Visiting Nurse & Health Services of: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
Visiting Nurse & Health Services of (EIN 06-0646795)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-15
IRS object ID
201702279349303540
Schema version
2015v3.0
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)
Return2017-08-15T17:54:46-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN111986323PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Marcum LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line153 State StreetAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060646795EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VISITING NURSE & HEALTH SERVICES OFBusinessNameLine1Txt
Business Name Line2CONNECTICUT INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlVISIBusinessNameControlTxt
Phone8608729163PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 KEYNOTE DRIVEAddressLine1Txt
CityVERNONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06066ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT A SCHWARTZ MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8608729163PhoneNum
Signature2017-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOUGLAS FARRINGTONPreparerPersonNm
PTINP00370668PTIN
Phone6178075000PhoneNum
Preparation2017-08-15PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTODD ROSEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 KEYNOTE DRIVEAddressLine1Txt
CityVERNONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06066ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$25,610,044GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ECHN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1939FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTO PROVIDE AND ADMINISTER A COMPREHENSIVE, MULTI-DISCIPLINARY HOME HEALTH PROGRAM, HOSPICE PROGRAM AND WELLNESS PROGRAMS TO PROMOTE THE HEALTH OF INDIVIDUALS, FAMILIES AND GROUPS IN THE GREATER NORTHERN CENTRAL CONNECTICUT AREA, INCLUDING THE COMMUNITY AS A WHOLE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee250TotalEmployeeCnt
Total Volunteers49TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$255,534PYContributionsGrantsAmt
CY Contributions Grants$223,540CYContributionsGrantsAmt
PY Program Service Revenue$25,102,535PYProgramServiceRevenueAmt
CY Program Service Revenue$25,341,797CYProgramServiceRevenueAmt
PY Investment Income$20,806PYInvestmentIncomeAmt
CY Investment Income$44,707CYInvestmentIncomeAmt
PY Other Revenue$14,245PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$25,393,120PYTotalRevenueAmt
CY Total Revenue$25,610,044CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$20,867,523PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,825,286CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$165,998CYTotalFundraisingExpenseAmt
PY Other Expenses$4,407,643PYOtherExpensesAmt
CY Other Expenses$5,490,650CYOtherExpensesAmt
PY Total Expenses$25,275,166PYTotalExpensesAmt
CY Total Expenses$25,315,936CYTotalExpensesAmt
PY Revenues Less Expenses$117,954PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$294,108CYRevenuesLessExpensesAmt
Total Assets BOY$13,228,611TotalAssetsBOYAmt
Total Assets EOY$10,291,001TotalAssetsEOYAmt
Total Liabilities BOY$2,472,596TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,255,262TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,756,015NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,035,739NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE AND ADMINISTER A COMPREHENSIVE, MULTI-DISCIPLINARY HOME HEALTH PROGRAM, HOSPICE PROGRAM AND WELLNESS PROGRAMS TO PROMOTE THE HEALTH OF INDIVIDUALS, FAMILIES AND GROUPS IN THE GREATER NORTHERN CENTRAL CONNECTICUT AREA, INCLUDING THE COMMUNITY AS A WHOLE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$21,048,157ExpenseAmt
Revenue$25,341,797RevenueAmt
DescTO PROVIDE SKILLED NURSING, HOME HEALTH SERVICES, HOSPICE SERVICES, THERAPEUTIC HOMECARE, MEALS ON WHEELS PROGRAMS, HOMEMAKER SERVICES, AND VARIOUS CLINIC AND HEALTH PROMOTIONS.Desc
Total Program Service Expenses$21,048,157TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document68IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee250EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The OrganizationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8608729163PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 Keynote DriveAddressLine1Txt
CityVernonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP060665040ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David A Engelson
Vice Chair1.001.00Yes (X)Yes (X)$0$0$0
Eric Kloter
Trustee/Chair1.004.00Yes (X)Yes (X)$0$0$0
Louise England
Trustee1.001.00Yes (X)$0$0$0
Irene Quong Conlon
Trustee1.001.00Yes (X)$0$0$0
Joanne-Renee Irvin
Trustee1.001.00Yes (X)$0$0$0
Susan Breslau
Trustee1.001.00Yes (X)$0$0$0
Americo Rodrigues
Trustee1.001.00Yes (X)$0$0$0
Marianne Lassman Fisher
Trustee1.001.00Yes (X)$0$0$0
Richard Bundy Jr
Trustee1.001.00Yes (X)$0$0$0
Saud Anwar
Trustee1.001.00Yes (X)$0$0$0
Kathleen A Stavens
Treasurer1.001.00Yes (X)Yes (X)$0$0$0
Rev Donald Miller
Secretary1.001.00Yes (X)Yes (X)$0$0$0
Peter J Karl
President and CEO5.0056.00Yes (X)Yes (X)$0$866,048$23,743
Todd Rose
CEO/President, VNHSC60.000.00Yes (X)$0$210,852$24,293
Michael D Veillette
Senior Vice President, Chief Financial Officer5.0056.00Yes (X)$0$495,281$23,743
Mary Powers
SVP, PATIENT CARE SERVICES5.0056.00$0$259,352$9,316Yes (X)
Dennis McConville
Senior Vice President, Strategic Planning5.0056.00$0$357,372$9,272Yes (X)
Joel Reich MD
Senior Vice President, Medical Affairs1.0060.00$0$487,147$17,694Yes (X)
Robert Carroll MD
Medical Director, Emergency Department5.0056.00$0$557,457$23,743Yes (X)
Joyce Tichy
General Counsel5.0056.00$0$423,800$23,743Yes (X)
Rosemary Harding
Vice President of Clinical Services50.000.00$142,720$0$2,334Yes (X)
Janet Gallugi
Vice President of Business Development50.000.00$147,596$0$23,855Yes (X)
Dawn Vanek
Occupational Therapist50.000.00$112,987$0$0Yes (X)
Elizabeth Case
Hospice Medical Director50.000.00$110,255$0$19,818Yes (X)
Catherine Collette
Vice President, Quality Improvement50.000.00$111,079$0$23,474Yes (X)
Deborah Gogliettino
Senior Vice President, Human Resouces5.0056.00$0$141,600$1,159Yes (X)
Deborah Parker
Executive Vice President, Chief Clinical Officer5.0056.00$0$226,407$1,655Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$624,637TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,025,316TotReportableCompRltdOrgAmt
Total Other Compensation$227,842TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTHWYSE LLC
60 CONCORD STREETWILMINGTONMA01887SOFTWARE SOLUTION$141,248
SIMIONE HEALTHCARE CONSULTANTS
4130 Whitney AveHamdenCT06518consulting$140,308
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Federated Campaigns$39,622FederatedCampaignsAmt
All Other Contributions$183,918AllOtherContributionsAmt
Total Contributions$223,540TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue621610$24,877,369$24,877,369
Traditional care and other621610$273,037$273,037
Clinic and Wellness624100$127,168$127,168
Town Appropriation621610$64,223$64,223
FieldValueIRS element (for citing)
Total Program Service Revenue$25,341,797TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,707TotalRevenueColumnAmt
Exclusion$44,707ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,610,044TotalRevenueColumnAmt
Related Or Exempt Func Income$25,341,797RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$44,707ExclusionAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$250,078TotalAmt
Management And General$250,078ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,205,159TotalAmt
Program Services$14,363,277ProgramServicesAmt
Management And General$1,746,882ManagementAndGeneralAmt
Fundraising$95,000FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,252TotalAmt
Program Services$18,469ProgramServicesAmt
Management And General$3,560ManagementAndGeneralAmt
Fundraising$223FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,144,670TotalAmt
Program Services$1,798,602ProgramServicesAmt
Management And General$324,398ManagementAndGeneralAmt
Fundraising$21,670FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,203,127TotalAmt
Program Services$998,596ProgramServicesAmt
Management And General$192,500ManagementAndGeneralAmt
Fundraising$12,031FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,654TotalAmt
Management And General$8,654ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,000TotalAmt
Management And General$22,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,136,583TotalAmt
Program Services$1,868,565ProgramServicesAmt
Management And General$268,018ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,009TotalAmt
Management And General$1,009ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$133,139TotalAmt
Management And General$133,139ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$824,825TotalAmt
Program Services$426,941ProgramServicesAmt
Management And General$395,946ManagementAndGeneralAmt
Fundraising$1,938FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$176,231TotalAmt
Program Services$41,618ProgramServicesAmt
Management And General$134,613ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$494,306TotalAmt
Program Services$482,306ProgramServicesAmt
Management And General$10,000ManagementAndGeneralAmt
Fundraising$2,000FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$46,647TotalAmt
Program Services$14,971ProgramServicesAmt
Management And General$31,676ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$13,942TotalAmt
Management And General$13,942ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$283,167TotalAmt
Management And General$283,167ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total-$39,824TotalAmt
Management And General-$39,824ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$645,951$645,951
BAD DEBTS EXPENSE$211,350$211,350
Telephone$188,360$165,860$20,000$2,500
all Other Expenses - ot$160,077$137,893$22,184

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$184,233TotalAmt
Program Services$11,651ProgramServicesAmt
Management And General$164,130ManagementAndGeneralAmt
Fundraising$8,452FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$25,315,936TotalAmt
Program Services$21,048,157ProgramServicesAmt
Management And General$4,101,781ManagementAndGeneralAmt
Fundraising$165,998FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,802,275BOYAmt
EOY$126,628EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$605,169BOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$26,225BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,926,991BOYAmt
EOY$3,437,888EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$116,003BOYAmt
EOY$130,864EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,564,131LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,884,293LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,463,893BOYAmt
EOY$1,679,838EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,757,786BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$530,269BOYAmt
EOY$4,915,783EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,228,611BOYAmt
EOY$10,291,001EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,681,129BOYAmt
EOY$894,319EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$693,421BOYAmt
EOY$684,739EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$4,676,204EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$98,046BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,472,596BOYAmt
EOY$6,255,262EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,629,977BOYAmt
EOY$4,035,739EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$126,038BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,756,015BOYAmt
EOY$4,035,739EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,228,611BOYAmt
EOY$10,291,001EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$294,108ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$7,014,384OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$599,553CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$499,706CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$406,061CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$255,534CurrentTaxYearMinus1YearAmt
Current Tax Year$97,502CurrentTaxYearAmt
Total$1,858,356TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,832,690CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,488,816CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,314,902CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,102,535CurrentTaxYearMinus1YearAmt
Current Tax Year$24,854,174CurrentTaxYearAmt
Total$128,593,117TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,432,243CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,988,522CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,720,963CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,358,069CurrentTaxYearMinus1YearAmt
Current Tax Year$24,951,676CurrentTaxYearAmt
Total$130,451,473TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$130,451,473PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$256,117CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$107,415CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$58,863CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,806CurrentTaxYearMinus1YearAmt
Current Tax Year$43,957CurrentTaxYearAmt
Total$487,158TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$256,117CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$107,415CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$58,863CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,806CurrentTaxYearMinus1YearAmt
Current Tax Year$43,957CurrentTaxYearAmt
Total$487,158TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,099CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$74,926CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,378CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,245CurrentTaxYearMinus1YearAmt
Current Tax Year-$3,795CurrentTaxYearAmt
Total$198,853TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,753,459CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,170,863CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,828,204CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,393,120CurrentTaxYearMinus1YearAmt
Current Tax Year$24,991,838CurrentTaxYearAmt
Total$131,137,484TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99480PublicSupportCY509Pct
Public Support PY5090.99390PublicSupportPY509Pct
Investment Income CY0.00370InvestmentIncomeCYPct
Investment Income PY0.00450InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationNet Fundrasing Event Income - 2011 Amount: $ 65,099. 2012 Amount: $ 74,926. 2013 Amount: $ 48,378. 2014 Amount: $ 14,245. 2015 Amount: $ -3,795.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,906,199BeginningYearBalanceAmt
Investment Earnings Or Losses$1,016InvestmentEarningsOrLossesAmt
Other Expenditures$2,907,215OtherExpendituresAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,914,646BeginningYearBalanceAmt
Investment Earnings Or Losses$3,627InvestmentEarningsOrLossesAmt
Administrative Expenses$12,074AdministrativeExpensesAmt
End Year Balance$2,906,199EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,632,174BeginningYearBalanceAmt
Contributions$32,808ContributionsAmt
Investment Earnings Or Losses$249,664InvestmentEarningsOrLossesAmt
End Year Balance$2,914,646EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,032,045BeginningYearBalanceAmt
Contributions$200,000ContributionsAmt
Investment Earnings Or Losses$400,129InvestmentEarningsOrLossesAmt
End Year Balance$2,632,174EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,085,009BeginningYearBalanceAmt
Investment Earnings Or Losses-$52,964InvestmentEarningsOrLossesAmt
End Year Balance$2,032,045EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$310,295OtherCostOrOtherBasisAmt
Book Value$310,295BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,940,726OtherCostOrOtherBasisAmt
Depreciation$1,425,685DepreciationAmt
Book Value$515,041BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$183,133OtherCostOrOtherBasisAmt
Book Value$183,133BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,685,686OtherCostOrOtherBasisAmt
Depreciation$3,170,354DepreciationAmt
Book Value$515,332BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$444,291OtherCostOrOtherBasisAmt
Depreciation$288,254DepreciationAmt
Book Value$156,037BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,679,838TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
advances to affiliates$4,385,514
CASH SURRENDER VALUE OF LIFE INSURANCE$530,269
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,915,783TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$25,736,082TotalRevEtcAuditedFinclStmtAmt
Other Revenue$126,038OtherRevenueAmt
Revenue Not Reported$126,038RevenueNotReportedAmt
Revenue Subtotal$25,610,044RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$25,610,044TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$25,315,936TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$25,315,936ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$25,315,936TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:THE AGENCY HAS ESTABLISHED THE BOARD DESIGNATED FUND TO PROVIDE DRAWDOWN'S FROM TOTAL RETURN TO FUND A PARTICULAR PURPOSE DEEMED APPROPRIATE BY THE FINANCE COMMITTEE THAT IS CONSISTENT WITH THE PURPOSES OF THE FUND.
Part X, Line 2:THE NETWORK ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH PROVISIONS OF FASB ASC 740, "INCOME TAXES", WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR CONSOLIDATED FINANCIAL STATEMENTS. THE NETWORK MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE NETWORK DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2016 AND 2015. THE NETWORK'S POLICY IS TO INCLUDE PENALTIES AND INTEREST AS A COMPONENT OF INCOME TAX EXPENSE, WHEN APPLICABLE. AS OF SEPTEMBER 30, 2016 AND 2015, THE NEtwORK DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. GENERALLY, THE NETWORK'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
Part XI, Line 2d - Other Adjustments:Net Assets Released from Restrictions Used for Operations 126,038.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Peter J Karl
President and CEO$0$607,548$0$258,500$0$0$0$0$0$23,743$0$889,791$0$0
Todd Rose
CEO/President, VNHSC$0$210,852$0$0$0$0$0$1,468$0$22,825$0$235,145$0$0
Michael D Veillette
Senior Vice President, Chief Financi$0$364,031$0$131,250$0$0$0$0$0$23,743$0$519,024$0$0
Mary Powers
SVP, PATIENT CARE SERVICES$0$244,352$0$15,000$0$0$0$0$0$9,316$0$268,668$0$0
Dennis McConville
Senior Vice President, Strategic Pla$0$226,122$0$131,250$0$0$0$0$0$9,272$0$366,644$0$0
Joel Reich MD
Senior Vice President, Medical Affai$0$355,897$0$131,250$0$0$0$0$0$17,694$0$504,841$0$0
Robert Carroll MD
Medical Director, Emergency Departme$0$410,665$0$146,792$0$0$0$0$0$23,743$0$581,200$0$0
Joyce Tichy
General Counsel$0$292,550$0$131,250$0$0$0$0$0$23,743$0$447,543$0$0
Janet Gallugi
Vice President of Business Developme$147,596$0$0$0$0$0$1,079$0$22,776$0$171,451$0$0$0
Deborah Gogliettino
Senior Vice President, Human Resouce$0$141,600$0$0$0$0$0$0$0$1,159$0$142,759$0$0
Deborah Parker
Executive Vice President, Chief Clin$0$126,407$0$100,000$0$0$0$0$0$1,655$0$228,062$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3THE BOARD OF TRUSTEES (THE "BOARD") APPOINTS AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") AND HAS DELEGATED THE RESPONSIBILTY OF COMPLETING AN ANNUAL MARKET ANALYSIS OF THE CEO'S COMPENSATION AND OThER SENIOR EXECUTIVES AND COMPLETION OF THE CEO'S ANNUAL PERFORMANCE REVIEW. THE EVALUATION OF THE CEO IS AN IMPORTANT RESPONSIBILITY OF THE BOARD AND IS CRITICAL TO THE GOVERNANCE RESPONSIBILITIES OF THE BOARD. THE EXECUTIVE COMPENSATION COMMITTEE SOLICITS FEEDBACK ABOUT THE PERFORMANCE OF THE CEO FROM EVERY ACTIVE BOARD MEMBER WHICH WHEN RECEIVED IS ANALYZED AND REVIEWED BY THE MEMBERS OF THE COMMITEE. THE CEO COMPLETES A SELF-EVALUATION AND AN EVALUATION FOR ALL ELIGIBLE MEMBERS OF THE SENIOR LEADERSHIP TEAM, WHO COMPLETE BOTH A SELF-EVALUATION AND A PEER EVALUATION. THE RESULTS OF THE ASSESSMENTS COMPLETED BY MEMBERS OF THE SENIOR LEADERSHIP TEAM ARE REVIEWED BY THE CEO WHO DISCUSSES THE RESULTS WITH THE MEMBERS OF THE COMMITTEE ON AN ANNUAL BASIS. THE EXECUTIVE COMPENSATION COMMITTEE IN COLLABORATION WITH THE CEO EVALUATES RND APPROVES ORGANIZATIONAL PERFORMANCE OBJECTIVES BOTH ON AN ANNUAL AND LONG TERM BASIS AND FOCUSES ON THOSE GOALS WITH THE GREATEST IMPACT TO THE ORGANIZATION'S STRATEGY AND MISSION. THE COMMITTEE ENSURES AN ANNUAL REVIEW OF THE CEO'S PERFORMANCE IN RELATION TO THESE GOALS; REVIEWS THE TALLY SHEETS TO UNDERSTAND THE ECONOMICS OF THE EMPLOYEE BENEFITS; RETAINS AND ENSURES THE INDEPENDENCE OF ITS EXTERNAL CONSULTANTS AND ADVISORS AND INVOLVES RELEVANT ORGANIZATIONAL RESOURCES AS APPROPRIATE TO CARRY OUT ITS RESPONSIBILITIES. THE COMMITTEE ENSURES TRANSPARENCY AND DISCLOSURE TO THE BOARD BY PRESENTING THE RESULTS OF THE ANNUAL PERFORMANCE AND MARKET REVIEWS PROVIDING THE BOARD WITH THE OPPORTUNITY FOR FURTHER INPUT AND CONSIDERATION AND ASKING THAT THE BOARD TAKE ACTION ON THE RECOMMENDATION OF THE COMMITTEE IF THE RECOMMENDATION IS APPROPRIATE. THE BOARD HAS THE OPPORTUNITY TO CHANGE ANY RECOMMENDATIONS OF THE COMMITTEE IF IT SO DESIRES. MEMBERS OF THE BOARD AND OF THE COMMITTEE WHO MAY BE INTERESTED PARTIES ARE ASKED TO RECUSE THEMSELVES FROM ANY REQUIRED VOTES TO AVOID CONFLICTS OF INTEREST. THE COMMITTEE ENSURES THAT THE PROCESS MEETS COMPLIANCE STANDARDS.
SCHEDULE J, PART I., LINE 5ATHE ECHN EXECUTIVE INCENTIVE COMPENSATION PLAN IS A PLAN THAT HAS BEEN DEVELOPED, REVIEWED AND IS ANNUALLY APPROVED BY MEMBERS OF THE BOARD EXECUTIVE COMPENSATION COMMITTEE WITH CONSULTANT THIRD PARTY OVERSIGHT. THE PLAN ESTABLISHES GOALS IN 4 AREAS OF PERFORMANCE: SYSTEM WIDE FINANCIAL PERFORMANCE BASED ON PROFIT FROM OPERATIONS, TWO QUALITY OUTCOMES IN CLINICAL CORE MEASURES AND PATIENT SATISFACTION AND AN INDIVIDUAL GOAL (WHICH HAS A SEPARATE MEASUREMENT FOR TEAM ASSESSMENT) FOR EACH MEMBER OF THE INCENTIVE PROGRAM. THERE IS NO EXECUTIVE COMPENSATION TIED TO THE REVENUES OF THE REPORTING ORGANIZATION OR OTHER RELATED ENTITIES. THERE IS EXECUTIVE COMPENSATION TIED TO THE NET EARNINGS (INCOME FROM OPERATIONS), AS NOTED IN THE PRIOR PARAGRAPH, HOWEVER IT IS ONE OF FOUR PERFORMANCE LEVERS THAT DETERMINE THE LEVEL OF COMPENSATION. THE AGGREGATE NET EARNINGS OF THE ECHN "SYSTEM NOT ANY ONE REPORTING ORGANIZATION OR RELATED ENTITIES OF ECHN DETERMINE THIS COMPENSATION. SO TO CONCLUDE, THE ANSWER TO THESE 4 QUESTIONS IS "NO" WITH THE CLARIFICATION THAT IT IS THE PERFORMANCE OF THE ENTIRE SYSTEM AS A WHOLE THAT DETERMINES EXECUTIVE COMPENSATION, NOT ONE REPORTING ORGANIZATION OR A RELATED ENTITY. MEMBERS OF THE INCENTIVE PROGRAM INCLUDE THE FOLLOWING: PRESIDENT AND CEO -PETER J. KARL SVP, CHIEF FINANCIAL OFFICER -MICHAEL D. VEILLETTE SVP, HUMAN RESOURCES -DEBORAH GOGLIETfINO SVP, STRATEGIC PLANNING - DENNIS MCCONVILLE EVP, CHIEF CLINICAL OFFICER -DEBORAH PARKER SVP, MEDICAL AFFAIRS -JOEL REICH, M.D. SVP, GENERAL COUNSEL -JOYCE TICHY Addendum for calendar year 2015: The ECHN Board of Trustees and the Board Compensation Committee replaced the executive short term incentive compensation program with a retention (or "stay") program pertaining to key senior ECHN executives. The purpose of this change was to ensure that the Prospect Medical Holdings (PMH) acquisition process be successfully executed through the closing date, and help provide a smooth transition of ownership. The move to this program and away from the short term incentive compensation structure was approved by the ECHN Board, as recommended by the Compensation Committee in the latter part of calendar year 2013. This decision was driven by the acquisition process and the Board's concern around executive departure.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 13aCT
Form 990, Part VI, Section A, line 6THE ORGANIZATION HAS A SINGLE MEMBER, NAMELY, EASTERN CONNECTICUT HEALTH NETWORK, INC.
Form 990, Part VI, Section B, line 11THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND RECOMMENDED FOR APPROVAL BY THE BOARD OF DIRECTORS PRIOR TO BEING FILED. EACH MEMBER OF THE BOARD OF DIRECTORS IS PROVIDED ACCESS TO A COPY OF TFiE FORM 990 PRIOR TO FILING.
Form 990, Part VI, Section B, line 12cThe conflict of interest policy is reviewed with all new board members. Existing board members are required to communicate any potential conflicts of interest throughout the year to the executive committee. Potential conflicts of interestare reviewed as necessary.
Form 990, Part VI, Section B, line 15THE BOARD APPROVES COMPENSATION AFTER REVIEW OF COMPARABILITY DATA AND CONSIDERATION OF SPECIFIC FACTORS PERTINENT TO EACH POSITION AND CANDIDATE. THE LAST COMPENSATION REVIEW FOR THE CEO AND CFO TOOK PLACE 03/19/15
Form 990, Part VI, Section C, line 19FINANCIAL STATEMENTS, CONFLICTS OF INTEREST POLICY AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC FOR REVIEW UPON REQUEST AT THE ORGANIZATION'S LOCATION.
Form 990, Part XI, line 9:Transfer of cash to MMH as part of closing -1,571,766. Transfer of Berkshire Bank loan proceeds to RGH -5,027,483. Other transfers -415,135.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1A caring HAND LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 Keynote DriveAddressLine1Txt
CityVernonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP060665040ZIPCd
FieldValueIRS element (for citing)
EIN300371591EIN
Primary ActivitiesProvide personal care assistance servicesPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd
Total Income$5,774,289TotalIncomeAmt
End Of Year Assets$1,034,198EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Visiting Nurse & Health Services of Connecticut IncBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
EASTERN CONNECTICUT HEALTH NETWORK
71 HAYNES STREETMANCHESTERCT06040222546079Intergrated Health Care System Parent CoCT501(c)(3)Line 11c, III-FIN/A0
MANCHESTER MEMORIAL HOSPITAL
71 HAYNES STREETMANCHESTERCT06040060646710HospitalCT501(c)(3)Line 3Yes (1)ECHN
ROCKVILLE GENERAL HOSPITAL INC
31 UNION STREETRockvilleCT06066060653151HospitalCT501(c)(3)Line 3Yes (1)ECHN
ECHN ELDERCARE SERVICES INC
26 SHENIPSIT LAKE ROADTollandCT06084061149193Skilled Nursing FacilityCT501(c)(3)Line 9Yes (1)ECHN
EASTERN CONNECTICUT MEDICAL PROFESSIONAL FOUNDATION iNc
71 HAYNES STREETMANCHESTERCT06040222546078Physician ServicesCT501(c)(3)Line 3Yes (1)ECHN
ECHN COMMUNITY HEALTHCARE FOUNDATION INC
71 HAYNES STREETMANCHESTERCT06040222546080Fundraising/SupportCT501(c)(3)Line 7Yes (1)ECHN

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Medical Practice Partners LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3830AddressLine1Txt
CityVERNONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06066ZIPCd
FieldValueIRS element (for citing)
EIN271498877EIN
Primary ActivitiesBILLING AND PRACTICE MANAGEMENT SERVICESPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
cONNECTICUT HEALTHCARE INSURANCE COMPANY
71 HAYNES STREETManchesterCT06040222546828Real Estate HoldingsCTN/ACYes (1)
HAYNES STREET PROPERTY MANAGEMENT LLC
71 HAYNES STREETmanchesterCT06040222546028Real Estate Property ManagementCTN/ACYes (1)
ECHN CORPORATE SERVICES
71 HAYNES STREETmanchesterCT06040271596320BILLING AND OTHER management PRACTICECTN/ACYes (1)
CONNECTICUT HEALTHCARE INSURANCE COMPANY
980623043Captive InsuranceN/ACYes (1)PO BOX 1109grand CaymanCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Manchester Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$20,899,967InvolvedAmt
Method Of Amount Determinationcash transferMethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line Referenceschedule R, Part I, COLUMNS (D) & (E)FormAndLineReferenceDesc
ExplanationALL FINANCIAL ACTIVITY OF A CARING HAND, LLC IS CONSOLIDATED- WITHIN THE BALANCES OF THIS ORGANIZATION AS PRESENTED WITHIN THE FORM 990.ExplanationTxt

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