TY 2015 Form 990 Schedule O

efile Public Visual Render ObjectId: 201603149349301690 - Submission: 2016-11-09 TIN: 06-0660419

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

VNA Health at Home Inc

Employer identification number

06-0660419

Return Reference	Explanation
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The Organization has a sole member - The Greater Waterbury Health Network, Inc.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	The Greater Waterbury Health Network, Inc. must approve the Organization's Board of Directors.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	The Greater Waterbury Health Network, Inc., as sole member of the Organization, has the ultimate control over all matters related to the Organization.
Form 990, Part VI, Line 11b: Form 990 Review Process	The Director of Finance will review Form 990 with the President and Treasurer before Form 990 is signed and filed.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Annually all members of the Board of Directors are required to read the Conflict of Interest Policy Statement, disclose any conflicts of interest and sign.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	The compensation of the Organization's President is reviewed and approved annually by the Executive Committee of the Board of Directors. Comparable data of other similar organizations, as provided by the Organization's state home care association, is utilized in determining the compensation.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The compensation of the Organization's President is reviewed and approved annually by the Executive Committee of the Board of Directors. Comparable data of other similar Organizations, as provided by the Organization's state home care association, is utilized in determining the compensation.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The Organization's governing documents, conflict of interest policy and financial statements are available upon request. A summary copy of the Organization's annual financial statement is also included in the Organization's annual report. Information is maintained by the senior management staff of the Organization.
Other Changes In Net Assets Or Fund Balances - Other Increases	Grants for Capital Acquisitions = $20000

Return Reference

Explanation

Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder

The Organization has a sole member - The Greater Waterbury Health Network, Inc.

Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body

The Greater Waterbury Health Network, Inc. must approve the Organization's Board of Directors.

Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders

The Greater Waterbury Health Network, Inc., as sole member of the Organization, has the ultimate control over all matters related to the Organization.

Form 990, Part VI, Line 11b: Form 990 Review Process

The Director of Finance will review Form 990 with the President and Treasurer before Form 990 is signed and filed.

Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts

Annually all members of the Board of Directors are required to read the Conflict of Interest Policy Statement, disclose any conflicts of interest and sign.

Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management

The compensation of the Organization's President is reviewed and approved annually by the Executive Committee of the Board of Directors. Comparable data of other similar organizations, as provided by the Organization's state home care association, is utilized in determining the compensation.

Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees

The compensation of the Organization's President is reviewed and approved annually by the Executive Committee of the Board of Directors. Comparable data of other similar Organizations, as provided by the Organization's state home care association, is utilized in determining the compensation.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

The Organization's governing documents, conflict of interest policy and financial statements are available upon request. A summary copy of the Organization's annual financial statement is also included in the Organization's annual report. Information is maintained by the senior management staff of the Organization.

Other Changes In Net Assets Or Fund Balances - Other Increases

Grants for Capital Acquisitions = $20000

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Software ID:	15000324
Software Version:	2015v2.0