2015-12-18T08:04:33-06:00 2015-09-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2014-10-01 020222122 Concord Regional Visiting Nurse Association Inc CONC 6032244093 30 Pillsbury Street Concord NH 03301 Mary B Deveau President 6032244093 2015-12-11 1 Barbara J McGuan CPA P00219457 2077752387 2015-12-11 2014 2016-04-25 22:37:26Z Mary B DeVeau 30 Pillsbury Street Concord NH 03301 60456890 0 X www.crvna.org X 1899 NH Concord Regional Visiting Nurse Association, incorporated in 1899, is a home health and hospice care provider, offering both preventive and supportive health care services. Our mission is to provide and facilitate comprehensive care in the home and community to optimize health, well-being and independence. Our services include: Skilled Nursing; Physical Therapy, Occupational Therapy, & Speech Therapy; Homemaking; Maternal/Child Health; Social Work; Hospice Care; Personal Home Services; Pediatric Care; Nutritional Counseling; Senior Health Clinics; Flu Immunization Clinics; Immunization Clinics; Blood Pressure Clinics; and Community Education. 17 15 461 118 0 0 2620614 528572 26347516 28638715 1038542 636341 4751 -4740 30011423 29798888 0 0 0 0 20901654 22233879 0 0 65081 5335269 6258855 26236923 28492734 3774500 1306154 31442705 31597825 3652470 3543295 27790235 28054530 X The Organization provides and facilitates comprehensive care in the home and community to optimize health, well-being and independence. 0 0 13425171 17908369 Home Health Care - provides skilled care services to patients who qualify for care in their home. Services were rendered to 5,036 patients including 114,999 chargable visits and 8,706 additional service hours for indigent patients. Charity care is provided to individuals who are uninsured, underinsured, or otherwise unable to pay the published fee for service. 7774155 8881070 Hospice - supportive care for the terminally ill on a 24 hour basis. Services were rendered to 815 patients providing 44,573 hospice care days. Hospice care is provided in a ten bed house for those who require twenty four hour skilled nursing care for symptom management and in the community. Charity care is provided to individuals who are uninsured, underinsured, or otherwise unable to pay the published fee for services or for the house room and board. 1812952 1626280 Personal Care Services - Provides care and support primarily to frail elders who need assistance to stay living independently in their own homes. 558065 222996 Community Health Services - provides community based health care services in individual homes and clinic setting including senior health clinics, immunization clinics, and community health education including "Better Choices, Better Health" a program that assists older adults in learning more effective ways of self-managing their chronic condition to improve their quality of life and "A Matter of Balance" a program that assists older adults in reducing their fear of falling and improving their activity levels. Powerful Tools for Caregivers is also an educational program offered for caregivers who are caring for someone with advance dementia or other cognitive impairments; in addition, a monthly Capital Area Memory Cafe is offered to support those who are caring for someone with advance dementia to help connect them with others for peer group support. Monthly walk in clinics and our "Dying to Talk Cafe's" are offered to help those living with a chronic illness, life limiting illness or anyone in the community who would like to explore how to begin having the conversation about advanced care planning and their end of life wishes.In 2014, a new program was launched providing a community health worker to work with elderly (over 65 years of age) who are living with complex and/or chronic illness. The Community Health worker works to improve health outcomes and health care utilization of the target population while increasing the client/consumers knowledge and ability to self-manage while improving awareness of their health issues. Funding for services is subsidized by agency and community funding. 558065 222996 23570343 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 12 0 1 461 1 0 0 0 0 0 0 0 0 0 0 X 17 15 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Violet Rounds 6032244093 30 Pillsbury Street Concord NH 03301 Mary B DeVeau President & CEO 50.00 X X 594521 0 12434 Christopher Parkinson Trustee 1.00 X 0 0 0 Kathleen Ames Trustee 1.00 X 0 0 0 Mark T Broth Esq Vice Chair 1.00 X X 0 0 0 Vera Buck Trustee 1.00 X 0 0 0 Charles J Fanaras RPh Trustee 1.00 X 0 0 0 Marianne Fleischman MD Chair 1.00 X X 0 0 0 Jessica S Pollack APRN Trustee 1.00 X 0 0 0 Melvin J Severance CFP Treasurer 1.00 X X 0 0 0 Deacon Winton DeRosia Trustee 1.00 X 0 0 0 Andrew B Eills Esq Secretary 1.00 X X 0 0 0 Patricia Bourgault Trustee 1.00 X 0 0 0 Paul Greenan Trustee 1.00 X 0 0 0 Amelia Larsen Curti Trustee 1.00 X 0 0 0 Michelline Dufort Trustee 1.00 X 0 0 0 Tim Lesko Trustee 1.00 X 0 0 0 James Mullins Trustee 1.00 X 0 0 0 Violet Rounds Chief Finance Officer 50.00 X 173154 0 20597 Linda Flewelling VP Human Resources 45.00 X 128056 0 7196 Deborah Mullen Chief Information Officer 45.00 X 126489 0 14143 Laurie Farmer VP Hospice House 45.00 X 119520 0 18419 Andrew Westbrook Medical Director 40.00 X 177355 0 9128 Art Savage PT 45.00 X 123973 0 4959 1443068 0 86876 10 0 1 0 0 279257 5000 244315 2426 528572 Home Care Revenue 621610 17908369 17908369 Hospice Revenue 623000 8881070 8881070 Personal Home Services Revenue 621610 1626280 1626280 Community Services Revenue 621990 222996 222996 28638715 549402 549402 30719076 30632137 86939 86939 86939 21125 279257 25865 -4740 -4740 29798888 28638715 0 631601 800706 740011 60695 16923860 15383288 1540572 613410 548633 64777 2599112 2321808 277304 1296791 1127597 164808 4386 8053 8053 70600 70600 124932 124932 1044495 916675 127820 2472377 1998326 474051 470596 470596 635972 251939 384033 721692 700011 21681 103811 103811 350690 260677 90013 118195 118195 Dues & Subscriptions 78916 61389 17527 Bad Debt Expense 54704 54704 Equipment Rental 3822 3822 28492734 23570343 4857310 65081 X 120 200 7625433 6018929 48124 101539 3524396 3963178 154090 177267 3172361 1385268 888272 1787093 17484752 18270058 1717518 1279561 31442705 31597825 2139006 2304679 1058817 1166267 454647 72349 3652470 3543295 X 21195778 21566638 1951473 1898111 4642984 4589781 27790235 28054530 31442705 31597825 X 1306154 -976656 -65203 X 0 1 X 1 0 X 661035 652383 817617 2620614 528572 5280221 25817855 23493083 23516044 26352267 28633975 127813224 26478890 24145466 24333661 28972881 29162547 133093445 5485 5485 0 5485 5485 133087960 400809 407721 354480 350877 549402 2063289 400809 407721 354480 350877 549402 2063289 26879699 24553187 24688141 29323758 29711949 135156734 0.98470 0.98580 0.01530 0.01410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7709 7709 0 Part II-B, Line 1: The Organization pays dues to various organizations, some to which a portion of the dues are attributable to lobbying expenses. 3395569 12000 89216 89216 3407569 2400248 995321 21940 21940 3395569 2151083 249165 40009 40009 2400248 2073418 77665 91186 91186 2151083 2073418 37759 37759 2073418 1.00000 0 0 1855310 457636 1397674 1317051 927632 389419 1787093 Deferred Compensation 72349 72349 28766290 -976656 25865 -950791 29717081 16604 65203 81807 29798888 28501995 25865 25865 28476130 16604 16604 28492734 Part V, Line 4: The Endowment funds are used to subsidize charitable care, support community programs that have no outside funding, provide seed money for program expansion and new programs and to make capital improvements to the Hospice House. Programs and Services supported by the Agency's funds include Community Health Education including "Better Choices, Better Health" a program that assists older adults in learning more effective ways of self-managing their chronic condition to improve their quality of life and "A Matter of Balance" a program that assists older adults in reducing their fear of falling and improving their activity levels, health clinics for seniors that provide screenings, footcare, ear wax removal, and other related services and immunization clinics. In addition, the Hospice Program and the Hospice House are supported through charitable funds to provide subsidized or free services; bereavement support groups, Hospice volunteer training and community education. Funds also would be used to support CRVNA's Home Care Program's Telehealth Program and to subsidize charitable care for patients that are uninsured or underinsured in the Home Care Program. Part XI, Line 2d - Other Adjustments: Fundraising Expenses 25,865. Part XI, Line 4b - Other Adjustments: Change in Fair Value of Beneficial Interest in Perpetual Trusts 65,203. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 25,865. Lights of Life 81349 81349 300 3918 Annual Appeal 151885 151885 15199 1 67148 46023 21125 3118 565 2765 300382 279257 21125 300 3118 565 21882 25865 -4740 X X X X X 0 0 0 0 0 0 0 1 0 Mary B DeVeau President & CEO 247417 0 24600 0 322504 0 10400 0 2034 0 606955 0 0 0 Violet Rounds Chief Finance Officer 161502 0 6852 0 4800 0 7144 0 13453 0 193751 0 0 0 Andrew Westbrook Medical Director 168824 0 8531 0 0 0 7094 0 2034 0 186483 0 0 0 Part I, Line 7 The bonus compensation paid to Mary DeVeau & Violet Rounds is determined based on a compensation survey conducted by the Organization, and therefore is non-fixed in nature. The bonus compensation paid to Dr. Andrew Westbrook was part of a 5% management bonus which was given to all managers. Part II, Column B(iii): An unusual, one-time compensatory event occurred in 2012. There was a change in retirement plan providers which resulted in a settlement of contractual obligations related to services performed by Mary DeVeau between 1997-2011. In calendar year 2014, Ms. DeVeau received a $300,204 pension distribution as a result of the changes noted above. This pension distribution was included in Ms. DeVeau's 2014 Form W-2 and is reported in Schedule J, Part II, Column B(iii). The Prescription Center and Northeast Pharmacy Vendor of Organization 479733 Charles Fanaras, a member of the Board of Trustees of the Organization is the sole owner of The Prescription Center and Northeast Pharmacy. The Organization purchases prescriptions from this organization. All transactions are at arm's length. 0 Form 990, Part VI, Section A, line 6 Capital Region HealthCare Corporation is the sole member of the Concord Regional VNA. Form 990, Part VI, Section A, line 7a Capital Region HealthCare Corporation accepts any changes made to the bylaws by the governing body. Form 990, Part VI, Section B, line 11 The role of Concord Regional Visiting Nurse Association's Audit Committee has expanded to include review of the agency's 990. The accounting firm of Berry, Dunn, McNeil and Parker presented the 990 to the Audit Committee prior to filing the form. The Audit Committee engages the auditors and receives the audit and the 990 Report. The Audit Committee receives a complete copy of the 990 including all schedules. The initial presentation of the FY2015 audit and the 990 Form will occur at the November 18, 2015 meeting of the Audit/Finance Committee meeting. Subsequent Audit Committee meetings will occur if necessary to complete the review. The Audit Committee will report to the Board of Trustees that the 990 review has occurred. The Board of Trustees accepts the Audit Committee reports, the audit, and the 990 documents. All members of the Board will have access to the reports. The Form 990 is available to the public upon request. Form 990, Part VI, Section B, line 12c The Conflict of Interest, Statement of Conflict of Interest with Respect to a Relationship, Transaction and/or Financial Interest form was revised by the Audit Committee in February 2010 and approved by the Board in March 2010. The form was revised to ensure compliance with the State of NH Pecuniary Benefit Law (Chapter 7: RSA 7:19a) and the revised IRS 990 disclosure requirements. The Chief Executive Officer/President reviewed the form and the regulation requirements at the April 14, 2015 Board Meeting. Trustees at the meeting were requested to complete the forms and return them to management. The Executive Administrative Manager worked with Board members to ensure each member had returned the Conflict of Interest Forms. In FY2015, 100% of the Board of Trustees returned the signed conflict of interest forms. The Audit Committee at its June 3, 2015 meeting reviewed the forms for those Trustees that reported a conflict of interest. The Audit Committee reported to the full Board the conflict of interest transactions that had been disclosed on the conflict of interest forms. The Board at its June 9, 2015 meeting approved the conflict of interest disclosures. The approved transactions over $5,000 were reported as required by law to the State of New Hampshire's Director of Charitable Trust at the Attorney General's office and a notice was published in the Concord Monitor. In addition to the annual completion of the form, Trustees were asked at every Board meeting during Fiscal Year 2015, if there were any conflicts that they have identified that should be reported to Management and the Board. Form 990, Part VI, Section B, line 15 The Board at its November 10, 2009 meeting adopted an Executive Compensation policy for the CEO/CFO positions. The Executive Committee's compensation philosophy is to pay the CEO and CFO at the appropriate level of compensation based on market data and surveys such as the compensation report noted above. The compensation will be performance based using the salary information available. In October 2012, the Executive Committee in collaboration with other VNAs affiliated with the Visiting Nurse Association of Northern New England engaged Gallagher Surveys to complete an executive compensation analysis/review that would be used to determine the compensation for the Chief Executive Officer and the Chief Financial Officer for a three year period. The results of this report were presented to the CRVNA Executive Committee in March of 2013. The Executive Committee members decided at this meeting to accept the report as the appropriate tool to use to set the compensation for the CEO and CFO positions. The Executive Committee of the Board of Trustees using the Gallagher compensation survey recommended the annual compensation for the CEO and CFO at the December 9, 2014 Board meeting. The Board unanimously approved the compensation recommendation. 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: Concord Regional Visiting Nurse Association, Inc. 30 Pillsbury Street Concord, NH 03301 EIN 02-0222122 Concord Regional Visiting Nurse Association, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Change in fair value of beneficial interest in perpetual trusts -65,203. Form 990, Part I, Line 1 The agency's service area includes Merrimack County and portions of Hillsborough County, representing more than 35 communities in central New Hampshire. Concord Regional VNA serves 7,000 patients annually and provides 150,000 homecare hours and more than 44,500 hospice days annually, including a 10-bed Hospice House. Patients who are uninsured, underinsured, or otherwise unable to pay the published fees for services are provided charity care. In the Fiscal Year 2015, the CRVNA Home Care Program provided care to 5,036 patients. Thirteen percent (13%) of the patients served in the Home Care Program were uninsured or received funding from Medicaid. In addition, 66.7% of the Home Care patients had Medicare or Medicare replacement plans as their insurance plan. The Hospice program provided care to 815 patients. Eighty seven percent of the Hospice patients had Medicare and 5% of the patients were uninsured or received funding from Medicaid. We are a 501(c)(3) non-profit agency and a subsidiary of Capital Region Health Care. Concord Regional VNA is a Medicare and Medicaid Certified Home Health and Hospice Provider and is licensed by the State of New Hampshire Bureau of Health Care Facilities. In addition, Concord Regional VNA's Hospice House, an inpatient setting providing care and comfort for the terminally ill, is licensed by the State of New Hampshire as a Supportive Residential Care Facility. Capital Region Health Care Corporation 250 Pleasant Street Concord NH 03301 020222123 Health Care Services NH 501(c)(3) Line 11a, I N/A 0 Concord Hospital Inc 250 Pleasant Street Concord NH 03301 222594672 Patient Care Services NH 501(c)(3) Line 3 N/A 0 Riverbend Community Mental Health Inc 3-5 North State Street PO Box 2032 Concord NH 03302 020264383 Mental Health Services NH 501(c)(3) Line 7 N/A 0 Capital Region Health Care Development Corporation 250 Pleasant Street Concord NH 03301 020429749 Management of Real Estate Holdings NH 501(c)(2) N/A 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0