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Visiting Nurses Association details program rebuild after $630,000 operating shortfall
Summary
Visiting Nurses Association leadership told commissioners the agency lost about $630,000 operationally in 2025 but has deployed bequests and reserves while rebuilding clinical leadership, expanding services and strengthening partnerships; county support remains important for charity care and serving underinsured residents.
Leaders of the Visiting Nurses Association (VNA) of Douglas County briefed the Board of Commissioners on April 8 about organizational changes, program growth and a challenging financial year.
Key points: VNA CEO Melinda Ward and board chair David Thomas described leadership changes (new hospice medical director Dr. Mark Wilds; new hospice director Amanda Carpel), program expansions (on‑site trauma therapy, a 22‑week problematic sexual behavior CBT group for children, a vestibular therapy program for fall prevention) and increased outreach into rural parts of Douglas County. CFO Pamela Morgan said operationally the agency recorded roughly a $630,000 operational loss in 2025, partly offset by a bequest the organization received. The VNA has drawn on investment accounts to cover operations and reported it spent $241,310 on home‑health charity care in 2025, serving roughly 292 patients with 1,296 encounters.
Why it matters: VNA executives emphasized they do not turn away patients for inability to pay and that county support helps the agency accept Medicaid and underinsured patients and provide community clinics, grief support and hospice vigil volunteers. Commissioners praised the organization’s services and urged continued coordination with hospital partners for GIP (general inpatient) hospice placements and with local providers for home‑based and respite care.
Next steps: Commissioners thanked VNA leaders and noted the agency will continue to work with county staff during the budget cycle and with community partners to stabilize finances and expand home‑based care.
