Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
|||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| (1)
PARTNERS IN CARE INC |
061142867 | 12 | Yes | Yes | 41,613 | ||||
| (2)
VISITING NURSE SERVICES OF CONNECTICUT INC |
060665196 | 12 | Yes | Yes | 1,021,795 | ||||
| Total | 1,063,408 | ||||||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public Support. Subtract line 5 from line 4. | ||||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | ||||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000129 |
| Software Version: | v1.00 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | THE SOLE CORPORATE MEMBER IS VNA CORPORATIONS, INC. IT HAS APPROVAL POWER OVER THE APPOINTMENT OF DIRECTORS AND THE PRESIDENT/CEO. THE CORPORATE MEMBER ALSO HAS APPROVAL POWER OVER THE DECISIONS OF THE BOARD OF DIRECTORS AS OUTLINED IN THE BYLAWS AND ARTICLES OF INCORPORATION. |
| F990_P06_S0A_L07a | Form 990, Part VI, Section A, Line 7a | THE SOLE CORPORATE MEMBER IS VNA CORPORATIONS, INC. IT HAS APPROVAL POWER OVER THE APPOINTMENT OF DIRECTORS AND THE PRESIDENT/CEO. THE CORPORATE MEMBER ALSO HAS APPROVAL POWER OVER THE DECISIONS OF THE BOARD OF DIRECTORS AS OUTLINED IN THE BYLAWS AND ARTICLES OF INCORPORATION. |
| F990_P06_S0A_L07b | Form 990, Part VI, Section A, Line 7b | THE SOLE CORPORATE MEMBER IS VNA CORPORATIONS, INC. IT HAS APPROVAL POWER OVER THE APPOINTMENT OF DIRECTORS AND THE PRESIDENT/CEO. THE CORPORATE MEMBER ALSO HAS APPROVAL POWER OVER THE DECISIONS OF THE BOARD OF DIRECTORS AS OUTLINED IN THE BYLAWS AND ARTICLES OF INCORPORATION. |
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | THE 990 WAS PREPARED BY THE CFO AND SUBMITTED TO THE PRESIDENT FOR REVIEW. THE PRESIDENT REVIEWS THE DOCUMENT PRIOR TO FILING WITH THE CHAIRMAN. THE CHAIRMAN REPORTS TO THE BOARD THAT IS HAS BEEN REVIEWED AND A COPY IS MADE AVAILABLE TO ANY MEMBER WHO WISHES TO REVIEW IT. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | VNA MANAGEMENT FOLLOWS THE CONFLICT OF INTEREST AND COMPLIANCE POLICIES OF THE TWO ORGANIZATIONS THAT IT PROVIDES MANAGEMENT SERVICES FOR - VISITING NURSE SERVICES OF CONNECTICUT, INC. AND PARTNERS IN CARE, INC. THE ORGANIZATION ALSO HAS A COMPLIANCE OFFICER THAT ANYONE CAN COMMUNICATE WITH IN A CONFIDENTIAL MANNER. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | THE BOARD OF DIRECTORS DETERMINES THE PRESIDENT'S COMPENSATION PACKAGE. THE BOARD DELEGATES THE PROCESS TO THE COMPENSATION COMMITTEE WHICH REVIEWS AND ESTABLISHES THE COMPENSATION LEVEL. THE INFORMATION UTILIZED BY THE COMMITTEE INCLUDES: CONSULTATION, EVALUATION AND ADVICES FROM THE AGENCY'S INDEPENDENT ACCOUNTANTS (BKD CPAS AND ADVISORS). THE ACCOUNTANTS PRESENT AN EVALUATION REPORT TO THE COMMITTEE, WHICH CONTAINS A REVIEW OF COMPENSATION LEVELS COMPARED TO OTHER HEALTH CARE EXECUTIVE COMPENSATION ARRANGEMENTS. (2) HOME CARE SPECIFIC INDUSTRY COMPENSATION SURVEYS (STATE AND NATIONAL). (3) REVIEW OF FORM 990 FILINGS OF LIKE KIND ENTITIES AND (4) OTHER AVAILABLE RELEVANT INDUSTRY MARKET DATA. ADDITIONALLY, COMPENSATION IS DETERMINED BASED ON PERFORMANCE/ACHIEVEMENT, FINANCIAL RESOURCES, FAIRNESS AND REASONABLENESS, EDUCATION AND LENGTH OF SERVICE, AND POSITION RETENTION AND REPLACEMENT FACTORS. THE CHAIRMAN OF THE BOARD OF DIRECTORS PERFORMS A DETAILED REVIEW OF THE PRESIDENT'S PERFORMANCE ON AN ANNUAL BASIS WITH INPUT FROM THE MEMBERS OF THE EXECUTIVE AND COMPENSATION COMMITTEES. ADDITIONALLY, THE COMPENSATION LEVEL OF THE OFFICERS AND KEY EMPLOYEES IS DEVELOPED BASED ON THE ABOVE CRITERIA. THE PRESIDENT AND/OR APPROPRIATE VICE PRESIDENT PROVIDES THE DETAILED ANNUAL REVIEW WITH THE INDIVIDUAL. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | UPON REQUEST, THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC. THE INFORMATION MAY BE VIEWED ON SITE OR SENT TO THE REQUESTOR. IN ADDITION, FORM 990 IS POSTED ON THE GUIDE STAR WEBSITE, WHICH MAKES IT AVAILABLE FOR PUBLIC VIEWING. |
| Software ID: | 11000129 |
| Software Version: | v1.00 |