VISITING NURSE SERVICES IN WESTCHE… - Form 990 Financial Data

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1967

Legal Domicile

Principal Officer

JENNIFER BRULLO

Phone

9146821480

Tax Period

2023-01-01 to 2023-12-31

VISITING NURSE SERVICES IN WESTCHESTER INC, founded in 1967, is a mid-sized nonprofit in the Health Care sector that reported $11.2M in total revenue in fiscal year 2023. Revenue fell 24% from the prior year — a significant decline worth monitoring. Expenses of $13.3M exceeded revenue, resulting in a 19% operating deficit.

Mission

FOUNDED IN 1901, VISITING NURSE SERVICES IN WESTCHESTER (VNSW) IS A COMMUNITY-BASED, NOT-FOR PROFIT, MEDICARE CERTIFIED HOME HEALTH CARE AGENCY SERVING WESTCHESTER, PUTNAM, DUTCHESS, ROCKLAND AND THE BRONX RESIDENTS OF ALL AGES, THEIR FAMILIES AND CAREGIVERS. VNSW IS A LOCAL

Program Service Accomplishments

Program 1

Expenses: $9,846,587 Revenue: $10,512,736

VNSW PROVIDES A FULL ARRAY OF COMPREHENSIVE HOME HEALTH CARE SERVICES AND UTILIZES A CASE MANAGEMENT APPROACH TO ENSURE THAT PATIENTS RECEIVE ALL SERVICES THAT ARE NEEDED FOR THEM TO REACH THEIR...

VNSW PROVIDES A FULL ARRAY OF COMPREHENSIVE HOME HEALTH CARE SERVICES AND UTILIZES A CASE MANAGEMENT APPROACH TO ENSURE THAT PATIENTS RECEIVE ALL SERVICES THAT ARE NEEDED FOR THEM TO REACH THEIR MAXIMUM LEVEL OF INDEPENDENCE. OUR CORE SERVICES INCLUDE GENERAL MEDICAL-SURGICAL CARE FOR ADULT, PEDIATRIC AND ADOLESCENT AGE GROUPS; MATERNAL - NEWBORN CARE, PEDIATRIC AND ADOLESCENT CARE; AND CARE OF THE TERMINALLY ILL. A HOME CARE NURSE SERVES AS THE CASE MANAGER AND WORKS WITH THE PHYSICIAN AND ALL PROFESSIONAL DISCIPLINES INVOLVED TO ESTABLISH AND COORDINATE THE PLAN OF CARE. IN ADDITION TO OUR HOME HEALTH CARE SERVICES, VNSW ALSO PROVIDES THE FOLLOWING INNOVATIVE SPECIALTY SERVICES: ADVANCED WOUND/OSTOMY CARE, MENTAL HEALTH HOME CARE, CARDIAC DISEASE MANAGEMENT, PAIN MANAGEMENT/PALLIATIVE CARE, TELEHEALTH MONITORING, JOINT REPLACEMENT REHABILITATION, DYSPHAGIA REHABILITATION, TOBACCO CESSATION AND VNSW CARES; A GERIATRIC CARE MANAGEMENT PROGRAM. THE 2023 SERVICES INCLUDED THE FOLLOWING HOME HEALTH CARE SERVICES: SKILLED NURSING - 20,374 VISITS; PHYSICAL THERAPY - 14,621 VISITS; OCCUPATIONAL THERAPY - 4,695 VISITS; SPEECH THERAPY - 836 VISITS; MEDICAL SOCIAL SERVICES - 1,220 VISITS; HOME HEALTH AIDE SERVICES - 4,895 VISITS.

Program 2

Expenses: $74,049 Revenue: $0

THE TELEHEALTH PROGRAM, AN INNOVATIVE COMMUNITY SERVICE PROGRAM WAS CREATED TO ASSIST OUR AGENCY TO ACHIEVE RE-HOSPITALIZATION RATES BELOW THE NEW YORK STATE AVERAGE. IT WAS ESTABLISHED TO PROVIDE AN ENHANCEMENT TO CLINICAL MANAGEMENT, MONITORING, CARE AND SUPPORT THROUGH COMMUNICATION TECHNOLOGIES. ALSO KNOWN AS REMOTE PATIENT MONITORING, PERSONAL HEALTH AND MEDICAL DATA IS COLLECTED FROM THE PATIENT WHILE AT HOME AND TRANSMITTED TO THE HOME CARE AGENCY VIA A WEB PORTAL. THIS TYPE OF SERVICE ALLOWS A PROVIDER TO CONTINUE TO TRACK HEALTHCARE DATA FOR A PATIENT WHEN NOT IN THE HOME. THIS EFFECTIVE PATIENT MONITORING CAN HELP TO MAINTAIN THE PATIENT'S HEALTH IN THEIR HOME AND COMMUNITY, WITHOUT HAVING TO PHYSICALLY GO TO A PHYSICIAN OR EMERGENCY ROOM, BY REMINDING HE/SHE TO TAKE THEIR MEDICATIONS, MONITORING WEIGHT GAIN OR LOSS AND PROACTIVELY SENDING A NURSE TO THE HOME BEFORE A MEDICAL EMERGENCY ARISES.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $656,637

Program Service Revenue $10,512,736

Investment Income $5,826

Other Revenue $5,488

TOTAL REVENUE $11,180,687

Expense Breakdown

Grants Paid $0

Salaries & Benefits $8,930,143

Fundraising Expenses $0

Program Expenses $9,920,636

Other Expenses $4,320,099

TOTAL EXPENSES $13,250,242

Year-over-Year Comparison

	2023	2022	Change
Revenue	$11,180,687	$14,771,724	-0.2%
Expenses	$13,250,242	$16,816,777	-0.2%
Net Income	$-2,069,555	$-2,045,053	+0.0%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

107

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$736,031

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
JAMES R MARTELL	CHAIRPERSON	2.00	Officer Director	$0	$0	$0
JESSE ROSENBLATT	VICE CHAIRPERSON	2.00	Officer Director	$0	$0	$0
ANDREA MCKAY-HARRIS	SECRETARY	2.00	Officer Director	$0	$0	$0
CHRIS STANLEY	TREASURER	2.00	Officer Director	$0	$0	$0
MICHAEL J AMORUSO ESQ	DIRECTOR	2.00	Director	$0	$0	$0
AMY ANSEHL DNP FNP BC RN	DIRECTOR	2.00	Director	$0	$0	$0
MARTIN CONSIDINE	DIRECTOR THRU MAY 2023	2.00	Director	$0	$0	$0
RICHARD J DAVIDIAN	DIRECTOR	2.00	Director	$0	$0	$0
RICHARD D FENTON	DIRECTOR	2.00	Director	$0	$0	$0
LEROY FRANCIS MPH	DIRECTOR	2.00	Director	$0	$0	$0
KAREN HERRERO	DIRECTOR	2.00	Director	$0	$0	$0
STEPHEN LANDON	DIRECTOR THRU MAY 2023	2.00	Director	$0	$0	$0
ARLENE F ROSEN EDD RN	DIRECTOR	2.00	Director	$0	$0	$0
BUPENDRA SHAH	DIRECTOR	2.00	Director	$0	$0	$0
JESSICA ANSEHL STEINBERG	DIRECTOR	2.00	Director	$0	$0	$0
CHARLES TRAINOR	DIRECTOR	2.00	Director	$0	$0	$0
TIMOTHY P LEDDY	PRESIDENT/CEO	2.00	Officer	$0	$74,468	$513,045
CHRISTOPHER CARDONE	CFO	2.00	Officer	$0	$30,164	$222,986
LESLIE WARDELL	INTAKE COORDINATOR	35.00	Highest	$131,838	$24,251	$156,089
KRZYSZTOF DRAGAN	REGISTERED NURSE	35.00	Highest	$129,572	$8,418	$137,990
LUCY O'CONNOR	REGISTERED NURSE	35.00	Highest	$131,597	$8,674	$140,271
STACY ANTELO	REGISTERED NURSE	35.00	Highest	$117,450	$34,801	$152,251
CLAUDIA ELENEWICH	WC SPECIALIST	35.00	Highest	$122,346	$20,226	$142,572

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$11,180,687	$13,250,242	$3,457,761	$-2,069,555
2022	$14,771,724	$16,816,777	$4,833,172	$-2,045,053
2021	$24,659,795	$21,830,272	$8,832,462	$2,829,523
2020	$23,486,021	$23,520,688	$13,528,850	$-34,667
2019	$25,397,277	$26,841,531	$5,677,971	$-1,444,254
2018	$29,628,515	$29,560,655	$6,622,054	$67,860

VISITING NURSE SERVICES IN WESTCHESTER INC