2023-11-15T12:42:24-06:00 2022-12-31 FORVIS LLP 1155 Avenue of the Americas 1200 New York NY 10036 990 2022-01-01 262006545 Village Senior Services Corporation % DEBRA TIRADO VILL 2123375803 120 Broadway Suite 2840 New York NY 10271 EMMA DEVITO PRESIDENT AND CEO 2123375710 2023-10-25 true EMMA DEVITO 999009999 Aaron Shapiro P01333816 2128674000 3 2022 2023-04-26 12:10:37Z EMMA DEVITO 120 Broadway Suite 2840 New York NY 10271 1061403341 false X WWW.VILLAGECARE.ORG X 2008 NY THE PLAN COVERS A WIDE RANGE OF LONG Term CARE AND MEDICARE SERVICES, INCLUDING A DEDICATED CARE TEAM, AND has MANAGED TO MAINTAIN OVER 19,000 MEMBERSHIPS DURING 2022. 17 16 672 16 0 0 0 920616353 1018630441 1299074 356011 0 0 921915427 1018986452 0 0 0 0 53339282 63554570 0 0 0 811872653 924489929 865211935 988044499 56703492 30941953 301834383 329821096 184729052 184528386 117105331 145292710 X VILLAGE SENIOR SERVICES CORPORATION (VSSC) OPERATES A MEDICAID MANAGED LONG-TERM CARE PLAN AND OTHER INSURANCE PLANS THAT COORDINATE HEALTH CARE SERVICES FOR CHRONICALLY ILL ADULTS WHO WISH TO CONTINUE TO STAY AT HOME AND IN THEIR COMMUNITIES FOR AS LONG AS POSSIBLE. IT WORKS CLOSELY WITH MEMBERS' DOCTORS TO HELP SET UP APPOINTMENTS, ARRANGE CARE, MONITOR MEDICATIONS AND PROVIDE GUIDANCE TOWARD THE BEST QUALITY HEALTH CARE OPTIONS AVAILABLE. false false 924748034 1018630441 VSSC OPERATES A PARTIALLY CAPITATED MEDICAID MANAGED LONG-TERM CARE PROGRAM (MLTCP) PLAN, A DUAL ELIGIBLE SPECIAL NEEDS PLAN (DSNP), AND A MEDICAID ADVANTAGE PLUS (MAP) PLAN. THE MLTCP PLAN COVERS A WIDE RANGE OF LONG TERM CARE SERVICES INCLUDING A DEDICATED CARE TEAM. THE VOLUME OF MEMBERSHIPS HAS INCREASED TO OVER 19,000 IN 2022. 924748034 true false false true false false false false false false true false false true true false true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 2075 0 672 true false false false false false false false false false false false false X 17 16 false false false false true true true true true false false true true true true true true false false false NY X DEBRA TIRADO 2123375710 120 BROADWAY SUITE 2840 NEW YORK NY 10271 EMMA DEVITO PRESIDENT AND CEO 22.75 12.25 X X 0 1226152 77733 JILL MOSCOWITZ CHIEF LEGAL OFFICER 18.25 16.75 X 0 624115 77733 LISA GARAY EVP OF CLINICAL STRATEGY & OPS 35.0 0.0 X 581435 0 81455 DEBRA TIRADO CFO 22.75 12.25 X 0 557781 43962 XIN LIU NURSE ASSESSOR 35.0 0.0 X 376425 0 0 VANESSA FERNANDEZ VP OF MEMBER EXP. AND SUP. SVC 35.0 0.0 X 293947 0 41869 STEVEN ARNOLD SENIOR MEDICAL DIRECTOR 35.0 0.0 X 307022 0 15593 JANICE LEACOCK-BENNETT VP OF CLINICAL OPERATIONS 35.0 0.0 X 271780 0 43882 XIAOHONG DONG AVP BUSINESS DEVELOPMENT 35.0 0.0 X 271428 0 13528 ANIBAL VAZQUEZ AVP OF SALES OPERATIONS 35.0 0.0 X 228696 0 25583 JOHN W BEHRE CHAIR 0.6 0.32 X X 0 0 0 JUDY CHOI SECRETARY 0.48 0.26 X X 0 0 0 MARY CARACAPPA TREASURER 0.48 0.26 X X 0 0 0 ELEANOR S APPLEWHAITE DIRECTOR 0.1 0.05 X 0 0 0 LYNNE P BROWN DIRECTOR 0.03 0.01 X 0 0 0 ELIZABETH BUTSON DIRECTOR 0.1 0.05 X 0 0 0 DAVID H SIDWELL DIRECTOR 0.26 0.14 X 0 0 0 DANIEL M FOX DIRECTOR 0.1 0.14 X 0 0 0 GAIL DONOVAN DIRECTOR 0.36 0.2 X 0 0 0 RUTH LEVIN DIRECTOR 0.19 0.1 X 0 0 0 JAMES J GARDINER DIRECTOR 0.08 0.04 X 0 0 0 JAMES R KNICKMAN DIRECTOR 0.06 0.03 X 0 0 0 LYNN LAW DIRECTOR 0.1 0.05 X 0 0 0 GLENNA R MICHAELS DIRECTOR 0.23 0.12 X 0 0 0 LEROY SHARER DIRECTOR 0.1 0.05 X 0 0 0 JUDITH SMITH DIRECTOR 0.1 0.05 X 0 0 0 2330733 2408048 421338 173 false true false MEDIMPACT 10181 SCRIPPS GATEWAY COURT SAN DIEGO CA 92131 PHARMACY BENEFIT MGT 28617400 ROYAL HEALTH CARE OF LONG ISLAND 1 COMPUTER ASSOCIATES PLAZA SUITE ISLANDIA NY 11749 TPA SERVICES 8278403 JAMAICA ACQUISITION III LLC 3155 GRACE AVE BRONX NY 10469 CARE MANAGEMENT 1453680 SPS COMMUNITY SOLUTIONS 100 BOULEVARD OF THE AMERICAS LAKEWOOD NJ 08701 MEDICAID & FINANCIAL 928826 X-TREME CARE LLC 21212 NORTHERN BLVD BAYSIDE NY 11361 UAS ENROLLMENT ASSE 532958 22 0 PREMIUM REVENUES 524114 1018630441 1018630441 1018630441 1608855 1608855 0 0 0 0 0 41164045 42416889 -1252844 -1252844 -1252844 0 0 0 0 0 0 0 0 0 0 1018986452 1018630441 356011 0 0 0 0 998706 761384 237322 0 50484126 38487592 11996534 1909893 1456045 453848 6394049 4874632 1519417 3767796 2872455 895341 36183667 36183667 0 124800 124800 54827 54827 0 137096 137096 873803026 871384017 2419009 2429148 258781 2170367 3541741 1874346 1667395 2182244 2218 2180026 0 238154 71276 166878 84137 12651 71486 0 0 32547 5686 26861 0 632058 19220 612838 1240572 216745 1023827 ASSESSMENTS 3701700 2432779 1268921 MISCELLANEOUS 104212 18207 86005 988044499 924748034 63296465 0 191425178 163523458 143482 9892924 0 0 13144979 18055572 0 0 0 0 0 0 0 0 1341400 1270259 3965718 1937757 1392717 2027961 25367588 63323393 0 0 0 0 0 0 69019039 71727529 301834383 329821096 9076749 12692642 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175652303 171835744 184729052 184528386 X 117105331 145292710 0 0 117105331 145292710 301834383 329821096 30941953 -2754574 X false true X true false X 0 0 0 0 0 0 606855092 796296756 845298723 920616353 1018630441 4187697365 0 0 0 606855092 796296756 845298723 920616353 1018630441 4187697365 0 0 0 4187697365 916247 1238278 1488989 1343644 1608855 6596013 0 916247 1238278 1488989 1343644 1608855 6596013 0 0 607771339 797535034 846787712 921959997 1020239296 4194293378 0.99843 0.99835 0.00157 0.00165 X false false false false false false false false true 54827 54827 false false Schedule C, Part II-B, Line 1 Manatt, Phelps, and Phillips LLP leads a coalition of nonprofit Medicaid managed care plans in New York and represents these plans before the New York State Department of Health and other regulatory and legislative bodies on rate development, payment and delivery system reform, managed care expansion, health homes and quality measurement. The organization paid $105,000 for their services. The organization paid $15,000 in membership dues to Leadingage, $1,566 of this is considered lobbying activities. 493699 380124 113575 3472019 1557633 1914386 2027961 ESCROW RECEIVABLE 33999325 DUE FROM THIRD PARTIES 32309913 REINSURANCE & DRUG REBATE REC. 4742296 INTEREST REBATE 304588 DEPOSITS 176262 OTHER RECEIVABLES 2280 RIGHT OF USE ASSET 192865 71727529 0 CLAIMS RESERVE 97191952 DUE TO THIRD PARTIES 66573317 SUBORDINATE SURPLUS NOTE PAYABLE 6746884 DUE TO RELATED ENTITIES 916747 CONTRACT LIABILITY 4163 OPERATING LEASE LIABILITIES 402681 171835744 X 1016094782 -2754574 -2754574 1018849356 137096 137096 1018986452 987907403 987907403 137096 137096 988044499 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTITFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. X X X X false false false false false false false true false EMMA DEVITO PRESIDENT AND CEO 0 999141 0 192734 0 34277 0 57100 0 20633 0 1303885 DEBRA TIRADO CFO 0 493391 0 62775 0 1615 0 36600 0 7362 0 601743 STEVEN ARNOLD SENIOR MEDICAL DIRECTOR 286680 0 17561 0 2781 0 15243 0 350 0 322615 0 XIAOHONG DONG AVP BUSINESS DEVELOPMENT 255396 0 15000 0 1032 0 13528 0 0 0 284956 0 XIN LIU NURSE ASSESSOR 376425 0 0 0 0 0 0 0 0 0 376425 0 JANICE LEACOCK-BENNETT VP OF CLINICAL OPERATIONS 253580 0 17659 0 541 0 19511 0 24371 0 315662 0 ANIBAL VAZQUEZ AVP OF SALES OPERATIONS 219592 0 8552 0 552 0 4950 0 20633 0 254279 0 VANESSA FERNANDEZ VP OF MEMBER EXP. AND SUP. SVC 269986 0 23064 0 897 0 21236 0 20633 0 335816 0 JILL MOSCOWITZ CHIEF LEGAL OFFICER 0 521909 0 69750 0 32456 0 57100 0 20633 0 701848 LISA GARAY EVP OF CLINICAL STRATEGY & OPS 500718 0 54057 0 26660 0 56427 0 25028 0 662890 0 SCHEDULE J, PART I, LINE 7 THE BONSUSES LISTED IN PART II, COLUMN B(II) ARE performance based and are DETERMINED AND APPROVED BY the BOARD. FORM 990, PART VI, SECTION A, LINE 6 VILLAGE CARE OF NEW YORK (VCNY) IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A VILLAGE CARE OF NEW YORK, AS THE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B VILLAGE CARE OF NEW YORK, AS THE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO REMOVE DIRECTORS WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS DISTRIBUTED TO THE AUDIT COMMITTEE AND THE FULL BOARD FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE IRS. ANY ISSUES ARE ADDRESSED PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD DELEGATING POWER SHALL ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. THE STATEMENT IS DISCLOSED TO VCNY AND SUBSIDIARIES' CORPORATE COMPLIANCE OFFICER WHO WOULD REPORT THE FINDINGS TO THE VILLAGE CARE OF NEW YORK (VCNY) BOARD EXECUTIVE COMMITTEE. IF A CONFLICT WERE TO BE FOUND, THE CONFLICTED PERSON WOULD BE RECUSED FROM MATTERS RELATING TO HIS/HER POSSIBLE CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 VSSC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:CLAIMS SETTLED TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY MEDICAL TOTAL FEES:1457145 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:11022396 FORM 990 PART IX LINE 11G DESCRIPTION:STOP LOSS TOTAL FEES:2846017 FORM 990 PART IX LINE 11G DESCRIPTION:CAPITATION EXPENSE TOTAL FEES:2608529 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:649893 FORM 990 PART IX LINE 11G DESCRIPTION:CARE MANAGEMENT TOTAL FEES:7779802 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:20507 VILLAGE CARE OF NEW YORK 120 BROADWAY NEW YORK NY 10271 133854754 MANAGEMENT NY 501(C)(3) 12A, II NA false VILLAGE CENTER FOR CARE 120 BROADWAY NEW YORK NY 10271 132911059 NH FACILITY NY 501(C)(3) 10 VCNY false VILLAGE HOUSING DEVELOPMENT FUND CORP 120 BROADWAY NEW YORK NY 10271 131619096 SEN. HOUSING NY 501(C)(3) 10 VCNY false VILLAGE CENTER FOR CARE FUND 120 BROADWAY NEW YORK NY 10271 133471553 FUNDRAISING NY 501(C)(3) 7 VCNY false MULTITASKING SYSTEMS INC 120 BROADWAY NEW YORK NY 10271 133346371 INACTIVE NY 501 (C)(3) 10 VCNY false VILLAGE SERVICES CORP 120 BROADWAY NEW YORK NY 10271 134188104 H.CARE SVCS NY 501(C)(3) PF VCNY false VILLAGE DIAGNOSTICS AND TREATMENT 120 BROADWAY NEW YORK NY 10271 134215186 INACTIVE NY 501(C)(3) 3 NA false VILLAGE HOME AND COMMUNITY SERVICES 120 BROADWAY NEW YORK NY 10271 262534779 INACTIVE NY N/A false VILLAGE CARE HOLDING 120 BROADWAY NEW YORK NY 10271 134161623 HOLDING COMPANY NY VCNY C CORP. false VILLAGE CARE PLUS 120 BROADWAY NEW YORK NY 10271 133959371 HEALTH CARE NY VCNY C CORP. false false false false false false false false false false false false false true false true true true false false