Visiting Nurse Association Corporation
1500 Meadow Lake Parkway
Kansas City MO 64114-1622
Since 1891, VNA nurses have been providing quality home care to the citizens of Kansas City
Web and Phone Contact
Telephone (816) 531-1200
Mission Statement
VNA Corporation is organized and shall be operated exclusively for charitable purposes by conducting or supporting activities for the benefit of, to perform the function of, or to carry out the purposes of home health as carried out through Visiting Nurse Association. The VNA Corporation is a charitable, community oriented organization dedicated to assuring and providing high quality home care and related medical and social services to individuals in the metropolitan Kansas City area, regardless of ability to pay. The VNA Corporation is committed to working with the community to maximize responsiveness to the changing needs of the community. 
Leadership
CEO/Executive Director Mr. Brad Evans RN
Board Chair Ms Terry Weathers
Board Chair Company Affiliation Sunflower Sentene
History and Background
Year of Incorporation 1984
Former Names
Visiting Nurse Services of Health Midwest
Financial Summary
Revenue Expense Area Graph

Comparing revenue to expenses shows how the organizations finances fluctuate over time.

Source: IRS Form 990

 Breakdown
Net Gain/Loss:    in 
Note: When component data are not available, the graph displays the total Revenue and/or Expense values.
Statements
Mission Statement VNA Corporation is organized and shall be operated exclusively for charitable purposes by conducting or supporting activities for the benefit of, to perform the function of, or to carry out the purposes of home health as carried out through Visiting Nurse Association. The VNA Corporation is a charitable, community oriented organization dedicated to assuring and providing high quality home care and related medical and social services to individuals in the metropolitan Kansas City area, regardless of ability to pay. The VNA Corporation is committed to working with the community to maximize responsiveness to the changing needs of the community. 
Background Statement In 1891 a group of prominent Kansas City women realized the need to provide nursing care for the city's sick and poor. They were able to generate support from the local community and establish what has become known as the Visiting Nurse Association. Their mission was simple, to provide quality health care to residents, regardless of their ability to pay. More than one hundred years later, today's VNA still provides quality health care to those who seek and can afford the best care available, as well as those who cannot afford care and need our help. Throughout the past 125 years, VNA has experienced many challenges, from specialty nursing programs to ever changing Medicare & Medicaid regulations. But the quality of care and concern for the patient's well-being has remained the same. Just as it was for a group of prominent women in 1891, it remains today; the good health of local residents is our top priority. VNA offers the most extensive range of services available from any home health agency in Kansas City. Skilled nursing, enterostomal therapy, cardio-pulmonary nursing, infusion therapy, mental health nursing, medical social work, rehabilitation therapies, home health aides, dietitians and volunteers.
Impact Statement
IMPACT:
  • Home Health: Allows persons to remain in their homes instead of receiving health care in a more expensive setting, i.e. nursing home, hospital, etc. In 2017, VNA 18% patients were readmitted to the hospital and 11%  received unplanned emergency care.
  • Community Outreach Program: Individuals can closely monitor their health and make changes quickly and notify their physician if problems arise.
  • In 2017: Over 93% of persons that participated in health screenings reported that they made a lifestyle change as a result of the screening and teaching. Both programs met outcome goals in 2016.  
  • In 2016: The Visiting Nurse Association received Deemed Status from The Joint Commission for the next 3 years.  As a home health care provider, VNA is the only free-standing agency in the Kansas City area to receive this highly sought after status.  
Goals for the future are to continually improve our patient care outcomes especially re-hospitalization and use of unplanned emergent care. The Community Outreach program goals are to maintain or increase the number of individuals who receive screenings throughout the community by visiting additional community sites and also educate more individuals about maintaining a healthy lifestyle and how to make changes to their current lifestyle.
Needs Statement
  1. Locate funding for indigent home health care as funding sources (ie. Medicaid) reduce reimbursement.
  2. Locate funding for the Community Outreach Program that provides preventative health screenings (blood pressure, glucose, cholesterol) for seniors.
  3. Locate and retain highly-skilled clinical staff (nurses, therapists and home health aides).
  4. Continually upgrade technology to increase the efficiency of staff. Includes computer technology, in-home blood testing and monitoring devices.
  5. Locate and hire bilingual staff.
Service Categories
Home Health Care
Rehabilitative Care
Home Health Care
Areas of Service
MO - Jackson County
MO - Clay County
MO - Platte County
KS - Wyandotte County
KS - Johnson County
MO - Eastern Jackson Co
MO - Jackson County Urban Core
KS - Wyandotte County Urban Core
MO - Ray County
VNA is the largest provider of home health care services in Kansas City covering 211 zip codes.  Our staff drive over 1 million miles a year providing care to patients in our service area.
CEO/Executive Director/Board Chair Statement The VNA is very fortunate to have a long tenured and committed staff. Senior management has a long history with VNA which is very helpful, especially after the move to full independence from the Community Health Group and Health Midwest in 2007.
 
It is a challenge to have a diverse board, in terms of not only ethnic, education and skills, but geographically.  The Board of Directors is consistently working on ways to increase the diversity of its members.  During the time under the Health Midwest umbrella, the board role was more advisory.  As the board has transitioned into a governing board, it has expanded the committee structure to meet the needs of an independent organization.  VNA is fiscally sound with a respectful balance sheet.  The challenge is and will continue to be the reduction in Medicare and Medicaid reimbursement and eligibility.  VNA provides over $850,000 in uncompensated care  each year.  The uncompensated care percentage will continue to grow each year as the number of under insured and reimbursement continues to decline.   We are constantly searching for new revenue sources to offset the financial loss and still maintain our strong community and mission focus.
 
VNA continues to be a leader in the use of technology in the provision of home health care.  Several years ago, VNA implemented an electronic medical record system for all clinical staff.  Clinical personnel utilize laptop computers in the patient's home to record all medical information and then download the information to increase the timeliness of patient care, quality of care and communication between other staff members.  Home tele-health monitoring is also utilized if the patients care warrants daily monitoring of vital signs. VNA continues to seek out new ways to improve the quality of care for our patients and the board supports these endeavors.
Programs
Description Home Health Care provided as ordered by the physician. Services include skilled nursing, physical, occupational and speech therapy, social work, nutrition and home health aide. Medicare and MO Medicaid require patients be homebound to receive services. All services, independent of payor, must be ordered and supervised by the physician.
Category Health Care, General/Other Home Health Care
Population Served , Adults,
Short-Term Success The near term success indicator is that individuals will remain in their homes instead of being re-hospitalized or going to a nursing home, and to reduce emergency care visits.
Long-Term Success The overall goal is to teach the patient self management of their medical condition which includes education of medication for patient and family, dietary recommendations and medical social work if necessary. If the patient has a need for hands on care such as IV therapy, wound care, speech, occupational or physical therapy, VNA provides that service.
Program Success Monitored By VNA is monitored by Medicare utilizing outcomes. Outcomes are monitored quarterly and improvement activities are developed after the quarterly review. VNA is a quality partner with Primaris and are working together to improve our outcomes each quarter.
Examples of Program Success Re-hospitalization Rate: VNA 23.7% as compared to National 28.6%. VNA patients are re-hospitalized less than the national average which is the overall goal of home health care. Emergency Care Utilization: VNA 20.8% as compared to National 21.7%. VNA patients utilized emergency care less often than the national average which is a secondary goal of home health care. These outcome measure results are statistically significant. Each year, the results place VNA in the top 10% of home health agencies.
Description Blood pressure, blood sugar screening, total blood cholesterol and health education is provided at senior community and living sites and other locations throughout Kansas City. 
Category Health Care Home Health Care
Population Served Aging/Elderly/Senior Citizens, Adults, General Public/Unspecified
Short-Term Success

If screening results show areas of needed improvement, the individual should see professional medical advice from their primary care physician.  Education materials are provided to each participant regarding simple lifestyle changes to improve their lifestyle.

Long-Term Success Senior citizens in Kansas City are making changes to their current lifestyle if their screening results show areas of needed improvement.
Program Success Monitored By Twice a year health promotion participants are asked to answer a short questionnaire regarding their screening results, education provided and if they received professional medical advices as a result of the screening.  Participants are also entered into a computer database to assist with demographic information for each site.  The number of sites the health promotions team routinely visits has increased by 50% since 2007.
Examples of Program Success The survey results indicated over 75% of participants made a lifestyle change. Lifestyle changes made: walking more, eating better, lowering salt intake, and overall increased activity.
CEO Comments
There is a great opportunity for home health care to expand as medical technology progresses, i.e. telemedicine and lab tests completed in the home. VNA is currently utilizing these new technologies that improve patient care and increase efficiency. High quality home health care has always been a goal at VNA.
 
VNA has purchased new clinical quality software to enhance our efforts. This software allows for "real time" patient outcome information that will allow the clinicians to be more proactive in their treatment plans.
Executive Director/CEO
Executive Director Mr. Brad Evans RN
Term Start Dec 2015
Experience President and CEO, December 2015 to Present. Brad is responsible for overall direction of Kansas City's oldest and largest home health agency. The agency's mission is to provide the highest quality skilled nursing, rehabilitative therapy and related services in the patient's home. These services are provided based on need, not the ability to pay.  Combined staff number in excess of 170 people. Accountable to community-based volunteer Board of Directors. EDUCATION: Masters of Business Administration from University of Central Missouri; Bachelor of Science from University of Missouri.
Co-CEO/Executive Director
Term Start 0
Compensation Last Year
Former CEOs
NameTerm
Mr Richard Roberson Dec 1981 - Mar 2016
Senior Staff
Title Director of Finance/CFO
Experience/Biography CPA, 26 years at Health Midwest and last position was Director of Budget and Special Projects. Past board member of Health Midwest Credit Union and Research College of Nursing.
Title Director of Marketing & Provider Relations
Experience/Biography 14 + years of marketing experience, previously employed by The University of Kansas Hospital. Bachelor of Science degrees in Marketing and Management from Northwest Missouri State University. Certificate of Corporate Community Relations from Boston College Center for Corporate Citizenship.
Title Director of Information Services
Title Director of Human Resources
Title Clinical Director
Staff
Paid Full-Time Staff 163
Paid Part-Time Staff 10
Volunteers 1
Paid Contractors 4
Retention Rate 84%
Formal Evaluations
CEO Formal Evaluation Yes
CEO/Executive Formal Evaluation Frequency Annually
Senior Management Formal Evaluation Yes
Senior Management Formal Evaluation Frequency Annually
Non-Management Formal Evaluation Yes
Non-Management Formal Evaluation Frequency Annually
Plans & Policies
Organization Has a Fundraising Plan Yes
Organization Has a Strategic Plan Yes
Management Succession Plan Under Development
Organization Policy and Procedures Yes
Nondiscrimination Policy Yes
Whistleblower Policy Yes
Document Destruction Policy Yes
Collaborations
Visiting Nurse Association has recently been selected as a Preferred Provider for Home Health Care Services for The University of Kansas Hospital and subsidiaries, as well as St. Luke's Health System, Truman Medical Centers, Team Health and Signature Medical Group.  
External Assessment and Accreditations
Assessment/AccreditationYear
Centers for Medicare and Medicaid Services (U.S. Department of Health and Human Services) - Medicare Certification 1966
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - Home Care Accreditation2016
Awards
Award/RecognitionOrganizationYear
Quality PartnerPrimaris2005
Partnership AwardWYCO American Red Cross2005
Elite 500 Home health AgencyCenters for Medicare and Medicaid Services2006
Elite 500 Home Health AgencyCenters for Medicare and Medicaid Services2007
Top 21 Agencies in State of MissouriPrimaris2007
HomeCare EliteOCS/Decision Health2008
Top 20 Agencies in State of MissouriPrimaris2009
Elite 500 Home Health AgencyCenters for Medicare and Medicaid Services2008
Circle of Caring AwardUnited Way2008
Government Licenses
Is your organization licensed by the government? Yes
Board Chair
Board Chair Ms Terry Weathers
Company Affiliation Sunflower Sentene
Term June 2017 to June 2019
Board Members
NameAffiliation
Hugh Alexander Shepherd Center of Shawnee Mission
Katie Boyer Community Volunteer
Ann Cary UMKC School Of Nursing
Mrs Linda Clarkson Total Risk Management, Inc.
Mr. Al Cohen Cohen Financial Services
Mrs. Betty Crooker Community Volunteer
Nancy DeBasio RNResearch College of Nursing
Mr Brad Evans Visiting Nurse Association
Sheryl Feutz-Harter New Directions
Tom Langenberg Community Health Group
Barbara McArthur The University of Kansas Hospital
Russell Melchert UMKC School of Pharmacy
Larkin O'Keefe Med Trak Services
Gregory Radke Children's Mercy Hospital
Ms Terry Weathers Amerigroup
Board Demographics - Ethnicity
African American/Black 0
Asian American/Pacific Islander 0
Caucasian 15
Hispanic/Latino 0
Native American/American Indian 0
Other 0
Board Demographics - Gender
Male 7
Female 8
Unspecified 0
Governance
Board Term Lengths 3
Board Term Limits 3
Board Meeting Attendance % 75%
Written Board Selection Criteria? Yes
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 17%
Percentage Making In-Kind Contributions 75%
Constituency Includes Client Representation No
Number of Full Board Meetings Annually 6
Standing Committees
Audit
Executive
Finance
Human Resources / Personnel
Nominating
Marketing
Investment
CEO Comments
The VNA is very fortunate to have a long tenured and committed staff.  Senior management has a long history with VNA which is very helpful, especially after the move to full independence from the Community Health Group and Health Midwest in 2007.
 
It is a challenge to have a diverse board, in terms of not only ethnic, education and skills, but geographically.  The Board of Directors is consistently working on ways to increase the diversity of its members.  During the time under the Health Midwest umbrella, the board role was more advisory.  As the board has transitioned into a governing board, it has expanded the committee structure to meet the needs of an independent organization.  VNA is fiscally sound with a respectful balance sheet.  The challenge is and will continue to be the reduction in Medicare and Medicaid reimbursement and eligibility.  The uncompensated care percentage will continue to grow each year as the number of under insured and reimbursement continues to decline. 
 
VNA continues to be a leader in the use of technology in the provision of home health care.  Several years ago, VNA implemented an electronic medical record system for all clinical staff.  Clinical personnel utilize laptop computers in the patient's home to record all medical information and then download the information to increase the timeliness of patient care, quality of care and communication between other staff members.  Home tele-health monitoring is also utilized if the patients care warrants daily monitoring of vital signs.  VNA continues to seek out new ways to improve the quality of care for our patients and the board supports these endeavors.
Financials
Fiscal Year Start Jan 01, 2017
Fiscal Year End Dec 31, 2017
Projected Revenue $16,760,000
Projected Expenses $17,620,000
Endowment Value $1,265,000
IRS Letter of Exemption
Foundation Comments
  • FY 2015, 2014, 2013: Financial data reported using IRS Form 990. 
  • Foundation/corporate revenue line item may include contributions from individuals.
Detailed Financials
 
Revenue SourcesHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available) and revenue sources may not sum to total based on reconciliation differences. Revenue from foundations and corporations may include individual contributions when not itemized separately.
Fiscal Year201520142013
Foundation and
Corporation Contributions
$71,314$50,936$20,000
Government Contributions$0$0$0
Federal----$0
State----$0
Local----$0
Unspecified$0$0$0
Individual Contributions----$0
$266,550$264,917$257,614
$14,961,618$14,736,358$15,773,229
Investment Income, Net of Losses$7,564$29,598$209,981
Membership Dues$0$0$0
Special Events$0$0$0
Revenue In-Kind$0$0$0
Other$564,032$682,356$304,373
Expense Allocation
Fiscal Year201520142013
Program Expense$14,333,233$14,416,108$14,585,837
Administration Expense$2,499,295$2,422,716$2,353,838
Fundraising Expense$0$0$0
Payments to Affiliates----$0
Total Revenue/Total Expenses0.940.940.98
Program Expense/Total Expenses85%86%86%
Fundraising Expense/Contributed Revenue0%0%0%
Assets and Liabilities
Fiscal Year201520142013
Total Assets$7,011,165$7,246,431$7,692,835
Current Assets$3,441,148$3,622,003$3,048,291
Long-Term Liabilities$0$0$0
Current Liabilities$2,291,940$2,067,536$1,977,732
Total Net Assets$4,719,225$5,178,895$5,715,103
Short-Term Solvency
Fiscal Year201520142013
Current Ratio: Current Assets/Current Liabilities1.501.751.54
Long-Term Solvency
Fiscal Year201520142013
Long-Term Liabilities/Total Assets0%0%0%
Top Funding Sources
Fiscal Year201520142013
Top Funding Source & Dollar AmountAnonymous $266,550 --Anonymous $257,614
Second Highest Funding Source & Dollar AmountAnonymous $51,314 --Anonymous $20,000
Third Highest Funding Source & Dollar AmountAnonymous $20,000 -- --
Capital Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years No
Organization Comments VNA provides care for individuals in a 17 county area, irregardless of the patient's ability to pay. We continue to educate physicians & discharge planners on the benefits of home health care. VNA continues to have strong quality indicators ranking above Missouri state norms. VNA provides clinicians with the technology to do their jobs efficiently & provide patient information in "real time" by providing tablets, cell phones & portable lab equipment. Tele-monitors are provided to patients who benefit from constant monitoring. As part of the community service mission, VNA provides health screenings at sites who serve the elderly & low income population groups. "Boo to the Flu" provides flu shots to the general public. In September 2007, VNA purchased the building, which was previously leased. Home Health providers continue to encounter challenges in payment for services rendered. Medicare is the largest payer of services provided by the VNA. Effective January 2007, all home health agencies will have payments reduced 2.75% per year until 2010 & a 2.71% reduction in 2011 and beyond. This reduction is the result of the Centers for Medicare and Medicaid Services(CMS) assertion that case mix weights increased with changes in patient characteristics (aka case mix creep). This was offset by a market basket factor for inflation, netting approximately .25% increased in Medicare reimbursement.  Missouri Medicaid continues to provide no reimbursement for physical, occupational, & speech therapy, reflected by the uncompensated care VNA provides. VNA has a strong balance sheet & is committed to providing quality health care to our patients.
Organization Name Visiting Nurse Association Corporation
Address 1500 Meadow Lake Parkway
Kansas City, MO 641141622
Primary Phone (816) 531-1200
Contact Email info@vnakc.com
CEO/Executive Director Mr. Brad Evans RN
Board Chair Ms Terry Weathers
Board Chair Company Affiliation Sunflower Sentene
Year of Incorporation 1984
Former Names
Visiting Nurse Services of Health Midwest