2017-02-13T17:37:30-06:00 2016-06-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 15th Floor Manchester NH 03101 990 2015-07-01 237032401 Addison County Home Health Hospice Inc ADDI 8023887259 PO Box 754 Middlebury VT 05753 Paige Gallo Chief Financial Officer 8023887259 2017-02-10 1 Dimitrios Panacopoulos P01603705 6036697337 2017-02-10 2015 2021-01-29 14:40:06Z Paige Gallo PO Box 754 Middlebury VT 05753 9801440 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. 15 15 216 80 0 0 181205 169768 9849891 9630702 8666 -4728 0 0 10039762 9795742 0 0 0 0 7902517 7758840 0 0 7994 2610360 2537733 10512877 10296573 -473115 -500831 3448135 2738303 1522175 1313174 1925960 1425129 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 9221863 9630702 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. 9221863 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 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 0 0 0 0 0 1 2 0 1 216 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Paige Gallo 8023887259 PO Box 754 Middlebury VT 05753 Charles Burdick President 1.00 X X 0 0 0 Tim Buskey Vice President 1.00 X X 0 0 0 Elisa Cobb Co-Secretary 1.00 X X 0 0 0 Alice Maurer Co-Secretary 1.00 X X 0 0 0 Bryan Young Treasurer 1.00 X X 0 0 0 William Miller Director 1.00 X 0 0 0 William Fifield MD Director 1.00 X 0 0 0 Pat Morrow Director 1.00 X 0 0 0 Janet Cole Director 1.00 X 0 0 0 Robert Stetson Director 1.00 X 0 0 0 Art Remick Director 1.00 X 0 0 0 Nancy Foster Director 1.00 X 0 0 0 Ginny Hiland Director 1.00 X 0 0 0 Karen Lueders Director 1.00 X 0 0 0 Anne McMeniman Director 1.00 X 0 0 0 Larry Goetschius Executive Director 40.00 X 125959 0 12150 Paige Gallo Chief Financial Officer 36.00 X 104319 0 4972 Sherry Greifzu Executive Director 40.00 X 72958 0 4696 303236 0 21818 2 0 0 0 0 11001 40568 118199 169768 Home Care 621610 9630702 9630702 9630702 970 970 5698 -5698 -5698 -5698 9795742 9630702 0 -4728 247400 81968 165432 6249271 5660044 589227 165326 146413 18913 578479 512301 66178 518364 459063 59301 33735 33735 171524 127245 44279 40366 35748 4618 51774 45851 5923 152597 135140 17457 33491 29660 3831 382151 369891 12260 31649 28028 3621 12763 11303 1460 152640 135178 17462 36808 32597 4211 Program Supplies 708964 708964 Medicaid Tax 556863 556863 Printing & Publications 63054 55841 7213 Other Expenses 37329 33059 4270 72025 56706 7325 7994 10296573 9221863 1066716 7994 710343 319162 1678363 1542723 110309 87394 2022069 1369853 804856 652216 144264 136808 3448135 2738303 917545 701543 248280 300603 259439 203102 96911 107926 1522175 1313174 X 1816395 1313289 109565 111840 1925960 1425129 3448135 2738303 -500831 0 X 0 1 X 1 0 X 185010 225003 303570 181205 169768 1064556 9093006 9296132 10192896 9849891 9630702 48062627 9278016 9521135 10496466 10031096 9800470 49127183 0 0 0 49127183 9000 11688 6441 8666 970 36765 9000 11688 6441 8666 970 36765 9287016 9532823 10502907 10039762 9801440 49163948 0.99930 0.99900 0.00070 0.00100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 102957 2275 -671 104561 105465 4100 -6608 102957 105465 105465 1.00000 0 0 48600 48600 1119789 756457 363332 853680 613396 240284 652216 Due to Third-Party Payers 107926 107926 X 9795742 0 9795742 0 9795742 10296573 0 10296573 0 10296573 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. Form 990, Part VI, Section B, line 11 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.