THE VISITING NURSE HEALTH SERVICES

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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

1986

Legal Domicile

Principal Officer

CAROLE PATRICK

Phone

4023425566

Tax Period

2024-01-01 to 2024-12-31

THE VISITING NURSE HEALTH SERVICES, founded in 1986, is a community nonprofit in the Health Care sector that reported $3.5M in total revenue in fiscal year 2024. Expenses of $5.1M exceeded revenue, resulting in a 45% operating deficit.

Mission

DELIVERING COMMUNITY-BASED CARE THAT PROVIDES PEACE OF MIND, QUALITY OF LIFE AND INDEPENDENCE.

Program Service Accomplishments

Program 1

Expenses: $2,570,478 Revenue: $796,610

FAMILY SUPPORT WHICH INCLUDES MULTIDISCIPLINARY (PUBLIC HEALTH NURSING, SOCIAL WORK, FAMILY SUPPORT) HOME VISITATION SERVICES TO VULNERABLE AND AT-RISK FAMILIES (FOCUSED ON PREGNANT TEENS, WOMEN WITH INFANTS AND YOUNG CHILDREN). CARE MAY BE PROVIDED IN HOMES, HOMELESS SHELTERS, OR WHEREVER THE FAMILY RESIDES.

Program 2

Expenses: $1,666,042 Revenue: $716,352

CONTRACT/PRIVATE PAY WHICH INCLUDES COMMUNITY-BASED SERVICES THAT SERVE A SPECIFIC POPULATION WITH A FOCUS ON PREVENTIVE HEALTH ACTIVITIES. INCLUDES SCHOOL HEALTH, ANNUAL COMMUNITY FLU CAMPAIGN, AND...

Program 3

Expenses: $801,256 Revenue: $298,254

HOME CARE WHICH INCLUDES BOTH SKILLED (NURSING, THERAPIES, SOCIAL WORK) AND NON-SKILLED SERVICES (HOME HEALTH AIDE AND HOMEMAKER) PROVIDED TO THE POOR, FRAIL, ELDERLY AND DISABLED WHO ARE NOT...

HOME CARE WHICH INCLUDES BOTH SKILLED (NURSING, THERAPIES, SOCIAL WORK) AND NON-SKILLED SERVICES (HOME HEALTH AIDE AND HOMEMAKER) PROVIDED TO THE POOR, FRAIL, ELDERLY AND DISABLED WHO ARE NOT ELIGIBLE FOR COVERED SERVICES (MEDICARE, ETC) BUT NEED ASSISTANCE WITH DAILY ACTIVITIES IN ORDER TO REGAIN HEALTH AND/OR STAY SAFE AND WELL IN THEIR HOMES.

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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 $1,688,223

Program Service Revenue $1,811,216

Investment Income $0

Other Revenue $0

TOTAL REVENUE $3,499,439

Expense Breakdown

Grants Paid $60,387

Salaries & Benefits $3,072,521

Fundraising Expenses $0

Program Expenses $5,037,776

Other Expenses $1,952,163

TOTAL EXPENSES $5,085,071

Year-over-Year Comparison

	2024	2023	Change
Revenue	$3,499,439	$3,384,755	+0.0%
Expenses	$5,085,071	$4,398,409	+0.2%
Net Income	$-1,585,632	$-1,013,654	+0.6%

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

102

Volunteers

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

$389,494

Total Directors

$198,397

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
CAROLE PATRICK	PRESIDENT & CEO	5.00	Officer Director	$0	$12,398	$198,397
ELIZABETH MURPHY	CHAIR	1.00	Officer Director	$0	$0	$0
JENNY JACOBSEN	VICE CHAIR	1.00	Officer Director	$0	$0	$0
JEANNE RICE	SECRETARY	1.00	Officer Director	$0	$0	$0
SEAN WINEKAUF	TREASURER	1.00	Officer Director	$0	$0	$0
CRAIG FLANAGAN	DIRECTOR	1.00	Director	$0	$0	$0
SUE NUSS	DIRECTOR	1.00	Director	$0	$0	$0
ROGER KOBAYASHI	DIRECTOR	1.00	Director	$0	$0	$0
WILLIAM FOLEY	DIRECTOR	1.00	Director	$0	$0	$0
MICAH BEACHY	DIRECTOR	1.00	Director	$0	$0	$0
JESSIE FECHNER	DIRECTOR	1.00	Director	$0	$0	$0
KATIE FOURNEY	DIRECTOR	1.00	Director	$0	$0	$0
JOHN HOICH	DIRECTOR	1.00	Director	$0	$0	$0
ERIC NORMAN	DIRECTOR	1.00	Director	$0	$0	$0
REBECCA TAMAYO	DIRECTOR	1.00	Director	$0	$0	$0
DAVID VANLANDINGHAM	VP FINANCE/CFO	5.00	Officer	$0	$13,777	$191,097
SANDRA SPICCIATI	VP HEALTH SERVICES	40.00	Highest	$116,404	$4,589	$120,993

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
2024	$3,499,439	$5,085,071	$1,081,447	$-1,585,632
2023	$3,384,755	$4,398,409	$1,321,855	$-1,013,654
2022	$4,808,873	$4,527,814	$1,978,413	$281,059
2021	$5,721,468	$5,022,834	$2,144,625	$698,634
2020	$4,002,569	$4,453,931	$1,093,996	$-451,362
2019	$4,750,813	$5,017,314	$1,704,090	$-266,501
2018	$5,081,731	$5,272,411	$1,410,991	$-190,680