2020-02-14T07:18:08-06:00 2018-12-31 580692043 MAULDIN & JENKINS LLC PO BOX 71549 2303 DAWSON ROAD ALBANY GA 317081549 990 2018-01-01 580566250 VISITING NURSE HEALTH SYSTEM INC VISI 4042156000 5775 GLENRIDGE DRIVE NE NO E200 ATLANTA GA 303287294 DOROTHY DAVIS PRESIDENT AND CEO 4042156000 2020-02-10 1 MARY JO ALEXANDER P00002534 2294463600 2020-02-10 50.192.51.169 2020-02-10 17:01:08 ES P 5DB367DF41109E2809BFBA5E2EDC6B579160DD21 A686354A9DE4425501FDBD57F36A0C3BF2ABC4A2 2018 2020-11-06 18:47:13Z X DOROTHY DAVIS 5775 GLENRIDGE DRIVE NE NO E200 ATLANTA GA 303287294 49515503 0 X WWW.VNHS.ORG X 1948 GA THE MISSION OF VISTING NURSE HEALTH SYSTEM IS TO "IMPROVE THE LIVES OF THOSE WE SERVE". X 5 5 778 272 0 0 4194719 6414246 49486727 38580260 26126 4355152 -91040 28779 53616532 49378437 0 0 0 0 44514515 42541224 31999 0 0 15569476 13815539 60115990 56356763 -6499458 -6978326 16596056 8410553 10555021 9347844 6041035 -937291 X VISITING NURSE HEALTH SYSTEM|HOSPICE ATLANTA OFFERS A FULL CONTINUUM OF HOME HEALTHCARE TO THE GREATER ATLANTA COMMUNITY. THIS INCLUDES POST-ACUTE CARE, REHABILITATION SERVICES, LONG-TERM CARE FOR CHRONIC CONDITIONS, AND PALLIATIVE AND HOSPICE CARE TO OVER 16,000 PATIENTS ANNUALLY TO 31 COUNTIES IN GEORGIA. OUR FAMILY OF SERVICES INCLUDES HOME HEALTHCARE, COMMUNITY CARE, PRIVATE HOME CARE, HOSPICE AND PALLIATIVE CARE. FOR MORE THAN 71 YEARS, THE NAME VISITING NURSE HEALTH SYSTEM HAS BEEN SYNONYMOUS WITH QUALITY HOME CARE. JOINT COMMISSION ACCREDITED, VISITING NURSE IS THE LARGEST NONPROFIT HOME HEALTHCARE AND HOSPICE PROVIDER IN GEORGIA, SERVING NEARLY 6,000 PATIENTS AND THEIR FAMILIES EACH DAY. 0 1 25846611 22176436 VISITING NURSE HEALTH SYSTEM PROVIDES HOME HEALTHCARE SERVICES TO MORE THAN 11,000 PATIENTS ANNUALLY IN THEIR HOMES BY LICENSED, PROFESSIONAL HOME HEALTHCARE CAREGIVERS. SERVICES ENCOMPASS A BROAD RANGE OF CARE AND SUPPORT SERVICES FOR PATIENTS RECOVERING FROM A HOSPITAL STAY, WHO MAY BE CHRONICALLY ILL, OR NEED ASSISTANCE WITH THE ESSENTIAL ACTIVITIES OF DAILY LIVING. THIS CARE IS PROVIDED BY A TEAM OF APPROXIMATELY 140 PROFESSIONAL, SKILLED MEDICAL PERSONNEL, INCLUDING NURSES, PHYSICAL AND OCCUPATIONAL THERAPISTS, HOME HEALTHCARE AIDES AND SOCIAL WORKERS. THE PRIMARY GOALS OF HOME HEALTHCARE ARE TO HELP PATIENTS AVOID HOSPITAL READMISSION, IMPROVE THEIR CLINICAL OUTCOMES, AND IMPROVE THEIR OVERALL HEALTH. AS A LEADER IN THE FIELD, VISITING NURSE HEALTH SYSTEM DELIVERS QUALITY, COST-EFFECTIVE CARE WITH THE UTMOST COMPASSION, AND REMAINS STEADFAST IN THEIR COMMITTMENT TO HELPING PATIENTS REMAIN AS INDEPENDENT AS POSSIBLE. EQUALLY AS IMPORTANT, VISITING NURSE CONTINUES TO STRENGTHEN THEIR COMMITMENT TO THE COMMUNITIES IT SERVES, AND TO PROVIDING QUALITY CARE TO ALL WHO NEED IT USING THE RESOURCES AVAILABLE. 11575637 8005655 VISITING NURSE HEALTH SYSTEM| HOSPICE ATLANTA PROVIDES HOSPICE AND PALLIATIVE CARE SERVICES TO PATIENTS WITH LIFE-LIMITING ILLNESSES WHO HAVE ELECTED TO STOP AGGRESSIVE, CURATIVE TREATMENTS. THE PRIMARY GOALS OF HOSPICE ATLANTA ARE TO PROVIDE SAFETY, COMFORT AND DIGNITY TO OUR PATIENTS DURING THE FINAL STAGE OF LIFE, PROVIDE THEIR FAMILIES WITH THE NECESSARY SERVICES AND EMOTIONAL SUPPORT DURING THE DYING PROCESS AND BEREAVEMENT SUPPORT AFTER THE DEATH OF THEIR LOVED ONE. OUR TEAM OF APPROXIMATELY 40 PROFESSIONALS AND 85 SPECIALLY TRAINED VOLUNTEERS PROVIDE END-OF-LIFE CARE TO MORE TAHN 900 PATIENTS ANNUALLY. HOSPICE ATLANTA PROVIDES COMPASSIONATE HOSPICE CARE FOR PATIENTS IN THEIR OWN HOMES, WHERE THEY PREFER TO BE. HOSPICE ATLANTA OFFERS A WIDE RANGE OF EMOTIONAL AND SPIRITUAL BEREAVEMENT SUPPORT SERVICES, PROVIDED BY TRAINED BEREAVEMENT COORDINATORS AND BEREAVEMENT PROFESSIONALS. IN ADDITION, HOSPICE ATLANTA'S SUPPORT INCLUDES IN-PERSON COUNSELING OR OVER-THE-PHONE SUPPORT, REGULARLY SCHEDULED GRIEF SUPPORT GROUPS, EDUCATIONAL MATERIALS AND THE TWICE-YEARLY CAMP S.T.A.R.S. BEREAVEMENT CAMP. BEREAVEMENT SUPPORT IS AVAILABLE FOR ONE YEAR AFTER THE DEATH OF A LOVED ONE, TWO YEARS FOR THOSE MOURNING THE LOSS OF A CHILD. 7870192 8398169 THE PRIMARY GOAL OF VISITING NURSE HEALTH SYSTEM'S COMMUNITY CARE DIVISION IS TO PROVIDE QUALITY, IN-HOME HEALTHCARE, HELPING PATIENTS REMAIN LIVING INDEPENDENTLY AS LONG AS POSSIBLE. ALONG WITH THE COMMUNITY CARE STAFF, THIS DIVISION OF VISITING NURSE PARTNERS WITH A BROAD RANGE OF COMMUNITY ORGANIZATIONS TO PROVIDE A COMPREHENSIVE RANGE OF SERVICES TO NURSING HOME-ELIGIBLE, LOW-INCOME SENIORS AND DISABLED INDIVIDUALS WHO HAVE ONGOING MEDICAL CONDITIONS REQUIRING LONG-TERM SUPPORT. THESE COMMUNITY CARE PROGRAMS INCLUDE SERVICE OPTIONS USING RESOURCES IN A COMMUNITY ENVIRONMENT (SOURCE), COMMUNITY CARE SERVICES PROGRAM (CCSP) AND HOME AND COMMUNITY BASED SERVICES (HCBS). A TEAM OF 100 SOCIAL WORKERS AND NURSES CAREFULLY DETERMINE EACH PATIENT'S INDIVIDUAL, LONG-TERM CARE NEEDS, AND COORDINATE ACCESS TO A VARIETY OF LOCAL MEDICAL AND SOCIAL SERVICE RESOURCES FOR MORE THAN 4,500 SENIORS AND THEIR FAMILY MEMBERS EACH YEAR. 45292440 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 1 229 0 1 778 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 1 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 GA X ROGER HILES 4042156000 5775 GLENRIDGE DR NE E200 ATLANTA GA 303287294 RICHARD BAYMAN DIRECTOR 1.50 X 0 0 0 JIMMY CARLOS DIRECTOR 1.50 X 0 0 0 BRUCE COHEN DIRECTOR 1.50 X 0 0 0 MICHELE GANDY DIRECTOR 1.50 X 0 0 0 DAVID GHEGAN DIRECTOR 1.50 X 0 0 0 JON R HARRIS JR DIRECTOR 1.50 X 0 0 0 ALEX HUNTER DIRECTOR 1.50 X 0 0 0 RAYMOND HUTTON DIRECTOR 1.50 X 0 0 0 LOU BROWN JEWELL DIRECTOR 1.50 X 0 0 0 STAN JONES JR DIRECTOR 1.50 X 0 0 0 BARRY KOCH DIRECTOR 1.50 X 0 0 0 DAVID A MARTIN RN CNOR CRNFA CHAIR 1.50 X 0 0 0 ALFREDA MAYES DIRECTOR 1.50 X 0 0 0 CAROLINE E MOISE DIRECTOR 1.50 X 0 0 0 STARR MOORE DIRECTOR 1.50 X 0 0 0 CHARLES H MORGAN DIRECTOR 1.50 X 0 0 0 STAN A SHARP DIRECTOR 1.50 X 0 0 0 CHERYL VENABLE DIRECTOR 1.50 X 0 0 0 CHARLOTTE WEAVER DIRECTOR 1.50 X 0 0 0 RONNIE ROLLINS DIRECTOR 1.50 X 0 0 0 LORRAINE TAYLOR DIRECTOR 1.50 X 0 0 0 HUNTER HURST DIRECTOR 1.50 X 0 0 0 NORENE MOSTKOFF CEO 40.00 X 476467 0 16499 MARY BLUMSTEIN CFO 40.00 X 151898 0 12052 ANDREA MARKS-STEVENSON CHIEF CLINICAL OFFICER 40.00 X 171112 0 15545 DOROTHY DAVIS VP COMMUNITY HEALTH 40.00 X 185871 0 9435 BRYAN HOOKER MD MEDICAL DIRECTOR HOSPICE 20.00 X 211356 0 9781 DABNEY HOLLIS VP, ADVANCEMENT 40.00 X 137503 0 145 ELLEN MAYHAM OASIS REVIEW NURSE 40.00 X 132343 0 8798 ROBERT CONNERS PTT4 40.00 X 146599 0 31389 PATRICIA ASKEW VP, HUMAN RESOURCES 40.00 X 146648 0 4388 1759797 0 108032 23 0 1 0 HCHB HOLDINGS LLC 6688 N CENTRAL EXPRESSWAY 800 DALLAS TX 75206 ELECTRONIC MEDICAL RECORD SOFTWARE 1454371 CMG CIT ACQUISITION 655 SOUTH WILLOW ST STE 128 MANCHESTER NH 03103 CONTRACT NURSES 617165 ENCLARA PHARMACIA INC 1601 CHERRY STREET STE 1800 PHILADELPHIA PA 19102 HOSPICE PHARMACY 513186 GENESIS HEALTHCARE SERVICES LLC 7501 ESTERS BLVD STE 100 IRVING TX 75063 HOSPICE DME & TELEMONITOR DELIVERY 482959 SHC SERVICES INC PO BOX 677896 DALLAS TX 75267 CONTRACT/TVL NURSES 382593 21 274232 184425 4273909 1681680 39111 6414246 NET PATIENT SERVICE REVENUE 900099 38580260 38580260 38580260 4355152 0 4355152 4355152 4355152 93750 184425 137066 -43316 -43316 MISCELLANEOUS 900099 72095 72095 72095 49378437 38580260 0 4383931 1040250 1040250 33305792 29003359 4302433 329532 283719 45813 5372180 4695768 676412 2493470 2180622 312848 294079 294079 49894 49894 30933 30933 3109291 671252 2438039 179231 179231 40682 26956 13726 159425 100914 58511 786705 431114 355591 200991 155044 45947 653924 144 653780 1148745 450534 698211 752331 609600 142731 BAD DEBTS 2431200 2431200 MEDICAL SUPPLIES 1624040 1553489 70551 COMMUNICATION 747828 208018 539810 TRANSPORTATION AND DELI 742000 572378 169622 864240 553067 311173 56356763 45292440 11064323 0 3077366 1228003 466668 109671 7132640 5231667 83048 476207 411135 7202654 5942797 5220553 1259857 222622 87172 16596056 8410553 6997638 6048730 945382 1037712 2160000 1900000 452001 361402 10555021 9347844 X 1362535 -2623540 1920229 49663 2758271 1636586 6041035 -937291 16596056 8410553 -6978326 0 X X 0 1 X 1 1 1 X 2260690 3466922 3333070 4194719 6414246 19669647 2260690 3466922 3333070 4194719 6414246 19669647 3894195 15775452 17194 23072 32796 26126 8100 107288 72095 72095 19849030 261019426 0.79480 0.52410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 1 30933 0 30933 0 PART II-B, LINE 1: FEES PAID TO A LEGAL FIRM FOR GOVERNMENT RELATIONS AND STATE LEGISLATIVE UPDATE REPORTS. 2758271 1121685 1636586 2758271 2758271 2758271 2758271 2758271 2758271 2758271 2758271 1.00000 0 0 1063445 780264 283181 5163634 4203882 959752 975575 958651 16924 1259857 DEFERRED RENT LIABILITY 361402 361402 X PART V, LINE 4: ENDOWMENT FUNDS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE ON HOSPICE SERVICES. PART X, LINE 2: VISITING NURSE IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, RELATED INCOME IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. THE FOUNDATION IS A LIMITED LIABILITY COMPANY AND IS NOT SUBJECT TO INCOME TAX. INTERNAL REVENUE SERVICE (IRS) REGULATIONS ARE SUCH THAT THE ANNUAL REPORTING RETURN FILED BY A NONPROFIT ORGANIZATION IS OPEN FOR EXAMINATION BY TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS. VISITING NURSE'S ANNUAL REPORTING RETURN FOR THE 2015, 2016, AND 2017 TAX YEARS ARE OPEN FOR EXAMINATION AT DECEMBER 31, 2018. HOWEVER, MANAGEMENT DOES NOT BELIEVE THAT VISITING NURSE OR THE FOUNDATION HOLD ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. X X X X X X 1 GA JOE BIDEN LUNCHEON 213575 119825 93750 3760 57853 7688 8042 AQUARIUM 70TH ANNIVERSARY 64600 64600 950 39088 14495 5190 278175 184425 93750 950 42848 72348 12878 8042 137066 -43316 X X X X X 0 1 0 0 0 0 0 1 0 NORENE MOSTKOFF CEO 294328 0 0 0 182139 0 7404 0 9095 0 492966 0 0 0 MARY BLUMSTEIN CFO 145935 0 0 0 5963 0 0 0 12052 0 163950 0 0 0 ANDREA MARKS-STEVENSON CHIEF CLINICAL OFFICER 168727 0 0 0 2385 0 4038 0 11507 0 186657 0 0 0 DOROTHY DAVIS VP COMMUNITY HEALTH 171462 0 0 0 14409 0 2541 0 6894 0 195306 0 0 0 BRYAN HOOKER MD MEDICAL DIRECTOR HOSPICE 210120 0 0 0 1236 0 0 0 9781 0 221137 0 0 0 ROBERT CONNERS PTT4 146000 0 0 0 599 0 3872 0 27517 0 177988 0 0 0 PATRICIA ASKEW VP, HUMAN RESOURCES 138627 0 3100 0 4921 0 3443 0 945 0 151036 0 0 0 PART I, LINE 4B UPON BEGINING EMPLOYMENT WITH VISITING NURSE HEALTH SYSTEM, NORENE MOSTKOFF, ROLLED A BALANCE IN A NONQUALIFIED RETIREMENT PLAN ORIGINATING WITH A DIFFERENT EMPLOYER TO A PLAN ESTABLISHED BY VISITING NURSE. WHILE EMPLOYED WITH VISITING NURSE HEALTH SYSTEM, NOREME MOSTKOFF CONTINUED TO MAKE EMPLOYEE CONTRIBUTIONS INTO THE NONQUALIFIED PLAN. AT NO TIME DID VISITING NURSE HEALTH SYSTEM CONTRIBUTE TO THIS PLAN ON HER BEHALF. NORENE RECEIVED A PAYOUT FROM THE 457F PLAN IN THE AMOUNT OF $177,761 AND THIS IS REPORTED ON HER 2018 W-2 AS OTHER COMPENSATION. PART I, LINE 7 PATRICIA ASKEW RECEEIVED A BONUS OF $3100. X 8 39111 FMV 0 0 1 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTORS. LAND, BUILDINGS, AND IMPROVEMENTS 2018-12-07 2882772 NET BOOK VALUE 586033190 JAMES STARR MOORE MEMORIAL FOUNDATION INC 3330 CUMBERLAND BLVD SE STE 6 ATLANTA GA 30339 501(C)(3) 0 0 0 0 FORM 990, PART III, LINE 3 IN DECEMBER 2018, THE IN-PATIENT HOSPICE UNIT CEASED OPERATIONS. FORM 990, PART VI, SECTION A, LINE 1 EXECUTIVE COMMITTEE, WHICH SHALL CONSIST OF TWO OR MORE DIRECTORS, SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD, THE MANAGEMENT OF THE CORPORATION, BUT THE DESIGNATION OF SUCH COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OR ANY INDIVIDUAL DIRECTOR OF ANY RESPONSIBILTY IMPOSED UPON IT OR HIM BY LAW. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS MEETINGS AND REPORT THE SAME TO THE BOARD OF DIRECTORS WHEN REQUIRED. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION MADE CHANGES TO THE BYLAWS THAT PRIMARILY RELATED TO THE BOARD OF DIRECTORS. THE BOARD MEMBERSHIP WAS REVISED TO INCLUDE TWO LEGACY DIRECTORS AND THREE COMMUNITY DIRECTORS WITH SPECIFIC RESTRICTIONS ON MAJOR TRANSACTIONS DURING THE 2019 YEAR REQUIRING AT LEAST ONE LEGACY BOARD MEMBER AFFIRMATIVE VOTE. THE CHANGE ALSO REQUIRES AT LEAST QUARTERLY BOARD MEETINGS DURING 2019, SLIGHTLY REVISED THE EMERITUS BOARD MEMBER STATUS, AND CHANGED OFFICER TERMS TO ONE YEAR INSTEAD OF TWO YEARS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS, CEO AND CFO APPROVED THE FILING OF THE TAX RETURN. THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO IT BEING FILED. THE COMMITTEE ASKED QUESTIONS OF THE INTERNAL PREPARERS BASED UPON THIS REVIEW AND APPROVED A COPY OF THE 990 RETURN PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL CURRENT BOARD MEMBERS OR INTERESTED PERSONS CERTIFY THEY HAVE RECEIVED, READ, AND AGREED TO COMPLY WITH THE CONFLICT OF INTEREST POLICY AND HAVE DISCLOSED ANY POTENTIAL CONFLICTS OF INTEREST ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 ON AN ANNUAL BASIS, THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND TOP MANAGEMENT IS REVIEWED AND APPROVED BY THE ORGANIZATION'S INDEPENDENT BOARD OF DIRECTORS. EVERY FEW YEARS, THE ORGANIZATION ENGAGES AN OUTSIDE CONSULTANT TO COMPARE COMPENSATION AND BENEFITS PAID TO THE ORGANIZATION'S OFFICERS AND TOP MANAGEMENT TO COMPENSTATON AND BENEFITS THAT ARE PAID TO EMPLOYEES PROVIDING SIMILAR SERVICES BY SIMILAR ENTERPRISES UNDER SIMILAR CIRCUMSTANCES. THE CONSULTANT'S REPORT IS REVIEWED BY THE CONSULTANT WITH THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 IN GENERAL, THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION SELECTED NEW AUDITORS FOR THE 2018 TAX YEAR. AMENDED FORM 990 2018 FORM 990 IS BEING AMENDED TO CORRECT SCH J REPORTING OF CEO COMPENSATION BY CATEGORY. CEO, NORENE MOSTKOFF RECEIVED A PAYMENT FROM A 457F PLAN IN THE AMOUNT OF %177,761. NO BONUS PAYMENT WAS PAID. ALSO TOWARDS THE END OF DECEMBER 2018 THERE WAS A RESTRUCTURING OF THE BOARD SUCH THAT THE NEW BOARD NUMBER IS 5 BOARD MEMBERS, ALL OF WHOM ARE INDEPENDENT. THIS CORRECTS THE NUMBER REPORTED IN PART I AND PART VI OF FORM 990. VN HOSPICE ATLANTA FOUNDATION LLC 5775 GLENRIDGE DRIVE NE ATLANTA GA 30328 580566250 CHAR ORG GA 0 0 VNHS