Visiting Nurse Services of Iowa

Nonprofit profile at a glance

EIN
420680446
IRS 990 coverage
2011–2024
Forms available
Form 990 2024
Location
Des Moines, IA, USA
Phone
5152743400
Rating
84
Verdict
STRONG
Rating confidence
Standard
Sector
Home Health Care

Reported finances

Revenue
$30,413,870
Expenses
$32,792,231
Assets
$29,635,677
Liabilities
$6,541,070

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

27 people listed

Executive titles in this filing

  • TRAY WADE (PRESIDENT & CEO)
  • JULIE MATTERNAS (EXECUTIVE DIRECTOR OF FOUN)

Highest reported compensation

  • TRAY WADE (PRESIDENT & CEO): $394,172 total reported compensation
  • THOMAS MOUSER (CHIEF MEDICAL OFFICER): $362,243 total reported compensation
  • KARL VILUMS (CFO (THROUGH 12/24)): $194,688 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The mission of visiting nurse services of Iowa, dba everystep, is to empower individuals, support families, and strengthen communities.

What it reported doing in 2024

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 wraparound 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.

Operating model

Revenue model
Earned-program. 69% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 78
  • Transparency & Controls: 88
  • Accountability: 100
  • Sustainability: 28
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 85.7%; rating input score 86
  • Program expense ratio: 77.6%; rating input score 78
  • Fundraising efficiency: $11.67 raised per $1 spent on fundraising; rating input score 42; 42nd percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Missing
    • Independent consultant: Pass
    • 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: 100%; rating input score 100; 72nd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -7.8%; rating input score 12; 12th percentile among comparable filings
  • Total-asset coverage ratio: 0.9; rating input score 32; 32nd percentile among comparable filings
  • Liabilities to assets ratio: 0.22; rating input score 56; 56th percentile among comparable filings
  • Officer compensation ratio: 5%; rating input score 51; 51st percentile among comparable filings

Growth

  • Program expense growth: 12.1% per year; rating input score 100; 77th percentile among comparable filings
  • Revenue growth: 11.4% per year; rating input score 100; 78th percentile among comparable filings
  • Asset growth: 19.2% per year; rating input score 100; 88th percentile among comparable filings

Details

  • Where the money goes: 85.7% of revenue deployed · 77.6% of spending went to programs
  • Governance: 18 of 18 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $25.4M in reported program spending
  • Leadership: top reported pay $394K · 27 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $1.9M reported
  • Consistency: 37 of 37 current checks pass
  • Schedules: 8 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2011 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 1 filed related-organization link
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • Moderate — Financial Efficiency: Fundraising efficiency scored 42/100.
  • High — Sustainability: Operating margin scored 12/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 32/100.
  • Review — Sustainability: Officer compensation ratio scored 51/100.
  • Review — Sustainability: Liabilities to assets ratio scored 56/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.