Civic Intelligence

Medstar Health Visiting Nurse Association Inc

EIN 53-0196597 • 501(c)3 • Calverton, MD

Profile

As a proud member of medstar health, the medstar visiting nurse association provides personalized home health care for homebound patients in maryland, northern virginia, and the district of columbia. Its mission is to make a positive difference in people's lives by providing health care in the home and community. Patients in maryland, northern virginia, and the district of columbia. Its mission is to make a positive difference in people's lives by providing health care in the home and community.

4061 Powdermill Road Suite 210Calverton, MD 20705

n/A

Siviq Scores

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

Liabilities / Assets

62nd percentile

0.38x

Higher debt load relative to assets than 62% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

18th percentile

0.09x

Higher debt load relative to revenue than 18% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

19th percentile

-6.3%

Higher net margin than 19% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

94th percentile

$1,740,931

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 2.7% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

62nd percentile

9.0%

Faster asset growth than 62% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

45th percentile

6.4%

Faster revenue growth than 45% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$14,777,556

Up $1,224,558 (+9.0%) from 2023

Liabilities

Down

$5,607,266

Down $2,647,127 (-32%) from 2023

Net Assets

Up

$9,170,290

Up $3,871,685 (+73%) from 2023

Revenue

Up

$65,217,525

Up $3,948,041 (+6.4%) from 2023

Expenses

Up

$69,352,908

Up $4,567,245 (+7.0%) from 2023

Net Income

Down

-$4,135,383

Down $619,204 (-18%) from 2023

Trend Graphs

Balance Sheet Trend

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

$20M$15M$10M$5.0M$0-$5.0MAssets 2011: $9,309,193Liabilities 2011: $6,067,557Net Assets 2011: $3,241,6362011Assets 2012: $7,562,318Liabilities 2012: $3,788,479Net Assets 2012: $3,773,8392012Assets 2013: $9,509,738Liabilities 2013: $4,730,244Net Assets 2013: $4,779,4942013Assets 2014: $9,324,232Liabilities 2014: $6,803,041Net Assets 2014: $2,521,1912014Assets 2015: $8,678,132Liabilities 2015: $7,011,752Net Assets 2015: $1,666,3802015Assets 2016: $9,455,206Liabilities 2016: $5,654,120Net Assets 2016: $3,801,0862016Assets 2017: $8,672,579Liabilities 2017: $4,504,473Net Assets 2017: $4,168,1062017Assets 2018: $10,030,136Liabilities 2018: $5,536,133Net Assets 2018: $4,494,0032018Assets 2019: $11,628,364Liabilities 2019: $4,769,833Net Assets 2019: $6,858,5312019Assets 2020: $13,311,266Liabilities 2020: $15,302,861Net Assets 2020: -$1,991,5952020Assets 2021: $16,181,424Liabilities 2021: $14,094,795Net Assets 2021: $2,086,6292021Assets 2022: $14,758,318Liabilities 2022: $6,607,321Net Assets 2022: $8,150,9972022Assets 2023: $13,552,998Liabilities 2023: $8,254,393Net Assets 2023: $5,298,6052023Assets 2024: $14,777,556Liabilities 2024: $5,607,266Net Assets 2024: $9,170,2902024

Highlighted filing

2024

Assets$14,777,556
Liabilities$5,607,266
Net Assets$9,170,290

Operations Trend

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

$80M$60M$40M$20M$0-$20MRevenue 2011: $37,131,460Expenses 2011: $38,199,224Net Income 2011: -$1,067,7642011Revenue 2012: $37,408,544Expenses 2012: $36,648,683Net Income 2012: $759,8612012Revenue 2013: $41,176,375Expenses 2013: $39,450,185Net Income 2013: $1,726,1902013Revenue 2014: $46,974,265Expenses 2014: $46,149,501Net Income 2014: $824,7642014Revenue 2015: $48,562,709Expenses 2015: $47,138,120Net Income 2015: $1,424,5892015Revenue 2016: $52,116,787Expenses 2016: $51,621,209Net Income 2016: $495,5782016Revenue 2017: $52,989,803Expenses 2017: $52,738,169Net Income 2017: $251,6342017Revenue 2018: $56,998,652Expenses 2018: $56,720,574Net Income 2018: $278,0782018Revenue 2019: $57,214,724Expenses 2019: $58,240,180Net Income 2019: -$1,025,4562019Revenue 2020: $61,134,789Expenses 2020: $59,043,298Net Income 2020: $2,091,4912020Revenue 2021: $65,752,660Expenses 2021: $63,997,963Net Income 2021: $1,754,6972021Revenue 2022: $64,998,356Expenses 2022: $64,078,765Net Income 2022: $919,5912022Revenue 2023: $61,269,484Expenses 2023: $64,785,663Net Income 2023: -$3,516,1792023Revenue 2024: $65,217,525Expenses 2024: $69,352,908Net Income 2024: -$4,135,3832024

Highlighted filing

2024

Revenue$65,217,525
Expenses$69,352,908
Net Income-$4,135,383

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.8$5.61$9.17$65.2$69.4$4.14
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.6$8.25$5.30$61.3$64.8$3.52
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.8$6.61$8.15$65.0$64.1$0.92
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.2$14.1$2.09$65.8$64.0$1.75
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.3$15.3$1.99$61.1$59.0$2.09
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.6$4.77$6.86$57.2$58.2$1.03
2018Summary only. Only limited summary data is available for this year.$10.0$5.54$4.49$57.0$56.7$0.28
2017Summary only. Only limited summary data is available for this year.$8.67$4.50$4.17$53.0$52.7$0.25
2016Summary only. Only limited summary data is available for this year.$9.46$5.65$3.80$52.1$51.6$0.50
2015Summary only. Only limited summary data is available for this year.$8.68$7.01$1.67$48.6$47.1$1.42
2014Summary only. Only limited summary data is available for this year.$9.32$6.80$2.52$47.0$46.1$0.82
2013Summary only. Only limited summary data is available for this year.$9.51$4.73$4.78$41.2$39.5$1.73
2012Summary only. Only limited summary data is available for this year.$7.56$3.79$3.77$37.4$36.6$0.76
2011Summary only. Only limited summary data is available for this year.$9.31$6.07$3.24$37.1$38.2$1.07
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2020 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
May 5, 2021
Return Version
2019v5.1
Gross Receipts
$61,134,789
Mission and Program Overview

Mission

As a proud member of medstar health, the medstar visiting nurse association provides personalized home health care for homebound patients in maryland, northern virginia, and the district of columbia. Its mission is to make a positive difference in people's lives by providing health care in the home and community.

Vna provides personalized home health care for homebound patients. Its mission is to make a positive impact in people's lives by providing health care in the home & community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$11,291,983$13,009,293▲ $1,717,310
Prepaid Expenses and Deferred Charges$291,326$269,932▼ $21,394
Inventories for Sale or Use$12,730$0▼ $12,730
Land, Buildings, and Equipment, Net$2,734$2,275▼ $459
Cash and Non-Interest-Bearing Accounts$700$701▲ $1
Savings and Temporary Cash Investments$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
Loans From Officers Directors$0$0→ $0
Total Assets$11,628,364$13,311,266▲ $1,682,902
Other Assets Total$28,891$29,065▲ $174
Liabilities
Other Liabilities$25,949$10,670,568▲ $10,644,619
Accounts Payable and Accrued Expenses$2,011,146$2,847,891▲ $836,745
Deferred Revenue$2,732,738$1,784,402▼ $948,336
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$4,769,833$15,302,861▲ $10,533,028
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$6,858,531$-1,991,595▼ $8,850,126
Total Net Assets Fund Balance$6,858,531$-1,991,595▼ $8,850,126
Total Liabilities and Net Assets / Fund Balance$11,628,364$13,311,266▲ $1,682,902

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,275$639,939$642,214
Leasehold Improvements-$278,990$278,990
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Marlon CatequistaPT Homecare Clinician PVFT$156,360$23,323$179,683
Karen MowderPT Homecare Clinician PVFT$146,726$22,871$169,597
Stephanie AndersonRN Homecare Clinical LeadFT$145,047$19,244$164,291
Harpreet RekhiPT Homecare Clinician PVFT$146,055$16,242$162,297
Joseph MbellaRN Homecare Clinican PVFT$151,671$5,508$157,179

Board Members and Trustees

NameTitle
Eric WagnerChair
Traci AndersonPresident/director
Jeffrey MattonDirector
Susan EckertDirector
Mark MeginnisTreasurer/director
Roderick ChenFormer Officer/Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Amn Healthcare INCStaffing Services2735 COLLECTION CENTRE DR, Chicago, IL 60693$420,493
Medical SolutionsStaffing Services1010 n 102nd st suite 300, Omaha, NE 68114$392,952
Revenue and Support

Revenue Composition

Contributions and Grants
$484,511
Program Service Revenue
$60,552,810
Investment Income
$3,305
Other Revenue
$94,163
All Other Contributions
$484,511
Change in Net Assets
$2,091,491
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$32,787,130
Other Expenses$26,256,168
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$27,773,648--$27,773,648
Fees for Services Other$17,527,147--$17,527,147
Fees for Services Management$4,721,867--$4,721,867
Other Employee Benefits$2,849,828--$2,849,828
Payroll Taxes$2,026,462--$2,026,462
Travel$836,324--$836,324
Occupancy$428,974--$428,974
Office Expenses$295,130--$295,130
Other Expenses$176,947--$176,947
Pension Plan Contributions$137,192--$137,192
Insurance$123,065--$123,065
Depreciation Depletion$459--$459
Total Functional Expenses$59,043,298$0$0$59,043,298
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
No
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
Intercompany Payables$10,670,568
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 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
Yes
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Medstar Health Visiting Nurse
EIN
53-0196597
In Care Of
% JOEL BRYAN
Phone
3019313100
Address
4061 Powdermill Road Suite 210, Calverton, MD 20705

Signing Officer

Name
Joel Bryan
Title
VP/treasurer
Phone
4107726721
Signed
2021-05-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Traci Anderson
Formed
1900
Legal Domicile
Md
Voting Board Members
5
Independent Board Members
0
Employees
473
Volunteers
0

Preparer

Firm
Kpmg Llp
Address
8350 Broad Street Suite 900, McLean, VA 22102
Preparer
Jg White
Phone
7032868000
Supplemental Narrative

Additional Explanations

Exempt Purpose Achievements

PART III, LINE 4A THE VISITING NURSE ASSOCIATION ALSO PROVIDES IN-SERVICE EDUCATION TO CASE MANAGEMENT GROUPS AND COMMUNITY FAIRS/HEALTH SCREENINGS. THE VISITING NURSE ASSOCIATION HAS SPECIALTY PROGRAMS AND A ROBUST IMMUNIZATION PROGRAM THAT PROVIDES SHOTS TO THE COMMUNITY AS WELL AS OUR PATIENTS AND EMPLOYEES. As one of the largest healthcare systems in Maryland and the Washington, D.C., region, MedStar Health and its affiliated entities cared for one in four COVID-19 patients in the region since March 2020. Operating as One MedStar and aligning with guidance from the Centers for Disease Control and Prevention (CDC) and local Departments of Health, MedStar Healths COVID-19 preparations and response were guided by two critical drivers: providing a safe care environment for patients and associates and ensuring operational continuity to fulfill our core mission of caring for our communities. These efforts included adding hospital beds in preparation for patient surges; balancing hospital admissions by using urgent care sites as frontline providers and facilitating telehealth interactions for virtual care and referrals; utilizing home health services to transition care from inpatient settings, ambulatory facilities, and a convention center field hospital; and standing up more than 40 COVID-19 testing locations. Underlying these actions is MedStar Healths commitment to the highest levels of quality and safety, reflected by the systemwide implementation of universal face masking for patients and associates, and acquisition of Personal Protective Equipment at usage levels 10 times normal use. ORGANIZATION MEMBERS PART VI, LINE 6 THE ORGANIZATION IS AN AFFILIATE AND SUBSIDIARY OF MEDSTAR HEALTH, INC. MEDSTAR HEALTH, INC., OR ONE OF ITS AFFILIATES AND SUBSIDIARIES, IS THE SOLE MEMBER OF THE ORGANIZATION.

Description of Members

Part vi, line 7a as an affiliate and subsidiary of medstar health, inc., the organization may recommend person(s) for membership on the organization's governing body. Any such recommendation by the organization is subject to approval by the governance committee of the board of directors of medstar health, inc. The board of medstar health, inc. Has delegated certain approval authority to the governance committee and the president & ceo of medstar health, inc.

Decisions of Governing Body

Part vi, line 7b as an affiliate and subsidiary of medstar health, inc., the bylaws of the organization are subject to certain reserved powers, which provide that the sole member of the organization must approve certain decisions, including but not limited to matters concerning the sale or purchase of real or personal property, capital budgets, strategic planning, investments, and corporate governance.

Process for Reviewing Form 990

Part vi, line 11b the process for reviewing the form 990 included education and transparency. Senior financial executives, working with independent outside experts, thoroughly reviewed form 990 and accompanying instructions. In addition, senior executives reviewed the relevant sections of the form 990 with the following committees of the organization's governing body: finance, audit, governance, strategic planning, and executive compensation. Following these meetings, the governing body was provided a copy of the form 990 in its final form and given an opportunity to provide any input or comments relating to the form 990 prior to its filing.

Conflict of Interest Policy Enforcement

Part vi, line 12c appointment of boards of directors medstar health (and its subsidiaries) require all nominated directors, prior to their appointment or election, to disclose the existence of (or potential existence of) any transaction with medstar that would result in a conflict of interest. Such disclosures (if any) are reviewed by the governance committee of the medstar health board of directors which determines how the matter should be resolved. Annual disclosures - all officers, directors, and senior managers are required, not less than annually, to complete a survey of questions concerning any transactions or relationships which would or could represent a conflict of interest. Such disclosures (if any) are reviewed by the governance committee of the medstar health board of directors which determines how the matter should be resolved. In addition, officers and directors of maryland hospitals and nursing centers are required to annually disclose additional information relating to potential conflicts of interest and such disclosures are reported to the maryland health services cost review commission (hscrc).

Executive Compensation Process

Part vi, line 15 the executive compensation committee of the board of directors of medstar health, inc. (the "committee") has oversight over the executive compensation program (the "program") of medstar health, inc. And its affiliates. Total compensation for the top management officials, officers and key employees of medstar health, inc. And its affiliates are reviewed and approved by the committee with assistance and guidance from an independent third party advisor. The members of the committee are independent from all of the participants in the program. The main objective of the program is to provide market competitive total compensation that is internally equitable and has a strong pay-for-performance linkage. Performance is evaluated at the system, operating unit, and individual levels. The overall total compensation philosophy is managed at the 75th percentile of the competitive market for comparable size (net revenue) and type (tax-exempt healthcare organizations). Where appropriate, additional industry data is considered (general business and/or taxable healthcare) for selected positions that can be recruited from or potentially lost to these industries (e.g., information technology, finance, etc.). The committee has engaged ernst & young llp ("e&y") to serve as an advisor on the reasonableness and competitiveness of the program. In determining reasonableness and competitiveness, e&y reviews market practices and trends, and makes recommendations related to the program. E&y utilizes information from custom surveys, national compensation surveys, proprietary databases, and client experiences to determine its final recommendations. E&y presents their findings and recommendations to the committee. The committee makes the final decisions on all of the compensation determinations of the program. All decisions made by the committee are contemporaneously documented.

Financial Statements Availability

Part vi, line 19 in prior years, medstar health has posted its annual financial audit and quarterly financial reports to the nationally recognized municipal securities information repository (nrmsirs) and this year the organization posted its financials to the electronic municipal market access (emma) system. The organization also e-mails its annual and quarterly disclosures to holders of the company's publicly traded debt. The company's governance documents and conflicts of interest policies are available upon request through its corporate (or as applicable entity) public information offices.

Financial Statements and Reporting

Part xii, line 2c medstar health visiting nurse association is part of the medstar health, inc. Audit and subject to oversight by the audit committee of the medstar board.

Other Changes in Net Assets

Part xi, line 9 equity transfer-net assets .......................$ (10,942,139)

Form 990 Part IX Line 11G

Description:ho distrib-ops admin total fees:5010602

Form 990 Part IX Line 11G

Description:ho distrib-liaisons total fees:4212456

Form 990 Part IX Line 11G

Description:ho distrib-qi total fees:2308100

Form 990 Part IX Line 11G

Description:ho distrib-admin total fees:2234759

Form 990 Part IX Line 11G

Description:ho distrib-referral center total fees:1113603

Form 990 Part IX Line 11G

Description:ho distrib-pat fin svcs total fees:1415952

Form 990 Part IX Line 11G

Description:ho distrib-is total fees:211990

Form 990 Part IX Line 11G

Description:ho distrib-finance total fees:676609

Form 990 Part IX Line 11G

Description:ho distrib-after hours total fees:227239

Form 990 Part IX Line 11G

Description:courier services total fees:70199

Form 990 Part IX Line 11G

Description:ho distrib - telemonitoring total fees:645

Form 990 Part IX Line 11G

Description:protection service total fees:3835

Form 990 Part IX Line 11G

Description:housekeeping service total fees:23459

Form 990 Part IX Line 11G

Description:interpreter total fees:17699

Financial Statement Notes

Fin 48 Footnote

Schedule d, part x income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards.deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled.the effect on deferred tax assets and liabilities of a change in tax rates is recognized in the period that includes the enactment date. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of change. The corporation accounts for uncertain tax positions in accordance with the fasb accounting standards codification (asc) topic 740, income taxes. There was no liability recorded for uncertain tax positions as of june 30, 2020.

Raw XML AppendixShowing 400 of 1,560 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
IRS990/AccountantCompileOrReviewInd0false
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt02011146
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt02847891
IRS990/AccountsReceivableGrp/BOYAmt011291983
IRS990/AccountsReceivableGrp/EOYAmt013009293
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0VNA PROVIDES PERSONALIZED HOME HEALTH CARE FOR HOMEBOUND PATIENTS. ITS MISSION IS TO MAKE A POSITIVE IMPACT IN PEOPLE'S LIVES BY PROVIDING HEALTH CARE IN THE HOME & COMMUNITY.
IRS990/AdvertisingGrp/TotalAmt00
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IRS990/BooksInCareOfDetail/PersonNm0JOEL BRYAN
IRS990/BooksInCareOfDetail/PhoneNum04107726721
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt010980 GRANTCHESTER WAY
IRS990/BooksInCareOfDetail/USAddress/CityNm0COLUMBIA
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd168114
IRS990/ContractorCompensationGrp/ContractorName/PersonNm0AMN HEALTHCARE INC
IRS990/ContractorCompensationGrp/ContractorName/PersonNm1MEDICAL SOLUTIONS
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IRS990/Desc0As a proud member of MedStar Health, the MedStar Visiting Nurse Association provides personalized home health care for homebound patients in Maryland, northern Virginia, and the District of Columbia. The Visiting Nurse Association provides the following skilled services: nursing, physical therapy, speech therapy, occupational therapy, and social services to the community. The Visiting Nurse Association admitted 20,770 patients and provided more than 320,000 home visits in fiscal year 2020. For more information, see Schedule O.
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IRS990/MissionDesc0AS A PROUD MEMBER OF MEDSTAR HEALTH, THE MEDSTAR VISITING NURSE ASSOCIATION PROVIDES PERSONALIZED HOME HEALTH CARE FOR HOMEBOUND PATIENTS IN MARYLAND, NORTHERN VIRGINIA, AND THE DISTRICT OF COLUMBIA. ITS MISSION IS TO MAKE A POSITIVE DIFFERENCE IN PEOPLE'S LIVES BY PROVIDING HEALTH CARE IN THE HOME AND COMMUNITY. PATIENTS IN MARYLAND, NORTHERN VIRGINIA, AND THE DISTRICT OF COLUMBIA. ITS MISSION IS TO MAKE A POSITIVE DIFFERENCE IN PEOPLE'S LIVES BY PROVIDING HEALTH CARE IN THE HOME AND COMMUNITY.
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