VISITING NURSE SERVICES OF IOWA

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1908

Legal Domicile

Principal Officer

TRAY WADE

Phone

5152743400

Tax Period

2024-07-01 to 2025-06-30

VISITING NURSE SERVICES OF IOWA, founded in 1908, is a mid-sized nonprofit in the Health Care sector that reported $30.4M in total revenue in fiscal year 2024.

Mission

THE MISSION OF VISITING NURSE SERVICES OF IOWA, DBA EVERYSTEP, IS TO EMPOWER INDIVIDUALS, SUPPORT FAMILIES, AND STRENGTHEN COMMUNITIES.

Program Service Accomplishments

Program 1

Expenses: $11,570,084 Revenue: $5,627,529

EVERYSTEP IS DEDICATED TO EMPOWERING INDIVIDUALS, SUPPORTING FAMILIES, AND STRENGTHENING COMMUNITIES THROUGH THE PROMOTION OF HEALTH AND HEALTH-RELATED SERVICES, INCLUDING A NUMBER OF COMMUNITY...

EVERYSTEP IS DEDICATED TO EMPOWERING INDIVIDUALS, SUPPORTING FAMILIES, AND STRENGTHENING COMMUNITIES THROUGH THE PROMOTION OF HEALTH AND HEALTH-RELATED SERVICES, INCLUDING A NUMBER OF COMMUNITY HEALTH PROGRAMS FOCUSED ON THE WELLBEING OF CHILDREN, MOTHERS, SENIORS AND INDIVIDUALS AND FAMILIES OF ALL TYPES, FROM BIRTH TO THE END OF LIFE. HOSPICE OF CENTRAL IOWA FOUNDATION, DBA EVERYSTEP FOUNDATION, PROVIDES SUPPORT FOR THE PROGRAMS OF EVERYSTEP.

Program 2

Expenses: $6,202,078 Revenue: $6,276,438

ADULT HEALTH SERVICES: THE PROMOTION OF HEALTH AND HEALTH-RELATED SERVICES, INCLUDING PALLIATIVE CARE, END OF LIFE CARE SERVICES, NURSE CASE MANAGEMENT SERVICES, AND HOME VISITING FOR ADULTS WITH...

ADULT HEALTH SERVICES: THE PROMOTION OF HEALTH AND HEALTH-RELATED SERVICES, INCLUDING PALLIATIVE CARE, END OF LIFE CARE SERVICES, NURSE CASE MANAGEMENT SERVICES, AND HOME VISITING FOR ADULTS WITH CHRONIC AND ACUTE HEALTH ISSUES; A VOLUNTEER PROGRAM PROVIDING COMPANIONSHIP AND ASSISTANCE WITH TRANSPORTATION FOR ADULTS; AND PROVIDING HOME HEALTH AIDE ASSISTANCE. THE PROVISION OF THESE SERVICES UNDER EVERYSTEP AND EVERYSTEP FOUNDATION ARE ABLE TO COMBINE EXPERTISE AND RESOURCES TO OPERATE EFFICIENTLY, ALLOWING THEM THE ABILITY TO OFFER A STRONGER CONTINUUM OF CARE, FROM BIRTH TO END OF LIFE. TOGETHER, THE TWO ORGANIZATIONS ARE WELL-POSITIONED FOR LONG-TERM STABILITY AND STRENGTH IN THE FACE OF CURRENT ECONOMIC REALITIES

Program 3

Expenses: $4,876,267 Revenue: $5,136,502

FAMILY HEALTH SERVICES: FAMILY HEALTH SERVICES INCLUDE INTENSIVE CASE MANAGEMENT OF FAMILIES AT RISK FOR POOR OUTCOMES. SERVICES INCLUDE WORKING WITH PREGNANT TEENS TO ACHIEVE HEALTHY BIRTH OUTCOMES; NURSE FAMILY PARTNERSHIP WITH FIRST-TIME LOW-INCOME PREGNANT AND PARENTING WOMEN; HOME VISITING TO ASSESS HEALTH AND HUMAN SERVICE'S NEEDS; PROVIDING PARENT EDUCATION; MAKING APPROPRIATE COMMUNITY REFERRALS FOR SERVICES; COMPLETING DEVELOPMENTAL SCREENINGS AND PROVIDING APPROPRIATE FOLLOW-UP; ASSISTING WITH A READING PROGRAM FOR INCARCERATED PARENTS; PROVIDING AND ASSISTING FAMILIES IN COMPLETING HEALTHY BEHAVIORS (FAMILY NEST) AND GRIEF AND LOSS SUPPORT.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $9,140,711

Program Service Revenue $20,456,720

Investment Income $0

Other Revenue $816,439

TOTAL REVENUE $30,413,870

Expense Breakdown

Grants Paid $66,360

Salaries & Benefits $22,922,632

Fundraising Expenses $783,138

Program Expenses $25,438,222

Other Expenses $9,803,239

TOTAL EXPENSES $32,792,231

Year-over-Year Comparison

	2024	2023	Change
Revenue	$30,413,870	$31,374,851	0.0%
Expenses	$32,792,231	$35,768,650	-0.1%
Net Income	$-2,378,361	$-4,393,799	-0.5%

Key Indicators

✗ Grants to Organizations ✓ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

441

Volunteers

956

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$588,860

Total Directors

Key Employees

$362,243

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
STEVE SCHAAF	CHAIR	1.00	Officer Director	$0	$0	$0
DAVE BRIDGEWATER	PAST CHAIR	1.00	Officer Director	$0	$0	$0
PAM SCHOFFNER	SECRETARY	1.00	Officer Director	$0	$0	$0
LIL WATERS	TREASURER	1.00	Officer Director	$0	$0	$0
BRANDON FOLDES	BOARD OF TRUSTEES CHAIR	1.00	Officer Director	$0	$0	$0
KERRY ADAWAY	DIRECTOR	1.00	Director	$0	$0	$0
PAT BARRY	DIRECTOR	1.00	Director	$0	$0	$0
JUAN CARLOS CADENILLAS	DIRECTOR	1.00	Director	$0	$0	$0
ED COX	DIRECTOR	1.00	Director	$0	$0	$0
MIKE GEHRINGER	DIRECTOR	1.00	Director	$0	$0	$0
MARK HASEK	DIRECTOR	1.00	Director	$0	$0	$0
JON LEFRANDT	DIRECTOR	1.00	Director	$0	$0	$0
LINDSAY RACEY	DIRECTOR	1.00	Director	$0	$0	$0
JUDY RALSTON-HANSEN	DIRECTOR	1.00	Director	$0	$0	$0
LARRY SEVERIDT MD	DIRECTOR	1.00	Director	$0	$0	$0
PHIL STOVER	DIRECTOR	1.00	Director	$0	$0	$0
CORALYNN TREWET	DIRECTOR	1.00	Director	$0	$0	$0
MISSY WALTER	DIRECTOR (THROUGH 1/25)	1.00	Director	$0	$0	$0
KATIE WENGERT	DIRECTOR	1.00	Director	$0	$0	$0
TRAY WADE	PRESIDENT & CEO	40.00	Officer	$368,845	$25,327	$394,172
KARL VILUMS	CFO (THROUGH 12/24)	40.00	Officer	$177,963	$16,725	$194,688
THOMAS MOUSER	CHIEF MEDICAL OFFICER	40.00	Key Emp	$343,707	$18,536	$362,243
JULIE MATTERNAS	EXECUTIVE DIRECTOR OF FOUN	0.00	Highest	$137,139	$16,357	$153,496
SAY BACCAM	FINANCE & ACCOUNTING DIREC	40.00	Highest	$122,408	$4,769	$127,177
ERIN DYKES	VP OF CLINICAL SERVICES (THRU 1/25)	40.00	Highest	$127,308	$36,572	$163,880
JOHN CEJKA	RN	40.00	Highest	$114,266	$2,366	$116,632
LEANN UHLENHOPP	ASST. VP OF CLINICAL SERVICES	40.00	Highest	$116,061	$4,400	$120,461

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$30,413,870	$32,792,231	$29,635,677	$-2,378,361
2024	$31,374,851	$35,768,650	$35,077,449	$-4,393,799
2023	$31,386,068	$36,156,411	$33,195,557	$-4,770,343
2022	$35,339,672	$33,627,428	$32,953,220	$1,712,244
2021	$34,681,975	$32,305,093	$37,159,104	$2,376,882
2020	$28,732,614	$28,680,133	$33,030,372	$52,481
2019	$11,187,060	$10,759,025	$3,065,546	$428,035
2018	$11,031,896	$11,099,489	$3,140,093	$-67,593