2017-08-15T17:54:46-05:00 2016-09-30 111986323 Marcum LLP 53 State Street Boston MA 02109 990 2015-10-01 060646795 VISITING NURSE & HEALTH SERVICES OF CONNECTICUT INC VISI 8608729163 8 KEYNOTE DRIVE VERNON CT 06066 ROBERT A SCHWARTZ MD PRESIDENT 8608729163 2017-08-15 1 DOUGLAS FARRINGTON P00370668 6178075000 2017-08-15 2015 2021-01-29 14:40:06Z TODD ROSE 8 KEYNOTE DRIVE VERNON CT 06066 25610044 0 X WWW.ECHN.ORG X 1939 CT TO 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. 13 11 250 49 0 0 255534 223540 25102535 25341797 20806 44707 14245 0 25393120 25610044 0 0 0 0 20867523 19825286 0 0 165998 4407643 5490650 25275166 25315936 117954 294108 13228611 10291001 2472596 6255262 10756015 4035739 TO 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. 0 0 21048157 25341797 TO PROVIDE SKILLED NURSING, HOME HEALTH SERVICES, HOSPICE SERVICES, THERAPEUTIC HOMECARE, MEALS ON WHEELS PROGRAMS, HOMEMAKER SERVICES, AND VARIOUS CLINIC AND HEALTH PROMOTIONS. 21048157 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 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 1 1 1 1 0 0 1 68 0 1 250 1 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X The Organization 8608729163 8 Keynote Drive Vernon CT 060665040 David A Engelson Vice Chair 1.00 1.00 X X 0 0 0 Eric Kloter Trustee/Chair 1.00 4.00 X X 0 0 0 Louise England Trustee 1.00 1.00 X 0 0 0 Irene Quong Conlon Trustee 1.00 1.00 X 0 0 0 Joanne-Renee Irvin Trustee 1.00 1.00 X 0 0 0 Susan Breslau Trustee 1.00 1.00 X 0 0 0 Americo Rodrigues Trustee 1.00 1.00 X 0 0 0 Marianne Lassman Fisher Trustee 1.00 1.00 X 0 0 0 Richard Bundy Jr Trustee 1.00 1.00 X 0 0 0 Saud Anwar Trustee 1.00 1.00 X 0 0 0 Kathleen A Stavens Treasurer 1.00 1.00 X X 0 0 0 Rev Donald Miller Secretary 1.00 1.00 X X 0 0 0 Peter J Karl President and CEO 5.00 56.00 X X 0 866048 23743 Todd Rose CEO/President, VNHSC 60.00 0.00 X 0 210852 24293 Michael D Veillette Senior Vice President, Chief Financial Officer 5.00 56.00 X 0 495281 23743 Mary Powers SVP, PATIENT CARE SERVICES 5.00 56.00 X 0 259352 9316 Dennis McConville Senior Vice President, Strategic Planning 5.00 56.00 X 0 357372 9272 Joel Reich MD Senior Vice President, Medical Affairs 1.00 60.00 X 0 487147 17694 Robert Carroll MD Medical Director, Emergency Department 5.00 56.00 X 0 557457 23743 Joyce Tichy General Counsel 5.00 56.00 X 0 423800 23743 Rosemary Harding Vice President of Clinical Services 50.00 0.00 X 142720 0 2334 Janet Gallugi Vice President of Business Development 50.00 0.00 X 147596 0 23855 Dawn Vanek Occupational Therapist 50.00 0.00 X 112987 0 0 Elizabeth Case Hospice Medical Director 50.00 0.00 X 110255 0 19818 Catherine Collette Vice President, Quality Improvement 50.00 0.00 X 111079 0 23474 Deborah Gogliettino Senior Vice President, Human Resouces 5.00 56.00 X 0 141600 1159 Deborah Parker Executive Vice President, Chief Clinical Officer 5.00 56.00 X 0 226407 1655 624637 4025316 227842 9 1 1 0 HEALTHWYSE LLC 60 CONCORD STREET WILMINGTON MA 01887 SOFTWARE SOLUTION 141248 SIMIONE HEALTHCARE CONSULTANTS 4130 Whitney Ave Hamden CT 06518 consulting 140308 2 39622 183918 223540 Net Patient Service Revenue 621610 24877369 24877369 Traditional care and other 621610 273037 273037 Clinic and Wellness 624100 127168 127168 Town Appropriation 621610 64223 64223 25341797 44707 44707 25610044 25341797 0 44707 250078 250078 16205159 14363277 1746882 95000 22252 18469 3560 223 2144670 1798602 324398 21670 1203127 998596 192500 12031 8654 8654 22000 22000 2136583 1868565 268018 1009 1009 133139 133139 824825 426941 395946 1938 176231 41618 134613 494306 482306 10000 2000 46647 14971 31676 13942 13942 283167 283167 -39824 -39824 Medical Supplies 645951 645951 BAD DEBTS EXPENSE 211350 211350 Telephone 188360 165860 20000 2500 all Other Expenses - ot 160077 137893 22184 184233 11651 164130 8452 25315936 21048157 4101781 165998 1802275 126628 605169 26225 3926991 3437888 116003 130864 6564131 4884293 1463893 1679838 4757786 530269 4915783 13228611 10291001 1681129 894319 693421 684739 4676204 98046 2472596 6255262 X 10629977 4035739 126038 0 10756015 4035739 13228611 10291001 X 294108 -7014384 X 0 1 X 1 0 X 599553 499706 406061 255534 97502 1858356 22832690 30488816 25314902 25102535 24854174 128593117 23432243 30988522 25720963 25358069 24951676 130451473 0 0 0 130451473 256117 107415 58863 20806 43957 487158 256117 107415 58863 20806 43957 487158 65099 74926 48378 14245 -3795 198853 23753459 31170863 25828204 25393120 24991838 131137484 0.99480 0.99390 0.00370 0.00450 X Schedule A, Part III, Line 12, Explanation of Other Income: Net Fundrasing Event Income - 2011 Amount: $ 65,099. 2012 Amount: $ 74,926. 2013 Amount: $ 48,378. 2014 Amount: $ 14,245. 2015 Amount: $ -3,795. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2906199 1016 2907215 2914646 3627 12074 2906199 2632174 32808 249664 2914646 2032045 200000 400129 2632174 2085009 -52964 2032045 0.00000 0.00000 0.00000 0 0 310295 310295 1940726 1425685 515041 183133 183133 3685686 3170354 515332 444291 288254 156037 1679838 advances to affiliates 4385514 CASH SURRENDER VALUE OF LIFE INSURANCE 530269 4915783 X 25736082 126038 126038 25610044 0 25610044 25315936 0 25315936 0 25315936 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. X X 0 1 0 0 0 0 0 0 0 Peter J Karl President and CEO 0 607548 0 258500 0 0 0 0 0 23743 0 889791 0 0 Todd Rose CEO/President, VNHSC 0 210852 0 0 0 0 0 1468 0 22825 0 235145 0 0 Michael D Veillette Senior Vice President, Chief Financi 0 364031 0 131250 0 0 0 0 0 23743 0 519024 0 0 Mary Powers SVP, PATIENT CARE SERVICES 0 244352 0 15000 0 0 0 0 0 9316 0 268668 0 0 Dennis McConville Senior Vice President, Strategic Pla 0 226122 0 131250 0 0 0 0 0 9272 0 366644 0 0 Joel Reich MD Senior Vice President, Medical Affai 0 355897 0 131250 0 0 0 0 0 17694 0 504841 0 0 Robert Carroll MD Medical Director, Emergency Departme 0 410665 0 146792 0 0 0 0 0 23743 0 581200 0 0 Joyce Tichy General Counsel 0 292550 0 131250 0 0 0 0 0 23743 0 447543 0 0 Janet Gallugi Vice President of Business Developme 147596 0 0 0 0 0 1079 0 22776 0 171451 0 0 0 Deborah Gogliettino Senior Vice President, Human Resouce 0 141600 0 0 0 0 0 0 0 1159 0 142759 0 0 Deborah Parker Executive Vice President, Chief Clin 0 126407 0 100000 0 0 0 0 0 1655 0 228062 0 0 Part I, Line 3 THE 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 5A THE 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. Form 990, Part V, Line 13a CT Form 990, Part VI, Section A, line 6 THE ORGANIZATION HAS A SINGLE MEMBER, NAMELY, EASTERN CONNECTICUT HEALTH NETWORK, INC. Form 990, Part VI, Section B, line 11 THE 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 12c The 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 15 THE 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 19 FINANCIAL 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. A caring HAND LLC 8 Keynote Drive Vernon CT 060665040 300371591 Provide personal care assistance services CT 5774289 1034198 Visiting Nurse & Health Services of Connecticut Inc EASTERN CONNECTICUT HEALTH NETWORK 71 HAYNES STREET MANCHESTER CT 06040 222546079 Intergrated Health Care System Parent Co CT 501(c)(3) Line 11c, III-FI N/A 0 MANCHESTER MEMORIAL HOSPITAL 71 HAYNES STREET MANCHESTER CT 06040 060646710 Hospital CT 501(c)(3) Line 3 ECHN 1 ROCKVILLE GENERAL HOSPITAL INC 31 UNION STREET Rockville CT 06066 060653151 Hospital CT 501(c)(3) Line 3 ECHN 1 ECHN ELDERCARE SERVICES INC 26 SHENIPSIT LAKE ROAD Tolland CT 06084 061149193 Skilled Nursing Facility CT 501(c)(3) Line 9 ECHN 1 EASTERN CONNECTICUT MEDICAL PROFESSIONAL FOUNDATION iNc 71 HAYNES STREET MANCHESTER CT 06040 222546078 Physician Services CT 501(c)(3) Line 3 ECHN 1 ECHN COMMUNITY HEALTHCARE FOUNDATION INC 71 HAYNES STREET MANCHESTER CT 06040 222546080 Fundraising/Support CT 501(c)(3) Line 7 ECHN 1 Medical Practice Partners LLC PO BOX 3830 VERNON CT 06066 271498877 BILLING AND PRACTICE MANAGEMENT SERVICES CT N/A cONNECTICUT HEALTHCARE INSURANCE COMPANY 71 HAYNES STREET Manchester CT 06040 222546828 Real Estate Holdings CT N/A C 1 HAYNES STREET PROPERTY MANAGEMENT LLC 71 HAYNES STREET manchester CT 06040 222546028 Real Estate Property Management CT N/A C 1 ECHN CORPORATE SERVICES 71 HAYNES STREET manchester CT 06040 271596320 BILLING AND OTHER management PRACTICE CT N/A C 1 CONNECTICUT HEALTHCARE INSURANCE COMPANY PO BOX 1109 grand Cayman CJ 980623043 Captive Insurance CJ N/A C 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 Manchester Memorial Hospital P 20899967 cash transfer schedule R, Part I, COLUMNS (D) & (E) ALL FINANCIAL ACTIVITY OF A CARING HAND, LLC IS CONSOLIDATED- WITHIN THE BALANCES OF THIS ORGANIZATION AS PRESENTED WITHIN THE FORM 990.