2018-04-04T12:56:23-05:00 2017-06-30 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2016-07-01 020360640 VNA AT HCS INC VNAA 6033522253 312 MARLBORO STREET KEENE NH 03431 SUSAN LOWE CPA, CFO 6033522253 2018-03-07 1 JUDY DALEY P01294075 6179848100 2018-03-07 67.137.57.251 2018-03-07 16:15:38 ES P BFDB7CD4CE10E37F5587DC6B509BFD3B13EB5B83 841D42CDB55AA9E3247DE7607DFCD4A54B7F94D0 2016 2021-01-29 14:40:06Z CATHY SORENSON 312 MARLBORO STREET KEENE NH 03431 19101666 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. 15 12 463 138 0 0 2583544 2348363 15612811 16742892 1121 4058 0 0 18197476 19095313 0 0 0 0 12349595 11440985 0 0 0 6474462 7927054 18824057 19368039 -626581 -272726 8417893 8036025 2163467 2053778 6254426 5982247 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 0 10981137 11050309 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. PRIVATE DUTY SERVICES ARE ALSO OFFERED TO CUSTOMIZE CARE TO INDIVIDUAL NEEDS. 3327617 3348578 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. 2329333 2344005 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. 16638087 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 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 463 1 0 0 0 0 0 0 0 0 0 1 0 X 15 12 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NH X SUSAN LOWE CPA 6033522253 312 MARLBORO STREET KEENE NH 03431 BETSY COTTER CHAIRPERSON 1.00 1.00 X X 0 0 0 JOJI ROBERTSON VICE-CHAIRPERSON 1.00 1.00 X X 0 0 0 ALLEN MENDELSON SECRETARY 1.00 1.00 X X 0 0 0 DAVID THERRIAN TREASURER 1.00 1.00 X X 0 0 0 KATHERINE J SNOW DIRECTOR AT LARGE 1.00 1.00 X 0 0 0 SUSAN ABERT ESQ DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL CHELSTOWSKI DIRECTOR 1.00 1.00 X 0 0 0 JANE LARMON DIRECTOR 1.00 1.00 X 0 0 0 JOHN MACLEAN DIRECTOR 1.00 1.00 X 0 0 0 JOHN MCINTOSH DIRECTOR 1.00 1.00 X 0 0 0 CHARLES MONTGOMERY MD DIRECTOR 1.00 1.00 X 0 0 0 ANN NUNN 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 CATHY SORENSON CEO 19.00 19.00 X 0 154668 7885 SUSAN LOWE CFO 19.00 19.00 X 0 41525 11997 KAREN BOWERS PHYSICAL THERAPIST 40.00 0.00 X 128362 0 2700 CHRISTOPHER PERSSON OCC. THERAPIST 40.00 0.00 X 111822 0 1000 CHRISTINE WHITE PHYSICAL THERAPIST 40.00 0.00 X 107954 0 5200 348138 196193 28782 3 0 1 0 LINDLEY AQUISITION CORP PO BOX 743074 ATLANTA GA 30374 FOOD SERVICES 405405 ENCLARA PHARMACIA INC PO BOX 95000-7255 PHILADELPHIA PA 19195 PHARMACY SERVICES 173204 ALLSCRIPTSNETSMART 4950 COLLEGE BOULEVARD OVERLAND PARK KS 66211 EHR SERVICES 164289 ARDOR HEALTH SOLUTIONS 5830 CORAL RIDGE DRIVE CORAL SPRINGS FL 33076 HEALTHCARE STAFFING COMPANY 154832 HOMECARE SPECIALISTS 2710 FLORIDA BOULEVARD DEL RAY BEACH FL 33483 RESPIRATORY EQUIPMENT 147843 5 145050 1903917 299396 2348363 PATIENT SERVICE REVENUE 621610 15856383 15856383 OTHER OPERATING REVENUE 621610 886509 886509 16742892 3041 3041 7370 6353 1017 1017 1017 19095313 16742892 0 4058 9240301 9240301 1489203 1489203 711481 711481 2729952 2729952 1250 1250 110 110 1347176 1347176 36140 36140 332078 332078 183221 183221 281701 281701 565027 565027 3368 3368 79417 79417 115204 115204 13122 13122 BAD DEBTS 906070 906070 PROGRAM SUPPLIES 637194 637194 EQUIPMENT RENTAL & REPA 313677 313677 C/S - OTHER EXPENSES 288434 288434 93913 93913 19368039 16638087 2729952 0 354768 344009 5534 622079 2636850 2815487 161507 242139 1670074 1435039 231872 235035 21141 41598 4410817 4331082 8417893 8036025 1183776 1755505 859691 98427 120000 199846 2163467 2053778 X 6228646 5857529 7157 106095 18623 18623 6254426 5982247 8417893 8036025 -272726 547 0 X 0 1 X 1 1 1 X 2789204 2820476 2659533 2583544 2348363 13201120 15570724 15706575 14671929 15612811 16742892 78304931 18359928 18527051 17331462 18196355 19091255 91506051 0 0 0 91506051 2706 1581 769 816 3041 8913 2706 1581 769 816 3041 8913 18362634 18528632 17332231 18197171 19094296 91514964 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18623 18623 18623 18623 18658 35 18623 18658 18658 18658 18658 0.00000 1.00000 0.00000 0 0 28313 2224 26089 1453343 1276265 177078 188418 156550 31868 235035 INTERCOMPANY RECEIVABLES 4331082 4331082 X PART V, LINE 4: INCOME USED FOR OPERATIONS AND TO SUPPORT THE 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. 0 0 0 0 0 0 0 0 0 CATHY SORENSON CEO 0 154668 0 0 0 0 0 0 0 7885 0 162553 0 0 LESLIE PITTS BOD, PHYSICIAN OF CHESHIRE MEDICAL CENTER 13215 PAYMENTS MADE TO CHESHIRE MEDICAL CENTER FOR SERVICES PROVIDED. 0 SUSAN ABERT BOD, GOVERNANCE COMMITTEE OF CHESHIRE MEDICAL CENTER 13215 PAYMENTS MADE TO CHESHIRE MEDICAL CENTER FOR SERVICES PROVIDED. 0 KATHERINE SNOW BOD, TRUSTEE OF CHESHIRE MEDICAL CENTER 13215 PAYMENTS MADE TO CHESHIRE MEDICAL CENTER FOR SERVICES PROVIDED. 0 ALLEN MENDELSON BOD SECRETARY 350 PAYMENTS MADE TO CEDARCREST FOR SERVICES PROVIDED. 0 DAVID THERRIEN BOD TREASURER, BOD OF MONADNOCK UNITED WAY 45000 PAYMENTS MADE TO MONADNOCK UNITED WAY FOR SERVICES PROVIDED. 0 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 CHIEF FINANCIAL OFFICER REVIEWS THE 990 WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING. 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 SUPPORTING MGT. SERVICES NH 501(C)(3) LINE 12B, II N/A 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0