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 | |||||
| (A)
VNSNY HOME CARE II |
131624211 | 10 | Yes | 4,823,038 | 0 | |
| (B)
VNS CHOICE |
133951057 | 10 | Yes | 0 | 0 | |
| (C)
VNS CHOICE COMMUNITY CARE |
320053323 | 10 | Yes | 0 | 0 | |
| (D)
VNSNY HOSPICE CARE |
300006817 | 10 | Yes | 1,223,409 | 0 | |
| (E)
NEW PARTNERS INC |
133885148 | 10 | Yes | 1,663,711 | 0 | |
|
Total 5
|
7,710,158 | 0 | ||||
Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 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 | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| 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. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART IV, SECTION C, LINE 12(G), COLUMN (VI) | VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") PROVIDES VARIOUS FORMS OF NON-MONETARY SUPPORT TO ITS RELATED ORGANIZATIONS. THE SUPPORT INCLUDES PERFORMING VARIOUS ADMINISTRATIVE FUNCTIONS, INCLUDING LEGAL SERVICES AND MANAGING INVESTMENT ACTIVITIES. IN ADDITION, VNS HEALTH PERFORMS ALL FUNDRAISING ACTIVITIES AND TRANSFERS CONTRIBUTIONS TO ITS SUPPORTED ORGANIZATIONS. VNS HEALTH RECORDS THE EXPENSES RELATED TO FUNDRAISING AND THE ADMINISTRATIVE FUNCTIONS ON ITS BOOKS AND SUBSEQUENTLY ALLOCATES SOME OF THE EXPENSES TO ITS AFFILIATES. IN 2014, VNS HEALTH PROVIDED SUPPORT, IN THE FORM OF A $157 MILLION LOAN, TO VNS CHOICE D/B/A VNS HEALTH HEALTH PLAN. AS OF DECEMBER 31, 2021, $150 MILLION REMAINS OUTSTANDING AFTER A PRINCIPAL PAYMENT OF $7M WAS MADE DURING THE YEAR. |
| SCHEDULE A, PART IV, SECTION D, LINE 3 | THIS ORGANIZATION AND ITS SUPPORTED ORGANIZATIONS HAVE SOME OVERLAPPING BOARD MEMBERS AND OFFICERS. GIVEN THAT THE BOARD AND OFFICERS OF VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") ARE RESPONSIBLE FOR OVERSEEING AND MANAGING ITS ASSETS AND ACTIVITIES, INCLUDING ITS INVESTMENTS AND GRANTMAKING, HAVING OVERLAPPING BOARD MEMBERS AND OFFICERS ENABLES THE SUPPORTED ORGANIZATIONS TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES, THE TIMING OF GRANTS MADE, THE MANNER OF MAKING GRANTS, THE SELECTION OF GRANT RECIPIENTS AND IN OTHERWISE DIRECTING THE USE OF INCOME AND ASSETS OF VNS HEALTH. |
| SCHEDULE A, PART IV, SECTION E, LINE 3A | VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") IS THE DIRECT OR INDIRECT SOLE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. IN SUCH CAPACITY IT HAS THE SOLE AUTHORITY TO ELECT ALL OF THE BOARD MEMBERS OF VISITING NURSE SERVICE OF NEW YORK HOME CARE II D/B/A VNS HEALTH HOME CARE, VISITING NURSE SERVICE OF NEW YORK HOSPICE CARE D/B/A VNS HEALTH HOSPICE CARE, NEW PARTNERS, INC. D/B/A VNS HEALTH PERSONAL CARE, AND VNS CONTINUING CARE DEVELOPMENT CORPORATION. IN ADDITION, AS THE INDIRECT SOLE MEMBER, VNS HEALTH HAS THE INDIRECT AUTHORITY TO CONTROL THE ELECTION OF THE BOARDS OF VNS CHOICE D/B/A VNS HEALTH HEALTH PLANS ("VNS HEALTH HEALTH PLANS") AND VNS CHOICE COMMUNITY CARE. THE DIRECT SOLE MEMBER OF VNS HEALTH HEALTH PLANS IS VNS CONTINUING CARE DEVELOPMENT CORPORATION, WHICH HAS THE AUTHORITY TO ELECT THE BOARD MEMBERS OF VNS HEALTH HEALTH PLANS, AND VNS HEALTH HEALTH PLANS HAS THE AUTHORITY TO ELECT BOARD MEMBERS OF VNS CHOICE COMMUNITY CARE. |
| FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3B | VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF ITS SUPPORTED ORGANIZATIONS BY VIRTUE OF (1) VNS HEALTH'S SUPERVISORY AND OVERSIGHT ROLE AND POWERS AS THE DIRECT OR INDIRECT SOLE MEMBER OF EACH SUPPORTED ORGANIZATION; AND (2) PROVISION OF VARIOUS SUPPORT SERVICES TO ITS SUPPORTED ORGANIZATIONS, INCLUDING MANAGING AND INVESTING THE SUPPORTED ORGANIZATIONS' ENDOWMENT FUNDS, MANAGING THEIR RELATIONS WITH HOSPITALS, NURSING HOMES AND OTHER HEALTH CARE PROVIDERS AND ORGANIZATIONS AND PROVIDING LEGAL, ACCOUNTING AND OTHER ADMINISTRATIVE SUPPORT. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| CORE FORM, PAGE 1, BOX C | EFFECTIVE DECEMBER 3, 2021, THIS ORGANIZATION FILED A CERTIFICATE OF ASSUMED NAME WITH THE NEW YORK STATE DEPARTMENT OF STATE DIVISION OF CORPORATIONS AND CURRENTLY OPERATES UNDER VNS HEALTH. |
| CORE FORM, PART I, LINES 8 & 9 | CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE PRIOR YEAR AMOUNTS PREVIOUSLY REPORTED TO CONFORM TO THE CURRENT YEAR PRESENTATION. THESE RECLASSIFICATIONS HAVE NO IMPACT ON THE NET ASSETS OF THE ORGANIZATION AS PREVIOUSLY REPORTED. |
| CORE FORM, PART III; QUESTION 1 | VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE THROUGH HIGH-QUALITY, COST EFFECTIVE HEALTHCARE IN THE HOME AND COMMUNITY. VNS HEALTH SHARES THIS MISSION WITH ITS INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT AFFILIATES. IN 2021, VNS HEALTH AND IT AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $51 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. INDIVIDUALS AND PRIVATE FOUNDATIONS CONTRIBUTED $6.9 MILLION TO SUPPORT VNS HEALTH CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS, AND THE REMAINING FUNDING CAME FROM GOVERNMENT GRANTS. VNS HEALTH'S COMMUNITY BENEFIT PROGRAMS, CARRIED OUT THROUGH ITS AFFILIATE ORGANIZATIONS, EXPAND ACCESS TO CARE TO UNDERSERVED INDIVIDUALS AND COMMUNITIES, SUPPORT AGING IN PLACE, ADVANCE RESEARCH AND PROGRAM DEVELOPMENT, HELP COMBAT COVID-19, PROVIDE OPPORTUNITIES FOR DISADVANTAGED CHILDREN AND FAMILIES, AND DEVELOP THE FUTURE WORKFORCE. ALL PROGRAM SERVICES EXCEPT RESEARCH ARE DELIVERED BY VNS HEALTH AFFILIATES. VNS HEALTH AFFILIATES PROVIDE CARE TO OVER 100,000 PATIENTS EACH YEAR. SERVICES PROVIDED BY THESE AFFILIATES ARE SUPPORTED BY CONTRIBUTIONS. THESE PROGRAMS AND INITIATIVES INCLUDE BUT ARE NOT LIMITED TO: CHARITABLE CARE; BEHAVIORAL HEALTH; NURSE FAMILY PARTNERSHIP; MATERNITY, NEWBORN, AND PEDIATRICS; LGBTQ+ OUTREACH, VETERANS OUTREACH, CHINATOWN NNORC AND COMMUNITY CENTER; AND CERTAIN HOSPICE CARE PROGRAMS. PLEASE REFER TO HYPERLINK WWW.VNSHEALTH.ORG FOR ADDITIONAL INFORMATION. VNS HEALTH ALSO PROVIDES SIGNIFICANT ASSISTANCE, TO ITS AFFILIATES IN ORDER TO ENABLE THEIR PROGRAM-SERVICE DELIVERY, BY: (I) LENDING ADMINISTRATIVE, MANAGEMENT, POLICY SETTING, INVESTMENT, FUNDRAISING, AND ADVOCACY SUPPORT; AND (II) MAKING GRANTS OF PHILANTHROPIC DOLLARS - WITH MONIES FROM DONORS AND FROM ITS OWN RESERVES - TO SUPPORT THE CHARITABLE AND COMMUNITY INITIATIVES OF ITS NOT-FOR-PROFIT AFFILIATES. |
| CORE FORM, PART III; QUESTION 4A | COMMUNITY BENEFITS & OTHER: IN 2021, VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") AND IT AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $51 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 THROUGH EXPANDED ACCESS TO CARE TO UNDERSERVED INDIVIDUALS AND COMMUNITIES, SUPPORT AGING IN PLACE, ADVANCE RESEARCH AND PROGRAM DEVELOPMENT, HELP COMBAT COVID-19, PROVIDE OPPORTUNITIES FOR DISADVANTAGED CHILDREN AND FAMILIES, AND DEVELOP THE FUTURE WORKFORCE. WITH A FEW EXCEPTIONS BELOW AND RESEARCH AS DESCRIBED IN 4B, FUNDS RAISED BY VNS HEALTH FOR ITS AFFILIATES ARE DIRECTLY CONTRIBUTED TO THEM. DIRECT CONTRIBUTIONS FROM VNS HEALTH TO OTHER PROGRAMS INCLUDED: NEIGHBORHOOD NATURALLY OCCURRING RETIREMENT COMMUNITY: THE CHINATOWN NEIGHBORHOOD NATURALLY OCCURRING RETIREMENT COMMUNITY ("NNORC") RECEIVED $626,000 IN FUNDING FROM PUBLIC AND PRIVATE FUNDERS, ENABLING THE PROGRAM TO SERVE THIS LOW-INCOME IMMIGRANT COMMUNITY. IN 2021, THE VNS HEALTH CHINATOWN NNORC TOUCHED THE LIVES OF OVER 630 SENIORS, 60 AND OLDER, WHO RESIDE IN MANHATTAN'S CHINATOWN COMMUNITY. THESE SENIORS RESIDE IN AGING, WALK-UP TENEMENT APARTMENT BUILDINGS THAT ARE NOT IDEAL FOR AGING TENANTS WHO ARE UNABLE TO NEGOTIATE STAIRS. AS A RESULT, MANY ARE HOMEBOUND AND FACE ISOLATION LONELINESS AND DETERIORATING HEALTH. MOST OF THESE SENIORS DO NOT SPEAK ENGLISH, HAVE LOW LITERACY IN THEIR NATIVE LANGUAGE, AND ARE CHALLENGED NEGOTIATING SOCIAL SERVICES AND HEALTH NETWORKS WITHOUT SPECIAL OUTREACH EFFORTS. NNORC STAFF DELIVER SERVICES AND PROGRAMS THAT ENSURE THESE VULNERABLE RESIDENTS ARE CONNECTED TO THE HEALTH, SOCIAL AND TRANSLATION SERVICES THEY NEED IN ORDER TO SUCCESSFULLY AGE IN PLACE. OUR CULTURALLY COMPETENT STAFF PROVIDE SOCIAL SERVICES AND HEALTHCARE ASSESSMENT AND LINKAGE TO RESOURCES TO PROMOTE AND MAINTAIN HEALTH AND WELLNESS. THESE NUMEROUS SERVICES, INCLUDING ACCESS TO ENTITLEMENTS AND RECREATIONAL SERVICES, PROVIDE IMPORTANT CONNECTIONS TO NNORC MEMBERS IN ITS STOREFRONT SPACE AT 7 MOTT STREET, WHICH IT SHARES WITH THE VNS HEALTH CHINATOWN COMMUNITY CENTER. THE NNORC ALSO RESPONDS TO COMMUNITY NEEDS BY COORDINATING A MENTAL HEALTH TASK FORCE AS WELL AS THE NY ASIAN AMERICAN ADVANCE DIRECTIVES TASK FORCE. NNORC STAFF SUPPORT MEMBERS WHO ARE FRAIL OR HOMEBOUND IN THEIR APARTMENTS TO ADDRESS SOCIAL AND HEALTH CONCERNS, AND ASSIST MEMBERS IN MAKING THEIR HOME SAFE AND HAZARD-FREE. OUR NNORC TEAM ALSO PROVIDES REFERRALS AND LINKS TO THE SERVICES OFFERED THROUGH OUR MANY PARTNER AGENCIES THAT ARE ALIGNED WITH VNS HEALTH'S MISSION TO SUPPORT SUCCESSFUL COMMUNITY LIVING. THESE SERVICES ARE ESPECIALLY IMPORTANT DURING THE COVID-19 PANDEMIC, AS COMMUNITY MEMBERS FACED SIGNIFICANT ISOLATION AND BARRIERS MEETING BASIC NEEDS. NNORC STAFF PROVIDED EXTENSIVE HELP OBTAINING VACCINES AND EDUCATING CLIENTS ON COVID-19 AND SAFETY PRECAUTIONS. HOSPICE PHYSICIAN FELLOWSHIP PROGRAM: SINCE 2004, VNS HEALTH HAS OPERATED A HIGHLY REGARDED PHYSICIAN FELLOWSHIP TRAINING PROGRAM. IT OFFERS PARTICIPANTS CAREFULLY DESIGNED HOSPICE ROTATIONS LASTING UP TO THREE MONTHS. THESE ROTATIONS GIVE THE FELLOWS A UNIQUE, HUMANISTIC HOME HEALTH CARE EXPERIENCE THAT AIMS TO BE TRANSFORMATIVE FOR THE NEXT GENERATION OF PHYSICIANS AND NURSE PRACTITIONERS. THE CURRENT ACADEMIC YEAR CLASS COMPRISES 51 FELLOWS FROM EIGHT MEDICAL CENTERS (JAMES J. PETERS VA MEDICAL CENTER, NEW YORK PRESBYTERIAN HOSPITAL - COLUMBIA CAMPUS, JAMAICA HOSPITAL MEDICAL CENTER, LINCOLN MEDICAL CENTER, MEMORIAL SLOAN KETTERING CANCER CENTER, NEW YORK PRESBYTERIAN - QUEENS, NYU SCHOOL OF MEDICINE HOSPICE & PALLIATIVE MEDICINE, ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI). IN 2021, THE PROGRAM WAS SUPPORTED BY GENEROUS GRANTS FROM NUMEROUS INDIVIDUALS AND FOUNDATIONS. PEDIATRIC PALLIATIVE CARE SERVICES: VNS HEALTH PROVIDED $121,000 IN SUPPORT TO PEDIATRIC PALLIATIVE CARE SERVICES. THE PROGRAM BEGAN IN 2009 IN COLLABORATION WITH KEY HOSPITAL PROVIDERS AND SUPPORTS THE AMERICAN ACADEMY OF PEDIATRICS RECOMMENDATIONS FOR AN INTEGRATED PALLIATIVE CARE MODEL, WITH INTERVENTIONS BEGINNING AT DIAGNOSIS AND INCORPORATES BOTH CURATIVE AND COMFORT MEASURES. VNS HEALTH SERVES AN ETHNICALLY DIVERSE MULTICULTURAL POPULATION OF CHILDREN AND FAMILIES LIVING WITH LIFE THREATENING AND LIFE LIMITING ILLNESS. OUR STAFF CONSISTS OF A PEDIATRIC ELNEC (END OF LIFE NURSING CONSORTIUM) TRAINED INTERDISCIPLINARY TEAM OF NURSES, SOCIAL WORKERS AND REHAB STAFF COVERING BROOKLYN, BRONX, MANHATTAN AND QUEENS. HOSPICE INTERDISCIPLINARY STAFF ATTEND PEDIATRIC ELNEC TRAINING TO INCREASE CLINICAL COMPETENCY IN CARING FOR CHILDREN AT END OF LIFE. IN 2021, WE COMPLETED A PEDIATRIC ELNEC TRAINING BRINGING THE TOTAL NUMBER OF CLINICIANS TRAINED TO 145. HOSPICE TEAMS IN ALL REGIONS ARE ADMITTING AND SUCCESSFULLY CARING FOR PEDIATRIC PATIENTS THROUGH END OF LIFE WITH PEDIATRIC PALLIATIVE CARE TEAM COLLABORATION AND CONSULTATION. THE CONCURRENT CARE ACT FOR CHILDREN UNDER THE AFFORDABLE CARE ACT ALLOWS CHILDREN ON HOSPICE TO CONTINUE TO RECEIVE CURATIVE THERAPIES SUCH AS CHEMOTHERAPY OR RADIATION WHILE RECEIVING HOSPICE CARE. IN 2021, THERE WERE 570 PEDIATRIC ADMISSIONS WITH A TOTAL OF 2,224 VISITS MADE. THE MAJORITY OF THE PEDIATRIC PALLIATIVE CASES RESIDE IN BROOKLYN WITH OUR PRIMARY REFERRER BEING NYU LANGONE AND THE NYU HASSENFELD CHILDRENS CANCER CENTER. PALLIATIVE REFERRALS FOR INFANTS WITH COMPLEX CONGENITAL HEART DISEASE AS WELL AS CHILDHOOD CANCERS WITH BRAIN TUMORS CONTINUE TO BE THE PRIMARY DIAGNOSIS. PATIENT ENRICHMENT PROGRAM FUND: CONTRIBUTIONS ALSO SUPPORTED THE PATIENT ENRICHMENT PROGRAM FUND. IN SOME CASES, OUR DEDICATED FRONTLINE STAFF RECOGNIZE THAT THEIR PATIENTS NEED MORE THAN JUST MEDICAL CARE - AND THAT A SMALL INVESTMENT IN AN ITEM OR SERVICE WOULD GO A LONG WAY TOWARD RELIEVING SUFFERING AND IMPROVING THEIR QUALITY OF LIFE. THE FUND PROVIDES HOMEBOUND AND OTHER VULNERABLE AND DISADVANTAGED PATIENTS WITH ITEMS AND SERVICES REQUESTED BY THEIR VNS HEALTH CLINICIAN THAT PROVIDE COMFORT AND PROMOTE HEALING. THESE ITEMS CAN INCLUDE MEDICATIONS AND COPAYS NOT COVERED BY INSURANCE; EYEGLASSES; REMOTE-CONTROLLED RECLINERS; PODIATRIST-RECOMMENDED SHOES; AND AIR CONDITIONERS. PRIVATE DONATIONS HAVE ENABLED VNS HEALTH TO PUT SIGNIFICANT RESOURCES INTO THE LGBTQ+ AND GENDER AFFIRMATION PROGRAM. VNS HEALTH CLINICIANS, ADMINISTRATIVE AND SENIOR STAFF HAVE RECEIVED TRAINING ON WORKING WITH LGBTQ+ COMMUNITIES FROM THE LGBTQ+ SENIOR ADVOCACY ORGANIZATION SAGE, ENSURING THAT ALL OF OUR STAFF ARE AWARE OF AND SENSITIVE TO THE NEEDS AND CONCERNS OF LGBTQ+ OLDER ADULTS. VNS HEALTH IS THE LARGEST HOME- AND COMMUNITY-BASED HEALTH CARE ORGANIZATION IN THE NEW YORK CITY METROPOLITAN AREA WITH THE SAGECARE PLATINUM LEVEL LGBTQ+ CULTURAL COMPETENCY CREDENTIAL. SAGE IS THE COUNTRY'S LARGEST AND OLDEST ORGANIZATION DEDICATED TO IMPROVING THE LIVES OF LESBIAN, GAY, BISEXUAL, AND TRANSGENDER, QUEER (LGBTQ+) OLDER ADULTS. THIS PARTNERSHIP WILL HELP ENSURE THAT ALL LGBTQ+ NEW YORKERS HAVE ACCESS TO SAFE AND RESPECTFUL HOME CARE AND HOSPICE SERVICES, WHICH HISTORICALLY HAVE BEEN UNDERUTILIZED FOR THIS POPULATION. FOR PATIENTS UNDERGOING GENDER AFFIRMATION SURGERY, VNS HEALTH PROVIDES SPECIALIZED HOME CARE SERVICES BY A TEAM OF HUNDREDS OF CLINICIANS WHO HAVE BEEN SPECIALLY TRAINED IN TRANSGENDER HEALTH AND GENDER AFFIRMING POST-SURGICAL CARE. OUR GOALS INCLUDE CREATING A CARE PLAN TO MEET EACH INDIVIDUAL'S UNIQUE NEEDS, PROVIDING A SAFE SPACE FOR PATIENTS TO RECUPERATE FULLY AT HOME AND HELPING TO ENSURE THAT THE TRANSGENDER PATIENT FEELS THEY ARE CARED FOR BY A KNOWLEDGEABLE AND CULTURALLY SENSITIVE CLINICIAN. |
| CORE FORM, PART III; QUESTION 4B | RESEARCH: THE CENTER FOR HOMECARE POLICY & RESEARCH, ESTABLISHED IN 1993, CONDUCTS SCIENTIFICALLY RIGOROUS RESEARCH TO PROMOTE THE DELIVERY OF HIGH-QUALITY, COST-EFFECTIVE CARE IN THE HOME AND COMMUNITY. THE FINDINGS FROM OUR WORK SUPPORT INFORMED DECISION MAKING BY POLICY MAKERS, PAYERS, MANAGERS, PRACTITIONERS, AND CONSUMERS OF HOME AND COMMUNITY BASED SERVICES. IT IS THE ONLY HOME AND COMMUNITY-BASED RESEARCH CENTER HOUSED IN AN ORGANIZATION SUCH AS VNS HEALTH. CENTER STAFF REGULARLY PUBLISH IN PEER-REVIEWED JOURNALS AND MAKE PRESENTATIONS AT NATIONAL CONFERENCES TO DISSEMINATE THE FINDINGS TO THE SCIENTIFIC AND POLICY COMMUNITIES. ALIGNING WITH THE NATIONAL HEALTH REFORM DEBATE, THE CENTER FOCUSES ON HOME CARE'S ROLE WITHIN THE ENTIRE HEALTH CARE CONTINUUM. THE CENTER ADVANCES A BROAD VISION OF "HOME CARE" IN THE CONTEXT OF OVERALL PERSON-CENTERED CARE DESIGNED TO PROMOTE HEALTH, SUPPORT POSITIVE AGING, FACILITATE RECOVERY, MANAGE CHRONIC ILLNESS AND PREPARE FOR END OF LIFE. RESEARCHERS WORK TO EMBODY THIS VISION IN FUNDED RESEARCH AND CONCRETE PRACTICES THAT CAN BE EFFECTIVELY INCORPORATED INTO DAILY PATIENT CARE. THE CENTER'S WORK ENCOMPASSES RESEARCH AVENUES DIRECTED AT NATIONAL PROBLEMS: IMPROVING CARE AND REDUCING HOSPITALIZATIONS AMONG LOW INCOME, CULTURALLY DIVERSE PATIENTS WITH COMPLEX NEEDS FOR TRANSITIONAL, POST-ACUTE, LONG-TERM CHRONIC CARE AND CARE MANAGEMENT, AND UNDERSTANDING AND PREDICTING THE DRIVERS OF RESOURCE USE FOR THESE POPULATIONS. FOR EXAMPLE, A CURRENT STUDY IS INVESTIGATING USING ARTIFICIAL INTELLIGENCE TO IDENTIFY HOMECARE PATIENT'S RISK OF HOSPITALIZATION AND EMERGENCY DEPARTMENT VISITS VIA A SPEECH-RECOGNITION FEASIBILITY STUDY. ANOTHER PROJECT EVALUATES THE SAFETY OF THE HOME HEALTH AIDE WORKFORCE AND THE CONTINUATION OF ESSENTIAL PATIENT CARE THROUGH SUSTAINABLE PANDEMIC PREPAREDNESS. DURING 2021, VNS HEALTH RECEIVED RESEARCH GRANT REVENUE IN THE AMOUNT OF $1,927,936. IN ACCORDANCE WITH FORM 990 INSTRUCTIONS, THESE RESEARCH GRANTS ARE INCLUDED WITHIN CORE FORM, PART VIII, LINE 1 AND THEREFORE THESE AMOUNTS ARE NOT INCLUDED AS PROGRAM SERVICE REVENUE WITHIN CORE FORM, PART III, LINE 4B. |
| CORE FORM, PART V; QUESTIONS 1A & CORE FORM, PART VII | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION PAYS OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF MOST OTHER AFFILIATES WITHIN THE SYSTEM. IN CONJUNCTION WITH THIS SERVICE, THIS ORGANIZATION ALSO PREPARES AND ISSUES FORMS 1099 TO THESE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES THESE FORMS 1099 WITH THE INTERNAL REVENUE SERVICE. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO THE APPROPRIATE AFFILIATES WITHIN THE SYSTEM VIA AN INTERCOMPANY ACCOUNT. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S BOARD OF DIRECTORS HAS AN AUDIT COMMITTEE ("COMMITTEE"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO THE AUDIT COMMITTEE, AS WELL AS, EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER SYSTEM INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FINAL FORM 990 WAS REVIEWED BY THE ORGANIZATION'S AUDIT COMMITTEE AND PROVIDED TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION AND SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY GOVERNS CONFLICT OF INTEREST DISCLOSURE AND MONITORING OF ALL VOTING MEMBERS OF THE SYSTEM'S BOARD OF DIRECTORS. THE CONFLICTS OF INTEREST POLICY IS DESIGNED TO ASSIST THE ORGANIZATION IN EVALUATING ARRANGEMENTS, CONTRACTS OR TRANSACTIONS THAT MAY BENEFIT THE PRIVATE INTEREST OF A DIRECTOR, THEIR FAMILY MEMBER(S), OFFICERS OR KEY PERSONS. THE POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE APPLICABLE STATE AND FEDERAL LAWS GOVERNING NONPROFIT CHARITABLE CORPORATIONS. THE CHIEF COMPLIANCE & PRIVACY 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 SYSTEM'S PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT, GENERAL COUNSEL & CHIEF RISK OFFICER AND, AS APPROPRIATE, THE CHAIR OF THE BOARD OF DIRECTORS. SPECIFIC FOLLOW-UP ACTION IS TAKEN ON A CASE-BY-CASE BASIS. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS OF THE SYSTEM'S PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENTS AND SENIOR VICE PRESIDENTS ("SENIOR MANAGEMENT"). THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THESE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS COMPLETED ON A BIENNIAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE SYSTEM IS REASONABLE. IN ADDITION, THE COMMITTEE CONDUCTS SPORADIC REVIEWS WHEN NEW TOP EXECUTIVES ARE HIRED OR CURRENT EXECUTIVES TAKE ON ADDITIONAL RESPONSIBILITIES. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION AND SYSTEM TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION FOR SENIOR MANAGEMENT. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY, THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT, INCLUDING BUT NOT LIMITED TO, THE PRESIDENT & CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENTS AND SENIOR VICE PRESIDENTS. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, EMPLOYEE REVIEWS, EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW YORK. IN ADDITION, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| CORE FORM, PART VII AND SCHEDULE J | CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. |
| CORE FORM, PART VII AND SCHEDULE J | DANIEL M. SAVITT IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION ON A FULL-TIME BASIS. MR. SAVITT IS EMPLOYED BY AND RECEIVES A FEDERAL FORM W-2 FROM THIS ORGANIZATION. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH"). THIS ORGANIZATION FILED A 2021 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. SAVITT'S COMPENSATION IN EXCESS OF $1M. IN ADDITION, MARKI (IMMACOLATA) FLANNERY WAS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION ON A FULL-TIME BASIS THROUGH FEBRUARY 2021. MS. FLANNERY WAS EMPLOYED BY AND RECEIVED A FEDERAL FORM W-2 FROM THIS ORGANIZATION. ACCORDINGLY, HER COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP WAS WITH VNS HEALTH (EIN:13-3189926). THIS ORGANIZATION FILED A 2021 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MS. FLANNERY'S COMPENSATION IN EXCESS OF $1M. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THE ORGANIZATION IS AN AFFILIATE WITHIN VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF DIRECTOR MEMBERS AND OFFICERS INCLUDED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS WITHIN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS OR KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART XI; QUESTION 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - PENSION RELATED CHANGES OTHER THAN NET PERIODIC COST - $80,920,000; AND - RESERVES FOR AMOUNTS DUE FROM AFFILIATES - ($105,828,733). |
| CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2021 AND DECEMBER 31, 2020; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THE ORGANIZATION'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
| CORE FORM, PART XII; QUESTION 3 | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTANTS TOTAL FEES:3343269 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COMPUTER CONSULTANTS TOTAL FEES:1836351 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:RECRUITMENT SERVICES TOTAL FEES:581551 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TEMPORARY HELP TOTAL FEES:583042 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER SERVICES TOTAL FEES:343214 |
| Software ID: | |
| Software Version: |
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Affiliated Group Business Name:
VISITING NURSE SERV OF NY H
Address. Either US or Foreign Type:
220 EAST 42ND STREET 6TH FLOOR
NEW YORK, NY10017 EIN:
13-1624211
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
310,782,785
Total Exempt Purpose Expenditures:
310,782,785
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
VNS CHOICE
Address. Either US or Foreign Type:
220 EAST 42ND STREET 6TH FLOOR
NEW YORK, NY10017 EIN:
13-3951057
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,832,589,558
Total Exempt Purpose Expenditures:
1,832,589,558
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
VNS CHOICE COMMUNITY CARE
Address. Either US or Foreign Type:
220 EAST 42ND STREET 6TH FLOOR
NEW YORK, NY10017 EIN:
32-0053323
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
VISITING NURSE SERV OF NY H
Address. Either US or Foreign Type:
220 EAST 42ND STREET 6TH FLOOR
NEW YORK, NY10017 EIN:
30-0006817
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
107,102,126
Total Exempt Purpose Expenditures:
107,102,126
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
NEW PARTNERS INC
Address. Either US or Foreign Type:
220 EAST 42ND STREET 6TH FLOOR
NEW YORK, NY10017 EIN:
13-3885148
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
236,586,899
Total Exempt Purpose Expenditures:
236,586,899
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
VNS CONTINUING CARE DEVELOPM
Address. Either US or Foreign Type:
220 EAST 42ND STREET 6TH FLOOR
NEW YORK, NY10017 EIN:
13-3974198
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
FAMILY CARE SERVICES INC
Address. Either US or Foreign Type:
220 EAST 42ND STREET 6TH FLOOR
NEW YORK, NY10017 EIN:
13-3213081
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|