2019-05-14T16:53:17-05:00 2018-06-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2017-07-01 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 2019-05-14 1 Dimitrios Panacopoulos CPA P01603705 6036697337 2019-05-14 69.49.157.66 2019-05-14 14:24:41 ED P B6CABA93EC29A130F91389D5843EEEAA10181012 E86B87CE19A618452E7D988FD4F1BB89485416DA 2017 2019-02-21 02:37:17Z X Johanna L Beliveau 88 Prospect Street White River Junction VT 05001 27279851 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. 16 12 233 31 0 16871 674564 1363734 11028227 22006616 1076002 1486019 0 -19538 12778793 24836831 0 0 0 0 6797769 14033983 0 0 0 3941899 8044490 10739668 22078473 2039125 2758358 28988490 32122075 5599796 5975023 23388694 26147052 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 18733252 22006616 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. 18733252 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 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 0 0 0 1 23 0 1 233 1 1 1 0 0 0 0 0 0 0 0 0 X 16 12 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 Gary Mayo Chair 1.00 X X 0 0 0 Adam Keller Vice Chair 1.00 X X 0 0 0 David R Munro Trustee 1.00 X 0 0 0 Michael Long Trustee 1.00 X 0 0 0 Stephen Whitman Trustee 1.00 X 0 0 0 Dr Marlene Sachs Trustee 1.00 X 0 0 0 Tracy Bach Trustee 1.00 X 0 0 0 Dr Ellen Flaherty Trustee 1.00 40.00 X 0 186886 36131 Tim Ford Trustee 1.00 X 0 0 0 Dr Aimee Giglio Trustee 1.00 60.00 X 0 296410 33978 Devon Green Trustee 1.00 X 0 0 0 Dana Michalovic Trustee 1.00 X 0 0 0 Jeffrey O'Brien Trustee 1.00 40.00 X 0 316013 42316 Dr Joseph Perras Trustee 1.00 X 0 346184 6548 Cynthia Twombly Trustee 1.00 X 0 0 0 Geraldine Williams Trustee 1.00 X 0 0 0 Jeanne McLaughlin President & CEO 40.00 X 258230 0 32144 Christine Apicella CFO 40.00 X 112052 0 17840 Sheila Aubin VP Clinical Operations 40.00 X 176744 0 25256 Noel Bactad Physical Therapist 40.00 X 135826 0 8744 Catherine Cullen Director of Therapy 40.00 X 159246 0 19780 Cristine Maloney Director of Hospice 36.00 X 273961 0 31269 Justin Bell Director of Information Servicers 40.00 X 126825 0 17683 1242884 1145493 271689 7 0 1 0 Core Medical Group 3000 Goffs Falls Rd Ste 101 Manchester NH 03103 Temp RN/Therapy 343676 BerryDunn 1000 Elm Street 4th Floor Manchester NH 03101 Accounting 190333 Health Carousel 1700 Madison Rd 100 Cincinnati OH 45206 Temp RN/Therapy 149361 Fazzi PO Box 207613 Dallas TX 75320 Billing/Coding Services 146968 4 4000 29180 1017645 312909 1363734 Home Health Care 621610 22006616 22006616 22006616 410160 410160 3499341 2423482 1075859 1075859 1075859 0 29180 19538 -19538 -19538 24836831 22006616 0 1466481 X 420266 420266 11145644 9675492 1470152 95000 79819 15181 1451799 1219802 231997 921274 774054 147220 43813 43813 58125 58125 93093 93093 2623220 2204029 419191 90497 76036 14461 16579 13930 2649 149477 125591 23886 582549 492518 90031 151965 127681 24284 64917 54543 10374 350547 294530 56017 179186 150552 28634 Program Supplies 1677641 1677641 Medicaid Tax 737304 737304 Equipment Rental/Repair 500645 420642 80003 Telephone 302805 254417 48388 422127 354671 67456 22078473 18733252 3345221 0 4327701 4804943 274172 253522 3548520 3484160 223029 226997 5148762 2010216 3448361 3138546 16976000 19905336 190707 308571 28988490 32122075 1874155 2102219 953816 1050485 2762347 2696535 9478 125784 5599796 5975023 X 23358367 26116725 30327 30327 23388694 26147052 28988490 32122075 2758358 0 X X 0 1 X 1 1 1 X 1146870 1428620 1460971 674564 1363734 6074759 18971596 19667601 20088308 11028227 22006616 91762348 20118466 21096221 21549279 11702791 23370350 97837107 0 0 0 97837107 198402 304016 322018 167990 410160 1402586 198402 304016 322018 167990 410160 1402586 20316868 21400237 21871297 11870781 23780510 99239693 0.98590 0.98770 0.01410 0.01230 X 30327 619 619 30327 30327 30327 30327 30327 30327 30327 30327 30327 1.00000 0 0 2964804 143640 2821164 111852 104925 6927 332604 193205 139399 1739502 1568446 171056 3138546 Investment in VNH Subsidiary 500000 C Investments 8614386 C Investments in Curb Stone 7959909 C Investments Market Allow 1092451 C Market Allowance Curb Stone 1688657 C Assets Limited As To Use 49933 C 19905336 Due to affiliates 125784 125784 X 24743738 0 24743738 93093 93093 24836831 21985380 0 21985380 93093 93093 22078473 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. Wings of Hope 29180 29180 19538 29180 29180 19538 19538 -19538 1 X X X X 0 1 0 0 0 0 0 1 0 Dr Ellen Flaherty Trustee 0 169231 0 1500 0 16155 0 17102 0 19029 0 223017 0 0 Dr Aimee Giglio Trustee 0 275256 0 0 0 21154 0 12384 0 21594 0 330388 0 0 Jeffrey O'Brien Trustee 0 311569 0 0 0 4444 0 20640 0 21676 0 358329 0 0 Dr Joseph Perras Trustee 0 339838 0 0 0 6346 0 5300 0 1248 0 352732 0 0 Jeanne McLaughlin President & CEO 244534 0 12055 0 1641 0 24000 0 8144 0 290374 0 0 0 Sheila Aubin VP Clinical Operations 168026 0 7804 0 914 0 24000 0 1256 0 202000 0 0 0 Catherine Cullen Director of Therapy 158623 0 107 0 516 0 19034 0 746 0 179026 0 0 0 Cristine Maloney Director of Hospice 273762 0 0 0 199 0 18000 0 13269 0 305230 0 0 0 Part I, Line 4b The following individuals received payments from a supplemental nonqualified retirement plan (which are reflected on Schedule J, Part II, Column B (III)), Jeffrey O'Brien $2,426 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 voluntary corporation, is the sole corporate member of the Visiting Nurse Association and Hospice of Vermotn 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 voluntary corporation, is the sole corporate member of the Visiting Nurse Association and Hospice of Vermotn 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 coflict 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 Other Contract Services: Program service expenses 2,204,029. Management and general expenses 419,191. Fundraising expenses 0. Total expenses 2,623,220. Form 990, Part XII, Question 3A The Visiting Nurse Association and Hospice of Vermont and New Hampshire was included in the consolidated audited financial statements of the Dartmouth-Hitchcock Health System. During fiscal year 2017, Mary Hitchcock Memorial Hospital expended federal funding which met the minimum threshold set forth in the single audit act and the OMB Circular A-133. Due to the nature of the consolidated financial statements, the audit was performed on the financial information of all organizations, including the Visiting Nurse Association and Hospice of Vermont and New Hampshire. Help at Home LLC 88 Prospect Street White River Junction VT 05001 Private Duty VT -60666 598006 VNA and Hospice of Vermont and New Hampshire Inc Dartmouth Hitchcock Health One Medical Center Drive Lebanon NH 03756 264812335 Hospital NH 501(c)(3) Line 3 0 Dartmouth Hitchcock Clinic One Medical Center Drive Lebanon NH 03756 222519596 Physician Services NH 501(c)(3) Line 10 D-HH 1 Mary Hitchcock Memorial Hospital One Medical Center Drive Lebanon NH 03756 020222140 Hospital NH 501(c)(3) Line 3 D-HH 1 The Hitchcock Foundation One Medical Center Drive Lebanon NH 03756 020222139 Healthcare Research NH 501(c)(3) Line 8 DHC 1 Hamden Risk Retention Group Inc 30 Main Street Suite 330 Burlington VT 05401 208530788 Self Insurance VT 501(c)(3) Line 12a, I DHC 1 The New London Hospital Association Inc 273 County Road New London NH 03257 020222171 Hospital NH 501(c)(3) Line 3 D-HH 1 Windsor Hospital Association 289 Country Road Windsor VT 05089 030183721 Hospital VT 501(c)(3) Line 3 D-HH 1 Cheshire Medical Center 580 Court Street Keene NH 03431 020354549 Hospital NH 501(c)(3) Line 3 D-HH 1 Cheshire Health Foundation 580 Court Street Keene NH 03431 020202220 Supporting Organization NH 501(c)(3) Line 12a, I CMC 1 Mount Ascutney Hospital Community Health Foundation 289 Country Road Windsor VT 05089 030300481 Hospital VT 501(c)(3) Line 3 WHA 1 Historic Homes of Runnemede 289 Country Road Windsor VT 05089 237396147 Healthcare VT 501(c)(3) Line 10 WHA 1 Cheshire Health Services 580 Court Street Keene NH 03431 473379283 Healthcare NH 501(c)(3) Line 3 CMC 1 Alice Peck Day Memorial Hospital 10 Alice Peck Day Drive Lebanon NH 03766 020222791 Hospital NH 501(c)(3) Line 3 D-HH 1 D-H Master Investment Partnership One Medical Center Drive Lebanon NH 03756 020505863 Pooled Investments NH MHMH 0 0 One Care VT Accountable Care Org LLC 111 Colchester Ave Burlington VT 05401 455399218 Shared Saving NH DHH 0 0 Pompanoosuc Investment Corporation One Medical Center Drive Lebanon NH 03756 020352330 Real Estate Holding NH DHC C 1 Hamden Assurance Company Limited 22 Victoria Street Cannons Court Hamilton BD HM EZ 980121409 Liability Insurance BD DHC C 1 Hitchcock Health Connect One Medical Center Drive LEbanon NH 03756 800908979 Telehealth NH D-HH C 1 Kearsage Community Services 273 County Road New London NH 03257 020460136 Real Estate Holding NH NLH C 1 New London Physicial Group 273 County Road New London NH 03257 020494420 Physician Group NH NLH C 1 New London Medical Center East 273 County Road New London NH 03257 020480857 Real Estate Holding NH NLH C 1 Keene Health Services 580 Court Street Keene NH 03431 020374997 Real Estate Holding NH CMC C 1 Keene Health Realty 580 Court Street Keene NH 03431 020374998 Real Estate Holding NH CMC C 1 Keene Health Enterprises 580 Court Street Keene NH 03431 020374999 Real Estate Holding NH CMC C 1 Imaginecare One Medical Center Drive Lebanon NH 03756 813105071 Telehealth NH D-HH C 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0