2018-08-07T10:51:20-05:00 2017-12-31 010523282 BERRY DUNN MCNEIL & PARKER LLC 1000 ELM STREET 4TH FLOOR MANCHESTER NH 03101 990 2017-01-01 010227184 ANDROSCOGGIN HOME HEALTH SERVICES INC ANDR 2077777740 15 STRAWBERRY AVE LEWISTON ME 04240 KATHLEEN APPLIN CHIEF FINANCIAL OFFICER 2077777740 2018-07-31 1 DIMITRIOS PANACOPOULOS CPA P01603705 6036697337 2018-07-31 2017 2022-09-23 18:48:47Z ANDROSCOGGIN HOME CARE & HOSPICE KATHLEEN APPLIN 15 STRAWBERRY AVE LEWISTON ME 04240 63054284 0 X WWW.AHCH.ORG X 1966 ME ANDROSCOGGIN HOME CARE & HOSPICE IS COMMITTED TO CARING FOR THE HEALTH, INDEPENDENCE, AND QUALITY OF LIFE OF RESIDENTS IN CENTRAL AND WESTERN MAINE IN THE COMFORT OF THEIR HOME AND COMMUNITY. 13 13 497 235 0 0 557579 361841 32135057 32067689 679155 1634863 203228 151461 33575019 34215854 0 0 0 0 26317865 24910530 0 0 187919 6681068 7443320 32998933 32353850 576086 1862004 36510765 38289759 3559627 3476617 32951138 34813142 ANDROSCOGGIN HOME CARE & HOSPICE IS COMMITTED TO CARING FOR THE HEALTH, INDEPENDENCE AND QUALITY OF LIFE OF RESIDENTS IN CENTRAL AND WESTERN MAINE IN THE COMFORT OF THEIR HOME AND COMMUNITY. 0 0 28875478 32067689 HOME CARE SERVICES - PROVIDES HEALTH, HOSPICE AND SUPPORTIVE SERVICES TO INDIVIDUALS AT THEIR HOMES OR IN A HEALTH CARE CLINIC 28875478 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 91 0 1 497 1 0 0 0 0 0 1 1 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KATHLEEN APPLIN 2077777740 15 STRAWBERRY AVE LEWISTON ME 04240 CHIP LIVERSIDGE OFFICER AND PAST BOARD CHAIRMAN 1.00 X 0 0 0 KATHLEEN APPLIN CFO 40.00 X X 150907 0 26149 CHRISTOPHER GAGNON TREASURER 1.00 X X 0 0 0 CYNDI ROBBINS BOARD MEMBER 1.00 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 BLAKE WHITAKER BOARD MEMBER 1.00 X 0 0 0 JEFFREY GOSSELIN BOARD MEMBER AT LARGE 1.00 X 0 0 0 JEFFREY LACROIX BOARD MEMBER 1.00 X 0 0 0 PETER MAURO JR BOARD MEMBER 1.00 X 0 0 0 SHARRON CHALKE BOARD MEMBER 1.00 X 0 0 0 JACQUELINE FOURNIER BOARD MEMBER 1.00 X 0 0 0 ELIZABETH KEENE BOARD MEMBER 1.00 X 0 0 0 KENNETH ALBERT CEO/PRESIDENT 40.00 X X 174087 0 4942 CHIP MORRISON BOARD MEMBER 1.00 X 0 0 0 SHAUNA MCELRATH MEDICAL DIRECTOR HOSPICE 40.00 X 121335 0 6254 BRENDA CZADO DIRECTOR OF HOME CARE 40.00 X 127522 0 6845 ELIZABETH HART MEDICAL DIRECTOR 40.00 X 142188 0 9654 ANN WEAVER DIRECTOR OF HR 40.00 X 130567 0 16114 ARTHUR WING DIRECTOR OF FINANCE 40.00 X 125785 0 10250 972391 0 80208 7 0 1 0 ENCLARA PHARMACIA PO BOX 95000-7255 PHILADELPHIA PA 19195 PHARMACEUTICAL SUPPLIES 534940 HE CALLAHAN CONSTRUCTION PO BOX 677 AUBURN ME 04210 CONSTRUCTION MANAGEMENT SERVICES 510188 HOME HEALTH SOLUTIONS 550 NORTHWEST PLAZA DRIVE SAINT ANN MO 63074 MEDICAL SUPPLIES 507982 COMPHEALTH MEDICAL STAFFING PO BOX 972670 DALLAS TX 75397 NURSING AND THERAPY STAFFING 431507 HOME HEALTH STRATEGIC MANAGEMENT 1000 W ST SUITE 100 LANSING MI 48915 SERVICE CONSULTATION 359345 13 83839 278002 361841 HOME CARE SERVICES 621610 32067689 32067689 32067689 536804 536804 29901804 28803745 1098059 1098059 1098059 186146 34685 151461 151461 34215854 32067689 0 1786324 507857 151772 356085 19042531 17400400 1522799 119332 563341 506556 53349 3436 3236030 2909838 306452 19740 1560771 1403445 147805 9521 26128 26128 57559 57559 91332 91332 1624774 1217194 407580 62957 56611 5962 384 78817 70872 7464 481 442858 398218 41939 2701 462062 415486 43757 2819 709256 637763 67167 4326 111298 100079 10540 679 468667 421425 44383 2859 138945 124939 13158 848 PROGRAM SUPPLIES 2234854 2234854 OTHER EXPENSES 407148 366107 38557 2484 TELEPHONE 218814 196758 20721 1335 EQUIPMENT RENTAL/REPAIR 131538 118279 12457 802 176313 144882 15259 16172 32353850 28875478 3290453 187919 5754365 6028640 182756 239320 3507822 3646665 290570 319171 9920971 6385942 3251758 3535029 19160864 20107707 4362630 4413227 36510765 38289759 2794151 2677960 73231 106412 692245 692245 3559627 3476617 X 32941138 34803142 10000 10000 32951138 34813142 36510765 38289759 1862004 0 X 0 1 X 1 0 X 489907 565360 538284 557579 361841 2512971 28279115 31091335 32367233 32135057 32067689 155940429 28769022 31656695 32905517 32692636 32429530 158453400 0 0 0 158453400 466469 471292 532404 546108 536804 2553077 466469 471292 532404 546108 536804 2553077 173779 180993 183926 232175 186146 957019 29409270 32308980 33621847 33470919 33152480 161963496 0.97830 0.97560 0.01580 0.01880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10000 10000 10000 10000 10000 10000 10000 10000 10000 10000 1.00000 0 0 495364 495364 7291557 4886215 2405342 2134050 1499727 634323 3535029 ASSETS LIMITED AS TO USE 4413227 4413227 DUE TO THIRD PARTY PAYOR 692245 692245 X 34124522 0 34124522 91332 91332 34215854 32262518 0 32262518 91332 91332 32353850 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. HOSPICE WALK/RUN 70233 70233 8290 AUTUMN NIGHT OUT 79775 79775 5311 8747 3 36138 36138 12337 186146 186146 5311 29374 34685 151461 X X X 0 0 0 0 0 0 0 0 0 KATHLEEN APPLIN CFO 150907 0 0 0 0 0 6456 0 19693 0 177056 0 0 0 KENNETH ALBERT CEO/PRESIDENT 174087 0 0 0 0 0 3500 0 1442 0 179029 0 0 0 ELIZABETH HART MEDICAL DIRECTOR 142188 0 0 0 0 0 0 0 9654 0 151842 0 0 0 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.