TY 2010 Form 990

- TIN:

Form990

Department of the Treasury
Internal Revenue Service

Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

The organization may have to use a copy of this return to satisfy state reporting requirements.

OMB No. 1545-0047

2010

Open to Public Inspection

A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011

BCheck if applicable: Address change Name change Initial return Terminated Amended return Application pending

CName of organization
HOME NURSING AGENCY AFFILIATES

Doing Business As

Number and street (or P.O. box if mail is not delivered to street address)
201 CHESTNUT AVENUE PO BOX 352

Room/suite

City or town, state or country, and ZIP + 4
ALTOONA, PA166030352

D Employer identification number

25-1518698

E Telephone number

G Gross receipts $ 3,903,940

F Name and address of principal officer:
ROBERT PACKER
20 SHERATON DRIVE
ALTOONA,PA16601

Tax-exempt status: 501(c)(3) 501(c) ( ) LeftBullet

(insert no.) 4947(a)(1) or 527

Website:

WWW.HOMENURSINGAGENCY.COM

H(a)

Is this a group return for
affiliates? Yes No

H(b)

Are all affiliates included?

Yes No

If "No," attach a list. (see instructions)

H(c)

Group exemption number MediumBullet

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation: 1986

M State of legal domicile: PA

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: PART I, LINE 1 AND PART III, LINE 1 AS PROVIDED IN ITS ARTICLES, THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED(OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW)(THE "CODE"), AND, IN FURTHERANCE THEREOF, OPERATING EXCLUSIVELY FOR THE BENEFIT OF AND TO SUPPORT HOME NURSING AGENCY VISITING NURSE ASSOCIATION AND HOME NURSING AGENCY COMMUNITY SERVICES, EACH OF WHICH IS A PENNSYLVANIA NONPROFIT CORPORATION, PROVIDED THAT EACH SUCH CORPORATION IS AN ORGANIZATION DESCRIBED IN SECTION 509(A)(1) OR 509(A)(2) OF THE CODE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	12
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	3
6	Total number of volunteers (estimate if necessary) ....	6
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........		0
9	Program service revenue (Part VIII, line 2g) .........	3,344,209	3,575,310
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	64,039	-2,025
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,242	7,392
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	3,410,490	3,580,677
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	2,636,692	895,177
16a	Professional fundraising fees (Part IX, column (A), line 11e)....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	2,430,852	2,763,529
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	5,067,544	3,658,706
19	Revenue less expenses. Subtract line 18 from line 12......	-1,657,054	-78,029
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	6,834,207	7,388,341
21	Total liabilities (Part X, line 26)............	3,893,947	4,478,965
22	Net assets or fund balances. Subtract line 21 from line 20 .....	2,940,260	2,909,376

Part II

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ......... Yes No

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y

Form 990 (2010)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .

Briefly describe the organization’s mission: PART I, LINE 1 AND PART III, LINE 1 AS PROVIDED IN ITS ARTICLES, THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED(OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW)(THE "CODE"), AND, IN FURTHERANCE THEREOF, OPERATING EXCLUSIVELY FOR THE BENEFIT OF AND TO SUPPORT HOME NURSING AGENCY VISITING NURSE ASSOCIATION AND HOME NURSING AGENCY COMMUNITY SERVICES, EACH OF WHICH IS A PENNSYLVANIA NONPROFIT CORPORATION, PROVIDED THAT EACH SUCH CORPORATION IS AN ORGANIZATION DESCRIBED IN SECTION 509(A)(1) OR 509(A)(2) OF THE CODE.

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .................... Yes No

If “Yes,” describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program services? .......................... Yes No

If “Yes,” describe these changes on Schedule O.

Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.


4a	(Code: ) (Expenses $ 2,187,181 including grants of $ ) (Revenue $ 2,103,785 )
	PROVIDES FACILITIES MANAGEMENT AND FACILITIES ACCOUNTING FOR OWNED AND RENTED BUILDINGS OCCUPIED BY HOME NURSING AGENCY VISITING NURSE ASSOCIATION, HOME NURSING AGENCY FOUNDATION, AND HOME NURSING AGENCY COMMUNITY SERVICES OPERATIONS.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	THE EXPENSES OF THE HNA AFFILIATES LEADERSHIP AND STRATEGIC ASSISTANCE ARE INCLUDED IN PART IX - STATEMENT OF FUNCTIONAL EXPENSES, COLUMN C - MANAGEMENT AND GENERAL EXPENSES. SEE SCHEDULE O SUPPORTING SERVICES AS WELL AS PROVIDING LEADERSHIP AND STRATEGIC ASSISTANCE TO HOME NURSING AGENCY & VISITING NURSE ASSOCIATION, HOME NURSING AGENCY COMMUNITY SERVICES, AND HOME NURSING AGENCY FOUNDATION. CREATING EFFICIENCY & EXCELLENCE IN SERVICES, CLINICAL OUTCOMES REALIGNING HOME NURSING AGENCY'S SERVICE DELIVERY MODEL AND STRENGTHENING ITS ABILITY TO ACHIEVE CLINICAL OUTCOMES THAT EXCEED NORMS REQUIRES ONGOING DEDICATION AND ATTENTION TO DETAIL DUE TO THE NEW AND EVOLVING PROCESSES OF HEALTHCARE REFORM. TO BE CONSIDERED AS A VALUED PARTNER IN AN EVER-CHANGING LANDSCAPE AND TO REMAIN AS THE PROVIDER OF CHOICE TO REFERRALS/PATIENTS, HOME NURSING AGENCY AFFILIATES UNDERSTAND AND ENDORSE THE AGENCY'S COMMITMENT TO PROVIDE THE LOWEST UNIT COST AND THE HIGHEST QUALITY OF CARE, BOTH IN POST-ACUTE CARE AND BEHAVIORAL HEALTH SERVICES. THE AFFILIATES ARE COMMITTED TO THE AGENCY'S CORE PRINCIPLES OF CUSTOMER SATISFACTION, EMPLOYEE SATISFACTION, QUALITY, LEADERSHIP AND PROFITABLE GROWTH AND ARE PREPARED TO CONFRONT THE COMPLEXITIES OF HEALTHCARE REFORM AND REGULATORY CONSTRAINTS IMPACTING MANY OF OUR PROGRAMS AND SERVICES. WE'RE CONTINUING TO PROVIDE THE PEOPLE WE SERVE WITH REMARKABLE CARE THAT IS OUR TRADEMARK, BEGINNING IN 1968. OUR SUCCESS IN THESE ENDEAVORS IS EVIDENCED IN THE INCREASED RATING OF OUR CUSTOMERS' "LIKELIHOOD OF RECOMMENDING" THE AGENCY TO FAMILY AND FRIENDS. EXCEEDING OUR BENCHMARK GOAL IS A RESULT OF EMPLOYEES' EXTRAORDINARY EFFORTS FROM ALL HOME NURSING AGENCY'S SERVICES AND PROGRAMS. THROUGH THE AFFILIATES' LEADERSHIP, THE AGENCY HAS GARNERED THE FOLLOWING RECOGNITION OVER THE PAST YEAR: SELECTED AS 'AGENCY OF THE MONTH' BY THE HOME HEALTH QUALITY IMPROVEMENT (HHQI) NATIONAL CAMPAIGN, AN EFFORT SPEARHEADED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES. HHQI IS A NATIONAL INITIATIVE ACROSS THE HOME HEALTH CARE SETTING TO REDUCE BOTH AVOIDABLE HOSPITALIZATIONS AND IMPROVE THE MANAGEMENT OF ORAL MEDICATIONS. ACCREDITED AND CERTIFIED HOME HEALTH AND HOSPICE PROGRAMS FROM CHAP (COMMUNITY HEALTH ACCREDITATION PROGRAM) MEMBER OF 2011 HOMECARE ELITE 2011; SIXTH CONSECUTIVE YEAR 100% COMPLIANCE FROM PA DEPARTMENT OF HEALTH 2011; HOSPICE, PRIVATE DUTY SERVICES, TARTAGLIO PERSONAL CARE HOME, ADULT PARTIAL HOSPITALIZATION AND CENTER FOR COUNSELING MEMBER OF UNITED WAY OF LAUREL HIGHLANDS; BEDFORD, BLAIR, HUNTINGDON 99% OF OUR HOME HEALTH CUSTOMERS WOULD RECOMMEND HOME NURSING AGENCY TO OTHERS 99% OF OUR HOSPICE CUSTOMERS WOULD RECOMMEND HOME NURSING AGENCY TO OTHERS

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 2,187,181

Form 990 (2010)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A Click to see attachment

.....................

Yes

Is the organization required to complete Schedule B, Schedule of Contributors? ........

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........

Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................

Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I Click to see attachment

.......................

Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part II Click to see attachment

...

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment

....................

Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV Click to see attachment

...................

Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part V Click to see attachment

If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:

Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI. Click to see attachment

11a

Yes

Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII. Click to see attachment

11b

Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII. Click to see attachment

11c

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX. Click to see attachment

11d

Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X. Click to see attachment

11e

Yes

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X. Click to see attachment

11f

12a

Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment

12a

Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment

12b

Yes

Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E

14a

Did the organization maintain an office, employees, or agents outside of the United States?....

14a

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........

14b

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..

Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................

Form 990 (2010)

Page 4

Part IV

Checklist of Required Schedules (continued)

20a

Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....

20a

Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....

20b

Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..

Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....

Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment

Yes

24a

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................

24a

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................

24c

Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...

24d

25a

Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment

25a

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment

25b

Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment

Yes

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment

Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment

28a

Yes

A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment

28b

An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment

28c

Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............

Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment

Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment

Yes

Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....

Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment

YesNo

Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment

Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI Click to see attachment

Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Form 990 (2010)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance

Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .

Yes

Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Yes

Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?.............................

If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................

If "Yes," enter the name of the foreign country: MediumBullet

See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........

If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................

Organizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................

If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................

If “Yes,” indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............

Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................

Sponsoring organizations maintaining donor advised funds.

Did the organization make any taxable distributions under section 4966?.........

Did the organization make a distribution to a donor, donor advisor, or related person?......

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........

11b

12a

Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

12a

If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.

13a

Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.

13b

Enter the aggregate amount of reserves on hand.

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..

14b

Form 990 (2010)

Page 6

Part VI

Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .

Section A. Governing Body and Management

Yes

Enter the number of voting members of the governing body at the end of the tax year ..............

Enter the number of voting members included in line 1a, above, who are independent .................

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................

Yes

Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Does the organization have members or stockholders? ................

Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................

Yes

Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..

Yes

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .........................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....

Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)

Yes

10a

Does the organization have local chapters, branches, or affiliates? ............

10a

If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....

10b

11a

Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?

11a

Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....

12a

Does the organization have a written conflict of interest policy? If “No,” go to line 13.......

12a

Yes

Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................

12b

Yes

Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................

12c

Yes

Does the organization have a written whistleblower policy? ...............

Yes

Does the organization have a written document retention and destruction policy? .........

Yes

Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization’s CEO, Executive Director, or top management official ...........

15a

Yes

Other officers or key employees of the organization ................

15b

Yes

If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)

16a

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................

16a

Yes

If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............

16b

Section C. Disclosure

List the States with which a copy of this Form 990 is required to be filed MediumBullet

Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.

Own website Another's website Upon request

Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.

State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet

GREGG LAVERICK
20 SHERATON DRIVE
ALTOONA,PA16601
(814) 946-5411

Form 990 (2010)

Page 7

Part VII

Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet

List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization’s current key employees, if any. See instructions for definition of "key employee."

List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.

Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) ROBERT R PACKER SEE PART II	60.00	X	X		326,887	0	79,497
(2) BRUCE ERB CHAIRMAN	1.00	X	X		0	0	0
(3) JOHN BEYER DIRECTOR	1.00	X			0	0	0
(4) JOHN J WOLF DIRECTOR	1.00	X			0	0	0
(5) DONALD DEVORRIS DIRECTOR	1.00	X			0	0	0
(6) FREDERICK CIOCCA DIRECTOR	1.00	X			0	0	0
(7) MORLEY COHN DIRECTOR	1.00	X			0	0	0
(8) DONALD DETWILER DIRECTOR	1.00	X			0	0	0
(9) ALLAN HANCOCK DIRECTOR	1.00	X			0	0	0
(10) ROBERT SCHOLL DIRECTOR	1.00	X			0	0	0
(11) TIMOTHY SISSLER VICE CHAIRMA	1.00	X	X		0	0	0
(12) BARRY HALBRITTER DIRECTOR	1.00	X			0	0	0
(13) BERNARD CREPPAGE TREASURER	1.00	X	X		0	0	0
(14) JAMES DRENNING SECRETARY	1.00	X	X		0	0	0
(15) REBECCA A WILLNECKER SR VP ADMIN	50.00			X	195,892	0	4,906
(16) GREGG A LAVERICK SVP/CFO	50.00			X	169,780	0	0

Form 990 (2010)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)						(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	800,394	3,345

Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organization MediumBullet

Yes

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................

Yes

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.

(A) Name and business address	(B) Description of services	(C) Compensation
VENTURA CONSTRUCTION SERVICES 2203 OLD RT 220 N SUITE 150 DUNCANSVILLE,PA16635	CONTRACTOR	513,662
DONALD DELOZIER INC 25 CLARAVISTA DRIVE HOLLIDAYSBURG,PA16648	CONTRACTOR	333,982
JM YOUNG AND SONS INC PO BOX 808 BELLEVILLE,PA17004	CONTRACTOR	242,228
CLEAN SERVICE AND SUPPLY 811 SCOTCH VALLEY ROAD HOLLIDAYSBURG,PA16648	OFFICE CLEANING	159,968
MOREFIELD COMMUNICATIONS 35 N 35TH STREET CAMP HILL,PA17011	COMMUNICATION	102,404
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 5

Form 990 (2010)

Page 9

Part VIII

Statement of Revenue

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......
			Business Code
2a	RENTAL INCOME			2,103,785	2,103,785
b	MANAGEMENT SERVICES			1,471,525	1,471,525
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			3,575,310
3	Investment income (including dividends, interest
	and other similar amounts).....			2,138			2,138
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	319,100
b	Less: cost or other basis and sales expenses	323,263
c	Gain or (loss)	-4,163
d	Net gain or (loss)..........			-4,163			-4,163
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	MISCELLANEOUS			4,716	4,716
b	MISCELLANEOUS			2,676			2,676
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			7,392
12	Total revenue. See Instructions....			3,580,677	3,580,026		651

Form 990 (2010)

Page 10

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	734,378		734,378
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	38,431		38,431
9	Other employee benefits .......	82,014		82,014
10	Payroll taxes ...........	40,354		40,354
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	45,045		45,045
c	Accounting ...........	3,104		3,104
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	12,822		12,822
12	Advertising and promotion ....
13	Office expenses .......	194,911	60,983	133,928
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	1,736,081	1,704,875	31,206
17	Travel ............	11,611		11,611
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	1,324		1,324
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	473,429	421,211	52,218
23	Insurance ..............	233,741		233,741
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	MISCELLANEOUS	27,381	112	27,269
b	PENSION OBLIGATION	24,080		24,080
c
d
e
f	All other expenses
25	Total functional expenses. Add lines 1 through 24f	3,658,706	2,187,181	1,471,525	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Form 990 (2010)

Page 11


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			28,185	1	19,380
2	Savings and temporary cash investments .......			334,756	2	118,441
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			333,539	4	49,756
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			342,127	5	291,361
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			51,263	7	52,478
8	Inventories for sale or use ..............				8
9	Prepaid expenses and deferred charges ............			561,315	9	554,062
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	8,870,226
b	Less: accumulated depreciation. .....	10b	3,635,249	4,233,603	10c	5,234,977
11	Investments—publicly traded securities ..........			781,227	11	908,448
12	Investments—other securities. See Part IV, line 11 ......			168,192	12	159,438
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........				15
16	Total assets. Add lines 1 through 15 (must equal line 34)...			6,834,207	16	7,388,341
17	Accounts payable and accrued expenses .			1,950,618	17	1,187,750
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			400,000	23	400,000
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			1,543,329	25	2,891,215
26	Total liabilities. Add lines 17 through 25.....			3,893,947	26	4,478,965
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			2,687,494	27	2,688,272
28	Temporarily restricted net assets .....			252,766	28	221,104
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			2,940,260	33	2,909,376
34	Total liabilities and net assets/fund balances .....			6,834,207	34	7,388,341

Form 990 (2010)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .

Total revenue (must equal Part VIII, column (A), line 12) . . .

3,580,677

Total expenses (must equal Part IX, column (A), line 25) . . . . .

3,658,706

Revenue less expenses. Subtract line 2 from line 1 . . . .

-78,029

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .

2,940,260

Other changes in net assets or fund balances (explain in Schedule O) . . . .

47,145

Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .

2,909,376

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?..

Were the organization’s financial statements audited by an independent accountant?........

Yes

If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................

Yes

If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separated basis

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................

Yes

If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..

Yes

Form 990 (2010)

Additional Data

Software ID:
Software Version:

Form 990, Special Condition Description:

Special Condition Description

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

HOME NURSING AGENCY AFFILIATES

Employer identification number

25-1518698

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN		Yes	No	Yes	No	Yes	No	(vii) Amount of support?
(1) HOME NURSING AGENCY AND VISITING NURSE ASSOCIATION	251188570	9	Yes		Yes		Yes		1,238,018

Total									2,088,546

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HOME NURSING AGENCY AFFILIATES

Employer identification number

25-1518698

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	640,711		640,711
b	Buildings ................	6,233,042	2,894,375	3,338,667
c	Leasehold improvements ............	1,378,173	431,071	947,102
d	Equipment ................	618,300	309,803	308,497
e	Other .................
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				5,234,977

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)		159,438

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
DUE TO HNA VNA		1,534,162
LIABILITIES-WORKER COMP TRUST		908,448
ANNUITY LIABILITY		264,960
PENSION LIABILITY		183,645
RESERVES




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		2,891,215
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	3,580,677
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	3,658,706
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	-78,029
4	Net unrealized gains (losses) on investments ..........................	4	267
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	46,878
9	Total adjustments (net). Add lines 4 - 8 .............................	9	47,145
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	-30,884

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1	3,580,677
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3	3,580,677
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5	3,580,677

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1	3,658,706
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3	3,658,706
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5	3,658,706

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	PENSION ACCUM OCI 46,878
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	PENSION ACCUM OCI 46,878

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HOME NURSING AGENCY AFFILIATES

Employer identification number

25-1518698

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

Yes

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) ROBERT R PACKER	(i) (ii)	249,376	60,879	16,632	76,152	3,345	406,384	2,066,550
(2) REBECCA A WILLNECKER	(i) (ii)	164,992	23,843	7,057	4,906		200,798	180,088
(3) GREGG A LAVERICK	(i) (ii)	143,955	20,873	4,952			169,780	153,242

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	THE ORGANIZATION HAS A LIFE COMPENSATION PLAN, WHICH IS A NON-QUALIFIED KEY EXECUTIVE PENSION SUPPLEMENT TO EXISTING GROUP PENSION PLANS AND/OR 401(K) PLANS. THE AMOUNTS LISTED IN PART II, COLUMN C REPRESENT PAYMENTS FROM THIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. INCLUDED IN PART II, COLUMN B(III), ARE THE TAX GROSS-UP PAYMENTS RELATIVE TO THIS NON-QUALIFIED RETIREMENT PLAN: MR. PACKER - 9,378, MRS. WILLNECKER - 6,676, AND MR. LAVERICK - 4,862.
COMPENSATION CONTINGENT UPON NET EARNINGS OF RELATED ORG	SCHEDULE J, PAGE 1, PART I, LINE 6B	INCENTIVE PAY FOR CEO, OFFICERS, AND KEY EMPLOYEES IS BASED ON A FORMULA ON OPERATING EXCESS OF HNA VISITING NURSE ASSOCIATION AND HNA COMMUNITY SERVICES. AN INCENTIVE WILL BE PAID WHEN THE COMBINED COMPANIES EXCEED 4% RETURN ON REVENUE, FOR CEO, THE MINIMUM PAYOUT FOR MEETING THE RETURN ON REVENUE IS 10% OF BASE PAY, WITH A MAXIMUM OF 30% OF BASE PAY. OTHER KEY EXECUTIVES RANGES ARE PRORATED, WITH THE MINIMUM BEING 4% TO MAXIMUM OF 18% OF BASE PAY. INCENTIVE COMPENSATION IS REVIEWED AND APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS.
OTHER ADDITIONAL INFORMATION	SCHEDULE J, PART III	PART II - ROBERT PACKER - COMPENSATION REPORTED IN PRIOR FORM 990 A SUPPLEMENTAL LIFE COMPENSATION PROGRAM WAS PUT IN PLACE IN 1997 TO PROVIDE FOR AND SUPPLEMENT TO A 60% RETIREMENT REPLACEMENT RATIO AT AGE 60 FOR THE PRESIDENT/CEO. THIS REPLACEMENT RATIO INCLUDES LIFE COMPENSATION, THE AGENCY DEFINED BENEFIT PLAN AND SOCIAL SECURITY. RETIREMENT REPLACEMENT RATIO PRIOR TO LIFE COMPENSATION WAS LESS THAN 30% FOR THE CEO POSITION AT THE TIME THE AGENCY PLAN WAS REVIEWED FOR FUTURE PREMIUM PAYMENTS, THE AGENCY WAS INFORMED MR. PACKER'S LIFE COMP PLAN WAS NOT FUNDED BY ADEQUATE ANNUAL PREMIUMS FOR THE LAST TEN YEARS. APPROPRIATE ADJUSTMENTS TO THE FORMULA WERE NOT MADE AT THE TIME OF MR. PACKER'S PROMOTION TO PRESIDENT/CEO IN 1998 TO REVISE HIS REPLACEMENT RATIO FROM AGE 62 (WHICH WAS IN PLACE WHEN HE WAS CFO) TO AGE 60 AS THE NEW PRESIDENT/CEO. IN ADDITION, ANNUAL SALARY ADJUSTMENTS WERE NOT ACCOUNTED FOR WHEN CALCULATING ANNUAL PREMIUMS FOR THE LAST TEN YEARS UP TO AND INCLUDING 2009. AN EXTENSIVE STUDY WAS CONDUCTED IN JUNE 2009 BY AN EXTERNAL CONSULTANT AND THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS TO LOOK AT ALL OPTIONS TO MEET THE OBLIGATIONS TO FULFILL THE ORIGINAL INTENT OF THIS RETIREMENT PROGRAM FOR MR. PACKER TO AGE 60. THERE WERE ONLY TWO OPTIONS THAT COULD BE PUT IN PLACE TO MEET THE REQUIRED OBLIGATION FOR FUNDING THIS PROGRAM OVER A 5 YEAR PERIOD OF TIME TO AGE 60. A PLAN WAS APPROVED ON 7/27/09 TO PROVIDE THE REQUIRED FUNDING FOR THE BENEFIT AND FULFILL THE AGREEMENT SET FORTH IN 1998 TO PROVIDE APPROPRIATE RETIREMENT REPLACEMENT RATIO AND MAKE THE PROGRAM WHOLE BY 2013. A ONE-TIME REIMBURSEMENT OF 1,682,211 WAS MADE TO MR. PACKER FOR ANNUAL INSTALLMENTS TO HIS LIFE COMP. PROGRAM FOR THE NEXT FOUR YEARS TO 2013, AT WHICH TIME THE FULL OBLIGATION TO THE RETIREMENT SUPPLEMENT WILL BE MADE WHOLE. THE EQUITY THAT HNA AFFILIATES OWNS ON MR. PACKER'S COMP. LIFE SALARY AS OF JUNE 30, 2011, IS 228,475, SHOWN IN THE FORM 990 ON SCHEDULE L, PART II.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HOME NURSING AGENCY AFFILIATES

Employer identification number

25-1518698

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No
(1) ROBERT PACKER COMP LIFE INSURANCE PREMIUMS		X		228,475		No	Yes		Yes
(2) GREGG LAVERICK COMP LIFE INSURANCE PREMIUMS		X		58,980		No	Yes		Yes
(3) REBECCA WILLNECKER COMP LIFE INSURANCE PREMIUMS		X		3,906		No	Yes		Yes



Total ............... $				291,361

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) DONALD DEVORRIS	DIRECTOR	633,449	RENT AND COMPUTER		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
ADDITIONAL INFORMATION	SCHEDULE L PART V	IIA THE ORGANIZATION HAS A LIFE COMPENSATION PLAN WHICH IS A NONQUALIFIED KEY EXECUTIVE PENSION SUPPLEMENT TO EXISTING GROUP PENSION PLANS ANDOR 401K PLANS

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

HOME NURSING AGENCY AFFILIATES

Employer identification number

25-1518698

Identifier	Return Reference	Explanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	PART I, LINE 1 AND PART III, LINE 1 AS PROVIDED IN ITS ARTICLES, THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED(OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW)(THE "CODE"), AND, IN FURTHERANCE THEREOF, OPERATING EXCLUSIVELY FOR THE BENEFIT OF AND TO SUPPORT HOME NURSING AGENCY VISITING NURSE ASSOCIATION AND HOME NURSING AGENCY COMMUNITY SERVICES, EACH OF WHICH IS A PENNSYLVANIA NONPROFIT CORPORATION, PROVIDED THAT EACH SUCH CORPORATION IS AN ORGANIZATION DESCRIBED IN SECTION 509(A)(1) OR 509(A)(2) OF THE CODE.
SECOND ACHIEVEMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4B	SUPPORTING SERVICES AS WELL AS PROVIDING LEADERSHIP AND STRATEGIC ASSISTANCE TO HOME NURSING AGENCY & VISITING NURSE ASSOCIATION, HOME NURSING AGENCY COMMUNITY SERVICES, AND HOME NURSING AGENCY FOUNDATION. CREATING EFFICIENCY & EXCELLENCE IN SERVICES, CLINICAL OUTCOMES REALIGNING HOME NURSING AGENCY'S SERVICE DELIVERY MODEL AND STRENGTHENING ITS ABILITY TO ACHIEVE CLINICAL OUTCOMES THAT EXCEED NORMS REQUIRES ONGOING DEDICATION AND ATTENTION TO DETAIL DUE TO THE NEW AND EVOLVING PROCESSES OF HEALTHCARE REFORM. TO BE CONSIDERED AS A VALUED PARTNER IN AN EVER-CHANGING LANDSCAPE AND TO REMAIN AS THE PROVIDER OF CHOICE TO REFERRALS/PATIENTS, HOME NURSING AGENCY AFFILIATES UNDERSTAND AND ENDORSE THE AGENCY'S COMMITMENT TO PROVIDE THE LOWEST UNIT COST AND THE HIGHEST QUALITY OF CARE, BOTH IN POST-ACUTE CARE AND BEHAVIORAL HEALTH SERVICES. THE AFFILIATES ARE COMMITTED TO THE AGENCY'S CORE PRINCIPLES OF CUSTOMER SATISFACTION, EMPLOYEE SATISFACTION, QUALITY, LEADERSHIP AND PROFITABLE GROWTH AND ARE PREPARED TO CONFRONT THE COMPLEXITIES OF HEALTHCARE REFORM AND REGULATORY CONSTRAINTS IMPACTING MANY OF OUR PROGRAMS AND SERVICES. WE'RE CONTINUING TO PROVIDE THE PEOPLE WE SERVE WITH REMARKABLE CARE THAT IS OUR TRADEMARK, BEGINNING IN 1968. OUR SUCCESS IN THESE ENDEAVORS IS EVIDENCED IN THE INCREASED RATING OF OUR CUSTOMERS' "LIKELIHOOD OF RECOMMENDING" THE AGENCY TO FAMILY AND FRIENDS. EXCEEDING OUR BENCHMARK GOAL IS A RESULT OF EMPLOYEES' EXTRAORDINARY EFFORTS FROM ALL HOME NURSING AGENCY'S SERVICES AND PROGRAMS. THROUGH THE AFFILIATES' LEADERSHIP, THE AGENCY HAS GARNERED THE FOLLOWING RECOGNITION OVER THE PAST YEAR: SELECTED AS 'AGENCY OF THE MONTH' BY THE HOME HEALTH QUALITY IMPROVEMENT (HHQI) NATIONAL CAMPAIGN, AN EFFORT SPEARHEADED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES. HHQI IS A NATIONAL INITIATIVE ACROSS THE HOME HEALTH CARE SETTING TO REDUCE BOTH AVOIDABLE HOSPITALIZATIONS AND IMPROVE THE MANAGEMENT OF ORAL MEDICATIONS. ACCREDITED AND CERTIFIED HOME HEALTH AND HOSPICE PROGRAMS FROM CHAP (COMMUNITY HEALTH ACCREDITATION PROGRAM) MEMBER OF 2011 HOMECARE ELITE 2011; SIXTH CONSECUTIVE YEAR 100% COMPLIANCE FROM PA DEPARTMENT OF HEALTH 2011; HOSPICE, PRIVATE DUTY SERVICES, TARTAGLIO PERSONAL CARE HOME, ADULT PARTIAL HOSPITALIZATION AND CENTER FOR COUNSELING MEMBER OF UNITED WAY OF LAUREL HIGHLANDS; BEDFORD, BLAIR, HUNTINGDON 99% OF OUR HOME HEALTH CUSTOMERS WOULD RECOMMEND HOME NURSING AGENCY TO OTHERS 99% OF OUR HOSPICE CUSTOMERS WOULD RECOMMEND HOME NURSING AGENCY TO OTHERS
ADDITIONAL INFORMATION	FORM 990, PART VI	FORM 990, PART VI, LINE 12B DIRECTORS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY THROUGH COMPLETION OF A SPECIFIC QUESTIONAIRE. ALL ORGANIZATION LEADERS INCLUDING OFFICERS AND KEY EMPLOYEES, HAVE SIGNED A CONFLICT OF INTEREST AGREEMENT, WHICH REQUIRES THEM TO DISCLOSE CONFLICTS AS THEY OCCUR.
MATERIAL DIFFERENCES IN VOTING RIGHTS EXPLANATION	FORM 990, PAGE 6, PART VI	ARTICLE IV, SECTION 4.2 OF THE HOME NURSING AGENCY AFFILIATES BYLAWS INDICATES THAT THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON, PRESIDENT AND CEO, VICE PRESIDENT (IF ANY), SECRETARY, TREASURER, AND THE CHAIRPERSONS OF THE STANDING COMMITTEES, PROVIDED THAT ALL SUCH INDIVIDUALS ARE DIRECTORS OF THE CORPORATION. MEETINGS OF THIS COMMITTE SHALL BE CALLED BY THE CHAIRPERSON OR BY ANY THREE (3) OF ITS MEMBERS. A QUORUM SHALL CONSIST OF A MAJORITY OF THE MEMBERS (WHICH MUST INCLUDE AT LEAST ONE (1) OF ITS OFFICERS). THE ACT OF A MAJORITY OF THE MEMBERS ENTITLED TO VOTE AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWERS OF THE BOARD FOR THE TRANSACTIONS OF BUSINESS BETWEEN BOARD MEETINGS OR IN AN EMERGENCY, EXCEPT THAT IT SHALL NOT RESERVE ANY PREVIOUS ACTION OF THE BOARD. ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED AT THE NEXT MEETING OF THE BOARD. ARTICLE II, SECTION 2.5 INDICATES THAT NO COMPENSATION SHALL BE PAID TO ANY DIRECTOR FOR SERVICES AS A DIRECTOR.
RELATED PARTY INFORMATION AMONG OFFICERS	FORM 990, PAGE 6, PART VI, LINE 2	MORLEY COHN; DONALD DEVORRIS BUSINESS RELATIONSHIP DONALD DETWILER: DONALD DEVORRIS; BUSINESS RELATIONSHIP DONALD DEVORRIS; M COHN, D DETWILER BUSINESS RELATIONSHIP FRED CIOCCO; NAME NOT DISCLOSED; BUSINESS RELATIONSHIP T. SISSLER; K. SMITH, D. DEVORRIS BUSINESS RELATIONSHIP ROBERT PACKER; FRAN VAUGHN BUSINESS RELATIONSHIP FRAN VAUGHN; ROBERT PACKER BUSINESS RELATIONSHIP
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	ARTICLE II, SECTION 2.3, (B) OF THE HOME NURSING AGENCY AFFILIATES BYLAWS PERMITS THE ALTOONA REGIONAL HEALTH SYSTEM TO ELECT OR REFUSE TO ELECT EACH PERSON NOMINATED BY THE NOMINATING COMMITTEE.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	ARTICLE II, SECTION 2.2,(A) OF THE HOME NURSING AGENCY AFFILIATES BYLAWS REQUIRES THAT THE FOLLOWING ACTIONS THAT HAVE BEEN APPROVED BY THE AFFILIATES BOARD ALSO HAVE THE AFFIRMATIVE APPROVAL OF THE ALTOONA REGIONAL HEALTH SYSTEM: ANY STRATEGIC PLANS AND ANY OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND EACH SUBSIDIARY OF THE CORPORATION; AMENDMENTS TO ARTICLES OR THESE BYLAWS OR AMENDMENTS TO THE ARTICLES OR BYLAWS OF EACH SUBSIDIARY OF THE CORPORATION (APART FROM CHANGES OF REGISTERED OFFICE); MERGER (UNLESS THE MERGER RESULTS IN THE CORPORATION OR THE RESPECTIVE SUBSIDIARY, AS APPLICABLE, BEING THE SURVIVING ENTITY AND THE TRANSACTION IS LESS THAN 1,000,000), CONSOLIDATION, DISSOLUTION AND SALE OF SUBSTANTIAL ASSETS OF THE CORPORATION OR ANY SUBSIDIARY OF THE CORPORATION; INCURRENCE OF INDEBTEDNESS BY THE CORPORATION OR ANY SUBSIDIARY OF THE CORPORATION (OTHER THAN TRADE AND/OR ACCOUNTS PAYABLE ARISING IN THE ORDINARY COURSE OF BUSINESS) ABOVE THRESHOLDS TO BE DETERMINED BY THE ALTOONA REGIONAL HEALTH SYSTEM AND NOT APART OF AN APPROVAL CAPITAL AND/OR OPERATING BUDGET; THE ESTABLISHMENT, TERMINATION OR WITHDRAWAL FROM JOINT VENTURES INVOLVING THE CORPORATION (OR ANY SUBSIDIARY OF THE CORPORATION) IN WHICH THE CORPORATION OR ANY SUBSIDIARY OF THE CORPORATION, AS APPLICABLE, HAS A CONTROLLING INTEREST; AND THE ELECTION OR APPOINTMENT OF THE PRESIDENT OR CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND EACH SUBSIDIARY OF THE CORPORATION. ARTICLE II, SECTION 2.2, (B) OF THE HOME NURSING AGENCY AFFILIATES BYLAWS ALSO GIVES ALTOONA REGIONAL HEALTH SYSTEM THE FOLLOWING POWERS WITH RESPECT TO THE CORPORATION: ELECTION OF THE DIRECTORS OF THE CORPORATION (APART FROM EX-OFFICIO DIRECTORS); APPROVAL OF ANY PLAN OF DIVISION OF THE CORPORATION; APPROVAL OF ANY PLAN OF MERGER OF THE CORPORATION WITH ANOTHER CORPORATION (WHETHER OR NOT THE CORPORATION IS THE SURVIVING ENTITY); APPROVAL OF ANY CHANGE IN THE MISSION OR DIRECTION OF THE CORPORATION OR ANY AFFILIATE OR SUBSIDIARY OF THE CORPORATION IF THE PRESIDENT AND CEO OF ALTOONA REGIONAL HEALTH SYSTEM AND THE PRESIDENT AND CEO OF THE CORPORATION MUTUALLY DETERMINED THAT SUCH CHANGE IS MATERIAL; AND ALL OTHER APPROVALS AND/OR ACTIONS AS ARE RESERVED TO ALTOONA REGIONAL HEALTH SYSTEM BY VIRTUE OF THESE BYLAWS, ANY AFFILIATION AGREEMENT BETWEEN ALTOONA REGIONAL HEALTH SYSTEM, THE CORPORATION AND ANY OTHER PARTY, OR BY VIRTUE OF ANY RESOLUTIONS ENACTED BY THE CORPORATION FROM TIME TO TIME.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	A SPECIAL SESSION OF THE EXECUTIVE COMMITTEE WAS HELD TO REVIEW THE COMPLETED FORM 990.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	TO FAMILIARIZE THEMSELVES WITH POTENTIAL CONFLICTS, THE HOME NURSING AGENCY CEO, CFO, SENIOR VICE PRESIDENT ADMINISTRATIVE SERVICES, AND THE COMPLIANCE OFFICER, REVIEW EACH FORM COMPLETED ANNUALLY BY MEMBERS OF THE BOARDS. ALL BOARD AND COMMITTEE MEETINGS ARE ATTENDED BY AT LEAST ONE PERSON IN THIS GROUP. IF POTENTIAL CONFLICT SURFACES BEFORE OR DURING A MEETING, THEY ARE RESPONSIBLE FOR ENSURING THAT THE CONFLICT IS NOTED AND APPROPRIATE ACTION IS TAKEN.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	EXECUTIVE COMPENSATION FOR THE HOME NURSING AGENCY CEO IS REVIEWED AND ANALYZED BY AN INDEPENDENT CONSULTANT TO DETERMINE REGION AND MARKET COMPETIVENESS FOR BOTH WAGES AND BENEFITS. RESULTS OF THOSE FINDINGS ARE PRESENTED TO AN EXECUTIVE COMPENSATION COMMITTEE FOR FURTHER REVIEW, ANALYSIS, RECOMMENDATIONS, AND APPROVALS.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	EXECUTIVE COMPENSATION FOR KEY EMPLOYEES IS REVIEWED AND ANALYZED BY AN INDEPENDENT CONSULTANT TO DETERMINE REGION AND MARKET COMPETIVENESS FOR BOTH WAGES AND BENEFITS. RESULTS OF THOSE FINDINGS ARE PRESENTED TO AN EXECUTIVE COMPENSATION COMMITTEE FOR FURTHER REVIEW, ANALYSIS, RECOMMENDATIONS, AND APPROVALS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FINANCIAL AND GOVERNANCE INFORMATION IS AVAILABLE IN THE ORGANIZATION'S ANNUAL REPORT AND FORM 990; BOTH OF WHICH ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.
ADDITIONAL INFORMATION	FORM 990, PART VII	FORM 990, PART VII, COMPENSATION: COLUMN B AVERAGE HOURS PER WEEK: THE SOFTWARE USED TO SUBMIT THIS FORM 990 ROUNDS THE AVERAGE HOURS TO A WHOLE NUMBER. BELOW ARE LISTED THE ACTUAL AVERAGE HOURS PER WEEK. JOHN BEYER, DIRECTOR - 0.60 HOURS PER WEEK - 0.10 HOURS RELATED ORG FREDERICK CIOCCIA, DIRECTOR - 0.30 HOURS PER WEEK - 0 HOURS RELATED ORG MORLEY COHN, DIRECTOR - 0.20 HOURS PER WEEK - 0.50 HOURS RELATED ORG BERNARD CREPPAGE, TREASURER - 0.90 HOURS PER WEEK - 0 HOURS RELATED ORG DONALD DETWILER, DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG DONALD DEVORRIS, DIRECTOR - 0.30 HOURS PER WEEK - 1.20 HOURS RELATED ORG JAMES DRENNING, SECRETARY - 0.70 HOURS PER WEEL - 1.40 HOURS RELATED ORG BRUCE ERB, CHAIRMAN - 0.80 HOURS PER WEEK - 0.90 HOURS RELATED ORG BARRY HALBRITTER, DIRECTOR - 0.60 HOURS PER WEEK - 1.30 HOURS RELATED ORG ALLEN HANCOCK, DIRECTOR - 0.90 HOURS PER WEEK - 0 HOURS RELATED ORG ROBERT SCHOLL, DIRECTOR - 0.30 HOURS PER WEEK - 0 HOURS RELATED ORG TIMOTHY SISLER, VICE CHAIRMAN - 0.30 HOURS PER WEEK - 0 HOURS RELATED ORG JOHN WOLF, DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG GREGG LAVERICK, CFO - 50 HOURS PER WEEK - 0 HOURS RELATED ORG ROBERT PACKER, CEO - 60 HOURS PER WEEK - 0 HOURS RELATED ORG REBECCA WILLNECKER, SR VP - 50 HOURS PER WEEK - 0 HOURS RELATED ORG THE ORGANIZATION HAS A LIFE COMPENSATION PLAN, WHICH IS A NONQUALIFIED KEY EXECUTIVE PENSION SUPPLEMENT TO EXISTING GROUP PENSION PLANS AND/OR 401(K) PLANS.
ADDITIONAL INFORMATION	FORM 990, PART XI	FORM 990, PART XI, LINE 5 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: (1) NET UNREALIZED GAINS ON INVESTMENTS OF 267 AND (2) CHANGES IN PENSION ACCUMULATED OTHER COMPREHENSIVE INCOME OF 46,878.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HOME NURSING AGENCY AFFILIATES

Employer identification number

25-1518698

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) HNA VISITING NURSE ASSOC VISITING NURSE 201 CHESTNUT AVENUE ALTOONA,PA16603 25-1188570	HEALTH CAR	PA	501(C)	9	AFFILIATES HOME NURSING AGENCY AFFILIATES		No
(2) HNA COMMUNITY SERVICES COMMUNITY SERVICES 201 CHESTNUT AVENUE ALTOONA,PA16603 25-1517533	HEALTH CAR	PA	501(C)	9	AFFILIATES HOME NURSING AGENCY AFFILIATES		No
(3) HNA FOUNDATION FOUNDATION 201 CHESTNUT AVENUE ALTOONA,PA16603 25-1467014	FUNDRAISIN	PA	501(C)	11D	AFFILIATES HOME NURSING AGENCY AFFILIATES		No
(4) ALTOONA REGIONAL HEALTH SYSTEM 600 HOWARD AVENUE ALTOONA,PA16603	HEALTH CAR	PA	501(C)	3	N/A		No
(5) ALTOONA REGIONAL PARTNERSHIP FOR HE PARTNERSHIP FOR HEALTHY COMMUNITY 600 HOWARD AVENUE ALTOONA,PA16603	HEALTH CAR	PA	501(C)	3	ARHS ALTOONA REGIONAL HEALTH SYSTEM		No
(6) ALTOONA REGIONAL HEALTH SYSTEM FOUN HEALTH SYSTEM FOUNDATION FOR LIFE 600 HOWARD AVENUE ALTOONA,PA16603	HEALTH CAR	PA	501(C)	3	ARHS ALTOONA REGIONAL HEALTH SYSTEM		No
(7) CPHSC MEDICAL FOUNDATION INC 600 HOWARD AVENUE ALTOONA,PA16603	HEALTH CAR	PA	501(C)	3	ARHS ALTOONA REGIONAL HEALTH SYSTEM		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) ALTOONA FAMILY INC ALTOONA ALTOONA,PA16601	N/A	C CORP
(2) BLAIR COUNTY PHO INC ALTOONA ALTOONA,PA16601	N/A	C CORP

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) HNA VISITING NURSE ASSOCIATION	A	1,238,018	SQ FOOTAGE
(2) HNA COMMUNITY SERVICES	A	850,528	SQ FOOTAGE
(3) HOME NURSING AGENCY FOUNDATION	A	15,239	SQ FOOTAGE
(4) HNA VISITING NURSE ASSOCIATION	K	1,095,499	OF EXPENSES
(5) HNA COMMUNITY SERVICES	K	366,807	OF EXPENSES
(6) HOME NURSING AGENCY FOUNDATION	K	9,219	OF EXPENSES
(7) HNA VISITING NURSE ASSOCIATION	P	3,713,432	INVOICES OF SALARIES
(8) HNA COMMUNITY SERVICES	P	1,116,800	INVOICES OF SALARIES
(9) HNA VISITING NURSE ASSOCIATION	A	1,238,018	SQ FOOTAGE
(10) HNA COMMUNITY SERVICES	A	850,528	SQ FOOTAGE
(11) HOME NURSING AGENCY FOUNDATION	A	15,239	SQ FOOTAGE
(12) HNA VISITING NURSE ASSOCIATION	K	1,095,499	OF EXPENSES
(13) HNA COMMUNITY SERVICES	K	366,807	OF EXPENSES
(14) HOME NURSING AGENCY FOUNDATION	K	9,219	OF EXPENSES
(15) HNA VISITING NURSE ASSOCIATION	P	3,713,432	INVOICES OF SALARIES
(16) HNA COMMUNITY SERVICES	P	1,116,800	INVOICES OF SALARIES

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version: