Vna Corporation

“The board of directors of the corporation retains the ultimate responsibility for the preparation and filing of the corporation's annual informational return on the irs form 990. The board will delegate the responsibility for preparation of the form to its accounting firm, but the board shall review the annual form 990 prior to filing. The director of finance, under the direction of the compliance officer, will provide each member of the board a copy of the annual form 990 prior to filing the documents.”

“At the time of hire, or election in the case of corporate director, the ceo or his/her designee shall provide to the board and total executive officer, administrative staff, associated, and volunteers a copy of the conflict of interest policy and the applicable conflict of interest disclosure form and questionnaire, which shall be completed to identify any relationships, positions or circumstances with respect to which it is believed a conflict may arise. Corporate directors and key employees annually complete a conflict of interest questionnaire; staff complete annual corporate compliance training of which conflict of interest is a component; board of directors receive corporate compliance training no less than bi-annually with new board members receiving training during board orientation. This annual monitoring is subject to review by the corporate compliance committee. Each member of the board and management associates shall disclose fully and frankly any and all actual or potential conflicts or duality of interest or responsibility, whether personal, individual, or business, which may exist or appear to exist. A duality of interest becomes a conflict of interest only if the executive committee of the board of directors of vna decides that a conflict of interest exists because the duality of interest is so substantial that it could compromise objective decision-making or could otherwise be detrimental to the vna organization. If a conflict of interest is determined to exist, 1) the individual with the conflict shall not be given access to any information that might provide an unfair advantage to that individual or the firm they represent; 2) the individual with the conflict will be required to withdraw from any meeting in which the matter is addressed, unless the applicable board or board committee asks the individual to respond to specific questions or to make a brief presentation, otherwise the individual shall not be present for any discussion of the matter and shall not cast any vote on any decision or determination relating to the transaction arrangement; 3) the chairperson of the board or board committee shall, if appropriate, appoint a disinterested person or disinterested committee to investigate alternatives to the proposed transaction arrangement; 4) after exercising due diligence, the board or board committee shall determine whether the vna organization can obtain with reasonable efforts a more advantageous transaction or arrangement with a person or entity that would not give rise to a conflict of interest: 5) if a more advantageous transaction arrangement is not possible or feasible under circumstances not producing a conflict of interest, the board or board committee shall determine by majority of vote of the disinterested directors whether the transaction or arrangement is in the vna organization's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination, it shall make its decision as to whether to enter into the transaction arrangement. Nondisclosure of information shall be adhered to and records of proceedings shall be entered into the minutes of the board and all committees.”

“Vna corporation conducted compensation reviews in 2022 using information from total compensation solutions. The firm's legal counsel, with the direction of the human resources committee and the executive committee, performed the review of the organization's president, the cfo, and cno (clinical director). Annual compensation is reviewed by the executive committee and legal counsel, with input by the board's human resources committee, in the off years. Other key employees' compensation is reviewed by the human resources committee and vna's human resource director on an annual basis.”

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

“The vna corporation is a charitable, community-oriented organization dedicated to providing high quality home care and related medical and social services to individuals in the metropolitan kansas city area and the 17 surrounding counties. Since 1891, visiting nurse association home health and hospice of kansas city strives to be our patients' first and only call when a need arises. Our healthcare professionals endeavor to deliver world-class quality care to every patient, every visit. At vna we believe our patients should never sacrifice quality of care based on their ability to pay. We deliver inspired care from an inspired team.”

“In 2022 VNA achieved a four-star rating in home health by CMS. This high rating exemplifies VNA's determination to deliver quality healthcare to patients throughout our 17-county coverage area. The healthcare professionals at VNA strive to be our patients first and only call when a need arise. With shortened hospital stays the necessity for home health organizations to bridge the gap of care continues to grow. This need continues to rise as federal reimbursement rates continue to decline creating a financial strain on home health providers. Funding this gap is essential to retain quality home health care in our communities. Especially for those patients in underserved communities located in medical deserts. At VNA we keep going even after the road ends. No patient should ever sacrifice quality of care based on their ability to pay or their lack of access to quality, local health care providers. VNA Home Health clinicians provided care to patients during 50,799 health care home visits during 2022. These home health visits help bridge growing socioeconomic gaps in healthcare by providing in-home care to an aging population by serving 2,759 individual patients. Our top three are rehabilitation therapies, wound care and neurological rehabilitation. Throughout 2022 our rehabilitation (physical, occupational and speech) therapists performed 11,785 visits (23.2% of total annual visits), wound care encompassed 9,296 visits (18.3% of total annual visits), and neurological rehabilitation completed 6,604 visits (13% of total annual visits). These three disciplines accounted for 54% of all home health visits in calendar year 2022. The physical, occupational and speech therapists at VNA bring therapy to the comfort of the place they call home. Assisting patients to gain ability across a multi areas of diminished capability. Our therapist not only deliver custom designed therapy sessions they also educate patients on post visit tasks to continually enhance their rehabilitation between therapy sessions. The importance of education along with therapy assists patients in regaining greater success over the course of their treatment timeline. Being one of the few remaining home health agencies with certified wound care clinical registered nurses. This unique aspect sets VNA apart in the communities we serve. Wound care provides a necessary service to patients who might otherwise see greater hospital readmissions. By limiting undue stress on the already overwhelmed healthcare system our VNA wound care specialists assist in alleviating readmission levels of our patients. VNA is proud to have affiliation with LSVT BIG and LSVT LOUD certification. With these certifications VNA is equipped to better treat patients with Parkinson's disease or other neurological conditions. VNA's LSVT BIG and LSVT LOUD therapy provides custom designed treatment plans to benefit our patients. Many of our patients in rural and underserved communities would not have access to this premier service without VNA's dedication to individuals providing service regardless to ability to pay.”

“Hospice Care of VNA has been recognized in the top 5% nationally for care giver satisfaction in both 2021 and 2022. VNA is proud of this accomplishment since our hospice group was created in 2021 giving us the distinction of being in the top 5% since our inception. Our compassionate hospice teams enhance the final weeks, days and hours of our patients' lives. In 2022 VNA's hospice team delivered world-class care to 165 patients in Kansas City and the surrounding 17 county area. Our patients averaged 84.34 days on our hospice service in 2022 equating to an average daily census of 38. Additionally, our hospice professionals also provide invaluable end of life education to families and loved ones. At VNA Hospice we provide our services to patients of all ages and background.”

“The Community Outreach Program of VNA has a proven track record of success. In an effort to track success we fully recognize both progress and services provided have to be measured. The Community Outreach Program has a focus on the 65 and over population in the Kansas City metropolitan area as well as the surrounding Missouri counties of Cass, Clay, Jackson, Platte and the Kansas counties of Johnson and Wyandotte. With a robust goal of maintaining 44 outreach sites and serving over 5,000 individual screenings and 3,000 wellness coaching appointments VNA is proud to inform you we have surpassed our 2022 goal by 26.9%. The Community Outreach Program completed a total of 3,808 patient encounters. Our low-income older adults served by this program were provided 9,220 screenings for blood sugar, cholesterol, and blood pressure. Our participants are forever grateful for VNA providing a healthier outlook on their future. The demographic makeup of the Community Outreach Program participants for 2022: - 95.7% Age 60+ - 76.5% Female - 64.7% Caucasian - 19.9% African American - 8.1% Hispanic - 7.5% Vietnamese or other ethnicities The aforementioned services are all possible due to the dedication of our Community Outreach Program. With your continued support we will be able to positively impact the lives of thousands of deserving individuals throughout Kansas City and the 17 surrounding counties our patients call home.”

“Intercompany transfer of assets $1,262,158 change in temporarily restricted net assets $(177,080) ------------ $1,085,078”