2017-11-14T16:12:02-06:00 2016-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2016-01-01 135562377 VISITING NURSE ASSOCIATION HEALTH CARE SERVICES INC VISI 7188163510 400 LAKE AVENUE STATEN ISLAND NY 10303 BARRINGTON BURKE-GREEN ADMINISTRATOR, COO 7188163510 2017-11-14 1 GARRETT M HIGGINS P00543209 9143818900 2017-11-14 65.51.112.58 2017-11-14 12:33:38 ES P 8F3E04F861F0216E32497907D09A877E57DED22A DBE3753688BC1776818C679406F8E276569BC57D 2016 2021-01-29 14:40:06Z BARRINGTON BURKE-GREEN 400 LAKE AVENUE STATEN ISLAND NY 10303 11778050 0 X WWW.VNASI.ORG X 1928 NY TO PROVIDE THE HIGHEST QUALITY THERAPEUTIC, SUPPORT AND PREVENTIVE HEALTH CARE SERVICES OUTSIDE THE HOSPITAL SETTING AS AN INDEPENDENT HEALTH CARE AGENCY. 15 15 144 18 0 0 213969 165090 14498416 11392050 14292 107 197893 220803 14924570 11778050 0 0 0 0 8347488 7696522 0 0 0 7296341 5561673 15643829 13258195 -719259 -1480145 4085220 3412620 6522614 6075159 -2437394 -2662539 TO PROVIDE THE HIGHEST QUALITY THERAPEUTIC, SUPPORT AND PREVENTIVE HEALTH CARE SERVICES OUTSIDE THE HOSPITAL SETTING AS AN INDEPENDENT HEALTH CARE AGENCY. 0 0 11448025 11392050 THE AGENCY PROVIDES OVER 63,634 HOME CARE VISITS ANNUALLY TO MORE THAN 1,932 PATIENTS OVER THE COURSE OF A YEAR. THESE SERVICES INCLUDE SKILLED NURSING CARE, PHYSICAL, OCCUPATIONAL AND OTHER THERAPIES, HOME HEALTH AIDES AND PERSONAL CARE WORKERS, TELEMEDICINE AND REMOTE MONITORING SERVICES. THE AGENCY IS REIMBURSED FOR THESE SERVICES PRINCIPALLY BY MEDICARE AND MEDICAID AND TO A MUCH LESSER EXTENT, BY INSURANCE COMPANIES AND/OR INDIVIDUALS. 11448025 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 0 0 0 1 148 0 144 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X X BARRINGTON BURKE-GREEN CFOCOO 7188163437 400 LAKE AVENUE STATEN ISLAND NY 10303 X DAVID LEHR CHAIRMAN 0.50 0.10 X X 0 0 0 LUCILLE CHAZANOFF SECRETARY, THRU 3/26/16 0.10 0.10 X X 0 0 0 SUSAN LEWIS TREASURER/ SECRETARY 0.50 0.10 X X 0 0 0 KATHLEEN HEAD 1ST VICE CHAIR 0.50 0.10 X X 0 0 0 DAN SWEENEY 2ND VICE CHAIR 0.50 0.10 X X 0 0 0 ROY DANISCHEWSKI DIRECTOR 1.00 0.50 X 0 0 0 FRANK J BESIGNANO DIRECTOR 0.10 0.10 X 0 0 0 JACK OEHM DIRECTOR 0.50 0.10 X 0 0 0 WILLIAM FANI DIRECTOR 0.50 0.10 X 0 0 0 WINSTON WOHR DIRECTOR 0.40 0.10 X 0 0 0 DOLLY SMITH DIRECTOR 0.50 0.10 X 0 0 0 GARY LIGRECI DIRECTOR 0.50 0.10 X 0 0 0 JAMES CROWLEY JR DIRECTOR 0.50 0.10 X 0 0 0 ALAN PORITZ DIRECTOR 0.50 0.10 X 0 0 0 JANE FEMINELLA DIRECTOR 0.10 0.05 X 0 0 0 S RANDOLPH GRETZ DIRECTOR, THRU 10/21/16 0.40 0.10 X 0 0 0 THOMAS MCDONOUGH DIRECTOR 0.50 0.10 X 0 0 0 JAMES F MITCHELL VP PUBLIC RELATIONS 18.70 18.80 X 101113 0 2412 AUDREY PENNEY CEO 35.50 2.00 X 185811 0 10856 BARRINGTON BURKE-GREEN COO & ACTING CFO 35.50 2.00 X 162548 0 14415 CATHERINE BRITTON DIRECTOR CLINICAL OPERATIONS 37.50 X 106216 0 2672 KWONG-KEUNG S LEUNG DIRECTOR INFO SYSTEMS 37.50 X 105040 0 31976 JENNIFER PARKER DIRECTOR SPECIAL PROJECTS 37.50 X 100318 0 31324 761046 0 93655 6 0 1 0 GREENBERG TRAURIG LLP 2101 L STREET NW SUITE 1000 WASHINGTON DC 20037 LEGAL SERVICES 250000 AIDES AT HOME 29 WEST MARIE STREET HICKSVILLE NY 11801 HOME HEALTH & PERSONAL CARE AIDES 203117 FADMO HEALTH AND HOMECARE AGENCY 194 TARGEE STREET STATEN ISLAND NY 10304 HOME HEALTH & PERSONAL CARE AIDES 150034 CITY INVESTIGATION & SECURITY 368 AVENUE U BROOKLYN NY 11223 INVESTIGATION & SECURITY SERVICE 119941 ROBERT ROSENBERG 13 EAST HAM COURT SCOTCHPLAINS NJ 07076 CONTRACT SPEECH PATHOLOGIST 119574 7 155000 10090 165090 NET PATIENT SERVICE REVENUE 900099 11392050 11392050 11392050 107 107 MANAGEMENT FEES 900099 190750 190750 OTHER OPERATING INCOME 900099 24259 24259 MEDICAL RECORDS 900099 5794 5794 220803 11778050 11392050 0 220910 X 477155 405582 71573 5739841 4878865 860976 94511 80334 14177 760629 646535 114094 624386 530728 93658 319309 319309 127494 127494 3106977 3103658 3319 65776 55910 9866 294275 250134 44141 100424 85360 15064 449188 381810 67378 69882 59400 10482 11208 9527 1681 38097 38097 83236 83236 77669 66019 11650 BAD DEBT EXPENSE 657208 657208 MEDICAL SUPPLIES 65431 65431 NYS ASSESSMENT 32211 32211 COMMUNITY AFFAIRS 27215 23133 4082 36073 32944 3129 13258195 11448025 1810170 0 1750 2840 463742 361792 2901687 2353947 220569 252076 2608822 2179479 483735 429343 13737 12622 4085220 3412620 1900684 1839154 635804 581005 700000 1450000 3286126 2205000 6522614 6075159 X -2437394 -2662539 -2437394 -2662539 4085220 3412620 X -1480145 1255000 X X 0 1 X 1 0 X 87969 52500 57969 213969 165090 577497 24549043 22693951 18656612 14498416 11392050 91790072 24637012 22746451 18714581 14712385 11557140 92367569 0 0 0 92367569 39536 26203 10652 14292 107 90790 39536 26203 10652 14292 107 90790 245732 255382 249056 197893 220803 1168866 24922280 23028036 18974289 14924570 11778050 93627225 0.98650 0.98680 0.00100 0.00130 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MANAGEMENT FEES - 2012 AMOUNT: $ 237,000. 2013 AMOUNT: $ 237,000. 2014 AMOUNT: $ 237,000. 2015 AMOUNT: $ 184,500. 2016 AMOUNT: $ 190,750. MISCELLANEOUS - 2012 AMOUNT: $ 8,732. 2013 AMOUNT: $ 3,279. 2014 AMOUNT: $ 591. 2015 AMOUNT: $ 2,720. 2016 AMOUNT: $ 24,259. MEDICAL RECORDS - 2013 AMOUNT: $ 15,103. 2014 AMOUNT: $ 11,465. 2015 AMOUNT: $ 10,673. 2016 AMOUNT: $ 5,794. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 270873 270873 589728 529592 60136 1748221 1649887 98334 429343 DUE TO THIRD PARTY PAYORS 950000 DUE TO AFFILIATE 1255000 2205000 X 11587300 0 11587300 190750 190750 11778050 13067445 0 13067445 190750 190750 13258195 PART X, LINE 2: THE ASSOCIATION RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ASSOCIATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2013. PART XI, LINE 4B - OTHER ADJUSTMENTS: MANAGEMENT FEE INCOME REPORTED ON PART VIII, LINE 11A: 190,750. PART XII, LINE 4B - OTHER ADJUSTMENTS: MANAGEMENT FEE INCOME REPORTED ON PART VIII, LINE 11A: 190,750. X X 0 0 0 0 0 0 0 0 0 AUDREY PENNEY CEO 183759 0 0 0 2052 0 341 0 10515 0 196667 0 0 0 BARRINGTON BURKE-GREEN COO & ACTING CFO 161568 0 0 0 980 0 3954 0 10461 0 176963 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION (PARENT) IS THE VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC.(VNASI). FORM 990, PART VI, SECTION A, LINE 7A WHENEVER DIRECTORS ARE TO BE ELECTED BY THE MEMBERS, THEY SHALL BE ELECTED BY A PLURALITY OF THE VOTES CAST AT A MEETING OF SUCH MEMBERS BY THE MEMBERS ENTITLED TO VOTE IN THE ELECTION. FORM 990, PART VI, SECTION A, LINE 7B WHENEVER ANY CORPORATE ACTION, OTHER THAN THE ELECTION OF DIRECTORS IS TO BE TAKEN BY VOTE OF THE MEMBERS, IT SHALL, EXCEPT AS OTHERWISE REQUIRED BY LAW, BE AUTHORIZED BY A MAJORITY OF THE VOTES CAST AT A MEETING OF MEMBERS BY THE MEMBERS ENTITLED TO VOTE THEREON. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY OUR INDEPENDENT ACCOUNTANTS FROM INFORMATION GATHERED AS PART OF THEIR AUDIT AND FROM OTHER INFORMATION SUPPLIED BY THE AGENCY. A DRAFT OF THE 990 IS REVIEWED BY MANAGEMENT. AFTER THEIR REVIEW, THE FORM 990 IS APPROVED BY THEM AND ELECTRONICALLY FILED WITH THE IRS. THE BOARD OF DIRECTORS IS INFORMED (AT THE NEXT SCHEDULED MEETING AFTER THE FILING DATE) THAT THE FORM 990 HAS BEEN FILED AND THAT THE FORM IS AVAILABLE FOR THEIR EXAMINATION. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION CURRENTLY HAS IN PLACE A CONFLICT OF INTEREST POLICY WHICH IT ANNUALLY MONITORS AND ENFORCES. THE BOARD CURRENTLY MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY ANNUALLY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. THE SIGNED CONFLICT OF INTEREST POLICY IS SUBMITTED TO THE CORPORATE COMPLIANCE OFFICER WHO REVIEWS THE SIGNED ATTESTATIONS FOR POTENTIAL OR ACTUAL CONFLICTS. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS, THE CORPORATE COMPLIANCE OFFICER WILL NOTIFY A MEMBER OF MANAGEMENT OR THE GOVERNING BODY ABOUT SUCH CONFLICT AND INVESTIGATE THE CONFLICT. THE RESULTS OF THE INVESTIGATION WILL BE SUMMARIZED AND DOCUMENTED BY THE CORPORATE COMPLIANCE OFFICER AND BE REPORTED TO THE GOVERNING BODY. IF THE CORPORATE COMPLIANCE OFFICER ESTABLISHES THAT AN ACTUAL CONFLICT EXISTS, THE MEMBER OF MANAGEMENT OR THE GOVERNING BODY WILL BE NOTIFIED IMMEDIATELY AND WILL NOT BE ALLOWED TO VOTE OR BE A PART OF ANY DECISIONS ABOUT ANY SUCH TRANSACTIONS THAT HAVE TO DO WITH THE CONFLICT UNTIL SUCH TIME THERE IS NO LONGER A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE, CONSISTING OF PERSONS WITHOUT CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT, ESTABLISH THE CEO AND CFO'S COMPENSATION USING COMPARABLE DATA AND DETERMINED THAT THE SALARY IS REASONABLE. THE EXECUTIVE COMMITTEE'S DECISION ON THE AMOUNT OF COMPENSATION PAID IS REQUIRED TO BE DOCUMENTED IN A WRITTEN FORMAT INCLUDING THE DATE OF THE DECISION. THE COMPENSATION REVIEW PROCESS FOR THE YEAR 2015, FOR THE CEO, COO/CFO WAS LAST UNDER TAKEN IN 2015. FORM 990, PART VI, SECTION C, LINE 19 THE ASSOCIATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ASSOCIATION'S FORM 990 IS AVAILABLE ON WWW.GUIDESTAR.ORG AND OTHER SIMILAR TYPE WEBSITES. FORM 990, PART VII: CERTAIN OFFICERS AND HIGHLY COMPENSATED EMPLOYEES ARE PAID BY THE ORGANIZATION BUT SPEND A PERCENTAGE OF THEIR TIME WORKING FOR VISITING NURSE ASSOCIATION OF STATEN ISLAND(VNASI) AND VISITING NURSE PLUS(VNP). FORM 990, PART IX, LINE 11G RNS, LPNS AND PHYSICIANS: PROGRAM SERVICE EXPENSES 195,734. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 195,734. BILLINGS SERVICE: PROGRAM SERVICE EXPENSES 87,980. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,980. CONSULTANTS: PROGRAM SERVICE EXPENSES 18,806. MANAGEMENT AND GENERAL EXPENSES 3,319. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,125. CONTRACT HEALTH WORKERS: PROGRAM SERVICE EXPENSES 2,801,138. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,801,138. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM AFFILIATE 1,255,000. 990, PART XI, LINE 2C: THE ASSOCIATION HAS A FINANCE COMMITTEE WHICH FUNCTIONS AS AN AUDIT COMMITTEE AND WHICH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. VISITING NURSE ASSOCIATION OF STATEN ISLAND INC 400 LAKE AVENUE STATEN ISLAND NY 10303 133272923 TO SUPPORT VNAHCS NY 501(C)(3) LINE 12B, II N/A 0 VISITING NURSE PLUS INC 400 LAKE AVENUE STATEN ISLAND NY 10303 133712494 HOME HEALTH CARE NY 501(C)(3) LINE 10 VISITING NURSE ASSOCIATION OF STATEN ISLAND 0 HEALTH WATCH-LIFELINE INC 400 LAKE AVENUE STATEN ISLAND NY 10303 133484488 PERS MONITORING NY VISITING NURSE ASSOCIATION OF STATEN ISLAND INC C 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 0 1