2024-08-14T15:30:26-05:00 2023-09-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2022-10-01 061062903 VISITING NURSE & HOSPICE OF FAIRFIELD COUNTY INC VISI 2037628958 22 DANBURY ROAD WILTON CT 06897 RUSSELL BARKSDALE PRESIDENT & CEO 2037628958 2024-08-14 1 1 MARY ANTONETTI P00431862 2037819600 2024-08-14 2022 2024-08-08 14:25:15Z RUSSELL BARKSDALE C/O WAVENY LIFECARE NETWORK 3 FARM RD NEW CANAAN CT 06840 13645402 0 X WWW.VISITINGNURSE.NET X 1982 CT OUR MISSION IS TO PROVIDE CLINICALLY EXCELLENT, COMPASSIONATE CARE TO ENHANCE THE HEALTH, WELL-BEING, INDEPENDENCE, AND DIGNITY OF RESIDENTS OF OUR COMMUNITY. 18 18 156 0 0 0 210408 282033 14454627 13363369 45 0 0 0 14665080 13645402 0 0 0 0 13148083 13964063 0 0 305 4439993 2219424 17588076 16183487 -2922996 -2538085 19960297 17590914 7151115 6963345 12809182 10627569 OUR MISSION IS TO PROVIDE CLINICALLY EXCELLENT, COMPASSIONATE CARE TO ENHANCE THE HEALTH, WELL-BEING, INDEPENDENCE AND DIGNITY OF RESIDENTS OF OUR COMMUNITY. 0 0 12083154 13363369 HEALTH SERVICES, INCLUDING HOME HEALTH, HOSPICE, COMMUNITY HEALTH, SCHOOL HEALTH AND THRIFT SHOP 12083154 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 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 1 0 0 1 156 1 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 X VN&HOSPICE OF FAIRFIELD COUNTY 2037628958 22 DANBURY ROAD WILTON CT 06897 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 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 SHARON BRADLEY DIRECTOR 1.00 4.00 X 0 0 0 JEAN HAMMEL DIRECTOR (START 7/2022 THRU 3/8/2023) 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 RONALD BALZANO DIRECTOR (LEFT 12/2022) 1.00 4.00 X 0 0 0 RUSSELL BARKSDALE PRESIDENT/CEO 1.00 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 1.00 40.00 X 0 204308 50339 HENRY TERRANCE CHIEF MARKETING/SALES OFFICER 10.00 40.00 X 0 204616 49192 BARBARA KIVIAT NURSE/TEAM LEADER 0.00 40.00 X 205139 0 16600 JERRY KEMPER FORMER CFO 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 205139 1505867 216797 1 1 1 0 0 282033 282033 RESIDENT SERVICE REV. 621610 12197016 12197016 OTHER PATIENT REVENUE 623990 1166353 1166353 13363369 13645402 13363369 0 0 251598 251598 10972632 8759093 2213539 133362 107545 25817 1486627 1196170 290457 1119844 898274 221570 64381 34676 29705 103734 103734 439653 16443 423210 56163 56163 20053 707 19346 187130 179125 8005 10727 7011 3716 110877 110877 131063 131063 176195 176195 BAD DEBT 522022 522022 MEDICAL/NURSING SUPPLIE 359217 359217 MISCELLANEOUS 32773 32468 305 ANCILLARY EXPENSES 2871 2871 2565 2565 16183487 12083154 4100028 305 73448 134776 14477 300000 2507616 1682217 542033 628062 4174755 925105 3359474 3249650 150000 150000 13027726 11731732 19960297 17590914 1724980 1249265 108081 417125 1818054 1796955 3500000 3500000 7151115 6963345 X 12470533 10578098 338649 49471 12809182 10627569 19960297 17590914 X -2538085 356472 X 0 0 0 X 503030 1223871 1805072 210408 282033 4024414 503030 1223871 1805072 210408 282033 4024414 817077 3207337 640568 9026 148851 45 798490 4822904 46515035 0.66500 0.60510 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14362809 2012882 732482 34012 15609197 18660674 -3828806 435681 33378 14362809 4294596 12406693 2544534 559822 25327 18660674 3498202 5100 959294 168000 4294596 3480384 17313 167505 167000 3498202 0.78620 0.20260 0.01120 0 1 1 1395000 1395000 2180922 473716 1707206 586307 451389 134918 12526 12526 3249650 ADVANCE FOR RELATED PARTY 11731732 11731732 MEDICARE RESERVE 3500000 3500000 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 COLUM B- THIS REPRESENTS THE BEGINNING BALANCE OF THE WAVENY CARE CENTER, INC. (WCC) ENDOWMENT FUND TO INCORPORATE THE FUNDS DUE TO MERGE ON 7/1/2021. X X X 1 0 0 0 0 0 0 1 0 RUSSELL BARKSDALE PRESIDENT/CEO 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 205139 0 0 0 0 0 13650 0 2950 0 221739 0 0 0 REBECCA ALBRECHT CHIEF HUMAN RESOURCES OFFICER 0 173713 0 16000 0 0 0 10599 0 14721 0 215033 0 0 JERRY KEMPER FORMER CFO 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 VI, SECTION A, LINE 6 THE SOLE MEMBER OF VISITING NURSE & HOSPICE OF FAIRFIELD COUNTY, INC. IS WAVENY LIFECARE NETWORK, INC. FORM 990, PART VI, SECTION A, LINE 7A WAVENY LIFECARE NETWORK, INC., THE SOLE MEMBER OF VISITING NURSE & HOSPICE OF FAIRFIELD COUNTY, 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; 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 UPON REQUEST. FORM 990 PART VII, SECTION A AND B ALL FORMS W2 FOR VISITING NURSE AND HOSPICE CONTINUE TO BE ISSUED SEPARATELY. ALL FORMS W2 FOR WAVENY ENTITIES HAVE BEEN ISSUED BY WAVENY CARE CENTER, INC A RELATED 501(C)(3) ORGANIZATION. 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 XI, LINE 9: TRANSFERS FROM AFFILIATES 356,472. WAVENY CARE CENTER HEALTH SERVICES 3 FARM ROAD NEW CANAAN CT 06840 061558523 PROMOTE HEALTH OF INDIVIDUALS & GROUPS CT 501(C)(3) LINE 3 WAVENY LIFECARE NETWORK 1 WAVENY AT HOME HEALTHCARE INC 3 FARM ROAD NEW CANAAN CT 06840 462756541 PROVIDES COMPANION AND HOMEMAKER SERVICES CT 501(C)(3) LINE 3 1 WAVENY LIFECARE NETWORK INC 3 FARM ROAD NEW CANAAN CT 06840 061558520 PROMOTE & CARRY OUT PURPOSE OF NETWORK CT 501(C)(3) LINE 3 0 WAVENY CARE CENTER INC 3 FARM ROAD NEW CANAAN CT 06840 060859588 LONG AND SHORT TERM REHABILITATION AND LONG-TERM CARE CT 501(C)(3) LINE 3 WAVENY LIFECARE NETWORK 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 WAVENY CARE CENTER INC O 1089236 COST WAVENY CARE CENTER INC N 2881755 COST WAVENY CARE CENTER INC S 1249826 COST WAVENY AT HOME INC R 705695 COST WAVENY CARE CENTER HEALTH SERVICES INC S 7789 COST