2020-05-14T09:15:10-05:00 2019-06-30 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2018-07-01 020360640 VNA AT HCS INC VNAA 6033522253 312 MARLBORO STREET KEENE NH 03431 DAWN MICHELIZZI CFO 6033522253 2020-05-12 1 JOHN NORMAN P01506766 6179848100 2020-05-12 67.137.57.251 2020-05-12 16:09:30 ED P 70545651873736B39CE34854CE8383AE7E7A4B44 2214F49F236FFDE6FF72B8558D9366204581BA9A 2018 2020-09-23 17:36:50Z MAURA MCQUEENEY 312 MARLBORO STREET KEENE NH 03431 15965171 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. 15 15 335 37 0 0 2284254 293420 14952213 15670554 12653 1197 0 0 17249120 15965171 0 0 0 0 11091188 10374747 0 0 0 4235043 7027126 15326231 17401873 1922889 -1436702 11262331 10009527 3316832 3500548 7945499 6508979 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. 0 0 7265390 8822355 HOMECARE SERVICE - OBJECTIVE IS TO HELP RESIDENTS OF SOUTHWESTERN NEW HAMPSHIRE TO RECOVER AT HOME AFTER A HOSPITALIZATION 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. 2357732 2791938 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. 3792717 4056261 COMMUNITY SERVICE - CONDUCT EVENTS SUCH AS MEALS ON WHEELS, ADULT DAY CARE, AND DOOR TO DOOR TRANSPORTATION. PROVIDE ADDITIONAL HELP FOR THESE 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. 13415839 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 15 0 335 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NH X SUSAN LOWE CPA 6033522253 312 MARLBORO STREET KEENE NH 03431 ALLEN MENDELSON CHAIRPERSON 1.00 1.00 X X 0 0 0 JANE LARMON VICE CHAIR 1.00 1.00 X X 0 0 0 JULIE GREENWOOD 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 1.00 1.00 X 0 0 0 JULIE GREEN DIRECTOR 1.00 1.00 X 0 0 0 ERIC HORNE 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 THERRIAN 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 MAURA MCQUEENEY INTERIM CEO 32.00 8.00 X 0 0 0 MARIANNE BRUM DIRECTOR OF FINANCE 32.00 8.00 X 0 87594 27679 CHRISTOPHER PERSSON OCCUP. THERAPIST 40.00 0.00 X 109582 0 0 109582 87594 27679 1 0 0 0 LINDLEY ACQUISITION CORP 201 WALLACE ST NEW HAVEN CT 065115033 FOOD SUPPLIER 483424 BLACKTREE HEALTHCARE CONSULTING 1030 CONTINENTAL DR KING OF PRUSSIA PA 19406 BILLING 274046 VERIZON WIRELESS 1095 AVENUE OF THE AMERICAS NEW YORK NY 10036 CELL PHONE 176157 DARTMOUTH-HITCHCOCK 1 MEDICAL CENTER DR LEBANON NH 03766 PHYSICIAN SERVICES 167627 NETSMART TECHNOLOGIES INC 4950 COLLEGE BLVD OVERLAND PARK KS 66211 IT/SOFTWARE SERVICES 166068 10 293420 293420 PATIENT SERVICE REVENUE 621610 15238658 15238658 OTHER OPERATING REVENUE 621610 431896 431896 15670554 1197 1197 15965171 15670554 0 1197 8465699 8465699 1296340 1296340 612708 612708 3980673 3980673 1350 1350 3381 3381 499633 499633 27340 27340 150115 150115 217582 217582 41224 41224 517831 517831 630 630 38366 38366 63829 63829 12750 12750 FOOD EXPENSES 548025 548025 PROGRAM SUPPLIES 442668 442668 EQUIPMENT RENTAL & REPA 273275 273275 BAD DEBTS 129274 129274 79180 79180 17401873 13415839 3986034 0 233973 328654 5540 5730 2323489 2662542 3545 3500 1853244 1631112 293478 222132 22821 24746 0 8379485 6762223 11262331 10009527 2190055 2515653 134652 128333 992125 856562 3316832 3500548 X 7820967 6478447 105909 11909 18623 18623 7945499 6508979 11262331 10009527 X -1436702 182 X X 0 1 X 1 1 1 X 2659533 2583544 2348363 2284254 2442189 12317883 14671929 15612811 16742892 14952213 13521785 75501630 17331462 18196355 19091255 17236467 15963974 87819513 7441 7441 0 7441 7441 87812072 769 816 3041 4742 1197 10565 769 816 3041 4742 1197 10565 17332231 18197171 19094296 17241209 15965171 87830078 0.99980 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18623 18623 18623 18623 18623 18623 18623 18623 18658 35 18623 0.00000 1.00000 0.00000 0 0 28312 7887 20425 1636514 1602052 34462 188418 21173 167245 222132 INTERCOMPANY RECEIVABLES 6762223 6762223 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. 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. X X X X X 0 0 0 0 0 0 0 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 CORPORATION 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 NOT APPLICABLE AT THIS TIME DUE TO THE FACT THE ORGANIZATION'S CEO WAS IN AN INTERIM POSITION. THE FOLLOWING PROCESS APPLIES TO THE POSITION WHEN IT IS FILLED FULL TIME: THE ORGANIZATION HAS A PRACTICE FOR DETERMINING THE CEO'S COMPENSATION. 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. AT THIS POINT IN TIME THE ORGANIZATION HAD AN INTERIM CEO AND THE BOARD DETERMINES THE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: MISCELLANEOUS ADJUSTMENT 182. FORM 990, PART XII, LINE 2C: NO CHANGE IN PROCESS FROM PRIOR YEAR. HOME HEALTH CAREHOSPICE & COMMUNITY SERVICES INC 312 MARLBORO STREET KEENE NH 03431 020464932 HOME CARE, HOSPICE, COMMUNITY SERVICE 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