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VNA AT HCS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VNA AT HCS INC (EIN 02-0360640)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-15
IRS object ID
201323199349302662
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T09:22:19-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN020400296EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Brad Borbidge PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1197 Loudon RoadAddressLine1
CityConcordCity
StateNHState
ZIP Code03301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020360640EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VNA at HCS IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVNAANameControl
Phone6033522253Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1312 Marlboro StreetAddressLine1
CityKeeneCity
StateNHState
ZIP Code03431ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRichard SkeelsName
TitleCFOTitle
Phone6033522253Phone
Date Signed2013-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDimitrios Panacopoulos CPAName
PTINP01603705PTIN
Phone6032240849Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRichard SkeelsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1312 Marlboro StreetAddressLine1
CityKeeneCity
StateNHState
ZIP Code03431ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18362634GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.hcsservices.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionTo 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees493TotalNbrEmployees
Total Nbr Volunteers95TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3065488ContributionsGrantsPriorYear
Contributions Grants Current Year2789204ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15478030ProgramServiceRevenuePriorYear
Program Service Revenue CY15570724ProgramServiceRevenueCY
Investment Income Prior Year3947InvestmentIncomePriorYear
Investment Income Current Year2706InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year18547465TotalRevenuePriorYear
Total Revenue Current Year18362634TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11874598SalariesEtcPriorYear
Salaries Etc Current Year12075835SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6158418OtherExpensePriorYear
Other Expenses Current Year6216858OtherExpensesCurrentYear
Total Expenses Prior Year18033016TotalExpensesPriorYear
Total Expenses Current Year18292693TotalExpensesCurrentYear
Revenues Less Expenses Prior Year514449RevenuesLessExpensesPriorYear
Revenues Less Expenses CY69941RevenuesLessExpensesCY
Total Assets BOY9223043TotalAssetsBOY
Total Assets EOY9474484TotalAssetsEOY
Total Liabilities BOY1377305TotalLiabilitiesBOY
Total Liabilities EOY1558805TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7845738NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7915679NetAssetsOrFundBalancesEOY
Mission DescriptionTo 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15323304Expense
Revenue15570724Revenue
DescriptionAcute health care services to patients who can be cared for at home,testing and screening services, and health care services to the elderly, meals on wheels, and transportation services, adult in home care, adult day care to the elderly and prenatal and post partum care to low income families.Description
Total Program Service Expense15323304TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees493NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Richard SkeelsBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6033522253TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1312 Marlboro StreetAddressLine1
CityKeeneCity
StateNHState
ZIP Code03431ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficer
Katherine J Snow
Chair0.00X000
Deborah J Blanc
Vice Chair0.00X000
Gregg Tewksbury
Treasurer0.00X000
Betsy Cotter
Secretary0.00X000
Janet Ackerman
Board of Directors0.00X000
Joe Baute
Board of Directors0.00X000
JoAnn Fenton
Board of Directors0.00X000
Peter Gosline
Board of Directors0.00X000
Audrey Hadcock
Board of Directors0.00X000
Jane Larmon
Board of Directors0.00X000
Charles Montgomery MD
Board of Directors0.00X000
Maureen O'Brien
Board of Directors0.00X000
Brian Reilly MD
Board of Directors0.00X000
Joji Robertson
Board of Directors0.00X000
Barbara Duckett
CEO19.0002183592602719.00X
Richard Skeels
CFO19.0001764561642019.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs394815TotalReportableCompFrmRltdOrgs
Total Other Compensation42447TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Fitz Vogt & Associates LTD
28 Main StreetWalpoleNH03608Catering for Nutrition Program488118
McKesson Medical Supplies
8121 10th Avenue NorthGolden ValleyMN55427Medical Supplies205211
HospiScripts Services LLC
PO Box 933273AtlantaGA31193Prescription Services198678
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Federated Campaigns111000FederatedCampaigns
Government Grants2498808GovernmentGrants
All Other Contributions179396AllOtherContributions
Total Contributions2789204TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionProgram ServicesDescription
Business Code621610BusinessCode
Total Revenue Column15570724TotalRevenueColumn
Related Or Exempt Function Income15570724RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15570724TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2706TotalRevenueColumn
Exclusion$2,706ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18362634TotalRevenueColumn
Related Or Exempt Function Income15570724RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,706ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9631571Total
Program Services9631571ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total101674Total
Program Services101674ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1572064Total
Program Services1572064ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total770526Total
Program Services770526ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2969389Total
Management And General2969389ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total766968Total
Program Services766968ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total84702Total
Program Services84702ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total23682Total
Program Services23682ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total178316Total
Program Services178316ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total583703Total
Program Services583703ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total335579Total
Program Services335579ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total10065Total
Program Services10065ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Program supplies588737588737
Equipment rental/repair389389389389
Telephone169756169756
Printing and publicatio7393273932

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total42640Total
Program Services42640ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18292693Total
Program Services15323304ProgramServices
Management And General2969389ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY991088BOY
EOY1525102EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY391605BOY
EOY597672EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2000336BOY
EOY2042500EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY27611BOY
EOY24382EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1725801LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1476071LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY362960BOY
EOY249730EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5449443BOY
EOY5035098EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9223043BOY
EOY9474484EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY804908BOY
EOY866751EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY566862BOY
EOY687054EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5535BOY
EOY5000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1377305BOY
EOY1558805EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7675364BOY
EOY7799353EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY151716BOY
EOY97668EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY18658BOY
EOY18658EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7845738BOY
EOY7915679EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9223043BOY
EOY9474484EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses69941ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2983764CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2904649CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2917046CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3065488CurrentTaxYearMinus1Year
Current Tax Year2789204CurrentTaxYear
Total14660151Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13406872CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14362970CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15876346CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15478030CurrentTaxYearMinus1Year
Current Tax Year15570724CurrentTaxYear
Total74694942Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16390636CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17267619CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18793392CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18543518CurrentTaxYearMinus1Year
Current Tax Year18359928CurrentTaxYear
Total89355093Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50989355093PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23093CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10483CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6493CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3948CurrentTaxYearMinus1Year
Current Tax Year2706CurrentTaxYear
Total46723Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23093CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10483CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6493CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3948CurrentTaxYearMinus1Year
Current Tax Year2706CurrentTaxYear
Total46723Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16413729CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17278102CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18799885CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18547466CurrentTaxYearMinus1Year
Current Tax Year18362634CurrentTaxYear
Total89401816Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99950PublicSupportPercentage509
Prior Year Support Percentage0.99890PriorYearSupportPercentage
Investment Income Percentage0.00050InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00110PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance18658BeginningOfYearBalance
End Of Year Balance18658EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance18658BeginningOfYearBalance
End Of Year Balance18658EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance18658BeginningOfYearBalance
End Of Year Balance18658EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance18658BeginningOfYearBalance
End Of Year Balance18658EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance18658BeginningOfYearBalance
End Of Year Balance18658EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis712550OtherCostOrOtherBasis
Depreciation508268Depreciation
Book Value204282BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1013251OtherCostOrOtherBasis
Depreciation967803Depreciation
Book Value45448BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings249730TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Assets Limited As To Use116326
Due From Affiliates4918772
FieldValueIRS element (for citing)
Total Book Value Other Assets5035098TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Third Party PayersDescription
Amount$5,000Amount
FieldValueIRS element (for citing)
Total Of Amounts5000TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt18362634TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal18362634RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99018362634TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18292693TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal18292693ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018292693TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:Income used for operations and to support hospice.
Part IV, line 11f - 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Barbara Duckett
CEO0218359000000026027024438600
Richard Skeels
CFO0176456000000016420019287600

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section A, line 6Home Healthcare, Hospice and Community Services, Inc. (HCS) shall be the sole member of the corporation.
Form 990, Part VI, Section A, line 7aThe sole member of the corporation shall be entitled to vote.
Form 990, Part VI, Section A, line 7bThe board of directors shall have an exercise all of the powers of the corporation provided by law, subject to the reservation to HCS, the sole member of the corportaion, 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 corportaion; (b) any amendment, repeal, replacement or addition 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 11The treasurer and finance committee review the form 990 before it is filed.
Form 990, Part VI, Section B, line 12cA conflict of interest disclosure form is completed and signed each year.
Form 990, Part VI, Section B, line 15The Organization has a written policy for determining the CEO's compensation. the policy requires an annual self-evaluation to be submitted to the board, a written evaluation by the board and use of a comparable compensation survey report to set compensation levels. Comparable compensation surveys are updated every three to five years. The CEO determines the salary of the CFO using performance evalution and a comparable compensation survey report to set compensation levels. Comparable compensation surveys are updated every three to five years.
Form 990, Part VI, Section C, line 19Upon request.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Home Health Care Hospice & Community Services IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1312 Marlboro StreetAddressLine1
CityKeeneCity
StateNHState
ZIP Code03431ZIPCode
FieldValueIRS element (for citing)
EIN020464932EIN
Primary ActivitiesHome Care, Hospice, Community ServicePrimaryActivities
Legal Domicile StateNHLegalDomicileState
Exempt Code Section501 (c)(3)ExemptCodeSection
Public Charity Status509(a)(3) type 2PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg