2017-11-09T06:02:23-06:00 2016-12-31 KPMG LLP One Financial Plaza Hartford CT 061032608 990 2016-01-01 131624211 Visiting Nurse Service of New York Home Care II % JIMMY SINGH VISI 2126095716 1250 BROADWAY 6TH FLOOR New York NY 10001 MATTHEW BOX INTERIM CFO 2126095716 2017-11-07 true MARY-EVELYN ANTONETTI P00431862 8605223200 2017-11-02 167.68.102.5 06014420173135000006 2017-11-09 P 6081980AA5BF576E080165B1D6213534FCD96BB9 13DC49EE99BE1E68D8F422D2C3382CFF6E8F3AB9 2016 2018-03-14 21:41:22Z X MARKI FLANNERY 1250 BROADWAY 6TH FLOOR New York NY 10001 301839264 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. 9 9 2377 203 0 0 3532792 2393919 376554855 299101602 373776 343743 0 0 380461423 301839264 0 0 0 0 223830684 202897308 0 0 0 274013123 176866470 497843807 379763778 -117382384 -77924514 62550846 59857570 188431457 263662695 -125880611 -203805125 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 284389877 251584876 ACUTE CARE PROGRAM - SEE SCHEDULE O 32686482 39790812 COMMUNITY MENTAL HEALTH SERVICES - SEE SCHEDULE O 9701068 6932811 CHILDREN AND FAMILY SERVICES - SEE SCHEDULE O 5069026 793103 331846453 true true false false 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 68 0 2377 true false false false false false false false false false false X 9 9 false false false false true true true true true false false true true true true true true true true false NY X JIMMY SINGH 2126095716 1250 BROADWAY 6TH FLOOR New York NY 10001 MARGARET A BANCROFT BOARD MEMBER 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 (AS OF 6/28/2016) 1.0 2.0 X 0 0 0 ARTHUR LINDENAUER BOARD MEMBER 1.0 2.0 X 0 0 0 MATHY MEZEY EDD RN FAAN EMERITUS (AS OF 6/28/16) 1.0 3.1 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 IRA S RIMERMAN EMERITUS (AS OF 6/28/16) 1.0 2.0 X 0 0 0 ALBERT L SIU MD MSPH BOARD MEMBER (AS OF 6/28/2016) 1.0 2.0 X 0 0 0 MARKI FLANNERY EVP & CHIEF OF PROVIDER OPS 1.0 36.3 X 0 588145 43864 SAMUEL HELLER SVP & CHIEF FINANCIAL OFFICER 1.0 36.3 X 0 551127 37497 LAWRENCE LEPELSTAT DIR, FINANCE & BUSINESS OPS 36.3 0.0 X 170766 0 0 SUSAN NORTHOVER SVP, PATIENT CARE SERVICES 36.3 0.0 X 319128 0 1803 SHAIRA ERNAZAROVA PUBLIC HEALTH NURSE FT3 36.3 0.0 X 214569 0 14746 VIRGINIA FIELD VP, ACUTE CARE MANHATTAN 36.3 0.0 X 250087 0 36389 ADAM KAUFMAN PSYCHIATRIST 36.3 0.0 X 214074 0 11806 ROSE MADDEN-BAER SVP, POP'N HEALTH & CLIN SUP 36.3 0.0 X 284240 0 32490 FAFA MENSAH PUBLIC HEALTH NURSE 36.3 0.0 X 198074 0 16076 1650938 1139272 194671 411 false true false PARTNERS IN CARE 1250 BROADWAY 9TH FLOOR NEW YORK NY 10001 HOME HEALTH AIDES 18008883 PREMIER HOME HEALTH CARE SERVICES 445 HAMILTON AVE 10TH FLOOR WHITE PLAINS NY 10601 HOME HEALTH AIDES 2425039 ALLIANCE FOR HEALTH INC PO BOX 34676 NEWARK NJ 07189 HOME HEALTH AIDES 1997091 CAMBRIDGE SECURITY SERVICES CORP 90 MULBERRY STREET NEWARK NJ 07102 SECURITY SERVICE 1523194 PEOPLE CARE INC 116 WEST 32ND STREET 15TH FLOOR NEW YORK NY 10001 HOME HEALTH AIDES 1435724 28 2393919 2393919 PATIENT SERVICES 621610 273919096 273919096 SPEC. SERVICES GRANTS 624100 22911979 22911979 CONTRACTED SERVICES 621610 2270527 2270527 299101602 343743 343743 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 301839264 299101602 343743 0 0 0 0 491696 442464 49232 0 147995754 133184015 14811739 10811909 9596905 1215004 31657805 28100214 3557591 11940144 10598353 1341791 0 9994 9994 153547 153547 0 0 0 35437003 32167403 3269600 7285 4889 2396 1659282 1230697 428585 1915441 1499745 415696 0 5440527 4371576 1068951 1820709 1350428 470281 0 333641 250645 82996 0 0 6008946 2910649 3098297 1071671 794863 276808 O/H ALLOCATION TO AFFILIATES 112395265 94882254 17513011 MEDICAL SUPPLIES 4627849 4627849 O/H ALLOCATION TO CLIN DEPT 4449335 4449335 OTHER EXPENSES 1486636 1347574 139062 49339 36595 12744 379763778 331846453 47917325 0 1533163 974781 0 0 10411070 11920799 30346899 31358022 0 0 0 0 36170 36321 0 0 4595 4595 97180388 89108888 12814473 8071500 0 0 0 0 175000 175000 6772968 5163276 456508 2153276 62550846 59857570 21447416 21947996 0 0 742268 962323 0 0 0 0 0 0 0 0 0 0 166241773 240752376 188431457 263662695 X -129778895 -207758005 3898284 3952880 0 0 -125880611 -203805125 62550846 59857570 -77924514 X false true X true true true X 2719609 3904603 3113356 3532792 2393919 15664279 612061114 612061114 459333013 376554855 299101602 2359111698 0 0 0 614780723 615965717 462446369 380087647 301495521 2374775977 2719609 3904603 3113356 3532792 2393919 15664279 0 2719609 3904603 3113356 3532792 2393919 15664279 2359111698 37946 38337 37122 373776 343743 830924 0 37946 38337 37122 373776 343743 830924 0 987864 1122360 2110224 615806533 617126414 462483491 380461423 301839264 2377717125 0.99218 0.99226 0.00035 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16590897 12893554 3697343 41256538 41075545 180993 39332953 35139789 4193164 8071500 0 ESTIMATED THIRD PARTY PAYABLE 59233187 DUE TO AFFILIATE 181519189 240752376 X 301839264 301839264 301839264 379763778 379763778 379763778 SCHEDULE D, PART X, LINE 2 FIN 48 DISCLOSURE VNSNY HOME CARE II 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 II 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, 2016 AND 2015. false true false false false false false true false MARKI FLANNERY EVP & CHIEF OF PROVIDER OPS 0 508750 0 0 0 79395 0 13768 0 30096 0 632009 0 0 SAMUEL HELLER SVP & CHIEF FINANCIAL OFFICER 0 491898 0 0 0 59229 0 20935 0 16562 0 588624 0 0 LAWRENCE LEPELSTAT DIR, FINANCE & BUSINESS OPS 165766 0 5000 0 0 0 0 0 0 0 170766 0 0 0 SUSAN NORTHOVER SVP, PATIENT CARE SERVICES 304128 0 15000 0 0 0 1803 0 0 0 320931 0 0 0 SHAIRA ERNAZAROVA PUBLIC HEALTH NURSE FT3 102642 0 0 0 111927 0 14746 0 0 0 229315 0 0 0 VIRGINIA FIELD VP, ACUTE CARE MANHATTAN 238874 0 10000 0 1213 0 26430 0 9959 0 286476 0 0 0 ADAM KAUFMAN PSYCHIATRIST 207375 0 0 0 6699 0 1305 0 10501 0 225880 0 0 0 ROSE MADDEN-BAER SVP, POP'N HEALTH & CLIN SUP 266854 0 15000 0 2386 0 3803 0 28687 0 316730 0 0 0 FAFA MENSAH PUBLIC HEALTH NURSE 97835 0 0 0 100239 0 13076 0 3000 0 214150 0 0 0 SCHEDULE J, PART I, LINE 3 OFFICERS ARE COMPENSATED FOR SERVICES PROVIDED TO VISITING NURSE SERVICE OF NEW YORK HOME CARE II (VNS HOME CARE) AND THEIR COMPENSATION IS PAID BY A 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 COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE WHEN DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR. SCHEDULE J, PART 1, LINE 4B SUPPLEMENTAL RETIREMENT PLAN MARKI FLANNERY: $49,887 (PAID FOR BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK AND INCLUDED IN PART II, COLUMN B(III)) SAMUEL HELLER: $56,182 (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 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 2016, VNSNY AND ITS AFFILIATES, TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS, PROVIDED NEARLY $47 MILLION OF IMPACT IN CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS. THESE WIDE RANGING PROGRAMS IMPROVED THE LIVES OF TENS OR THOUSANDS OF NEW YORKERS, YOUNG AND OLD, AND PROVIDED FREE AND DISCOUNTED DIRECT HOME CARE SERVICES TO MORE THAN 8,600 UNDER AND UNINSURED INDIVIDUALS. IN 2016, VNSNY, ACROSS ALL OF ITS PROVIDER PROGRAMS, EXCEEDED THAT REQUIREMENT AND PROVIDED NEARLY $16.7 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFIT LAST YEAR, INCLUDING ALMOST $9 MILLION IN DIRECT HOME CARE SERVICES TO OVER 8,600 UNDER AND UNINSURED NEW YORKERS. WHEN GRANTS AND FOUNDATION SUPPORT ARE FACTORED IN, VNSNY PROVIDED NEARLY $47 MILLION OF IMPACT IN CHARITABLE CARE AND COMMUNITY BENEFIT TO NEW YORK-AREA INDIVIDUALS AND FAMILIES IN 2016. 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 GRANTS OF PHILANTHROPIC DOLLARS (MONIES FROM DONORS AND FROM VNSNY'S OWN RESERVES) FOR ITS CHARITABLE INITIATIVES. IN 2016, VNSNY AND ITS AFFILIATES, ALONG WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS, PROVIDED NEARLY $47 MILLION TO IMPACT CHARITABLE CARE AND COMMUNITY BENEFIT SERVICES. (SEE VNSNY FORM 990 FOR COMPLETE LIST OF CHARITABLE PROGRAMS.) 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 2016, VNSNY HOME CARE IIS FRONTLINE STAFF PROVIDED CARE TO MORE THAN 142,000 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 THE CERTIFIED HOME HEALTH AGENCY PROGRAM (CHHA PROGRAM) IS THE LARGEST WITHIN VNSNY HOME CARE II. WITH 118,700 PATIENTS SERVED IN 2016, IT REPRESENTS 99% OF VNSNY HOME CARE II'S POPULATION. 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 2016, NEARLY $9 MILLION WAS SPENT ON PROVIDING NURSING AND OTHER HEALTH CARE TO 8,600 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 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 PSYCHIATRIC DISORDERS, THE HOMELESS AND INDIVIDUALS WITH SUBSTANCE USE DISORDERS. IN 2016, THE ADULT AND CHILDRENS MOBILE CRISIS, PARACHUTE, HOME-BASED CRISIS INTERVENTION, IN-HOME GERIATRIC MENTAL HEALTH, COMPREHENSIVE CASE MANAGEMENT, HEALTH HOME CARE MANAGEMENT AND ASSERTIVE COMMUNITY TREATMENT PROGRAMS, AND THE FRIENDS CLINIC PROVIDED A RANGE OF MENTAL HEALTH SERVICES TO MENTALLY ILL, EMOTIONALLY DISTURBED, 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 FRIENDS PROGRAM TO PROVIDE BOTH SITE AND HOME BASED CARE TO THE CHILDREN AND FAMILIES THEY SERVE, AND ALSO OPERATES A SCHOOL-BASED SATELLITE CLINIC AT PUBLIC SCHOOL 369/179. THE FRIENDS SYSTEM OF CARE SERVED OVER 700 CHILDREN AND THEIR FAMILIES IN 2016, WITH AN AVERAGE DAILY CENSUS OF 275. IN 2016, COMMUNITY MENTAL HEALTH EXPANDED GERIATRIC MENTAL HEALTH SERVICES IN MANHATTAN AND QUEENS TO PROVIDE SCREENING AND IN-HOME TREATMENT FOR DEPRESSION TO THE HOMEBOUND ELDERLY. THIS SERVICE, CALLED PEARLS (PROGRAM TO ENCOURAGE ACTIVE AND REWARDING LIVES), IS AN EVIDENCED BASED PRACTICE THAT USES A SIX SESSION MODEL OF TREATMENT, AND THE PHQ9 FOR ELIGIBILITY SCREENING AND THEN TO TRACK IMPROVEMENT OF DEPRESSIVE SYMPTOMS OVER THE COURSE OF CARE. PEARLS SCREENING AND TREATMENT IS OFFERED TO ADULTS OVER THE AGE OF 65. THE PROGRAMIS FREE OF CHARGE TO PARTICIPANTS. COMMUNITY MENTAL HEALTH WAS APPROACHED BY THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH) ABOUT TAKING ON AN ADDITIONAL HOME BASED CRISIS INTERVENTION TEAM IN THE BRONX. AN AGREEMENT WAS REACHED, A CONTRACT SIGNED AND SERVICE PROVISION BEGAN IN NOVEMBER 2016. 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 2,000 MEMBERS IN 2016 IN THE BOROUGHS OF MANHATTAN, BRONX, BROOKLYN AND QUEENS. FORM 990, PART III, LINE 4C 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 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 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 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. The Form 990 was made available to the Board of Directors and discussed at a VNSNY Board meeting. A complete copy of the organization's final Form 990, including all required schedules, as 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 SEPERATE POLICY BUT HAS ADOPTED THE POLICIES AND PROCEDURES OF VNSNY. THE PROCEDURES UNDERTAKEN AT THE VNSNY LEVEL ARE DESCRIBED BELOW. THE COMPLIANCE OFFICER (VP COMPLIANCE & REGULATORY AFFAIRS) 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 THE 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 TO ENSURE THAT ANYONE WITH A CONFLICT OR PERCEIVED CONFLICT WOULD NOT BE IN A POSITION TO NEGOTIATE OR MAKE A DECISION ON A CONTRACT OR RELATIONSHIP WITH THE INTERESTED PERSON. Form 990, Part VI, Section B, Lines 13 &14 THE TAXPAYER DOES NOT HAVE A SEPERATE 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 SEPERATE 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. 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 RESPONSIBLITY TO VNSNY AND THE COMMUNITY TO ENSURE THE COMPENSATION IS IN ACCORDANCE WITH VNSNY'S POLICIES. THE COMMITTEE IS COMPRISED OF SIX DIRECTORS WHO ARE INDEPENDENT OF MANAGEMENT AND VNSNY AND FREE OF ANY CONFLICTS OF INTEREST THAT WOULD INTERFERE WITH THEIR EXERCISE OF INDEPENDENT JUDGEMENT. 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 1250 BROADWAY 6TH FLOOR New York NY 10001 133189926 HOME HEALTH NY 501(c)(3) 11, III-FI NA false VNS Continuing Care Development Corp 1250 BROADWAY 6TH FLOOR New York NY 10001 133974198 SUPP. LT CARE NY 501(c)(3) 11, III-fi VNSNY true VNS CHOICE 1250 BROADWAY 6TH FLOOR New York NY 10001 133951057 CAPITATED PG. NY 501(c)(3) 9 VCCDC true VNS CHOICE Community Care 1250 BROADWAY 6TH FLOOR New York NY 10001 320053323 HOME & COMMU. NY 501(c)(3) 9 VNS CHOICE true VNSNY Hospice Care 1250 BROADWAY 6TH FLOOR New York NY 10001 300006817 Hospice Care NY 501(c)(3) 9 VNSNY true New Partners Inc 1250 BROADWAY 6TH FLOOR New York NY 10001 133885148 HOME HEALTH NY 501(c)(3) 9 VNSNY true Family Care Services Inc 1250 BROADWAY 6TH FLOOR NEW YORK NY 10001 133213081 HOME HEALTH NY 501(c)(3) 9 VNSNY true false false true false false false false false false false true true true true false true true false