2012-11-01T10:08:58-05:00 2012-06-30 020400296 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2011-07-01 237032401 ADDISON COUNTY HOME HEALTH HOSPICE INC ADDI 8023887259 PO BOX 754 MIDDLEBURY VT 05753 larry goetschius 8023887259 2012-11-01 1 DIMITRIOS PANACOPOULOS CPA P01603705 6032240849 2011 2016-02-24 21:20:13Z LARRY GOETSCHIUS PO BOX 754 MIDDLEBURY VT 05753 9287016 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 15 234 80 0 0 212240 185010 9060358 9093006 10655 9000 0 0 9283253 9287016 0 0 0 0 7362256 7442986 0 0 8614 1940703 1988130 9302959 9431116 -19706 -144100 3436937 3172072 1187061 1066296 2249876 2105776 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 8561477 9093006 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. 8561477 1 1 0 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 2 0 1 234 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 Howie Mccausland 0.00 X 0 0 0 Meghan Foley Williamson 0.00 X 0 0 0 Chris Goodrich 0.00 X 0 0 0 Charles Burdick 0.00 X 0 0 0 William Miller 0.00 X 0 0 0 Maureen McLaughlin 0.00 X 0 0 0 William Fifield 0.00 X 0 0 0 Connie Simino 0.00 X 0 0 0 Lynda Rheaume 0.00 X 0 0 0 Terrance Evarts 0.00 X 0 0 0 Pat Morrow 0.00 X 0 0 0 George McPhail 0.00 X 0 0 0 Alice Maurer 0.00 X 0 0 0 Janet Cole 0.00 X 0 0 0 Christopher Messerle 0.00 X 0 0 0 Larry Goetschius 40.00 X 112964 0 12462 Paige Gallo 36.00 X 73127 0 3999 186091 0 16461 1 0 0 0 0 16381 75651 92978 185010 Home Care 621610 9093006 9093006 9093006 9000 9000 9287016 9093006 0 9000 202552 57844 144708 6012479 5538770 473709 146959 132616 14343 585110 528003 57107 495886 447488 48398 32839 32839 102716 77407 25309 89627 80879 8748 57592 51971 5621 60772 54841 5931 31765 28665 3100 397547 383028 14519 18364 16572 1792 7037 6350 687 68195 61539 6656 35491 32027 3464 Medicaid Tax 519371 519371 Program supplies 391785 391785 Printing and publicatio 57497 51885 5612 Other expenses 44073 39771 4302 73459 60665 4180 8614 9431116 8561477 861025 8614 1299600 1331612 1382361 1122942 55272 57702 1541619 881803 699704 659816 3436937 3172072 702878 673926 232287 270276 181710 70186 122094 1187061 1066296 X 2249876 2105776 2249876 2105776 3436937 3172072 -144100 0 X 0 1 1 X 0 X 215265 212852 192275 212240 185010 1017642 8010595 8448219 8522618 9060358 9093006 43134796 8225860 8661071 8714893 9272598 9278016 44152438 0 0 0 44152438 17949 9799 10638 10655 9000 58041 17949 9799 10638 10655 9000 58041 8243809 8670870 8725531 9283253 9287016 44210479 0.99870 0.99860 0.00130 0.00140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 48600 48600 1116449 594476 521973 376570 287327 89243 659816 due to third party payers 122094 122094 9287016 9431116 -144100 -144100 9287016 0 9287016 0 9287016 9431116 0 9431116 0 9431116 Part IV, Line 11f - 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