2014-07-03T13:53:04-05:00 2013-12-31 020400296 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2013-01-01 010227184 Androscoggin Home Health Services Inc ANDR 2077777740 15 Strawberry Ave Lewiston ME 04240 Kathleen Applin Chief Financial Officer 2077777740 2014-07-03 1 DIMITRIOS PANACOPOULOS CPA P01603705 6032240849 2013 2015-11-30 17:44:51Z Androscoggin Home Care & Hospice Kathleen Applin 15 Strawberry Ave Lewiston ME 04240 30167301 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. 16 16 460 269 0 0 591778 489907 27802332 28279115 960813 1224500 100309 149655 29455232 30143177 0 0 0 0 20822734 21327468 0 0 235612 6263006 6205603 27085740 27533071 2369492 2610106 29206250 32229642 3583733 3997019 25622517 28232623 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 24716300 28279115 Home Care Services - Provides health, hospice and supportive services to individuals at their homes or in a health care clinic 24716300 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 1 104 0 1 460 1 0 0 0 0 0 1 1 0 0 0 0 X 16 16 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 Connie Eldridge Board Member 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 136710 0 23957 Julie Shackley CEO/President 40.00 X 190294 0 17562 Dr Roger Austin Medical Director 40.00 X 213200 0 24810 Brenda Czado Director of Home Care 40.00 X 110719 0 5984 Dr Elizabeth White Medical Director 24.00 X 103669 0 15389 Ann Weaver Director of HR 40.00 X 120786 0 13358 Arthur Wing Director of Finance 40.00 X 115026 0 21706 990404 0 122766 7 0 1 0 HealthWyse LLC 60 Concord Street Wilmington MA 01887 Software Maintenance 327355 Comphealth Medical Staffing PO Box 972670 Dallas TX 75397 Nursing and Therapy Staffing 181872 5 120474 369433 489907 Home Care Services 621610 28279115 28279115 28279115 466469 466469 758031 0 758031 758031 758031 173779 24124 149655 149655 30143177 28279115 0 1374155 606533 238010 368523 16172641 14765032 1256743 150866 528600 473731 50112 4757 2682666 2404205 254317 24144 1337028 1198244 126751 12033 9768 9768 70250 70250 12308 12308 785269 670459 114810 60167 53922 5703 542 103758 92988 9836 934 410263 367678 38893 3692 392175 351467 37178 3530 852021 763581 80772 7668 74246 66539 7039 668 580954 520651 55074 5229 124391 111479 11792 1120 Program supplies 1964378 1964378 Other expenses 340045 304748 32237 3060 Telephone 145812 130677 13823 1312 Equipment rental/repair 107209 96081 10163 965 172589 142430 15067 15092 27533071 24716300 2581159 235612 4823670 5982715 236669 207821 2164815 2263967 374012 436629 8720120 5047224 4139435 3672896 14508283 16051208 2959366 3614406 29206250 32229642 2652061 3084867 239427 219803 692245 692349 3583733 3997019 X 25612517 28222623 10000 10000 25622517 28232623 29206250 32229642 2610106 0 X 0 1 X 1 0 X 598702 572062 467741 591778 489907 2720190 27566265 27382113 26612762 27802332 28279115 137642587 28164967 27954175 27080503 28394110 28769022 140362777 0 0 0 140362777 268388 358013 394583 960813 466469 2448266 268388 358013 394583 960813 466469 2448266 28433355 28312188 27475086 29354923 29235491 142811043 0.98290 0.98400 0.01710 0.01590 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 6260292 3827233 2433059 1964464 1219991 744473 3672896 Assets Limited As To Use 3614406 3614406 Due To Third Party Payor 692349 692349 30130869 0 30130869 12308 12308 30143177 27520763 0 27520763 12308 12308 27533071 Part V, Line 4: Restricted by donors to be maintained by the association in perpetuity. Part IV, Line 11F 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 Associations 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 71514 71514 3099 7995 Whalen Walk/Run 64790 64790 615 5378 3 37475 37475 7037 173779 173779 3714 20410 24124 149655 X X X 0 0 0 0 0 0 0 0 0 Kathleen Applin CFO 136710 0 0 0 0 0 0 0 23957 0 160667 0 0 0 Julie Shackley CEO/President 190294 0 0 0 0 0 0 0 17562 0 207856 0 0 0 Dr Roger Austin Medical Director 213200 0 0 0 0 0 0 0 24810 0 238010 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.