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Visiting Nurses Association outlines recovery plan after 2025 losses, seeks continued county support
Summary
VNA leadership reported a $630,000 operational loss in 2025 but said strong bequests and restructuring have stabilized operations. VNA expanded clinical leadership and programs (hospice, vestibular therapy, on‑site trauma therapy) and emphasized charity care; commissioners expressed support.
Visiting Nurses Association leadership briefed the Douglas County Commission on April 8 about organizational restructuring, expanded programs and recent financial results, and requested continued partnership.
CEO Melinda Ward described senior leadership changes, new clinical oversight roles, an expanded hospice team and a new vestibular therapy program to curb falls. Board Chair David Thomas and Ward emphasized rural outreach and faster hospice transitions from Lawrence Memorial Hospital.
CFO Pamela Morgan reported a roughly $630,000 operational shortfall for 2025, offset in large part by a nearly $600,000 bequest and withdrawals from investment accounts that kept the agency solvent. Morgan said the VNA provides uncompensated charity care and does not turn away patients for lack of ability to pay: the agency recorded roughly $241,310 in home‑health charity care for 292 patients and 1,291 encounters in 2025.
Ward said VNA accepts Medicaid patients, has updated reimbursement and staffing models for private‑duty/home‑care programs, and is pursuing partnerships to improve medication management and reduce costs (a new pharmacy benefit manager). Commissioners praised the agency’s community role and encouraged continued collaboration on transitions of care and rural service delivery.
VNA will continue to pursue grants and philanthropy while executing operational initiatives intended to stabilize finances and grow census.
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