2017-11-09T06:15:48-06:00 2016-12-31 KPMG LLP One Financial Plaza Hartford CT 061032608 990 2016-01-01 133951057 VNS CHOICE % JIMMY SINGH VNSC 2126905716 1250 BROADWAY 6TH FLOOR NEW YORK NY 10001 DINA SOROKA VP FINANCE 2126095175 2017-11-07 true MARY-EVELYN ANTONETTI P00431862 8605223200 2017-11-02 167.68.102.5 06014420173135000004 2017-11-09 P 6081980AA5BF576E080165B1D6213534FCD96BB9 13DC49EE99BE1E68D8F422D2C3382CFF6E8F3AB9 2016 2018-03-14 21:41:22Z X Hany Abdelaal 1250 BROADWAY 6TH FLOOR NEW YORK NY 10001 1518829002 false X www.vnsny.org X 1995 NY SEE SCHEDULE O. 10 9 877 20 0 0 0 0 1369210062 1461487371 5951334 4811014 118776 12377 1375280172 1466310762 0 0 0 0 89171255 90394310 0 0 0 1288126418 1370514093 1377297673 1460908403 -2017501 5402359 319172089 330304078 333802745 338951949 -14630656 -8647871 X SEE SCHEDULE O. false false 675128696 767270997 VNS CHOICE, A MANAGED CARE ORGANIZATION LICENSED UNDER ARTICLE 44 OF THE NEW YORK STATE HEALTH LAWS, OPERATES A MANAGED LONG-TERM CARE ("MLTC") AND "MLTC PLUS" PROGRAMS. FOR MORE DETAIL SEE SCHEDULE O. 303681579 313995996 VNS CHOICE, A MANAGED CARE ORGANIZATION LICENSED UNDER ARTICLE 44 OF THE NEW YORK STATE HEALTH LAWS, OPERATES A MEDICARE ADVANTAGE PROGRAM SPECIAL NEEDS PLAN (VNS CHOICE MEDICARE ADVANTAGE), FOCUSED ON CARE MANAGEMENT OF PEOPLE ELIGIBLE FOR BOTH MEDICARE AND MEDICAID, AND MEDICARE PLAN FOR BENEFICIARIES WHO DO NOT QUALIFY FOR MEDICAID. VNS CHOICE MEDICARE SERVES ALL 5 BOROUGHS OF NYC, NASSAU, SUFFOLK, AND WESTCHESTER, AS WELL AS UPSTATE COUNTIES OF RENSSELAER, SARATOGA AND SCHNECTADY, AND HAS OVER 24,500 ENROLLEES. 192764025 227247913 IN 2012, VNS CHOICE, A MANAGED CARE ORGANIZATION LICENSED UNDER ARTICLE 44 OF THE NEW YORK STATE HEALTH LAWS, ACQUIRED A MEDICAID HIV SPECIAL NEEDS PLAN (VNS CHOICE SELECTHEALTH). VNS CHOICE SELECTHEALTH SERVES OVER 3,500 ENROLLEES DIAGNOSED WITH HIV AND AIDS, AS WELL AS THEIR DEPENDENT CHILDREN (REGARDLESS OF HIV STATUS) WHO RESIDE IN NEW YORK CITY. IT PROVIDES A FULL RANGE OF MEDICAID-COVERED SERVICES TO THE ENROLLEES, INCLUDING COMPREHENSIVE MEDICAL CARE, PERSONAL CARE SERVICES, AND PRESCRIPTION DRUGS. 128887349 152972465 OTHER PROGRAMS 128887349 152972465 1300461649 true false false false false false false false false false true false false true true true true true false false false false false false false false false false false true false false false false false false true false false false false false false true true true false false true 10436 0 877 true false false false false false false false false false false X 10 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 X ROBERT C DAUM BOARD MEMBER 1.0 2.0 X 0 0 0 BETTY M GROSS BOARD MEMBER 1.0 1.0 X 0 0 0 MARY R NINA HENDERSON BOARD MEMBER 1.0 2.0 X 0 0 0 PETER L HUTCHINGS BOARD MEMBER 1.0 2.0 X 0 0 0 MICHELLE LOPEZ BOARD MEMBER 1.0 1.0 X 0 0 0 KWAN LAN TOM MAO SECRETARY & TREASURER 1.0 2.1 X 0 0 0 JOSEPH D MARK BOARD MEMBER 1.0 2.0 X 0 0 0 PHYLLIS J MILLS BSN RN BOARD MEMBER 1.0 2.1 X 0 0 0 JOHN P RAFFERTY EX-OFFICIO BOARD MEMBER 1.0 5.1 X 0 0 0 ANDREW N SCHIFF MD CHAIR 1.0 2.1 X 0 0 0 HANY ABDELAAL PRESIDENT, VNS CHOICE 35.3 1.0 X 597948 0 7774 DINA SOROKA VP, FINANCE, HEALTH PLANS 35.3 1.0 X 284762 0 28719 MAZIN FARRAJ VP, MEDICARE MARKET DEV. 36.3 0.0 X 337337 0 28771 LISA GEORGE MEDICAL DIRECTOR, HEALTH PLANS 36.3 0.0 X 295568 0 2165 JULIAN GONZALEZ MANAGER, SALES 36.3 0.0 X 298593 0 25737 JASON REGALADO COMMUNITY LIAISON-MEDICARE ADV 36.3 0.0 X 276619 0 23943 BARRY WASHINGTON SR. COMM LIAISON-MEDICARE ADV 36.3 0.0 X 270726 0 10577 2361553 0 127686 150 false true false PARTNERS IN CARE 1250 BROADWAY 9TH FLOOR NEW YORK NY 10001 HOME HEALTH AIDES 200328021 PREMIER HOME HEALTH CARE SERVICES 445 HAMILTON AVE 10TH FLOOR WHITE PLAINS NY 10601 HOME HEALTH AIDES 81855724 ALLIANCE FOR HEALTH INC PO BOX 34676 NEWARK NJ 07101 HOME HEALTH AIDES 40163467 PERSONAL TOUCH HOME CARE OF NY 222-15 NORTHERN BLVD BAYSIDE NY 11361 HOME HEALTH AIDES 26410104 PRESTIGE CARE OLD CHELSEA STATION NEW YORK NY 10011 HOME HEALTH AIDES 25446491 110 0 CAPITATED PREMIUM 524114 1460732936 1460732936 QIVAPP ADMIN FEES 524114 754435 754435 1461487371 3642254 3642254 0 0 0 0 0 53687000 52518240 1168760 1168760 1168760 0 0 0 0 0 0 0 0 0 MISC REVENUE 524114 12377 12377 12377 1466310762 1461487371 4823391 0 0 0 0 919204 355252 563952 183540 70934 112606 68628008 26523215 42104793 4515228 1745036 2770192 11171684 4317610 6854074 4976646 1923364 3053282 0 249179 249179 215160 215160 0 0 235520 235520 1291915921 1244813188 47102733 628815 628815 1834965 240214 1594751 3431593 449227 2982366 0 4863873 636725 4227148 586017 76715 509302 0 208068 27238 180830 8745581 8745581 0 1979586 259146 1720440 858616 858616 INDIR O/H ALLOC FR AFFI 40772455 5337485 35434970 MEDICAL SUPPLIES 13640743 13640743 SUBSCRIPTIONS 206020 26970 179050 MISCELLANEOUS EXPENSE 141981 18587 123394 1460908403 1300461649 160446754 0 487048 40929508 0 0 0 0 129835556 97820706 0 0 0 0 2524 2424 0 0 12030372 6733314 16897932 8951418 5110083 7946514 102589693 107592546 0 0 0 0 3250000 3250000 65866813 66029066 319172089 330304078 42551081 56085427 0 0 0 0 0 0 0 0 0 0 0 0 0 0 291251664 282866522 333802745 338951949 X -14630656 -8647871 0 0 0 0 -14630656 -8647871 319172089 330304078 5402359 584612 -4186 X false true X true false X 0 0 0 0 0 0 868230701 1292659041 1373661976 1369210062 1461487371 6365249151 0 0 0 868230701 1292659041 1373661976 1369210062 1461487371 6365249151 0 0 0 6365249151 4763818 4515427 4122796 3571005 3642254 20615300 0 4763818 4515427 4122796 3571005 3642254 20615300 0 23633 157922 72239 118776 12377 384947 873018152 1297332390 1377857011 1372899843 1465142002 6386249398 0.99671 0.99605 0.00323 0.00387 X 2004634 1555853 448781 4651045 3619012 1032033 10242253 3776553 6465700 7946514 RESTRICTED ESCROW FUND 66029066 66029066 0 DUE TO AFFILIATES 163553464 ACCRUED MEDICAL CLAIMS 117932531 3RD PARTY PAYABLE 1380527 282866522 X Schedule D, Part X, Line 2 FIN 48 DISCLOSURE VNS CHOICE WAS INCLUDED IN THE VNS CHOICE AND SUBSIDIARY FINANCIAL STATEMENT AUDIT WITH VNS CHOICE COMMUNITY CARE AND THE FOLLOWING STATEMENT IS FROM THE VNS CHOICE AND SUBSIDIARY AUDITED FINANCIAL STATEMENTS. VNS Choice and its subsidiary have been determined by the Internal Revenue Service to be organizations described in Internal Revenue Code (the Code) Section 501(c)(3), and therefore are exempt from Federal income taxes on related income pursuant to Section 501(a) of the Code. VNS Choice 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. X X X X X false true false false false false false true false HANY ABDELAAL PRESIDENT, VNS CHOICE 519402 0 0 0 78546 0 5494 0 2280 0 605722 0 0 0 DINA SOROKA VP, FINANCE, HEALTH PLANS 271366 0 12000 0 1396 0 5985 0 22734 0 313481 0 0 0 MAZIN FARRAJ VP, MEDICARE MARKET DEV. 223707 0 113630 0 0 0 4284 0 24487 0 366108 0 0 0 LISA GEORGE MEDICAL DIRECTOR, HEALTH PLANS 294146 0 0 0 1422 0 955 0 1210 0 297733 0 0 0 JULIAN GONZALEZ MANAGER, SALES 82641 0 215515 0 437 0 1625 0 24112 0 324330 0 0 0 JASON REGALADO COMMUNITY LIAISON-MEDICARE ADV 59796 0 216425 0 398 0 0 0 23943 0 300562 0 0 0 BARRY WASHINGTON SR. COMM LIAISON-MEDICARE ADV 74845 0 195200 0 681 0 2492 0 8085 0 281303 0 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL RETIREMENT PLAN HANY ABDELAAL: $47,858 (INCLUDED IN PART II, COLUMN B(III)) SCHEDULE J, PART I, LINE 7 DURING THE TAX YEAR, DINA SOKORA WAS PAID A NON-FIXED BONUS PAYMENT BASED ON HER PERFORMANCE. THE BONUS PAYMENT IS PROPERLY DISCLOSED ON SCHEDULE J, PART II, COLUMN (B)(II). SUSAN UNDERWOOD DAUGHTER OF BETTY M. GROSS 183540 EMPLOYMENT false SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: SUSAN UNDERWOOD (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUSAN UNDERWOOD IS A FAMILY MEMBER OF BETTY M. GROSS - DIRECTOR. (C) DESCRIPTION OF TRANSACTION: SUSAN UNDERWOOD'S EMPLOYMENT WITH VNS CHOICE COMMUNITY CARE PREDATES BETTY M. GROSS' SERVICES AS A DIRECTOR. Form 990, Part I, Line 1 Description of Organization Mission VNSNY's choice mission, as an affiliate of Visiting Nurse Service of New York ("VNSNY"), is to help enrollees continue to live independently in their own homes and communities; promote choice in health and long term care and to provide innovative health and long term care solutions that are beneficial, cost effective, and serve each enrollee's needs. Form 990, Part III, Line 1 Description of organization mission HELP MEMBERS CONTINUE TO LIVE INDEPENDENTLY IN THEIR OWN HOME AND COMMUNITIES FOR AS LONG AS POSSIBLE; PROMOTE CHOICE IN HEALTH AND LONG TERM CARE BY DIRECTLY INVOLVING MEMBERS IN THEIR CARE, AND BY OFFERING A WIDE RANGE OF FLEXIBLE SERVICES TO MEET MEMBERS' NEEDS; AND PROVIDE INNOVATIVE HEALTH AND LONG TERM CARE SOLUTIONS THAT ARE BENEFICIAL, COST EFFECTIVE, AND SERVE EACH MEMBER'S NEEDS. VNS CHOICE SHARES THE EMBEDDED VALUES OF MAINTAINING INDEPENDENCE AND DIGNITY THROUGH CHOICE 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, TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS, PROVIDED NEARLY $47 MILLION TO IMPACT CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS. THESE WIDE RANGING PROGRAMS INPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, AND PROVIDED FREE AND DISCOUNTED DIRECT HOME CARE SERVICES TO MORE THAN 8,600 UNDER AND UNINSURED INDIVIDUALS. AS PART OF THOSE EFFORTS VNSNY, ACROSS ALL OF ITS PROVIDER PROGRAMS, PROVIDED NEARLY $16.7 MILLION IN FUNDING TO SUPPORT CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS LAST YEAR, INCLUDING ALMOST $9 MILLION IN DIRECT HOME CARE SERVICES TO UNDER AND UNINSURED NEW YORKERS. WHEN GRANTS, FOUNDATION, AND INDIVIDUAL 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 - PROGRAM SERVICE, LINE 4A VNS CHOICE, A MANAGED CARE ORGANIZATION LICENSED UNDER ARTICLE 44 OF THE NEW YORK STATE HEALTH LAWS, OPERATES A MANAGED LONG-TERM CARE ("MLTC") AND "MLTC PLUS" PROGRAMS. IT IS A CAPITATED MEDICAID PROGRAM THAT ARRANGES FOR AND MANAGES INDIVIDUALLY TAILORED CARE FOR MEDICAID-ELIGIBLES WHO WISH TO LIVE AT HOME BUT BECAUSE OF MULTIPLE CLINICAL DIAGNOSES NEED DAY-TO-DAY ASSISTANCE. ONE OF THE LARGEST MLTC PROGRAM IN NEW YORK STATE, VNS CHOICE HAS OVER 14,100 MEMBERS AND SERVES ALL BOROUGHS OF NEW YORK CITY PLUS NASSAU, SUFFOLK, WESTCHESTER, DUTCHESS, ORANGE, ROCKLAND, SULLIVAN, ULSTER AND PUTNAM COUNTIES. VNS CHOICE MLTC EXPANDED ITS SERVICE AREA IN 2013 TO UPSTATE NEW YORK AND NOW HAS ENROLLMENT IN MULTIPLE COUNTIES, INCLUDING: ALBANY, COLUMBIA, ERIE, GREENE, MONROE, MONTGOMERY, RENSSELAER, SARATOGA, SCHNECTADY, SCHOHARIE, WARREN, WASHINGTON, ONEIDA, AND ONONDAGA COUNTIES. FORM 990, PART III - PROGRAM SERVICE, LINE 4D IN 2016, VNS CHOICE, A MANAGED CARE ORGANIZATION LICENSED UNDER ARTICLE 44 OF THE NEW YORK STATE HEALTH LAWS, OPERATES AN INTEGRATED MEDICARE ADVANTAGE/MEDICAID MANAGED LONG-TERM CARE PLAN ALSO KNOWN AS "FULLY INTEGRATED DUAL ADVANTAGE" (FIDA), WHICH PROVIDES HEALTH COVERAGE TO INDIVIDUALS WHO ARE ELIGIBLE FOR BOTH MEDICARE AND MLTC BENEFITS. FIDA SERVES ALL 5 BOROUGHS OF NYC AND HAS OVER 1,600 ENROLLEES. FORM 990, PART VI, SECTION A, LINE 6 VNS CONTINUING CARE DEVELOPMENT CORPORATION 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 VNS CONTINUING CARE DEVELOPMENT CORPORATION 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 12C 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 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 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 RESPONSIBILITY 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 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. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:NON PIC HHA VENDORS TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:PIC TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:HOSPITAL INPATIENT FACILITY TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:SNF / NURSING HOME TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIANS ON CONTRACT TOTAL FEES:39584271 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANTS TOTAL FEES:20830779 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:XXX-XX-XXXX 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 VISITING NURSE SVC OF NY Home Care II 1250 BROADWAY 6TH FLOOR new york NY 10001 131624211 home health NY 501(c)(3) 9 vnsny 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 false VNS CHOICE Community Care 1250 BROADWAY 6TH FLOOR New York NY 10001 320053323 home & commu. NY 501(c)(3) 9 VNS Choice true Visiting Nurse Svc of Ny Hospice care 1250 BROADWAY 6TH FLOOR new york NY 10001 300006817 hospice care NY 501(c)(3) 9 vnsny false New Partners Inc 1250 BROADWAY 6TH FLOOR New York NY 10001 133885148 home health NY 501(c)(3) 9 vnsny false Family Care Services Inc 1250 BROADWAY 6TH FLOOR NEW YORK NY 10001 133213081 home health NY 501(c)(3) 9 VNSNY false false false false false false false false false false false true true true true true true false true VNS CHOICE COMMUNITY CARE P 1207072 COST VNS CHOICE COMMUNITY CARE M 1094234 COST