2016-08-11T13:45:36-05:00 2015-09-30 351356555 DONOVAN PC 5151 E US HWY 36 AVON IN 46123 990 2014-10-01 351174866 VISITING NURSE ASSOCIATION OF PORTER COUNTY VISI 2194625195 2401 VALLEY DRIVE VALPARAISO IN 46383 ANN O'HEIR PRESIDENT & CEO 2194625195 2016-08-11 1 REX E MILLER CPA CGMA P01081969 3177456411 2016-08-11 2014 2016-12-15 16:53:06Z ANN O'HEIR 2401 VALLEY DRIVE VALPARAISO IN 46383 13065978 0 X VNAPORTERCOUNTY.ORG X 1970 IN THE ORGANIZATION'S MISSION IS TO PROVIDE COMPASSIONATE HOME AND 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. 9 8 205 389 0 0 131093 249062 10654829 8993253 -2766 3429326 383134 299077 11166290 12970718 0 0 0 0 7936377 7235552 0 0 0 3215990 3030445 11152367 10265997 13923 2704721 9847201 12985205 2102169 2535452 7745032 10449753 SEE SCHEDULE O 0 0 2525582 3765217 THE VISITING NURSE ASSOCIATION PROVIDES HOME HEALTH CARE SERVICES TO PATIENTS IN THE COMMUNITY WHO ARE RECOVERING FROM A STAY IN THE HOSPITAL OR FACILITY OR ARE CHRONICALLY ILL AND REQUIRE MEDICAL TREATMENT, PAIN CONTROL AND SYMPTOM MANAGEMENT, AND/OR ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. THE VNA'S HOME CARE PROGRAM INCLUDES NURSING, HOME HEALTH AIDE SERVICES, NUTRITIONAL SUPPORT, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES, AND MEDICAL SOCIAL SERVICES. THIS PROGRAM ALLOWS OUR PATIENTS TO SAFELY REMAIN IN THEIR OWN HOMES FOR AS LONG AS POSSIBLE. FOR THE YEAR ENDED SEPTEMBER 30, 2015, VNA PROVIDED SERVICES TO 1,206 PATIENTS COMPRISING OVER 23,000 PATIENT VISITS. 3739322 4740355 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, 2015, HOSPICE SERVICES WERE PROVIDED TO 777 PATIENTS COMPRISING OVER 17,000 DAYS OF SERVICE. 565484 487681 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, 2015, 840 INDIVIDUALS RECEIVED THESE SERVICES. 6830388 1 1 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 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 12 0 205 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 1 1 1 0 IN X KEN ASHLEY 2194625195 2401 VALLEY DRIVE VALPARAISO IN 46383 KENNETH BLACK MD BOARD MEMBER 1.00 0.00 X 0 0 0 STEVE TOMORY BOARD CHAIR 1.00 0.00 X X 0 0 0 ROSS MACLENNAN BOARD VICE-CHAIR 1.00 1.00 X X 0 0 0 CINDY SAUSMAN BOARD MEMBER 1.00 1.00 X 0 0 0 GUS OLYMPIDIS BOARD MEMBER 1.00 0.00 X 0 0 0 EARLE HITES BOARD MEMBER 1.00 0.00 X 0 0 0 DIANA NYMAN BOARD SECRETARY 1.00 1.00 X X 0 0 0 ERIC GARRARD BOARD MEMBER 1.00 0.00 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 RICK RHEW PRESIDENT & CEO 40.00 3.00 X 171965 0 37468 MICHAEL WEISS MEDICAL DIRECTOR 40.00 0.00 X 156573 0 26998 JOYCE ALEXA CLINICAL DIRECTOR 40.00 0.00 X 107593 0 15550 COLE CASBON PHYSICAL THERAPIST 40.00 0.00 X 109135 0 23672 545266 0 103688 4 1 1 0 FIRSTCARE INC 1595 S CALUMET ROAD SUITE 1 CHESTERTON IN 46304 PT, OT, ST SERVICES 253420 AMN HEALTHCARE ALLIED INC PO BOX 281939 ATLANTA GA 30384 OT 219769 2 78662 170400 249062 HOSPICE SERVICES 621610 4740355 4740355 HOME HEALTH CARE SERVICES 621610 3765217 3765217 OTHER SERVICES 621990 487681 487681 8993253 -1810 -1810 54499 0 54499 54499 54499 3526396 95260 3431136 3431136 3431136 INC IN ASSETS OF VNA FOUNDATION 900099 245833 245833 MISCELLANEOUS 900099 -1255 -1255 244578 12970718 9237831 0 3483825 224786 224786 5684703 3981633 1703070 197223 140595 56628 687532 484340 203192 441308 292857 148451 1729 1729 31035 31035 695136 611222 83914 375022 46682 328340 132255 132255 282141 97723 184418 257980 245339 12641 21202 3702 17500 44100 44100 0 221260 150513 70747 83482 8312 75170 MEDICAL SUPPLIES/EQUIPM 753339 753339 PROVISION FOR BAD DEBTS 90272 90272 DUES 24387 7839 16548 OTHER 17105 6292 10813 10265997 6830388 3435609 0 28286 78103 1111839 783691 400000 87779 132486 4452927 2072195 2516673 2380732 6102624 9210193 9847201 12985205 1146169 805452 6000 950000 945000 0 785000 2102169 2535452 X 1665897 2050958 4998287 7307173 1080848 1091622 7745032 10449753 9847201 12985205 2704721 0 X 0 1 X 1 0 X 142651 247423 170338 131093 249062 940567 12304305 11198793 10960490 11017922 9237831 54719341 12446956 11446216 11130828 11149015 9486893 55659908 0 0 0 55659908 -3069 902 -2789 17275 52689 65008 -3069 902 -2789 17275 52689 65008 2257 2323 1834 -2814 -1255 2345 12446144 11449441 11129873 11163476 9538327 55727261 0.99880 0.99970 0.00120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 412656 412656 2914389 1173794 1740595 1125882 898401 227481 2380732 INTEREST IN NET ASSETS OF VNA FOUNDATION 8281779 CONTRIBUTION RECEIVABLE - CRT 117018 DUE FROM AFFILIATED ENTITY 11396 DUE FROM VALPARAISO HOME CARE SERVICES, LLC 800000 9210193 DUE TO VALPARAISO HOME CARE SERVICES, LLC 285000 NOTE PAYABLE TO VNA FOUNDATION 500000 785000 X 5530236 -244131 -244131 5774367 7196351 7196351 12970718 7431564 0 7431564 2834433 2834433 10265997 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 ENDING AFTER 2011 ARE OPEN TO AUDIT FOR BOTH FEDERAL AND STATE PURPOSES. PART XI, LINE 2D - OTHER ADJUSTMENTS: INCREASE IN TEMPORARILY RESTRICTED NET ASSETS -2,308,886. INCREASE IN PERMANENTLY RESTRICTED NET ASSETS -10,775. NON-OPERATING DECREASE IN UNRESTRICTED NET ASSETS 2,075,530. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROGRAM SERVICE REVENUE FROM DISCONTINUED HOME HEALTH COMPONENT 3,765,215. GAIN ON SALE OF HOME HEALTH COMPONENT 3,433,165. LOSS ON SALE OF FIXED ASSETS -2,029. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROGRAM SERVICE EXPENSES FROM DISCONTINUED HOME HEALTH COMPONENT 2,836,462. LOSS ON SALE OF FIXED ASSETS -2,029. X X X 0 0 0 0 0 0 0 0 0 RICK RHEW PRESIDENT & CEO 171965 0 0 0 0 0 9106 0 28362 0 209433 0 0 0 MICHAEL WEISS MEDICAL DIRECTOR 156573 0 0 0 0 0 8126 0 18872 0 183571 0 0 0 ROSS MACLENNAN BOARD MEMBER 846573 EMPLOYEE BENEFIT PLAN INSURANCE 0 SCHEDULE L, PART V 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 9,439.5 HOURS OF SERVICE IN THE YEAR ENDED SEPTEMBER 30, 2015. 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 11 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. VISITING NURSE ASSOCIATION FOUNDATION INC 2401 VALLEY DRIVE VALPARAISO IN 46383 351655711 FUNDRAISING IN 501(C)(3) LINE 11B, II N/A 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 VISITING NURSE ASSOCIATION FOUNDATION INC C 106183 CASH VISITING NURSE ASSOCIATION FOUNDATION INC K 120000 MARKET RATE VISITING NURSE ASSOCIATION FOUNDATION INC Q 152551 COST