2020-02-04T09:26:14-06:00 2019-06-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2018-07-01 237032401 Addison County Home Health Hospice Inc ADDI 8023887259 PO Box 754 Middlebury VT 05753 Deborah Wesley Executive Director 8023887259 2020-01-24 1 Melissa Magoon CPA P01712842 6036697337 2020-01-24 69.49.157.66 2020-01-24 09:21:42 ES P BFB386403C9EAE7FF660C386334FC3E1098CE7FC 8B04EC08AF02322EA9ED1307B74D8AF8BDCA5114 2018 2020-09-23 17:36:50Z Deborah Wesley PO Box 754 Middlebury VT 05753 9335841 0 X www.achhh.org X 1969 VT In collaboration with patients, families, and other community providers, Addison County Home Health & Hospice, a nonprofit agency, enhances the health, dignity, and independence of Addison County residents through comprehensive, patient-centered home health and hospice care. 13 13 163 80 0 0 235970 178331 10812648 9149944 11780 7566 0 0 11060398 9335841 0 0 0 0 7394082 6879671 0 0 12607 2750255 2599691 10144337 9479362 916061 -143521 3631274 3360539 820708 693494 2810566 2667045 X In collaboration with patients, families, and other community providers, Addison County Home Health & Hospice, a nonprofit agency, enhances the health, dignity, and independence of Addison County residents through comprehensive, patient-centered home health and hospice care. 0 0 7631156 9149944 Home Care - Provides home visits to acute, chronic and terminally ill patients as well as promoting community health through counseling, disease detection and health education. 7631156 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 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 0 0 1 16 0 1 163 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Deborah Wesley 8023887259 PO Box 754 Middlebury VT 05753 Bryan Young President 1.00 X X 0 0 0 Elizabeth Roberts Vice President 1.00 X X 0 0 0 Nancy Foster Treasurer 1.00 X X 0 0 0 Jan Walker Secretary 1.00 X X 0 0 0 Brian Collins Director 1.00 X 0 0 0 Brian Goodyear Director 1.00 X 0 0 0 William Miller Director 1.00 X 0 0 0 Fred Baser Director 1.00 X 0 0 0 Karen Leuders Director 1.00 X 0 0 0 Dr Maya Zimmerman Director 1.00 X 0 0 0 A Whitney Germon Director 1.00 X 0 0 0 William Sessions Director 1.00 X 0 0 0 Stephanie Pope Director 1.00 X 0 0 0 Deborah Wesley CEO 40.00 X 122097 0 15469 Tim Brownell Past CEO 40.00 X 146101 0 11966 Patrick Rooney Chief Financial Official 40.00 X 91293 0 5739 359491 0 33174 2 0 1 0 0 5817 41917 130597 178331 Home Care 621610 9149944 9149944 9149944 2055 2055 5511 0 5511 5511 5511 9335841 9149944 0 7566 255099 255099 5325007 4346604 978403 139819 109255 30564 743454 594770 148684 416292 325291 91001 73985 73985 379531 296566 82965 59471 46471 13000 35880 28037 7843 247425 193338 54087 32623 25492 7131 277392 272044 5348 43931 34328 9603 83499 65246 18253 41214 32205 9009 Program Supplies 706314 706314 Medicaid Tax 401587 401587 Other Expenses 90705 64898 25807 Printing & Publications 51149 39968 11181 74985 48742 13636 12607 9479362 7631156 1835599 12607 X 1308961 1491626 1551175 1150114 128610 114484 1481057 1058777 466121 422280 176407 182035 3631274 3360539 675573 675069 135809 9326 18425 820708 693494 X 2657803 2525741 32253 17359 120510 123945 2810566 2667045 3631274 3360539 -143521 0 X 0 1 X 1 0 X 181205 169768 197246 235970 178331 962520 9849891 9630702 10098239 10812648 9149944 49541424 10031096 9800470 10295485 11048618 9328275 50503944 0 0 0 50503944 8666 970 645 1592 2055 13928 8666 970 645 1592 2055 13928 10039762 9801440 10296130 11050210 9330330 50517872 0.99970 0.99960 0.00030 0.00040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 137582 3435 3709 3422 141304 126153 2945 8484 137582 104561 5725 15867 126153 102957 2275 -671 104561 105465 4100 -6608 102957 0.87720 0.12280 0 0 48600 48600 1128948 870881 258067 303509 187896 115613 422280 Pooled Funds Held by Vermont Community Foundation 182035 C 182035 Due to Third-Party Payers 18425 18425 X 9335841 0 9335841 0 9335841 9479362 0 9479362 0 9479362 Part V, Line 4: The Mildred Ableson Scholarship Fund was established after her death by her husband, Arnold Ableson. Our hospice team cared for Mildred at the end of her life and it was the family's wish that they establish an endowment fund to be used for staff education. Part X, Line 2: The Agency is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Agency 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 Agency's tax positions and concluded that the Agency has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. X X X 0 0 0 0 0 0 0 0 0 Tim Brownell Past CEO 146101 0 0 0 0 0 0 0 11966 0 158067 0 0 0 Form 990, Part VI, Section B, line 11b The Executive Director and Chief Financial Officer review and approve the 990 and make the form available to the Board President. Form 990, Part VI, Section B, line 12c Board Members are aware of the policy they sign annually and are instructed to disclose conflicts, if any arise during the year. Form 990, Part VI, Section B, line 15 The Board of Directors evaluate the Executive Director's performance and the Agency participates in wage and benefit surveys conducted by the Vermont Assembly of Home Health Agencies. 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 & Equipment Section 1.263(a)-3(n) Election: Addison County Home Health Hospice, Inc. PO Box 754 Middlebury, VT 05753 EIN: 23-7032401 Addison County Home Health Hospice, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).