VISITING NURSE SERVICE OF NEW YORK: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: VISITING NURSE SERVICE OF NEW YORK (EIN 13-3189926)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-10-22
IRS object ID: 202402969349301460
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-10-22T12:20:56-05:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WithumSmithBrown PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1411 BROADWAY 9TH FLOOR	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10018	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	133189926	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VISITING NURSE SERVICE OF NEW YORK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JACQUELINE GUILFOYLE	InCareOfNm
Business Name Control	VISI	BusinessNameControlTxt
Phone	2126094162	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 EAST 42ND STREET 6TH FLOOR	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10017	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEITH PATTERSON	PersonNm
Person Title	EVP/CFO	PersonTitleTxt
Phone	2126095716	PhoneNum
Signature	2024-10-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Scott J Mariani	PreparerPersonNm
PTIN	P00642486	PTIN
Phone	9738989494	PhoneNum

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	VNS HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	DANIEL SAVITT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 EAST 42ND STREET 6TH FLOOR	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10017	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$216,958,829	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.VNSHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1984	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE THROUGH HIGH-QUALITY, COST EFFECTIVE HEALTHCARE IN THE HOME AND COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	29	VotingMembersGoverningBodyCnt
Voting Members Independent	28	VotingMembersIndependentCnt
Total Employee	1115	TotalEmployeeCnt
Total Volunteers	28	TotalVolunteersCnt
Total Gross UBI	-$14,584	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,978,157	PYContributionsGrantsAmt
CY Contributions Grants	$12,810,670	CYContributionsGrantsAmt
PY Program Service Revenue	$11,235	PYProgramServiceRevenueAmt
CY Program Service Revenue	$47,247	CYProgramServiceRevenueAmt
PY Investment Income	$35,401,984	PYInvestmentIncomeAmt
CY Investment Income	$34,052,786	CYInvestmentIncomeAmt
PY Other Revenue	$4,033	PYOtherRevenueAmt
CY Other Revenue	$7,402	CYOtherRevenueAmt
PY Total Revenue	$43,395,409	PYTotalRevenueAmt
CY Total Revenue	$46,918,105	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,716,965	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,074,212	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$123,839,381	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$141,266,961	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$476,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$527,836	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,203,321	CYTotalFundraisingExpenseAmt
PY Other Expenses	-$102,879,167	PYOtherExpensesAmt
CY Other Expenses	-$113,053,493	CYOtherExpensesAmt
PY Total Expenses	$26,153,179	PYTotalExpensesAmt
CY Total Expenses	$34,815,516	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,242,230	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,102,589	CYRevenuesLessExpensesAmt
Total Assets BOY	$931,484,017	TotalAssetsBOYAmt
Total Assets EOY	$899,432,105	TotalAssetsEOYAmt
Total Liabilities BOY	$550,588,501	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$498,284,305	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$380,895,516	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$401,147,800	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	VNS HEALTH IS ONE OF THE NATION'S LARGEST NONPROFIT HOME AND COMMUNITY-BASED HEALTH CARE ORGANIZATIONS. WE HELP PEOPLE LIVE, AGE, AND HEAL WHERE THEY FEEL MOST COMFORTABLE. PLEASE REFER TO SCHEDULE O FOR ADDITIONAL INFORMATION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$6,074,212	ExpenseAmt
Grant	$6,074,212	GrantAmt
Revenue	$0	RevenueAmt
Desc	IN 2023, VISITING NURSE SERVICES OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") RECEIVED MONIES FOR GRANTS AND PROVIDED MONETARY SUPPORT TO OTHER TAX EXEMPT AFFILIATES WHICH IMPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, INCLUDING THE UNINSURED AND UNDERINSURED THROUGH EXPANDED ACCESS TO CARE TO UNDERSERVED INDIVIDUALS AND COMMUNITIES, SUPPORT AGING IN PLACE, ADVANCE RESEARCH AND PROGRAM DEVELOPMENT, PROVIDE OPPORTUNITIES FOR DISADVANTAGED CHILDREN AND FAMILIES, AND DEVELOP THE FUTURE WORKFORCE. PLEASE REFER TO SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$4,167,304	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$47,247	RevenueAmt
Desc	RESEARCH: THE CENTER FOR HOMECARE POLICY & RESEARCH, ESTABLISHED IN 1993, CONDUCTS SCIENTIFICALLY RIGOROUS RESEARCH TO PROMOTE THE DELIVERY OF HIGH-QUALITY, COST-EFFECTIVE CARE IN THE HOME AND COMMUNITY. PLEASE REFER TO SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$10,241,516	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	430	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1115	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	29	GoverningBodyVotingMembersCnt
Independent Voting Member	28	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JACQUELINE GUILFOYLE	PersonNm
Phone	2126094162	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 EAST 42ND STREET 7TH FLOOR	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10017	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
DANIEL SAVITT
DIRECTOR - CEO/PRESIDENT	55.0	0.0	Yes (X)	Yes (X)	$2,003,708	$0	$136,751
TRACY DODD
EVP & CPO (termed 7/2023)	55.0	0.0			$966,790	$0	$32,530	Yes (X)
KERRY PARKER
EVP, GENERAL COUNSEL & CRO	55.0	0.0			$904,504	$0	$73,461		Yes (X)
KEITH PATTERSON
EVP & CFO	55.0	0.0		Yes (X)	$782,883	$0	$55,249
MICHAEL BERNSTEIN
EVP & CHIEF EXPERIENCE OFFICER	55.0	0.0			$728,553	$0	$71,877	Yes (X)
ANDRIA CASTELLANOS
EVP & CHIEF OF PROVIDER SVCS.	55.0	0.0			$703,021	$0	$49,631	Yes (X)
DAVID ROSALES
EVP & CHIEF STRATEGY OFFICER	55.0	0.0			$697,287	$0	$49,663	Yes (X)
ROBERT PLASZCZ
CIO (termed 8/2023)	55.0	0.0			$650,997	$0	$39,029	Yes (X)
ANDREW N SCHIFF MD
CHAIR - DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ANNE B EHRENKRANZ PHD
VICE CHAIR/SEC/TREAS-DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
KAREN BOYKIN-TOWNS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
TINIKA BROWN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ROBERT C DAUM
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
E MARY DAVIDSON
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SARAH L EAMES
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
RAYMOND FALCI
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DARREN FOGEL
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
PETER GLEASON
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MARY R NINA HENDERSON
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
PETER L HUTCHINGS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ROBERT M KAUFMAN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL LASKOFF
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ARTHUR LINDENAUER
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JOSEPH D MARK
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DONNA E MCCABE
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SIMONE-MARIE MEEKS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
PHYLLIS J MILLS BSN RN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ELLEN MOSKOWITZ
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
CARL H PFORZHEIMER III
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JOHN P RAFFERTY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
CAROL RAPHAEL
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
CORINNE H RIEDER EDD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
GAYLE ROSENTHAL
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DEBORAH M SALE
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
EILEEN SULLIVAN-MARX
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
EDWARD TORRES
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MARGARET A BANCROFT
DIRECTOR (TERMED 8/2023)	1.0	0.0	Yes (X)		$0	$0	$0
KURT DUDAS
DIRECTOR (TERMED 8/2023)	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,437,743	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$508,191	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	373	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ROPES GRAY LLP
800 BOYLESTON STREET	BOSTON	MA	02199	LEGAL	$4,256,176
UNITY BPO INC
4100 OSUNA ROAD SUITE 3-301	ALBUQUERQUE	NM	87109	IT SUPPORT/SOLUTIONS	$2,824,604
OLLION INC
1324 N LIBERTY LAKE ROAD 2441	LIBERTY LAKE	WA	990198523	IT SUPPORT	$2,683,937
CRISPIN LLC
1712 PEASE STREET	HOUSTON	TX	77003	MARKETING	$2,611,995
COMMAND BUSINESS PRODUCTS INC
310 OSER AVENUE	HAUPPAUGE	NY	11788	PRINTING	$2,072,980

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	124	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,104,889	FundraisingAmt
Government Grants	$1,139,305	GovernmentGrantsAmt
All Other Contributions	$10,566,476	AllOtherContributionsAmt
Noncash Contributions	$107,048	NoncashContributionsAmt
Total Contributions	$12,810,670	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PROGRAM SERVICE REVENUE	Desc
Business	621400	BusinessCd
Total Revenue Column	$47,247	TotalRevenueColumnAmt
Related Or Exempt Func Income	$47,247	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$47,247	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,921,061	TotalRevenueColumnAmt
Unrelated Business Revenue	-$16,862	UnrelatedBusinessRevenueAmt
Exclusion	$13,937,923	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$189,921,972	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$169,790,247	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$20,131,725	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,131,725	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,278	UnrelatedBusinessRevenueAmt
Exclusion	$20,129,447	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$250,477	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,104,889	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$250,477	FundraisingDirectExpensesAmt
Gaming Gross Income	$7,402	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,402	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$46,918,105	TotalRevenueColumnAmt
Related Or Exempt Func Income	$47,247	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$14,584	UnrelatedBusinessRevenueAmt
Exclusion	$34,067,370	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,074,212	TotalAmt
Program Services	$6,074,212	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,956,556	TotalAmt
Program Services	$71,357	ProgramServicesAmt
Management And General	$3,845,644	ManagementAndGeneralAmt
Fundraising	$39,555	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$113,384,843	TotalAmt
Program Services	$2,034,232	ProgramServicesAmt
Management And General	$110,219,874	ManagementAndGeneralAmt
Fundraising	$1,130,737	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,035,636	TotalAmt
Program Services	$54,425	ProgramServicesAmt
Management And General	$2,950,959	ManagementAndGeneralAmt
Fundraising	$30,252	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,853,896	TotalAmt
Program Services	$282,885	ProgramServicesAmt
Management And General	$13,422,714	ManagementAndGeneralAmt
Fundraising	$148,297	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,036,030	TotalAmt
Program Services	$133,120	ProgramServicesAmt
Management And General	$6,815,013	ManagementAndGeneralAmt
Fundraising	$87,897	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,273,458	TotalAmt
Management And General	$6,273,458	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,238,737	TotalAmt
Management And General	$1,238,737	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$512,045	TotalAmt
Management And General	$512,045	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$527,836	TotalAmt
Fundraising	$527,836	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,213,710	TotalAmt
Management And General	$3,213,710	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,424,499	TotalAmt
Program Services	$460,689	ProgramServicesAmt
Management And General	$7,961,605	ManagementAndGeneralAmt
Fundraising	$2,205	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,612,005	TotalAmt
Management And General	$9,152,421	ManagementAndGeneralAmt
Fundraising	$459,584	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,492,578	TotalAmt
Program Services	$45,096	ProgramServicesAmt
Management And General	$4,438,031	ManagementAndGeneralAmt
Fundraising	$9,451	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$25,619,049	TotalAmt
Program Services	$16,030	ProgramServicesAmt
Management And General	$25,593,340	ManagementAndGeneralAmt
Fundraising	$9,679	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,496,066	TotalAmt
Program Services	$267,945	ProgramServicesAmt
Management And General	$7,879,858	ManagementAndGeneralAmt
Fundraising	$348,263	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$329,842	TotalAmt
Program Services	$7,491	ProgramServicesAmt
Management And General	$320,041	ManagementAndGeneralAmt
Fundraising	$2,310	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$696,871	TotalAmt
Program Services	$12,212	ProgramServicesAmt
Management And General	$676,323	ManagementAndGeneralAmt
Fundraising	$8,336	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,125,709	TotalAmt
Management And General	$7,125,709	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,150,097	TotalAmt
Management And General	$9,150,097	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$117,093	TotalAmt
Program Services	$85,101	ProgramServicesAmt
Fundraising	$31,992	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUBSCRIPTIONS & DUES	$1,528,528	$5,412	$1,518,063	$5,053
RECRUITMENT FEES	$1,101,611		$1,101,611
TRANSLATION SERVICES	$220,856		$220,856
SHARED SERVICES	-$202,232,420	$659,060	-$203,221,983	$330,503

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,026,173	TotalAmt
Program Services	$32,249	ProgramServicesAmt
Management And General	$962,553	ManagementAndGeneralAmt
Fundraising	$31,371	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$34,815,516	TotalAmt
Program Services	$10,241,516	ProgramServicesAmt
Management And General	$21,370,679	ManagementAndGeneralAmt
Fundraising	$3,203,321	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,130,033	BOYAmt
EOY	$13,738,686	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,839,124	BOYAmt
EOY	$2,161,898	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$161,459,710	BOYAmt
EOY	$132,951,348	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,898,617	BOYAmt
EOY	$13,765,047	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$143,995,330	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$96,046,308	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$54,824,755	BOYAmt
EOY	$47,949,022	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$346,855,678	BOYAmt
EOY	$446,353,120	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$93,176,868	BOYAmt
EOY	$2,593,427	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,164,138	BOYAmt
EOY	$1,164,138	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$251,135,094	BOYAmt
EOY	$238,755,419	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$931,484,017	BOYAmt
EOY	$899,432,105	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$95,317,309	BOYAmt
EOY	$102,282,246	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$109,125,000	BOYAmt
EOY	$96,179,005	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$346,146,192	BOYAmt
EOY	$299,823,054	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$550,588,501	BOYAmt
EOY	$498,284,305	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$366,227,303	BOYAmt
EOY	$384,520,415	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,668,213	BOYAmt
EOY	$16,627,385	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$380,895,516	BOYAmt
EOY	$401,147,800	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$931,484,017	BOYAmt
EOY	$899,432,105	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,102,589	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$28,871,299	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$20,721,604	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	6	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (6 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
VNSNY HOME CARE II
131624211	10	Yes (true)	$4,730,842	$0
VNS CHOICE
133951057	10	Yes (true)	$0	$0
VNS CHOICE COMMUNITY CARE
320053323	10	Yes (true)	$0	$0
VNSNY HOSPICE CARE
300006817	10	Yes (true)	$1,121,196	$0
NEW PARTNERS INC
133885148	10	Yes (true)	$0	$0
VNS HEALTH BEHAVIORAL HEALTH INC
932112307	3	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	6	SupportedOrganizationsTotalCnt
Support Sum	$5,852,038	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	Yes (true)	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (true)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (true)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (true)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (true)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (true)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART IV, SECTION A, Line 5a	Effective June 28, 2023, upon its incorporation, VNS Health Behavioral Health Inc. (EIN: 93-2112307); a related internal revenue code section 501(c)(3) tax-exempt organization, became a supported organization of VNS Health.
SCHEDULE A, PART IV, SECTION C, LINE 12(G), COLUMN (VI)	THIS ORGANIZATION PROVIDES VARIOUS FORMS OF NON-MONETARY SUPPORT TO ITS RELATED ORGANIZATIONS. THE SUPPORT INCLUDES PERFORMING VARIOUS ADMINISTRATIVE FUNCTIONS, INCLUDING LEGAL SERVICES AND MANAGING INVESTMENT ACTIVITIES. IN ADDITION, VNS HEALTH PERFORMS ALL FUNDRAISING ACTIVITIES AND TRANSFERS CONTRIBUTIONS TO ITS SUPPORTED ORGANIZATIONS. VNS HEALTH RECORDS THE EXPENSES RELATED TO FUNDRAISING AND THE ADMINISTRATIVE FUNCTIONS ON ITS BOOKS AND SUBSEQUENTLY ALLOCATES SOME OF THE EXPENSES TO ITS AFFILIATES. IN 2014, VNS HEALTH PROVIDED SUPPORT, IN THE FORM OF A $150 MILLION LOAN, TO VNS CHOICE. AS OF DECEMBER 31, 2023, $125 MILLION REMAINS OUTSTANDING.
SCHEDULE A, PART IV, SECTION D, LINE 3	THIS ORGANIZATION AND ITS SUPPORTED ORGANIZATIONS HAVE SOME OVERLAPPING BOARD MEMBERS AND OFFICERS. GIVEN THAT THE BOARD AND OFFICERS OF VNS HEALTH ARE RESPONSIBLE FOR OVERSEEING AND MANAGING ITS ASSETS AND ACTIVITIES, INCLUDING ITS INVESTMENTS AND GRANTMAKING, HAVING OVERLAPPING BOARD MEMBERS AND OFFICERS ENABLES THE SUPPORTED ORGANIZATIONS TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES, THE TIMING OF GRANTS MADE, THE MANNER OF MAKING GRANTS, THE SELECTION OF GRANT RECIPIENTS AND IN OTHERWISE DIRECTING THE USE OF INCOME AND ASSETS OF VNS HEALTH.
SCHEDULE A, PART IV, SECTION E, LINE 3A	VNS HEALTH IS THE DIRECT OR INDIRECT SOLE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. IN SUCH CAPACITY IT HAS THE SOLE AUTHORITY TO ELECT ALL OF THE BOARD MEMBERS OF VISITING NURSE SERVICE OF NEW YORK HOME CARE II D/B/A VNS HEALTH HOME CARE, VISITING NURSE SERVICE OF NEW YORK HOSPICE CARE D/B/A VNS HEALTH HOSPICE CARE, NEW PARTNERS, INC. D/B/A VNS HEALTH PERSONAL CARE, VNS HEALTH BEHAVIORAL HEALTH INC. AND VNS CONTINUING CARE DEVELOPMENT CORPORATION. IN ADDITION, AS THE INDIRECT SOLE MEMBER, VNS HEALTH HAS THE INDIRECT AUTHORITY TO CONTROL THE ELECTION OF THE BOARDS OF VNS CHOICE D/B/A VNS HEALTH HEALTH PLANS AND VNS CHOICE COMMUNITY CARE. THE DIRECT SOLE MEMBER OF VNS HEALTH HEALTH PLANS IS VNS CONTINUING CARE DEVELOPMENT CORPORATION, WHICH HAS THE AUTHORITY TO ELECT THE BOARD MEMBERS OF VNS HEALTH HEALTH PLANS, AND VNS HEALTH HEALTH PLANS HAS THE AUTHORITY TO ELECT BOARD MEMBERS OF VNS CHOICE COMMUNITY CARE.
SCHEDULE A, PART IV, SECTION E, LINE 3B	VNS HEALTH EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF ITS SUPPORTED ORGANIZATIONS BY VIRTUE OF (1) VNS HEALTH'S SUPERVISORY AND OVERSIGHT ROLE AND POWERS AS THE DIRECT OR INDIRECT SOLE MEMBER OF EACH SUPPORTED ORGANIZATION; AND (2) PROVISION OF VARIOUS SUPPORT SERVICES TO ITS SUPPORTED ORGANIZATIONS, INCLUDING MANAGING AND INVESTING THE SUPPORTED ORGANIZATIONS' ENDOWMENT FUNDS, MANAGING THEIR RELATIONS WITH HOSPITALS, NURSING HOMES AND OTHER HEALTH CARE PROVIDERS AND ORGANIZATIONS AND PROVIDING LEGAL, ACCOUNTING AND OTHER ADMINISTRATIVE SUPPORT.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$512,045	FilingOrganizationsTotalAmt
Affiliated Group Total	$512,045	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$512,045	FilingOrganizationsTotalAmt
Affiliated Group Total	$512,045	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$34,303,471	FilingOrganizationsTotalAmt
Affiliated Group Total	$2,967,910,435	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$34,815,516	FilingOrganizationsTotalAmt
Affiliated Group Total	$2,968,422,480	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$5,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,250,000	AffiliatedGroupTotalAmt

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$4,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$7,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$10,500,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$499,747	CurrentYearMinus3Amt
Current Year Minus2	$463,949	CurrentYearMinus2Amt
Current Year Minus1	$630,496	CurrentYearMinus1Amt
Current Year	$512,045	CurrentYearAmt
Total	$2,106,237	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,750,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$2,625,000	GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,112,625	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,297,157	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,297,157	OtherExpendituresAmt
End Year Balance	$8,112,625	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,112,625	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$2,796,046	InvestmentEarningsOrLossesAmt
Other Expenditures	-$2,796,046	OtherExpendituresAmt
End Year Balance	$8,112,625	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,712,625	BeginningYearBalanceAmt
Contributions	$400,000	ContributionsAmt
Investment Earnings Or Losses	$2,081,023	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,081,023	OtherExpendituresAmt
End Year Balance	$8,112,625	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,689,912	BeginningYearBalanceAmt
Contributions	$22,713	ContributionsAmt
Investment Earnings Or Losses	$2,220,884	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,220,884	OtherExpendituresAmt
End Year Balance	$7,712,625	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,635,247	BeginningYearBalanceAmt
Contributions	$54,665	ContributionsAmt
Investment Earnings Or Losses	$1,742,776	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,742,776	OtherExpendituresAmt
End Year Balance	$7,689,912	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$97,302	OtherCostOrOtherBasisAmt
Book Value	$97,302	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,598,383	OtherCostOrOtherBasisAmt
Depreciation	$8,749,902	DepreciationAmt
Book Value	$12,848,481	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,117,298	OtherCostOrOtherBasisAmt
Depreciation	$7,839,362	DepreciationAmt
Book Value	$15,277,936	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,124,657	OtherCostOrOtherBasisAmt
Depreciation	$32,271,100	DepreciationAmt
Book Value	$7,853,557	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$59,057,690	OtherCostOrOtherBasisAmt
Depreciation	$47,185,944	DepreciationAmt
Book Value	$11,871,746	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$47,949,022	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
RIGHT OF USE ASSETS	$195,158,355
PENSION ASSET	$37,025,435
OTHER ASSETS	$6,571,629

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$238,755,419	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$65,511,372
OPERATING LEASE LIABILITIES	$234,311,682

Field	Value	IRS element (for citing)
Total Liability	$299,823,054	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART X, LINE 4

THIS ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S ENDOWMENT FUNDS ARE INTENDED TO SUPPORT THE SYSTEM'S PROGRAMS AND INITIATIVES AND FURTHER THE ORGANIZATION'S EXEMPT PURPOSES. SUCH FUNDS WILL BE USED AS DIRECTED BY THE INDIVIDUAL DONOR, THE ORGANIZATION'S GOVERNING BODY OR SENIOR LEADERSHIP.

SCHEDULE D, PART X

THIS ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2023 AND DECEMBER 31, 2022; RESPECTIVELY. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE SYSTEM'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2023 THAT REPORTS THE SYSTEM'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): VNS HEALTH RECOGNIZES THE FINANCIAL STATEMENTS EFFECTS OF INCOME TAX POSITIONS WHEN THEY ARE MORE LIKELY THAN NOT, BASED ON TECHNICAL MERITS, THAT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS OR TAX LIABILITIES THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2023 OR 2022.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
LAUTMAN MASKA NEILL COMPANY
1730 RHODE ISLAND AVE NW 301	WASHINGTON	DC	20036	FUNDRAISING CAMPAIGN	false	$476,459	$447,836	$28,623
MARTIGNETTIE PLANNING GIVING ADVISO
PO BOX 5506	EMERALD ISLAND	NC	28594	SOLICIT. CONTRIB.	false	$3,983,783	$80,000	$3,903,783

Field	Value	IRS element (for citing)
Total Gross Receipts	$4,460,242	TotalGrossReceiptsAmt
Total Retained By Contractors	$527,836	TotalRetainedByContractorsAmt
Total Net To Organization	$3,932,406	TotalNetToOrganizationAmt

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$1,051,067	GrossReceiptsEvent1Amt
Charitable Contri Event1	$885,343	CharitableContriEvent1Amt
Gross Revenue Event1	$165,724	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$4,075	NonCashPrizesEvent1Amt
Entertainment Event1	$13,500	EntertainmentEvent1Amt
Other Direct Expenses Event1	$148,149	OtherDirectExpensesEvent1Amt
Event2	GOLF CLASSIC	Event2Nm
Gross Receipts Event2	$274,331	GrossReceiptsEvent2Amt
Charitable Contri Event2	$199,679	CharitableContriEvent2Amt
Gross Revenue Event2	$74,652	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$11,330	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$63,322	RentFacilityCostsEvent2Amt
Other Events Total	4	OtherEventsTotalCnt
Gross Receipts Other Events	$29,968	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$19,867	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$10,101	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$10,101	RentFcltyCostsOtherEventsAmt
Gross Receipts Total	$1,355,366	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,104,889	CharitableContributionsTotAmt
Gross Revenue Total Events	$250,477	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$15,405	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$73,423	RentFcltyCostsTotalEventsAmt
Entertainment Total Events	$13,500	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$148,149	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$250,477	DirectExpenseSummaryEventsAmt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
VNS Health Home Care II
220 East 42nd St 6th Fl	NEW YORK	NY	10017	131624211	501(C)(3)	$4,730,842	PROGRAM SUPPORT
VNS Health Hospice Care
220 East 42nd St 6th Fl	NEW YORK	NY	10017	300006817	501(C)(3)	$1,225,367	PROGRAM SUPPORT
VNS Health Personal Care
220 East 42nd St 6th Fl	NEW YORK	NY	10017	133885148	501(C)(3)	$29,953	PROGRAM SUPPORT
Hospital for Special Surgery
535 East 70th Street	NEW YORK	NY	10021	136714749	501(C)(3)	$12,500	PROGRAM SUPPORT
RAIN Total Care
811 Morris Park Avenue	BRONX	NY	10462	810876721	501(C)(3)	$11,800	PROGRAM SUPPORT
Dominican Med-Dental Comm Outreach Society
435 FT Washington Ave 1c	NEW YORK	NY	10033	274628678		$10,000	PROGRAM SUPPORT
United Hospital Fund
1411 Broadway 12th FL	NEW YORK	NY	10018	131562656	501(C)(3)	$7,500	PROGRAM SUPPORT
Mount Sinai Health System
One Gustave L Levy Pl	NEW YORK	NY	10029	133939476	501(C)(3)	$7,500	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I; LINE 2	FormAndLineReferenceDesc
Explanation	FOR RELATED ORGANIZATIONS, VISITING NURSE SERVICE OF NEW YORK HOME CARE II, VISITING NURSE SERVICE OF NEW YORK HOSPICE CARE AND NEW PARTNERS, INC., CORPORATE FINANCE REVIEWS EACH GRANTEE'S GENERAL LEDGER ON A MONTHLY BASIS, WHICH INCLUDES ENSURING REASONABLENESS AGAINST BUDGETS AND EXPECTATIONS. CORPORATE FINANCE IS ALSO IN CONTACT WITH OPERATIONS MANAGEMENT TO ENSURE THAT ANY FUNDS WITH A SPECIFIC PURPOSE RESTRICTION ARE USED IN ACCORDANCE WITH THOSE RESTRICTIONS. A SCHEDULE OF GRANTS IS MAINTAINED AND SHARED WITH GRANTEES TO SHOW RECEIPTS, PAYMENTS AND BALANCE REMAINING TO PROVIDE TRANSPARENCY WITH RESPECT TO THE AMOUNT OF FUNDING AVAILABLE AND PREVENT FOR ALL OTHERS, ENTITIES ARE SELECTED ANNUALLY BASED UPON CRITERIA SET OUT BY SENIOR MANAGEMENT OF THE ORGANIZATION AND ARE ALL BASED IN THE STATE OF NEW YORK.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL SAVITT
DIRECTOR - CEO/PRESIDENT	$1,346,113	$0	$445,578	$0	$212,017	$0	$49,793	$0	$86,958	$0	$2,140,459	$0	$0	$0
TRACY DODD
EVP & CPO (termed 7/2023)	$306,133	$0	$105,000	$0	$555,657	$0	$4,950	$0	$27,580	$0	$999,320	$0	$0	$0
KERRY PARKER
EVP, GENERAL COUNSEL & CRO	$656,155	$0	$142,000	$0	$106,349	$0	$25,724	$0	$47,737	$0	$977,965	$0	$0	$0
KEITH PATTERSON
EVP & CFO	$568,903	$0	$127,500	$0	$86,480	$0	$20,831	$0	$34,418	$0	$838,132	$0	$0	$0
MICHAEL BERNSTEIN
EVP & CHIEF EXPERIENCE OFFICER	$522,225	$0	$117,000	$0	$89,328	$0	$19,821	$0	$52,056	$0	$800,430	$0	$0	$0
ANDRIA CASTELLANOS
EVP & CHIEF OF PROVIDER SVCS.	$509,633	$0	$105,000	$0	$88,388	$0	$4,950	$0	$44,681	$0	$752,652	$0	$0	$0
DAVID ROSALES
EVP & CHIEF STRATEGY OFFICER	$522,409	$0	$113,500	$0	$61,378	$0	$19,113	$0	$30,550	$0	$746,950	$0	$0	$0
ROBERT PLASZCZ
CIO (termed 8/2023)	$342,046	$0	$87,000	$0	$221,951	$0	$4,950	$0	$34,079	$0	$690,026	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM, PART VII AND SCHEDULE J	TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2023 FORMS W-2.
SCHEDULE J, PART I; QUESTION 4A	THE FOLLOWING INDIVIDUALs RECEIVED SEVERANCE PAYMENTS DURING THE YEAR WHICH WERE INCLUDED IN THEIR 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: TRACY DODD, $511,475 AND ROBERT PLASCZ, $154,054.
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN A DEFERRED COMPENSATION PLAN, AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DANIEL SAVITT, $189,379; KERRY PARKER, $80,486; KEITH PATTERSON, $63,920; MICHAEL BERNSTEIN, $64,352; ANDRIA CASTELLANOS, $63,442 AND DAVID ROSALES, $61,288. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN, WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DANIEL SAVITT, $44,843; KERRY PARKER, $18,599; KEITH PATTERSON, $15,881; MICHAEL BERNSTEIN, $14,871 AND DAVID ROSALES, $14,163.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2023 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. EMPLOYEE BONUSES ARE NON-FIXED PAYMENTS BASED UPON PERFORMANCE. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$4,256,176	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,687,242	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,158,938	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$701,041	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$432,914	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$287,333	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$160,906	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$133,122	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$107,342	PERFORMANCE OF SERVICES	false

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$43,917	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp

Securities Miscellaneous SecuritiesMiscellaneousGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$55,207	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	GOLF ITEMS	4	$3,750	FMV
Yes (X)	MISC ITEMS	5	$4,174	FMV

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, LINE 25	FormAndLineReferenceDesc
Explanation	Each year, VNS Health's Volunteer Services Department solicits in-kind contributions for distribution to needy clients and to a lesser extent, for event giveaways. These gifts are distributed to patients receiving home health care and other services focused on children and adults served by VNS Health's children and family programs; and individuals treated through community mental health outreach. In 2023, Approximately 6,000 people benefitted from these charitable donations. In 2023, in-kind gifts for this purpose were made by 7 individual and corporate contributors - in an approximate aggregate value of $43,230. These contributions included, among other things, $3,230 of, knitted items and $40,000 of socks. (Gifts to Needy) In 2023, 40 corporate/business entities donated items, such as gift certificates and themed gift baskets, which were used as giveaways at a variety of volunteer events. The approximate aggregate value of these contributions was $7,402. (Volunteer Event Giveaway)	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM, PAGE 1, BOX C	THIS ORGANIZATION PREVIOUSLY FILED A CERTIFICATE OF ASSUMED NAME WITH THE NEW YORK STATE DEPARTMENT OF STATE DIVISION OF CORPORATIONS AND CURRENTLY OPERATES UNDER VNS HEALTH.
CORE FORM, PART III; QUESTION 1	VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") IS ONE OF THE NATION'S LARGEST NONPROFIT HOME AND COMMUNITY-BASED HEALTH CARE ORGANIZATIONS. INNOVATING IN HEALTH CARE FOR MORE THAN 130 YEARS, OUR COMMITMENT TO HEALTH AND WELL-BEING IS WHAT DRIVES US-WE HELP PEOPLE LIVE, AGE, AND HEAL WHERE THEY FEEL MOST COMFORTABLE, IN THEIR OWN HOMES, CONNECTED TO THEIR FAMILY AND COMMUNITY. VNS HEALTH OFFERS A FULL RANGE OF HEALTH CARE SERVICES, SOLUTIONS AND HEALTH PLANS DESIGNED TO SIMPLIFY THE HEALTH CARE EXPERIENCE AND MEET THE DIVERSE AND COMPLEX NEEDS OF THOSE WE SERVE IN NEW YORK AND BEYOND. THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE THROUGH HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE IN THE HOME AND COMMUNITY. VNS HEALTH SHARES THIS MISSION WITH ITS INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT AFFILIATES. IN 2023, VNS HEALTH AND ITS AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $66 MILLION IN CHARITABLE CARE AND COMMUNITY IMPACT PROGRAMS, WHICH IMPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, INCLUDING THE UNINSURED AND UNDERINSURED INDIVIDUALS. DONORS CONTRIBUTED $6.8 MILLION TO SUPPORT VNS HEALTH CHARITABLE CARE AND COMMUNITY IMPACT PROGRAMS, AND THE REMAINING FUNDING CAME FROM VNS HEALTH'S CHARITABLE CONTRIBUTION, AND GOVERNMENT GRANTS. VNS HEALTH'S COMMUNITY IMPACT PROGRAMS, CARRIED OUT THROUGH ITS AFFILIATE ORGANIZATIONS, EXPAND ACCESS TO CARE TO UNDERSERVED INDIVIDUALS AND COMMUNITIES, SUPPORT AGING IN PLACE, ADVANCE RESEARCH AND PROGRAM DEVELOPMENT, PROVIDE OPPORTUNITIES FOR DISADVANTAGED CHILDREN AND FAMILIES, AND DEVELOP THE FUTURE HEALTH CARE WORKFORCE. VNS HEALTH AFFILIATES SERVE OVER 104,000 PATIENTS, CLIENTS AND MEMBERS EACH YEAR. SERVICES PROVIDED BY THESE AFFILIATES ARE SUPPORTED BY CONTRIBUTIONS. THESE PROGRAMS AND INITIATIVES INCLUDE BUT ARE NOT LIMITED TO: CHARITABLE CARE; BEHAVIORAL HEALTH; NURSE FAMILY PARTNERSHIP; MATERNITY, NEWBORN, AND PEDIATRICS; LGBTQ+ OUTREACH, VETERANS OUTREACH, CHINATOWN NNORC AND THREE COMMUNITY CENTERS; AND CERTAIN HOSPICE CARE PROGRAMS. PLEASE REFER TO WWW.VNSHEALTH.ORG FOR ADDITIONAL INFORMATION. VNS HEALTH ALSO PROVIDES SIGNIFICANT ASSISTANCE, TO ITS AFFILIATES IN ORDER TO ENABLE THEIR PROGRAM-SERVICE DELIVERY, BY: (I) LENDING ADMINISTRATIVE, MANAGEMENT, POLICY SETTING, INVESTMENT, FUNDRAISING, AND ADVOCACY SUPPORT; AND (II) MAKING GRANTS OF PHILANTHROPIC DOLLARS - WITH MONIES FROM DONORS AND FROM ITS OWN RESERVES - TO SUPPORT THE CHARITABLE AND COMMUNITY INITIATIVES OF ITS NOT-FOR-PROFIT AFFILIATES.
CORE FORM, PART III; QUESTION 4A	COMMUNITY BENEFITS & OTHER: IN 2023, VNS HEALTH RECEIVED MONIES FOR GRANTS AND PROVIDED MONETARY SUPPORT TO OTHER TAX EXEMPT AFFILIATES WHICH IMPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, INCLUDING THE UNINSURED AND UNDERINSURED THROUGH EXPANDED ACCESS TO CARE TO UNDERSERVED INDIVIDUALS AND COMMUNITIES, SUPPORT AGING IN PLACE, ADVANCE RESEARCH AND PROGRAM DEVELOPMENT, PROVIDE OPPORTUNITIES FOR DISADVANTAGED CHILDREN AND FAMILIES, AND DEVELOP THE FUTURE HEALTH CARE WORKFORCE. IN ADDITION, VNS HEALTH AND ITS AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $66 MILLION IN CHARITABLE CARE AND COMMUNITY IMPACT PROGRAMS. WITH A FEW EXCEPTIONS BELOW AND RESEARCH AS DESCRIBED IN 4B, FUNDS RAISED BY VNS HEALTH FOR ITS AFFILIATES ARE DIRECTLY CONTRIBUTED TO THEM. DIRECT CONTRIBUTIONS FROM VNS HEALTH TO OTHER PROGRAMS INCLUDED: NEIGHBORHOOD NATURALLY OCCURRING RETIREMENT COMMUNITY ("NNORC"): IN 2023 VNS HEALTH, TOGETHER WITH PUBLIC AND PRIVATE FUNDERS, PROVIDED THE NNORC OVER $807,000 IN FUNDING, ENABLING THE PROGRAM TO SERVE THIS LOW-INCOME IMMIGRANT COMMUNITY. IN 2023, THE VNS HEALTH CHINATOWN NNORC TOUCHED THE LIVES OF OVER 600 SENIORS, 60 AND OLDER, WHO RESIDE IN MANHATTAN'S CHINATOWN COMMUNITY. THESE SENIORS RESIDE IN AGING, WALK-UP TENEMENT APARTMENT BUILDINGS THAT ARE NOT IDEAL FOR AGING TENANTS WHO ARE UNABLE TO NEGOTIATE STAIRS. AS A RESULT, MANY ARE HOMEBOUND AND FACE ISOLATION LONELINESS AND DETERIORATING HEALTH. MOST OF THESE SENIORS DO NOT SPEAK ENGLISH, HAVE LOW LITERACY IN THEIR NATIVE LANGUAGE, AND ARE CHALLENGED NEGOTIATING SOCIAL SERVICES AND HEALTH NETWORKS WITHOUT SPECIAL OUTREACH EFFORTS. NNORC TEAM MEMBERS DELIVER SERVICES AND PROGRAMS THAT ENSURE THESE VULNERABLE RESIDENTS ARE CONNECTED TO THE HEALTH, SOCIAL AND TRANSLATION SERVICES THEY NEED IN ORDER TO SUCCESSFULLY AGE IN PLACE. OUR CULTURALLY COMPETENT COLLEAGUES PROVIDE SOCIAL SERVICES AND HEALTHCARE ASSESSMENT AND LINKAGE TO RESOURCES TO PROMOTE AND MAINTAIN HEALTH AND WELLNESS. THESE NUMEROUS SERVICES, INCLUDING ACCESS TO ENTITLEMENTS AND RECREATIONAL SERVICES, PROVIDE IMPORTANT CONNECTIONS TO NNORC MEMBERS IN ITS STOREFRONT SPACE AT 7 MOTT STREET, WHICH IT SHARES WITH THE VNS HEALTH CHINATOWN COMMUNITY CENTER. THE NNORC ALSO RESPONDS TO COMMUNITY NEEDS BY COORDINATING A MENTAL HEALTH TASK FORCE AS WELL AS THE NY ASIAN AMERICAN ADVANCE DIRECTIVES TASK FORCE. NNORC TEAM MEMBERS SUPPORT MEMBERS WHO ARE FRAIL OR HOMEBOUND IN THEIR APARTMENTS TO ADDRESS SOCIAL AND HEALTH CONCERNS, AND ASSIST MEMBERS IN MAKING THEIR HOME SAFE AND HAZARD-FREE. OUR NNORC TEAM ALSO PROVIDES REFERRALS AND LINKS TO THE SERVICES OFFERED THROUGH OUR MANY COMMUNITY PARTNER ORGANIZATIONS THAT ARE ALIGNED WITH VNS HEALTH'S MISSION TO SUPPORT SUCCESSFUL COMMUNITY LIVING. VNS HEALTH OPENED THE CHINATOWN COMMUNITY CENTER IN 1999. THE CENTER IS A PLACE FOR LOCAL RESIDENTS TO FIND HEALTH AND SOCIAL SERVICES SUPPORT AS THEY AGE. IN DECEMBER 2022, TWO NEW VNS HEALTH COMMUNITY CENTERS OPENED TO SUPPORT THE LOCAL COMMUNITIES IN FLUSHING, QUEENS AND IN SUNSET PARK, BROOKLYN. IN 2023, OVER 39,000 PEOPLE WERE SERVED AT THESE CENTERS, AND OVER 800 EVENTS WERE HELD, INCLUDING HEALTH WORKSHOPS AND OTHER SOCIAL IMPACT PROGRAMS. HOSPICE PHYSICIAN FELLOWSHIP PROGRAM: SINCE 2004, VNS HEALTH HAS OPERATED A HIGHLY REGARDED PHYSICIAN FELLOWSHIP TRAINING PROGRAM. IT OFFERS PARTICIPANTS CAREFULLY DESIGNED HOSPICE ROTATIONS LASTING UP TO THREE MONTHS. THESE ROTATIONS GIVE THE FELLOWS A UNIQUE, HUMANISTIC HOME HOSPICE CARE EXPERIENCE THAT AIMS TO BE TRANSFORMATIVE FOR THE NEXT GENERATION OF PHYSICIANS AND NURSE PRACTITIONERS. THE 2023 ACADEMIC CLASS COMPRISED OF 49 FELLOWS FROM NINE MEDICAL CENTERS (ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, MEMORIAL SLOAN KETTERING CANCER CENTER, NEW YORK PRESBYTERIAN HOSPITAL COLUMBIA CAMPUS, NYU SCHOOL OF MEDICINE HOSPICE & PALLIATIVE MEDICINE, NEW YORK-PRESBYTERIAN/QUEENS, LINCOLN MEDICAL CENTER, JAMAICA HOSPITAL MEDICAL CENTER, BROOKDALE HOSPITAL MEDICAL CENTER, MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES). IN 2023, THE PROGRAM WAS SUPPORTED BY GENEROUS GRANTS FROM NUMEROUS INDIVIDUALS AND FOUNDATIONS. CHILDREN AND FAMILY SERVICES: VNS HEALTH SUPPORTS SEVERAL PEDIATRIC AND FAMILY PROGRAMS. THE NURSE FAMILY PARTNERSHIP PROGRAM PAIRS SPECIALLY TRAINED NURSES WITH FIRST-TIME, LOW-INCOME MOTHERS FROM PREGNANCY THROUGH THE CHILD'S SECOND BIRTHDAY. THIS PROGRAM PROVIDES SERVICES IN THE BRONX AND IN NASSAU COUNTY. AS OF DECEMBER 2023, THE PROGRAM HAD A CENSUS OF 490 MOTHERS. PEDIATRIC PALLIATIVE CARE SERVICES: IN 2023 VNS HEALTH PROVIDED $122,000 IN SUPPORT TO PEDIATRIC PALLIATIVE CARE SERVICES. THE PROGRAM BEGAN IN 2009 IN COLLABORATION WITH KEY HOSPITAL PROVIDERS AND SUPPORTS THE AMERICAN ACADEMY OF PEDIATRICS RECOMMENDATIONS FOR AN INTEGRATED PALLIATIVE CARE MODEL, WITH INTERVENTIONS BEGINNING AT DIAGNOSIS AND INCORPORATES BOTH CURATIVE AND COMFORT MEASURES. VNS HEALTH SERVES AN ETHNICALLY DIVERSE MULTICULTURAL POPULATION OF CHILDREN AND FAMILIES LIVING WITH LIFE THREATENING AND LIFE LIMITING ILLNESS. OUR TEAM CONSISTS OF A PEDIATRIC ELNEC (END OF LIFE NURSING CONSORTIUM) TRAINED INTERDISCIPLINARY TEAM OF NURSES, SOCIAL WORKERS AND REHAB CLINICIANS COVERING BROOKLYN, THE BRONX, MANHATTAN AND QUEENS. HOSPICE INTERDISCIPLINARY STAFF ATTEND PEDIATRIC ELNEC TRAINING TO INCREASE CLINICAL COMPETENCY IN CARING FOR CHILDREN AT END OF LIFE. IN 2023, WE COMPLETED TWO PEDIATRIC ELNEC TRAININGS BRINGING THE TOTAL NUMBER OF CLINICIANS TRAINED TO 200. HOSPICE TEAMS IN ALL REGIONS ARE ADMITTING AND SUCCESSFULLY CARING FOR PEDIATRIC PATIENTS THROUGH END OF LIFE WITH PEDIATRIC PALLIATIVE CARE TEAM COLLABORATION AND CONSULTATION. THE CONCURRENT CARE ACT FOR CHILDREN UNDER THE AFFORDABLE CARE ACT ALLOWS CHILDREN ON HOSPICE TO CONTINUE TO RECEIVE CURATIVE THERAPIES SUCH AS CHEMOTHERAPY OR RADIATION WHILE RECEIVING HOSPICE CARE. IN 2023, THERE WERE 124 PEDIATRIC ADMISSIONS WITH A TOTAL OF 988 VISITS MADE. THE MAJORITY OF PALLIATIVE CARE REFERRALS ARE FOR INFANTS WITH COMPLEX CONGENITAL HEART DISEASE AS WELL AS CHILDHOOD CANCERS WITH BRAIN TUMORS AS THE PRIMARY DIAGNOSIS. PATIENT ASSISTANCE FUND: CONTRIBUTIONS ALSO SUPPORTED THE PATIENT ASSISTANCEFUND. IN SOME CASES, OUR DEDICATED FRONTLINE TEAM MEMBERS RECOGNIZE THAT THEIR PATIENTS NEED MORE THAN JUST MEDICAL CARE - AND THAT A SMALL INVESTMENT IN AN ITEM OR SERVICE WOULD GO A LONG WAY TOWARD RELIEVING SUFFERING AND IMPROVING THEIR QUALITY OF LIFE. THE FUND PROVIDES HOMEBOUND AND OTHER VULNERABLE AND DISADVANTAGED PATIENTS WITH ITEMS AND SERVICES REQUESTED BY THEIR VNS HEALTH CLINICIAN THAT PROVIDE COMFORT AND PROMOTE HEALING. THESE ITEMS ARE NOT COVERED BY INSURANCE AND CAN INCLUDE MEDICATIONS AND COPAYS; EYEGLASSES; REMOTE-CONTROLLED RECLINERS; PODIATRIST-RECOMMENDED SHOES; AND AIR CONDITIONERS. HEALTH CARE WORKFORCE DEVELOPMENT: THE CLINICAL DEVELOPMENT CENTER AND THE NURSE RESIDENCY PROGRAM. THE CLINICAL DEVELOPMENT CENTER IS A CAREER CENTER DESIGNED TO INCREASE THE PIPELINE OF CLINICAL TALENT THROUGH A CULTURE OF LEARNING THAT ENGAGES STUDENTS, ATTRACTS NEW GRADUATES, AND PROVIDES OPPORTUNITIES FOR EMPLOYEES TO ADVANCE UP THE CLINICAL LADDER. THE NURSE RESIDENCY PROGRAM OFFERS AN EVIDENCE-BASED, TWO-YEAR CURRICULUM INCORPORATING CLASSROOM ACTIVITIES, AND IN-FIELD SUPPORT, WITH THE GUIDANCE OF SKILLED PRECEPTORS WHO FOSTER THE DEVELOPMENT OF PATIENT CARE SKILLS. THE PROGRAM CREATES A MUTUALLY BENEFICIAL OPPORTUNITY, AS THE PRECEPTOR ROLE NOT ONLY FACILITATES THE GROWTH OF EXPERIENCED NURSES BUT ALSO EMPOWERS THEM TO ASSUME LEADERSHIP POSITIONS, ADVANCING THEIR PROFESSIONAL CAREERS AND FOSTERING EXCELLENCE WITHIN VNS HEALTH. VETERANS OUTREACH: VNS HEALTH'S VETERANS PROGRAM PROVIDES SUPPORT TO FORMER SERVICE MEMBERS RECEIVING HOME CARE OR HOSPICE SERVICES. OUR PROGRAM LIAISONS, MOST OF THEM VETERANS THEMSELVES, CONNECT VETERANS AND FAMILIES WITH COMMUNITY RESOURCES AND VETERAN-SPECIFIC BENEFITS THAT HELP ENSURE DIGNIFIED CARE THROUGHOUT THEIR LIVES, AS WELL AS PROVIDING SUPPORT FOR SHORT- AND CHRONIC LONG-TERM HEALTH CARE NEEDS. THE VETERANS PROGRAM ALSO ASSISTS THOSE WHO ARE CARING FOR VETERANS TO ACCESS RESOURCES LIKE DEATH BENEFITS AND SURVIVOR BENEFITS TO MAKE AN OTHERWISE CHALLENGING TIME A LITTLE LESS OVERWHELMING.
CORE FORM, PART III; QUESTION 4A CONTINUED	PRIVATE DONATIONS HAVE ENABLED VNS HEALTH TO EXPAND THE LGBTQ+ OUTREACH AND GENDER AFFIRMATION PROGRAMS. VNS HEALTH IS THE LARGEST HOME- AND COMMUNITY-BASED HEALTH CARE ORGANIZATION IN THE NEW YORK CITY METROPOLITAN AREA WITH THE SAGECARE PLATINUM LEVEL LGBTQ+ CULTURAL COMPETENCY CREDENTIAL. VNS HEALTH CLINICIANS, ADMINISTRATIVE AND SENIOR LEADERSHIP HAVE RECEIVED TRAINING ON WORKING WITH LGBTQ+ COMMUNITIES FROM THE LGBTQ+ SENIOR ADVOCACY ORGANIZATION SAGE, ENSURING THAT ALL OF OUR STAFF ARE AWARE OF AND SENSITIVE TO THE NEEDS AND CONCERNS OF LGBTQ+ OLDER ADULTS. SAGE IS THE COUNTRY'S LARGEST AND OLDEST ORGANIZATION DEDICATED TO IMPROVING THE LIVES OF LESBIAN, GAY, BISEXUAL, AND TRANSGENDER, QUEER (LGBTQ+) OLDER ADULTS. THIS PARTNERSHIP HELPS ENSURE THAT ALL LGBTQ+ NEW YORKERS HAVE ACCESS TO SAFE AND RESPECTFUL HOME CARE AND HOSPICE SERVICES, WHICH HISTORICALLY HAVE BEEN UNDERUTILIZED FOR THIS POPULATION. FOR PATIENTS UNDERGOING GENDER AFFIRMATION SURGERY, VNS HEALTH PROVIDES SPECIALIZED HOME CARE SERVICES BY A TEAM OF HUNDREDS OF CLINICIANS WHO HAVE BEEN SPECIALLY TRAINED IN TRANSGENDER HEALTH AND GENDER AFFIRMING POST-SURGICAL CARE. OUR GOALS INCLUDE CREATING A CARE PLAN TO MEET EACH INDIVIDUAL'S UNIQUE NEEDS, PROVIDING A SAFE SPACE FOR PATIENTS TO RECUPERATE FULLY AT HOME AND HELPING TO ENSURE THAT THE TRANSGENDER PATIENT FEELS THEY ARE CARED FOR BY A KNOWLEDGEABLE AND CULTURALLY SENSITIVE CLINICIAN. BEHAVIORAL HEALTH: VISITING NURSE SERVICES OF NEW YORK HOME CARE II D/B/A VNS HEALTH HOME CARE ("VNS HEALTH HOME CARE") ADMINISTERS 17 PROGRAMS AND AN ARTICLE 31 MENTAL HEALTH OUTPATIENT TREATMENT AND REHABILITATIVE SERVICE (MHOTRS) PROGRAM, WITH APPROXIMATELY 475 FULL TIME, PART-TIME AND PER DIEM TEAM MEMBERS. THESE PROGRAMS DELIVERED CARE TO NEARLY 20,000 PATIENTS IN 2023 THROUGHOUT NEW YORK CITY PROVIDING ROUGHLY 10,000 VISITS PER MONTH, BOTH IN THE COMMUNITY AND VIA TELEHEALTH. BEHAVIORAL HEALTH PROGRAMS PROVIDE CARE AND CARE MANAGEMENT TO A SPECTRUM OF UNDERSERVED INDIVIDUALS, INCLUDING THOSE IN CRISIS, WITH ACUTE AND CHRONIC MENTAL ILLNESS, THE OLDER ADULT POPULATION, YOUTH AND FAMILIES, HOMELESS INDIVIDUALS AND THOSE WITH SUBSTANCE USE DISORDERS. THE ARRAY OF SERVICES INCLUDE PROGRAMS FUNDED BY NEW YORK CITY AND STATE GRANTS AND THREE MANAGED CARE CONTRACTS. IN 2023 THESE PROGRAMS INCLUDED: THE ADULT AND CHILDREN'S MOBILE CRISIS TEAMS; INTENSIVE MOBILE TREATMENT (IMT); HOME BASED CRISIS INTERVENTION (HBCI); PROMISE ZONE; PARACHUTE; PATHWAY HOME; GERIATRIC MENTAL HEALTH INITIATIVE (GMHI); PROGRAM TO ENCOURAGE ACTIVE REWARDING LIVES (PEARLS); GERIATRIC MOBILE OUTREACH; COMPREHENSIVE CARE MANAGEMENT(CCM); BEHAVIORAL HEALTH COMMUNITY TRANSITIONS (BHCT); HEALTH HOME CARE MANAGEMENT; ASSERTIVE COMMUNITY TREATMENT (ACT); SAFE PATHWAYS; THE FRIENDS CHILDREN'S PROGRAMS; AND THE ARTICLE 31 MENTAL HEALTH OUTPATIENT TREATMENT AND REHABILITATIVE SERVICES (MHOTRS) PROGRAM. TOGETHER, THEY PROVIDED A WIDE ARRAY OF BEHAVIORAL HEALTH SERVICES TO HIGH-RISK NEW YORKERS OF ALL AGES WITH MULTIPLE OVERLAPPING BEHAVIORAL HEALTH AND PHYSICAL HEALTH CONDITIONS.
CORE FORM, PART III; QUESTION 4B	RESEARCH: THE CENTER FOR HOME CARE POLICY & RESEARCH AT VNS HEALTH, ESTABLISHED IN 1993, CONDUCTS SCIENTIFICALLY RIGOROUS RESEARCH TO PROMOTE THE DELIVERY OF HIGH QUALITY, COST-EFFECTIVE CARE IN THE HOME AND COMMUNITY. THE FINDINGS FROM OUR WORK SUPPORT INFORMED DECISION MAKING BY POLICY MAKERS, PAYERS, MANAGERS, PRACTITIONERS, AND CONSUMERS OF HOME AND COMMUNITY BASED SERVICES. IT IS THE ONLY HOME AND COMMUNITY-BASED RESEARCH CENTER HOUSED IN AN ORGANIZATION SUCH AS VNS HEALTH. THE RESEARCH CENTER TEAM REGULARLY PUBLISH IN PEER-REVIEWED JOURNALS AND MAKE PRESENTATIONS AT NATIONAL CONFERENCES TO DISSEMINATE THE FINDINGS TO THE SCIENTIFIC AND POLICY COMMUNITIES. ALIGNING WITH THE NATIONAL HEALTH REFORM DEBATE, THE RESEARCH CENTER FOCUSES ON HOME CARE'S ROLE WITHIN THE ENTIRE HEALTH CARE CONTINUUM. THE RESEARCH CENTER ADVANCES A BROAD VISION OF "HOME CARE" IN THE CONTEXT OF OVERALL PERSON-CENTERED CARE DESIGNED TO PROMOTE HEALTH, SUPPORT POSITIVE AGING, FACILITATE RECOVERY, MANAGE CHRONIC ILLNESS AND PREPARE FOR END OF LIFE. RESEARCHERS WORK TO EMBODY THIS VISION IN FUNDED RESEARCH AND CONCRETE PRACTICES THAT CAN BE EFFECTIVELY INCORPORATED INTO DAILY PATIENT CARE. THE RESEARCH CENTER'S WORK ENCOMPASSES RESEARCH AVENUES DIRECTED AT NATIONAL PROBLEMS: IMPROVING CARE AND REDUCING HOSPITALIZATIONS AMONG LOW INCOME, CULTURALLY DIVERSE PATIENTS WITH COMPLEX NEEDS FOR TRANSITIONAL, POST-ACUTE, LONG-TERM CHRONIC CARE AND CARE MANAGEMENT, AND UNDERSTANDING AND PREDICTING THE DRIVERS OF RESOURCE USE FOR THESE POPULATIONS. FOR EXAMPLE, A CURRENT STUDY IS INVESTIGATING USING ARTIFICIAL INTELLIGENCE TO IDENTIFY HOMECARE PATIENT'S RISK OF HOSPITALIZATION AND EMERGENCY DEPARTMENT VISITS VIA A SPEECH-RECOGNITION FEASIBILITY STUDY. IN 2023 VNS HEALTH, TOGETHER WITH PUBLIC AND PRIVATE FUNDERS PROVIDED THE RESEARCH CENTER $3,743,000 OF SUPPORT. IN ACCORDANCE WITH FORM 990 INSTRUCTIONS, THESE RESEARCH GRANTS ARE INCLUDED WITHIN CORE FORM, PART VIII, LINE 1 AND THEREFORE THESE AMOUNTS ARE NOT INCLUDED AS PROGRAM SERVICE REVENUE WITHIN CORE FORM, PART III, LINE 4B.
CORE FORM, PART V; QUESTIONS 1A & CORE FORM, PART VII	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION PAYS OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF MOST OTHER AFFILIATES WITHIN THE SYSTEM. IN CONJUNCTION WITH THIS SERVICE, THIS ORGANIZATION ALSO PREPARES AND ISSUES FORMS 1099 TO THESE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES THESE FORMS 1099 WITH THE INTERNAL REVENUE SERVICE. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO THE APPROPRIATE AFFILIATES WITHIN THE SYSTEM VIA AN INTERCOMPANY ACCOUNT.
CORE FORM, PART V; QUESTION 15	DANIEL M. SAVITT IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION ON A FULL-TIME BASIS. MR. SAVITT IS EMPLOYED BY AND RECEIVES A FEDERAL FORM W-2 FROM THIS ORGANIZATION. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH VNS HEALTH. THIS ORGANIZATION FILED A 2023 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. SAVITT'S COMPENSATION IN EXCESS OF $1M.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS AN AFFILIATE WITHIN VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VNS HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. VNS HEALTH'S BOARD OF DIRECTORS HAS AN AUDIT COMMITTEE ("COMMITTEE"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO THE COMMITTEE, AS WELL AS, EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER SYSTEM INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FINAL FORM 990 WAS REVIEWED BY THE COMMITTEE AND PROVIDED TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION AND SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY GOVERNS CONFLICT OF INTEREST DISCLOSURE AND MONITORING OF ALL VOTING MEMBERS OF THE SYSTEM'S BOARD OF DIRECTORS. THE CONFLICTS OF INTEREST POLICY IS DESIGNED TO ASSIST THE ORGANIZATION IN EVALUATING ARRANGEMENTS, CONTRACTS OR TRANSACTIONS THAT MAY BENEFIT THE PRIVATE INTEREST OF A DIRECTOR, THEIR FAMILY MEMBER(S), OFFICERS OR KEY PERSONS. THE POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE APPLICABLE STATE AND FEDERAL LAWS GOVERNING NONPROFIT CHARITABLE CORPORATIONS. THE CHIEF COMPLIANCE & PRIVACY OFFICER REVIEWS THE DISCLOSURE STATEMENTS COMPLETED ANNUALLY BY EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE, AND CONSULTS WITH THE EXECUTIVE VICE PRESIDENT, GENERAL COUNSEL & CHIEF RISK OFFICER AS APPROPRIATE. ANY POTENTIAL CONFLICTS ARE VETTED WITH THE SYSTEM'S PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT, GENERAL COUNSEL & CHIEF RISK OFFICER AND, AS APPROPRIATE, THE CHAIR OF THE BOARD OF DIRECTORS. SPECIFIC FOLLOW-UP ACTION IS TAKEN ON A CASE-BY-CASE BASIS.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS OF THE SYSTEM'S PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENTS AND SENIOR VICE PRESIDENTS ("SENIOR MANAGEMENT"). THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THESE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS COMPLETED ON A BIENNIAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE SYSTEM IS REASONABLE. IN ADDITION, THE COMMITTEE CONDUCTS SPORADIC REVIEWS WHEN NEW TOP EXECUTIVES ARE HIRED OR CURRENT EXECUTIVES TAKE ON ADDITIONAL RESPONSIBILITIES. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION AND SYSTEM TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION FOR SENIOR MANAGEMENT. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY, THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT, INCLUDING BUT NOT LIMITED TO, THE PRESIDENT & CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENTS AND SENIOR VICE PRESIDENTS. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, EMPLOYEE REVIEWS, EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW YORK. IN ADDITION, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
CORE FORM, PART VII AND SCHEDULE J	CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS.
CORE FORM, PART VII, SECTION A, COLUMN B	THE ORGANIZATION IS AN AFFILIATE WITHIN VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF DIRECTOR MEMBERS AND OFFICERS INCLUDED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS WITHIN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS OR KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - PENSION RELATED CHANGES OTHER THAN NET PERIODIC COST - ($4,110,000); - OTHER CHANGES IN DONOR RESTRICTED NET ASSETS - $1,959,396; AND - RESERVES FOR AMOUNTS DUE FROM AFFILIATES - ($18,571,000).
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2023 AND DECEMBER 31, 2022; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THE ORGANIZATION'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII; QUESTION 3	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AS A RESULT OF FEDERAL AWARDS RECEIVED, THE ORGANIZATION WAS INCLUDED IN A SYSTEM WIDE CONSOLIDATED AUDIT AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R., PART 200, SUBPART F. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE THE UNIFORM GUIDANCE AUDIT.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTANTS TOTAL FEES:4478916
FORM 990 PART IX LINE 11G	DESCRIPTION:COMPUTER CONSULTANTS TOTAL FEES:2695156
FORM 990 PART IX LINE 11G	DESCRIPTION:RECRUITMENT SERVICES TOTAL FEES:463136
FORM 990 PART IX LINE 11G	DESCRIPTION:TEMPORARY HELP TOTAL FEES:311163
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER SERVICES TOTAL FEES:476128

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
VISITING NURSE SVC OF NY HOME CARE II
220 EAST 42ND STREET 6TH FL	NEW YORK	NY	10017	131624211	HEALTH SVCS.	NY	501(C)(3)	10	VNSNY	Yes (true)
VNS CONTINUING CARE DEVELOPMENT CORP
220 EAST 42ND STREET 6TH FL	NEW YORK	NY	10017	133974198	HEALTH SVCS.	NY	501(C)(3)	12, III-FI	VNSNY	Yes (true)
VNS CHOICE
220 EAST 42ND STREET 6TH FL	NEW YORK	NY	10017	133951057	CAPITATED PG.	NY	501(C)(3)	10	VCCDC	Yes (true)
VNS CHOICE COMMUNITY CARE
220 EAST 42ND STREET 6TH FL	NEW YORK	NY	10017	320053323	HEALTH SVCS.	NY	501(C)(3)	10	VNS CHOICE	Yes (true)
VNS OF NEW YORK HOSPICE CARE
220 EAST 42ND STREET 7TH FL	NEW YORK	NY	10017	300006817	HEALTH SVCS.	NY	501(C)(3)	10	VNSNY	Yes (true)
NEW PARTNERS INC
220 EAST 42ND STREET 6TH FL	NEW YORK	NY	10017	133885148	HEALTH SVCS.	NY	501(C)(3)	10	VNSNY	Yes (true)
FAMILY CARE SERVICES INC
220 EAST 42ND STREET 6TH FL	NEW YORK	NY	10017	133213081	HEALTH SVCS.	NY	501(C)(3)		VNSNY	Yes (true)
VNS HEALTH BEHAVIORAL HEALTH INC
220 EAST 42ND STREET 6TH Fl	NEW YORK	NY	10017	932112307	HEALTH SVCS.	NY	501(C)(3)	3	VNSNY	Yes (true)
VNSNY CARE MANAGEMENT IPA INC
220 EAST 42ND STREET 6TH FL	NEW YORK	NY	10017	843621396	INACTIVE	NY	501(C)(3)		VNSNY	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	VNS HEALTH MSO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 EAST 42ND ST	AddressLine1Txt
City	NY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10017	ZIPCd

Field	Value	IRS element (for citing)
EIN	871804245	EIN
Primary Activities	HEALTH MGMT.	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	VNSNY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	related	PredominantIncomeTypeTxt
Share Of Total Income	$89,882,603	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,489,048	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.95000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
MEDICAL CARE AT HOME PC
220 EAST 42ND STREET 6TH FL	NEW YORK	NY	10017	264175570	HEALTH SVCS.	NY	NA	C CORP.	false
VNS HEALTH HOLDINGS INC
220 EAST 42ND STREET	NEW YORK	NY	10017	874013159	HOLDING COMPANY	NY	VNSNY	C CORP.	Yes (true)	-$331,430	$49,972	1.00000
VNS HEALTH SERVICES IPA INC
220 EAST 42ND STREET 6TH FL	NEW YORK	NY	10017	932456604	HEALTH SVCS.	NY	VNSNY	C CORP.	Yes (true)	$6,301,035	$1,159,470	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
VISITING NURSE SERVICE OF NY HOME CARE II
B	$4,730,842	COST
VISITING NURSE SERVICE OF NY HOSPICE
B	$1,121,196	COST
new partners inc
B	$29,953	COST
NEW PARTNERS INC
Q,R,S	$12,615,364	COST
VNS CHOICE
Q,R,S	$2,940,853	COST
VISITING NURSE SERVICE OF NY HOSPICE
Q,R,S	$14,644,328	COST
VNS HEALTH MSO
Q,R,S	$15,121,005	COST
VNS HEALTH BEHAVIORAL HEALTH INC
Q,R,S	$21,055,979	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V	FormAndLineReferenceDesc
Explanation	THIS ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE SYSTEM ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.	ExplanationTxt

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
VISITING NURSE SERV OF NY H
220 EAST 42ND STREET 6TH FLOOR	NEW YORK	NY	10017	131624211	$0	$0	$0	$296,540,067	$296,540,067	$1,000,000	$250,000	$0	$0	$0
VNS HEALTH HEALTH PLANS
220 EAST 42ND STREET 6TH FLOOR	NEW YORK	NY	10017	133951057	$0	$0	$0	$2,241,630,575	$2,241,630,575	$1,000,000	$250,000	$0	$0	$0
VNS CHOICE COMMUNITY CARE
220 EAST 42ND STREET 6TH FLOOR	NEW YORK	NY	10017	320053323	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
VISITING NURSE SERV OF NY H
220 EAST 42ND STREET 6TH FLOOR	NEW YORK	NY	10017	300006817	$0	$0	$0	$109,717,677	$109,717,677	$1,000,000	$250,000	$0	$0	$0
NEW PARTNERS INC
220 EAST 42ND STREET 6TH FLOOR	NEW YORK	NY	10017	133885148	$0	$0	$0	$240,610,006	$240,610,006	$1,000,000	$250,000	$0	$0	$0
VNS CONTINUING CARE DEVELOPM
220 EAST 42ND STREET 6TH FLOOR	NEW YORK	NY	10017	133974198	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
FAMILY CARE SERVICES INC
220 EAST 42ND STREET 6TH FLOOR	NEW YORK	NY	10017	133213081	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
VNS HEALTH BEHAVIORAL HEALTH
220 EAST 42ND STREET 6TH FLOOR	NEW YORK	NY	10017	932112307	$0	$0	$0	$45,108,639	$45,108,639	$1,000,000	$250,000	$0	$0	$0