2016-11-08T05:52:49-06:00 2015-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2015-01-01 133854754 VILLAGE CARE OF NEW YORK VILL 2123375600 120 BROADWAY NO 2840 NEW YORK NY 10271 RACHEL AMALFITANO CHIEF FINANCIAL OFFICER 2123375600 2016-11-07 1 AARON SHAPIRO P01333816 2128674000 2015 2017-02-10 21:41:12Z RACHEL AMALFITANO 120 BROADWAY NO 2840 NEW YORK NY 10271 17788132 0 X WWW.VILLAGECARE.ORG X 1995 NY VILLAGE CARE OF NEW YORK (VCNY) WAS FORMED TO SUPPORT, BENEFIT AND ASSIST WITH PLANNING AND CONSULTING SERVICES TO ITS VARIOUS RELATED ENTITIES AND OTHER HEALTH CARE ORGANIZATIONS. VCNY IS FUNDED PRIMARILY BY MANAGEMENT FEES. 16 15 147 15 0 0 0 1246542 14609249 16524956 3393 589 0 16045 14612642 17788132 0 0 0 0 10296979 10537640 0 0 0 4197420 6003950 14494399 16541590 118243 1246542 3009364 3541389 4255906 3541389 -1246542 0 X VCNY WAS FORMED TO SUPPORT, BENEFIT AND ASSIST WITH PLANNING AND CONSULTING SERVICES TO ITS VARIOUS RELATED ENTITIES AND OTHER HEALTH CARE ORGANIZATIONS. VCNY IS FUNDED PRIMARILY BY MANAGEMENT FEES. 0 0 16524956 PROVIDES PLANNING, MANAGEMENT AND CONSULTING SERVICES TO RELATED 501(C)(3) ORGANIZATIONS. 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 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 1 1 0 0 1 93 0 147 1 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X RACHELL AMALFITANO 2123375816 120 BROADWAY SUITE 2840 NEW YORK NY 10271 EMMA DEVITO PRESIDENT & CEO 1.00 34.00 X X 0 705355 49874 DAVID H SIDWELL CHAIR OF BOARD 1.00 6.00 X X 0 0 0 DANIEL M FOX VICE CHAIR / SECRETARY 1.00 6.00 X X 0 0 0 PATRICIA M OWENS TREASURER 1.00 5.00 X X 0 0 0 ELENOR S APPLEWHAITE DIRECTOR 1.00 4.00 X 0 0 0 ELIZABETH BUTSON DIRECTOR 1.00 1.00 X 0 0 0 JOHN W BEHRE DIRECTOR 1.00 1.00 X 0 0 0 JAMES J GARDINER DIRECTOR 1.00 4.00 X 0 0 0 MARY CARACAPPA DIRECTOR 1.00 1.00 X 0 0 0 GAIL DONOVAN DIRECTOR 1.00 1.00 X 0 0 0 BETTY LIM MD DIRECTOR 1.00 1.00 X 0 0 0 GLENNA R MICHAELS DIRECTOR 1.00 1.00 X 0 0 0 LEROY SHARER MD DIRECTOR 1.00 2.00 X 0 0 0 LYNN BROWN DIRECTOR 1.00 1.00 X 0 0 0 LISA COLEMAN DIRECTOR 1.00 1.00 X 0 0 0 RICHARD WALLGREN DIRECTOR 1.00 2.00 X 0 0 0 RACHEL AMALFITANO CHIEF FINANCIAL OFFICER 1.00 34.00 X 0 413635 34176 NANCY SCHWARTZ-WEINSTOCK VP GENERAL COUNSEL 35.00 X 169332 0 8173 JENNIFER PUGLIESE AVP CORPORATE QUALITY MGMT 35.00 X 181426 0 22777 SHAUN RUSKIN AVP BUSINESS DEVELOPMENT 35.00 X 227997 0 10353 KAREN HOWARD AVP FINANCE OPERATIONS 35.00 X 196443 0 13935 RICARDO SANTIAGO DIRECTOR INFORMATION SYSTEMS 35.00 X 223457 0 8895 ALLISON SILVERS CHIEF STRATEGY OFFICER 35.00 X 178236 0 22344 VICTORIA VOLPE DIR MANAGED CARE REL&CONTRG 35.00 X 185980 0 8909 1362871 1118990 179436 27 0 1 0 120 BROADWAY ACQUISITION JV LLC 80 STATE STREET ALBANY NH 12207 REAL ESTATE 643976 LEVEL 3 FINANCING INC PO BOX 910182 DENVER CO 80291 TELECOMMUNICATIONS SERVICES 449197 SIGMACARE 575 EIGHTH AVENUE NEW YORK NY 10018 TECHNOLOGY 297605 ORACLE USA 500 ORACLE PARKWAY REDWOOD SHORES CA 94065 SOFTWARE SERVICE 293963 SIERRA- CEDAR PO BOX 402521 ATLANTA GA 30384 CONSULTANT 198570 12 1246542 1246542 MGMT FEES- RELATED EO 561000 16524956 16524956 16524956 589 589 MISCELLANEOUS 900099 10000 10000 PROCEEDS FROM INSURANCE CLAIMS 524298 6045 6045 16045 17788132 16524956 0 16634 381708 381708 8343300 8343300 349163 349163 858330 858330 605139 605139 718545 718545 117957 117957 55625 55625 128844 128844 1516401 1516401 199733 199733 760393 760393 511139 511139 692914 692914 116570 116570 66102 66102 1050541 1050541 69186 69186 16541590 0 16541590 0 2163 2143 378618 730751 7340039 5267680 2539814 2072359 3024 3519 85745 732617 3009364 3541389 2573786 2744217 153363 79663 1528757 717509 4255906 3541389 X -1246542 0 -1246542 0 3009364 3541389 1246542 0 X X 0 1 X 1 0 X X X 4 VILLAGE CENTER FOR CARE 132911059 9 1 0 8449417 VILLAGE CENTER FOR CARE FUND 133471553 7 1 0 58296 VILLAGE HOUSING DEVELOPMENT CORPORATION 131619096 9 1 0 80000 VILLAGE SENIOR SERVICES CORP 262006545 9 1 0 7773600 4 0 16361313 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART I, LINE 11G MANAGEMENT FEES 0 1 0 0 0 0 1 128844 0 0 128844 0 PART II-B, LINE 1: SUBJECTS LOBBIED INCLUDE: BUDGET, REGULATORY AND LEGISLATIVE ISSUES PERTAINING TO HEALTH CARE PROGRAMS, ESPECIALLY SKILLED NURSING FACILITIES, HEALTH HOMES, ASSISTED LIVING PROGRAMS, HEALTH CENTERS, HOME HEALTH CARE PROGRAMS, AIDS/ADULT DAY TREATMENT PROGRAMS, MANAGED CARE, MEDICAID REIMBURSEMENT FUNDING METHODOLOGY AND MEDICAID MANAGED LONG TERM CARE PROGRAMS. LOBBYING TO MEMBERS OF CONGRESS ON MEDICARE REIMBURSEMENT AND POLICIES THAT IMPACT HOME HEALTH CARE AND SKILLED NURSING FACILITIES. BUDGET ADVOCACY FOCUSED ON FY 2015-16 NYS EXECUTIVE BUDGET AND FY 2015-16 NYC BUDGET AND ITS IMPACT ON SERVICES PROVIDED TO INDIVIDUALS LIVING WITH HIV/AIDS, SENIORS, AND OTHERS WITH CHRONIC HEALTH CARE NEEDS. SIGNIFICANT FOCUS ON NYS LEGISLATION THAT WOULD HEAVILY REGULATE SKILLED NURSING FACILITIES. 1487104 1096244 390860 5852935 4171436 1681499 2072359 DUE FROM RELATED ENTITIES 732617 732617 CAPITAL LEASE 709262 DUE TO THIRD PARTIES 8247 717509 X PART X, LINE 2: VCNY HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2012 AND SUBSEQUENT REMAIN SUBJECT TO REVIEW BY TAXING AUTHORITIES. 0 0 0 0 0 0 0 0 0 EMMA DEVITO PRESIDENT & CEO 0 658769 0 45000 0 1586 0 31800 0 18074 0 755229 0 0 RACHEL AMALFITANO CHIEF FINANCIAL OFFICER 0 376937 0 36300 0 398 0 31800 0 2376 0 447811 0 0 NANCY SCHWARTZ-WEINSTOCK VP GENERAL COUNSEL 168357 0 0 0 975 0 8173 0 0 0 177505 0 0 0 JENNIFER PUGLIESE AVP CORPORATE QUALITY MGMT 181028 0 0 0 398 0 9490 0 13287 0 204203 0 0 0 SHAUN RUSKIN AVP BUSINESS DEVELOPMENT 227623 0 0 0 374 0 10353 0 0 0 238350 0 0 0 KAREN HOWARD AVP FINANCE OPERATIONS 195735 0 0 0 708 0 9249 0 4686 0 210378 0 0 0 RICARDO SANTIAGO DIRECTOR INFORMATION SYSTEMS 223443 0 0 0 14 0 8895 0 0 0 232352 0 0 0 ALLISON SILVERS CHIEF STRATEGY OFFICER 177683 0 0 0 553 0 9494 0 12850 0 200580 0 0 0 VICTORIA VOLPE DIR MANAGED CARE REL&CONTRG 185592 0 0 0 388 0 8744 0 165 0 194889 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE AUDIT AND FINANCE COMMITTEE REVIEW AND APPROVE THE COMPLETED FORM 990. THE FORM 990 IS DISTRIBUTED TO THE FULL BOARD PRIOR TO THE SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD DELEGATING POWER SHALL ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. THE STATEMENT IS DISCLOSED TO VCNY AND SUBSIDIARIES' CORPORATE COMPLIANCE OFFICER WHO WOULD REPORT THE FINDINGS TO THE VCNY BOARD EXECUTIVE COMMITTEE. IF A CONFLICT WERE TO BE FOUND, THE CONFLICTED PERSON WOULD BE RECUSED FROM MATTERS RELATING TO HIS/HER POSSIBLE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 VCNY HIRES ON AN ANNUAL BASIS AN INDEPENDENT CONTRACTOR ANNUALLY THAT PROVIDES VCNY WITH A SALARY SURVEY WHICH IS REVIEWED AND APPROVED BY THE BOARD ON AN ANNUAL BASIS. THIS PROCESS WAS LAST PERFORMED IN 2015. FORM 990, PART VI, SECTION C, LINE 19 VILLAGE CARE OF NEW YORK MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIALS STATEMENTS TO THE PUBLIC - UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THAT OF THE PRIOR YEAR. VILLAGE CENTER FOR CARE 120 BROADWAY NEW YORK NY 10271 132911059 SNF, HOME CARE, DTP, CASE MGMT NY 501(C)(3) LINE 9 VILLAGE CARE OF NEW YORK 1 VILLAGE HOUSING DEVELOPMENT FUND CORP 120 BROADWAY NEW YORK NY 10271 131619096 SENIOR HOUSING NY 501(C)(3) LINE 9 VILLAGE CARE OF NEW YORK 1 VILLAGE CENTER FOR CARE FUND 120 BROADWAY NEW YORK NY 10271 133471553 FUNDRAISING NY 501(C)(3) LINE 7 VILLAGE CARE OF NEW YORK 1 MULTITASKING SYSTEMS INC 120 BROADWAY NEW YORK NY 10271 133346371 TRAINING NY 501(C)(3) LINE 9 VILLAGE CARE OF NEW YORK 1 VILLAGE SERVICES CORP 120 BROADWAY NEW YORK NY 10271 134188104 HEALTH CARE SERVICES NY 501(C)(3) PF VILLAGE CARE OF NEW YORK 1 VILLAGE SENIOR SERVICES CORP 120 BROADWAY NEW YORK NY 10271 262006545 MANAGE LONG-TERM CARE PLAN NY 501(C)(3) LINE 9 VILLAGE CARE OF NEW YORK 1 VILLAGE DIGNOSTICS & TREATMENT CENTER 121 BROADWAY NEW YORK NY 10272 134215186 PRIMARY HEALTH CARE NY 501(C)(3) LINE 3 VILLAGE CARE OF NEW YORK 1 VILLAGE CARE HOLDING 120 BROADWAY NEW YORK NY 10271 134161623 HOLDING COMPANY NY VILLAGE CARE OF NEW YORK C 1.00000 0 VILLAGE CARE PLUS INC 120 BROADWAY NEW YORK NY 10271 133959371 HEALTH CARE SERVICE AGENCY NY VILLAGE CARE HOLDING CORP C 1.00000 0 VILLAGE HOME AND COMMUNITY SERVICES 120 BROADWAY NEW YORK NY 10271 262534779 HOME CARE SERVICES NY VILLAGE CARE OF NEW YORK C 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 VILLAGE CENTER FOR CARE L 8449417 CASH VILLAGE HOUSING DEVELOPMENT CORP L 80000 CASH VILLAGE SENIOR SERVICES CORP L 7773600 CASH VILLAGE CENTER FOR CARE FUND L 58296 CASH