Civic Intelligence

Visiting Nurse Association of Southeast Mo

EIN 23-7314085 • 501(c)3 • Kennett, MO

Profile

Set the standard for excellence in the delivery of home care service to the citizens of southeast missouri through therapeutic, custodial, palliative and preventive care.

PO Box 768Kennett, MO 63857

vnasemo.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

49th percentile

0.17x

Higher debt load relative to assets than 49% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Liabilities / Revenue

38th percentile

0.13x

Higher debt load relative to revenue than 38% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Net Margin

23rd percentile

-5.8%

Higher net margin than 23% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Top Officer Pay

37th percentile

$150,135

Higher top officer pay than 37% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Asset Growth

20th percentile

-3.9%

Faster asset growth than 20% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Revenue Growth

36th percentile

0.9%

Faster revenue growth than 36% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Assets

Down

$9,839,019

Down $397,300 (-3.9%) from 2024

Liabilities

Up

$1,638,885

Up $48,757 (+3.1%) from 2024

Net Assets

Down

$8,200,134

Down $446,057 (-5.2%) from 2024

Revenue

Up

$12,216,680

Up $110,794 (+0.9%) from 2024

Expenses

Down

$12,930,126

Down $8,048 (-0.1%) from 2024

Net Income

Up

-$713,446

Up $118,842 (+14%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0Assets 2011: $13,725,903Liabilities 2011: $2,142,662Net Assets 2011: $11,583,2412011Assets 2012: $13,899,155Liabilities 2012: $2,083,887Net Assets 2012: $11,815,2682012Assets 2013: $13,272,285Liabilities 2013: $1,946,026Net Assets 2013: $11,326,2592013Assets 2014: $12,212,298Liabilities 2014: $1,830,626Net Assets 2014: $10,381,6722014Assets 2015: $11,735,190Liabilities 2015: $1,715,266Net Assets 2015: $10,019,9242015Assets 2016: $11,726,282Liabilities 2016: $2,011,227Net Assets 2016: $9,715,0552016Assets 2017: $11,670,430Liabilities 2017: $1,840,287Net Assets 2017: $9,830,1432017Assets 2018: $10,727,040Liabilities 2018: $1,580,396Net Assets 2018: $9,146,6442018Assets 2019: $10,154,160Liabilities 2019: $1,664,832Net Assets 2019: $8,489,3282019Assets 2020: $10,590,710Liabilities 2020: $3,304,045Net Assets 2020: $7,286,6652020Assets 2021: $10,013,349Liabilities 2021: $1,367,154Net Assets 2021: $8,646,1952021Assets 2022: $7,905,194Liabilities 2022: $1,044,753Net Assets 2022: $6,860,4412022Assets 2023: $10,854,920Liabilities 2023: $1,569,125Net Assets 2023: $9,285,7952023Assets 2024: $10,236,319Liabilities 2024: $1,590,128Net Assets 2024: $8,646,1912024Assets 2025: $9,839,019Liabilities 2025: $1,638,885Net Assets 2025: $8,200,1342025

Highlighted filing

2025

Assets$9,839,019
Liabilities$1,638,885
Net Assets$8,200,134

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$15M$10M$5.0M$0-$5.0MExpenses 2011: $18,684,8822011Expenses 2012: $17,379,2472012Expenses 2013: $16,610,8562013Revenue 2014: $15,267,442Expenses 2014: $16,223,205Net Income 2014: -$955,7632014Revenue 2015: $15,467,291Expenses 2015: $15,750,138Net Income 2015: -$282,8472015Revenue 2016: $15,767,855Expenses 2016: $16,201,371Net Income 2016: -$433,5162016Revenue 2017: $15,566,319Expenses 2017: $15,645,528Net Income 2017: -$79,2092017Revenue 2018: $14,291,034Expenses 2018: $14,976,722Net Income 2018: -$685,6882018Revenue 2019: $14,260,999Expenses 2019: $15,075,486Net Income 2019: -$814,4872019Revenue 2020: $12,882,247Expenses 2020: $14,195,807Net Income 2020: -$1,313,5602020Revenue 2021: $13,740,817Expenses 2021: $13,224,975Net Income 2021: $515,8422021Revenue 2022: $11,894,723Expenses 2022: $12,709,123Net Income 2022: -$814,4002022Revenue 2023: $15,705,808Expenses 2023: $13,494,497Net Income 2023: $2,211,3112023Revenue 2024: $12,105,886Expenses 2024: $12,938,174Net Income 2024: -$832,2882024Revenue 2025: $12,216,680Expenses 2025: $12,930,126Net Income 2025: -$713,4462025

Highlighted filing

2025

Revenue$12,216,680
Expenses$12,930,126
Net Income-$713,446

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$9.84$1.64$8.20$12.2$12.9$0.71
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.2$1.59$8.65$12.1$12.9$0.83
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.9$1.57$9.29$15.7$13.5$2.21
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.91$1.04$6.86$11.9$12.7$0.81
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.0$1.37$8.65$13.7$13.2$0.52
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.6$3.30$7.29$12.9$14.2$1.31
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.2$1.66$8.49$14.3$15.1$0.81
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.7$1.58$9.15$14.3$15.0$0.69
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.7$1.84$9.83$15.6$15.6$0.08
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.7$2.01$9.72$15.8$16.2$0.43
2015Detailed filing. Detailed filing data is available for this year.$11.7$1.72$10.0$15.5$15.8$0.28
2014Detailed filing. Detailed filing data is available for this year.$12.2$1.83$10.4$15.3$16.2$0.96
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.3$1.95$11.3$16.6
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.9$2.08$11.8$17.4
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.7$2.14$11.6$18.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Mar 9, 2026
Return Version
2024v5.1
Gross Receipts
$13,176,849
Mission and Program Overview

Mission

Set the standard for excellence in the delivery of homecare service to the citizens of southeast missouri through therapeutic, custodial, palliative and preventive care in an environment that prioritizes compassion in treating individual needs, enhancing independence and dignity, and improving an individual's quality of life.

Set the standard for excellence in the delivery of homecare service to the citizens of southeast missouri through therapeutic, custodial, palliative care, and preventive care in an environment that prioritizes compassion in treating individual needs, enhancing independence and dignity, and improving an individual's quality of life.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$6,657,606$6,072,422▼ $585,184
Land, Buildings, and Equipment, Net$1,550,923$1,745,003▲ $194,080
Accounts Receivable$1,055,678$1,202,526▲ $146,848
Cash and Non-Interest-Bearing Accounts$502,714$279,109▼ $223,605
Prepaid Expenses and Deferred Charges$208,119$216,604▲ $8,485
Savings and Temporary Cash Investments$105,582$116,284▲ $10,702
Inventories for Sale or Use$21,811$46,084▲ $24,273
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$10,236,319$9,839,019▼ $397,300
Other Assets Total$133,886$160,987▲ $27,101
Liabilities
Accounts Payable and Accrued Expenses$914,908$883,889▼ $31,019
Other Liabilities$588,242$658,604▲ $70,362
Escrow Account Liability$86,978$96,392▲ $9,414
Total Liabilities$1,590,128$1,638,885▲ $48,757
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$8,646,191$8,200,134▼ $446,057
Total Net Assets Fund Balance$8,646,191$8,200,134▼ $446,057
Total Liabilities and Net Assets / Fund Balance$10,236,319$9,839,019▼ $397,300

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$627,517$1,310,856$1,938,373
Buildings$1,111,389$556,436$1,667,825
Leasehold Improvements$6,097$36,071$42,168
Other Land Buildings$0$0$0
Land$0-$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Shonda YoungCEOFT$122,491$27,644$150,135

Board Members and Trustees

NameTitle
Helen SanderPresident
Steven SchererVice President
Diane PetersonDirector
Jeannie FadlerDirector
Kathy CullinsDirector
Rose HorrellDirector
Jim LawrenceDirector BEG 11/24
Susan McveyDirector End 01/25
Debbie ParkerDirector End 09/24
Marilyn AtwillSecretary
Lavern HadderTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Homecare HomebaseEmr Software Provider6688 NORTH CENTRAL EXPRESSWAY, SUITE 800, Dallas, TX 75206$224,845
Nhc HealthcareSkilled Facility1120 FALCON DR, Kennett, MO 63857$116,910
Heritage Nursing CenterSkilled Nursing1802 ST FRANICS, Kennett, MO 63857$110,920
Revenue and Support

Revenue Composition

Contributions and Grants
$209,532
Program Service Revenue
$11,525,419
Investment Income
$474,731
Other Revenue
$6,998
All Other Contributions
$7,619
Change in Net Assets
$-713,446

Audited Revenue Reconciliation

Revenue per Audited Statements
$12,196,421
Revenue Not Reported on Financial Statements
$20,259
Revenue Not Reported on Form 990
$267,389
Other Revenue Adjustments
$20,259
Total Revenue per Audited Statements
$12,463,810
Total Revenue per Form 990
$12,216,680
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$10,167,778
Other Expenses$2,762,348
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,732,390$3,614,676-$8,347,066
Other Employee Benefits$595,052$442,268-$1,037,320
Fees for Services Other$535,800$136,075$0$671,875
Payroll Taxes$353,439$279,111-$632,550
Travel$330,038$180,690-$510,728
Information Technology$195,953$133,256-$329,209
Office Expenses$186,793$127,013-$313,806
Depreciation Depletion$137,201$93,303-$230,504
Current Officers, Directors, Trustees, and Key Employees-$150,135-$150,135
Insurance$72,859$49,548-$122,407
Occupancy$46,673$31,739-$78,412
Fees for Services Accounting-$66,812-$66,812
Conferences and Meetings$18,271$12,425-$30,696
Advertising$11,671$7,937-$19,608
Interest$10,112$6,891-$17,003
Fees for Services Legal-$12,760-$12,760
Other Expenses$7,258$4,936-$12,194
Pension Plan Contributions$395$312-$707
Total Functional Expenses$7,570,987$5,359,139$0$12,930,126

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$12,930,126
Total Expenses per Form 990$12,930,126
Total Expenses per Audited Statements$12,909,867
Expenses Not Reported on Financial Statements$0
Other Expense Adjustments$0
Expenses Not Reported on Form 990$-20,259
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$5,926
Gaming Gross Income$5,759
Fundraising Direct Expenses$3,692
Gaming Direct Expenses$995
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$541,345
Lease Liabilites$117,259
Estimated Self-insurance-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 1A Delegate broad authority to A committee

The executive committee shall act on behalf of the board of directors between regular meetings of the board in a manner consistent with the established policies of the board of directors. Three officers of the board of directors must be present to constitute a quorum of the executive committee and allow corporate business.

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

HELEN SANDER AND ROSE HORRELL - Family relationship

Form 990, Part VI, Line 11B Review of form 990 by governing body

The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. Management of the organization completes a thorough review of the 990. The return is then presented to the board of directors who have an opportunity to ask questions or make comments before the return is filed.

Form 990, Part VI, Line 12C Conflict of interest policy

Conflict of interest annual disclosures are reviewed by the compliance officer. Any conflicts are reviewed by the ceo and reported to the board annually. Board members with potential conflicts abstain from voting on items related to that conflict. Corporate officers and key employees are also required to disclose conflicts of interest annually.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

The ceo's compensation is reviewed annually and approved by the board of directors. The organization reviewed the home care and salary benefits report 2024-2025 as part of its compensation analysis. The compensation review process is documented in the board meeting minutes.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

The homecare salary and benefit book is reviewed by the hr director annually. Data is reviewed by position, by region, by revenue and by entity type.

Form 990, Part VI, Line 19 Required documents available to the public

The organization's governing documents, conflict of interest policy, and financial statements are all available to be viewed at the organization's place of business upon written request.

Filing and Contact Details

Filer

Filer Name
Visiting Nurse Association of Southeast Mo
EIN
23-7314085
Phone
5738885892
Address
PO BOX 768, KENNETT, MO 63857

Signing Officer

Name
Shonda Young
Title
CEO
Phone
5738885892
Signed
2026-03-09
Discuss with paid preparer
Yes

Organization Details

Formed
1973
Legal Domicile
Mo
Voting Board Members
9
Independent Board Members
9
Employees
257
Volunteers
44

Preparer

Firm
Forvis Mazars LLP
Address
910 E St Louis 200 PO Box 1190, Springfield, MO 65806-2523
Preparer
Brian Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4D Description of other program services

(Expenses $ 1,348,635 including grants of $ 0)(Revenue $ 2,098,931) OTHER PROGRAM SERVICES INCLUDE CONSUMER-DIRECTED CARE SERVICES, SENIOR COMPANION PROGRAM, PRIVATE DUTY, AND ADVANCED ILLNESS MANAGEMENT. CONSUMER-DIRECTED SERVICES (CDS) IS AN ALTERNATIVE TO INSTITUTIONAL CARE. CDS ALLOWS INDIVIDUALS TO CHOOSE AND HIRE CARE PROVIDERS TO ASSIST WITH ADLS TO REMAIN SAFELY AT HOME. PRIVATE DUTY IS NURSING CARE FOR PATIENTS WITH ADVANCED MEDICAL SUPPORT NEEDS WHO ARE CONSIDERED HIGH-RISK AND MEDICALLY FRAGILE. RNS AND LPNS PROVIDE SKILLED AND NON-SKILLED SERVICES FOR A MINIMUM SHIFT OF 4 HOURS PER DAY. SENIOR COMPANION SERVICES IS AN AMERICORPS FEDERAL GRANT-MATCHING PROGRAM THAT PAIRS ADULT VOLUNTEERS WITH OLDER ADULTS TO PROVIDE COMPANIONSHIP AND ASSISTANCE WITH ADLS TO HELP THEM LIVE INDEPENDENTLY IN THEIR HOMES. ADVANCED ILLNESS MANAGEMENT FOCUSES ON IMPROVING THE QUALITY OF LIFE FOR PATIENTS WITH SERIOUS, LIFE-LIMITING ILLNESSES THROUGH SYMPTOM MANAGEMENT AND EMOTIONAL AND SPIRITUAL SUPPORT.

Financial Statement Notes

Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS

Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Schedule D, Part IV, Line 2B Explanation of escrow agreement

The organization has a christmas club that allows employees to elect to have a certain amount withheld from each paycheck. No additional contributions are made by the organization. The account is distributed to the employees each october.

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

Gain on disposal of property - 24946 fundraising expenses reclassed - -3692 gaming activities expenses reclassed - -995

Schedule D, Part XII, Line 2(D) Other expenses in audited financial statements not in form 990

Gain on disposal of property - -24946 fundraising expenses reclassed - 3692 gaming activities expenses reclassed - 995

Raw XML AppendixShowing 400 of 678 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/MissionDesc0SET THE STANDARD FOR EXCELLENCE IN THE DELIVERY OF HOMECARE SERVICE TO THE CITIZENS OF SOUTHEAST MISSOURI THROUGH THERAPEUTIC, CUSTODIAL, PALLIATIVE AND PREVENTIVE CARE IN AN ENVIRONMENT THAT PRIORITIZES COMPASSION IN TREATING INDIVIDUAL NEEDS, ENHANCING INDEPENDENCE AND DIGNITY, AND IMPROVING AN INDIVIDUAL'S QUALITY OF LIFE.
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IRS990/ProgSrvcAccomActy2Grp/Desc0HOME HEALTH SERVED 1056 CLIENTS IN FISCAL YEAR 2025 AND DELIVERED 16,514 BILLABLE VISITS. PHYSICIAN ORDERED HOME HEALTH SERVICES PROVIDE SKILLED NURSING, THERAPY, AND AIDE SERVICES FOR PATIENTS IN THEIR HOMES.
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IRS990/ProgSrvcAccomActy3Grp/Desc0HOSPICE SERVED 181 PATIENTS IN FISCAL YEAR 2025 AND DELIVERED 12,674 DAYS OF CARE. HOSPICE SERVICES ARE PROVIDED TO SUPPORT AND COMFORT DYING PATIENTS AND THEIR FAMILIES. THIS COMPREHENSIVE PROGRAM, PROVIDED BY PHYSICIANS, NURSES, COUNSELORS AND OTHER PROFESSIONALS IS DESIGNED TO KEEP THE PATIENT COMFORTABLE IN THEIR PLACE OF RESIDENCE WHILE EMOTIONAL SUPPORT IS GIVEN TO FAMILY MEMBERS AND CAREGIVERS.
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IRS990/ProgSrvcAccomActyOtherGrp/Desc0OTHER PROGRAM SERVICES INCLUDE CONSUMER-DIRECTED CARE SERVICES, SENIOR COMPANION PROGRAM, PRIVATE DUTY, AND ADVANCED ILLNESS MANAGEMENT. CONSUMER-DIRECTED SERVICES (CDS) IS AN ALTERNATIVE TO INSTITUTIONAL CARE. CDS ALLOWS INDIVIDUALS TO CHOOSE AND HIRE CARE PROVIDERS TO ASSIST WITH ADLS TO REMAIN SAFELY AT HOME. PRIVATE DUTY IS NURSING CARE FOR PATIENTS WITH ADVANCED MEDICAL SUPPORT NEEDS WHO ARE CONSIDERED HIGH-RISK AND MEDICALLY FRAGILE. RNS AND LPNS PROVIDE SKILLED AND NON-SKILLED SERVICES FOR A MINIMUM SHIFT OF 4 HOURS PER DAY. SENIOR COMPANION SERVICES IS AN AMERICORPS FEDERAL GRANT-MATCHING PROGRAM THAT PAIRS ADULT VOLUNTEERS WITH OLDER ADULTS TO PROVIDE COMPANIONSHIP AND ASSISTANCE WITH ADLS TO HELP THEM LIVE INDEPENDENTLY IN THEIR HOMES. ADVANCED ILLNESS MANAGEMENT FOCUSES ON IMPROVING THE QUALITY OF LIFE FOR PATIENTS WITH SERIOUS, LIFE-LIMITING ILLNESSES THROUGH SYMPTOM MANAGEMENT AND EMOTIONAL AND SPIRITUAL SUPPORT.
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