Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 1,103,150 | 1,090,557 | 1,611,164 | 1,158,279 | 1,437,811 | 6,400,961 |
| 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 | 72,699,727 | 74,671,889 | 86,779,449 | 85,876,844 | 88,690,188 | 408,718,097 |
| 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 | 73,802,877 | 75,762,446 | 88,390,613 | 87,035,123 | 90,127,999 | 415,119,058 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 1,430,145 | 1,090,557 | 1,611,164 | 1,158,279 | 1,437,811 | 6,727,956 |
| 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.. | 1,430,145 | 1,090,557 | 1,611,164 | 1,158,279 | 1,437,811 | 6,727,956 |
| 8 | Public support. (Subtract line 7c from line 6.) | 408,391,102 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 73,802,877 | 75,762,446 | 88,390,613 | 87,035,123 | 90,127,999 | 415,119,058 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 401,801 | 311,989 | 180,792 | 156,221 | 160,116 | 1,210,919 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 401,801 | 311,989 | 180,792 | 156,221 | 160,116 | 1,210,919 |
| 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.) .. | 16,457 | 25,311 | 6,220 | 47,988 | ||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 74,221,135 | 76,099,746 | 88,571,405 | 87,197,564 | 90,288,115 | 416,377,965 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 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) |
||||
| 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 | ||||
| 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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part I, Line 1 | VISITING NURSE SERVICE OF NEW YORK HOSPICE AND PALLIATIVE CARE'S MISSION, AS AN AFFILIATE OF VISITING NURSE SERVICE OF NEW YORK, IS TO PROVIDE HIGH QUALITY, COMPASSIONATE HOME AND COMMUNITY-BASED CARE THROUGH DELIVERING HOSPICE SERVICES WHEREVER PATIENTS RESIDE WITHIN THE FIVE BOROUGHS OF NEW YORK CITY. |
| Form 990, Part III, Line 1 | TO PROVIDE EXPERT, COMPASSIONATE CARE FOR INDIVIDUALS AND FAMILIES LIVING WITH PROGRESSIVE, SERIOUS ILLNESS AT THE END OF LIFE; SERVE THE COMMUNITY WITH A COMMITMENT TO EXCELLENCE, SENSITIVITY TO CULTURAL DIVERSITY, ENTHUSIASM FOR INNOVATION AND WITHOUT REGARD TO AGE, RACE, RELIGION, SEXUAL PREFERENCE OR ABILITY TO PAY; COMMIT TO SOUND BUSINESS PRACTICES AND ETHICAL DECISION-MAKING; AND SHAPE SOCIETAL ATTITUDES AND BEHAVIORS ABOUT END OF LIFE CARE. VNSNY HOSPICE AND PALLIATIVE CARE SHARES THIS MISSION OF CHARITY AND PUBLIC BENEFIT 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 not true anymore) FOR ITS CHARITABLE and community INITIATIVES. IN 2019, VNSNY AND ITS AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED NEARLY $42 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS, WHICH IMPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, INCLUDING THE UNDER- AND UNINSURED.(SEE VNSNY FORM 990 FOR COMPLETE LIST OF CHARITABLE PROGRAMS). |
| Form 990, Part III, Line 4a | VNSNY HOSPICE AND PALLIATIVE CARE PROVIDES SERVICES AT HOME, IN NURSING HOMES, IN OUR OWN Hospice Residence AND IN ASSISTED LIVING FACILITIES FOR PEOPLE WHO ARE AT THE END OF LIFE. HOSPICE TEAMS, COMPRISING PHYSICIANS, NURSE PRACTITIONERS, NURSES, SOCIAL WORKERS, SPIRITUAL CARE COUNSELORS, BEREAVEMENT COUNSELORS, DIETICIANS, COMPLEMENTARY THERAPISTS, HOME HEALTH AIDES AND VOLUNTEERS, WORK TOGETHER WITH THE PATIENT AND FAMILY MEMBERS TO ASSURE COMFORT AND PROVIDE CLINICAL AND EMOTIONAL SUPPORT. IN 2019, VNSNY HOSPICE AND PALLIATIVE CARE PROVIDED CARE TO 6,418 PATIENTS AND OFFERED BEREAVEMENT SERVICES (INDIVIDUAL AND GROUP COUNSELING, TELEPHONE SUPPORT) TO nearly 5,000 HOSPICE FAMILY MEMBERS AND INDIVIDUALS IN THE COMMUNITY. THE SHIRLEY GOODMAN AND HIMAN BROWN HOSPICE RESIDENCE, LOCATED ON MANHATTAN'S UPPER EAST SIDE, PROVIDED HOSPICE SERVICES IN 8 HOME-LIKE APARTMENTS TO 53 INDIVIDUALS IN 2019 WHO COULD NOT BE CARED FOR IN THEIR OWN HOMES. |
| 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 ("VNSNY") 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 11A | THE AUDIT COMMITTEE OF VNSNY AND ITS AFFILIATED ORGANIZATIONS REVIEWED THE FORM 990. 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 VNS HOSPICE CARE'S BOARD BEFORE ITS FILING WITH THE IRS. |
| Form 990, Part VI, Section B, Line 12c | THE TAXPAYER DOES NOT HAVE A SEPARATE POLICY BUT HAS ADOPTED THE POLICIES AND PROCEDURES OF VNSNY. THE PROCEDURES UNDERTAKEN AT THE VNSNY LEVEL ARE DESCRIBED BELOW: THE CHIEF AND PRIVACY COMPLIANCE OFFICER 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. |
| Form 990, Part VI, Section B, Lines 13 & 14 | THE TAXPAYER DOES NOT HAVE A SEPARATE WHISTLEBLOWER OR DOCUMENT RETENTION AND DESTRUCTION POLICY, BUT HAS ADOPTED THE POLICIES AND PROCEDURES OF VNSNY. |
| Form 990, Part VI, Section B, Lines 15A & 15B | THE TAXPAYER DOES NOT HAVE A SEPARATE 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. EXECUTIVE COMPENSATION REVIEWS WERE DONE IN PART IN 2018 AND IN 2019. 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 fulfil 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:CONTRACTED HHA/HHA PROVIDERS TOTAL FEES:9255462 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACTED HLTH SERV. PROVIDER TOTAL FEES:2927298 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:736100 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TEMPORARY HELP TOTAL FEES:373390 |
| Software ID: | |
| Software Version: |