2013-04-30T10:10:01-05:00 2012-12-31 020400296 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2012-01-01 010227184 Androscoggin Home Health Services Inc ANDR 2077777740 15 Strawberry Ave Lewiston ME 04240 Kathleen Applin 2077777740 2013-04-30 1 DIMITRIOS PANACOPOULOS CPA P01603705 6032240849 2012 2016-03-07 17:11:31Z Androscoggin Home Care & Hospice Kathleen Applin 15 Strawberry Ave Lewiston ME 04240 29475728 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 15 473 333 0 0 467741 591778 26612762 27802332 387894 960813 65970 100309 27534367 29455232 0 0 0 0 19761915 20822734 0 0 172032 5878654 6263006 25640569 27085740 1893798 2369492 27213111 29206250 3960086 3583733 23253025 25622517 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 24254604 27802332 Home Care Services - Provides health, hospice and supportive services to individuals at their homes or in a health care clinic 24254604 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 1 119 0 1 473 1 0 0 0 0 0 1 1 0 0 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 Bruce Cook 0.00 X 0 0 0 Rene Dumont 0.00 X 0 0 0 Chip Liversidge 0.00 X 0 0 0 Bryan Dench 0.00 X 0 0 0 Connie Eldridge 0.00 X 0 0 0 Jeffrey Brown 0.00 X 0 0 0 Sharon Cullenberg 0.00 X 0 0 0 Cindy Giroux 0.00 X 0 0 0 Sharron Sieleman 0.00 X 0 0 0 J Mary MacMahon 0.00 X 0 0 0 Michael McClellan 0.00 X 0 0 0 Cyndi Robbins 0.00 X 0 0 0 Miles Hunt 0.00 X 0 0 0 Alex Roy 0.00 X 0 0 0 Blake Whitaker 0.00 X 0 0 0 Julie Shackley 40.00 X 168874 0 16402 Kathleen Applin 40.00 X 137800 0 23172 Dr Roger Austin 40.00 X 215306 0 24392 Andrea LeBlanc 40.00 X 131185 0 17268 Dr Elizabeth White 24.00 X 122698 0 15780 Ann Weaver 40.00 X 121590 0 13443 Arthur Wing 40.00 X 116427 0 22008 1013880 0 132465 7 0 1 0 New England Home Therapies Inc 49 Omni Circle Auburn ME 04210 Medical Equipment 364418 HealthWyse LLC 60 Concord Street Wilmington MA 01887 Software Maintenance 287367 Therapy Concsulting LLC 130 Chapel Street Lincoln RI 02865 Nursing and Therapy Staffing 240672 Core Medical Group 2 Keewaydin Drive Salem NH 03079 Nursing and Therapy Staffing 218740 Reflectx Services Inc 15072 Collections Ctr Dr Chicago IL 60693 Nursing and Therapy Staffing 212511 5 140057 451721 591778 Home Care Services 621610 27802332 27802332 27802332 419260 419260 541553 0 541553 541553 541553 120805 20496 100309 100309 29455232 27802332 0 1061122 346248 346248 16133499 14663420 1356041 114038 524055 467352 53087 3616 2505670 2234557 253824 17289 1313262 1171167 133033 9062 14236 14236 66584 66584 10908 10908 988992 898960 90032 51671 46080 5234 357 100836 89926 10214 696 403625 359953 40887 2785 389600 347445 39467 2688 864623 771071 87586 5966 71016 63332 7194 490 520902 464540 52768 3594 125398 111830 12703 865 Program supplies 1868980 1868980 Other expenses 383452 341962 38844 2646 Telephone 140544 125337 14237 970 Printing and publicatio 97917 87322 9919 676 163722 141370 16058 6294 27085740 24254604 2659104 172032 5634896 4823670 396166 236669 2185598 2164815 356956 374012 8633392 4493957 3807747 4139435 12220458 14508283 2611290 2959366 27213111 29206250 2873776 2652061 394065 239427 692245 692245 3960086 3583733 X 23243025 25612517 10000 10000 23253025 25622517 27213111 29206250 2369492 0 X 0 1 X 1 0 X 497333 598702 572062 467741 591778 2727616 27284082 27566265 27382113 26612762 27802332 136647554 27781415 28164967 27954175 27080503 28394110 139375170 5000 5000 0 5000 5000 139370170 277027 268388 358013 394583 960813 2258824 277027 268388 358013 394583 960813 2258824 28058442 28433355 28312188 27475086 29354923 141633994 0.98400 0.98810 0.01590 0.01190 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 6210068 3623908 2586160 1927960 870049 1057911 4139435 Assets Limited As To Use 2959366 2959366 Due To Third Party Payor 692245 692245 29455232 0 29455232 0 29455232 27085740 0 27085740 0 27085740 Description of Intended Use of Endowment Funds: 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 60864 60864 2889 5559 Whalen Walk/Run 29240 29240 7306 1 30701 30701 4742 120805 120805 2889 17607 20496 100309 X X X 0 0 0 0 0 0 0 0 0 Julie Shackley 168874 0 0 0 0 0 0 0 16402 0 185276 0 0 0 Kathleen Applin 137800 0 0 0 0 0 0 0 23172 0 160972 0 0 0 Dr Roger Austin 215306 0 0 0 0 0 0 0 24392 0 239698 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.