Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 9,358,207 | 10,553,016 | 10,200,194 | 11,374,695 | 12,674,174 | 54,160,286 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | 73,458,725 | 72,578,430 | 56,478,375 | 58,347,829 | 57,110,695 | 317,974,054 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 82,816,932 | 83,131,446 | 66,678,569 | 69,722,524 | 69,784,869 | 372,134,340 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | 0 | 0 | |||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | 0 | 0 | |||
| 8 | Public support (Subtract line 7c from line 6.) | 372,134,340 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 82,816,932 | 83,131,446 | 66,678,569 | 69,722,524 | 69,784,869 | 372,134,340 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 129,330 | 202,774 | 197,879 | 240,325 | 245,108 | 1,015,416 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 129,330 | 202,774 | 197,879 | 240,325 | 245,108 | 1,015,416 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 548,141 | 345,013 | 373,403 | 566,959 | 645,249 | 2,478,765 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 83,494,403 | 83,679,233 | 67,249,851 | 70,529,808 | 70,675,226 | 375,628,521 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| PART VI, SECTION B, LINE 11B | THE BOARD OF TRUSTEES OF THE ORGANIZATION HAS DELEGATED RESPONSIBILITY FOR REVIEWING THE form 990 TO THE AUDIT committee of the organization. PRIOR TO THE FINAL COMPLETION OF THE FORM, A COPY OF THE 990 WAS REVIEWED BY THE AUDIT COMMITTEE OF THE ORGANIZATION AND PRESENTED TO THE BOARD OF TRUSTEES PRIOR TO SUBMISSION. |
| PART VI, SECTION B, LN 15 | VNA HEALTH GROUP, INC. (GROUP), THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES THAT IS RESPONSIBLE FOR REVIEWING AND APPROVING THE COMPENSATION OF THE CEO AND ALL VICE PRESIDENTS OF THE GROUP AND ITS AFFILIATED ORGANIZATIONS. ON AN ANNUAL BASIS, THIS COMMITTEE REVIEWS THE TOTAL COMPENSATION LEVELS FOR EACH EXECUTIVE. IN ADDITION, INDUSTRY COMPENSATION COMPARISONS ARE MADE BASED UPON DATA PROVIDED BY VARIOUS SOURCES INCLUDING PERIODIC INDEPENDENT THIRD PARTY CONSULTANT REVIEWS. |
| PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY IN PLACE TO ADDRESS ANY AND ALL CONFLICTS THAT ARISE, ARE REPORTED OR ARE OTHERWISE DISCOVERED. ON AN ANNUAL BASIS, ALL MEMBERS OF THE BOARD OF TRUSTEES ALONG WITH ALL MEMBERS OF THE MANAGEMENT TEAM AND CERTAIN OTHER EMPLOYEES ARE PROVIDED A CURRENT COPY OF THE POLICY AND ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. THESE QUESTIONNAIRES ARE REVIEWED BY THE PRESIDENT/CEO AND CHIEF COMPLIANCE OFFICER TO IDENTIFY THE NUMBER, MAGNITUDE AND NATURE OF ALL DISCLOSED CONFLICTS. ANY CONFLICTS ARE THEN REFERRED TO THE BOARD OF TRUSTEES FOR DISCUSSION AND RESOLUTION. |
| PART IV, LINE 28 | Based on the instructions to Form 990, the organization believes that part IV, question 28 can be answered no, and that the organization does not need to complete schedule l, part iv. in the interest of complete disclosure, however, the following information is provided: Daniel J. Messina was a trustee of the Organization through March 25, 2014. Centrastate Medical Center, a section 501(c)(3) Organization, was paid $194,424 by the Organization for Medical and other Services in 2014. Daniel Messina WAS the Chief operating officer of Centrastate healthcare system, inc., an affiliate of centrastate medical center, up until his resignation in March 2015. Kenneth w. Faistl, M.D. is a trustee of the organization. Kenneth Faistl is the director of the family practice residency program at centrastate medical center, a section 501(c)(3) organization. the organization paid amounts of $194,424 to centrastate medical center for medical and other services and $26,813 to the residency program for Hospice medical director services in 2014. Joshua Bershad, M.D. is a trustee of the organization. Dr. Bershad is also an officer on the board of trustees of Robert Wood Johnson Visiting Nurses, Inc., a section 501(C)(3) related organization. The organization provided contracted services in the amount of $427,540 to Robert wood Johnson Visiting Nurses, Inc. in 2014. In addition, VNA Health Group, Inc. (Group), the sole corporate member of the organization, provided management and contracted services in the amounts of $1,740,766 and $33,501 respectively, to Robert Wood Johnson Visiting Nurses, Inc. in 2014. Joanne Carrocino, FACHE is a trustee of the organization. Joanne Carrocino is also an officer on the board of trustees of Cape Visiting Nurse Association, Inc., a section 501(c)(3) related organization. The organization provided contracted services in the amount of $74,867 to Cape Visiting Nurse Association, Inc. in 2014. In addition, VNA Health Group, Inc. (Group), the sole corporate member of the organization, provided management services in the amount of $350,848 to Cape Visiting Nurse Association, Inc. in 2014. John Brennan, MD is a trustee of the organization. Monmouth Medical Center, a section 501(c)(3) Organization, was paid $132,773 by the Organization for Medical and other Services in 2014. John Brennan is also a physician affiliated with Monmouth Medical Center. Thomas Shanahan is a trustee of the organization. Raritian Bay Medical Center, a section 501(c)(3) Organization, was paid $19,950 by the organziation for inpatient hospice services in 2014. Thomas Shanahan is the Executive Vice President and Chief Operating Officer of Raritan Bay Medical Center. |
| PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST, ON A DISCRETIONARY BASIS. |
| PART VI, SECTION A, LINES 2, 6, 7A & 7B | VISITING NURSE ASSOCIATION HEALTH GROUP, INC. (GROUP) IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. AS SUCH, THE GROUP ELECTS MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION AND APPROVES DECISIONS OF THE GOVERNING BODY. CERTAIN MEMBERS OF THE GOVERNING BODY ARE OFFICERS, TRUSTEES OR CONSULTANTS OF OTHER HEALTH CARE ORGANIZATIONS AND MAY HAVE BUSINESS RELATIONSHIPS AMONG THEMSELVES. |
| PART VI, SECTION A, LINE 3 | THE ORGANIZATION HAS ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH VISITING NURSE ASSOCIATION HEALTH GROUP, INC. TO PERFORM CERTAIN MANAGEMENT DUTIES. SUCH SERVICES INCLUDE, AMONG OTHER ITEMS, THE PREPARATION OF ANNUAL BUDGETS; THE EXECUTION AND IMPLEMENTATION OF ALL POLICIES AND DIRECTIVES OF THE BOARD OF TRUSTEES; THE ESTABLISHMENT OF RATES AND CHARGES FOR SERVICES RENDERED; THE MAINTENANCE OF ALL PROPER AND APPROPRIATE BOOKS AND RECORDS REGARDING THE BUSINESS AND OPERATIONS; THE PAYMENT OF ALL BILLS FOR SERVICES RENDERED TO THE ORGANIZATION; THE ISSUANCE OF ALL BILLS FOR SERVICES RENDERED; THE PROVISION OF ALL GENERAL ADMINISTRATIVE SERVICES; THE PROPER MAINTENANCE AND IMPLEMENTATION OF ALL NECESSARY AND APPROPRIATE PAYROLL AND HUMAN RESOURCE RECORDS; THE PROVISION OF FINANCIAL AND OTHER REPORTS WITH RESPECT TO THE OPERATIONS OF THE ORGANIZATION; AND THE TIMELY PREPARATION AND SUBMISSION OF COST REPORTS, TAX RETURNS AND OTHER SUCH FILINGS AND SUBMISSIONS AS MAY BE REQUIRED UNDER APPLICABLE LAW. |
| PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS CHANGE IN PENSION BENEFIT LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS $(83,886) |
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