2020-11-06T14:14:15-06:00 2019-12-31 KPMG LLP 345 PARK AVE NEW YORK NY 101540102 990 2019-01-01 133189926 VISITING NURSE SERVICE OF NEW YORK % JACQUELINE GUILFOYLE VISI 2126095716 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 DANIEL SAVITT EVP & CFO 2126095175 2020-11-04 true DAVID M HIGHFILL P01517891 2127589700 2020-11-04 199.207.253.96 06014420203115000018 2020-11-06 P AAE0097B1BC93C87019AE0794913F3C1E354ED8C AAE0097B1BC93C87019AE0794913F3C1E354ED8C 2019 2021-01-29 14:40:06Z MARKI FLANNERY 220 EAST 42nd STREET 6th Fl NEW YORK NY 10017 466257088 false X www.vnsny.org X 1984 NY To improve the health and well-being of people through high-quality, cost effective healthcare in the home and community (SEE PART III AND SCH. 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(SEE SCHEDULE O FOR MORE INFORMATION). 2573813 1004271 RESEARCH: THE CENTER FOR HOMECARE POLICY AND RESEARCH, ESTABLISHED IN 1993, CONDUCTS SCIENTIFICALLY RIGOROUS RESEARCH TO PROMOTE THE DELIVERY OF HIGH-QUALITY, COST-EFFECTIVE CARE IN THE HOME AND COMMUNITY. (SEE SCHEDULE O FOR MORE INFORMATION.) 7633726 true true false true false false false false false true true true false false true true false true false false false false false false true false false true false true false false false false false false false true true false false false false true true false false false true 219 0 923 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 false CA CT FL MA NJ NY PA SC TN X JACQUELINE GUILFOYLE 2126094162 220 EAST 42ND STREET 7TH FLOOR NEW YORK NY 10017 X MARKI FLANNERY PRESIDENT & CEO 37.3 5.1 X X 1663249 0 46857 CHRISTOPHER T OLIVIA FORMER PRES & CEO 0.0 0.0 X 1388630 0 5951 DANIEL SAVITT EVP & CFO 31.2 5.1 X 891348 0 112937 KERRY PARKER EVP, GENERAL COUNSEL & CRO 35.3 1.0 X 901170 0 32338 Robert Plaszcz Chief Information Officer 36.3 0.0 X 559065 0 23376 Andria Castellanos EVP &Chief of Provider Service 0.0 36.3 X 527544 0 43844 David Rosales EVP & Chief Strategy Officer 36.3 0.0 X 534483 0 2772 Michael Bernstein EVP & CAO 36.3 0.0 X 529263 0 7803 SUSAN CAPUTO SVP, BUSINESS DEVELOPMENT 36.3 0.0 X 447845 0 20537 ANDREW N SCHIFF MD CHAIR (AS OF 7/2019) 1.0 4.1 X 0 0 0 ANNE B EHRENKRANZ PH VICE CHAIR, SECRETARY & TREAS. 1.0 2.0 X 0 0 0 ARTHUR GURWITZ BOARD MEMBER 1.0 1.0 X 0 0 0 ARTHUR LINDENAUER BOARD MEMBER 1.0 2.0 X 0 0 0 BETSY F GOTBAUM BOARD MEMBER 1.0 2.0 X 0 0 0 CARL H PFORZHEIMER II BOARD MEMBER 1.0 2.0 X 0 0 0 CAROL RAPHAEL BOARD MEMBER 1.0 1.0 X 0 0 0 CARMEN BEAUCHAMP CIPAR BOARD MEMBER 1.0 1.0 X 0 0 0 CORINNE H RIEDER EDD BOARD MEMBER 1.0 1.0 X 0 0 0 DOUGLAS D BROADWATER BOARD MEMBER 1.0 2.0 X 0 0 0 E MARY DAVIDSON BOARD MEMBER 1.0 1.0 X 0 0 0 ELLEN MOSKOWITZ BOARD MEMBER 1.0 1.0 X 0 0 0 EUGENIE DOYLE MD BOARD MEMBER 1.0 1.0 X 0 0 0 FRANK S VIGILANTE BOARD MEMBER 1.0 1.0 X 0 0 0 JOHN P RAFFERTY BOARD MEMBER 1.0 3.0 X 0 0 0 JOSE M DE LASA BOARD MEMBER 1.0 1.0 X 0 0 0 JOSEPH D MARK BOARD MEMBER 1.0 1.0 X 0 0 0 KURT DUDAS BOARD MEMBER 1.0 2.0 X 0 0 0 MARGARET A BANCROFT BOARD MEMBER 1.0 2.0 X 0 0 0 MARY R NINA HENDERS BOARD MEMBER 1.0 1.0 X 0 0 0 PETER H GLEASON BOARD MEMBER 1.0 1.0 X 0 0 0 PETER L HUTCHINGS BOARD MEMBER 1.0 1.1 X 0 0 0 PHYLLIS J MILLS BSN BOARD MEMBER 1.0 1.1 X 0 0 0 RAYMOND FALCI BOARD MEMBER 1.0 1.0 X 0 0 0 ROBERT C DAUM BOARD MEMBER 1.0 1.0 X 0 0 0 ROBERT M KAUFMAN BOARD MEMBER 1.0 1.0 X 0 0 0 SARAH L EAMES BOARD MEMBER 1.0 2.0 X 0 0 0 Deborah M Sale Board Member (As of 07/2019) 1.0 2.0 X 0 0 0 Edward Torres Board Member (As of 07/2019) 1.0 1.0 X 0 0 0 Gayle Rosenthal Board Member (as of 12/2019) 1.0 1.0 X 0 0 0 Karen Boykin-Towns Board Member (as of 12/2019) 1.0 1.0 X 0 0 0 7442597 0 296415 211 true true false ROPES GRAY LLP PO BOX 70280 PHILADELPHIA PA 191760280 Legal Fees 4112539 Distinctive Workforce Solutions 2137 STATE ROUTE 35 Suite 160 HOLMDEL NJ 07733 IT Staffing 3127128 TEMPO HOLDING COMPANY LLC PO BOX 95135 CHICAGO IL 606945135 IT Services 2558414 ConsultNet LLC 10813 S River Front Parkway Suite SOUTH JORDAN UT 84095 IT Staffing 1882076 BATES WHITE LLC NORTH BUILDING SUITE 500 2001 K ST WASHINGTON DC 20006 Legal Fees 1666008 50 1759543 112639 4572723 310661 6444905 CONTRACTED RESEARCH 621400 1004271 1004271 1004271 22590024 42241 22547783 0 0 0 0 0 435835533 423652161 12183372 12183372 12183372 211142 1759543 340519 -129377 -129377 0 0 0 0 0 0 MISCELLANEOUS REVENUE 621400 30753 30753 FEE INCOME 621400 140460 140460 171213 42264408 1035024 182701 34601778 X 5059913 5059913 0 0 0 3621650 59090 3529966 32594 0 70785540 1115202 69052284 618054 2639645 48402 2564015 27228 10781300 417412 10154244 209644 4940258 4940258 0 5901288 5901288 652445 652445 303358 303358 416262 416262 3554136 3554136 6558502 103349 6414737 40416 6113049 1500 6144723 -33174 5064718 18017 5015007 31694 5291142 12752 5273731 4659 0 9040981 375277 8491773 173931 250157 7092 241862 1203 0 1095789 8083 1085033 2673 5238214 5238214 0 11650883 11650883 1312259 58934 1150080 103245 SUBSCRIPTION AND DUES 901207 4782 893059 3366 BANK FEES 94664 69022 25642 O/H ALLOC. TO CLIN DEPT. 3136 3136 INDIRECT OVERHEAD ALLOC TO A -142927057 328262 -143296084 40765 1273255 12523 1260732 19616694 7633726 10284766 1698202 127944 18250983 0 0 0 0 2619726 2426859 0 0 0 0 451508 364826 0 0 8240783 6140990 120407538 57424378 55152879 62983160 466428427 414959480 132552362 117419036 164138 164138 0 0 13570938 11404745 679308705 634114217 89586135 94294741 0 0 1051711 1127141 0 0 0 0 0 0 0 0 129671586 97326127 164747254 191177861 385056686 383925870 X 284458491 236043866 9793528 14144481 294252019 250188347 679308705 634114217 X 22647714 54636790 -121348176 X false true X true true true X X 6 VNSNY HOME CARE II 131624211 10 false 3473238 0 VNS CHOICE 133951057 10 false 0 0 VNS CHOICE COMMUNITY CARE 320053323 10 false 0 0 VNSNY HOSPICE CARE 300006817 10 false 1437811 0 NEW PARTNERS INC 133885148 10 false 0 0 FAMILY CARE SERVICES INC 133213081 10 false 0 0 6 4911049 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 I, LINE 12(G), COLUMN (VI) VISITING NURSE SERVICE OF NEW YORK 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, VNSNY PERFORMS ALL FUNDRAISING ACTIVITIES AND TRANSFERS CONTRIBUTIONS TO ITS SUPPORTED ORGANIZATIONS. VNSNY RECORDS THE EXPENSES RELATED TO FUNDRAISING AND THE ADMINISTRATIVE FUNCTIONS ON ITS BOOKS AND SUBSEQUENTLY ALLOCATES SOME OF THE EXPENSES TO ITS AFFILIATES. IN ADDITION, VNSNY PROVIDED SUPPORT TO VNS CHOICE IN THE FORM OF $157 MILLION LOAN DURING 2014, THAT REMAINED OUTSTANDING DURING 2019. FORM 990, SCHEDULE A, PART IV, SECTION D, LINE 3 VNSNY AND ITS SUPPORTED ORGANIZATIONS HAVE SOME OVERLAPPING BOARD MEMBERS AND OFFICERS. GIVEN THAT THE BOARD AND OFFICERS OF VNSNY ARE RESPONSIBLE FOR OVERSEEING AND MANAGING VNSNY'S 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 OF VNSNY, THE TIMING OF GRANTS MADE BY VNSNY, THE MANNER OF MAKING GRANTS, THE SELECTION OF GRANT RECIPIENTS BY VNSNY AND IN OTHERWISE DIRECTING THE USE OF INCOME AND ASSETS OF VNSNY. FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3A VNSNY 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 VNS HOME CARE II, VNS HOSPICE CARE, NEW PARTNERS, INC., FAMILY CARE SERVICES, AS WELL AS VNS CONTINUING CARE DEVELOPMENT CORPORATION ("CCDC"). IN ADDITION, AS THE INDIRECT SOLE MEMBER, VNSNY HAS THE INDIRECT AUTHORITY TO CONTROL THE ELECTION OF THE BOARDS OF VNS CHOICE AND VNS CHOICE COMMUNITY CARE. THE DIRECT SOLE MEMBER OF VNS CHOICE IS VNS CONTINUING CARE DEVELOPMENT CORPORATION ("CCDC"), WHICH HAS THE AUTHORITY TO ELECT THE BOARD MEMBERS OF VNS CHOICE, AND VNS CHOICE HAS THE AUTHORITY TO ELECT BOARD MEMBERS OF VNS CHOICE COMMUNITY CARE. FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3B VNSNY EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF ITS SUPPORTED ORGANIZATIONS BY VIRTUE OF (1) VNSNY'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, OVERSEEING THEIR MARKETING FUNCTIONS AND MANAGING THEIR RELATIONS WITH HOSPITALS, NURSING HOMES AND OTHER HEALTH CARE PROVIDERS AND ORGANIZATIONS AND PROVIDING LEGAL, ACCOUNTING AND OTHER ADMINISTRATIVE SUPPORT. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 312612 312612 312612 312612 19304082 2597639857 19616694 2597952469 1000000 1000000 250000 250000 1000000 1000000 1000000 1130835 4130835 6196253 112340 326722 278197 312612 1029871 250000 250000 250000 250000 1000000 1500000 7635247 54665 115119 115119 7689912 7625036 10211 4619040 4619040 7635247 7673706 -48670 1288408 1288408 7625036 7657464 16242 188308 188308 7673706 7634191 23273 597402 597402 7657464 0.00000 1.00000 0.00000 false false 97302 97302 21145433 6239799 14905634 14928767 1455590 13473177 31283314 20210459 11072855 52952722 29518530 23434192 62983160 0 0 PENSION LIABILITY 76675070 DUE TO AFFILIATES 95730000 CAPITAL LEASE OBLIGATION 2205318 DEFERRED RENT 15176919 CHARITABLE ANNUITY PAYABLE 172591 INTEREST RATE SWAP LIABILITY 1217963 191177861 X Schedule D, Part V, line 4 VNSNY'S ENDOWMENT FUNDS ARE INTENDED TO SUPPORT VNSNY AND ITS AFFILIATES' PROGRAMS AND INITIATIVES AND FURTHER THE ORGANIZATION'S EXEMPT PURPOSES. SUCH FUNDS WILL BE USED AS DIRECTED BY THE INDIVIDUAL DONOR, THE BOARD OR MANAGEMENT. Schedule D, Part X, line 2 VNSNY 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 AND 2018. X X X X X X true LAUTMAN MASKA NEILL COMPANY 1730 RHODE ISLAND AVENUE NW 301 WASHINGTON DC 20036 DIRECT RESPONSE false 507150 338262 168888 Martignetti Planned giving Advisors PO Box 5506 Emerald Island NC 28594 Engaging & soliciting false 562638 78000 484638 1069788 416262 653526 GALA 1604353 1457103 147250 0 3825 190961 0 9850 47968 GOLF CLASSIC 293525 244625 48900 0 18529 58427 0 0 0 5 72807 57815 14992 0 0 6525 4434 0 0 1970685 1759543 211142 0 22354 255913 4434 9850 47968 340519 -129377 SCHEDULE G, PART I, LINE 2B LAUTMAN, MASKA, NEILL & COMPANY - THE $168,888 REPORTED IN COLUMN VI INCLUDES $63,888 OF ADDITIONAL COSTS RELATED TO CREATIVE, PRODUCTION, PRINTING, POSTAGE, EMAILS, AND SOCIAL MEDIA. true VISITING NURSE SERVICE OF NY HOME CARE II 220 EAST 42ND ST 6TH FL NEW YORK NY 10017 131624211 501(C)(3) 3473238 CONTRIBUTION VISITING NURSE SERVICE OF NY HOSPICE 220 EAST 42ND ST 6TH FL NEW YORK NY 10017 300006817 501(C)(3) 1437811 CONTRIBUTION United Hospital Fund of New York 1411 Broadway 12th Floor New York NY 100183496 133160356 501(c)(3) 16500 Contribution HOSPITAL FOR SPECIAL SURGERY FUND INC 535 E 70th St New York NY 10021 136714749 501(c)(3) 16000 Contribution Mount Sinai Health System 1 Gustave L Levy Place New York NY 10029 800886397 501(c)(3) 15000 Contribution Cielo 2018 24 W 25th St 9th Fl New York NY 10010 133629466 501(c)(3) 10000 Contribution Hudson River Health Care Foundations 1037 Main Street Peekskill NY 10566 200151252 501(C)(3) 10000 Contribution Visiting Nurse Association of Central NJ 23 Main Street Holmdel NJ 07733 210639369 501(C)(3) 8500 Contribution Medicare Rights Center 266 West 37th St 3rd Floor New York NY 10018 133505372 501(C)(3) 6000 Contribution Villagecare 120 Broadway Suite 2840 New York NY 10271 133471553 501(C)(3) 6000 Contribution NewYorkPresbyterian Queens 56-45 Main Street Flushing NY 11355 111839362 501(C)(3) 5100 Contribution 11 0 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 OVERSPENDING. 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, EXCEPT FOR ONE ENTITY, WHICH IS BASED IN New Jersey. X true true X X X X true true false false false false false true false CHRISTOPHER T OLIVIA MD FORMER PRES & CEO 0 0 99597 0 1289033 0 0 0 5951 0 1394581 0 0 0 MARKI FLANNERY PRESIDENT & CEO 1189681 0 238710 0 234858 0 20869 0 25988 0 1710106 0 0 0 DANIEL SAVITT EVP & CFO 671415 0 217688 0 2245 0 82461 0 30476 0 1004285 0 0 0 KERRY PARKER EVP, GENERAL COUNSEL & CRO 604954 0 201563 0 94653 0 5861 0 26477 0 933508 0 0 0 SUSAN CAPUTO SVP, BUSINESS DEVELOPMENT 363425 0 82797 0 1623 0 3761 0 16776 0 468382 0 0 0 Robert Plaszcz Chief Information Officer 452139 0 105000 0 1926 0 4200 0 19176 0 582441 0 0 0 David Rosales EVP & Chief Strategy Officer 452463 0 81111 0 909 0 779 0 1993 0 537255 0 0 0 Michael Bernstein EVP & CAO 431664 0 77533 0 20066 0 4200 0 3603 0 537066 0 0 0 Andria Castellanos EVP &Chief of Provider Service 472893 0 34973 0 19678 0 14785 0 29059 0 571388 0 0 0 SCHEDULE J, PART I, LINE 1A HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: MARKI FLANNERY RECEIVED A HOUSING ALLOWANCE VALUED AT $69,713 AND TRANSPORTATION ALLOWANCE VALUED AT $15,000. THE AMOUNT OF THESE BENEFITS IS PROPERLY INCLUDED IN SCHEDULE J, PART II, LINE B(III). SCHEDULE J, PART I, LINE 4A Severance Payments Christopher Olivia - VNSNY agreed to pay Christopher Olivia 24 months of salary at the time of separation from VNSNY in April 2018. The total amount paid in 2019 was $1,224,000 and included in Part II, Column B(iii). The balance of the severance due will be paid in 2020. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN - Kerry Parker - $73,147 (Included in Part II, Column B(iii)). - Marki Flannery - $126,692 (Included in Part II, Column B(iii)). - Daniel Savitt - $82,461 (amount accrued in 2019, but not yet vested in the plan) (Included in Part II, Column C). - Andria Castellano $13,915 (amount accrued in 2019, but not yet vested in the plan) (Included in Part II, Column C). 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 property disclosed on Schedule J, Part II, Column (B)(II) CONTRIBUTOR 18 Substantial Contributor 15275140 Rent false CONTRIBUTOR 26 Substantial Contributor 4112539 Legal Services false CONTRIBUTOR 54 Substantial Contributor 3669362 Rent false CONTRIBUTOR 146 Substantial Contributor 1882076 IT Staffing false CONTRIBUTOR 30 Substantial Contributor 1451900 IT Tech Solution false CONTRIBUTOR 70 Substantial Contributor 983889 Legal Services false CONTRIBUTOR 57 Substantial Contributor 815887 Legal Services false CONTRIBUTOR 124 Substantial Contributor 792580 Labor Union false CONTRIBUTOR 150 Substantial Contributor 441446 H.V.A.C Service/Mechanical false CONTRIBUTOR 185 Substantial Contributor 242732 Security Service false CONTRIBUTOR 131 Substantial Contributor 226136 Consultants false CONTRIBUTOR 132 Substantial Contributor 186302 Consultants false CONTRIBUTOR 129 Substantial Contributor 169796 Consultants false X 12 310661 SELLING PRICE X attach 1 9 0 0 false true false SCHEDULE M, PART I, Line 25 IN 2019, 26 CORPORATE/BUSINESS ENTITIES MADE IN-KIND GIFTS OF ITEMS, SUCH AS COSMETICS, TOILETRIES, JEWELRY, PERSONAL TRAINER SESSIONS AND GIFT CERTIFICATES, WHICH WERE USED AS GIVE-AWAYS AT A VARIETY OF VOLUNTEER EVENTS. THE APPROXIMATE AGGREGATE VALUE OF THESE CONTRIBUTIONS WAS $9,260.83 (VOLUNTEER EVENT GIVEAWAY). IN 2019, IN-KIND GIFTS FOR THIS PURPOSE WERE MADE BY 9 CONTRIBUTORS - INDIVIDUALS, ORGANIZATIONS, AND CORPORATIONS - IN AN APPROXIMATE AGGREGATE VALUE OF $42,900. THESE CONTRIBUTIONS INCLUDED, AMONG OTHER THINGS, BABY SUPPLIES, TOYS, BOOKS, AND GIFT CARDS(GIFTS TO NEEDY). THE AMOUNT REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART I, LINE 1 & PART III, LINE 1 VISITING NURSE SERVICE OF NEW YORK'S MISSION IS To improve the health and well-being of people through high-quality, cost effective healthcare in the home and community. VNSNY'S COMMUNITY BENEFIT PROGRAMS, CARRIED OUT THROUGH ITS AFFILIATE ORGANIZATIONS, EXPAND ACCESS TO CARE, SUPPORT AGING IN PLACE, ADVANCE RESEARCH AND PROGRAM DEVELOPMENT, PROVIDE OPPORTUNITIES FOR DISADVANTAGED CHILDREN AND FAMILIES, AND DEVELOP THE FUTURE WORKFORCE. VNSNY'S MISSION: To improve the health and well-being of people through high-quality, cost effective healthcare in the home and community. VNSNY SHARES THIS MISSION WITH ITS RELATED 501(C)(3) CORPORATIONS. IN 2019, VNSNY AND IT 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. VNSNY, ACROSS ALL OF ITS PROVIDER PROGRAMS, DELIVERED OVER $4.3 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS LAST YEAR. INDIVIDUALS AND PRIVATE FOUNDATIONS CONTRIBUTED $6.4 MILLION TO SUPPORT VNSNY CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS, AND THE REMAINING FUNDING CAME FROM GOVERNMENT GRANTS. ALL PROGRAM SERVICES EXCEPT RESEARCH ARE DELIVERED BY VNSNY'S AFFILIATES. VNSNY PROVIDES SIGNIFICANT ASSISTANCE, HOWEVER, TO OTHER 501(C)(3) AFFILIATES 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 INITIATIVES OF ITS NOT-FOR-PROFIT AFFILIATES. FORM 990, PART III, LINE 4A IN 2019, VNSNY AND IT 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. WITH A FEW EXCEPTIONS BELOW AND RESEARCH AS DESCRIBED IN 4B, FUNDS RAISED BY VNSNY FOR ITS AFFILIATES ARE DIRECTLY CONTRIBUTED TO THEM. DIRECT CONTRIBUTIONS FROM VNSNY TO OTHER PROGRAMS INCLUDED: NEIGHBORHOOD NATURALLY OCCURRING RETIREMENT COMMUNITY: THE CHINATOWN NEIGHBORHOOD NATURALLY OCCURRING RETIREMENT COMMUNITY (NNORC) RECEIVED $568,000 IN FUNDING FROM PUBLIC AND PRIVATE FUNDERS, ENABLING THE PROGRAM TO SERVE THIS LOW INCOME IMMIGRANT COMMUNITY. IN 2019 THE VNSNY CHINATOWN NNORC TOUCHED THE LIVES OF OVER 712 SENIORS, 60 AND OLDER, WHO RESIDE IN MANHATTANS 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, IF NOT ALL 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 HEALTH CARE MANAGEMENT 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 VNSNY CHINATOWN COMMUNITY CENTER. NNORC STAFF VISIT 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 VNSNYS MISSION TO SUPPORT SUCCESSFUL COMMUNITY LIVING. HOSPICE PHYSICIAN FELLOWSHIP PROGRAM: SINCE 2004, VNSNY HAS OPERATED A HIGHLY REGARDED PHYSICIAN FELLOWSHIP TRAINING PROGRAM. IT OFFERS PARTICIPANTS CAREFULLY DESIGNED HOSPICE ROTATIONS LASTING UP TO TWO 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 39 FELLOWS FROM SEVEN MEDICAL CENTERS ((MOUNT SINAI, MEMORIAL SLOAN KETTERING, COLUMBIA UNIVERSITY MEDICAL CENTER, NYU SCHOOL OF MEDICINE, NEW YORK PRESBYTERIAN/QUEENS, LINCOLN MEDICAL CENTER, AND BRONX VA HOSPITAL). IN 2019 THE PROGRAM WAS SUPPORTED BY GENEROUS GRANTS FROM NUMEROUS INDIVIDUALS AND FOUNDATIONS. PEDIATRIC PALLIATIVE CARE SERVICES: VNSNY PROVIDED $132,000 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. VNSNY 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. PRESENTLY 120 HOSPICE CLINICIANS HAVE RECEIVED TRAINING WITH A PLAN FOR ONGOING TRAININGS PLANNED FOR 2020. HOSPICE TEAMS IN ALL REGIONS INCLUDING STATEN ISLAND ARE ADMITTING AND SUCCESSFULLY CARING FOR PEDIATRIC PATIENTS THROUGH END OF LIFE WITH PEDIATRIC PALLIATIVE CARE TEAM COLLABORATION AND CONSULTATION. IN 2019 THERE WERE 1,265 PEDIATRIC ADMISSIONS WITH A TOTAL OF 6,378 VISITS MADE. 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. THATS WHY THE FUND PROVIDES HOMEBOUND AND OTHER VULNERABLE AND DISADVANTAGED PATIENTS WITH ITEMS AND SERVICES REQUESTED BY THEIR VNSNY CLINICIAN THAT PROVIDE COMFORT AND PROMOTE HEALING. THESE ITEMS OFTEN INCLUDE PRESCRIPTION MEDICATIONS; EYEGLASSES; REMOTE-CONTROLLED RECLINERS; PODIATRIST-RECOMMENDED SHOES; AND AIR CONDITIONERS. PRIVATE DONATIONS HAVE ENABLED VNSNY TO PUT SIGNIFICANT RESOURCES INTO THE LGBT AND GENDER AFFIRMATION PROGRAMS. VNSNY CLINICIANS, ADMINISTRATIVE AND SENIOR STAFF HAVE RECEIVED TRAINING ON WORKING WITH LGBT COMMUNITIES FROM THE LGBT SENIOR ADVOCACY ORGANIZATION SAGE, ENSURING THAT ALL OF OUR STAFF ARE AWARE OF AND SENSITIVE TO THE NEEDS AND CONCERNS OF LGBT OLDER ADULTS. VNSNY IS THE LARGEST HOME- AND COMMUNITY-BASED HEALTH CARE ORGANIZATION IN THE NEW YORK CITY METROPOLITAN AREA WITH THE SAGECARE PLATINUM LEVEL LGBT CULTURAL COMPETENCY CREDENTIAL. SAGE IS THE COUNTRYS LARGEST AND OLDEST ORGANIZATION DEDICATED TO IMPROVING THE LIVES OF LESBIAN, GAY, BISEXUAL, AND TRANSGENDER (LGBT) OLDER ADULTS. THIS PARTNERSHIP WILL HELP ENSURE THAT OLDER LGBT 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, VNSNY 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 INDIVIDUALS 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. IN 2019, VNSNY CARED FOR 292 GENDER AFFIRMATION PATIENTS. FORM 990, PART III, LINE 4B 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 VNSNY. 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 A CLINICAL DECISION SUPPORT TOOL THAT IDENTIFIES WHICH PATIENTS SHOULD RECEIVE PRIORITY FOR THEIR FIRST HOME VISIT. ANOTHER STUDY PAIRS A NURSE, OCCUPATIONAL THERAPIST AND HANDYMAN TO MAKE A CARE PLAN AND HOME MODIFICATIONS TO MEET PATIENTS GOALS FOR AGING IN PLACE. TO IDENTIFY PATIENTS WHO ARE AT GREATEST RISK OF IED OF A PATIENTS RISK THEN ADDITIONAL PREVENTIVE MEASURES CAN BE PUT IN PLACE TO IMPROVE PATIENT OUTCOMES. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE OF VNSNY 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 THE BOARD BEFORE ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C 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, LINE 15A & 15B 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 2018 AND IN 2019. We do sporadic reviews when new top officials were hired or current executives take on additional responsibilities. 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES PENSION RELATED CHANGES OTHER THAN NET PERIODIC COST $ (13,879,000) RESERVE FOR AMOUNTS DUE FROM AFFILIATE (107,469,176) --------------- $ (121,348,176) FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED HHA/HHA PROVIDERS TOTAL FEES:229372 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESIONAL SERVICES TOTAL FEES:5555373 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY HELP TOTAL FEES:773757 VISITING NURSE SVC OF NY HOME CARE II 220 EAST 42nd STREET 6th FL NEW YORK NY 10017 131624211 HOME HEALTH NY 501(C)(3) 10 VNS NY true VNS CONTINUING CARE DEV CORPORATION 220 EAST 42nd STREET 6th FL NEW YORK NY 10017 133974198 LT CARE NY 501(C)(3) 12, III-FI VNS NY true VNS CHOICE 220 EAST 42nd STREET 6th FL NEW YORK NY 10017 133951057 CAPITAED PG. NY 501(C)(3) 10 VNS CONT 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 VISITING NURSE SERVICE OF NY HOSPICE 220 EAST 42nd STREET 6th FL NEW YORK NY 10017 300006817 HOSPICE CARE NY 501(C)(3) 10 VNS NY true NEW PARTNERS INC 220 EAST 42nd STREET 6th FL NEW YORK NY 10017 133885148 HOME HEALTH NY 501(C)(3) 10 VNS NY true FAMILY CARE SERVICES INC 220 EAST 42nd STREET 6th FL NEW YORK NY 10017 133213081 HOME HEALTH NY 501(C)(3) 10 VNS NY true VNSNY CARE MANAGEMENT IPA INC 220 EAST 42ND STREET 6TH FL New York NY 10017 CARE MGMT NY 501(C)(3) 10 VNSNY true MEDICAL CARE AT HOME 220 EAST 42ND STREEYT 6TH FLOOR NEW YORK NY 10017 264175570 HOME HEALTH NY VNSNY C CORP 2820973 690820 1.00000 true false true false true false false false false false false true true true true false true true false VISITING NURSE SERVICE OF NY HOME CARE II B 3473238 CASH VISITING NURSE SERVICE OF NY HOSPICE CARE B 1437811 CASH VISITING NURSE SERVICE OF NY HOSPICE CARE L 13226020 ALLOC. O/H EXP. New Partners Inc L 5544886 ALLOC. O/H EXP. VISITING NURSE SERVICE OF NY HOSPICE CARE N 4349882 ALLOC. O/H EXP. NEW PARTNERS INC N 3814190 ALLOC. O/H EXP. VISITING NURSE SERVICE OF NY HOME CARE II R 217890071 CASH VISITING NURSE SERVICE OF NY HOME CARE II L 94746132 ALLOC. O/H EXP. VISITING NURSE SERVICE OF NY HOME CARE II N 13399664 ALLOC. O/H EXP. VNS CHOICE N 8256951 ALLOC. O/H EXP. VISITING NURSE SERVICE OF NY HOSPICE CARE Q 88954847 cash New Partners Inc O 313960 ALLOC. O/H EXP. VISITING NURSE SERVICE OF NY HOSPICE CARE O 512952 ALLOC. O/H EXP. VNS ChOICE Community Care Q 7130 cash VISITING NURSE SERVICE OF NY HOME CARE II O 2736648 ALLOC. O/H EXP. VNS CHOICE L 32524881 ALLOC. O/H EXP. VNS CHOICE Q 101388420 CASH VNS CHOICE O 2490562 ALLOC. O/H EXP. Visiting Nurse Serv of NY H 220 EAST 42ND STREET 6TH FLOOR New York NY 10017 131624211 0 0 0 395040755 395040755 1000000 250000 0 0 0 VNS Choice 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 133951057 0 0 0 1808063978 1808063978 1000000 250000 0 0 0 VNS Choice Community Care 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 320053323 0 0 0 62892 62892 12578 3145 0 0 0 Visiting Nurse Serv of NY H 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 300006817 0 0 0 85276755 85276755 1000000 250000 0 0 0 New Partners Inc 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 133885148 0 0 0 289764433 289764433 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 126962 126962 25392 6348 0 0 0