2020-07-10T18:58:21-05:00 2019-06-30 KPMG LLP 8350 Broad Street Suite 900 McLean VA 22102 990 2018-07-01 530196597 Medstar Health Visiting Nurse Association Inc % JOEL BRYAN MEDS 3019313100 4061 Powdermill Road Suite 210 Calverton MD 20705 JOEL BRYAN VP/TREASURER 2020-07-10 true JG WHITE P01498698 7032868000 2020-06-15 199.207.253.101 54028020201925000023 2020-07-10 P 88101B64CD254CE95C2DB80C5D9DEBED99681DF6 3AAD66ADA2E5DF4BC89011C66E354EB32E898C52 2018 2021-01-29 14:40:06Z TRACI ANDERSON 4061 POWDERMILL ROAD CALVERTON MD 20705 57214724 false X N/A X 1900 MD 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. 4 0 463 0 0 0 0 0 56903455 57121042 7169 5517 88028 88165 56998652 57214724 0 0 0 0 29739999 30817048 0 0 0 26980575 27423132 56720574 58240180 278078 -1025456 10030136 11628364 5536133 4769833 4494003 6858531 X 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. false false 58240180 57121042 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. 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 2019. For more information, see Schedule O. 58240180 true false false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 0 0 true 463 true false false false false false false false false false false false false X 4 0 false false false false true true true true true false false true true true true true true true true false X JOEL BRYAN 4107726721 10980 GRANTCHESTER WAY COLUMBIA MD 21044 ERIC WAGNER CHAIR 1.0 39.0 X 0 1709105 69496 TRACI ANDERSON PRESIDENT/DIRECTOR 1.0 39.0 X X 0 511916 30232 MARK MEGINNIS TREASURER/DIRECTOR 1.0 39.0 X X 0 382956 53000 JEFFREY MATTON DIRECTOR 1.0 39.0 X 0 1117691 53751 Maureen McCausland DIRECTOR (Until 6/19) 1.0 39.0 X 0 793772 39187 JOSE BARBOSA PT Homecare Clinical Lead PV 40.0 0.0 X 141397 0 24060 KAREN MOWDER PT Homecare Clinician PV 40.0 0.0 X 140781 0 19947 BRYAN WILES PT Homecare Clinical Lead PV 40.0 0.0 X 142354 0 25024 Crisanto Guillermo PT Homecare Clinician PV 40.0 0.0 X 137760 0 20126 Stephanie Anderson RN Homecare Clinical Lead 40.0 0.0 X 136965 0 10675 Roderick Chen Former Officer/Secretary 0.0 40.0 X 0 399380 30156 699257 4914820 375654 54 true true false AMN HEALTHCARE INC 2735 COLLECTION CENTRE DR CHICAGO IL 60693 STAFFING SERVICES 1825539 MEDICAL SOLUTIONS 1010 n 102nd st suite 300 OMAHA NE 68114 STAFFING SERVICES 374069 2 0 PATIENT SERVICE REVENUE 621400 57121042 57121042 57121042 5516 5516 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 REBATE INCOME 900099 33027 33027 MISCELLANEOUS REVENUE 900099 55138 55138 88165 57214724 57121042 93682 X 0 0 0 0 0 0 26227571 26227571 265309 265309 2469591 2469591 1854577 1854577 4833413 4833413 0 0 0 0 0 19195597 19195597 0 296944 296944 0 0 421743 421743 757829 757829 0 450 450 0 0 11928 11928 102280 102280 MEDICAL/SURGICAL SUPPLIES 1485422 1485422 UTILITIES 235387 235387 MAINTENANCE 2611 2611 MISCELLANEOUS 79528 79528 58240180 58240180 0 0 700 700 0 0 0 0 9743712 11291983 0 0 0 0 0 0 12730 12730 231451 291326 924044 921310 14662 2734 0 0 0 0 0 0 0 0 26881 28891 10030136 11628364 2115271 2011146 0 0 2328360 2732738 0 0 0 0 0 0 0 0 0 0 1092502 25949 5536133 4769833 X 4494003 6858531 0 0 0 0 4494003 6858531 10030136 11628364 X -1025456 -167 3390151 X X false true X true false X 0 0 0 0 0 0 48424449 51979370 52906844 56903455 57121042 267335160 0 0 0 48424449 51979370 52906844 56903455 57121042 267335160 0 0 0 267335160 6683 6887 4732 7152 5516 30970 0 6683 6887 4732 7152 5516 30970 0 131566 130514 78218 88028 88165 516491 48562698 52116771 52989794 56998635 57214723 267882621 0.99796 0.99801 0.00012 0.00012 X 278990 278990 0 645054 642320 2734 2734 0 INTERCOMPANY PAYABLES 25949 25949 X 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, 2019. X X X X X X false false false false false false false false false ERIC WAGNER CHAIR 0 845755 0 863350 0 0 0 28588 0 40908 0 1778601 0 0 TRACI ANDERSON PRESIDENT/DIRECTOR 0 291815 0 220101 0 0 0 8250 0 21982 0 542148 0 0 MARK MEGINNIS TREASURER/DIRECTOR 0 258661 0 124295 0 0 0 29020 0 23980 0 435956 0 0 JEFFREY MATTON DIRECTOR 0 562364 0 555327 0 0 0 18313 0 35438 0 1171442 0 0 JOSE BARBOSA PT Homecare Clinical Lead PV 139597 0 1795 0 5 0 4418 0 19642 0 165457 0 0 0 KAREN MOWDER PT Homecare Clinician PV 139130 0 1651 0 0 0 11367 0 8580 0 160728 0 0 0 Roderick Chen Former Officer/Secretary 0 267015 0 132365 0 0 0 8250 0 21906 0 429536 0 0 Maureen McCausland DIRECTOR (Until 6/19) 0 422868 0 370904 0 0 0 8250 0 30937 0 832959 0 0 BRYAN WILES PT Homecare Clinical Lead PV 141314 0 1040 0 0 0 4510 0 20514 0 167378 0 0 0 Crisanto Guillermo PT Homecare Clinician PV 136600 0 1160 0 0 0 4357 0 15769 0 157886 0 0 0 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. 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 BEGAN POSTING 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 .......................$ 3,390,151 FORM 990 PART IX LINE 11G DESCRIPTION:HO DISTRIB-OPS ADMIN TOTAL FEES:5272535 FORM 990 PART IX LINE 11G DESCRIPTION:HO DISTRIB-LIAISONS TOTAL FEES:4525231 FORM 990 PART IX LINE 11G DESCRIPTION:HO DISTRIB-QI TOTAL FEES:2473119 FORM 990 PART IX LINE 11G DESCRIPTION:HO DISTRIB-ADMIN TOTAL FEES:2107245 FORM 990 PART IX LINE 11G DESCRIPTION:HO DISTRIB-REFERRAL CENTER TOTAL FEES:1566670 FORM 990 PART IX LINE 11G DESCRIPTION:HO DISTRIB-PAT FIN SVCS TOTAL FEES:1149084 FORM 990 PART IX LINE 11G DESCRIPTION:HO DISTRIB-IS TOTAL FEES:944399 FORM 990 PART IX LINE 11G DESCRIPTION:HO DISTRIB-FINANCE TOTAL FEES:800313 FORM 990 PART IX LINE 11G DESCRIPTION:HO DISTRIB-AFTER HOURS TOTAL FEES:237450 FORM 990 PART IX LINE 11G DESCRIPTION:COURIER SERVICES TOTAL FEES:71120 FORM 990 PART IX LINE 11G DESCRIPTION:MISCELLANEOUS FEES FOR SERVICE TOTAL FEES:48431 CHURCH HOME CORPORATION 10980 GRANTCHESTER WAY 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