2025-08-15T15:30:22-05:00 2024-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 66 HUDSON BLVD E SUITE 2200 NEW YORK NY 10001 990 2023-10-01 061062903 VISITING NURSE & HOSPICE OF FAIRFIELD COUNTY INC VISI 2037628958 22 DANBURY ROAD WILTON CT 06897 CHARLES B ROSE CFO 2037628958 2025-08-15 1 1 MARY-EVELYN ANTONETTI P00431862 2126976900 2025-08-15 2023 2025-03-06 01:10:19Z RUSSELL BARKSDALE C/O WAVENY LIFECARE NETWORK 3 FARM RD NEW CANAAN CT 06840 14406950 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. 23 22 128 38 0 0 282033 521814 13363369 13885107 0 29 0 0 13645402 14406950 0 0 0 0 13964063 12134547 0 0 0 2219424 2696285 16183487 14830832 -2538085 -423882 17590914 17410385 6963345 7291221 10627569 10119164 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 10916746 13885107 HEALTH SERVICES, INCLUDING HOME HEALTH, HOSPICE, COMMUNITY HEALTH, SCHOOL HEALTH AND THRIFT SHOP 10916746 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 1 1 0 0 1 0 0 128 1 0 0 0 0 0 0 0 0 0 0 0 0 X 23 22 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X STEPHANIE KAZMIERCZAK 2035945267 3 FARM ROAD NEW CANAAN CT 06840 X LEO KARL III DIRECTOR 1.00 4.00 X 0 0 0 DIONNA CARLSON DIRECTOR (FROM 1/2024) 1.00 4.00 X 0 0 0 MARK DEWAELE DMD DIRECTOR (FROM 1/2024) 1.00 4.00 X 0 0 0 ROSE LANARD DIRECTOR (FROM 1/2024) 1.00 4.00 X 0 0 0 JANET LANAWAY DIRECTOR (FROM 1/2024) 1.00 4.00 X 0 0 0 DR KESAV NAIR DIRECTOR (FROM 1/2024) 1.00 4.00 X 0 0 0 RICHARD TOWNSEND DIRECTOR (FROM 1/2024) 1.00 4.00 X 0 0 0 JILL SAUTKULIS DIRECTOR 1.00 4.00 X 0 0 0 PENNY YOUNG DIRECTOR 1.00 4.00 X 0 0 0 DEANNA XISTRIS DIRECTOR 1.00 4.00 X 0 0 0 REV PETER WALSH DIRECTOR 1.00 4.00 X 0 0 0 MARYNE ROBIN DIRECTOR 1.00 4.00 X 0 0 0 PAUL REISS DIRECTOR 1.00 4.00 X 0 0 0 DR DAVID REED DIRECTOR 1.00 4.00 X 0 0 0 DR CRAIG OLIN DIRECTOR 1.00 4.00 X 0 0 0 MARY FRANCO CO-VICE CHAIR 1.00 4.00 X X 0 0 0 RICHARD DEPATIE DIRECTOR 1.00 4.00 X 0 0 0 RICHARD CROARKIN DIRECTOR (UNTIL 12/2023) 1.00 4.00 X 0 0 0 KATHLEEN CORBET DIRECTOR (UNTIL 12/2023) 1.00 4.00 X 0 0 0 PETER BRIDGMAN DIRECTOR (UNTIL 12/2023) 1.00 4.00 X 0 0 0 SHARON BRADLEY DIRECTOR (UNTIL 12/2023) 1.00 4.00 X 0 0 0 RUSSELL BARKSDALE CEO 1.00 43.00 X X 0 553801 9286 BARB ACHENBAUM DIRECTOR 1.00 4.00 X 0 0 0 DAVID HUNT TREASURER 1.00 4.00 X X 0 0 0 MARIAN CURTIS BLAIR CO-VICE CHAIR 1.00 4.00 X X 0 0 0 K RONE BALDWIN CHAIRMAN 1.00 4.00 X X 0 0 0 NANCY PEREZ SECRETARY 1.00 4.00 X X 0 0 0 CHARLES ROSE CFO 1.00 43.00 X 0 215135 5837 CAROL MCDONNELL SMITH VP HOME HEALTH 1.00 43.00 X 0 213005 10810 TERRANCE HENRY CHIEF MARKETING/SALES OFFICER 1.00 43.00 X 0 214128 49302 REBECCA ALBRECHT CHIEF HUMAN RESOURCES OFFICER 1.00 43.00 X 0 214315 5142 BARBARA KIVIAT NURSE/TEAM LEADER 40.00 0.00 X 209337 0 1862 FRANCES BUONO NURSE SUPERVISOR 40.00 0.00 X 141845 0 11764 JAMES COYLE INTERIM HOME HEALTH ADMINISTRATOR 40.00 0.00 X 122789 0 32615 LAURA KUEHL RN 40.00 0.00 X 126789 0 1862 AMANDA PACE RN 40.00 0.00 X 117139 0 5623 717899 1410384 134103 16 0 1 0 0 233580 288234 521814 RESIDENT SERVICE REV. 621610 11998153 11998153 OTHER PATIENT REVENUE 623990 1886954 1886954 13885107 29 29 14406950 13885107 0 29 696581 696581 9238822 7860200 1378622 5156 4098 1058 1390040 1141028 249012 803948 638961 164987 9930 9930 887075 517150 369925 47894 47894 377520 10943 366577 77409 77409 6452 3081 3371 181285 172288 8997 10425 6502 3923 137680 137680 122331 122331 158091 158091 MEDICAL SUPPLIES 536848 536848 RECRUITING 66045 66045 DUES & MEMBERSHIPS 51653 51653 ANCILLARY EXPENSES 14383 14383 11264 11264 14830832 10916746 3914086 0 149122 151486 131 267 1682217 1456784 87856 43661 4180096 1047435 3249650 3132661 150000 150000 12271938 12475526 17590914 17410385 709059 891373 417125 258066 1796955 1979396 4040206 4162386 6963345 7291221 X 10578098 10100310 49471 18854 10627569 10119164 17590914 17410385 X -423882 -103287 18764 X X 0 1 X 1 0 X 1223871 1805072 210408 282033 521814 4043198 1223871 1805072 210408 282033 521814 4043198 915459 3127739 9026 148851 45 29 157951 4201149 60400142 0.74450 0.66500 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19851855 3751121 687764 40720 22874492 18605467 2012882 732482 34012 19851855 23477729 -4403203 435681 33378 18605467 4294596 17223748 2544534 559822 25327 23477729 3498202 5100 959294 168000 4294596 0.86146 0.11060 0.02794 0 1 1 1395000 1395000 2182932 561422 1621510 590636 486013 104623 11528 11528 3132661 ADVANCE FOR RELATED PARTY 11813140 457 RETIREMENT PLAN ASSET 662386 12475526 MEDICARE RESERVE 3500000 457 RETIREMENT PLAN LIABILITY 662386 4162386 X PART X, LINE 2: THE FOLLOWING IS AN EXCERPT FROM NOTE 1 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS: 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, 2024 AND 2023, 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. SCHEDULE D PART V: CONTRIBUTIONS IN COLUMN D- THIS REPRESENTS THE BEGINNING BALANCE OF THE WAVENY CARE CENTER, INC. (WCC) ENDOWMENT FUND TO INCORPORATE THE FUNDS MERGED ON 7/1/2021. PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO BE UTILIZED TO SUPPORT THE MISSION AND PROGRAMS OF WAVENY LIFECARE NETWORK, INC. AND ITS RELATED SUBSIDIARIES, WAVENY CARE CENTER, INC., WAVENY CARE CENTER HEALTH SERVICES, INC., WAVENY AT HOME, INC., AND VISITING NURSE & HOSPICE OF FAIRFIELD COUNTY, INC. 0 0 0 0 0 0 0 0 0 RUSSELL BARKSDALE CEO 0 403801 0 150000 0 0 0 0 0 9286 0 563087 0 0 TERRANCE HENRY CHIEF MARKETING/SALES OFFICER 0 198200 0 15928 0 0 0 0 0 49302 0 263430 0 0 CAROL MCDONNELL SMITH VP HOME HEALTH 0 198605 0 14400 0 0 0 0 0 10810 0 223815 0 0 CHARLES ROSE CFO 0 203135 0 12000 0 0 0 0 0 5837 0 220972 0 0 REBECCA ALBRECHT CHIEF HUMAN RESOURCES OFFICER 0 195433 0 18882 0 0 0 0 0 5142 0 219457 0 0 BARBARA KIVIAT NURSE/TEAM LEADER 207448 0 1889 0 0 0 0 0 1862 0 211199 0 0 0 JAMES COYLE INTERIM HOME HEALTH ADMINISTRATOR 122789 0 0 0 0 0 0 0 32615 0 155404 0 0 0 FRANCES BUONO NURSE SUPERVISOR 141845 0 0 0 0 0 0 0 11764 0 153609 0 0 0 PART I, LINE 3 THE CEO/EXECUTIVE DIRECTOR OF VISITING NURSE & HOSPICE OF FAIRFIELD COUNTY, 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 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 ON AN ANNUAL BASIS, MANAGEMENT REQUIRES BOARD MEMBERS AND KEY EMPLOYEES TO SIGN OFF ON THE CONFLICT OF INTEREST POLICY. COMPLIANCE IS MONITORED BY THE ORGANIZATION'S EXECUTIVE COMMITTEE. IF A CONFLICT OF INTEREST ARISES, THE CONFLICTED BOARD MEMBER WOULD ABSTAIN FROM VOTING. 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 W-2 FOR VISITING NURSE AND HOSPICE CONTINUE TO BE ISSUED SEPARATELY. ALL FORMS W-2 FOR OTHER 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 18,764. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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 INC 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 WAVENY LIFECARE NETWORK INC 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 N/A 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 INC 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 WAVENY CARE CENTER INC O 1140575 COST WAVENY CARE CENTER INC N 3131901 COST WAVENY CARE CENTER INC S 585798 COST WAVENY AT HOME HEALTHCARE INC R 773244 COST WAVENY CARE CENTER INC C 233580 COST WAVENY CARE CENTER INC D 2300000 GUARANTEE BALANCE WAVENY CARE CENTER INC E 900000 GUARANTEE BALANCE