2022-11-11T17:32:45-06:00 2021-12-31 WithumSmithBrown PC 1411 BROADWAY 9TH FLOOR NEW YORK NY 10018 990 2021-01-01 133189926 VISITING NURSE SERVICE OF NEW YORK % JACQUELINE GUILFOYLE VISI 2126095716 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 KEITH PATTERSON EVP/CFO 2126095716 2022-11-10 true KEITH PATTERSON XXX-XX-XXXX Scott J Mariani P00642486 2127519100 2021 2022-09-23 18:48:47Z VNS HEALTH DANIEL M SAVITT 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 265974576 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. 31 30 964 30 0 0 12228470 11782163 130961 61067 85658377 34703278 109460 0 98127268 46546508 10674703 7772833 0 0 93003708 105516286 450640 491627 2410962 -80482900 -92319701 23646151 21461045 74481117 25085463 844125142 828602356 422877209 343203666 421247933 485398690 X VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE THROUGH HIGH-QUALITY, COST EFFECTIVE HEALTHCARE IN THE HOME AND COMMUNITY. PLEASE REFER TO SCHEDULE O FOR ADDITIONAL INFORMATION. false false 7772833 7772833 61067 COMMUNITY BENEFITS & OTHER: IN 2021, VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") AND IT AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $51 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS, WHICH IMPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, INCLUDING THE UNDER- AND UNINSURED THROUGH EXPANDED ACCESS TO CARE TO UNDERSERVED INDIVIDUALS AND COMMUNITIES, SUPPORT AGING IN PLACE, ADVANCE RESEARCH AND PROGRAM DEVELOPMENT, HELP COMBAT COVID-19, PROVIDE OPPORTUNITIES FOR DISADVANTAGED CHILDREN AND FAMILIES, AND DEVELOP THE FUTURE WORKFORCE. PLEASE REFER TO SCHEDULE O FOR ADDITIONAL INFORMATION. 2428220 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. PLEASE REFER TO SCHEDULE O FOR ADDITIONAL INFORMATION. 10201053 true true false true false false false false false true true true false false true true false true false false false false false true true false false true false true false false false false false true false false true false false false false true true false false false true X 327 0 true 964 true true true false false false false true true false false false false true false X 31 30 false false false false false false false true true false false true true true true true true true true true true CA CT FL MA NJ NY PA SC TN X JACQUELINE GUILFOYLE 2126094162 220 EAST 42ND STREET 7TH FLOOR NEW YORK NY 10017 X DANIEL SAVITT DIR - PRES/CEO (EFF 02/21) 55.0 0.0 X X 1568570 0 71478 MARKI FLANNERY DIR - PRES/CEO (TERM 02/21) 55.0 0.0 X X 1445489 0 48962 KERRY PARKER EVP, GENERAL COUNSEL & CRO 55.0 0.0 X 923911 0 34583 ANDRIA CASTELLANOS EVP & CHIEF OF PROVIDER SVCS. 55.0 0.0 X 754159 0 31136 MICHAEL BERNSTEIN EVP & CHIEF EXPERIENCE OFFICER 55.0 0.0 X 725926 0 31270 DAVID ROSALES EVP & CHIEF STRATEGY OFFICER 55.0 0.0 X 706510 0 34036 ROBERT PLASZCZ CHIEF INFORMATION OFFICER 55.0 0.0 X 603814 0 25415 TIMOTHY PENG CHIEF DATA ANALYTICS OFFICER 55.0 0.0 X 512338 0 30081 KEITH PATTERSON EVP & CFO (EFF 01/2021) 55.0 0.0 X 513492 0 27818 ANDREW N SCHIFF MD CHAIR - 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 STEVEN BUSSEY DIRECTOR (EFF 04/2021) 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 ARTHUR GURWITZ 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 (EFF 04/2021) 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 (EFF 02/2021) 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 FRANK S VIGILANTE DIRECTOR 1.0 0.0 X 0 0 0 CARMEN BEAUCHAMP CIPARICK DIRECTOR (TERMED 07/2021) 1.0 0.0 X 0 0 0 7754209 0 334779 244 false true false THE MEDIA KITCHEN 160 VARICK STREET SUITE 3 NEW YORK NY 10013 MARKETING 3360070 MICROSOFT CORPORATION 1 MICROSOFT WAY REDMOND WA 98052 IT SUPPORT/SOLUTIONS 2429464 UNITY BPO INC 4100 OSUNA ROAD NE SUITE 3-301 ALBUQUERQUE NM 87109 IT SUPPORT/SOLUTIONS 2390745 2ND WATCH INC 100 S KING STREET SUITE 100 SEATTLE WA 98104 IT SUPPORT/SOLUTIONS 2240394 ROPES GRAY LLP 1211 AVENUE OF THE AMERICAS NEW YORK NY 10036 LEGAL 2150793 115 1569401 690408 9522354 963008 11782163 PROGRAM SERVICE REVENUE 621400 61067 61067 61067 17124715 43539 17081176 0 0 0 0 0 236927563 219349000 17578563 17578563 -547 17579110 79068 1569401 79068 0 0 0 0 0 0 0 46546508 61067 42992 34660286 X 7772833 7772833 0 0 0 4634301 4634301 0 80074326 1265692 78084353 724281 3678689 58091 3587356 33242 12034073 145557 11787896 100620 5094897 100724 4933664 60509 0 4364336 4364336 943421 943421 463949 463949 491627 491627 3416463 3416463 6687427 317086 6251341 119000 8464019 8354058 109961 1087536 42777 1023672 21087 3147582 19325 3120852 7405 0 625879 313590 6731 305558 199704 1597 197949 158 0 1392679 9650 1379583 3446 4402957 4402957 0 9445398 9445398 150181 57082 25500 67599 SUBSCRIPTIONS & DUES 586792 3936 573679 9177 RECRUITMENT FEES 409283 0 409283 0 TRANSLATION SERVICES 17186 0 17186 0 SHARED SERVICES -139021503 -189147 -139151317 318961 897010 282260 576419 38331 21461045 10201053 8849030 2410962 46257345 25304572 0 0 0 0 1719257 1826930 0 0 0 0 161820666 154093988 0 0 10019708 9601708 133129045 78379931 59286233 54749114 457501816 466991386 95198643 105839181 164138 164138 0 0 12157336 10031339 844125142 828602356 101052298 101131200 0 0 159146 0 0 0 0 0 0 0 0 0 94671430 92200114 226994335 149872352 422877209 343203666 X 404896128 464771955 16351805 20626735 421247933 485398690 844125142 828602356 X 25085463 63974027 -24908733 X X false true X true true true X X 5 VNSNY HOME CARE II 131624211 10 true 4823038 0 VNS CHOICE 133951057 10 true 0 0 VNS CHOICE COMMUNITY CARE 320053323 10 true 0 0 VNSNY HOSPICE CARE 300006817 10 true 1223409 0 NEW PARTNERS INC 133885148 10 true 1663711 0 5 7710158 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) VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") 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 D/B/A VNS HEALTH HEALTH PLAN. AS OF DECEMBER 31, 2021, $150 MILLION REMAINS OUTSTANDING AFTER A PRINCIPAL PAYMENT OF $7M WAS MADE DURING THE YEAR. 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 VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("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 VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("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 ("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 VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("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 VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("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, 2021 AND DECEMBER 31, 2020; RESPECTIVELY. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE SYSTEM'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2021 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, 2021 OR 2020. X X X X X X true LAUTMAN MASKA NEILL COMPANY 1730 RHODE ISLAND AVE NW 301 WASHINGTON DC 20036 FUNDRAISING CAMPAIGN false 665085 411627 253458 MARTIGNETTIE PLANNING GIVING ADVISO PO BOX 5506 EMERALD ISLAND NC 28594 SOLICIT. CONTRIB. false 897743 80000 817743 1562828 491627 1071201 NY VIRTUAL GALA 1427429 1375008 52421 5421 40000 7000 GOLF CLASSIC 221040 194393 26647 6562 20085 0 1648469 1569401 79068 11983 60085 7000 79068 true VISITING NURSE SERVICE OF NY HOME CARE II 220 EAST 42ND ST 6TH FL NEW YORK NY 10017 131624211 501(C)(3) 4823038 PROGRAM SUPPORT VISITING NURSE SERVICE OF NY HOSPICE 220 EAST 42ND ST 6TH FL NEW YORK NY 10017 300006817 501(C)(3) 1223409 PROGRAM SUPPORT NEW PARTNERS INC 220 EAST 42ND ST 6TH FL NEW YORK NY 10017 133885148 501(C)(3) 1663711 PROGRAM SUPPORT UNITED HOSPITAL FUND 1411 BROADWAY 12TH FL NEW YORK NY 10018 131562656 501(C)(3) 10525 PROGRAM SUPPORT RAIN TOTAL CARE INC 811 MORRIS PARK AVENUE BRONX NY 10462 810876721 501(C)(3) 7000 PROGRAM SUPPORT MEDICARE RIGHTS CENTER 266 WEST 37TH ST 3RD FL NEW YORK NY 10018 133505372 501(C)(3) 6000 PROGRAM SUPPORT 6 SCHEDULE I, PART I; LINE 2 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 AND NEW PARTNERS, INC. D/B/A VNS HEALTH PERSONAL CARE ARE RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT AFFILIATES. FOR THESE AFFILIATES, THE ORGANIZATION'S CORPORATE FINANCE TEAM 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. FOR ALL ORGANIZATIONS, 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 DIR - PRES/CEO (EFF 02/21) 1196668 0 220675 0 151227 0 4350 0 67128 0 1640048 0 0 0 MARKI FLANNERY DIR - PRES/CEO (TERM 02/21) 182108 0 392904 0 870477 0 13321 0 35641 0 1494451 0 0 0 KERRY PARKER EVP, GENERAL COUNSEL & CRO 622511 0 204638 0 96762 0 5244 0 29339 0 958494 0 0 0 ANDRIA CASTELLANOS EVP & CHIEF OF PROVIDER SVCS. 483318 0 175875 0 94966 0 4350 0 26786 0 785295 0 74215 0 MICHAEL BERNSTEIN EVP & CHIEF EXPERIENCE OFFICER 492275 0 159179 0 74472 0 4510 0 26760 0 757196 0 0 0 DAVID ROSALES EVP & CHIEF STRATEGY OFFICER 492591 0 159257 0 54662 0 6081 0 27955 0 740546 0 0 0 ROBERT PLASZCZ CHIEF INFORMATION OFFICER 475418 0 128000 0 396 0 4350 0 21065 0 629229 0 0 0 TIMOTHY PENG CHIEF DATA ANALYTICS OFFICER 379700 0 113000 0 19638 0 7923 0 22158 0 542419 0 0 0 KEITH PATTERSON EVP & CFO (EFF 01/2021) 513444 0 0 0 48 0 0 0 27818 0 541310 0 0 0 CORE FORM, PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2021 FORMS W-2. SCHEDULE J, PART I; QUESTION 1A THE FOLLOWING INDIVIDUALS RECEIVED A HOUSING ALLOWANCE DURING THE YEAR WHICH WERE INCLUDED IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DANIEL SAVITT, $49,093 AND MARKI FLANNERY, $1,250. SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE YEAR WHICH WERE INCLUDED HER 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARKI FLANNERY, $496,269. 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 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DANIEL SAVITT, $82,495; MARKI FLANNERY, $204,972; KERRY PARKER, $76,500; ANDRIA CASTELLANOS, $75,071; MICHAEL BERNSTEIN, $54,576; AND DAVID ROSALES, $54,602. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2021 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2021 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 J, PART II; COLUMN F THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDES VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THIS AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THIS AMOUNT WAS REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND IS NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THIS VESTED BENEFIT HAS BEEN TREATED AS TAXABLE INCOME AND REPORTED WITHIN THE INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. ROPES GRAY LLP SUBSTANTIAL CONTRIBUTOR 2150793 LEGAL SERVICES false HOMECARE HOMEBASE LLC SUBSTANTIAL CONTRIBUTOR 1673884 TECHNOLOGY SOLUTIONS false ROSENBLUM NEWFIELD LLC SUBSTANTIAL CONTRIBUTOR 769954 LEGAL SERVICES false FLORENTINO GRIMSHAW LLC SUBSTANTIAL CONTRIBUTOR 243794 LEGAL SERVICES false EPSTEIN BECKER GREEN PC SUBSTANTIAL CONTRIBUTOR 223815 LEGAL SERVICES false SCHEDULE L, PART IV ROPES & GRAY, LLP WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2021. VNS HEALTH UTILIZED THE SERVICES OF ROPES & GRAY, LLP. TOTAL FEES PAID TO ROPES & GRAY, LLP DURING 2021 AMOUNTED TO $2,150,793. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. HOMECARE HOMEBASE, LLC WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2021. VNS HEALTH UTILIZED THE SERVICES OF HOMECARE HOMEBASE, LLC. TOTAL FEES PAID TO HOMECARE HOMEBASE, LLC DURING 2021 AMOUNTED TO $1,673,884. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. ROSENBLUM NEWFIELD, LLC WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2021. VNS HEALTH UTILIZED THE SERVICES OF ROSENBLUM NEWFIELD, LLC. TOTAL FEES PAID TO ROSENBLUM NEWFIELD, LLC DURING 2021 AMOUNTED TO $769,954. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. FLORENTINO & GRIMSHAW, LLC WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2021. VNS HEALTH UTILIZED THE SERVICES OF FLORENTINO & GRIMSHAW, LLC. TOTAL FEES PAID TO FLORENTINO & GRIMSHAW, LLC DURING 2021 AMOUNTED TO $243,794. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. EPSTEIN BECKER & GREEN, P.C. WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2021. VNS HEALTH UTILIZED THE SERVICES OF EPSTEIN BECKER & GREEN, P.C. TOTAL FEES PAID TO EPSTEIN BECKER & GREEN, P.C. DURING 2021 AMOUNTED TO $223,815. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. X 12 699100 FMV X PPE 9 263908 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 2021, APPROXIMATELY 8,500 PEOPLE BENEFITTED FROM THESE CHARITABLE DONATIONS. DUE TO COVID-19, (9) CONTRIBUTORS - INDIVIDUALS, ORGANIZATIONS AND CORPORATIONS - DONATED PERSONAL PROTECTIVE EQUIPMENT FOR FIELD STAFF, WITH AN APPROXIMATE AGGREGATE VALUE OF $263,908. IN 2021, IN-KIND GIFTS FOR THIS PURPOSE WERE MADE BY 24 INDIVIDUAL AND CORPORATE CONTRIBUTORS - IN AN APPROXIMATE AGGREGATE VALUE OF $40,280. THESE CONTRIBUTIONS INCLUDED, AMONG OTHER THINGS, $4,280 OF, KNITTED ITEMS AND $36,000 OF SOCKS (GIFTS TO NEEDY). CORE FORM, PAGE 1, BOX C EFFECTIVE DECEMBER 3, 2021, THIS ORGANIZATION 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 I, LINES 8 & 9 CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE PRIOR YEAR AMOUNTS PREVIOUSLY REPORTED TO CONFORM TO THE CURRENT YEAR PRESENTATION. THESE RECLASSIFICATIONS HAVE NO IMPACT ON THE NET ASSETS OF THE ORGANIZATION AS PREVIOUSLY REPORTED. CORE FORM, PART III; QUESTION 1 VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") 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 2021, VNS HEALTH AND IT AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $51 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS, WHICH IMPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, INCLUDING THE UNDER- AND UNINSURED. INDIVIDUALS AND PRIVATE FOUNDATIONS CONTRIBUTED $6.9 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, HELP COMBAT COVID-19, PROVIDE OPPORTUNITIES FOR DISADVANTAGED CHILDREN AND FAMILIES, AND DEVELOP THE FUTURE WORKFORCE. ALL PROGRAM SERVICES EXCEPT RESEARCH ARE DELIVERED BY VNS HEALTH AFFILIATES. VNS HEALTH AFFILIATES PROVIDE CARE TO OVER 100,000 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 HYPERLINK 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 2021, VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") AND IT AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $51 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS, WHICH IMPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, INCLUDING THE UNDER- AND UNINSURED THROUGH EXPANDED ACCESS TO CARE TO UNDERSERVED INDIVIDUALS AND COMMUNITIES, SUPPORT AGING IN PLACE, ADVANCE RESEARCH AND PROGRAM DEVELOPMENT, HELP COMBAT COVID-19, PROVIDE OPPORTUNITIES FOR DISADVANTAGED CHILDREN AND FAMILIES, AND DEVELOP THE FUTURE WORKFORCE. 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: THE CHINATOWN NEIGHBORHOOD NATURALLY OCCURRING RETIREMENT COMMUNITY ("NNORC") RECEIVED $626,000 IN FUNDING FROM PUBLIC AND PRIVATE FUNDERS, ENABLING THE PROGRAM TO SERVE THIS LOW-INCOME IMMIGRANT COMMUNITY. IN 2021, THE VNS HEALTH CHINATOWN NNORC TOUCHED THE LIVES OF OVER 630 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 PARTNER AGENCIES THAT ARE ALIGNED WITH VNS HEALTH'S MISSION TO SUPPORT SUCCESSFUL COMMUNITY LIVING. THESE SERVICES ARE ESPECIALLY IMPORTANT DURING THE COVID-19 PANDEMIC, AS COMMUNITY MEMBERS FACED SIGNIFICANT ISOLATION AND BARRIERS MEETING BASIC NEEDS. NNORC STAFF PROVIDED EXTENSIVE HELP OBTAINING VACCINES AND EDUCATING CLIENTS ON COVID-19 AND SAFETY PRECAUTIONS. 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 CURRENT ACADEMIC YEAR CLASS COMPRISES 51 FELLOWS FROM EIGHT MEDICAL CENTERS (JAMES J. PETERS VA MEDICAL CENTER, NEW YORK PRESBYTERIAN HOSPITAL - COLUMBIA CAMPUS, JAMAICA HOSPITAL MEDICAL CENTER, LINCOLN MEDICAL CENTER, MEMORIAL SLOAN KETTERING CANCER CENTER, NEW YORK PRESBYTERIAN - QUEENS, NYU SCHOOL OF MEDICINE HOSPICE & PALLIATIVE MEDICINE, ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI). IN 2021, THE PROGRAM WAS SUPPORTED BY GENEROUS GRANTS FROM NUMEROUS INDIVIDUALS AND FOUNDATIONS. PEDIATRIC PALLIATIVE CARE SERVICES: VNS HEALTH PROVIDED $121,000 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 2021, WE COMPLETED A PEDIATRIC ELNEC TRAINING BRINGING THE TOTAL NUMBER OF CLINICIANS TRAINED TO 145. 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 2021, THERE WERE 570 PEDIATRIC ADMISSIONS WITH A TOTAL OF 2,224 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. PRIVATE DONATIONS HAVE ENABLED VNS HEALTH TO PUT SIGNIFICANT RESOURCES INTO THE LGBTQ+ AND GENDER AFFIRMATION PROGRAM. 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. 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 2021, VNS HEALTH RECEIVED RESEARCH GRANT REVENUE IN THE AMOUNT OF $1,927,936. 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 VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("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 VI, SECTION B; QUESTION 11B THE 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 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 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 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 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 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 AND SCHEDULE J 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 VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH"). THIS ORGANIZATION FILED A 2021 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. SAVITT'S COMPENSATION IN EXCESS OF $1M. IN ADDITION, MARKI (IMMACOLATA) FLANNERY WAS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION ON A FULL-TIME BASIS THROUGH FEBRUARY 2021. MS. FLANNERY WAS EMPLOYED BY AND RECEIVED A FEDERAL FORM W-2 FROM THIS ORGANIZATION. ACCORDINGLY, HER COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP WAS WITH VNS HEALTH (EIN:13-3189926). THIS ORGANIZATION FILED A 2021 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MS. FLANNERY'S COMPENSATION IN EXCESS OF $1M. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("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 - $80,920,000; AND - RESERVES FOR AMOUNTS DUE FROM AFFILIATES - ($105,828,733). CORE FORM, PART XII; QUESTION 2 THE 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"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2021 AND DECEMBER 31, 2020; 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 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 SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANTS TOTAL FEES:3343269 FORM 990 PART IX LINE 11G DESCRIPTION:COMPUTER CONSULTANTS TOTAL FEES:1836351 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITMENT SERVICES TOTAL FEES:581551 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY HELP TOTAL FEES:583042 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:343214 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 MGMT SVCS ORG 220 EAST 42ND ST NY NY 10017 871804245 HEALTH MGMT. NY VNSNY RELATED 0 0 false 0 true 0.95000 MEDICAL CARE AT HOME PC 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 264175570 HOME HEALTH NY NA C CORP. false VNSNY CARE MANAGEMENT IPA INC 220 EAST 42ND STREET 6TH FLOOR 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 0 1.00000 true false true false true false false false false false false false true true true true false true true false VISITING NURSE SERVICE OF NY HOME CARE II B 3431379 CASH VISITING NURSE SERVICE OF NY HOSPICE CARE B 1223409 CASH VISITING NURSE SERVICE OF NY HOSPICE CARE L 18342888 ALLOC OF OH EXP NEW PARTNERS INC L 9960498 ALLOC OF OH EXP VISITING NURSE SERVICE OF NY HOSPICE CARE N 5724831 ALLOC OF OH EXP NEW PARTNERS INC N 4728725 ALLOC OF OH EXP VISITING NURSE SERVICE OF NY HOME CARE II R 197640705 CASH VISITING NURSE SERVICE OF NY HOME CARE II L 67345822 ALLOC OF OH EXP VISITING NURSE SERVICE OF NY HOME CARE II N 20433016 ALLOC OF OH EXP VNS CHOICE N 10543612 ALLOC OF OH EXP VISITING NURSE SERVICE OF NY HOSPICE CARE Q 117285837 CASH NEW PARTNERS INC O 306630 ALLOC OF OH EXP VISITING NURSE SERVICE OF NY HOSPICE CARE O 656015 ALLOC OF OH EXP VNS CHOICE COMMUNITY CARE Q 54874 CASH VISITING NURSE SERVICE OF NY HOME CARE II O 2225989 ALLOC OF OH EXP VNS CHOICE L 50740928 ALLOC OF OH EXP VNS CHOICE Q 146745069 CASH VNS CHOICE O 1972558 ALLOC OF OH EXP 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 310782785 310782785 1000000 250000 0 0 0 VNS CHOICE 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 133951057 0 0 0 1832589558 1832589558 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 107102126 107102126 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