ANDROSCOGGIN HOME HEALTH SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ANDROSCOGGIN HOME HEALTH SERVICES INC (EIN 01-0227184)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-06-24
IRS object ID
201131759349300108
Schema version
2010v3.2
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)
Timestamp2011-06-24T09:42:35-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010227184EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ANDROSCOGGIN HOME HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlANDRNameControl
Phone2077777740Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 STRAWBERRY AVEAddressLine1
CityLEWISTONCity
StateMEState
ZIP Code042430819ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKATHLEEN APPLINName
TitleCHIEF FINANCIAL OFFICERTitle
Phone2077777740Phone
Date Signed2011-06-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

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

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1ANDROSCOGGIN HOME CARE & HOSPICEBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonKATHLEEN APPLINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line115 STRAWBERRY AVEAddressLine1
CityLEWISTONCity
StateMEState
ZIP Code042430819ZIPCode
FieldValueIRS element (for citing)
Gross Receipts28819913GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.AHCH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionANDROSCOGGIN 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees456TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year598702ContributionsGrantsPriorYear
Contributions Grants Current Year572062ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27566265ProgramServiceRevenuePriorYear
Program Service Revenue CY27382113ProgramServiceRevenueCY
Investment Income Prior Year765035InvestmentIncomePriorYear
Investment Income Current Year814556InvestmentIncomeCurrentYear
Other Revenue Prior Year25562OtherRevenuePriorYear
Other Revenue Current Year39623OtherRevenueCurrentYear
Total Revenue Prior Year28955564TotalRevenuePriorYear
Total Revenue Current Year28808354TotalRevenueCurrentYear
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 Year21000733SalariesEtcPriorYear
Salaries Etc Current Year20198837SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year137262TotalFundrsngExpCurrentYear
Other Expense Prior Year5437358OtherExpensePriorYear
Other Expenses Current Year5530143OtherExpensesCurrentYear
Total Expenses Prior Year26438091TotalExpensesPriorYear
Total Expenses Current Year25728980TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2517473RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3079374RevenuesLessExpensesCY
Total Assets BOY21586767TotalAssetsBOY
Total Assets EOY24508706TotalAssetsEOY
Total Liabilities BOY3306914TotalLiabilitiesBOY
Total Liabilities EOY3149479TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18279853NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21359227NetAssetsOrFundBalancesEOY
Mission DescriptionANDROSCOGGIN 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense23074604Expense
Revenue27382113Revenue
DescriptionHOME CARE SERVICES- PROVIDES HEALTH, HOSPICE AND SUPPORTIVE SERVICES TO INDIVIDUALS AT THEIR HOMES OR IN A HEALTH CARE CLINIC.Description
Total Program Service Expense23074604TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
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 Rltnshp1OfficerEntityWithBsnssRltnshp
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 With1096148NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees456NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 Line1KATHLEEN APPLINBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2077777740TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line115 STRAWBERRY AVE PO BOX 819AddressLine1
CityLEWISTONCity
StateMEState
ZIP Code042430819ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
STEVE COSTELLO
MEMBERX000
JEFFERY BROWN MD
MEMBERX000
BRUCE COOK
VICE CHAIRX000
BRYAN DENCH
SECRETARYX000
LAIRD P COVEY
BOARD CHAIRX000
RENE L DUMONT
TREASURERX000
MICHAEL D MCCLELLAN
MEMBERX000
MILES HUNT
MEMBERX000
J MARY MACMAHON
MEMBERX000
SHARON CULLENBERG
MEMBERX000
CINDY GIROUX
MEMBERX000
CHIP LIVERSIDGE
MEMBERX000
CYNDI ROBBINS
MEMBERX000
DON MAYBERRY
MED DIR.X000
JULIE SHACKLEY
PRESIDENT/CEO17977301523940.00X
KATHLEEN APPLIN
CFO12164201975640.00X
ROGER N AUSTIN MD
MED DIR.26759402419640.00X
ANDREA LABLANC
COO11834501677140.00X
ARTHUR WING
DIR. OF FINANCE10516201303340.00X
ANN M WEAVER
DIR. OF HR10990401212840.00X
BRENDA CZADO
DIR. OF HOMECARE10634701194540.00X
LAURIE WINSOR
DIR. OF DEVELOPMENT1129670580440.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1121734TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation118872TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTHWYSE LLC
60 CONCORD STREETWILMINGTONMA01887SOFTWARE MAINTENANCE290477
COMPHEALTH MEDICAL STAFFING
10 NORDEN PLACE SUITE 200NORWALKCT06855NURSING AND THERAPY STAFFING143406
FRANKLIN MEMORIAL HOSPITAL
111 FRANKLIN HEALTH COMMONSFARMINGTONME04938NURSING/MSW/OUTPATIENT/HOSPICE103384
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants146906GovernmentGrants
All Other Contributions425156AllOtherContributions
Total Contributions572062TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOME CARE SERVICESDescription
Business Code621610BusinessCode
Total Revenue Column27382113TotalRevenueColumn
Related Or Exempt Function Income27382113RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue27382113TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column358013TotalRevenueColumn
Exclusion$358,013ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities456543Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities456543Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column456543TotalRevenueColumn
Exclusion$456,543ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events51182GrossIncomeFundraisingEvents
Fundraising Direct Expenses11559FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column39623TotalRevenueColumn
Exclusion$39,623ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28808354TotalRevenueColumn
Related Or Exempt Function Income27382113RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$854,179ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total628200Total
Program Services291790ProgramServices
Management And General336410ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15549430Total
Program Services14167335ProgramServices
Management And General1294772ManagementAndGeneral
Fundraising87323Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total455556Total
Program Services407996ProgramServices
Management And General45100ManagementAndGeneral
Fundraising2460Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2276176Total
Program Services2038543ProgramServices
Management And General225342ManagementAndGeneral
Fundraising12291Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1289475Total
Program Services1154854ProgramServices
Management And General127658ManagementAndGeneral
Fundraising6963Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14789Total
Management And General14789ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total89700Total
Management And General89700ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total8728Total
Management And General8728ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total617730Total
Program Services537458ProgramServices
Management And General80272ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total37302Total
Program Services33408ProgramServices
Management And General3693ManagementAndGeneral
Fundraising201Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total151375Total
Program Services135571ProgramServices
Management And General14987ManagementAndGeneral
Fundraising817Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total327248Total
Program Services293083ProgramServices
Management And General32398ManagementAndGeneral
Fundraising1767Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total361715Total
Program Services323952ProgramServices
Management And General35810ManagementAndGeneral
Fundraising1953Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total776147Total
Program Services695117ProgramServices
Management And General76839ManagementAndGeneral
Fundraising4191Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total80589Total
Program Services72176ProgramServices
Management And General7978ManagementAndGeneral
Fundraising435Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total351045Total
Program Services314396ProgramServices
Management And General34753ManagementAndGeneral
Fundraising1896Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total125868Total
Program Services112727ProgramServices
Management And General12461ManagementAndGeneral
Fundraising680Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROGRAM SUPPLIES17138691713869
OTHER EXPENSES324562290678321311753
TELEPHONE14135812660013995763
PRINTING AND PUBLICATIO13104411736312973708
BAD DEBTS100000100000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total177074Total
Program Services147688ProgramServices
Management And General16325ManagementAndGeneral
Fundraising13061Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25728980Total
Program Services23074604ProgramServices
Management And General2517114ManagementAndGeneral
Fundraising137262Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5394288BOY
EOY5672990EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY58422BOY
EOY61540EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2164895BOY
EOY2204746EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY258182BOY
EOY334821EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7456091LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3628634LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3899616BOY
EOY3827457EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7691591BOY
EOY9920394EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2119773BOY
EOY2486758EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21586767BOY
EOY24508706EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2502297BOY
EOY2388964EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY112372BOY
EOY68270EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY692245BOY
EOY692245EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3306914BOY
EOY3149479EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18269853BOY
EOY21349227EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10000BOY
EOY10000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18279853BOY
EOY21359227EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21586767BOY
EOY24508706EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3079374ReconcilationRevenueExpenses
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 Years339981CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years564025CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years497333CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year598702CurrentTaxYearMinus1Year
Current Tax Year572062CurrentTaxYear
Total2572103Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26348114CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27872047CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27284082CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27566265CurrentTaxYearMinus1Year
Current Tax Year27382113CurrentTaxYear
Total136452621Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26688095CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28436072CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27781415CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28164967CurrentTaxYearMinus1Year
Current Tax Year27954175CurrentTaxYear
Total139024724Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years5000CurrentTaxYearMinus2Years
Total5000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years5000CurrentTaxYearMinus2Years
Total5000Total
FieldValueIRS element (for citing)
Public Support Total509139019724PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years310339CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years379238CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years277027CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year268388CurrentTaxYearMinus1Year
Current Tax Year358013CurrentTaxYear
Total1593005Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years310339CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years379238CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years277027CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year268388CurrentTaxYearMinus1Year
Current Tax Year358013CurrentTaxYear
Total1593005Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26998434CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28815310CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28058442CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28433355CurrentTaxYearMinus1Year
Current Tax Year28312188CurrentTaxYear
Total140617729Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98860PublicSupportPercentage509
Prior Year Support Percentage0.98970PriorYearSupportPercentage
Investment Income Percentage0.01130InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00990PriorYrInvestIncomePercentage
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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance10000BeginningOfYearBalance
End Of Year Balance10000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10000BeginningOfYearBalance
End Of Year Balance10000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10000BeginningOfYearBalance
End Of Year Balance10000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1170836OtherCostOrOtherBasis
Book Value1170836BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5444240OtherCostOrOtherBasis
Depreciation3178738Depreciation
Book Value2265502BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis841015OtherCostOrOtherBasis
Depreciation449896Depreciation
Book Value391119BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3827457TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionASSETS LIMITED AS TO USEDescription
Book Value2486758BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets2486758TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO THIRD PARTY PAYORDescription
Amount$692,245Amount
FieldValueIRS element (for citing)
Total Of Amounts692245TotalOfAmounts
Total Revenue28808354TotalRevenue
Total Expenses25728980TotalExpenses
Excess Or Deficit For Year3079374ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS3079374ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt28799626TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal28799626RevenueSubtotal
Investment Expenses Not Included8728InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt8728RevenueNotRptdOnFinStmt
Total Revenue Per Form99028808354TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt25720252TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal25720252ExpensesSubtotal
Investment Expenses Not Included28728InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt8728ExpensesNotRptdOnFinStmt
Total Expenses Per Form99025728980TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationRESTRICTED BY DONORS TO BE MAINTAINED BY THE ASSOCIATION IN PERPETUITY.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1AUTUMN NIGHT OUTNameOfEvent1
Gross Receipts Event137068GrossReceiptsEvent1
Gross Revenue Event137068GrossRevenueEvent1
Rent Facility Costs Event11835RentFacilityCostsEvent1
Other Direct Expenses Event13051OtherDirectExpensesEvent1
Name Of Event2BUTTERFLY RELEASENameOfEvent2
Gross Receipts Event214114GrossReceiptsEvent2
Gross Revenue Event214114GrossRevenueEvent2
Other Direct Expenses Event26673OtherDirectExpensesEvent2
Gross Receipts Total51182GrossReceiptsTotal
Gross Revenue Total Events51182GrossRevenueTotalEvents
Rent Facility Costs Total Events1835RentFacilityCostsTotalEvents
Other Direct Expenses Total Events9724OtherDirectExpensesTotalEvents
Direct Expense Summary Events11559DirectExpenseSummaryEvents
Net Income Summary39623NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JULIE SHACKLEY
1797730000000152390195012000
ROGER N AUSTIN MD
2675940000000241960291790000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
STEVE COSTELLO
BOARD MEMBER30173TRANSACTION AMOUNT REPRESENTS ADVERTISING AND MARKETING COSTS PAID TO LEWISTON SUN.0
LAIRD COVEY
BOARD MEMBER & CHAIR43108TRANSACTION AMOUNT REPRESENTS PAYMENTS TO THE MEDICAL CENTER FOR HOSPICE RELATED SERVICES AND OUTPATIENT PHYSICAL THERAPY.0
RENE DUMONT
BOARD MEMBER & TREASURER9019TRANSACTION AMOUNT REPRESENTS PAYMENTS FOR HOSPICE RELATED SERVICES, OUTPATIENT PHYSICAL THERAPY AND EMPLOYEE PHYSICAL EXAMS.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11CFO AND DIRECTOR OF FINANCE REVIEW THE 990.
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 12C
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 B, LINE 15
INFORMATION IS MADE AVAILABLE TO THE PUBLIC WITH THE PUBLICATION OF THE ANNUAL REPORT, FILING OF THE IRS FORM 990 AND UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
NO CHANGE FROM PRIOR YEAR.FORM 990. PART XII, LINE 2C.

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