Form990
Click to see attachment
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)

MediumBullet 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:
CName of organization
HOME NURSING AGENCY COMMUNITY
SERVICES
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

25-1517533
E Telephone number

G Gross receipts $ 15,923,845
F Name and address of principal officer:
ROBERT PACKER
20 SHERATON DRIVE
ALTOONA,PA16601
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HOMENURSINGAGENCY.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1986
M State of legal domicile: PA
Part I
Summary
Activities & Governance 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 501C3 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED,OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAWTHE "CODE", INCLUDING, WITHOUT LIMITATION, ESTABLISHING AND OPERATING COMMUNITY HEALTH PROGRAMS, SERVICES OR CLINICS THAT WILL CONTRIBUTE TO THE OVERALL HEALTH AND WELL-BEING OF ALL PERSONS, REGARDLESS OF RACE, COLOR, CREED, RELIGION,SEX, AGE OR NATIONAL ORIGIN. HOME NURSING AGENCY IS DEDICATED TO PROVIDING THE HIGHEST QUALITY OF CUSTOMER SERVICE WITH A SENSE OF WARMTH, KINDNESS, AND INDIVIDUAL PRIDE. FORM 990, PART III, LINE 4, EXEMPT PURPOSE ACHIEVEMENT NARRATIVE UNCOMPENSATED CARE TO HOME NURSING AGENCY CLIENTS IS DETERMINED AS THE DIFFERENCE BETWEEN HOME NURSING AGENCY'S COST TO PROVIDE THE SERVICE, ON A PER UNIT OR PER VISIT BASIS, AND THE REIMBURSEMENT THAT HOME NURSING A
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 13
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 441
6 Total number of volunteers (estimate if necessary) .... 6 30
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  
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,836,160 2,914,547
9 Program service revenue (Part VIII, line 2g) ......... 11,364,288 11,627,500
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 129,287 178,283
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 98,954 149,288
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 14,428,689 14,869,618
Expenses; 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) 9,853,850 9,697,914
16a Professional fundraising fees (Part IX, column (A), line 11e)....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 4,695,442 4,837,124
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 14,549,292 14,535,038
19 Revenue less expenses. Subtract line 18 from line 12...... -120,603 334,580
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 6,606,654 7,249,049
21 Total liabilities (Part X, line 26)............ 4,490,988 3,625,696
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 2,115,666 3,623,353
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
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
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 . . . . . . . . . .
1
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 501C3 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED,OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAWTHE "CODE", INCLUDING, WITHOUT LIMITATION, ESTABLISHING AND OPERATING COMMUNITY HEALTH PROGRAMS, SERVICES OR CLINICS THAT WILL CONTRIBUTE TO THE OVERALL HEALTH AND WELL-BEING OF ALL PERSONS, REGARDLESS OF RACE, COLOR, CREED, RELIGION,SEX, AGE OR NATIONAL ORIGIN. HOME NURSING AGENCY IS DEDICATED TO PROVIDING THE HIGHEST QUALITY OF CUSTOMER SERVICE WITH A SENSE OF WARMTH, KINDNESS, AND INDIVIDUAL PRIDE. FORM 990, PART III, LINE 4, EXEMPT PURPOSE ACHIEVEMENT NARRATIVE UNCOMPENSATED CARE TO HOME NURSING AGENCY CLIENTS IS DETERMINED AS THE DIFFERENCE BETWEEN HOME NURSING AGENCY'S COST TO PROVIDE THE SERVICE, ON A PER UNIT OR PER VISIT BASIS, AND THE REIMBURSEMENT THAT HOME NURSING A
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
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 $ 10,649,502 including grants of $   ) (Revenue $ 9,702,741 )
BEHAVIORAL HEALTH, COMMUNITY HEALTH AND WELLNESS SERVICES PROVIDED TO 13,861 CLIENTS IN HOME NURSING AGENCY'S SOUTHERN CENTRAL PENNSYLVANIA MARKET AREA. FOR THE YEAR ENDED JUNE 30, 2011, HOME NURSING AGENCY COMMUNITY SERVICE PROVIDED 943,193 OF UNCOMPENSATED CARE TO ITS BEHAVIORAL HEALTH, COMMUNITY HEALTH AND WELLNESS CLIENTS. THE BEHAVORIAL HEALTH FUNCTION DID RECEIVE 2,856,109 OF CONTRIBUTIONS, GIFTS, AND/OR GRANTS IN THE YEAR ENDED JUNE 30, 2011, REPORTED IN LINE 1 OF PART VIII, NOT INCLUDED IN THE REVENUE TOTAL ABOVE, PER PART III INSTRUCTIONS. SEE SCHEDULE O 100 % COMPLIANCE FROM PA DEPARTMENT OF HEALTH/WELFARE 2011; PRIVATE DUTY SERVICES, TARTAGLIO PERSONAL CARE HOME, ADULT PARTIAL HOSPITALIZATION AND CENTER FOR COUNSELING. COUNSELING, EDUCATION, AND OTHER SERVICES ARE CRITICAL WHEN FACING LIFE'S CHALLENGES. SERVICES PROVIDE AN ALTERNATIVE TO TRADITIONAL INPATIENT SERVICES, AND MAY INCLUDE THERAPY, EDUCATION FOR LIFE MANAGEMENT, STRESS REDUCTION EDUCATION, AND MEDICATION MANAGEMENT. HOME NURSING AGENCY COMMUNITY SERVICES PROVIDES THE FOLLOWING: COUNSELING FOR INDIVIDUALS, GROUPS AND FAMILIES DRUG AND ALCOHOL COUNSELING SCHOOL AND HOME-BASED SUPPORT SERVICES PERMANENT OR TEMPORARY HOUSING OPTIONS FOR INDIVIDUALS WITH SPECIAL NEEDS COMMUNITY HEALTH AND EDUCATION PROGRAMS INCLUDING HIV/AIDS EDUCATION ACEL(ADULT CENTER FOR EXCEPTIONAL LEARNING) FUNDS TO ALLOW SOUTHERN ALLEGHENIES MUSUEM OF ART ARTISTS IN RESIDENCE PROGRAMMING TO WORK WITH PHYSICALLY AND/OR MENTALLY HANDICAPPED INDIVIDUALS TO ENABLE THEM TO EXPRESS THEMSELVES THROUGH ART, RESULTING IN STAFF BEING ABLE TO GAIN A PERSONAL INSIGHT AND IMPROVE THE QUALITY OF LIFE FOR INDIVIDUALS. BEHAVIORAL HEALTH(ADULT SERVICES): FUNDS WILL BE USED FOR TRANSPORTATION (BUS PASSES, GAS), CLOTHING, SCHOOL SUPPLIES, AND TOOLS FOR WORK, FOR PATIENTS BEING TREATED BY AGENCY PROFESSIONALS FOR A VARIETY OF MENTAL HEALTH DIAGNOSES. AIDS INTERVENTION PROJECT: FUNDS TO ASSIST 50 INDIVIDUALS WITH VARIOUS PERSONAL CARE ITEMS NOT ALLOWED WITH RYAN WHITE GRANT FUNDING SUCH AS CLEANING SUPPLIES, VITAMINS, PERSONAL HYGIENE ITEMS, DIETARY SUPPLEMENTS (ENSURE) AND MANY OTHER ITEMS. IN ADDITION, FUNDS WERE USED TO ASSIST HOMELESS INDIVIDUALS TO START A HOUSEHOLD AFTER OBTAINING PERMANENT HOUSING. BEHAVIORAL HEALTH (CHILDREN'S SERVICES): FUNDS UTILIZED TO SUPPLEMENT ADDITIONAL TREATMENT FOR CHILDREN SUFFERING FROM MENTAL HEALTH DIAGNOSES AS WELL AS PROVIDE COMMUNITY ACTIVITIES, INCENTIVES FOR CHILDREN TO WORK ON THEIR GOALS, AND TANGIBLE REWARDS TO RECOGNIZE SUCCESSES AND PROGRESS IN THEIR TREATMENT PROGRAM. BEHAVIORAL HEALTH (CENTER FOR THE COUNSELING FOR CHILD, ADOLESCENT AND ADULTS): FUNDS UTILIZED TO ASSIST INDIVIDUALS SEEKING MENTAL HEALTH TREATMENT BUT WHO DO NOT HAVE THE FINANCIAL MEANS TO PAY FOR NECESSARY SERVICES. BEHAVIORAL HEALTH (CHILD AND ADOLESCENT SERVICES): THE FUNDS USED TO STOCK THE "REWARD STORE" AN INCENTIVE BASED THERAPEUTIC ACTIVITY. BEHAVIORAL HEALTH (JUNIATA HOUSE FACILITY): FUNDS USED TO PROMOTE THE HEALTH, SAFETY, INDEPENDENCE AND WELFARE OF THE RESIDENTS AT JUNIATA HOUSE AND TO PROVIDE MATERIAL FOR ACTIVITIES FOR THE RESIDENTS. BEHAVIORAL HEALTH (LEXINGTON CLUBHOUSE): FUNDS TO SUPPORT TRANSPORTATION NEEDS OF THE CLUBHOUSE MEMBERS. OUT OF 50 INDIVIDUALS, 42 UTILIZE PUBLIC TRANSPORTATION/VAN SERVICE TO ATTEND DAILY. MORE MEMBERS WILL BE ABLE TO RIDE THE PUBLIC BUS TO ATTEND EXTENDED HOURS ACTIVITIES AT THE CLUBHOUSE. NURSE-FAMILY PARTNERSHIP: FUNDS USED TO SUPPLEMENT AGE-APPROPRIATE EDUCATIONAL RESOURCES TO PROMOTE INFANT SUCCESSES IN DEVELOPMENT (BOOKS, RATTLES, BLOCKS) AND SUPPLIES. OTHER ITEMS WOULD INCLUDE PREGNANCY RELATED ITEMS SUCH AS BOOKLETS, NUTRITIONAL PAMPHLETS, SLEEP SACKS, BREASTFEEDING EDUCATIONAL MATERIALS, BLANKETS, HIGH SCHOOL-GED MANUALS, MATERIALS TO PROMOTE SUCCESSFUL LIFE COURSE DEVELOPMENT. PROJECTS IN ASSISTANCE OF TRANSITION FROM HOMELESSNESS (PATH): TO COVER THE COST OF UTILITY HOOKUP AND/OR HOUSEHOLD SUPPLIES FOR HOMELESS CLIENTS WHO ARE NOW BEING PLACED FOR HOUSING. TARTAGLIO PERSONAL CARE HOME: THE FUNDS USED TO PROMOTE INTERACTIVE GAMES THAT PROMOTE INTERACTION AND COOPERATION AMONG RESIDENTS OF THE PERSONAL CARE HOME. WOMEN, INFANTS, AND CHILDREN PROGRAM (WIC): FUNDS USED TO PAY FOR LEASING OF BREAST PUMPS THAT WIC HAS IN STOCK OR FOR PURCHASE OF ADDITIONAL HOSPITAL ELECTRIC PUMPS FOR MOTHERS WHO WANT TO BREAST-FEED BUT DO NOT HAVE THE MEANS TO PAY. WIC ISSUES AN AVERAGE OF 145 BREAST PUMPS A YEAR TO WIC FAMILIES; 72 OF WHICH ARE ELECTRIC PUMPS.
4b (Code:   ) (Expenses $ 661,621 including grants of $   ) (Revenue $ 359,628 )
ADULT DAY SERVICES PROVIDED 124 CLIENTS IN THE PENNSYLVANIA COUNTIES OF BLAIR, CAMBRIA, BEDFORD AND HUNTINGDON WITH SUPPORTIVE DAY CARE. FOR THE YEAR ENDED JUNE 30, 2011, HOME NURSING AGENCY COMMUNITY SERVICE PROVIDED 214,785 OF UNCOMPENSATED CARE TO ITS ADULT DAY CLIENTS. THE ADULT DAY CARE FUNCTION DID RECEIVE 57,838 OF CONTRIBUTIONS, GIFTS, AND/OR GRANTS IN THE YEAR ENDED JUNE 30, 2011, REPORTED IN LINE 1 OF PART VIII, BUT NOT INCLUDED IN THE REVENUE TOTAL ABOVE, PER PART III INSTRUCTIONS. SEE SCHEDULE O 100% COMPLIANCE AT HOME NURSING AGENCY'S ADULT DAY CARE CENTERS FROM PENNSYLVANIA DEPARTMENT OF HEALTH HOME NURSING AGENCY STRIVES TO MAINTAIN OR IMPROVE THE QUALITY OF LIFE FOR INDIVIDUALS, 18 YEARS OF AGE OR OLDER, WHO HAVE PHYSICAL LIMITATIONS, MEMORY LOSS, OR WHO HAVE DIFFICULTY REMAINING SAFE AT HOME ALONE DURING THE DAY. THE ADULT DAY PROGRAM ALSO YIELDS A SIGNIFICANT BENEFIT TO CAREGIVERS WHO WILL HAVE SOME TIME TO TEND TO THEIR OWN PERSONAL NEEDS WHILE THEIR LOVED ONE IS IN THE CARE OF THE AGENCY'S ADULT DAY STAFF. IN MOST INSTANCES, TRANSPORTATION IS ALSO ARRANGED. IMPROVING THE HEALTH AND FUNCTIONING OF EVERY ADULT DAY PARTICIPANT IS THE NUMBER ONE GOAL AT HOME NURSING AGENCY, AND A PERSONALIZED PLAN OF CARE IS DEVELOPED FOR EACH PARTICIPANT. THE MEDICAL, SOCIAL, AND NUTRITIONAL NEEDS OF EACH PARTICIPANT ARE MET EVERY DAY OR AS NEEDED. OFTEN, A CLIENT'S MEMORY AND MOBILITY ARE IMPROVED AND THEY ENJOY IMPROVED REST IN THE EVENINGS - ALL SIGNIFICANT BENEFITS TO THE CAREGIVER AS WELL. CAREGIVERS NEED BREAKS AND HOME NURSING AGENCY'S ADULT DAY CENTERS PROVIDE SUPPORT AND RELIEF. SERVICES INCLUDE THE FOLLOWING: SAFE ENVIRONMENT PERSONAL CARE MEDICATION MANAGEMENT SOCIALIZATION NUTRITIOUS MEALS MONITORING OF ONGOING MEDICAL CONDITIONS. FUNDS ARE USED TO PROVIDE CAREGIVERS LIVING IN THE COMMUNITY ACCESS TO HIGH QUALITY ADULT DAY CARE SERVICES REGARDLESS OF FINANCIAL SITUATION AND TO SUPPORT PROGRAM DEVELOPMENT BY PROVIDING FINANCIAL ASSISTANCE TO THOSE WHO DO NOT HAVE ACCESS TO THIRD PARTY REIMBURSEMENT BUT ARE IN NEED OF DAYTIME SERVICES.
4c (Code:   ) (Expenses $ 1,674,580 including grants of $   ) (Revenue $ 1,696,891 )
PRIVATE DUTY SERVICES PROVIDED 475 CLIENTS IN THE PENNSYLVANIA COUNTIES OF BLAIR, CAMBRIA, BEDFORD, HUNTINGDON AND CENTRE WITH LIVING ASSISTANCE AND SUPPORTIVE SERVICES. AN ADDITIONAL 439 CLIENTS ARE SUPPORTED BY RENTAL OF PERSONAL RESPONSE DEVICES. FOR THE YEAR ENDED JUNE 30, 2011, HOME NURSING AGENCY COMMUNITY SERVICE PROVIDED 441,872 OF UNCOMPENSATED CARE TO ITS PRIVATE DUTY CLIENTS. THE PRIVATE DUTY FUNCTION DID RECEIVE 600 IN CONTRIBUTIONS, GIFTS, AND/OR GRANTS IN THE YEAR ENDED JUNE 30, 2011, REPORTED IN LINE 1 OF PART VIII, BUT NOT INCLUDED IN THE REVENUE TOTAL ABOVE, PER PART III INSTRUCTIONS SEE SCHEDULE O PRIVATE DUTY SERVICES HELP RESIDENTS TO AVOID PREMATURE PLACEMENT IN A LONG-TERM CARE FACILITY BY PROVIDING THE SUPPORT THEY NEED TO REMAIN IN THE COMFORT, SAFETY, AND PRIVACY OF HOME WHILE OFFERING DIRECTION AND PEACE OF MIND TO FAMILY MEMBERS WHO HAVE OTHER OBLIGATIONS OR LIVE AT A DISTANCE. WHETHER THEY NEED A FEW HOURS OF ASSISTANCE A WEEK OR 24/7 CARE, OUR PERSONALIZED NON-MEDICAL HOME CARE SERVICES ALLOW THEM TO RECEIVE THE LEVEL OF SUPPORT NEEDED WHILE PROVIDING THE DIGNITY AND RESPECT THEY DESERVE. FUNDS ARE USED TO PURCHASE PERSONAL CARE SUPPLIES AND CLEANING SUPPLIES FOR INDIVIDUALS IN THE PROGRAM.
(Code:   ) (Expenses $ 49,575 including grants of $   ) (Revenue $ 17,318 )
OTHER PROGRAM SERVICES INCLUDE (1)AN ANNUAL PROGRAM TO PROVIDE FLU SHOTS TO THE COMMUNITY AND (2)CPR / FIRST AIDE TRAINING FOR HOME NURSING EMPLOYEES AND OTHERS.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 49,575 including grants of $   ) (Revenue $ 17,318 )
4e Total program service expensesMediumBullet$ 13,035,278
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
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..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................
4
 
No
5
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........................
5
 
No
6
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 IClick to see attachment.......................
6
 
No
7
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 IIClick to see attachment...
7
 
No
8
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....................
8
 
No
9
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 IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
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:
a
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
 
b
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
 
No
c
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
 
No
d
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
 
No
e
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
 
f
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
 
No
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
 
No
b
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
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
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
 
No
15
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..
15
 
No
16
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..
16
 
No
17
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
17
 
No
18
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..........
18
 
No
19
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...................
19
 
No
Form 990 (2010)
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
 
No
b
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
 
 
21
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..
21
 
No
22
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.....
22
 
No
23
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
23
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
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
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
 
 
d
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
 
No
b
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
 
No
26
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
26
 
No
27
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
27
Yes
 
28
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
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
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
 
No
c
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
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
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
33
 
No
34
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
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
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
36
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
36
 
No
37
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 VIClick to see attachment
37
 
No
38
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. ............
38
Yes
 
Form 990 (2010)
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
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
70
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
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 .....................
2a
441
b
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)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
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)?.......................
4a
 
No
b
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.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
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?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
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?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
No
8
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?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
No
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
No
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
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
 
No
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
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
 
No
b
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
 
c
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
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
No
Form 990 (2010)
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
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
16
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
13
2
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? .................
2
Yes
 
3
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? ..
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
 
 
9
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 .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
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
 
No
b
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
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
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
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
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?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
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
 
No
b
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
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
PA
18
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.
19
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.
20
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)
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.

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

RoundBullet 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.

RoundBullet 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
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) DAVID COWGER MD
DIRECTOR
 1.00 X           0 384,769 0
(2) MARGARET ADAMS
DIRECTOR
 1.00 X           0 0 0
(3) DONNA GORITY
VICE CHAIRMA
 1.00 X   X       0 0 0
(4) PHILIP FREEMAN
DIRECTOR
 1.00 X           0 0 0
(5) JOY HIMMEL
DIRECTOR
 1.00 X           0 0 0
(6) JOHN BEYER
CHAIRMAN
 1.00 X   X       0 0 0
(7) NANCY FOGEL
SECRETARY
 1.00 X   X       0 0 0
(8) DAWN MCCLELLAN
DIRECTOR
 1.00 X           0 0 0
(9) JANET SCHACHTNER
DIRECTOR
 1.00 X           0 0 0
(10) TIMOTHY O'BRIEN
DIRECTOR
 1.00 X           0 0 0
(11) KAREN SMITH
DIRECTOR
 1.00 X           0 0 0
(12) AMY SWINDELL
DIRECTOR
 1.00 X           0 0 0
(13) KATHY WAGNER
TREASURER
 1.00 X   X       0 0 0
(14) FRAN VAUGHN
DIRECTOR
 1.00 X           0 0 0
(15) DIANA WOY
DIRECTOR
 1.00 X           0 0 0
(16) GREGG LAVERICK
SVP/CFO
 0.00     X       0 0 0
(17) ROBERT PACKER
CEO/PRESIDEN
 0.00     X       0 0 0
Form 990 (2010)
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
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet   384,769 112,418
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet  
Yes
No
3
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 .............
3
 
No
4
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...........................
4
Yes
 
5
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 .....
5
 
No
Section B. Independent Contractors
1
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
SUSQUEHANNA VALLEY PROFESSIONAL
320 ROLLING RIDGE DRIVE
SUITE 100
STATE COLLEGE,PA16801 		PSYCHIATRIC SVS 279,358
DR BETH BOLLINGER
RD 2 BOX 318
HUNTINGDON,PA16652 		PSYCHIATRIC SVS 122,175
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet2
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a 30,000
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 102,823
e Government grants (contributions)1e 2,557,903
f All other contributions, gifts, grants, and
similar amounts not included above1f 		223,821
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 2,914,547
Program Service Revenue Business Code
2a BEHAVIORAL HEALTH & COMMUNITY   9,566,072 9,566,072    
b PRIVATE DUTY SERVICES   1,696,891 1,696,891    
c ADULT DAY SERVICES   359,628 359,628    
d OTHER   4,909 4,909    
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 11,627,500
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 77,033     77,033
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 1,155,477  
b Less: cost or other basis and sales expenses 1,054,227  
c Gain or (loss) 101,250  
d Net gain or (loss)..........MediumBullet 101,250     101,250
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..MediumBullet      
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...MediumBullet        
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..MediumBullet        
Miscellaneous Revenue Business Code
11a TRANSPORTATION PROGRAM   136,669 136,669    
b MISCELLANEOUS   12,619 12,619    
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 149,288
12 Total revenue. See Instructions....MediumBullet 14,869,618 11,776,788   178,283
Form 990 (2010)
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 ....        
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 7,942,601 7,942,601    
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 341,041 341,041    
9 Other employee benefits ....... 763,276 763,276    
10 Payroll taxes ........... 650,996 650,996    
11 Fees for services (non-employees):        
a Management ...... 1,471,261   1,471,261  
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 28,499   28,499  
g Other .......... 596,612 596,612    
12 Advertising and promotion ....        
13 Office expenses ....... 423,227 423,227    
14 Information technology ...... 25,347 25,347    
15 Royalties ..        
16 Occupancy ........... 978,078 978,078    
17 Travel ............ 475,972 475,972    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 33,438 33,438    
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 72,420 72,420    
23 Insurance ..............        
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 MEDICAL, DRUGS, FOOD, ETC 351,720 351,720    
b HOUSING ASSISTANCE 189,844 189,844    
c EXT/INTERNAL CONTRACT SVC 92,528 92,528    
d MISCELLANEOUS 61,375 61,375    
e BAD DEBT PROVISION 36,803 36,803    
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 14,535,038 13,035,278 1,499,760 0
26 Joint costs. Check here MediumBullet 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)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 360,711 1 310,459
2 Savings and temporary cash investments ....... 238,528 2 328,686
3 Pledges and grants receivable, net ......... 353,091 3 238,389
4 Accounts receivable, net ......... 1,997,291 4 1,888,190
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
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 .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............ 34,943 9 120,095
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 723,186
b Less: accumulated depreciation. ..... 10b 449,045 278,799 10c 274,141
11 Investments—publicly traded securities .......... 3,343,291 11 4,089,089
12 Investments—other securities. See Part IV, line 11 ......   12  
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)... 6,606,654 16 7,249,049
Liabilities 17 Accounts payable and accrued expenses . 1,034,069 17 926,168
18 Grants payable ..........   18  
19 Deferred revenue ..........   19 40,838
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 ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 3,456,919 25 2,658,690
26 Total liabilities. Add lines 17 through 25..... 4,490,988 26 3,625,696
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 1,873,930 27 3,389,718
28 Temporarily restricted net assets ..... 241,736 28 233,635
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet 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 ..... 2,115,666 33 3,623,353
34 Total liabilities and net assets/fund balances ..... 6,606,654 34 7,249,049
Form 990 (2010)
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 . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
14,869,618
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
14,535,038
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
334,580
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
2,115,666
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
1,173,107
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
3,623,353
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
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............................
2c
Yes
 
d
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:
3a
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? ................
3a
Yes
 
b
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. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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.
right arrow 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 COMMUNITY
SERVICES
Employer identification number

25-1517533
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
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)
 
 
h
(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?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
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).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
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.") . 44,890 2,757,998 2,657,471 2,836,160 2,914,547 11,211,066
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...... 14,263,489 12,093,471 11,849,684 11,364,287 11,627,500 61,198,431
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. 14,308,379 14,851,469 14,507,155 14,200,447 14,542,047 72,409,497
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.)           72,409,497
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... 14,308,379 14,851,469 14,507,155 14,200,447 14,542,047 72,409,497
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 164,291 138,503 87,166 69,581 77,033 536,574
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 164,291 138,503 87,166 69,581 77,033 536,574
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.)     25,828 98,954 149,288 274,070
13 Total support (Add lines 9, 10c, 11 and 12.). 14,472,670 14,989,972 14,620,149 14,368,982 14,768,368 73,220,141
14
Section C. Computation of Public Support Percentage
15
15
98.890 %
16
16
98.940 %
Section D. Computation of Investment Income Percentage
17
17
1.000 %
18
18
1.000 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
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:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
HOME NURSING AGENCY COMMUNITY
SERVICES
Employer identification number

25-1517533
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
HOME NURSING AGENCY COMMUNITY
SERVICES 		Employer identification number

25-1517533
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
HOME NURSING AGENCY COMMUNITY
SERVICES 		Employer identification number

25-1517533
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
HOME NURSING AGENCY COMMUNITY
SERVICES 		Employer identification number

25-1517533
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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 COMMUNITY
SERVICES
Employer identification number

25-1517533
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 .......    
5
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? ............
6
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. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
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)? ....................................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
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 ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
No
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   5,000 5,000
b Buildings ................   192,521 66,480 126,041
c Leasehold improvements ............   40,975 35,459 5,516
d Equipment ................   484,690 347,106 137,584
e Other .................        
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 274,141
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other 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.)Small Bullet  
Part VIII
Investments—Program 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.)Small Bullet  
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.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
PENSION LIABILITY 1,775,234
PAYABLE TO AFFILIATED ENTITIES 655,756
RESERVE FOR CONTINGENT LIABILTIES 227,700






Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 2,658,690
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

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 14,869,618
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 14,535,038
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 334,580
4 Net unrealized gains (losses) on investments .......................... 4 596,437
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 576,670
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 1,173,107
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 1,507,687
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 15,490,407
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 596,437
b Donated services and use of facilities ......... 2b 24,352
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e 620,789
3 Subtract line 2e from line 1..................... 3 14,869,618
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 14,869,618
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 14,559,390
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a 24,352
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e 24,352
3 Subtract line 2e from line 1..................... 3 14,535,038
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 14,535,038
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 - OTHER COMPREHENSIVE INCOME 576,670
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D PENSION - OTHER COMPREHENSIVE INCOME 576,670
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




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 COMMUNITY
SERVICES
Employer identification number

25-1517533
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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....
1b
 
 
2
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? ....
2
 
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) DAVID COWGER MD (i)
(ii)		  
384,769 		 
  		 
  		 
  		 
  		 
384,769 		 
 















Schedule J (Form 990) 2010

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
OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III DR. DAVID COWGER, A DIRECTOR OF THE HOME NURSING AGENCY COMMUNITY SERVICES (HNA CS), IS AN EMPLOYEE OF THE ALTOONA REGIONAL HEALTH SYSTEM (ARHS). HNA CS IS A SUBSIDIARY OF HOME NURSING AGENCY AFFILIATES. THE POWERS DEFINED IN THE AFFILIATES BY-LAWS GIVEN TO THE ALTOONA REGIONAL HEALTH SYSTEM ARE STATED IN THE FORM 990, SCHEDULE O, OF THE AFFILIATES. DR. COWGER'S COMPENSATION INCLUDED HEREIN IS SOLELY FROM ARHS, AS A RELATED ORGANIZATION OF HNA CS. SCHEDULE J, PART I, LINE 4 - ARHS CONTRIBUTED 54,550 TO A SERP FOR DAVID COWGER. SCHEDULE J, PART I, LINE 6 - RE: DR. COWGER: THE INCENTIVE COMPENSATION PROGRAM OF ARHS REQUIRES A 1% OR GREATER FINANCIAL OPERATING MARGIN THAT ALSO COVERS THE OVERALL COST OF ARHS'S INCENTIVE COMPENSATION PROGRAM. WHEN INCENTIVE COMPENSATION IS AVAILABLE, AND AT LEAST 75% OF THE SENIOR LEADER'S GOALS HAVE BEEN ACHIEVED, THE MINIMUM PAYOUT WOULD BE 18.75% OF BASE PAY AND THE MAXIMUM PAYOUT WOULD BE 30% (PER BOARD APPROVED CAPPED MERCER COMPENSATION PROGRAM DESIGN).
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
HOME NURSING AGENCY COMMUNITY
SERVICES
Employer identification number

25-1517533
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?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
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
(1) NANCY FOGEL'S SISTER SISTER OF DIRECTOR 120
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
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?
Yes No
(1) DONNA GORITY DIRECTOR 2,481,678 CLIENT SVCS   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 PART III THE SISTER OF A DIRECTOR NANCY FOGEL RECEIVED PRIVATE DUTY SERVICES PART IV THE ITEM IN LINE 1 WITH TRANSACTION AMOUNT OF 2481678 REPRESENTED CLIENT SERVICES PAID BY THE EMPLOYER OF DONNA GORITY TO HNA CS
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




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 COMMUNITY
SERVICES
Employer identification number

25-1517533
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 501C3 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED,OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAWTHE "CODE", INCLUDING, WITHOUT LIMITATION, ESTABLISHING AND OPERATING COMMUNITY HEALTH PROGRAMS, SERVICES OR CLINICS THAT WILL CONTRIBUTE TO THE OVERALL HEALTH AND WELL-BEING OF ALL PERSONS, REGARDLESS OF RACE, COLOR, CREED, RELIGION,SEX, AGE OR NATIONAL ORIGIN. HOME NURSING AGENCY IS DEDICATED TO PROVIDING THE HIGHEST QUALITY OF CUSTOMER SERVICE WITH A SENSE OF WARMTH, KINDNESS, AND INDIVIDUAL PRIDE. FORM 990, PART III, LINE 4, EXEMPT PURPOSE ACHIEVEMENT NARRATIVE UNCOMPENSATED CARE TO HOME NURSING AGENCY CLIENTS IS DETERMINED AS THE DIFFERENCE BETWEEN HOME NURSING AGENCY'S COST TO PROVIDE THE SERVICE, ON A PER UNIT OR PER VISIT BASIS, AND THE REIMBURSEMENT THAT HOME NURSING AGENCY RECEIVES FROM GOVERNMENTAL PAYERS OR FROM SELF-PAY CLIENTS, INCLUDING SERVICES PROVIDED AT NO CHARGE DUE TO CLIENT'S FINANCIAL HARDSHIP. THESE AMOUNTS ARE RECORDED AS A REDUCTION IN NET PATIENT SERVICE REVENUE IN THE FINANCIAL STATEMENTS. PATIENTS ARE REQUIRED TO APPLY FOR THE CHARITY CARE DISCOUNT, BUT OFTEN DO NOT COMPLETE THE NECESSARY PAPERWORK TO DETERMINE IF THEY QUALIFY. AS A RESULT, THERE IS AN UNQUANTIFIABLE AMOUNT OF UNCOMPENSATED SERVICES THAT WOULD POTENTIALLY BE CONSIDERED CHARITY CARE UNDER THE POLICY, BUT RATHER ARE ULTIMATELY REFLECTED IN BAD DEBT EXPENSE. IN ADDITION TO UNCOMPENSATED CARE, HOME NURSING AGENCY PROVIDES FREE AND BELOW-COST SERVICES AND PROGRAMS FOR THE BENEFIT OF THE COMMUNITY. THE COST OF THESE PROGRAMS IS INCLUDED IN SALARIES, AND WAGES, FRINGE BENEFITS, PROFESSIONAL FEES, SUPPLIES, AND OTHER EXPENSE LINES IN THE FINANCIAL STATEMENTS.
FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A 100 % COMPLIANCE FROM PA DEPARTMENT OF HEALTH/WELFARE 2011; PRIVATE DUTY SERVICES, TARTAGLIO PERSONAL CARE HOME, ADULT PARTIAL HOSPITALIZATION AND CENTER FOR COUNSELING. COUNSELING, EDUCATION, AND OTHER SERVICES ARE CRITICAL WHEN FACING LIFE'S CHALLENGES. SERVICES PROVIDE AN ALTERNATIVE TO TRADITIONAL INPATIENT SERVICES, AND MAY INCLUDE THERAPY, EDUCATION FOR LIFE MANAGEMENT, STRESS REDUCTION EDUCATION, AND MEDICATION MANAGEMENT. HOME NURSING AGENCY COMMUNITY SERVICES PROVIDES THE FOLLOWING: COUNSELING FOR INDIVIDUALS, GROUPS AND FAMILIES DRUG AND ALCOHOL COUNSELING SCHOOL AND HOME-BASED SUPPORT SERVICES PERMANENT OR TEMPORARY HOUSING OPTIONS FOR INDIVIDUALS WITH SPECIAL NEEDS COMMUNITY HEALTH AND EDUCATION PROGRAMS INCLUDING HIV/AIDS EDUCATION ACEL(ADULT CENTER FOR EXCEPTIONAL LEARNING) FUNDS TO ALLOW SOUTHERN ALLEGHENIES MUSUEM OF ART ARTISTS IN RESIDENCE PROGRAMMING TO WORK WITH PHYSICALLY AND/OR MENTALLY HANDICAPPED INDIVIDUALS TO ENABLE THEM TO EXPRESS THEMSELVES THROUGH ART, RESULTING IN STAFF BEING ABLE TO GAIN A PERSONAL INSIGHT AND IMPROVE THE QUALITY OF LIFE FOR INDIVIDUALS. BEHAVIORAL HEALTH(ADULT SERVICES): FUNDS WILL BE USED FOR TRANSPORTATION (BUS PASSES, GAS), CLOTHING, SCHOOL SUPPLIES, AND TOOLS FOR WORK, FOR PATIENTS BEING TREATED BY AGENCY PROFESSIONALS FOR A VARIETY OF MENTAL HEALTH DIAGNOSES. AIDS INTERVENTION PROJECT: FUNDS TO ASSIST 50 INDIVIDUALS WITH VARIOUS PERSONAL CARE ITEMS NOT ALLOWED WITH RYAN WHITE GRANT FUNDING SUCH AS CLEANING SUPPLIES, VITAMINS, PERSONAL HYGIENE ITEMS, DIETARY SUPPLEMENTS (ENSURE) AND MANY OTHER ITEMS. IN ADDITION, FUNDS WERE USED TO ASSIST HOMELESS INDIVIDUALS TO START A HOUSEHOLD AFTER OBTAINING PERMANENT HOUSING. BEHAVIORAL HEALTH (CHILDREN'S SERVICES): FUNDS UTILIZED TO SUPPLEMENT ADDITIONAL TREATMENT FOR CHILDREN SUFFERING FROM MENTAL HEALTH DIAGNOSES AS WELL AS PROVIDE COMMUNITY ACTIVITIES, INCENTIVES FOR CHILDREN TO WORK ON THEIR GOALS, AND TANGIBLE REWARDS TO RECOGNIZE SUCCESSES AND PROGRESS IN THEIR TREATMENT PROGRAM. BEHAVIORAL HEALTH (CENTER FOR THE COUNSELING FOR CHILD, ADOLESCENT AND ADULTS): FUNDS UTILIZED TO ASSIST INDIVIDUALS SEEKING MENTAL HEALTH TREATMENT BUT WHO DO NOT HAVE THE FINANCIAL MEANS TO PAY FOR NECESSARY SERVICES. BEHAVIORAL HEALTH (CHILD AND ADOLESCENT SERVICES): THE FUNDS USED TO STOCK THE "REWARD STORE" AN INCENTIVE BASED THERAPEUTIC ACTIVITY. BEHAVIORAL HEALTH (JUNIATA HOUSE FACILITY): FUNDS USED TO PROMOTE THE HEALTH, SAFETY, INDEPENDENCE AND WELFARE OF THE RESIDENTS AT JUNIATA HOUSE AND TO PROVIDE MATERIAL FOR ACTIVITIES FOR THE RESIDENTS. BEHAVIORAL HEALTH (LEXINGTON CLUBHOUSE): FUNDS TO SUPPORT TRANSPORTATION NEEDS OF THE CLUBHOUSE MEMBERS. OUT OF 50 INDIVIDUALS, 42 UTILIZE PUBLIC TRANSPORTATION/VAN SERVICE TO ATTEND DAILY. MORE MEMBERS WILL BE ABLE TO RIDE THE PUBLIC BUS TO ATTEND EXTENDED HOURS ACTIVITIES AT THE CLUBHOUSE. NURSE-FAMILY PARTNERSHIP: FUNDS USED TO SUPPLEMENT AGE-APPROPRIATE EDUCATIONAL RESOURCES TO PROMOTE INFANT SUCCESSES IN DEVELOPMENT (BOOKS, RATTLES, BLOCKS) AND SUPPLIES. OTHER ITEMS WOULD INCLUDE PREGNANCY RELATED ITEMS SUCH AS BOOKLETS, NUTRITIONAL PAMPHLETS, SLEEP SACKS, BREASTFEEDING EDUCATIONAL MATERIALS, BLANKETS, HIGH SCHOOL-GED MANUALS, MATERIALS TO PROMOTE SUCCESSFUL LIFE COURSE DEVELOPMENT. PROJECTS IN ASSISTANCE OF TRANSITION FROM HOMELESSNESS (PATH): TO COVER THE COST OF UTILITY HOOKUP AND/OR HOUSEHOLD SUPPLIES FOR HOMELESS CLIENTS WHO ARE NOW BEING PLACED FOR HOUSING. TARTAGLIO PERSONAL CARE HOME: THE FUNDS USED TO PROMOTE INTERACTIVE GAMES THAT PROMOTE INTERACTION AND COOPERATION AMONG RESIDENTS OF THE PERSONAL CARE HOME. WOMEN, INFANTS, AND CHILDREN PROGRAM (WIC): FUNDS USED TO PAY FOR LEASING OF BREAST PUMPS THAT WIC HAS IN STOCK OR FOR PURCHASE OF ADDITIONAL HOSPITAL ELECTRIC PUMPS FOR MOTHERS WHO WANT TO BREAST-FEED BUT DO NOT HAVE THE MEANS TO PAY. WIC ISSUES AN AVERAGE OF 145 BREAST PUMPS A YEAR TO WIC FAMILIES; 72 OF WHICH ARE ELECTRIC PUMPS.
SECOND ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4B 100% COMPLIANCE AT HOME NURSING AGENCY'S ADULT DAY CARE CENTERS FROM PENNSYLVANIA DEPARTMENT OF HEALTH HOME NURSING AGENCY STRIVES TO MAINTAIN OR IMPROVE THE QUALITY OF LIFE FOR INDIVIDUALS, 18 YEARS OF AGE OR OLDER, WHO HAVE PHYSICAL LIMITATIONS, MEMORY LOSS, OR WHO HAVE DIFFICULTY REMAINING SAFE AT HOME ALONE DURING THE DAY. THE ADULT DAY PROGRAM ALSO YIELDS A SIGNIFICANT BENEFIT TO CAREGIVERS WHO WILL HAVE SOME TIME TO TEND TO THEIR OWN PERSONAL NEEDS WHILE THEIR LOVED ONE IS IN THE CARE OF THE AGENCY'S ADULT DAY STAFF. IN MOST INSTANCES, TRANSPORTATION IS ALSO ARRANGED. IMPROVING THE HEALTH AND FUNCTIONING OF EVERY ADULT DAY PARTICIPANT IS THE NUMBER ONE GOAL AT HOME NURSING AGENCY, AND A PERSONALIZED PLAN OF CARE IS DEVELOPED FOR EACH PARTICIPANT. THE MEDICAL, SOCIAL, AND NUTRITIONAL NEEDS OF EACH PARTICIPANT ARE MET EVERY DAY OR AS NEEDED. OFTEN, A CLIENT'S MEMORY AND MOBILITY ARE IMPROVED AND THEY ENJOY IMPROVED REST IN THE EVENINGS - ALL SIGNIFICANT BENEFITS TO THE CAREGIVER AS WELL. CAREGIVERS NEED BREAKS AND HOME NURSING AGENCY'S ADULT DAY CENTERS PROVIDE SUPPORT AND RELIEF. SERVICES INCLUDE THE FOLLOWING: SAFE ENVIRONMENT PERSONAL CARE MEDICATION MANAGEMENT SOCIALIZATION NUTRITIOUS MEALS MONITORING OF ONGOING MEDICAL CONDITIONS. FUNDS ARE USED TO PROVIDE CAREGIVERS LIVING IN THE COMMUNITY ACCESS TO HIGH QUALITY ADULT DAY CARE SERVICES REGARDLESS OF FINANCIAL SITUATION AND TO SUPPORT PROGRAM DEVELOPMENT BY PROVIDING FINANCIAL ASSISTANCE TO THOSE WHO DO NOT HAVE ACCESS TO THIRD PARTY REIMBURSEMENT BUT ARE IN NEED OF DAYTIME SERVICES.
THIRD ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4C PRIVATE DUTY SERVICES HELP RESIDENTS TO AVOID PREMATURE PLACEMENT IN A LONG-TERM CARE FACILITY BY PROVIDING THE SUPPORT THEY NEED TO REMAIN IN THE COMFORT, SAFETY, AND PRIVACY OF HOME WHILE OFFERING DIRECTION AND PEACE OF MIND TO FAMILY MEMBERS WHO HAVE OTHER OBLIGATIONS OR LIVE AT A DISTANCE. WHETHER THEY NEED A FEW HOURS OF ASSISTANCE A WEEK OR 24/7 CARE, OUR PERSONALIZED NON-MEDICAL HOME CARE SERVICES ALLOW THEM TO RECEIVE THE LEVEL OF SUPPORT NEEDED WHILE PROVIDING THE DIGNITY AND RESPECT THEY DESERVE. FUNDS ARE USED TO PURCHASE PERSONAL CARE SUPPLIES AND CLEANING SUPPLIES FOR INDIVIDUALS IN THE PROGRAM.
ALL OTHER ACHIEVEMENTS DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D OTHER PROGRAM SERVICES INCLUDE (1)AN ANNUAL PROGRAM TO PROVIDE FLU SHOTS TO THE COMMUNITY AND (2)CPR / FIRST AIDE TRAINING FOR HOME NURSING EMPLOYEES AND 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.
AUTHORITY DELEGATED TO EXECUTIVE COMMITTEE EXPLANATION FORM 990, PAGE 6, PART VI HOME NURSING AGENCY COMMUNITY SERVICE IS A SUBSIDIARY OF THE HOME NURSING AGENCY AFFILIATES. ALTHOUGH HOME NURSING AGENCY COMMUNITY SERVICES BYLAWS HAS NOT DELEGATED AUTHORITY TO AN EXECUTIVE COMMITTEE, THE EXECUTIVE COMMITTEE OF THE HOME NURSING AGENCY AFFILIATES DOES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE HOME NURSING AGENCY COMMUNITY SERVICES GOVERNING BODY. 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 COMMITTEE 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 (1) OF THE 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 REVERSE 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 DONNA GORITY; ROBERT SCHOLL BUSINESS RELATIONSHIP KATHY WAGNER; DONALD DEVORRIS BUSINESS RELATIONSHIP ROBERT PACKER; FRAN VAUGHN BUSINESS RELATIONSHIP FRAN VAUGHN;ROBERT PACKER BUSINESS RELATIONSHIP KAREN SMITH; TIMOTHY SISSLER BUSINESS RELATIONSHIP
MANAGEMENT DELEGATED FORM 990, PAGE 6, PART VI, LINE 3 ARTICLE III, SECTION 3.6 OF THE BYLAWS OF THE ORGANIZATION INDICATE THAT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE HOME NURSING AGENCY AFFILIATES SHALL SERVE AS THE PRESIDENT AND CEO OF THE CORPORATION. BECAUSE THIS SECTION OF THE BYLAWS ALSO PERMITS THE PRESIDENT AND THE CEO TO APPOINT EXECUTIVE STAFF FROM THE HOME NURSING AGENCY AFFILIATES TO PERFORM CERTAIN ASPECTS OF MANAGEMENT FUNCTIONS, THE CFO AND SENIOR VICE PRESIDENT ADMINISTRATIVE SERVICES OF THE HOME NURSING AGENCY AFFILIATES CONTROLLED MANAGEMENT DUTIES OF THE ORGANIZATION.
ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A ARTICLE II, SECTION 2.3,(B) OF THE ORGANIZATION'S BYLAWS PERMITS THE HOME NURSING AGENCY AFFILIATES 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 ORGANIZATION'S BYLAWS REQUIRES THAT THE FOLLOWING ACTIONS THAT HAVE BEEN APROVED BY THE AFFILIATES BOARD ALSO HAVE THE AFFIRMATIVE APPROVAL OF THE HOME NURSING AGENCY AFFILIATES: 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 HOME NURSING AGENCY AFFILIATES 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 ORGANIZATION'S BYLAWS ALSO GIVES THE HOME NURSING AGENCY AFFILIATES 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); AND ALL OTHER APPROVALS AND/OR ACTIONS AS ARE RESERVED TO HOME NURSING AGENCY AFFILIATES BY VIRTUE OF THESE BYLAWS OR BY VIRTUE OF ANY RESOLUTIONS ENACTED BY THE CORPORATION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B HOME NURSING AGENCY COMMUNITY SERVICES IS A SUBSIDIARY OF THE HOME NURSING AGENCY AFFILIATES. THE EXECUTIVE COMMITTEE OF THE HOME NURSING AGENCY AFFILIATES HELD A SPECIAL SESSION TO REVIEW THE COMPLETED FORM 990. THE CHAIRMAN OF THE HNA COMMUNITY SERVICES IS A MEMBER OF THE AFFILIATES BOARD OF DIRECTORS.
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 A POTENTIAL CONFLICT SURFACES BEFORE OR DURING THE 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 HOME NURSING AGENCY CEO IS REVIEWED AND ANALYZED BY AN INDEPENDENT CONSULTANT TO DETERMINE REGION AND MARKET CONDITIONS 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 CONDITIONS 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 990 ROUNDS THE AVERAGE HOURS TO A WHOLE NUMBER. BELOW ARE LISTED THE ACTUAL AVERAGE HOURS PER WEEK. MARGARET ADAMS, DIRECTOR - 0.10 HOURS PER WEEEK - 0 HOURS RELATED ORG JOHN BEYER, CHAIRMAN - 0.80 HOURS PER WEEK - 0.10 HOURS RELATED ORG DAVID COWGER, DIRECTOR - 0.10 HOURS PER WEEK - 0 HOURS RELATED ORG NANCY FOGEL, SECRETARY - 0.40 HOURS PER WEEK - 0 HOURS RELATED ORG PHILIP FREEMAN, DIRECTOR - 0.10 HOURS PER WEEK - 0 HOURS RELATED ORG DONNA GORITY, VICE CHAIRMAN - 0.30 HOURS PER WEEK - 0 HOURS RELATED ORG JOY HIMMEL, DIRECTOR - 0.10 HOURS PER WEEK - 0 HOURS RELATED ORG DAWN MCCLELLAN, DIRECTOR - 0.10 HOURS PER WEEK - 0 HOURS RELATED ORG TIMOTHY O'BRIEN, DIRECTOR - 0.10 HOURS PER WEEK - 0 HOURS RELATED ORG JANET SCHACHTNER, DIRECTOR - 0.10 HOURS PER WEEK - 0 HOURS RELATED ORG KAREN SMITH, DIRECTOR - 0.30 HOURS PER WEEK - 0 HOURS RELATED ORG AMY SWINDELL, DO, DIRECTOR - 0.10 HOURS PER WEEK - 0 HOURS RELATED ORG FRAN VAUGHN, DIRECTOR - 0.30 HOURS PER WEEK - 0 HOURS RELATED ORG KATHY WAGNER, DIRECTOR - 0.60 HOURS PER WEEK - 0 HOURS RELATED ORG DIANA WOY, DIRECTOR - 0.10 HOURS PER WEEK - 0 HOURS RELATEF ORG GREGG LAVERICK, CFO, KEY EMPLOYEE ROBERT PACKER, CEO, KEY EMPLOYEE BECAUSE THE FOLLOWING OFFICERS ARE EMPLOYED BY THE HOME NURSING AGENCY AFFILIATES, ALL OF THEIR HOURS ARE RECORDED IN THEIR CORPORATION OF EMPLOYMENT: GREGG LAVERICK, CFO; ROBERT PACKER, CEO
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 INVESTMENT SECURITIES OF 596,437 AND (2) CHANGES IN PENSION ACCUMULATED OTHER COMPREHENSIVE INCOME OF 576,670.
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:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
HOME NURSING AGENCY COMMUNITY
SERVICES
Employer identification number

25-1517533
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
Yes No
(1) HOME NURSING AGENCY AFFILIATES

201 CHESTNUT AVENUE

ALTOONA,PA16603
25-1518698 		SUPPORT EN PA 501C 11B ARHS
ARHS
 
No
(2) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
201 CHESTNUT AVENUE

ALTOONA,PA16603
25-1188570 		HEALTH CAR PA 501C 9 AFFILIATES
AFFILIATES
 
No
(3) HOME NURSING AGENCY FOUNDATION

201 CHESTNUT AVENUE

ALTOONA,PA16603
25-1467014 		FUNDRAISIN PA 501C 11D AFFILIATES
AFFILIATES
 
No
(4) ALTOONA REGIONAL HEALTH SYSTEM

600 HOWARD AVENUE

ALTOONA,PA16603
   PA 501C 3 N/A
 
No






For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
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



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No 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



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership












Schedule R (Form 990) 2010
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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
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) HOME NURSING AGENCY FOUNDATION

 C 102,983 GRANT AWARD
(2) HOME NURSING AGENCY AFFILIATES

 J 850,528 SQ FOOTAGE
(3) HOME NURSING AGENCY AFFILIATES

 L 366,807 OF EXPENSES
(4) HOME NURSING AGENCY AFFILIATES

 O 1,116,800 INVOICES OF SALARIES
(5) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
 L 1,087,361 OF EXPENSES
(6) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
 L 59,444 TIMECARDS
(7) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
 L 17,092 OF CLIENTS
(8) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
 K 60,458 TIMECARDS
(9) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
 O 237,408 INVOICES OF SALARIES
(10) ALTOONA REGIONAL HEALTH SYSTEM

 L 44,345 INVOICES
(11) HOME NURSING AGENCY FOUNDATION

 C 102,983 GRANT AWARD
(12) HOME NURSING AGENCY AFFILIATES

 J 850,528 SQ FOOTAGE
(13) HOME NURSING AGENCY AFFILIATES

 L 366,807 OF EXPENSES
(14) HOME NURSING AGENCY AFFILIATES

 O 1,116,800 INVOICES OF SALARIES
(15) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
 L 1,087,361 OF EXPENSES
(16) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
 L 59,444 TIMECARDS
(17) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
 L 17,092 OF CLIENTS
(18) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
 K 60,458 TIMECARDS
(19) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
 O 237,408 INVOICES OF SALARIES
(20) ALTOONA REGIONAL HEALTH SYSTEM

 L 44,345 INVOICES
Schedule R (Form 990) 2010
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 V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
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: