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2013 ANNUAL REPORT

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Central New Hampshire VNA & Hospice

FROM OUR CHIEF EXECUTIVE OFFICER

This report is released as the agency is about to celebrate the third anniversary of our merger - which we will do

on October 15, 2013. Looking back, I am impressed by the foresight of board members who had the wisdom to identify the need for a partnership and the courage to chart a bold course for the future. It was not easy. Both partner organizations were created by the communities they serve, and a move-ment toward merger involved a certain de-gree of risk. Now, on the third anniversary of the merger, I believe we can say with confi-dence that the risk was worth it. The agency just celebrated its best year ever – more peo-ple were served with higher quality care than ever in our combined his-tory. And…we did this in a financial-ly strong and responsible way.

This success could not have come at a better time. Lying ahead of us are profound changes in healthcare – some occasioned by the Afford-able Care Act and others the natural consequence of a complex industry. Fortunately we have a team of skilled professionals – clinicians, educators, office support and administration – who are charged and ready to move ahead. Our ship has the right crew to see us through uncharted waters, and we have the proper resources as well.

The timing of the merger was ideal for another reason. The downturn in the economy has not fully rebound-ed. The cost of healthcare continues to rise. Our agency is seeing more people in need of intense care who have no health insurance or who are underinsured. In particular, we see many come to us for assistance who have spent nearly their entire savings seeking treatment for disease

and whose insurance – if they have it at all - has an alarmingly high deduct-ible. We see more children born into stressed families – families without stable housing, reliable income or prepared parents. We see an increase in our el-derly citizens without family supports who suf-fer from dementia or ad-

vancing chronic disease.

We believe that we steadied our ship just as these waves of need were beginning to rise. With the support of this community, we intend to be there in response to the emerging health and social support needs of the Lakes Region. Each year at this time, I am reminded that this orga-nization belongs to you, to the com-munity. We are all stewards of this important trust, and we hope we can rely on you to stay with us as we move into the future.

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FROM OUR PRESIDENT

A s I complete my term as President, I want to thank my fellow Board members for their commitment to

the agency and for the contribution of their various talents and countless hours in overseeing agency matters. The diversity and competency of the Board contributes a great deal to the agency’s success. I also want to express the entire Board’s gratitude for the support Central New Hampshire VNA & Hospice receives from its donors, volunteers and the communities which it serves.

The agency exper-ienced a successful year, both fiscally and with respect to measures of the quality of care. The result of surveys on quality of care and patient satisfaction for home health agencies are now required by the federal government to be posted on-line and made available to the public, for comparison. It is satisfying to know that the overall metrics scores received by CNHVNAH in those surveys rank it in the upper tier of similar sized agencies located within New Hampshire, and even more so on a national scale.

Fiscally, the agency, like other health care providers, faces challenges both from the continuing downward trend

in Medicare reimbursement rates, compounded further by a decrease in funding resulting from the federal sequester, which continues in effect. In spite of these challenges, the agency experienced positive results from operations and stands on firm financial footing. This was one of the results hoped for from the merger of our constituent agencies in 2010 and is an indicator of the efficiencies of scale

resulting from that merger.

Looking forward, the agency will face new chal-lenges from implemen-tation of the Affordable Care Act, which is un-derway now and will ac-celerate in 2014. Given the challenges posed by changes in the way in which health care is both delivered and funded, it

is gratifying to know that the agency stands on such firm ground, both fis-cally and with respect to its manage-ment.

With your continued support, Central New Hampshire VNA & Hospice can successfully face whatever challenges result from the changes ahead and continue in its mission to provide the highest quality of care and comfort to area residents.

Thank you,

John Giere

John Giere - President

Headley White - Vice President

Susan Davis - Treasurer

Sylvia Countway - Secretary

David Booth

Pamela Clemons-Keith

Rev. Gina Finocchiaro

Lisa Garcia

Teresa Haley

Dr. Eric Lewis

Barbara Lobdell

Marilyn Lynch

Fredda Osman

Jared Price

Bill Schwidder

BOARD OF TRUSTEES

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Vice President Headley White, President John Giere, Retired CFO Rick Wolff and CEO Margaret Franckhauser

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THANK YOU TO OUR DONORS

Richard & Suzanne AyersRobert & Sandra BahreBank of New HampshireHoward BeanMs. Jacklyn BezosMr. & Mrs. Jeffrey P. BezosMartha BissonnetteMr. Richard BlackburnMr. & Mrs. Ralph BoothBoulia-Gorrell Lumber Co.Buckey’s TavernJack & Dorothy M. Byrne FoundationCommunity Fdn Fox Valley RegionMrs. Jeannie F. CoopermanJames CurveyMr. & Mrs. Robert DaniellRev. John DaviesAlan T. Davisson TrustWilliam R. DeLongNancy DirubboDonaldson Charitable TrustELAN Publishing Co., Inc.Electrical Installations Inc.

Mr. Thomas ElkintonFirst Congregational Church-UCCRichard FrameMs. Margaret Franckhauser

Dr. Robert J. Friedlander, Jr.Gammill Family FoundationMr. & Mrs. Thomas E. GarfieldSharyl GeisertGilford Rotary Club Goodwin Procter, LLP

Robert GouldMs. Muriel K. GrahamGrubman Compton Fdn.Mr. Ken F. HaleyMr. & Mrs. Dana A. HamelMr.& Mrs. Donald HarperMr. & Mrs. Paul HaunfelnerGeorge & Elizabeth HeinrichHenry F. Hurlburt III Charitable TrustMr. & Mrs. Richard C. HickokHospice Advisory GroupDoug & Carol HounsellJon R. Hutton

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Central New Hampshire VNA & Hospice would like to give its most sincere thanks to all of our friends and supporters. We are thankful for every contribution and recognize we couldn’t do such great work without your help. Space prohibits us from mentioning everyone,

none the less, we would like to recognize the following individuals for their ongoing support.

Acorn & Oak Society: Planned Gifts or Frequent Gifts of $1000 or more

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Inns at Mill FallsJockers Family FoundationMr. Charlie KeelerKeepsake Quilting, IncKiwanis Club of Laconia, NHLaconia Golf ClubMr. Richard A. LarsonMr. & Mrs. Leo LaFranceDonald McGrathMeredith Village Savings BankMilligan Memorial Golf TournamentMirror Lake Community ChurchVictor MorinNeighbors in NeedNH Charitable FoundationCalvin PesolaTeresa PetersMr. Christopher PinkhamMr. & Mrs. Stephen PorterMr. & Mrs. Douglas F. ReidMr. Walter A. RiedelMr. & Mrs. Terry W. RobinsonSelina Rossiter & Sandy CalhounMr. & Mrs. Russell SabanekSanta Fund Greater Lakes RegionDouglas Scott, MDSally Sharples

Sim-Ayres FoundationMrs. Nancy SmithMr. & Mrs. Robert F. SmithRose SmithCandace ThayerThe Looney BinMr. Edward A. ThomasMrs. Katie M. ThomasMr. & Mrs. David W. TowerMary Valley

Vanguard Charitable Endowment ProgramJohn & Martha WalkerWhite Dragon Martial Arts of NHNancy WilderBrian & Jennifer Winslow

WLNH Childrens AuctionEleanor Young$500 - $999

Belmont Middle SchoolJeanne BurdenMr. & Mrs. Arnold BoardmanHarold ChamberlinJames CurveyMary CzachowskiDC Beane & Assoc.Robin & Dick DespinsEptam Plastics

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THANK YOU TO OUR DONORS

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John GiereLinda GoldenShirley GulvinIrwin ZonePhyllis KaczynskiCharlie KeelerJane MarettMeredith Bay Colony ClubMoultonborough Lions ClubRussell & Mary OrtonTom & Ollie PerryChristopher PinkhamPipeworks Inc.Mr. & Mrs. William SchwidderLeo StacyBarbara SweetserEdward ThomasDr. Henry VittumDr. & Mrs. Peter WalkleyDr. & Mrs. Headley WhiteMary WhittemoreWolfeboro Lions$250 - $499

BAE Systems

Elizabeth Ballantyne

Mr. & Mrs. Raymond Baron

Pasquale Bertuccio

Mr. & Mrs. Ralph Bodette

Marilyn Bodwell

David Booth

Mr. & Mrs.Robert Boulanger

Mr. & Mrs. Donald Brewer

Mr. & Mrs. David Coffey

Candice Cogean-Noel

Francis Costello

Sylvia & David Countway

Douglas Dade

Mr. & Mrs. John Davies

Mr. & Mrs. Paul Davis

Jacalyn Day

Richard Dearborn

Mr. & Mrs. Dennis Denoncourt

David & Katherine Dietz

Michael Dowe

Judith Evjy

Linda Fairchild

Ross & Kathleen Fenton

Mr. & Mrs. Woodbury Fogg

Bradford & Hume Gile

Jane Hall

Mr. & Mrs. Trevor Harris

Harry Gregg Foundation

Carolyn Hoffmann

James Hyson

Laconia-Gilford Lions

THANK YOU TO OUR DONORS

Denise Landry

Mr. & Mrs. George Leavitt

Edward MacDonald

Douglas Magee

Shirley Marcroft

Peter Mason

Michael Mazzaschi

Mr. & Mrs. George McClelland

Mr. & Mrs. Charles McGee

Donald McGrath

Melvin Village Community Church

Mr. & Mrs. Harry MerrowDr. Arnold MillerSalina MilloraWarren & Janet MitchellMr. & Mrs. John MorganWilliam MooreMr. & Mrs. George MorinBarbara MuirMr. & Mrs. Robert NorthMr. & Mrs. David Osman

Mr. & Mrs. Charles PalmEleanor PaddockMr. & Mrs. Leon PierceMr. & Mrs. Dana RitchieGregory & Elizabeth RoarkKelly RossAnne RoomeDr. & Mrs. Henry SchoenbergerRose SmithBarbara ThomasTufpak, Inc.

Unitarian Universalist FellowshipMary VandernootVillage KitchenSharon VolkmanMr. & Mrs. William Voss

Weirs Community Park AssociationMr. & Mrs. Bradley WhittemoreMarilyn WoodhouseZonta Club of the Lakes Region

THANK YOU TO OUR DONORS

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Promoting dignity, independence & well-being through the delivery of quality home health, hospice & community-based care services.”“

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CENTRAL NEW HAMPSHIRE VNA & HOSPICE

CONDENSED BALANCE SHEET

FISCAL YEAR ENDING MARCH 31, 2013

ASSETSCURRENT ASSETS

Cash & cash equivalents $1,373,222 Investments 1,043,494 Receivables 1,608,628 Other Current Assets 142,018 Total Current Assets 4,167,362 Assets Limited As To Use 4,380,327 Property & Equipment, Net 623,044 TOTAL ASSETS $9,170,733

LIABILITIES & NET ASSETSCurrent LiabilitiesAccounts Payable & Accrued Expenses $636,898 Deferred revenue 723,098 Total Liabilities 1,359,996 Net Assets 7,810,737 TOTAL LIABILITIES & NET ASSETS $9,170,733

AGENCY CONTACT INFORMATION

COMMUNITIES SERVEDAlton

Alton Bay

Barnstead

Belmont

Brookfield

Center Barnstead

Center Harbor

Center Ossipee

Center Sandwich

Center Tuftonboro

Chocorua

East Wakefield

Effingham

Freedom

Gilford

Gilmanton

Gilmanton Iron Works

Laconia

Lakeport

Lochmere

Melvin Village

Meredith

Mirror Lake

Moultonborough

New Durham

New Hampton

Northfield

Ossipee

Sanbornton

Sandwich

S. Tamworth

Tamworth

Tilton

Tuftonboro

Union

Wakefield

West Ossipee

Winnisquam

Wolfeboro

Wolfeboro Falls

CORPORATE OFFICE

780 North Main StreetLaconia, NH 03246Tel (603) 524-8444Toll Free: (800) 244.8549Fax (603) 524.8217Referral Center Fax: (603) 527.1821http://www.centralvna.org

BRANCH OFFICE

240 South Main StreetPO Box 1620Wolfeboro, NH 03894Tel (603) 569.2729Toll Free: (888) 242.0655Referral Center Fax: (603) 569.2409