2026-03-09T08:53:59+00:00 2025-06-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-07-01 237314085 VISITING NURSE ASSOCIATION OF SOUTHEAST MO VISI 5738885892 PO BOX 768 KENNETT MO 63857 SHONDA YOUNG CEO 5738885892 2026-03-09 true Brian Todd P00422601 4178658701 2026-03-09 2024 2025-03-06 01:10:19Z SHONDA YOUNG PO BOX 768 KENNETT MO 63857 13176849 false X VNASEMO.COM X 1973 MO SET THE STANDARD FOR EXCELLENCE IN THE DELIVERY OF HOMECARE SERVICE TO THE CITIZENS OF SOUTHEAST MISSOURI THROUGH THERAPEUTIC, CUSTODIAL, PALLIATIVE CARE, AND PREVENTIVE CARE IN AN ENVIRONMENT THAT PRIORITIZES COMPASSION IN TREATING INDIVIDUAL NEEDS, ENHANCING INDEPENDENCE AND DIGNITY, AND IMPROVING AN INDIVIDUAL'S QUALITY OF LIFE. 9 9 257 44 0 0 220817 209532 11298096 11525419 575658 474731 11315 6998 12105886 12216680 0 0 0 0 10210857 10167778 0 0 0 2727317 2762348 12938174 12930126 -832288 -713446 10236319 9839019 1590128 1638885 8646191 8200134 X SET THE STANDARD FOR EXCELLENCE IN THE DELIVERY OF HOMECARE SERVICE TO THE CITIZENS OF SOUTHEAST MISSOURI THROUGH THERAPEUTIC, CUSTODIAL, PALLIATIVE AND PREVENTIVE CARE IN AN ENVIRONMENT THAT PRIORITIZES COMPASSION IN TREATING INDIVIDUAL NEEDS, ENHANCING INDEPENDENCE AND DIGNITY, AND IMPROVING AN INDIVIDUAL'S QUALITY OF LIFE. false false 2347447 0 3966043 IN-HOME SERVED 425 CLIENTS IN FISCAL YEAR 2025 AND DELIVERED 114,621 BILLABLE HOURS AND 5,376 NURSING VISITS. THIS PROGRAM SERVES PRIMARILY MEDICAID RECIPIENTS WHO RECEIVE CUSTODIAL CARE IN THEIR HOME. SERVICES PROVIDED INCLUDE BASIC HOUSEKEEPING, ASSISTANCE WITH PERSONAL HYGIENE, LAUNDRY, ESSENTIAL ERRANDS, MAINTENANCE HEALTH CARE NEEDS AND RESPITE CARE. 2318054 0 2894925 HOME HEALTH SERVED 1056 CLIENTS IN FISCAL YEAR 2025 AND DELIVERED 16,514 BILLABLE VISITS. PHYSICIAN ORDERED HOME HEALTH SERVICES PROVIDE SKILLED NURSING, THERAPY, AND AIDE SERVICES FOR PATIENTS IN THEIR HOMES. 1556851 0 2565520 HOSPICE SERVED 181 PATIENTS IN FISCAL YEAR 2025 AND DELIVERED 12,674 DAYS OF CARE. HOSPICE SERVICES ARE PROVIDED TO SUPPORT AND COMFORT DYING PATIENTS AND THEIR FAMILIES. THIS COMPREHENSIVE PROGRAM, PROVIDED BY PHYSICIANS, NURSES, COUNSELORS AND OTHER PROFESSIONALS IS DESIGNED TO KEEP THE PATIENT COMFORTABLE IN THEIR PLACE OF RESIDENCE WHILE EMOTIONAL SUPPORT IS GIVEN TO FAMILY MEMBERS AND CAREGIVERS. 1348635 0 2098931 OTHER PROGRAM SERVICES INCLUDE CONSUMER-DIRECTED CARE SERVICES, SENIOR COMPANION PROGRAM, PRIVATE DUTY, AND ADVANCED ILLNESS MANAGEMENT. CONSUMER-DIRECTED SERVICES (CDS) IS AN ALTERNATIVE TO INSTITUTIONAL CARE. CDS ALLOWS INDIVIDUALS TO CHOOSE AND HIRE CARE PROVIDERS TO ASSIST WITH ADLS TO REMAIN SAFELY AT HOME. PRIVATE DUTY IS NURSING CARE FOR PATIENTS WITH ADVANCED MEDICAL SUPPORT NEEDS WHO ARE CONSIDERED HIGH-RISK AND MEDICALLY FRAGILE. RNS AND LPNS PROVIDE SKILLED AND NON-SKILLED SERVICES FOR A MINIMUM SHIFT OF 4 HOURS PER DAY. SENIOR COMPANION SERVICES IS AN AMERICORPS FEDERAL GRANT-MATCHING PROGRAM THAT PAIRS ADULT VOLUNTEERS WITH OLDER ADULTS TO PROVIDE COMPANIONSHIP AND ASSISTANCE WITH ADLS TO HELP THEM LIVE INDEPENDENTLY IN THEIR HOMES. ADVANCED ILLNESS MANAGEMENT FOCUSES ON IMPROVING THE QUALITY OF LIFE FOR PATIENTS WITH SERIOUS, LIFE-LIMITING ILLNESSES THROUGH SYMPTOM MANAGEMENT AND EMOTIONAL AND SPIRITUAL SUPPORT. 1348635 2098931 7570987 true true false true false false false false true false true false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false false true 45 0 true 257 true false false false false false false false false false false false false X 9 9 true false false false false false false true true false false false true true true true true true true true false false X SHONDA YOUNG 5738885892 1124 INDEPENDENCE KENNETT MO 63857 HELEN SANDER PRESIDENT 1.0 0.0 X X 0 0 0 LAVERN HADDER Treasurer 1.0 0.0 X X 0 0 0 MARILYN ATWILL Secretary 1.0 0.0 X X 0 0 0 STEVEN SCHERER Vice President 1.0 0.0 X X 0 0 0 DEBBIE PARKER DIRECTOR END 09/24 1.0 0.0 X 0 0 0 DIANE PETERSON DIRECTOR 1.0 0.0 X 0 0 0 JEANNIE FADLER DIRECTOR 1.0 0.0 X 0 0 0 Jim Lawrence Director BEG 11/24 1.0 0.0 X 0 0 0 KATHY CULLINS DIRECTOR 1.0 0.0 X 0 0 0 ROSE HORRELL DIRECTOR 1.0 0.0 X 0 0 0 SUSAN MCVEY DIRECTOR END 01/25 1.0 0.0 X 0 0 0 SHONDA YOUNG CEO 37.5 0.0 X 122491 0 27644 122491 0 27644 1 false false false HOMECARE HOMEBASE 6688 NORTH CENTRAL EXPRESSWAY SUITE 800 DALLAS TX 75206 EMR SOFTWARE PROVIDER 224845 NHC HEALTHCARE 1120 FALCON DR KENNETT MO 63857 SKILLED FACILITY 116910 HERITAGE NURSING CENTER 1802 ST FRANICS KENNETT MO 63857 SKILLED NURSING 110920 3 5000 8160 188753 7619 577 209532 NET PATIENT SERVICE REVENUE 621610 11516777 11516777 OTHER REVENUE 621610 8642 8642 0 0 0 0 11525419 323126 323126 0 0 1082137 24950 955478 4 126659 24946 151605 151605 5926 8160 3692 2234 2234 5759 995 4764 4764 0 0 0 0 0 12216680 11525419 0 481729 150135 150135 8347066 4732390 3614676 707 395 312 1037320 595052 442268 632550 353439 279111 12760 12760 66812 66812 671875 535800 136075 0 19608 11671 7937 313806 186793 127013 329209 195953 133256 78412 46673 31739 510728 330038 180690 30696 18271 12425 17003 10112 6891 230504 137201 93303 122407 72859 49548 MEDICAL SUPPLIES & DRUGS 300466 300466 BAD DEBT 23012 23012 LICENSES, DUES, SUBSCRIPTIONS 22856 13604 9252 RECRUITING & RETENTION 12194 7258 4936 0 0 0 0 12930126 7570987 5359139 0 502714 279109 105582 116284 0 0 1055678 1202526 0 0 0 0 21811 46084 208119 216604 3648366 1903363 1550923 1745003 6657606 6072422 0 0 133886 160987 10236319 9839019 914908 883889 86978 96392 0 0 588242 658604 1590128 1638885 X 8646191 8200134 8646191 8200134 10236319 9839019 -713446 267389 0 X false true true false X 2173101 771300 120541 220817 209532 3495291 11268812 10830101 11645417 11298096 11525419 56567845 0 0 0 13441913 11601401 11765958 11518913 11734951 60063136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60063136 158588 86847 183647 271552 323126 1023760 0 158588 86847 183647 271552 323126 1023760 0 0 0 0 0 0 0 13600501 11688248 11949605 11790465 12058077 61086896 0.98324 0.987 0.02 0.013 X 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1696 1696 false Schedule C, Part II-B, Line 1 OTHER LOBBYING ACTIVITIES THE ORGANIZATION PAYS ANNUAL DUES TO THE MISSOURI ALLIANCE FOR HOME CARE AND THE NATIONAL ALLIANCE FOR CARE AT HOME. A PORTION OF THESE DUES IS ATTRIBUTABLE TO LOBBYING PURPOSES. false true X 0 0 1667825 556436 1111389 42168 36071 6097 1938373 1310856 627517 0 0 0 1745003 Federal Income Taxes LEASE LIABILITES 541345 ESTIMATED SELF-INSURANCE 117259 658604 12463810 267389 0 267389 12196421 20259 20259 12216680 12909867 -20259 -20259 12930126 0 0 12930126 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part IV, Line 2b Explanation of escrow agreement THE ORGANIZATION HAS A CHRISTMAS CLUB THAT ALLOWS EMPLOYEES TO ELECT TO HAVE A CERTAIN AMOUNT WITHHELD FROM EACH PAYCHECK. NO ADDITIONAL CONTRIBUTIONS ARE MADE BY THE ORGANIZATION. THE ACCOUNT IS DISTRIBUTED TO THE EMPLOYEES EACH OCTOBER. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements GAIN ON DISPOSAL OF PROPERTY - 24946 FUNDRAISING EXPENSES RECLASSED - -3692 GAMING ACTIVITIES EXPENSES RECLASSED - -995 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 GAIN ON DISPOSAL OF PROPERTY - -24946 FUNDRAISING EXPENSES RECLASSED - 3692 GAMING ACTIVITIES EXPENSES RECLASSED - 995 Form 990, Part III, Line 4d Description of other program services (Expenses $ 1,348,635 including grants of $ 0)(Revenue $ 2,098,931) OTHER PROGRAM SERVICES INCLUDE CONSUMER-DIRECTED CARE SERVICES, SENIOR COMPANION PROGRAM, PRIVATE DUTY, AND ADVANCED ILLNESS MANAGEMENT. CONSUMER-DIRECTED SERVICES (CDS) IS AN ALTERNATIVE TO INSTITUTIONAL CARE. CDS ALLOWS INDIVIDUALS TO CHOOSE AND HIRE CARE PROVIDERS TO ASSIST WITH ADLS TO REMAIN SAFELY AT HOME. PRIVATE DUTY IS NURSING CARE FOR PATIENTS WITH ADVANCED MEDICAL SUPPORT NEEDS WHO ARE CONSIDERED HIGH-RISK AND MEDICALLY FRAGILE. RNS AND LPNS PROVIDE SKILLED AND NON-SKILLED SERVICES FOR A MINIMUM SHIFT OF 4 HOURS PER DAY. SENIOR COMPANION SERVICES IS AN AMERICORPS FEDERAL GRANT-MATCHING PROGRAM THAT PAIRS ADULT VOLUNTEERS WITH OLDER ADULTS TO PROVIDE COMPANIONSHIP AND ASSISTANCE WITH ADLS TO HELP THEM LIVE INDEPENDENTLY IN THEIR HOMES. ADVANCED ILLNESS MANAGEMENT FOCUSES ON IMPROVING THE QUALITY OF LIFE FOR PATIENTS WITH SERIOUS, LIFE-LIMITING ILLNESSES THROUGH SYMPTOM MANAGEMENT AND EMOTIONAL AND SPIRITUAL SUPPORT. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE EXECUTIVE COMMITTEE SHALL ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN REGULAR MEETINGS OF THE BOARD IN A MANNER CONSISTENT WITH THE ESTABLISHED POLICIES OF THE BOARD OF DIRECTORS. THREE OFFICERS OF THE BOARD OF DIRECTORS MUST BE PRESENT TO CONSTITUTE A QUORUM OF THE EXECUTIVE COMMITTEE AND ALLOW CORPORATE BUSINESS. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons HELEN SANDER AND ROSE HORRELL - Family relationship Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. MANAGEMENT OF THE ORGANIZATION COMPLETES A THOROUGH REVIEW OF THE 990. THE RETURN IS THEN PRESENTED TO THE BOARD OF DIRECTORS WHO HAVE AN OPPORTUNITY TO ASK QUESTIONS OR MAKE COMMENTS BEFORE THE RETURN IS FILED. Form 990, Part VI, Line 12c Conflict of interest policy CONFLICT OF INTEREST ANNUAL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER. ANY CONFLICTS ARE REVIEWED BY THE CEO AND REPORTED TO THE BOARD ANNUALLY. BOARD MEMBERS WITH POTENTIAL CONFLICTS ABSTAIN FROM VOTING ON ITEMS RELATED TO THAT CONFLICT. CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE CEO'S COMPENSATION IS REVIEWED ANNUALLY AND APPROVED BY THE BOARD OF DIRECTORS. THE ORGANIZATION REVIEWED THE HOME CARE AND SALARY BENEFITS REPORT 2024-2025 AS PART OF ITS COMPENSATION ANALYSIS. THE COMPENSATION REVIEW PROCESS IS DOCUMENTED IN THE BOARD MEETING MINUTES. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE HOMECARE SALARY AND BENEFIT BOOK IS REVIEWED BY THE HR DIRECTOR ANNUALLY. DATA IS REVIEWED BY POSITION, BY REGION, BY REVENUE AND BY ENTITY TYPE. 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 ALL AVAILABLE TO BE VIEWED AT THE ORGANIZATION'S PLACE OF BUSINESS UPON WRITTEN REQUEST. VNA OF SEMO CONSUMER DIRECTED CARE 1124 INDEPENDENCE AVE KENNETT MO 63857 205778702 CONSUMER DIRECTED SERVICES MO 1122199 0 VNA OF SEMO