2022-04-21T15:49:45-05:00 2021-12-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2021-01-01 010227184 Androscoggin Home Health Services Inc ANDR 2077777740 15 Strawberry Ave Lewiston ME 04240 Robert Gagnon Chief Financial Officer 2077777740 2022-04-21 1 Robert Gagnon 999009999 Melissa Magoon CPA P01712842 6036697337 2022-04-21 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Androscoggin Home Healthcare & Hospice Robert Gagnon 15 Strawberry Ave Lewiston ME 04240 67539043 0 X www.androscoggin.org X 1966 ME Androscoggin Home Healthcare and Hospice is an organization about living, dedicated to enhancing quality of life by providing innovative and compassionate medical care for all. 15 14 479 191 0 0 2064390 7035602 41537697 42149036 863241 2596881 109401 284524 44574729 52066043 0 0 0 0 33540636 36692993 0 0 383814 9191356 10119480 42731992 46812473 1842737 5253570 52313396 55511179 10226234 8965405 42087162 46545774 Androscoggin Home Healthcare and Hospice is an organization about living, dedicated to enhancing quality of life by providing innovative and compassionate medical care for all. 0 0 40536771 42149036 Home Care Services - Provides health and hospice services to individuals at their homes or in a health care clinic. 40536771 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 83 0 1 479 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Robert Gagnon 2077777740 15 Strawberry Ave Lewiston ME 04240 Christopher Gagnon Board Chair 1.00 X X 0 0 0 Elizabeth Keene Vice Chair 1.00 X X 0 0 0 Jeffrey Gosselin Treasurer 1.00 X X 0 0 0 Mavis Dubord Secretary 1.00 X X 0 0 0 Michael Martel Member at Large 1.00 X X 0 0 0 John Alexander Board Member 1.00 X 0 0 0 Paul Andersen Board Member 1.00 X 0 0 0 Christine Bosse Board Member 1.00 X 0 0 0 Phillip Crowell Jr Board Member 1.00 X 0 0 0 Debra Fournier Board Member 1.00 X 0 0 0 James Joseph Board Member 1.00 X 0 0 0 David MacMahon Board Member 1.00 X 0 0 0 John O'Malley Board Member 1.00 X 0 0 0 Christopher Pezzullo Board Member 1.00 X 0 0 0 Kenneth Albert President/Chief Executive Officer 40.00 X X 321021 0 15909 Robert Gagnon Chief Financial Officer 40.00 X 186101 0 17785 Myra Ross MD Physician 40.00 X 246056 0 13047 Leann Sebrey Chief Clinical Officer 40.00 X 191045 0 23651 Elizabeth Hart MD Medical Director 40.00 X 245319 0 25574 Vance Brown Chief Medical Officer 40.00 X 293832 0 24534 Cynthia DeSoi Physician 40.00 X 244644 0 11469 1728018 0 131969 43 0 1 0 Brightree Home Health Hospice LLC PO Box 101233 Atlanta GA 303921233 Service Consultation 564996 Integrity Services of Maine 862 Maine Street Poland ME 04274 Service Consultation 424364 Health Recovery Solutions Inc 50 Harrison Street Suite 310 Hoboken NJ 07030 Service Consultation 373087 AMN Healthcare Inc 2735 Collection Ctr Dr Chicago IL 60693 Contract Staffing 359782 Wellsky formerly Fazzi Associates PO Box 207613 Dallas TX 753207613 Service Consultation 328098 17 X 6378450 657152 7035602 Home Care Services 621610 42149036 42149036 42149036 757118 757118 17275301 15435538 1839763 1839763 1839763 140089 37462 102627 102627 181897 0 181897 181897 52066043 42149036 0 2881405 540816 540816 29212069 26101605 2914699 195765 805088 724917 74724 5447 3757485 3311984 420613 24888 2377535 2088189 273654 15692 25180 25180 69375 69375 112097 112097 1955154 956880 998274 568746 499530 69216 684611 601294 83317 608925 534819 74106 834972 823727 11245 710244 623807 81749 4688 189209 166182 23027 Program supplies 2498674 2498674 Other expenses 1636212 1406596 92282 137334 Equipment rental/repair 226081 198567 27514 46812473 40536771 5891888 383814 X 1300 5116587 13010832 7058892 105642 131652 5316712 5266599 160878 342208 13941871 8417880 5208002 5523991 28510030 32071250 52313396 55511179 3764832 3786493 48296 0 4000000 6413106 1178912 10226234 8965405 X 42057512 46200813 29650 344961 42087162 46545774 52313396 55511179 5253570 -794958 0 X 0 1 X 1 1 1 X 361841 602705 431747 2064390 7035602 10496285 32067689 34936948 39876751 41537697 42149036 190568121 55084 181897 236981 32429530 35539653 40308498 43657171 49366535 201301387 15930 15930 0 15930 15930 201285457 536804 542904 719542 686523 757118 3242891 536804 542904 719542 686523 757118 3242891 151461 119875 91829 54317 102627 520109 33117795 36202432 41119869 44398011 50226280 205064387 0.98160 0.98060 0.01580 0.01610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10000 10000 10000 10000 10000 10000 10000 10000 10000 10000 1.00000 0 0 495364 495364 8454863 4802855 3652008 35034 35034 0 3609309 2817616 791693 1347301 762375 584926 5523991 CARES Act Funding 1178912 1178912 X 51158988 -794958 -794958 51953946 112097 112097 52066043 46700376 0 46700376 112097 112097 46812473 Part V, Line 4: Restricted by donors to be maintained by the association in perpetuity. 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 position and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. Autumn Night Out 79875 79875 24038 Hospice Hike 37659 37659 5611 3 22555 22555 7813 140089 140089 37462 37462 102627 X X X X 0 0 0 0 0 0 0 0 0 Kenneth Albert President/Chief Executive Officer 321021 0 0 0 0 0 12828 0 3081 0 336930 0 0 0 Vance Brown Chief Medical Officer 293832 0 0 0 0 0 6434 0 18100 0 318366 0 0 0 Elizabeth Hart MD Medical Director 245319 0 0 0 0 0 7313 0 18261 0 270893 0 0 0 Myra Ross MD Physician 246056 0 0 0 0 0 10031 0 3016 0 259103 0 0 0 Cynthia DeSoi Physician 244644 0 0 0 0 0 8293 0 3176 0 256113 0 0 0 Leann Sebrey Chief Clinical Officer 191045 0 0 0 0 0 7813 0 15838 0 214696 0 0 0 Robert Gagnon Chief Financial Officer 186101 0 0 0 0 0 7448 0 10337 0 203886 0 0 0 Form 990, Part I, Item C DBA: Androscoggin Home Healthcare & Hospice DBA: Maine Center for Palliative Medicine Form 990, Part VI, Section B, line 11b A copy of the return is available to the Board of Directors prior to submission and a printed final copy is available upon request. 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 - Additional Information The Organization receives significant non-cash contributions of clothing and housewares which are sold at our thrift shop. The sales are reported on Part VIII, Line 10. Form 990, Part X, Line 10: Land, Buildings, and Equipment: Androscoggin Home Health Services, Inc. 15 Strawberry Ave Lewiston, ME 04240 EIN: 01-0227184 Section 1.263(a)-3(n) Election: Androscoggin Home Health Services, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).