2020-04-09T15:58:32-05:00 2019-12-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2019-01-01 010227184 Androscoggin Home Health Services Inc ANDR 2077777740 15 Strawberry Ave Lewiston ME 04240 Robert Gagnon Chief Financial Officer 2077777740 2020-04-07 1 Melissa Magoon CPA P01712842 6036697337 2020-04-07 69.49.157.66 2020-04-07 11:14:16 ED P B6CABA93EC29A130F91389D5843EEEAA10181012 AFAA3DB4FE1C09EACD089651B4BEF68615A227D3 2019 2020-09-23 17:36:50Z Androscoggin Home Healthcare & Hospice Robert Gagnon 15 Strawberry Ave Lewiston ME 04240 59015120 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. 15 14 547 216 0 0 602745 431747 34936948 39876751 -634800 972285 119875 91829 35024768 41372612 0 0 0 0 27067899 30798525 0 0 431535 8381119 8144586 35449018 38943111 -424250 2429501 38566368 42897686 4177476 3922278 34388892 38975408 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 34045119 39876751 Home Care Services - Provides health and hospice services to individuals at their homes or in a health care clinic 34045119 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 1 100 0 1 547 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 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 Alex Roy Chair 1.00 X X 0 0 0 Christopher Gagnon Vice Chair 1.00 X X 0 0 0 Elizabeth Keene Secretary 1.00 X X 0 0 0 Jeffrey Gosselin Treasurer 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 Mavis Dubord 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 Mary-Anne Ponti 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 225861 0 11859 Robert Gagnon CFO 40.00 X 129660 0 15793 Kathleen Applin Past CFO 40.00 X 121399 0 14979 Myra Ross MD Home Hospice Physician 40.00 X 234746 0 2768 Leann Sebrey Chief Clinical Officer 40.00 X 147765 0 21529 Elizabeth Hart Medical Director 40.00 X 230072 0 28334 Nastasha Stitham Nurse Practitioner 40.00 X 116451 0 22304 Karen Flynn Director of Hospice & Pall 40.00 X 131739 0 16096 1337693 0 133662 20 0 1 0 PC Connection 730 Milford Road Merrimack NH 03054 Computer Consultation 609695 Fazzi Associates 11 Village Hill Road Suite 101 Northampton MA 01060 Service Consultation 296596 Casamba LLC 5210 Lewis Road Suite 10 Agoura Hills CA 91301 Service Consultation 291064 AMN Healthcare Inc 2735 Collection Ctr Drive Chicago IL 60693 Contract Staffing 280999 Coremedical Group 655 South Willow St Suite 128 Manchester NH 03103 Contract Staffing 212217 14 38632 393115 431747 Home Care Services 621610 39876751 39876751 39876751 719542 719542 17859132 17606389 252743 252743 252743 127948 36119 91829 91829 41372612 39876751 0 1064114 519551 519551 24148567 21679134 2250664 218769 634519 566713 67806 3525849 3105849 382870 37130 1970039 1734248 218258 17533 4145 4145 65158 65158 96622 96622 1188913 632599 556314 95759 84306 11453 84615 74495 10120 447696 394152 53544 487600 429283 58317 805311 771042 33294 975 118464 104296 14168 390309 343593 43242 3474 151219 133133 18086 Program supplies 2527695 2527695 Other expenses 935786 728772 75678 131336 Provision for Bad Debt 285467 285467 Telephone 204343 179904 24439 255484 205280 27886 22318 38943111 34045119 4466457 431535 X 700 6878994 5821832 206342 174346 3776681 6077442 284740 333822 10805129 7140139 3410533 3664990 19802004 26824554 4207074 0 38566368 42897686 3415537 3258200 69694 65822 692245 598256 4177476 3922278 X 34378892 38965408 10000 10000 34388892 38975408 38566368 42897686 2429501 2157015 0 X 0 1 X 1 0 X 538284 557579 361841 602705 431747 2492156 32367233 32135057 32067689 34936948 39876751 171383678 32905517 32692636 32429530 35539653 40308498 173875834 0 0 0 173875834 532404 546108 536804 542904 719542 2877762 532404 546108 536804 542904 719542 2877762 157712 203228 151461 119875 91829 724105 33595633 33441972 33117795 36202432 41119869 177477701 0.97970 0.97880 0.01620 0.01560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10000 10000 10000 10000 10000 10000 10000 10000 10000 10000 0.00000 1.00000 0.00000 0 0 495364 495364 6707721 4166333 2541388 35034 31335 3699 2683675 2105289 578386 883335 837182 46153 3664990 Due To Third Party Payor 598256 598256 X 43433005 2157015 2157015 41275990 96622 96622 41372612 38846489 0 38846489 96622 96622 38943111 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 91348 91348 11414 10409 Butterfly Release 25180 25180 6039 1 8120 8120 4113 124648 124648 11414 20561 31975 92673 X X X 0 0 0 0 0 0 0 0 0 Kenneth Albert CEO/President 225861 0 0 0 0 0 9034 0 2825 0 237720 0 0 0 Myra Ross MD Home Hospice Physician 234746 0 0 0 0 0 0 0 2768 0 237514 0 0 0 Leann Sebrey Chief Clinical Officer 147765 0 0 0 0 0 4829 0 16700 0 169294 0 0 0 Elizabeth Hart Medical Director 230072 0 0 0 0 0 9203 0 19131 0 258406 0 0 0 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).