Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 621,705 | 2,379,380 | 10,000 | 7,271 | 46,261 | 3,064,617 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 11,181,745 | 11,740,212 | 11,011,342 | 12,641,948 | 13,357,057 | 59,932,304 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | 0 | |||||
| 6 | Total. Add lines 1 through 5 | 11,803,450 | 14,119,592 | 11,021,342 | 12,649,219 | 13,403,318 | 62,996,921 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 25,000 | 10,468 | 7,880 | 0 | 0 | 43,348 |
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | 0 | 0 | 0 | 0 | 0 |
| c | Add lines 7a and 7b.. | 25,000 | 10,468 | 7,880 | 0 | 0 | 43,348 |
| 8 | Public support. (Subtract line 7c from line 6.) | 62,953,573 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 11,803,450 | 14,119,592 | 11,021,342 | 12,649,219 | 13,403,318 | 62,996,921 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 221,935 | 176,940 | 21,650 | 31,431 | 43,538 | 495,494 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 221,935 | 176,940 | 21,650 | 31,431 | 43,538 | 495,494 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 128,719 | 278,067 | 456,339 | 23,070 | 11,001 | 897,196 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 12,154,104 | 14,574,599 | 11,499,331 | 12,703,720 | 13,457,857 | 64,389,611 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part III, Line 12 Other Income | DESCRIPTION - OTHER INCOME, COLUMN A - 128719.0, COLUMN B - 278067.0, COLUMN C - 456339.0, COLUMN D - 23070.0, COLUMN E - 11001.0, COLUMN F - 897196.0; |
| Software ID: | 24020961 |
| Software Version: | 2024v5.1 |
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 1 ORGANIZATION'S MISSION | SINCE 1891, VISITING NURSE ASSOCIATION HOME HEALTH AND HOSPICE OF KANSAS CITY STRIVES TO BE OUR PATIENTS' FIRST AND ONLY CALL WHEN A NEED ARISES. OUR HEALTHCARE PROFESSIONALS ENDEAVOR TO DELIVER WORLD-CLASS QUALITY CARE TO EVERY PATIENT, EVERY VISIT. AT VNA WE BELIEVE OUR PATIENTS SHOULD NEVER SACRIFICE QUALITY OF CARE BASED ON THEIR ABILITY TO PAY. WE DELIVER INSPIRED CARE FROM AN INSPIRED TEAM. |
| Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION | OUR TOP FOUR PRIMARY DIAGNOSES WERE JOINT REPLACEMENT, HYPERTENSION WITH HEART FAILURE AND CHRONIC KIDNEY DISEASE, AFTERCARE FOR CANCER SURGERY, AND HYPERTENSION. APPROXIMATELY 15% OF ALL ADMISSIONS ARE SPECIFICALLY FOR JOINT REPLACEMENT AND OTHER TYPES OF ORTHOPEDIC SURGERY AFTERCARE. THROUGHOUT 2024 OUR REHABILITATION (PHYSICAL, OCCUPATIONAL AND SPEECH) THERAPISTS PERFORMED 27,701 VISITS (63% OF TOTAL ANNUAL VISITS). THE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS AT VNA BRING THERAPY TO THE COMFORT OF THE PLACE THEY CALL HOME, ASSISTING PATIENTS TO GAIN ABILITY ACROSS MULTI AREAS OF DIMINISHED CAPABILITY. OUR THERAPISTS NOT ONLY DELIVER CUSTOM DESIGNED THERAPY SESSIONS THEY ALSO EDUCATE PATIENTS ON POST VISIT TASKS TO CONTINUALLY ENHANCE THEIR REHABILITATION BETWEEN THERAPY SESSIONS. THE IMPORTANCE OF EDUCATION ALONG WITH THERAPY ASSISTS PATIENTS IN REGAINING GREATER SUCCESS OVER THE COURSE OF THEIR TREATMENT TIMELINE. WE ARE ALSO ONE OF THE FEW REMAINING HOME HEALTH AGENCIES WITH CERTIFIED WOUND CARE CLINICAL REGISTERED NURSES. THIS UNIQUE ASPECT SETS VNA APART IN THE COMMUNITIES WE SERVE. WOUND CARE PROVIDES A NECESSARY SERVICE TO PATIENTS WHO MIGHT OTHERWISE SEE GREATER HOSPITAL READMISSIONS. BY LIMITING UNDUE STRESS ON THE ALREADY OVERWHELMED HEALTHCARE SYSTEM OUR VNA WOUND CARE SPECIALISTS ASSIST IN ALLEVIATING HOSPITAL READMISSIONS OF OUR PATIENTS. VNA IS PROUD TO HAVE AFFILIATION WITH LSVT BIG AND LVST LOUD CERTIFICATION. WITH THESE CERTIFICATIONS VNA IS EQUIPPED TO BETTER TREAT PATIENTS WITH PARKINSON'S DISEASE OR OTHER NEUROLOGICAL CONDITIONS. VNA'S LSVT BIG AND LSVT LOUD THERAPY PROVIDES CUSTOM DESIGNED TREATMENT PLANS TO BENEFIT OUR PATIENTS. MANY OF OUR PATIENTS IN RURAL AND UNDERSERVED COMMUNITIES WOULD NOT HAVE ACCESS TO THIS PREMIER SERVICE WITHOUT VNA'S DEDICATION. |
| Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT | VNA CORPORATION CONDUCTED COMPENSATION REVIEWS IN 2023 USING INFORMATION FROM TOTAL COMPENSATION SOLUTIONS. THE FIRM'S LEGAL COUNSEL, WITH THE DIRECTION OF THE HUMAN RESOURCES COMMITTEE AND THE EXECUTIVE COMMITTEE, PERFORMED THE REVIEW OF THE ORGANIZATION'S PRESIDENT, THE CFO, AND CNO (CLINICAL DIRECTOR). ANNUAL COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE AND LEGAL COUNSEL, WITH INPUT BY THE BOARD'S HUMAN RESOURCES COMMITTEE, IN THE OFF YEARS. OTHER KEY EMPLOYEES' COMPENSATION IS REVIEWED BY THE HUMAN RESOURCES COMMITTEE AND VNA'S HUMAN RESOURCE DIRECTOR ON AN ANNUAL BASIS. FOLLOWING THE ACQUISITION, THE NEW CEO AND CFO ARE COMPENSATED BY RELATED ORGANIZATION, MIDLAND CARE CONNECTION, INC (MCC). MCC DETERMINED THE EXECUTIVE COMPENSATION BY USING COMPENSATION RESOURCES, SUCH AS THE HOME CARE AND HOSPICE SALARY AND BENEFITS REPORT AND REGIONAL WAGE INDEXES. CEO COMPENSATION AND SALARY INCREASES ARE DETERMINED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WITHIN THE CONFINES OF THE APPROVED BUDGET. OTHER EXECUTIVE COMPENSATION IS BASED ON BENCHMARKING REPORTS AND APPROVED WITH THE CONFINES OF THE APPROVED ANNUAL BUDGET. ALL APPROVED COMPENSATION AND SALARY INCREASES ARE DOCUMENTED IN THE EMPLOYEE'S PERSONNEL FILES. |
| Form 990, Part VI, Line 7a & 7B - RESERVED RIGHTS AND POWERS BY MEMBERS | THE SOLE MEMBER SHALL HAVE THE POWER TO: - CHANGE THE NUMBER OF DIRECTORS - ELECT THE BOARD OF DIRECTORS - REMOVE DIRECTORS - AMEND THE BYLAWS - AMEND THE ARTICLES OF INCORPORATION - ADOPT ANNUAL BUDGETS - ESTABLISH LEVELS OF APPROVAL AUTHORITY FOR THE BOARD AND MANAGEMENT OF THE CORPORATION - APPROVE OR DISAPPROVE ITEMS EXCEEDING THE APPROVED AUTHORITY OF THE BOARD - ADOPT AND ENFORCE CORPORATE POLICIES - APPROVE IN ADVANCE ANY PROPOSED MERGER, SALE, DISSOLUTION AND/OR LIQUIDATION OF THE CORPORATION. FURTHER, THE SOLE MEMBER SHALL HAVE ALL SUCH OTHER RIGHTS AND PRIVILEGES OF MEMBERS OF A PUBLIC BENEFIT CORPORATION ORGANIZED UNDER R.S.MO. CHAPTER 355. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | SHAWN SULLIVAN, JEREMY WILTZ, AND DANIEL LEHMAN - Business relationship |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | THE ORGANIZATION REVISED ITS BYLAWS DURING 2024 TO ALIGN WITH THE CHANGES FOLLOWING ITS ACQUISITION BY MIDLAND CARE CONNECTION, INC. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE SOLE MEMBER OF THE CORPORATION IS MIDLAND CARE CONNECTION, INC. |
| 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 OTHER INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE BOARD OF DIRECTORS WERE PROVIDED WITH THE DRAFT FORM 990 AND RELATED SCHEDULES. SCHEDULE B WAS PROVIDED TO THE BOARD WITH REDACTED DONOR INFORMATION. THE FORMS AND SCHEDULES WERE REVIEWED, WITH TIME ALLOWED FOR QUESTIONS AND ANSWERS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. IN THE EVENT OF A CONFLICT TO OCCUR, THE CONFLICT WOULD BE REVIEWED BY THE RISK MANAGEMENT COMMITTEE (COMPRISED OF THE EXECUTIVE COMMITTEE, CEO AND SENIOR MANAGEMENT TEAM) AND A DETERMINATION OF ACTION WOULD BE MADE. A BOARD MEMBER THAT HAS A BUSINESS RELATIONSHIP THAT CREATES A CONFLICT OF INTEREST IS PROHIBITED FROM PARTICIPATING IN THE FINAL DISCUSSIONS AND DECISIONS IN THE TRANSACTION. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part VII, Section A BOARD MEMBER COMPENSATION | NO BOARD MEMBERS RECEIVED COMPENSATION FOR THEIR DUTIES AS DIRECTORS. BOARD OF DIRECTORS WITH COMPENSATION LISTED ON PART VII ARE EMPLOYEES OF THE FILING ORGANIZATION OR A RELATED ORGANIZATION AND THEIR COMPENSATION REFLECTS THEIR DUTIES IN THAT CAPACITY. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | TRANSFER FROM AFFILIATE - 1958589; VALUATION ADJUSTMENT - 332360; Total - 2290949; |
| Software ID: | 24020961 |
| Software Version: | 2024v5.1 |