Visiting Nurse Association of Indiana County

What it reported doing in 2024

The Visiting Nurse Association of Indiana County dba Concordia-IRMC VNA provides compassionate home health, hospice and palliative care as an integral part of the continuum of care for persons in and around Indiana County. The program service accomplishments of Concordia-IRMC VNA are driven by the core mission to provide a comprehensive program for the residents of Indiana, Armstrong, Jefferson, Westmoreland, and Cambria counties. The agency strives to succeed with an aging-in-place philosophy by providing a wide breadth of services in the home, preventing rehospitalization, enhancing home safety and monitoring chronic disease states. The agency also works to provide the highest quality care to anyone in need, regardless of ability to pay. During the fiscal year ending June 30, 2025 a total of 2,013 unduplicated patients were served by Concordia-IRMC VNA home health staff. There were 45,206 visits made to the patients in our home health program during fiscal year ending June 30, 2025. Concordia-IRMC VNA also offers palliative care services in the home. We utilize an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious illness. The goal is to provide the care to the patient as well as the family as they journey towards a possible hospice plan of care. Examples of our initiatives include telehealth/telemedicine. Concordia-IRMC VNA provides tele-health monitoring free of charge to patients with chronic diseases. Tele-Health monitoring is a non-billable service that costs the agency $27,000 annually. Tele-Health has been utilized over the past year to provide additional monitoring of patient vital sign trending, monitoring and tracking patients with comorbidities. Concordia-IRMC VNA employs a Transitional Nurse Liaison who serves the community by assisting discharge planners assess the patients' needs to obtain appropriate orders for the plan of care. This position also attends community gatherings to discuss programs and events sponsored by Concordia-IRMC VNA. The goal is to reach as many people as possible in the community to promote wellness and teach prevention. Flu Shots were provided at the community Flu Clinics held at various sites. Concordia-IRMC VNA spent a total of $6,699 on flu vaccines that were given to patients and families. Total cost to the agency for sponsorships and donations for fiscal year ended June 30, 2025 equated to $550. This includes a sponsorship to the Indiana Area School District: $250 for Back to School Missions Drive and a donation to the Armstrong School District: $300 for the National Honor Society and Key Club Veterans Breakfast. Additional funding via distributions to 501(c)(3) member hospital systems at a total of $1,000,000 have expanded the like-minded mission within the geographical communities we serve. Employees of Concordia-IRMC VNA were given the opportunity to serve by participating in the following mission events during the fiscal year. Back-to-School Collection Drive to support student care closet needs within the local Indiana Area School District: July-August 2024. Salvation Army Indiana County Angel Tree Collection-employees purchased gifts for 10 children to support local families in need of Christmas gifts: Nov-Dec 2024. These donations, sponsorships and mission events are some of the ways we serve God by providing for the needs of His people.

Financial Efficiency

• Mission deployment rate: 63.6%; rating input score 64
• Program expense ratio: 74.1%; rating input score 74
• Fundraising efficiency: $10.66 raised per $1 spent on fundraising; rating input score 40; 40th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd 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: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 44.4%; rating input score 44; 7th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 14.5%; rating input score 70; 70th percentile among comparable filings
• Total-asset coverage ratio: 0.54; rating input score 19; 19th percentile among comparable filings
• Liabilities to assets ratio: 0.27; rating input score 37; 37th percentile among comparable filings
• Officer compensation ratio: 3.5%; rating input score 65; 65th percentile among comparable filings

Growth

• Program expense growth: -1.7% per year; rating input score 0; 9th percentile among comparable filings
• Revenue growth: 0.5% per year; rating input score 100; 13th percentile among comparable filings
• Asset growth: -5.3% per year; rating input score 0; 3rd percentile among comparable filings