2024-08-14T15:32:55-05:00 2023-09-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2022-10-01 060859588 WAVENY CARE CENTER INC WAVE 2035945200 3 FARM ROAD NEW CANAAN CT 06840 RUSSELL BARKSDALE PRESIDENT AND 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 20802965 0 X WWW.WAVENY.ORG X 1998 CT LONG AND SHORT TERM REHABILITATION AND LONG-TERM 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 PROVIDES LONG AND SHORT TERM REHABILITATION AND LONG-TERM CARE. WAVENY CARE CENTER, INC. OPERATES A 76 BED SKILLED NURING HOME AND MEALS ON WHEELS PROGRAM. 18 18 387 450 0 0 1844611 5683002 11015910 12853124 1553816 749815 0 114445 14414337 19400386 5400 16272 0 0 7271539 8454307 0 0 237054 5671794 6891311 12948733 15361890 1465604 4038496 27065639 30739081 17829556 15839490 9236083 14899591 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 9194906 16272 12312312 INPATIENT ROOM & BOARD - NURSING SERVICES PROVIDED RESIDENTS AND PATIENTS WITH AN APPROPRIATE ASSISTANCE WITH ACTIVITIES OF DAILY LIVING AND AN ADEQUATE BALANCE OF PROFESSIONAL SERVICES AND PERSONAL ATTENTION. TOTAL NUMBER OF PERSONS BENEFITTING: 510 1300549 141956 INPATIENT AND OUTPATIENT REHABILITATION SERVICES - OTHER RESIDENT SERVICES PROVIDED WITH THE OPPORTUNITY TO MAINTAIN INDEPENDENCE WHILE HAVING READY ACCESS TO NURSING AND REHABILITATION SERVICES. TOTAL NUMBER OF PEOPLE BENEFITTING: 189 1103846 123357 NUTRITIONAL CARE TO PATIENTS, RESIDENTS & ORGANIZATIONS - DIETARY SERVICES PROVIDED MEALS AND NUTRITIONAL CARE TO MEALS ON WHEELS, RESIDENTS, AND PATIENTS. TOTAL NUMBER OF PEOPLE BENEFITTING: 606 11599301 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 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 54 0 1 387 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 KATHLEEN CORBET DIRECTOR 1.00 X 0 0 0 LEO KARL III CHAIR 1.00 X X 0 0 0 MARIAN CURTIS BLAIR SECRETARY 1.00 X X 0 0 0 DAVID HUNT TREASURER 1.00 X X 0 0 0 BARB ACHENBAUM DIRECTOR 1.00 X 0 0 0 RONALD BALZANO DIRECTOR (LEFT 12/2022) 1.00 X 0 0 0 PETER BRIDGEMAN DIRECTOR 1.00 X 0 0 0 RICHARD CROARKIN DIRECTOR 1.00 X 0 0 0 RICHARD DEPATIE DIRECTOR 1.00 X 0 0 0 MARY FRANCO DIRECTOR 1.00 X 0 0 0 TRACEY HAMILL DIRECTOR (LEFT 12/2022) 1.00 X 0 0 0 PENNY YOUNG DIRECTOR 1.00 X 0 0 0 RUSSELL BARKSDALE CEO/DIRECTOR EX OFFICIO 40.00 X X 527285 0 42982 K RONE BALDWIN VICE CHAIR 1.00 X X 0 0 0 NANCY PEREZ DIRECTOR 1.00 X 0 0 0 MARYNE ROBIN DIRECTOR 1.00 X 0 0 0 DEANNA XISTRIS DIRECTOR 1.00 X 0 0 0 DR CRAIG OLIN DIRECTOR 1.00 X 0 0 0 SHARON BRADLEY DIRECTOR 1.00 X 0 0 0 JEAN HAMMEL DIRECTOR (START 7/2022- LEFT 3/2023) 1.00 X 0 0 0 PAUL REISS DIRECTOR (START 1/1/23) 1.00 X 0 0 0 REBECCA ALBRECHT CHIEF HUMAN RESOURCES OFFICER 40.00 X 189713 0 25320 GERALYN HINES-IVERSON VICE PRESIDENT CLINICAL OPERATIONS 40.00 X 201122 0 26747 CAROL MCDONNELL SMITH VP HOME HEALTH 40.00 X 204308 0 50339 HENRY TERRANCE CHIEF MARKETING/SALES OFFICER 40.00 X 204616 0 49192 BARBARA KIVIAT NURSE/TEAM LEADER 40.00 X 0 205139 16600 JERRY KEMPER FORMER CEO (LEFT 4/30/22) 40.00 X 118546 0 5367 EMMY NTEZIRYAYO FORMER CFO (8/29/22 TO 10/30/22) 40.00 X 60277 0 250 1505867 205139 216797 6 1 1 0 MORRISON'S MANAGEMENT SPECIALISTS 400 NORTHBRIDGE ROAD SUITE 600 SANDY SPRINGS GA 30350 DIETARY & ENVIRONMENTAL MGMT SERVICES 3540376 PREFERRED THERAPY SOLUTIONS LLC 850 SILAS DEAN HIGHWAY 2ND FLOOR WETHERSFIELD CT 06109 REHABILITATION SERVICES 1238268 CELTIC CONSULTING LLC 339 MAIN STREET TORRINGTON CT 06790 MEDICAL BILLING 586416 PROCARE LTC PHARMACY OF CONNECTICUT LLC 1492 HIGHLAND AVE CHESHIRE CT 06410 PHARMACY SERVICES 423826 4 5049354 633648 17318 5683002 RESIDENT SERVICE REVENUE 623990 12729767 12729767 MEALS ON WHEELS 624210 123357 123357 12853124 858494 858494 3871 0 3871 3871 3871 1293900 1402579 -108679 -108679 -108679 MISCELLANEOUS INCOME 900099 110574 110574 110574 19400386 12967569 0 749815 X 16272 16272 246423 246423 6986093 5371065 1409380 205648 137432 113698 23734 320464 267488 52976 763895 628792 135103 18066 18066 192500 192500 52994 52994 902268 188811 702052 11405 47026 1000 43517 2509 97187 60953 22163 14071 471188 446439 23740 1009 105004 100986 4018 210563 210563 493691 468763 24928 163452 163452 THERAPY SERVICES 1244961 1244961 DIETARY EXPENSES 1176482 1176482 HOUSEKEEPING EXPENSES 457906 457906 ANCILLARY EXPENSES 401447 401447 856576 654238 199926 2412 15361890 11599301 3525535 237054 685 685 907963 1270798 109783 109783 1353267 1199122 229407 419651 15972980 12045002 3852094 3927978 20500478 23557609 111962 253455 27065639 30739081 2704489 2586224 19508 15105559 13253266 17829556 15839490 X 5812130 12015790 3423953 2883801 9236083 14899591 27065639 30739081 X 4038496 1995288 -370276 X X 0 1 X 1 0 X 764090 693618 3645889 1844611 5683002 12631210 12083382 11207702 9468424 11015910 12853124 56628542 12847472 11901320 13114313 12860521 18536126 69259752 250000 400000 650000 0 250000 400000 650000 68609752 255667 3785 348827 2188341 858494 3655114 255667 3785 348827 2188341 858494 3655114 110574 110574 13103139 11905105 13463140 15048862 19505194 73025440 0.93950 0.95020 0.05010 0.04600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 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 0 8255495 6128768 2126727 423699 282663 141036 7097482 5609154 1488328 196304 24417 171887 3927978 LINE OF CREDIT 2500000 NET DUE TO/ FROM AFFILIATES 10499811 OPERATING LEASE LIABILITY 253455 13253266 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 GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE NETWORK MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE NETWORK AND VARIOUS POSITIONS RELATED TO THE UNRELATED BUSINESS INCOME TAXES RELATED TO ITS REAL ESTATE RENTAL, AND WHICH IS INCLUDED IN OTHER INCOME IN THE STATEMENTS OF ACTIVITIES AND CHANGES IN NET ASSETS. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES DURING THE PERIODS COVERED BY THESE FINANCIAL STATEMENTS. THE NETWORK COULD BE SUBJECT TO ROUTINE AUDITS BY THE IRS; HOWEVER, THERE ARE CURRENTLY NO SUCH EXAMINATIONS PENDING OR IN PROGRESS. 0 HEALTHCARE FINANCIAL ASSISTANCE 2 16272 BOOK 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 402285 0 125000 0 0 0 15016 0 27966 0 570267 0 0 0 CAROL MCDONNELL SMITH VP HOME HEALTH 190064 0 14244 0 0 0 9567 0 40772 0 254647 0 0 0 HENRY TERRANCE CHIEF MARKETING/SALES OFFICER 190372 0 14244 0 0 0 7252 0 41940 0 253808 0 0 0 GERALYN HINES-IVERSON VICE PRESIDENT CLINICAL OPERATIONS 187253 0 13869 0 0 0 9233 0 17514 0 227869 0 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 173713 0 16000 0 0 0 10599 0 14721 0 215033 0 0 0 JERRY KEMPER FORMER CEO (LEFT 4/30/22) 118546 0 0 0 0 0 4445 0 922 0 123913 0 0 0 PART I, LINE 4A CHRISTENE FREEDMAN RECEIVED $32,512 IN SEVERANCE PAY. PART I, LINE 7 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 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, 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 COMPENSATION COMMITTEE OF THE BOARD REVIEWS REVIEWS ANNUALLY THE COMPENSATION OF THE CEO AND CFO. OTHER LIKE ORGANIZATIONS 990S ARE REVIEWED AS WELL AS WAGE DATA PROVIDED BY INDUSTRY ASSOCIATIONS. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE BOARD CHAIR AND VICE CHAIR. 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 IX, LINE 24E NURSING SUPPLIES: PROGRAM SERVICE EXPENSES 352,426. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 352,426. SNF USER FEE: PROGRAM SERVICE EXPENSES 300,566. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 300,566. RECRUITMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 142,401. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 142,401. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 53,376. FUNDRAISING EXPENSES 2,412. TOTAL EXPENSES 55,788. DUES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,149. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,149. RECREATION SUPPLIES: PROGRAM SERVICE EXPENSES 1,246. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,246. FORM 990, PART XI, LINE 9: TRANSFER TO AFFILIATE -386,548. GRANTS 16,272. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990 PART V LINE 2A WAVENY CARE CENTER, INC (WCC) PAYS ALL EMPLOYEES AND ISSUES W2S. SALARY IS THEN ALLOCATED TO TIME WORKED TO EACH INDIVIDUAL ENTITY. WAVENY CARE CENTER HEALTH SERVICES 3 FARM ROAD NEW CANAAN CT 06840 061558523 TO PROMOTE THE HEALTH OF INDIVIDUALS AND GROUPS IN THE COMMUNITY CT 501(C)(3) LINE 10 WAVENY LIFECARE NETWORK 1 WAVENY AT HOME INC 3 FARM ROAD NEW CANAAN CT 06840 462756541 PROVIDES COMPANION AND HOMEMAKER SERVICES 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 WAVENY CT 501(C)(3) LINE 12C, III-FI 0 VISITING NURSE & HOSPICE OF FAIRFIELD 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 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 WAVENY CARE CENTER HEALTH SERVICES O 1018594 COST WAVENY AT HOME O 231095 COST WAVENY AT HOME R 826469 COST WAVENY CARE CENTER HEALTH SERVICES S 608710 COST WAVENY CARE CENTER HEALTH SERVICES D 1100000 COST WAVENY CARE CENTER HEALTH SERVICES N 2896156 COST WAVENY AT HOME N 368464 COST VISITING NURSE & HOSPICE OF FAIFIELD COUNTY INC O 1089236 COST VISITING NURSE & HOSPICE OF FAIFIELD COUNTY INC N 2881755 COST VISITING NURSE & HOSPICE OF FAIFIELD COUNTY INC R 1249826 COST