2017-11-09T17:29:28-06:00 2016-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2016-01-01 141338478 VISITING NURSE SERVICE ASSOCIATION DBA VISITING NURSE SERVICES OF NE NY VISI 5183828050 108 ERIE BLVD SCHENECTADY NY 123052278 LESLYN WILLIAMSON EXECUTIVE DIRECTOR 5182431097 2017-10-27 1 ANGELA M FRANCO P00589741 3154463600 2017-10-27 24.39.85.114 2017-10-27 13:48:53 ED P DBC66B94D4E8BBC2CD5667BCBB29FBD4485B0A11 517AEBE328CBAAA90E396C2FD1060AA56161F780 2016 2021-01-29 14:40:06Z VISITING NURSE SERVICES OF NORTHEASTERN NY LESLYN WILLIAMSON 108 ERIE BLVD SCHENECTADY NY 123052278 14002103 0 X HTTP://VNSHOMECARE.ORG/ X 1930 NY TO PROVIDE TRADITIONAL AND LONG TERM HEALTH CARE SERVICES, ALONG WITH OPERATING A NEW YORK STATE HEALTH HOME WHICH PROVIDES HOME AND COMMUNITY BASED POPULATION HEALTH MANAGEMENT. 8 5 219 6 0 0 1198223 592851 14356925 12765590 16279 18739 433715 624805 16005142 14001985 0 0 0 0 13489477 13017232 0 0 0 3021454 2944393 16510931 15961625 -505789 -1959640 6000241 4849773 6201888 7031542 -201647 -2181769 X THE MISSION OF VISITING NURSE SERVICES OF NORTHEASTERN NY (VNS) IS TO PROVIDE TRADITIONAL AND LONG TERM HEALTH CARE SERVICES, ALONG WITH OPERATING A NEW YORK STATE HEALTH HOME WHICH PROVIDES HOME AND COMMUNITY BASED POPULATION HEALTH MANAGEMENT. 0 0 9203144 11954754 HOME HEALTH OFFERS A COMBINATION OF CARE DELIVERED INSIDE THE HOME. THESE SERVICES ARE DIRECTED BY A PHYSICIAN. VNS PROVIDES CARE MANAGED BY A NURSE OR THERAPIST. ELDERLY, ADULTS AND CHILDREN ARE ALL ELIGIBLE ACCORDING TO THE INDIVIDUAL INSURANCE PLANS AND THE VNS GLADLY WORKS TO ACCEPT ALL PROVIDERS. ADDITIONALLY, THE ORGANIZATION PROVIDES CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY. THE TOTAL NUMBER OF PEOPLE SERVED IN 2016 WAS 3,072. 2797559 1429989 THE AFFORDABLE CARE ACT (ACA) ESTABLISHED THE AUTHORITY FOR STATES TO DEVELOP AND RECEIVE REIMBURSEMENT FOR A SET OF HOME HEALTH SERVICES FOR THEIR STATE'S MEDICAID POPULATION WITH CHRONIC ILLNESS. HEALTH HOME SERVICES SUPPORT THE PROVISION OF COORDINATED, COMPREHENSIVE MEDICAL AND BEHAVIORAL HEALTH CARE TO PATIENTS WITH CHRONIC CONDITIONS THROUGH COORDINATION AND INTEGRATION THAT ASSURES ACCESS TO APPROPRIATE SERVICES, IMPROVES HEALTH OUTCOMES, REDUCES PREVENTABLE HOSPITALIZATIONS AND EMERGENCY ROOM VISITS, PROMOTES THE USE OF HEALTH INFORMATION TECHNOLOGY (HIT), AND AVOIDS UNNECESSARY CARE. HEALTH HOME SERVICES INCLUDE COMPREHENSIVE CARE MANAGEMENT, HEALTH PROMOTION, TRANSITIONAL CARE, PATIENT AND FAMILY SUPPORT, REFERRAL TO COMMUNITY AND SOCIAL SUPPORT SERVICES, AND USE OF HIT TO LINK SERVICES. TO BE ELIGIBLE UNDER NEW YORK STATE GUIDELINES, A PATIENT MUST HAVE TWO CHRONIC CONDITIONS, OR ONE SINGLE QUALIFYING CONDITION (HIV/AIDES OR SMI). THE HEALTH HOME SERVED 2,398 PATIENTS IN 2016. 12000703 1 1 0 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 7 0 1 219 1 0 0 0 0 0 0 0 0 X 8 5 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X BRIAN FRASIER 5183828050 108 ERIE BLVD SCHENECTADY NY 12305 PAUL MILTON CHAIRMAN 3.00 60.00 X X 0 487527 34669 MARC MESICK TREASURER 3.00 60.00 X X 0 280926 17501 JAMES BARNRS DIRECTOR 1.00 X 0 0 0 JOSEPH GAMBINO DIRECTOR 1.00 X 0 0 0 WILLIAM MATHER SR DIRECTOR 1.00 X 0 0 0 WENDY ROSHER DIRECTOR 1.00 60.00 X 0 306950 32287 MIKE SACCIOCIO DIRECTOR 1.00 X 0 0 0 DEBRA L SCHIMPF DIRECTOR 1.00 X 0 0 0 SUELLYN ELLERBE PRESIDENT/CEO 10.00 50.00 X 38400 400668 0 KATHLEEN PAUL VP OF CLINICAL SERVICES 60.00 X 160284 0 9369 DENISE VITALE NURSE 64.00 X 125738 0 9879 TERI FRANCO PHARMACIST 50.00 X 120968 0 14502 BRIAN FRASIER DIRECTOR OF FINANCE 60.00 X 65584 39299 11660 STACEY DEMEO PHYSICAL THERAPIST 35.00 X 102447 0 6609 JAMES CONNOLLY FORMER CHAIRMAN 0.00 0.00 X 0 544343 17459 613421 2059713 153935 4 1 1 0 BLACK TREE HEALTHCARE CONSULTING LLC ONE FAYETTE ST SUITE 425 CONSHOHOKEN PA 19428 REVENUE CYCLE CONSULTING 126113 MEDICAL STAFFING NETWORK 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 CONTRACT STAFFING 122723 2 88792 406335 97724 592851 CHHA 621610 11335601 11335601 CARE CENTRAL 621610 1429989 1429989 12765590 18741 18741 116 118 -2 -2 -2 IPA CASE MANAGEMENT 621610 543280 543280 IPA CLERICAL REV 621610 67048 67048 ELLIS HOSP VOICE CARE 621610 6933 6933 7544 1892 5652 624805 14001985 13384743 0 24391 208053 135722 72331 10325322 8365998 1959324 155239 123743 31496 1529666 1079477 450189 798952 639999 158953 6183 6183 3939 3939 63649 63649 1978 1978 5492 5492 815421 548402 267019 41529 41529 132765 132765 297039 159424 137615 219141 219141 340416 329596 10820 11157 11157 25248 25248 85701 51810 33891 118127 118127 BAD DEBT 375014 375014 SUPPLIES 178784 178637 147 TELEPHONE 102647 12881 89766 NYS ASSESSMENT 45871 45871 74292 74292 15961625 12000703 3960922 0 2532417 1445599 1880613 1652793 87750 232437 1995094 1789869 237243 205225 522538 550512 739680 763207 6000241 4849773 1616603 1837111 670073 629109 3915212 4565322 6201888 7031542 X -201647 -2212420 30651 -201647 -2181769 6000241 4849773 X -1959640 16456 -36938 X X 0 1 X 1 0 X 886 35901 32505 1198223 592851 1860366 11038492 13533707 15830863 14790640 13390395 68584097 11039378 13569608 15863368 15988863 13983246 70444463 0 0 0 70444463 1372 1243 29030 16279 18741 66665 1372 1243 29030 16279 18741 66665 11040750 13570851 15892398 16005142 14001987 70511128 0.99910 0.99920 0.00090 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1978 1978 0 PART II-B, LINE 1: VNS PAYS DUES TO THE HOME CARE ASSOCIATION. THE PORTION OF THE DUES THAT WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES ARE SHOWN ON FORM 990, PART IX, LINE 11 D AND ABOVE IN SCHEDULE C, PART II-B, LINE I. 296802 150967 145835 1698292 1638902 59390 205225 DUE FROM VISITING NURSE SERVICE FOUNDATION 75459 INSURANCE RECEIVABLE SHORT TERM 155421 OTHER RECEIVABLES 337223 INTEREST IN VISITING NURSE SERVICE FOUNDATION 184694 SECURITY DEPOSITS 10410 763207 DUE TO ELLIS HOSPITAL 3363303 WORKER'S COMP PAYABLE 622871 DUE TO THIRD PARTY PAYORS 241925 OTHER LIABILITIES 337223 4565322 X 13643427 16456 16456 13626971 375014 375014 14001985 15586611 0 15586611 375014 375014 15961625 PART X, LINE 2: THE VNS IS CLASSIFIED FOR TAX PURPOSES AS AN ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND AS SUCH IT IS EXEMPT FROM INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(A) OF THE CODE. THE VNS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUBSTANTIATED. RECOGNIZING INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNTS THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. THE VNS DOES NOT RECOGNIZES THE EFFECT OF ANY UNCERTAIN INCOME TAX POSITION IN EITHER 2016 OR 2015. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2013 THROUGH 2016. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 375,014. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 375,014. X X X 0 0 0 0 0 0 0 0 0 PAUL MILTON CHAIRMAN 0 425522 0 43200 0 18805 0 0 0 34669 0 522196 0 0 MARC MESICK TREASURER 0 262625 0 18000 0 301 0 0 0 17501 0 298427 0 0 WENDY ROSHER DIRECTOR 0 264403 0 20520 0 22027 0 0 0 32287 0 339237 0 0 SUELLYN ELLERBE PRESIDENT/CEO 38400 400668 0 0 0 0 0 0 0 0 38400 400668 0 0 KATHLEEN PAUL VP OF CLINICAL SERVICES 143741 0 16543 0 0 0 1250 0 8119 0 169653 0 0 0 JAMES CONNOLLY FORMER CHAIRMAN 0 544315 0 0 0 28 0 0 0 17459 0 561802 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS ELLIS HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A ELLIS HOSPITAL, THE SOLE MEMBER OF THE ORGINIZATION, MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR AND CFO WILL REVIEW THE TAX RETURN ON BEHALF OF THE ORGINIZATION. THE TAX RETURN WILL ALSO BE REVIEWED BY A CPA FIRM PRIOR TO SUBMISSION TO THE BOARD OF DIRECTORS. THE FINAL TAX RETURN IS DISTRIBUTED TO THE BOARD OF DIRECTORS FOR COMMENT AND APPROVAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE VNS' CONFLICT OF INTEREST POLICY APPLIES TO VNS TRUSTEES, EMPLOYEES, DIRECTORS, AND MANAGERS. THE COMPLIANCE OFFICER ENSURES THAT EACH TRUSTEE COMPLETES THE CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE COMPLIANCE OFFICER DOCUMENTS ALL POTENTIAL CONFLICTS AND REPORTS THE CONFLICTS TO THE AUDIT COMMITTEE OF THE BOARD. THIS COMMITTEE THEN SHARES THE INFORMATION WITH THE BOARD CHAIRPERSON. AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OR AT A COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE UPON THE TRANSACTION OR ARRANGEMENT THAT COULD CONSTITUTE THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE TAX FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION THROUGH GUIDSTAR.ORG'S WEBSITE OR UPON REQUEST. THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF VISITING NURSE SERVICE FOUNDATION, INC -36,938. PART XII LINE 2C THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS HAS OVERSIGHT OF THE AUDIT REVIEW. ONCE THE AUDIT IS COMPLETED BY AN INDEPENDANT EXTERNAL ACCOUNTING FIRM, THE AUDITED STATEMENTS AND ANY COMMENTS ARE REVIEWED AND APPROVED BY THE FINANCE COMMITTEE PRIOR TO BRINGING THEM TO THE FULL BOARD OF DIRECTORS. ELLIS HOSPITAL 1101 NOTT STREET SCHENECTADY NY 12308 141338428 HOSPITAL NY 501(C)(3) HOSPITAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 ELLIS HOSPITAL O 65584 W-2