2013-11-13T17:10:34-06:00 2012-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2012-01-01 113618585 EMPIRE STATE HOME CARE SERVICES INC EMPI 7189237100 15 METROTECH CENTER NO 11 FL BROOKLYN NY 11201 TIMOTHY LEDDY 7189237100 2013-11-13 1 GARRETT M HIGGINS P00543209 9143818900 2013-11-13 2012 2016-02-24 21:20:13Z TIMOTHY LEDDY 15 METROTECH CENTER NO 11 FL BROOKLYN NY 11201 13270236 0 X WWW.VNRHCS.ORG/EMPIRE X 2003 NY EMPIRE STATE HOME CARE SERVICES INC. IS A NOT-FOR-PROFIT CERTIFIED HOME HEALTH AGENCY THAT PROVIDES HOME HEALTH AND LONG-TERM HOME HEALTH CARE TO PATIENTS IN MANHATTAN, BROOKLYN, BRONX, QUEENS, STATEN ISLAND, AND WESTCHESTER COUNTY AND LONG-TERM HOME HEALTH CARE TO PATIENTS IN MANHATTAN. 7 7 170 10 0 0 122 27 16377608 13163474 656 235 7247 3197 16385633 13166933 0 0 0 0 4313963 4250819 0 0 0 14994831 13457272 19308794 17708091 -2923161 -4541158 7338546 6968917 19636545 19763119 -12297999 -12794202 X EMPIRE STATE HOME CARE SERVICES INC. IS A NOT-FOR-PROFIT CERTIFIED HOME HEALTH AGENCY THAT PROVIDES HOME HEALTH AND LONG-TERM HOME HEALTH CARE TO PATIENTS IN MANHATTAN, BROOKLYN, BRONX, QUEENS, STATEN ISLAND, AND WESTCHESTER COUNTY AND LONG-TERM HOME HEALTH CARE TO PATIENTS IN MANHATTAN. 0 0 11520803 13163474 EMPIRE IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTH CARE ORGANIZATIONS (JCAHO). THE NURSING OR PHYSICAL THERAPY STAFF PERFORM AN INITIAL ASSESSMENT OF EACH CLIENT AND DEVELOP AN INDIVIDUALIZED CARE PLAN. EMPIRE PROVIDES THE NURSING, THERAPIES (PHYSICAL, OCCUPATIONAL AND SPEECH) AND SOCIAL WORK SERVICES DIRECTLY.THERE ARE CONTRACTUAL ARRANGEMENTS WITH OUTSIDE AGENCIES TO PROVIDE ADDITIONAL SERVICES SUCH AS PARAPROFESSIONAL SERVICE, LABORATORY AND DURABLE MEDICAL EQUIPMENT AND SUPPLIES. HOME CARE SERVICES ARE AVAILABLE TO CLIENTS OF ANY AGE RECOVERING FROM AN ACUTE ILLNESS OR INJURY. SERVICES FROM EMPIRE ARE COVERED BY MEDICARE, MEDICAID, COMMERCIAL INSURANCE AND MANAGED CARE PLANS. EMPIRE ALSO PROVIDES SERVICES TO CLIENTS WHO HAVE NO INSURANCE AND QUALIFY FOR CHARITY CARE.HI TECH INFUSION PROGRAMADMINISTERING INTRAVENOUS (IV) THERAPIES IN A HOME SETTING CAN BE MORE RELAXING AND LESS DISRUPTIVE FOR PATIENTS THAN IN HOSPITALS. THE HI-TECH INFUSION PROGRAM PROVIDES A TEAM OF HIGHLY TRAINED PROFESSIONALS TO ADMINISTER THESE DRUGS TO PATIENTS WHOSE HOME ENVIRONMENT IS SAFE AND ADEQUATE TO SUPPORT THIS CARE. PATIENTS MUST HAVE ADEQUATE LIGHT, RUNNING WATER AND ACCESS TO A TELEPHONE TO PARTICIPATE IN THE PROGRAM, AND ALL CARE MUST BE ORDERED BY A PHYSICIAN. A NURSE CAN INITIATE TRAINING IN THE HOSPITAL BEFORE A PATIENT IS DISCHARGED. A COMPREHENSIVE PLAN WILL BE CREATED, A PATIENT WILL LEARN HOW TO CARRY OUT THE THERAPEUTIC REGIME, AND SIDE EFFECTS WILL BE DISCUSSED. AN EMERGENCY PLAN WILL ALSO BE ESTABLISHED. 11520803 1 0 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 44 0 170 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X TIMOTHY LEDDY 7189237100 15 METROTECH CENTER NO 11 FL BROOKLYN NY 11201 THOMAS ALBERTO 1.00 3.00 X X 0 0 0 TARA CORTES 1.00 3.00 X 0 0 0 MICHAEL TAUNTON 1.00 3.00 X 0 0 0 THOMAS MANNING 1.00 3.00 X 0 0 0 KARL P ADLER MD 1.00 X 0 0 0 FR PATRICK BONNER 1.00 X 0 0 0 SR MARGARET M O'BRIEN SC 1.00 X 0 0 0 ANNMARIE COVONE 1.00 2.00 X 0 0 0 SCOTT LA RUE 1.00 2.00 X 0 0 0 NANCY O'CONNOR 1.00 37.50 X 265368 0 44407 TIMOTHY LEDDY 1.00 37.50 X 398234 0 45608 MORINE A DAY 41.00 X 118100 0 0 JUDY APONTE 37.50 X 138910 0 17851 TENGIZ EPREMASHVILI 40.00 X 115195 0 0 JENNIFER WALTERS-PRAWL 36.00 X 111310 0 0 1147117 0 107866 6 0 1 0 VISITING NURSE REGIONAL HOME CARE SYSTEM 15 METROTECH CENTER BROOKLYN NY 11201 MANAGEMENT SERVICES 4269911 AIDES AT HOME INC 29 WEST MARIE STREET HICKSVILLE NY 11801 HOME HEALTH CARE 350824 SELFHELP COMMUNITY SERVICES PO BOX 1436 NEW YORK NY 10138 HOME HEALTH CARE 277809 PROGRESSIVE HOME HEALTH 132 WEST 31ST STREET 7TH FL NEW YORK NY 10001 HOME HEALTH CARE 244355 FEDCAP HOME CARE SERVICES 211 WEST 14TH STREET NEW YORK NY 10011 HOME HEALTH CARE 214242 9 27 27 PATIENT SERVICE 900099 13163474 13163474 13163474 235 235 103303 103303 0 MEDICAL RECORD INCOME 900099 3197 3197 3197 13166933 13163474 0 3432 X 3528673 3528673 41765 41765 320032 320032 360349 360349 4269523 4269523 52925 52925 6294638 6289188 5450 30922 30922 429027 429027 65642 65642 160 160 240353 240353 282835 282835 IMPAIRMENT OF INTAGIBLE 1423040 1423040 BAD DEBT 122600 122600 RECRUITMENT 92560 92560 NYS CASH RECEIPTS ASSES 58259 50936 7323 94788 94788 17708091 11520803 6187288 0 67033 102840 2190631 3489091 103769 105748 1439443 1068205 484508 371238 4492605 2900000 7338546 6968917 6532920 6813237 7000000 5300000 6103625 7649882 19636545 19763119 X -12297999 -12794202 -12297999 -12794202 7338546 6968917 X -4541158 4044955 X X 0 1 X 1 0 X 122 27 149 28565101 26091622 24044540 16377608 13163474 108242345 28565101 26091622 24044540 16377730 13163501 108242494 0 0 0 108242494 15313 2370 1348 656 103538 123225 15313 2370 1348 656 103538 123225 44740 1418 7247 3197 56602 28625154 26095410 24045888 16385633 13270236 108422321 0.99830 0.99780 0.00110 0.00020 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2008 AMOUNT: $ 44,740. 2009 AMOUNT: $ 1,418. 2011 AMOUNT: $ 7,247. 2012 AMOUNT: $ 3,197. 499165 324112 175053 940278 744093 196185 371238 DUE TO RELATED ORGANIZATIONS 7642260 ESTIMATED LIABILITIES TO THIRD PARTY PAYORS 7622 7649882 X 13270236 103303 103303 13166933 0 13166933 17811394 103303 103303 17708091 0 17708091 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE COMPANY HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE COMPANY IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2009. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE REPORTED ON PART VIII, LINE 6B 103,303. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE REPORTED ON PART VIII, LINE 6B 103,303. 0 0 0 0 0 0 0 0 0 NANCY O'CONNOR 234368 0 25000 0 6000 0 18000 0 26407 0 309775 0 0 0 TIMOTHY LEDDY 342234 0 50000 0 6000 0 17000 0 28608 0 443842 0 0 0 JUDY APONTE 138910 0 0 0 0 0 0 0 17851 0 156761 0 0 0 PART I, LINE 3 COMPENSATION PAID TO THE CEO OF THE ORGANIZATION IS DETERMINED BY A RELATED ORGANIZATION, VISITING NURSE REGIONAL HOME CARE SYSTEM USING THE FOLLOWING PROCESS: THE COMPENSATION PACKAGE WILL BE APPROVED ONLY UPON A FINDING THAT THE TOTAL COMPENSATION TO BE PAID TO THE INDIVIDUAL WILL CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR SERVICES RENDERED. THE COMPENSATION PACKAGE WILL BE APPROVED IN ADVANCE BY A BODY OF AT LEAST THREE DIRECTORS, NOT INCLUDING THE INDIVIDUAL IN QUESTION, AND NONE OF WHOM ARE AFFILIATED WITH THE INDIVIDUAL IN QUESTION. REASONABLE COMPENSATION IS DETERMINED BY COMPARING THE PAY RATES THAT WERE USED BY SIMILAR NOT FOR PROFIT HOME HEALTH AGENCIES. THIS PROCESS WAS PERFORMED IN 2011. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS THE VISITING NURSE REGIONAL HEALTH CARE SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE ABILITY TO APPOINT THE BOARD OF DIRECTORS. ONE OR MORE OF THE DIRECTORS MAY BE REMOVED FOR CAUSE BY THE SOLE MEMBER. WHEN VACANCIES AMONG THE DIRECTORS SHALL OCCUR, NOMINATIONS TO FILL SUCH VACANCIES SHALL BE MADE AT A MEETING OF THE SOLE MEMBER, AND VOTED UPON AT THE FOLLOWING MEETING OF THE SOLE MEMBER. ANY DIRECTOR ELECTED TO FILL A VACANCY SHALL HOLD OFFICE UNTIL THE NEXT ANNUAL MEETING OF THE SOLE MEMBER AT WHICH THE ELECTION OF DIRECTORS IS IN THE REGULAR COURSE OF BUSINESS AND UNTIL HIS OR HER SUCCESSOR IS ELECTED AND QUALIFIED. FORM 990, PART VI, SECTION B, LINE 11 EMPIRE STATE HOME CARE SERVICES INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY SENIOR FINANCE STAFF AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO AN AD HOC SUBCOMMITTEE OF THE BOARD FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. ONCE THE AD HOC SUBCOMMITTEE HAS APPROVED THE RETURN, COPIES OF THE RETURNS WILL BE ELECTRONICALLY PROVIDED TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO FILL OUT A NEW CONFLICT OF INTEREST FORM BY THE ANNUAL SPRING BOARD MEETING. THOSE FORMS ARE THEN REVIEWED BY THE COMPLIANCE OFFICER TO ENSURE THAT ANY CONFLICTS OF INTEREST, IF APPLICABLE, ARE MONITORED. IF A CONFLICT EXISTS, THE PERSON HAVING THE CONFLICT WILL LEAVE OR NOT PARTICIPATE IN DISCUSSION OR DECISIONS INVOLVING THE CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. OTHER FEES FORM 990, PART IX, LINE 11G PAYROLL SERVICE: PROGRAM SERVICE EXPENSES 16,617. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,617. CONSULTING: PROGRAM SERVICE EXPENSES 74,269. MANAGEMENT AND GENERAL EXPENSES 5,450. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,719. THERAPIST: PROGRAM SERVICE EXPENSES 529,837. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 529,837. HOME HEALTH AIDES: PROGRAM SERVICE EXPENSES 5,668,465. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,668,465. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: EQUITY TRANSFER 4,044,955. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. VISITING NURSE REGIONAL HEALTH CARE SYSTEM 15 METROTECH CENTER BROOKLYN NY 11201 113574017 MANAGEMENT SERVICES NY 501(C)3 9 N/A 0 VISITING NURSE ASSOCIATION OF BROOKLYN 15 METROTECH CENTER BROOKLYN NY 11201 111977434 HOME HEALTH CARE NY 501(C)3 9 VISITING NURSE REGIONAL HEALTH CARE SYSTEM 0 BROOKLYN VISITING NURSE FOUNDATION 15 METROTECH CENTER BROOKLYN NY 11201 113312248 FUNDRAISING NY 501(C)3 TYPE II VISITING NURSE REGIONAL HEALTH CARE SYSTEM 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1