VNA Alliance

What it reported doing in 2024

VNA Alliance (VNAA) is an independent, voluntary, nonprofit home health agency licensed in Pennsylvania. All services are available without regard to race, religion, creed, color, age, ancestry, national origin, sex, sexual preference, lifestyle, socioeconomic status, veteran's status, or handicap. The agency strives to operate in a Christian manner in all interactions with consumers, staff, and the community. The provision of care to consumers recognizes and supports consumers' rights and the inherent worth and dignity of everyone. During the 2024-2025 fiscal year, VNAA expanded its impact by over 8%, completing over 75,000 home health care visits, averaging a daily census of over six hundred patients while expanding its geographical territory by over 2,000 square miles. For fiscal year ending 06/30/2025, a total of $6,795 in services was rendered as benevolent care. VNAA continues to deliver data driven, outcome oriented, post-acute care for Northwest Pennsylvania. In 2025, VNAA reached 5-STAR status, a distinction less than 6% of certified Medicare Home Health agencies achieve. VNAA stands alone as the only 5 STAR home health agency in the region and one of only nine in the Commonwealth of Pennsylvania. Our key to success could be summarized by16th century Christian missionary, St. Francis Xavier's celebrated words, "Be great in little things". By effectively impacting the fundamental components of community dwelling success, VNAA has succeeded in achieving a broader, patient centered experience with real world implications. The loss of self-care and mobility autonomy can place an individual at risk for a variety of adverse events. Small gaps in care plan compliance, disease mismanagement and inconsistent health care follow-up can cluster into larger complications. VNAA excels in addressing the "little things." The outcomes that seem insignificant but hold tremendous clinical relevance. In 94% of the publicly reported quality of patient indicators, such as optimizing medication management, fostering improved transfer, bathing safety, addressing fall risk and home safety, VNAA surpasses national averages by a substantial margin-often approaching the top decile for the given performance indicator. Achieving optimal patient health is a multifaceted task. In addition to succeeding within the quantitative domain of clinical outcomes, VNAA has made noteworthy progress within the qualitative domain of patient experience. During the past fiscal year, VNAA improved in four out of five HHCAHPS composites, with the greatest gains noted in care of patients and a definite willingness to recommend VNAA services to one's family or friends. As well as monitoring a variety of quantitative and qualitative benchmarks, VNAA keeps a close eye on claims-based metrics. Indicators such as hospitalization rates for potentially preventable conditions, emergent care utilization percentages and how frequently VNAA patients are successfully discharged to their community define a sizable portion of post-acute care success. During the past fiscal year, VNAA experienced modest improvements in its 60-day acute care hospitalization percentage. However, when stratifying for risk level, our greatest success was experienced within the highest risk population, which achieved a 10% decline in hospitalization outcome. VNAA has developed a multidisciplinary case management strategy that addresses high risk, high volume, problem prone conditions with thoughtful care plan mapping. Nevertheless, opportunities remain to create value within the "rising risk" population. Fostering prehab strategies that identify and address clinical concerns before they evolve into greater complications will be critical for ongoing success. One such initiative involved our community parter, Wesbury United Methodist Retirement Community. During the past year, over sixty residents of Wesbury's Assisted Living participated in a six-month joint venture with VNAA to address resident hypomobi

Financial Efficiency

• Mission deployment rate: 57.9%; rating input score 58
• Program expense ratio: 78.4%; rating input score 78
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 2 of 6 controls in place; rating input score 33
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 7 of 8 controls in place; rating input score 88
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 26.5%; rating input score 86; 86th percentile among comparable filings
• Total-asset coverage ratio: 0.55; rating input score 18; 18th percentile among comparable filings
• Liabilities to assets ratio: 0.25; rating input score 51; 51st percentile among comparable filings
• Officer compensation ratio: 3.2%; rating input score 66; 66th percentile among comparable filings

Growth

• Program expense growth: 9% per year; rating input score 100; 66th percentile among comparable filings
• Revenue growth: 5.9% per year; rating input score 100; 51st percentile among comparable filings
• Asset growth: 9.4% per year; rating input score 100; 62nd percentile among comparable filings