2013-11-07T10:33:03-06:00 2012-12-31 135565207 KPMG LLP 515 Broadway 4th fl Albany NY 12207 990 2012-01-01 131624211 Visiting Nurse Service of New York Home Care II VISI 2126095716 5 Penn Plaza 12th Fl New York NY 10001 Samuel Heller 2126095701 2013-11-07 1 P00652605 5184274600 2012 2016-02-24 21:20:13Z Visiting Nurse Service of New York Home Care Joan Marren 5 Penn Plaza 12th Fl New York NY 10001 673834497 0 X www.vnsny.org X 2002 NY Visiting Nurse Service of New York Home Care's mission, as an affiliate of Visiting Nurse Service of New York, is to provide high quality home and community-based care and to promote independent community living regardless of patients' ability to pay. VNSNY's community benefit program, carried out through its affiliate organizations, expands access to care, supports aging in place, advances research and program development, provides opportunities for disadvantaged children and families, and develops the future workforce. 10 10 4652 883 0 0 3169785 2719609 592652852 670089078 37362 37946 1607603 987864 597467602 673834497 0 0 0 0 356370485 375256012 0 0 0 257143912 338428078 613514397 713684090 -16046795 -39849593 295497877 232216492 149167139 125735347 146330738 106481145 X VNSNY Home Care's mission: provide quality home health & community services regardless of ability to pay. 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 2012, VNSNY and its affiliates provided $24M in charitable care and community services. (See VNSNY Form 990 for complete list of charitable programs.) VNSNY Home Care is a NYS Certified Home Health Agency that provides skilled nursing care, rehabilitation therapy, social work, and home health aide services. In 2012, it treated 99,786 patients, from newborn infants to the very elderly. It comprises Acute Care, Congregate Care, Long Term Home Health Care Program, Children and Family Services, Community Mental Health, Infusion Care, and the Visiting MD program. 0 0 399336010 438502144 The Acute Care Program is the largest within VNSNY Home Care. With 81,544 patients served in 2012, it represents 82% of VNSNY's Home Care population. VNSNY strives to promote the health and well-being of individuals and families by providing high-quality, cost-effective health care regardless of the patient's ability to pay. In 2012, nearly $15M was spent on providing nursing and other health care to 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. Over 11,000 people were helped through these funds, the largest percentage from the adult acute care population. 181646305 197557947 see schedule OThe Long Term Home Health Care Program ("LTHHCP")serves adults 18 years of age or older who are chronically ill, disabled, or who require ongoing medical monitoring, to enable them to continue to live in the community and contribute to society. The program offers an alternative to people who would otherwise require placement in a skilled nursing facility. In 2012, the LTHHCP continued to serve some of New York City's most vulnerable patient populations, with primary diagnoses of diabetes, congestive heart failure, hypertension, pulmonary disease, multiple sclerosis, or HIV/AIDS, providing care to approximately 5,700 patients. The program's care model involves: establishing the patient's baseline function, assessing any change in condition, initiating proactive care, and problem-solving difficult situations through a multidisciplinary approach. The program also emphasizes educating staff about the importance of, and ways to develop, patient-centered goals and interventions. 21439608 22677135 see schedule OCommunity Mental Health Services administers 25 programs with a staff of 273. These programs deliver care to approximately 10,000 patients annually throughout New York City providing approximately 200,000 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 abuse disorders. In 2012, the Mobile Crisis Teams, the Home-Based Crisis Intervention programs, and In-Home Geriatric mental health programs, Intensive Case Management, Comprehensive Case management and Enhanced Case Management Programs, the 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's Article 31 Mental Health 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 FRIENDS program. The FRIENDS system of care serves approximately 590 children and their families annually, with an average daily census of 340; it provides 11,500 crisis contacts to children and families, approximately 15,000 hours of home based crisis services, over 10,000 outpatient clinic visits, while also offering 140 workshops and groups annually. 19016001 12339716 VNSNY Home Care's services not covered in the other sections of Part II, line 4, also delivered vital support to vulnerable populations, both at the individual and community levels. VNSNY helps support the costs of operating several pediatric and family programs, and it 2012 VNSNY Home Care provided care for approximately 6,700 maternity, newborn and pediatric patients. 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. Another established program supports disadvantaged fathers, helping them maintain a presence in the lives of their children. The pediatric palliative care program launched in 2009 in Brooklyn has expanded its services to include Queens and Manhattan in 2012. The program is focused on providing comprehensive health care services to children with life limiting or life threatening conditions. The Pediatric Diabetes Care Management Program pilot, within our Children and Family Services Program, was started in 2010 and concluded in June 2012. The program involved new methods of caring for the growing number of children with diabetes who lived in poverty. The program was redesigned to include an inter professional approach to caring for children of all ages with Type 1 and Type 2 Diabetes in Bronx and Manhattan. 19016001 12339716 621437924 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 1 193 0 4652 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X Jimmy Singh 2126095716 5 Penn Plaza 12th fl New York NY 10001 Jon E Mattson 1.00 1.00 X X 0 0 0 Anne Bick Ehrenkranz 1.00 2.00 X X 0 0 0 Alice C Frelinghuysen 1.00 1.00 X X 0 0 0 Betsy Gotbaum 1.00 1.00 X 0 0 0 Clare Gregorian 1.00 1.00 X 0 0 0 Valerie S Peltier 1.00 1.00 X 0 0 0 Carl H Pforzheimer III 1.00 1.00 X 0 0 0 John P Rafferty 1.00 1.00 X 0 0 0 Margaret A Bancroft 1.00 1.00 X 0 0 0 Ira S Rimerman 1.00 1.00 X 0 0 0 Joan Marren 1.00 37.40 X 0 582547 64084 Samuel Heller 1.00 38.30 X 0 507725 57002 Ilaina Edison 36.30 0.00 X 366529 0 46795 Elaine Keane 36.30 0.00 X 329399 0 48102 Edward Lacey 36.30 0.00 X 211759 0 39863 Thomas F Check 36.30 0.00 X 374947 0 18184 Paul Roth 36.30 0.00 X 309524 0 62069 Sheila Boylan 36.30 0.00 X 282621 0 1004 Stuart Myer 36.30 X 281607 0 42204 Mary Ellen Connington 36.30 0.00 X 274777 0 30736 2431163 1090272 410043 815 0 1 0 Partners in Care 1250 Broadway 9th Fl New York NY 10001 home health aides services 105745379 Premier Home Health Care Services 360 Hamilton Ave White Plains NY 10601 home health aides services 27066147 Alliance for Health Inc POBox 34676 Newark NJ 07189 home health aides services 26066147 Personal Touch Home Care of New York 222-15 Northern Blvd Bayside NY 11361 home health aides services 16868684 Progressive Health 132 W 31 St 7th Fl New York NY 10001 home health aides services 14908948 70 2719609 2719609 Patient services 621610 646500759 646500759 Spec. services grants 624100 21490181 21490181 Contracted services 621610 2098138 2098138 670089078 37946 37946 Other revenue 900099 987864 987864 987864 673834497 671076942 0 37946 X 1042447 497816 544631 290874432 219713899 71160533 17132161 12956414 4175747 43764253 32427240 11337013 22442719 16933216 5509503 143567 143567 146904 146904 262927933 256931515 5996418 2673924 2670571 3353 4783977 3407716 1376261 16285973 2891001 13394972 18036168 11107237 6928931 2871840 2502810 369030 2070973 572602 1498371 11052378 1719695 9332683 1053417 855529 197888 Asset impairment 32778353 32778353 Medical Supplies 6651383 6626771 24612 Dir o/h alloc to clin d -5821390 12039174 -17860564 Indir o/h allocation -26051832 -26051832 8824510 4806365 4018145 713684090 621437924 92246166 0 1335716 751781 7401582 7458205 75463291 57007197 30239 39059 1454694 1403134 83454319 57693066 27296727 25761253 37122953 3843300 145392675 135952563 295497877 232216492 73269850 65087434 75897289 60647913 149167139 125735347 X 144714531 105160284 1616207 1320861 146330738 106481145 295497877 232216492 -39849593 0 X 0 1 X 1 1 1 X 1922026 2615334 2915644 3169785 2719609 13342398 625017966 598668453 588696690 592652852 670089078 3075125039 626939992 601283787 591612334 595822637 672808687 3088467437 0 0 0 3088467437 23807 33352 37362 37946 132467 23807 33352 37362 37946 132467 1294475 1063425 1038187 1607603 987864 5991554 628258274 602347212 592683873 597467602 673834497 3094591458 0.99800 0.99770 0.00000 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15545526 7665936 7879590 36434426 27527088 8907338 31474367 22500042 8974325 25761253 Due from affiliates 135703060 Miscellaneous assets 249503 135952563 Estimated third party payable 60647913 60647913 X 673834497 0 673834497 0 673834497 713684090 0 713684090 0 713684090 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: VNSNY and subsidiaries recognize income tax positions when it is more-likely than-not that the position will be sustainable based on the merits of the position. X X X X 1 1 0 0 0 0 0 0 0 Joan Marren 0 388655 0 36720 0 157172 0 47267 0 16817 0 646631 0 0 Samuel Heller 0 408335 0 48960 0 50430 0 42865 0 14137 0 564727 0 0 Ilaina Edison 300315 0 32130 0 34084 0 27658 0 19137 0 413324 0 0 0 Elaine Keane 272999 0 24835 0 31565 0 37836 0 10266 0 377501 0 0 0 Edward Lacey 184598 0 19813 0 7348 0 23626 0 16237 0 251622 0 0 0 Thomas F Check 347969 0 26978 0 0 0 5587 0 12597 0 393131 0 0 0 Paul Roth 226717 0 37346 0 45461 0 42817 0 19252 0 371593 0 0 0 Sheila Boylan 100650 0 0 0 181971 0 1004 0 0 0 283625 0 0 0 Stuart Myer 242185 0 29224 0 10198 0 37664 0 4540 0 323811 0 0 0 Mary Ellen Connington 248448 0 24970 0 1359 0 16599 0 14137 0 305513 0 0 0 Part I, Lines 4a-b VNSNY Home Care agreed to pay Thomas Check 52 weeks of salary at the time of separation from VNSNY Home Care. 75% of the amount was paid in 2012 and 25% was to be paid in 2013. Total amount paid in 2012 was $225,626. Part I, Line 4b: Ilaina Edison - $21,941; Paul Roth - $22,515; Mary Ellen Connington - $1,101; Joan Marren - $139,776 (paid by related organization Visiting Nurse Service of New York); Samuel Heller - $50,172 (paid by related organization Visiting Nurse Service of New York). 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 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 Board meeting. 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 12c The Compliance Officer reviews the Disclosure Statement completed annually by each officer, director, and key employee and consults with the Senior Vice President for Legal and Government Affairs as appropriate. Any potential conflicts are vetted with the CEO, Senior Vice President for Legal and Government Affairs 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, line 15 VNSNY reviews its overall executive compensation program on a periodic basis. The last comprehensive review took place in 2012. 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 6 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. Other Fees Form 990, Part IX, line 11g Home health aide services: Program service expenses 254,768,961. Management and general expenses 0. Fundraising expenses 0. Total expenses 254,768,961. Professional medical services: Program service expenses 1,470,667. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,470,667. Other professional services: Program service expenses 691,887. Management and general expenses 5,996,418. Fundraising expenses 0. Total expenses 6,688,305. Visiting Nurse Service of New York 5 Penn Plaza 12th Fl New York NY 10001 133189926 support the provision of home health and related services NY 501(c)(3) 11, III-fi N/A 0 VNS Continuing Care Development Corporation 5 Penn Plaza 12th Fl New York NY 10001 133974198 support & promotion of the provision and development of long term care NY 501(c)(3) 11, III-fi Visiting Nurse Service of New York 0 VNS CHOICE 5 Penn Plaza 12th Fl New York NY 10001 133951057 capitated programs that arrange & manage long term health care services NY 501(c)(3) 9 VNS Continuing Care Development Corporation 0 VNS CHOICE Community Care 5 Penn Plaza 12th Fl New York NY 10001 320053323 home & community-based services that support the activities of VNSNY CHOICE NY 501(c)(3) 9 VNS CHOICE 0 Visiting Nurse Service of New York Hospice Care 5 Penn Plaza 12th Fl New York NY 10001 300006817 provision of quality hospice care and related services NY 501(c)(3) 9 Visiting Nurse Service of New York 0 New Partners Inc 5 Penn Plaza 12th Fl New York NY 10001 133885148 provide home health and related services NY 501(c)(3) 9 Visiting Nurse Service of New York 0 Family Care Services Inc 355 East 149th St Bronx NY 10455 133213081 provide home health and related services NY 501(c)(3) 9 Visiting Nurse Service of New York 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0