2011-01-31T08:59:42-06:00 2010-06-30 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2009-07-01 020360640 vna at hcs inc VNAA 6033522253 312 Marlboro Street Keene NH 03431 richard skeels 6033522253 2010-11-12 BRAD BORBIDGE PA 6032240849 2009 2016-02-24 21:20:13Z richard skeels 312 Marlboro Street Keene NH 03431 17278102 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 15 503 110 0 0 2983764 2904649 13406872 14362970 23093 10483 0 16413729 17278102 0 0 10592210 10986228 0 0 5879000 5516362 16471210 16502590 -57481 775512 7118902 8258884 1655827 2020297 5463075 6238587 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 13924884 14362970 Acute 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 13924884 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 5 0 1 503 1 0 0 0 0 0 0 0 0 0 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 Richard Skeels 6033522253 312 Marlboro Street Keene NH 03431 X wes clark X 0 0 0 audrey hadcock X 0 0 0 joe baute X 0 0 0 gary kinyon X 0 0 0 regis mcnulty X 0 0 0 gary shapiro X 0 0 0 charles montgomery X 0 0 0 cameron tease X 0 0 0 gregg tewksbury X 0 0 0 cynthia q woods X 0 0 0 katherine j snow X 0 0 0 Deborah Blanc X 0 0 0 Kate Cronin X 0 0 0 JoAnn Fenton X 0 0 0 Peter Gosline X 0 0 0 barbara duckett 37.50 X 0 216529 20112 richard skeels 37.50 X 0 164717 14274 0 381246 34386 0 0 1 0 Fitz Vogt and Associates Inc 80 Belden Road 6 Rutland VT 05701 provide meals for nutrition program 446870 1 95472 2661675 147502 2904649 Program Services 621610 14362970 14362970 14362970 10483 10483 17278102 14362970 0 10483 8653873 8653873 134937 134937 1505108 1505108 692310 692310 2577706 2577706 786458 786458 54256 54256 23701 23701 136239 136239 446473 446473 317800 317800 23699 23699 Program supplies 486420 486420 Equipment rental/repair 333619 333619 Bad debts 168937 168937 Telephone 74281 74281 Printing and publicatio 57557 57557 29216 29216 16502590 13924884 2577706 0 1752340 2076122 498494 648296 1439649 1277348 6392 6367 1475973 1219914 272311 256059 3149716 3994692 7118902 8258884 939697 1153749 716130 861548 0 5000 1655827 2020297 X 5428517 6203697 15900 16232 18658 18658 5463075 6238587 7118902 8258884 X 0 1 1 X 1 1 X 3263182 3190145 3133676 2983764 2904649 15475416 10392329 10921008 12351036 13406872 14362970 61434215 13655511 14111153 15484712 16390636 17267619 76909631 0 0 0 76909631 28821 33154 54342 23093 10483 149893 28821 33154 54342 23093 10483 149893 13684332 14144307 15539054 16413729 17278102 77059524 0.99810 0.99790 0.00190 0.00210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18658 18658 18658 18658 1.00000 0 0 556809 475194 81615 919164 744720 174444 256059 assets limited as to use 34890 due from affiliates 3959802 3994692 Due to Third Party Payers 5000 5000 17278102 16502590 775512 0 775512 17278102 0 17278102 0 17278102 16502590 0 16502590 0 16502590 Part V, Line 4: Description of Intended Use of Endowment Funds: income used for operations and to support hospice 1 X X X X 0 1 0 0 0 0 0 0 0 barbara duckett 0 216529 0 0 0 0 0 0 0 20112 0 236641 0 0 richard skeels 0 164717 0 0 0 0 0 0 0 14274 0 178991 0 0 Part I, Line 4a Barbara Duckett, CEO, received $15,000 TOWARDS A NON-QUALIFIED RETIREMENT PLAN. REPORTED IN BOX 5 TOTAL MEDICARE WAGES ON THE W-2. 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 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 chief executive officer of the corporation. Form 990, Part VI, Section B, line 11 the treasurer and finance committee review the form 990 before it is filed. Form 990, Part VI, Section B, line 12c a conflict of interest disclosure form is completed and signed each year. Form 990, Part VI, Section B, line 15 the 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 19 upon request. Form 990. Part XI, line 2c. No change from prior year. Home health care hospice & community services inc 312 marlboro street keene NH 03431 020464932 home care, hospice, community service NH 501 (c)(3) 509(a)(3) type 2 N/A 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0