2019-05-09T16:48:15-05:00 2018-06-30 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2017-07-01 020360640 VNA AT HCS INC VNAA 6033522253 312 MARLBORO STREET KEENE NH 03431 MARIANNE BRUM DIRECTOR OF FINANCE 6033522253 2019-05-03 1 JUDY DALEY P01294075 6179848100 2019-05-01 67.137.57.251 2019-05-03 10:59:23 ED P 28698AAE8AAF239F46C0E0B7A1BBA5F21C2E160A 2F542D77562765624DD25E3C4252385A52575023 2017 2019-02-21 02:37:17Z MARIANNE BRUM 312 MARLBORO STREET KEENE NH 03431 17249120 0 X WWW.HCSSERVICES.ORG X 1981 NH TO PROVIDE SERVICES WHICH ENABLE PEOPLE TO FUNCTION THROUGHOUT LIFE AT THEIR OPTIMAL LEVEL OF HEALTH, WELL-BEING, AND INDEPENDENCE ACCORDING TO THEIR PERSONAL BELIEFS AND CHOICES. 14 14 427 36 0 0 2348363 2284254 16742892 14952213 4058 12653 0 0 19095313 17249120 0 0 0 0 11440985 11091188 0 0 0 7927054 4235043 19368039 15326231 -272726 1922889 8036025 11262331 2053778 3316832 5982247 7945499 X TO PROVIDE SERVICES WHICH ENABLE PEOPLE TO FUNCTION THROUGHOUT LIFE AT THEIR OPTIMAL LEVEL OF HEALTH, WELL-BEING, AND INDEPENDENCE ACCORDING TO THEIR PERSONAL BELIEFS AND CHOICES. 0 1 9336093 11392651 HOMECARE SERVICE - OBJECTIVE IS TO HELP RESIDENTS OF SOUTHWESTERN NEW HAMPSHIRE TO RECOVER AT HOME AFTER A HOSPITALIZATION OR REHABILITATION STAY IN A FACILITY. SKILLED CARE PROVIDED BY NURSES, REHABILITATION THERAPISTS ARE AVAILABLE TO RESIDENTS OF ALL AGES WITH THE GOAL OF COMFORT, CARE AND SUPPORT AT HOME. 2460700 3040944 HOSPICE CARE - IS OFFERED TO THOSE WHO WOULD LIKE TO REMAIN IN THE COMFORT AND DIGNITY OF THEIR OWN HOME AT THE END OF LIFE. A CARE TEAM OF NURSES, SOCIAL WORKERS, CHAPLAIN AND VOLUNTEERS PROVIDE COMFORT MEASURES TO THE PATIENT AND SUPPORT FOR THEIR FAMILY MEMBERS. BEREAVEMENT SUPPORT IS ALSO OFFERED TO FAMILIES AND TO THE COMMUNITY AT NO CHARGE. 3520754 2571267 COMMUNITY SERVICE - CONDUCT EVENTS SUCH AS MEALS ON WHEELS, ADULT DAY CARE, AND DOOR TO DOOR TRANSPORTATION PROVIDE ADDITIONAL HELP FOR THESE WHO NEED SHORT OR LONG TERM SUPPORTIVE SERVICES TO REMAIN SAFELY AT HOME. OTHER COMMUNITY SERVICES, SUCH AS THE HEALTHY STARTS MATERNAL AND CHILD HEALTH PROGRAM, NURSE IS IN CLINICS, AND AGE IN MOTION PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. 15317547 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 15 0 427 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NH X MARIANNE BRUM 6033522253 312 MARLBORO STREET KEENE NH 03431 ALLEN MENDELSON CHAIRPERSON 1.00 1.00 X X 0 0 0 JANE LARMON VICE-CHAIRPERSON 1.00 1.00 X X 0 0 0 JULIE GREENWOOD TREASURER 1.00 1.00 X X 0 0 0 SUSAN ABERT ESQ SECRETARY 1.00 1.00 X X 0 0 0 MICHAEL CHELSTOWSKI DIRECTOR 1.00 1.00 X 0 0 0 BETSY COTTER DIRECTOR 1.00 1.00 X 0 0 0 JULIE GREEN DIRECTOR 1.00 1.00 X 0 0 0 ERIC HORNE DIRECTOR 1.00 1.00 X 0 0 0 JOHN MACLEAN DIRECTOR 1.00 1.00 X 0 0 0 MAUREEN O'BRIEN DIRECTOR 1.00 1.00 X 0 0 0 LESLIE PITTS MD FAAFP DIRECTOR 1.00 1.00 X 0 0 0 BRIAN REILLY MD DIRECTOR 1.00 1.00 X 0 0 0 JUDY SADOSKI DIRECTOR 1.00 1.00 X 0 0 0 DAVID THERRIEN DIRECTOR 1.00 1.00 X 0 0 0 SUSAN LOWE CFO 32.00 8.00 X 97099 24275 0 THOMAS BATHRICK COO 32.00 8.00 X 84310 21078 0 CHRISTOPHER PETERSON OCCUP. THERAPIST 40.00 0.00 X 121374 0 0 CHRISTINE WHITE PHYSICAL THERAPIST 40.00 0.00 X 107966 0 0 410749 45353 0 2 0 0 0 LINDLEY ACQUISITION CORP PO BOX 743074 ATLANTA GA 30374 FOOD SERVICES 540734 BLACKTREE HEALTHCARE CONSULTING 1 FAYETTE STREET STE 425 CONSHOHOCKEN PA 19428 CONSULTING 274046 NETSMART TECHNOLOGIES PO BOX 823519 PHILDELPHIA PA 19182 IT SOFTWARE SERVICES 166068 ENCLARA PHRAMACIA INC PO BOX 950000-7255 PHILDELPHIA PA 19195 PHARMACY SERVICES 153810 SIMIONE HEALTHCARE CONSULTANTS 4130 WHITNEY AVENUE HAMDEN CT 06518 CONSULTING 146689 5 2052649 231605 2284254 PATIENT SERVICE REVENUE 621610 14462812 14462812 OTHER OPERATING REVENUE 621610 489401 489401 14952213 4742 4742 911 7000 0 0 911 7000 7911 7911 17249120 14952213 0 12653 9144596 9144596 1274997 1274997 671595 671595 8530 8530 133 133 1193312 1193312 32556 32556 230986 230986 200955 200955 60583 60583 591564 591564 270 270 21 21 108336 108336 12155 12155 FOOD EXPENSES 539063 539063 PROGRAM SUPPLIES 515927 515927 BAD DEBT EXPENSE 367378 367378 EQUIPMENT RENTAL & REPA 319277 319277 53997 53997 15326231 15317547 8684 0 344009 233973 5534 5540 2815487 2323489 242139 3545 1860761 1567283 235035 293478 21141 22821 41598 0 4331082 8379485 8036025 11262331 1755505 2190055 98427 134652 199846 992125 2053778 3316832 X 5857529 7820967 106095 105909 18623 18623 5982247 7945499 8036025 11262331 1922889 444 39919 0 X 0 1 X 1 1 1 X 2820476 2659533 2583544 2348363 2284254 12696170 15706575 14671929 15612811 16742892 14952213 77686420 18527051 17331462 18196355 19091255 17236467 90382590 0 0 0 90382590 1581 769 816 3041 4742 10949 1581 769 816 3041 4742 10949 18528632 17332231 18197171 19094296 17241209 90393539 0.99990 0.99990 0.00010 0.00010 X 18623 18623 18623 18623 18623 18623 18658 35 18623 18658 18658 0.00000 1.00000 0.00000 0 0 28312 5055 23257 1644031 1548269 95762 188418 13959 174459 293478 INTERCOMPANY RECEIVABLES 8379485 8379485 X PART V, LINE 4: INCOME USED FOR OPERATIONS AND TO SUPPORT HOSPICE. 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 POSITIONS AND CONCLUDED THAT THE ASSOCIATION HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. FORM 990, PART III, LINE 3 THE ORGANIZATION ELIMINATED PRIVATE DUTY CARE DURING THE FISCAL YEAR. FORM 990, PART VI, SECTION A, LINE 3 DURING THE FISCAL YEAR, THE ORGANIZATION DELEGATED MANAGEMENT DUTIES AND SERVICES TO A THIRD-PARTY, SIMIONE HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 6 HOME HEALTHCARE, HOSPICE AND COMMUNITY SERVICES, INC. (HCS) SHALL BE THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE CORPORATION SHALL BE ENTITLED TO VOTE. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS SHALL HAVE AND EXERCISE ALL OF THE POWERS OF THE CORPORATION PROVIDED BY LAW, SUBJECT TO THE RESERVATION TO HOME HEALTHCARE, HOSPICE AND COMMUNITY SERVICES, THE SOLE MEMBER OF THE CORPORATION, OF THE RIGHT TO APPROVE CERTAIN MATTERS SET FORTH IN THESE BYLAWS BEFORE THEY MAY BECOME EFFECTIVE: (A) THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (B) ANY AMENDMENT, REPEAL, REPLACEMENT OR ADDITIONAL TO THESE BYLAWS OR TO THE ARTICLES OF AGREEMENT OF THE CORPORATION; AND (C) THE EMPLOYMENT OF THE CEO OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETE FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST DISCLOSURE FORM IS COMPLETED AND SIGNED ANNUALLY BY EACH MEMBER OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS A PRACTICE FOR DETERMINING THE CEO'S COMPENSATION. THE PRACTICE STATES THAT THE CEO SUBMITS AN ANNUAL SELF-EVALUATION TO THE BOARD, A WRITTEN EVALUATION OF THE CEO BE COMPLETED BY THE BOARD AND USE OF A COMPARABLE COMPENSATION SURVEY REPORT TO SET COMPENSATION LEVEL. COMPARABLE COMPENSATION SURVEYS ARE UPDATED EVERY THREE TO FIVE YEARS. THE CEO DETERMINES THE SALARY OF THE CFO USING PERFORMANCE EVALUATION AND A COMPARABLE COMPENSATION SURVEY REPORT TO SET COMPENSATION LEVELS. COMPARABLE COMPENSATION SURVEYS ARE UPDATED EVERY THREE TO FIVE YEARS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. HOME HEALTH CAREHOSPICE & COMMUNITY SERVICES INC 312 MARLBORO STREET KEENE NH 03431 020464932 HOME CARE, HOSPICE, COMMUNITY SERVICE NH 501 (C)(3) LINE 12C, III-FI N/A 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0