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Passes our checks

Alliance Visiting Nurses

EIN 25-1764544 · Meadville, PA

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthGood81 out of 100GovernanceStrong90 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

Health care delivery & management: Provide community-based programs, services, and facilities to seniors, disabled and ill persons in their homes and communities. Collaborative care is provided by a team that includes nursing, therapy, personal care, home health aid, medical social work, and other related services. Services were provided regardless of race, ethnicity, creed, or ability to pay. For fiscal year ending 06/30/2025, a total of $6,795 in services was rendered as benevolent care.

Income
$12.4 million
Spending
$9.1 million
Spent on programs
78%
Reserves
4.6 months of spending
Largest source of income
fees for its services, 99%
Employees
125
Volunteers
14
Highest pay
$168,365, executive director

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Good: 81 out of 100. Higher than 74% of charities in its peer group (human services, $10m to $100m).

  • Reserves

    20 of 35

    Spendable reserves would cover 4.6 months of spending.

  • Debt

    16 of 20

    It owes 25% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 26% of income.

  • Income trend

    15 of 15

    Income rose 14% on the year before.

  • Spending floor

    15 of 15

    78% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 90 out of 100. Higher than 16% of charities in its peer group (human services, $10m to $100m).

  • Independent board

    25 of 25

    12 of 12 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    0 of 10

    Did not give the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (1)
  1. $7.2 million spent. VNA Alliance (VNAA) is an independent, voluntary, nonprofit home health agency licensed in Pennsylvania. All services are available without regard to race, religion, creed, color, age, ancestry, national origin, sex, sexual preference, lifestyle, socioeconomic status, veteran's status, or handicap. The agency strives to operate in a Christian manner in all interactions with consumers, staff, and the community. The provision of care to consumers recognizes and supports consumers' rights and the inherent worth and dignity of everyone. During the 2024-2025 fiscal year, VNAA expanded its impact by over 8%, completing over 75,000 home health care visits, averaging a daily census of over six hundred patients while expanding its geographical territory by over 2,000 square miles. For fiscal year ending 06/30/2025, a total of $6,795 in services was rendered as benevolent care. VNAA continues to deliver data driven, outcome oriented, post-acute care for Northwest Pennsylvania. In 2025, VNAA reached 5-STAR status, a distinction less than 6% of certified Medicare Home Health agencies achieve. VNAA stands alone as the only 5 STAR home health agency in the region and one of only nine in the Commonwealth of Pennsylvania. Our key to success could be summarized by16th century Christian missionary, St. Francis Xavier's celebrated words, "Be great in little things". By effectively impacting the fundamental components of community dwelling success, VNAA has succeeded in achieving a broader, patient centered experience with real world implications. The loss of self-care and mobility autonomy can place an individual at risk for a variety of adverse events. Small gaps in care plan compliance, disease mismanagement and inconsistent health care follow-up can cluster into larger complications. VNAA excels in addressing the "little things." The outcomes that seem insignificant but hold tremendous clinical relevance. In 94% of the publicly reported quality of patient indicators, such as optimizing medication management, fostering improved transfer, bathing safety, addressing fall risk and home safety, VNAA surpasses national averages by a substantial margin-often approaching the top decile for the given performance indicator. Achieving optimal patient health is a multifaceted task. In addition to succeeding within the quantitative domain of clinical outcomes, VNAA has made noteworthy progress within the qualitative domain of patient experience. During the past fiscal year, VNAA improved in four out of five HHCAHPS composites, with the greatest gains noted in care of patients and a definite willingness to recommend VNAA services to one's family or friends. As well as monitoring a variety of quantitative and qualitative benchmarks, VNAA keeps a close eye on claims-based metrics. Indicators such as hospitalization rates for potentially preventable conditions, emergent care utilization percentages and how frequently VNAA patients are successfully discharged to their community define a sizable portion of post-acute care success. During the past fiscal year, VNAA experienced modest improvements in its 60-day acute care hospitalization percentage. However, when stratifying for risk level, our greatest success was experienced within the highest risk population, which achieved a 10% decline in hospitalization outcome. VNAA has developed a multidisciplinary case management strategy that addresses high risk, high volume, problem prone conditions with thoughtful care plan mapping. Nevertheless, opportunities remain to create value within the "rising risk" population. Fostering prehab strategies that identify and address clinical concerns before they evolve into greater complications will be critical for ongoing success. One such initiative involved our community parter, Wesbury United Methodist Retirement Community. During the past year, over sixty residents of Wesbury's Assisted Living participated in a six-month joint venture with VNAA to address resident hypomobility and fall prevalence. Falls are among the most common and preventable causes of morbidity and mortality for older adults. The Wesbury facility residents were divided into four teams. Individual participants earned points for achieving ambulation distance targets, taking part in community outings, and participating in facility events. At the onset, and monthly thereafter, resident functionality was evaluated in the areas of dynamic balance, gait velocity, and muscle performance. Weekly point totals were tracked with individual and team leaders given public recognition. Over the course of the six-month program, close to 500,000 points were accumulated through walking, exercise, and activity engagement. Each of the top five individual program leaders and several of those who participated demonstrated objective improvements in dynamic balance, strength, and gait velocity-all pointing to the power of movement in maintaining one's quality of life throughout the aging process. In the coming decades, the number of mid-level octogenarians is expected to triple to close to twenty million. And within this growing population, a variety of impairments and functional limitations will be found creating significant debility and quality of life concerns. To compound the problem, this phenomenon is unfolding alongside a continuously shrinking caregiver population.1 One of the ways CMS measures home health success is by a patient's Discharge Function Score (DFS). The DFS is a composite metric of patient mobility and self-care items. "Success" is determined when the patient's actual DFS "meets or exceeds" their predicted score. Over the past year, VNAA has seen a 9.9% increase in DFS success, with close to 90% of all home health patient discharges meeting or exceeding their predicted functionality. The DFS provides an insightful snapshot of rehabilitation quality-a practical value based on patient centered relevance. Coupled to an optimal DFS is the claimed based metric, successful

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending June 2025.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since January 1996.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.

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