2012-07-16T15:48:37-05:00 2011-12-31 020400296 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2011-01-01 010227184 ANDROSCOGGIN HOME HEALTH SERVICES INC ANDR 2077777740 15 STRAWBERRY AVE LEWISTON ME 04240 KATHLEEN APPLIN 2077777740 2012-07-17 1 DIMITRIOS PANACOPOULOS CPA P01603705 6032240849 2011 2016-02-24 21:20:13Z ANDROSCOGGIN HOME CARE & HOSPICE KATHLEEN APPLIN 15 STRAWBERRY AVE LEWISTON ME 04240 27555909 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 16 459 309 0 0 572062 467741 27382113 26612762 814556 387894 39623 65970 28808354 27534367 0 0 0 0 20198837 19761915 0 0 169216 5530143 5878654 25728980 25640569 3079374 1893798 24508706 27213111 3149479 3960086 21359227 23253025 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 22942030 26612762 HOME CARE SERVICES- PROVIDES HEALTH, HOSPICE AND SUPPORTIVE SERVICES TO INDIVIDUALS AT THEIR HOMES OR IN A HEALTH CARE CLINIC. 22942030 1 1 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 0 1 120 0 1 459 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 PO BOX 819 LEWISTON ME 04240 JEFFERY BROWN MD X 0 0 0 BRUCE COOK X 0 0 0 BRYAN DENCH X 0 0 0 RENE L DUMONT X 0 0 0 MICHAEL D MCCLELLAN X 0 0 0 MILES HUNT X 0 0 0 J MARY MACMAHON X 0 0 0 SHARON CULLENBERG X 0 0 0 CINDY GIROUX X 0 0 0 CHIP LIVERSIDGE X 0 0 0 CYNDI ROBBINS X 0 0 0 DON MAYBERRY X 0 0 0 CONNIE ELDFIDGE X 0 0 0 SHARRON SIELEMAN X 0 0 0 ALEX ROY X 0 0 0 BLAKE WHITAKER X 0 0 0 JULIE SHACKLEY 40.00 X 176148 0 15755 KATHLEEN APPLIN 40.00 X 131302 0 22108 ROGER N AUSTIN MD 40.00 X 224300 0 23551 ANDREA LEBLANC 40.00 X 116811 0 15319 ARTHUR WING 40.00 X 111701 0 21142 ANN M WEAVER 40.00 X 110696 0 12005 ELIZABETH WHITE 40.00 X 111654 0 10622 982612 0 120502 7 0 1 0 HEALTHWYSE LLC 60 CONCORD STREET WILMINGTON MA 01887 SOFTWARE MAINTENANCE 310155 AMN HEALTHCARE INC 2735 COLLECTION CTR CHICAGO IL 60693 NURSING AND THERAPY STAFFING 216257 CORE MEDICAL GROUP 2 KEEWAYDIN DRIVE SALEM NH 03079 NURSING AND THERAPY STAFFING 148633 3 160307 307434 467741 HOME CARE SERVICES 621610 26612762 26612762 26612762 394583 394583 6689 -6689 -6689 -6689 80823 14853 65970 65970 27534367 26612762 0 453864 593164 247851 345313 15040565 13660652 1265876 114037 503317 448757 50886 3674 2379084 2121191 240526 17367 1245785 1110742 125949 9094 6928 6928 69597 69597 10034 10034 1001354 893479 107875 50202 44760 5076 366 102830 91683 10396 751 343332 306115 34711 2506 375486 334783 37962 2741 840005 748948 84925 6132 85752 76456 8670 626 374220 333655 37833 2732 119165 106248 12047 870 PROGRAM SUPPLIES 1657747 1657747 OTHER EXPENSES 364790 325247 36880 2663 TELEPHONE 147198 131242 14881 1075 BAD DEBTS 100000 100000 230014 202474 22958 4582 25640569 22942030 2529323 169216 5672990 5634896 61540 396166 2204746 2185598 334821 356956 7802041 3994294 3827457 3807747 9920394 12220458 2486758 2611290 24508706 27213111 2388964 2873776 68270 394065 692245 692245 3149479 3960086 X 21349227 23243025 10000 10000 21359227 23253025 24508706 27213111 1893798 0 X 0 1 1 X 0 X 564025 497333 598702 572062 467741 2699863 27872047 27284082 27566265 27382113 26612762 136717269 28436072 27781415 28164967 27954175 27080503 139417132 5000 5000 0 5000 5000 139412132 379238 277027 268388 358013 394583 1677249 379238 277027 268388 358013 394583 1677249 28815310 28058442 28433355 28312188 27475086 141094381 0.98810 0.98860 0.01190 0.01130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10000 10000 10000 10000 10000 10000 10000 10000 1.00000 0 0 495364 495364 6156264 3389802 2766462 1150413 604492 545921 3807747 ASSETS LIMITED AS TO USE 2611290 2611290 DUE TO THIRD PARTY PAYOR 692245 692245 27534367 25640569 1893798 1893798 27524333 0 27524333 10034 10034 27534367 25630535 0 25630535 10034 10034 25640569 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 45871 45871 1857 3606 WHALEN WALK/RUN 22888 22888 4818 1 12064 12064 4572 80823 80823 1857 12996 14853 65970 1 X X X 0 0 0 0 0 0 0 0 0 JULIE SHACKLEY 176148 0 0 0 0 0 0 0 15755 0 191903 0 0 0 KATHLEEN APPLIN 131302 0 0 0 0 0 0 0 22108 0 153410 0 0 0 ROGER N AUSTIN MD 224300 0 0 0 0 0 0 0 23551 0 247851 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.