2018-11-14T10:54:04-06:00 2017-12-31 KPMG LLP One Financial Plaza Hartford CT 061032608 990 2017-01-01 131624211 Visiting Nurse Service of New York Home Care II % JIMMY SINGH VISI 2126095716 220 EAST 42ND STREET 6TH FLOOR New York NY 10017 DANIEL SAVITT EVP & CFO 2126095716 2018-11-13 true MARY-EVELYN ANTONETTI P00431862 8605223200 2018-11-13 167.68.102.5 06014420183185000011 2018-11-14 P AAC5C7B48239233CACFAA3EADCBEE0C40CBDF48F DA4F556549C95AEC1A4590AB9843AE87D4A12B12 2017 2019-02-21 02:37:17Z X ANDRIA CASTELLANOS 220 EAST 42ND STREET 6TH FL New York NY 10017 295522045 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. 11 10 2262 190 0 0 2393919 2243765 299101602 292955024 343743 323256 0 0 301839264 295522045 0 0 0 0 202897308 191499575 0 0 0 176866470 169613726 379763778 361113301 -77924514 -65591256 59857570 43945165 263662695 313519239 -203805125 -269574074 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 265088356 243730280 ACUTE CARE PROGRAM: THE CERTIFIED HOME HEALTH AGENCY PROGRAM (CHHA PROGRAM) IS THE LARGEST WITHIN VNSNY HOME CARE II. WITH MORE THAN 88,720 PATEIENTS SERVED IN 2017, IT REPRESENTS 98% OF VNSNY'S HOME CARE II POPULATION. (SEE SCHEDULE O FOR MORE INFORMATION). 25467108 30146415 COMMUNITY MENTAL HEALTH SERVICES: COMMUNITY MENTAL HEALTH ADMINISTERS 28 PROGRAMS AND AN ARTICLE 31 MENTAL HEALTH CLINIC, WITH 350 FULL-TIME, PART-TIM AND PER DIEM STAFF. THESE PROGRAMS DELIVER CARE TO APPROXIMATELY 14,000 PATIENTS ANNUALLY THROUGHOUT NEW YORK CITY PROVIDING OVER 150,000 HOME VISITS ANNUALLY. (SEE SCHEDULE O FOR MORE INFORMATION.) 15626549 11015104 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.) 7095526 8063225 313277539 true true false true false false false false false false true false false false true true true 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 true true false true 54 0 2262 true false false false false false false false false false false X 11 10 false true false false true true true true true false false true true true true true true true true false NY X JIMMY SINGH 2126095716 220 EAST 42ND STREET 6TH 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 1.0 2.0 X 0 0 0 JOHN R GUNN BOARD MEMBER 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 5.1 X 0 0 0 ALBERT L SIU MD MSPH BOARD MEMBER 1.0 2.0 X 0 0 0 CHRISTOPHER T OLIVIA MD BOARD MEMBER (AS OF 01/2017) 1.0 41.4 X 0 1283550 205189 MARKI FLANNERY EVP& CHIEF OF OPS(END 11/2017) 1.0 36.3 X 0 837500 41076 SAMUEL HELLER SVP & CFO (END 06/2017) 1.0 36.3 X 0 777472 38373 LAWRENCE LEPELSTAT DIR, FINANCE & BUSINESS OPS 36.3 0.0 X 216966 0 8783 SUSAN NORTHOVER SVP, PATIENT CARE SERVICES 36.3 1.0 X 390608 0 15252 SHAIRA ERNAZAROVA PUBLIC HEALTH NURSE FT3 36.3 0.0 X 223130 0 16617 VIRGINIA FIELD VP, ACUTE CARE MANHATTAN 36.3 0.0 X 297608 0 43830 ROSE MADDEN-BAER SVP, POP'N HEALTH & CLIN SUP 36.3 0.0 X 346201 0 46158 YVONNE EADDY VP, ACUTE CARE BKLYN/SI 36.3 0.0 X 231598 0 38093 ANNE J THOMAS PSYCHIATRIST 36.3 0.0 X 224946 0 15878 1931057 2898522 469249 473 false true false PARTNERS IN CARE 1250 BROADWAY 9TH FLOOR NEW YORK NY 10001 HOME HEALTH AIDES 15206159 CAMBRIDGE SECURITY SERVICES CORP 90 MULBERRY STREET NEWARK NJ 07102 SECURITY SERVICE 1258441 BH HEALTHCARE SERVICES INC 175 South 9th Street BROOKLYN NY 11211 HOME HEALTH AIDES 1241341 ALLIANCE FOR HEALTH INC PO BOX 34676 NEWARK NJ 07189 HOME HEALTH AIDES 1157421 PEOPLE CARE INC 116 WEST 32ND STREET 15TH FLOOR NEW YORK NY 10001 HOME HEALTH AIDES 961828 29 2243765 2243765 PATIENT SERVICES 621610 263275433 263275433 SPEC. SERVICES GRANTS 624100 27144146 27144146 CONTRACTED SERVICES 621610 2535445 2535445 292955024 323256 323256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295522045 292955024 323256 0 0 0 0 9041666 9010071 31595 0 129527863 115785322 13742541 11785415 10526351 1259064 30264502 27031273 3233229 10880129 9717779 1162350 0 15025 15025 230008 230008 4133 4133 0 0 26622415 24556131 2066284 1414 983 431 1464887 1101600 363287 1386429 1093742 292687 0 7167515 5642693 1524822 1597751 1201514 396237 0 328647 247144 81503 793114 793114 0 8212358 2114325 6098033 1973673 1484209 489464 O/H ALLOCATION TO AFFILIATES 112088783 95876825 16211958 MEDICAL SUPPLIES 4160311 4160311 O/H ALLOCATION TO CLIN DEPT 3661091 3661091 SUBSCRIPTION AND DUES 83865 66175 17690 -177693 -177693 361113301 313277539 47835762 0 974781 655976 0 0 11920799 8204624 31358022 23728670 0 0 0 0 36321 36718 0 0 4595 4814 103536457 93364983 8071500 10171474 0 0 0 0 175000 175000 5163276 0 2153276 967889 59857570 43945165 21947996 18179487 0 0 962323 401611 0 0 0 0 0 0 0 0 0 0 240752376 294938141 263662695 313519239 X -207758005 -272189804 3952880 2615730 0 0 -203805125 -269574074 59857570 43945165 X -65591256 -177693 X false true X true true true X 3904603 3113356 3532792 2393919 2243765 15188435 612061114 459333013 376554855 299101602 293855024 2040905608 0 0 0 615965717 462446369 380087647 301495521 296098789 2056094043 3904603 3113356 3532792 2393919 2243765 15188435 0 3904603 3113356 3532792 2393919 2243765 15188435 2040905608 38337 37122 373776 343743 323256 1116234 0 38337 37122 373776 343743 323256 1116234 0 1122360 1122360 617126414 462483491 380461423 301839264 296422045 2058332637 0.99153 0.99218 0.00054 0.00035 X X 0 4133 330501 4133 330501 362186861 1875740277 362190994 1876070778 1000000 1000000 250000 1051557 1000000 1000000 1500000 4133 4133 250000 250000 375000 4133 0 0 16759050 14586378 2172672 45325992 41560184 3765808 41451415 37218421 4232994 10171474 0 ESTIMATED THIRD PARTY PAYABLE 6124079 DUE TO AFFILIATE 288814062 294938141 X 295522045 295522045 295522045 361113301 361113301 361113301 SCHEDULE D, PART X, LINE 2 VNSNY-HOME CARE HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE AN ORGANIZATION DESCRIBED IN THE INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3), AND, THEREFORE, IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. VNSNY-HOME CARE 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, 2017 AND 2016. 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 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. MANAGEMENT OF VNSNY HOME CARE'S PRELIMINARY ASSESSMENT IS THAT THERE IS NO IMPACT ON THE FINANCIAL STATEMENTS AS OF DECEMBER 31 2017 BUT IS CURRENTLY ASSESSING THE OVERALL IMPACT OF THE ACT AND ITS IMPACT ON THE FINANCIAL STATEMENTS, INCLUDING FOR 2018. true true false false false false false true false MARKI FLANNERY EVP& CHIEF OF OPS(END 11/2017) 0 459860 0 165000 0 212640 0 13385 0 27691 0 878576 0 0 SAMUEL HELLER SVP & CFO (END 06/2017) 0 219652 0 150000 0 407820 0 29989 0 8384 0 815845 0 0 LAWRENCE LEPELSTAT DIR, FINANCE & BUSINESS OPS 216966 0 0 0 0 0 8783 0 0 0 225749 0 0 0 SUSAN NORTHOVER SVP, PATIENT CARE SERVICES 390608 0 0 0 0 0 15252 0 0 0 405860 0 0 0 SHAIRA ERNAZAROVA PUBLIC HEALTH NURSE FT3 107671 0 0 0 115459 0 16617 0 0 0 239747 0 0 0 VIRGINIA FIELD VP, ACUTE CARE MANHATTAN 244467 0 51161 0 1980 0 35497 0 8333 0 341438 0 0 0 ROSE MADDEN-BAER SVP, POP'N HEALTH & CLIN SUP 272037 0 72389 0 1775 0 17197 0 28961 0 392359 0 0 0 CHRISTOPHER T OLIVIA MD BOARD MEMBER (AS OF 01/2017) 0 1147356 0 100000 0 36194 0 176538 0 28651 0 1488739 0 0 YVONNE EADDY VP, ACUTE CARE BKLYN/SI 189476 0 39779 0 2343 0 29788 0 8305 0 269691 0 0 0 ANNE J THOMAS PSYCHIATRIST 224247 0 0 0 699 0 362 0 15516 0 240824 0 0 0 SCHEDULE J, PART I, LINE 3 METHODS USED TO DETERMINE COMPENSATION THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS COMPENSATED BY A RELATED ORGANIZATION, VISITING NURSE SERVICE OF NEW YORK (VNSNY). VNSNY USES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY, - WRITTEN EMPLOYEE CONTRACT, AND - APPROVAL BY THE BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. SCHEDULE J, PART 1, LINE 4A SEVERANCE PAYMENTS SAMUEL HELLER - $274,615.32 (PAID FOR BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK AND INCLUDED IN PART II, COLUMN B(III)). MARKI FLANNERY - $64,730.76 (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 MARKI FLANNERY: $66,000 (PAID FOR BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK AND INCLUDED IN PART II, COLUMN B(III)). SAMUEL HELLER: $60,000 (PAID FOR BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK AND INCLUDED IN PART II, COLUMN B(III)). 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 2017, VNSNY AND ITS AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $47 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFITS PROGRAMS. THESE WIDE-RANGING PROGRAMS IMPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, AND PROVIDED FREE AND DISCOUNTED DIRECT HOME CARE SERVICES TO MORE THAN 8,500 UNDER- AND UNINSURED INDIVIDUALS. 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 2017, VNSNY HOME CARE IIS FRONTLINE STAFF PROVIDED CARE TO MORE THAN 90,345 PATIENTS, 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 2017, NEARLY $7 MILLION WAS SPENT ON PROVIDING NURSING AND OTHER HEALTH CARE TO 8,500 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 28 PROGRAMS AND AN ARTICLE 31 MENTAL HEALTH CLINIC, WITH 350 FULL-TIME, PART-TIME AND PER DIEM STAFF. THESE PROGRAMS DELIVER CARE TO APPROXIMATELY 14,000 PATIENTS ANNUALLY THROUGHOUT NEW YORK CITY PROVIDING OVER 150,000 HOME VISITS ANNUALLY. COMMUNITY MENTAL HEALTH PROGRAMS PROVIDE CARE TO A SPECTRUM OF UNDERSERVED INDIVIDUALS, INCLUDING THOSE WITH ACUTE AND CHRONIC MENTAL ILLNESS, THE GERIATRIC POPULATION, CHILDREN WITH EMOTIONAL AND COMMUNITY MENTAL HEALTH SERVICES ADMINISTERS 27 PROGRAMS AND AN ARTICLE 31 MENTAL HEALTH CLINIC, WITH APPROXIMATELY 330 FULL-TIME, PART-TIME AND PER DIEM STAFF. THESE PROGRAMS DELIVERED CARE TO NEARLY 14,000 PATIENTS IN 2017 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 2017, THE ADULT AND CHILDRENS MOBILE CRISIS, 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 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 CLINICS ARTICLE 31 LICENSE. THE FRIENDS SYSTEM OF CARE SERVED ABOUT 1000 CHILDREN AND THEIR FAMILIES IN 2017, WITH AN AVERAGE DAILY CENSUS OF 250. IN 2017, COMMUNITY MENTAL HEALTH WAS AWARDED 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 (PPSS) AND ADMINISTERED THROUGH THE JEWISH BOARD OF FAMILY AND CHILDRENS 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 2300 MEMBERS IN 2017 IN THE BOROUGHS OF MANHATTAN, BRONX, BROOKLYN AND QUEENS. FORM 990, PART III, LINE 4C 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 PROVIDED TO CHILDREN IN BROOKLYN, QUEENS, THE BRONX AND MANHATTAN. IT 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 TELEHEALTH, CODING, ASSESSMENT PERFORMANCE AND REVIEW, AND EDUCATION AND DEVELOPMENT. IN THIS CAPACITY VNSNY HAS BEEN ABLE TO ENTER INTO A CMS BUNDLE PAYMENT FOR CARE IMPROVEMENT (BPCI) MODEL 3 RISK SHARING ARRANGEMENT FOR CONGESTIVE HEART FAILURE AND ACUTE MYOCARDIAL INFARCTION PATIENTS UNDER A 90 DAY POST-ACUTE BUNDLE. WE ARE ALSO A CLINICAL PARTNER FOR 2 OTHER HEALTH SYSTEMS IN THEIR BPCI BUNDLES AND 1 SYSTEM IN THEIR MANDATORY COMPREHENSIVE JOINT REPLACEMENT (CJR) BUNDLE. THE DEVELOPMENT OF THE CLINICAL SUPPORT SERVICES TEAM HAS ALSO 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 THE ALL OF THE CLINICAL ASSETS ACROSS THE VNSNY BUSINESSES INTO A SERVICE DELIVERY MODEL TO SUPPORT ALTERNATIVE PAYMENT MODELS AND NY STATE DSRIP PROGRAMS. FINALLY, WE ARE ENTERING INTO CLINICAL PARTNERSHIPS WITH SUB-ACUTE PROVIDERS AND OTHER PROVIDERS OF CARE IN THE POST-ACUTE SPACE, TO CREATE CONTINUUMS OF CARE AND ALIGNED CLINICAL PATHWAYS, WHICH HAVE NOT PREVIOUSLY EXISTED OUTSIDE OF INTEGRATED DELIVERY SYSTEMS. FORM 990, PART VI, SECTION A, LINE 3 MATTHEW BOX BEGAN HIS TERM AS INTERIM CFO ON JUNE 11, 2017. 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. IN 2017, ALVAREZ & MARSAL WAS PAID $730,250 FOR THE SERVICES PROVIDED BY MATHEW 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 11 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 12 THE TAXPAYER DOES NOT HAVE A SEPARATE POLICY BUT DOES FOLLOW 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 DOES FOLLOW THE POLICIES AND PROCEDURES OF VNSNY. Form 990, Part VI, Section B, Line 15A & 15B THE TAXPAYER DOES NOT HAVE A SEPERATE POLICY BUT DOES FOLLOW 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. THE LAST COMPREHENSIVE REVIEW TOOK PLACE IN 2016. 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. WHEN NEW EXECUTIVES ARE HIRED BY VNSNY AND RELATED ORGANIZATIONS, THE POSITION'S COMPENSATION IS REVIEWED ON AN AD-HOC BASIS BY AN INDEPENDENT COMPENSATION CONSULTANT. THE RECOMMENDED COMPENSATION PACKAGE IS THEN REVIEWED, APPROVED AND DOCUMENTED BY THE COMPENSATION COMMITTEE. 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 FAMILY CARE SERVCIES PAYABLE WRITE-OFF $ (177,693) Visiting Nurse Service of New York 220 EAST 42ND STREET 6TH FLOOR New York NY 10017 133189926 HOME HEALTH NY 501(c)(3) 12, III-FI NA false VNS Continuing Care Development Corp 220 EAST 42ND STREET 6TH FLOOR New York NY 10017 133974198 LT CARE NY 501(c)(3) 12, III-fi VNSNY true VNS CHOICE 220 EAST 42ND STREET 6TH FLOOR New York NY 10017 133951057 CAPITATED PG. NY 501(c)(3) 10 VCCDC true VNS CHOICE Community Care 220 EAST 42ND STREET 6TH FLOOR New York NY 10017 320053323 HOME & COMMU. NY 501(c)(3) 10 VNS CHOICE true VNSNY Hospice Care 220 EAST 42ND STREET 6TH FLOOR New York NY 10017 300006817 Hospice Care NY 501(c)(3) 10 VNSNY true New Partners Inc 220 EAST 42ND STREET 6TH FLOOR New York NY 10017 133885148 HOME HEALTH NY 501(c)(3) 10 VNSNY true Family Care Services Inc 220 EAST 42ND STREET 6TH FLOOR NEW YORK NY 10017 133213081 HOME HEALTH NY 501(c)(3) 10 VNSNY true false false true false false false false false false false true true true true false true true false VISTING NURSE SERVICE OF NY 1250 BROADWAY 6TH FLOOR NEW YORK NY 10001 133189926 0 326722 326722 28593313 28920035 1000000 250000 0 0 0 Visiting Nurse Serv of NY H 1250 Broadway 6th Floor NEW YORK NY 10001 300006817 0 3779 3779 94121271 94125050 1000000 250000 0 0 0 VNS Choice 1250 Broadway 6th Floor NEW YORK NY 10001 133951057 0 0 0 1494793646 1494793646 1000000 250000 0 0 0 VNS Choice Community Care 1250 Broadway 6th Floor NEW YORK NY 10001 320053323 0 0 0 990803 990803 173620 43405 0 0 0 New Partners Inc 1250 Broadway 6th Floor NEW YORK NY 10001 133885148 0 0 0 257078215 257078215 1000000 250000 0 0 0 VNS Continuing Care Developm 1250 Broadway 6th Floor NEW YORK NY 10001 133974198 0 0 0 0 0 0 0 0 0 0 Family Care Services Inc 1250 Broadway 6th Floor NEW YORK NY 10001 133213081 0 0 0 163029 163029 32606 8152 0 0 0