2025-05-13T13:58:37+00:00 2024-06-30 350921680 CROWE LLP 4801 Olympia Park Plaza Suite 4000 Louisville KY 402412098 990 2023-07-01 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 2025-05-13 true Kim Scifres P01316095 5023263996 2025-05-13 2023 2025-03-06 01:10:19Z Tammy Tarsa 88 Prospect Street White River Junction VT 05001 14121995 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. 16 9 164 27 47155 38859 1325138 1296080 13313352 12034519 65368 64751 324794 726645 15028652 14121995 0 0 12142103 10227758 0 11518 8850025 5825755 20992128 16053513 -5963476 -1931518 28040103 26232836 7114977 3706519 20925126 22526317 We are dedicated to delivering outstanding home health and hospice services that enrich the lives of the people we serve. false false 13550568 12265234 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. 13550568 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 34 0 false 164 true true true false false false false false false false false false false false X 16 9 false false false false true true true true true false false true true true true true true true false false NH X Tammy Tarsa 8023591307 88 Prospect Street White River Junction VT 05001 Cynthia Twombly Trustee / Secretary 0.5 0 X X 0 0 0 Devon Green Trustee / Chair 0.5 0 X X 0 0 0 Johanna Beliveau Trustee/President/CEO 40.0 0 X X 298318 0 19480 Katherine Milligan Trustee / Treasurer 0.5 0 X X 0 0 0 Aimee M Claiborne Trustee 0.5 40.0 X 0 591866 44913 Brooke Adler Trustee 0.5 0 X 0 0 0 Catherine Ells Trustee 0.5 0 X 0 0 0 Daniel Gross Trustee 0.5 41.0 X 0 290020 44904 Deanna Howard Trustee 0.5 1.0 X 0 0 0 Ellen Flaherty Trustee 0.5 40.0 X 0 288191 57861 Joel Bradley Trustee (as of 7/1/23) 0.5 0 X 0 237784 54203 Joni Menard Trustee (as of 7/1/23) 0.5 40.0 X 0 297770 52770 Kathleen Vasconcelos Trustee (through 9/1/23) 0.5 0 X 0 0 0 Nirav Kapadia MD Trustee (as of 7/1/23) 0.5 40.3 X 0 586764 69032 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 185112 0 19969 Cristine Maloney J Medical Director 32.0 0 X 253501 0 8187 Carol Becker Physical Therapist 40.0 0 X 121136 0 1934 Gerald G Best Director, Revenue Cycle 40.0 0 X 143013 0 25870 Jessica Cheney Dir. Home Health and Hospice 40.0 0 X 128205 0 19566 Noel Bactad Physical Therapist 40.0 0 X 122953 0 11299 Tammy Tarsa Chief Clinical Officer 40.0 0 X 178460 0 27358 Jeffrey Obrien MHA Former Trustee/Treasurer 0.0 40.0 X 0 374775 64682 1430698 2667170 522028 16 true true false MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DR LEBANON NH 03756 Healthcare Services 4341657 MEDEFITS CONSOLIDATED PO Box 5068 New York NY 100875068 Healthcare Staffing 894418 CONIFER REVENUE CYCLE SOLUTIONS LLC 14201 Dallas Pkwy DALLAS TX 75254 Revenue Management Services 355636 ARIS SOLUTIONS FISCAL AGE PO Box 4409 White River JCT VT 050014409 Healthcare Staffing 249159 MCBEE ASSOCIATES 11100 NALL AVE OVERLAND PARK KS 66211 MEDICAL CODING 185085 6 535501 760579 1296080 Home Health Care 621610 11611689 11611689 STRONG FAMILIES 621610 422830 422830 0 0 0 0 12034519 64751 47155 17596 0 0 0 0 Employee Retention Credit 900099 354247 354247 Other Revenue 621610 230715 230715 Stimulus 621610 141683 141683 0 0 0 0 726645 14121995 12265234 47155 513526 X 813691 0 802173 11518 101802 101802 7439223 6776501 662722 88452 81959 6493 1192435 1060589 131846 592155 505700 86455 39002 39002 3115253 2733425 381828 0 14397 12295 2102 193501 165250 28251 40290 34408 5882 185682 158572 27110 468552 357429 111123 285 285 222003 189592 32411 540194 461326 78868 102472 87511 14961 Medical Supplies 599288 546128 53160 Academic, Teaching, & Misc Support 150986 137593 13393 Recruitment Costs 93533 85236 8297 Other Expenses 52105 47483 4622 8212 7484 728 0 16053513 13550568 2491427 11518 2041292 947587 214853 210271 1190080 923389 0 0 0 0 131144 126666 311471 634887 8140235 2991638 5122739 5148597 18878598 17130892 0 0 149926 1110547 28040103 26232836 1440260 1310428 3605 0 0 2342977 2267096 3331740 125390 7114977 3706519 X 20840302 21958411 84824 567906 20925126 22526317 28040103 26232836 X -1931518 2083716 1223795 225198 X false true X true true true X 3174660 2162979 2532077 1325138 1296080 10490934 21576058 17904567 17486243 13313352 12034519 82314739 0 0 0 24750718 20067546 20018320 14638490 13330599 92805673 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92805673 562121 513349 564570 7141 18316 1665497 0 562121 513349 564570 7141 18316 1665497 7867 13723 38859 60449 0 0 54395 324794 726645 1105834 25312839 20588762 20651008 14970425 14114419 95637453 0.9704 0.9755 0.02 0.02 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER REVENUE, COLUMN A - , COLUMN B - , COLUMN C - 54395.0, COLUMN D - 324794.0, COLUMN E - 726645.0, COLUMN F - 1105834.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30327 472881 503208 30327 30327 30327 30327 30327 30327 30327 30327 0.0 1.0 0.0 false false 172500 172500 3049547 974838 2074709 23281 23281 0 4894907 1993519 2901388 5148597 Due to Affiliates 91575 3rd Party Estimate Right of Use Liabilities 33815 125390 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 false false false false false false false true false Jeffrey Obrien MHA Former Trustee/Treasurer 0 349987 0 0 0 24788 0 31590 0 33092 0 439457 0 0 Johanna Beliveau Trustee/President/CEO 269182 0 6875 0 22261 0 0 0 19480 0 317798 0 0 0 Aimee M Claiborne Trustee 0 486033 0 85825 0 20008 0 24990 0 19923 0 636779 0 0 Daniel Gross Trustee 0 281572 0 7260 0 1188 0 17854 0 27050 0 334924 0 0 Ellen Flaherty Trustee 0 248236 0 12327 0 27628 0 26027 0 31834 0 346052 0 0 Joni Menard Trustee (as of 7/1/23) 0 276211 0 18190 0 3369 0 23361 0 29409 0 350540 0 0 Nirav Kapadia MD Trustee (as of 7/1/23) 0 565064 0 1850 0 19850 0 24990 0 44042 0 655796 0 0 Joel Bradley Trustee (as of 7/1/23) 0 237625 0 0 0 159 0 14954 0 39249 0 291987 0 0 Martin J Degen Chief Financial Officer 182464 0 1960 0 688 0 0 0 19969 0 205081 0 0 0 Cristine Maloney J Medical Director 253342 0 0 0 159 0 0 0 8187 0 261688 0 0 0 Gerald G Best Director, Revenue Cycle 128812 0 2975 0 11226 0 0 0 25870 0 168883 0 0 0 Tammy Tarsa Chief Clinical Officer 176237 0 1850 0 373 0 0 0 27358 0 205818 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments The Director for Home Health and Hospice and Director, Revenue Cycle received non-fixed discretionary bonuses. Jean Wulpern Family member of Trustee Ellen Flaherty 101802 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 2023. 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 2024. 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: 3115253, Program Service Expense: 2733425, Management and General Expenses: 381828, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Assets Transferred - 180390; Help at Home Prior Period Adjustment - 44808; Help at Home LLC 88 Prospect Street White River Junction VT 05001 474711823 Private Duty VT -36717 38766 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 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 HOSPITAL VT 501(c)(3) 3 DHH 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 40068 142632 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 2937 Book