2016-11-01T16:17:53-05:00 2015-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2015-01-01 470690286 VISITING NURSE HEALTH SERVICES VISI 4023425566 12565 WEST CENTER ROAD NO 100 OMAHA NE 68144 DAVID VANLANDINGHAM VP & CFO 4029304064 2016-10-13 1 WENDY R COOLEY P01523804 4023302660 2015 2017-02-10 21:41:12Z DAVID E VANLANDINGHAM 12565 WEST CENTER ROAD NO 100 OMAHA NE 68144 5494684 0 X WWW.THEVNACARES.ORG X 1986 NE TO PROVIDE HEALTH SERVICES TO VULNERABLE, LOW INCOME INDIVIDUALS AND FAMILIES IN THE COMMUNITY, WHEREVER THEY CALL HOME. 21 20 161 45 0 0 2709117 2745339 2601186 2749345 0 0 0 0 5310303 5494684 238252 173095 0 0 3617473 3637893 0 0 0 1426496 1541338 5282221 5352326 28082 142358 1692058 1806187 313847 285618 1378211 1520569 X THE MISSION OF THE VISITING NURSE HEALTH SERVICES IS TO FOSTER THE DIGNITY AND WELL-BEING OF THE RESIDENTS OF OUR COMMUNITIES BY DELIVERING THE HIGHEST QUALITY HOME AND COMMUNITY-BASED HEALTH CARE SERVICES THAT PROVIDE PEACE OF MIND, QUALITY OF LIFE, AND INDEPENDENCE. 0 0 2663366 173095 1209219 FAMILY SUPPORT WHICH INCLUDES MULTIDISCIPLINARY (PUBLIC HEALTH NURSING, SOCIAL WORK, FAMILY SUPPORT) HOME VISITATION SERVICES TO VULNERABLE AND AT-RISK FAMILIES (FOCUSED ON PREGNANT TEENS, WOMEN WITH INFANTS AND YOUNG CHILDREN). CARE MAY BE PROVIDED IN HOMES, HOMELESS SHELTERS, OR WHEREVER THE FAMILY RESIDES. 1726247 1087390 CONTRACT/PRIVATE PAY WHICH INCLUDES COMMUNITY-BASED SERVICES THAT SERVE A SPECIFIC POPULATION WITH A FOCUS ON PREVENTIVE HEALTH ACTIVITIES. INCLUDES SCHOOL HEALTH, ANNUAL COMMUNITY FLU CAMPAIGN, AND PRIVATE DUTY COMPANION SERVICES TO SENIORS. 830210 452736 HOME CARE WHICH INCLUDES BOTH SKILLED SERVICES (NURSING, THERAPIES, SOCIAL WORK) AND NON-SKILLED (HOME HEALTH AIDE AND HOMEMAKER) PROVIDED TO THE POOR FRAIL ELDERLY AND DISABLED WHO ARE NOT ELIGIBLE FOR COVERED SERVICES (MEDICARE, ETC) BUT NEED ASSISTANCE WITH DAILY ACTIVITIES IN ORDER REGAIN HEALTH AND/OR STAY SAFE AND WELL IN THEIR HOMES. 5219823 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 11 0 1 161 1 0 0 0 0 0 0 0 0 0 0 X 21 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X DAVID E VANLANDINGHAM VP & CFO 4023425566 12565 WEST CENTER ROAD SUITE 100 OMAHA NE 68144 X NEIL FORTKAMP CHAIR 1.00 4.00 X X 0 0 0 JASON TONJES VICE CHAIR 1.00 4.00 X X 0 0 0 PAM STENE HAGGE SECRETARY 1.00 4.00 X X 0 0 0 MIKALA HOLTZ TREASURER 1.00 4.00 X X 0 0 0 JOSIE ABBOUD DIRECTOR 1.00 0.00 X 0 0 0 AMY CRAWFORD DIRECTOR 1.00 0.00 X 0 0 0 DEBORAH ISTAS DIRECTOR 1.00 0.00 X 0 0 0 DEANNA BOESE DIRECTOR 1.00 0.00 X 0 0 0 RUSS IWAN DIRECTOR 1.00 0.00 X 0 0 0 DR HARRIS FRANKEL DIRECTOR 1.00 0.00 X 0 0 0 JOHN MARSHALL DIRECTOR 1.00 0.00 X 0 0 0 ROSENDA OVALLE DIRECTOR 1.00 0.00 X 0 0 0 ADAM KUENNING DIRECTOR 1.00 0.00 X 0 0 0 PEG KENNEDY DIRECTOR 1.00 0.00 X 0 0 0 TERRY PETERSON DIRECTOR 1.00 0.00 X 0 0 0 SCOTT PETERS DIRECTOR 1.00 0.00 X 0 0 0 BRENDA WATKE DIRECTOR 1.00 0.00 X 0 0 0 RANDY LENHOFF DIRECTOR 1.00 0.00 X 0 0 0 TERI TIPTON DIRECTOR 1.00 0.00 X 0 0 0 KATHLEEN ZAJIC DIRECTOR 1.00 0.00 X 0 0 0 JAMES SUMMERFELT PRESIDENT & CEO 5.00 55.00 X X 0 290900 17387 DAVID VANLANDINGHAM CFO 5.00 55.00 X 0 134057 8931 0 424957 26318 0 0 1 0 0 677190 45304 370043 1652802 2745339 HOME HEALTH CARE SVCS 621610 2129544 2129544 MANAGEMENT SERVICES 561000 619801 619801 2749345 5494684 2749345 0 0 173095 173095 3123411 3035464 87947 62416 60659 1757 223660 207147 16513 228406 221975 6431 873883 873883 118050 105905 12145 165516 162452 3064 109065 108726 339 6502 6005 497 MEDICAL SUPPLIES 238005 234218 3787 BAD DEBTS 25162 25162 DUES AND SUBSCRIPTIONS 4469 4446 23 686 686 5352326 5219823 132503 0 500 1800 539493 444039 522611 436195 281976 237243 24590 41354 12820 12820 0 0 322888 645556 1692058 1806187 313847 285618 313847 285618 X 396856 448469 981355 1072100 1378211 1520569 1692058 1806187 142358 0 X X 0 1 X 1 1 1 X 2444690 2716709 2648898 2709117 2745339 13264753 2444690 2716709 2648898 2709117 2745339 13264753 1144316 12120437 52234 52234 13316987 13490495 0.91010 0.86350 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 578904 13083 9320 3763 578904 578908 13662 9961 3705 578904 578908 18641 14994 3647 578908 578908 20300 16453 3847 578908 578908 8569 4737 3832 578908 0.00000 1.00000 0.00000 0 1 1 12820 12820 0 0 INTERCOMPANY RECEIVABLE 645556 645556 X PART V, LINE 4: THE ENDOWMENT IS HELD BY VISITING NURSE FOUNDATION, AN AFFILIATE THAT WAS FORMED TO FURTHER THE MISSION OF VISITING NURSE HEALTH SERVICES AND VISITING NURSE ASSOCIATION OF THE MIDLANDS. THE ENDOWMENT IS MAINTAINED IN PERPETUITY TO GENERATE INCOME TO SUPPORT THE OPERATIONS OF VISITING NURSE HEALTH SERVICES AND VISITING NURSE ASSOCIATION OF THE MIDLANDS. PART X, LINE 2: THE ENTITIES OF THE ASSOCIATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX-EXEMPT STATUS. IN GENERAL, SUCH STANDARDS REQUIRE ALL OF THE AFFILIATED ENTITIES TO MEET A COMMUNITY BENEFIT STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. THE ASSOCIATION ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE ASSOCIATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2015 AND 2014, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED. 1 VISITING NURSE ASSOCIATION OF THE MIDLANDS 12565 WEST CENTER ROAD SUITE 200 OMAHA NE 68144 470690207 501(C)(3) 171342 TO AID IN THE PROGRAMS AND SERVICES INCLUDING HOME HEALTH CARE AND HOSPICE. 1 0 PART I, LINE 2: AS THE VISITING NURSE HEALTH SERVICES GAVE FUNDING TO A RELATED ORGANIZATION, VNHS IS ABLE TO MONITOR THE USE AND MAINTAIN RECORDS THAT SUBSTANTIATE THE ASSISTANCE. 0 1 0 0 0 0 0 0 0 JAMES SUMMERFELT PRESIDENT & CEO 0 246037 0 43675 0 1188 0 6058 0 11329 0 308287 0 0 PART I, LINE 3 VISITING NURSE HEALTH SERVICES (VNHS) DOES NOT PAY COMPENSATION TO A CEO OR EXECUTIVE DIRECTOR. VISITING NURSE ASSOCIATION OF THE MIDLANDS PAYS THE COMPENSATION OF JAMES SUMMERFELT WHO SERVES AS THE TOP MANAGEMENT OFFICIAL OF THE VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY, VISITING NURSE ASSOCIATION OF THE MIDLANDS, AND VISITING NURSE FOUNDATION. VNAM UTILIZED THE FOLLOWING FOR DETERMINING HIS COMPENSATION: FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY AND APPROVAL BY THE BOARD. PART I, LINE 4B VISITING NURSE ASSOCIATION OF THE MIDLANDS (VNAM), AN AFFILIATE, SPONSORS A 457(F) PLAN FOR CERTAIN EXECUTIVES OF THE ORGANIZATION. JAMES SUMMERFELT PARTICIPATED IN THE PLAN DURING 2015. VNAM DID NOT MAKE ANY CONTRIBUTIONS TO THE PLAN DURING 2015. FORM 990, PART VI, SECTION B, LINE 11 VNHS WILL SHARE THE FORM 990 WITH THE GOVERNING BODY PRIOR TO SUBMISSION. IF A REGULARLY SCHEDULED MEETING DOES NOT OCCUR BEFORE THE FORM 990 DEADLINE FOR SUBMISSION, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WILL MEET, REVIEW THE FORM 990, AND RELAY INFORMATION TO THE GOVERNING BODY AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. THE CFO PREPARES THE FORM 990 AND A FINAL COPY OF THE FORM 990 WILL BE PROVIDED TO ALL BOARD MEMBERS WHO REQUEST IT. THE PRESIDENT / CEO AND THE VICE PRESIDENT FINANCE / CFO WILL PROVIDE FORM 990 TO THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND KEY EMPLOYEES COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. THESE ARE KEPT IN THE ADMINISTRATIVE OFFICE. ELECTRONIC COPIES ONLY ARE KEPT. MEMBERS OF THE BOARD OF DIRECTORS ARE AWARE OF THE POLICY AND EXCUSE THEMSELVES FROM ANY VOTES WHEN APPROPRIATE. THE CONFLICT OF INTEREST POLICY STATEMENTS ARE REVIEWED BY THE PRESIDENT AND CEO WHO MAKES HIMSELF AWARE OF ANY POTENTIAL CONFLICTS THAT MAY ARISE. ALL MEMBERS OF THE BOARD OF DIRECTORS AND LEADERSHIP TEAM COMPLETE AND SIGN CONFLICT OF INTEREST STATEMENTS. BOARD MEMBERS ARE REQUIRED BY THE ORGANIZATION'S BYLAWS TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST OR CONFLICT OF INTEREST TRANSACTIONS TO BE APPROVED BY BOARD VOTE. FORM 990, PART VI, SECTION B, LINE 15A THE CEO IS COMPENSATED THROUGH VISITING NURSE ASSOCIATION OF THE MIDLANDS (VNAM), AN AFFILIATE OF VISITING NURSE HEALTH SERVICES. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS APPROVES THE COMPENSATION FOR THE CEO. SALARY COMPARISONS ARE CONDUCTED WHEN DETERMINED NECESSARY BY THE COMMITTEE; REVIEWS OF A PAID COMPARABILITY STUDY AND COMPARABLE COMPANY FORM 990S HAVE BEEN COMPLETED IN THE PAST, THE MOST RECENT IN 2014. A PERFORMANCE EVALUATION PROCESS IS COMPLETED ANNUALLY BY THE BOARD OF DIRECTORS AND THE EXECUTIVE COMMITTEE MAKES THE FINAL DETERMINATION ON THE CEO'S SALARY BASED ON THE EVALUATION PROCESS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION B; FORM 990 PART VIII; AND FORM 990 PART IX: VISITING NURSE HEALTH SERVICES (VNHS) SHARES ITS FACILITY, ITS EMPLOYEES AND OTHER EXPENSES WITH FOUR RELATED ORGANIZATIONS: VISITING NURSE ASSOCIATION OF THE MIDLANDS, VISITING NURSE FOUNDATION, VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY AND EASTER SEAL SOCIETY OF NEBRASKA, INC. VNHS RECEIVES MANAGEMENT FEES AND EXPENSE SHARING FEES FROM THOSE ORGANIZATIONS AND ALSO PAYS MANAGEMENT FEES TO THOSE ORGANIZATIONS. FEES RECEIVED ARE REPORTED ON PART VIII, LINE 2 AND FEES PAID ARE REPORTED ON PART IX, LINE 11A. AS THE FEES ARE PAID TO A RELATED OPERATING CHARITABLE ENTITY, THE MANAGEMENT FEES PAID ARE NOT REPORTED AS AN INDEPENDENT CONTRACTOR PAYMENT ON PART VII, SECTION B. FORM 990, PART XI, LINE 2C: THE FINANCE AND AUDIT COMMITTEE IS RESPONSIBLE FOR EVALUATION AND OVERSIGHT OF THE FINANCIAL NEEDS AND STATUS OF THE VNA AND FOR THE ESTABLISHMENT AND REVIEW OF POLICIES DESIGNED TO MEET SUCH NEEDS. THE COMMITTEE REVIEWS AND RECOMMENDS APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS, REVIEWS AND RECOMMENDS APPROVAL TO THE VNA BOARD MONTHLY FINANCIAL PROGRESS AS REPORTED BY STAFF TOWARDS ANNUAL BUDGET PLANS, ENSURES ACCURACY OF FINANCIAL REPORTING INCLUDING MONITORING OF INTERNAL CONTROLS, OVERSEES THE ACCOUNTING AND FINANCIAL REPORTING PROCESS AND THE INDEPENDENT AUDIT OF THE FINANCIAL STATEMENTS AND SELECTS, OVERSEES AND COMPENSATES THE EXTERNAL AUDITORS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. VISITING NURSE ASSOCIATION OF THE MIDLANDS 12565 WEST CENTER ROAD STE 100 OMAHA NE 68144 470690207 HOME CARE, HOSPICE, PHARMACY NE 501(C)(3) LINE 7 VISITING NURSE HEALTH SERVICES 1 VISITING NURSE FOUNDATION 12565 WEST CENTER ROAD STE 100 OMAHA NE 68144 470690846 FUNDRAISING, INVESTMENTS NE 501(C)(3) LINE 11A, I VISITING NURSE HEALTH SERVICES 1 VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY 822 S MAIN STE 102 COUNCIL BLUFFS IA 51503 420681048 HOME CARE, PUBLIC HEALTH IA 501(C)(3) LINE 7 VISITING NURSE HEALTH SERVICES 1 EASTER SEAL SOCIETY OF NEBRASKA INC 12565 WEST CENTER ROAD STE 100 OMAHA NE 68144 470457872 DISABILITY ASSISTANCE NE 501(C)(3) LINE 7 VISITING NURSE HEALTH SERVICES 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 VISITING NURSE ASSOCIATION OF THE MIDLANDS O 553731 FAIR MARKET VALUE VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY O 66071 FAIR MARKET VALUE VISITING NURSE ASSOCIATION OF THE MIDLANDS Q 615277 FAIR MARKET VALUE VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY Q 168775 FAIR MARKET VALUE VISITING NURSE FOUNDATION Q 67771 FAIR MARKET VALUE VISITING NURSE ASSOCIATION OF THE MIDLANDS B 171342 FAIR MARKET VALUE VISITING NURSE FOUNDATION C 45304 FAIR MARKET VALUE EASTER SEAL SOCIETY OF NEBRASKA INC Q 84713 FAIR MARKET VALUE SCHEDULE R, PAGE 3, PART V, LINE 2 VISITING NURSE HEALTH SERVICES SHARES ITS FACILITY WITH FOUR AFFILIATES, VISITING NURSE ASSOCIATION OF THE MIDLANDS, VISITING NURSE FOUNDATION, VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY AND EASTER SEAL SOCIETY OF NEBRASKA, INC. USE OF THE FACILITY BY THE FOUR ORGANIZATIONS OVERLAPS. THEREFORE, IT IS DIFFICULT TO QUANTIFY THE COST OF THE PORTION USED BY EACH ORGANIZATION.