Civic Intelligence

Visiting Nurse Service Inc

990 • Fiscal year 2013 • EIN 34-0714779

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 10, 2014

1 Home Care Place44320

(330) 745-1601

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

93rd percentile

1.03x

Higher debt load relative to assets than 93% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2013

Liabilities / Revenue

79th percentile

0.96x

Higher debt load relative to revenue than 79% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2013

Net Margin

13th percentile

-19%

Higher net margin than 13% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2013

Top Officer Pay

97th percentile

$799,770

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 10.3% of source-year revenue.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2013

Asset Growth

14th percentile

-6.5%

Faster asset growth than 14% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Down

$7,246,985

Down $505,683 (-6.5%) from 2012

Net Assets

Down

-$231,542

Down $1,932,928 (-114%) from 2012

Liabilities

Up

$7,478,527

Up $1,427,245 (+24%) from 2012

Revenue

$7,777,658

No earlier filing loaded for comparison.

Expenses

Down

$9,239,921

Down $334,002 (-3.5%) from 2012

Net Income

-$1,462,263

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$15M$10M$5.0M$0-$5.0MAssets 2010: $10,499,230Liabilities 2010: $4,396,443Net Assets 2010: $6,102,7872010Assets 2011: $6,853,345Liabilities 2011: $4,252,615Net Assets 2011: $2,600,7302011Assets 2012: $7,752,668Liabilities 2012: $6,051,282Net Assets 2012: $1,701,3862012Assets 2013: $7,246,985Liabilities 2013: $7,478,527Net Assets 2013: -$231,5422013Assets 2014: $12,889,278Liabilities 2014: $2,554,257Net Assets 2014: $10,335,0212014Assets 2015: $13,841,242Liabilities 2015: $2,340,222Net Assets 2015: $11,501,0202015

Highlighted filing

2013

Assets$7,246,985
Liabilities$7,478,527
Net Assets-$231,542

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $13,264,4532010Expenses 2011: $10,458,2492011Expenses 2012: $9,573,9232012Revenue 2013: $7,777,658Expenses 2013: $9,239,921Net Income 2013: -$1,462,2632013Revenue 2014: $21,800,009Expenses 2014: $25,233,293Net Income 2014: -$3,433,2842014Revenue 2015: $21,421,581Expenses 2015: $25,629,250Net Income 2015: -$4,207,6692015

Highlighted filing

2013

Revenue$7,777,658
Expenses$9,239,921
Net Income-$1,462,263
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 10, 2014
Return Version
2013v3.0
Gross Receipts
$7,934,898
Mission and Program Overview

Mission

To improve the health and lives of the people and communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,626,009$3,496,213▼ $129,796
Investments Program Related$1,089,558$1,499,615▲ $410,057
Accounts Receivable$1,819,891$1,473,259▼ $346,632
Investments in Publicly Traded Securities$741,646$303,111▼ $438,535
Cash and Non-Interest-Bearing Accounts$126,624$137,013▲ $10,389
Prepaid Expenses and Deferred Charges$61,899$56,954▼ $4,945
Inventories for Sale or Use$8,696$9,783▲ $1,087
Total Assets$7,752,668$7,246,985▼ $505,683
Other Assets Total$278,345$271,037▼ $7,308
Liabilities
Other Liabilities$4,756,917$6,075,723▲ $1,318,806
Accounts Payable and Accrued Expenses$685,388$1,158,526▲ $473,138
Deferred Revenue$608,977$244,278▼ $364,699
Total Liabilities$6,051,282$7,478,527▲ $1,427,245
Net Assets / Fund Balance
Permanently Rstr Net Assets$112,000$112,000→ $0
Temporarily Rstr Net Assets$40,987$24,380▼ $16,607
Unrestricted Net Assets$1,548,399$-367,922▼ $1,916,321
Total Net Assets Fund Balance$1,701,386$-231,542▼ $1,932,928
Total Liabilities and Net Assets / Fund Balance$7,752,668$7,246,985▼ $505,683

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,305,457$4,406,095$5,711,552
Equipment$174,304$2,560,540$2,734,844
Land$1,817,785-$1,817,785
Other Land Buildings$198,667$918,292$1,116,959
Investment Program Related Org$1,498,265--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$152,986-▼ $16,606-$136,380
2012$139,421-▲ $13,566-$152,986
2011$120,267-▲ $19,154-$139,421
2010$112,000-▲ $8,267-$120,267
2009$496,858--$384,858$112,000
Compensation and Service Providers

Employees

NameTitleOtherTotal
Alexandra JorgensenAsst Secretary$125,203$125,203

Board Members and Trustees

NameTitle
ANTHONY O'LEARY BS MPADirector, Vice Chairman
Brian Cherkala JdDirector
Charles BillowDirector
Don CorporaDirector
Karen Mullen Rn MbaDirector
Roberta AberDirector
Sandra SelbyDirector
Susan GerberichDirector
Thomas Stover MdDirector
David FrigoAsst Treasurer
Deborah GorbachAsst Treasurer
Craig BabbittSecretary
Sue MccarthyTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$147,928
Program Service Revenue
$7,615,019
Investment Income
$11,101
Other Revenue
$3,610
Change in Net Assets
$-1,462,263

Audited Revenue Reconciliation

Revenue per Audited Statements
$7,554,781
Revenue Not Reported on Financial Statements
$222,877
Revenue Not Reported on Form 990
$157,824
Other Revenue Adjustments
$222,877
Total Revenue per Audited Statements
$7,712,605
Total Revenue per Form 990
$7,777,658
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,980,534
Other Expenses$3,259,387
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,529,907$435,144-$4,965,051
Fees for Services Management$280,522$1,447,233-$1,727,755
Other Employee Benefits$481,373$46,240-$527,613
Occupancy$344,014$35,202-$379,216
Payroll Taxes$342,024$32,855-$374,879
Fees for Services Other$234,170$18,388-$252,558
Office Expenses$226,835$23,057-$249,892
Travel$129,332$12,356-$141,688
Depreciation Depletion$111,876$10,747-$122,623
Pension Plan Contributions$103,088$9,903-$112,991
Conferences and Meetings-$9,358-$9,358
Fees for Service Investment Mgmnt Fees-$3,741-$3,741
Other Expenses$52$2,528-$2,580
Fees for Services Lobbying$860--$860
Fees for Services Accounting-$430-$430
Insurance$-4,318$-415-$-4,733
Total Functional Expenses$7,153,154$2,086,767$0$9,239,921

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$9,239,921
Total Expenses per Audited Statements$9,163,788
Expenses per Audited Statements$9,017,044
Expenses Not Reported on Financial Statements$222,877
Other Expense Adjustments$222,877
Expenses Not Reported on Form 990$146,744
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accounts Payable to Affiliates$3,735,834
Notes Payable to Related Entity$2,339,522
Deferred Lease Commitment$367
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 family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Visiting nurse service, inc. Has one member, community health ventures, inc. Community health ventures, inc. Is organized in ohio as a non-profit organization and is recognized as exempt from federal income tax under irc 501(c)(3). Community health ventures, inc. Is not a private foundation.

Form 990, Part VI, Section A, Line 7A

Community health ventures, inc. Is the sole member of visiting nurse service, inc. Akron general health system is the sole member of community health ventures, inc. In accordance with the organization's code of regulations, akron general health system nominates candidates for openings on the organization's board. Community health ventures, inc. Elects the members from among those nominees.

Form 990, Part VI, Section A, Line 7B

Community health ventures, inc. Is the sole member of visiting nurse service, inc. Akron general health system is the sole member of community health ventures, inc. Community health ventures, inc.'s responsibilities include providing long term planning, establishing system policies and procedures, and assisting organizations within the system in carrying out their exempt programs. Generally, community health ventures, inc. Limits its power of approval over decisions made by the board of visiting nurse service, inc., to those concerning membership of that board and that organization's annual budget.

Form 990, Part VI, Section B, Line 11

Visiting nurse service, inc. Is a member of the akron general health system. Visiting nurse service, inc. Prepares its form 990 internally. The return is subject to financial review by the chief financial officer of akron general health system, the vice president of accounting and finance of akron general health system, and reviewed for compliance with the reporting requirements of form 990 by the director of corporate tax for akron general health system.

Form 990, Part VI, Section B, Line 12C

Visiting nurse service, inc. Is a member of the akron general health system (system). Akron general health system is the parent organization of the system and as such it determines certain policies and procedures applicable to all member organizations. In the case of conflict of interest reporting, akron general health system not only determines the policy and the procedure, it carries out the procedure for all system organizations itself. A conflict of interest questionnaire is distributed to all board members, management personnel, employed physicians and any other personnel that have been designated by management. The distribution covers all system organizations. All responses that indicate a perceived conflict of interest are turned over to the governance committee (the committee) of akron general health system for review. The committee makes a determination as to whether the perceived conflict is likely to be an actual conflict, the materiality of any actual conflicts and the extent of safeguards required for any actual conflicts. Safeguards include, but are not limited to, requiring, in the case of a board member, that the person recuse himself or herself from any discussions or voting that may be affected by the conflict, requiring the person to disengage from the conduct creating the conflict or requiring the person to resign from the position affected by the conflict. This process is conducted by akron general health system's legal services department annually. The conflict of interest letter puts the recipient on notice that he or she is under an ongoing duty to report any potential conflicts that may arise subsequent to this formal process. Subsequent event reporting is monitored by akron general health system's legal services department. Any subsequent reported items are subject to the aforementioned review process by akron general health system's governance committee.

Form 990, Part VI, Section B, Line 15

The reporting organization is a member of the akron general health system. The exempt purpose of the system parent, akron general health system (aghs), is to support the members of that system. One of the support services that aghs provides is determining the compensation of the top management personnel of the reporting organization. Aghs follows a process for determining compensation of the organization's ceo and other top management personnel that is modeled after the requirements found in internal revenue code section 4958 for establishing the presumption of reasonable compensation. Therefore, the process calls for recommendations - developed by an independent compensation consultant, based on comparable market data from published surveys and the forms 990 of comparable organizations - that are within the range of the compensation of similarly situated persons at similarly situated organizations. These recommendations are reviewed by a committee of the reporting organization's board of directors. The committee is comprised of independent persons and the deliberations are documented, contemporaneously, in the committee's minutes. The compensation for all top management was reviewed for reasonableness using this process in 2012.

Form 990, Part VI, Section C, Line 19

Currently, visiting nurse service, inc. Does not make its governing documents, conflict of interest policy, or its financial statements generally available to the public. Visiting nurse service, inc. Does make these documents available on a case by case basis.

Filing and Contact Details

Filer

EIN
34-0714779
Phone
3307451601

Signing Officer

Name
Sue J Mccarthy
Title
Treasurer
Phone
3308486203
Signed
2014-11-10

Organization Details

Principal Officer
Karen L Mullen
Formed
1947
Legal Domicile
Oh
Voting Board Members
10
Independent Board Members
6
Employees
172
Volunteers
38
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Change in interest in fund net assets -16,609. Transfer to affiliates -451,153. Transfer from affiliate for capital 109,972. Assets & liabilities merged from affiliate, visiting hours, inc. -123,956.

990, Part XII, Line 2C

Visiting nurse service, inc. Issues audited financial statements prepared in accordance with gaap. Akron general health system issues audited financial statements, prepared in accordance with gaap, that represent the consolidation of its financial statements with those of each organization within the akron general health system (collectively, the "system"). The finance and audit committee of akron general health system's board of directors assumes responsibility for the oversight of the system's audit.

Financial Statement Notes

PART V, LINE 4:

Amounts contributed by donors and grantors where the principal is stipulated to remain intact are accounted for as direct additions within permanently restricted net assets. Annual earnings on such contributions are included in investment income and are used for provision of care to indigent patients.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

RENTAL EXPENSE 146,744.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Management services 110,151. Bad debt expense 108,985. Investment bank fees 3,741.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

RENTAL EXPENSE 146,744.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Management services 110,151. Bad debt expense 108,985. Investment bank fees 3,741.

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IRS990/Desc0STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - COMPREHENSIVE HOME HEALTH SERVICES INCLUDING SKILLED NURSING; PHYSICAL, SPEECH AND OCCUPATIONAL THERAPIES; HOME HEALTH AIDES; SOCIAL SERVICES AND NUTRITIONAL COUNSELING.VISITING NURSE SERVICE, INC. WAS INCORPORATED IN 1947 AS A CHARITABLE NON-PROFIT CORPORATION UNDER OHIO LAW. THE FOLLOWING NOTES HOW THE ORGANIZATION ACHIEVES ITS MISSION TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE AND COMMUNITIES IT SERVES.2013 SERVICE LEVELS - VISITING NURSE SERVICE, INC. PROVIDED CARE TO 3,507 PATIENTS IN NORTHEAST OHIO.HOME HEALTH CARE SERVICES:SKILLED NURSING - VISITING NURSE SERVICE, INC. REGISTERED AND LICENSED PRACTICAL NURSES PROVIDED HIGH-QUALITY TRADITIONAL AND HIGH TECH SKILLED NURSING CARE IN PATIENTS' HOMES. OUR DEDICATED NURSING STAFF WAS AVAILABLE TO PATIENTS 24 HOURS A DAY, 7 DAYS A WEEK.RESTORATIVE THERAPY - PHYSICAL THERAPISTS ASSISTED PATIENTS IN MANY FUNCTIONAL AREAS INCLUDING STRENGTH BUILDING, AMBULATION, AND SAFETY. OCCUPATIONAL THERAPISTS CONTRIBUTED IN OTHER FUNCTIONAL AREAS BY ASSISTING PATIENTS TO RE-LEARN FINE MOTOR SKILLS, TO INCREASE ENDURANCE AND TO PERFORM ACTIVITES OF DAILY LIVING. SPEECH PATHOLOGISTS PROVIDED THERAPY TO PATIENTS WHO HAD SPEECH, LANGUAGE, CHEWING OR SWALLOWING PROBLEMS.HOME HEALTH AIDES (HHA) - AFTER PLANS OF CARE WERE ESTABLISHED BY REGISTERED NURSES, THE HHAS ASSISTED PATIENTS IN A VARIETY OF WAYS INCLUDING BATHING, GROOMING, DRESSING, PREPARING MEALS AND PERFORMING LIGHT HOUSEKEEPING TASKS.MEDICAL SOCIAL WORKER (MSW) - VISITING NURSE SERVICE, INC. SOCIAL WORKERS ASSISTED PATIENTS AND FAMILIES WITH EMOTIONAL, FINANCIAL AND SOCIAL PROBLEMS. THE MSW PROVIDED COUNSELING TO PATIENTS AND FAMILIES FOR LONG RANGE PLANNING AND DECISION-MAKING, AND HELPED COORDINATE SERVICES WITH OTHER COMMUNITY RESOURCES AND AGENCIES AS APPROPRIATE.SPECIALTY TEAMS - VISITING NURSE SERVICE, INC. HOME CARE WAS DELIVERED BY EXPERIENCED, SPECIALLY TRAINED INTERDISCIPLINARY TEAMS. PATIENTS WERE ASSIGNED TO A TEAM BASED ON THEIR PRIMARY DIAGNOSES. THESE TEAMS INCLUDE CARDIOPULMONARY, REHABILITATION, BEHAVORIAL HEALTH, MEDICAL/SURGICAL AND EMERGENT CARE.DISEASE MANAGEMENT PROGRAMS - VISITING NURSE SERVICE, INC. HAS DEVELOPED SEVERAL COMPREHENSIVE HEALTH MANAGEMENT PROGRAMS FOR PATIENTS WITH SPECIAL NEEDS. THESE PROGRAMS WERE BASED ON REGIONAL AND NATIONALLY ACCEPTED STANDARDS OF CLINICAL PRACTICE. CLINICAL PATHWAYS ARE USED TO ENSURE APPROPRIATE, CONSISTENT AND COST-EFFECTIVE CARE. THESE PROGRAMS ESTABLISHED OUTCOME STANDARDS, WHICH SERVED AS A QUALITY MEASURE.SPECIALTY SERVICES - VISITING NURSE SERVICE, INC. OFFERED MANY CLINICAL SPECIALTY SERVICES INCLUDING PAIN AND SYMPTOM MANAGEMENT, CONTINENCE THERAPY, WOUND AND OSTOMY CARE, INSERTION AND MAINTENANCE OF MIDLINE AND LONGLINE CATHETERS, GERIATRIC AND PSYCHIATRIC NURSING SERVICES.COMMUNITY OUTREACH PROGRAMS:VISITING NURSE SERVICE, INC. EXHIBITS AT 400 COMMUNITY EVENTS AND HEALTH FAIRS AND PROGRAMS IN 2013 INCLUDING THE ANNUAL SUMMIT SENIOR EXPO AND THE SUMMIT COUNTY ANNUAL HEALTH AND HUMAN SERVICES FORUM. ACTIVITIES AT MANY EVENTS CONSISTED OF DISTRIBUTION OF HEALTH EDUCATION MATERIALS AND BLOOD PRESSURE SCREENINGS.SPEAKER'S BUREAU - PROVIDED PROFESSIONAL SPEAKERS FOR VARIOUS COMMUNITY GROUPS AND ORGANIZATIONS. COMMUNITY BLOOD PRESSURE SCREENINGS - PROVIDED FREE BLOOD PRESSURE SCREENING AND EDUCATION TO VARIOUS COMMUNITY GROUPS AND SENIOR CENTERS.UNITED WAY - VISITING NURSE SERVICE, INC. IS A UNITED WAY AFFILIATED ORGANIZATION AND AS SUCH PARTICIPATES IN UNITED WAY SPONSORED PROGRAMS AND ACTIVITES.VOLUNTEERS - VOLUNTEERS CONTRIBUTED OVER 1,100 HOURS OF THEIR TIME IN SUPPORT OF THE HOME HEALTH SERVICES OF VISITING NURSE SERVICE, INC.
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IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
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Peer Organizations

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