2015-06-25T08:28:49-05:00 2014-12-31 020400296 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2014-01-01 010227184 Androscoggin Home Health Services Inc ANDR 2077777740 15 Strawberry Ave Lewiston ME 04240 Kathleen Applin Chief Financial Officer 2077777740 2015-06-25 1 DIMITRIOS PANACOPOULOS CPA P01603705 6032240849 2014 2016-03-07 17:11:31Z Androscoggin Home Care & Hospice Kathleen Applin 15 Strawberry Ave Lewiston ME 04240 32818554 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. 15 15 451 263 0 0 489907 565360 28279115 31091335 1224500 980866 149655 148109 30143177 32785670 0 0 0 0 21327468 22697379 0 0 232204 6205603 7193867 27533071 29891246 2610106 2894424 32229642 34632956 3997019 3505909 28232623 31127047 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 26832397 31091335 Home Care Services - Provides health, hospice and supportive services to individuals at their homes or in a health care clinic 26832397 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 1 107 0 1 451 1 0 0 0 0 0 1 1 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 Kathleen Applin 2077777740 15 Strawberry Ave Lewiston ME 04240 Rene Dumont Board Chairman 0.00 X 0 0 0 Bruce Cook Board Member 0.00 X 0 0 0 Chip Liversidge Treasurer 0.00 X 0 0 0 Bryan Dench Secretary 0.00 X 0 0 0 Jeffrey Brown MD Board Member 0.00 X 0 0 0 Sharon Cullenberg Board Member 0.00 X 0 0 0 Cindy Giroux Board Member 0.00 X 0 0 0 Sharron Sieleman Board Member 0.00 X 0 0 0 J Mary MacMahon Board Member 0.00 X 0 0 0 Christopher Gagnon Board Member 0.00 X 0 0 0 Cyndi Robbins Board Member 0.00 X 0 0 0 Miles Hunt Board Member 0.00 X 0 0 0 Alex Roy Board Officer at Large 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 Kathleen Applin CFO 40.00 X 142214 0 24494 Julie Shackley CEO/President 40.00 X 205517 0 18369 Dr Roger Austin Medical Director 40.00 X 229225 0 25607 Brenda Czado Director of Home Care 40.00 X 120836 0 6472 Cynthia Swift Chief Operating Officer 40.00 X 127288 0 15147 Ann Weaver Director of HR 40.00 X 124267 0 14325 Arthur Wing Director of Finance 40.00 X 124055 0 19087 1073402 0 123501 7 0 1 0 New England Home Therapies Inc 49 Omni Circle Auburn ME 04210 Medical Equipment 493810 HealthWyse LLC 60 Concord Street Wilmington MA 01887 Software Maintenance 304558 Comphealth Medical Staffing PO Box 972670 Dallas TX 75397 Nursing and Therapy Staffing 300070 MAS Medical Staffing 156 Harvey Road Londonderry NH 03053 Contract Visiting Staffing 252528 Honeywell Hommend Divison 23262 Network Place Chicago IL 60673 Medical Equipment 251110 5 122926 442434 565360 Home Care Services 621610 31091335 31091335 31091335 471292 471292 509574 0 509574 509574 509574 180993 32884 148109 148109 32785670 31091335 0 1128975 645426 254832 390594 17474640 15958089 1361109 155442 552661 495571 52337 4753 2580524 2313956 244375 22193 1444128 1294950 136758 12420 11316 11316 67073 67073 14128 14128 1317648 1099612 218036 56151 50351 5317 483 98292 88138 9309 845 462743 414942 43821 3980 416947 373876 39485 3586 867925 778268 82193 7464 77832 69792 7371 669 614868 551352 58228 5288 128712 115416 12189 1107 Program supplies 2281969 2281969 Other expenses 340762 305561 32270 2931 Telephone 166271 149095 15746 1430 Equipment rental/repair 100539 90153 9521 865 170691 146474 15469 8748 29891246 26832397 2826645 232204 5982715 5396048 207821 76761 2263967 3003041 436629 439392 8843591 5408792 3672896 3434799 16051208 18343038 3614406 3939877 32229642 34632956 3084867 2742211 219803 65035 692349 698663 3997019 3505909 X 28222623 31117047 10000 10000 28232623 31127047 32229642 34632956 2894424 0 X 0 1 X 1 0 X 572062 467741 591778 489907 565360 2686848 27382113 26612762 27802332 28279115 31091335 141167657 27954175 27080503 28394110 28769022 31656695 143854505 0 0 0 143854505 358013 394583 960813 466469 471292 2651170 358013 394583 960813 466469 471292 2651170 28312188 27475086 29354923 29235491 32127987 146505675 0.98190 0.98290 0.01810 0.01710 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 6320383 4031371 2289012 2027844 1377421 650423 3434799 Assets Limited As To Use 3939877 3939877 Due To Third Party Payor 698663 698663 X 32771542 0 32771542 14128 14128 32785670 29877118 0 29877118 14128 14128 29891246 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 69137 69137 3923 11339 Hospice Walk/Run 77956 77956 10570 3 33900 33900 7052 180993 180993 3923 28961 32884 148109 X X X 0 0 0 0 0 0 0 0 0 Kathleen Applin CFO 140804 0 1410 0 0 0 5688 0 18806 0 166708 0 0 0 Julie Shackley CEO/President 203555 0 1962 0 0 0 8220 0 10149 0 223886 0 0 0 Dr Roger Austin Medical Director 227203 0 2022 0 0 0 9169 0 16438 0 254832 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.