2024-03-07T13:13:24-06:00 2023-06-30 420714325 RSM US LLP 400 LOCUST ST STE 640 DES MOINES IA 503092354 990 2022-07-01 420680446 VISITING NURSE SERVICES OF IOWA VISI 5152743400 3000 EASTON BLVD DES MOINES IA 503173124 TRAY WADE PRESIDENT & CEO 5152743400 2024-02-14 1 TRAY WADE XXX-XX-XXXX 0 KATHY FAIRCHILD P00222608 5155586600 2024-02-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z EVERYSTEP TRAY WADE 3000 EASTON BLVD DES MOINES IA 503173124 31386068 0 X WWW.EVERYSTEP.ORG X 1908 IA EVERYSTEP IS A FAMILY OF NON-PROFIT HEALTHCARE AND SUPPORT SERVICES OFFERING COMPASSION AND GUIDANCE DURING LIFE'S MOST CHALLENGING MOMENTS. 18 18 497 741 0 0 13537361 9235411 21415000 21477692 -164215 50237 551526 622728 35339672 31386068 33948 22912 0 0 22961487 23619653 0 0 793999 10631993 12513846 33627428 36156411 1712244 -4770343 32953220 33195557 5101518 9131240 27851702 24064317 X THE MISSION OF VISITING NURSE SERVICES OF IOWA, DBA EVERYSTEP, IS TO EMPOWER INDIVIDUALS, SUPPORT FAMILIES AND STRENGTHEN COMMUNITIES. 0 0 14495156 11607 10647714 EVERYSTEP IS DEDICATED TO EMPOWERING INDIVIDUALS, SUPPORTING FAMILIES, AND STRENGTHENING COMMUNITIES THROUGH THE PROMOTION OF HEALTH AND HEALTH-RELATED SERVICES, INCLUDING A NUMBER OF COMMUNITY HEALTH PROGRAMS FOCUSED ON THE WELLBEING OF CHILDREN, MOTHERS, SENIORS AND INDIVIDUALS AND FAMILIES OF ALL TYPES, FROM BIRTH TO END OF LIFE. HOSPICE OF CENTRAL IOWA FOUNDATION, DBA EVERYSTEP FOUNDATION, PROVIDES SUPPORT FOR THE PROGRAMS OF EVERYSTEP. 6131686 4910 4505796 ADULT HEALTH SERVICES -THE PROMOTION OF HEALTH AND HEALTH-RELATED SERVICES, INCLUDING PALLIATIVE CARE, END OF LIFE CARE SERVICES, 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. THE PROVISION OF THESE SERVICES UNDER EVERYSTEP AND EVERYSTEP FOUNDATION ARE ABLE TO COMBINE EXPERTISE AND RESOURCES TO OPERATE EFFICIENTLY, ALLOWING THEM THE ABILITY TO OFFER A STRONGER CONTINUUM OF CARE, FROM BIRTH TO END OFLIFE. TOGETHER, THE TWO ORGANIZATIONS ARE WELL-POSITIONED FOR LONG-TERM STABILITY AND STRENGTH IN THE FACE OF CURRENT ECONOMIC REALITIES. 4532240 3629 3844888 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) AND GRIEF & LOSS SUPPORT. 3453543 2766 2529532 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, DOULA SERVICES, PROVIDING DEVELOPMENTAL SCREENINGS AND APPROPRIATE FOLLOWUP; 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; CONNECTION TO MENTAL HEALTH RESOURCES; ASSISTING CHILD CARE PROVIDERS WITH THE QUALITY RATING SYSTEM; COMPLETING IMMUNIZATION AUDITS; ACCESS TO A HEALTHY BEHAVIORS PROGRAM (STORK'S NEST); AND PARTICIPATION IN A RESEARCH STUDY THAT EXAMINES THE EFFECTS OF ENVIRONMENTAL INFLUENCES ON THE HEALTH AND DEVELOPMENT OF CHILDREN. 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. 3453543 2766 2529532 28612625 1 1 0 1 0 0 0 0 0 1 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 77 0 1 497 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X TRAY WADE 5153334246 3000 EASTON BOULEVARD DES MOINES IA 503173124 X TRAY WADE PRESIDENT & CEO 36.00 4.00 X 383593 0 16873 THOMAS MOUSER CHIEF MEDICAL OFFICER 36.00 4.00 X 305487 0 26816 LYNN MICHL VICE PRESIDENT & CFO 36.00 4.00 X 231424 0 16903 JIM KNOEPFLER VICE PRESIDENT, ADMINISTRATION 36.00 4.00 X 168225 0 19278 TAMMY STAPP CHIEF COMPLIANCE OFFICER 36.00 4.00 X 157279 0 11509 JULIE MATTERNAS EXEC DIRECTOR OF FOUNDATION 0.00 40.00 X 133745 0 9923 MISHA CURTIS HOSPICE ADVOCACY MARKETING LIAISON 36.00 4.00 X 125780 0 14636 HEIDI COMLEY REGIONAL DIRECTOR 36.00 4.00 X 110598 0 9240 MIRIAM PENDEGRAFT HOSPICE RN - COMMUNITY 36.00 4.00 X 108292 0 10331 ERIN DYKES VP OF CLINICAL SERVICES 36.00 4.00 X 103177 0 14555 DAVE BRIDGEWATER BOARD CHAIR 1.00 2.00 X X 0 0 0 PAT BARRY PAST CHAIR 1.00 2.00 X X 0 0 0 STEVE SCHAAF BOARD SECRETARY 1.00 2.00 X X 0 0 0 LIL WATERS BOARD TREASURER 1.00 2.00 X X 0 0 0 BRANDON FOLDES BOARD OF TRUSTEES CHAIR 1.00 2.00 X X 0 0 0 KERRY ADAWAY DIRECTOR 1.00 2.00 X 0 0 0 JUAN CARLOS CADENILLAS DIRECTOR 1.00 2.00 X 0 0 0 GRAHAM COOK DIRECTOR (TERM ENDED 10/2022) 1.00 2.00 X 0 0 0 ED COX DIRECTOR 1.00 2.00 X 0 0 0 MIKE GEHRINGER DIRECTOR 1.00 2.00 X 0 0 0 JEN GROOS MD DIRECTOR (TERM ENDED 10/2022) 1.00 2.00 X 0 0 0 CHRIS GUNNARE DIRECTOR 1.00 2.00 X 0 0 0 MARK HASEK DIRECTOR 1.00 2.00 X 0 0 0 NICK HENDERSON DIRECTOR (TERM ENDED 10/2022) 1.00 2.00 X 0 0 0 JON LEFRANDT DIRECTOR 1.00 2.00 X 0 0 0 LINDSAY RACEY DIRECTOR 1.00 2.00 X 0 0 0 JUDY RALSTON-HANSEN DIRECTOR 1.00 2.00 X 0 0 0 PAM SCHOFFNER DIRECTOR 1.00 2.00 X 0 0 0 PHIL STOVER DIRECTOR 1.00 2.00 X 0 0 0 CORALYNN TREWET DIRECTOR 1.00 2.00 X 0 0 0 KATIE TURNER DIRECTOR (TERM ENDED 10/2022) 1.00 2.00 X 0 0 0 MISSY WALTER DIRECTOR 1.00 2.00 X 0 0 0 BILL WARNER DIRECTOR (TERM ENDED 2/2023) 1.00 2.00 X 0 0 0 1827600 0 150064 10 0 1 0 REHABVISIONS 11623 ARBOR ST OMAHA NE 68144 CONTRACT THERAPIES 829570 QUALIS MANAGEMENT LLC 3801 SUNSET AVE ROCKY MOUNT NC 27804 DME MANAGEMENT 536603 CAPITAL IDEAS 227 GLENVIEW DR DES MOINES IA 50312 ADVERTISING 280550 SIMITREE HEALTHCARE 4130 WHITNEY AVE HAMDEN CT 06518 HEALTHCARE CONSULTANT 249642 AZRIA HEALTH WINTERSET 1015 WEST SUMMIT ST WINTERSET IA 50273 HEALTHCARE SERVICES 211627 8 1682846 7551565 1000 9235411 PATIENT & PROGRAM SERV 624100 21458085 21458085 PROVIDER RELIEF FUNDS 900099 19607 19607 21477692 50237 0 50237 50237 50237 622728 0 622728 622728 31386068 21527929 0 622728 22912 22912 1380961 1126067 254894 18590065 15264596 3325469 586753 431388 155365 1581910 1163039 418871 1479964 1186106 293858 55738 55738 15000 15000 1909865 1319442 590423 796621 2622 793999 632794 434144 198650 1000080 665801 334279 1324074 1307491 16583 210804 142420 68384 131047 131047 910592 355976 554616 PHARMACY, NURSING SUPPL 4088850 4066406 22444 CLIENT INSTRUCTIONAL RE 806743 780818 25925 VOLUNTEER EXPENSES 144266 59664 84602 CONTRACTED FOOD SERVICE 95465 95465 391907 175890 216017 36156411 28612625 6749787 793999 2119060 681553 1337747 2776798 2007313 2087883 26567 642 288834 389708 18394910 9203435 9771005 9191475 16419254 17399387 983440 668111 32953220 33195557 4988791 4505651 112727 227160 0 4398429 5101518 9131240 X 11432448 6664930 16419254 17399387 27851702 24064317 32953220 33195557 X -4770343 982958 X 0 1 X 1 1 1 X 5591069 9021503 13207966 13537361 9235411 50593310 5591069 9021503 13207966 13537361 9235411 50593310 50593310 45506 101707 1 147214 197 1463 1660 50742184 88520841 0.99710 0.99600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 15000 15000 0 PART II-B, LINE 1: 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. 7970639 135851 833787 410602 8529675 8940239 17917 -948813 38704 7970639 6845931 218505 1875803 8940239 6910699 276730 285904 627402 6845931 6665147 115716 418096 288260 6910699 0.94800 0.05200 0 1 1 1068532 1068532 12094543 4374351 7720192 6766 6766 0 3784837 3355761 429076 1440232 1466557 -26325 9191475 BENEFICIAL INTEREST IN NET ASSETS HELD BY EVERYSTEP FOUNDATION 17399387 F 17399387 LINE OF CREDIT 4139000 RIGHT OF USE LIABILITY 259429 4398429 X PART V, LINE 4: HCI FOUNDATION HOLDS ENDOWMENT FUNDS FOR THE BENEFIT OF THE ORGANIZATION. THESE ENDOWMENT FUNDS ARE USED TO SUPPORT AND FUND THE ORGANIZATION'S MISSION. PART X, LINE 2: THE ORGANIZATION AND ITS AFFILIATES ARE 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. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED 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. THE ORGANIZATION'S FORMS 990 HAVE NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF IOWA FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT JUNE 30, 2022 OR 2021. 1 QUALITY OF LIFE GRANTS 40 0 22912 COST MISCELLANEOUS NON-CARE ITEMS PART I, LINE 2: VISITING NURSE SERVICES OF IOWA ("EVERYSTEP") MAINTAINS A QUALITY OF LIFE FUND TO PROVIDE SERVICES AND/OR ITEMS NOT COVERED UNDER PER DIEM REIMBURSEMENTS FOR HOSPICE CARE TO PATIENTS IN NEED AND TO PROVIDE OCCASIONAL SMALL LIFE AMENITIES THAT ENHANCE PATIENTS AND FAMILIES' QUALITY OF LIFE. ALL EVERYSTEP PATIENTS ARE ELIGIBLE FOR QUALITY OF LIFE FUND BENEFITS, AND ALL ATTEMPTS ARE MADE TO UTILIZE COMMUNITY RESOURCES PRIOR TO USING THE QUALITY OF LIFE FUND. BEST EFFORTS ARE USED TO ENSURE THAT THE ASSISTANCE IS PROVIDED FOR PATIENTS IN NEED AND WITHOUT OTHER MEANS OF ASSISTANCE OR ACCESS TO OTHER BENEFACTORS, AND THAT THE USE AND CIRCUMSTANCES FOR THE FUNDS ARE CONSISTENT. THE AMOUNT OF FUNDS PROVIDED IS DETERMINED BY THE HOSPICE OF CENTRAL IOWA FOUNDATION BOARD OF TRUSTEES WITHIN ITS ANNUAL BUDGET. REPORTS OF FUND EXPENDITURES ARE SUBMITTED TO THE BOARD OF TRUSTEES ON THE STATEMENT OF REVENUES AND EXPENSES. ANY STAFF MEMBER MAY SUBMIT A WRITTEN OR VERBAL REQUEST FOR UTILIZATION OF QUALITY OF LIFE FUNDS. REQUESTS FOR LESS THAN $100 ARE APPROVED BY THE PATIENT'S TEAM DIRECTOR. REQUESTS FOR MORE THAN $100 ARE APPROVED BY A MEMBER OF THE EXECUTIVE TEAM, WHO ALSO ENSURES THAT APPROPRIATE OVERSIGHT AND REVIEW ARE CONDUCTED. X X X 0 0 0 0 0 0 0 0 0 TRAY WADE PRESIDENT & CEO 309090 0 73675 0 828 0 9150 0 7723 0 400466 0 0 0 THOMAS MOUSER CHIEF MEDICAL OFFICER 294947 0 10000 0 540 0 9150 0 17666 0 332303 0 0 0 LYNN MICHL VICE PRESIDENT & CFO 184398 0 44650 0 2376 0 6706 0 10197 0 248327 0 0 0 JIM KNOEPFLER VICE PRESIDENT, ADMINISTRATION 137724 0 28500 0 2001 0 5294 0 13984 0 187503 0 0 0 TAMMY STAPP CHIEF COMPLIANCE OFFICER 125582 0 30597 0 1100 0 4594 0 6915 0 168788 0 0 0 FORM 990, PART I, LINE 1 EVERYSTEP IS A NON-PROFIT, COMMUNITY-BASED ORGANIZATION OFFERING A WIDE RANGE OF HEALTH CARE AND SOCIAL SUPPORT SERVICES. THE MISSION OF EVERYSTEP IS: WE EMPOWER INDIVIDUALS, SUPPORT FAMILIES AND STRENGTHEN COMMUNITIES. FOR THE FISCAL YEAR ENDED JUNE 30, 2023, EVERYSTEP'S NON-PROFIT PROGRAMS SERVED NEARLY 60,000 PATIENTS, CLIENTS AND THEIR FAMILY MEMBERS ACROSS THE STATE OF IOWA AND BEYOND. DURING LIFE'S MOST CHALLENGING MOMENTS, EVERYSTEP'S FAMILY OF COMMUNITY-BASED HEALTH CARE AND SUPPORT SERVICES OFFER EDUCATION TO MOTHERS AND INFANTS; CONNECT GROWING OR STRUGGLING FAMILIES WITH THE RESOURCES THEY NEED; BRING CARE TO THOSE WHO ARE INJURED, ILL OR FACING THE END OF LIFE, OFFER SUPPORT TO HOMEBOUND ADULTS; AND OFFER GRIEF SUPPORT TO THOSE LIVING WITH LOSS. THESE SERVICES ARE CARRIED OUT THROUGH HOME VISITS, FAMILY SUPPORT, ONLINE OUTREACH AND TELEHEALTH SERVICES, DEVELOPMENTAL SCREENINGS, NURSE EDUCATIONAL VISITS TO PREGNANT AND PARENTING INDIVIDUALS, TRANSPORTATION SERVICES, DENTAL SCREENINGS AND MUCH MORE. EVERYSTEP ALSO OFFERS HOME HEALTH CARE SERVICES, HOSPICE CARE, INTERPRETATION SERVICES, FREE GRIEF SUPPORT, AND COMMUNITY HEALTH PROGRAMS. DONOR SUPPORT HELPS ENSURE ALL WHO NEED EVERYSTEP'S SERVICES ARE ABLE TO RECEIVE IT. FROM JULY 1, 2022 THROUGH JUNE 30, 2023, OVER $2,300,000 IN GIFTS TO EVERYSTEP FOUNDATION FUNDED VITAL SERVICES PROVIDED TO THE COMMUNITY, PATIENTS AND CLIENTS TO ENSURE QUALITY CARE FOR ALL; TO HELP THOSE WITHOUT MEANS TO PAY FOR THEIR SERVICES; TO SUPPORT END-OF-LIFE WISHES AND BASIC NEEDS; FOR OPERATIONS SUPPORT; AS WELL AS A VARIETY OF OTHER ITEMS. 741 VOLUNTEERS GAVE 10,391 HOURS OF THEIR TIME TO THE ORGANIZATION'S HOSPICE, THRIFT STORE, SENIOR COMPANION AND AMANDA THE PANDA PROGRAMS, EQUAL TO $330,434 IN VALUE TO THE ENTIRE ORGANIZATION. IN 2022-2023, EVERYSTEP WAS NAMED AS A TOP WORKPLACE BY THE DES MOINES REGISTER, THE 11TH TIME THE ORGANIZATION HAS RECEIVED THE AWARD, WHICH IS DETERMINED THROUGH A THIRD-PARTY SURVEY OF EMPLOYEES. EVERYSTEP WAS ALSO WAS NAMED "RUNNER-UP: BEST NONPROFIT" BY THE DES MOINES BUSINESS RECORD. THE EVERYSTEP HOSPICE AND EVERYSTEP HOME CARE PROGRAMS ARE MEDICARE CERTIFIED AND CHAP ACCREDITED (COMMUNITY HEALTH ACCREDITATION PARTNER). EVERYSTEP IS COMMITTED TO HELPING PEOPLE BRIDGE BARRIERS AND ACCESS NEEDED CARE AND SUPPORT DURING CRITICAL LIFE MOMENTS. EVERYSTEP IS PARTICULARLY INVOLVED WITH PROGRAMMING AND OUTCOMES THAT FOCUS ON HEALTH PROMOTION; EQUITY AND ACCESS TO CARE; DISEASE PREVENTION; REDUCTION OF INFANT MORTALITY; ENHANCING SCHOOL READINESS; PROMOTING MENTAL HEALTH, QUALITY OF LIFE AND SELF-SUFFICIENCY; AND THE PREVENTION OF CHILD ABUSE. ACTIVITIES INCLUDE HOME VISITING AND PARENT EDUCATION, DOULA SERVICES, PROVIDING DEVELOPMENTAL SCREENINGS AND APPROPRIATE FOLLOW-UP, ACCESS TO DENTAL SERVICES AND TO A MEDICAL HOME, REFERRALS TO SERVICES IN THE COMMUNITY, CONNECTION TO EARLY ACCESS SERVICES ACROSS THE STATE OF IOWA, ASSISTING CHILD CARE PROVIDERS WITH THE QUALITY RATING SYSTEM, COMPLETING IMMUNIZATION AUDITS, ACCESS TO HEALTHY BEHAVIOR PROGRAMS, AND PARTICIPATION IN STUDIES THAT EXAMINE THE ENVIRONMENTAL INFLUENCES ON THE HEALTH AND DEVELOPMENT OF CHILDREN. EVERYSTEP'S INTAKE AND REFERRAL SPECIALISTS PROCESSED 824 REFERRALS OR REQUESTS FOR SUPPORT. SOME OF THE MORE THAN 30 PROGRAMS EVERYSTEP OFFERED OR WAS CONTRACTED TO PROVIDE IN 2022-2023 INCLUDE: HEALTHY START & EMPOWERMENT PROJECTS, I-SMILE, CONNECTIONS PROGRAM AT BLANK CHILDREN'S CENTER, IOWA FAMILY SUPPORT NETWORK, REFUGEE AND IMMIGRANT GUIDE, STORYBOOK PROJECT OF IOWA, 1ST FIVE HEALTHY MENTAL DEVELOPMENT INITIATIVE, CHILDREN AT HOME, EPSDT CARE FOR KIDS PROGRAM, NURSE-FAMILY PARTNERSHIP PROGRAM, MATERNAL CHILD HEALTH OUTREACH, TITLE V DOULA PROJECT, STORK'S NEST & FAMILY NEST, 5- 2-1-0 HEALTHY CHOICES COUNT! PROGRAM, CHILD CARE NURSE CONSULTANTS PROGRAM, AMERICORPS SENIORS SENIOR COMPANION PROGRAM, HEALTHY HOMES IOWA, NINE2THRIVE, DRAKE UNIVERSITY HEAD START NURSE CONSULTATION, FATHERSMATTER, AND MANY OTHER PROGRAMS AND SERVICES. IN 2022-2023, EVERYSTEP PROVIDED SUPPORT TO MORE THAN 2,000 WOMEN AND CHILDREN THROUGH ITS PRE- AND POSTNATAL HOME VISIT PROGRAMS AND VIRTUAL SERVICES, WITH 100 PERCENT OF THE MOTHERS IN ITS COMMUNITY HOME VISITATION PROGRAM DELIVERING BABIES AT A HEALTHY BIRTH WEIGHT. IN ADDITION, 1,317 CHILDREN AND PREGNANT WOMEN RECEIVED DENTAL SCREENINGS, FLUORIDE VARNISH APPLICATIONS, ORAL HEALTH EDUCATION AND REFERRALS TO DENTAL PROVIDERS. EVERYSTEP ENSURED THOUSANDS OF CHILDREN AND FAMILIES RECEIVED GUIDANCE AND SUPPORT THROUGH THE ORGANIZATION'S MANY SERVICES. MATERNAL/CHILD PREVENTATIVE CARE AND SCREENING PROGRAMS FOR WOMEN AND CHILDREN. THROUGH EVERYSTEP'S STORK'S NEST AND FAMILY NEST PROGRAMS, 1,426 PARTICIPANTS WERE PROVIDED WITH VITAL SUPPLIES, INCLUDING DIAPERS, CAR SEATS, LAUNDRY DETERGENT AND INFANT CLOTHING. PARTICIPANTS EARNED POINTS FOR HEALTHY BEHAVIORS (SUCH AS ATTENDING MEDICAL APPOINTMENTS, WIC PARTICIPATION, BREASTFEEDING AND SCHOOL ATTENDANCE) TO REDEEM THROUGH THE PROGRAM AT THE STORK'S NEST STORE. EVERYSTEP HELPED PROCESS 211 PREGNANT WOMEN AND CHILDREN FOR PRESUMPTIVE MEDICAID ELIGIBILITY AND FOR THE DENTAL VOUCHER ASSISTANCE PROGRAM. EVERYSTEP'S CHILDREN AT HOME PROGRAM PROVIDED $589,467 IN SUPPORT TO 498 FAMILIES, HELPING CHILDREN WITH DISABILITIES TO LIVE SUCCESSFULLY AT HOME. EVERYSTEP COMMUNITY HEALTH PROVIDED 11,068 FLU VACCINATIONS ACROSS IOWA, AS WELL AS 2,418 BLOOD PRESSURE CHECKS, 1,166 FOOT CARE TREATMENTS AND 965 HEALTH TALKS TO CLIENTS IN THE GREATER DES MOINES AREA. IN 2022-2023, EVERYSTEP HOME CARE OFFERED HOME HEALTH CARE SERVICES TO 1,262 PATIENTS IN 24 COUNTIES FROM ITS TEAMS BASED IN DES MOINES, CENTERVILLE, KNOXVILLE AND CRESTON. EVERYSTEP HOSPICE SERVED 1,352 PATIENTS THROUGHOUT 44 IOWA COUNTIES FROM ITS OFFICES IN CENTERVILLE, COUNCIL BLUFFS, DES MOINES, KNOXVILLE, MOUNT AYR, MT. PLEASANT, OSCEOLA, PERRY AND WINTERSET; AND AT ITS HOSPICE HOUSES: KAVANAGH HOUSE ON 56TH STREET IN DES MOINES AND GREATER REGIONAL HOSPICE HOME IN CRESTON. EVERYSTEP HOSPICE IS A LEVEL 4 PARTICIPANT IN THE NATIONALLY RECOGNIZED WE HONOR VETERANS PROGRAM, AND IN 2022-2023 EVERYSTEP HELD 56 HONORARY CEREMONIES FOR VETERANS IN ITS CARE. THE EVERYSTEP PALLIATIVE CARE PROGRAM OFFERED RELIEF FROM SYMPTOMS AND STRESS OF SERIOUS ILLNESS TO 55 PATIENTS SERVED BY PROVIDERS IN MADISON AND UNION COUNTIES IN IOWA. THROUGH EVERYSTEP GRIEF & LOSS SERVICES AND ITS AMANDA THE PANDA PROGRAM, THERE WERE 2,035 TOUCHPOINTS AND 2,090 PARTICIPANTS SERVED VIA VIRTUAL AND IN-PERSON SUPPORT GROUPS, CAMPS, SCHOOL VISITS AND WORKSHOPS. DURING THE HOLIDAY SEASON, CHEER BOXES WERE DELIVERED TO 775 GRIEVING INDIVIDUALS AND FAMILIES. GRIEF SUPPORT WAS ALSO PROVIDED TO STUDENTS IN 38 IOWA SCHOOLS. THE EVERYSTEP INTERPRETATION TEAM SPEAKS 25 LANGUAGES AND DIALECTS AND PROVIDED 2,382 HOURS OF FEE-FOR SERVICE IN-PERSON AND VIRTUAL INTERPRETATION, AS WELL CULTURAL TRAINING TO EXTERNAL CLIENTS AND ORGANIZATIONS IN 2022-2023; THE PROGRAM ALSO OFFERED INTERPRETATION SERVICES AND CONNECTION TO COMMUNITY RESOURCES FOR IMMIGRANTS AND REFUGEES SERVED BY EVERYSTEP'S PROGRAMS. EVERYSTEP'S REFUGEE AND IMMIGRATION GUIDE PROGRAM HELPED 43 CLIENTS NAVIGATE WELFARE AND JUDICIAL SYSTEMS. EVERYSTEP'S EMPLOYEES ARE GUIDED BY A VOLUNTEER BOARD OF DIRECTORS, AND ITS HOSPICE TEAMS RECEIVE INPUT AND ASSISTANCE FROM LOCALLY BASED VOLUNTEER ADVISORY BOARDS. THE ORGANIZATION'S FUNDRAISING SUPPORT COMES FROM THE EVERYSTEP FOUNDATION WHICH RECEIVES OVERSIGHT FROM THE ORGANIZATION'S VOLUNTEER BOARD OF TRUSTEES. MORE THAN $620,000 IN PURCHASES OF GENTLY USED DONATED GOODS AT EVERYSTEP GIVING TREE THRIFT STORE IN URBANDALE HELPED FUND VITAL NEEDS FOR EVERYSTEP'S PATIENTS, CLIENTS AND PROGRAMS. EVERYSTEP ALSO RECEIVES SIGNIFICANT SUPPORT FROM UNITED WAY, PRIVATE INSURANCE, GOVERNMENT GRANTS, AS WELL AS DONOR CONTRIBUTIONS, BEQUESTS, GRANTS AND FUNDRAISING ACTIVITIES CONDUCTED THROUGH THE EVERYSTEP FOUNDATION. DONORS MAY DESIGNATE THEIR GIFTS TO SPECIFIC AREAS SERVED BY EVERYSTEP, WHICH REFLECTS THE ORGANIZATION'S COMMITMENT TO COMMUNITY-BASED CARE. FORM 990, PART VI, SECTION A, LINE 1A 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, FINANCE, AUDIT, AND QUALITY AND COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 11B 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, SECTION B, LINE 12C 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, SECTION B, LINE 15 EVERY TWO YEARS, THE ORGANIZATION'S BOARD OF DIRECTORS ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO PERFORM A COMPENSATION ANALYSIS USING COMPARABILITY DATA FOR THE ORGANIZATION'S SENIOR OFFICERS. THE LAST SUCH STUDY WAS COMPLETED IN JUNE 2022 BY NEWPORT RETIREMENT SERVICES - CHICAGO. THE FINDINGS OF THE ANALYSIS ARE PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MEMBERS USE THE ANALYSIS 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 ANALYSIS TO REVIEW AND ESTABLISH COMPENSATION FOR THE FOLLOWING OFFICERS AND KEY EMPLOYEES: VICE PRESIDENT & CFO, VICE PRESIDENT OF ADMINISTRATION, AND THE CHIEF MEDICAL OFFICER. THE BOARD OF DIRECTORS HAS OVERSIGHT TO THE COMPENSATION SET BY THE PRESIDENT AND CEO. FORM 990, PART VI, SECTION C, LINE 19 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 VISITING NURSE SERVICES OF IOWA (EIN: 42-0680446) IS THE COMMON PAYMASTER FOR HOSPICE OF CENTRAL IOWA FOUNDATION; THEREFORE ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY VISITING NURSE SERVICES OF IOWA 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 XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF HOSPICE OF CENTRAL IOWA FDN 980,133. IN KIND DONATIONS 2,825. HOSPICE OF CENTRAL IOWA DBA EVERYSTEP HCI CARE SERVICES 3000 EASTON BOULEVARD DES MOINES IA 50317 421093718 HOSPICE/HEALTH CARE IA 501(C)(3) LINE 10 HCI VNS CARE SERVICES 0 HCI VNS CARE SERVICES DBA EVERYSTEP 3000 EASTON BOULEVARD DES MOINES IA 50317 455189289 ADMINISTRATIVE & MANAGEMENT SERVICES (MSO) IA 501(C)(3) LINE 12B, II N/A 0 HOSPICE OF CENTRAL IOWA FOUNDATION DBA EVERYSTEP FOUNDATION HCI FOUNDATION 3000 EASTON BOULEVARD DES MOINES IA 50317 421239748 FUNDRAISING FOR HOSPICE OF CENTRAL IOWA & VISITING NURSE SERVICES OF IOWA IA 501(C)(3) LINE 7 VISITING NURSE SERVICES OF IOWA 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 HOSPICE OF CENTRAL IOWA FOUNDATION C 1682846 FMV HOSPICE OF CENTRAL IOWA FOUNDATION D 77235 FMV HOSPICE OF CENTRAL IOWA FOUNDATION Q 120000 FMV