Mission, Vision & History


VNAA is the catalyst to ensure the advancement of home-based care as the preferred solution to high-value, high-quality care. 


VNAA is the leading voice for the nonprofit, home-based care industry. 


Founded in Denver, CO in 1983 and now based in Washington, DC, VNAA is a national industry association that supports, promotes and advocates for community-based, not-for-profit home-based care providers who care for all individuals regardless of the complexity of condition or ability to pay.

Although VNAA was established in 1983, the history of visiting nurses dates back to the 1880s in the Northeast United States, where free nursing care was provided to the sickest and poorest populations who otherwise would not have access to health care. The influx of immigrants to the Northeast spurred several VNAs to emerge and address the increased prevalence of illness and infectious diseases, such as polio and smallpox.  Lillian D. Wald pioneered this form of public health nursing. VNAA’s members still embody Wald’s founding principles by sharing the desire to provide cost-effective, compassionate home-based care to some of the nation’s most vulnerable individuals, especially the elderly and individuals with disabilities.