Vna Extended Home Care

What it reported doing in 2019

VNA Extended Home Care dba Stay@Home was established to promote health, mobility, dignity, independence and social well-being for individuals and families in the Indiana County, PA area by providing home care and related services. Approximately 123 consumers were served during the fiscal year ended June 30, 2020. A total of 9,357 visits were delivered by the staff. VNA Extended Home Care is a licensed private duty agency in the state of Pennsylvania. The staff of caregivers assist consumers with functions of everyday living including, but not limited to: bathing, grooming, toileting, light housekeeping, laundry, grocery shopping, and meal preparation. Often times, these individuals are eligible for nursing home level of care but desire to remain in their home. A source of consumer referrals is the local area agency on agency in Indiana County. This program funds personal care and home support services to financially qualified seniors. In addition, the organization accepts referrals from the VA to assist veterans who have been approved for in-home services including home support and personal care. The agency also offers professional nursing services which are provided to special needs children with emotional needs or physical needs, including trach care, med fills, and wound care. LPNs ride the school bus with the child to administer care. Sometimes the nurse is only needed on bus to and from school, sometimes the nurse is also present in class during the day for direct support. The services are provided in collaboration with ARIN Intermediate Unit 28, which is an organization that provides educational support to learners of all ages in school districts within Armstrong and Indiana Counties. Four students were served during the 2019-2020 tax year. On January 31, 2020, acting HHS Secretary Alex Azar first declared a public health emergency following the World Health Organization's recognition of the novel coronavirus, COVID-19, as a pandemic. In response to this coronavirus outbreak, the state and federal governments have taken preventative or protective actions, such as imposing restrictions on travel and business operations and advising or requiring individuals to limit or forego their time outside of their homes. Daily high-level leadership meetings were established to assess and provide guidance to staff through every changing regulation surrounding the pandemic. Throughout the pandemic, education and guidance related to best practices and CDC protocol was provided by our corporate compliance team. This allowed our frontline workers to remain safe and able to provide quality care to many COVID affected patients and families. Even with decreased census when surrounding hospitals shut down, there were no layoffs as a result of the pandemic. The agency worked with a corporate purchasing team to ensure appropriate levels of personal protective equipment (PPE), laboratory equipment, tests and other related COVID response items were purchased to provide care is the safest way possible.

Financial Efficiency

• Mission deployment rate: 78.9%; rating input score 79
• Program expense ratio: 71.2%; rating input score 71
• Fundraising efficiency: Limited

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: Missing
  • Other Form 990s reviewed: Pass
  • 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; 63rd percentile among comparable filings
• Governance controls: 8 of 8 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: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -10.8%; rating input score 16; 16th percentile among comparable filings
• Total-asset coverage ratio: 0.29; rating input score 13; 13th percentile among comparable filings
• Liabilities to assets ratio: 2.74; rating input score 1; 1st percentile among comparable filings
• Officer compensation ratio: 0.8%; rating input score 65; 65th percentile among comparable filings

Growth

• Program expense growth: -4.6% per year; rating input score 0; 13th percentile among comparable filings
• Revenue growth: -4.1% per year; rating input score 0; 10th percentile among comparable filings
• Asset growth: 8.7% per year; rating input score 100; 62nd percentile among comparable filings