Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1c · Fundraising events

  $1,104,889

• 1e · Government grants (contributions)

  $1,139,305

• 1f · All other contributions, gifts and grants

  $10,566,476

• 1g · Noncash contributions included above

  $107,048

• 2a · Program service revenue: PROGRAM SERVICE REVENUE

  total $47,247 · related or exempt $47,247

• 3 · Investment income

  total $13,921,061 · unrelated business -$16,862 · excluded $13,937,923

• 4 · Income from investment of tax-exempt bond proceeds

  total $0

• 5 · Royalties

  total $0

• 6c · Rental income or loss

  real property $0 · personal property $0

• 6d · Net rental income or loss

  total $0

• 7a · Gross sales of assets other than inventory

  securities $189,921,972

• 7b · Less cost or other basis and sales expenses

  securities $169,790,247

• 7c · Gain or loss

  securities $20,131,725

• 7d · Net gain or loss

  total $20,131,725 · unrelated business $2,278 · excluded $20,129,447

• 8a · Fundraising events: gross income

  $250,477

• 8a · Fundraising events: contributions included on line 1c

  $1,104,889

• 8b · Fundraising events: direct expenses

  $250,477

• 9a · Gaming: gross income

  $7,402

• 9b · Gaming: direct expenses

  $0

• 9c · Net income from gaming

  total $7,402

• 10a · Gross sales of inventory

  $0

• 10b · Cost of goods sold

  $0

• 10c · Net income from sales of inventory

  total $0

• 11e · Other revenue, total

  $0

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $6,074,212 · program services $6,074,212

• 2 · Grants to domestic individuals

  total $0

• 3 · Grants to foreign organizations and individuals

  total $0

• 4 · Benefits paid to or for members

  total $0

• 5 · Compensation of officers, directors and key employees

  total $3,956,556 · program services $71,357 · management and general $3,845,644 · fundraising $39,555

• 6 · Compensation of disqualified persons

  total $0

• 7 · Other salaries and wages

  total $113,384,843 · program services $2,034,232 · management and general $110,219,874 · fundraising $1,130,737

• 8 · Pension plan contributions

  total $3,035,636 · program services $54,425 · management and general $2,950,959 · fundraising $30,252

• 9 · Other employee benefits

  total $13,853,896 · program services $282,885 · management and general $13,422,714 · fundraising $148,297

• 10 · Payroll taxes

  total $7,036,030 · program services $133,120 · management and general $6,815,013 · fundraising $87,897

• 11a · Fees: management

  total $0

• 11b · Fees: legal

  total $6,273,458 · management and general $6,273,458

• 11c · Fees: accounting

  total $1,238,737 · management and general $1,238,737

• 11d · Fees: lobbying

  total $512,045 · management and general $512,045

• 11e · Fees: professional fundraising services

  total $527,836 · fundraising $527,836

• 11f · Fees: investment management

  total $3,213,710 · management and general $3,213,710

• 11g · Fees: other

  total $8,424,499 · program services $460,689 · management and general $7,961,605 · fundraising $2,205

• 12 · Advertising and promotion

  total $9,612,005 · management and general $9,152,421 · fundraising $459,584

• 13 · Office expenses

  total $4,492,578 · program services $45,096 · management and general $4,438,031 · fundraising $9,451

• 14 · Information technology

  total $25,619,049 · program services $16,030 · management and general $25,593,340 · fundraising $9,679

• 15 · Royalties

  total $0

• 16 · Occupancy

  total $8,496,066 · program services $267,945 · management and general $7,879,858 · fundraising $348,263

• 17 · Travel

  total $329,842 · program services $7,491 · management and general $320,041 · fundraising $2,310

• 18 · Travel or entertainment for public officials

  total $0

• 19 · Conferences, conventions and meetings

  total $696,871 · program services $12,212 · management and general $676,323 · fundraising $8,336

• 20 · Interest

  total $7,125,709 · management and general $7,125,709

• 21 · Payments to affiliates

  total $0

• 22 · Depreciation, depletion and amortization

  total $9,150,097 · management and general $9,150,097

• 23 · Insurance

  total $117,093 · program services $85,101 · fundraising $31,992

• 24a · Other expenses: SUBSCRIPTIONS & DUES

  total $1,528,528 · program services $5,412 · management and general $1,518,063 · fundraising $5,053

• 24b · Other expenses: RECRUITMENT FEES

  total $1,101,611 · management and general $1,101,611

• 24c · Other expenses: TRANSLATION SERVICES

  total $220,856 · management and general $220,856

• 24d · Other expenses: SHARED SERVICES

  total -$202,232,420 · program services $659,060 · management and general -$203,221,983 · fundraising $330,503

• 24e · All other expenses

  total $1,026,173 · program services $32,249 · management and general $962,553 · fundraising $31,371

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $10,130,033 · end of year $13,738,686

• 2 · Savings and temporary cash investments

  beginning of year $0 · end of year $0

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $1,839,124 · end of year $2,161,898

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $161,459,710 · end of year $132,951,348

• 8 · Inventories for sale or use

  beginning of year $0 · end of year $0

• 9 · Prepaid expenses and deferred charges

  beginning of year $10,898,617 · end of year $13,765,047

• 10a · Land, buildings and equipment: cost or other basis

  $143,995,330

• 10b · Land, buildings and equipment: accumulated depreciation

  $96,046,308

• 10c · Land, buildings and equipment, net

  beginning of year $54,824,755 · end of year $47,949,022

• 11 · Investments: publicly traded securities

  beginning of year $346,855,678 · end of year $446,353,120

• 12 · Investments: other securities

  beginning of year $93,176,868 · end of year $2,593,427

• 13 · Investments: program-related

  beginning of year $1,164,138 · end of year $1,164,138

• 14 · Intangible assets

  beginning of year $0 · end of year $0

• 15 · Other assets

  beginning of year $251,135,094 · end of year $238,755,419

• 17 · Accounts payable and accrued expenses

  beginning of year $95,317,309 · end of year $102,282,246

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $0 · end of year $0

• 20 · Tax-exempt bond liabilities

  beginning of year $0 · end of year $0

• 21 · Escrow or custodial account liability

  beginning of year $0 · end of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $0 · end of year $0

• 24 · Unsecured notes and loans payable

  beginning of year $109,125,000 · end of year $96,179,005

• 25 · Other liabilities

  beginning of year $346,146,192 · end of year $299,823,054

• 27 · Net assets without donor restrictions

  beginning of year $366,227,303 · end of year $384,520,415

• 28 · Net assets with donor restrictions

  beginning of year $14,668,213 · end of year $16,627,385

The filer's explanations (Part III)

CORE FORM, PART VII AND SCHEDULE J

TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2023 FORMS W-2.

SCHEDULE J, PART I; QUESTION 4A

THE FOLLOWING INDIVIDUALs RECEIVED SEVERANCE PAYMENTS DURING THE YEAR WHICH WERE INCLUDED IN THEIR 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: TRACY DODD, $511,475 AND ROBERT PLASCZ, $154,054.

SCHEDULE J, PART I; QUESTION 4B

THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN A DEFERRED COMPENSATION PLAN, AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DANIEL SAVITT, $189,379; KERRY PARKER, $80,486; KEITH PATTERSON, $63,920; MICHAEL BERNSTEIN, $64,352; ANDRIA CASTELLANOS, $63,442 AND DAVID ROSALES, $61,288. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN, WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DANIEL SAVITT, $44,843; KERRY PARKER, $18,599; KEITH PATTERSON, $15,881; MICHAEL BERNSTEIN, $14,871 AND DAVID ROSALES, $14,163.

SCHEDULE J, PART I; QUESTION 7

CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2023 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. EMPLOYEE BONUSES ARE NON-FIXED PAYMENTS BASED UPON PERFORMANCE. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• VNS HEALTH MSO

  related · HEALTH MGMT. · NY · 95% owned · share of income $89,882,603 · share of assets $1,489,048 · general or managing partner

  Directly controlled by VNSNY

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• MEDICAL CARE AT HOME PC

  C CORP. · HEALTH SVCS. · NY

  Directly controlled by NA

• VNS HEALTH HOLDINGS INC

  C CORP. · HOLDING COMPANY · NY · 100% owned · share of income -$331,430 · share of assets $49,972 · controlled entity

  Directly controlled by VNSNY

• VNS HEALTH SERVICES IPA INC

  C CORP. · HEALTH SVCS. · NY · 100% owned · share of income $6,301,035 · share of assets $1,159,470 · controlled entity

  Directly controlled by VNSNY