2019-11-14T11:47:36-06:00 2018-12-31 KPMG LLP One Financial Plaza Hartford CT 061032608 990 2018-01-01 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 2019-11-08 true MARY-EVELYN ANTONETTI P00431862 8605223200 2019-11-05 167.68.102.5 06014420193185000007 2019-11-14 P DA4F556549C95AEC1A4590AB9843AE87D4A12B12 2EFB9A2273A280871CB6E2783C42C633A2C5F4AB 2018 2020-03-31 21:24:44Z ANDRIA CASTELLANOS 220 EAST 42ND STREET 6TH FL NEW YORK NY 10017 259457641 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. 8 7 2133 200 0 393587 2243765 3443846 292955024 255090917 323256 922878 0 0 295522045 259457641 0 0 0 0 191499575 178588289 0 0 0 169613726 166882759 361113301 345471048 -65591256 -86013407 43945165 61038610 313519239 416626091 -269574074 -355587481 X VNSNY HOME CARE II'S MISSION: PROVIDE QUALITY, HOME AND COMMUNITY-BASED HEALTH CARE SERVICES TO VULNERABLE INDIVIDUALS AND COMMUNITIES, INCLUDING THOSE WHO MAY BE UNDER OR UNINSURED. (SEE SCHEDULE O FOR MORE INFORMATION). false false 216932302 207710380 ACUTE CARE PROGRAM: THE CERTIFIED HOME HEALTH AGENCY PROGRAM (CHHA PROGRAM)IS THE LARGEST WITHIN VNSNY HOME CARE II. WITH AN AVERAGE OF 10,700 PATIENTS UNDER ITS CARE EACH DAY IN 2018, IT REPRESENTS 98% OF VNSNY'S HOME CARE II POPULATION. (SEE SCHEDULE O FOR MORE INFORMATION). 22679301 30300792 COMMUNITY MENTAL HEALTH SERVICES: COMMUNITY MENTAL HEALTH ADMINISTERS 27 PROGRAMS AND AN ARTICLE 31 MENTAL HEALTH CLINIC, WITH 370 FULL-TIME, PART-TIME AND PER DIEM STAFF. THESE PROGRAMS DELIVER CARE TO APPROXIMATELY 17,200 PATIENTS ANNUALLY THROUGHOUT NEW YORK CITY PROVIDING OVER 125,000 HOME VISITS ANNUALLY. (SEE SCHEDULE O FOR MORE INFORMATION.) 9465974 10804332 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.) 5444668 6275413 254522245 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 true 79 0 2133 true true true false false false false false false false false false false false X 8 7 false true 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 MARGARET A BANCROFT 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 PHD CHAIR 1.0 2.0 X 0 0 0 BETSY F GOTBAUM BOARD MEMBER (END 06/2018) 1.0 2.0 X 0 0 0 JOHN R GUNN BOARD MEMBER (END 06/2018) 1.0 2.0 X 0 0 0 ARTHUR LINDENAUER BOARD MEMBER 1.0 2.0 X 0 0 0 CARL H PFORZHEIMER III BOARD MEMBER 1.0 2.0 X 0 0 0 JOHN P RAFFERTY EX-OFFICIO BOARD MEMBER 1.0 4.1 X 0 0 0 ALBERT L SIU MD MSPH BOARD MEMBER (END 06/2018) 1.0 2.0 X 0 0 0 MARKI FLANNERY PRESIDENT & CEO (AS OF 4/2018) 1.0 41.4 X X 0 1139119 34011 CHRISTOPHER T OLIVIA MD PRESIDENT & CEO (END 04/2018) 1.0 40.4 X X 0 1930338 9972 Daniel Savitt EVP & CFO (AS OF 1/2018) 1.0 35.3 X 0 772176 99071 ANDRIA CASTELLANOS EVP & CHIEF OF PROVIDER SVCS 33.3 3.0 X 102053 0 6453 LAWRENCE LEPELSTAT DIR, FINANCE & BUSINESS OPS 36.3 0.0 X 204483 0 27932 SUSAN NORTHOVER SVP, PATIENT CARE SERVICES 36.3 1.0 X 370771 0 26542 SHAIRA ERNAZAROVA PUBLIC HEALTH NURSE FT3 36.3 0.0 X 230176 0 27522 VIRGINIA FIELD VP, ACUTE CARE MANHATTAN 36.3 0.0 X 245344 0 31557 ROSE MADDEN-BAER SVP, POP'N HEALTH & CLIN SUP 36.3 0.0 X 335512 0 23499 ANNE J THOMAS PSYCHIATRIST 36.3 0.0 X 235302 0 19849 Marshalina Serrano VP, Acute Care Bronx & Westc 36.3 0.0 X 252584 0 32040 SAMUEL HELLER EVP & CFO (END 06/2017) 0.0 0.0 X 0 520957 0 1976225 4362590 338448 334 true true false New Partners Inc 220 East 42nd Street 6th Floor NEW YORK NY 10017 HOME HEALTH AIDES 12056939 Ropes Gray LLP PO BOX 70280 PHILADELPHIA PA 191760280 Legal Fees 2693840 HCHB Holdings LLC 6688 N CENTRAL EXPRESSWAY SUITE 80 DALLAS TX 75206 PROF. TRAIN/ENT SUB 2619204 Fastaff LLC 5700 S QUEBEC STREET SUITE 300 GREENWOOD VILLAGE CO 80111 Contract Nurses 1350770 Bates White LLC NORTH BUILDING SUITE 500 2001 K ST WASHINGTON DC 20006 Legal Fees 1077812 5 3443846 3443846 PATIENT SERVICES 621610 229624198 229624198 SPEC. SERVICES GRANTS 624100 23221806 23221806 CONTRACTED SERVICES 621610 2244913 2244913 255090917 922878 922878 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 259457641 255090917 922878 0 0 0 0 629728 629728 0 126605443 126605443 13456401 13456401 27828629 27828629 10068088 10068088 0 4683494 4683494 186807 186807 0 0 0 23950839 23950839 2870390 760 2869630 1685711 1348240 337471 1295815 1295815 0 8159753 1094515 7065238 1360186 1360186 0 330100 330100 0 0 3878699 3878699 1042641 24352 1018289 O/H ALLOCATION TO AFFILIATES 107634915 33488316 74146599 MEDICAL SUPPLIES 3674356 3674356 O/H ALLOCATION TO CLIN DEPT 3335022 3335022 NYS ASSESSMENT TAX 1576959 1576959 1217072 1205525 11547 345471048 254522245 90948803 0 655976 0 0 0 8204624 11842524 23728670 36764688 0 0 0 0 36718 36868 0 0 4814 4595 109139501 97243682 10171474 11895819 0 0 0 0 175000 175000 0 0 967889 319116 43945165 61038610 18179487 22970576 0 0 401611 0 0 0 0 0 0 0 0 0 0 0 294938141 393655515 313519239 416626091 X -272189804 -358427481 2615730 2840000 0 0 -269574074 -355587481 43945165 61038610 -86013407 X false true X true true true X 3113356 3532792 2393919 2243765 3443846 14727678 459333013 376554855 299101602 293855024 255090917 1683935411 0 0 0 462446369 380087647 301495521 296098789 258534763 1698663089 3113356 3532792 2393919 2243765 3443846 14727678 0 3113356 3532792 2393919 2243765 3443846 14727678 1683935411 37122 373776 343743 323256 922878 2000775 0 37122 373776 343743 323256 922878 2000775 0 0 462483491 380461423 301839264 296422045 259457641 1700663864 0.99016 0.99153 0.00118 0.00054 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16788415 15658131 1130284 41668960 35996285 5672675 50682126 45589266 5092860 11895819 0 ESTIMATED THIRD PARTY PAYABLE 3759441 DUE TO AFFILIATE 389896074 393655515 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, 2018 OR 2017. H.R. 1, ORIGINALLY KNOWN AS THE TAX CUTS AND JOBS ACT (THE ACT), WAS SIGNED INTO LAW ON DECEMBER 22, 2017. THE ACT CONTAINS VARIOUS PROVISIONS AFFECTING BOTH FOR-PROFIT AND NOT-FOR-PROFIT ENTITIES. TAX-EXEMPT ENTITIES ARE IMPACTED IN PART BY THE INCLUSION OF A NEW EXCISE TAX ON EXCESS COMPENSATION FOR COVERED EMPLOYEES AND CHANGES TO UNRELATED BUSINESS INCOME. THE ACT'S PROVISIONS MAY ALSO IMPACT DONOR INCENTIVES FOR CHARITABLE GIVING. THE TOTAL IMPACT OF THE ACT TO VNSNY'S CONSOLIDATED FINANCIAL STATEMENTS THE YEAR ENDED DECEMBER 31 2018 IS AN EXPENSE OF $0.4 MILLION FOR COMMUTER BENEFITS AND $0.2 MILLION FOR TAX ON EXCESS COMPENSATION. true true false false false false false true false MARKI FLANNERY PRESIDENT & CEO (AS OF 4/2018) 0 804012 0 0 0 335107 0 13480 0 20531 0 1173130 0 0 SAMUEL HELLER EVP & CFO (END 06/2017) 0 0 0 0 0 520957 0 0 0 0 0 520957 0 0 LAWRENCE LEPELSTAT DIR, FINANCE & BUSINESS OPS 186244 0 17420 0 819 0 0 0 27932 0 232415 0 0 0 SUSAN NORTHOVER SVP, PATIENT CARE SERVICES 314433 0 55000 0 1338 0 1765 0 24777 0 397313 0 0 0 SHAIRA ERNAZAROVA PUBLIC HEALTH NURSE FT3 168907 0 0 0 61269 0 27522 0 0 0 257698 0 0 0 VIRGINIA FIELD VP, ACUTE CARE MANHATTAN 177691 0 39760 0 27893 0 25381 0 6176 0 276901 0 0 0 ROSE MADDEN-BAER SVP, POP'N HEALTH & CLIN SUP 279311 0 55000 0 1201 0 3723 0 19776 0 359011 0 0 0 CHRISTOPHER T OLIVIA MD PRESIDENT & CEO (END 04/2018) 0 325644 0 360000 0 1244694 0 0 0 9972 0 1940310 0 176538 ANNE J THOMAS PSYCHIATRIST 231189 0 0 0 4113 0 3473 0 16376 0 255151 0 0 0 Daniel Savitt EVP & CFO (AS OF 1/2018) 0 598922 0 80000 0 93254 0 73200 0 25871 0 871247 0 0 Marshalina Serrano VP, Acute Care Bronx & Westc 197767 0 47800 0 7017 0 3881 0 28159 0 284624 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 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 - $866,215.35 (PAID FOR BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK AND INCLUDED IN PART II, COLUMN B(III)). SAMUEL HELLER - $490,384.50 (PAID FOR BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK AND INCLUDED IN PART II, COLUMN B(III)). MARKI FLANNERY - $166,142.29 (PAID FOR BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK AND INCLUDED IN PART II, COLUMN B(III)). SCHEDULE J, PART 1, LINE 4B SUPPLEMENTAL RETIREMENT PLAN CHRISTOPHER OLIVIA - $231,863.49 PAID FOR BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK AND INCLUDED IN PART II, COLUMN B(III)). SAMUEL HELLER - $27,004.30 (PAID FOR BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK AND INCLUDED IN PART II, COLUMN B(III)). MARKI FLANNERY - $58,775.53 (PAID FOR BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK AND INCLUDED IN PART II, COLUMN B(III)). DANIEL SAVITT - $73,200.00 (PAID BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK. THIS AMOUNT WAS ACCRUED IN 2017, BUT HAS NOT YET VESTED AND IS PROPERLY DISCLOSED ON SCHEDULE J, 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 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 2018, VNSNY AND ITS AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $39 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFITS 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 VNSNY HOME CARE IIS MISSION: PROVIDE QUALITY, COST-EFFECTIVE HOME- AND COMMUNITY-BASED HEALTH CARE SERVICES TO VULNERABLE INDIVIDUALS AND COMMUNITIES, INCLUDING THOSE WHO MAY BE UNDER- OR UNINSURED WHO MIGHT NOT HAVE RECEIVED THE SERVICES THEY NEEDED. IT SHARES THIS MISSION WITH VNSNY AND ITS RELATED 501(C)(3) CORPORATIONS AND RECEIVES SIGNIFICANT ASSISTANCE FROM VNSNY FOR ITS PROGRAMS. THIS ASSISTANCE INCLUDES CONTRIBUTIONS OF PHILANTHROPIC DOLLARS (MONIES FROM DONORS AND FROM VNSNY'S OWN RESERVES) FOR ITS CHARITABLE INITIATIVES. VNSNY HOME CARE II IS A NEW YORK STATE CERTIFIED HOME HEALTH AGENCY THAT PROVIDES SKILLED NURSING CARE, REHABILITATION THERAPY, SOCIAL WORK, AND HOME HEALTH AIDE SERVICES. IN 2018, VNSNY HOME CARE IIS FRONTLINE STAFF CARED FOR NEARLY 11,000 PATIENTS EACH DAY, FROM NEWBORN INFANTS TO THE VERY ELDERLY AS WELL AS THOSE AT THE END OF LIFE. THESE SERVICES WERE PROVIDED BY SUCH PROGRAMS WITHIN VNSNY HOME CARE II AS OUR CHHA, CHILDREN AND FAMILY SERVICES, AND COMMUNITY MENTAL HEALTH. Form 990, PART III, LINE 4A ACUTE CARE PROGRAM: 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 2018, OVER $4 MILLION WAS SPENT ON PROVIDING NURSING AND OTHER HEALTH CARE TO 3,200 PEOPLE WITHOUT INSURANCE OR WITH INADEQUATE INSURANCE. THIS CARE INCLUDED 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: COMMUNITY MENTAL HEALTH SERVICES ADMINISTERS 27 PROGRAMS AND AN ARTICLE 31 MENTAL HEALTH CLINIC, WITH APPROXIMATELY 370 FULL-TIME, PART-TIME AND PER DIEM STAFF. THESE PROGRAMS DELIVERED CARE TO NEARLY 17,200 PATIENTS IN 2018 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 2018, THE ADULT AND CHILDREN'S MOBILE CRISIS, INTENSIVE MOBILE TREATMENT PARACHUTE, HOME-BASED CRISIS INTERVENTION, PROMISE ZONE, 100 SCHOOLS, IN-HOME GERIATRIC MENTAL HEALTH, PEARLS, COMPREHENSIVE CASE MANAGEMENT, BEHAVIORAL HEALTH COMMUNITY TRANSITIONS, HEALTH HOME CARE MANAGEMENT AND ASSERTIVE COMMUNITY TREATMENT PROGRAMS, AND THE FRIENDS 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. TWO SCHOOL-BASED SATELLITE CLINICS, ONE AT PUBLIC SCHOOL 369/179 AND ONE AT URBAN SCHOLARS ACADEMY, ALSO OPERATE UNDER THE CLINIC'S ARTICLE 31 LICENSE. THE FRIENDS SYSTEM OF CARE SERVED ABOUT 1,000 CHILDREN AND THEIR FAMILIES IN 2018, WITH AN AVERAGE DAILY CENSUS OF 250. IN 2018, COMMUNITY MENTAL HEALTH CONTINUED THE STARTUP OF TWO NEW ASSERTIVE COMMUNITY TREATMENT (ACT) CONTRACTS. ONE FOR THE TRADITIONAL POPULATION IN BROOKLYN, AND ONE FOR A SHELTER ACT TEAM WHICH WILL UTILIZE THE TRADITIONAL ACT MODEL TO SERVE CLIENTS LIVING IN HOMELESS SHELTERS IN MANHATTAN. THE 100 SCHOOLS PROGRAM, CREATED AND FUNDED BY 4 DSRIP PERFORMING PROVIDER SYSTEMS (PPS'S) AND ADMINISTERED THROUGH THE JEWISH BOARD OF FAMILY AND CHILDREN'S 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. 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 1,400 MEMBERS IN 2018 IN THE BOROUGHS OF MANHATTAN, BRONX, BROOKLYN AND QUEENS. FORM 990, PART III, LINE 4C CHILDREN AND FAMILY SERVICES: 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. ANOTHER ESTABLISHED PROGRAM, THE BRONX FATHERHOOD PROGRAM, SUPPORTS DISADVANTAGED FATHERS, HELPING THEM MAINTAIN A PRESENCE IN THE LIVES OF THEIR CHILDREN. 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 OTHER PROGRAM SERVICES: VNSNY HOME CARE II HAS BUILT A CLINICAL SUPPORT SERVICES TEAM WHICH HANDLES UTILIZATION MANAGEMENT, CARE MANAGEMENT AND POPULATION HEALTH, AS WELL AS MANAGING REMOTE PATIENT MONITORING. THE EDUCATION AND DEVELOPMENT TEAM FALLS UNDER THE SUPPORT SERVICES PROGRAM. THE DEVELOPMENT OF THE CLINICAL SUPPORT SERVICES TEAM HAS ALLOWED US TO ENTER INTO CASE RATE ARRANGEMENTS WITH MANAGED CARE PAYERS, WHERE WE INTERNALLY MANAGE THE UTILIZATION OF SERVICES WITHOUT REQUIRING AUTHORIZATION FROM THE PLAN; AND FOR WHICH WE MANAGE THE CARE OF THE PATIENT BEYOND THE CERTIFIED HOME HEALTH EPISODE FOR A TOTAL PERIOD OF 60 DAYS, AS WELL AS A CLINICAL CARE MANAGEMENT INFRASTRUCTURE BUILT TO MANAGE MANAGED CARE PATIENTS IN A 60 DAY CASE RATE THAT INCLUDES BONUS AND PENALTIES FOR HOSPITALIZATIONS AND OTHER HEALTH PLAN SIGNIFICANT MEASURES. ADDITIONALLY, THE CLINICAL SUPPORT SERVICES TEAM ALLOWS US TO BRING ALL OF THE CLINICAL ASSETS ACROSS THE VNSNY BUSINESSES INTO A SERVICE DELIVERY MODEL TO SUPPORT ALTERNATIVE PAYMENT MODELS AND NY STATE DSRIP PROGRAMS. FOR EXAMPLE, A CURRENT STUDY IS INVESTIGATING INFECTION CONTROL PRACTICES IN THE HOME ENVIRONMENT AND IS DEVELOPING AN ANALYTIC MODEL TO IDENTIFY PATIENTS WHO ARE AT GREATEST RISK OF REQUIRING AN EMERGENCY DEPARTMENT VISIT OR BEING HOSPITALIZED BECAUSE OF AN INFECTION. IF AGENCIES LEARN MORE ABOUT HOW TO IMPROVE FIELD PRACTICES AND A CLINICIAN IS NOTIFIED OF A PATIENT'S RISK THEN ADDITIONAL PREVENTIVE MEASURES CAN BE PUT IN PLACE TO IMPROVE PATIENT OUTCOMES. FORM 990, PART VI, SECTION A, LINE 3 MATTHEW BOX SERVED AS INTERIM CFO OF THE ORGANIZATION FROM JUNE 11, 2017 TO JANUARY 28, 2018. MATTHEW BOX IS A MANAGING DIRECTOR WITH ALVAREZ & MARSAL, AND HIS SERVICES AS INTERIM CFO WERE PROVIDED PURSUANT TO A CONTRACT WITH ALVAREZ & MARSAL. VNSNY HAD A PRIOR BUSINESS RELATIONSHIP WITH ALVAREZ & MARSAL THAT PRECEDED MATTHEW BOX'S APPOINTMENT AS INTERIM CFO. MATTHEW BOX RECUSED HIMSELF FROM ANY DISCUSSIONS THAT THE MANAGEMENT OF VNSNY HAD REGARDING CONTRACTS WITH ALVAREZ & MARSAL. FOR THE PERIOD OF 1/1/2018 1/28/2018, ALVAREZ & MARSAL WAS PAID $73,600 FOR THE SERVICES PROVIDED BY MATTHEW BOX AS INTERM CFO OF VNSNY. 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 11B 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 THE 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 AND PRIVACY COMPLIANCE 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. 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 FULFILL ITS RESPONSIBILITY TO VNSNY AND THE COMMUNITY TO ENSURE THE COMPENSATION IS IN ACCORDANCE WITH VNSNY'S POLICIES. THE COMMITTEE IS COMPRISED OF FOUR 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. 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 MEDICAL CARE AT HOME PC 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 264175570 HOME HEALTH NY VNSNY C CORP 0 0 0.00000 true false false true false false false false false false false true true true true false true true false