VISITING NURSE SERVICE OF NEW YORK: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: VISITING NURSE SERVICE OF NEW YORK (EIN 13-3189926)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-07
IRS object ID: 202333119349302233
Schema version: 2022v5.0
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	2023-11-07T11:12:32-06:00	ReturnTs
Tax Period End	2022-12-31	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	2022-01-01	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	2023-10-30	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KEITH	PersonFirstNm
Person Last	PATTERSON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	HAYLEY L STOUT CPA	PreparerPersonNm
PTIN	P01293083	PTIN
Phone	9738989494	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	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 M 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	$119,209,438	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	28	VotingMembersGoverningBodyCnt
Voting Members Independent	27	VotingMembersIndependentCnt
Total Employee	1103	TotalEmployeeCnt
Total Volunteers	27	TotalVolunteersCnt
Total Gross UBI	-$66,925	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,782,163	PYContributionsGrantsAmt
CY Contributions Grants	$7,978,157	CYContributionsGrantsAmt
PY Program Service Revenue	$61,067	PYProgramServiceRevenueAmt
CY Program Service Revenue	$11,235	CYProgramServiceRevenueAmt
PY Investment Income	$34,703,278	PYInvestmentIncomeAmt
CY Investment Income	$35,401,984	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$4,033	CYOtherRevenueAmt
PY Total Revenue	$46,546,508	PYTotalRevenueAmt
CY Total Revenue	$43,395,409	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,772,833	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,716,965	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$105,516,286	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$123,839,381	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$491,627	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$476,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,710,893	CYTotalFundraisingExpenseAmt
PY Other Expenses	-$92,319,701	PYOtherExpensesAmt
CY Other Expenses	-$102,879,167	CYOtherExpensesAmt
PY Total Expenses	$21,461,045	PYTotalExpensesAmt
CY Total Expenses	$26,153,179	CYTotalExpensesAmt
PY Revenues Less Expenses	$25,085,463	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$17,242,230	CYRevenuesLessExpensesAmt
Total Assets BOY	$828,602,356	TotalAssetsBOYAmt
Total Assets EOY	$931,484,017	TotalAssetsEOYAmt
Total Liabilities BOY	$343,203,666	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$550,588,501	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$485,398,690	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$380,895,516	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	$4,716,965	ExpenseAmt
Grant	$4,716,965	GrantAmt
Revenue	$0	RevenueAmt
Desc	IN 2022, 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	$3,790,598	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	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	$8,507,563	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	475	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1103	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	28	GoverningBodyVotingMembersCnt
Independent Voting Member	27	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 (40 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DANIEL SAVITT
DIRECTOR - PRESIDENT/CEO	55.0	0.0	Yes (X)	Yes (X)	$1,877,498	$0	$84,008
KERRY PARKER
EVP, GENERAL COUNSEL & CRO	55.0	0.0			$937,067	$0	$53,288	Yes (X)
MICHAEL BERNSTEIN
EVP & CHIEF EXPERIENCE OFFICER	55.0	0.0			$756,833	$0	$55,970		Yes (X)
ANDRIA CASTELLANOS
EVP & CHIEF OF PROVIDER SVCS.	55.0	0.0			$740,728	$0	$52,216		Yes (X)
DAVID ROSALES
EVP & CHIEF STRATEGY OFFICER	55.0	0.0			$723,775	$0	$33,129		Yes (X)
KEITH PATTERSON
EVP & CFO	55.0	0.0		Yes (X)	$717,748	$0	$36,890
ROBERT PLASZCZ
CHIEF INFORMATION OFFICER	55.0	0.0			$612,209	$0	$43,729		Yes (X)
TIMOTHY PENG
CHIEF DATA ANALYTICS OFFICER	55.0	0.0			$511,693	$0	$50,251		Yes (X)
MARKI FLANNERY
FORMER OFFICER	0.0	0.0			$129,301	$0	$19,302			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
MARGARET A BANCROFT
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
KAREN BOYKIN-TOWNS
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
KURT DUDAS
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
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
EDWARD TORRES
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
LISA R ADINOLFI
DIRECTOR (3/2022 - 10/2022)	1.0	0.0	Yes (X)		$0	$0	$0
STEVEN BUSSEY
DIRECTOR (TERMED 9/2022)	1.0	0.0	Yes (X)		$0	$0	$0
ARTHUR GURWITZ
DIRECTOR (TERMED 1/2022)	1.0	0.0	Yes (X)		$0	$0	$0
FRANK S VIGILANTE
DIRECTOR (TERMED 3/2022)	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,006,852	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$428,783	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	308	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
KIRSHENBAUM BOND SENECAL PARTNERS
1 WORLD TRADE CENTER	NEW YORK	NY	10007	MARKETING	$6,667,162
GANNON CONTRACTING LLC
49 WEST 38TH STREET	NEW YORK	NY	10018	CONSTRUCTION	$3,424,245
ROPES GRAY LLP
800 BOYLESTON STREET	BOSTON	MA	02199	LEGAL	$3,418,500
2ND WATCH INC
100 S KING STREET SUITE 100	SEATTLE	WA	98104	IT SUPPORT/SOLUTIONS	$2,642,623
UNITY BPO INC
4100 OSUNA ROAD SUITE 3-301	ALBUQUERQUE	NM	87109	IT SUPPORT/SOLUTIONS	$2,020,821

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	130	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,180,633	FundraisingAmt
Government Grants	$1,381,316	GovernmentGrantsAmt
All Other Contributions	$5,416,208	AllOtherContributionsAmt
Noncash Contributions	$97,783	NoncashContributionsAmt
Total Contributions	$7,978,157	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PROGRAM SERVICE REVENUE	Desc
Business	621400	BusinessCd
Total Revenue Column	$11,235	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,235	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$11,235	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,861,177	TotalRevenueColumnAmt
Unrelated Business Revenue	-$66,918	UnrelatedBusinessRevenueAmt
Exclusion	$17,928,095	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	$93,093,538	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$75,552,731	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$17,540,807	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,540,807	TotalRevenueColumnAmt
Unrelated Business Revenue	-$7	UnrelatedBusinessRevenueAmt
Exclusion	$17,540,814	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$261,298	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,180,633	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$261,298	FundraisingDirectExpensesAmt
Gaming Gross Income	$4,033	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,033	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	$43,395,409	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,235	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$66,925	UnrelatedBusinessRevenueAmt
Exclusion	$35,468,909	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	$4,716,965	TotalAmt
Program Services	$4,716,965	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	$3,706,498	TotalAmt
Program Services	$63,273	ProgramServicesAmt
Management And General	$3,608,680	ManagementAndGeneralAmt
Fundraising	$34,545	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	$97,398,778	TotalAmt
Program Services	$1,666,124	ProgramServicesAmt
Management And General	$94,824,588	ManagementAndGeneralAmt
Fundraising	$908,066	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,719,674	TotalAmt
Program Services	$46,486	ProgramServicesAmt
Management And General	$2,647,852	ManagementAndGeneralAmt
Fundraising	$25,336	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,710,969	TotalAmt
Program Services	$227,448	ProgramServicesAmt
Management And General	$13,354,374	ManagementAndGeneralAmt
Fundraising	$129,147	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,303,462	TotalAmt
Program Services	$125,006	ProgramServicesAmt
Management And General	$6,105,289	ManagementAndGeneralAmt
Fundraising	$73,167	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	$5,456,127	TotalAmt
Management And General	$5,456,127	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,059,882	TotalAmt
Management And General	$1,059,882	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$630,496	TotalAmt
Management And General	$630,496	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$476,000	TotalAmt
Fundraising	$476,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,311,959	TotalAmt
Management And General	$3,311,959	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,920,042	TotalAmt
Program Services	$697,635	ProgramServicesAmt
Management And General	$11,141,407	ManagementAndGeneralAmt
Fundraising	$81,000	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$15,462,844	TotalAmt
Management And General	$14,991,908	ManagementAndGeneralAmt
Fundraising	$470,936	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,440,496	TotalAmt
Program Services	$50,626	ProgramServicesAmt
Management And General	$4,371,470	ManagementAndGeneralAmt
Fundraising	$18,400	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$25,383,202	TotalAmt
Program Services	$20,604	ProgramServicesAmt
Management And General	$25,354,881	ManagementAndGeneralAmt
Fundraising	$7,717	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$549,258	TotalAmt
Program Services	$387,297	ProgramServicesAmt
Management And General	$161,961	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$256,317	TotalAmt
Program Services	$12,662	ProgramServicesAmt
Management And General	$242,465	ManagementAndGeneralAmt
Fundraising	$1,190	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	$1,381,927	TotalAmt
Program Services	$13,623	ProgramServicesAmt
Management And General	$1,364,425	ManagementAndGeneralAmt
Fundraising	$3,879	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,881,336	TotalAmt
Management And General	$3,881,336	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,516,279	TotalAmt
Management And General	$8,516,279	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$93,312	TotalAmt
Program Services	$93,312	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUBSCRIPTIONS & DUES	$1,280,531	$4,755	$1,275,167	$609
RECRUITMENT FEES	$734,067		$734,067
MEDICAL EXPENSES	$345,891	$313	$345,578
SHARED SERVICES	-$188,874,961	$333,143	-$189,687,317	$479,213

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,291,828	TotalAmt
Program Services	$48,291	ProgramServicesAmt
Management And General	$1,241,849	ManagementAndGeneralAmt
Fundraising	$1,688	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,153,179	TotalAmt
Program Services	$8,507,563	ProgramServicesAmt
Management And General	$14,934,723	ManagementAndGeneralAmt
Fundraising	$2,710,893	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$25,304,572	BOYAmt
EOY	$10,130,033	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	$1,826,930	BOYAmt
EOY	$1,839,124	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	$154,093,988	BOYAmt
EOY	$161,459,710	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	$9,601,708	BOYAmt
EOY	$10,898,617	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$141,720,966	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$86,896,211	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$54,749,114	BOYAmt
EOY	$54,824,755	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$466,991,386	BOYAmt
EOY	$346,855,678	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$105,839,181	BOYAmt
EOY	$93,176,868	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$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	$10,031,339	BOYAmt
EOY	$251,135,094	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$828,602,356	BOYAmt
EOY	$931,484,017	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$101,131,200	BOYAmt
EOY	$95,317,309	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	$92,200,114	BOYAmt
EOY	$109,125,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$149,872,352	BOYAmt
EOY	$346,146,192	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$343,203,666	BOYAmt
EOY	$550,588,501	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	$464,771,955	BOYAmt
EOY	$366,227,303	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,626,735	BOYAmt
EOY	$14,668,213	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$485,398,690	BOYAmt
EOY	$380,895,516	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$828,602,356	BOYAmt
EOY	$931,484,017	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$17,242,230	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$90,398,780	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$31,346,624	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	5	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (5 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
VNSNY HOME CARE II
131624211	10	Yes (true)	$2,730,465	$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)	$1,898,450	$0
NEW PARTNERS INC
133885148	10	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	5	SupportedOrganizationsTotalCnt
Support Sum	$4,628,915	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	false	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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $157 MILLION LOAN, TO VNS CHOICE. AS OF DECEMBER 31, 2022, $150 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, 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.
FORM 990, 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	$630,496	FilingOrganizationsTotalAmt
Affiliated Group Total	$630,496	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$630,496	FilingOrganizationsTotalAmt
Affiliated Group Total	$630,496	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$25,465,607	FilingOrganizationsTotalAmt
Affiliated Group Total	$2,671,939,871	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$26,096,103	FilingOrganizationsTotalAmt
Affiliated Group Total	$2,672,570,367	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$4,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	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	$1,130,835	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$4,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$7,130,835	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$10,696,253	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$312,612	CurrentYearMinus3Amt
Current Year Minus2	$499,747	CurrentYearMinus2Amt
Current Year Minus1	$463,949	CurrentYearMinus1Amt
Current Year	$630,496	CurrentYearAmt
Total	$1,906,804	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	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	$424,288	InvestmentEarningsOrLossesAmt
Other Expenditures	$424,288	OtherExpendituresAmt
End Year Balance	$8,112,625	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,712,625	BeginningYearBalanceAmt
Contributions	$400,000	ContributionsAmt
Investment Earnings Or Losses	$783,267	InvestmentEarningsOrLossesAmt
Other Expenditures	$783,267	OtherExpendituresAmt
End Year Balance	$8,112,625	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,689,912	BeginningYearBalanceAmt
Contributions	$22,713	ContributionsAmt
Investment Earnings Or Losses	$510,461	InvestmentEarningsOrLossesAmt
Other Expenditures	$510,461	OtherExpendituresAmt
End Year Balance	$7,712,625	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,635,247	BeginningYearBalanceAmt
Contributions	$54,665	ContributionsAmt
Investment Earnings Or Losses	$115,119	InvestmentEarningsOrLossesAmt
Other Expenditures	$115,119	OtherExpendituresAmt
End Year Balance	$7,689,912	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,625,036	BeginningYearBalanceAmt
Contributions	$10,211	ContributionsAmt
Investment Earnings Or Losses	$4,619,040	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,619,040	OtherExpendituresAmt
End Year Balance	$7,635,247	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	$8,102,969	DepreciationAmt
Book Value	$13,495,414	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,533,486	OtherCostOrOtherBasisAmt
Depreciation	$5,787,070	DepreciationAmt
Book Value	$14,746,416	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,235,467	OtherCostOrOtherBasisAmt
Depreciation	$29,611,399	DepreciationAmt
Book Value	$9,624,068	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$60,256,328	OtherCostOrOtherBasisAmt
Depreciation	$43,394,773	DepreciationAmt
Book Value	$16,861,555	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$54,824,755	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp
Total Book Value Securities	$0	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
RIGHT OF USE ASSETS	$208,077,070
PENSION ASSET	$35,392,872
OTHER ASSETS	$7,665,152

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$251,135,094	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$106,659,408
OPERATING LEASE LIABILITIES	$239,486,784

Field	Value	IRS element (for citing)
Total Liability	$346,146,192	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, 2022 AND DECEMBER 31, 2021; RESPECTIVELY. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE SYSTEM'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2022 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, 2022 OR 2021.

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	$534,393	$396,000	$138,393
MARTIGNETTIE PLANNING GIVING ADVISO
PO BOX 5506	EMERALD ISLAND	NC	28594	SOLICIT. CONTRIB.	false	$1,268,857	$80,000	$1,188,857

Field	Value	IRS element (for citing)
Total Gross Receipts	$1,803,250	TotalGrossReceiptsAmt
Total Retained By Contractors	$476,000	TotalRetainedByContractorsAmt
Total Net To Organization	$1,327,250	TotalNetToOrganizationAmt
Licensed States	NY	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$1,205,438	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,025,325	CharitableContriEvent1Amt
Gross Revenue Event1	$180,113	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$4,538	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$34,450	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$130,625	FoodAndBeverageEvent1Amt
Entertainment Event1	$10,500	EntertainmentEvent1Amt
Event2	GOLF CLASSIC	Event2Nm
Gross Receipts Event2	$221,040	GrossReceiptsEvent2Amt
Charitable Contri Event2	$148,175	CharitableContriEvent2Amt
Gross Revenue Event2	$72,865	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$18,077	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$54,788	RentFacilityCostsEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$15,453	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$7,133	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$8,320	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$8,320	RentFcltyCostsOtherEventsAmt
Gross Receipts Total	$1,441,931	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,180,633	CharitableContributionsTotAmt
Gross Revenue Total Events	$261,298	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$22,615	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$97,558	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$130,625	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$10,500	EntertainmentTotalEventsAmt
Direct Expense Summary Events	$261,298	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
VISITING NURSE SERVICE OF NY HOME CARE II
220 EAST 42ND ST 6TH FL	NEW YORK	NY	10017	131624211	501(C)(3)	$2,730,465	PROGRAM SUPPORT
VISITING NURSE SERVICE OF NY HOSPICE
220 EAST 42ND ST 6TH FL	NEW YORK	NY	10017	300006817	501(C)(3)	$1,898,450	PROGRAM SUPPORT
HOSPITAL FOR SPECIAL SURGERY
535 EAST 70TH STREET	NEW YORK	NY	10021	133885148	501(C)(3)	$12,500	PROGRAM SUPPORT
EXCEISIOR INTERGRATED MEDICAL GROUP
217 GRAND STREET 401	NEW YORK	NY	10013	463308133		$10,000	PROGRAM SUPPORT
UNITED HOSPITAL FUND
1411 BROADWAY 12TH FL	NEW YORK	NY	10018	131562656	501(C)(3)	$9,300	PROGRAM SUPPORT
RAIN TOTAL CARE INC
811 MORRIS PARK AVENUE	BRONX	NY	10462	810876721	501(C)(3)	$6,500	PROGRAM SUPPORT
LATINO COMMISSION ON AIDS
24 WEST 25TH ST 9TH FL	NEW YORK	NY	10012	133629466	501(C)(3)	$6,500	PROGRAM SUPPORT
HARLEM WEEK INC
200A W 136TH STREET	NEW YORK	NY	10030	133058019	501(C)(3)	$6,000	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 AND VISITING NURSE SERVICE OF NEW YORK HOSPICE CARE, 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)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
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 (9 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 - PRESIDENT/CEO	$1,227,615	$0	$370,800	$0	$279,083	$0	$4,575	$0	$79,433	$0	$1,961,506	$0	$0	$0
KERRY PARKER
EVP, GENERAL COUNSEL & CRO	$640,654	$0	$197,000	$0	$99,413	$0	$5,469	$0	$47,819	$0	$990,355	$0	$0	$0
MICHAEL BERNSTEIN
EVP & CHIEF EXPERIENCE OFFICER	$507,929	$0	$165,000	$0	$83,904	$0	$4,575	$0	$51,395	$0	$812,803	$0	$0	$0
ANDRIA CASTELLANOS
EVP & CHIEF OF PROVIDER SVCS.	$498,231	$0	$160,000	$0	$82,497	$0	$4,575	$0	$47,641	$0	$792,944	$0	$0	$0
DAVID ROSALES
EVP & CHIEF STRATEGY OFFICER	$503,371	$0	$160,000	$0	$60,404	$0	$4,575	$0	$28,554	$0	$756,904	$0	$0	$0
KEITH PATTERSON
EVP & CFO	$549,087	$0	$157,500	$0	$11,161	$0	$4,575	$0	$32,315	$0	$754,638	$0	$0	$0
ROBERT PLASZCZ
CHIEF INFORMATION OFFICER	$489,813	$0	$122,000	$0	$396	$0	$4,575	$0	$39,154	$0	$655,938	$0	$0	$0
TIMOTHY PENG
CHIEF DATA ANALYTICS OFFICER	$388,055	$0	$103,000	$0	$20,638	$0	$4,815	$0	$45,436	$0	$561,944	$0	$0	$0
MARKI FLANNERY
FORMER OFFICER	$0	$0	$0	$0	$129,301	$0	$8,971	$0	$10,331	$0	$148,603	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM, PART VII AND SCHEDULE J	TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2022 FORMS W-2.
SCHEDULE J, PART I; QUESTION 1A	THE FOLLOWING INDIVIDUAL RECEIVED A HOUSING ALLOWANCE DURING THE YEAR WHICH WAS INCLUDED IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DANIEL SAVITT, $42,000.
SCHEDULE J, PART I; QUESTION 4A	THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE YEAR WHICH WERE INCLUDED HER 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARKI FLANNERY, $114,358.
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNTS 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 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DANIEL SAVITT, $181,223; KERRY PARKER, $78,151; MICHAEL BERNSTEIN, $62,708; ANDRIA CASTELLANOS, $61,601 AND DAVID ROSALES, $59,813.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 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 (12 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$3,424,245	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$3,418,500	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,774,902	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,509,793	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,073,462	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$569,548	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$480,593	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$383,392	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$374,788	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$307,921	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$217,599	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$112,367	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	$1,979	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	6	ContributionCnt
Noncash Contributions Rpt F990	$57,907	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 (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	WOMENS PRODUCTS	1	$24,500	FMV
Yes (X)	GOLF ITEMS	5	$5,424	FMV
Yes (X)	MASKS	1	$5,385	FMV
Yes (X)	MISC ITEMS	4	$2,588	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, VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") 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 2022, APPROXIMATELY 8,500 PEOPLE BENEFITTED FROM THESE CHARITABLE DONATIONS.	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 SERVICES OFNEW 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. THIS 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 2022, VNS HEALTH AND ITS AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $65 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS, WHICH IMPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, INCLUDING THE UNINSURED AND UNDERINSURED INDIVIDUALS AND PRIVATE FOUNDATIONS CONTRIBUTED $6.3 MILLION TO SUPPORT VNS HEALTH CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS, AND THE REMAINING FUNDING CAME FROM GOVERNMENT GRANTS. VNS HEALTH'S COMMUNITY BENEFIT 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 WORKFORCE. VNS HEALTH AFFILIATES PROVIDE CARE TO OVER 103,000 PATIENTS 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 COMMUNITY CENTER; 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 2022, 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. IN ADDITION, VNS HEALTH AND ITS AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $65 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFIT 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"): THE NNORC RECEIVED $607,000 IN FUNDING FROM PUBLIC AND PRIVATE FUNDERS, ENABLING THE PROGRAM TO SERVE THIS LOW-INCOME IMMIGRANT COMMUNITY. IN 2022, 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 STAFF 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 STAFF 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 STAFF 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. 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 HEALTH CARE EXPERIENCE THAT AIMS TO BE TRANSFORMATIVE FOR THE NEXT GENERATION OF PHYSICIANS AND NURSE PRACTITIONERS. THE 2022 ACADEMIC CLASS COMPRISED OF 50 FELLOWS FROM NINE MEDICAL CENTERS (JAMAICA HOSPITAL MEDICAL CENTER, COLUMBIA UNIVERSITY MEDICAL CENTRE, BRONX VA HOSPITAL, BROOKDALE HOSPITAL MEDICAL CENTER, LINCOLN MEDICAL CENTER, MEMORIAL SLOAN KETTERING CANCER CENTER, NEW YORK PRESBYTERIAN QUEENS, NYU SCHOOL OF MEDICINE, & MOUNT SINAI). IN 2022, 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 2022, THE PROGRAM HAD A CENSUS OF 642 MOTHERS. PEDIATRIC PALLIATIVE CARE SERVICES: VNS HEALTH PROVIDED $329,000 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 STAFF CONSISTS OF A PEDIATRIC ELNEC (END OF LIFE NURSING CONSORTIUM) TRAINED INTERDISCIPLINARY TEAM OF NURSES, SOCIAL WORKERS AND REHAB STAFF COVERING BROOKLYN, BRONX, MANHATTAN AND QUEENS. HOSPICE INTERDISCIPLINARY STAFF ATTEND PEDIATRIC ELNEC TRAINING TO INCREASE CLINICAL COMPETENCY IN CARING FOR CHILDREN AT END OF LIFE. IN 2022, WE COMPLETED A PEDIATRIC ELNEC TRAINING BRINGING THE TOTAL NUMBER OF CLINICIANS TRAINED TO 170. 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 2022, THERE WERE 191 PEDIATRIC ADMISSIONS WITH A TOTAL OF 773 VISITS MADE. THE MAJORITY OF THE PEDIATRIC PALLIATIVE CASES RESIDE IN BROOKLYN WITH OUR PRIMARY REFERRER BEING NYU LANGONE AND THE NYU HASSENFELD CHILDRENS CANCER CENTER. PALLIATIVE REFERRALS FOR INFANTS WITH COMPLEX CONGENITAL HEART DISEASE AS WELL AS CHILDHOOD CANCERS WITH BRAIN TUMORS CONTINUE TO BE THE PRIMARY DIAGNOSIS. PATIENT ENRICHMENT PROGRAM FUND: CONTRIBUTIONS ALSO SUPPORTED THE PATIENT ENRICHMENT PROGRAM FUND. IN SOME CASES, OUR DEDICATED FRONTLINE STAFF 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 CAN INCLUDE MEDICATIONS AND COPAYS NOT COVERED BY INSURANCE; EYEGLASSES; REMOTE-CONTROLLED RECLINERS; PODIATRIST-RECOMMENDED SHOES; AND AIR CONDITIONERS. 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 CLINICIANS, ADMINISTRATIVE AND SENIOR STAFF 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. 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. 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 WILL HELP 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: VNS HEALTH BEHAVIORAL HEALTH ("BH") ADMINISTERS 35 PROGRAMS AND AN ARTICLE 31 MENTAL HEALTH MHOTRS PROGRAM, WITH APPROXIMATELY 475 FULL TIME, PART-TIME AND PER DIEM STAFF. THESE PROGRAMS DELIVERED CARE TO NEARLY 31,000 PATIENTS IN 2022 THROUGHOUT NEW YORK CITY PROVIDING ROUGHLY 18,000 VISITS PER MONTH, BOTH IN THE COMMUNITY AND VIA TELEHEALTH. BEHAVIORAL HEALTH PROGRAMS PROVIDE CARE TO A SPECTRUM OF UNDERSERVED INDIVIDUALS, INCLUDING THOSE WITH ACUTE AND CHRONIC MENTAL ILLNESS, THE OLDER ADULT POPULATION, CHILDREN WITH EMOTIONAL, BEHAVIORAL AND PSYCHIATRIC DISORDERS, 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 2022 THESE PROGRAMS INCLUDED: THE ADULT AND CHILDREN'S MOBILE CRISIS TEAMS; INTENSIVE MOBILE TREATMENT; HOME BASED CRISIS INTERVENTION; PROMISE ZONE INITIATIVE; PARACHUTE; PATHWAY HOME; IN-HOME GERIATRIC MENTAL HEALTH; PROGRAM TO ENCOURAGE ACTIVE REWARDING LIVES (PEARLS); COMPREHENSIVE CARE MANAGEMENT(CCM); BEHAVIORAL HEALTH COMMUNITY TRANSITIONS (BHCT); HEALTH HOME CARE MANAGEMENT; ASSERTIVE COMMUNITY TREATMENT (ACT); 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 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. 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. CENTER STAFF 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 CENTER FOCUSES ON HOME CARE'S ROLE WITHIN THE ENTIRE HEALTH CARE CONTINUUM. THE 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 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. ANOTHER PROJECT EVALUATES THE SAFETY OF THE HOME HEALTH AIDE WORKFORCE AND THE CONTINUATION OF ESSENTIAL PATIENT CARE THROUGH SUSTAINABLE PANDEMIC PREPAREDNESS. DURING 2022, VNS HEALTH RECEIVED RESEARCH GRANT REVENUE IN THE AMOUNT OF $2,481,674. 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 2022 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 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 AUDIT COMMITTEE ("COMMITTEE"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO THE AUDIT 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 ORGANIZATION'S AUDIT 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 - $34,299,000; - OTHER CHANGES IN DONOR RESTRICTED NET ASSETS - ($5,958,522); AND - RESERVES FOR AMOUNTS DUE FROM AFFILIATES - ($59,687,102).
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, 2022 AND DECEMBER 31, 2021; 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:6724407
FORM 990 PART IX LINE 11G	DESCRIPTION:COMPUTER CONSULTANTS TOTAL FEES:3074957
FORM 990 PART IX LINE 11G	DESCRIPTION:RECRUITMENT SERVICES TOTAL FEES:989867
FORM 990 PART IX LINE 11G	DESCRIPTION:TEMPORARY HELP TOTAL FEES:954502
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER SERVICES TOTAL FEES:176309

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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)

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	$82,251,903	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,052,510	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	HOME HEALTH	NY	NA	C CORP.	false
VNSNY CARE MANAGEMENT IPA INC
220 EAST 42ND STREET 6TH FL	NEW YORK	NY	10017	843621396	CARE MGMT.	NY	VNSNY	C CORP.	Yes (true)	$0	$0	1.00000
VNS HEALTH HOLDINGS INC
220 EAST 42ND STREET	NEW YORK	NY	10017	874013159	HOLDING COMPANY	NY	VNSNY	C CORP.	Yes (true)	$0	$50,000	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 (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
VISITING NURSE SERVICE OF NY HOME CARE II
B	$2,730,465	COST
VISITING NURSE SERVICE OF NY HOSPICE
B	$1,898,450	COST
NEW PARTNERS INC
Q,R,S	$2,490,277	COST
VNS CHOICE
Q,R,S	$513,499	COST
VISITING NURSE SERVICE OF NY HOSPICE
Q,R,S	$6,484,861	COST
FAMILY CARE SERVICES INC
Q,R,S	$2,586,988	COST
VNS HEALTH MSO
Q,R,S	$329,573	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 (7 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	$300,287,938	$300,287,938	$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	$2,000,629,000	$2,000,629,000	$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	$108,970,428	$108,970,428	$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	$236,586,899	$236,586,899	$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