ADDISON COUNTY HOME HEALTH & HOSPICE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ADDISON COUNTY HOME HEALTH & HOSPICE INC (EIN 23-7032401)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-02
IRS object ID
201210629349301361
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-03-02T10:38:08-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BRAD BORBIDGE PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1197 LOUDON ROAD STE 350AddressLine1
CityCONCORDCity
StateNHState
ZIP Code03301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237032401EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ADDISON COUNTY HOME HEALTH HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlADDINameControl
Phone8023887259Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 754AddressLine1
CityMIDDLEBURYCity
StateVTState
ZIP Code05753ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLARRY GOETSCHIUSName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone8023887259Phone
Date Signed2011-11-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDIMITRIOS PANACOPOULOS CPAName
Phone6032240849Phone
Date Prepared2011-10-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLARRY GOETSCHIUSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 754AddressLine1
CityMIDDLEBURYCity
StateVTState
ZIP Code05753ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9283253GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ACHHH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileVTStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF ADDISON COUNTY HOME HEALTH & HOSPICE, INC., A NON-PROFIT AGENCY, IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE COMMUNITY HEALTH CARE TO RESIDENTS OF ADDISON COUNTY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees217TotalNbrEmployees
Total Nbr Volunteers80TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year192275ContributionsGrantsPriorYear
Contributions Grants Current Year212240ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8522618ProgramServiceRevenuePriorYear
Program Service Revenue CY9060358ProgramServiceRevenueCY
Investment Income Prior Year10638InvestmentIncomePriorYear
Investment Income Current Year10655InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8725531TotalRevenuePriorYear
Total Revenue Current Year9283253TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7037288SalariesEtcPriorYear
Salaries Etc Current Year7362256SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year5684TotalFundrsngExpCurrentYear
Other Expense Prior Year1604810OtherExpensePriorYear
Other Expenses Current Year1940703OtherExpensesCurrentYear
Total Expenses Prior Year8642098TotalExpensesPriorYear
Total Expenses Current Year9302959TotalExpensesCurrentYear
Revenues Less Expenses Prior Year83433RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-19706RevenuesLessExpensesCY
Total Assets BOY3633291TotalAssetsBOY
Total Assets EOY3436937TotalAssetsEOY
Total Liabilities BOY1363709TotalLiabilitiesBOY
Total Liabilities EOY1187061TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2269582NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2249876NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF ADDISON COUNTY HOME HEALTH & HOSPICE, INC., A NON-PROFIT AGENCY, IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE COMMUNITY HEALTH CARE TO RESIDENTS OF ADDISON COUNTY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8402063Expense
Revenue9060358Revenue
DescriptionHOME CARE - PROVIDES HOME VISITS TO ACUTE, CHRONIC AND TERMINALLY ILL PATIENTS AS WELL AS PROMOTING COMMUNITY HEALTH THROUGH COUNSELING, DISEASE DETECTION AND HEALTH EDUCATION.Description
Total Program Service Expense8402063TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees217NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LARRY GOETSCHIUSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8023887259TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 754AddressLine1
CityMIDDLEBURYCity
StateVTState
ZIP Code05753ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekOfficerOfficer
CHRIS GOODRICH
BOARD OF DIRECTORSX000
KEVIN MUHOLLAND
BOARD OF DIRECTORSX000
DICK CRAMTON
BOARD OF DIRECTORSX000
MEGHAN FOLEY WILLIAMSON
VICE PRESIDENTX000
ELIZABETH FARR
BOARD OF DIRECTORSX000
DARWIN PRATT
BOARD OF DIRECTORSX000
CHARLES BURDICK
BOARD OF DIRECTORSX000
CONNIE SIMINO
BOARD OF DIRECTORSX000
TERRANCE EVARTS
BOARD OF DIRECTORSX000
HOWIE MCCAUSLAND
PRESIDENTX000
MAUREEN MCLAUGHLIN
TREASURERX000
GINNY SPADACCINI
BOARD OF DIRECTORSX000
PAT MORROW
BOARD OF DIRECTORSX000
WILLIAM FIFIELD
BOARD OF DIRECTORSX000
WILLIAM MILLER
BOARD OF DIRECTORSX000
LARRY GOETSCHIUS
CHIEF EXECUTIVE OFFICER11430101157740.00X
PAIGE GALLO
CHIEF FINANCIAL OFFICER726270379236.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org186928TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation15369TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns18965FederatedCampaigns
Government Grants77266GovernmentGrants
All Other Contributions116009AllOtherContributions
Total Contributions212240TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOME CAREDescription
Business Code621610BusinessCode
Total Revenue Column9060358TotalRevenueColumn
Related Or Exempt Function Income9060358RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9060358TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10655TotalRevenueColumn
Exclusion$10,655ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9283253TotalRevenueColumn
Related Or Exempt Function Income9060358RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$10,655ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total202297Total
Program Services57314ProgramServices
Management And General144983ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5951747Total
Program Services5453679ProgramServices
Management And General498068ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total136705Total
Program Services122665ProgramServices
Management And General14040ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total580413Total
Program Services520805ProgramServices
Management And General59608ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total491094Total
Program Services440659ProgramServices
Management And General50435ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29222Total
Management And General29222ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total92825Total
Program Services61102ProgramServices
Management And General31723ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total114705Total
Program Services102925ProgramServices
Management And General11780ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total52616Total
Program Services47212ProgramServices
Management And General5404ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total57335Total
Program Services51447ProgramServices
Management And General5888ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total31482Total
Program Services28249ProgramServices
Management And General3233ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total397146Total
Program Services386879ProgramServices
Management And General10267ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25267Total
Program Services22672ProgramServices
Management And General2595ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total16291Total
Program Services14618ProgramServices
Management And General1673ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total74997Total
Program Services67295ProgramServices
Management And General7702ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total33180Total
Program Services29772ProgramServices
Management And General3408ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAID TAX479276479276
PROGRAM SUPPLIES371455371455
PRINTING AND PUBLICATIO57830518915939
OTHER EXPENSES49923447965127
TELEPHONE24441219312510

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total32712Total
Program Services25421ProgramServices
Management And General1607ManagementAndGeneral
Fundraising5684Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9302959Total
Program Services8402063ProgramServices
Management And General895212ManagementAndGeneral
Fundraising5684Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1637246BOY
EOY1299600EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1156139BOY
EOY1382361EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY76818BOY
EOY55272EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1513313LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec813609LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY763088BOY
EOY699704EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3633291BOY
EOY3436937EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY615223BOY
EOY702878EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY286235BOY
EOY232287EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY355127BOY
EOY181710EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY107124BOY
EOY70186EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1363709BOY
EOY1187061EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2269582BOY
EOY2249876EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2269582BOY
EOY2249876EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3633291BOY
EOY3436937EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-19706ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years215449CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years215265CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years212852CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year192275CurrentTaxYearMinus1Year
Current Tax Year212240CurrentTaxYear
Total1048081Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7238679CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8010595CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8448219CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8522618CurrentTaxYearMinus1Year
Current Tax Year9060358CurrentTaxYear
Total41280469Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7454128CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8225860CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8661071CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8714893CurrentTaxYearMinus1Year
Current Tax Year9272598CurrentTaxYear
Total42328550Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50942328550PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10626CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17949CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9799CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10638CurrentTaxYearMinus1Year
Current Tax Year10655CurrentTaxYear
Total59667Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10626CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17949CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9799CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10638CurrentTaxYearMinus1Year
Current Tax Year10655CurrentTaxYear
Total59667Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7464754CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8243809CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8670870CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8725531CurrentTaxYearMinus1Year
Current Tax Year9283253CurrentTaxYear
Total42388217Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99860PublicSupportPercentage509
Prior Year Support Percentage0.99860PriorYearSupportPercentage
Investment Income Percentage0.00140InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00140PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis48600OtherCostOrOtherBasis
Book Value48600BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1107699OtherCostOrOtherBasis
Depreciation545914Depreciation
Book Value561785BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis357014OtherCostOrOtherBasis
Depreciation267695Depreciation
Book Value89319BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings699704TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO THIRD PARTY PAYERSDescription
Amount$70,186Amount
FieldValueIRS element (for citing)
Total Of Amounts70186TotalOfAmounts
Total Revenue9283253TotalRevenue
Total Expenses9302959TotalExpenses
Excess Or Deficit For Year-19706ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-19706ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9283253TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal9283253RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9909283253TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9302959TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal9302959ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909302959TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationTHE AGENCY IS A PUBLIC CHARITY UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE AGENCY 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 AGENCY'S TAX POSITIONS AND CONCLUDED THAT THE AGENCY HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER REVIEWS AND APPROVES THE 990 AND MAKES THE FORM AVAILABLE TO THE BOARD PRESIDENT.
BOARD MEMBERS ARE AWARE OF THE POLICY THEY SIGN ANNUALLY AND ARE INSTRUCTED TO DISCLOSE CONFLICTS, IF ANY ARISE DURING THE YEAR.FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD OF DIRECTORS EVALUATE EXECUTIVE DIRECTORS PERFORMANCE AND THE AGENCY PARTICIPATES IN WAGE AND BENEFIT SURVEYS CONDUCTED BY THE VERMONT ASSEMBLY OF HOME HEALTH AGENCIES.FORM 990, PART VI, SECTION B, LINE 15
UPON REQUESTFORM 990, PART VI, SECTION C, LINE 19
NO CHANGE FROM PRIOR YEAR.FORM 990. PART XII, LINE 2C

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