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WESTERN CONNECTICUT HOME CARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WESTERN CONNECTICUT HOME CARE INC (EIN 06-0655138)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-06-28
IRS object ID
201211809349300221
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-06-28T13:08:29-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SASLOW LUFKIN & BUGGY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TEN TOWER LANEAddressLine1
CityAVONCity
StateCTState
ZIP Code06001ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060655138EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESTERN CONNECTICUT HOME CARE INC FKABusinessNameLine1
Business Name Line2DANBURY VISITING NURSE ASSOCIATION INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone2037305221Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14 LIBERTY STREETAddressLine1
CityDANBURYCity
StateCTState
ZIP Code06810ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARY ANN FARAGUNAName
TitleEXECUTIVE DIRECTORTitle
Phone2037305221Phone
Date Signed2012-06-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8606789200Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARY ANN FARAGUNANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14 LIBERTY STREETAddressLine1
CityDANBURYCity
StateCTState
ZIP Code06810ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5136832GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DANBURYVNA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1940YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTHE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees59TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year277761ContributionsGrantsPriorYear
Contributions Grants Current Year316411ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4760099ProgramServiceRevenuePriorYear
Program Service Revenue CY4096402ProgramServiceRevenueCY
Investment Income Prior Year14187InvestmentIncomePriorYear
Investment Income Current Year16955InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year5052047TotalRevenuePriorYear
Total Revenue Current Year4429768TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3389822SalariesEtcPriorYear
Salaries Etc Current Year3475196SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year20236TotalFundrsngExpCurrentYear
Other Expense Prior Year1339446OtherExpensePriorYear
Other Expenses Current Year1229416OtherExpensesCurrentYear
Total Expenses Prior Year4729268TotalExpensesPriorYear
Total Expenses Current Year4704612TotalExpensesCurrentYear
Revenues Less Expenses Prior Year322779RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-274844RevenuesLessExpensesCY
Total Assets BOY2805884TotalAssetsBOY
Total Assets EOY2556540TotalAssetsEOY
Total Liabilities BOY636638TotalLiabilitiesBOY
Total Liabilities EOY680904TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2169246NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1875636NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense914745Expense
Revenue0Revenue
DescriptionPUBLIC 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2157860Expense
Revenue4096402Revenue
DescriptionHOME 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.Description
FieldValueIRS element (for citing)
Total Program Service Expense3072605TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109659NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees59NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BRIAN CARNEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2037924120TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14 LIBERTY STREETAddressLine1
CityDANBURYCity
StateCTState
ZIP Code06810ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
GLORIA ASSAD
DIRECTOR1.00X000
ERIC BERGSTRAESSER
DIRECTOR1.00X000
MARY-PAT COTTRELL
DIRECTOR1.00X000
ALEXANDER DELUCIA
DIRECTOR1.00X000
MOREEN DONAHUE
DIRECTOR, CHIEF NURSING EX1.00X036125534604X
MARY R GRIFFIN
DIRECTOR1.00X000
DR SANJAY K GUPTA
DIRECTOR1.00X000
MICHAEL R KAUFMAN ESQ
VICE PRESIDENT2.00X000X
TED KINASEWITZ
DIRECTOR1.00X000
SEBASTIAN C LISI
TREASURER2.00X000X
MICHAEL MALONE
DIRECTOR1.00X000
VINCENT MCRUIZ
PRESIDENT2.00X000X
DR JOHN MURPHY
EX-OFFICIO1.00X010286957088X
JAMES M POST
SECRETARY2.00X000X
RICHARD J PROCTOR
DIRECTOR1.00X000
GREGORY WILLIAMS
DIRECTOR1.00X000
MARY ANN C FARAGUNA
EXECUTIVE DIRECTOR37.50202407023738X
BRIAN A CARNEY
DIRECTOR FINANCE37.50129090018914X
LORI SIMMONS
MANAGER OF CLINICAL SERVIC37.509823807881X
BRIAN O'LOUGHLIN
CLINICAL NURSING SUPERVISOR37.5011045003561X
FieldValueIRS element (for citing)
Total Reportable Comp From Org441947TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1389950TotalReportableCompFrmRltdOrgs
Total Other Compensation87905TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns24736FederatedCampaigns
Government Grants131414GovernmentGrants
All Other Contributions160261AllOtherContributions
Total Contributions316411TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYM62161030210323021032
OTHER FEES62161010677181067718
SALE OF SERVICE62161076527652
FieldValueIRS element (for citing)
Total Program Service Revenue4096402TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column24190TotalRevenueColumn
Exclusion$24,190ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities699829Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities707064Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-7235Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-7235TotalRevenueColumn
Exclusion-$7,235ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4429768TotalRevenueColumn
Related Or Exempt Function Income4096402RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$16,955ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total299090Total
Management And General299090ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2290569Total
Program Services1679609ProgramServices
Management And General610960ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total283464Total
Program Services181435ProgramServices
Management And General102029ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total415171Total
Program Services257483ProgramServices
Management And General157688ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total186902Total
Program Services119628ProgramServices
Management And General67274ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1175Total
Management And General1175ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18825Total
Management And General18825ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total7880Total
Management And General7880ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total153321Total
Program Services146638ProgramServices
Management And General6683ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total15247Total
Program Services1298ProgramServices
Management And General13949ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total230453Total
Program Services87057ProgramServices
Management And General123160ManagementAndGeneral
Fundraising20236Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total36917Total
Program Services13844ProgramServices
Management And General23073ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total158463Total
Program Services61537ProgramServices
Management And General96926ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total83794Total
Program Services68558ProgramServices
Management And General15236ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9552Total
Management And General9552ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total22736Total
Management And General22736ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total35535Total
Management And General35535ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
NURSING/FLU CLINIC SUPP406861406861
PROVISION FOR BAD DEBTS4865748657

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4704612Total
Program Services3072605ProgramServices
Management And General1611771ManagementAndGeneral
Fundraising20236Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY610BOY
EOY250EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1393022BOY
EOY1075708EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY20713BOY
EOY20713EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY397034BOY
EOY456930EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY252919BOY
EOY302751EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis723325LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec703994LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY31964BOY
EOY19331EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY709622BOY
EOY680857EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2805884BOY
EOY2556540EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY548497BOY
EOY592611EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY52705BOY
EOY43285EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY35436BOY
EOY45008EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY636638BOY
EOY680904EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2126692BOY
EOY1775627EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY42554BOY
EOY100009EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2169246BOY
EOY1875636EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2805884BOY
EOY2556540EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-274844ReconcilationRevenueExpenses
Reconcilation Other Changes-18766ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years351878CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years312414CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107339CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year277761CurrentTaxYearMinus1Year
Current Tax Year316411CurrentTaxYear
Total1365803Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4420387CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4383955CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4829561CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4760099CurrentTaxYearMinus1Year
Current Tax Year4096402CurrentTaxYear
Total22490404Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4772265CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4696369CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4936900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5037860CurrentTaxYearMinus1Year
Current Tax Year4412813CurrentTaxYear
Total23856207Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50923856207PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57014CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45028CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28828CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25001CurrentTaxYearMinus1Year
Current Tax Year24190CurrentTaxYear
Total180061Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57014CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45028CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28828CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25001CurrentTaxYearMinus1Year
Current Tax Year24190CurrentTaxYear
Total180061Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4829279CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4741397CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4965728CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5062861CurrentTaxYearMinus1Year
Current Tax Year4437003CurrentTaxYear
Total24036268Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99250PublicSupportPercentage509
Prior Year Support Percentage0.99160PriorYearSupportPercentage
Investment Income Percentage0.00750InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00840PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3835OtherCostOrOtherBasis
Depreciation3835Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis719490OtherCostOrOtherBasis
Depreciation700159Depreciation
Book Value19331BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19331TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
FIXED INCOME SECURITIES267500F
EQUITIES & OTHER413357F
FieldValueIRS element (for citing)
Total Of Book Value Securities680857TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED THIRD-PARTY PAYOR RESERVEDescription
Amount$45,008Amount
FieldValueIRS element (for citing)
Total Of Amounts45008TotalOfAmounts
Total Revenue4429768TotalRevenue
Total Expenses4704612TotalExpenses
Excess Or Deficit For Year-274844ExcessOrDeficitForYear
Net Unrealized GL On Investments-18766NetUnrealizedGLOnInvestments
Total Adjustments-18766TotalAdjustments
Excess Or Deficit Per FS-293610ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4411002TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-18766NetUnrealizedGainsInvestments
Revenue Not Rptd F990-18766RevenueNotRptdF990
Revenue Subtotal4429768RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9904429768TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4704612TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal4704612ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904704612TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE COMPANY ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ASC 740 "INCOME TAXES" WHICH PROVIDES A NEW FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. WITH THESE CHANGES, 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, 2011 AND 2010. AS OF SEPTEMBER 30, 2011 AND 2010, 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MOREEN DONAHUE
029085006500005405022000012604039585900
DR JOHN MURPHY
059771604264150456400070880103578300
MARY ANN C FARAGUNA
14526205440002745022000017380226145000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS A MEMBERSHIP ORGANIZATION, WITH ITS SOLE MEMBER BEING WESTERN CONNECTICUT HEALTH NETWORK.
FORM 990, PART VI, SECTION A, LINE 7AWESTERN CONNECTICUT HEALTH NETWORK MUST APPROVE THE ORGANIZATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN DECISIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY WESTERN CONNECTICUT HEALTH NETWORK, THE SOLE MEMBER OF DANBURY VNA, INC. THESE DECISIONS INCLUDE: (1) DANBURY VNA'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 11THE 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.
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 12C
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 2011.FORM 990, PART VI, SECTION B, LINE 15
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.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -18,766.FORM 990, PART XI, LINE 5:
THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATMENTS, AND SELECTION OF AN INDEPENDENT ACCOUNTANT, HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C:
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
WESTERN CONNECTICUT HEALTH NETWORK
95 LOCUST AVENUEDANBURYCT06810222594977HEALTH SYSTEMCT501(C)(3)LINE 11A, IN/A0
DANBURY HOSPITAL
24 HOSPITAL AVENUEDANBURYCT06810060646597HEALTH CARECT501(C)(3)LINE 3N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
DANBURY HOSPITAL
R827256ACTUAL COST
DANBURY HOSPITAL
O967572ACTUAL COST