Home Nursing Agency & Visiting Nurse Association

“Form 990, part vi, section b, line 12b directors are required to disclose conflicts of interest annually through completion of a specific questionaire. All organization leaders, including officers and key employers, have signed a conflict of interest agreement, which requires them to disclose conflicts as they occur.”

“Robert packer; frances vaughn business relationship”

“Article iii, section 3.6 of the bylaws of the organization indicate that the president and chief executive officer of the home nursing agency affiliates shall serve as the president and ceo of the corporation. Because this section of the bylaws also permits the president and ceo to appoint executive staff from the home nursing agency affiliates to perform certain aspects of management functions, the chief financial officer and chief people officer of the home nursing agency affiliates controlled management duties of the organization.”

“Effective january 1, 2014, the organization's board of directors amended and restated the bylaws to reflect the structural change of the organization's parent corporation, home nursing agency affiliates. The sole member of the parent corporation transfered from upmc altoona, formally altoona regional health system, to upmc community provider services.”

“Article ii, section 2.3,(b) of the organization's bylaws permits the home nursing agency affiliates to elect or refuse to elect each person recommended by the nominating committee. These elections are subject to the approval of upmc community provider services.”

“Article ii, section 2.2,(a) of the organization's bylaws requires that the following actions that have been approved by the board also have the affirmative approval of the home nursing agency affiliates: any strategic plans and any operating and capital budgets of the corporation and each subsidiary of the corporation; amendments to articles or these bylaws or amendments to the articles or bylaws of each subsidiary of the corporation (apart from changes of registered office); merger (unless the merger results in the corporation or the respective subsidiary, as applicable, being the surviving entity and the transaction is less than 1,000,000), consolidation, dissolution and sale of substantial assets of the corporation or any subsidiary of the corporation; incurrence of indebtedness by the corporation or any subsidiary of the corporation (other than trade and/or accounts payable arising in the ordinary course of business) above thresholds to be determined by the home nursing agency affiliates and not apart of an approval capital and/or operating budget; the establishment, termination or withdrawl from joint ventures involving the corporation (or any subsidiary of the corporation) in which the corporation or any subsidiary of the corporation, as applicable, has a controlling interest; and the election or appointment of the president or chief executive officer of the corporation and each subsidiary of the corporation. Article ii, section 2.2,(b) of the organization's bylaws also gives home nursing agency affiliates the following powers with respect to the corporation: election and removal of the directors of the corporation (apart from the ex-officio directors); approval of any plan of division of the corporation; approval of any plan of merger of the corporation with another corporation (whether or not the corporation is the surviving entity); and all other approvals and/or actions as are reserved to home nursing agency affiliates by virtue of these bylaws or by virtue of any resolutions enacted by the corporation.”

“Hna vna is a subsidiary of the home nursing agency affiliates. The completed form 990 of hna vna was provided to the attendees of a meeting of the home nursing agency affiliates board of directors. The chairman of the hna vna board is a member of the board of the home nursing agency affiliates.”

“To familiarize themselves with potential conflicts, the ceo, cfo, chief people officer, and the compliance officer, review each form completed annually by members of the boards. All board and committee meetings are attended by at least one person in this group. If a potential conflict surfaces before or during a meeting, they are responsible for ensuring that the conflict is noted and appropriate action is taken.”

“Executive compensation for the home nursing agency ceo of the home nursing agency entities is reviewed and analyzed by an independent consultant to determine region and market competitiveness for both wages and benefits. Results of those findings are presented to an executive compensation committee for further review, analysis, recommendations, and approvals.”

“Executive compensation for key employees is reviewed and analyzed by an independent consultant to determine region and market competitiveness for both wages and benefits. Results of those findings are presented to an executive compensation committee for further review, analysis, recommendations, and approvals.”

“The organization does not make its governing documents, conflict of interest policy, and financial statements available to the general public. Financial and governance information is available in the organization's annual report and form 990; both of which are available to the general public upon request.”

“All compensation is paid to persons for their operational roles to hna vna and no compensation is paid for their role as a director form 990, part vii, compensation: column b. Average hours per week the software used to submit this form 990 rounds the average hours to a whole number. Below are listed the actual average hours per week. Amy swindell, do, director - 0.20 hours per week - 50 hours related org bernard creppage, - director - 0.70 hours per week - 1.6 hrs related org bruce erb, chairman - 0.6 hours per week - 1.2 hours related org carolyn dean, director - 0.20 hours per weeek - 0 hours related org celeste twardon, vp clinical - 50.0 hours per week - 0 hours related org david cowger, director - 0.20 hours per week - 0 hours related org dawn mcclellan, director - 0.20 hours per week - 0 hours related org diana woy, director - 0.20 hours per week - 50.0 hours relateg org frances vaughn, director - 0.20 hours per week - 0 hours related org gregg laverick, cfo, key employee - jack sinclair, director - 0.20 hours per week - 0 hours related org james drenning, director - 0.40 hours per week - 1.1 hours related org janet schachtner, director - 0.20 hours per week - 0 hours related org jay roberts, director - 0.20 hours per week - 0 hours related org joy himmel, director - 0.20 hours per week - 0 hours related org karen smith, treasurer - 0.30 hours per week - 0 hours related org lucy klinger, vp extended living - 50.0 hours per week - 0 hours related margaret adams, secretary - 0.20 hours per week - 0 hours related org margaret calvert, director - 0.20 hours per week - 0 hours related org philip freeman, jr. Coo - 50 hours per week - 0 hours related org raymond hess, director - 0.20 hours per week - 0.2 hours related org richard lobb, vp strategic bus dev - 50.0 hours per week - 0 hours related robert packer, ceo, key employee - robert scholl, director - 0.20 hours per week - 0.2 hours related org sue lounsbury, vp of compliance - 50.0 hours per week - 0 hours related org thomas levine, director - 0.20 hours per week - 0 hours related org val mignogna, director - 0.20 hours per week - 50 hours related org because the following officers are employed by the home nursing agency affiliates, all of their hours are recorded in their corporation of employment: gregg laverick, cfo; robert packer, ceo.”

“Home nursing agency & visiting nurse association is referred to as "hna vna" or "hna visiting nurse association" within this form. Form 990, part i, line 1 and part iii, line 1. - organization's mission as provided in its articles, the corporation is organized and shall be operated excusively for exempt purposes within the meaning of section 501(c)(3) of the internal revenue code of 1986, as amended(or the corresponding provision of any future united states internal revenue law) (the "code"), including, without limitation, establishing and operating community services programs, services or clinics that will contribute to the overall health and well-being of all persons, regardless of race, color, creed, religion, sex, age or national origin. Home nursing agency is dedicated to providing the highest quality of customer service with a sense of warmth, kindness and individual pride. As the region's premier post-acute care provider available 24 hours-a-day, 7 days-a-week for home health care, hospice, palliative care, pediatric services, hna's advance practice nurses, therapists, aides, and healthcare professionals are performing clinical protocals and points of intervention to prevent emergency room visits and re-hospitalizations, ultimately fostering independence and empowerment so individuals can remain where they want to be most - in their homes, schools, and communities. Additionally, hna holds monthly blood pressure screenings at 53 sites in local senior centers and retirement housing villages. In addition to 615 hours of free blood pressure screenings annually, hna's staff participate in a myriad of community-sponsored health/wellness forums. 2013-14 accomplishments/vna an approved provider of contract hours for nursing education as recognized by the pennsylvania state nurses association (psna) hna's volunteers, representing several vna programs/services, provided over 9,317 volunteer service hours to patients and clients throughout hna's service delivery region. A member of homecare elite, eight years running member of united ways including laurel highlands, bedford, blair, and huntingdon counties. Home nursing agency programs/services including hospice and healing patch, featured in regional newspapers and publications. Form 990, part iii, line 4 - exempt purpose achievement narrative uncompensated care to hna vna clients is determined as the difference between home nursing agency's cost to provide service, on a per unit or per visit basis,and the reimbursement that home nursing agency receives from governmental payers or from self-pay clients, including services provided at no charge due to client's financial hardship. These amounts are recorded as a reduction in net patient service revenue in the financial statements. Patients are required to apply for the charity care discount, but often do not complete the necessary paperwork to determine if they qualify. As a result, there is an unquantifiable amount of uncompensated services that would potentially be considered charity care under the policy, but rather are ultimately reflected in bad debt expense. In addition to uncompensated care, home nursing agency provided free and below-cost services and programs for the benefit of the community. The cost of these programs is included in salaries and wages, fringe benefits, professional fees, supplies, and other expense lines in the financial statements.”

“Serving all ages, home nursing agency offers care when an injury, chronic illness, or surgery affects the quality of life. Care is available in a personal residence, assisted living facility, or personal care home - wherever one calls home. The agency is a member of home care elite for eight consecutive years demonstrating superior performance in patient outcomes and excelling in established quality measures based on us home health compare scores: hna vna's award-winning services begin with a dedicated staff: board certified hospice and palliative care physicians, who work alongside agency staff, ensure that the highest level of care and support is provided to patients who are living with chronic and/or life-limiting illnesses. Advance-practice nurses help patients manage diseases such as diabetes and provide medication management, wound care, cardiac care, and mental health services. Physical therapists improve a patient's mobility and independence by using treatments such as excercise and range of motion with a focus on safety. Occupational therapists help individuals with energy conservation and activities of daily living, such as eating, dressing, and bathing using training and assistive devices. Speech therapists work with individuals who need speech, language, communication, and swallowing training after a stroke, surgery or other condition. Home health aides help with personal care and activities of daily living when skilled services are also provided. Specialty services are also provided by social workers, nutritionists, behavioral health nurses, and grief specialists for both children and adults. Community health and education programs including - blood pressure screenings - presentations for community organizations - support groups”

“As pennsylvania's first home health agency to become a medicare-certified hospice, hna vna partners with physicians and is unified by a common mission to provide the highest quality of hospice care. Our board certified hospice and palliative care physicians, advance-practice nurses, social workers, hospice aides, chaplains, and volunteers are specially-trained to develop a plan to provide comfort management, personal care, and specialized services for both the patient and the family, including grief support. Hna vna is the region's only hospice provider to offer palliative care consultation: under the direction of the patient's physician and the wishes of the patient, the hospice team uses methods of pain and symptom control, enabling the patient to live as pain-free, comfortably, and alert as possible. Massage therapy, music and art therapy, aromatherapy and stress management are also offered. Home nursing agency is the region's only hospice provider to offer a grief and bereavement center: the healing patch: a program for loss and hope for grieving children and their families is designed for children and their families who have suffered the loss of a loved one, such as a parent, sibling, grandparent or close family member. The free service was funded by the home nursing agency foundation grants, and individual and community support.”

“Pediatric home connections is a service for medically-fragile children who require 24-hour care. Children in this program are technology-dependent or suffering from chronic, life-limiting disabilities. Funds received from grants from the home nursing agency foundation are used to pay for additional shifts of nursing care, respite and social services support for program children. Additionally, funds are used to purchase therapeutic items needed by the child that will help to ensure/maintain the child's comfort and provide education and stimulation.”

“Other program services include the costs to administer its palliative care program and support services under the united mine workers grant.”

“Pension - other comprehensive income 3,205,008”

“Form 990, part xii, line 2b - audited financial statements the financial statements of hna vna are consolidated into and reported in the upmc audited consolidated financial statements, for the year ended june 30, 2014.”