2020-11-06T14:14:15-06:00 2019-12-31 KPMG LLP 345 PARK AVE NEW YORK NY 101540102 990 2019-01-01 131624211 VISITING NURSE SERVICE OF NEW YORK HOME CARE II % JACQUELINE GUILFOYLE VISI 2126095716 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 DANIEL SAVITT EVP & CFO 2126095716 2020-11-04 true DAVID M HIGHFILL P01517891 2127589700 2020-11-04 199.207.253.96 06014420203115000017 2020-11-06 P AAE0097B1BC93C87019AE0794913F3C1E354ED8C AAE0097B1BC93C87019AE0794913F3C1E354ED8C 2019 2021-01-29 14:40:06Z ANDRIA CASTELLANOS 220 EAST 42ND STREET 6TH FL NEW YORK NY 10017 241945833 false X www.vnsny.org X 2002 NY VISITING NURSE SERVICE OF NEW YORK PROMOTES THE HEALTH OF VULNERABLE PATIENTS BY PROVIDING QUALITY HOME HEALTH & COMMUNITY CARE, REGARDLESS OF ABILITY TO PAY. SEE SCHEDULE O. 11 10 2300 210 0 0 3443846 3473238 255090917 237682290 922878 790305 0 0 259457641 241945833 0 0 0 0 178588289 180749126 0 0 0 166882759 214291629 345471048 395040755 -86013407 -153094922 61038610 69547265 416626091 578229668 -355587481 -508682403 X HELP MEMBERS CONTINUE TO LIVE INDEPENDENTLY IN THEIR OWN HOME AND COMMUNITIES FOR AS LONG AS POSSIBLE; PROMOTE CHOICE IN HEALTH AND LONG TERM CARE BY DIRECTLY INVOLVING MEMBERS IN THEIR CARE (SEE SCHEDULE O). false false 194891474 197175793 ACUTE CARE PROGRAM: THE CERTIFIED HOME HEALTH AGENCY PROGRAM (CHHA PROGRAM) IS THE LARGEST WITHIN VNSNY HOME CARE II. WITH AN AVERAGE OF 8,466 PATIENTS UNDER ITS CARE EACH DAY IN 2019, IT REPRESENTS 92% OF VNSNY'S HOME CARE II POPULATION. 23649155 32502042 COMMUNITY MENTAL HEALTH SERVICES: COMMUNITY MENTAL HEALTH ADMINISTERS 32 PROGRAMS AND AN ARTICLE 31 MENTAL HEALTH CLINIC, WITH 465 FULL-TIME, PART-TIME AND PER DIEM STAFF. THESE PROGRAMS DELIVER CARE TO APPROXIMATELY 17,000 PATIENTS IN 2019 THROUGHOUT NEW YORK CITY PROVIDING OVER 125,000 HOME VISITS. (SEE SCHEDULE O FOR MORE INFORMATION.) 5444639 5783486 CHILDREN AND FAMILY SERVICES: VNS HOME CARE II HELPS SUPPORT THE COSTS OF OPERATING SEVERAL PEDIATRIC AND FAMILY PROGRAMS (CHILDREN AND FAMILY SERVCES). (SEE SCHEDULE O FOR MORE INFORMATION.) 5100810 2220969 229086078 true true false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true 65 0 2300 true false false false false false false false false false false false false X 11 10 false false false false true true true true true false false true true true true true true true true false NY X JACQUELINE GUILFOYLE 2126094162 220 EAST 42ND STREET 7TH FLOOR NEW YORK NY 10017 X MARKI FLANNERY PRESIDENT & CEO 1.0 41.4 X X 0 1663249 46857 CHRISTOPHER T OLIVIA PRESIDENT & CEO 0.0 0.0 X 0 1388630 5951 Daniel Savitt EVP & CFO 1.0 35.3 X 0 891348 112937 ANDRIA CASTELLANOS EVP & CHIEF OF PROVIDER SVCS 32.3 4.0 X 0 527544 43844 SUSAN NORTHOVER SVP, PATIENT CARE SERVICES 36.3 0.0 X 395228 0 27618 Marsha Ramos Vice President, Acute Care 36.3 0.0 X 248768 0 38962 YVONNE EADDY VP, ACUTE CARE BKLYN/SI 36.3 0.0 X 236352 0 26739 ANNE J THOMAS PSYCHIATRIST 36.3 0.0 X 227717 0 20050 Joan Cassano VP,Clinical Op Imp & Care Coor 36.3 0.0 X 220784 0 25021 LAWRENCE LEPELSTAT DIR, FINANCE & BUSINESS OPS 36.3 0.0 X 219808 0 25297 Neil Pessin VP,Comm. Hlth Svc (AS OF 7/19) 36.3 0.0 X 210207 0 33237 MARGARET A BANCROFT VICE CHAIR AND SECRETARY 1.0 2.0 X 0 0 0 DOUGLAS D BROADWATER BOARD MEMBER 1.0 2.0 X 0 0 0 SARAH L EAMES BOARD MEMBER 1.0 2.0 X 0 0 0 ANNE B EHRENKRANZ PH CHAIR 1.0 2.0 X 0 0 0 ARTHUR LINDENAUER BOARD MEMBER 1.0 2.0 X 0 0 0 CARL H PFORZHEIMER II BOARD MEMBER 1.0 2.0 X 0 0 0 JOHN P RAFFERTY EX-OFFICIO BOARD MEMBER 1.0 3.0 X 0 0 0 Andrew Schiff ex officio Member (AS OF 7/19) 1.0 4.0 X 0 0 0 Deborah M Sale Board Member (As of 12/19) 1.0 2.0 X 0 0 0 Kurt Dudas Board Member (AS OF 7/19) 1.0 2.0 X 0 0 0 1758864 4470771 406513 389 true true false New Partners Inc 220 East 42nd Street 6th Floor NEW YORK NY 10017 HOME HEALTH AIDES 7242812 HOMECARE HOMEBASE 6688 N Central Expy SUITE 800 DALLAS TX 75206 Technology Solution 646931 Jackson Coker Locumtenens LLC 3000 Old Alabama Road Suite 119-60 ALPHARETTA GA 30022 Staffing 612020 ALLIANCE FOR HEALTH INC PO BOX 416028 BOSTON MA 022416028 Health Care Service 510332 PEOPLE CARE INC 116 WEST 32ND STREET 15TH FLOOR NEW YORK NY 10001 Home Health Aides 508752 19 3473238 3473238 PATIENT SERVICES 621610 207193133 207193133 SPEC. SERVICES GRANTS 624100 28419273 28419273 CONTRACTED SERVICES 621610 2069884 2069884 237682290 790305 790305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 241945833 237682290 790305 X 0 0 0 0 666291 666291 0 131655807 131655807 9458561 9458561 29611529 29611529 9356938 9356938 0 150384 150384 31600 31600 3884 3884 0 0 15989662 15775905 213757 409212 1250 407962 1645458 1600531 44927 1354334 1312979 41355 0 12131919 843594 11288325 1240684 1240684 0 270128 270128 449 449 0 2546050 2546050 2111848 2111848 O/H ALLOCATION TO AFFILIATES 101464369 18530792 82933577 MEDICAL SUPPLIES 3677336 3677336 O/H ALLOCATION TO CLIN DEPT 2498288 2498288 SUBSCRIPTION AND DUES 94856 94856 68671168 992957 67678211 395040755 229086078 165954677 0 0 9236 0 0 11842524 15434298 36764688 43961709 0 0 0 0 36868 36695 0 0 4595 4595 35629920 25712952 11895819 9916968 0 0 0 0 175000 175000 0 0 319116 8764 61038610 69547265 22970576 84776992 0 0 0 0 0 0 0 0 0 0 0 0 0 0 393655515 493452676 416626091 578229668 X -358427481 -511468943 2840000 2786540 -355587481 -508682403 61038610 69547265 -153094922 X false true X true true true X 3532792 2393919 2243765 3443846 3473238 15087560 376554855 299101602 293855024 255090917 237682290 1462284688 0 0 0 380087647 301495521 296098789 258534763 241155528 1477372248 3532792 2393919 2243765 3443846 3473238 15087560 0 3532792 2393919 2243765 3443846 3473238 15087560 1462284688 373776 343743 323256 922878 790305 2753958 0 373776 343743 323256 922878 790305 2753958 0 0 380461423 301839264 296422045 259457641 241945833 1480126206 0.98795 0.99016 0.00186 0.00118 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12269263 11378082 891181 5864976 5449071 415905 17495681 8885798 8609882 9916968 0 ESTIMATED THIRD PARTY PAYABLE 1670990 DUE TO AFFILIATE 491781686 493452676 X SCHEDULE D, PART X, LINE 2 VNSNY HOME CARE II WAS INCLUDED IN THE VISITING NURSE SERVICE OF NEW YORK CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE FOLLOWING STATEMENT IS FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. VNSNY AND ITS SUBSIDIARIES HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND, THEREFORE, ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501 (A) OF THE CODE. VNSNY RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS OR TAX LIABILITIES THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2019 OR 2018. true true false false false false false true false MARKI FLANNERY PRESIDENT & CEO 1189681 238710 234858 0 20869 0 25988 0 1710106 0 0 LAWRENCE LEPELSTAT DIR, FINANCE & BUSINESS OPS 189033 30107 668 232 0 25065 0 245105 0 0 0 SUSAN NORTHOVER SVP, PATIENT CARE SERVICES 320558 73441 1229 2182 0 25436 0 422846 0 0 0 CHRISTOPHER T OLIVIA MD PRESIDENT & CEO 0 99597 1289033 0 0 0 5951 0 1394581 0 0 YVONNE EADDY VP, ACUTE CARE BKLYN/SI 199327 35967 1058 18160 0 8579 0 263091 0 0 0 ANNE J THOMAS PSYCHIATRIST 226965 0 752 3502 0 16548 0 247767 0 0 0 Daniel Savitt EVP & CFO 671415 217688 2245 0 82461 0 30476 0 1004285 0 0 ANDRIA CASTELLANOS EVP & CHIEF OF PROVIDER SVCS 472893 34973 19678 0 14785 0 29059 0 571388 0 0 Marsha Ramos Vice President, Acute Care 201131 41820 5817 5406 0 33556 0 287730 0 0 0 Joan Cassano VP,Clinical Op Imp & Care Coor 185438 34444 902 7245 0 17776 0 245805 0 0 0 Neil Pessin VP,Comm. Hlth Svc (AS OF 7/19) 177695 31292 1220 21496 0 11741 0 243444 0 0 0 SCHEDULE J, PART I, LINE 3 Officers are compensated for services provided to Visiting Nurse Service of New York Home Care (VNS Home Care) and their compensation is paid by the related organization, Visiting Nurse Service of New York (VNSNY). The compensation policies of VNS Home Care are subject to the oversight and review by the Board of Directors of VNSNY. VNS Home Care uses a compensation committee, form 990 of other organizations of similar size and complexity, written employee contract, compensation surveys or studies, and approval by the Board of Director's Compensation Committee when determining the compensation of the Executive Director. SCHEDULE J, PART 1, LINE 4A SEVERANCE PAYMENTS CHRISTOPHER Olivia - $1,224,000 (Paid by related organization Visiting Nurse Service of New York). This amount is reported on Schedule J, Part II, Col. B(iii). SCHEDULE J, PART 1, LINE 4B SUPPLEMENTAL RETIREMENT PLAN Marki Flannery - $126,693 (paid by related organization Visiting Nurse Service Of New York). This amount is reported on Schedule J, Part II, Col. B(iii). Daniel Savitt - $82,461 (amount accrued in 2018, but not yet vested in the plan) (paid by related organization Visiting Nurse Service of New York). This amount is reported on Schedule J, Part II, Col. B(iii). Andria Castellano $13,916 (amount accrued in 2018, but not yet vested in the plan) (paid by related organization Visiting Nurse Service of New York). This amount is reported on Schedule J, Part II, Col. B(iii). SCHEDULE J, PART I, LINE 7 DURING THE TAX YEAR, EMPLOYEES OF THE ORGANIZATION WERE PAID NON-FIXED BONUSES BASED ON PERFORMANCE. THESE BONUSES ARE PROPERLY DISCLOSED ON SCHEDULE J, PART II, COLUMN (B)(II). FORM 990, PART I, LINE 1 VISITING NURSE SERVICE OF NEW YORK HOME CARE II IS PART OF THE VISITING NURSE SERVICES OF NEW YORK SYSTEM. THE VISITING NURSE SERVICE OF NEW YORK (VNSNY) FOCUSES ON PROMOTING THE HEALTH AND WELL-BEING OF PATIENTS AND FAMILIES BY PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE TO VULNERABLE INDIVIDUALS IN THEIR HOMES AND COMMUNITIES. VNSNY IS COMMITTED TO SERVING COMMUNITIES IN NEED, SUCH AS THOSE WITH HIGH MEDICAID PENETRATION AND NEIGHBORHOODS THAT ARE HOME TO THE UNDER- OR UNINSURED. IN OUR HISTORIC ROLE AS A SAFETY NET PROVIDER, WE ADDRESS THE COMPREHENSIVE CARE NEEDS OF VULNERABLE POPULATIONS, HELPING, AMONG OTHER THINGS, TO KEEP THEM OUT OF HOSPITALS, BECOME MORE EFFECTIVE AND NURSING PARENTS, AGE IN PLACE SUCCESSFULLY, GET APPROPRIATE TREATMENT FOR BEHAVIORAL HEALTH AND MENTAL HEALTH ISSUES, AND SELF-MANAGE CHRONIC MEDICAL CONDITIONS. in 2019, vnsny and its affiliates - together with its generous supporters and community partners - provided over $42 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. FORM 990, PART III, LINE 1 THE VISITING NURSE SERVICE OF NEW YORK (VNSNY) FOCUSES ON PROMOTING THE HEALTH AND WELL-BEING OF PATIENTS AND FAMILIES BY PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE TO VULNERABLE INDIVIDUALS IN THEIR HOMES AND COMMUNITIES. VNSNY IS COMMITTED TO SERVING COMMUNITIES IN NEED, SUCH AS THOSE WITH HIGH MEDICAID PENETRATION AND NEIGHBORHOODS THAT ARE HOME TO THE UNDER- OR UNINSURED. IN OUR HISTORIC ROLE AS A SAFETY NET PROVIDER, WE ADDRESS THE COMPREHENSIVE CARE NEEDS OF VULNERABLE POPULATIONS, HELPING, AMONG OTHER THINGS, TO KEEP THEM OUT OF HOSPITALS, BECOME MORE EFFECTIVE AND NURSING PARENTS, AGE IN PLACE SUCCESSFULLY, GET APPROPRIATE TREATMENT FOR BEHAVIORAL HEALTH AND MENTAL HEALTH ISSUES, AND SELF-MANAGE CHRONIC MEDICAL CONDITIONS. in 2019, vnsny and its affiliates - together with its generous Supporters and community partners - provided over $42 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. Form 990, PART III, LINE 4A THE ACUTE PROGRAM IS THE LARGEST WITHIN VNSNY HOME CARE II. WITH AN AVERAGE OF 8,466 PATIENTS UNDER ITS CARE EACH DAY IN 2019, IT REPRESENTS 92% OF VNSNY'S HOME CARE II POPULATION. VNSNY HOME CARE II STRIVES TO PROMOTE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND FAMILIES BY PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE TO VULNERABLE INDIVIDUALS IN NEED WHO MIGHT OTHERWISE NOT RECEIVE THE CARE THEY NEED. IN 2019, NEARLY $3 MILLION WAS SPENT ON PROVIDING NURSING AND OTHER HEALTH CARE TO PEOPLE WITHOUT INSURANCE OR WITH INADEQUATE INSURANCE. THIS CARE INCLUDED HOME CARE SERVICES AND QUALITY-OF-LIFE NECESSITIES, SUCH AS FREE MEDICATIONS, TRANSPORTATION TO PHYSICIAN VISITS, FREE HEALTH SCREENINGS, FREE WIGS AND FITTINGS FOR CANCER PATIENTS, AND AIR CONDITIONERS AND MATTRESSES FOR THOSE IN NEED. FORM 990, PART III, LINE 4B COMMUNITY MENTAL HEALTH SERVICES ADMINISTERS 32 PROGRAMS AND AN ARTICLE 31 MENTAL HEALTH CLINIC, WITH APPROXIMATELY 465 FULL-TIME AND PER DIEM STAFF. THESE PROGRAMS DELIVERED CARE TO NEARLY 17,000 PATIENTS IN 2019 THROUGHOUT NEW YORK CITY PROVIDING ROUGHLY 125,000 HOME VISITS. COMMUNITY MENTAL HEALTH PROGRAMS BRING CARE TO A SPECTRUM OF UNDERSERVED INDIVIDUALS, INCLUDING THOSE WITH ACUTE AND CHRONIC MENTAL ILLNESS, THE GERIATRIC POPULATION, CHILDREN WITH EMOTIONAL AND PSYCHIATRIC DISORDERS, THE HOMELESS AND INDIVIDUALS WITH SUBSTANCE USE DISORDERS. IN 2019, THE ADULT AND CHILDRENS MOBILE CRISIS, INTENSIVE MOBILE TREATMENT, HOME-BASED CRISIS INTERVENTION, PROMISE ZONE, 100 SCHOOLS, IN-HOME GERIATRIC MENTAL HEALTH, PEARLS, COMPREHENSIVE CASE MANAGEMENT, WeCARE WELLNESS, BEHAVIORAL HEALTH COMMUNITY TRANSITIONS, HEALTH HOME CARE MANAGEMENT AND ASSERTIVE COMMUNITY TREATMENT PROGRAMS, AND THE FRIENDS CHILDREN AND FAMILY SUPPORT PROGRAM AND CLINIC, PROVIDED A RANGE OF MENTAL HEALTH AND CARE MANAGEMENT SERVICES TO MENTALLY ILL, EMOTIONALLY DISTURBED, CHRONICALLY ILL AND AT-RISK NEW YORKERS OF ALL AGES AND THEIR FAMILIES. VNSNY HOME CARE II'S ARTICLE 31 FRIENDS CLINIC IN THE SOUTH BRONX SERVES CHILDREN AND ADOLESCENTS AND PROVIDES INDIVIDUAL, FAMILY AND GROUP THERAPY, PSYCHIATRIC ASSESSMENT AND TREATMENT, PSYCHOLOGICAL TESTING, CRISIS INTERVENTION AND CASE MANAGEMENT SERVICES. THE CLINIC WORKS COLLABORATIVELY WITH THE GRANT FUNDED PROGRAMS OPERATING OUT OF THE SAME BUILDING TO DELIVER BOTH SITE AND HOME-BASED CARE TO THE CHILDREN AND FAMILIES THEY SERVE. A SCHOOL-BASED SATELLITE CLINIC, LOCATED AT PUBLIC SCHOOL 369/179, ALSO OPERATES UNDER THE CLINICS ARTICLE 31 LICENSE. THE FRIENDS SYSTEM OF CARE SERVED ABOUT 2000 CHILDREN AND THEIR FAMILIES IN 2019, WITH AN AVERAGE DAILY CENSUS OF 250. IN 2019, COMMUNITY MENTAL HEALTH ADDED A WECARE WELLNESS PROGRAM, SERVING PUBLIC ASSISTANCE RECIPIENTS AND APPLICANTS WITH CHRONIC MEDICAL AND/OR MENTAL HEALTH CONDITIONS THAT ARE INTERFERING WITH THEIR ABILITY TO PARTICIPATE IN EMPLOYMENT ACTIVITIES WITHOUT ASSISTANCE. THE 100 SCHOOLS PROGRAM, CREATED AND FUNDED BY 4 DSRIP PERFORMING PROVIDER SYSTEMS (PPSS) AND ADMINISTERED THROUGH THE JEWISH BOARD OF FAMILY AND CHILDRENS SERVICES, BEGAN OPERATION IN 2017. THIS PROGRAM PROVIDES CAPACITY BUILDING SUPPORT AND TECHNICAL ASSISTANCE FOR SCHOOL STAFF IN ORDER TO HELP THEM BETTER PROVIDE TARGETED INTERVENTIONS TO PROMOTE STUDENT BEHAVIORAL HEALTH. IN 2019, WITH THE WINDING DOWN OF DSRIP, THE PROGRAM WAS REDUCED TO PROVIDE SERVICE IN ONLY ONE BOROUGH RATHER THAN TWO. SINCE ITS INCEPTION IN 2012, THE HEALTH HOME HAS SUCCESSFULLY IMPLEMENTED AN INNOVATIVE MODEL OF CARE COORDINATION FOR THE COMPLEX CHRONICALLY ILL POPULATION OF ADULTS ON MEDICAID WITH PHYSICAL AND BEHAVIORAL HEALTH CO-MORBIDITIES. THIS MODEL OF INTEGRATED BEHAVIORAL AND PHYSICAL HEALTHCARE, AS WELL AS SOCIAL DETERMINANTS OF HEALTH, HAS THE GOAL OF IMPROVING OVERALL HEALTH OUTCOMES AND REDUCING INPATIENT HOSPITALIZATION RATES AND EMERGENCY DEPARTMENT USAGE. THE HEALTH HOME CARE MANAGEMENT PROGRAM SERVED OVER 1020 MEMBERS IN 2019 IN THE BOROUGHS OF MANHATTAN, BRONX, BROOKLYN AND QUEENS. FORM 990, PART III, LINE 4C VNSNY HOME CARE II HELPS SUPPORT THE COSTS OF OPERATING SEVERAL PEDIATRIC AND FAMILY PROGRAMS (CHILDREN AND FAMILY SERVICES). ONE ONGOING PROGRAM, 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. PEDIATRIC PALLIATIVE CARE SERVICES ARE ALSO PROVIDED TO CHILDREN IN BROOKLYN, QUEENS, THE BRONX AND MANHATTAN. IT IS FOCUSED ON COORDINATING AND PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO CHILDREN WITH LIFE LIMITING OR LIFE THREATENING CONDITIONS. FORM 990, PART III, LINE 4D IN 2019 VNSNY LAUNCHED A NEW UNIT WITHIN CLINICAL SUPPORT SERVICES, VNSNY CARE360 SOLUTIONS. USING VNSNYS POPULATION HEALTH EVIDENCED-BASED PRACTICES AND TOOLS, CARE TEAMS PROVIDE VALUE-BASED CARE PROGRAMS AND SERVICES FOR PATIENTS AND MEMBERS OF HOSPITALS, ACOS AND HEALTH PLANS AT ALL LEVELS OF RISK. THIS PROACTIVE, PERSON-CENTERED CARE APPROACH ADDRESSES A SPECTRUM OF MEDICAL, BEHAVIORAL AND SOCIAL NEEDS TO REDUCE OVERALL COSTS OF CARE. OUR INTERDISCIPLINARY TEAM INCLUDES CARE MANAGERS (RNS, PTS, OTS, LCSWS); NURSE PRACTITIONERS; HEALTH AND WELLNESS COACHES; PHARMACISTS; TRANSITIONAL CARE ASSOCIATES; AND REGISTERED DIETICIANS. TOGETHER, THEY: EMPLOY EXTENSIVE EXPERIENCE ON MANAGING CHRONIC CONDITIONS AND COMORBIDITIES; FOCUS ON 30-60 DAY POST-DISCHARGE AND HIGH-RISK POPULATIONS; USE CLINICAL AND NON-CLINICAL RESOURCES AND INTERVENTIONS; FACILITATE IN-PERSON INTERVENTIONS, INCLUDING COMMUNITY PARAMEDICINE; COORDINATE CARE BETWEEN PROVIDERS AND SETTINGS; FACILITATE PATIENT EDUCATION AND COACHING; UTILIZE REMOTE MONITORING INCLUDING VOICE RESPONSE AND VIRTUAL VISIT TECHNOLOGY; ADVOCATE FOR TIMELY SHARING OF DATA THROUGH TECHNOLOGY; USE TELEPHONIC INTERVENTIONS FOR APPOINTMENT REMINDERS AND CONNECTIONS TO COMMUNITY-BASED RESOURCES; AND PERFORM GAPS IN CARE MANAGEMENT AND HEDIS REPORTING. THE ADVANCED ILLNESS MANAGEMENT TEAM ENGAGE PATIENTS IN END-OF-LIFE CONVERSATIONS; AND COLLABORATE WITH FAMILIES AND PHYSICIANS TO ENSURE PATIENTS END OF LIFE WISHES ARE MET. REMOTE PATIENT MONITORING (RPM) SERVICES ARE ALSO MANAGED WITHIN THE CMO AND INCLUDE THE UTILIZATION OF THE MOST ADVANCED RPM TECHNOLOGY AND COMMUNICATION TO ENGAGE PATIENTS, FAMILIES AND CAREGIVERS IN THE MANAGEMENT OF CHRONIC CONDITIONS WITH THE GOAL OF IMPROVING OUTCOMES AND REDUCING HOSPITALIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 VISITING NURSE SERVICE OF NEW YORK IS THE SOLE CORPORATE MEMBER. Form 990, Part VI, Section A, line 7a The member may elect the Directors. Form 990, Part VI, Section A, line 7b VISITING NURSE SERVICE OF NEW YORK ("VNSNY") IS THE SOLE CORPORATE MEMBER. THE MEMBER HOLDS ANNUAL MEETINGS TO ELECT THE DIRECTORS, AND THE MEMBER MAY TAKE ACTION AS REQUIRED OR PERMITTED UNDER THE ORGANIZATION'S BYLAWS OR UNDER ANY PROVISION OF LAW. FORM 990, PART VI, SECTION B, LINE 11A THE AUDIT COMMITTEE OF VNSNY AND ITS AFFILIATED ORGANIZATIONS REVIEWED THE FORM 990. A COMPLETE COPY OF THE ORGANIZATION'S FINAL FORM 990, INCLUDING ALL REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED TO EACH VOTING MEMBER OF VNS CHOICE'S BOARD BEFORE ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE TAXPAYER DOES NOT HAVE A SEPARATE POLICY BUT HAS ADOPTED THE POLICIES AND PROCEDURES OF VNSNY. THE PROCEDURES UNDERTAKEN AT THE VNSNY LEVEL ARE DESCRIBED BELOW: THE Chief Compliance and 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 CEO, EXECUTIVE VICE PRESIDENT, GENERAL COUNSEL & CHIEF RISK OFFICER AND, AS APPROPRIATE, THE CHAIR OF THE BOARD. SPECIFIC FOLLOW-UP ACTION IS TAKEN ON A CASE-BY-CASE BASIS. Form 990, Part VI, Section B, Lines 13 & 14 THE TAXPAYER DOES NOT HAVE A SEPARATE WHISTLEBLOWER OR DOCUMENT RETENTION AND DESTRUCTION POLICY, BUT HAS ADOPTED THE POLICIES AND PROCEDURES OF VNSNY, A RELATED ORGANIZATION. Form 990, Part VI, Section B, Line 15A & 15B THE TAXPAYER DOES NOT HAVE A SEPARATE POLICY, BUT HAS ADOPTED THE POLICIES AND PROCEDURES OF VNSNY. THE PROCEDURES UNDERTAKEN AT THE VNSNY LEVEL ARE DESCRIBED BELOW: VNSNY reviews its overall executive compensation program on a periodic basis. EXECUTIVE COMPENSATION REVIEWS WERE DONE IN PART IN 2017 AND IN 2018. The process for determining the individual compensation levels of VNSNY's top management, including the CEO, and all officers meets the three requirements of the rebuttable presumption under treas. Reg. 53.4958-6. A compensation committee is appointed by the board of directors for the purpose of assisting the board to fulfil its responsibility to VNSNY and the community to ensure the compensation is in accordance with VNSNY's policies. The committee is comprised of six directors who are independent of management and VNSNY and free of any conflicts of interest that would interfere with their exercise of independent judgment. Prior to making compensation decisions, the committee obtains and relies upon appropriate data as to comparability. The committee retains an independent compensation consultant and utilizes local and national compensation surveys to assist in setting compensation levels. The compensation committee adequately and on a timely basis documents the basis for setting compensation with the making of the determination. Form 990, Part VI, Section C, Line 19 Documents are available upon request. FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:LEGAL SETTLEMENT TOTAL EXPENSES:67250000 MANAGEMENT AND GENERAL:67250000 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:SUPPLIES TOTAL EXPENSES:317230 MANAGEMENT AND GENERAL:317230 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:MISCELLANEOUS EXPENSE TOTAL EXPENSES:1103938 PROGRAM SERVICES:992957 MANAGEMENT AND GENERAL:110981 Visiting Nurse Service of New York 220 EAST 42ND STREET 6TH FL New York NY 10017 133189926 HOME HEALTH NY 501(c)(3) 12, III-FI NA true VNS Continuing Care Development Corp 220 EAST 42ND STREET 6TH FL New York NY 10017 133974198 LT CARE 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 HOME & COMMU. NY 501(c)(3) 10 VNS CHOICE true VNSNY Hospice Care 220 EAST 42ND STREET 6TH FL New York NY 10017 300006817 Hospice Care NY 501(c)(3) 10 VNSNY true New Partners Inc 220 EAST 42ND STREET 6TH FL New York NY 10017 133885148 HOME HEALTH NY 501(c)(3) 10 VNSNY true Family Care Services Inc 220 EAST 42ND STREET 6TH FL NEW YORK NY 10017 133213081 HOME HEALTH NY 501(c)(3) 10 VNSNY true VNSNY CARE MGMT IPA INC 220 EAST 42ND STREET 6TH FL NEW YORK NY 10017 843621396 CARE MGMT NY 501(C)(3) 10 VNSNY true MEDICAL CARE AT HOME PC 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 264175570 HOME HEALTH NY VNSNY C CORP 0 0 true false false true false false false false false false false true true true true false true true false