2023-11-07T11:12:32-06:00 2022-12-31 WithumSmithBrown PC 1411 BROADWAY 9TH FLOOR NEW YORK NY 10018 990 2022-01-01 133189926 VISITING NURSE SERVICE OF NEW YORK % JACQUELINE GUILFOYLE VISI 2126094162 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 KEITH PATTERSON EVP & CFO 2126095716 2023-10-30 true KEITH PATTERSON XXX-XX-XXXX HAYLEY L STOUT CPA P01293083 9738989494 3 2022 2023-04-26 12:10:37Z VNS HEALTH DANIEL M SAVITT 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 119209438 false X WWW.VNSHEALTH.ORG X 1984 NY TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE THROUGH HIGH-QUALITY, COST EFFECTIVE HEALTHCARE IN THE HOME AND COMMUNITY. 28 27 1103 27 -66925 0 11782163 7978157 61067 11235 34703278 35401984 0 4033 46546508 43395409 7772833 4716965 0 0 105516286 123839381 491627 476000 2710893 -92319701 -102879167 21461045 26153179 25085463 17242230 828602356 931484017 343203666 550588501 485398690 380895516 X 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. false false 4716965 4716965 0 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. 3790598 0 0 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. 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DIRECTOR 1.0 0.0 X X 0 0 0 ANNE B EHRENKRANZ PHD VICE CHAIR/SEC/TREAS-DIRECTOR 1.0 0.0 X X 0 0 0 MARGARET A BANCROFT DIRECTOR 1.0 0.0 X 0 0 0 KAREN BOYKIN-TOWNS DIRECTOR 1.0 0.0 X 0 0 0 ROBERT C DAUM DIRECTOR 1.0 0.0 X 0 0 0 E MARY DAVIDSON DIRECTOR 1.0 0.0 X 0 0 0 KURT DUDAS DIRECTOR 1.0 0.0 X 0 0 0 SARAH L EAMES DIRECTOR 1.0 0.0 X 0 0 0 RAYMOND FALCI DIRECTOR 1.0 0.0 X 0 0 0 PETER GLEASON DIRECTOR 1.0 0.0 X 0 0 0 MARY R NINA HENDERSON DIRECTOR 1.0 0.0 X 0 0 0 PETER L HUTCHINGS DIRECTOR 1.0 0.0 X 0 0 0 ROBERT M KAUFMAN DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL LASKOFF DIRECTOR 1.0 0.0 X 0 0 0 ARTHUR LINDENAUER DIRECTOR 1.0 0.0 X 0 0 0 JOSEPH D MARK DIRECTOR 1.0 0.0 X 0 0 0 DONNA E MCCABE DIRECTOR 1.0 0.0 X 0 0 0 SIMONE-MARIE MEEKS DIRECTOR 1.0 0.0 X 0 0 0 PHYLLIS J MILLS BSN RN DIRECTOR 1.0 0.0 X 0 0 0 ELLEN MOSKOWITZ DIRECTOR 1.0 0.0 X 0 0 0 CARL H PFORZHEIMER III DIRECTOR 1.0 0.0 X 0 0 0 JOHN P RAFFERTY DIRECTOR 1.0 0.0 X 0 0 0 CAROL RAPHAEL DIRECTOR 1.0 0.0 X 0 0 0 CORINNE H RIEDER EDD DIRECTOR 1.0 0.0 X 0 0 0 GAYLE ROSENTHAL DIRECTOR 1.0 0.0 X 0 0 0 DEBORAH M SALE DIRECTOR 1.0 0.0 X 0 0 0 EDWARD TORRES DIRECTOR 1.0 0.0 X 0 0 0 LISA R ADINOLFI DIRECTOR (3/2022 - 10/2022) 1.0 0.0 X 0 0 0 STEVEN BUSSEY DIRECTOR (TERMED 9/2022) 1.0 0.0 X 0 0 0 ARTHUR GURWITZ DIRECTOR (TERMED 1/2022) 1.0 0.0 X 0 0 0 FRANK S VIGILANTE DIRECTOR (TERMED 3/2022) 1.0 0.0 X 0 0 0 7006852 0 428783 308 true true false KIRSHENBAUM BOND SENECAL PARTNERS 1 WORLD TRADE CENTER NEW YORK NY 10007 MARKETING 6667162 GANNON CONTRACTING LLC 49 WEST 38TH STREET NEW YORK NY 10018 CONSTRUCTION 3424245 ROPES GRAY LLP 800 BOYLESTON STREET BOSTON MA 02199 LEGAL 3418500 2ND WATCH INC 100 S KING STREET SUITE 100 SEATTLE WA 98104 IT SUPPORT/SOLUTIONS 2642623 UNITY BPO INC 4100 OSUNA ROAD SUITE 3-301 ALBUQUERQUE NM 87109 IT SUPPORT/SOLUTIONS 2020821 130 1180633 1381316 5416208 97783 7978157 PROGRAM SERVICE REVENUE 621400 11235 11235 11235 17861177 -66918 17928095 0 0 0 0 0 93093538 75552731 17540807 17540807 -7 17540814 261298 1180633 261298 4033 0 4033 0 0 0 0 43395409 11235 -66925 35468909 X 4716965 4716965 0 0 0 3706498 63273 3608680 34545 0 97398778 1666124 94824588 908066 2719674 46486 2647852 25336 13710969 227448 13354374 129147 6303462 125006 6105289 73167 0 5456127 5456127 1059882 1059882 630496 630496 476000 476000 3311959 3311959 11920042 697635 11141407 81000 15462844 14991908 470936 4440496 50626 4371470 18400 25383202 20604 25354881 7717 0 549258 387297 161961 256317 12662 242465 1190 0 1381927 13623 1364425 3879 3881336 3881336 0 8516279 8516279 93312 93312 SUBSCRIPTIONS & DUES 1280531 4755 1275167 609 RECRUITMENT FEES 734067 734067 MEDICAL EXPENSES 345891 313 345578 SHARED SERVICES -188874961 333143 -189687317 479213 1291828 48291 1241849 1688 26153179 8507563 14934723 2710893 25304572 10130033 0 0 0 0 1826930 1839124 0 0 0 0 154093988 161459710 0 0 9601708 10898617 141720966 86896211 54749114 54824755 466991386 346855678 105839181 93176868 164138 1164138 0 0 10031339 251135094 828602356 931484017 101131200 95317309 0 0 0 0 0 0 0 0 0 0 0 0 92200114 109125000 149872352 346146192 343203666 550588501 X 464771955 366227303 20626735 14668213 485398690 380895516 828602356 931484017 X 17242230 -90398780 -31346624 X X false true X true true true X X 5 VNSNY HOME CARE II 131624211 10 true 2730465 0 VNS CHOICE 133951057 10 true 0 0 VNS CHOICE COMMUNITY CARE 320053323 10 true 0 0 VNSNY HOSPICE CARE 300006817 10 true 1898450 0 NEW PARTNERS INC 133885148 10 true 0 0 5 4628915 0 true false false false false false false false false false false false false false false true true true X true true 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. 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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. X X X X X X true LAUTMAN MASKA NEILL COMPANY 1730 RHODE ISLAND AVE NW 301 WASHINGTON DC 20036 FUNDRAISING CAMPAIGN false 534393 396000 138393 MARTIGNETTIE PLANNING GIVING ADVISO PO BOX 5506 EMERALD ISLAND NC 28594 SOLICIT. CONTRIB. false 1268857 80000 1188857 1803250 476000 1327250 NY GALA 1205438 1025325 180113 4538 34450 130625 10500 GOLF CLASSIC 221040 148175 72865 18077 54788 3 15453 7133 8320 8320 1441931 1180633 261298 22615 97558 130625 10500 261298 true VISITING NURSE SERVICE OF NY HOME CARE II 220 EAST 42ND ST 6TH FL NEW YORK NY 10017 131624211 501(C)(3) 2730465 PROGRAM SUPPORT VISITING NURSE SERVICE OF NY HOSPICE 220 EAST 42ND ST 6TH FL NEW YORK NY 10017 300006817 501(C)(3) 1898450 PROGRAM SUPPORT HOSPITAL FOR SPECIAL SURGERY 535 EAST 70TH STREET NEW YORK NY 10021 133885148 501(C)(3) 12500 PROGRAM SUPPORT EXCEISIOR INTERGRATED MEDICAL GROUP 217 GRAND STREET 401 NEW YORK NY 10013 463308133 10000 PROGRAM SUPPORT UNITED HOSPITAL FUND 1411 BROADWAY 12TH FL NEW YORK NY 10018 131562656 501(C)(3) 9300 PROGRAM SUPPORT RAIN TOTAL CARE INC 811 MORRIS PARK AVENUE BRONX NY 10462 810876721 501(C)(3) 6500 PROGRAM SUPPORT LATINO COMMISSION ON AIDS 24 WEST 25TH ST 9TH FL NEW YORK NY 10012 133629466 501(C)(3) 6500 PROGRAM SUPPORT HARLEM WEEK INC 200A W 136TH STREET NEW YORK NY 10030 133058019 501(C)(3) 6000 PROGRAM SUPPORT 7 1 SCHEDULE I, PART I; LINE 2 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. X true true X X X X true true false false false false false true false DANIEL SAVITT DIRECTOR - PRESIDENT/CEO 1227615 0 370800 0 279083 0 4575 0 79433 0 1961506 0 0 0 KERRY PARKER EVP, GENERAL COUNSEL & CRO 640654 0 197000 0 99413 0 5469 0 47819 0 990355 0 0 0 MICHAEL BERNSTEIN EVP & CHIEF EXPERIENCE OFFICER 507929 0 165000 0 83904 0 4575 0 51395 0 812803 0 0 0 ANDRIA CASTELLANOS EVP & CHIEF OF PROVIDER SVCS. 498231 0 160000 0 82497 0 4575 0 47641 0 792944 0 0 0 DAVID ROSALES EVP & CHIEF STRATEGY OFFICER 503371 0 160000 0 60404 0 4575 0 28554 0 756904 0 0 0 KEITH PATTERSON EVP & CFO 549087 0 157500 0 11161 0 4575 0 32315 0 754638 0 0 0 ROBERT PLASZCZ CHIEF INFORMATION OFFICER 489813 0 122000 0 396 0 4575 0 39154 0 655938 0 0 0 TIMOTHY PENG CHIEF DATA ANALYTICS OFFICER 388055 0 103000 0 20638 0 4815 0 45436 0 561944 0 0 0 MARKI FLANNERY FORMER OFFICER 0 0 0 0 129301 0 8971 0 10331 0 148603 0 0 0 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. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3424245 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3418500 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1774902 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1509793 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1073462 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 569548 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 480593 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 383392 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 374788 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 307921 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 217599 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 112367 PERFORMANCE OF SERVICES false X 1979 FMV X 6 57907 FMV X WOMENS PRODUCTS 1 24500 FMV X GOLF ITEMS 5 5424 FMV X MASKS 1 5385 FMV X MISC ITEMS 4 2588 FMV false false false SCHEDULE M, PART I, LINE 25 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. 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 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 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 true VNS CHOICE 220 EAST 42ND STREET 6TH FL NEW YORK NY 10017 133951057 CAPITATED PG. NY 501(C)(3) 10 VCCDC 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 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 true NEW PARTNERS INC 220 EAST 42ND STREET 6TH FL NEW YORK NY 10017 133885148 HEALTH SVCS. NY 501(C)(3) 10 VNSNY true FAMILY CARE SERVICES INC 220 EAST 42ND STREET 6TH FL NEW YORK NY 10017 133213081 HEALTH SVCS. NY 501(C)(3) VNSNY true VNS HEALTH MSO 220 EAST 42ND ST NY NY 10017 871804245 HEALTH MGMT. NY VNSNY RELATED 82251903 1052510 false 0 true 0.95000 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. 0 0 1.00000 true VNS HEALTH HOLDINGS INC 220 EAST 42ND STREET NEW YORK NY 10017 874013159 HOLDING COMPANY NY VNSNY C CORP. 0 50000 1.00000 true false true false true false false false false false false false true true true true false true true true VISITING NURSE SERVICE OF NY HOME CARE II B 2730465 COST VISITING NURSE SERVICE OF NY HOSPICE B 1898450 COST NEW PARTNERS INC Q,R,S 2490277 COST VNS CHOICE Q,R,S 513499 COST VISITING NURSE SERVICE OF NY HOSPICE Q,R,S 6484861 COST FAMILY CARE SERVICES INC Q,R,S 2586988 COST VNS HEALTH MSO Q,R,S 329573 COST SCHEDULE R, PART V 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. VISITING NURSE SERV OF NY H 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 131624211 0 0 0 300287938 300287938 1000000 250000 0 0 0 VNS HEALTH HEALTH PLANS 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 133951057 0 0 0 2000629000 2000629000 1000000 250000 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 108970428 108970428 1000000 250000 0 0 0 NEW PARTNERS INC 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 133885148 0 0 0 236586899 236586899 1000000 250000 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