2011-09-08T09:07:40-05:00 2010-06-30 Ernst & Young US LLP 55 Ivan Allen Jr Blvd Suite 1000 Atlanta GA 30308 990 2009-07-01 060646938 VNA HEALTH CARE INC VNAH 8604937149 103 WOODLAND STREET HARTFORD CT 06105 Thomas Marchozzi 8604937179 2011-09-08 0 4048748300 2009 2016-02-24 21:20:13Z Ellen D Rothberg 103 Woodland Street Hartford CT 06105 41425158 0 X WWW.VNAHEALTHCARE.ORG X 1901 CT VNA Health Care, Inc. is dedicated to improving the health and well being of individuals by providing a full range of home care, hospice and community-based health and wellness services. 22 19 584 109 0 0 820055 2174126 36894447 38645115 -491706 344954 178568 53927 37401364 41218122 0 0 0 0 21048559 28070555 0 0 313913 16223923 13584924 37272482 41655479 128882 -437357 25407629 27055363 12393760 12910929 13013869 14144434 The mission of the Agency is to provide and safeguard quality home health care to all persons in need, especially the indigent and medically underserved population. The Agency Strongly believes that appropriate health care is a fundamental right and not a privilege. 0 0 31306058 33642452 VNA Health Care Inc. is Connecticut's largest not for profit provider of comprehensive home health care, hospice and private duty services. Founded in 1901 in Hartford and 1903 in Waterbury, the agency has a history of community involvement for over 100+ years. Today the agency serves more than 60 communities in the greater Hartford, greater Waterbury and greater Meriden areas from its six office locations: Hartford, Waterbury, Windsor Locks, Glastonbury, Cheshire, and Southbury. VNA Health Care Inc. is committed to its founding mission of providing quality home care to all persons in need, especially the indigent and medically underserved population. The agency strongly believes that appropriate health care is a fundamental right and not a privilege. No one is turned away and the agency uses contributions, grants and other means to fill the gap when a client can not pay. Agency staff visits clients in their own environments from the inner city to the suburbs. In fulfillment of its mission, VNA Healthcare staff often go into areas others would not serve. This often requires special staff to translate, as well as, additional time and resources to ensure patients can adequately access the care they need. The agency also uses charitable funds to offset the difference between the cost of providing care to the indigent and the funds received from the State of Connecticut medicaid program. On an annual basis, the difference is in excess of $1 million dollars. VNA Health Care boasts an unparalleled loyalty to its clients and is strongly committed to helping those most in need to continue receiving care. Charitable gifts are seminal to sustaining this mission. VNA Health Care services include skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work and home health aide. The specialty nursing staff with expertise in wounds, diabetes, cardiac and respiratory issues provides strategies to enable clients to remain at home and achieve good outcomes. The agency is well known for its home telemonitoring programs aimed at reducing patient readmission to hospitals. Charitable funding has supported the development and ongoing financial needs of this innovative but non-reimbursable service. VNAHC is proud of the fact that it continues to achieve very high quality outcomes at or above national and state levels despite serving a large population which lacks the means to fully participate in their care. VNA's independent living services, provides services that allow clients to continue to live safely and independently. These include meals on wheels, assistance with daily personal care such as bathing, dressing, grocery shopping and meal preparation, a 24-hour emergency response system, as well as volunteer support. The agency also provides live-in care for those clients who need round the clock service to remain at home. 3796534 5096476 VNA Hospice and palliative care programs (H.O.P.E.) works with patients and families in this most difficult of times offering a holistic approach to care of the entire family unit. Nurses, counseling team social workers, physicians, pastoral care and bereavement workers and volunteers devise an integrated approach toward providing basic care to those without insurance to supplementing services with patients comfort items not often covered by insurance. There are many more ways that VNA Health Care services benefit our community. Health education presentations at community sites, regular health screenings at senior centers, free flu shot clinics to the homeless and those lacking insurance and fall risk prevention programs are a few of the ways the agency provides assistance. Through the use of charitable funds, the needs of patients and their caregivers are being met. They receive medical care that they might not otherwise seek, for fear of not being able to pay. The care they receive improves or stabilizes their health, allowing them to remain independent and return to normal activities as soon as possible. Patients are able to retain their independence and often family members are able to continue working with the peace of mind that their loved one's needs are being met. 35102592 1 1 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 1 85 0 584 1 0 0 0 0 0 0 0 0 0 22 19 1 1 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X Ellen D Rothberg President 8604937179 103 Woodland Street Hartford CT 06105 Nancy G Dean 1.00 X 0 0 0 Jason Benedict 1.00 X 0 0 0 Chakrapani Vallurupalli 1.00 X 0 0 0 Thomas Aitken 1.00 X 0 0 0 Laura Bellotti 1.00 X 0 0 0 Christine Blethen 1.00 X 0 0 0 Ingrid Collins 1.00 X 0 0 0 Vicotr Diaz 1.00 X 0 0 0 Michael Fresher 1.00 X 0 0 0 Avery Gaddis 1.00 X 0 0 0 Marguerite Gildea 1.00 X 0 0 0 John Giliberto 1.00 X 0 0 0 David Gollob 1.00 X 0 0 0 John Hussey 1.00 X 0 0 0 Angeline Iannou 1.00 X 0 0 0 Robert Nastri Jr 1.00 X 0 0 0 Carolyn Orrell 1.00 X 0 0 0 Dina Plapler 1.00 X 0 0 0 Joyce Walter 1.00 X 0 0 0 Wendy Elberth 1.00 X 0 272634 46841 Jeffrey Stein 1.00 X 0 177496 22368 James M Blazar 1.00 X 0 508593 15017 Ellen D Rothberg 40.00 X 251325 0 52824 Andrew Eaves 40.00 X 0 0 0 Kathleen Peirce 40.00 X 125339 0 24853 Frederick P Lauria 32.00 X 160223 0 48983 Pilar Schmidt 40.00 X 0 0 0 Larry Baker 40.00 X 0 0 0 Janet Gallugi 40.00 X 130311 0 30410 Scott Masse 40.00 X 129063 0 9854 Sheryl Weber 40.00 X 122303 0 14434 Margaret Tentoni 40.00 X 111445 0 16695 Petty Miano 40.00 X 104042 0 300 1134051 958723 282579 13 0 1 0 Baker Home Care Fin Cons LLC 53 Prince Street Brookline MA 02445 Consulting Services 180688 C Nancy Culos 1124 Farmington Ave West Hartford CT 06107 Consulting Services 163190 Ernst & Young PO Box 827006 Philadelphia PA 19182 Audit Services 111216 3 301948 79719 295061 1497398 2174126 Medicare/Medicaid 621610 29243296 29243296 Health Care 621610 9401819 9401819 38645115 317744 317744 136150 126951 9199 9199 9199 76807 112 49709 27098 112 27210 27210 17700 79719 30376 -12676 -12676 Other Operating Income 999999 57404 57404 57404 41218122 38738928 0 305068 1360248 1360248 18205996 16589054 1427126 189816 454917 111189 340005 3723 6513061 5995131 485504 32426 1536333 1310536 211928 13869 6481063 6481063 45552 45552 116291 116291 1531 1531 2635216 1635618 983377 16221 295312 88968 200120 6224 1461661 1179477 235229 46955 650713 645009 5704 689727 643657 45691 379 69636 31838 36380 1418 73837 73837 614546 219588 394041 917 117497 117497 MISCELLANEOUS 141597 22032 118199 1366 BAD DEBT 132114 132114 DUES 58631 17318 40714 599 41655479 35102592 6238974 313913 2427526 2302373 3437988 4153705 460960 365843 12040009 8369097 3130371 3670912 10679080 11382619 5271704 5179911 25407629 27055363 3287767 4109630 1411935 1539869 3500000 2800000 4194058 4461430 12393760 12910929 X 6436595 7181244 217940 224550 6359334 6738640 13013869 14144434 25407629 27055363 X 0 1 1 X 0 X 723583 802088 782133 820055 1843192 4971051 723583 802088 782133 820055 1843192 4971051 4971051 618009 658857 405568 506590 453894 2642918 7613969 0.65290 0.57180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 1531 0 0 1531 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: VNA Health Care Inc. pays annual dues to Connecticut Association for Home Care (CAHC)and Visiting Nurse Associations of America (VNAA). Both CAHC and VNAA allocate portion of their dues as lobbying expenses. 5% of dues paid is allocated as lobbying expenses. CAHC and VNAA conducts lobbying activities on behalf of their members. The total amount of dues allocated for lobbying expenses for FY10 was $1,531. 4580791 0 719644 0 34722 0 5265713 6032679 0 -1607261 0 -155373 0 4580791 0.58440 0.41560 0 0 100000 100000 3750543 1922601 1827942 8189466 6446496 1742970 3670912 DUE FROM AFFILIATES 598485 FUNDS HELD IN TRUST BY OTHERS 4550358 OTHER RECEIVABLE 31068 5179911 DUE TO RELATED PARTIES 950198 DUE TO THIRD PARTY AGENCIES 1082092 PENSION LIABILITY 2429140 4461430 Part V, Line 4: Description of Intended Use of Endowment Funds: Intended uses of endowment fund. Used in accordance with donor's wishes primarily for health care services and equipment purchases. Golf Tournament 32952 24702 8250 940 21135 520 H.O.P.E Fundraising 64467 55017 9450 7623 158 97419 79719 17700 940 21135 7623 678 30376 -12676 X X X 0 1 0 0 0 1 0 0 0 Wendy Elberth 0 208343 0 62400 0 1891 0 31003 0 15838 0 319475 0 0 Jeffrey Stein 0 176008 0 696 0 792 0 0 0 22368 0 199864 0 0 James M Blazar 0 349245 0 146000 0 13348 0 0 0 15017 0 523610 0 0 Ellen D Rothberg 235425 0 15900 0 0 0 33000 0 19824 0 304149 0 0 0 Kathleen Peirce 125339 0 0 0 0 0 11500 0 13353 0 150192 0 0 0 Frederick P Lauria 160223 0 0 0 0 0 33862 0 15121 0 209206 0 0 0 Janet Gallugi 130311 0 0 0 0 0 9487 0 20923 0 160721 0 0 0 Supplemental Information Part III Supplemental Information Schedule J Part I, Line 4 Received severance, supplemental nonqualified retirement, equity-based compensation. E. Rothberg (employee $11,000, employer $5,500) total $16,500 F. Lauria (employee $11,862, employer $4,638) total $16,500 The top hat (457) plan is a tax deferred retirement plan only available to the executive level to include the chief executive officer and his/her direct reports. Limit on total aggregate employee and employer contributions is $16,500 annually. VNA Health Care Inc's plan provides an employer match of $.50 to the $1.00 up to 6% of salary. Schedule J, Part I, Line 6 Compensation contingent on net earnings of related organization. Incentive compensation is based on a formula related to achievement of net earnings goals. Compensation is only one factor. Achieving exceptional quality and patient satisfaction scores, exceeding state rate for re-hospitalization and emergency care are examples of the additional factors. Baker Home Care Financial Consulting See Schedule O 180688 See Sch. O 0 Form 990, Part VI, Section A, line 2 Dr. Jeffrey Stein and Wendy Elberth, board members of VNA Health Care Inc., are employed by Hartford Hospital and Hartford Physician Services, PC respectively. Both Hartford Hospital and Hartford Physician Services are related organizations. Ellen Rothburg, president, also serves as president of VNA Health Resources. Form 990, Part VI, Section A, line 3 The CFO position was delegated to an outside consultant. Form 990, Part VI, Section A, line 6 VNA Health Care Inc. is organized as a non-stock not for profit entity. Hartford Health Care Corporation is the sole member. Form 990, Part VI, Section A, line 7a How Members or Shareholders Elect Governing Body The sole member of the organization has the authority to approve/remove members of the governing board. Form 990, Part VI, Section A, line 7b The sole member of the organization has the right to review, approve, disapprove or deny fundamental transactions such as mergers, aquisitions, dissolutions, etc. Form 990, Part VI, Section B, line 11 Form 990 Review Process The form 990 was prepared by Hartford Hospital Tax Department Staff. It was then reviewed by an independent accounting firm. It was then forwarded to the agency's CFO and other top management for review. The final copy was signed by the CFO. A complete copy of the return as ultimately filed,was provided to the board of directors before it was filed with the Internal Revenue Service. Form 990, Part VI, Section B, line 12c The Agency's board has adopted the policy of the member organization, Hartford Healthcare Corporation. The policy states that all directors and officers of the organization shall complete and sign a Conflict of Interest statement. The statement will include an itemization and description of any actual or potential conflict of interest and all material facts related thereto for such director or officer by virtue of his or her activities or the activities of related persons. Directors and officers are urged to be inclusive in this disclosure since the disclosure of potential and actual conflicts of interest is essential to ensuring discussion of the conflict. Disclosure statements shall be returned to the Compliance Officer. All disclosures made will be reviewed by the Compliance Officer and the Director of Internal Audit, under the direction of the Chairman and the President, who shall exercise good faith judgment as to whether a conflict exists. The Chairman and President shall be responsible for monitoring transactions or arrangements in which a director or officer may have a conflict of interest and for assuring that the director or officer serves the organization's best interests. The Compliance Officer, Director of Internal Audit, Chairman and/or President may consult with any director or officer and obtain information necessary for an ordinarily prudent person to make a judgment as to whether a conflict exists and each director and officer shall cooperate with such requests. The Compliance Officer, Director of Internal Audit, Chairman and/or the President shall provide guidance to the director or officer and to the board of directors as to the appropriate course of action. The Chairman and the President shall seek the advice and approval of the full Board of Directors in determining whether a conflict of interest exists and that the director or officer serves the orgainzation's best interests. When a conflict of interest is discovered, such director and/or officer with the conflict will be required to refrain from participating in any discussion or action concerning such conflicted situation in accordance with the section entitled "Restraint on Participation" set forth in the Conflict of Interest policy. If, after completing and signing the annual disclosure statement, an actual or potential conflict arises, the director or officer with the conflict shall promptly notify the Compliance Officer and Director of Internal Audit in writing. Form 990, Part VI, Section B, line 15 The executive director's compensation is reviewed annually by the board of directors. Such comparable data as compensation studies from the state home care association and industry surveys are used. Form 990, Part VI, Section B, Line 15B Compensation of other officers and key employees is reviewed annually by the board of directors. Such comparable data as compensation studies from the state home care association and industry surveys are used. Form 990, Part VI, Section C, line 18 The Form 990 and 1023 and its attachments are available for public inspection at the organization's address upon request. Form 990, Part VI, Section C, line 19 Form 990, Part VI, Section C, Line 19: Governing documents, policies and financial statements are available upon request. Form 990, Part XI, Line 2 The organization's financial statements were audited by an independent accountant as part of a consolidated financial statement. In addition, the organization has a committee that assumes responsibility for oversight of the audit of its financial statements and selection of an independent accountant. Form 990, Part XI, Line 2c VNA Health Care Inc. did not receive a separate audited financial statement, it is included in a consolidated audited financial statement. The process has not changed from prior years. Form 990, Part VII, Section A Time Devoted to Related Organization Wendy Elberth (40 hours per week, Hartford Hospital) Jeffrey Stein (40 hours per week, Hartford Physician Services PC) James M. Blazar (40 hours per week, Hartford Hospital) Schedule L, Part IV, Line b Business Transactions Involving Interested Persons Mr Larry Baker is the interim CFO of VNA Health Care. Mr Baker has a greater than 5% ownership interest in Baker Baker Home Care Financial Consulting which provides management services to VNA Health Care. Schedule L, Part IV, Line d Business Transactions Involving Interested Persons Baker Home Care Financial Consulting provides VNA Health Care with management services. Eastern Rehabiliation Network 181 Patricia M Genova Drive Newington CT 06111 043276256 Rehabilitation Services CT 18250 6864951 HHMOB Corporation Midstate MSO LLC 435 Lewis Avenue Meriden CT 06451 204312072 Management Services CT -230464 4135685 Midstate Medical Center Clinical Laboratory Partners LLC 129 Patricia M Genova Drive Newington CT 06111 061525596 Laboratory Services CT 3198000 15382000 Hartford Health Care Corporation Hartford Hospital 80 Seymour Street Hartford CT 06102 060646668 Healthcare Services CT 501(c)(3) 3 N/A Windham Community Memorial Hospital Inc 112 Mansfield Ave Willimantic CT 06226 060646966 Healthcare Services CT 501(c)(3) 3 N/A Windham Hospital Foundation Inc 112 Mansfield Ave Willimantic CT 06226 562546632 Supporting Organization CT 501(c)(3) 11(a) N/A Midstate Medical Center 435 Lewis Ave Meriden CT 06451 060646715 Healthcare Services CT 501(c)(3) 3 N/A Hartford Health Care Corporation 80 Seymour Street Hartford CT 06102 222672834 Supporting & Management Services to Hartford Hospital and Affiliates CT 501(c)(3) 11(c) Natchaug Hospital Inc 189 Storrs Road Mansfield Center CT 06226 060966963 Behavioral Health CT 501(c)(3) 3 N/A VNA Health Resources Inc 103 Woodland Street Hartford CT 06105 061161422 Home Healthcare CT 501(c)(3) 9 Hartford Health Care Corporation Rushford Center Inc 883 Paddock Avenue Meriden CT 06450 060932875 Substance Abuse Healthcare Services CT 501(c)(3) 7 N/A Hartford Hospital Auxiliary CO Hartford Hospital 80 Seymour Street Hartford CT 06115 066040747 Fundraising CT 501(c)(3) 11(c) N/A Connecticut Health System Inc 80 Seymour Street Hartford CT 06115 222779421 Coordination of Health Delivery CT 501(c)(3) 11(c) N/A Institute of Living 200 Retreat Avenue Hartford CT 06106 060646683 Psychiatric Services CT 501(c)(3) 11(c) N/A Meriden Imaging Center 101 North Plains Industrial Road Meriden CT 06429 061541468 Imaging CT Midstate Medical Center Unrelated 141022 2972888 0 0 HHMOB Corporation & Subsidiary 80 Seymour Street PO Box 5037 Hartford CT 06102 061140244 Real Estate Parking CT N/A C 421088 39572976 1.00000 Immediate Medical Care Center 80 Seymour Street Hartford CT 06106 061067544 Primary Care CT N/A C -2598660 3129532 1.00000 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 Hartford Health Care Corporation P 746311 Hartford Hospital L 4316963