2015-11-04T10:37:49-07:00 2015-06-30 990 2014-07-01 060665196 VISITING NURSE SERVICES OF CONNECTICUT INC VISI 2033663821 765 Fairfield Ave Bridgeport CT 06604 William F Sullivan Jr President / CEO 2033663821 2015-11-04 2014 2016-02-25 16:41:14Z William F Sullivan Jr 765 Fairfield Ave Bridgeport CT 06604 35206551 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. 21 20 506 57 0 0 271529 255839 28355590 31028001 438081 569794 -13380 -19847 29051820 31833787 0 0 0 0 25444148 25430123 0 0 202473 6673073 6445320 32117221 31875443 -3065401 -41656 13244577 14028180 13377415 14023271 -132838 4909 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 26045828 0 29078862 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, TeleHealth Services, Medical Social Work and Home Health Aides. During this fiscal year the agency provided 237,473 home visits to 6,742 patients 1456770 0 1942780 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 296 patients this year with 10,734 visits. 0 0 0 27502598 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 1 99 0 1 506 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 21 20 1 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 CT X X X Visiting Nurse Services of Connecticut Inc 2033663821 765 Fairfield Ave Bridgeport CT 06604 Borgan - Janet Scott RN Director 2 0 X 0 0 0 Danowski - Dale Director 2 0 X 0 0 0 Estrada - George Director 2 0 X 0 0 0 Fair - Matthew G Director 2 0 X 0 0 0 Geraghty - M James Treasurer 2 0 X X 0 0 0 Hoffman - Pamela B MD Director 2 0 X 0 0 0 Ivy - Michael MD Director 2 0 X 0 0 0 Jeffers - Karen A Director 2 0 X 0 0 0 Kobsa - Carolyn Salsgiver Director 2 0 X 0 0 0 Liss - Victor Director 2 0 X 0 0 0 Mayer - Paul E Vice Chairman 2 4 X X 0 0 0 Miller - Barbara S Secretary 2 0 X X 0 0 0 Newbauer - William E Jr Director 2 0 X 0 0 0 Porter - Jane Ellen Director 2 0 X 0 0 0 Roach - Daniel S Director 2 0 X 0 0 0 Roach - James P MD Director 2 0 X 0 0 0 Rodia - Robert V Chairman 2 4 X X 0 0 0 Tibbitts - Allan F Director 2 0 X 0 0 0 Varrone - John Director 2 0 X 0 0 0 Woods - James G Director 2 0 X 0 0 0 Sullivan - William F Jr President / Chief Executive Officer 34 6 X X 0 312667 44499 Bodyk Jeanne Executive Vice President and Administrator 40 0 X 175048 0 7897 Nicolas F Edward Jr CPA Vice President / Chief Financial Officer 38 2 X 0 183124 45349 Wright Matgorzata RN 40 0 X 107686 0 3780 Toy - Susan RN 40 0 X 173776 0 6918 Markel - Pleshette M RN 40 0 X 185686 0 7632 Klubek - Carol J LPN 40 0 X 152447 0 13373 Rosario Jessica RN 40 0 X 106890 0 3670 901533 495791 133118 24 0 1 1 VNA Management Inc 765 Fairfield Ave Bridgeport CT 06604 Management Services 1069384 TITAN CAMBRIDGE LLC 19 Ludlow Road Suite 301 Westport CT 06880 Occupancy Services 255750 Southern Home Care Services 834 Tyvola Road Charlotte NC 28217 Home Health Aide Services 227376 AT&T PO Box 5082 Carol Stream IL 60197 Communication / Data Services 206123 HEALTHWYSE LLC DEPT CH 16901 PALATINE IL 60055 Medical Software services 193532 12 0 0 98912 0 42510 114417 0 255839 Fees for Service 621610 31028001 31028001 0 0 0 0 0 0 31028001 361236 0 0 361236 0 0 0 0 0 0 0 0 0 0 3537168 24573 3330161 23022 207007 1551 208558 0 0 208558 6093 98912 19581 -13488 0 -13488 -6359 -6359 0 0 -6359 31833787 31021642 0 556306 0 0 0 0 0 0 0 0 194984 194984 0 0 0 0 0 0 20847049 19359856 1342005 145188 397209 363342 30101 3766 2355110 2082463 244199 28448 1635771 1519175 105614 10982 1027138 0 1027138 0 42824 0 42824 0 208800 0 208800 0 0 0 0 0 0 0 152297 0 152297 0 824191 821091 3100 0 0 0 0 0 589593 482697 105074 1822 360263 24940 331411 3912 0 0 0 0 698682 673184 25498 0 754389 728203 24354 1832 0 0 0 0 73840 52553 18001 3286 214694 52978 161716 0 0 0 0 0 732796 690297 42499 0 180379 75304 105075 0 Billable Supplies 253657 253657 0 0 Medical Supplies 92297 92297 0 0 Recruitment 163821 0 163821 0 Public Assistance 39332 33266 2979 3087 36327 2311 33866 150 31875443 27502598 4170372 202473 94771 1087386 4885205 5585752 428110 461297 7742489 5931506 2476108 1810983 5306769 4970268 53614 112494 13244577 14028180 4744118 4808295 1215011 1558082 7418286 7656894 13377415 14023271 X -2023143 -1969000 1388027 1470631 502278 503278 -132838 4909 13244577 14028180 X -41656 -370597 0 0 0 550000 X 0 1 X 1 0 X 243498 225432 296535 271529 255839 1292833 30903467 29873668 29980120 28355590 31028001 150140846 0 0 0 361236 361236 0 0 0 0 0 0 0 0 31146965 30099100 30276655 28627119 31645076 151794915 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151794915 127208 117251 132850 294102 207007 878418 0 0 127208 117251 132850 294102 207007 878418 0 0 0 0 31274173 30216351 30409505 28921221 31852083 152673333 0.99425 0.99507 0.00575 0.00493 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 40382 0 1 1500 41882 0 Schedule C, Part II-B, Line 1 The Agency has certain senior management staff who as apart of their function works with Federal, State and Local government officials in the area of health care delivery. Specific - 1g Direct contact and associated costs are calculated by time related efforts (labor) and charges specifically to those activities. In addition (1i) the agency pays dues to the National Association for Home Care & Hospice with 15% of those dues identified by HAHC as lobbying activities and 8.43% by National Hospice and Palliative Care 1890305 25425 79646 0 2921 13330 1979125 1740607 13075 325561 0 177638 11300 1890305 1509165 1007 243174 0 973 11766 1740607 1516993 2013 3249 0 2375 10715 1509165 1340148 4684 186382 0 3694 10527 1516993 0.55 0.32 0.13 1 1 1 0 89100 89100 0 2203038 1856626 346412 0 1685708 916692 769016 0 1751731 1290694 461037 0 2012912 1867494 145418 1810983 31366168 0 0 0 0 0 31366168 0 467619 467619 31833787 31862025 0 0 0 0 0 31862025 0 13418 13418 31875443 Schedule D, Part V, Line 4 Income on principal used to provide hospice services for medically under served patients and their families and other agency service items as designated by Board of Directors for funds under Board Designation Schedule D, Part XI, 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 $233,242 of unrestricted change in unrealized gains and losses included on line 4 Part XI and $76,946 of gain / loss on investments considered from Temp Restricted $19,563 of investment fees included in Other Income / Expense, $166,634 of Temp Restricted Trust and other contributions, $138,573 of Restricted investment income, $1,000 of Perm Restricted contributions, with ($150,310) of Net assets released from restrictions, ($19,581) Fundraising expense net in revenues, and the disposal of property and equipment of $1,551 and a rounding of $1 Totals the $($467,619) reconciling_amount. Schedule D, Part XII, Line 4b The audit report shows the total of unrestricted expense and losses and shows $11,882 of Temp and Permanent Restricted related investments fees, $19,563 of unrestricted related investment fees,($19,581) Fundraising expense net in revenues and a gain on disposal of property and equipment of $1,551 with a rounding of $3 for a total of $13,418. Clam Bake 47293 41200 6093 0 0 6093 0 0 3646 Tree of Light 39432 39432 0 0 0 0 0 0 4296 4 18280 18280 0 0 0 0 0 0 5546 105005 98912 6093 0 0 6093 0 0 13488 19581 -13488 X 1 1 0 0 0 0 0 0 0 0 0 Sullivan - William F Jr President / Chief Executive Officer 0 219999 0 1000 0 91668 0 10310 0 34189 0 357166 0 0 Bodyk Jeanne Executive Vice President and Administrator 140164 0 0 0 34885 0 7116 0 781 0 182946 0 0 0 Nicolas F Edward Jr CPA Vice President / Chief Financial Officer 0 148904 0 1000 0 33220 0 6598 0 38751 0 228473 0 0 Schedule J, Part I, Line 1a 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 4039B) 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 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 the payments are at the discretion of the Board of Directors and are not guaranteed. Schedule J, Part I, Line 3 Through the related organization, VNA Management Corporations Inc (06-1246818), 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. Additionally, the President/CEO has an employment contract in place with the related organization. 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. Form 990, Part VI, Section A, Line 2 Yes, a Uncle and Nephew relationship exists between two board members, Roach, James P. MD is the Uncle and Roach, Daniel a business manager is the Nephew. Form 990, Part VI, Section A, Line 3 VNA Management Inc is an affiliated organization that is used to provide over all general executive management servcies to the Visiting Nurse Services of Connecticut organization with fees reflected in schedule 990part IX line lla Direct control over management duties is retained by the organization. Form 990, Part VI, Section A, Line 6 VNA Corporation is the sole member and has approval over board appointments and decisions Form 990, Part VI, Section A, Line 7a VNA Corporation is the sole member and has approval over board appointments and decisions Form 990, Part VI, Section A, Line 7b VNA Corporation is the sole member and has approval over board appointments and decisions Form 990, Part VI, Section B, Line 11b 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 Form 990, Part VI, Section B, Line 12c All Officers, Board Members and Key Employees are required to sign a conflict of interest statement. This is performed annually as apart 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 ispart of the new hire procedure and is a required form prior to start of employment. Referenced to HR Policy 203. 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 Presidentsperformance with input from members of the Executive and compensation Committees. The compensation level of other officers and key employees (VP/CFO, Etc) is also developed based on the above criteria, The President and for appropriate vice president provides the detailed annual review with the individual Form 990, Part VI, Section C, Line 18 All items that are required and sulject to disclosure are made available upon request when the request is made. The complete 990 form is displayed on the Guidestar Website forpublic viewing Form 990, Part VI, Section C, Line 19 All items that are required and sulject to disclosure are made available upon request when the request is made. The complete 990 form is displayed on the Guidestar Website forpublic viewing Form 990, Part XI, Line 9 Transfer of Funds from Affiliate VNA Corporations Inc. VNA Corporations 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 0 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 0 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 0 1 0 0 0 0 0 0 1 1 1 1 0 1 0 1