2020-12-16T13:39:28-06:00 2020-09-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2019-10-01 020222122 Concord Regional Visiting Nurse Association Inc CONC 6032244093 30 Pillsbury Street Concord NH 03301 Beth J Slepian President & CEO 6032244093 2020-12-15 1 Melissa Magoon CPA P01712842 2077752387 2020-12-15 2019 2022-09-23 18:48:47Z Beth J Slepian 30 Pillsbury Street Concord NH 03301 44877002 0 X www.crvna.org X 1899 NH Concord Regional Visiting Nurse Association, incorporated in 1899, is a home health and hospice care provider, offering both preventive and supportive health care services. Our mission is to provide and facilitate comprehensive care in the home and community to optimize health, well-being and independence. Our services include: Skilled Nursing; Physical Therapy, Occupational Therapy, & Speech Therapy; Homemaking; Maternal/Child Health; Social Work; Hospice Care; Palliative Care, Personal Home Services; Pediatric Care; Nutritional Counseling; Senior Health Clinics; Flu Immunization Clinics; Immunization Clinics; Blood Pressure Clinics; and Community Education. 16 14 465 122 0 0 548033 1569428 32145012 31878337 779101 1040830 -7772 -7186 33464374 34481409 0 4000 0 0 28859818 30664913 0 0 31322 6381854 5974733 35241672 36643646 -1777298 -2162237 37764327 51502232 4177312 18386196 33587015 33116036 X The Mission of Concord Regional Visiting Nurse Association is to improve the health of the people and communities it serves by managing illness and promoting wellness through all stages of life. 0 0 19106268 20394222 Home Health Care - provides skilled care services to patients who qualify for care in their home. Services were rendered to 6,209 patients including 122,347 visits and 10,205 additional visits for indigent patients. Charity care is provided to individuals who are uninsured, underinsured, or otherwise unable to pay the published fee for service. 9480437 9911252 Hospice - supportive care for the terminally ill on a 24 hour basis. Services were rendered to 849 patients providing 50,208 hospice care days. Hospice care is provided in a ten bed house for those who require twenty four hour skilled nursing care for symptom management and in the community. Charity care is provided to individuals who are uninsured, underinsured, or otherwise unable to pay the published fee for services or for the house room and board. 1672922 1267281 Personal Care Services - Provides care and support primarily to frail elders who need assistance to stay living independently in their own homes. 819875 4000 305582 Community Health Services - provides community based health care services in individual homes and clinic setting including senior health clinics, immunization clinics, and community health education including "Better Choices, Better Health" a program that assists older adults in learning more effective ways of self-managing their chronic condition to improve their quality of life and "A Matter of Balance" a program that assists older adults in reducing their fear of falling and improving their activity levels. "Powerful Tools for Caregivers" is also an educational program offered for caregivers who are caring for someone with advance dementia or other cognitive impairments; in addition, a monthly Capital Area Memory Cafe is offered to support those who are caring for someone with advance dementia to help connect them with others for peer group support. Monthly walk in clinics and our "Dying to Talk Cafe's" are offered to help those living with a chronic illness, life limiting illness or anyone in the community who would like to explore how to begin having the conversation about advanced care planning and their end of life wishes.In 2018, a new program was launched in partnership with CATCH for Freedman Court 2 residents. The program is designed to assist residents with enhancing their overall health and wellness, and support their independence.In 2016, The Aging Mastery Program began engaging adults in a fun and innovative way that empowers them to embrace their longevity and address their physical, financial, and emotional wellness. The Aging Mastery Program is a 10-week nationwide program from the National Council on Aging that includes 10, 90-minute classes.This program benefits older adults who want to:o Improve healtho Strengthen economic securityo Enhance well-beingo Increase societal participationThe art of aging gracefully has changed. Traditional retirement plans are disappearing, the cost of daily living continues to rise, and nearly all people aged 65+ live with at least one chronic condition. This program uses a proven model of behavior change incentives with a primary emphasis on getting older adults to improve their lives. 819875 4000 305582 31079502 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 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 1 0 0 0 1 7 0 1 465 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 14 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Geraldine Holmes 6032244093 30 Pillsbury Street Concord NH 03301 Melvin J Severance CFP Chair 1.00 X X 0 0 0 Michelline Dufort Vice Chair 1.00 X X 0 0 0 James Mullins Treasurer 1.00 X X 0 0 0 Michael T Griffin Secretary 1.00 X X 0 0 0 David Green Trustee 1.00 X 0 0 0 Deacon Winton DeRosia Trustee 1.00 X 0 0 0 Patricia Bourgault Trustee 1.00 X 0 0 0 Paul Greenan Trustee 1.00 X 0 0 0 Tim Lesko Trustee 1.00 X 0 0 0 Andrea M Stevenson Trustee 1.00 X 0 0 0 Daniel L Andrus Trustee 1.00 X 0 0 0 Brian D Duffy Trustee 1.00 X 0 0 0 Brett Allard Trustee 1.00 X 0 0 0 Erin Feltes Trustee 1.00 X 0 0 0 Lyn Lindpaintner Trustee 1.00 X 0 10000 0 Mark T Broth Esq Past Trustee 1.00 X 0 0 0 Charles J Fanaras RPh Past Trustee 1.00 X 0 0 0 Jessica S Pollack APRN Past Trustee 1.00 X 0 0 0 Beth J Slepian President & CEO 50.00 X X 279192 0 14197 Geraldine Holmes Chief Financial Officer 50.00 X 179013 0 24657 Linda Flewelling CHRO 44.00 X 150888 0 16917 Deborah Mullen CIO 42.00 X 148736 0 16815 Andrew Westbrook Hospice Medical Dir 40.00 X 199793 0 10515 Jason Edwards RN 45.00 X 139621 0 22553 Francis Ricker RN 45.00 X 120523 0 15542 1217766 10000 121196 20 0 1 0 OPTUM Pharmacy PBM PO Box 847222 Los Angeles CA 900847222 Pharmacy Benefits Manager Services 469999 Concord Hospital IT 250 Pleasant Street Concord NH 03301 IT Services 272746 Montagne Communications Inc 814 Elm Street Suite 205 Manchester NH 03101 PR Services 165571 New England Life Care 41 Terrill Park Dr C Concord NH 03301 Home Infusion Therapy Services 136793 4 8571 111001 939798 510058 1569428 Home Care Revenue 621610 20394222 20394222 Hospice Revenue 623000 9911252 9911252 Personal Home Services Revenue 621610 1267281 1267281 Community Services Revenue 621990 305582 305582 31878337 559411 559411 10866986 10385567 481419 481419 481419 2840 111001 10026 -7186 -7186 34481409 31878337 0 1033644 4000 4000 497060 467721 29339 23458267 21300809 2157458 911715 818184 93531 4099226 3666933 432293 1698645 1492080 204582 1983 49291 49291 65585 65585 5474 5474 134350 134350 787986 573606 214380 179211 179211 427549 42482 385067 556521 556521 193320 123095 70225 760517 736033 24484 129293 13308 115985 386339 241720 144619 66211 66211 Medical Supplies 2146833 2000157 146676 Dues & Subscriptions 86253 67095 19158 36643646 31079502 5532822 31322 X 4563603 16492635 76055 110142 4294280 5873410 232447 284531 6684826 2836833 4140555 3847993 23163339 23592479 1294048 1301042 37764327 51502232 2916655 3673182 1156326 8426760 6169200 104331 117054 4177312 18386196 X 27075195 26131815 6511820 6984221 33587015 33116036 37764327 51502232 X -2162237 1687982 3276 X 0 1 X 1 0 X 461999 629195 838170 548033 1569428 4046825 29945411 32703281 32194737 32145012 31878337 158866778 30407410 33332476 33032907 32693045 33447765 162913603 10000 11000 10000 11000 42000 0 10000 11000 10000 11000 42000 162871603 477495 408153 553130 559632 559411 2557821 477495 408153 553130 559632 559411 2557821 30884905 33740629 33586037 33252677 34007176 165471424 0.98430 0.98400 0.01550 0.01580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5474 5474 0 Part II-B, Line 1: The Organization pays dues to various organizations, some to which a portion of the dues are attributable to lobbying expenses. 3571777 17045988 1996076 669862 21943979 3634552 109087 171862 3571777 3509436 296978 171862 3634552 3407569 273729 171862 3509436 3407569 3407569 0.82890 0.15530 0.01580 0 0 3815651 533010 3282641 1160818 904333 256485 1708357 1399490 308867 3847993 Deferred Compensation 117054 117054 36048343 1687982 13302 1701284 34347059 134350 134350 34481409 36519322 10026 10026 36509296 134350 134350 36643646 Part V, Line 4: The Endowment funds are used to subsidize charitable care, support community programs that have no outside funding, provide seed money for program expansion and new programs and to make capital improvements to the Hospice House. Programs and Services supported by the Agency's funds include Community Health Education including "Better Choices, Better Health" a program that assists older adults in learning more effective ways of self-managing their chronic condition to improve their quality of life and "A Matter of Balance" a program that assists older adults in reducing their fear of falling and improving their activity levels, health clinics for seniors that provide screenings, footcare, ear wax removal, and other related services and immunization clinics. In addition, the Hospice Program and the Hospice House are supported through charitable funds to provide subsidized or free services; bereavement support groups, Hospice volunteer training and community education. Part XI, Line 2d - Other Adjustments: Fundraising Expenses 10,026. Change in Fair Value of Beneficial Interest in Perpetual Trusts 3,276. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 10,026. Lights of Life 67001 67001 8287 Passion for Caring 46840 44000 2840 1739 113841 111001 2840 10026 10026 -7186 X X X X X 0 0 0 0 0 0 0 1 0 Beth J Slepian President & CEO 261708 0 17484 0 0 0 11843 0 2354 0 293389 0 0 0 Geraldine Holmes Chief Financial Officer 173883 0 5130 0 0 0 7896 0 16761 0 203670 0 0 0 Linda Flewelling CHRO 148076 0 2812 0 0 0 6491 0 10426 0 167805 0 0 0 Deborah Mullen CIO 145960 0 2776 0 0 0 6379 0 10436 0 165551 0 0 0 Andrew Westbrook Hospice Medical Dir 199509 0 284 0 0 0 8491 0 2024 0 210308 0 0 0 Jason Edwards RN 139337 0 284 0 0 0 6083 0 16470 0 162174 0 0 0 Part I, Line 7 The bonus compensation paid to Beth Slepian & Geraldine Holmes are determined based on the executive compensation policy conducted for the Organization, and therefore are non-fixed in nature. The bonus compensation paid to Linda Flewelling, Deborah Mullen, Dr. Andrew Westbrook and Jason Edward was part of a management bonus which was given to all managers. Form 990, Part I, Line 1 Description of Organization Mission (Cont'd): The agency's service area includes Merrimack County and portions of Hillsborough County, representing more than 44 communities in central New Hampshire. Concord Regional VNA serves over 7,200 patients annually and provides approximately 132,552 homecare visits and more than 50,000 hospice days annually, including a 10-bed Hospice House. Patients who are uninsured, underinsured, or otherwise unable to pay the published fees for services are provided charity care. In the Fiscal Year 2020, the CRVNA Home Care Program provided care to 6,209 patients. Fourteen percent (14%) of the patients served in the Home Care Program were uninsured or received funding from Medicaid. In addition, 65% of the Home Care patients had Medicare or Medicare replacement plans as their insurance plan. The Hospice program provided care to 849 patients. Ninety four percent (94%) of the Hospice patients had Medicare and 4% of the patients were uninsured or received funding from Medicaid. We are a 501(c)(3) non-profit agency and a subsidiary of Capital Region Health Care. Concord Regional VNA is a Medicare and Medicaid Certified Home Health and Hospice Provider and is licensed by the State of New Hampshire Bureau of Health Care Facilities. In addition, Concord Regional VNA's Hospice House, an inpatient setting providing care and comfort for the terminally ill, is licensed by the State of New Hampshire as a Supportive Residential Care Facility. Form 990, Part VI, Section A, line 6 Capital Region HealthCare Corporation is the sole member of the Concord Regional VNA. Form 990, Part VI, Section A, line 7a Capital Region HealthCare Corporation accepts any changes made to the bylaws by the governing body. Form 990, Part VI, Section B, line 11b The role of Concord Regional Visiting Nurse Association's Audit Committee has expanded to include review of the agency's 990. The Audit Committee engages the auditors and receives the audit and the 990 Report. The Audit Committee receives a complete copy of the 990 including all schedules. The initial presentation of the FY2020 audit and the 990 Form will occur at the November 18, 2020 meeting of the Audit/Finance Committee meeting. Subsequent Audit Committee meetings will occur if necessary to complete the review. The Audit Committee will report to the Board of Trustees that a review of the 990 has occurred. The Board of Trustees accepts the Audit Committee reports, the audit, and the 990 documents. All members of the Board will have access to the reports. The Form 990 is available to the public upon request. Form 990, Part VI, Section B, line 12c The Conflict of Interest, Statement of Conflict of Interest with Respect to a Relationship, Transaction and/or Financial Interest form was revised by the Audit Committee in February 2010 and approved by the Board in March 2010. The form was revised to ensure compliance with the State of NH Pecuniary Benefit Law (Chapter 7: RSA 7:19a) and the revised IRS 990 disclosure requirements. The Board Chair and Chief Executive Officer/President reviewed the form and the regulation requirements at the March 10, 2020 Board Meeting. Trustees at the meeting were requested to complete the forms and return them to management. The Executive Assistant worked with Board members to ensure each member had returned the Conflict of Interest Forms. In FY2020, 100% of the Board of Trustees returned the signed conflict of interest forms. The Audit Committee at its May 6, 2020 meeting reviewed the forms for those Trustees that reported a conflict of interest. The Audit Committee reported to the full Board the conflict of interest transactions that had been disclosed on the conflict of interest forms. The Board at its May 12, 2020 meeting approved the conflict of interest disclosures. The approved transactions over $5,000 were reported as required by law to the State of New Hampshire's Director of Charitable Trust at the Attorney General's office and a notice was published in the Concord Monitor. In addition to the annual completion of the form, Trustees were asked at every Board meeting during Fiscal Year 2020, if there were any conflicts that they have identified that should be reported to Management and the Board. Form 990, Part VI, Section B, line 15 The Board at its May 8, 2018 meeting adopted an Executive Compensation policy for the CEO/CFO positions. The Executive Committee's compensation philosophy is to pay the CEO and CFO at the appropriate level of compensation based on market data and surveys. The compensation will be performance based using the salary information available. The Executive Committee commissions a bi-annual review by an independent consulting firm to evaluate the organization's executive compensation program against the competitive market. The evaluation is intended to ensure that the compensation program falls within a reasonable range of competitive practices for comparable positions among similarly situated organizations. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Concord Regional Visiting Nurse Association, Inc. 30 Pillsbury Street Concord, NH 03301 EIN 02-0222122 Concord Regional Visiting Nurse Association, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Change in Fair Value of Beneficial Interest in Perpetual Trusts 3,276. Capital Region Health Care Corporation 250 Pleasant Street Concord NH 03301 020222123 Health Care Services NH 501(c)(3) Line 12b, II N/A 0 Concord Hospital Inc 250 Pleasant Street Concord NH 03301 222594672 Patient Care Services NH 501(c)(3) Line 3 N/A 0 Riverbend Community Mental Health Inc 3-5 North State Street PO Box 2032 Concord NH 03302 020264383 Mental Health Services NH 501(c)(3) Line 7 N/A 0 Capital Region Health Care Development Corporation 250 Pleasant Street Concord NH 03301 020429749 Management of Real Estate Holdings NH 501(c)(2) N/A 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0