2022-05-12T14:52:16-07:00 2021-06-30 990 2020-07-01 251764544 ALLIANCE VISITING NURSES ALLI 8143337000 18360 Conneaut Lake Road Suite 2 Meadville PA 163353757 Tammy Young CFO 8143337000 2022-05-12 1 11 0 AAL2 2020 2022-09-23 18:48:47Z X VNA Alliance Tammy S Young CFO 613 North Pike Road Suite B Cabot PA 16023 8299931 0 X www.vnaalliance.org X 1995 PA Health care delivery & management: Provide community based programs, services, and facilities to seniors, disabled and ill persons in their homes and communities. Includes nursing, therapy, home health aide, medical social work, and related services. 12 12 99 19 0 0 231800 0 6778070 8296189 12332 3307 0 0 7022202 8299496 404 77 0 0 4049960 4533749 0 0 0 1350686 1663087 5401050 6196913 1621152 2102583 4467358 6175760 1312913 1418732 3154445 4757028 Health care delivery & management: Provide community-based programs, services, and facilities to seniors, disabled and ill persons in their homes and communities. Collaborative care is provided by a team that includes nursing, therapy, personal care, home health aide, medical social work, and other related services. Services were provided regardless of race, ethnicity, creed, or ability to pay. 0 0 4573103 77 8299496 VNA Alliance is an independent, voluntary, nonprofit home health agency licensed in Pennsylvania. All services are available without regard to race, religion, creed, color, age, ancestry, national origin, sex, sexual preference, lifestyle, socioeconomic status, veteran's status or handicap. The agency strives to operate in a Christian manner in all interactions with consumers, staff, and the community. The provision of care to consumers recognizes and supports consumers' rights and the inherent worth and dignity of each individual. The agency seeks to provide care to all consumers in need of its services while recognizing its goal to maintain financial viability. Service delivery is based on the belief that quality health care can be delivered using efficient, effective and ethical business practices. During the 2020-2021 fiscal year, the VNA Alliance completed over 55,000 home health care visits and maintained an average daily census of 478 patients-14% increases in each category from the previous fiscal year. For fiscal year ending 06/30/2021, a total of $1,590 in services was rendered as benevolent care. The Coronavirus (COVID-19) public health emergency (PHE) posed many challenges, as well as opportunities for the organization through the year. We saw a shift in healthcare. The pandemic has created new ways of thinking and solutions that will help to carry healthcare services into the future. In March 2020, the organization implemented its Emergency Disaster Plan. The Leadership Team across the continuum met routinely to continuously evaluate the situation regarding the PHE and ever-changing State and Federal guidance for the safe care of patients with suspected or known COVID-19 infections while attempting to keep all staff safe and healthy. At times, staffing became a challenge when staff needed to quarantine due to exposure or testing positive for COVID-19. A staffing contingency plan was put into place so that the organization would be able to carry out its mission to care for as many patients as possible in the safest of ways. Throughout the COVID-19 PHE, the organization provided focused education on various related topics. These topics included what COVID-19 is, how to prevent the spread, how to care for patients that are positive for COVID-19, mitigation efforts, Personal Protective Equipment utilization (the organization purchased $25,267 of PPE and related supplies throughout the past year) and other infection control practices. This education was provided through varying platforms such as secure messaging, at virtual staff meetings and through the Learning Management Software, Elsevier. Staff have also been educated on COVID-19 vaccinations and the importance of vaccinations as a tool to help end the PHE. A corporate nursing team was established to assist with education and administration related to the COVID-19 vaccinations. The vaccination was administered to fellow co-workers, patients, residents and members of surrounding communities at no charge. The VNA Alliance also participated in the region's largest COVID-19 vaccination clinic, where 40,000 residents of our community received timely vaccinations. Many of our RNs balanced their daily commitments to their VNA Alliance job while also providing hours of additional skilled support to the vaccination clinic. In the spring of 2021, the VNA Alliance was asked to participate in a community outreach to provide monoclonal antibody therapy to our most ill residents struggling with COVID-19. Several of our RNs provided 100 of hours of skilled support to the local clinic which reduced the burden to our local hospital's ICU unit by effectively mitigating the progression of the disease in many of the treated cases. VNA Alliance continues to provide a wealth of community services to the residents, organizations and various groups in Mercer, Crawford, Venango and parts of Erie, Lawrence and Butler Counties. Care is provided in a holistic, comprehensive manner that helps consumers achieve their desired quality of life and functional outcomes. Service to the community is achieved through responsive consumer care, caregiver support and education. Working as an interdisciplinary team, staff respect and support each other. Continuous quality improvement is integral to all agency functions with emphasis on employee development, risk management, strategic planning and organizational performance. Assisting patients in living life to the fullest has been the cornerstone of our mission. The VNA Alliance's Rehabilitation team of Physical, Occupational and Speech Therapists maximized movement, managed pain more effectively and addressed specific care needs for thousands of patients across our service area. Reducing muscle spasms and strains, providing joint protection and offering alternative ways to move, swallow, speak and function more effectively resulted in tangible, quality of life enhancements throughout our community. For many years, CMS has validated quality in the home health industry. The home health care STAR report allows consumers a clear and concise analysis of agency effectiveness and efficiency in a variety of categories. In a sampling of over 2,800 individual cases, the VNAA excels in STAR and Care Compare process and outcome metrics, out pacing our peers in all quality indicators related to functionality, pain management, dyspnea, surgical wounds and medication management-while placing the VNA Alliance in the top 10% of all home health care agencies across the nation. When comparing national performance benchmarks for the past fiscal year, patients cared for by the VNA Alliance were less likely to have a fall with a serious injury, less likely to seek emergent care due to improper medication administration, and less likely to be admitted to the hospital with a urinary tract infection. Also, patients at the VNA Alliance were more likely to rate their care quality a 9 or 10, with 10 being the best home health care possible! VNA Alliance had the opportunity to sponsor two Golf Outings during the tax year for Wesbury Foundation, one in July 2020 and the second in May 2021. The event is normally held in June, but the 2020 event was postponed due to the pandemic so both sponsorships fell in the fiscal year. They also sponsored the Rolling Fields Elder Care Heritage Strong Virtual Golf Classic in Aug 2020, the Titusville Area Hospital Foundation Golf Scramble in March 2021, the Meadville Baseball Team Partner Sponsorship in March 2021, The Kiwanis Club of Greenville Golf Outing in June 2021, and the Active Aging Foundation Golf Scramble in June 2021. Other donations were to the Shriners Hospital for Children as part of our Employee Benefit Fund program. Donations are given to a charity of employee's choice when a qualifying event occurs, such as a death in the family. The cost to the agency for these sponsorships and donations are a total of $2,752 and benefit the local community that we serve. 0 0 0 4573103 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 0 1 99 1 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X X Tammy S Young 7243526200 613 North Pike Road Suite B Cabot PA 16023 X Timothy Dunn Executive Director 45 0 X 108686 0 17019 Brian Mailliard Board Chairman 1 0 X X 0 0 0 Joe Palmiero Vice Chair 1 0 X X 0 0 0 Tracy Meure Secretary/Treasurer 1 0 X X 0 0 0 Martin Trettel Board Member 1 0 X 0 0 0 Tammy Young Board Member 1 0 X 0 0 0 Kimberly Kepple Board Member 1 0 X 0 0 0 Robin Knight Board Member 1 0 X 0 0 0 Chris Wright Board Member 1 0 X 0 0 0 Brian Nageotte Board Member 1 0 X 0 0 0 Melissa Porter Board Member 1 0 X 0 0 0 Philip Pandolph Board Member 1 0 X 0 0 0 Tony Bono Board Member until Dec 2020 1 0 X 0 0 0 Hollie Wolfe Board Member as of Dec 2020 1 0 X 0 0 0 108686 0 17019 1 0 0 0 Littler Mendelson PC 333 Bush Street 34th Floor San Francisco CA 94104 Legal Services 157937 1 0 Clinical Services 621610 8283591 8283591 0 0 Contracted Revenue 621610 14188 14188 0 0 Benevolent Care 621610 -1590 -1590 0 0 0 0 0 0 8296189 3742 3742 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 435 0 -435 -435 -435 0 0 0 8299496 8299496 0 0 77 77 139705 139705 3612200 3154000 458200 165197 142253 22944 324846 273353 51493 291801 247025 44776 249692 249692 163553 163553 143518 143518 279963 110334 169629 11045 11045 111971 55361 56610 99726 61871 37855 35553 31044 4509 246949 244136 2813 1081 277 804 46022 40184 5838 28732 25087 3645 Pharmacy & Medical Supplies 161310 161310 0 0 Other Supplies 31283 3638 27645 0 Recruitment 14969 12158 2811 0 Equipment Rental 12852 10392 2460 0 24868 603 24265 6196913 4573103 1623810 0 1127024 354768 10169 10195 1133556 1562352 101831 133431 492534 286870 182461 205664 350000 350000 1562317 3559350 4467358 6175760 377899 446306 157196 216170 683300 683300 94518 72956 1312913 1418732 X 3154445 4757028 0 0 3154445 4757028 4467358 6175760 X 2102583 0 0 0 0 -500000 X 0 1 X 1 0 X 25 0 25 231800 0 231850 5203038 4945810 5671494 6778070 8296189 30894601 5203063 4945810 5671519 7009870 8296189 31126451 0 0 0 0 0 0 31126451 252 2191 11033 12332 3742 29550 252 2191 11033 12332 3742 29550 1000 0 0 0 0 1000 5204315 4948001 5682552 7022202 8299931 31157001 0.99902 0.99900 0.00095 0.00092 X Schedule A, Part III, Line 1 Column (e) Fiscal Year Beginning in 2019 includes a Government Grant of $231,100 which was a Stimulus Payment from the CARES Act Provider Relief Fund. Schedule A, Part III, Line 12 The other income received in fiscal years beginning in 2016 was miscellaneous income. 0 0 0 0 0 0 0 0 22818 5451 17367 0 442416 281419 160997 0 27300 0 27300 205664 Due from Affiliates 3515695 Right of Use Assets 43655 3559350 0 Due to Affiliates 29301 Current Liability - Lease Liability 33324 Long Term Liability - Lease Liability 10331 72956 X 8299496 0 0 0 0 0 8299496 0 0 0 8299496 6196913 0 0 0 0 0 6196913 0 0 0 6196913 Schedule D, Part X, Line 2 The Organization is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (Code) and has been recognized as tax exempt under Section 501(a) of the Code. Accordingly, no provision for income taxes has been provided. Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Organization and recognize a tax liability or asset if the Organization has taken an uncertain position that more likely than not would be sustained upon examination by the Internal Revenue Services (IRS). The Organization has concluded that as of June 30, 2021 and 2020, there are no uncertain positions taken or expected to be taken that would require recognition of a liability, asset, or disclosure in the financial statements. Generally, tax returns for years ended June 30, 2018, and thereafter remain subject to examination by federal and state tax authorities. Form 990, Part VI, Section A, Line 3 Alliance Visiting Nurses dba VNA Alliance (VNAA) entered into a management services agreement with Concordia Community Support Services (CCSS) on 9/1/15. CCSS will perform management and policy functions and is committed to developing strong leadership so that VNAA can provide the highest quality of care from nursing and therapy to specialized services such as IV therapy, wound care, palliative care, and psychiatric care, all from the comfort of the patients' home. The management services are being provided so that VNAA can provide education and direct care to an aging population. CCSS will be responsible for appointment of the administrator for the agency and supervise all aspects of the operations of the home health program. Form 990, Part VI, Section A, Line 6 The members are Concordia Community Support Services, Wesbury United Methodist Retirement Community, St Paul Homes, Meadville Medical Center, and Grove City Medical Center. Each member has a 20% membership of Alliance Visiting Nurses. Form 990, Part VI, Section A, Line 7a Each member of Alliance Visiting Nurses may elect or appoint a maximum of 3 (three) board members. Form 990, Part VI, Section A, Line 7b The Meadville Medical Center has certain reserve powers and decisions of the governing body related to those powers are subject to their approval. Form 990, Part VI, Section B, Line 11b The Form 990 is prepared and reviewed by the accounting department for Concordia Community Support Services, the entity holding the management agreement. The document is then reviewed by the CFO. The board is sent draft copies of the 990 prior to filing, in order to assess questions, comments, and feedback. Questions and comments are addressed accordingly. Upon board approval the final 990 is submitted to the taxing authorities. A copy of the final 990 is made available to all board members. Form 990, Part VI, Section B, Line 12c The corporate compliance officer attends at least 1 (one) board meeting a year. All officers, directors or trustees, and key employees are educated on compliance policies and procedures with the corporate compliance officer. Updates on corporate compliance are addressed in scheduled meetings during the year with all staff (including management). Specific corporate compliance goals and objectives are reviewed and evaluated on an ongoing basis during the year with the corporate compliance officer. Additionally, board members are required to disclose any potential conflict of interest prior to discussion on a topic where a conflict may exist. The Board will determine if a conflict exists and act accordingly, which may include the conflicted board member recusing himself/herself from discussion and any votes related to the matter. VNAA has launched a robust Quality Assessment Performance Improvement (QAPI) program which has seen objective improvements in the data-driven analysis of hospitalization percentages and VNAA patient experience reporting via HH-CAHPS review. Form 990, Part VI, Section B, Line 15 The organization reviews national and state salary surveys for various non-profit organizations. Compensation is then appropriately determined based upon experience and comparison to the benchmarks. The personnel committee reviews the efforts and accomplishments of the Executive Director and recommends any adjustment to the board for approval. The Alliance Visiting Nurses board of directors has final authority/responsibility for approving any salary adjustment for the Executive Director. The Executive Director was reviewed during the fiscal year associated with this return. Form 990, Part VI, Section C, Line 19 Alliance Visiting Nurses publishes an annual report that summarizes the financial and operational accomplishments of the organization, which is forwarded to Alliance Visiting Nurses constituents and is available to the public upon request. The Alliance Visiting Nurses governing documents, conflict of interest policies, and financial statements are available to the public upon request. Form 990, Part VII, Section A, Line 1a All board members of Alliance Visiting Nurses serve on a purely volunteer basis. Form 990, Part XI, Line 9 Monies were distributed to the members during the year. Additional time was needed to gather information necessary to complete an accurate return. Extension was submitted electronically and approved by the IRS on 11/1/2021.