CHIEF EXECUTIVE OFFICER

2012-03-02T10:38:08-06:00 2011-06-30 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2010-07-01 237032401 ADDISON COUNTY HOME HEALTH HOSPICE INC ADDI 8023887259 PO BOX 754 MIDDLEBURY VT 05753 LARRY GOETSCHIUS CHIEF EXECUTIVE OFFICER 8023887259 2011-11-30 1 DIMITRIOS PANACOPOULOS CPA 6032240849 2011-10-15 2010 2016-02-24 21:20:13Z LARRY GOETSCHIUS PO BOX 754 MIDDLEBURY VT 05753 9283253 0 X WWW.ACHHH.ORG X 1969 VT THE 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. 15 15 217 80 0 0 192275 212240 8522618 9060358 10638 10655 0 0 8725531 9283253 0 0 0 0 7037288 7362256 0 0 5684 1604810 1940703 8642098 9302959 83433 -19706 3633291 3436937 1363709 1187061 2269582 2249876 THE 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. 0 0 8402063 9060358 HOME CARE - PROVIDES HOME VISITS TO ACUTE, CHRONIC AND TERMINALLY ILL PATIENTS AS WELL AS PROMOTING COMMUNITY HEALTH THROUGH COUNSELING, DISEASE DETECTION AND HEALTH EDUCATION. 8402063 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 217 1 0 0 0 0 0 0 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 LARRY GOETSCHIUS 8023887259 PO BOX 754 MIDDLEBURY VT 05753 CHRIS GOODRICH BOARD OF DIRECTORS X 0 0 0 KEVIN MUHOLLAND BOARD OF DIRECTORS X 0 0 0 DICK CRAMTON BOARD OF DIRECTORS X 0 0 0 MEGHAN FOLEY WILLIAMSON VICE PRESIDENT X 0 0 0 ELIZABETH FARR BOARD OF DIRECTORS X 0 0 0 DARWIN PRATT BOARD OF DIRECTORS X 0 0 0 CHARLES BURDICK BOARD OF DIRECTORS X 0 0 0 CONNIE SIMINO BOARD OF DIRECTORS X 0 0 0 TERRANCE EVARTS BOARD OF DIRECTORS X 0 0 0 HOWIE MCCAUSLAND PRESIDENT X 0 0 0 MAUREEN MCLAUGHLIN TREASURER X 0 0 0 GINNY SPADACCINI BOARD OF DIRECTORS X 0 0 0 PAT MORROW BOARD OF DIRECTORS X 0 0 0 WILLIAM FIFIELD BOARD OF DIRECTORS X 0 0 0 WILLIAM MILLER BOARD OF DIRECTORS X 0 0 0 LARRY GOETSCHIUS CHIEF EXECUTIVE OFFICER 40.00 X 114301 0 11577 PAIGE GALLO CHIEF FINANCIAL OFFICER 36.00 X 72627 0 3792 186928 0 15369 1 0 0 0 0 18965 77266 116009 212240 HOME CARE 621610 9060358 9060358 9060358 10655 10655 9283253 9060358 0 10655 202297 57314 144983 5951747 5453679 498068 136705 122665 14040 580413 520805 59608 491094 440659 50435 29222 29222 92825 61102 31723 114705 102925 11780 52616 47212 5404 57335 51447 5888 31482 28249 3233 397146 386879 10267 25267 22672 2595 16291 14618 1673 74997 67295 7702 33180 29772 3408 MEDICAID TAX 479276 479276 PROGRAM SUPPLIES 371455 371455 PRINTING AND PUBLICATIO 57830 51891 5939 OTHER EXPENSES 49923 44796 5127 TELEPHONE 24441 21931 2510 32712 25421 1607 5684 9302959 8402063 895212 5684 1637246 1299600 1156139 1382361 76818 55272 1513313 813609 763088 699704 3633291 3436937 615223 702878 286235 232287 355127 181710 107124 70186 1363709 1187061 X 2269582 2249876 2269582 2249876 3633291 3436937 -19706 0 X X 0 1 1 X 0 X 215449 215265 212852 192275 212240 1048081 7238679 8010595 8448219 8522618 9060358 41280469 7454128 8225860 8661071 8714893 9272598 42328550 0 0 0 42328550 10626 17949 9799 10638 10655 59667 10626 17949 9799 10638 10655 59667 7464754 8243809 8670870 8725531 9283253 42388217 0.99860 0.99860 0.00140 0.00140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 48600 48600 1107699 545914 561785 357014 267695 89319 699704 DUE TO THIRD PARTY PAYERS 70186 70186 9283253 9302959 -19706 0 -19706 9283253 0 9283253 0 9283253 9302959 0 9302959 0 9302959 THE 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. FORM 990, PART VI, SECTION B, LINE 11 THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER REVIEWS AND APPROVES THE 990 AND MAKES THE FORM AVAILABLE TO THE BOARD PRESIDENT. FORM 990, PART VI, SECTION B, LINE 12C 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 15 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 C, LINE 19 UPON REQUEST FORM 990. PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR.