2019-08-13T08:52:23-05:00 2018-09-30 351356555 DONOVAN PC 5151 E US HWY 36 AVON IN 46123 990 2017-10-01 351174866 VISITING NURSE ASSOCIATION OF PORTER COUNTY INDIANA INC VISI 2194625195 501 MARQUETTE STREET VALPARAISO IN 46383 ROBERT FRANKO PRESIDENT & CEO 2194625195 2019-08-09 1 REX E MILLER CPA CGMA P01081969 3177456411 2019-08-09 97.78.71.106 2019-08-09 10:21:21 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 C61F94137DE43BD871D359902D4E9BBF24EE65CE 2017 2019-02-21 02:37:17Z ROBERT FRANKO 501 MARQUETTE STREET VALPARAISO IN 46383 6505466 0 X VNANWI.ORG X 1970 IN THE ORGANIZATION'S MISSION IS TO PROVIDE COMPASSIONATE HOSPICE CARE IN AN INNOVATIVE AND PERSONALIZED MANNER TO THOSE IN NEED, WITHIN THE RESOURCES AVAILABLE, ENABLING THEM TO PRESERVE THEIR DIGNITY AND MAINTAIN THEIR HIGHEST LEVEL OF INDEPENDENCE. THE ORGANIZATION SERVES PATIENTS IN PORTER COUNTY AS WELL AS PORTIONS OF LAKE, JASPER, STARKE AND LAPORTE COUNTIES. 14 13 141 400 0 0 150019 108929 5829049 5665843 -20508 -12694 967514 722376 6926074 6484454 0 0 0 0 4788158 4551337 0 0 0 2614305 2616798 7402463 7168135 -476389 -683681 10606709 9345312 1146755 1398163 9459954 7947149 SEE SCHEDULE O 0 0 4471324 5374398 THE VNA HOSPICE PROGRAM BRINGS COMFORT TO PERSONS LIVING WITH A TERMINAL ILLNESS AND PROVIDES SUPPORT TO THEM AS WELL AS TO THEIR FAMILIES. PATIENTS ARE ABLE TO LIVE THEIR FINAL DAYS WITH PEACE AND DIGNITY THROUGH EFFECTIVE PAIN MANAGEMENT AND SYMPTOM CONTROL, IN ADDITION TO PSYCHOSOCIAL, EMOTIONAL, AND SPIRITUAL SUPPORT. VNA'S HOSPICE CARE IS PROVIDED BY AN INTERDISCIPLINARY TEAM OF CAREGIVERS, INCLUDING THE PATIENT'S PHYSICIAN, REGISTERED NURSES, SOCIAL WORKERS, VOLUNTEERS, CLERGY, OCCUPATIONAL AND PHYSICAL THERAPISTS, CHAPLAINS, AIDES AND DIETICIANS IN THE PATIENT'S HOME, NURSING HOME, ASSISTED LIVING FACILITY OR AT THE VNA ARTHUR B AND ETHEL V HORTON HOSPICE CENTER. FOR THE YEAR ENDED SEPTEMBER 30, 2018, HOSPICE SERVICES WERE PROVIDED TO 867 PATIENTS COMPRISING OVER 27,000 DAYS OF SERVICE. 350786 291445 THE VNA PROVIDES SERVICES TO ASSIST THE ILL, ELDERLY AND DISABLED IN REMAINING SAFE AND INDEPENDENT AT HOME. THIS ASSISTIVE CARE INCLUDES MEALS ON WHEELS FOR ELDERLY AND DISABLED RESIDENTS WHO ARE UNABLE TO PREPARE NUTRITIOUS MEALS FOR THEMSELVES, HOMEMAKER/COMPANION CARE TO PROVIDE COMPANIONSHIP AND ASSIST WITH HOUSEKEEPING, AND THE LIFELINE PERSONAL EMERGENCY RESPONSE SYSTEM. THESE SERVICES COMPLEMENT HOME HEALTH CARE SERVICES, ENABLING PATIENTS TO REMAIN IN THEIR HOMES IN A SAFE ENVIRONMENT. FOR THE YEAR ENDED SEPTEMBER 30, 2018, 545 INDIVIDUALS RECEIVED THESE SERVICES. 4822110 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 8 0 141 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X KEN ASHLEY 2194625195 501 MARQUETTE STREET VALPARAISO IN 46383 STEVE TOMORY BOARD MEMBER 1.00 1.00 X 0 0 0 ROSS MACLENNAN BOARD MEMBER 1.00 1.00 X 0 0 0 DIANA NYMAN BOARD VICE-CHAIR 1.00 1.00 X X 0 0 0 DOUG WATKINS BOARD MEMBER 1.00 1.00 X 0 0 0 DAN MARCHETTI BOARD TREASURER 1.00 1.00 X X 0 0 0 CINDY TOUGAW BOARD CHAIR 1.00 1.00 X X 0 0 0 MARCIA MORRIS BOARD MEMBER 1.00 1.00 X 0 0 0 MIRKO BEBEKOSKI BOARD MEMBER 1.00 1.00 X 0 0 0 LAURA FROST BOARD MEMBER 1.00 1.00 X 0 0 0 LYNN GASSOWAY-REICHLE BOARD MEMBER 1.00 1.00 X 0 0 0 JONATHAN HILDEBRAND BOARD SECRETARY 1.00 1.00 X X 0 0 0 ANDY MOATS BOARD MEMBER 1.00 1.00 X 0 0 0 TANDRA ROBINSON BOARD MEMBER 1.00 1.00 X 0 0 0 ANN O'HEIR PRESIDENT & CEO (END 06/18) 40.00 X 187994 0 36307 MELISSA PLAVSA HOSPICE NURSE PRACTITIONER 40.00 X 113290 0 4404 301284 0 40711 2 0 1 0 0 58929 50000 108929 HOSPICE SERVICES 621610 5374398 5374398 OTHER SERVICES 621990 291445 291445 5665843 7226 7226 14756 0 14756 14756 14756 1092 21012 -19920 -19920 -19920 INC IN ASSETS OF VNA F 900099 701494 701494 MISCELLANEOUS 900099 6126 6126 707620 6484454 6373463 0 2062 204346 204346 3609753 2679075 930678 57099 52072 5027 396844 297188 99656 283295 198305 84990 11286 11286 36988 36988 381995 256824 125171 27163 27163 289532 100548 188984 190476 190476 172380 113547 58833 192086 169527 22559 39189 6032 33157 48913 48913 192819 160189 32630 68292 11119 57173 MEDICAL SUPPLIES/EQUIPM 743277 743277 PROVISION FOR BAD DEBTS 142837 142837 OTHER 30889 14610 16279 TRAINING MATERIAL 28842 12261 16581 19834 7536 12298 7168135 4822110 2346025 0 66508 46190 486307 532112 400000 0 131132 65623 4626540 2443948 2108112 2182592 7414650 6518795 10606709 9345312 646755 698163 0 700000 500000 0 1146755 1398163 X 2052104 1979277 6314553 4864349 1093297 1103523 9459954 7947149 10606709 9345312 -683681 -829124 0 X X 0 1 X 1 0 X 131093 249062 244734 150019 108929 883837 11017922 9237831 6479140 6766925 6367337 39869155 11149015 9486893 6723874 6916944 6476266 40752992 0 0 0 40752992 17275 52689 15283 26292 23074 134613 17275 52689 15283 26292 23074 134613 -2814 -1255 3443 7278 6126 12778 11163476 9538327 6742600 6950514 6505466 40900383 0.99640 0.99740 0.00330 0.00240 X 412656 412656 3213763 1590920 1622843 1000121 853028 147093 2182592 INTEREST IN NET ASSETS OF VNA FOUNDATION 6372159 CONTRIBUTION RECEIVABLE - CRT 132954 DUE FROM AFFILIATED ENTITY 13682 6518795 X 6504374 19920 19920 6484454 0 6484454 7188055 19920 19920 7168135 0 7168135 PART X, LINE 2: PROFESSIONAL ACCOUNTING STANDARDS REQUIRE THE CORPORATION TO RECOGNIZE A TAX LIABILITY ONLY IF IT IS MORE LIKELY THAN NOT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX LIABILITY THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE MORE-LIKELY-THAN-NOT TEST, NO TAX LIABILITY IS RECORDED. THE CORPORATION HAS EXAMINED THIS ISSUE AND HAS DETERMINED THAT THERE ARE NO MATERIAL CONTINGENT TAX LIABILITIES OR QUESTIONABLE TAX POSITIONS. THE TAX YEARS ENDED AFTER 2014 ARE OPEN TO AUDIT FOR BOTH FEDERAL AND STATE PURPOSES. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF FIXED ASSETS 19,920. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF FIXED ASSETS 19,920. X X X 0 0 0 0 0 0 0 0 0 ANN O'HEIR PRESIDENT & CEO (END 06/18) 187994 0 0 0 0 0 10419 0 25888 0 224301 0 0 0 ROSS MACLENNAN BOARD MEMBER 522399 EMPLOYEE BENEFIT PLAN INSURANCE 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: ADDITIONAL INFORMATION:THE ORGANIZATION PAID INSURANCE PREMIUMS UNDER EMPLOYEE BENEFIT PLANS SOLD BY AN INSURANCE AGENCY CONTROLLED BY A BOARD MEMBER. FORM 990, PART I, LINE 6 VOLUNTEERS PROVIDE ASSISTANCE IN ORGANIZATIONAL MATTERS, PERSONAL CARE SERVICES TO HOSPICE PATIENTS AND THEIR FAMILIES, AND DELIVERY SERVICES FOR THE MEALS ON WHEELS PROGRAM. VOLUNTEERS PROVIDED 6,181 HOURS OF SERVICE IN THE YEAR ENDED SEPTEMBER 30, 2018. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE ORGANIZATION'S ARTICLES OF INCORPORATION IDENTIFY VOTING AND NON-VOTING MEMBERS. ELIGIBLE VOTING MEMBERS CONSIST OF CURRENT AND FORMER MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION AS WELL AS VISITING NURSE ASSOCIATION FOUNDATION, INC. AND HHS OF PORTER COUNTY, INDIANA, INC, BOTH OF WHICH ARE NOT-FOR-PROFIT CHARITABLE ORGANIZATIONS. THE VOTING MEMBERS ARE THOSE ELIGIBLE PERSONS WHO INDICATE IN WRITING THEIR WILLINGNESS TO SERVE AS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS AND THEIR RIGHTS: THE VOTING MEMBERS OF THE ORGANIZATION ARE EMPOWERED TO ELECT THE MEMBERS OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS AUTHORIZED TO EXERCISE ALL POWERS OF THE ORGANIZATION WITHOUT AUTHORIZATION OR APPROVAL OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE FORM 990 IS REVIEWED AND APPROVED BY THE AUDIT COMMITTEE PRIOR TO FILING. EACH MEMBER OF THE BOARD OF DIRECTORS IS ALSO PROVIDED A COPY OF THE FORM 990. THE AUDIT COMMITTEE REPORTS THE RESULTS OF ITS REVIEW TO THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICTS POLICY: AT ALL BOARD MEETINGS, CONFLICTS ARE DOCUMENTED AND THE INTERESTED PARTIES ARE REQUESTED TO RECUSE THEMSELVES FROM VOTING ON THE MATTER AT HAND. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL: THE BOARD OF DIRECTORS USES INDEPENDENT AND EXTERNAL RESOURCES FOR THE ESTABLISHMENT OF COMPENSATION FOR OFFICERS. RESOURCES USED IN THE COMPENSATION CALCULATION INCLUDE COMPARABILITY DATA, MARKET COMPARISONS, AND COMPENSATION SURVEYS. THE COMPENSATION APPROACH, PROCESS, AND DATA ARE DISCUSSED IN BOARD MEETINGS AND THE REVIEW AND APPROVALS ARE DOCUMENTED. COMPENSATION PROCESS FOR OFFICERS: ANNUALLY, THE DIRECTOR OF HUMAN RESOURCES REVIEWS ALL SALARY LEVELS AND COMPARES THEM TO SURVEYS CONDUCTED BY HOSPITAL & HEALTHCARE COMPENSATION SURVEYS AND MARKET COMPARISONS. SALARIES ARE INCLUDED IN THE ANNUAL OPERATING BUDGET, WHICH IS REVIEWED BY THE FINANCE COMMITTEE, AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS AS PART OF THE OVERALL BUDGET APPROVAL PROCESS. KEY EMPLOYEE SALARIES REQUESTED OUTSIDE THE RANGE DEVELOPED FROM THE SURVEYS AND MARKET COMPARISONS ARE REVIEWED, DISCUSSED, AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST OR IN PERSON AT THE ORGANIZATION'S OFFICE. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR ITS SELECTION PROCESS DURING THE YEAR. VISITING NURSE ASSOCIATION FOUNDATION INC 501 MARQUETTE STREET VALPARAISO IN 46383 351655711 FUNDRAISING IN 501(C)(3) LINE 12C, III-FI N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 VISITING NURSE ASSOCIATION FOUNDATION INC C 781128 CASH