2011-09-22T12:06:39-05:00 2010-12-31 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2010-01-01 470690286 VISITING NURSE HEALTH SERVICES VISI 4023425566 12565 WEST CENTER ROAD NO 100 OMAHA NE 68144 DAVID VANLANDINGHAM 4029304064 2011-09-09 1 BARBARA J FAJEN 4023302660 2010 2016-03-07 17:11:31Z DAVID VANLANDINGHAM 12565 WEST CENTER ROAD NO 100 OMAHA NE 68144 4680951 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. 29 28 220 100 0 0 2394386 2157430 2433212 2523521 200 0 0 0 4827798 4680951 1000 24493 0 0 3701365 3280196 0 0 0 1389539 1444783 5091904 4749472 -264106 -68521 1188923 1085422 322432 287452 866491 797970 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 1486167 907963 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. 2481799 24493 1367244 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, HOMEMAKER AND HOMEMAKER AIDE SERVICES TO SENIORS AND LIFELINE AND MEDICATION ADMINISTRATION EQUIPMENT. 582453 248314 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. 4550419 1 1 0 1 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 10 0 1 220 1 0 0 0 0 0 0 0 0 0 0 X 29 28 1 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 MH WEINBERG 1.00 X X 0 0 0 MARVIN ARNPRIESTER 1.00 X X 0 0 0 DANIEL PADILLA 1.00 X X 0 0 0 MARGIE HELLER 1.00 X X 0 0 0 JOSIE ABBOUD 1.00 X 0 0 0 JANIS M BERRY 1.00 X 0 0 0 MARY ANN BORGESON 1.00 X 0 0 0 MARY M BROCKELSBY 1.00 X 0 0 0 SHARYN CRAWFORD-JONES 1.00 X 0 0 0 KATHRYNE CUTLER 1.00 X 0 0 0 MARCEL DEVETTEN MD 1.00 X 0 0 0 C RANDY ENDELMAN 1.00 X 0 0 0 NEIL FORTKAMP 1.00 X 0 0 0 THERESA FRANCO 1.00 X 0 0 0 MARGARITE GOODENOW 1.00 X 0 0 0 LYNN GROBE 1.00 X 0 0 0 MARGARET KAISER 1.00 X 0 0 0 GEORGE KLEINE 1.00 X 0 0 0 SHAWN MOORE 1.00 X 0 0 0 WES NEUHAUS 1.00 X 0 0 0 RALPH O'DONNELL 1.00 X 0 0 0 TIM RILEY 1.00 X 0 0 0 PAM STENE 1.00 X 0 0 0 RAY STOUPA 1.00 X 0 0 0 EMMET TINLEY 1.00 X 0 0 0 SUSAN TINLEY 1.00 X 0 0 0 TERI TIPTON 1.00 X 0 0 0 AURA WHITNEY-JACKSON 1.00 X 0 0 0 JAMES SUMMERFELT 14.00 X X 0 182599 18475 DAVE VANLANDINGHAM 4.00 X 0 88950 4234 ELIZABETH CERNECH 20.00 X 87822 0 3191 BRIDGET YOUNG 5.00 X 0 88631 6958 87822 360180 32858 0 0 1 0 0 684219 11442 389103 1072666 2157430 HOME HEALTH CARE SVCS 621610 1591909 1591909 MANAGEMENT SERVICES 561000 846358 846358 CONTRACT: EDUCATION SE 611710 44387 44387 MEDICARE/MEDICAID PAYM 621610 40867 40867 2523521 4680951 2523521 0 0 24493 24493 91013 91013 2699117 2602269 96848 65584 59721 5863 173759 157938 15821 250723 250723 769343 769343 222218 173377 48841 1632 1632 310918 290859 20059 1767 1767 123466 121636 1830 2609 2609 120 120 MISCELLANEOUS 11985 2194 9791 DUES AND SUBSCRIPTIONS 725 725 4749472 4550419 199053 0 1500 1250 123335 98227 890615 514740 111809 231914 58121 61857 12820 12680 260 140 3283 177294 1188923 1085422 322432 287452 322432 287452 X -3639 -7758 870130 805728 866491 797970 1188923 1085422 -68521 X X 0 1 1 X 1 1 X 1919682 2128238 3302640 2394386 2157430 11902376 1919682 2128238 3302640 2394386 2157430 11902376 326630 11575746 2943 2201 809 200 6153 49102 46501 33081 39354 44387 212425 12120954 9962885 0.95500 0.95380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 48841 48841 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE ORGANIZATION PAID FEES TO A GOVERNMENT RELATIONS FIRM. 578908 67258 63228 4030 578908 578908 138706 126740 11966 578908 578908 16038 15850 188 578908 0.00000 1.00000 0.00000 0 1 1 12820 12680 140 140 INTERCOMPANY RECEIVABLE 177294 177294 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2010, 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) 24493 TO AID IN THE PROGRAMS AND SERVICES INCLUDING HOME HEALTH CARE AND HOSPICE. 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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. X X X 0 1 0 0 0 0 0 0 0 JAMES SUMMERFELT 0 182599 0 0 0 0 0 2568 0 15907 0 201074 0 0 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, BRIDGET YOUNG, JOANIE KUSH, BRIDGET CANIGLIA AND ELIZABETH CERNECH PARTICIPATED IN THE PLAN DURING 2010. VNAM DID NOT MAKE ANY CONTRIBUTIONS TO THE PLAN DURING 2010. FORM 990, PART VI, SECTION A, LINE 2 EMMETT TINLEY, III AND SUSAN TINLEY, HUSBAND AND WIFE, SERVE AS DIRECTORS ON THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 VNA WILL SHARE FORM 990 WITH THE GOVERNING BODY PRIOR TO SUBMISSION. IF A REGULARLY SCHEDULED MEETING DOES NOT OCCUR BEFORE FORM 990 DEADLINE FOR SUBMISSION, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WILL MEET, REVIEW 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 2010 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 EO 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; A PAID COMPARABILITY STUDY AND REVIEW OF COMPARABLE COMPANY 990S HAVE BEEN DONE IN THE PAST, THE MOST RECENT IN JULY 2006. 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. AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII, SECTION A, LINE 1A JAMES SUMMERFELT, PRESIDENT AND CEO, DEVOTES AN AVERAGE OF 26 HOURS PER WEEK TO THE FOLLOWING RELATED ORGANIZATIONS: VISITING NURSE ASSOCIATION OF THE MIDLANDS 14.0 VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY 4.0 VISITING NURSE FOUNDATION 8.0 DAVE VANLANDINGHAM, CFO, DEVOTES AN AVERAGE OF 36 HOURS PER WEEK TO THE FOLLOWING RELATED ORGANIZATIONS: VISITING NURSE ASSOCIATION OF THE MIDLANDS 33.5 VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY 2.0 VISITING NURSE FOUNDATION 0.5 ELIZABETH CERNECH, VICE PRESIDENT, DEVOTES AN AVERAGE OF 20 HOURS PER WEEK TO THE FOLLOWING RELATED ORGANIZATION: VISITING NURSE FOUNDATION 20.0 BRIDGET YOUNG, VICE PRESIDENT, DEVOTES AN AVERAGE OF 35 HOURS PER WEEK TO THE FOLLOWING RELATED ORGANIZATIONS: VISITING NURSE ASSOCIATION OF THE MIDLANDS 30.0 VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY 5.0 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. SHARING OF FACILITIES AND EQUIPMENT SCHEDULE R, PAGE 3, PART V, LINE 2 VISITING NURSE HEALTH SERVICES SHARES ITS FACILITY WITH TWO AFFILIATES, VISITING NURSE ASSOCIATION OF THE MIDLANDS AND VISITING NURSE FOUNDATION. USE OF THE FACILITY BY THE THREE ORGANIZATIONS OVERLAPS. THEREFORE, IT IS DIFFICULT TO QUANTIFY THE COST OF THE PORTION USED BY EACH ORGANIZATION. VISITING NURSE ASSOCIATION OF THE MIDLANDS 12565 WEST CENTER ROAD STE 100 OMAHA NE 68144 470690207 HOME CARE, HOSPICE, PHARMACY NE 501(C)(3) 7 N/A 1 VISITING NURSE FOUNDATION 12565 WEST CENTER ROAD STE 100 OMAHA NE 68144 470690846 FUNDRAISING, INVESTMENTS NE 501(C)(3) 11A TYPE I N/A 1 VISITING NURSE ASSOCIATION OF POTTAWATAMIE COUNTY 822 S MAIN SUITE 102 COUNCIL BLUFFS IA 51503 420681048 HOME CARE, PUBLIC HEALTH IA 501(C)(3) 7 N/A 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 VISITING NURSE FOUNDATION N 59722 VISITING NURSE FOUNDATION Q 51584 VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY N 125392 VISITING NURSE ASSOCIATION OF THE MIDLANDS P 725132