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VNA AT HCS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
VNA AT HCS INC (EIN 02-0360640)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-11-01
IRS object ID
201143059349300444
Schema version
2010v3.4
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)
Timestamp2011-11-01T15:24:26-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 ROAD STE 350AddressLine1
CityCONCORDCity
StateNHState
ZIP Code03301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

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 Signed2011-09-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDIMITRIOS PANACOPOULOS CPAName
Phone6032240849Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts18799885GrossReceipts
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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees534TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2904649ContributionsGrantsPriorYear
Contributions Grants Current Year2917046ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14362970ProgramServiceRevenuePriorYear
Program Service Revenue CY15876346ProgramServiceRevenueCY
Investment Income Prior Year10483InvestmentIncomePriorYear
Investment Income Current Year6493InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year17278102TotalRevenuePriorYear
Total Revenue Current Year18799885TotalRevenueCurrentYear
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 Year10986228SalariesEtcPriorYear
Salaries Etc Current Year11776699SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5516362OtherExpensePriorYear
Other Expenses Current Year5930484OtherExpensesCurrentYear
Total Expenses Prior Year16502590TotalExpensesPriorYear
Total Expenses Current Year17707183TotalExpensesCurrentYear
Revenues Less Expenses Prior Year775512RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1092702RevenuesLessExpensesCY
Total Assets BOY8258884TotalAssetsBOY
Total Assets EOY9397104TotalAssetsEOY
Total Liabilities BOY2020297TotalLiabilitiesBOY
Total Liabilities EOY2065815TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6238587NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7331289NetAssetsOrFundBalancesEOY
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
Expense15051318Expense
Revenue15876346Revenue
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 FAMILIESDescription
Total Program Service Expense15051318TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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
Transaction Related Entity0TransactionRelatedEntity
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 Employees534NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 (18 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekOfficerOfficer
WES CLARK
TREASURERX000
AUDREY HADCOCK
BOARD OF DIRECTORSX000
JOE BAUTE
BOARD OF DIRECTORSX000
GARY KINYON
SECRETARYX000
REGIS MCNULTY
BOARD OF DIRECTORSX000
GARY SHAPIRO
BOARD OF DIRECTORSX000
CHARLES MONTGOMERY
BOARD OF DIRECTORSX000
CAMERON TEASE
BOARD OF DIRECTORSX000
GREGG TEWKSBURY
CHAIRPERSONX000
CYNTHIA Q WOODS
BOARD OF DIRECTORSX000
KATHERINE J SNOW
BOARD OF DIRECTORSX000
DEBORAH BLANC
BOARD OF DIRECTORSX000
KATE CRONIN
BOARD OF DIRECTORSX000
JOANN FENTON
BOARD OF DIRECTORSX000
PETER GOSLINE
BOARD OF DIRECTORSX000
MARIA GAVIN
BOARD OF DIRECTORSX000
BARBARA DUCKETT
PRESIDENT AND CEO02389071818537.50X
RICHARD SKEELS
CFO01829241551937.50X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs421831TotalReportableCompFrmRltdOrgs
Total Other Compensation33704TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FITZ VOGT AND ASSOCIATES INC
80 BELDEN ROAD 6RUTLANDVT05701PROVIDE MEALS FOR NUTRITION PROGRAM481912
HOSPISCRIPTS SERVICES LLC
PO BOX 933273ATLANTAGA31193PRESCRIPTION SERVICES175245
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Federated Campaigns94656FederatedCampaigns
Government Grants2525993GovernmentGrants
All Other Contributions296397AllOtherContributions
Total Contributions2917046TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICESDescription
Business Code621610BusinessCode
Total Revenue Column15876346TotalRevenueColumn
Related Or Exempt Function Income15876346RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15876346TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6493TotalRevenueColumn
Exclusion$6,493ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18799885TotalRevenueColumn
Related Or Exempt Function Income15876346RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,493ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9523249Total
Program Services9523249ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total134347Total
Program Services134347ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1357243Total
Program Services1357243ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total761860Total
Program Services761860ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2655865Total
Management And General2655865ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total807952Total
Program Services807952ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total78623Total
Program Services78623ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total28550Total
Program Services28550ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total144677Total
Program Services144677ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total561486Total
Program Services561486ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total329262Total
Program Services329262ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total16246Total
Program Services16246ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PROGRAM SUPPLIES582805582805
EQUIPMENT RENTAL/REPAIR373071373071
BAD DEBTS163276163276
TELEPHONE8526285262
PRINTING AND PUBLICATIO6430864308

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total39101Total
Program Services39101ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17707183Total
Program Services15051318ProgramServices
Management And General2655865ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2076122BOY
EOY1695323EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY648296BOY
EOY529809EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1277348BOY
EOY1524066EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6367BOY
EOY28527EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1491089LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1217257LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY256059BOY
EOY273832EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3994692BOY
EOY5345547EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8258884BOY
EOY9397104EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1153749BOY
EOY1288102EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY861548BOY
EOY765713EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5000BOY
EOY12000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2020297BOY
EOY2065815EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6203697BOY
EOY7296461EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16232BOY
EOY16170EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY18658BOY
EOY18658EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6238587BOY
EOY7331289EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8258884BOY
EOY9397104EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1092702ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Years3190145CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3133676CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2983764CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2904649CurrentTaxYearMinus1Year
Current Tax Year2917046CurrentTaxYear
Total15129280Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10921008CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12351036CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13406872CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14362970CurrentTaxYearMinus1Year
Current Tax Year15876346CurrentTaxYear
Total66918232Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14111153CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15484712CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16390636CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17267619CurrentTaxYearMinus1Year
Current Tax Year18793392CurrentTaxYear
Total82047512Total

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 Total50982047512PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33154CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54342CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23093CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10483CurrentTaxYearMinus1Year
Current Tax Year6493CurrentTaxYear
Total127565Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33154CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54342CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23093CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10483CurrentTaxYearMinus1Year
Current Tax Year6493CurrentTaxYear
Total127565Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14144307CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15539054CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16413729CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17278102CurrentTaxYearMinus1Year
Current Tax Year18799885CurrentTaxYear
Total82175077Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99840PublicSupportPercentage509
Prior Year Support Percentage0.99810PriorYearSupportPercentage
Investment Income Percentage0.00160InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00190PriorYrInvestIncomePercentage
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
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 Basis521184OtherCostOrOtherBasis
Depreciation404287Depreciation
Book Value116897BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis969905OtherCostOrOtherBasis
Depreciation812970Depreciation
Book Value156935BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings273832TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS LIMITED AS TO USE34828
DUE FROM AFFILIATES5310719
FieldValueIRS element (for citing)
Total Book Value Other Assets5345547TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO THIRD PARTY PAYERSDescription
Amount$12,000Amount
FieldValueIRS element (for citing)
Total Of Amounts12000TotalOfAmounts
Total Revenue18799885TotalRevenue
Total Expenses17707183TotalExpenses
Excess Or Deficit For Year1092702ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS1092702ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18799885TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal18799885RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99018799885TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17707183TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal17707183ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99017707183TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:INCOME USED FOR OPERATIONS AND TO SUPPORT HOSPICE
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)
Substantiation Required1SubstantiationRequired
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
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)

Base 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
020401201989501500000018185025709200
RICHARD SKEELS
01671950157290000015519019844300

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationBARBARA DUCKETT, CEO, RECEIVED $15,000 TOWARDS A NON-QUALIFIED RETIREMENT PLAN. REPORTED IN BOX 5 TOTAL MEDICARE WAGES ON THE W-2.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 CHIEF EXECUTIVE OFFICER OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11THE TREASURER AND FINANCE COMMITTEE REVIEW THE FORM 990 BEFORE IT IS FILED.
A CONFLICT OF INTEREST DISCLOSURE FORM IS COMPLETED AND SIGNED EACH YEAR.FORM 990, PART VI, SECTION B, LINE 12C
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 B, LINE 15
UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
NO CHANGE FROM PRIOR YEAR.FORM 990. PART XII, LINE 2C.

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
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 Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg