VNA HEALTH

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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

KAREN WALLACE

Phone

8059655555

Tax Period

2023-01-01 to 2023-12-31

VNA HEALTH, founded in 1908, is a mid-sized nonprofit in the Health Care sector that reported $28.6M in total revenue in fiscal year 2023. Revenue fell 27% from the prior year — a significant decline worth monitoring. Expenses of $32.5M exceeded revenue, resulting in a 14% operating deficit.

Mission

VNA HEALTH PROVIDES HOME HEALTH AND HOSPICE SERVICES TO PATIENTS IN SANTA BARBARA AND THE SURROUNDING AREA.

Program Service Accomplishments

Program 1

Expenses: $10,051,721 Revenue: $10,405,969

THE HOME HEALTH PROGRAM OFFERS CARE AT HOME. BEING AT HOME OFFERS THE GREATEST COMFORT, ESPECIALLY WHEN RECOVERING FROM AN INJURY OR SURGERY OR MANAGING AN ACUTE OR CHRONIC HEALTH CONDITION. IN...

THE HOME HEALTH PROGRAM OFFERS CARE AT HOME. BEING AT HOME OFFERS THE GREATEST COMFORT, ESPECIALLY WHEN RECOVERING FROM AN INJURY OR SURGERY OR MANAGING AN ACUTE OR CHRONIC HEALTH CONDITION. IN COLLABORATION WITH THE PATIENT'S PHYSICIAN, THE HOME HEALTH CARE PROGRAM COMBINES THE NEWEST ADVANCES IN TECHNOLOGY IN THE PROVISION OF HOME HEALTH SERVICES (SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, MEDICAL SOCIAL WORK, AND CERTIFIED HOME HEALTH AIDE SERVICES) AND TRADITIONAL COMPASSIONATE CARE TO ENHANCE A PATIENT'S HEALTH, INDEPENDENCE AND QUALITY OF LIFE.

Program 2

Expenses: $9,658,061 Revenue: $12,597,041

HOSPICE CARE IS WHEN CURATIVE TREATMENTS ARE NO LONGER BENEFICIAL, AND THE PATIENT'S LIFE EXPECTANCY IS ABOUT SIX MONTHS OR LESS, THEN HOSPICE CARE IS AN OPTION. THE FOCUS OF CARE SHIFTS FROM...

HOSPICE CARE IS WHEN CURATIVE TREATMENTS ARE NO LONGER BENEFICIAL, AND THE PATIENT'S LIFE EXPECTANCY IS ABOUT SIX MONTHS OR LESS, THEN HOSPICE CARE IS AN OPTION. THE FOCUS OF CARE SHIFTS FROM TREATING THE DISEASE TO CARING FOR THE PATIENT - MANAGING PAIN AND SYMPTOMS - TO PROVIDE COMFORT AND A QUALITY OF LIFE. VNA HEALTH PROVIDES PATIENT-CENTERED AND FAMILY-CENTERED CARE CUSTOMIZED TO THE PATIENT'S NEEDS, VALUES, AND CHOICES. VNA HEALTH ALSO PROVIDES A HOLISTIC APPROACH TO CARE FOR THE PATIENT'S PHYSICAL, MENTAL, EMOTIONAL AND SPIRITUAL WELL-BEING. VNA HEALTH BELIEVES THAT AT ANY AGE OR STAGE IN LIFE, EVERY PERSON LIVES WITH HEALTH AND DIGNITY.

Program 3

Expenses: $4,468,161 Revenue: $2,786,123

SERENITY HOUSE IS AN INPATIENT 18-BED HOSPICE FACILITY OWNED AND OPERATED BY VNA HEALTH, AND IT IS THE ONLY ONE OF ITS KIND IN SOUTHERN CALIFORNIA. WHEN HOSPICE CARE AT HOME BECOMES DIFFICULT OR...

SERENITY HOUSE IS AN INPATIENT 18-BED HOSPICE FACILITY OWNED AND OPERATED BY VNA HEALTH, AND IT IS THE ONLY ONE OF ITS KIND IN SOUTHERN CALIFORNIA. WHEN HOSPICE CARE AT HOME BECOMES DIFFICULT OR STRESSFUL, VNA HEALTH OFFERS SERENITY HOUSE AS AN ALTERNATIVE HOME AWAY FROM HOME. OUR SERENITY HOUSE TEAM INCLUDES BOARD CERTIFIED PHYSICIANS IN HOSPICE & PALLIATIVE MEDICINE, REGISTERED & LICENSED VOCATIONAL NURSES, CERTIFIED HOME HEALTH AIDES, MEDICAL SOCIAL WORKERS, BEREAVEMENT COUNSELORS, CHAPLAINS, A CHEF, AND HOSPICE-TRAINED VOLUNTEERS. PATIENTS ARE CARED FOR IN A TRANQUIL AND HOMELIKE SETTING. EACH PRIVATE ROOM ALLOWS PATIENTS TO BE SURROUNDED BY LOVED ONES THROUGHOUT THEIR TIME AT SERENITY HOUSE.

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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 (2023)

Revenue Breakdown

Contributions & Grants $1,986,507

Program Service Revenue $26,036,736

Investment Income $1,094

Other Revenue $592,143

TOTAL REVENUE $28,616,480

Expense Breakdown

Grants Paid $0

Salaries & Benefits $22,387,304

Fundraising Expenses $0

Program Expenses $24,703,881

Other Expenses $10,148,096

TOTAL EXPENSES $32,535,400

Year-over-Year Comparison

	2023	2022	Change
Revenue	$28,616,480	$39,137,993	-0.3%
Expenses	$32,535,400	$33,494,561	0.0%
Net Income	$-3,918,920	$5,643,432	-1.7%

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

282

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

$1,160,562

Total Directors

$433,626

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
KIERAN A SHAH	PRESIDENT & CEO	40.00	Officer Director	$395,202	$38,424	$433,626
CHRISTOPHER J THRASH	ETHICS COMMITTEE CHAIR	1.00	Director	$0	$0	$0
PAMELA DILMAN HASKELL	BOARD MEMBER	1.00	Director	$0	$0	$0
ALEX CRAIGIE	BOARD MEMBER	1.00	Director	$0	$0	$0
MARK MATTINGLY	BOARD MEMBER	1.00	Director	$0	$0	$0
KATHERINE SUZANNE SCHOMER	BOARD MEMBER	1.00	Director	$0	$0	$0
BEN PHILLIPS	CHAIR	1.00	Officer Director	$0	$0	$0
NEIL D LEVINSON	NOMINATING COMMITEE CHAIR	1.00	Director	$0	$0	$0
LAURA COCHRAN CANFIELD	BOARD MEMBER	1.00	Director	$0	$0	$0
FREDERIC CHARLES KASS	BOARD MEMBER	1.00	Director	$0	$0	$0
JANICE CARTER LARSON	BOARD MEMBER	1.00	Director	$0	$0	$0
EUSEBIO CORDOVA JR	FINANCE COMMITTE CHAIR	1.00	Director	$0	$0	$0
KENNETH LEE KRAUS	VICE-CHAIR	1.00	Officer Director	$0	$0	$0
KAREN HANDY	SECRETARY	1.00	Officer Director	$0	$0	$0
PAUL R JACONETTE	BOARD MEMBER	1.00	Director	$0	$0	$0
CHRISTIE GLANVILLE	BOARD MEMBER	1.00	Director	$0	$0	$0
MICHAEL C BORDOFSKY	HOSPICE MEDICAL DIRECTOR	1.00	Director	$0	$0	$0
KAREN WALLACE	CFO	40.00	Officer	$240,742	$19,216	$259,958
DUSTY KEEGAN	CHIEF COMPLIANCE & PRIVACY OFFICER	40.00	Officer	$235,067	$21,773	$256,840
JO ANN MACK	CHIEF OPERATING OFFICER	40.00	Officer	$192,268	$17,870	$210,138
PAMELA KAY TAYLOR	DIRECTOR OF HOME HEALTH	40.00	Highest	$174,177	$25,119	$199,296
MATTHEW BROWN	DIRECTOR OF INFORMATION SY	40.00	Highest	$183,622	$19,652	$203,274
SUSAN CAROL MORIARITY	DIRECTOR OF HUMAN RESOURCES	40.00	Highest	$170,479	$19,582	$190,061
CZARINA GALE E INIGUEZ	REGISTERED NURSE CASE MANAGER, HOSPICE	40.00	Highest	$156,536	$22,086	$178,622
WESLEY MARC SADUMIANO	DIRECTOR OF BUSSINESS DEVELOPMENT	40.00	Highest	$156,285	$12,542	$168,827

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	No data	No data	No data	No data
2023	$28,616,480	$32,535,400	$5,723,879	$-3,918,920
2022	$39,137,993	$33,494,561	$6,999,148	$5,643,432
2021	$32,912,331	$33,183,300	$6,645,023	$-270,969
2020	$33,302,851	$32,414,184	$6,325,731	$888,667