STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

PEMI-BAKER HOSPICE & HOME HEALTH: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PEMI-BAKER HOSPICE & HOME HEALTH (EIN 02-0273178)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-07-26
IRS object ID
202232079349301003
Schema version
2021v4.2
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)
Return2022-07-26T08:05:07-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11000 Elm Street 4th FloorAddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020273178EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Pemi-Baker Hospice & Home HealthBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPEMIBusinessNameControlTxt
Phone6035362232PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 Boulder Point Drive 3AddressLine1Txt
CityPlymouthCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03264ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDanielle Paquette-HornePersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone6035362232PhoneNum
Signature2022-07-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDaniellePersonFirstNm
Person LastPaquette-HornePersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMelissa Magoon CPAPreparerPersonNm
PTINP01712842PTIN
Phone6036697337PhoneNum
Preparation2022-07-22PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name ChangeYes (X)NameChangeInd
Principal OfficerDanielle Paquette-HornePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 Boulder Point Drive 3AddressLine1Txt
CityPlymouthCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03264ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,622,947GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.pemibakercommunityhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionPemi-Baker Hospice & Home Health is dedicated to improving the health and wellbeing of the communities by providing excellence in health care services through outreach, in-home and facility-based programming.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee76TotalEmployeeCnt
Total Volunteers26TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$566,644PYContributionsGrantsAmt
CY Contributions Grants$1,034,159CYContributionsGrantsAmt
PY Program Service Revenue$4,222,737PYProgramServiceRevenueAmt
CY Program Service Revenue$4,195,356CYProgramServiceRevenueAmt
PY Investment Income$58,304PYInvestmentIncomeAmt
CY Investment Income$10,073CYInvestmentIncomeAmt
PY Other Revenue$9,310PYOtherRevenueAmt
CY Other Revenue$8,939CYOtherRevenueAmt
PY Total Revenue$4,856,995PYTotalRevenueAmt
CY Total Revenue$5,248,527CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,571,712PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,268,168CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$390CYTotalFundraisingExpenseAmt
PY Other Expenses$1,185,613PYOtherExpensesAmt
CY Other Expenses$1,136,883CYOtherExpensesAmt
PY Total Expenses$4,757,325PYTotalExpensesAmt
CY Total Expenses$4,405,051CYTotalExpensesAmt
PY Revenues Less Expenses$99,670PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$843,476CYRevenuesLessExpensesAmt
Total Assets BOY$4,454,524TotalAssetsBOYAmt
Total Assets EOY$4,460,825TotalAssetsEOYAmt
Total Liabilities BOY$1,759,861TotalLiabilitiesBOYAmt
Total Liabilities EOY$888,351TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,694,663NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,572,474NetAssetsOrFundBalancesEOYAmt
MissionPemi-Baker Hospice & Home Health is dedicated to improving the health and wellbeing of the community by providing excellence in health care services through outreach, in-home, and facility-based programming.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,624,723ExpenseAmt
Revenue$4,195,356RevenueAmt
DescHealth Care - Provides acute and palliative services to patients who can be cared for at home or in a clinic setting and provides and maintains community health through counseling, disease detection and health education.Desc
Total Program Service Expenses$3,624,723TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document18IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee76EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Danielle Paquette-HorneBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6035362232PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 Boulder Point Drive 3AddressLine1Txt
CityPlymouthCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03264ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Martha Humphrey
Chairperson1.00Yes (X)Yes (X)$0$0$0
George Hacker
Vice Chairperson1.00Yes (X)Yes (X)$0$0$0
Martha Clifford
Treasurer1.00Yes (X)Yes (X)$0$0$0
Peter Lovett
Secretary1.00Yes (X)Yes (X)$0$0$0
Robin Aronson
Director1.00Yes (X)$0$0$0
Deb Braley
Director1.00Yes (X)$0$0$0
Jeff Brown
Director1.00Yes (X)$0$0$0
Nancy Turner
Director1.00Yes (X)$0$0$0
Angie Van Sickle
Director1.00Yes (X)$0$0$0
Carolyn Varin
Director1.00Yes (X)$0$0$0
Kathy Weymouth
Director1.00Yes (X)$0$0$0
Danielle Paquette-Horne
Executive Director/ Past HH/Hospice dir40.00Yes (X)$104,930$0$18,092
Barbara Howcroft
Finance Manager40.00Yes (X)$97,364$0$6,369
Chandra Engelbert
Past CEO40.00Yes (X)$55,007$0$6,451
Amy Dennis
Past Interim CEO40.00Yes (X)$86,526$0$14,001
Kara Hamill
Operations Director40.00$107,794$0$4,201Yes (X)
Ernest Roy
Quality Director40.00$102,953$0$4,123Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$554,574TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$53,237TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$906,602GovernmentGrantsAmt
All Other Contributions$127,557AllOtherContributionsAmt
Total Contributions$1,034,159TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHealth CareDesc
Business621610BusinessCd
Total Revenue Column$4,195,356TotalRevenueColumnAmt
Related Or Exempt Func Income$4,195,356RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,195,356TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,233TotalRevenueColumnAmt
Exclusion$11,233ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$362,220SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$363,380SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,160SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,160TotalRevenueColumnAmt
Exclusion-$1,160ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$19,979FundraisingGrossIncomeAmt
Fundraising Direct Expenses$11,040FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,939TotalRevenueColumnAmt
Exclusion$8,939ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,248,527TotalRevenueColumnAmt
Related Or Exempt Func Income$4,195,356RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$19,012ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$388,743TotalAmt
Management And General$388,743ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,375,099TotalAmt
Program Services$2,253,877ProgramServicesAmt
Management And General$121,222ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$82,268TotalAmt
Program Services$79,000ProgramServicesAmt
Management And General$3,268ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$204,544TotalAmt
Program Services$181,030ProgramServicesAmt
Management And General$23,514ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$217,514TotalAmt
Program Services$180,319ProgramServicesAmt
Management And General$37,195ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,133TotalAmt
Management And General$2,133ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$30,680TotalAmt
Management And General$30,680ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$166,190TotalAmt
Program Services$101,797ProgramServicesAmt
Management And General$64,393ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$97,314TotalAmt
Program Services$80,674ProgramServicesAmt
Management And General$16,640ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$120,715TotalAmt
Program Services$100,073ProgramServicesAmt
Management And General$20,642ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$137,666TotalAmt
Program Services$114,125ProgramServicesAmt
Management And General$23,541ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$87,124TotalAmt
Program Services$86,483ProgramServicesAmt
Management And General$641ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$26,348TotalAmt
Program Services$21,842ProgramServicesAmt
Management And General$4,506ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$69,994TotalAmt
Program Services$58,025ProgramServicesAmt
Management And General$11,969ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$24,038TotalAmt
Program Services$19,928ProgramServicesAmt
Management And General$4,110ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Program Supplies$162,502$162,502
Equipment Rental/Repair$115,420$95,683$19,737
Other Expenses$96,369$89,365$7,004
Fundraising Expense$390$390

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,405,051TotalAmt
Program Services$3,624,723ProgramServicesAmt
Management And General$779,938ManagementAndGeneralAmt
Fundraising$390FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$650,327BOYAmt
EOY$91,642EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,575,385BOYAmt
EOY$2,018,504EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,364BOYAmt
EOY$1,489EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$465,041BOYAmt
EOY$383,804EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,849BOYAmt
EOY$20,313EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,954,320LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$790,348LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,066,996BOYAmt
EOY$1,163,972EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$417,761BOYAmt
EOY$515,170EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$247,801BOYAmt
EOY$265,931EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,454,524BOYAmt
EOY$4,460,825EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$298,613BOYAmt
EOY$265,521EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,337BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$670,017BOYAmt
EOY$622,830EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$789,894BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,759,861BOYAmt
EOY$888,351EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,446,862BOYAmt
EOY$3,306,543EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$247,801BOYAmt
EOY$265,931EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,694,663BOYAmt
EOY$3,572,474EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,454,524BOYAmt
EOY$4,460,825EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$843,476ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$16,205NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$18,130OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$193,216CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$219,039CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$225,328CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$566,644CurrentTaxYearMinus1YearAmt
Current Tax Year$1,034,159CurrentTaxYearAmt
Total$2,238,386TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,591,656CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,984,851CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,365,315CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,222,737CurrentTaxYearMinus1YearAmt
Current Tax Year$4,195,356CurrentTaxYearAmt
Total$20,359,915TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,784,872CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,203,890CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,590,643CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,789,381CurrentTaxYearMinus1YearAmt
Current Tax Year$5,229,515CurrentTaxYearAmt
Total$22,598,301TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$22,598,301PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,071CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,701CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,620CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,874CurrentTaxYearMinus1YearAmt
Current Tax Year$11,233CurrentTaxYearAmt
Total$64,499TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,071CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,701CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,620CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,874CurrentTaxYearMinus1YearAmt
Current Tax Year$11,233CurrentTaxYearAmt
Total$64,499TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,146CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,206CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,094CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,310CurrentTaxYearMinus1YearAmt
Current Tax Year$8,939CurrentTaxYearAmt
Total$65,695TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,809,089CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,229,797CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,625,357CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,814,565CurrentTaxYearMinus1YearAmt
Current Tax Year$5,249,687CurrentTaxYearAmt
Total$22,728,495TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99430PublicSupportCY509Pct
Public Support PY5090.99300PublicSupportPY509Pct
Investment Income CY0.00280InvestmentIncomeCYPct
Investment Income PY0.00310InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$290,779OtherCostOrOtherBasisAmt
Book Value$290,779BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,498,113OtherCostOrOtherBasisAmt
Depreciation$659,472DepreciationAmt
Book Value$838,641BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$158,815OtherCostOrOtherBasisAmt
Depreciation$124,264DepreciationAmt
Book Value$34,551BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,613OtherCostOrOtherBasisAmt
Depreciation$6,612DepreciationAmt
Book Value$1BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,163,972TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescBeneficial Interest in Perpetual TrustDesc
Book Value$265,931BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$265,931TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,293,902TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$16,205NetUnrealizedGainsInvstAmt
Other Revenue$29,170OtherRevenueAmt
Revenue Not Reported$45,375RevenueNotReportedAmt
Revenue Subtotal$5,248,527RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,248,527TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,416,091TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$11,040OtherExpensesIncludedAmt
Expenses Not Reported$11,040ExpensesNotReportedAmt
Expenses Subtotal$4,405,051ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,405,051TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:The Association is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Association 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 Association's tax positions and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.
Part XI, Line 2d - Other Adjustments:Fundraising Expenses 11,040. Change in Market Value of Beneficial Interest in Perpetual Trust 18,130.
Part XII, Line 2d - Other Adjustments:Fundraising Expenses 11,040.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Brunch/AuctionEvent1Nm
Gross Receipts Event1$13,414GrossReceiptsEvent1Amt
Gross Revenue Event1$13,414GrossRevenueEvent1Amt
Other Direct Expenses Event1$7,796OtherDirectExpensesEvent1Amt
Event2Racket BattleEvent2Nm
Gross Receipts Event2$6,565GrossReceiptsEvent2Amt
Gross Revenue Event2$6,565GrossRevenueEvent2Amt
Other Direct Expenses Event2$3,245OtherDirectExpensesEvent2Amt
Gross Receipts Total$19,979GrossReceiptsTotalAmt
Gross Revenue Total Events$19,979GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$11,041OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$11,041DirectExpenseSummaryEventsAmt
Net Income Summary$8,938NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 4During calendar year 2021, the Organization changed its legal name to Pemi-Baker Hopsice & Home Health. A conformed copy of the Affidavit of Amendment to the Articles of Incorporation as filed with the State of New Hampshire Department of State as well as a copy of the Articles of Association reflecting the change in name are attached to Form 990 per IRS instructions.
Form 990, Part VI, Section B, line 11bThe Executive Director and Finance Manager review the 990 prior to going to the Executive Committee of the Board of Directors for approval.
Form 990, Part VI, Section B, line 12cPolicy 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 15Executive Director is reviewed and approved by board. Other officers and key employees reviewed and approved by the Executive Director.
Form 990, Part VI, Section C, line 19Upon request
Form 990, Part X, Line 10: Land, Buildings, and Equipment:Section 1.263(a)-3(n) Election: Pemi-Baker Hospice & Home Health 101 Boulder Point Drive, Suite 3 Plymouth, NH 03264 EIN: 02-0273178 Section 1.263(a)-3(n) Election: Pemi-Baker Hospice & Home Health is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).
Form 990, Part XI, line 9:Change In Market Value Of Beneficial Interest In Perpetual Trust 18,130.