2013-11-15T09:12:11-06:00 2012-12-31 WITHUMSMITHBROWNPC 331 NEWMAN SPRINGS RD STE 125 RED BANK NJ 077016765 990 2012-01-01 320352097 VISITING NURSE ASSOCIATION OF ENGLEWOOD INC % PETER GAYLORD VISI 2018943333 15 ENGLE STREET 3RD FLOOR Suite ENGLEWOOD NJ 07631 PETER GAYLORD 7322246968 2013-11-11 true 7328423113 2012 2016-03-07 17:11:31Z X ELLEN M GUSICK 176 RIVERSIDE AVENUE RED BANK NJ 07701 7755749 false X WWW.VNAHG.ORG X 2011 NJ THE ORGANIZATION IS A CERTIFIED HOME HEALTH AGENCY THAT PROVIDES HOME HEALTH CARE AND HOSPICE SERVICES TO RESIDENTS OF ITS SERVICE AREAS. 5 0 99 19 0 0 10000 873845 7742891 188 1258 0 1600 874033 7755749 0 0 0 0 537163 4639955 0 0 0 322811 2593811 859974 7233766 14059 521983 11982989 12978177 2968930 3442135 9014059 9536042 X VISITING NURSE ASSOCIATION OF ENGLEWOOD, INC. IS A VOLUNTARY, NONPROFIT ORGANIZATION DEDICATED TO THE PROMOTION, RESTORATION AND MAINTENANCE OF THE HEALTH STATUS OF INDIVIDUALS AND THE COMMUNITY. COMPETENCE AND COMPASSION ARE THE CORNERSTONES OF THE VISITING NURSE ASSOCIATION OF ENGLEWOOD, INC. SERVICE DELIVERY. THE VISITING NURSE ASSOCIATION OF ENGLEWOOD MAINTAINS AN ENVIRONMENT IN WHICH THE VISIONS AND CONTRIBUTIONS OF PATIENTS, EMPLOYEES, VOLUNTEERS AND THE BOARD OF TRUSTEES SHAPE ITS DIRECTION. THROUGH COLLABORATION WITH THE COMMUNITY AND CONTINUAL ENHANCEMENT OF SERVICES, VISITING NURSE ASSOCIATION OF ENGLEWOOD, INC. MAKES THE COMMUNITY A BETTER PLACE. false false 5160851 7742891 THE ORGANIZATION PROVIDED HOME HEALTH AND HOSPICE CARE TO THE PEOPLE IN ITS SERVICE AREAS. DURING 2012, CARE WAS PROVIDED TO APPROXIMATELY 2,400 HOME CARE AND HOSPICE PATIENTS WITH TOTAL UNITS OF SERVICE OF NEARLY 45,000. TOGETHER WITH ITS AFFILIATED NONPROFIT ORGANIZATIONS, VISITING NURSE ASSOCIATION OF ENGLEWOOD, INC. HAS SUSTAINED ITS MISSION BY PROVIDING COMMUNITY BENEFIT AND COMMUNITY-BASED PROGRAMS TO THE PEOPLE OF BERGEN COUNTY, NEW JERSEY. IRRESPECTIVE OF CIRCUMSTANCE, THE ORGANIZATION PROVIDED SERVICES THROUGH MULTIPLE PROGRAMS TO UNINSURED, UNDERINSURED AND DISENFRANCHISED PATIENTS OF THE COMMUNITY SERVED. 5160851 true true false true false false false false false false false false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 11 0 true 99 true false false false false false false false false false false X 5 0 true true false false true true true true false false true true true true true true true true false NJ X PETER GAYLORD 7322246968 176 RIVERSIDE AVENUE RED BANK NJ 07701 KEVIN ROGERS RESIGNED 3.0 X X MADELYN PEARSON 3.0 X X ANTHONY ORLANDO 3.0 X X MICHAEL PIETROWICZ 3.0 X X JOHN HARZ 3.0 X X MARJORIE FORGANG 15.0 40.0 X X 173723 0 36815 MARY WACHTER 3.0 X X ELLEN M GUSICK 15.0 40.0 X SANDRA M FILIP-ELIAS 50.0 X 117456 3681 RUTH E RODRIGUEZ 50.0 X 116588 0 8518 PATRICIA MANGANO 50.0 X 113084 580 CAROLYN M IORIO 45.0 X 104026 1304 624877 0 50898 5 false true false VNA HEALTH GROUP INC 176 RIVERSIDE AVENUE RED BANK NJ 07701 MANAGEMENT 500000 LIBERTY NURSING AGENCY INC 426 HERBERTSVILLE ROAD BRICK NJ 08724 CONTRACTED NURSING 134129 UNLIMITED CARE INC 333 WEST CHESTER AVEWEST BLDGSTE WHITE PLAINS NY 10604 CONTRACTED HHA 111169 3 10000 10000 NET PATIENT SERVICE REVENUE 621610 7742891 7742891 7742891 1258 1258 0 0 0 0 0 0 0 0 0 TELEHEALTH 621610 1600 1600 1600 7755749 7744491 1258 0 0 0 0 210538 210538 0 3876636 3368530 508106 5975 4959 1016 153210 120906 32304 393596 326685 66911 500000 500000 19961 19961 49975 49975 0 0 0 107073 107073 5913 5913 130777 108545 22232 0 0 566972 155187 411785 132841 132841 0 2887 2887 118784 118784 0 0 68137 56554 11583 CONTRACTED SERVICES 557610 557610 MEDICAL SUPPLIES & EQUIPMENT 293272 293272 LICENSES, DUES & FEES 21235 17625 3610 MISCELLANEOUS 18374 15250 3124 7233766 5160851 2072915 0 0 0 1624209 1032533 0 0 1300142 2654480 0 0 0 0 0 0 0 0 58638 68136 0 0 0 0 0 0 0 9000000 9000000 0 223028 11982989 12978177 397211 1072620 0 0 436597 513533 0 0 0 0 0 0 0 0 0 0 2135122 1855982 2968930 3442135 X 9014059 9536042 0 0 0 0 9014059 9536042 11982989 12978177 521983 X false true X true false X 0 0 0 0 10000 10000 873845 7742891 8616736 0 0 0 0 0 0 873845 7752891 8626736 0 0 0 8626736 188 1258 1446 0 188 1258 1446 0 1600 1600 0 0 0 874033 7755749 8629782 X 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true false false false false false true false false false SCHEDULE C, PART II-B, LINE 1 THE ORGANIZATION AND ITS AFFILIATED NONPROFIT ORGANIZATIONS RECEIVE A SUBSTANTIAL PORTION OF THEIR REVENUE FROM THE MEDICARE AND MEDICAID PROGRAMS. THE HEALTH CARE INDUSTRY IS CONTINUALLY SUBJECT TO LEGISLATIVE CHANGES AND ADJUSTMENTS TO GOVERNMENT EXPENDITURES SUPPORTING HEALTH RELATED PROGRAMS. REPRESENTATIVES OF THE ORGANIZATION'S AFFILIATED NONPROFIT ORGANIZATIONS HAVE PARTICIPATED IN MEETINGS AND DISCUSSIONS WITH APPROPRIATE OFFICIALS ABOUT THE FINANCIAL AND ADMINISTRATIVE IMPACTS OF PROPOSED CHANGES. IN ADDITION, A PORTION OF MEMBERSHIP DUES PAID TO INDUSTRY ASSOCIATIONS BY THE ORGANIZATION ARE RELATED TO LOBBYING ACTIVITIES PERFORMED BY SUCH INDUSTRY ASSOCIATIONS ON BEHALF OF THEIR MEMBERS. THE ORGANIZATION DOES NOT BELIEVE THAT ITS COST FOR THESE ACTIVITIES ARE SUBSTANTIAL WITHIN THE MEANING OF IRC SECTION 501(C)(3). 0 EST AMTS DUE TO 3RD PARTY PAYORS 180000 ADVANCES FROM MEMBERS 1600000 DUE TO MEMBERS OR AFFILIATES 75982 1855982 X 7755749 7755749 7755749 7233766 7233766 7233766 PART X, LINE 2 THE FOLLOWING REPRESENTS THE FIN 48 (ASC 740) FOOTNOTE DISCLOSURE INCLUDED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2012 AND THE PERIOD FROM INCEPTION (JULY 19, 2011) TO DECEMBER 31, 2011: THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740 "INCOME TAXES". PURSUANT TO THE GUIDANCE IN THIS ACCOUNTING PRONOUNCEMENT, VNA OF ENGLEWOOD HAS DETERMINED THAT NO UNRECOGNIZED TAX BENEFITS EXIST AS OF DECEMBER 31, 2012 AND 2011 AND DOES NOT EXPECT THIS determination TO CHANGE SIGNIFICANTLY OVER THE NEXT 12 MONTHS. THE ORGANIZATION HAS NOT INCURRED ANY INCOME TAX RELATED PENALTIES OR INTEREST FOR THE YEAR ENDED DECEMBER 31, 2012 and THE PERIOD FROM INCEPTION (JULY 19, 2011) TO DECEMBER 31, 2011, HOWEVER THESE TAX YEARS REMAIN OPEN AND ARE SUBJECT TO EXAMINATION. X X false false false false false false false true false MARJORIE FORGANG 147889 0 24811 1023 18109 0 18706 0 210538 0 0 0 PART I, LINE 7 THE ORGANIZATION'S CHIEF EXECUTIVE AND OTHER KEY EMPLOYEES ARE ELIGIBLE FOR AN ANNUAL DISCRETIONARY BONUS. THE DISCRETIONARY BONUS IS NOT A SIGNIFICANT PORTION OF THE EXECUTIVE'S ANNUAL COMPENSATION. THE DISCRETIONARY BONUS OF THE CHIEF EXECUTIVE IS APPROVED BY THE ORGANIZATION'S BOARD OF TRUSTEES AFTER CONSIDERATION OF COMPENSATION ARRANGEMENTS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR SIMILAR SERVICES. DISCRETIONARY BONUS PAYMENTS MADE BY THE ORGANIZATION DURING 2012 ARE REPORTED IN PART II. PART VI, SECTION A, LINES 2, 6, 7A & 7B THE ORGANIZATION IS A NEW JERSEY NONPROFIT CORPORATION FORMED BY ITS TWO (2) MEMBERS, VISITING NURSE ASSOCIATION HEALTH GROUP, INC. AND ENGLEWOOD HOSPITAL AND MEDICAL CENTER. THE ORGANIZATION IS GOVERNED AND CONTROLLED BY A BOARD OF TRUSTEES GENERALLY CONSISTING OF INDIVIDUALS EQUALLY APPOINTED BY ITS TWO (2) MEMBERS. THE TRUSTEES OF THE ORGANIZATION ARE ALSO OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES OF THE MEMBER ORGANIZATIONS. THE MEMBERS ALSO MAINTAIN CERTAIN RIGHTS AND POWERS OVER SELECTED DECISIONS MADE BY THE BOARD OF TRUSTEES. SUCH DECISIONS WHICH ARE SUBJECT TO APPROVAL BY THE MEMBERS INCLUDE CHANGES TO THE GOVERNING DOCUMENTS, DISSOLUTION OF THE ORGANIZATION, MERGER OR ASSET ACQUISITION AND/OR DISPOSAL PLANS, BUDGET APPROVALS, DEBT ACQUISITION AND APPOINTMENT OR TERMINATION OF THE CHIEF EXECUTIVE OF THE ORGANIZATION. PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES OF THE ORGANIZATION HAS DELEGATED RESPONSIBILITY FOR REVIEWING THE FORM 990 TO CERTAIN OFFICERS AND MANAGEMENT OFFICIALS OF THE ORGANIZATION. A COPY OF THE COMPLETED FORM 990 WAS REVIEWED BY THE SELECTED OFFICERS AND MANAGEMENT OFFICIALS OF THE ORGANIZaTION AND PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO SUBMISSION. PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CHIEF EXECUTIVE AND OTHER KEY EMPLOYEES OF THE ORGANIZATION IS REVIEWED AND APPROVED BY SELECTED MEMBERS OF THE BOARD OF TRUSTEES AFTER CONSIDERATION OF COMPENSATION ARRANGEMENTS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR SIMILAR SERVICES, COMPENSATION SURVEYS AND OTHER MATTERS TO DETERMINE THAT NO MORE THAN REASONABLE COMPENSATION IS PAID. PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY IN PLACE TO ADDRESS ANY AND ALL CONFLICTS THAT ARISE, ARE REPORTED OR ARE OTHERWISE DISCOVERED. ON AN ANNUAL BASIS, ALL MEMBERS OF THE BOARD OF TRUSTEES ALONG WITH ALL MEMBERS OF THE MANAGEMENT TEAM AND CERTAIN OTHER EMPLOYEES ARE PROVIDED A CURRENT COPY OF THE POLICY AND ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. THESE QUESTIONNAIRES ARE REVIEWED AND RESOLVED, AS NECESSARY, BY THE BOARD OF TRUSTEES. PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST, ON A DISCRETIONARY BASIS. PT VI, SECTION A, LINE 3 THE ORGANIZATION HAS ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH VISITING NURSE ASSOCIATION HEALTH GROUP, INC. TO PERFORM CERTAIN MANAGEMENT DUTIES. SUCH SERVICES INCLUDE, AMONG OTHER ITEMS, THE PREPARATION OF ANNUAL BUDGETS; THE EXECUTION AND IMPLEMENTATION OF ALL POLICIES AND DIRECTIVES OF THE BOARD OF TRUSTEES; THE ESTABLISHMENT OF RATES AND CHARGES FOR SERVICES RENDERED; THE MAINTENANCE OF ALL PROPER AND APPROPRIATE BOOKS AND RECORDS REGARDING THE BUSINESS AND OPERATIONS; THE PAYMENT OF ALL BILLS FOR SERVICES RENDERED TO THE ORGANIZATION; THE ISSUANCE OF ALL BILLS FOR SERVICES RENDERED; THE PROVISION OF ALL GENERAL ADMINISTRATIVE SERVICES; THE PROPER MAINTENANCE AND IMPLEMENTATION OF ALL NECESSARY AND APPROPRIATE PAYROLL AND HUMAN RESOURCE RECORDS; THE PROVISION OF FINANCIAL AND OTHER REPORTS WITH RESPECT TO THE OPERATIONS OF THE ORGANIZATION; AND THE TIMELY PREPARATION AND SUBMISSION OF COST REPORTS, TAX RETURNS AND OTHER SUCH FILINGS AND SUBMISSIONS AS MAY BE REQUIRED UNDER APPLICABLE LAW. PT IV, LINE 28 BASED ON THE INSTRUCTIONS TO FORM 990, THE ORGANIZATION BELIEVES THAT PART IV, QUESTION 28 CAN BE ANSWERED NO, AND THAT THE ORGANIZATION DOES NOT NEED TO COMPLETE SCHEDULE L, PART IV. IN THE INTEREST OF COMPLETE DISCLOSURE, HOWEVER, THE FOLLOWING INFORMATION IS PROVIDED: KEVIN ROGERS (RESIGNED, NOVEMBER 2012), MARY WACHTER (REPLACED, AUGUST 2012) AND JOHN HARZ ARE EMPLOYEES AND OFFICERS OF VISITING NURSE ASSOCIATION HEALTH GROUP, INC. (GROUP). THE GROUP IS AN AFFILIATED NONPROFIT ORGANIZATION THAT IS A FIFTY (50%) PERCENT MEMBER OF THE ORGANIZATION AND PROVIDED MANAGEMENT SERVICES TO THE ORGANIZATION IN THE AMOUNT OF $500,000 IN 2012. THE GROUP IS THE SOLE CORPORATE MEMBER OF VISITING NURSE ASSOCIATION OF CENTRAL JERSEY, INC. (VNACJ) AND VISITING NURSE ASSOCIATION OF CENTRAL JERSEY PERSONAL CARE, INC. (PERSONAL CARE) AND A FIFTY (50%) PERCENT MEMBER OF ROBERT WOOD JOHNSON VISITING NURSES, INC. (RWJVN). VNACJ, PERSONAL CARE, AND RWJVN PROVIDED SKILLED AND OTHER NURSING SERVICES TO THE ORGANIZATION IN THE AMOUNT OF $78,741 IN 2012. VNA OF CENTRAL JERSEY INC 176 RIVERSIDE AVENUE RED BANK NJ 07701 210639369 HOME HEALTH NJ 501(c)(3) 9 NA false VNA OF CENTRAL JERSEY FOUNDATION INC 176 RIVERSIDE AVENUE RED BANK NJ 07701 222500031 FUNDRAISING NJ 501(C)(3) 7 NA false VNA HEALTH GROUP INC 176 RIVERSIDE AVENUE RED BANK NJ 07701 222500029 SUPPORT ORG NJ 501(c)(3) 11A NA false MCOSS VENTURES INC 176 RIVERSIDE AVENUE RED BANK NJ 07701 222873804 SUPPORT ORG NJ 501(c)(3) 11A NA false VNA OF CENTRAL JERSEY PERSONAL CARE INC 176 RIVERSIDE AVENUE RED BANK NJ 07701 223186929 HOME HEALTH NJ 501(c)(3) 9 NA false VNA OF CENTRAL JERSEY PROPERTIES INC 176 RIVERSIDE AVENUE RED BANK NJ 07701 223385863 HOLDING CO NJ 501(c)(3) 11A NA false VISITING NURSE AND HOMEMAKER SVCS INC 204 CREEK CROSSING BLVD HAINESPORT NJ 08036 210723671 HOME HEALTH NJ 501(c)(3) 9 NA false ROBERT WOOD JOHNSON VISITING NURSES INC 972 SHOPPES BOULEVARD NORTH BRUNSWICK NJ 08902 263659270 HOME HEALTH NJ 501(c)(3) 9 NA false CAPE VISITING NURSE ASSOCIATION INC 1940 ROUTE 9 NORTH SWAINTON NJ 08210 800612629 HOME HEALTH NJ 501(c)(3) 9 NA false ENGLEWOOD HOSPITAL & MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NJ 07631 221487173 HLTHCARE SVCS NJ 501(c)(3) 3 NA false false false false false true false false false false false true false true true true true false false false