2024-05-14T14:49:49+00:00 2023-06-30 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402413902 990 2022-07-01 036006494 Visiting Nurse Association And Hospice Of Vermont And New Hampshire Inc VISI 8883008853 88 Prospect Street White River Junction VT 05001 Johanna L Beliveau President and CEO 8023591307 2024-05-14 true Johanna Beliveau 999009999 true Kim Scifres P01316095 5023263996 2022 2023-04-26 12:10:37Z Johanna L Beliveau 88 Prospect Street White River Junction VT 05001 15028652 false X www.vnhcare.org X 1956 VT We are dedicated to delivering outstanding home health and hospice services that enrich the lives of the people we serve. 15 11 205 21 25457 11294 2532077 1325138 17486243 13313352 1337065 65368 54395 324794 21409780 15028652 0 0 13644734 12142103 0 0 10583171 8850025 24227905 20992128 -2818125 -5963476 34743768 28040103 8987345 7114977 25756423 20925126 We are dedicated to delivering outstanding home health and hospice services that enrich the lives of the people we serve. false false 18696002 13638146 Home Care - to provide and assure equal and timely access to a comprehensive array of client-directed quality home health, hospice and community based services at the lowest possible cost and to collaborate with others to improve the health and well-being of the individual, the family and the community. 18696002 true true false false false false false false true true false false false true true false true false false false false false false false false false false false true false false false false false true false false false false false false true true true true false false true 54 0 false 205 true true true false false false false false false false false false false false X 15 11 false false false false true true true true true false false true true true true true true true false false NH X Johanna L Beliveau 8023591307 88 Prospect Street White River Junction VT 05001 Cynthia Twombly Trustee / Secretary (as of 12/31/22) 0.5 0 X X 0 0 0 Devon Green Trustee / Chair (as of 7/1/22) 0.5 0 X X 0 0 0 Johanna Beliveau Trustee/President/CEO 40.0 0 X X 270174 0 18085 Katherine Milligan Trustee / Treasurer (as of 7/1/22) 0.5 0 X X 0 0 0 Aimee M Claiborne Trustee / Chief Human Resource Officer 0.5 40.0 X 0 518080 43314 Brooke Adler Trustee (as of 7/1/22) 0.5 0 X 0 0 0 Catherine Ells Trustee 0.5 0 X 0 0 0 Daniel Gross Trustee (as of 7/1/22) 0.5 41.0 X 0 278760 39838 Deanna Howard Trustee (as of 7/1/22) 0.5 1.0 X 0 0 0 Ellen Flaherty Trustee / Vice President - Geriatric 0.5 40.0 X 0 256810 64052 Joseph L Perras MD Trustee 0.5 40.5 X 0 0 0 Kathleen Vasconcelos Trustee 0.5 0 X 0 0 0 Rebecca O'Berry Trustee 0.5 0 X 0 0 0 Richard Greenwald Trustee 0.5 0 X 0 0 0 Tracy Bach Trustee 0.5 0 X 0 0 0 Martin J Degen Chief Financial Officer 40.0 0 X 107288 0 6973 Cristine Maloney J Medical Director 32.0 0 X 280121 0 24961 Danielle Pierotti Chief Clinical Officer 40.0 0 X 154978 0 7279 Ericka Bergeron Director Home Health Services 40.0 0 X 129986 0 3093 Gerald G Best Director, Revenue Cycle 40.0 0 X 137951 0 27345 Hilary Davis VP Strategy Management 40.0 0 X 165928 0 13503 Sara Simeone VP, Quality & Compliance 40.0 0 X 175929 0 21256 Jeffrey Obrien MHA Former Trustee/Treasurer 0.0 40.0 X 0 387194 70301 1422355 1440844 340000 13 true true false MEDEFITS CONSOLIDATED PO Box 5068 New York NY 100875068 Healthcare Staffing 3969307 MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DR LEBANON NH 03756 Healthcare Services 946488 PROLUCENT HEALTH 10000 N Central Expy 400 Dallas TX 75231 Healthcare Staffing 316929 ARIS SOLUTIONS FISCAL AGE PO Box 4409 White River JCT VT 050014409 Healthcare Staffing 293658 CONIFER REVENUE CYCLE SOLUTIONS LLC 14201 Dallas Pkwy DALLAS TX 75254 Revenue Management Services 252608 6 0 0 0 458417 866721 1325138 Home Health Care 621610 13313352 13313352 0 0 0 0 13313352 12109 25457 -13348 0 0 53259 0 53259 53259 53259 Other Revenue 621610 324794 324794 0 0 0 0 324794 15028652 13638146 25457 39911 X 835878 329702 506176 97503 97503 8910440 8548367 362073 136283 126279 10004 1426572 1268837 157735 735427 628055 107372 24800 24800 15 15 4864756 4268497 596259 0 28443 24290 4153 346603 295999 50604 280542 239583 40959 159889 136545 23344 567902 433217 134685 200215 170985 29230 501279 428093 73186 159822 136488 23334 Medical Supplies 801272 730195 71077 Medicaid Enhancement Tax 578987 527628 51359 Academic, Teaching, & Misc Support 173937 158508 15429 Recruitment Costs 50335 45870 4465 111228 101361 9867 0 20992128 18696002 2296126 0 872363 2041292 417925 214853 2389418 1190080 0 0 0 0 130433 131144 275969 311471 7544608 2421869 5359899 5122739 24173810 18878598 0 0 1123951 149926 34743768 28040103 3128332 1440260 491444 0 0 2417079 2342977 2950490 3331740 8987345 7114977 X 25714901 20840302 41522 84824 25756423 20925126 34743768 28040103 X -5963476 696515 435664 X false true X true true true X 1106319 3174660 2162979 2532077 1325138 10301173 22096588 21576058 17904567 17486243 13313352 92376808 0 0 0 23202907 24750718 20067546 20018320 14638490 102677981 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102677981 524396 562121 513349 564570 7141 2171577 0 524396 562121 513349 564570 7141 2171577 7389 7867 13723 28979 0 0 0 54395 324794 379189 23734692 25312839 20588762 20651008 14970425 105257726 0.9755 0.9767 0.02 0.02 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - , COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 54395.0, COLUMN E - 324794.0, COLUMN F - 379189.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30327 30327 30327 30327 30327 30327 30327 30327 30327 30327 0.0 1.0 0.0 false false 172500 172500 3049547 834836 2214711 23281 21601 1680 4299280 1565432 2733848 5122739 Due to Affiliates 3292586 3rd Party Estimate 39154 3331740 Schedule D, Part V, Line 4 Intended uses of endowment funds THE INTENDED USE OF ENDOWMENT FUNDS IS TO SUPPORT AND ADVANCE THE HEALTH AND WELLNESS MISSION-RELATED PROGRAMS OF VISITING NURSE ASSOCIATION AND HOSPICE OF VERMONT AND NEW HAMPSHIRE, INC. X X X X true false false false false false false true false Jeffrey Obrien MHA Former Trustee/Treasurer 0 372337 0 0 0 14857 0 29250 0 41051 0 457495 0 0 Johanna Beliveau Trustee/President/CEO 269104 0 0 0 1070 0 0 0 18085 0 288259 0 0 0 Aimee M Claiborne Trustee / Chief Human Resource Officer 0 486145 0 0 0 31935 0 23150 0 20164 0 561394 0 0 Ellen Flaherty Trustee / Vice President - Geriatric 0 229832 0 0 0 26978 0 24312 0 39740 0 320862 0 0 Daniel Gross Trustee (as of 7/1/22) 0 277572 0 0 0 1188 0 16991 0 22847 0 318598 0 0 Cristine Maloney J Medical Director 266738 0 0 0 13383 0 5717 0 19244 0 305082 0 0 0 Sara Simeone VP, Quality & Compliance 162850 0 0 0 13079 0 3594 0 17662 0 197185 0 0 0 Gerald G Best Director, Revenue Cycle 127009 0 0 0 10942 0 2956 0 24389 0 165296 0 0 0 Hilary Davis VP Strategy Management 149158 0 5050 0 11720 0 3266 0 10237 0 179431 0 0 0 Danielle Pierotti Chief Clinical Officer 104935 0 0 0 50043 0 0 0 7279 0 162257 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment Danielle Pierotti $49,891 VNH employees whose employment is being terminated are offered a severance agreement that provides the total amount to be paid and the duration in which it will be paid based on their salary rate/level as of the separation date. The severance pay is subject to applicable taxes and withholdings. During FY23, severance amounts were paid bi-weekly per normal payroll schedule, commencing on the next regular feasible payroll date following VNH's receipt of their signed agreement and the expiration of the seven (7) day revocation period (as set forth in Section 10 below). In addition, a lump-sum payment was paid to those who qualified for COBRA premiums to provide the same level of coverage the employees were receiving prior to their termination. Schedule J, Part I, Line 7 Non-fixed payments The VP of Strategy Management and the Director for Home Health Services Received non-fixed bonuses. Jean Wulpern Family member of Trustee Ellen Flaherty 97503 Employment Compensation false Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES The compensation for other officers and key employees is determined by a related Organization (Mary Hitchcock Memorial Hospital) through an evaluation by an independent third-party firm for reasonableness and national data benchmarking. The talent development and compensation committee, along with independent trustees, approve the final compensation in consideration with the independent third-party firm's recommendations and suggestions. This process was contemporaneously documented and last undertaken in 2022. Form 990, Part VI, Line 1a Delegate broad authority to a committee The Standing Committees of the Board shall include (i) the Executive Committee, (ii) the Governance Committee, (iii) the Finance and Audit Committee, (iv) the Professional Advisory and Quality Committee, (v) the Community Relations and Development Committee, and (vi) the Planning Committee. In addition to the Standing Committees required by these Bylaws, the Board may establish one or more Committees as may be specified in resolutions approved by the affirmative vote of a majority of the Trustees and following recommendation from the Governance Committee. Such Committees shall have the authority of the Board in the management of the business of the Corporation to the extent provided in these Bylaws or as duly approved by the Board. Form 990, Part VI, Line 6 Classes of members or stockholders Dartmouth-Hitchcock Health, a New Hampshire non-profit corporation, is the sole corporate member of the Visiting Nurse Association and Hospice of Vermont and New Hampshire. D-HH has the power to appoint 1/3 of the members of the Visiting Nurse Association and Hospice of Vermont and New Hampshire's board of trustees. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Dartmouth-Hitchcock Health, a New Hampshire non-profit corporation, is the sole corporate member of the Visiting Nurse Association and Hospice of Vermont and New Hampshire. D-HH has the power to appoint 1/3 of the members of the Visiting Nurse Association and Hospice of Vermont and New Hampshire's board of trustees. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The sole member has the right to ratify the Visiting Nurse Association and Hospice of Vermont and New Hampshire's nomination of 2/3 of the members of the Board of Trustees; remove trustees after consultation with the chairperson of the board; approve the dissolution or liquidation of the Visiting Nurse Association and Hospice of Vermont and New Hampshire; appoint, evaluate, terminate, and approve the compensation of the President and CEO; and other governance decisions. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS REVIEWED BY EXTERNAL TAX ADVISORS, THE DIRECTOR OF FINANCIAL COMPLIANCE, AND VNH'S CHIEF FINANCIAL OFFICER BEFORE THE FILING OF THE RETURN. ONCE THE RETURN HAS BEEN FULLY PREPARED, A FINAL 990 IS SENT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS AND RESPONSES PRIOR TO THE OFFICIAL FILING OF THE FORMS. Form 990, Part VI, Line 12c Conflict of interest policy The Visiting Nurse Association and Hospice of VT & NH Board of Trustees approved a policy concerning a voluntary self-disclosure of any potential conflict of interest. Per the policy, any conflicts or otherwise perceived conflicts are required to be addressed by the Board of Trustees on an ongoing basis. In the event a conflict arises, the individual may be removed from participating in any decision making regarding the identified conflict and/or its corresponding transactions. If the board or committee has reasonable cause to believe that an interested person has failed to disclose actual or possible conflicts of interest, it shall inform such person on the basis for such belief and afford him/her an opportunity to explain the alleged failure to disclose. If, after hearing the response of the interested person and making such further investigation as may be warranted in the circumstances, the board or committee determines that such person has in fact failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action. Form 990, Part VI, Line 15a Process to establish compensation of top management official The compensation for the President/CEO is determined by a related Organization (Mary Hitchcock Memorial Hospital) through an evaluation by an independent third-party firm for reasonableness and national data benchmarking. The talent development and compensation committee, along with independent trustees, approve the final compensation in consideration with the independent third-party firm's recommendations and suggestions. This process was contemporaneously documented and last undertaken in 2022. Form 990, Part VI, Line 19 Required documents available to the public VNH MAKES GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO MEMBERS OF THE PUBLIC UPON REQUEST. Form 990, Part IX, Line 11g Other Fees Other Purchased Services - Total Expense: 4864756, Program Service Expense: 4268497, Management and General Expenses: 596259, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Assets Transferred - 435664; Help at Home LLC 88 Prospect Street White River Junction VT 05001 474711823 Private Duty VT 38054 209333 VNA and Hospice of Vermont and New Hampshire Inc Dartmouth Hitchcock Clinic One Medical Center Drive Lebanon NH 03756 222519596 Physician Services NH 501(c)(3) 10 D-HH false Mary Hitchcock Memorial Hospital One Medical Center Drive Lebanon NH 03756 020222140 Hospital NH 501(c)(3) 3 D-HH false The New London Hospital Association Inc 273 County Road New London NH 03257 020222171 Hospital NH 501(c)(3) 3 D-HH false Windsor Hospital Corporation 289 Country Road Windsor VT 05089 030183721 Hospital VT 501(c)(3) 3 D-HH false Cheshire Medical Center 580 Court Street Keene NH 03431 020354549 Hospital NH 501(c)(3) 3 D-HH false Alice Peck Day Memorial Hospital 10 Alice Peck Day Drive Lebanon NH 03766 020222791 Hospital NH 501(c)(3) 3 D-HH false Dartmouth Hitchcock Health One Medical Center Drive Lebanon NH 03756 264812335 Parent Organization NH 501(c)(3) 7 NA false 88 PROSPECT STREET UNIT OWNER'S ASSOCIATION 88 PROSPECT STREET WHITE RIVER JUNCTION VT 05001 371841885 REAL ESTATE HOLDING VT REAL ESTATE HOLDING ASSOCIATION AND HOSPICE OF VERMONT C Corporation 39143 147656 0.768 true true false false true true false false false false false false false false false false true false true false 88 PROSPECT STREET UNIT OWNER'S ASSOCIATION A 993 BOOK