2011-11-15T09:21:04-07:00 2011-06-30 990 2010-07-01 060665196 VISITING NURSE SERVICES OF CONNECTICUT INC VISI 2033663821 765 Fairfield Ave Bridgeport CT 06604 William F Sullivan Jr 2033663821 2011-11-15 2010 2016-02-24 21:20:13Z William F Sullivan Jr 765 Fairfield Avenue Bridgeport CT 06604 31292228 0 X WWW.VNSCT.ORG X 1909 CT Visiting Nurse Services of Connecticut, Inc., (VNS) a nonprofit health care provider, finds its mission in the provision of quality home health and hospice services to individuals, families and the communities it serves. VNS is committed to the development of a partnership with the patient in the delivery of comprehensive, compassionate care. Our competent and caring staff are driven to help patients reach their highest attainable health care outcomes. The VNS approach to care is guided by: A respect for the dignity and value of life. Patient centered satisfaction. Effective use of available resources. Responsive advocacy to develop innovative services. Dedicated leadership, which helps shape health care policies and services. VNS is committed to the promotion of health and the provision of quality care within a changing health care environment. Our corporate core HEART values of Humor, Excellence, Attitude, Respect and Teamwork are visible in all that we do. 20 19 555 96 0 0 295664 243498 31971292 30898823 83343 127208 2559 3684 32352858 31273213 0 0 0 0 24256327 24995241 0 0 164239 6952328 6572913 31208655 31568154 1144203 -294941 11058399 11460376 7920282 7644279 3138117 3816097 Visiting Nurse Services of Connecticut, Inc., (VNS) a nonprofit health care provider, finds its mission in the provision of quality home health and hospice services to individuals, families and the communities it serves. VNS is committed to the development of a partnership with the patient in the delivery of comprehensive, compassionate care. Our competent and caring staff are driven to help patients reach their highest attainable health care outcomes. The VNS approach to care is guided by: A respect for the dignity and value of life. Patient centered satisfaction. Effective use of available resources. Responsive advocacy to develop innovative services. Dedicated leadership, which helps shape health care policies and services. VNS is committed to the promotion of health and the provision of quality care within a changing health care environment. Our corporate core HEART values of Humor, Excellence, Attitude, Respect and Teamwork are visible in all that we do. 0 0 25051404 0 28390690 Home Health Care is a program designed to provide basic home health services to patients who can be cared for at home. Services are provided to low income and indigent individuals without regard to ability to pay. Provided services include, Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Medical Social Work and Home Health Aides. During this fiscal year the agency provided 245,861 home visits to 6,750 patients. 1906846 0 2508133 Hospice Care is a program designed to care for terminally ill patients through the use of the inter-disciplinary team that includes Registered Nurse, Home Health Aide, and Medical Social Worker, pastoral spiritual counseling and bereavement counseling.The program serviced 419 patients this year with 14,373 visits. 0 0 0 26958250 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 80 0 1 555 1 0 0 0 0 0 1 1 0 0 0 0 X 20 19 0 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 CT X Visiting Nurse Services of Connecticut Inc 2033663821 765 Fairfield Ave Bridgeport CT 06604 Davis Susan 2 X 0 0 0 Estrada George 2 X 0 0 0 Fair - Mathew G 2 X 0 0 0 Geraghty - James M 2 X X 0 0 0 Hoffman - Pamela B MD 2 X 0 0 0 Jeffers - Karen A 2 X 0 0 0 Kobsa - Carolyn Salsgiver 2 X 0 0 0 Marchand - William J 2 X 0 0 0 Mayer - Paul E 2 X X 0 0 0 McDonald - Bruce MD 2 X 0 0 0 Miller - Barbara S 2 X X 0 0 0 Newbauer - William E Jr 2 X 0 0 0 Porter Jane Ellen 2 X 0 0 0 Roach - James MD 2 X 0 0 0 Rodia - Robert V 2 X X 0 0 0 Tibbitts - Allan F 2 X 0 0 0 Varrone John 2 X 0 0 0 Weinshel - Michael 2 X 0 0 0 Woods - James G 2 X 0 0 0 Sullivan - William F Jr 40 X X 0 321443 41342 Bodyk Jeanne 40 X 176413 0 11004 Nicolas F Edward Jr CPA 40 X 0 180770 36122 Klubek - Carol J 40 X 141825 0 14025 Markel - Pleshette M 40 X 119060 0 5256 Burrows Scott 40 X 0 109223 32721 Janulis Barbara 40 X 107322 0 4320 544620 611436 144790 4 0 1 0 Anthem Blue Cross Blue Shield PO BOX 31703 Hartford CT 061501703 Health Insurance for Employees of organization 2213827 VNA Management Inc 765 Fairfield Ave Bridgeport CT 06604 Management Services 929185 Cooperative Education Services 40 Lindman Drive Trumbull CT 06611 Occupancy Rental 297278 Lina Home Care 119 Sanford Street Hamden CT 06415 Home Health Services 283231 Bridgeport Hospital 267 Grant Street Bridgeport CT 06610 Hospice Related Care and Other services 199753 20 0 0 84558 0 0 158940 0 243498 Fees for Services 621610 30898039 30898039 0 0 Medical Retro Settlements 621610 784 784 0 0 0 0 0 0 30898823 127208 0 0 127208 0 0 0 0 0 0 0 0 0 0 0 0 18055 84558 19015 -960 0 -960 4644 4644 0 0 4644 31273213 30903467 0 126248 0 0 0 0 0 0 0 0 178907 178907 0 0 0 0 0 0 20432605 18654863 1653208 124534 625970 564864 60875 231 2208490 1983087 210605 14798 1549269 1421567 120712 6990 1016086 0 1016086 0 71102 0 71102 0 206511 0 206116 395 0 0 0 0 0 0 114523 0 114523 0 1281552 1194407 87145 0 0 0 0 0 688000 548532 130291 9177 430581 11089 416657 2835 0 0 0 0 819113 788142 30943 28 688933 665431 23202 300 0 0 0 0 98145 73905 22176 2064 107833 50806 57027 0 3677 3272 0 405 371414 280265 90167 982 179791 103383 76408 0 Billable Supplies 186176 186176 0 0 Medical Supplies 108148 108148 0 0 Recruitment 93334 91834 0 1500 Public Asst and Educadtion 49379 45379 4000 0 Other 58615 4193 54422 0 0 0 0 0 31568154 26958250 4445665 164239 332609 31552 1058905 621992 3849413 3978196 411191 592339 6796059 4945245 1929661 1850814 3452077 4142703 24543 242780 11058399 11460376 4058896 4330220 939705 788888 2921681 2525171 0 7920282 7644279 X 1797748 2298994 853168 1027846 487201 489257 3138117 3816097 11058399 11460376 X -294941 972921 X 0 1 1 X 0 X 971996 268622 256205 295664 242539 2035026 30799478 30528833 30725869 31967901 31030674 155052755 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31771474 30797455 30982074 32263565 31273213 157087781 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157087781 161602 271360 151404 83343 127208 794917 0 0 0 0 0 0 161602 271360 151404 83343 127208 794917 0 0 0 0 0 0 0 0 0 0 0 0 31933076 31068815 31133478 32346908 31400421 157882698 0.99497 0.99512 0.00503 0.00488 X General Explanation - Medicare Retro Settlements and gain on disposal of equipment. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 43765 0 0 43765 0 SchC_P2B_S00_L01 Schedule C, Part II-B, Line 1 The Agency has certain senior management staff who as a part of the function works with Federal, State and Local government officials in the area of health care delivery. Specific - lg: Direct contact and associated costs are calculated by using time related efforts (labor) and charges specifically to those activities. 1340148 4684 186382 0 3694 10527 1516993 1186116 6986 162607 0 5542 10018 1340149 1464630 9482 -269844 0 8860 9292 1186116 0.55 0.32 0.13 1 1 1 0 89100 89100 0 2089424 1601119 488305 0 1086002 523456 562546 0 2206026 1507800 698226 0 1325507 1312870 12637 1850814 31273213 31568154 -294941 591392 0 0 0 381529 972921 677980 31679837 0 0 0 0 0 31679837 0 -406624 -406624 31273213 31560121 0 0 0 0 0 31560121 0 8033 8033 31568154 SchD_P05_S00_L04 Schedule D, Part V, Line 4 Income on principal used to provide hospice services for medically underserved patients and their families. SchD_P11_S00_L08 Schedule D, Part XI, Line 8 Tranfer of Funds from Affiliate VNA Corporation. Inc SchD_P12_S00_L04b Schedule D, Part XII, Line 4b The audit report shows the total unrestricted revenues, gains and other support from operations, items from unrestricted other income, Temp Restricted and Perm Restricted are used to arrive at the 990 reported revenues that include ($1,300) unrestricted loss on investments included on line 4 Part XI, ($378,435) of unrestricted change in unrealized gains and losses included on line 4 Part XI, $18,419 of investment fees included in Other Income / Expense, ($1,642) of Gain / Loss on disposal of Property, $131,785 of Temp Restricted Trust and other contributions, $45,155 of Restricted investment income, $2,056 of Perm Restricted contributions, with ($132,961) of Net assets released from restrictions, ($19,015) Fundraising expense net in revenues, and ($70,686) from a re-class change in a Fund Balance from Temp to Unrestricted, Totals the ($406,624) reconciling amount. SchD_P13_S00_L04b Schedule D, Part XIII, Line 4b The audit report shows the total unrestricted expense and losses and shows ($1,642) unrestricted gain / loss on disposal of property, $10,270 of Temp and Permanent Restricted related investments fees, $18,419 of unrestristricted related investment fees,($19,015) Fundraising expense net in revenues and $1 for rounding a total of ($8,033). Clam Bake 43565 25510 18055 0 0 8760 0 0 2136 Tree of Light 44701 44701 0 0 0 0 0 0 6576 1 14347 14347 0 0 0 0 0 0 1543 102613 84558 18055 0 0 8760 0 0 10255 19015 -960 X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 Klubek - Carol J 141225 0 600 0 0 0 7376 0 6649 0 155850 0 0 0 Nicolas F Edward Jr CPA 0 144526 0 15717 0 20527 0 10014 0 26108 0 216892 0 0 Bodyk Jeanne 143643 0 13325 0 19445 0 9992 0 1012 0 187417 0 0 0 Sullivan - William F Jr 0 211340 0 22134 0 87969 0 12977 0 28365 0 362785 0 0 SchJ_P01_S00_L01a Schedule J, Part I, Line 1a Gross up Payments: The President/CEO, Executive Vice President/Administrator and Vice President/CFO receive gross up payments. The individuals, subject to Board of Directors discretion, receive an individual life insurance policy, which is paid for by the Agency. The Agency is not the beneficiary of these policies. The cost of the premium plus the appropriate gross up for taxes is included in the gross wages of each Individual. In addition, the President/CEO receives an agency funded Section 403(b) tax deferred compensation payment on an annual basis for which the gross up taxes related to social security and the appropriate federal and state taxes related to the tax gross up portion are in his gross wages. The Executive Vice President and Vice President receive an Agency funded Section 403(b) tax deferred compensation payment on an annual basis but the Agency does not gross up these payments, the individuals are responsible for all applicable taxes. All of these payments are at the discretion of the Board of Directors and are not guaranteed. SchJ_P01_S00_L03 Schedule J, Part I, Line 3 The Board of Directors of the Agency determine the President/CEO's salary. The Board has a compensation committee that reviews and sets the compensation level. The information utilized by the Committee includes consultation with the Agency's independent auditors - BKD, CPAs and Advisors, LLC, healthcare industry compensation surveys and additional industry/market Information that is available to them. The Chairman of the Board performs a detailed annual review of the President's performance F990_P06_S0A_L03 Form 990, Part VI, Section A, Line 3 VNA Management Inc is an affiliated organization that is used to provide overall general executive managment servcies to the Visiting Nurse Services of Connecticut organization with fees reflected in schedule 990 part IX line 11 a Direct control over management duties Is retained by the organization. F990_P06_S0A_L06 Form 990, Part VI, Section A, Line 6 VNA Corporation is the sole member and has approval over board appointments and decisions. F990_P06_S0A_L07a Form 990, Part VI, Section A, Line 7a VNA Corporation is the sole member and has approval over board appointments and decisions. F990_P06_S0A_L07b Form 990, Part VI, Section A, Line 7b VNA Corporation is the sole member and has approval over board appointments and decisions. F990_P06_S0B_L11a Form 990, Part VI, Section B, Line 11a Form 990 is reviewed by the CFO, President/CEO. Chairman of the board of Directors and all officers of the Board, In addition, the Agency's independent auditors, BKD, CPAs and Advisors. LLC, Review Form 990 F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Annually all Officers, Board Members and Key Employees are required to sign a conflict of interest statement. This is performed as a part of the initial meeting of the board of directors for each fiscal year. All other employees are required to sign the conflict of interest statement upon hire and agree to advise the organization if there are any changes. This is part of the new hire procedure and is a required form prior to start of employment. Referenced to HR Policy 203. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The Board of Directors determines the President/CEO compensation package. The Board delegates the process to the Board Compensation Committee which reviews and establishes the compensation level. The information utilized by the committee includes: (1) consultation, evaluation, and advice from the Agency's independent accountants (BKD CPAs and Advisors). An evaluation report is presented to the committee by the accountants which presents a review of compensation levels compared to other health care executive compensation agreements. (2)Home care specific industry compensation surveys (State and National) (3) review of Form 990 filings of like-kind entities, and (4) other available relevant industry/market data. Additionally, compensation is also determined based on performance / achievements, financial resources, fairness and reasonableness, education and length of service, and position retention and replacement factors. The Chairman of the Board of Directors performs a detailed annual review of the Presidents performance with input from members of the Executive and compensation Committees. The compensation level of other officers and key employees (VP/CFO, VP of Human Resources, Etc,) is also developed based on the above criteria, The President and /or appropriate vice president provides the detailed annual review with the individual. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 All items that are required and subject to disclosure are made available upon request when the request is made. The complete 990 form is displayed on the Guidestar Website for public viewing. F990_P11_S00_L05 Form 990, Part XI, Line 5 Unrealized Gains on Investments 591,392 and Fund Transfers from VNA Corp 381,529 VNA Coporations Inc 765 Fairfield Ave Bridgeport CT 06604 061142892 Activity Supports the advancment of Health care through its affiliates CT 501(c)(3) Line 9 Type 1 N/A Partners in Care 40 Lindeman Road Trumbull CT 06611 061142867 Provide Home Health Aide Services to patients CT 501(c)(3) Line 9 Type 1 VNA Corporations Inc VNA Management Corporations Inc 765 Fairfield Ave Bridgeport CT 06604 061246818 Management Activity supports the advancement of Health Care through its affiliates CT 501(c)(3) Line 9 Type I VNA Corporations Inc 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 1 0 1