VNA Visiting Nurse Association

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A Tradition of Caring and Quality Since 1949 2015 Annual Report Approved By Accreditation Commission For Health Care, Inc. 1524 Sycamore Street Iowa City, Iowa 52240 Ph 319-337-9686 Fax 319-337-5566 A United Way Agency

MISSION STATEMENT The MISSION of the Visiting (VNA) is to improve the quality of life of persons in its service area by assisting individuals and families to achieve the highest level of health and independent living appropriate to the persons involved. The VNA will ensure this outcome by: Providing quality health and social services within the constraints of agency resources to individuals and families in the home and community without regard to race, religion, creed, sex, sexual orientation, ethnicity, disability, disease entity, age or ability to pay. Collaborating with physicians, other health care providers and community agencies to enhance VNA client services. Attracting, managing, and developing sufficient human, physical and financial resources to assure the continued long-term ability of the VNA to offer services and leadership as a home health care provider. Adopting and promoting policies on issues which effect the fulfillment of this mission. Evaluating programs and services while continuously working to improve processes and outcomes. VISION The VISION of the Visiting is to be: Recognized as the unequivocal leader in home health services in the community. The name that comes to mind when home care is mentioned. The provider of exceptional quality care to all clients receiving nursing, physical therapy, occupational therapy, speech therapy, medical social services and home care aide services. The agency which most effectively combines caring and compassion with innovation, excellence and efficiency. Characterized by open, accepting communication with all community agencies and medical service providers. An active partner in local and regional networks. The agency which excels in provision of preventive, community, and home care services.

SERVICES Skilled Home Care Services are provided to persons who have specific health care needs and are under the care of a physician. Services may include: Assessment of physical condition, monitoring for complications, evaluating response to treatment and teaching about health care Direct assistance with needed treatments and rehabilitative therapy to increase independence Assistance with personal hygiene and activities of daily living Providing information about, and coordinating with, other community services Supportive counseling and emotional support in dealing with illness Health Promotion Services are supportive services provided by VNA nurses or social workers to new parents, frail elderly or individuals managing chronic illness. Services include: Education and support in child development and parenting Information about and referral to other community services Assistance in accessing health care services Reinforcement and support in appropriate self-management of chronic diseases Home Care Aide and Homemaker Services are supportive services provided to assist the elderly or disabled to remain at home and to promote physical and emotional health and safety for infants and children. Services include: Assistance with personal care, light housekeeping, errands and respite Assistance with infant care and homemaking for families with new babies Support and guidance in parenting, nutrition, home management and budgeting Private Duty Services are extended hour services provided to patients in their homes for periods of four to twenty-four hours. Services are dependent on availability of staffing. Services include: Skilled nursing Personal care Respite care Community Health Services include a variety of preventive health services offered in the community setting. The goal of these services is to improve individual s health and safety, identify health risks, and support healthy behaviors and appropriate use of the health care system. Services provided include: Wellness Clinics Health counseling, foot care clinics and health screening activities, referral and education are provided for the benefit of the well elderly at sites throughout Johnson County Community Health Initiatives VNA participates in Fall Prevention, Disaster Planning, Advance Health Care Directive, Child and Elder Abuse prevention and other health care initiatives in Johnson County Pneumonia and Influenza immunization clinics provided for individuals of all ages in clinics throughout Johnson County Personal Emergency Reponse System (Lifeline) is a personal emergency response system that allows an individual to be at home and feel confi dent that help will be available in a sudden emergency with just the touch of a button Miscellaneous Health Services include assistance with medication administration, paternity testing, etc.

2015 BOARD OF DIRECTORS Steven C. Anderson Brad Langguth Jean VanRybroek Jeff Jarrett President Vice-President Secretary Treasurer Chris Ameling Joe Campanelli Ellen Cram Michael Lensing Nicole McGlynn Patricia Pezzella Dr. Minyon Rittgers-Easton Michelle Wolter

2015 STATISTICS Total Individuals Served (unduplicated) 526 Skilled Home Care Services 325 Health Maintenance/Promotion Services 196 Private Duty Services (14,729 hours) 5 Total Home Visits 17,753 By Program Skilled Home Care Services 10,579 Health Promotion Services 4,635 Private Duty Services (14,729 hours) 2,539 By Fee Source Medicaid 8,702 Medicare 1,806 Other 7,245 By Discipline Nursing 9,018 Home Care Aide (3,865 hours) 3,868 Homemaker 2,670 Physical Therapy 1,046 Social Work 562 Occupational Therapy 246 Community Services Wellness clinic sessions 321 Wellness clinic contacts 1,613 Community Service Hours 145 Influenza and Pneumonia Vaccinations 4,480

2015 SKILLED STATISTICS Skilled Unduplicated Census by Payer 100 90 80 70 60 50 40 30 20 10 0 Insurance Grants/Self Pay Medicare Medicaid Payer 2011 Patient % 2012 Patient % 2013 Patient % 2014 Patient % 2015 Patient % Medicaid 42 40 42 41 43 Medicare 32 35 34 27 31 Insurance 10 10 10 12 9 Grants/Self Pay 16 15 14 20 17

2015 STATISTICS 900 800 700 600 500 400 300 200 100 0 Unduplicated Census 2011 2012 2013 2014 2015 All Services Skilled Services All Home Based Services Unduplicated Census Skilled Homecare Services Unduplicated Census Year Patients Year Patients 2011 796 2011 461 2012 769 2012 417 2013 671 2013 401 2014 611 2014 398 2015 526 2015 325

2015 STATISTICS Visits by Discipline Home Care Aide Homemaker Physical Therapy Social Work Occupational Therapy Nursing Discipline Total Visits Nursing 9,018 Home Care Aide 3,868 Homemaker 2,670 Physical Therapy 1,046 Social Work 562 Occupational Therapy 246 17,410

2015 FINANCIALS Revenue Revenue Homebased Services $ 2,005,286 Community Services $ 114,925 Fundraising $ 27,198 Other $ 262,937 $ 2,410,346 Community Services 5% Other 11% Fundraising 1% Homebased Services 83% Expenses Salaries and Wages $ 1,591,388 Benefits $ 280,349 Purchased Services $ 77,401 Supplies and Other Expenses $ 313,639 Provision for Bad Debts $ 5,000 Depreciation $ 52,612 Interest $ 42,078 $ 2,362,467 Salaries and Wages 68% Purchased Services Benefits 3% Supplies 12% and Other Expenses 13% Provision for Bad Debts 0% Depreciatio n 0% Interest 2%

2015 AUDITED FINANCIALS Revenue 2011 2012 2013 2014 2015 Patient Services $ 1,678,598 $ 1,706,600 $ 2,048,100 $ 2,113,636 $ 2,005,286 Other Revenue $ 455,781 $ 474,345 $ 420,397 $ 407,387 $ 405,060 $ 2,134,379 $ 2,180,945 $ 2,468,497 $ 2,521,023 $ 2,410,346 Expenses Salaries and Wages $ 1,256,039 $ 1,396,766 $ 1,488,415 $ 1,586,427 $ 1,591,388 Benefits $ 232,508 $ 272,683 $ 267,617 $ 302,165 $ 280,349 Purchased Services $ 317,128 $ 107,684 $ 116,489 $ 99,905 $ 77,401 Supplies/Other Expenses $ 349,320 $ 402,278 $ 358,720 $ 298,271 $ 313,639 Provision for Bad Debt $ 12,203 $ 6,354 $ 5,349 $ 17,529 $ 5,000 Depreciation $ 8,620 $ 6,654 $ 16,740 $ 46,800 $ 52,612 Interest $ 237 $ 7,183 $ 20,381 $ 44,994 $ 42,078 $ 2,176,055 $ 2,199,602 $ 2,273,711 $ 2,396,091 $ 2,362,467 Profit/Loss $ (41,676) $ (18,657) $ 194,786 $ 124,932 $ 47,879

2015 STATISTICS Donations and Fundraising $80,000 $70,000 $60,000 $50,000 $40,000 $30,000 $20,000 $10,000 $0 2011 2012 2013 2014 2015 Donations & Fundraising Year Amount 2011 $57,936 2012 $71,974 2013 $64,466 2014 $74,441 2015 $75,960

2015 VOLUNTEERS Tracey Achenbach Deb Adams Janet Ahlberg Shirley Anderson Marcia Andrews Penny Atkinson Brenda Barbour Connie Becker Emily Bennett Judy Biderman Warren Boe Staja Booker Kim Callaghan Jim Close Graham Dameron Jim Dane Barb Dixon Brad Eland Bea Furner Ken Gibson John Green Virginia Hammer Jo Hensch Chen Huang Laurene Kincade Sue Kirk Janet Koopman Larry Krall Torey Kranau Tracy Kueter Belinda Lantz Marnes Gene Matthews Eari McCarthy Patricia McDougall Ann McKay Doris Myers Linda Noble John D. Novotny Peggy Nunnally Carol Olney Connie Olson Dennis Preslicka Mary Rames Cathy Reese Susan Rogers Carol Rosenberger Thomas Rosenberger Diana Roth Avonell Rutherford Audrey Scott Clarence Skog Jane Soboroff Mary Jane Sopher Anna Stranieri Sally Stutsman Shelia Vedder Al Wicks Janet Wicks LuAnn Williams

VNA... A Tradition of Caring and Quality Since 1949 Skilled Nursing Maternal Child Nursing Physical Therapy Occupational Therapy Speech Therapy Medical Social Worker Home Care Aide Homemaking Personal Emergency Response System (Lifeline) Community Health Services Certified by Medicare and Medicaid Member of Iowa Association for Home Care Visiting s of America Accredited by Accreditation Commission for Health Care, Inc VNA Visiting 1524 Sycamore Street Iowa City, IA 52240 Phone: 319-337-9686 Fax: 319-337-5566 www.vnaic.org