2020-07-13T14:32:52-05:00 2019-06-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2018-07-01 036006494 Visiting Nurse Association And Hospice Of Vermont And New Hampshire Inc VISI 8883008853 88 Prospect Street White River Junction VT 05001 Johanna L Beliveau President and CEO 6032988399 2020-07-10 1 Melissa Magoon CPA P01712842 6036697337 2020-07-10 69.49.157.66 2020-07-10 11:54:57 ED P BFB386403C9EAE7FF660C386334FC3E1098CE7FC 8B04EC08AF02322EA9ED1307B74D8AF8BDCA5114 2018 2020-09-23 17:36:50Z Johanna L Beliveau 88 Prospect Street White River Junction VT 05001 26951194 0 X www.vnhcare.org X 1907 VT We are dedicated to delivering outstanding home health and hospice services that enrich the lives of the people we serve.In more than 140 towns in Vermont and New Hampshire, we deliver excellence in nursing, rehabilitation, hospice, and personal care services. As a non-profit, our only goal is helping people. 15 9 230 35 0 0 1363734 1106319 22006616 22728590 1486019 952678 -19538 7389 24836831 24794976 0 0 0 0 14033983 14179187 0 0 42456 8044490 9382811 22078473 23561998 2758358 1232978 32122075 33181271 5975023 5838026 26147052 27343245 X We are dedicated to delivering outstanding home health and hospice services that enrich the lives of the people we serve.In more than 140 towns in Vermont and New Hampshire, we deliver excellence in nursing, rehabilitation, hospice, and personal care services. As a non-profit, our only goal is helping people. 0 0 16386926 22728590 Home Care - to provide and assure equal and timely access to a comprehensive array of client-directed quality home health, hospice and community based services at the lowest possible cost and to collaborate with others to improve the health and well-being of the individual, the family and the community. 16386926 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 23 0 1 230 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 9 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Christine Apicella 8883008853 88 Prospect Street White River Junction VT 05001 Johanna Beliveau President& CEO 40.00 X X 110915 0 9245 Stephen Whitman Chairman 1.00 X X 0 0 0 Dana Michalovic Vice Chair 1.00 X X 0 0 0 Gary Mayo Treasurer 1.00 X X 0 0 0 Cynthia Twombly Corporate Secretary 1.00 X X 0 0 0 Devon Green Trustee 0.25 X 0 0 0 Aimee Giglio Trustee 0.25 X 0 358762 47278 Dr Ellen Flaherty Trustee 0.25 X 0 218373 39888 Dr Joseph Perras Trustee 0.25 X 0 371209 43891 Dr Marlene Sachs Trustee 0.25 X 0 71601 0 Geraldine Williams Trustee 0.25 X 0 0 0 Dr Jeffrey O'Brien Trustee 0.25 X 0 365139 57115 Michael Long Trustee 0.25 X 0 0 0 Richard Greenwald Trustee 0.25 X 0 0 0 Tracy Bach Trustee 0.25 X 0 0 0 Adam Keller Past Trustee 0.25 X 0 0 0 Tim Ford Past Trustee 0.25 X 0 0 0 Christine Apicella CFO 40.00 X 176797 0 16414 Jeanne McLaughlin Past President & CEO 40.00 X 228868 0 7361 Sheila Aubin VP Clinical Operations 40.00 X 189607 0 6275 Catherine Cullen VP of Home Care 40.00 X 162953 0 23570 Cristine Maloney Medical Director 40.00 X 278098 0 36763 Rita Laferriere Director of Long Term Care 40.00 X 133892 0 25407 Noel Bactad Physical Therapist 40.00 X 133017 0 10561 1414147 1385084 323768 18 0 1 0 Core Medical Group 655 South Willow Street Manchester NH 03103 Temp RN/Therapy 830422 Fazzi PO Box 207613 Dallas TX 75320 Billing/Coding Services 447008 Amn Healthcare Allied Inc PO Box 281939 Atlanta GA 30384 Temp RN/Therapy 415698 Health Carousel PO Box 714216 Cincinnati OH 45271 Temp RN/Therapy 262174 Simione Healthcare Consultants 4130 Whitney Ave Hamden CT 06518 Director of Nursing Services 260644 7 859727 246592 1106319 Home Health Care 621610 22728590 22728590 22728590 524396 524396 2569529 2141247 428282 428282 428282 22360 14971 7389 7389 24794976 22728590 0 960067 X 429439 429439 11105249 7380611 3724638 113970 75430 38540 1578769 1034688 544081 951760 610269 341491 891 891 78500 78500 101593 101593 4628501 3551576 1076925 109041 69917 39124 19100 12247 6853 135955 87174 48781 581769 509140 72629 81884 52504 29380 63436 40675 22761 339996 218005 121991 86384 55389 30995 Program Supplies 1260902 1260902 Medicaid Tax 628186 628186 Equipment Rental/Repair 460488 295265 165223 Telephone 331835 212773 119062 474350 292175 139719 42456 23561998 16386926 7132616 42456 X 774432 4804943 5697290 253522 0 3484160 3037337 136103 226997 186956 5534470 2295216 3138546 3239254 19405336 20036556 500000 73343 308571 32122075 33181271 2102219 2441401 1050485 767470 2696535 2629155 125784 5975023 5838026 X 26116725 27312918 30327 30327 26147052 27343245 32122075 33181271 X 1232978 139262 -220645 44598 X 0 1 X 1 0 X 1428620 1460971 674564 1363734 1106319 6034208 19667601 20088308 11028227 22006616 22096588 94887340 21096221 21549279 11702791 23370350 23202907 100921548 0 0 0 100921548 304016 322018 167990 410160 524396 1728580 304016 322018 167990 410160 524396 1728580 0 0 0 0 7389 7389 21400237 21871297 11870781 23780510 23734692 102657517 0.98310 0.98590 0.01680 0.01410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30327 30327 30327 619 619 30327 30327 30327 30327 30327 30327 30327 1.00000 0 0 172500 172500 3117070 2295216 821854 111852 111852 332604 332604 1800444 1800444 3239254 X 24834787 139262 44598 183860 24650927 101593 42456 144049 24794976 23417949 0 23417949 101593 42456 144049 23561998 Part V, Line 4: All income earned is used for operations 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: Net Asset Transfer 44,598. Part XI, Line 4b - Other Adjustments: Fundraising Expenses 42,456. Part XII, Line 4b - Other Adjustments: Fundraising Expenses 42,456. Wings of Hope 22360 22360 14971 22360 22360 14971 14971 7389 1 X X X X 0 0 0 0 0 0 0 1 0 Aimee Giglio Trustee 0 318913 0 10250 0 29599 0 12648 0 34630 0 406040 0 0 Dr Ellen Flaherty Trustee 0 189652 0 7250 0 21471 0 20298 0 19590 0 258261 0 0 Dr Joseph Perras Trustee 0 364369 0 0 0 6840 0 10994 0 32897 0 415100 0 0 Dr Jeffrey O'Brien Trustee 0 326405 0 250 0 38484 0 24226 0 32889 0 422254 0 0 Christine Apicella CFO 176367 0 250 0 180 0 0 0 16414 0 193211 0 0 0 Jeanne McLaughlin Past President & CEO 212520 0 15000 0 1348 0 6160 0 1201 0 236229 0 0 0 Sheila Aubin VP Clinical Operations 183800 0 5000 0 807 0 4247 0 2028 0 195882 0 0 0 Catherine Cullen VP of Home Care 162167 0 250 0 536 0 3966 0 19604 0 186523 0 0 0 Cristine Maloney Medical Director 277585 0 250 0 263 0 6978 0 29785 0 314861 0 0 0 Rita Laferriere Director of Long Term Care 131292 0 250 0 2350 0 24500 0 907 0 159299 0 0 0 Part I, Line 7 All bonuses are approved and paid at the discretion of the Board of Directors. Form 990, Part VI, Section A, line 2 Dartmouth-Hitchcock Health owns For-Profit subsidiaries that provide services and support the mission of the Organization. As a result, some officers of Visiting Nurse Association and Hospice of Vermont and New Hampshire may also be officers of related non-profit and for-profit entities. Form 990, Part VI, Section A, line 6 Dartmouth-Hitchcock Health, a New Hampshire non-profit corporation, is the sole corporate member of the Visiting Nurse Association and Hospice of Vermont and New Hampshire. D-HH has the power to appoint 1/3 of the members of the Visiting Nurse Association and Hospice of Vermont and New Hampshire's board of trustees. Form 990, Part VI, Section A, line 7a Dartmouth-Hitchcock Health, a New Hampshire non-profit corporation, is the sole corporate member of the Visiting Nurse Association and Hospice of Vermont and New Hampshire. D-HH has the power to appoint 1/3 of the members of the Visiting Nurse Association and Hospice of Vermont and New Hampshire's board of trustees. Form 990, Part VI, Section A, line 7b The sole member has the right to ratify the Visiting Nurse Association and Hospice of Vermont and New Hampshire's nomination of 2/3 of the members of the Board of Trustees; remove trustees after consultation with the chairperson of the board; approve the dissolution or liquidation of the Visiting Nurse Association and Hospice of Vermont and New Hampshire; appoint, evaluate, terminate, and approve the compensation of the President and CEO; and other governance decisions. Form 990, Part VI, Section B, line 11b The Chief Financial Officer will first review the form 990 in its entirety. The executive committee reviews and approves the process for the form 990 review and appoints a finance committee member as well as another member of the board of trustees to review the form 990. Questions and comments are brought to the attention of the executive committee and are resolved prior to submission of the form 990. A copy of the form 990 is posted on the Trustees domain on the VNH website and the board of trustees is given instructions to access and review the form 990 prior to submission. Form 990, Part VI, Section B, line 12c The Visiting Nurse Association and Hospice of VT & NH Board of Trustees approved a policy concerning a voluntary self-disclosure of any potential conflict of interest. Per the policy, any conflicts or otherwise perceived conflicts are required to be addressed by the Board of Trustees on an ongoing basis. In the event a conflict arises, the individual may be removed from participating in any decision making regarding the identified conflict and/or its corresponding transactions. If the board or committee has reasonable cause to believe that an interested person has failed to disclose actual or possible conflicts of interest, it shall inform such person on the basis for such belief and afford him/her an opportunity to explain the alleged failure to disclose. If, after hearing the response of the interested person and making such further investigation as may be warranted in the circumstances, the board or committee determines that such person has in fact failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action. Form 990, Part VI, Section B, line 15 The CEO's compensation is determined by the Board of trustees Compensation committee who uses salary market studies and performance to determine the compensation package. All other employees compensation is determined by salary market studies, years of experience in Healthcare & Home Healthcare, and performance by job function. Form 990, Part VI, Section C, line 19 By request. Form 990, Part IX, line 11g Temporary Staffing: Program service expenses 2,259,009. Management and general expenses 684,987. Fundraising expenses 0. Total expenses 2,943,996. Purchased Services: Program service expenses 1,279,905. Management and general expenses 388,098. Fundraising expenses 0. Total expenses 1,668,003. Other Contract Services: Program service expenses 12,662. Management and general expenses 3,840. Fundraising expenses 0. Total expenses 16,502. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Visiting Nurse Associatoin and Hospice of Vermont and New Hampshire, Inc. 88 Prospect Street White River Junction, VT 05001 EIN 03-6006494 Visiting Nurse Association and Hospice of Vermont and New Hampshire, Inc. is electing to capitalize repair and maintenance costs under Regulation Section1.263(a)-3(n). Form 990, Part XI, line 9: Net Asset Transfer 44,598. Help at Home LLC 88 Prospect Street White River Junction VT 05001 Private Duty VT -86025 709244 VNA and Hospice of Vermont and New Hampshire Inc Dartmouth Hitchcock Clinic One Medical Center Drive Lebanon NH 03756 222519596 Physician Services NH 501(c)(3) Line 10 D-HH 0 Mary Hitchcock Memorial Hospital One Medical Center Drive Lebanon NH 03756 020222140 Hospital NH 501(c)(3) Line 3 D-HH 0 The New London Hospital Association Inc 273 County Road New London NH 03257 020222171 Hospital NH 501(c)(3) Line 3 D-HH 0 Windsor Hospital Corporation 289 Country Road Windsor VT 05089 030183721 Hospital VT 501(c)(3) Line 3 D-HH 0 Cheshire Medical Center 580 Court Street Keene NH 03431 020354549 Hospital NH 501(c)(3) Line 3 D-HH 0 Alice Peck Day Memorial Hospital 10 Alice Peck Day Drive Lebanon NH 03766 020222791 Hospital NH 501(c)(3) Line 3 D-HH 0 Dartmouth Hitchcock Health 1 Medical Center Drive Lebanon NE 03756 264812335 Parent Organization NH 501(c)(3) Line 7 N/A 0 88 Prospect Street Unit Owner's Association 88 Propsect Street White River Junction VT 05001 020480857 Real Estate Holding VT Visiting Nurse Association and Hospice of Vermont and New Hampshire Inc C 72512 277618 0.76800 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 Help at Home LLC D 253468 FMV 88 Prospect Street Unit Owner's Association E 289539 FMV