2013-02-15T12:53:23-06:00 2012-06-30 020400296 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2011-07-01 020360640 VNA at HCS Inc VNAA 6033522253 312 Marlboro Street Keene NH 03431 Richard Skeels 6033522253 2013-02-15 1 DIMITRIOS PANACOPOULOS CPA P01603705 6032240849 2011 2016-03-07 17:11:31Z Richard Skeels 312 Marlboro Street Keene NH 03431 18547465 0 X www.hcsservices.org X 1981 NH To provide services which enable people to function throughout life at their optimal level of health, well-being, and independence according to their personal beliefs and choices. 14 14 518 95 0 0 2917046 3065488 15876346 15478030 6493 3947 0 0 18799885 18547465 0 0 0 0 11776699 11874598 0 0 0 5930484 6158418 17707183 18033016 1092702 514449 9397104 9223043 2065815 1377305 7331289 7845738 To provide services which enable people to function throughout life at their optimal level of health, well-being, and independence according to their personal beliefs and choices. 0 0 15340184 15478030 Acute health care services to patients who can be cared for at home,testing and screening services, and health care services to the elderly, meals on wheels, and transportation services, adult in home care, adult day care to the elderly and prenatal and post partum care to low income families. 15340184 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 4 0 1 518 1 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NH X Richard Skeels 6033522253 312 Marlboro Street Keene NH 03431 Katherine J Snow 0.00 X 0 0 0 Deborah J Blanc 0.00 X 0 0 0 Wes Clark 0.00 X 0 0 0 Cynthia Q Woods 0.00 X 0 0 0 Joe Baute 0.00 X 0 0 0 Betsy Cotter 0.00 X 0 0 0 JoAnn Fenton 0.00 X 0 0 0 Maria P Gavin 0.00 X 0 0 0 Peter Gosline 0.00 X 0 0 0 Audrey Hadcock 0.00 X 0 0 0 Charles Montgomery 0.00 X 0 0 0 Maureen O'Brien 0.00 X 0 0 0 Cameron Tease 0.00 X 0 0 0 Gregg Tewksbury 0.00 X 0 0 0 Barbara Duckett 38.00 X 0 286080 18743 Richard Skeels 38.00 X 0 178170 19094 0 464250 37837 0 0 1 0 Fitz Vogt and Associates Inc 80 Belden Road 6 Rutland VT 05701 provide meals for nutrition program 464992 Hospiscripts Services LLC PO Box 933273 Atlanta GA 31193 Prescription services 199090 McKesson Medical Supplies 8121 10th Avenue Minneapolis MN 55427 Medical Supplies 164888 3 95184 2351545 618759 3065488 Program Services 621610 15478030 15478030 15478030 3947 3947 18547465 15478030 0 3947 9493250 9493250 116154 116154 1505734 1505734 759460 759460 2692832 2692832 796122 796122 86732 86732 24792 24792 189952 189952 624954 624954 348770 348770 12254 12254 Program supplies 579872 579872 Equipment rental/repair 429169 429169 Telephone 156657 156657 Bad debts 111000 111000 105312 105312 18033016 15340184 2692832 0 1695323 991088 529809 391605 1524066 2000336 28527 27611 1701672 1338712 273832 362960 5345547 5449443 9397104 9223043 1288102 804908 765713 566862 12000 5535 2065815 1377305 X 7296461 7675364 16170 151716 18658 18658 7331289 7845738 9397104 9223043 514449 0 X 0 1 1 X 1 1 X 3133676 2983764 2904649 2917046 3065488 15004623 12351036 13406872 14362970 15876346 15478030 71475254 15484712 16390636 17267619 18793392 18543518 86479877 0 0 0 86479877 54342 23093 10483 6493 3948 98359 54342 23093 10483 6493 3948 98359 15539054 16413729 17278102 18799885 18547466 86578236 0.99890 0.99840 0.00110 0.00160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18658 18658 18658 18658 18658 18658 18658 18658 1.00000 0 0 712550 420925 291625 989122 917787 71335 362960 Assets Limited as to Use 170374 Due From Affiliates 5279069 5449443 Due to Third Party Payers 5535 5535 18547465 18033016 514449 514449 18547465 0 18547465 0 18547465 18033016 0 18033016 0 18033016 Description of Intended Use of Endowment Funds: Part V, Line 4: Income used for operations and to support hospice 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 Association's tax positions and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. X X X X 0 0 0 0 0 0 0 0 0 Barbara Duckett 0 266185 0 19895 0 0 0 0 0 18743 0 304823 0 0 Richard Skeels 0 162441 0 15729 0 0 0 0 0 19094 0 197264 0 0 Form 990, Part VI, Section A, line 6 Home Healthcare, Hospice and Community Services, Inc. (HCS) shall be the sole member of the corporation. Form 990, Part VI, Section A, line 7a The sole member of the corporation shall be entitled to vote. Form 990, Part VI, Section A, line 7b The board of directors shall have an exercise all of the powers of the corporation provided by law, subject to the reservation to HCS, the sole member of the corportaion, of the right to approve certain matters set forth in these bylaws before they may become effective: (a) the annual operating and capital budgets of the corportaion; (b) any amendment, repeal, replacement or addition to these bylaws or to the articles of agreement of the corporation; and (c) the employment of the CEO of the corporation. Form 990, Part VI, Section B, line 11 The treasurer and finance committee review the form 990 before it is filed. Form 990, Part VI, Section B, line 12c A conflict of interest disclosure form is completed and signed each year. Form 990, Part VI, Section B, line 15 The organization has a written policy for determining the CEO's compensation. the policy requires an annual self-evaluation to be submitted to the board, a written evaluation by the board and use of a comparable compensation survey report to set compensation levels. Comparable compensation surveys are updated every three to five years. The CEO determines the salary of the CFO using performance evalution and a comparable compensation survey report to set compensation levels. Comparable compensation surveys are updated every three to five years. Form 990, Part VI, Section C, line 19 Upon request. Home Health Care Hospice & Community Services Inc 312 Marlboro Street Keene NH 03431 020464932 Home Care, Hospice, Community Service NH 501 (c)(3) 509(a)(3) type 2 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0