Greenwich Adult Day Care Inc

What it reported doing in 2024

From july 1, 2024 through june 30, 2025, greenwich adult day care (doing business as river house adult day center) provided the following services on client days.river house's health program addresses the impact of aging on families in the greenwich and stamford community by providing comprehensive, supportive services in a compassionate, safe, and engaging setting. Aging adults are admitted to river house because they are struggling with social isolation, depression, physical impairments, cognitive confusion, and struggle with the ability to manage activities of daily living such as personal hygiene, bathing, dressing, transferring, ambulation, toileting and eating. The river house health program addresses these challenges and more. Health events can be even harder to diagnose and treat with an agingadult as many illnesses can present themselves as changes in temperament and behavior instead of more obvious physical symptoms. Clients with alzheimer's, dementia, parkinson's, and other ailments that affect cognitive awareness are less able to effectively communicate or even identify physical symptoms. Pain or discomfort might be reflected as a change in their disposition or mood. At river house, our professional team monitors the mood and behavior of each client and is trained to recognize slight changes that otherwise may be ignored or misunderstood. At the first sign of a change, our professional team jumps into action, notify ingthe family, caregivers, and physician so that a recommendation for further follow-up can beadvised. The national average cost for a single emergency room visit is upwards of $1,500, notincluding testing typically associated with conditions such as a urinary tract infection, a common ailment among seniors. The fee for an emergency room visit multiplies dramatically whenpatients have cognitive impairments (such as alzheimer's disease), because it is more difficultfor patients to express themselves. River house's health program has proven to reduce emergency hospitalizations, reduce nursing home admissions and increase the ability for aging adults to remain in the comfort of their homes.river house's therapeutic recreation program is critical to the physical, emotional, and socialwell-being and cognitive success of our participants. The program breaks down isolation andincreases stimulation, socialization, and consistency. River house offers therapeutic, stimulating, specialized and much-loved activities to our clients. Most of our clients are fragileand have varying physical and mental constraints. Our therapeutic recreation program offers avariety of exercise, music and sensory programs that are designed to address the fragility and cognitive challenges of our population, thus helping clients to improve their physical andcognitive health, circulation, and ultimately, their quality of life.caregiver support servicesat river house, we understand that caring for an aging loved one can weigh heavily on a caregiver. Services offered include:- individual and family counseling- family consultations- an evaluation of needs- home and personal safety information- assistance with advanced care planning- caregiver support groups

Financial Efficiency

• Mission deployment rate: 80.9%; rating input score 81
• Program expense ratio: 74.2%; rating input score 74
• Fundraising efficiency: $8.25 raised per $1 spent on fundraising; rating input score 32; 32nd percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 76th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 8 of 8 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -9%; rating input score 18; 18th percentile among comparable filings
• Total-asset coverage ratio: 1.42; rating input score 54; 54th percentile among comparable filings
• Liabilities to assets ratio: 0.06; rating input score 49; 49th percentile among comparable filings
• Officer compensation ratio: 7.5%; rating input score 45; 45th percentile among comparable filings

Growth

• Program expense growth: 0.6% per year; rating input score 100; 20th percentile among comparable filings
• Revenue growth: 0% per year; rating input score 100; 15th percentile among comparable filings
• Asset growth: -7.7% per year; rating input score 0; 4th percentile among comparable filings