2022-07-26T08:05:07-05:00 2021-12-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2021-01-01 020273178 Pemi-Baker Hospice & Home Health PEMI 6035362232 101 Boulder Point Drive 3 Plymouth NH 03264 Danielle Paquette-Horne Executive Director 6035362232 2022-07-22 1 Danielle Paquette-Horne 999009999 Melissa Magoon CPA P01712842 6036697337 2022-07-22 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X Danielle Paquette-Horne 101 Boulder Point Drive 3 Plymouth NH 03264 5622947 0 X www.pemibakercommunityhealth.org X 1967 NH Pemi-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. 11 11 76 26 0 0 566644 1034159 4222737 4195356 58304 10073 9310 8939 4856995 5248527 0 0 0 0 3571712 3268168 0 0 390 1185613 1136883 4757325 4405051 99670 843476 4454524 4460825 1759861 888351 2694663 3572474 Pemi-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. 0 0 3624723 4195356 Health 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. 3624723 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 18 0 1 76 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Danielle Paquette-Horne 6035362232 101 Boulder Point Drive 3 Plymouth NH 03264 Martha Humphrey Chairperson 1.00 X X 0 0 0 George Hacker Vice Chairperson 1.00 X X 0 0 0 Martha Clifford Treasurer 1.00 X X 0 0 0 Peter Lovett Secretary 1.00 X X 0 0 0 Robin Aronson Director 1.00 X 0 0 0 Deb Braley Director 1.00 X 0 0 0 Jeff Brown Director 1.00 X 0 0 0 Nancy Turner Director 1.00 X 0 0 0 Angie Van Sickle Director 1.00 X 0 0 0 Carolyn Varin Director 1.00 X 0 0 0 Kathy Weymouth Director 1.00 X 0 0 0 Danielle Paquette-Horne Executive Director/ Past HH/Hospice dir 40.00 X 104930 0 18092 Barbara Howcroft Finance Manager 40.00 X 97364 0 6369 Chandra Engelbert Past CEO 40.00 X 55007 0 6451 Amy Dennis Past Interim CEO 40.00 X 86526 0 14001 Kara Hamill Operations Director 40.00 X 107794 0 4201 Ernest Roy Quality Director 40.00 X 102953 0 4123 554574 0 53237 3 0 0 0 0 906602 127557 1034159 Health Care 621610 4195356 4195356 4195356 11233 11233 362220 363380 -1160 -1160 -1160 19979 11040 8939 8939 5248527 4195356 0 19012 388743 388743 2375099 2253877 121222 82268 79000 3268 204544 181030 23514 217514 180319 37195 2133 2133 30680 30680 166190 101797 64393 97314 80674 16640 120715 100073 20642 137666 114125 23541 87124 86483 641 26348 21842 4506 69994 58025 11969 24038 19928 4110 Program Supplies 162502 162502 Equipment Rental/Repair 115420 95683 19737 Other Expenses 96369 89365 7004 Fundraising Expense 390 390 4405051 3624723 779938 390 X 650327 91642 1575385 2018504 24364 1489 465041 383804 6849 20313 1954320 790348 1066996 1163972 417761 515170 247801 265931 4454524 4460825 298613 265521 1337 0 670017 622830 789894 0 1759861 888351 X 2446862 3306543 247801 265931 2694663 3572474 4454524 4460825 X 843476 16205 18130 X 0 1 X 1 0 X 193216 219039 225328 566644 1034159 2238386 3591656 3984851 4365315 4222737 4195356 20359915 3784872 4203890 4590643 4789381 5229515 22598301 0 0 0 22598301 11071 9701 16620 15874 11233 64499 11071 9701 16620 15874 11233 64499 13146 16206 18094 9310 8939 65695 3809089 4229797 4625357 4814565 5249687 22728495 0.99430 0.99300 0.00280 0.00310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 290779 290779 1498113 659472 838641 158815 124264 34551 6613 6612 1 1163972 Beneficial Interest in Perpetual Trust 265931 265931 X 5293902 16205 29170 45375 5248527 0 5248527 4416091 11040 11040 4405051 0 4405051 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. Brunch/Auction 13414 13414 7796 Racket Battle 6565 6565 3245 19979 19979 11041 11041 8938 Form 990, Part VI, Section A, line 4 During 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 11b The 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 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 Executive 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 19 Upon 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.