Civic Intelligence

Visiting Nurse Services of Iowa

EIN 42-0680446 • 501(c)3 • Des Moines, IA

Profile

Visiting nurse services of iowa partners with our community to promote health, education, and well-being for a lifetime. (continued in schedule o)

3000 Easton BlvdDes Moines, IA 50317

www.vnsia.org

Siviq Scores

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

Liabilities / Assets

51st percentile

0.22x

Higher debt load relative to assets than 51% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Liabilities / Revenue

43rd percentile

0.22x

Higher debt load relative to revenue than 43% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Net Margin

19th percentile

-7.8%

Higher net margin than 19% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Top Officer Pay

74th percentile

$394,172

Higher top officer pay than 74% of similar nonprofits.

Top officer pay equals 1.3% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Asset Growth

5th percentile

-16%

Faster asset growth than 5% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Revenue Growth

26th percentile

-3.1%

Faster revenue growth than 26% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Assets

Down

$29,635,677

Down $3,559,880 (-11%) from 2023

Liabilities

Down

$6,541,070

Down $2,590,170 (-28%) from 2023

Net Assets

Down

$23,094,607

Down $969,710 (-4.0%) from 2023

Revenue

Down

$30,413,870

Down $972,198 (-3.1%) from 2023

Expenses

Down

$32,792,231

Down $3,364,180 (-9.3%) from 2023

Net Income

Up

-$2,378,361

Up $2,391,982 (+50%) from 2023

Trend Graphs

Balance Sheet Trend

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

$40M$30M$20M$10M$0Assets 2011: $4,170,615Liabilities 2011: $1,469,545Net Assets 2011: $2,701,0702011Assets 2012: $3,535,658Liabilities 2012: $1,511,159Net Assets 2012: $2,024,4992012Assets 2013: $3,318,949Liabilities 2013: $1,744,852Net Assets 2013: $1,574,0972013Assets 2014: $3,713,146Liabilities 2014: $2,123,644Net Assets 2014: $1,589,5022014Assets 2015: $3,198,681Liabilities 2015: $1,362,557Net Assets 2015: $1,836,1242015Assets 2016: $3,200,380Liabilities 2016: $2,050,423Net Assets 2016: $1,149,9572016Assets 2017: $3,399,762Liabilities 2017: $2,450,253Net Assets 2017: $949,5092017Assets 2018: $3,140,093Liabilities 2018: $2,318,858Net Assets 2018: $821,2352018Assets 2019: $3,065,546Liabilities 2019: $1,825,232Net Assets 2019: $1,240,3142019Assets 2020: $33,030,372Liabilities 2020: $9,020,568Net Assets 2020: $24,009,8042020Assets 2021: $37,159,104Liabilities 2021: $6,595,834Net Assets 2021: $30,563,2702021Assets 2022: $32,953,220Liabilities 2022: $5,101,518Net Assets 2022: $27,851,7022022Assets 2023: $33,195,557Liabilities 2023: $9,131,240Net Assets 2023: $24,064,3172023Assets 2025: $29,635,677Liabilities 2025: $6,541,070Net Assets 2025: $23,094,6072025

Highlighted filing

2025

Assets$29,635,677
Liabilities$6,541,070
Net Assets$23,094,607

Operations Trend

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

$40M$20M$0-$20MRevenue 2011: $10,165,412Expenses 2011: $10,605,063Net Income 2011: -$439,6512011Expenses 2012: $10,681,9772012Expenses 2013: $10,584,5152013Revenue 2014: $11,103,197Expenses 2014: $11,118,878Net Income 2014: -$15,6812014Revenue 2015: $11,221,204Expenses 2015: $10,906,989Net Income 2015: $314,2152015Revenue 2016: $10,441,994Expenses 2016: $11,057,637Net Income 2016: -$615,6432016Revenue 2017: $10,736,772Expenses 2017: $10,979,487Net Income 2017: -$242,7152017Revenue 2018: $11,031,896Expenses 2018: $11,099,489Net Income 2018: -$67,5932018Revenue 2019: $11,187,060Expenses 2019: $10,759,025Net Income 2019: $428,0352019Revenue 2020: $28,732,614Expenses 2020: $28,680,133Net Income 2020: $52,4812020Revenue 2021: $34,681,975Expenses 2021: $32,305,093Net Income 2021: $2,376,8822021Revenue 2022: $35,339,672Expenses 2022: $33,627,428Net Income 2022: $1,712,2442022Revenue 2023: $31,386,068Expenses 2023: $36,156,411Net Income 2023: -$4,770,3432023Revenue 2025: $30,413,870Expenses 2025: $32,792,231Net Income 2025: -$2,378,3612025

Highlighted filing

2025

Revenue$30,413,870
Expenses$32,792,231
Net Income-$2,378,361

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.6$6.54$23.1$30.4$32.8$2.38
2023Summary only. Only limited summary data is available for this year.$33.2$9.13$24.1$31.4$36.2$4.77
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$33.0$5.10$27.9$35.3$33.6$1.71
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$37.2$6.60$30.6$34.7$32.3$2.38
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$33.0$9.02$24.0$28.7$28.7$0.05
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.07$1.83$1.24$11.2$10.8$0.43
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.14$2.32$0.82$11.0$11.1$0.07
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.40$2.45$0.95$10.7$11.0$0.24
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.20$2.05$1.15$10.4$11.1$0.62
2015Detailed filing. Detailed filing data is available for this year.$3.20$1.36$1.84$11.2$10.9$0.31
2014Detailed filing. Detailed filing data is available for this year.$3.71$2.12$1.59$11.1$11.1$0.02
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.32$1.74$1.57$10.6
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.54$1.51$2.02$10.7
2011Summary only. Only limited summary data is available for this year.$4.17$1.47$2.70$10.2$10.6$0.44
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Feb 10, 2026
Return Version
2024v5.5
Gross Receipts
$30,413,870
Mission and Program Overview

Mission

The mission of visiting nurse services of iowa, dba everystep, is to empower individuals, support families, and strengthen communities.

The mission of visiting nurse services of iowa, dba everystep, is to empower individuals, support families and strengthen communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Program Related$21,316,300$17,110,523▼ $4,205,777
Land, Buildings, and Equipment, Net$8,479,762$7,919,300▼ $560,462
Pledges and Grants Receivable$2,268,207$1,804,364▼ $463,843
Accounts Receivable$1,352,830$1,084,981▼ $267,849
Cash and Non-Interest-Bearing Accounts$742,013$488,555▼ $253,458
Prepaid Expenses and Deferred Charges$319,706$397,622▲ $77,916
Inventories for Sale or Use$9,766$6,782▼ $2,984
Total Assets$35,077,449$29,635,677▼ $5,441,772
Other Assets Total$588,865$823,550▲ $234,685
Liabilities
Accounts Payable and Accrued Expenses$5,290,345$3,619,035▼ $1,671,310
Other Liabilities$6,004,075$2,822,479▼ $3,181,596
Deferred Revenue$195,622$99,556▼ $96,066
Total Liabilities$11,490,042$6,541,070▼ $4,948,972
Net Assets / Fund Balance
Net Assets With Donor Restrictions$21,316,300$17,110,523▼ $4,205,777
Net Assets Without Donor Restrictions$2,271,107$5,984,084▲ $3,712,977
Total Net Assets Fund Balance$23,587,407$23,094,607▼ $492,800
Total Liabilities and Net Assets / Fund Balance$35,077,449$29,635,677▼ $5,441,772

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$6,265,492$5,909,292$12,174,784
Equipment$518,858$3,351,899$3,870,757
Other Land Buildings$66,418$1,419,257$1,485,675
Land$1,068,532-$1,068,532
Leasehold Improvements$0$6,766$6,766
Investment Program Related Org$17,110,523--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$9,564,559$638,937▲ $235,689$429,000$10,010,185
2023$8,529,675$352,947▲ $853,000$171,063$9,564,559
2022$7,970,639$135,851▲ $833,787$410,602$8,529,675
2021$8,940,239$17,917▼ $948,813$38,704$7,970,639
2020$6,845,931$281,505▲ $1,875,803-$8,940,239
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tray WadePresident & CEOFT$328,845$65,327$394,172
Thomas MouserChief Medical OfficerFT$328,707$33,536$362,243
Karl VilumsCFO (through 12/24)FT$177,963$16,725$194,688
Erin DykesVP of Clinical Services (thru 1/25)FT$127,308$36,572$163,880
Julie MatternasExecutive Director of Foun-$114,487$39,009$153,496
Say BaccamFinance & Accounting DirecFT$122,408$4,769$127,177
Leann UhlenhoppAsst. VP of Clinical ServicesFT$116,061$4,400$120,461
John CejkaRnFT$114,266$2,366$116,632

Board Members and Trustees

NameTitle
Brandon FoldesBoard of Trustees Chair
Steve SchaafChair
Dave BridgewaterPast Chair
Coralynn TrewetDirector
Ed CoxDirector
Jon LefrandtDirector
Juan Carlos CadenillasDirector
Judy Ralston-hansenDirector
Katie WengertDirector
Kerry AdawayDirector
Larry Severidt MdDirector
Lindsay RaceyDirector
Mark HasekDirector
Mike GehringerDirector
Pat BarryDirector
Phil StoverDirector
Missy WalterDirector (through 1/25)
Pam SchoffnerSecretary
Lil WatersTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
RehabvisionsContracted Therapy Services11623 ARBOR STREET, Omaha, NE 68144$816,974
Qualis Management LLCDme Management SoftwarePO BOX 844740, Boston, MA 02284$528,084
Flynn WrightMarketing Services1408 LOCUST STREET, Des Moines, IA 50309$236,972
Dbl Eagle Therapy Services LLCContracted Therapy Services3801 NW 63RD STREET, Oklahoma, OK 73116$168,218
QciInformational Technology Services4300 WESTOWN PKWY SUITE 150, West Des Moines, IA 50266$161,566
Revenue and Support

Revenue Composition

Contributions and Grants
$9,140,711
Program Service Revenue
$20,456,720
Investment Income
$0
Other Revenue
$816,439
All Other Contributions
$97,064
Change in Net Assets
$-2,378,361

Audited Revenue Reconciliation

Revenue per Audited Statements
$30,413,870
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$30,413,870
Total Revenue per Form 990
$30,413,870
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$22,922,632
Other Expenses$9,803,239
Total Fundraising Expense$783,138
Grants and Similar Amounts Paid$66,360
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$14,730,794$3,325,893$270,533$18,327,220
Other Employee Benefits$1,289,986$477,841$23,624$1,791,451
Fees for Services Other$972,457$482,831$15,992$1,471,280
Payroll Taxes$1,110,562$281,722$20,689$1,412,973
Travel$1,196,739$15,898$2,263$1,214,900
Current Officers, Directors, Trustees, and Key Employees$775,271$136,812-$912,083
Occupancy$476,878$248,326-$725,204
Depreciation Depletion$261,581$407,547-$669,128
Advertising$144,186$72,193$405,904$622,283
Pension Plan Contributions$342,274$130,054$6,577$478,905
Office Expenses$300,427$126,762$21,334$448,523
Information Technology$237,647$125,412$4,002$367,061
Interest-$357,419-$357,419
Insurance$174,278$90,753-$265,031
Conferences and Meetings$126,319$60,653-$186,972
Fees for Services Accounting-$106,939-$106,939
All Other Expenses$25,310$36,161$7,073$68,544
Grants to Domestic Individuals$66,360--$66,360
Other Expenses$18,415$26,311$5,147$49,873
Fees for Services Lobbying-$17,083-$17,083
Total Functional Expenses$25,438,222$6,570,871$783,138$32,792,231

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$32,792,231
Total Expenses per Audited Statements$32,792,231
Total Expenses per Form 990$32,792,231
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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

Reported Spending and Taxes

Line ItemAmount
Political Expenditures$0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Short-term Notes Payable$2,608,000
Operating Right of Use Liability$214,479
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

Accounting & finance director will compile information from other department leaders (it, hr, foundation, compliance, etc.). Supporting documentation will be reviewed for relevance and accuracy and data will be entered by accounting & finance director. Data entered will be reviewed by director and cfo prior to submission.

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

The organization has an electronic, automated system that has been built for policy management. Within the system, each policy is scheduled to be reviewed once a year, every two years, or every three years. This frequency typically depends on regulatory requirements. We utilize our leaders and subject matter experts to review the content of the policies and update accordingly. If there are any regulatory changes that come through, we will either update an existing policy, or create a new policy. All new policies, and policy changes are reflected monthly in our electronic platform, so all staff are made aware of changes. High priority policies, such as fraud, waste, and abuse, are acknowledged by staff annually in our learning management system.

Form 990, Part VI, Section B, Line 15

A compensation analysis was completed by newport retirement services to determine reasonableness of key employee compensation. Results are shared with the board, who approves ceo compensation. The process described here was last completed in 2024.

Form 990, Part VI, Section C, Line 19

The most current audited financial statements are made available to the public on the organization's website.

Filing and Contact Details

Filer

Filer Name
Visiting Nurse Services of Iowa
EIN
42-0680446
Phone
5152743400
Address
3000 EASTON BLVD, DES MOINES, IA 50317
Doing Business As
Everystep

Signing Officer

Name
Tray Wade
Title
President and CEO
Phone
5152743400
Signed
2026-02-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tray Wade
Formed
1908
Legal Domicile
Ia
Voting Board Members
18
Independent Board Members
18
Employees
441
Volunteers
956

Preparer

Firm
Cliftonlarsonallen Llp
Address
10401 W INNOVATION DR STE 300, WAUWATOSA, WI 53226
Preparer
Kristen Donlevy
Phone
4144761880
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Change in beneficial interest -4,205,777. Net asset transfer 6,091,338.

Financial Statement Notes

PART X, LINE 2:

The organization and its affiliates are exempt from income taxes on income from related activities under section 501(c)(3) of the internal revenue code (irc) and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. U.s. Gaap requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The organization's forms 990 have not been subject to examination by the internal revenue service (irs) or the state of iowa for the last three years. The organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The organization recognizes interest and/or penalties related to income tax matters in income tax expense. The organization did not have any amounts accrued for interest and penalties at june 30, 2025 or 2024.

Raw XML AppendixShowing 400 of 898 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.

Path#Value
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IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0THE MISSION OF VISITING NURSE SERVICES OF IOWA, DBA EVERYSTEP, IS TO EMPOWER INDIVIDUALS, SUPPORT FAMILIES AND STRENGTHEN COMMUNITIES.
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IRS990/Desc0EVERYSTEP IS DEDICATED TO EMPOWERING INDIVIDUALS, SUPPORTING FAMILIES, AND STRENGTHENING COMMUNITIES THROUGH THE PROMOTION OF HEALTH AND HEALTH-RELATED SERVICES, INCLUDING A NUMBER OF COMMUNITY HEALTH PROGRAMS FOCUSED ON THE WELLBEING OF CHILDREN, MOTHERS, SENIORS AND INDIVIDUALS AND FAMILIES OF ALL TYPES, FROM BIRTH TO THE END OF LIFE. HOSPICE OF CENTRAL IOWA FOUNDATION, DBA EVERYSTEP FOUNDATION, PROVIDES SUPPORT FOR THE PROGRAMS OF EVERYSTEP.
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