2021-12-21T07:18:26-06:00 2020-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2020-01-01 135562377 VISITING NURSE ASSOCIATION HEALTH CARE SERVICES INC VISI 7188163510 669 CASTLETON AVENUE STATEN ISLAND NY 10301 HOPE ILICETO PRESIDENT & CEO 7188163510 2021-12-20 1 HOPE ILICETO XXX-XX-XXXX GARRETT M HIGGINS P00543209 9143818900 2021-12-20 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X HOPE ILICETO 669 CASTLETON AVENUE STATEN ISLAND NY 10301 10731938 0 X N/A X 1928 NY TO PROVIDE THE HIGHEST QUALITY THERAPEUTIC, SUPPORT AND PREVENTIVE HEALTH CARE SERVICES OUTSIDE THE HOSPITAL SETTING AS AN INDEPENDENT HEALTH CARE AGENCY. X 14 14 122 14 0 0 203000 501406 10223503 8256165 3199 1455663 712016 209229 11141718 10422463 0 0 0 0 7203231 6122052 0 0 0 5769971 4800743 12973202 10922795 -1831484 -500332 4271860 4534949 5790391 6553812 -1518531 -2018863 TO PROVIDE THE HIGHEST QUALITY THERAPEUTIC, SUPPORT AND PREVENTIVE HEALTH CARE SERVICES OUTSIDE THE HOSPITAL SETTING AS AN INDEPENDENT HEALTH CARE AGENCY. 0 0 8604003 0 8256165 THE AGENCY PROVIDED 58,301 HOME CARE VISITS TO MORE THAN 2,449 PATIENTS OVER THE COURSE OF THE YEAR. SERVICES INCLUDED SKILLED NURSING, PHYSICAL, OCCUPATIONAL AND OTHER THERAPIES, HOME HEALTH AIDES AND PERSONAL CARE WORKERS. THE AGENCY IS REIMBURSED FOR THESE SERVICES PRINCIPALLY BY MEDICARE, MEDICAID AND INSURANCE COMPANIES AND/OR INDIVIDUALS. 8604003 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 89 0 122 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X X HOPE ILICETO 7188163510 669 CASTLETON AVENUE STATEN ISLAND NY 10301 X DAVID LEHR CHAIRMAN 0.50 0.10 X X 0 0 0 KATHLEEN HEAD 1ST VICE CHAIR 0.50 0.10 X X 0 0 0 DAN SWEENEY 2ND VICE CHAIR 0.50 0.10 X X 0 0 0 SUSAN LEWIS TREASURER / SECRETARY 0.50 0.10 X X 0 0 0 FRANK J BESIGNANO DIRECTOR 0.10 0.10 X 0 0 0 ROY DANISCHEWSKI DIRECTOR 1.00 0.50 X 0 0 0 WILLIAM FANI DIRECTOR 0.50 0.10 X 0 0 0 JANE FEMINELLA DIRECTOR 0.10 0.05 X 0 0 0 GARY LIGRECI DIRECTOR 0.50 0.10 X 0 0 0 THOMAS MCDONOUGH DIRECTOR 0.50 0.10 X 0 0 0 JACK OEHM DIRECTOR 0.50 0.10 X 0 0 0 ALAN PORITZ DIRECTOR 0.50 0.10 X 0 0 0 DOLLY SMITH DIRECTOR 0.50 0.10 X 0 0 0 WINSTON WOHR DIRECTOR 0.40 0.10 X 0 0 0 HOPE ILICETO PRESIDENT & CEO 35.50 2.00 X 0 0 0 JOHN MCNAMARA ACCOUNTING DIRECTOR (THRU 9/20) 38.00 0.00 X 69100 0 23512 ROSE MARIE BELFINI SR. DIR. OF FINANCE 38.00 0.00 X 55949 0 13244 KWONG-KEUNG S LEUNG DIRECTOR INFO SYSTEMS 38.00 X 108627 0 34157 MARYBETH KENNEY PATIENT / CLINICAL ADMIN 38.00 X 106338 0 11462 LISA MANDELL ACUTE CARE NURSING 38.00 X 109034 0 20306 CHERYL O'CONNELL INTAKE HOME HEALTH COORDINATOR 38.00 X 129410 0 13345 NICOLE GRAZIANO ACUTE CARE NURSING SUPERVISOR 38.00 X 106925 0 2001 685383 0 118027 8 0 0 0 MARGARET ULTRA HOME CARE INC 34 BEACH STREET STATEN ISLAND NY 10304 HOME HEALTH & PERSONAL CARE AIDES 747467 NETSMART TECHNOLOGIES INC PO BOX 823519 PHILADELPHIA PA 19182 EMR SYSTEM 510730 JAISON OMMEN 18 CHAPEL HILL CT SPARTA NJ 07871 CONTRACT THERAPIST 161850 CITY INVESTIGATION & SECURITY 368 AVENUE U BROOKLYN NY 11223 INVESTIGATION & SECURITY SERVICE 161527 MARC BLATTEIS 7 GULF ROAD EAST BRUNSWICK NJ 08816 CONTRACT THERAPIST 159822 9 500906 500 501406 NET PATIENT SERVICE REVENUE 623000 8256165 8256165 8256165 5531 5531 1759607 309475 1450132 1450132 1450132 REIMBURSEMENTS 900099 134664 134664 MANAGEMENT FEES 900099 48000 48000 INSURANCE REFUNDS 900099 19782 19782 6783 6783 209229 10422463 8256165 0 1664892 X 492023 336353 155670 4469837 3081763 1388074 64811 43114 21697 548602 364944 183658 546779 382558 164221 330218 330218 2656 2656 111810 111810 2840268 2577083 263185 11886 11886 277942 277942 167344 167344 254649 254649 35048 35048 2319 2319 90795 62974 27821 132371 132371 BAD DEBT EXPENSE 316362 316362 MEDICAL SUPPLIES 192558 192558 NY CASH RECEIPT ASSMNT 26784 26784 EDUCATION AND TRAINING 6733 6733 1000 1000 10922795 8604003 2318792 0 1878 738 619416 1391050 1909546 1919085 404422 133385 1616983 1547316 363574 69667 973024 1021024 4271860 4534949 1932121 1851778 621037 324623 3237233 4377411 5790391 6553812 X -1518531 -2018863 -1518531 -2018863 4271860 4534949 -500332 0 X X 0 1 X 1 0 X 165090 354500 204000 203000 501406 1427996 11392050 9070037 10191194 10223503 8256165 49132949 11557140 9424537 10395194 10426503 8757571 50560945 0 0 0 50560945 107 192 539 3199 5531 9568 107 192 539 3199 5531 9568 220803 244199 583123 712016 209229 1969370 11778050 9668928 10978856 11141718 8972331 52539883 0.96230 0.96620 0.00020 0.00030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MANAGEMENT FEES - 2016 AMOUNT: $ 190,750. 2017 AMOUNT: $ 165,000. 2018 AMOUNT: $ 138,000. 2019 AMOUNT: $ 154,000. 2020 AMOUNT: $ 48,000. MISCELLANEOUS - 2016 AMOUNT: $ 24,259. 2017 AMOUNT: $ 780. 2018 AMOUNT: $ 579. 2019 AMOUNT: $ 22,916. 2020 AMOUNT: $ 4,149. MEDICAL RECORDS - 2016 AMOUNT: $ 5,794. 2017 AMOUNT: $ 11,242. 2018 AMOUNT: $ 5,999. 2019 AMOUNT: $ 9,211. 2020 AMOUNT: $ 2,634. REIMBURSEMENTS - 2017 AMOUNT: $ 67,177. 2018 AMOUNT: $ 438,545. 2019 AMOUNT: $ 525,889. 2020 AMOUNT: $ 134,664. INSURANCE REFUNDS - 2020 AMOUNT: $ 19,782. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25225 1800 23425 1591758 1545516 46242 69667 DUE FROM AFFILIATES 1021024 1021024 DUE TO THIRD PARTY PAYORS 233556 DUE TO AFFILIATE 2825102 PAYCHECK PROTECTION PROGRAM LOAN 1318753 4377411 X 10058101 0 10058101 364362 364362 10422463 10558433 0 10558433 364362 364362 10922795 PART X, LINE 2: THE ASSOCIATION RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ASSOCIATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2017. PART XI, LINE 4B - OTHER ADJUSTMENTS: MANAGEMENT FEE INCOME REPORTED ON PART VIII, LINE 11A 48,000. BAD DEBT EXPENSE REPORTED ON PART IX, LINE 24 316,362. PART XII, LINE 4B - OTHER ADJUSTMENTS: MANAGEMENT FEE INCOME REPORTED ON PART VIII, LINE 11A 48,000. BAD DEBT EXPENSE REPORTED ON PART IX, LINE 24 316,362. X X 0 0 0 0 0 0 0 1 0 PART I, LINE 7 HOPE ILICETO, PRESIDENT & CEO, RECEIVED A DISCRETIONARY BONUS OF $9,963 IN 2020. SALE OF ADMINISTRATIVE BUILDING AT 399 LAKE AVENUE 2020-08-18 1759607 APPRAISAL GRAND LAKE HOLDING CORP 82-11 57TH AVENUE 2ND FLOOR ELMHURST NY 11377 N/A 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS A MANAGEMENT AGREEMENT WITH RICHMOND UNIVERSITY MEDICAL CENTER, AN UNRELATED ORGANIZATION. THE ORGANIZATION IS IN PROCESS OF MERGING INTO THE CENTER'S SYSTEM, AND AS PART OF THE MERGER PROCESS, THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT FOR THE CENTER TO OVERSEE THE DAY-TO-DAY OPERATIONS OF THE CERTIFIED HOME HEALTH AGENCY. HOPE ILICETO, PRESIDENT/CEO OF VNA, IS PAID BY THE CENTER FOR HER SERVICES AS THE PRESIDENT/CEO OF VNA. IN 2020, SHE WAS RECEIVED A SALARY OF $248,284 AND $81,934 OF FRINGE BENEFITS IN EXCHANGE FOR HER SERVICES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION (PARENT) IS THE VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC. (VNASI). FORM 990, PART VI, SECTION A, LINE 7A WHENEVER DIRECTORS ARE TO BE ELECTED BY THE MEMBERS, THEY SHALL BE ELECTED BY A PLURALITY OF THE VOTES CAST AT A MEETING OF SUCH MEMBERS BY THE MEMBERS ENTITLED TO VOTE IN THE ELECTION. FORM 990, PART VI, SECTION A, LINE 7B WHENEVER ANY CORPORATE ACTION, OTHER THAN THE ELECTION OF DIRECTORS IS TO BE TAKEN BY VOTE OF THE MEMBERS, IT SHALL, EXCEPT AS OTHERWISE REQUIRED BY LAW, BE AUTHORIZED BY A MAJORITY OF THE VOTES CAST AT A MEETING OF MEMBERS BY THE MEMBERS ENTITLED TO VOTE THEREON. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY OUR INDEPENDENT ACCOUNTANTS FROM INFORMATION GATHERED AS PART OF THEIR AUDIT AND FROM OTHER INFORMATION SUPPLIED BY THE AGENCY. A DRAFT OF THE 990 IS REVIEWED BY MANAGEMENT. AFTER THEIR REVIEW, THE FORM 990 IS ELECTRONICALLY SENT TO THE BOARD FOR THEIR REVIEW BEFORE BEING ELECTRONICALLY FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION CURRENTLY HAS IN PLACE A CONFLICT OF INTEREST POLICY WHICH IT ANNUALLY MONITORS AND ENFORCES. THE BOARD CURRENTLY MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY ANNUALLY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. THE SIGNED CONFLICT OF INTEREST POLICY IS SUBMITTED TO THE CORPORATE COMPLIANCE OFFICER WHO REVIEWS THE SIGNED ATTESTATIONS FOR POTENTIAL OR ACTUAL CONFLICTS. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS, THE CORPORATE COMPLIANCE OFFICER WILL NOTIFY A MEMBER OF MANAGEMENT OR THE GOVERNING BODY ABOUT SUCH CONFLICT AND INVESTIGATE THE CONFLICT. THE RESULTS OF THE INVESTIGATION WILL BE SUMMARIZED AND DOCUMENTED BY THE CORPORATE COMPLIANCE OFFICER AND BE REPORTED TO THE GOVERNING BODY. IF THE CORPORATE COMPLIANCE OFFICER ESTABLISHES THAT AN ACTUAL CONFLICT EXISTS, THE MEMBER OF MANAGEMENT OR THE GOVERNING BODY WILL BE NOTIFIED IMMEDIATELY AND WILL NOT BE ALLOWED TO VOTE OR BE A PART OF ANY DECISIONS ABOUT ANY SUCH TRANSACTIONS THAT HAVE TO DO WITH THE CONFLICT UNTIL SUCH TIME THERE IS NO LONGER A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE, CONSISTING OF PERSONS WITHOUT CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT, ESTABLISHES THE CEO'S COMPENSATION USING COMPARABLE DATA AND DETERMINES THAT THE SALARY IS REASONABLE. THE EXECUTIVE COMMITTEE'S DECISION ON THE AMOUNT OF COMPENSATION PAID IS REQUIRED TO BE DOCUMENTED IN A WRITTEN FORMAT INCLUDING THE DATE OF THE DECISION. THE COMPENSATION REVIEW PROCESS FOR THE CEO WAS LAST UNDERTAKEN IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ASSOCIATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ASSOCIATION'S FORM 990 IS AVAILABLE ON WWW.GUIDESTAR.ORG AND OTHER SIMILAR TYPE S OF WEBSITES. FORM 990, PART VII: CERTAIN OFFICERS AND HIGHLY COMPENSATED EMPLOYEES ARE PAID BY THE ORGANIZATION BUT SPEND A PERCENTAGE OF THEIR TIME WORKING FOR VISITING NURSE ASSOCIATION OF STATEN ISLAND (VNASI) AND VISITING NURSE PLUS (VNP). FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 102,019. MANAGEMENT AND GENERAL EXPENSES 12,747. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 114,766. CONTRACT HEALTH WORKERS: PROGRAM SERVICE EXPENSES 591,633. MANAGEMENT AND GENERAL EXPENSES 73,922. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 665,555. RNS, LPNS AND PHYSICIANS: PROGRAM SERVICE EXPENSES 129,025. MANAGEMENT AND GENERAL EXPENSES 16,121. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,146. BILLING SERVICES: PROGRAM SERVICE EXPENSES 397,086. MANAGEMENT AND GENERAL EXPENSES 49,614. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 446,700. CONTRACT THERAPISTS: PROGRAM SERVICE EXPENSES 1,357,320. MANAGEMENT AND GENERAL EXPENSES 110,781. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,468,101. FORM 990, PART XII, LINE 2C: THE ASSOCIATION HAS A FINANCE COMMITTEE WHICH FUNCTIONS AS AN AUDIT COMMITTEE AND WHICH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. VISITING NURSE ASSOCIATION OF STATEN ISLAND INC 669 CASTLETON AVENUE STATEN ISLAND NY 10301 133272923 TO SUPPORT VNAHCS NY 501(C)(3) LINE 12A, I N/A 0 VISITING NURSE PLUS INC 669 CASTLETON AVENUE STATEN ISLAND NY 10301 133712494 HOME HEALTH CARE NY 501(C)(3) LINE 10 VISITING NURSE ASSOCIATION OF STATEN ISLAND 0 HEALTH WATCH-LIFELINE INC 669 CASTLETON AVENUE STATEN ISLAND NY 10301 133484488 PERS MONITORING NY VISITING NURSE ASSOCIATION OF STATEN ISLAND INC C 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 0 0