Visiting Nurse Service of New York

“The organization is the tax-exempt parent entity of 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.”

“The organization is an affiliate within vns health and its subsidiaries; a tax-exempt integrated healthcare delivery system ("system"). Vns health is the tax-exempt parent entity of the system. Vns health's board of directors has an audit committee ("committee"). The organization's federal form 990 was provided to the 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 committee and provided to each voting member of this organization's governing body prior to filing with the irs.”

“The organization is the tax-exempt parent entity of 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.”

“The organization is the tax-exempt parent entity of 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.”

“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 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.”

“The organization is an affiliate within 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.”

“This organization previously filed a certificate of assumed name with the new york state department of state division of corporations and currently operates under vns health.”

“Visiting nurse service of new york d/b/a vns health ("vns health") is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us-we help people live, age, and heal where they feel most comfortable, in their own homes, connected to their family and community. Vns health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of those we serve in new york and beyond. The organization's 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 2023, vns health and its affiliates - together with its generous supporters and community partners - provided over $66 million in charitable care and community impact programs, which improved the lives of tens of thousands of new yorkers, young and old, including the uninsured and underinsured individuals. Donors contributed $6.8 million to support vns health charitable care and community impact programs, and the remaining funding came from vns health's charitable contribution, and government grants. Vns health's community impact 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, provide opportunities for disadvantaged children and families, and develop the future health care workforce. Vns health affiliates serve over 104,000 patients, clients and members 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 three community centers; and certain hospice care programs. Please refer to 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.”

“Community benefits & other: in 2023, vns health received monies for grants and provided monetary support to other tax exempt affiliates which improved the lives of tens of thousands of new yorkers, young and old, including the uninsured and underinsured through expanded access to care to underserved individuals and communities, support aging in place, advance research and program development, provide opportunities for disadvantaged children and families, and develop the future health care workforce. In addition, vns health and its affiliates - together with its generous supporters and community partners - provided over $66 million in charitable care and community impact programs. 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 ("nnorc"): in 2023 vns health, together with public and private funders, provided the nnorc over $807,000 in funding, enabling the program to serve this low-income immigrant community. In 2023, the vns health chinatown nnorc touched the lives of over 600 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 team members 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 colleagues 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 team members 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 community partner organizations that are aligned with vns health's mission to support successful community living. Vns health opened the chinatown community center in 1999. The center is a place for local residents to find health and social services support as they age. In december 2022, two new vns health community centers opened to support the local communities in flushing, queens and in sunset park, brooklyn. In 2023, over 39,000 people were served at these centers, and over 800 events were held, including health workshops and other social impact programs. 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 hospice care experience that aims to be transformative for the next generation of physicians and nurse practitioners. The 2023 academic class comprised of 49 fellows from nine medical centers (icahn school of medicine at mount sinai, memorial sloan kettering cancer center, new york presbyterian hospital columbia campus, nyu school of medicine hospice & palliative medicine, new york-presbyterian/queens, lincoln medical center, jamaica hospital me”

“Private donations have enabled vns health to expand the lgbtq+ outreach and gender affirmation programs. 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. Vns health clinicians, administrative and senior leadership 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. 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 helps 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. Behavioral health: visiting nurse services of new york home care ii d/b/a vns health home care ("vns health home care") administers 17 programs and an article 31 mental health outpatient treatment and rehabilitative service (mhotrs) program, with approximately 475 full time, part-time and per diem team members. These programs delivered care to nearly 20,000 patients in 2023 throughout new york city providing roughly 10,000 visits per month, both in the community and via telehealth. Behavioral health programs provide care and care management to a spectrum of underserved individuals, including those in crisis, with acute and chronic mental illness, the older adult population, youth and families, homeless individuals and those with substance use disorders. The array of services include programs funded by new york city and state grants and three managed care contracts. In 2023 these programs included: the adult and children's mobile crisis teams; intensive mobile treatment (imt); home based crisis intervention (hbci); promise zone; parachute; pathway home; geriatric mental health initiative (gmhi); program to encourage active rewarding lives (pearls); geriatric mobile outreach; comprehensive care management(ccm); behavioral health community transitions (bhct); health home care management; assertive community treatment (act); safe pathways; the friends children's programs; and the article 31 mental health outpatient treatment and rehabilitative services (mhotrs) program. Together, they provided a wide array of behavioral health services to high-risk new yorkers of all ages with multiple overlapping behavioral health and physical health conditions.”

“Research: the center for home care policy & research at vns health, 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. The research center team 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 research center focuses on home care's role within the entire health care continuum. The research 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 research 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. In 2023 vns health, together with public and private funders provided the research center $3,743,000 of support. 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.”

“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 with vns health. This organization filed a 2023 federal form 4720 which included a remittance of excise tax related to mr. Savitt's compensation in excess of $1m.”

“Other changes in net assets or fund balance includes: - pension related changes other than net periodic cost - ($4,110,000); - other changes in donor restricted net assets - $1,959,396; and - reserves for amounts due from affiliates - ($18,571,000).”

“The organization is the tax-exempt parent entity of 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, 2023 and december 31, 2022; 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.”

“The organization is the tax-exempt parent entity of vns health and its subsidiaries; a tax-exempt integrated healthcare delivery system ("system"). As a result of federal awards received, the organization was included in a system wide consolidated audit as set forth in the uniform guidance, 2 c.f.r., part 200, subpart f. The system engaged an independent accounting firm to prepare and issue the uniform guidance audit.”

“Description:consultants total fees:4478916”

“Description:computer consultants total fees:2695156”

“Description:recruitment services total fees:463136”

“Description:temporary help total fees:311163”

“Description:other services total fees:476128”