2011-02-11T08:56:21-07:00 2010-06-30 990 2009-07-01 060665196 VISITING NURSE SERVICES OF CONNECTICUT INC VISI 2033663821 765 Fairfield Ave Bridgeport CT 06604 William F Sullivan Jr 2033663821 2011-02-11 2009 2016-02-24 21:20:13Z Wiliam F Sullivan Jr 765 Fairfield Avenue Bridgeport CT 06604 32367849 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. 19 18 548 96 0 0 244835 295664 30708176 31971292 146338 83343 22589 2559 31121938 32352858 0 0 0 0 24090835 24256327 0 0 150263 7341342 6952328 31432177 31208655 -310239 1144203 10407136 11058399 9514918 7920282 892218 3138117 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 24442131 29544515 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 258,173 home visits to 7,547 patients. 2227727 2429336 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 Aid, and Medical Social Worker, pastoral CarojIspiritual counseling and bereavement counseling.The program serviced 426 patients this year with 13,610 visits. 0 0 0 26669858 1 1 0 1 0 0 0 0 1 1 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 1 88 0 1 548 1 0 0 0 0 0 1 1 0 0 0 19 18 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 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 277119 34189 Bodyk Jeanne 40 X 161975 0 8179 Nicolas F Edward Jr CPA 40 X 0 163694 26843 Klubek - Carol J 40 X 134187 0 12260 Markel - Pleshette M 40 X 106590 0 4485 Burrows Scott 40 X 0 111559 5352 402752 552372 91308 3 0 1 0 Anthem Blue Cross Blue Shield PO BOX 31703 Hartford CT 061501703 Health Insurance for Employees of organization 2101343 VNA Management Inc 765 Fairfield Ave Bridgeport CT 06604 Management Services 1068942 Cooperative Education Services 40 Lindman Drive Trumbull CT 06611 Occupancy Rental 297278 Lina Home Care 119 Sanford Street Hamden CT 06415 Home Health Services 265964 Partners In Care Inc 40 Lindman Drive Trumbull CT 06611 Home Health Aid Services 233452 18 0 0 74022 0 0 221642 0 295664 Fees for Services 621610 31867246 31867246 0 0 Medicare Performance 621610 105714 105714 0 0 Medical Retro Settlements 621610 -1668 -1668 0 0 0 0 0 0 31971292 83343 0 0 83343 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11600 74022 14991 -3391 -3391 0 0 5950 5950 0 0 5950 32352858 31973851 0 83343 198803 198803 20044173 18376258 1558916 108999 586324 532961 49312 4051 1955511 1767701 186793 1017 1471516 1353504 109486 8526 1055119 1055119 25630 25630 136451 136158 293 96975 96975 1464997 1304923 160074 702271 565224 123134 13913 446187 11272 431917 2998 928295 881166 47129 725905 701354 24275 276 129003 93471 28919 6613 119120 21774 97346 33391 4976 28135 280 385818 286907 96947 1964 191212 113406 77806 Billable Supplies 163312 163312 0 0 Medical Supplies 117324 117324 0 0 Recruitment Exp 140678 140678 0 0 Public Assitance and Education 40288 31701 7289 1298 50352 3143 47174 35 31208655 26669858 4388534 150263 235741 332609 925000 1058905 4131147 3849413 0 0 403420 411191 6969198 5039537 1582259 1929661 3054367 3452077 75202 24543 10407136 11058399 3974856 4058896 912531 939705 4627531 2921681 9514918 7920282 X -293974 1797748 699541 853168 486651 487201 892218 3138117 10407136 11058399 X 0 1 1 X 0 X 303909 971996 268622 256205 295664 2096396 32052203 30799478 30528833 30725869 31967901 156074284 32356112 31771474 30797455 30982074 32263565 158170680 158170680 107592 161602 271360 151404 83343 775301 107592 161602 271360 151404 83343 775301 32463704 31933076 31068815 31133478 32346908 158945981 0.99512 0.99503 0.00488 0.00497 X Medicare Retro Settlements and gain on disposal of equipment. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 2500 0 0 1 41845 0 1 431 44776 0 SchC_P2B_S00_L01 Schedule C, Part II-B, Line 1 General - 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 - 1d: Used to support "Friends of VNS" via online email, through legislative constituents tracking via zip codes and creating e-mail data for lobbying efforts on specific legislative health care issues. Specific - lg: Direct contact and associated costs are calculated by using time related efforts (labor) and charges specifically to those activities. The other expense represent, the portion of association dues that is considered lobbying cost paid by members. 1186116 6986 162607 0 5542 10018 1340149 1464630 9482 -269844 0 8860 9292 1186116 0.52 0.36 0.12 1 1 1 0 89100 89100 0 2089424 1538825 550599 0 1120953 480857 640096 0 2301438 1676352 625086 0 1368283 1343503 24780 1929661 Due from Partners in Care Inc 15609 Due from VNA Management Inc 8604 Due from VNACorporations Inc 110 Other Misc Receivable 220 24543 32352858 31208655 1144203 336862 0 0 0 764835 1101697 2245900 32926867 0 0 0 0 0 32926867 0 -574009 -574009 32352858 31213474 0 0 0 0 0 31213474 0 -4819 -4819 31208655 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_P10_S00_L00 Schedule D, Part X The Agency has been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. However, the Agency is subject to federal income tax on any unrelated business taxable income. The Agency files tax returns in the U.S. federal jurisdiction. With few exceptions, the Agency is no longer subject to U.S. federal examinations by tax authorities for years before 2006. SchD_P11_S00_L08 Schedule D, Part XI, Line 8 Tranfer of Funds from Affiliate VNA Corporation. Inc $378,331 plus Adjustment of reserves for acqusition of United Visiting Nurse Association in July of 2005, $331,736 plus forgiveness a note payable by the Town of Torrington $125,000 less a write off of deposits for new phone system and maintenance due to vendor filing bankruptcy ($70,232). 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 include 59,688 Unrestricted loss on investments included on line 4 Part XI, (265,722) of unrestricted change in unrealized gains and losses included on line 4 Part XI, (386,501) of other income included on line 8 Part XI, 150 Unrestricted Gain on Disposal of Property and Equipment, 182,398 Temp Restricted Trust and Other contributions, 31,779 Temp Restricted Investment Income, 550 Perm Restricted Trust Contributions, (181,360)Net Assets Released from Restrictions used for Operations (14,991) Fundraising expense net in revenues Totals the (579,009) change SchD_P13_S00_L04b Schedule D, Part XIII, Line 4b The audit report shows the total unrestricted expense and losses and shows 150 unrestricted gain on disposal of property and does not include 10,019 of Temp and Permanent Restricted investments fees less (14,991) Fundraising expense net in revenues plus 3 for round a total of (4,819). Clam Bake 34157 22557 11600 0 0 0 0 0 7881 Tree of Light 35985 35985 0 0 0 0 0 0 4795 1 15480 15480 0 0 0 0 0 0 2314 85622 74022 11600 0 0 0 0 0 14990 14990 -3390 X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 Klubek - Carol J 133587 0 0 0 600 0 5817 0 6443 0 146447 0 0 0 Sullivan - William F Jr 0 190128 0 0 0 67991 0 33899 0 19290 0 311308 0 Bodyk Jeanne 148650 0 0 0 13325 0 7116 0 1063 0 170154 0 0 0 Nicolas F Edward Jr CPA 0 139315 0 0 0 16379 0 17733 0 17110 0 190537 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 Inc is the sole member and an affiliate organization as designated in Schdule R line part II 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_L11 Form 990, Part VI, Section B, Line 11 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. SchR_P05_S00_L02 Schedule R, Part V, Line 2 There are no Reportable Transactions 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 Form 8868 Application for Extension of Time to File, completed and submitted 10/28/10, to allow full and complete review of form 990 before filing.