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Visiting Nurse & Community Health Inc.

 37 Broadway, Suite 2
 Arlington, MA 02474
[P] (781) 643-6090 x 1204
[F] (781) 643-7395
www.TheVisitingNurses.com
[email protected]
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INCORPORATED: 1975
 Printable Profile (Summary / Full)
EIN 04-2560713

LAST UPDATED: 02/25/2014
Organization DBA --
Former Names --
Organization received a competitive grant from the Boston Foundation in the past five years No

Summary

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Mission StatementMORE »

Visiting Nurse and Community Health (VNCH) is committed to providing highly skilled, compassionate, impacting and meaningful home care to our patients.  We pledge to be a responsive and innovative advocate for the members of the communities we serve via our Home Health Care, Hospice Care and Private Care.  We are dedicated to improving health, preventing disease and educating patients, caregivers and families on how to best manage and balance all pieces of patient care.

Mission Statement

Visiting Nurse and Community Health (VNCH) is committed to providing highly skilled, compassionate, impacting and meaningful home care to our patients.  We pledge to be a responsive and innovative advocate for the members of the communities we serve via our Home Health Care, Hospice Care and Private Care.  We are dedicated to improving health, preventing disease and educating patients, caregivers and families on how to best manage and balance all pieces of patient care.


FinancialsMORE »

Fiscal Year July 01, 2012 to June 30, 2013
Projected Income $6,656,772.00
Projected Expense $6,670,684.00

ProgramsMORE »

  • Home health care, bridge to hospice/hospice care, and private care

Revenue vs. Expense ($000s)

Expense Breakdown 2012 (%)

Expense Breakdown 2011 (%)

Expense Breakdown 2010 (%)

For more details regarding the organization's financial information, select the financial tab and review available comments.


Overview

Mission Statement

Visiting Nurse and Community Health (VNCH) is committed to providing highly skilled, compassionate, impacting and meaningful home care to our patients.  We pledge to be a responsive and innovative advocate for the members of the communities we serve via our Home Health Care, Hospice Care and Private Care.  We are dedicated to improving health, preventing disease and educating patients, caregivers and families on how to best manage and balance all pieces of patient care.


Background Statement

 For 115 years, Visiting Nurse and Community Health has been acknowledged as the preeminent home health care provider in eastern Massachusetts. It has a deep-rooted tradition of providing its patients and the communities it serves with compassionate, quality home care, and unparalleled health care expertise. VNCH’s response to questions and concerns is immediate and knowledgeable, and its medical technology is state-of-the-art.  We have consistently been recognized as being among the top health care providers in the nation.

Impact Statement

Visiting Nurse and Community Health (VNCH) is a non-profit home health care agency with a deep-rooted tradition of providing patients and the community with compassionate, high-quality care, access to state-of-the-art home technology, knowledgeable responses to questions, and unparalleled healthcare staff expertise. Since its founding in 1898, VNCH has been the preeminent home health care provider in its region, and is routinely recognized for its quality service by the Massachusetts Department of Public Health (DPH).  Every year since 2006, VNCH has been named to the HomeCare Elite, a compilation of the most successful Medicare-certified home health care providers in the United States. We are especially proud of our community outreach and education programs, and our policy of never turning anyone away due to an inability to pay for services. On average, we care for almost 2,000 people per year, providing approximately 35,000 home visits to a predominantly elderly population that is heavily reliant on Medicare and Medicaid, as well as managed care providers.
As a non-profit organization, we recognize our obligation to provide the highest quality care possible to homebound individuals, while minimizing the cost of doing so.  Our Board-approved strategic plan focuses on both these challenges with the expansion of services that meet our patients’ needs and diversify our revenue streams. 

Needs Statement

As a non-profit 501(c)(3) organization, we rely heavily on contributions from the public, companies and foundations to help us with our mission. 

CEO Statement

Visiting Nurse and Community Health has a long-standing reputation for providing the highest quality health care and caring to the patients and communities we serve.  Our nurses, therapists, social workers, home health aides and Hospice Care staff are skilled, dedicated people who place the patients above all else, and I am proud to be counted among their number.

As a non-profit, we rely heavily on funding from external sources, and those we have reached out to have generously acknowledged the value of what we do with their support.


Board Chair Statement

 VNCH is governed by a 12-member volunteer Board of Directors, the composition of which reflects the communities we serve. Our Chief Executive Officer, Ms. Maureen K. Thompson, is a registered nurse with a depth of experience in home health and hospice care. Our total staff consists of 110 full- and part-time people. Our staff works closely with family members and other caregivers to ensure they have the guidance and information they need to be effective members of the patient’s support team.

 

VNCH serves a predominantly elderly clientele – 87% of our patients are age 76 or older.Of the over 2,400 patients we see yearly, we estimate that 7.3% are uninsured, resulting in almost $45,000 in free care over the course of a year. This is in keeping with our commitment to serve all patients, regardless of their ability to pay for our services.

 

VNCH began its transition to a new electronic medical records system in 2002, prompted in large part by the need to accommodate the accounting requirements of insurers. Changes in the way Medicare compensates home health care providers has had a serious financial impact on VNCH. Medicare no longer compensates home health care providers based on the volume of services they provide. Instead, payment is tied to performance. Each case is judged according to “outcome indicators” related to the patient’s improvement. Home health care providers must demonstrate that each client is reaching pre-determined benchmarks in order to receive compensation. With 80% of its revenue dependent on Medicare and Medicaid reimbursements, VNCH must adapt both its clinical and financial management systems to meet these requirements.

 

 

 


Geographic Area Served

Northeast Massachusetts Region

Visiting Nurse and Community Health serves the following 32 communities in eastern Massachusetts: Acton, Arlington, Bedford, Belmont, Billerica, Brookline, Burlington, Cambridge, Carlisle, Chelsea, Concord, Everett, Lexington, Lincoln, Malden, Medford, Melrose, Newton, Revere, Somerville, Stoneham, Tyngsboro, Wakefield, Waltham, Watertown, Wayland, Westford, Weston, Wilmington, Winchester, Winthrop, and Woburn.

Organization Categories

  1. Health Care - Home Health Care
  2. Health Care - Home Health Care
  3. Health Care - Home Health Care

Independent research has been conducted on this organization's theory of change or on the effectiveness of this organization's program(s)

No

Programs

Home health care, bridge to hospice/hospice care, and private care

Visiting Nurse and Community Health offers a full compliment of home health care, private care and bridge to hospice/hospice care services that have been recognized for their high quality and impact by the Mass. Dept. of Public Health and HomeCare Elite.  Programs include skilled nursing, rehabilitation therapies, social work, home health assistance, geriatric care management, and telehealth monitoring.

Budget  $6,670,684.00
Category  Health Care, General/Other Home Health Care
Population Served Aging, Elderly, Senior Citizens Adults
Program Short-Term Success 
Short-term or immediate successes include educating patients with acute and chronic illnesses how to cope with those illnesses.
Program Long-Term Success 
The ultimate changes that VNCH expects from its home health care, private care, and bridge to hospice/hospice care services affect the patients entrusted to us.  We hope to safely return them to the levels of daily function they experienced prior to illness, all while remaining in the connfort of their own homes.   
Program Success Monitored By 
VNCH's Quality Improvement team monitors each and every patient's care plan on an ongoing basis to ensure consistency in treatment and adherence to care plan specifics.  Further, our outcomes are monitored by the Massachusetts Department of Public Health, Medicare and Medicaid.
Examples of Program Success  Improvements in breathing for pulmonary patients; improvements in managing diabetes for diabetic patients; improved ambulation from those prone to falls; improvements in status of surgical wounds; improvements in management of oral medications; reducing rehospitaizations.

CEO/Executive Director/Board Comments

While the size of our target population explodes and the available skilled work force dwindles, VNCH must adapt to strict new performance and documentation requirements from the Federal government. Our long-term viability is dependent on our ability to meet these challenges, and our Electronic Medical Records point-of-care system, with its heavy reliance on laptops to capture and update patient data, plays an ongoing role in our Board-approved strategic plan.

Management


CEO/Executive Director MS. MAUREEN K. THOMPSON RN, MSM, CHCE
CEO Term Start May 2013
CEO Email [email protected]
CEO Experience

Innovative results-oriented Healthcare Executive with diverse experience in Home Health, Hospice, Palliative and Private Care within large healthcare systems and independent not-for-profit and for-profit community agencies. Strategic visionary with demonstrated ability to drive the change necessary to create efficiencies and compete effectively in a dynamic healthcare environment. 

 

Strategy/Vision- Proven ability to forecast future direction of Home Health Care industry and execute on a strategic plan for organizational viability and success. Received vision award for organizational success and recognized for delivering a high standard of quality healthcare services.

 

Exceptional Leadership Skills- Strong leadership and communication skills that foster team-building and a culture of accountability while valuing the contributions of employees, earning 97% employee satisfaction. 

 

Financial Acumen- Skilled at turning around underperforming agencies meeting or exceeding budgeted goals. Built and oversaw a $27 million revenue organization maximizing positive profit margins.

 

Quality- From 2006-2010, Caritas Home Care identified in the Home Care Elite, one of the top 25% of agencies in the United States based on performance measures in quality outcomes, quality improvement, and financial performance. 

 

Start-ups, Mergers, and Acquisitions- Successfully started a Medicare certified home healthcare agency, acquired Home Health, Hospice, and Private Pay agency and merged three agencies into one. During this time, achieved deficiency free department of public health surveys and successful joint commission of accreditation surveys.

 

Excellent Communication Skills- Rapport builder with diverse audiences utilizing a variety of approaches to drive necessary results.

Co-CEO --
Co-CEO Term Start --
Co-CEO Email --
Co-CEO Experience --

Former CEOs and Terms

Name Start End
-- -- --

Senior Staff

Name Title Experience/Biography
Johanna Chilingirian Director of Finance --
Joan Cho-Sik Social Work Manager --
Mary Daddio QI Manager --
Deborah Gibson Nurse Manager --
Terry Kelly-Ruhlmann Rehab Manager --
Lisa Leccacorvi HR Manager --
Alice Rose Director of Clinical Services --
Lauren Shaughnessy Hospice Care Manager --

Awards

Award Awarding Organization Year
Top Agency Award HomeCare Elite 2012

Affiliations

Affiliation Year
-- --
Member of state association of nonprofits? Yes
Name of state association --

External Assessments and Accreditations

External Assessment or Accreditation Year
-- --

Collaborations

We work regularly with the Depts. of Public Health and Councils on Aging in the 32 communities we serve.

CEO/Executive Director/Board Comments

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Foundation Comments

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Staff Information

Number of Full Time Staff 55
Number of Part Time Staff 55
Number of Volunteers 12
Number of Contract Staff 0
Staff Retention Rate % 88%

Staff Demographics

Ethnicity African American/Black: 10
Asian American/Pacific Islander: 1
Caucasian: 90
Hispanic/Latino: 9
Native American/American Indian: 0
Other: 0
Other (if specified): --
Gender Female: 97
Male: 8
Not Specified 0

Plans & Policies

Organization has Fundraising Plan? Under Development
Organization has Strategic Plan? Under Development
Years Strategic Plan Considers 5
Management Succession Plan No
Business Continuity of Operations Plan Yes
Organization Policies And Procedures Yes
Nondiscrimination Policy Yes
Whistle Blower Policy Yes
Document Destruction Policy Yes
Directors and Officers Insurance Policy Yes
State Charitable Solicitations Permit Yes
State Registration Exempt

Risk Management Provisions

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Reporting and Evaluations

Management Reports to Board? Yes
CEO Formal Evaluation and Frequency Yes Annually
Senior Management Formal Evaluation and Frequency Yes Annually
Non Management Formal Evaluation and Frequency Yes Annually

Governance


Board Chair MS. ANNE STUART HOFFMAN
Board Chair Company Affiliation MARKETING CONSULTANT
Board Chair Term July 2012 - June 2015
Board Co-Chair --
Board Co-Chair Company Affiliation --
Board Co-Chair Term -

Board Members

Name Company Affiliations Status
MR. JOHN ALESSANDRONI EXECUTIVE DIRECTOR, PARK AVENUE NURSING AND REHABILITATION CENTER Voting
MS. JEAN DUFFY BBN Technologies, VP Healthcare Informatics Voting
DR. WILLIAM FLYNN SURGEON, PRIVATE PRACTICE Voting
MS. JOCELYN FREDERICK Tsoi/Korbus & Associates, Senior Healthcare Planner and Designer Voting
MS. ANNE STUART HOFFMAN MARKETING CONSULTANT Voting
DR. JAMES E. KOLB Lahey Clinic Voting
ATTY. KEVIN MCGANN Elder Law Attorney Voting
MR. JOHN MONIZ EXECUTIVE DIRECTOR, CADBURY COMMONS Voting
MR. ROBERT MORONG VICE PRESIDENT, CITIZENS BANK Voting
MS. JANE PUFFER SENIOR MARKETING EXECUTIVE Voting
MS. EVELYN SMITH DEMILLE SANBORN FOUNDATION Voting
MS. RUTH YOUNG EXECUTIVE DIRECTOR, WINCHESTER SENIOR CENTER Voting

Constituent Board Members

Name Company Affiliations Status
-- -- --

Youth Board Members

Name Company Affiliations Status
-- -- --

Advisory Board Members

Name Company Affiliations Status
-- -- --

Board Demographics

Ethnicity African American/Black: 1
Asian American/Pacific Islander: 1
Caucasian: 10
Hispanic/Latino: 0
Native American/American Indian: 0
Other: 0
Other (if specified): 0
Gender Female: 6
Male: 6
Not Specified 0

Board Information

Board Term Lengths 3
Board Term Limits 2
Board Meeting Attendance % 90%
Written Board Selection Criteria No
Written Conflict Of Interest Policy Yes
Percentage of Monetary Contributions 100%
Percentage of In-Kind Contributions --
Constituency Includes Client Representation Yes

Standing Committees

  • Finance
  • Marketing

CEO/Executive Director/Board Comments

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Foundation Comments

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Financials


Revenue vs. Expense ($000s)

Expense Breakdown 2012 (%)

Expense Breakdown 2011 (%)

Expense Breakdown 2010 (%)

Fiscal Year July 01, 2012 to June 30, 2013
Projected Income $6,656,772.00
Projected Expense $6,670,684.00
Form 990s

2012 990

2011 990

2010 990

Audit Documents

2012 VNCH Audited Financials

2011 VNCH Audited Financials

2010 VNCH Audited Financials

IRS Letter of Exemption

IRS Letter of Determination

Prior Three Years Total Revenue and Expense Totals

Fiscal Year 2012 2011 2010
Total Revenue $6,185,693 $5,968,830 $5,365,468
Total Expenses $6,256,741 $5,703,861 $5,432,105

Prior Three Years Revenue Sources

Fiscal Year 2012 2011 2010
Foundation and
Corporation Contributions
$23,500 $13,670 $25,000
Government Contributions $0 $0 $0
    Federal -- -- --
    State -- -- --
    Local -- -- --
    Unspecified -- -- --
Individual Contributions $61,443 $48,380 $56,592
Indirect Public Support -- -- --
Earned Revenue $6,100,385 $5,798,884 $5,246,926
Investment Income, Net of Losses $365 $107,896 $36,950
Membership Dues -- -- --
Special Events -- -- --
Revenue In-Kind -- -- --
Other -- -- --

Prior Three Years Expense Allocations

Fiscal Year 2012 2011 2010
Program Expense $5,229,068 $4,736,533 $4,541,016
Administration Expense $1,027,673 $967,328 $891,089
Fundraising Expense -- -- --
Payments to Affiliates -- -- --
Total Revenue/Total Expenses 0.99 1.05 0.99
Program Expense/Total Expenses 84% 83% 84%
Fundraising Expense/Contributed Revenue 0% 0% 0%

Prior Three Years Assets and Liabilities

Fiscal Year 2012 2011 2010
Total Assets $2,425,189 $2,275,210 $2,126,499
Current Assets $1,630,654 $1,485,667 $1,441,222
Long-Term Liabilities $0 $0 $0
Current Liabilities $1,063,263 $842,236 $958,494
Total Net Assets $1,361,926 $1,432,974 $1,168,005

Prior Three Years Top Three Funding Sources

Fiscal Year 2012 2011 2010
1st (Source and Amount) -- --
-- --
-- --
2nd (Source and Amount) -- --
-- --
-- --
3rd (Source and Amount) -- --
-- --
-- --

Financial Planning

Endowment Value --
Spending Policy N/A
Percentage(If selected) --
Credit Line Yes
Reserve Fund No
How many months does reserve cover? 12.00

Capital Campaign

Are you currently in a Capital Campaign? No
Capital Campaign Purpose --
Campaign Goal --
Capital Campaign Dates -
Capital Campaign Raised-to-Date Amount --
Capital Campaign Anticipated in Next 5 Years? --

Short Term Solvency

Fiscal Year 2012 2011 2010
Current Ratio: Current Assets/Current Liabilities 1.53 1.76 1.50

Long Term Solvency

Fiscal Year 2012 2011 2010
Long-term Liabilities/Total Assets 0% 0% 0%

CEO/Executive Director/Board Comments

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Foundation Comments

Financial summary data in charts and graphs are per the organization's audited financials.

Documents


Other Documents

No Other Documents currently available.

Impact

The Impact tab is a section on the Giving Common added in October 2013; as such the majority of nonprofits have not yet had the chance to complete this voluntary section. The purpose of the Impact section is to ask five deceptively simple questions that require reflection and promote communication about what really matters – results. The goal is to encourage strategic thinking about how a nonprofit will achieve its goals. The following Impact questions are being completed by nonprofits slowly, thoughtfully and at the right time for their respective organizations to ensure the most accurate information possible.


1. What is your organization aiming to accomplish?

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2. What are your strategies for making this happen?

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3. What are your organization’s capabilities for doing this?

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4. How will your organization know if you are making progress?

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5. What have and haven’t you accomplished so far?

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