2024-08-14T19:34:21-05:00 2023-09-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2022-10-01 061558523 WAVENY CARE CENTER HEALTH SERVICES INC WAVE 2035945200 3 FARM ROAD NEW CANAAN CT 06840 RUSSELL BARKSDALE PRESIDENT & CEO 2035945200 2024-08-14 1 1 MARY ANTONETTI P00431862 2037819600 2024-08-14 2022 2024-08-08 14:25:15Z RUSSELL BARKSDALE 3 FARM ROAD NEW CANAAN CT 06840 9304421 0 X WWW.WAVENY.ORG X 1998 CT INDEPENDENT LIVING AND ASSISTED SENIOR LIVING FACILITY WITH ADULT DAY CARE (SEE SCHEDULE O)WAVENY LIFECARE NETWORK PROVIDES A COMPREHENSIVE CONTINUUM OF HEALTHCARE TO SERVE THE GROWING NEEDS OF ADULTS FROM ALL AREAS. WE OFFER A PROGRESSION OF THERAPEUTIC PROGRAMS, SERVICES AND LIVING OPTIONS TO ENHANCE QUALITY OF LIFE FOR THOSE WE SERVE. AS PART OF THE WAVENY LIFECARE NETWORK, WAVENY CARE CENTER HEALTH SERVICES, INC. OPERATES WAVENY CARE VILLAGE (THE VILLAGE), A 53-UNIT ASSISTED SENIOR LIVING FACILITY THAT ALSO PROVIDES A CARE MANAGEMENT PROGRAM FOR OLDER ADULTS AND THE NEW CANAAN INN (THE INN), A 34-UNIT RESIDENCE FOR MEN AND WOMEN 62 YEARS OF AGE OR OLDER. 18 18 0 450 0 0 0 1476891 6814506 7827530 0 0 0 0 6814506 9304421 140766 363798 0 0 3536280 4029569 0 0 0 3936605 4099201 7613651 8492568 -799145 811853 11546015 12442648 4224585 3915491 7321430 8527157 WE SEEK TO PROVIDE THE HIGHEST QUALITY OF COMPASSIONATE, PERSON-CENTERED CARE. WE ARE COMMITTED TO OFFERING SERVICES AND RESOURCES TO CONTINUALLY MEET AND EXCEED THE GROWING NEEDS OF OLDER ADULTS AND THEIR FAMILIES. 0 0 6443311 363798 7827530 INPATIENT ASSISTED AND INDEPENDENT LIVING SERVICES - NURSING, ASSISTED LIVING, AND INDEPENDENT LIVING SERVICES PROVIDED TO IN-PATIENT RESIDENTS WITH AN APPROPRIATE ASSISTANCE WITH ACTIVITIES OF DAILY LIVING ALONG WITH AN ADEQUATE BALANCE OF PROFESSIONAL SERVICES AND PERSONAL CARE. TOTAL NUMBER OF PERSONS BENEFITTING: 121 0 0 ADULT DAY CARE PROGRAM - ADULT DAY CARE SERVICES PROVIDING ASSISTANCE TO IMPROVE THE QUALITY OF LIFE FOR OLDER ADULTS WHO ARE STILL LIVING IN THE COMMUNITY BUT WHO REQUIRE PERSONAL ASSISTANCE THROUGHOUT THE DAY AND/OR MORE SOCIAL INTERACTION. TOTAL NUMBER OF PERSONS BENEFITTING: 0 0 0 GERIATRIC CARE MANAGEMENT/CLINIC - OTHER CARE MANAGEMENT SERVICES PROVIDED TO RESIDENTS AND CLIENTS IN ORDER TO AFFORD THEM THE OPPORTUNITY TO MAINTAIN THEIR INDEPENDENCE IN THE COMMUNITY WHILE HAVING READILY AVAILABLE ACCESS TO NURSING, PERSONAL CARE AND REHABILITATIVE SERVICES. TOTAL NUMBER OF PERSONS BENEFITTING: THE CLINIC HAS BEEN CLOSED TEMPORARILY DUE TO COVID19 WITH NO REOPENING DATE AVAILABLE. 6443311 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 CT X RUSSELL BARKSDALE 2035945200 3 FARM ROAD NEW CANAAN CT 06840 X KATHLEEN CORBET DIRECTOR 1.00 4.00 X 0 0 0 LEO KARL III CHAIR 1.00 4.00 X X 0 0 0 MARIAN CURTIS BLAIR SECRETARY 1.00 4.00 X X 0 0 0 DAVID HUNT TREASURER 1.00 4.00 X X 0 0 0 BARB ACHENBAUM DIRECTOR 1.00 4.00 X 0 0 0 RONALD BALZANO DIRECTOR (LEFT 12/2022) 1.00 4.00 X 0 0 0 PETER BRIDGEMAN DIRECTOR 1.00 4.00 X 0 0 0 RICHARD CROARKIN DIRECTOR 1.00 4.00 X 0 0 0 RICHARD DEPATIE DIRECTOR 1.00 4.00 X 0 0 0 MARY FRANCO DIRECTOR 1.00 4.00 X 0 0 0 PENNY YOUNG DIRECTOR 1.00 4.00 X 0 0 0 K RONE BALDWIN VICE CHAIR 1.00 4.00 X X 0 0 0 NANCY PEREZ DIRECTOR 1.00 4.00 X 0 0 0 MARYNE ROBIN DIRECTOR 1.00 4.00 X 0 0 0 DEANNA XISTRIS DIRECTOR 1.00 4.00 X 0 0 0 DR CRAIG OLIN DIRECTOR 1.00 4.00 X 0 0 0 JILL SAUTKULIS DIRECTOR 1.00 4.00 X 0 0 0 SHARON BRADLEY DIRECTOR 1.00 4.00 X 0 0 0 JEAN HAMMEL 72022 THRU 382023 DIRECTOR 1.00 4.00 X 0 0 0 PAUL REISS DIRECTOR (FROM 1/2023) 1.00 4.00 X 0 0 0 TRACEY HAMILL DIRECTOR (LEFT 12/2022_) 1.00 4.00 X 0 0 0 RUSSELL BARKSDALE CEO/DIRECTOR EX OFFICIO 0.00 40.00 X 0 527285 42982 REBECCA ALBRECHT CHIEF HUMAN RESOURCES OFFICER 0.00 40.00 X 0 189713 25320 GERALYN HINES-IVERSON VICE PRESIDENT CLINICAL OPERATIONS 0.00 40.00 X 0 201122 26747 CAROL MCDONNELL SMITH VP HOME HEALTH 0.00 40.00 X 0 204308 50339 HENRY TERRANCE CHIEF MARKETING/SALES OFFICER 0.00 40.00 X 0 204616 49192 BARBARA KIVIAT NURSE/TEAM LEADER 0.00 40.00 X 0 205139 16600 JERRY KEMPER CFO FORMER (LEFT 4/30/22) 0.00 40.00 X 0 118546 5367 EMMY NTEZIRYAYO FORMER CFO (8/29/22 TO 10/30/22) 0.00 40.00 X 0 60277 250 0 1711006 216797 0 1 1 0 0 1476891 1476891 RESIDENT SERVICE REV. 621610 7775097 7775097 OTHER PATIENT REVENUE 623990 52433 52433 7827530 9304421 7827530 0 0 X 363798 363798 156217 156217 3248373 2066632 1181741 11062 9679 1383 510469 430177 80292 103448 87045 16403 120857 120857 114617 39825 74792 27674 27674 69211 7867 61344 699594 667667 31927 2213 486 1727 62745 62745 804154 765858 38296 112903 112903 DIETARY SUPPLIES 1359837 1359837 HOUSEKEEPING SERVICES 594060 594060 MISCELLANEOUS 71296 71296 NURSING SUPPLIES 39535 39535 20505 10845 9660 8492568 6443311 2049257 0 626377 664925 150421 1210281 46578 49736 25729165 15464914 10722639 10264251 0 253455 11546015 12442648 261172 334465 399859 390292 1595935 1100000 1967619 2090734 4224585 3915491 X 7321430 7147320 1379837 7321430 8527157 11546015 12442648 X 811853 393874 X 0 1 X 1 0 X 1476891 1476891 7499566 6055765 6120495 6814506 7827530 34317862 7499566 6055765 6120495 6814506 9304421 35794753 0 0 0 35794753 19429 12746 32175 7518995 6068511 6120495 6814506 9304421 35826928 0.99910 0.99840 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14362808 2012882 1306879 34012 15034799 18660673 -3828806 435681 33378 14362808 12406693 4294595 2544534 559822 25327 18660673 12344619 957647 847376 48197 12406693 12448658 250000 403802 710000 47841 12344619 0.77590 0.21240 0.01170 0 1 1 308745 308745 20234262 12038730 8195532 651127 486992 164135 3591461 2800683 790778 943570 138509 805061 10264251 RESIDENT SECURITY DEPOSITS 664428 DUE TO AFFILIATES 1172851 LEASE LIABILITY 253455 2090734 X PART X, LINE 2: THE NETWORK AND ITS SUBSIDIARIES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE NETWORK ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023 AND 2022, THERE ARE NO TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE NETWORK IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. AS OF SEPTEMBER 30, 2023 AND 2022, THE NETWORK DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. NETWORK'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. THERE ARE CURRENTLY NO EXAMINATIONS PENDING OR IN PROGRESS. SCHEDULE D PART V CONTRIBUTIONS IN COLUMN B - THIS REPRESENTS THE BEGINNING BALANCE AS OF 7/1/2021 DATE OF MERGER) OF THE ENDOWMENT FUND FOR VISITING NURSE & HOSPICE OF FAIRFIELD COUNTY (VNHFC). 1 ASSISTANCE FOR MEDICAL CARE 4 363798 PART I, LINE 2: APPLICANTS COMPLETE A REQUEST FOR FINANCIAL ASSISTANCE FORM. APPLICATIONS ARE REVIEWED BY THE CEO, CFO AND INDIVIDUAL PROGRAM DIRECTOR. GRANTS ARE MADE BASED ON FINANCIAL NEED AND ARE LIMITED TO A ONE YEAR PERIOD. AWARDEES ARE PERMITTED TO RE-APPLY EACH YEAR. APPLICATIONS ARE MAINTAINED, AND RECORD OF GRANTS ARE KEPT. X X X 1 0 0 0 0 0 0 1 0 RUSSELL BARKSDALE CEO/DIRECTOR EX OFFICIO 0 402285 0 125000 0 0 0 15016 0 27966 0 570267 0 0 CAROL MCDONNELL SMITH VP HOME HEALTH 0 190064 0 14244 0 0 0 9567 0 40772 0 254647 0 0 HENRY TERRANCE CHIEF MARKETING/SALES OFFICER 0 190372 0 14244 0 0 0 7252 0 41940 0 253808 0 0 GERALYN HINES-IVERSON VICE PRESIDENT CLINICAL OPERATIONS 0 187253 0 13869 0 0 0 9233 0 17514 0 227869 0 0 BARBARA KIVIAT NURSE/TEAM LEADER 0 205139 0 0 0 0 0 13650 0 2950 0 221739 0 0 REBECCA ALBRECHT CHIEF HUMAN RESOURCES OFFICER 0 173713 0 16000 0 0 0 10599 0 14721 0 215033 0 0 JERRY KEMPER CFO FORMER (LEFT 4/30/22) 0 118546 0 0 0 0 0 4445 0 922 0 123913 0 0 PART I, LINE 3 PART I, LINE 3: THE CEO/EXECUTIVE DIRECTOR OF WAVENY CARE CENTER HEALTH SERVICE, INC. IS PAID BY A RELATED ORGANIZATION, WAVENY CARE CENTER, INC., WHICH USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: - COMPENSATION COMMITTEE - FORM 990 OF OTHER ORGANIZATIONS - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4A CHRISTENE FREEDMAN RECEIVED $32,512 IN SEVERANCE PAY. PART I, LINE 7 ALL COMPENSATION IS PAID BY RELATED ORGANIZATION WAVENY CARE CENTER, INC. THE BOARD OF DIRECTORS DOES A REVIEW OF THE PERFORMANCE OF THE INDIVDIUALS DURING THE YEAR COMPARED TO VARIOUS PERFORMANCE METRIC. AFTER REVIEWING ALL THE INFORMATION, THE INDIVIDUALS WERE AWARDED A DISCRETIONARY BONUS. ALL BONUS PAYMENTS ARE REVIEWED AS PART OF THE INDIVIDUALS FULL COMPENSATION PACKAGE TO MAKE SURE COMPENSATION IS REASONABLE. FORM 990 PART IV LINE 24A SCHEDULE K NOT REQUIRED. BONDS REPAID IN FULL DURING FISCAL YEAR ENDED SEPTEMBER 30, 2023. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF WAVENY CARE CENTER, INC. IS WAVENY LIFECARE NETWORK, INC. FORM 990, PART VI, SECTION A, LINE 7A WAVENY LIFECARE NETWORK, INC., THE SOLE MEMBER OF WAVENY CARE CENTER HEALTH SERVICES, INC. HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B ACCORDING TO ARTICLE II, SECTION 2 OF THE BYLAWS, THE SOLE MEMBER SHALL HAVE THE FOLLOWING RIGHTS, POWERS AND PRIVILEGES: (A) TO APPROVE THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS AND ALL FUNDRAISING PROGRAMS PROPOSED TO BE CONDUCTED BY THE CORPORATION; (B) TO APPROVE (I) SIGNIFICANT PROGRAMS AND EXPENDITURES PROPOSED TO BE UNDERTAKEN BY THE CORPORATION, AND (II) PLANS THAT WOULD MATERIALLY AFFECT THE GROWTH AND DEVELOPMENT OF THE CORPORATION, EXCEPT WHERE SUCH ACTION IS ALREADY INCORPORATED IN AN APPROVED OPERATING OR CAPITAL BUDGET OF THE CORPORATION; (C) TO APPROVE THE PURCHASE, SALE, OR OTHER DISPOSITION OF SIGNIFICANT CAPITAL OR OPERATING ASSETS AND THE INCURRING OF ANY INDEBTEDNESS FOR BORROWED MONEY; (D) TO APPROVE SIGNIFICANT AFFILIATION AGREEMENTS, INCLUDING, BUT NOT LIMITED TO, JOINT VENTURE, MANAGEMENT, MERGER AND JOINT PURCHASE AGREEMENTS, BETWEEN AND/OR AMONG THE CORPORATION AND OTHER INSTITUTIONS OR ENTITIES; (E) TO FILL VACANCIES ON THE BOARD OF DIRECTORS; (F) TO APPROVE THE ADOPTION, REPEAL OR AMENDMENT OF THE CERTIFICATE OF INCORPORATION OR BYLAWS OF THE CORPORATION; AND (G) TO ACT ON ANY OTHER MATTERS ON WHICH ACTION BY THE SOLE MEMBER IS REQUIRED OR PERMITTED BY THE CERTIFICATE OF INCORPORATION, THESE BYLAWS, OR BY LAW. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS THE 990 WITH THE PREPARER PRIOR TO SENDING TO THE AUDIT COMMITTEE(PART OF THE FINANCE COMMITTEE) FOR REVIEW BEFORE FILING ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C MANAGEMENT ON AN ANNUAL BASIS REQUIRES BOARD MEMBERS AND KEY EMPLOYEES TO SIGN OFF ON THE CONFLICT OF INTEREST POLICY. COMPLIANCE IS MONITORED BY THE ORGANIZATION'S EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO AND CFO ARE PAID BY A RELATED ORGANIZATION, WAVENY CARE CENTER, INC. WAVENY CARE CENTER, INC. PERFORMS THE FOLLOWING PROCEDURE WHEN DETERMINING COMPENSATION: COMPENSATION COMMITTEE OF THE BOARD REVIEWS ANNUALLY THE COMPENSATION OF THE CEO AND CFO. OTHER LIKE ORGANIZATION'S 990S ARE REVIEWED AS WELL AS WAGE DATA PROVIDED BY INDUSTRY ASSOCIATIONS. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE BOARD CHAIR AND VICE CHAIR. THE POLICY OF THIS ORGANIZATION IS TO FOLLOW THE POLICY OF THE RELATED ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO PUBLIC UPON REQUEST. FORM 990 PART VII SECTION A AND B ALL FORMS W2 FOR WAVENY ENTITIES HAVE BEEN ISSUED BY WAVENY CARE CENTER, INC A RELATED 501(C)(3) ORGANIZATION. ALL FORMS W2 FOR VISITING NURSE AND HOSPICE CONTINUE TO BE ISSUED SEPARATELY. TIME WORKED HAS BEEN PROPERLY REPORTED AS EXPENSE BY EACH INDIVIDUAL ENTITY. ALL 1099 FORMS HAVE BEEN ISSUED BY WAVENY CARE CENTER, INC, A RELATED 501(C)(3) ORGANIZATION. FORM 990, PART IX, LINE 24E BAD DEBT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 9,660. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,660. ANCILLARY: PROGRAM SERVICE EXPENSES 9,470. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,470. RECREATION SUPPLIES: PROGRAM SERVICE EXPENSES 1,375. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,375. FORM 990, PART XI, LINE 9: TRANSFERS FROM AFFILIATES 393,874. WAVENY CARE CENTER INC 3 FARM ROAD NEW CANAAN CT 06840 060859588 TO PROVIDE A HEALTH CARE FACILITY, SERVICES, AND ACCOMODATIONS. CT 501(C)(3) LINE 10 WAVENY LIFECARE NETWORK 1 WAVENY LIFECARE NETWORK INC 3 FARM ROAD NEW CANAAN CT 06840 061558520 TO SUPPORT, CARRY OUT THE PURPOSE, UPHOLD AND PROMOTE ACTIVITIES OF WCC CT 501(C)(3) LINE 12C, III-FI 0 WAVENY AT HOME INC 3 FARM ROAD NEW CANAAN CT 06840 462756541 TO PROVIDE HOME COMPANION AND HOMEMAKER SERVICES CT 501(C)(3) LINE 10 WAVENY LIFECARE NETWORK 1 VISITING NURSE & HOSPICE OF FAIFIELD COUNTY INC 22 DANBURY ROAD WILTON CT 06897 061062903 TO PROVIDE HEALTH SERVICES INCLUDING HOME HEALTH, HOSPICE AND COMM. HEALTH CT 501(C)(3) LINE 10 WAVENY LIFECARE NETWORK INC 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 WAVENY CARE CENTER INC O 1018594 COST WAVENY CARE CENTER INC E 1100000 COST WAVENY CARE CENTER INC R 608710 COST WAVENY CARE CENTER INC N 2896156 COST