Civic Intelligence

Vna Care Plus

990 • Fiscal year 2017 • EIN 34-1622010

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 13, 2018

2500 East 22nd StreetCleveland, OH 44115-3204

(216) 931-1300

Siviq Scores

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

Liabilities / Assets

98th percentile

1.82x

Higher debt load relative to assets than 98% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

77th percentile

0.47x

Higher debt load relative to revenue than 77% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Net Margin

63rd percentile

8.5%

Higher net margin than 63% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

99th percentile

$910,025

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 23.1% of source-year revenue.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Asset Growth

91st percentile

51%

Faster asset growth than 91% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

15th percentile

-16%

Faster revenue growth than 15% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Up

$1,013,192

Up $342,836 (+51%) from 2016

Net Assets

Up

-$832,055

Up $336,725 (+29%) from 2016

Liabilities

Up

$1,845,247

Up $6,111 (+0.3%) from 2016

Revenue

Down

$3,940,070

Down $776,546 (-16%) from 2016

Expenses

Down

$3,603,345

Down $1,092,088 (-23%) from 2016

Net Income

Up

$336,725

Up $315,542 (+1490%) from 2016

Historical Trend

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0-$2.0MAssets 2010: $1,210,919Liabilities 2010: $513,759Net Assets 2010: $697,1602010Assets 2011: $1,127,949Liabilities 2011: $639,972Net Assets 2011: $487,9772011Assets 2012: $1,264,914Liabilities 2012: $910,776Net Assets 2012: $354,1382012Assets 2013: $1,129,235Liabilities 2013: $721,327Net Assets 2013: $407,9082013Assets 2014: $938,836Liabilities 2014: $1,408,861Net Assets 2014: -$470,0252014Assets 2015: $1,090,270Liabilities 2015: $2,280,233Net Assets 2015: -$1,189,9632015Assets 2016: $670,356Liabilities 2016: $1,839,136Net Assets 2016: -$1,168,7802016Assets 2017: $1,013,192Liabilities 2017: $1,845,247Net Assets 2017: -$832,0552017Assets 2018: $1,867,659Liabilities 2018: $2,881,581Net Assets 2018: -$1,013,9222018Assets 2019: $2,807,537Liabilities 2019: $3,706,021Net Assets 2019: -$898,4842019Assets 2020: $4,715,058Liabilities 2020: $4,933,864Net Assets 2020: -$218,8062020Assets 2021: $426,167Liabilities 2021: $114,316Net Assets 2021: $311,8512021Assets 2022: $631,237Liabilities 2022: $408,293Net Assets 2022: $222,9442022Assets 2023: $693,077Liabilities 2023: $473,603Net Assets 2023: $219,4742023Assets 2024: $884,160Liabilities 2024: $746,156Net Assets 2024: $138,0042024

Highlighted filing

2017

Assets$1,013,192
Liabilities$1,845,247
Net Assets-$832,055

Operations Trend

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

$8.0M$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $6,739,2412010Expenses 2011: $7,106,2302011Expenses 2012: $6,779,9242012Revenue 2013: $6,405,931Expenses 2013: $6,352,161Net Income 2013: $53,7702013Revenue 2014: $5,272,323Expenses 2014: $6,150,256Net Income 2014: -$877,9332014Revenue 2015: $4,856,982Expenses 2015: $5,576,920Net Income 2015: -$719,9382015Revenue 2016: $4,716,616Expenses 2016: $4,695,433Net Income 2016: $21,1832016Revenue 2017: $3,940,070Expenses 2017: $3,603,345Net Income 2017: $336,7252017Revenue 2018: $3,169,511Expenses 2018: $3,351,378Net Income 2018: -$181,8672018Revenue 2019: $3,426,121Expenses 2019: $3,310,683Net Income 2019: $115,4382019Revenue 2020: $2,970,372Expenses 2020: $2,290,694Net Income 2020: $679,6782020Revenue 2021: $1,927,576Expenses 2021: $2,185,629Net Income 2021: -$258,0532021Revenue 2022: $1,365,871Expenses 2022: $1,188,490Net Income 2022: $177,3812022Revenue 2023: $443,697Expenses 2023: $447,167Net Income 2023: -$3,4702023Revenue 2024: $312,524Expenses 2024: $393,994Net Income 2024: -$81,4702024

Highlighted filing

2017

Revenue$3,940,070
Expenses$3,603,345
Net Income$336,725
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 13, 2018
Return Version
2017v2.3
Gross Receipts
$3,940,070
Mission and Program Overview

Mission

To provide compassionate, innovative, and effective community-based care that promotes health, independence and dignity to those we serve in northeast and central ohio.

To provide compassionate, innovative and effective community-based care that promotes health, independence and dignity to those we serve in the northeast and central ohio.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$623,887$468,511▼ $155,376
Savings and Temporary Cash Investments$42,659$34,811▼ $7,848
Prepaid Expenses and Deferred Charges$3,746$0▼ $3,746
Land, Buildings, and Equipment, Net$64$21▼ $43
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
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$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$670,356$1,013,192▲ $342,836
Other Assets Total$0$509,849▲ $509,849
Liabilities
Other Liabilities$1,434,577$1,498,227▲ $63,650
Accounts Payable and Accrued Expenses$403,337$345,798▼ $57,539
Deferred Revenue$1,222$1,222→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$1,839,136$1,845,247▲ $6,111
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-1,168,780$-832,055▲ $336,725
Total Net Assets Fund Balance$-1,168,780$-832,055▲ $336,725
Total Liabilities and Net Assets / Fund Balance$670,356$1,013,192▲ $342,836

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$21$253,880$253,901
Leasehold Improvements-$10,405$10,405
Other Assets Org$509,849--
Compensation and Service Providers

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Vna Health Group INCManagement Services23 MAIN STREET SUITE D1, Holmdel, NJ 07733$293,002
Revenue and Support

Revenue Composition

Contributions and Grants
$625
Program Service Revenue
$3,939,445
Investment Income
$0
Other Revenue
$0
All Other Contributions
$625
Change in Net Assets
$336,725
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,265,604
Other Expenses$337,741
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,293,972$404,819-$2,698,791
Other Employee Benefits$274,620$48,462-$323,082
Fees for Services Management-$293,002-$293,002
Payroll Taxes$207,171$36,560-$243,731
Fees for Services Other$24,013$4,238-$28,251
Office Expenses$21,667$3,824-$25,491
Occupancy$18,349$3,238-$21,587
Conferences and Meetings$7,765$1,370-$9,135
Travel$5,719$1,009-$6,728
Depreciation Depletion$37$6-$43
Interest$23$4-$27
Other Expenses$-42,959$-7,582-$-50,541
Total Functional Expenses$2,814,389$788,956$0$3,603,345
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
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
Due to Affiliates$1,498,227
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
Yes
Compensation from other sources disclosed
No
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
Yes

Governance Explanations

Part VI, Section A, Lines 2, 6, 7A & 7B

Visiting nurse association health group, inc. (group) is the sole corporate member of the organization. As such, the group elects members of the governing body of the organization and approves decisions of the governing body. Certain members of the governing body are officers, trustees or consultants of other health care organizations and may have business relationships among themselves.

Part VI, Section A, Line 3

The organization has entered into a management services agreement with visiting nurse association health group, inc. To perform certain management duties. Such services include, among other items, the preparation of annual budgets; the execution and implementation of all policies and directives of the board of trustees; the establishment of rates and charges for services rendered; the maintenance of all proper and appropriate books and records regarding the business and operations; the payment of all bills for services rendered to the organization; the issuance of all bills for services rendered; the provision of all general administrative services; the proper maintenance and implementation of all necessary and appropriate payroll and human resource records; the provision of financial and other reports with respect to the operations of the organization; and the timely preparation and submission of cost reports, tax returns and other such filings and submissions as may be required under applicable law.

Part VI, Section A, Line 4

The organization amended and restated its bylaws and code of regulations as a result of the july 15, 2017 member substitution with visiting nurse association health group.

Part VI, Section B, Line 11B

The board of trustees of the organization has delegated responsibility for reviewing the form 990 to the audit committee of the organization. Prior to the final completion of the form, a copy of the 990 was reviewed by the audit committee of the organization and provided to the board of trustees.

Part VI, Section B, Line 12C

The organization has a conflict of interest policy in place to address any and all conflicts that arise, are reported or are otherwise discovered. On an annual basis, all members of the board of trustees along with all members of the management team and certain other employees are provided a current copy of the policy and are also required to complete a conflict of interest questionnaire. These questionnaires are reviewed by the president/ceo and chief compliance officer to identify the number, magnitude and nature of all disclosed conflicts. Any conflicts are then referred to the board of trustees for discussion and resolution.

Part VI, Section B, Line 15

Vna health group, inc. (group), the sole corporate member of the organization, has a compensation committee of the board of trustees that is responsible for reviewing and approving the compensation of the ceo and all vice presidents of the group and its affiliated organizations. On an annual basis, this committee reviews the total compensation levels for each executive. In addition, industry compensation comparisons are made based upon data provided by various sources including periodic independent third party consultant reviews.

Part VI, Section C, Line 19

The governing documents, conflict of interest policy and financial statements of the organization are made available to the public upon request, on a discretionary basis.

Filing and Contact Details

Filer

Filer Name
Vna Care Plus
EIN
34-1622010
In Care Of
% PETER GAYLORD MBA
Phone
2169311300
Address
2500 EAST 22ND STREET, CLEVELAND, OH 44115-3204

Signing Officer

Name
Peter Gaylord Mba
Title
CFO/COO
Phone
7322246968
Signed
2018-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steven H Landers Md Mph
Formed
1989
Legal Domicile
Oh
Voting Board Members
17
Independent Board Members
17
Employees
143
Volunteers
0

Preparer

Firm
Withumsmithbrownpc
Address
331 NEWMAN SPRINGS RD STE 125, RED BANK, NJ 07701-6765
Preparer
Michael a Serluco CPA
Phone
7328423113
Supplemental Narrative

Additional Explanations

Part III, Line 3

On July 15, 2017, Visiting Nurse Association Health Group ("Health Group") completed a Member Substitution with Visiting Nurse Association Healthcare Partners of Ohio ("VNAO"), a not-for-profit organization, becoming the sole member of VNAO and its Affiliates, INCLUDING VNA CARE PLUS, (collectively, VNAO). All assets and liabilities of VNAO were recorded at fair market value, which included certain intangible assets valued by A third-party specialist, and the excess of the business enterprise value over THE fair market value of these assets and liabilities was recorded as goodwill. The operations of VNAO for the period July 15, 2017 through December 31, 2017 are included in the combined financial statements OF Health Group and Affiliates. THIS FORM 990 INCLUDES THE OPERATIONS OF VNA CARE PLUS FOR THE PERIOD JANUARY 1, 2017 THROUGH DECEMBER 31, 2017.

Financial Statement Notes

Part X, Line 2

The following represents the fin 48 (asc 740) footnote disclosure included in the combined audited financial statements of visiting nurse association health group, inc. And affiliates for the years ended december 31, 2017 and 2016: health group and affiliates, which includes the organization, evaluate uncertain tax positions in accordance with accounting standards codification (asc) topic 740 "income taxes". Pursuant to the guidance in this accounting pronouncement, health group and affiliates have determined that no unrecognized tax benefits exist as of december 31, 2017 and 2016 and does not expect this determination to change significantly over the next 12 months. Health group and affiliates have not incurred any income tax related penalties or interest for the years ended december 31, 2017 and 2016. Should any such penalties and interest be incurred, health group and affiliates policy would be to recognize them as operating expenses.

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IRS990/Desc0THE VNA HEALTH GROUP AND ITS AFFILIATES, INCLUDING VNA CARE PLUS, PROVIDED HOME HEALTH, HOSPICE AND COMMUNITY BASED SERVICES TO THE PEOPLE IN ITS SERVICE AREA. DURING 2017, NEARLY 860,000 VISITS WERE PROVIDED TO NEARLY 52,000 INDIVIDUALS WHO RECEIVED HOME HEALTH CARE AND HOSPICE SERVICES FROM THE ORGANIZATION AND ITS AFFILIATED NOT-FOR-PROFIT ENTITIES. Our innovative, programmatic Institutes focus on three critical cores of VNA Health Group: health of children and their families; coordination of care enhanced by technology; and care for patients with serious, chronic and end-stage illness. Each institute has an expert thought leader and is providing enhanced access, care and services for patients, their families and our communities. Our Advanced Care Institute helps patients with late-stage, chronic illnesses stay at home comfortably with support from family, a visiting physician, and A palliative care team. Our goal is to educate clinicians, communities, patients and their families on best practices in chronic disease and palliative and hospice care. Within the Children and Family Health Institute are three centers focused on helping children and families achieve their highest level of health from pre-natal to adult: the Center for Early Childhood Development and Family Support; the Center for Primary Care and Public Health; and the Center for Pediatric Home Care. The Connected Health Institute spearheads mobile and digital initiatives to improve patient outcomes. With more than 1,500 clinicians, VNA Health Group and its not-for-profit affiliates have the unique opportunity to become a nationally recognized leader in researching, developing, and testing technologies that improve patient care. SIGNIFICANT changes are underway in health care including a dramatic increase in the older adult population, a national movement to contain health costs and expansion in mobile and digital health technologies. VNA Health Group is taking bold steps to reimagine how IT can address these challenges, secure ITS future and improve care for all patients, including the most frail and vulnerable.
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IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.88$0.75$0.14$0.31$0.39$0.08
2023Detailed filing. Detailed filing data is available for this year.$0.69$0.47$0.22$0.44$0.45$0.00
2022Detailed filing. Detailed filing data is available for this year.$0.63$0.41$0.22$1.37$1.19$0.18
2021Detailed filing. Detailed filing data is available for this year.$0.43$0.11$0.31$1.93$2.19$0.26
2020Detailed filing. Detailed filing data is available for this year.$4.72$4.93$0.22$2.97$2.29$0.68
2019Detailed filing. Detailed filing data is available for this year.$2.81$3.71$0.90$3.43$3.31$0.12
2018Detailed filing. Detailed filing data is available for this year.$1.87$2.88$1.01$3.17$3.35$0.18
2017Detailed filing. Detailed filing data is available for this year.$1.01$1.85$0.83$3.94$3.60$0.34
2016Detailed filing. Detailed filing data is available for this year.$0.67$1.84$1.17$4.72$4.70$0.02
2015Detailed filing. Detailed filing data is available for this year.$1.09$2.28$1.19$4.86$5.58$0.72
2014Detailed filing. Detailed filing data is available for this year.$0.94$1.41$0.47$5.27$6.15$0.88
2013Detailed filing. Detailed filing data is available for this year.$1.13$0.72$0.41$6.41$6.35$0.05
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.26$0.91$0.35$6.78
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.13$0.64$0.49$7.11
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.21$0.51$0.70$6.74