2013-08-06T09:01:26-05:00 2012-09-30 061533253 SASLOW LUFKIN & BUGGY LLP TEN TOWER LANE AVON CT 06001 990 2011-10-01 060655138 WESTERN CONNECTICUT HOME CARE INC FKA DANBURY VISITING NURSE ASSOCIATION INC WEST 2037305221 4 LIBERTY STREET DANBURY CT 06810 MOREEN DONAHUE 2037305221 2013-07-24 1 RICHARD BUGGY P00512316 8606789200 2011 2016-02-24 21:20:13Z MOREEN DONAHUE 4 LIBERTY STREET DANBURY CT 06810 5692158 0 X WWW.DANBURYVNA.ORG X 1940 CT THE ORGANIZATION EXISTS TO ENHANCE THE HEALTH AND WELL BEING OF THE COMMUNITIES IT SERVES BY EMPLOYING THE MOST ADVANCED KNOWLEDGE ABOUT CAUSES AND PREVENTION OF DISEASE, ILLNESS MANAGEMENT AND HEALTH MAXIMIZATION. THE ORGANIZATION'S MISSION IS ACHIEVED THROUGH THE PROVISION OF HOME, COMMUNITY AND PUBLIC HEALTH BASED CARE, EDUCATION AND RESEARCH. 11 9 57 0 0 0 316411 242522 4096402 4443205 16955 49859 0 -19739 4429768 4715847 0 0 0 0 3475196 3351503 0 0 0 1229416 1567704 4704612 4919207 -274844 -203360 2556540 2457182 680904 712871 1875636 1744311 X THE ORGANIZATION EXISTS TO ENHANCE THE HEALTH AND WELL BEING OF THE COMMUNITIES IT SERVES BY EMPLOYING THE MOST ADVANCED KNOWLEDGE ABOUT CAUSES AND PREVENTION OF DISEASE, ILLNESS MANAGEMENT AND HEALTH MAXIMIZATION. THE MISSION IS ACHIEVED THROUGH THE PROVISION OF HOME, COMMUNITY AND PUBLIC HEALTH BASED CARE, EDUCATION AND RESEARCH. 0 0 748302 650890 PUBLIC HEALTH NURSING IS A PROGRAM DESIGNED TO PROMOTE AND MAINTAIN COMMUNITY HEALTH THROUGH THE USE OF PUBLIC HEALTH NURSES. IMMUNIZATIONS, CLINICS AND OUTREACH PROGRAMS ARE PROVIDED TO THE COMMUNITY. 2511875 3772576 HOME HEALTH CARE IS A PROGRAM DESIGNED TO PROVIDE BASIC HEALTH SERVICE TO SELECTED PATIENTS WHO CAN BE CARED FOR AT HOME, THUS REDUCING THE EXPENSE ASSOCIATED WITH HOSPITALIZATION, AND ALLOWING PATIENTS TO BE TREATED IN THE COMFORT AND FAMILIARITY OF THEIR OWN HOMES. SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. 3260177 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 59 0 1 57 1 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X BRIAN CARNEY 2037924120 4 LIBERTY STREET DANBURY CT 06810 ERIC BERGSTRAESSER 1.00 X 0 0 0 MARY-PAT COTTRELL 1.00 X 0 0 0 ALEXANDER DELUCIA 1.00 X 0 0 0 MARY R GRIFFIN 1.00 X 0 0 0 SEBASTIAN C LISI 2.00 X X 0 0 0 MICHAEL MALONE 1.00 X 0 0 0 VINCENT MCRUIZ 2.00 X X 0 0 0 DR JOHN MURPHY 1.00 X X 0 1039775 7603 JAMES M POST 2.00 X X 0 0 0 RICHARD J PROCTOR 1.00 X 0 0 0 JOHN LISI 1.00 X X 0 0 0 MOREEN DONAHUE 1.00 X 0 363329 14440 MARY ANN C FARAGUNA 37.50 X 171824 0 41067 BRIAN A CARNEY 37.50 X 128517 0 35211 BRIAN O'LOUGHLIN 37.50 X 120890 0 37826 LORI SIMMONS 37.50 X 77393 0 35476 498624 1403104 171623 3 1 1 0 0 22322 108707 111493 242522 MEDICARE/MEDICAID PAYM 621610 3359055 3359055 OTHER FEES 621610 1063665 1063665 SALE OF SERVICE 621610 20485 20485 4443205 17458 17458 1008712 976311 32401 32401 32401 BAD DEBT 621610 -19739 -19739 -19739 4715847 4423466 0 49859 257961 257961 2218392 1715899 502493 235855 161446 74409 462819 310997 151822 176476 120801 55675 1567 1567 20000 20000 9699 9699 436703 284162 152541 14218 1184 13034 326807 88913 237894 15835 5939 9896 156783 61900 94883 99591 84461 15130 5283 5283 10884 10884 45859 45859 NURSING/FLU CLINIC SUPP 424475 424475 4919207 3260177 1659030 0 250 250 1075708 932485 20713 20712 456930 468617 302751 203485 705834 697387 19331 8447 680857 823186 2556540 2457182 592611 637565 43285 30298 45008 45008 680904 712871 X 1775627 1636279 100009 108032 1875636 1744311 2556540 2457182 X -203360 72035 X X 0 1 1 X 0 X 312414 107339 277761 316411 242522 1256447 4383955 4829561 4760099 4096402 4443205 22513222 4696369 4936900 5037860 4412813 4685727 23769669 0 0 0 23769669 45028 28828 25001 24190 17458 140505 45028 28828 25001 24190 17458 140505 4741397 4965728 5062861 4437003 4703185 23910174 0.99410 0.99250 0.00590 0.00750 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3835 3835 0 701999 693552 8447 8447 FIXED INCOME SECURITIES 316850 F EQUITIES & OTHER 506336 F 823186 ESTIMATED THIRD-PARTY PAYOR RESERVE 45008 45008 4715847 4919207 -203360 72035 72035 -131325 4787882 72035 72035 4715847 0 4715847 4919207 0 4919207 0 4919207 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE COMPANY ACCCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ASC 740, "INCOME TAXES" WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. UNDER FASB ASC 740, THE COMPANY 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 TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE COMPANY DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2012 AND 2011. AS OF SEPTEMBER 30, 2012 AND 2011, THE COMPANY DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE COMPANY'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. X X 0 0 0 0 0 0 0 0 0 DR JOHN MURPHY 0 753982 0 280000 0 5793 0 0 0 7603 0 1047378 0 0 MOREEN DONAHUE 0 278886 0 75000 0 9443 0 0 0 14440 0 377769 0 0 MARY ANN C FARAGUNA 142818 0 25000 0 4006 0 19932 0 21135 0 212891 0 0 0 BRIAN A CARNEY 126897 0 79 0 1541 0 14908 0 20303 0 163728 0 0 0 BRIAN O'LOUGHLIN 120271 0 36 0 583 0 14023 0 23803 0 158716 0 0 0 LORI SIMMONS 76783 0 43 0 567 0 8978 0 26498 0 112869 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBERSHIP ORGANIZATION, WITH ITS SOLE MEMBER BEING WESTERN CONNECTICUT HEALTH NETWORK. FORM 990, PART VI, SECTION A, LINE 7A WESTERN CONNECTICUT HEALTH NETWORK MUST APPROVE THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY WESTERN CONNECTICUT HEALTH NETWORK, THE SOLE MEMBER OF WESTERN CONNECTICUT HOME CARE, INC. THESE DECISIONS INCLUDE: (1) WESTERN CONNECTICUT HOME CARE'S ANNUAL OPERATING AND CAPITAL BUDGET, (2) PROPOSED ANNUAL FUNDRAISING PROGRAMS, (3) PROPOSED SIGNIFICANT PROGRAMS AND EXPENDITURES, (4) PURCHASE OR SALE OF SIGNIFICANT CAPITAL OR OPERATING ASSETS, (5) ACQUISITION OF INDEBTEDNESS FOR BORROWED MONEY, (6) ELECTION OR REMOVAL OF A MEMBER OF THE BOARD OF DIRECTORS, (7) DEVELOPMENT, IMPLEMENTATION, REVIEW, AND MONITORING OF INVESTMENT POLICY, (8) SETTING THE MAXIMUM AND MINIMUM NUMBER OF THE BOARD OF DIRECTORS, (9) REPLACEMENT OF A DIRECTOR DUE TO DEATH, RESIGNATION, OR OTHERWISE, AND (10) ANY OTHER MATTERS ON WHICH MEMBERS ARE ENTITLED TO VOTE UNDER THE NONSTOCK CORPORATION ACT OF THE STATE OF CONNECTICUT. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S AUDIT FIRM PREPARES THE IRS FORM 990 FROM INFORMATION PROVIDED BY THE ORGANIZATION. A DRAFT COPY IS REVIEWED AND APPROVED BY MANAGEMENT. THE DRAFT IS THEN FORWARDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW AND INPUT, IF ANY. THE DRAFT IS THEN PRESENTED TO THE COMPLETE BOARD OF DIRECTORS FOR THEIR REVIEW AND INPUT, IF ANY. THE FINAL COPY IS THEN FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO READ THE CONFLICT OF INTEREST POLICY STATEMENT, DISCLOSE ANY CONFLICTS OF INTEREST, AND SIGN. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE EXECUTIVE DIRECTOR'S PERFORMANCE AND APPROVES ANY COMPENSATION CHANGES. OTHER TOP MANAGEMENT'S PERFORMANCE IS REVIEWED BY THE EXECUTIVE DIRECTOR, WHO ALSO APPROVES ANY COMPENSATION CHANGES FOR OTHER TOP MANAGEMENT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. THE LAST COMPENSATION REVIEW OCCURRED DURING THE FALL OF 2011. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. INFORMATION IS MAINTAINED BY THE MANAGEMENT OF THE ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 72,035. FORM 990, PART XI, LINE 2C: THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS, AND SELECTION OF AN INDEPENDENT ACCOUNTANT, HAS NOT CHANGED FROM THE PRIOR YEAR. THE TAXPAYER'S FORM 5471 FILING REQUIREMENTS HAVE BEEN OR WILL BE SATISFIED BY DANBURY HOSPITAL, 24 HOSPITAL AVENUE, DANBURY, CONNECTICUT, 06810, EIN: 06-0646597, THE MAJORITY SHAREHOLDER OF WESTERN CONNECTICUT HEALTHCARE INSURANCE CO., LTD. DANBURY HOSPITAL HAS FILED OR WILL FILE THE FORM 5471 AND THE APPLICABLE SCHEDULES WITH THE IRS SERVICE CENTER, PHILADELPHIA, PA. WESTERN CONNECTICUT HEALTH NETWORK 95 LOCUST AVENUE DANBURY CT 06810 222594977 HEALTH SYSTEM CT 501(C)(3) LINE 11A, I N/A 0 DANBURY HOSPITAL 24 HOSPITAL AVENUE DANBURY CT 06810 060646597 HEALTH CARE CT 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 DANBURY HOSPITAL R 964685 ACTUAL COST DANBURY HOSPITAL O 751908 ACTUAL COST