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 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, 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).