2022-11-07T08:21:19-06:00 2021-12-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2021-01-01 030186089 Central Vermont Home Health & Hospice Inc CENT 8022231878 600 Granger Rd Barre VT 056415369 Sandra Rousse Executive Director 8022231878 2022-11-04 1 Sandra Rousse 999009999 Melissa Magoon CPA P01712842 6036697337 2022-11-04 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Sandra Rousse 600 Granger Road Barre VT 05641 21311437 0 X www.cvhhh.org X 1911 VT Provide comprehensive, high quality home health and hospice care to all Central Vermonters, regardless of their ability to pay. In addition, the agency promotes the general welfare of the citizens of Central Vermont with health promotion and long term care services. 17 16 214 89 0 0 1160363 3584443 13374933 13955494 325351 960758 80103 88237 14940750 18588932 0 0 0 0 10379190 10341097 0 0 0 4113080 4748498 14492270 15089595 448480 3499337 27024606 29117936 3656651 1771625 23367955 27346311 Provide comprehensive, high quality home health and hospice care to all Central Vermonters, regardless of their ability to pay. In addition, the agency promotes the general welfare of the citizens of Central Vermont with health promotion and long term care services. 0 0 12405556 13955494 Homecare Services-provides home health care, hospice and community health services to communities in central Vermont. 12405556 1 1 0 1 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 23 0 1 214 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VT X Sandra Rousse 8022231878 600 Granger Road Barre VT 05641 Teresa Voci Chair 1.00 X X 0 0 0 Mary Kate Mohlman Vice Chair 1.00 X X 0 0 0 Ed Read Treasurer 1.00 X X 0 0 0 Maureen Hebert Secretary 1.00 X X 0 0 0 Brian Aitchison Board Member 1.00 X 0 0 0 Corey Bennett Board Member 1.00 X 0 0 0 Emily Brown Board Member 1.00 X 0 0 0 Robert Cody II Board Member 1.00 X 0 0 0 Ed Flanagan Board Member 1.00 X 0 0 0 Mary Neville Hood Board Member 1.00 X 0 0 0 Debbie Kerin Board Member 1.00 X 0 0 0 Topper McFaun Board Member 1.00 X 0 0 0 Eric Quintin Board Member 1.00 X 0 0 0 Alan Rubel Board Member 1.00 X 0 0 0 Paulette Thabault Board Member 1.00 X 0 0 0 Alison White Board Member 1.00 X 0 0 0 Susan Chicoine Past Board Member 1.00 X 0 0 0 Bill Patno Past Board Member 1.00 X 0 0 0 Sandra Rousse CEO 40.00 X X 197842 0 49939 Kelly Bishop CFO 40.00 X 136479 0 30811 Rebecca Bowen HRO 40.00 X 124735 0 12853 Jim Budis Hospice Manager 40.00 X 107659 0 15294 Julia Dalphin CQO 40.00 X 119272 0 17789 Kimberley LaGue COO 40.00 X 141381 0 35738 827368 0 162424 6 0 1 0 BerryDunn 1000 Elm Street 4th Floor Manchester NH 03101 Accounting/Outside Consulting 327674 CoreCMG CIT Acquisition LLOC 655 S Willow St Ste 128 Manchester NH 03101 Traveling Staff (RNs/PTs) 301592 SHS Services PO Box 677896 Dallas TX 752677896 Traveling Staff (RNs/PTs) 194685 Triage LLC PO Box 3773328 Chicago IL 606773328 Traveling Staff (RNs/PTs) 131265 AMN Healthcare PO Box 281939 Atlanta GA 303841939 Traveling Staff (RNs/PTs) 126304 6 6365 3021366 556712 3584443 Homecare 621610 13913091 13913091 Miscellaneous Revenue 621610 42403 42403 13955494 424880 424880 3235012 2699134 535878 535878 535878 111608 23371 88237 88237 18588932 13955494 0 1048995 X 415071 415071 7854758 6888962 965796 126065 113148 12917 1290077 1092991 197086 655126 551092 104034 55487 55487 50800 50800 12965 12965 67981 67981 1772273 1199119 573154 2122 1785 337 123322 103738 19584 304236 255923 48313 157875 132804 25071 273939 269077 4862 8352 7026 1326 218479 183785 34694 79704 67047 12657 Program Supplies 575619 575619 Tax 524758 524758 Other Expenses 401143 338207 62936 Printing and Publicatio 119443 100475 18968 15089595 12405556 2684039 0 18267 2800 8498052 9729800 1677900 1864988 246225 242926 4479399 3187259 1438079 1292140 15146083 15985282 27024606 29117936 1140956 1187461 2515695 584164 3656651 1771625 X 23264794 27279795 103161 66516 23367955 27346311 27024606 29117936 3499337 479019 0 X 0 1 X 1 0 X 845243 1485592 858585 1160363 3581443 7931226 12060039 12854078 13669757 13374933 13955494 65914301 12905282 14339670 14528342 14535296 17536937 73845527 0 0 0 73845527 491813 449785 451668 403236 424880 2221382 491813 449785 451668 403236 424880 2221382 96474 76591 83749 80103 91237 428154 13493569 14866046 15063759 15018635 18053054 76495063 0.96540 0.96050 0.02900 0.03390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12965 12965 0 Part II-B, Line 1: The Organization pays dues to outside organizations that designate a portion as lobbying expenses. 42878 3147 3147 42878 42878 4090 4090 42878 42878 42878 42878 42878 42878 42878 0.00000 1.00000 0.00000 0 0 146114 146114 3013501 2090153 923348 1231184 1043751 187433 88600 53355 35245 1292140 CARES Act Funding 584164 584164 X 19067951 479019 479019 18588932 0 18588932 15089595 0 15089595 0 15089595 Part V, Line 4: Restricted by donors to be maintained in perpetuity; the income is expendable to support healthcare services. Part X, Line 2: The Agency is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Agency 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 Agency's tax position and concluded that the Agency has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. HS Golf Tournament 52522 52522 6520 750 2267 MCH Poker Run 41807 41807 11600 192 370 2 17279 17279 1671 111608 111608 11600 6520 942 4308 23370 88238 X X X X 0 0 0 0 0 0 0 1 0 Sandra Rousse CEO 196350 0 100 0 1392 0 5409 0 44530 0 247781 0 0 0 Kimberley LaGue COO 125586 0 2207 0 13588 0 4359 0 31379 0 177119 0 0 0 Kelly Bishop CFO 123542 0 2347 0 10590 0 3935 0 26876 0 167290 0 0 0 Part I, Line 7 The HR department distributes annual evaluations and competency evaluation forms to supervisors. Supervisors schedule one-on-one meetings with their staff to complete the evaluations. Supervisors provides the Chief Human Resource Officer (CHRO) with the completed annual evaluation (employee & supervisor) and annual competency for each employee they supervise. The HR generalist tracks all evaluations to confirm 100% receipt. The CHRO enters all competency forms by employee into an excel worksheet noting the number of exceeds expectations for each employee. Following the table by position (employee, manager or senior manager), the eligible percent is calculated. The worksheet is provided to payroll and the CFO for review. The "regular work wages" (work time wages only) are exported from ADP for the one year span (by payroll date) to capture wages for the one year period, multiplied by the determined PFP percent. The PFP bonus is paid in January. The total amount is accrued by department and posted to salary expense by department. The accrual is adjusted to actual. There is a monthly standard general ledger entry to capture "regular wages year-to-date" for active staff. The percentage used is 1.1%, which is historically the average percent for the PFP. Form 990, Part VI, Section B, line 11b The CFO reviews the 990 and gives to the CEO for review and signature. The Form 990 is then e-mailed to the Board of Directors. 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 HR Director meets with CEO and CFO and reviews comparable salary data for market survey completed for budget or other times as necessary during the year. HR Director and CEO confer re: CFO salary. HR Director meets with Personnel Committee Chair to review recommended salaries for budget year. Finance Committee receives a detailed list of changes by position or discipline of any increases/changes to salary, but not specific salaries. Finance Committee recommends to the Board. The Board approves the CEO salary. Form 990, Part VI, Section C, line 19 Upon request. Form 990, Part IX, line 11g Other Contract Services: Program service expenses 1,199,119. Management and general expenses 573,154. Fundraising expenses 0. Total expenses 1,772,273. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Central Vermont Home Health & Hospice, Inc. 600 Granger Road Barre, VT 05641-5369 EIN: 03-0186089 Central Vermont Home Health & Hospice, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).