2021-04-13T10:12:56-05:00 2020-06-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2019-07-01 020360640 VNA at HCS Inc VNAA 6033522253 312 Marlboro Street Keene NH 03431 Dawn Michelizzi Chief Financial Officer 6033522253 2021-04-06 1 Barbara J McGuan CPA P00219457 6036697337 2021-04-06 2019 2022-09-23 18:48:47Z Maura McQueeney 312 Marlboro Street Keene NH 03431 14777458 0 X www.hcsservices.org X 1981 NH To provide services which enable people to function throughout life at their optimal level of health, well-being, and independence according to their personal beliefs and choices. 17 16 278 67 0 0 293420 875265 15670554 13876665 1197 7401 0 4771 15965171 14764102 0 4000 0 0 10374747 9560502 0 0 0 7027126 6680829 17401873 16245331 -1436702 -1481229 10009527 9685721 3500548 4664326 6508979 5021395 To provide services which will enable people to function throughout life at their optimal level of health, well-being, and independence according to their personal beliefs and choices. 0 0 6602966 7350109 Homecare Service - Objective is to help residents of southwestern New Hampshire to recover at home after a hospitilization or rehabilitation stay in a facility. Skilled care provided by nurses, rehabilitation therapists are available to residents of all ages with the goal of comfort, care and support at home. Private duty services are also offered to customize care to individual needs. 3249205 3616861 Hospice Care - Is offered to those who would like to remain in the comfort and dignity of their own home at the end of life. A care team of nurses, social workers, chaplain and volunteers provide comfort measures to the patient and support for their family members. Bereavement support is also offered to families and to the community at no charge. 2613923 4000 2909695 Community Service - Conduct events such as Meals on Wheels, adult day care, and door to door transportation. Provide additional help for those who need short or long term supportive services to remain safely at home. Other community services, such as the healthy starts maternal and child health program, nurse is in clinics, and age in motion promote the health and well-being of the communities we serve. 12466094 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 21 0 1 278 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NH X Dawn Michelizzi 6033522253 312 Marlboro Street Keene NH 03431 Julie Greenwood Chair 1.00 1.00 X X 0 0 0 Jane Larmon Vice Chair 1.00 1.00 X X 0 0 0 Eric Horne Treasurer 1.00 1.00 X X 0 0 0 Susan Abert Esq Secretary 1.00 1.00 X X 0 0 0 Betsy Cotter Director-at-Large 1.00 1.00 X 0 0 0 Dianne Bolton Director 1.00 1.00 X 0 0 0 Mike Chelstowski Director 1.00 1.00 X 0 0 0 Mary Ann Davis Director 1.00 1.00 X 0 0 0 Julie Green Director 1.00 1.00 X 0 0 0 Allen Mendelson Director 1.00 1.00 X 0 0 0 Maureen O'Brien Director 1.00 1.00 X 0 0 0 Leslie Pitts MD FAAFP Director 1.00 1.00 X 0 0 0 Brian Reilly MD Director 1.00 1.00 X 0 0 0 Judy Sadoski Director 1.00 1.00 X 0 0 0 David Stinson Director 1.00 1.00 X 0 0 0 David Therrian Director 1.00 1.00 X 0 0 0 Maura McQueeney President & CEO 32.00 8.00 X X 178575 6219 0 Dawn Michelizzi CFO 32.00 8.00 X 0 36064 521 Richard Skeels Past Interim CFO 32.00 8.00 X 50400 0 0 Laura Brow Director of Clinical Operations 37.50 X 108761 0 3375 337736 42283 3896 2 0 1 0 Lindley Acquisition Corp PO Box 743074 Atlanta GA 30374 Food Supplier 627735 Simione Healthcare 4130 Whitney Avenue Hamden CT 06518 Contract CEO/CFO 611093 Blacktree Healthcare Consulting 1 Fayette Street Suite 425 Conshohocken PA 19428 Billing 270146 Dartmouth-Hitchcock 1 Medical Center Dr Lebanon NH 03766 Physician Services 241604 Netsmart Technologies Inc 4950 College Blvd Overland Park KS 66211 IT/Software Services 122365 5 7569 486824 380872 875265 Patient Service Revenue 621610 11583216 11583216 Other Operating Revemue 621610 2293449 2293449 13876665 1307 1307 10053 3959 6094 6094 6094 14168 9397 4771 4771 14764102 13876665 0 12172 X 4000 4000 228975 228975 7641262 7641262 93747 93747 966899 966899 629619 629619 3548652 3548652 1388 1388 97 97 1641058 1641058 6477 6477 195181 195181 39391 39391 409316 409316 125 125 44348 44348 12435 12435 Program supplies 459223 459223 Equipment rental & repa 295904 295904 Other expenses 27234 27234 16245331 12466094 3779237 0 X 328654 41627 5730 2331223 2662542 1395456 3500 1798784 1621002 222132 177782 24746 26911 6762223 5712722 10009527 9685721 2515653 2452336 128333 2211990 856562 3500548 4664326 X 6478447 4894564 30532 126831 6508979 5021395 10009527 9685721 -1481229 -45 -6310 0 X 0 1 X 1 1 1 X 2583544 2348363 2284254 2442189 875265 10533615 15612811 16742892 14952213 13521785 13876665 74706366 18196355 19091255 17236467 15963974 14751930 85239981 7441 12140 19581 0 7441 12140 19581 85220400 816 3041 4742 1197 1307 11103 816 3041 4742 1197 1307 11103 4771 4771 18197171 19094296 17241209 15965171 14758008 85255855 0.99960 0.99980 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18623 18623 18623 18623 18623 18623 18623 18623 18623 18623 0.00000 1.00000 0.00000 0 0 28312 10718 17594 1582054 1582034 20 188418 28250 160168 177782 Intercompany Receivables 5712722 5712722 X Part V, Line 4: Income used for operations and to support hospice. Part X, Line 2: The Association is a public charity under Section 501(c)(3) of the Internal Revenue Code (IRC). 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 consolidated financial statements. X X X X X 0 0 0 0 0 0 0 0 0 Maura McQueeney President & CEO 178575 6219 0 0 0 0 0 0 0 0 178575 6219 0 0 Form 990, Part VI, Section A, line 6 Home Healthcare, Hospice and Community Services, Inc. (HCS) shall be the sole member of the corporation. Form 990, Part VI, Section A, line 7a The sole member of the corportation shall be entitled to vote. Form 990, Part VI, Section A, line 7b The Board of Directors shall have and exercise all of the powers of the corporation provided by law, subject to the reservation to Home HealthCare, Hospice and Community Services, the sole member of the corporation, of the right to approve certain matters set forth in these bylaws before they may become effective: (a) the annual operating and capital budgets of the corporation; (b) any amendment, repeal, replacement or additional to these bylaws or to the articles of agreement of the corporation; and (c) the employment of the CEO of the corporation. Form 990, Part VI, Section B, line 11b The Chief Financial Officer reviews the 990 with the Finance Committee of the Board of Directors for approval prior to filing. Form 990, Part VI, Section B, line 12c A conflict of interest disclosure form is completed and signed annually by each member of the Board of Directors. Form 990, Part VI, Section B, line 15 The practice states that the CEO submits an annual self-evaluation to the board, a written evaluation of the CEO be completed by the board and use of a comparable compensation survey report to set compensation level. Comparable compensation surveys are updated every three to five years. The CEO determines the salary of the CFO using performance evaluation and a comparable compensation survey report to set compensation levels. Comparable compensation surveys are updated every three to five years. Form 990, Part VI, Section C, line 19 The organziation's governing documents, conflict of interest policy, and finacial statements are made available to the public upon request. Form 990, Part IX, line 11g Other Fees: Program service expenses 1,641,058. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,641,058. Form 990, Part X, Line 10: Land, Buildings, and Equipment: Section 1.263(a)-3(n) Election: VNA at HCS, Inc. 312 Marlboro Street Keene, NH 03431 EIN: 02-0360640 Section 1.263(a)-3(n) Election: VNA at HCS, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Home Health Care Hospice & Community Services Inc 312 Marlboro Street Keene NH 03431 020464932 Support to VNA at HCS, Inc. NH 501(c)(3) Line 12b, II N/A 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0