2017-02-21T08:52:11-06:00 2016-06-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 15th Floor Manchester NH 03101 990 2015-07-01 020360640 VNA at HCS Inc VNAA 6033522253 312 Marlboro Street Keene NH 03431 Susan Lowe CPA CFO 6033522253 2017-02-17 1 Dimitrios Panacopoulos P01603705 6036697337 2017-02-13 2015 2021-01-29 14:40:06Z Cathy Sorenson 312 Marlboro Street Keene NH 03431 18197476 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 12 476 150 0 0 2659533 2583544 14671929 15612811 769 1121 9328 0 17341559 18197476 0 0 0 0 12012754 12349595 0 0 0 6329536 6474462 18342290 18824057 -1000731 -626581 8422880 8417893 1541873 2163467 6881007 6254426 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 8207152 9780531 Home care services 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. 3310084 3469964 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. 4576887 4946220 Community services 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. 16094123 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 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 7 0 1 476 1 0 0 0 0 0 0 0 0 0 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 Therrien Treasurer 1.00 1.00 X X 0 0 0 Jane Larmon Director 1.00 1.00 X 0 0 0 Charles Montgomery MD Director 1.00 1.00 X 0 0 0 Maureen O'Brien Director 1.00 1.00 X 0 0 0 Brian Reilly MD Director 1.00 1.00 X 0 0 0 Katherine J Snow Director at Large 1.00 1.00 X 0 0 0 John McIntosh Director 1.00 1.00 X 0 0 0 Mike Chelstowski Director 1.00 1.00 X 0 0 0 Ann Nunn Director 1.00 1.00 X 0 0 0 Susan Abert Esp Director 1.00 1.00 X 0 0 0 John Maclean Director 1.00 1.00 X 0 0 0 Leslie Pitts MS FAAFP Director 1.00 1.00 X 0 0 0 Cathy Sorenson CEO 19.00 19.00 X 0 166600 7943 Paul L Morgan CFO 19.00 19.00 X 0 134963 20856 Charlotte McCarthy Physical Therapist 40.00 X 101738 0 8426 101738 301563 37225 1 0 1 0 Home Health Strategic Management 1000 W St Joseph Suite 100 Lansing MI 48915 Consulting Company for Home Healthcare 231967 AllscriptsNetsmart 4950 College Boulevard Overland Park KS 66211 Software support 149967 2 87955 2349901 145688 2583544 Program Services 621610 15612811 15612811 15612811 816 816 305 0 305 305 305 18197476 15612811 0 1121 9931591 9931591 119444 119444 1504033 1504033 794527 794527 2729934 2729934 1256672 1256672 37021 37021 21937 21937 191671 191671 587737 587737 6633 6633 232336 232336 11299 11299 Program supplies 653621 653621 Equipment rental/repair 425521 425521 Telephone 221799 221799 Printing & publications 67242 67242 31039 31039 18824057 16094123 2729934 0 X 557502 354768 481598 622079 2719167 2636850 27061 161507 1702498 1470626 256438 231872 4381114 4410817 8422880 8417893 953513 1183776 588360 859691 0 120000 1541873 2163467 X 6855518 6228646 6866 7157 18623 18623 6881007 6254426 8422880 8417893 -626581 0 X 0 1 X 1 1 1 X 3065488 2789204 2820476 2659533 2583544 13918245 15478030 15570724 15706575 14671929 15612811 77040069 18543518 18359928 18527051 17331462 18196355 90958314 0 0 0 90958314 3948 2706 1581 769 816 9820 3948 2706 1581 769 816 9820 18547466 18362634 18528632 17332231 18197171 90968134 0.99990 0.99980 0.00010 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18623 18623 18658 35 18623 18658 18658 18658 18658 18658 18658 1.00000 0 0 8085 404 7681 782616 698180 84436 911797 772042 139755 231872 Assets Limited As To Use 25780 Due from Affiliates 4385037 4410817 Line of Credit 120000 120000 X 18197476 0 18197476 0 18197476 18824057 0 18824057 0 18824057 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. X X X X X 1 0 0 0 0 0 0 0 0 Cathy Sorenson CEO 0 166600 0 0 0 0 0 6747 0 1196 0 174543 0 0 Paul L Morgan CFO 0 134963 0 0 0 0 0 7200 0 13656 0 155819 0 0 Part I, Line 4a Paul Morgan was paid a severance of $11,110. Leslie Pitts Physician, Senior Leader, Board member, Cheshire Medical Center/Dartmouth 173408 Payments made to Cheshire and Dartmouth for services they provided 0 Susan Abert Governance Committee Member, Cheshire Medical Center 23371 Payments made to Cheshire and Dartmouth for services they provided 0 Katherine Snow Trustee, Cheshire Medical Center 23371 Payments made to Cheshire and Dartmouth for services they 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 corportaion, 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 corportaion; (b) any amendment, repeal, replacement or addition 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 11 The Chief Financial Officer reviews the 990 with the finance committee of the board fo 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 COMPLTED BY THE BOARD AND USE OF A COMPARABLE COMPENSATION SURVEY REPORT TO SET COMPENSATION LEVELS. COMPARABLE COMPENSATION SURVEYS ARE UPDATED EVERY THREE TO FIVE YEARS. THE CEO DETERMINES THE SALARY OF THE CFO USING PERFORMANCE EVALUTION 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 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: VNA at HCS, Inc. 312 Marlboro Street, Keene, NH 03431 EIN 02-0360640 VNA at HCS, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Home Health Care Hospice & Community Services Inc 312 Marlboro Street Keene NH 03431 020464932 Home Care, Hospice, Community Service NH 501 (c)(3) 509(a)(3) type 2 N/A 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0