Visiting Nurse Services of Iowa
Also known as Everystep
Visiting Nurse Services of Iowa reported $30.4 million in revenue and $32.8 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $77.57 went to program services, $20.04 to management and general costs and $2.39 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 67.3% of the total. Government grants made up 24.7%. The highest compensation it reported for one person was $394,172 (PRESIDENT & CEO). 8 people received more than $100,000 in reportable compensation. Revenue rose 6% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $33MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $30MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 77.6% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 20.0% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 2.4% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.09 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 30.1% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 24.7% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 67.3% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $394,172 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.20% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 8 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 8.5 | 6.6 |
| Independent voting board members Part VI 1a–1b | 18 of 18 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseEverystep is dedicated to empowering individuals, supporting families, and strengthening communities through the promotion of health and health-related services, including a number of community health programs focused on the wellbeing of children, mothers, seniors and individuals and families of all types, from birth to the end of life. Hospice of central iowa foundation, dba everystep foundation, provides support for the programs of everystep
Adult health services: the promotion of health and health-related services, including palliative care, end of life care services, nurse case management services, and home visiting for adults with chronic and acute health issues; a volunteer program providing companionship and assistance with transportation for adults; and providing home health aide assistance. The provision of these services under everystep and everystep foundation are able to combine expertise and resources to operate efficiently, allowing them the ability to offer a stronger continuum of care, from birth to end of life.…
Family health services: family health services include intensive case management of families at risk for poor outcomes. Services include working with pregnant teens to achieve healthy birth outcomes; nurse family partnership with first-time low-income pregnant and parenting women; home visiting to assess health and human service's needs; providing parent education; making appropriate community referrals for services; completing developmental screenings and providing appropriate follow-up; assisting with a reading program for incarcerated parents; providing and assisting families in completing…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PRESIDENT & CEO Officer, 40.00 hrs/week | $368,845 | $0 | $25,327 | $394,172 |
| CHIEF MEDICAL OFFICER Key employee, 40.00 hrs/week | $343,707 | $0 | $18,536 | $362,243 |
| CFO (THROUGH 12/24) Officer, 40.00 hrs/week | $177,963 | $0 | $16,725 | $194,688 |
| VP OF CLINICAL SERVICES (THRU 1/25) Highest compensated employee, 40.00 hrs/week | $127,308 | $0 | $36,572 | $163,880 |
| EXECUTIVE DIRECTOR OF FOUN Highest compensated employee, 0.00 hrs/week | $137,139 | $0 | $16,357 | $153,496 |
| FINANCE & ACCOUNTING DIREC Highest compensated employee, 40.00 hrs/week | $122,408 | $0 | $4,769 | $127,177 |
| ASST. VP OF CLINICAL SERVICES Highest compensated employee, 40.00 hrs/week | $116,061 | $0 | $4,400 | $120,461 |
| RN Highest compensated employee, 40.00 hrs/week | $114,266 | $0 | $2,366 | $116,632 |
8 people received more than $100,000 in reportable compensation from Visiting Nurse Services of Iowa (Part VII, line 2). Compensation of current officers, directors and key employees totaled $912K (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b18 · 18 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5441
- Volunteers Part I, line 6956
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| REHABVISIONS Contracted therapy services | $816,974 |
| QUALIS MANAGEMENT LLC Dme management software | $528,084 |
| DBL EAGLE THERAPY SERVICES LLC Contracted therapy services | $168,218 |
| QCI Informational technology services | $161,566 |
Individuals listed as contractors are left out. 7 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Visiting Nurse Services of Iowa's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Visiting Nurse Services of Iowa, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Visiting Nurse Services of Iowa spent in FY2025, $77.57 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Primary CARE Providers for a Healthy FelicianaClinton, LA · revenue $30M · programs 90.6% · FY2025
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- Caring Heart Rehabilitation and Nursing CenterPhiladelphia, PA · revenue $30M · programs 88.7% · FY2025
- California Institute for Behavioral Health SolutionsSacramento, CA · revenue $30M · programs 89.7% · FY2025
Questions people ask
How much of Visiting Nurse Services of Iowa's spending goes to programs?
In the fiscal year ending June 30, 2025, Visiting Nurse Services of Iowa reported that 77.6% of its $32.8 million in expenses went to program services, 20.0% to management and general and 2.4% to fundraising (Form 990, Part IX).
How much does Visiting Nurse Services of Iowa pay its top executive?
The largest total compensation Visiting Nurse Services of Iowa reported for one person in the fiscal year ending June 30, 2025 was $394,172, for the role of PRESIDENT & CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Visiting Nurse Services of Iowa get its money?
Of $30.4 million in revenue in the fiscal year ending June 30, 2025, 30.1% came from contributions and grants (including 24.7% from government grants) and 67.3% from program service revenue (Form 990, Part VIII).
Is Visiting Nurse Services of Iowa a registered charity?
The IRS lists EIN 42-0680446 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202630439349300713 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202521229349301522 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202420679349301322 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202310129349302456 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202230109349300223 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202033529349300833 · read the filing
All filings for EIN 42-0680446: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.