Civic Intelligence

Vns Choice

990 • Fiscal year 2015 • EIN 13-3951057

Jan 01, 2015 to Dec 31, 2015 • Filed on Oct 24, 2016

5 Penn Plaza 12th FloorNew York, NY 10001

(212) 690-5716

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

98th percentile

1.05x

Higher debt load relative to assets than 98% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Liabilities / Revenue

15th percentile

0.24x

Higher debt load relative to revenue than 15% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Net Margin

14th percentile

-0.1%

Higher net margin than 14% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Top Officer Pay

20th percentile

$754,290

Higher top officer pay than 20% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Asset Growth

1st percentile

-17%

Faster asset growth than 1% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2014 to 2015

Revenue Growth

23rd percentile

-0.9%

Faster revenue growth than 23% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2014 to 2015

Assets

Down

$319,172,089

Down $63,732,007 (-17%) from 2014

Net Assets

Down

-$14,630,656

Down $7,257,317 (-98%) from 2014

Liabilities

Down

$333,802,745

Down $56,474,690 (-14%) from 2014

Revenue

Down

$1,375,280,172

Down $13,121,688 (-0.9%) from 2014

Expenses

Down

$1,377,297,673

Down $83,455,830 (-5.7%) from 2014

Net Income

Up

-$2,017,501

Up $70,334,142 (+97%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0B$500M$0-$500MAssets 2010: $174,678,600Liabilities 2010: $102,711,441Net Assets 2010: $71,967,1592010Assets 2011: $234,513,143Liabilities 2011: $119,247,823Net Assets 2011: $115,265,3202011Assets 2012: $294,387,005Liabilities 2012: $165,572,859Net Assets 2012: $128,814,1462012Assets 2013: $274,275,132Liabilities 2013: $232,049,167Net Assets 2013: $42,225,9652013Assets 2014: $382,904,096Liabilities 2014: $390,277,435Net Assets 2014: -$7,373,3392014Assets 2015: $319,172,089Liabilities 2015: $333,802,745Net Assets 2015: -$14,630,6562015Assets 2016: $330,304,078Liabilities 2016: $338,951,949Net Assets 2016: -$8,647,8712016Assets 2017: $373,482,901Liabilities 2017: $412,392,253Net Assets 2017: -$38,909,3522017Assets 2018: $359,023,193Liabilities 2018: $384,364,678Net Assets 2018: -$25,341,4852018Assets 2019: $477,470,893Liabilities 2019: $443,746,880Net Assets 2019: $33,724,0132019Assets 2020: $760,078,791Liabilities 2020: $592,737,805Net Assets 2020: $167,340,9862020Assets 2021: $728,219,204Liabilities 2021: $468,455,647Net Assets 2021: $259,763,5572021Assets 2022: $753,073,990Liabilities 2022: $489,611,796Net Assets 2022: $263,462,1942022Assets 2023: $735,944,441Liabilities 2023: $351,573,009Net Assets 2023: $384,371,4322023Assets 2024: $831,109,499Liabilities 2024: $425,909,984Net Assets 2024: $405,199,5152024

Highlighted filing

2015

Assets$319,172,089
Liabilities$333,802,745
Net Assets-$14,630,656

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$3.0B$2.0B$1.0B$0-$1.0BExpenses 2010: $489,881,0592010Expenses 2011: $543,726,9872011Expenses 2012: $867,382,4542012Revenue 2013: $1,299,961,888Expenses 2013: $1,390,784,860Net Income 2013: -$90,822,9722013Revenue 2014: $1,388,401,860Expenses 2014: $1,460,753,503Net Income 2014: -$72,351,6432014Revenue 2015: $1,375,280,172Expenses 2015: $1,377,297,673Net Income 2015: -$2,017,5012015Revenue 2016: $1,466,310,762Expenses 2016: $1,460,908,403Net Income 2016: $5,402,3592016Revenue 2017: $1,462,292,816Expenses 2017: $1,495,007,940Net Income 2017: -$32,715,1242017Revenue 2018: $1,472,944,135Expenses 2018: $1,455,629,288Net Income 2018: $17,314,8472018Revenue 2019: $1,863,896,325Expenses 2019: $1,808,063,978Net Income 2019: $55,832,3472019Revenue 2020: $1,960,226,919Expenses 2020: $1,836,041,271Net Income 2020: $124,185,6482020Revenue 2021: $1,922,324,713Expenses 2021: $1,832,589,558Net Income 2021: $89,735,1552021Revenue 2022: $2,047,539,744Expenses 2022: $2,000,629,000Net Income 2022: $46,910,7442022Revenue 2023: $2,337,109,744Expenses 2023: $2,241,630,575Net Income 2023: $95,479,1692023Revenue 2024: $2,505,432,104Expenses 2024: $2,498,980,822Net Income 2024: $6,451,2822024

Highlighted filing

2015

Revenue$1,375,280,172
Expenses$1,377,297,673
Net Income-$2,017,501
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Oct 24, 2016
Return Version
2015v2.1
Gross Receipts
$1,412,611,843
Mission and Program Overview

Mission

SEE SCHEDULE O.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$199,784,169$129,835,556▼ $69,948,613
Investments in Publicly Traded Securities$102,735,748$102,589,693▼ $146,055
Prepaid Expenses and Deferred Charges$6,535,549$12,030,372▲ $5,494,823
Land, Buildings, and Equipment, Net$4,955,182$5,110,083▲ $154,901
Intangible Assets$3,250,000$3,250,000→ $0
Cash and Non-Interest-Bearing Accounts$1,750,420$487,048▼ $1,263,372
Other Notes and Loans Receivable, Net$874$2,524▲ $1,650
Savings and Temporary Cash Investments$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$382,904,096$319,172,089▼ $63,732,007
Other Assets Total$63,892,154$65,866,813▲ $1,974,659
Liabilities
Other Liabilities$354,708,459$291,251,664▼ $63,456,795
Accounts Payable and Accrued Expenses$35,568,976$42,551,081▲ $6,982,105
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$390,277,435$333,802,745▼ $56,474,690
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-7,373,339$-14,630,656▼ $7,257,317
Total Net Assets Fund Balance$-7,373,339$-14,630,656▼ $7,257,317
Total Liabilities and Net Assets / Fund Balance$382,904,096$319,172,089▼ $63,732,007

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$2,838,019$2,588,217$5,426,236
Equipment$1,421,612$3,229,433$4,651,045
Leasehold Improvements$850,452$1,154,182$2,004,634
Other Assets Org$65,866,813--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Hany AbdelaalPresident (as of 2/21/15)FT$374,430$343,604$718,034
Arik OlsonLd. Med Director (through 4/17/15)FT$93,704$218,829$312,533
Mazin FarrajVP, Medicare Market Dev.FT$247,886$54,805$302,691
Dina SorokaVP, Finance, Health PlansFT$272,651$28,110$300,761
Lisa GeorgeMedical Director, Health PlansFT$284,226$2,525$286,751
Ruben MercedesSr. Comm Liaison, Medicare AdvFT$73,422$183,857$257,279
Barry WashingtonSr. Comm Liaison, Medicare AdvFT$75,957$161,467$237,424
Christopher PalmieriPresident (through 1/1/15)FT$195,699$200,759$200,759
Eric PriceSVP & Gm (through 1/16/2015)FT$35,773$152,989$188,762

Board Members and Trustees

NameTitle
Andrew N Schiff MdChair
Mary Ann ChristopherPresident & Chief Exec Officer
Elispeth M GrossBoard Member
John P RaffertyBoard Member
Joseph D MarkBoard Member
Mary R Nina HendersonBoard Member
Michelle LopezBoard Member
Peter L HutchingsBoard Member
Phyllis J Mills Bsn RnBoard Member
Robert C DaumBoard Member
Ronald VanceChief Operating Officer
Kwan Lan Tom MaoSecretary & Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Partners In CareHome Health Aides1250 BROADWAY 9TH FLOOR, New York, NY 10001$209,913,649
Premier Home Health Care ServicesHome Health Aides445 HAMILTON AVE 10TH FLOOR, White Plains, NY 10601$59,367,739
Alliance For Health INCHome Health AidesPO BOX 34676, Newark, NJ 07101$38,019,236
Prestige CareHome Health AidesOLD CHELSEA STATION, New York, NY 10011$27,043,810
Personal Touch Home Care Of NyHome Health Aides222-15 NORTHERN BLVD, Bayside, NY 11361$25,268,028
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,369,210,062
Investment Income
$5,951,334
Other Revenue
$118,776
Change in Net Assets
$-2,017,501
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,288,126,418
Salaries, Compensation, and Employee Benefits$89,171,255
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$1,160,077,113$44,675,831-$1,204,752,944
Other Salaries and Wages$32,378,967$33,292,676-$65,671,643
Other Employee Benefits$5,422,673$5,575,697-$10,998,370
Interest-$9,976,879-$9,976,879
Occupancy$1,556,689$7,689,100-$9,245,789
Pension Plan Contributions$2,970,700$3,054,531-$6,025,231
Payroll Taxes$2,501,701$2,572,297-$5,073,998
Office Expenses$408,329$2,016,897-$2,425,226
Depreciation Depletion$313,473$1,548,365-$1,861,838
Information Technology$228,285$1,127,591-$1,355,876
Current Officers, Directors, Trustees, and Key Employees$601,293$618,261-$1,219,554
Travel$171,008$844,677-$1,015,685
Fees for Services Legal-$780,892-$780,892
Insurance-$674,712-$674,712
Advertising-$467,412-$467,412
Conferences and Meetings$72,267$356,957-$429,224
Fees for Service Investment Mgmnt Fees-$260,854-$260,854
Fees for Services Accounting-$225,725-$225,725
Other Expenses$33,460$165,269-$198,729
Comp Disqual Persons$89,960$92,499-$182,459
Total Functional Expenses$1,227,322,096$149,975,577$0$1,377,297,673
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Susan UnderwoodDaughter of E. GrossEmploymentNo$182,459

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$190,044,511
Accrued Medical Claims$99,610,226
3rd Party Payable$1,596,927
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

Ronald vance began his term as chief operating officer in the beginning of 2015. Ronald vance is a managing director with alvarez & marsal, and his services as chief operating officer were provided pursuant to a contract with alvarez & marsal. Vns choice had a prior business relationship with alvarez & marsal that preceded ronald vance's appointment as chief operating officer. Ronald vance recused himself from any discussions that the management of vns choice had regarding contracts with alvarez & marsal. In 2015, alvarez & marsal was paid $966,355 for the services provided by ronald vance as chief operating officer of vns choice.

Form 990, Part VI, Section A, Line 6

Vns continuing care development corporation 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

Vns continuing care development corporation is the sole corporate member. The member holds annual meetings to elect the directors, and the member may take action as required or permitted under the organization's bylaws or under any provision of law.

Form 990, Part VI, Section B, Line 11

The audit committee of vnsny and its affiliated organizations reviewed the form 990. The form 990 was made available to the board of directors and discussed at a vnsny board meeting. A complete copy of the organization's final form 990, including all required schedules, as ultimately filed with the irs, was provided to each voting member of the board before its filing with the irs.

Form 990, Part VI, Section B, Line 12C

The taxpayer does not have a seperate policy but does follow the policies and procedures of vnsny. The procedures undertaken at the vnsny level are described below. The compliance officer reviews the disclosure statements completed annually by each officer, director, and key employee, and consults with the senior vice president for legal and government affairs as appropriate. Any potential conflicts are vetted with the ceo, senior vice president for legal and government affairs and, as appropriate, the chairman. Specific follow-up action is taken on a case-by-case basis as necessary.

Form 990, Part VI, Section B, Lines 13 &14

The taxpayer does not have a seperate whistleblower or document retention and destruction policy, but does follow the policies and procedures of vnsny.

Form 990, Part VI, Section B, Line 15

The taxpayer does not have a seperate policy but does follow 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. The last comprehensive review took place in 2014. The process for determining the individual compensation levels of vnsny's top management, including the ceo, and all officers meets the three requirements of the rebuttable presumption under treas. Reg. 53.4958-6. A compensation committee is appointed by the board of directors for the purpose of assisting the board to fulfill its responsibility to vnsny and the community to ensure the compensation is in accordance with vnsny's policies. The committee is comprised of 6 directors who are independent of management and vnsny and free of any conflicts of interest that would interfere with their exercise of independent judgment. Prior to making compensation decisions, the committee obtains and relies upon appropriate data as to comparability. The committee retains an independent compensation consultant and utilizes local and national compensation surveys to assist in setting compensation levels. The compensation committee adequately and on a timely basis documents the basis for setting compensation with the making of the determination.

Form 990, Part VI, Section C, Line 19

Documents are available upon request.

Filing and Contact Details

Filer

Filer Name
Vns Choice
EIN
13-3951057
In Care Of
% JIMMY SINGH
Phone
2126905716
Address
5 Penn Plaza 12th Floor, New York, NY 10001

Signing Officer

Name
Dina Soroka
Title
VP Finance
Phone
2126095175
Signed
2016-10-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Hany Abdelaal
Formed
1997
Legal Domicile
Ny
Voting Board Members
10
Independent Board Members
9
Employees
977
Volunteers
25

Preparer

Firm
Kpmg Llp
Address
One Financial Plaza, Hartford, CT 06103-2608
Preparer
Mary-evelyn Antonetti
Phone
8605223200
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1

Description of Organization Mission VNSNY's choice mission, as an affiliate of Visiting Nurse Service of New York ("VNSNY"), is to help enrollees continue to live independently in their own homes and communities; promote choice in health and long term care and to provide innovative health and long term care solutions that are beneficial, cost effective, and serve each enrollee's needs.

Form 990, Part III, Line 1

Description of organization mission Help members continue to live independently in their own home and communities for as long as possible; promote choice in health and long term care by directly involving members in their care, and by offering a wide range of flexible services to meet members' needs; and provide innovative health and long term care solutions that are beneficial, cost effective, and serve each member's needs. It shares the embedded values of maintaining independence and dignity through choice with VNSNY and its related 501(c)(3) corporations and receives significant assistance from VNSNY for its programs. This assistance includes grants of philanthropic dollars (monies from donors and from VNSNY's own reserves) for its charitable initiatives. In 2015, VNSNY and its affiliates provided $19 million in charitable care and community benefit services. (see VNSNY Form 990 for complete list of charitable programs.)

Form 990, Part III - Program Service, Line 4A

Vnsny choice, a managed care organization licensed under article 44 of the new york state health laws, operates a managed long-term care ("mltc") program. It is a capitated medicaid program that arranges for and manages individually tailored care for medicaid-eligibles who wish to live at home but because of multiple clinical diagnoses need day-to-day assistance. One of the largest mltc program in new york state, vnsny choice has over 13,900 members and serves all boroughs of new york city plus nassau, suffolk, westchester, dutchess, orange, rockland, sullivan, ulster and putnam counties. Vnsny choice mltc expanded its service area in 2013 to upstate new york and now has enrollment in multiple counties, including: albany, columbia, erie, greene, monroe, montgomery, rensselaer, saratoga, schnectady, schoharie, warren, washington, oneida, and onondaga counties.

Form 990, Part III - Program Service, Line 4B

Vnsny choice, a managed care organization licensed under article 44 of the new york state health laws, operates a medicare advantage special needs plan (vnsny choice medicare), focused on care management of people eligible for both medicare and medicaid and a medicare plan for beneficiaries who do not qualify for medicaid. Vnsny choice medicare serves all 5 boroughs of nyc nassau, suffolk, and westchester, as well as upstate counties of rensselaer, saratoga and schnectady and has over 17,200 enrollees.

Form 990, Part III - Program Service, Line 4C

In 2012, vnsny choice, a managed care organization licensed under article 44 of the new york state health laws, acquired a medicaid hiv special needs plan (vnsny choice selecthealth). Vnsny choice selecthealth serves 3,900 enrollees diagnosed with hiv and aids, as well as their dependent children (regardless of hiv status) who reside in new york city. It provides a full range of medicaid-covered services to the enrollees, including comprehensive medical care, personal care services, and prescription drugs.

Form 990, Part III - Program Service, Line 4D

In 2015, vnsny choice, a managed care organization licensed under article 44 of the new york state health laws, operates an integrated medicare advantage/medicaid managed long-term care plan also known as "fully integrated dual advantage" (fida), which provides health coverage to individuals who are eligible for both medicare and mltc benefits. Fida serves all 5 boroughs of nyc and has over 2,400 enrollees.

Form 990 Part IX Line 11G

Description:non pic hha vendors total fees:xxx-xx-xxxx

Form 990 Part IX Line 11G

Description:pic total fees:xxx-xx-xxxx

Form 990 Part IX Line 11G

Description:pharmacy total fees:xxx-xx-xxxx

Form 990 Part IX Line 11G

Description:hospital inpatient facility total fees:xxx-xx-xxxx

Form 990 Part IX Line 11G

Description:snf/nursing home total fees:96950016

Form 990 Part IX Line 11G

Description:physicians on contract total fees:31248456

Form 990 Part IX Line 11G

Description:transport patient nonemergency total fees:26429980

Form 990 Part IX Line 11G

Description:home health care total fees:20229660

Form 990 Part IX Line 11G

Description:other total fees:xxx-xx-xxxx

Financial Statement Notes

Schedule D, Part X, Line 2

FIN 48 DISCLOSURE VNSNY CHOICE WAS INCLUDED IN THE VNS CHOICE AND SUBSIDIARY FINANCIAL STATEMENT AUDIT WITH VNSNY CHOICE COMMUNITY CARE AND THE FOLLOWING STATEMENT IS FROM THE VNS CHOICE AND SUBSIDIARY AUDITED FINANCIAL STATEMENTS. VNSNY Choice and its subsidiary have been determined by the Internal Revenue Service to be organizations described in Internal Revenue Code (the Code) Section 501(c)(3), and therefore are exempt from Federal income taxes on related income pursuant to Section 501(a) of the Code. VNSNY Choice recognizes income tax positions when it is more-likely than-not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material tax liabilities that need to be recorded as of December 31, 2015 and 2014.

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IRS990/OtherExpensesGrp/Desc0INDIR O/H ALLOC FR AFFI
IRS990/OtherExpensesGrp/Desc1MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc2SUBSCRIPTIONS

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$831$426$405$2,505$2,499$6.45
2023Summary only. Only limited summary data is available for this year.$736$352$384$2,337$2,242$95.5
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$753$490$263$2,048$2,001$46.9
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$728$468$260$1,922$1,833$89.7
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$760$593$167$1,960$1,836$124
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$477$444$33.7$1,864$1,808$55.8
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$359$384$25.3$1,473$1,456$17.3
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$373$412$38.9$1,462$1,495$32.7
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$330$339$8.65$1,466$1,461$5.40
2015Detailed filing. Detailed filing data is available for this year.$319$334$14.6$1,375$1,377$2.02
2014Detailed filing. Detailed filing data is available for this year.$383$390$7.37$1,388$1,461$72.4
2013Detailed filing. Detailed filing data is available for this year.$274$232$42.2$1,300$1,391$90.8
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$294$166$129$867
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$235$119$115$544
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$175$103$72.0$490