2019-01-22T12:32:02-06:00 2018-06-30 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2017-07-01 420680446 Visiting Nurse Services of Iowa VISI 5152881516 1111 9TH STREET SUITE 320 Des Moines IA 50314 Lynn Michl Vice President and CFO 2019-01-22 true Nicole Bencik P00756195 3128997000 2017 2019-02-21 02:37:17Z EveryStep Tray Wade 1111 9TH STREET SUITE 320 Des Moines IA 50314 12000733 false X https://www.everystep.org X 1908 IA The mission of Visiting Nurse Services of Iowa, also known as EveryStep, is to empower individuals, support families and strengthen communities. 20 20 213 125 0 0 5487740 5604299 5143161 5278116 104892 147846 979 1635 10736772 11031896 0 0 0 0 7288994 6957150 0 0 46854 3690493 4142339 10979487 11099489 -242715 -67593 3399762 3140093 2450253 2318858 949509 821235 X The mission of Visiting Nurse Services of Iowa, also known as EveryStep, is to empower individuals, support families and strengthen communities. false false 4083468 0 2254811 FAMILY HEALTH SERVICES - FAMILY HEALTH SERVICES INCLUDE INTENSIVE CASE MANAGEMENT OF FAMILIES AT RISK FOR POOR OUTCOMES. SERVICES INCLUDE: WORKING WITH PREGNANT TEENS TO ACHIEVE HEALTHY BIRTH OUTCOMES; NURSE FAMILY PARTNERSHIP WITH FIRST-TIME LOW-INCOME PREGNANT AND PARENTING WOMEN; HOME VISITING TO ASSESS HEALTH AND HUMAN SERVICE NEEDS; PROVIDING PARENT EDUCATION; MAKING APPROPRIATE COMMUNITY REFERRALS FOR SERVICES; COMPLETING DEVELOPMENTAL SCREENINGS AND PROVIDING APPROPRIATE FOLLOW-UP; ASSISTING WITH A READING PROGRAM FOR INCARCERATED PARENTS; PROVIDING AND ASSISTING FAMILIES IN COMPLETING HEALTHY BEHAVIORS (FAMILY NEST). 3796808 0 2072188 MATERNAL AND CHILD HEALTH SERVICES - MATERNAL AND CHILD HEALTH SERVICES INCLUDE THE PROVISION OF SERVICES FOR WOMEN, INFANTS, CHILDREN AND FAMILIES FOCUSING ON HEALTH PROMOTION, DISEASE PREVENTION, THE REDUCTION OF INFANT MORTALITY; ENHANCING SCHOOL READINESS; PROMOTION OF SELF SUFFICIENCY; AND ON THE PREVENTION OF CHILD ABUSE. ACTIVITIES INCLUDE HOME VISITING AND PARENT EDUCATION, PROVIDING DEVELOPMENTAL SCREENINGS AND APPROPRIATE FOLLOW-UP; ACCESS TO DENTAL SERVICES; ACCESS TO A MEDICAL HOME; REFERRALS TO SERVICES IN THE COMMUNITY; CONNECTION TO EARLY ACCESS SERVICES ACROSS THE STATE OF IOWA; ACCESS TO WRAP-AROUND SERVICES FOR SEVERE EMOTIONALLY DISTURBED CHILDREN; ACCESS TO MENTAL HEALTH SERVICES; ASSISTING CHILD CARE PROVIDERS WITH THE QUALITY RATING SYSTEM; COMPLETING IMMUNIZATION AUDITS; ACCESS TO A HEALTHY BEHAVIOR'S PROGRAM (STORK'S NEST); AND PARTICIPATION IN A RESEARCH STUDY THAT EXAMINES THE EFFECTS OF ENVIRONMENTAL INFLUENCES ON THE HEALTH AND DEVELOPMENT OF CHILDREN. 1260151 0 642347 ADULT HEALTH SERVICES - ADULT HEALTH SERVICES INCLUDE NURSE CASE MANAGEMENT SERVICES and HOME VISITING FOR ADULTS WITH CHRONIC AND ACUTE HEALTH ISSUES; A VOLUNTEER PROGRAM PROVIDING COMPANIONSHIP AND ASSISTANCE WITH TRANSPORTATION FOR ADULTS; AND PROVIDING HOME HEALTH AIDE ASSISTANCE. 479050 0 308770 OCCUPATIONAL HEALTH SERVICES - OCCUPATIONAL HEALTH SERVICES INCLUDE THE PROVISION OF FLU AND IMMUNIZATION CLINICS, BLOOD PRESSURE CLINICS, COMMUNITY WELLNESS CLINICS, HEALTH RISK ASSESSMENT ACTIVITIES, PROVISION OF PHYSICAL EXAMS, AND OTHER ACTIVITIES GEARED TOWARD WELLNESS PROMOTION AND ILLNESS PREVENTION. 479050 308770 9619477 true true false true false false false false false false true false false false true true true 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 false false false true 0 0 213 true false false false false false false true false false false X 20 20 false false false false true true true true true false false true true true true true true false false false X X Lynn Michl 5153334246 3000 Easton Boulevard DES MOINES IA 503173124 Debra Milligan Board Chair 1.0 2.0 X X 0 0 0 Jesse Wurth Board Treasurer 1.0 2.0 X X 0 0 0 John Pittman Board Secretary 1.0 2.0 X X 0 0 0 Judith Ralston-Hansen Chair-Elect 1.0 2.0 X X 0 0 0 Pat Barry Director 1.0 2.0 X 0 0 0 Mark Beerman Director 1.0 2.0 X 0 0 0 Graham Cook Director 1.0 2.0 X 0 0 0 Nick Henderson Director 1.0 2.0 X 0 0 0 Gary Hoff Director 1.0 2.0 X 0 0 0 Connie Isaacson Director 1.0 1.0 X 0 0 0 John Paule Director 1.0 2.0 X 0 0 0 Rebecca Purnell Director 1.0 2.0 X 0 0 0 Sally Reavely Director 1.0 2.0 X 0 0 0 Priscilla Ruhe Director (Term ended 9/2017) 1.0 2.0 X 0 0 0 Scott Shuck Director 1.0 2.0 X 0 0 0 Tom Temple Director 1.0 2.0 X 0 0 0 Katie Turner Director (term ended 9/2017) 1.0 2.0 X 0 0 0 Kim Willis Director 1.0 2.0 X 0 0 0 Brad Wycoff Director 1.0 2.0 X 0 0 0 Threase Harms Director 1.0 2.0 X 0 0 0 Chris Gunnare Director 1.0 2.0 X 0 0 0 Vince Mandracchia Director 1.0 2.0 X 0 0 0 Tray Wade President & CEO 14.0 26.0 X 0 261322 19330 Kelly Dennis Vice President & CFO (Through 1/1/2018) 14.0 26.0 X 0 170343 16847 Lynn Michl Vice President & CFO (As of 1/15/2018) 14.0 26.0 X 0 0 0 Jim Knoepfler Vice President, Administration 14.0 26.0 X 0 100980 26968 0 532646 63144 0 false true false HCI VNS CARE SERVICES 3000 Easton Boulevard DES MOINES IA 503173124 ADMINISTRATIVE OVERHEAD SUPPORT 1050316 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 HOME CARE THERAPIES 221940 ORCHARD PLACE CHILD GUIDANCE CENTER 808 5TH AVENUE DES MOINES IA 50315 CASE MANAGEMENT 149826 2 960864 5814 4610205 27416 2305 5604299 Patient & program services 624100 5278116 5278116 0 0 0 0 5278116 38731 38731 0 0 1077952 968837 109115 0 109115 109115 MISCELLANEOUS INCOME 900099 1635 1635 0 0 0 0 1635 11031896 5278116 0 149481 X 0 0 5599380 5422428 148192 28760 402053 389347 11887 819 554455 536933 14980 2542 401262 388353 10712 2197 38942 38942 10780 10780 1692445 634416 1050316 7713 62619 60803 1791 25 211969 189791 22030 148 305664 228663 77001 243990 243990 37451 36056 1395 45660 9752 35908 CLIENT INSTRUCTIONAL RESOURCES 639683 639683 PHARMACY, NURSING SUPPLIES, AND OTHER PATIENT CARE 540910 540910 BAD DEBT 276668 276668 DUES & SUBSCRIPTIONS 13633 7315 6318 21925 14369 2906 4650 11099489 9619477 1433158 46854 11554 31861 14286 34066 1491048 1488774 456329 346804 0 0 0 25598 30655 9840 27913 542510 372813 109415 169697 1281692 1009648 0 0 0 675 3399762 3140093 902934 1065652 48842 59603 0 1498477 1193603 2450253 2318858 X 887296 781128 62213 40107 949509 821235 3399762 3140093 -67593 -60681 0 X false true X true true true X 5848037 6143836 5369504 5487740 5604299 28453416 0 0 5848037 6143836 5369504 5487740 5604299 28453416 0 28453416 42705 64690 58292 34392 38731 238810 0 0 0 0 0 12821 11008 556 979 1635 26999 28719225 25431933 0.9907 0.9888 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 12821.0, COLUMN B - 11008.0, COLUMN C - 556.0, COLUMN D - 979.0, COLUMN E - 1635.0, COLUMN F - 26999.0; false false false false false false false false true 11713 11713 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The Organization contracts with Advocacy Strategies, LLC to provide government relations services related to interactions with Iowa state government, legislative and/or regulatory agencies with respect to funding for general health and appropriations issues as requested by VNS including, but not limited to Medicaid, non-profit organization issues and other issues that impact the organization. The lobbying activities include: assistance in preparing an annual legislative agenda for the organization; scheduling pre-session meetings with legislators to discuss the Organization's priorities; daily contact during the legislative session with updates on bills and declaring the Organization's position; scheduling meetings with state governmental organizations, and; providing weekly written reports during the legislative session. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The Organization contracts with Advocacy Strategies, LLC to provide government relations services related to interactions with Iowa state government, legislative and/or regulatory agencies with respect to funding for general health and appropriations issues as requested by VNS including, but not limited to Medicaid, non-profit organization issues and other issues that impact the organization. The lobbying activities include: assistance in preparing an annual legislative agenda for the organization; scheduling pre-session meetings with legislators to discuss the Organization's priorities; daily contact during the legislative session with updates on bills and declaring the Organization's position; scheduling meetings with state governmental organizations, and; providing weekly written reports during the legislative session. 389750 220053 169697 152760 152760 0 169697 DUE TO HCI CARE SERVICES 1193603 1193603 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote VNS is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would besustained 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. VNS's Form 990 has not been subject to examination by the Internal Revenue Service or the State of Iowa for the last three years. VNS does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. VNS recognizes interest and/or penalties related to income tax matters in income tax expense. VNS did not have any amounts accrued or recognized for interest and penalties at June 30, 2018 and 2017. false false false false false false false false false Tray Wade President & CEO 0 260452 0 0 0 870 0 9268 0 10061 0 280652 0 0 Kelly Dennis Vice President & CFO (Through 1/1/2018) 0 170343 0 0 0 0 0 6146 0 10700 0 187190 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation HCI VNS Care Services does business as EveryStep. Compensation for the organization's President and Chief Executive Officer is established and paid by EveryStep, a related tax-exempt organization. EveryStep utilizes the following methods to determine the president & Chief Executive Officer's compensation: - Independent Compensation Consultant - Compensation surveys and studies - Approval by the Board of Directors Form 990, Part III, Line 4d Description of other program services (Expenses $ 479,050 including grants of $ 0)(Revenue $ 308,770) OCCUPATIONAL HEALTH SERVICES - OCCUPATIONAL HEALTH SERVICES INCLUDE THE PROVISION OF FLU AND IMMUNIZATION CLINICS, BLOOD PRESSURE CLINICS, COMMUNITY WELLNESS CLINICS, HEALTH RISK ASSESSMENT ACTIVITIES, PROVISION OF PHYSICAL EXAMS, AND OTHER ACTIVITIES GEARED TOWARD WELLNESS PROMOTION AND ILLNESS PREVENTION. Form 990, Part V, Line 1a FORM 1096 REPORTING - COMMON PAYMASTER HCI VNS CARE SERVICES (EIN: 45-5189289), DBA EVERYSTEP, IS THE PARENT ORGANIZATION TO AND COMMON PAYMASTER FOR HCI CARE SERVICES, VISITING NURSE SERVICES OF IOWA, AND HCI FOUNDATION; THEREFORE ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY HCI VNS CARE SERVICES ON BEHALF OF THESE NAMED ENTITIES. Form 990, Part V, Line 2a FORM W-3 AND W-2 REPORTING - COMMON PAYMASTER HCI VNS CARE SERVICES (EIN: 45-5189289), DBA EVERYSTEP, IS THE PARENT ORGANIZATION TO AND COMMON PAYMASTER FOR HCI CARE SERVICES, VISITING NURSE SERVICES OF IOWA, AND HCI FOUNDATION; THEREFORE ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY HCI VNS CARE SERVICES ON BEHALF OF THESE NAMED ENTITIES. VISITING NURSE SERVICES OF IOWA HAS APPROXIMATELY 213 EMPLOYEES. HCI VNS CARE SERVICES, THE COMMON PAYING AGENT, REPORTED 492 EMPLOYEES ON FORM W-3 FOR 2017. Form 990, Part VI, Line 15 COMPENSATION OF TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS THE ORGANIZATION'S OFFICERS ARE PAID BY HCI VNS CARE SERVICES (EIN: 45-5189289), A RELATED TAX-EXEMPT ORGANIZATION; THEREFORE LINES 15A AND 15B ARE HAVE BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. BELOW IS THE PROCESS USED BY HCI VNS CARE SERVICES TO REVIEW AND APPROVE COMPENSATION FOR THE ORGANIZATION'S OFFICERS. EVERY TWO YEARS, THE ORGANIZATION'S BOARD OF DIRECTORS ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO PERFORM A COMPENSATION SURVEY FOR THE ORGANIZATION'S OFFICERS. Newport Group completed the organization's most recent compensation survey in 2018. THE FINDINGS OF THE SURVEYS ARE PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MEMBERS USE THE SURVEY TO REVIEW AND ESTABLISH THE AMOUNT OF COMPENSATION FOR THE PRESIDENT & CEO. THE REVIEW PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MEETING MINUTES. THE PRESIDENT AND CEO USE THE SURVEY TO REVIEW AND ESTABLISH COMPENSATION FOR THE FOLLOWING OFFICERS AND KEY EMPLOYEES: VICE PRESIDENT & CFO, CHIEF OPERATING OFFICER, AND THE CHIEF MEDICAL Officer. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE BOARD OF DIRECTORS MAY ESTABLISH ONE OR MORE COMMITTEES OF THE BOARD, INCLUDING AN EXECUTIVE COMMITTEE, AND APPOINT MEMBERS OF THE BOARD TO SERVE ON THEM. EACH COMMITTEE SHALL HAVE THE POWERS AND DUTIES DELEGATED TO IT BY THE BOARD OF DIRECTORS. EACH COMMITTEE SHALL HAVE A SEPARATE CHARTER ESTABLISHED BY THE BOARD OF DIRECTORS SPECIFYING THE SCOPE OF THE COMMITTEE'S AUTHORITY. THE CURRENT COMMITTEES CONSIST OF AN EXECUTIVE, GOVERNANCE, FINANCE, AUDIT, AND QUALITY AND COMPLIANCE. Form 990, Part VI, Line 6 Classes of members or stockholders The organization's sole member is HCI VNS Care Services, an Iowa nonprofit corporation. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body ALL CORPORATION DIRECTORS ARE APPOINTED BY HCI VNS CARE SERVICES, THE ORGANIZATION'S SOLE MEMBER; ANY DIRECTOR OF THE ORGANIZATION MAY BE REMOVED EITHER FOR OR WITHOUT CAUSE BY HCI VNS CARE SERVICES. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders None of the corporation's assets or any other rights thereto, whether real, personal or intangible, shall be sold, conveyed, assigned, transferred, mortgaged, encumbered, exchanged, alienated, or leased without the prior approval of HCI VNS Care Services, the Corporation's sole corporate member. The Corporation shall not be a party to any merger, acquisition, consolidation, joint venture, reorganization, restructuring or similar event, nor shall it become a member, partner, shareholder, trustee or other fiduciary of any other organization or entity, without the prior approval of HCI VNS Care Services, the Corporation's sole corporate member. No amendment, alteration or repeal of any of the provisions of the corporation's bylaws shall be adopted without the prior approval of HCI VNS Care Services, the Corporation's sole corporate member. Form 990, Part VI, Line 11b Review of form 990 by governing body Form 990 is provided to the Organization's President, CFO and Audit Committee for initial review. After their review and edits, the Organization's tax advisers present a final draft of the Form 990 to the Board of Directors for final review and approval. Once approved by the Board of Directors, the Form 990 is filed with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy All officers and members of the Board of Directors are required to promptly report any ongoing or incidental material interests or affiliations which could result in a potential conflict of interest. Board members are also required to sign a conflict of interest declaration annually, and also complete a conflict of interest questionnaire annually. Any conflicts are reported to the Board Chair, CEO and CFO to determine if any potential or actual conflicts exist. Any Board member determined to have a conflict of interest is required to abstain from any decision or voting process relating to the conflicting issue. Form 990, Part VI, Line 19 Required documents available to the public The Organization's governing documents, conflict of interest policy, and financial statements are available to the public on request. Form 990, Part VII, Section B, Line 1 INDEPENDENT CONTRACTORS HCI VNS CARE SERVICES (EIN: 45-5189289) IS THE PARENT ORGANIZATION TO AND COMMON PAYMASTER FOR HCI CARE SERVICES, VISITING NURSE SERVICES OF IOWA, AND HCI FOUNDATION; THEREFORE ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY HCI VNS CARE SERVICES ON BEHALF OF THESE NAMED ENTITIES. INDEPENDENT CONTRACTOR INFORMATION IS ENTERED IN PART VII, SECTION B, AT THE ORGANIZATIONAL LEVEL AS THE PAYMENTS RELATE TO EACH ENTITY'S BUSINESS. Form 990, Part VII, Section A, Line 1a Compensation paid by related organization THE ORGANIZATION'S OFFICERS ARE PAID BY HCI VNS CARE SERVICES, A RELATED TAX-EXEMPT ORGANIZATION, FOR SERVICES PROVIDED TO HCI CARE SERVICES, HCI FOUNDATION, HCI VNS CARE SERVICES, AND VISITING NURSE SERVICES OF IOWA. PER THE FORM 990 INSTRUCTIONS, TOTAL COMPENSATION PAID BY HCI VNS CARE SERVICES IS REPORTED IN ITS FORM 990, PART VII, SECTION A, LINE 1A, COLUMNS (D) AND (F); ADDITIONALLY, TOTAL COMPENSATION PAID BY HCI VNS CARE SERVICES IS ALSO REPORTED IN EACH OF THE THREE RELATED ORGANIZATIONS' FORMS 990, PART VII, SECTION A, LINE 1A, COLUMNS (E) AND (F) (AS COMPENSATION PAID BY A RELATED ORGANIZATION). THE TIME EACH OFFICER DEVOTES TO EACH RESPECTIVE ORGANIZATION IS SHOWN IN FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B). Form 990, Part IX, Line 11g Other Fees MSO Administrative Overhead - Total Expense: 1050316, Program Service Expense: , Management and General Expenses: 1050316, Fundraising Expenses: ; Professional Fees - Total Expense: 642129, Program Service Expense: 634416, Management and General Expenses: , Fundraising Expenses: 7713; HOSPICE OF CENTRAL IOWA DBA EveryStep HCI CARE SERVICES 3000 Easton Boulevard DES MOINES IA 50317 421093718 HOSPICE/HEALTH CARE IA 501(c)(3) 10 HCI VNS CARE SERVICES false HCI VNS CARE SERVICES dba EveryStep 3000 Easton Boulevard DES MOINES IA 50317 455189289 ADMINISTRATIVE & MANAGEMENT SERVICES (MSO) IA 501(c)(3) Type II NA false HOSPICE OF CENTRAL IOWA FOUNDATION DBA EveryStep Foundation HCI FOUNDATION 3000 Easton Boulevard DES MOINES IA 50317 421239748 FUNDRAISING TO SUPPORT HOSPICE OF CENTRAL IOWA & VISITING NURSE SERVICES OF IOWA IA 501(c)(3) 7 HCI VNS CARE SERVICES false false false false false false false false false false false true false true true true true false false false