2016-06-21T09:44:04-05:00 2015-12-31 010523282 BERRY DUNN MCNEIL & PARKER LLC 1000 ELM STREET 15TH FLOOR MANCHESTER NH 03101 990 2015-01-01 010227184 ANDROSCOGGIN HOME HEALTH SERVICES INC ANDR 2077777740 15 STRAWBERRY AVE LEWISTON ME 04240 KATHLEEN APPLIN CHIEF FINANCIAL OFFICER 2077777740 2016-06-08 1 DIMITRIOS PANACOPOULOS CPA P01603705 6036697337 2016-06-08 2015 2016-09-27 15:27:22Z ANDROSCOGGIN HOME CARE & HOSPICE KATHLEEN APPLIN 15 STRAWBERRY AVE LEWISTON ME 04240 33621847 0 X WWW.AHCH.ORG X 1966 ME ANDROSCOGGIN HOME CARE & HOSPICE IS COMMITTED TO CARING FOR THE HEALTH, INDEPENDENCE, AND QUALITY OF LIFE OF RESIDENTS IN CENTRAL AND WESTERN MAINE IN THE COMFORT OF THEIR HOME AND COMMUNITY. 14 14 482 246 0 0 565360 538284 31091335 32367233 980866 81114 148109 157712 32785670 33144343 0 0 0 0 22697379 24814332 0 0 249070 7193867 7082006 29891246 31896338 2894424 1248005 34662887 36209377 3535840 3834325 31127047 32375052 ANDROSCOGGIN HOME CARE & HOSPICE IS COMMITTED TO CARING FOR THE HEALTH, INDEPENDENCE AND QUALITY OF LIFE OF RESIDENTS IN CENTRAL AND WESTERN MAINE IN THE COMFORT OF THEIR HOME AND COMMUNITY. 0 0 28508791 32367233 HOME CARE SERVICES - PROVIDES HEALTH, HOSPICE AND SUPPORTIVE SERVICES TO INDIVIDUALS AT THEIR HOMES OR IN A HEALTH CARE CLINIC 28508791 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 95 0 1 482 1 0 0 0 0 0 1 1 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KATHLEEN APPLIN 2077777740 15 STRAWBERRY AVE LEWISTON ME 04240 RENE DUMONT BOARD MEMBER 0.00 X 0 0 0 CHIP LIVERSIDGE BOARD CHAIRMAN 0.00 X 0 0 0 BRYAN DENCH SECRETARY 0.00 X 0 0 0 SHARON CULLENBERG BOARD MEMBER 0.00 X 0 0 0 SHARRON SIELEMAN BOARD MEMBER 0.00 X 0 0 0 CHRISTOPHER GAGNON BOARD MEMBER AT LARGE 0.00 X 0 0 0 CYNDI ROBBINS BOARD MEMBER 0.00 X 0 0 0 MILES HUNT VICE CHAIRMAN 0.00 X 0 0 0 ALEX ROY TREASURER 0.00 X 0 0 0 CHRISTINE BOSSE BOARD MEMBER 0.00 X 0 0 0 BLAKE WHITAKER BOARD MEMBER 0.00 X 0 0 0 JEFFREY GOSSELIN BOARD MEMBER 0.00 X 0 0 0 JEFFREY LACROIX BOARD MEMBER 0.00 X 0 0 0 PETER MAURO JR BOARD MEMBER 0.00 X 0 0 0 KATHLEEN APPLIN CFO 40.00 X 161028 0 24902 JULIE SHACKLEY CEO/PRESIDENT 40.00 X 211907 0 18278 DR ROGER AUSTIN MEDICAL DIRECTOR 40.00 X 220071 0 24763 BRENDA CZADO DIRECTOR OF HOME CARE 40.00 X 124975 0 6787 CYNTHIA SWIFT CHIEF OPERATING OFFICER 40.00 X 127005 0 26244 ANN WEAVER DIRECTOR OF HR 40.00 X 129024 0 15730 ARTHUR WING DIRECTOR OF FINANCE 40.00 X 120982 0 15122 1094992 0 131826 7 0 1 0 NEW ENGLAND HOME THERAPIES INC 49 OMNI CIRCLE AUBURN ME 04210 MEDICAL EQUIPMENT 598533 HEALTHWYSE LLC 60 CONCORD STREET WILMINGTON MA 01887 SOFTWARE MAINTENANCE 303619 COMPHEALTH MEDICAL STAFFING PO BOX 972670 DALLAS TX 75397 NURSING AND THERAPY STAFFING 283231 MAS MEDICAL STAFFING 156 HARVEY ROAD LONDONDERRY NH 03053 CONTRACT VISITING STAFFING 257453 AMN HEALTHCAREINC 2735 COLLECTION CTR DR CHICAGO IL 60693 CONTRACT VISITING STAFFING 185799 5 135448 402836 538284 HOME CARE SERVICES 621610 32367233 32367233 32367233 532404 532404 451290 -451290 -451290 -451290 183926 26214 157712 157712 33144343 32367233 0 238826 660949 244834 416115 19160704 17475438 1514808 170458 584855 523913 55912 5030 2827527 2532899 270311 24317 1580297 1415630 151076 13591 5344 5344 70000 70000 15088 15088 1121082 821931 299151 67296 60284 6433 579 95969 85969 9175 825 414340 371166 39611 3563 469216 420324 44857 4035 802470 718853 76716 6901 89995 80618 8603 774 576961 516842 55157 4962 137127 122838 13110 1179 PROGRAM SUPPLIES 2301940 2301940 OTHER EXPENSES 403754 361683 38599 3472 TELEPHONE 232191 207997 22197 1997 PRINTING AND PUBLICATIO 105831 94803 10118 910 173402 150829 16096 6477 31896338 28508791 3138477 249070 5396048 5851236 142481 42141 3003041 3472044 384820 407010 9391551 5724122 3453582 3667429 18343038 18816519 3939877 3952998 34662887 36209377 2772142 3122646 65035 19434 698663 692245 3535840 3834325 X 31117047 32365052 10000 10000 31127047 32375052 34662887 36209377 1248005 0 X 0 1 X 1 0 X 467741 591778 489907 565360 538284 2653070 26612762 27802332 28279115 31091335 32367233 146152777 27080503 28394110 28769022 31656695 32905517 148805847 0 0 0 148805847 394583 960813 466469 471292 532404 2825561 394583 960813 466469 471292 532404 2825561 27475086 29354923 29235491 32127987 33437921 151631408 0.98140 0.98190 0.01860 0.01810 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10000 10000 10000 10000 10000 10000 10000 10000 10000 10000 1.00000 0 0 495364 495364 6533585 4249875 2283710 2362602 1474247 888355 3667429 ASSETS LIMITED AS TO USE 3952998 3952998 DUE TO THIRD PARTY PAYOR 692245 692245 X 33144343 0 33144343 0 33144343 31896338 0 31896338 0 31896338 PART V, LINE 4: RESTRICTED BY DONORS TO BE MAINTAINED BY THE ASSOCIATION IN PERPETUITY. 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 POSITION AND CONCLUDED THAT THE ASSOCIATION HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. AUTUMN NIGHT OUT 66436 66436 293 6031 HOSPICE WALK/RUN 78284 78284 10568 3 39206 39206 9322 183926 183926 293 25921 26214 157712 X X X 0 0 0 0 0 0 0 0 0 KATHLEEN APPLIN CFO 161028 0 0 0 0 0 6372 0 18530 0 185930 0 0 0 JULIE SHACKLEY CEO/PRESIDENT 211907 0 0 0 0 0 8327 0 9951 0 230185 0 0 0 DR ROGER AUSTIN MEDICAL DIRECTOR 220071 0 0 0 0 0 8692 0 16071 0 244834 0 0 0 CYNTHIA SWIFT CHIEF OPERATING OFFICER 127005 0 0 0 0 0 4813 0 21431 0 153249 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 CFO AND DIRECTOR OF FINANCE REVIEW THE 990. FORM 990, PART VI, SECTION B, LINE 12C POLICY IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS. EACH MEMBER IS ASKED TO SIGN AN AFFIDAVIT ACKNOWLEDGING THEY HAVE READ THE POLICY, UNDERSTAND THE POLICY, AND ARE IN COMPLIANCE WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS USING EXTERNAL BENCHMARKS. OFFICERS ARE REVIEWED ANNUALLY BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION IS MADE AVAILABLE TO THE PUBLIC WITH THE PUBLICATION OF THE ANNUAL REPORT, FILING OF THE IRS FORM 990 AND UPON REQUEST.