2019-05-10T08:54:30-05:00 2018-12-31 010523282 BERRY DUNN MCNEIL & PARKER LLC 1000 ELM STREET 4TH FLOOR MANCHESTER NH 03101 990 2018-01-01 010227184 ANDROSCOGGIN HOME HEALTH SERVICES INC ANDR 2077777740 15 STRAWBERRY AVE LEWISTON ME 04240 ROBERT GAGNON DIRECTOR OF FINANCE 2077777740 2019-05-03 1 DIMITRIOS PANACOPOULOS CPA P01603705 6036697337 2019-05-03 69.49.157.66 2019-05-03 13:21:46 ED P 8B04EC08AF02322EA9ED1307B74D8AF8BDCA5114 8CB03294F4C8EEE0A7F1275F402B300CCFF6E31F 2018 2019-02-21 02:37:17Z ANDROSCOGGIN HOME HEALTHCARE & HOSPICE ROBERT GAGNON 15 STRAWBERRY AVE LEWISTON ME 04240 57681501 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. 17 15 567 207 0 0 361841 602745 32067689 34936948 1634863 -634800 151461 119875 34215854 35024768 0 0 0 0 24910530 27067899 0 0 466756 7443320 8381119 32353850 35449018 1862004 -424250 38289759 38566368 3476617 4177476 34813142 34388892 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 31110725 34936948 HOME CARE SERVICES - PROVIDES HEALTH AND HOSPICE SERVICES TO INDIVIDUALS AT THEIR HOMES OR IN A HEALTH CARE CLINIC 31110725 1 1 0 0 0 0 0 0 0 1 1 0 0 1 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 1 123 0 1 567 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 15 0 0 1 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 CHIP LIVERSIDGE OFFICER AND PAST BOARD CHAIRMAN 1.00 X X 0 0 0 KATHLEEN APPLIN CFO 40.00 X X 162254 0 20486 CHRISTOPHER GAGNON TREASURER 1.00 X X 0 0 0 MILES HUNT BOARD CHAIR 1.00 X X 0 0 0 ALEX ROY VICE CHAIR 1.00 X X 0 0 0 CHRISTINE BOSSE BOARD MEMBER 1.00 X 0 0 0 JEFFREY GOSSELIN BOARD MEMBER AT LARGE 1.00 X X 0 0 0 PETER MAURO JR BOARD MEMBER 1.00 X 0 0 0 ELIZABETH KEENE SECRETARY 1.00 X X 0 0 0 KENNETH ALBERT CEO/PRESIDENT 40.00 X X 198856 0 10622 CHIP MORRISON BOARD MEMBER 1.00 X 0 0 0 MAVIS DUBORD BOARD MEMBER 1.00 X 0 0 0 DAVID MACMAHON BOARD MEMBER 1.00 X 0 0 0 MICHAEL MARTEL BOARD MEMBER 1.00 X 0 0 0 ANNETTE NADEAU BOARD MEMBER 1.00 X 0 0 0 MARY-ANNE PONTI BOARD MEMBER 1.00 X 0 0 0 JOHN O'MALLEY BOARD MEMBER 1.00 X 0 0 0 SHAUNA MCELRATH MEDICAL DIRECTOR HOSPICE 40.00 X 115046 0 5395 BRENDA CZADO DIRECTOR OF HOME CARE 40.00 X 131368 0 7055 ELIZABETH HART MEDICAL DIRECTOR 40.00 X 211154 0 27295 ANN WEAVER CHIEF ADMINISTRATIVE OFFICER 40.00 X 157081 0 13708 KAREN FLYNN DIRECTOR OF HOSPICE & PALLIATIVE CARE 40.00 X 119666 0 16696 1095425 0 101257 7 0 1 0 COMPHEALTH MEDICAL STAFFING PO BOX 972670 DALLAS TX 75397 NURSING AND THERAPY STAFFING 353696 CASAMBA LLC 5210 LEWIS ROAD SUITE 10 AGOURA HILLS CA 91301 SERVICE CONSULTATION 295610 FAZZI ASSOCIATES 11 VILLAGE HILL ROAD SUITE 101 NORTHAMPTON MA 01060 SERVICE CONSULTATION 284911 AMN HEALTHCARE INC 2735 COLLECTION CTR DRIVE CHICAGO IL 60693 CONTRACT STAFFING 241169 WINXNET PO BOX 1700 PORTLAND ME 04104 SERVICE CONSULTATION 193441 16 105495 497250 602745 HOME CARE SERVICES 621610 34936948 34936948 34936948 542904 542904 21426323 22604027 -1177704 -1177704 -1177704 172581 52706 119875 119875 35024768 34936948 0 -514925 392218 392218 20863850 18601684 2135610 126556 558886 489808 69078 3554948 3115556 418062 21330 1697997 1488125 175004 34868 16940 16940 71971 71971 1915562 1678799 236763 195638 171457 24181 76180 66764 9416 450517 394833 55684 490236 429643 60593 756140 723201 20813 12126 115921 101593 14328 408679 358166 48061 2452 149036 130615 18421 PROGRAM SUPPLIES 2620260 2620260 OTHER EXPENSES 508963 225503 31803 251657 TELEPHONE 276647 242453 34194 EQUIPMENT RENTAL/REPAIR 152033 133242 18791 176396 139023 19606 17767 35449018 31110725 3871537 466756 6028640 6878994 239320 206342 3646665 3776681 319171 284740 10160363 6749830 3535029 3410533 20107707 19802004 4413227 4207074 38289759 38566368 2677960 3415537 106412 69694 692245 692245 3476617 4177476 X 34803142 34378892 10000 10000 34813142 34388892 38289759 38566368 -424250 0 X 0 1 X 1 0 X 565360 538284 557579 361841 602705 2625769 31091335 32367233 32135057 32067689 34936948 162598262 31656695 32905517 32692636 32429530 35539653 165224031 0 0 0 165224031 471292 532404 546108 536804 542904 2629512 471292 532404 546108 536804 542904 2629512 180993 183926 232175 186146 172581 955821 32308980 33621847 33470919 33152480 36255138 168809364 0.97880 0.97830 0.01560 0.01580 X 10000 10000 10000 10000 10000 10000 10000 10000 10000 10000 1.00000 0 0 495364 495364 6668648 4289087 2379561 35034 25875 9159 2177951 1643984 533967 783366 790884 -7518 3410533 ASSETS LIMITED AS TO USE 4207074 4207074 DUE TO THIRD PARTY PAYOR 692245 692245 X 35024768 0 35024768 0 35024768 35449018 0 35449018 0 35449018 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 NITE OUT 72904 72904 5544 18190 HOSPICE WALK/RUN 62202 62202 12214 3 37475 37475 16758 172581 172581 5544 47162 52706 119875 X X X 0 0 0 0 0 0 0 0 0 KATHLEEN APPLIN CFO 162254 0 0 0 0 0 6761 0 13725 0 182740 0 0 0 KENNETH ALBERT CEO/PRESIDENT 198856 0 0 0 0 0 2653 0 7969 0 209478 0 0 0 ELIZABETH HART MEDICAL DIRECTOR 211154 0 0 0 0 0 7153 0 20142 0 238449 0 0 0 ANN WEAVER CHIEF ADMINISTRATIVE OFFICER 157081 0 0 0 0 0 4490 0 9218 0 170789 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 ORGANIZATION MADE AN ASSUMED NAME CHANGE OF DBA. 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.