CHIEF FINANCIAL OFFICER

2011-06-24T09:42:35-05:00 2010-12-31 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2010-01-01 010227184 ANDROSCOGGIN HOME HEALTH SERVICES INC ANDR 2077777740 15 STRAWBERRY AVE LEWISTON ME 042430819 KATHLEEN APPLIN CHIEF FINANCIAL OFFICER 2077777740 2011-06-17 1 DIMITRIOS PANACOPOULOS CPA 6032240849 2010 2016-02-24 21:20:13Z ANDROSCOGGIN HOME CARE & HOSPICE KATHLEEN APPLIN 15 STRAWBERRY AVE LEWISTON ME 042430819 28819913 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. 14 11 456 300 0 0 598702 572062 27566265 27382113 765035 814556 25562 39623 28955564 28808354 0 0 0 0 21000733 20198837 0 0 137262 5437358 5530143 26438091 25728980 2517473 3079374 21586767 24508706 3306914 3149479 18279853 21359227 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 23074604 27382113 HOME CARE SERVICES- PROVIDES HEALTH, HOSPICE AND SUPPORTIVE SERVICES TO INDIVIDUALS AT THEIR HOMES OR IN A HEALTH CARE CLINIC. 23074604 1 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 148 0 1 456 1 0 0 0 0 0 1 1 0 0 0 0 X 14 11 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 042430819 STEVE COSTELLO MEMBER X 0 0 0 JEFFERY BROWN MD MEMBER X 0 0 0 BRUCE COOK VICE CHAIR X 0 0 0 BRYAN DENCH SECRETARY X 0 0 0 LAIRD P COVEY BOARD CHAIR X 0 0 0 RENE L DUMONT TREASURER X 0 0 0 MICHAEL D MCCLELLAN MEMBER X 0 0 0 MILES HUNT MEMBER X 0 0 0 J MARY MACMAHON MEMBER X 0 0 0 SHARON CULLENBERG MEMBER X 0 0 0 CINDY GIROUX MEMBER X 0 0 0 CHIP LIVERSIDGE MEMBER X 0 0 0 CYNDI ROBBINS MEMBER X 0 0 0 DON MAYBERRY MED DIR. X 0 0 0 JULIE SHACKLEY PRESIDENT/CEO 40.00 X 179773 0 15239 KATHLEEN APPLIN CFO 40.00 X 121642 0 19756 ROGER N AUSTIN MD MED DIR. 40.00 X 267594 0 24196 ANDREA LABLANC COO 40.00 X 118345 0 16771 ARTHUR WING DIR. OF FINANCE 40.00 X 105162 0 13033 ANN M WEAVER DIR. OF HR 40.00 X 109904 0 12128 BRENDA CZADO DIR. OF HOMECARE 40.00 X 106347 0 11945 LAURIE WINSOR DIR. OF DEVELOPMENT 40.00 X 112967 0 5804 1121734 0 118872 8 0 1 0 HEALTHWYSE LLC 60 CONCORD STREET WILMINGTON MA 01887 SOFTWARE MAINTENANCE 290477 COMPHEALTH MEDICAL STAFFING 10 NORDEN PLACE SUITE 200 NORWALK CT 06855 NURSING AND THERAPY STAFFING 143406 FRANKLIN MEMORIAL HOSPITAL 111 FRANKLIN HEALTH COMMONS FARMINGTON ME 04938 NURSING/MSW/OUTPATIENT/HOSPICE 103384 3 146906 425156 572062 HOME CARE SERVICES 621610 27382113 27382113 27382113 358013 358013 456543 456543 456543 456543 51182 11559 39623 39623 28808354 27382113 0 854179 628200 291790 336410 15549430 14167335 1294772 87323 455556 407996 45100 2460 2276176 2038543 225342 12291 1289475 1154854 127658 6963 14789 14789 89700 89700 8728 8728 617730 537458 80272 37302 33408 3693 201 151375 135571 14987 817 327248 293083 32398 1767 361715 323952 35810 1953 776147 695117 76839 4191 80589 72176 7978 435 351045 314396 34753 1896 125868 112727 12461 680 PROGRAM SUPPLIES 1713869 1713869 OTHER EXPENSES 324562 290678 32131 1753 TELEPHONE 141358 126600 13995 763 PRINTING AND PUBLICATIO 131044 117363 12973 708 BAD DEBTS 100000 100000 177074 147688 16325 13061 25728980 23074604 2517114 137262 5394288 5672990 58422 61540 2164895 2204746 258182 334821 7456091 3628634 3899616 3827457 7691591 9920394 2119773 2486758 21586767 24508706 2502297 2388964 112372 68270 692245 692245 3306914 3149479 X 18269853 21349227 10000 10000 18279853 21359227 21586767 24508706 3079374 X X 0 1 1 X 0 X 339981 564025 497333 598702 572062 2572103 26348114 27872047 27284082 27566265 27382113 136452621 26688095 28436072 27781415 28164967 27954175 139024724 5000 5000 0 5000 5000 139019724 310339 379238 277027 268388 358013 1593005 310339 379238 277027 268388 358013 1593005 26998434 28815310 28058442 28433355 28312188 140617729 0.98860 0.98970 0.01130 0.00990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10000 10000 10000 10000 10000 10000 1.00000 0 0 1170836 1170836 5444240 3178738 2265502 841015 449896 391119 3827457 ASSETS LIMITED AS TO USE 2486758 2486758 DUE TO THIRD PARTY PAYOR 692245 692245 28808354 25728980 3079374 0 3079374 28799626 0 28799626 8728 8728 28808354 25720252 0 25720252 8728 8728 25728980 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: RESTRICTED BY DONORS TO BE MAINTAINED BY THE ASSOCIATION IN PERPETUITY. AUTUMN NIGHT OUT 37068 37068 1835 3051 BUTTERFLY RELEASE 14114 14114 6673 51182 51182 1835 9724 11559 39623 1 X X X 0 0 0 0 0 0 0 0 0 JULIE SHACKLEY 179773 0 0 0 0 0 0 0 15239 0 195012 0 0 0 ROGER N AUSTIN MD 267594 0 0 0 0 0 0 0 24196 0 291790 0 0 0 STEVE COSTELLO BOARD MEMBER 30173 TRANSACTION AMOUNT REPRESENTS ADVERTISING AND MARKETING COSTS PAID TO LEWISTON SUN. 0 LAIRD COVEY BOARD MEMBER & CHAIR 43108 TRANSACTION AMOUNT REPRESENTS PAYMENTS TO THE MEDICAL CENTER FOR HOSPICE RELATED SERVICES AND OUTPATIENT PHYSICAL THERAPY. 0 RENE DUMONT BOARD MEMBER & TREASURER 9019 TRANSACTION AMOUNT REPRESENTS PAYMENTS FOR HOSPICE RELATED SERVICES, OUTPATIENT PHYSICAL THERAPY AND EMPLOYEE PHYSICAL EXAMS. 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. FORM 990. PART XII, LINE 2C. NO CHANGE FROM PRIOR YEAR.