TY 2013 Form 990

- TIN:

Form990

Department of the Treasury
Internal Revenue Service

Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Do not enter Social Security numbers on this form as it may be made public. By law, the IRS

generally cannot redact the information on the form.

Information about Form 990 and its instructions is at www.IRS.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

A For the 2013 calendar year, or tax year beginning 07-01-2013 , 2013, and ending 06-30-2014

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

CName of organization
HOME NURSING AGENCY & VISITING
NURSE ASSOCIATION

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 province, country, and ZIP or foreign postal code
ALTOONA, PA166030352

D Employer identification number

25-1188570

E Telephone number

G Gross receipts $ 55,916,369

F Name and address of principal officer:
PHILIP FREEMAN JR
20 SHERATON DRIVE
ALTOONA,PA16601

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

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

Website:

WWW.HOMENURSINGAGENCY.COM

H(a)

Is this a group return for
subordinates? Yes No

H(b)

Are all subordinates
included?

Yes No

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

H(c)

Group exemption number MediumBullet

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation: 1966

M State of legal domicile: PA

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: HOME NURSING AGENCY & VISITING NURSE ASSOCIATION IS REFERRED TO AS "HNA VNA" OR "HNA VISITING NURSE ASSOCIATION" WITHIN THIS FORM. FORM 990, PART I, LINE 1 AND PART III, LINE 1. - ORGANIZATION'S MISSION AS PROVIDED IN ITS ARTICLES, THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCUSIVELY FOR EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED(OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW) (THE "CODE"), INCLUDING, WITHOUT LIMITATION, ESTABLISHING AND OPERATING COMMUNITY SERVICES 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. AS THE REGION'S PREMIER POST-ACUTE CARE PROVIDER AVAILABLE 24 HOURS-A-DAY, 7 DAYS-A-WEEK FOR HOME HEALTH CA
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	20
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	19
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	812
6	Total number of volunteers (estimate if necessary) .............	6	111
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	245,385	251,480
9	Program service revenue (Part VIII, line 2g) .........	47,519,218	41,870,378
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	721,148	891,192
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	9,462	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	48,495,213	43,013,050
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)	35,040,862	30,910,970
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	14,495,087	11,717,601
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	49,535,949	42,628,571
19	Revenue less expenses. Subtract line 18 from line 12.......	-1,040,736	384,479
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	22,665,745	18,604,423
21	Total liabilities (Part X, line 26).............	9,577,696	2,728,444
22	Net assets or fund balances. Subtract line 21 from line 20.....	13,088,049	15,875,979

Part II

Signature Block

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

Sign Here

	Signature of officer	Date

	Type or print name and title

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name MediumBullet

Firm's EIN MediumBullet

Firm's address MediumBullet

Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ............YesNo

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y

Form 990 (2013)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response or note to any line in this Part III ..............

Briefly describe the organization’s mission: HOME NURSING AGENCY & VISITING NURSE ASSOCIATION IS REFERRED TO AS "HNA VNA" OR "HNA VISITING NURSE ASSOCIATION" WITHIN THIS FORM. FORM 990, PART I, LINE 1 AND PART III, LINE 1. - ORGANIZATION'S MISSION AS PROVIDED IN ITS ARTICLES, THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCUSIVELY FOR EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED(OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW) (THE "CODE"), INCLUDING, WITHOUT LIMITATION, ESTABLISHING AND OPERATING COMMUNITY SERVICES 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. AS THE REGION'S PREMIER POST-ACUTE CARE PROVIDER AVAILABLE 24 HOURS-A-DAY, 7 DAYS-A-WEEK FOR HOME HEALTH CA

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

If "Yes," describe these new services on Schedule O.

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

If "Yes," describe these changes on Schedule O.

Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 19,807,768 including grants of $ ) (Revenue $ 22,487,124 )
	HOME HEALTH SERVICES PROVIDED TO 8,784 CLIENTS FROM CENTRAL OFFICES IN THE PENNSYLVANIA COUNTIES OF BLAIR, BEDFORD, CAMBRIA, CENTRE, CLEARFIELD, INDIANA, HUNTINGDON, JUNIATA, MIFFLIN AND SOMERSET. FOR THE YEAR ENDED JUNE 30, 2014, HOME NURSING AGENCY & VISITING NURSE ASSOCIATION PROVIDED 1,936,401 OF UNCOMPENSATED CARE TO ITS HOME HEALTH CLIENTS. THE HOME HEALTH FUNCTIONS DID RECEIVE 39,043 OF CONTRIBUTIONS, GIFTS AND/OR GRANTS IN THE YEAR ENDED JUNE 30, 2014, REPORTED IN LINE 1 OF PART VIII, BUT NOT INCLUDED IN THE REVENUE TOTAL ABOVE, PER PART III INSTRUCTIONS. SEE SCHEDULE O FOR DESCRIPTION OF METHODOLOGY TO COMPUTE UNCOMPENSATED CARE. SERVING ALL AGES, HOME NURSING AGENCY OFFERS CARE WHEN AN INJURY, CHRONIC ILLNESS, OR SURGERY AFFECTS THE QUALITY OF LIFE. CARE IS AVAILABLE IN A PERSONAL RESIDENCE, ASSISTED LIVING FACILITY, OR PERSONAL CARE HOME - WHEREVER ONE CALLS HOME. THE AGENCY IS A MEMBER OF HOME CARE ELITE FOR EIGHT CONSECUTIVE YEARS DEMONSTRATING SUPERIOR PERFORMANCE IN PATIENT OUTCOMES AND EXCELLING IN ESTABLISHED QUALITY MEASURES BASED ON US HOME HEALTH COMPARE SCORES: HNA VNA'S AWARD-WINNING SERVICES BEGIN WITH A DEDICATED STAFF: BOARD CERTIFIED HOSPICE AND PALLIATIVE CARE PHYSICIANS, WHO WORK ALONGSIDE AGENCY STAFF, ENSURE THAT THE HIGHEST LEVEL OF CARE AND SUPPORT IS PROVIDED TO PATIENTS WHO ARE LIVING WITH CHRONIC AND/OR LIFE-LIMITING ILLNESSES. ADVANCE-PRACTICE NURSES HELP PATIENTS MANAGE DISEASES SUCH AS DIABETES AND PROVIDE MEDICATION MANAGEMENT, WOUND CARE, CARDIAC CARE, AND MENTAL HEALTH SERVICES. PHYSICAL THERAPISTS IMPROVE A PATIENT'S MOBILITY AND INDEPENDENCE BY USING TREATMENTS SUCH AS EXCERCISE AND RANGE OF MOTION WITH A FOCUS ON SAFETY. OCCUPATIONAL THERAPISTS HELP INDIVIDUALS WITH ENERGY CONSERVATION AND ACTIVITIES OF DAILY LIVING, SUCH AS EATING, DRESSING, AND BATHING USING TRAINING AND ASSISTIVE DEVICES. SPEECH THERAPISTS WORK WITH INDIVIDUALS WHO NEED SPEECH, LANGUAGE, COMMUNICATION, AND SWALLOWING TRAINING AFTER A STROKE, SURGERY OR OTHER CONDITION. HOME HEALTH AIDES HELP WITH PERSONAL CARE AND ACTIVITIES OF DAILY LIVING WHEN SKILLED SERVICES ARE ALSO PROVIDED. SPECIALTY SERVICES ARE ALSO PROVIDED BY SOCIAL WORKERS, NUTRITIONISTS, BEHAVIORAL HEALTH NURSES, AND GRIEF SPECIALISTS FOR BOTH CHILDREN AND ADULTS. COMMUNITY HEALTH AND EDUCATION PROGRAMS INCLUDING - BLOOD PRESSURE SCREENINGS - PRESENTATIONS FOR COMMUNITY ORGANIZATIONS - SUPPORT GROUPS

4b	(Code: ) (Expenses $ 13,363,868 including grants of $ ) (Revenue $ 14,852,266 )
	HOSPICE/BEREAVEMENT SERVICES WERE PROVIDED TO 1,442 CLIENTS FROM CENTRAL OFFICES IN THE PENNSYLVANIA COUNTIES OF BLAIR, BEDFORD, CAMBRIA, CENTRE, CLEARFIELD, FRANKLIN, HUNTINGDON, MIFFLIN, AND JUNIATA. FOR THE YEAR ENDED JUNE 30, 2014, HOME NURSING AGENCY & VISITING NURSE ASSOCIATION PROVIDED 109,554 OF UNCOMPENSATED CARE TO ITS HOSPICE AND BEREAVEMENT CLIENTS. THE HOSPICE FUNCTION DID RECEIVE 59,314 OF CONTRIBUTIONS, GIFTS AND/OR GRANTS IN THE YEAR ENDED JUNE 30, 2014, REPORTED IN LINE 1 OF PART VIII, BUT NOT INCLUDED IN THE REVENUE TOTAL ABOVE, PER PART III INSTRUCTIONS. SEE SCHEDULE O FOR DESCRIPTION OF METHODOLOGY TO COMPUTE UNCOMPENSATED CARE. AS PENNSYLVANIA'S FIRST HOME HEALTH AGENCY TO BECOME A MEDICARE-CERTIFIED HOSPICE, HNA VNA PARTNERS WITH PHYSICIANS AND IS UNIFIED BY A COMMON MISSION TO PROVIDE THE HIGHEST QUALITY OF HOSPICE CARE. OUR BOARD CERTIFIED HOSPICE AND PALLIATIVE CARE PHYSICIANS, ADVANCE-PRACTICE NURSES, SOCIAL WORKERS, HOSPICE AIDES, CHAPLAINS, AND VOLUNTEERS ARE SPECIALLY-TRAINED TO DEVELOP A PLAN TO PROVIDE COMFORT MANAGEMENT, PERSONAL CARE, AND SPECIALIZED SERVICES FOR BOTH THE PATIENT AND THE FAMILY, INCLUDING GRIEF SUPPORT. HNA VNA IS THE REGION'S ONLY HOSPICE PROVIDER TO OFFER PALLIATIVE CARE CONSULTATION: UNDER THE DIRECTION OF THE PATIENT'S PHYSICIAN AND THE WISHES OF THE PATIENT, THE HOSPICE TEAM USES METHODS OF PAIN AND SYMPTOM CONTROL, ENABLING THE PATIENT TO LIVE AS PAIN-FREE, COMFORTABLY, AND ALERT AS POSSIBLE. MASSAGE THERAPY, MUSIC AND ART THERAPY, AROMATHERAPY AND STRESS MANAGEMENT ARE ALSO OFFERED. HOME NURSING AGENCY IS THE REGION'S ONLY HOSPICE PROVIDER TO OFFER A GRIEF AND BEREAVEMENT CENTER: THE HEALING PATCH: A PROGRAM FOR LOSS AND HOPE FOR GRIEVING CHILDREN AND THEIR FAMILIES IS DESIGNED FOR CHILDREN AND THEIR FAMILIES WHO HAVE SUFFERED THE LOSS OF A LOVED ONE, SUCH AS A PARENT, SIBLING, GRANDPARENT OR CLOSE FAMILY MEMBER. THE FREE SERVICE WAS FUNDED BY THE HOME NURSING AGENCY FOUNDATION GRANTS, AND INDIVIDUAL AND COMMUNITY SUPPORT.

4c	(Code: ) (Expenses $ 2,021,429 including grants of $ ) (Revenue $ 2,397,409 )
	PEDIATRIC PRIVATE DUTY SERVICES, CALLED PEDIATRIC HOME CONNECTIONS PROVIDED TO 40 CLIENTS FROM CENTRAL OFFICES IN THE PENNSYLVANIA COUNTIES OF BLAIR, BEDFORD, CAMBRIA, CENTRE, FRANKLIN, FULTON, HUNTINGDON AND MIFFLIN. FOR THE YEAR ENDED JUNE 30, 2014, HOME NURSING AGENCY & VISITING NURSE ASSOCIATION PROVIDED 16,843 OF UNCOMPENSATED CARE TO ITS PEDIATRIC CLIENTS. THE PEDIATRIC FUNCTION DID RECEIVE 1,977 OF CONTRIBUTIONS GIFTS AND/OR GRANTS IN THE YEAR ENDED JUNE 30, 2014, REPORTED IN LINE 1 OF PART VIII, BUT NOT INCLUDED IN THE REVENUE TOTAL ABOVE, PER PART III INSTRUCTIONS. SEE SCHEDULE O FOR DESCRIPTION OF METHODOLOGY TO COMPUTE UNCOMPENSATED CARE. PEDIATRIC HOME CONNECTIONS IS A SERVICE FOR MEDICALLY-FRAGILE CHILDREN WHO REQUIRE 24-HOUR CARE. CHILDREN IN THIS PROGRAM ARE TECHNOLOGY-DEPENDENT OR SUFFERING FROM CHRONIC, LIFE-LIMITING DISABILITIES. FUNDS RECEIVED FROM GRANTS FROM THE HOME NURSING AGENCY FOUNDATION ARE USED TO PAY FOR ADDITIONAL SHIFTS OF NURSING CARE, RESPITE AND SOCIAL SERVICES SUPPORT FOR PROGRAM CHILDREN. ADDITIONALLY, FUNDS ARE USED TO PURCHASE THERAPEUTIC ITEMS NEEDED BY THE CHILD THAT WILL HELP TO ENSURE/MAINTAIN THE CHILD'S COMFORT AND PROVIDE EDUCATION AND STIMULATION.

	(Code: ) (Expenses $ 386,258 including grants of $ ) (Revenue $ 51,526 )
	OTHER PROGRAM SERVICES INCLUDE THE COSTS TO ADMINISTER ITS PALLIATIVE CARE PROGRAM AND SUPPORT SERVICES UNDER THE UNITED MINE WORKERS GRANT.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 386,258 including grants of $ ) (Revenue $ 51,526 )
4e	Total program service expenses35,579,323

Form 990 (2013)

Page 3

Part IV

Checklist of Required Schedules

Yes

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

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

Yes

Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment

...

Yes

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

Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........

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

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

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

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

...

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

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

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

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

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

......

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

Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI. Click to see attachment

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

11a

Yes

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

.......

11b

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

.......

11c

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

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

11d

Yes

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

11e

Yes

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

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

11f

12a

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

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

12a

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

12b

Yes

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

14a

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

14a

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........

14b

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...

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 (see instructions)....

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

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

20a

Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....

20a

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?

20b

Form 990 (2013)

Page 4

Part IV

Checklist of Required Schedules (continued)

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

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

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

Yes

24a

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

24a

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

24b

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

24c

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

24d

25a

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

25a

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

25b

Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment

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

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

28a

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

Yes

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 direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment

28c

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

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

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

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

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

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

Yes

35a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

35a

If ‘Yes’ to line 35a, 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...

35b

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

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

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

Yes

Form 990 (2013)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance

Check if Schedule O contains a response or note to any line in this Part V ..............

Yes

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

191

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

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

Yes

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

812

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)

Yes

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

If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Sponsoring organizations maintaining donor advised funds.

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

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

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

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

10a

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

10b

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

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

11a

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

11b

12a

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

12a

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

12b

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

Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.

13a

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

13b

Enter the amount of reserves on hand ............

13c

14a

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

14a

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

14b

Form 990 (2013)

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 or note to any line in this Part VI ..............

Section A. Governing Body and Management

Yes

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

If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

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

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

Yes

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

Yes

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

Yes

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

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

Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................

Yes

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................

Yes

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

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

Yes

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

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

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

Yes

10a

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

10a

If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?

10b

11a

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

11a

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

12a

Did the organization have a written conflict of interest policy? If "No," go to line 13.......

12a

Yes

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

12b

Yes

Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................

12c

Yes

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

Yes

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

Yes

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

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

15a

Yes

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

15b

Yes

If "Yes" to line 15a or 15b, 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

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

16b

Section C. Disclosure

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

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

Own website Another's website Upon request Other (explain in Schedule O)

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

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

GREGG LAVERICK20 SHERATON DRIVEALTOONAPA16601 (814) 946-5411

Form 990 (2013)

Page 7

Part VII

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

Check if Schedule O contains a response or note to any line 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. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

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

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

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

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) AMY SWINDELL........................................................................ DIRECTOR	0.00 .......................50.00	X		25,100	200,813	1,075
(2) VAL MIGNOGNA........................................................................ DIRECTOR	.......................50.00	X		0	124,920	17,743
(3) DIANA WOY........................................................................ DIRECTOR	0.00 .......................50.00	X		0	123,615	0
(4) DAVID COWGER MD........................................................................ DIRECTOR	.......................	X		1,900	0	0
(5) BERNARD CREPPAGE........................................................................ DIRECTOR	1.00 .......................2.00	X		0	0	0
(6) MARGARET ADAMS........................................................................ SECRETARY	0.00 .......................	X	X	0	0	0
(7) RAYMOND HESS........................................................................ DIRECTOR	.......................	X		0	0	0
(8) JOY HIMMEL........................................................................ DIRECTOR	.......................	X		0	0	0
(9) DAWN MCCLELLAN........................................................................ DIRECTOR	.......................	X		0	0	0
(10) JANET SCHACTNER........................................................................ DIRECTOR	.......................	X		0	0	0
(11) KAREN SMITH........................................................................ TREASURER	.......................	X	X	0	0	0
(12) FRANCES VAUGHN........................................................................ DIRECTOR	.......................	X		0	0	0
(13) JAY ROBERTS........................................................................ DIRECTOR	.......................	X		0	0	0
(14) JACK SINCLAIR........................................................................ DIRECTOR	.......................	X		0	0	0
(15) MARGARET CALVERT........................................................................ DIRECTOR	.......................	X		0	0	0
(16) CAROLYN DEAN........................................................................ DIRECTOR	.......................	X		0	0	0
(17) THOMAS LEVINE........................................................................ DIRECTOR	.......................	X		0	0	0

Form 990 (2013)

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 (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)					(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) ROBERT SCHOLL........................................................................ DIRECTOR	.......................	X					0	0	0
(19) JAMES DRENNING........................................................................ DIRECTOR	.......................1.00	X					0	0	0
(20) BRUCE ERB........................................................................ CHAIRMAN	1.00 .......................1.00	X	X				0	0	0
(21) ROBERT PACKER........................................................................ CEO/PRESIDEN	1.00 .......................60.00		X				0	436,595	129,650
(22) GREGG LAVERICK........................................................................ SVP/CFO	1.00 .......................50.00		X				0	247,361	137,986
(23) PHILIP FREEMAN JR........................................................................ COO	50.00 .......................			X			181,165	0	11,933
(24) CELESTE A TWARDON........................................................................ VP CLINICAL	50.00 .......................				X		121,588	0	3,897
(25) RICHARD LOBB........................................................................ VP STRATEGIC	50.00 .......................				X		113,629	0	11,933
(26) SUE LOUNSBURY........................................................................ VP COMPLIANC	50.00 .......................				X		106,368	0	3,897
(27) LUCY KLINGER........................................................................ VP EXTENDED	50.00 .......................					X	121,962	0	11,933

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	671,712	1,397,043	66,308

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

Yes

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

Yes

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

Yes

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

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.

(A) Name and business address	(B) Description of services	(C) Compensation
UPMC ALTOONA620 HOWARD AVEALTOONAPA16601	HEALTH CARE	432,608
DELTA HEALTH TECHNOLIGIES LLCPO BOX 360CLEARFIELDPA16830	SOFTWARE DEV	262,078
LINK COMPUTER CORPORATIONSTADIUM DRIVEBELLWOODPA16617	COMPUTER SVCS	136,491
ALL STAR THERAPIES INC2030 ADER ROADJEANNETTEPA15644	THERAPY	120,214
PRO CARE RX1267 PROFESSIONAL PARKWAYGAINSVILLEGA30507	PRESCRIPTIONS	111,431
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 5

Form 990 (2013)

Page 9

Part VIII

Statement of Revenue

Check if Schedule O contains a response or note to any line in this Part VIII .............

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a		42,019
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		34,515
e	Government grants (contributions)1e		99,934

f	All other contributions, gifts, grants, and similar amounts not included above1f		75,012

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			251,480
			Business Code
2a	HOME HEALTH CARE SERVICES		621610	22,487,124	22,487,124
b	HOMECARE FOR HOSPICE SVCS		621610	14,852,266	14,852,266
c	PEDIATRIC PRIVATE DUTY SVCS		621610	2,397,409	2,397,409
d	ADMINISTRATIVE SUPPORT & SVCS		561000	2,120,401	2,120,401
e	ALL OTHER PROGRAM SERVICE REV		900099	13,178	13,178
f	All other program service revenue .
g	Total. Add lines 2a–2f........			41,870,378
3	Investment income (including dividends, interest, and other similar amounts).......			82,755			82,755
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	13,656,590	55,166
b	Less: cost or other basis and sales expenses	12,903,319
c	Gain or (loss)	753,271	55,166
d	Net gain or (loss)..........			808,437			808,437
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			43,013,050	41,870,378		891,192

Form 990 (2013)

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).Check if Schedule O contains a response or note to any line in this Part IX ...............

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 United States. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	192,460		192,460
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	24,353,190	20,951,874	3,401,316
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,472,469	1,256,882	215,587
9	Other employee benefits .......	3,165,337	2,655,907	509,430
10	Payroll taxes ...........	1,727,514	1,474,585	252,929
11	Fees for services (non-employees):
a	Management ......	886,054	3,965	882,089
b	Legal .........	8,674		8,674
c	Accounting ...........	5,930	4,930	1,000
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	6,050		6,050
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	1,808,358	1,808,358
12	Advertising and promotion ....	193,929	58,320	135,609
13	Office expenses .......	863,697	600,103	263,594
14	Information technology ......	602,791	272,143	330,648
15	Royalties ..
16	Occupancy ...........	1,456,754	1,130,450	326,304
17	Travel ............	1,743,912	1,679,234	64,678
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	78,167	66,538	11,629
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	547,540	463,909	83,631
23	Insurance ..............	294,170	31,598	262,572
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL EQUIPMENT DRUGS	2,530,741	2,522,769	7,972
b	OTHER SERVICES	309,649	273,143	36,506
c	PROVISION FOR BAD DEBTS	220,990	220,990
d	MISCELLANEOUS	160,195	103,625	56,570
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	42,628,571	35,579,323	7,049,248	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Form 990 (2013)

Page 11


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			2,398	1	2,318
2	Savings and temporary cash investments .........			2,314,303	2	4,238,187
3	Pledges and grants receivable, net ...........			43,084	3	31,218
4	Accounts receivable, net .............			8,912,121	4	5,572,335
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			1,101,676	7	2,329,730
8	Inventories for sale or use ..............			138,530	8	10,775
9	Prepaid expenses and deferred charges ..........			142,911	9	92,408
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,589,375
b	Less: accumulated depreciation .....	10b	2,899,311	1,191,605	10c	690,064
11	Investments—publicly traded securities ..........			8,819,117	11
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	5,637,388
16	Total assets. Add lines 1 through 15 (must equal line 34)......			22,665,745	16	18,604,423
17	Accounts payable and accrued expenses .........			2,626,658	17	496,396
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other 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 (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			6,951,038	25	2,232,048
26	Total liabilities. Add lines 17 through 25.........			9,577,696	26	2,728,444
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			13,088,049	27	15,875,979
28	Temporarily restricted net assets ...........				28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			13,088,049	33	15,875,979
34	Total liabilities and net assets/fund balances ........			22,665,745	34	18,604,423

Form 990 (2013)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response or note to any line in this Part XI ..............

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

43,013,050

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

42,628,571

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

384,479

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

13,088,049

Net unrealized gains (losses) on investments ...............

-801,557

Donated services and use of facilities .................

Investment expenses .....................

Prior period adjustments .....................

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

3,205,008

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))

15,875,979

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response or note to any line in this Part XII .............

Yes

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

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

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

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

Yes

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If "Yes," to line 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.

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?

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.

Form 990 (2013)

Form 990, Special Condition Description:

Special Condition Description

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

HOME NURSING AGENCY & VISITING
NURSE ASSOCIATION

Employer identification number

25-1188570

Part I

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

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

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

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

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

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

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

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

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

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

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

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

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

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

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

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

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

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

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

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

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

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

Yes

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

11g(i)

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

11g(ii)

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

11g(iii)

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

(i) Name of supported organization	(ii) EIN	(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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	550,154	438,909	448,730	245,385	251,480	1,934,658
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......	41,801,966	43,181,348	47,798,031	47,528,680	41,870,378	222,180,403
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.	42,352,120	43,620,257	48,246,761	47,774,065	42,121,858	224,115,061
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.)						224,115,061

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...	42,352,120	43,620,257	48,246,761	47,774,065	42,121,858	224,115,061
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	146,430	156,542	187,414	222,309	82,755	795,450
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.	146,430	156,542	187,414	222,309	82,755	795,450
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.) ..	7,767	20,162	7,434	9,462		44,825
13	Total support. (Add lines 9, 10c, 11, and 12.)..	42,506,317	43,796,961	48,441,609	48,005,836	42,204,613	224,955,336

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

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

99.630 %

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

99.580 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

0 %

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

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

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

HOME NURSING AGENCY & VISITING
NURSE ASSOCIATION

Employer identification number

25-1188570

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization HOME NURSING AGENCY & VISITING NURSE ASSOCIATION

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization HOME NURSING AGENCY & VISITING NURSE ASSOCIATION

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
HOME NURSING AGENCY & VISITING
NURSE ASSOCIATION

Employer identification number

25-1188570

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose 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

(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

(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

(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) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

HOME NURSING AGENCY & VISITING
NURSE ASSOCIATION

Employer identification number

25-1188570

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

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

(ii)

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

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No

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


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

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

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

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

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................
b	Buildings ................
c	Leasehold improvements ............
d	Equipment ................	3,589,375	2,899,311	690,064
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				690,064

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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









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

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM EXEMPT PARENT UPMC				5,637,388








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				5,637,388

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
PENSION LIABILITY		2,223,594
RESERVE FOR CONTINGENT LIABILITIES		8,454







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		2,232,048
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
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 XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
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 XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

HOME NURSING AGENCY & VISITING
NURSE ASSOCIATION

Employer identification number

25-1188570

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

Yes

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

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)AMY SWINDELLDIRECTOR	(i) (ii)	183,870		25,100 16,943		1,075	25,100 201,888
(2)ROBERT PACKERCEO/PRESIDENT	(i) (ii)	381,913	6,283	48,399	125,753	3,897	566,245
(3)GREGG LAVERICKSVP/CFO	(i) (ii)	201,913	3,914	41,534	137,986		385,347
(4)PHILIP FREEMAN JRCOO	(i) (ii)	173,548		7,617		11,933	193,098
(5)LUCY KLINGERVP EXTENDED LIVING	(i) (ii)	121,566		396		11,933	133,895

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PART III	SCHEDULE J, PART II, LINES 4 AND 5: MR. ROBERT PACKER AND MR. GREGG LAVERICK'S COMPENSATION IS PAID BY HOME NURSING AGENCY AFFILIATES, THE PARENT COMPANY OF HNA VNA. MS. LUCY KLINGER, VICE PRESIDENT OF EXTENDED LIVING SERVICES, RESIGNED FROM HNA VNA IN THE YEAR ENDED JUNE 30, 2014.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

HOME NURSING AGENCY & VISITING
NURSE ASSOCIATION

Employer identification number

25-1188570

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

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

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

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

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 assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) AARON PACKER	SEE PART V	36,808	COMPENSATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCHEDULE L, PART V	PART IV, LINE 1(B) AARON PACKER IS A FAMILY MEMBER OF ROBERT PACKER, CEO.

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

HOME NURSING AGENCY & VISITING
NURSE ASSOCIATION

Employer identification number

25-1188570

Return Reference	Explanation
FORM 990 - ORGANIZATION'S MISSION	HOME NURSING AGENCY & VISITING NURSE ASSOCIATION IS REFERRED TO AS "HNA VNA" OR "HNA VISITING NURSE ASSOCIATION" WITHIN THIS FORM. FORM 990, PART I, LINE 1 AND PART III, LINE 1. - ORGANIZATION'S MISSION AS PROVIDED IN ITS ARTICLES, THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCUSIVELY FOR EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED(OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW) (THE "CODE"), INCLUDING, WITHOUT LIMITATION, ESTABLISHING AND OPERATING COMMUNITY SERVICES 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. AS THE REGION'S PREMIER POST-ACUTE CARE PROVIDER AVAILABLE 24 HOURS-A-DAY, 7 DAYS-A-WEEK FOR HOME HEALTH CARE, HOSPICE, PALLIATIVE CARE, PEDIATRIC SERVICES, HNA'S ADVANCE PRACTICE NURSES, THERAPISTS, AIDES, AND HEALTHCARE PROFESSIONALS ARE PERFORMING CLINICAL PROTOCALS AND POINTS OF INTERVENTION TO PREVENT EMERGENCY ROOM VISITS AND RE-HOSPITALIZATIONS, ULTIMATELY FOSTERING INDEPENDENCE AND EMPOWERMENT SO INDIVIDUALS CAN REMAIN WHERE THEY WANT TO BE MOST - IN THEIR HOMES, SCHOOLS, AND COMMUNITIES. ADDITIONALLY, HNA HOLDS MONTHLY BLOOD PRESSURE SCREENINGS AT 53 SITES IN LOCAL SENIOR CENTERS AND RETIREMENT HOUSING VILLAGES. IN ADDITION TO 615 HOURS OF FREE BLOOD PRESSURE SCREENINGS ANNUALLY, HNA'S STAFF PARTICIPATE IN A MYRIAD OF COMMUNITY-SPONSORED HEALTH/WELLNESS FORUMS. 2013-14 ACCOMPLISHMENTS/VNA AN APPROVED PROVIDER OF CONTRACT HOURS FOR NURSING EDUCATION AS RECOGNIZED BY THE PENNSYLVANIA STATE NURSES ASSOCIATION (PSNA) HNA'S VOLUNTEERS, REPRESENTING SEVERAL VNA PROGRAMS/SERVICES, PROVIDED OVER 9,317 VOLUNTEER SERVICE HOURS TO PATIENTS AND CLIENTS THROUGHOUT HNA'S SERVICE DELIVERY REGION. A MEMBER OF HOMECARE ELITE, EIGHT YEARS RUNNING MEMBER OF UNITED WAYS INCLUDING LAUREL HIGHLANDS, BEDFORD, BLAIR, AND HUNTINGDON COUNTIES. HOME NURSING AGENCY PROGRAMS/SERVICES INCLUDING HOSPICE AND HEALING PATCH, FEATURED IN REGIONAL NEWSPAPERS AND PUBLICATIONS. FORM 990, PART III, LINE 4 - EXEMPT PURPOSE ACHIEVEMENT NARRATIVE UNCOMPENSATED CARE TO HNA VNA CLIENTS IS DETERMINED AS THE DIFFERENCE BETWEEN HOME NURSING AGENCY'S COST TO PROVIDE 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 PROVIDED 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.
FORM 990, PAGE 2, PART III, LINE 4A	SERVING ALL AGES, HOME NURSING AGENCY OFFERS CARE WHEN AN INJURY, CHRONIC ILLNESS, OR SURGERY AFFECTS THE QUALITY OF LIFE. CARE IS AVAILABLE IN A PERSONAL RESIDENCE, ASSISTED LIVING FACILITY, OR PERSONAL CARE HOME - WHEREVER ONE CALLS HOME. THE AGENCY IS A MEMBER OF HOME CARE ELITE FOR EIGHT CONSECUTIVE YEARS DEMONSTRATING SUPERIOR PERFORMANCE IN PATIENT OUTCOMES AND EXCELLING IN ESTABLISHED QUALITY MEASURES BASED ON US HOME HEALTH COMPARE SCORES: HNA VNA'S AWARD-WINNING SERVICES BEGIN WITH A DEDICATED STAFF: BOARD CERTIFIED HOSPICE AND PALLIATIVE CARE PHYSICIANS, WHO WORK ALONGSIDE AGENCY STAFF, ENSURE THAT THE HIGHEST LEVEL OF CARE AND SUPPORT IS PROVIDED TO PATIENTS WHO ARE LIVING WITH CHRONIC AND/OR LIFE-LIMITING ILLNESSES. ADVANCE-PRACTICE NURSES HELP PATIENTS MANAGE DISEASES SUCH AS DIABETES AND PROVIDE MEDICATION MANAGEMENT, WOUND CARE, CARDIAC CARE, AND MENTAL HEALTH SERVICES. PHYSICAL THERAPISTS IMPROVE A PATIENT'S MOBILITY AND INDEPENDENCE BY USING TREATMENTS SUCH AS EXCERCISE AND RANGE OF MOTION WITH A FOCUS ON SAFETY. OCCUPATIONAL THERAPISTS HELP INDIVIDUALS WITH ENERGY CONSERVATION AND ACTIVITIES OF DAILY LIVING, SUCH AS EATING, DRESSING, AND BATHING USING TRAINING AND ASSISTIVE DEVICES. SPEECH THERAPISTS WORK WITH INDIVIDUALS WHO NEED SPEECH, LANGUAGE, COMMUNICATION, AND SWALLOWING TRAINING AFTER A STROKE, SURGERY OR OTHER CONDITION. HOME HEALTH AIDES HELP WITH PERSONAL CARE AND ACTIVITIES OF DAILY LIVING WHEN SKILLED SERVICES ARE ALSO PROVIDED. SPECIALTY SERVICES ARE ALSO PROVIDED BY SOCIAL WORKERS, NUTRITIONISTS, BEHAVIORAL HEALTH NURSES, AND GRIEF SPECIALISTS FOR BOTH CHILDREN AND ADULTS. COMMUNITY HEALTH AND EDUCATION PROGRAMS INCLUDING - BLOOD PRESSURE SCREENINGS - PRESENTATIONS FOR COMMUNITY ORGANIZATIONS - SUPPORT GROUPS
FORM 990, PAGE 2, PART III, LINE 4B	AS PENNSYLVANIA'S FIRST HOME HEALTH AGENCY TO BECOME A MEDICARE-CERTIFIED HOSPICE, HNA VNA PARTNERS WITH PHYSICIANS AND IS UNIFIED BY A COMMON MISSION TO PROVIDE THE HIGHEST QUALITY OF HOSPICE CARE. OUR BOARD CERTIFIED HOSPICE AND PALLIATIVE CARE PHYSICIANS, ADVANCE-PRACTICE NURSES, SOCIAL WORKERS, HOSPICE AIDES, CHAPLAINS, AND VOLUNTEERS ARE SPECIALLY-TRAINED TO DEVELOP A PLAN TO PROVIDE COMFORT MANAGEMENT, PERSONAL CARE, AND SPECIALIZED SERVICES FOR BOTH THE PATIENT AND THE FAMILY, INCLUDING GRIEF SUPPORT. HNA VNA IS THE REGION'S ONLY HOSPICE PROVIDER TO OFFER PALLIATIVE CARE CONSULTATION: UNDER THE DIRECTION OF THE PATIENT'S PHYSICIAN AND THE WISHES OF THE PATIENT, THE HOSPICE TEAM USES METHODS OF PAIN AND SYMPTOM CONTROL, ENABLING THE PATIENT TO LIVE AS PAIN-FREE, COMFORTABLY, AND ALERT AS POSSIBLE. MASSAGE THERAPY, MUSIC AND ART THERAPY, AROMATHERAPY AND STRESS MANAGEMENT ARE ALSO OFFERED. HOME NURSING AGENCY IS THE REGION'S ONLY HOSPICE PROVIDER TO OFFER A GRIEF AND BEREAVEMENT CENTER: THE HEALING PATCH: A PROGRAM FOR LOSS AND HOPE FOR GRIEVING CHILDREN AND THEIR FAMILIES IS DESIGNED FOR CHILDREN AND THEIR FAMILIES WHO HAVE SUFFERED THE LOSS OF A LOVED ONE, SUCH AS A PARENT, SIBLING, GRANDPARENT OR CLOSE FAMILY MEMBER. THE FREE SERVICE WAS FUNDED BY THE HOME NURSING AGENCY FOUNDATION GRANTS, AND INDIVIDUAL AND COMMUNITY SUPPORT.
FORM 990, PAGE 2, PART III, LINE 4C	PEDIATRIC HOME CONNECTIONS IS A SERVICE FOR MEDICALLY-FRAGILE CHILDREN WHO REQUIRE 24-HOUR CARE. CHILDREN IN THIS PROGRAM ARE TECHNOLOGY-DEPENDENT OR SUFFERING FROM CHRONIC, LIFE-LIMITING DISABILITIES. FUNDS RECEIVED FROM GRANTS FROM THE HOME NURSING AGENCY FOUNDATION ARE USED TO PAY FOR ADDITIONAL SHIFTS OF NURSING CARE, RESPITE AND SOCIAL SERVICES SUPPORT FOR PROGRAM CHILDREN. ADDITIONALLY, FUNDS ARE USED TO PURCHASE THERAPEUTIC ITEMS NEEDED BY THE CHILD THAT WILL HELP TO ENSURE/MAINTAIN THE CHILD'S COMFORT AND PROVIDE EDUCATION AND STIMULATION.
FORM 990, PAGE 2, PART III, LINE 4D	OTHER PROGRAM SERVICES INCLUDE THE COSTS TO ADMINISTER ITS PALLIATIVE CARE PROGRAM AND SUPPORT SERVICES UNDER THE UNITED MINE WORKERS GRANT.
FORM 990, PART VI	FORM 990, PART VI, SECTION B, LINE 12B DIRECTORS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY THROUGH COMPLETION OF A SPECIFIC QUESTIONAIRE. ALL ORGANIZATION LEADERS, INCLUDING OFFICERS AND KEY EMPLOYERS, HAVE SIGNED A CONFLICT OF INTEREST AGREEMENT, WHICH REQUIRES THEM TO DISCLOSE CONFLICTS AS THEY OCCUR.
FORM 990, PAGE 6, PART VI, LINE 2	ROBERT PACKER; FRANCES VAUGHN BUSINESS RELATIONSHIP
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 CEO TO APPOINT EXECUTIVE STAFF FROM THE HOME NURSING AGENCY AFFILIATES TO PERFORM CERTAIN ASPECTS OF MANAGEMENT FUNCTIONS, THE CHIEF FINANCIAL OFFICER AND CHIEF PEOPLE OFFICER OF THE HOME NURSING AGENCY AFFILIATES CONTROLLED MANAGEMENT DUTIES OF THE ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 4	EFFECTIVE JANUARY 1, 2014, THE ORGANIZATION'S BOARD OF DIRECTORS AMENDED AND RESTATED THE BYLAWS TO REFLECT THE STRUCTURAL CHANGE OF THE ORGANIZATION'S PARENT CORPORATION, HOME NURSING AGENCY AFFILIATES. THE SOLE MEMBER OF THE PARENT CORPORATION TRANSFERED FROM UPMC ALTOONA, FORMALLY ALTOONA REGIONAL HEALTH SYSTEM, TO UPMC COMMUNITY PROVIDER SERVICES.
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 RECOMMENDED BY THE NOMINATING COMMITTEE. THESE ELECTIONS ARE SUBJECT TO THE APPROVAL OF UPMC COMMUNITY PROVIDER SERVICES.
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 APPROVED BY THE 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 WITHDRAWL 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 HOME NURSING AGENCY AFFILIATES THE FOLLOWING POWERS WITH RESPECT TO THE CORPORATION: ELECTION AND REMOVAL OF THE DIRECTORS OF THE CORPORATION (APART FROM THE 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.
FORM 990, PAGE 6, PART VI, LINE 11B	HNA VNA IS A SUBSIDIARY OF THE HOME NURSING AGENCY AFFILIATES. THE COMPLETED FORM 990 OF HNA VNA WAS PROVIDED TO THE ATTENDEES OF A MEETING OF THE HOME NURSING AGENCY AFFILIATES BOARD OF DIRECTORS. THE CHAIRMAN OF THE HNA VNA BOARD IS A MEMBER OF THE BOARD OF THE HOME NURSING AGENCY AFFILIATES.
FORM 990, PAGE 6, PART VI, LINE 12C	TO FAMILIARIZE THEMSELVES WITH POTENTIAL CONFLICTS, THE CEO, CFO, CHIEF PEOPLE OFFICER, 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 A MEETING, THEY ARE RESPONSIBLE FOR ENSURING THAT THE CONFLICT IS NOTED AND APPROPRIATE ACTION IS TAKEN.
FORM 990, PAGE 6, PART VI, LINE 15A	EXECUTIVE COMPENSATION FOR THE HOME NURSING AGENCY CEO OF THE HOME NURSING AGENCY ENTITIES IS REVIEWED AND ANALYZED BY AN INDEPENDENT CONSULTANT TO DETERMINE REGION AND MARKET COMPETITIVENESS FOR BOTH WAGES AND BENEFITS. RESULTS OF THOSE FINDINGS ARE PRESENTED TO AN EXECUTIVE COMPENSATION COMMITTEE FOR FURTHER REVIEW, ANALYSIS, RECOMMENDATIONS, AND APPROVALS.
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 COMPETITIVENESS FOR BOTH WAGES AND BENEFITS. RESULTS OF THOSE FINDINGS ARE PRESENTED TO AN EXECUTIVE COMPENSATION COMMITTEE FOR FURTHER REVIEW, ANALYSIS, RECOMMENDATIONS, AND APPROVALS.
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.
FORM 990, PART VII	ALL COMPENSATION IS PAID TO PERSONS FOR THEIR OPERATIONAL ROLES TO HNA VNA AND NO COMPENSATION IS PAID FOR THEIR ROLE AS A DIRECTOR FORM 990, PART VII, COMPENSATION: COLUMN B. AVERAGE HOURS PER WEEK THE SOFTWARE USED TO SUBMIT THIS FORM 990 ROUNDS THE AVERAGE HOURS TO A WHOLE NUMBER. BELOW ARE LISTED THE ACTUAL AVERAGE HOURS PER WEEK. AMY SWINDELL, DO, DIRECTOR - 0.20 HOURS PER WEEK - 50 HOURS RELATED ORG BERNARD CREPPAGE, - DIRECTOR - 0.70 HOURS PER WEEK - 1.6 HRS RELATED ORG BRUCE ERB, CHAIRMAN - 0.6 HOURS PER WEEK - 1.2 HOURS RELATED ORG CAROLYN DEAN, DIRECTOR - 0.20 HOURS PER WEEEK - 0 HOURS RELATED ORG CELESTE TWARDON, VP CLINICAL - 50.0 HOURS PER WEEK - 0 HOURS RELATED ORG DAVID COWGER, DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG DAWN MCCLELLAN, DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG DIANA WOY, DIRECTOR - 0.20 HOURS PER WEEK - 50.0 HOURS RELATEG ORG FRANCES VAUGHN, DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG GREGG LAVERICK, CFO, KEY EMPLOYEE - JACK SINCLAIR, DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG JAMES DRENNING, DIRECTOR - 0.40 HOURS PER WEEK - 1.1 HOURS RELATED ORG JANET SCHACHTNER, DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG JAY ROBERTS, DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG JOY HIMMEL, DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG KAREN SMITH, TREASURER - 0.30 HOURS PER WEEK - 0 HOURS RELATED ORG LUCY KLINGER, VP EXTENDED LIVING - 50.0 HOURS PER WEEK - 0 HOURS RELATED MARGARET ADAMS, SECRETARY - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG MARGARET CALVERT, DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG PHILIP FREEMAN, JR. COO - 50 HOURS PER WEEK - 0 HOURS RELATED ORG RAYMOND HESS, DIRECTOR - 0.20 HOURS PER WEEK - 0.2 HOURS RELATED ORG RICHARD LOBB, VP STRATEGIC BUS DEV - 50.0 HOURS PER WEEK - 0 HOURS RELATED ROBERT PACKER, CEO, KEY EMPLOYEE - ROBERT SCHOLL, DIRECTOR - 0.20 HOURS PER WEEK - 0.2 HOURS RELATED ORG SUE LOUNSBURY, VP OF COMPLIANCE - 50.0 HOURS PER WEEK - 0 HOURS RELATED ORG THOMAS LEVINE, DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG VAL MIGNOGNA, DIRECTOR - 0.20 HOURS PER WEEK - 50 HOURS RELATED ORG 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.
FORM 990, PART XI, LINE 9	PENSION - OTHER COMPREHENSIVE INCOME 3,205,008
FORM 990, PART XII	FORM 990, PART XII, LINE 2B - AUDITED FINANCIAL STATEMENTS THE FINANCIAL STATEMENTS OF HNA VNA ARE CONSOLIDATED INTO AND REPORTED IN THE UPMC AUDITED CONSOLIDATED FINANCIAL STATEMENTS, FOR THE YEAR ENDED JUNE 30, 2014.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

HOME NURSING AGENCY & VISITING
NURSE ASSOCIATION

Employer identification number

25-1188570

Part I

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

(a) Name, address, and EIN (if applicable) 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 entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) UPMC SENIOR COMMUNITES INC 600 GRANT STREET PITTSBURGH,PA15219 25-1574736	SR LIVING	PA	501C3	9	UPMC		No
(2) SENECA PLACE 600 GRANT STREET PITTSBURGH,PA15219 72-1562844	SR LIVING	PA	501C3	9	UPMC SR		No
(3) UPMC 600 GRANT STREET PITTSBURGH,PA15219 25-1423657	SUPPORT EX	PA	501C3	11C	NA		No
(4) UPMC LEE 600 GRANT STREET PITTSBURGH,PA15219 25-0613830	INACTIVE	PA	501C3	3	UPMC		No
(5) COMMUNITY PHYSICIAN SERVICES INC 600 GRANT STREET PITTSBURGH,PA15219 25-1722923	INACTIVE	PA	501C3	9	UPMC		No
(6) PITTSBURGH CARE PARTNERSHIP INC 600 GRANT STREET PITTSBURGH,PA15219 25-1753852	ADULTDAYCA	PA	501C3	9	UPMC		No
(7) CANTERBURY PLACE 600 GRANT STREET PITTSBURGH,PA15219 25-0965334	SR LIVING	PA	501C3	11A	UPMC SR CO		No
(8) UPMC CENTER FOR HIGH VALUE HEALTHCARE 600 GRANT STREET PITTSBURGH,PA15219 45-2178782	RESEARCH	PA	501C3	7	UPMC		No
(9) CLINICAL CONNECT HIE 600 GRANT STREET PITTSBURGH,PA15219 27-4585032	TECHNOLOGY	PA	501C3	11B	UPMC		No
(10) SHADYSIDE HOSPITAL SUPPORTING FOUNDATION 600 GRANT STREET PITTSBURGH,PA15219 26-0303394	FOUNDATION	PA	501C3	11A	UPMC		No
(11) SHADYSIDE HOSPITAL FOUNDATION 600 GRANT STREET PITTSBURGH,PA15219 25-1290546	FOUNDATION	PA	501C3	11C	UPMC PRESB		No
(12) PASSAVANT HOPSITAL FOUNDATION 600 GRANT STREET PITTSBURGH,PA15219 25-1407815	FOUNDATION	PA	501C3	11B	UPMC		No
(13) UPMC NORTHWEST FOUNDATION 600 GRANT STREET PITTSBURGH,PA15219 25-1483624	FOUNDATION	PA	501C3	11D	NA		No
(14) ST MARGARET FOUNDATION 600 GRANT STREET PITTSBURGH,PA15219 25-1520340	FOUNDATION	PA	501C3	7	UPMC ST MA		No
(15) CHILDRENS HOSPITAL OF PGH FOUNDATION 600 GRANT STREET PITTSBURGH,PA15219 25-1865744	FOUNDATION	PA	501C3	7	UPMC CHP		No
(16) MAGEE-WOMEN RESEARCH INST AND FOUNDATION 600 GRANT STREET PITTSBURGH,PA15219 25-1462311	FOUNDATION	PA	501C3	7	NA		No
(17) KANE COMMUNITY HOSPITAL 4372 ROUTE 6 KANE,PA16735 25-0998168	HOSPITAL	PA	501C3	3	UPMC HAMOT		No
(18) HOME NURSING AGENCY AFFILIATES 201 CHESTNUT AVE ALTOONA,PA16601 25-1518698	HOMECARE	PA	501C3	9	CPS		No
(19) HOME NURSING AGENCY COMMUNITY SERVICES 154 LAKEMONT PARK BLVD ALTOONA,PA16601 25-1517533	HOMECARE	PA	501C3	9	UPMC		No
(20) PITTSBURGH LIFETIME CARE COMMUNITY 600 GRANT STREET PITTSBURGH,PA15219 25-1335247	HOMECARE	PA	501C3	9	UPMC SR		No
(21) HOME NURSING AGENCY FOUNDATION 201 CHESTNUT AVE ALTOONA,PA16601 25-1467014	FOUNDATION	PA	501C3	11C	UPMC		No
(22) GREAT LAKES PHYSICIAN PRACTICE 600 GRANT STREET PITTSBURGH,PA15219 46-4186362	PHYSICIANS	NY	501C3	3	RHS		No
(23) HAMOT HEALTH FOUNDATION 302 FRENCH STREET ERIE,PA16507 25-1400999	FOUNDATION	PA	501C3	11B	UPMC HAMOT		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) SENECA HILLS ASSIST LIVING 600 GRANT STREET 58TH FLOOR PITTSBURGH,PA15219	ASSIST LIV	PA	NA				No			No
(2) ST MARGARET MEDICAL ARTS ASSOC 600 GRANT STREET 58TH FLOOR PITTSBURGH,PA15219	MEDICAL OF	PA	NA				No			No
(3) LILIANE S KAUFMANN MOB ASSOC 600 GRANT STREET 58TH FLOOR PITTSBURGH,PA15219	MED OFFICE	PA	NA				No			No
(4) CORE NETWORK LLC 600 GRANT STREET 58TH FLOOR PITTSBURGH,PA15219 25-1786209	HEALTHCARE	PA	NA				No			No
(5) UPMC JEFFERSON REGIONAL HOME 600 GRANT STREET 58TH FLOOR PITTSBURGH,PA15219	HOMECARE	PA	NA				No			No
(6) LIFE HOME CARE LP 600 GRANT STREET 58TH FLOOR PITTSBURGH,PA15219	HOMECARE	PA	NA				No			No
(7) SHADYSIDE MEDICAL ARTS CENTERS ASSO 600 GRANT STREET 58TH FLOOR PITTSBURGH,PA15219	MED OFFICE	PA	NA				No			No
(8) CHARTWELL PA LP 600 GRANT STREET 58TH FLOOR PITTSBURGH,PA15219 25-1729714	HOME HEALT	PA	NA				No			No
(9) EPN-HAMOT URGENT CARE LLC 600 GRANT STREET 58TH FLOOR PITTSBURGH,PA15219	URGENT CAR	PA	NA				No			No
(10) LIFE HOME CARE SERVICES NORTHWEST 1647 SASSAFRAS ST PITTSBURGH,PA15219	HOME HEALT	PA	NA				No			No
(11) HAMOT-KCH REAL ESTATE VENTURE 300 STATE STREET ERIE,PA16507	MED OFFICE	PA	NA				No			No
(12) HAMOT SURGERY CENTER 200 STATE STREET ERIE,PA16507	AMBULATORY	PA	NA				No			No
(13) MOUNTAIN VIEW MEDICAL ONCOLOGY 600 GRANT STRET 58TH FLOOR PITTSBURGH,PA15219	HEALTHCARE	PA	NA				No			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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) HC PHARMACY CENTRAL INC 600 GRANT STREET PITTSBURGH,PA15219 23-1364192	PRARMACY	PA	NA	C CORP				No
(2) CHILDREN'S COMMUNITY CARE 600 GRANT STREET PITTSBURGH,PA15219 25-1781887	HEALTHCARE	PA	NA	C CORP				No
(3) UPMC CANCER CENTERS IRELAND LIMITED 6TH FLOOR BEACON HOSPITAL 18 DUBLIN EI	CANCER TRE		NA	C CORP				No
(4) UPMC CANCER CENTERS HOLDING COMPANY 600 GRANT STREET PITTSBURGH,PA15219 25-1877017	HOLDING CO	PA	NA	C CORP				No
(5) HEMATOLOGY ONCOLOGY ASSOC 600 GRANT STREET PITTSBURGH,PA15219 42-1648357	HEALTHCARE	PA	NA	C CORP				No
(6) ONCOLOGY HEMATOLOGY ASSOC 600 GRANT STREET PITTSBURGH,PA15219 25-1762980	HEALTHCARE	PA	NA	C CORP				No
(7) TRI-STATE NEUROSURGICAL ASSOC 600 GRANT STREET PITTSBURGH,PA15219 25-1458655	HEALTHCARE	PA	NA	C CORP				No
(8) RENAISSANCE FAMILY PRACTICE 600 GRANT STREET PITTSBURGH,PA15219 26-2942406	HEALTHCARE	PA	NA	C CORP				No
(9) UPMC HOLDING COMPANY INC 600 GRANT STREET PITTSBURGH,PA15219 25-1777713	HOLDING CO	PA	NA	C CORP				No
(10) UPMC COVERAGE PRODUCTS INC 600 GRANT STREET PITTSBURGH,PA15219 25-1777710	HOLDING CO	PA	NA	C CORP				No
(11) FREEDOM INSURANCE COMPANY 600 GRANT STREET PITTSBURGH,PA15219 03-0308944	INSURANCE	VT	NA	C CORP				No
(12) TRI-CENTURY INSURANCE CO 600 GRANT STREET PITTSBURGH,PA15219 25-1500739	INSURANCE	PA	NA	C CORP				No
(13) UPMC DNA INC 600 GRANT STREET PITTSBURGH,PA15219 25-1883237	INSURANCE	PA	NA	C CORP				No
(14) UPMC HEALTH BENEFITS INC 600 GRANT STREET PITTSBURGH,PA15219 25-1844144	INSURANCE	PA	NA	C CORP				No
(15) UPMC HEALTH NETWORK INC 600 GRANT STREET PITTSBURGH,PA15219 72-1527566	INSURANCE	PA	NA	C CORP				No
(16) UPMC HEALTH PLAN INC 600 GRANT STREET PITTSBURGH,PA15219 23-2813536	INSURANCE	PA	NA	C CORP				No
(17) UPMC BENEFIT MANAGEMENT SERV 600 GRANT STREET PITTSBURGH,PA15219 25-1769564	WORKERS CO	PA	NA	C CORP				No
(18) UPMC DIVERSIFIED SERVICES INC 600 GRANT STREET PITTSBURGH,PA15219 25-1778454	HOLDING CO	PA	NA	C CORP				No
(19) MONROEVILLE SPECIALTY CLINIC 600 GRANT STREET PITTSBURGH,PA15219 25-1666087	HEALTHCARE	PA	NA	C CORP				No
(20) MEDICAL ARCHIVAL SYSTEMS INC 600 GRANT STREET PITTSBURGH,PA15219 23-2912501	SOFTWARE	DE	NA	C CORP				No
(21) PRESBY HEALTH RESOURCE MGMT 600 GRANT STREET PITTSBURGH,PA15219 25-1422155	HEALTHCARE	PA	NA	C CORP				No
(22) RX PARTNERS INC 600 GRANT STREET PITTSBURGH,PA15219 25-1801966	PRARMACY	PA	NA	C CORP				No
(23) BIOTRONICS INC 600 GRANT STREET PITTSBURGH,PA15219 25-1843500	EQUIP MAIN	PA	NA	C CORP				No
(24) MEDICAL CENTER PROPERTIES INC 600 GRANT STREET PITTSBURGH,PA15219 25-1796940	REAL ESTAT	PA	NA	C CORP				No
(25) ASKESIS DEVELOPMENT GROUP INC 600 GRANT STREET PITTSBURGH,PA15219 54-1625585	SOFTWARE	DE	NA	C CORP				No
(26) PANTHER REINSURANCE COMPANY PO BOX 1109 GRAND CAYMAN CJ	INSURANCE		NA	C CORP				No
(27) FORBES INSURANCE COMPANY PO BOX 1109 GRAND CAYMAN CJ	INSURANCE		NA	C CORP				No
(28) CATHEDRAL (RE) INSURANCE COMPANY PO BOX 1109 GRAND CAYMAN CJ	INSURANCE		NA	C CORP				No
(29) UPMC INTERNATIONAL HEALTH 600 GRANT STREET PITTSBURGH,PA15219 84-1706741	INACTIVE	PA	NA	C CORP				No
(30) UPMC IRELAND LIMITED 6TH FLOOR BEACON HOSPITAL DUBLIN EI	HEALTHCARE		NA	C CORP				No
(31) UPMC UNITED KINGDOM LTD C/O NAIR CO 11TH FLOOR BRISTOL WHITEFRIARS BS12 LEWINS MEAD UK 98-0571026	SOFTWARE		NA	C CORP				No
(32) UPMC CYPRUS HOLDINGS LTD JULIA HOUSE 3 106 NOCOSI THEMISTOCKLES CY	HEALTHCARE		NA	C CORP				No
(33) UPMC BEACON SANDYFORD LIMITED STE 36 BEACON HILL BEACON COURT DUBLIN EI	HOSPITAL		NA	C CORP				No
(34) UPMC BSC LIMITED STE 36 BEACON HILL BEACON COURT DUBLIN EI	HOLDING CO		NA	C CORP				No
(35) UPMC BMGS LIMITED STE 36 BEACON HILL BEACON COURT DUBLIN EI	TRILOGY LE		NA	C CORP				No
(36) UPMC BHSH LIMITED BEACON HILL THE MALL AT BEACON COUR DUBLIN EI	HOLDING CO		NA	C CORP				No
(37) UPMC WORK ALLIANCE INC 600 GRANT STREET PITTSBURGH,PA15219 45-2825053	INSURANCE	PA	NA	C CORP				No
(38) EVOLENT HEALTH INC 600 GRANT STREET PITTSBURGH,PA15219 45-3084136	HEALTHCARE	PA	NA	C CORP				No
(39) 21ST CENTURY BIODEFENSE INC 600 GRANT STREET PITTSBURGH,PA15219 26-3806281	INACTIVE	PA	NA	C CORP				No
(40) UPMC CYPRUS LTD JULIA HOUSE 3 106 NOCOSI THEMISTOCKLES CY	HEALTHCARE		NA	C CORP				No
(41) BAYFRONT REGIONAL DEVELOPMENT CORP 300 STATE STREET ERIE,PA16507 25-1401388	RE HOLDING	PA	NA	C CORP				No
(42) BAYSIDE DEVELOPMENT CORP 300 STATE STREET ERIE,PA16507 25-1401386	REAL ESTAT	PA	NA	C CORP				No
(43) UPMC CANADA TECHNOLOGIES 600 GRANT STREET PITTSBURGH,PA15219	TECHNOLOGY	CA	NA	C CORP				No
(44) ALLIED ORTHOPEDICS INC 600 GRANT STREET PITTSBURGH,PA15219 16-1092951	MED APPLIA	PA	NA	C CORP				No
(45) UPMC HEALTH COVERAGE INC 600 GRANT STREET PITTSBURGH,PA15219 46-2824537	HEALTH COV	PA	NA	C CORP				No
(46) UPMC HEALTH OPTIONS INC 600 GRANT STREET PITTSBURGH,PA15219 46-2824626	INSURANCE	PA	NA	C CORP				No
(47) PRODIGO SOLUTIONS INC 600 CRANBERRY WOODS DRIVE CRANBERRY,PA16066 46-3889233	SOFTWARE	PA	NA	C CORP				No
(48) VIA ONCOLOGY LLC 5750 CENTRE AVE PITTSBURGH,PA15206 37-1754667	ONCOLOGY	PA	NA	C CORP				No
(49) UPMC COMPLETE CARE INC 5215 CENTRE AVE PITTSBURGH,PA15232 46-3605753	HEALTHCARE	PA	NA	C CORP				No
(50) AMERICAN HOME HEALTH INC 975 CROCKER ROAD STE A WESTLAKE,OH44145 31-1521422	HOME HEALT	OH	QFH	C CORP				No

Schedule R (Form 990) 2013

Page 3

Part V

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

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

Yes

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

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

Yes

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

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

Yes

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

Yes

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

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) HNA FOUNDATION	C	34,515	GRANT AWARDED
(2) HNA AFFILIATES	K	1,448,804	SQ FOOTAGE
(3) HNA COMMUNITY SERVICES	L	1,073,571	% TOTAL EXPENSES
(4) HNA FOUNDATION	L	28,391	% TOTAL EXPENSES
(5) HNA COMMUNITY SERVICES	L	307,727	OF CLIENTS & TIME CARDS
(6) HNA FOUNDATION	L	148,064	TIMECARDS
(7) HNA AFFILIATES	M	1,129,592	% OF EXPENSES
(8) ALTOONA REGIONAL HEALTH SYSTEM	M	432,608	INVOICES
(9) HNA AFFILIATES	P	4,125,760	INVOICES & % OF SALARIES
(10) HNA COMMUNITY SERVICES	Q	128,338	INVOICES & % OF SALARIES
(11) QUALITY FIRST HEALTHCARE	A	33,558	% OF PRIME RATE ON O/S
(12) QUALITY FIRST HEALTHCARE	D	1,241,009	PROM NOTE PRIN EOY
(13) AMERICAN HOME HEALTH	D	1,074,892	PROM NOTE PRIN EOY
(14) QUALITY FIRST HEALTHCARE	L	282,755	TIMECARDS & % OF EXP
(15) AMERICAN HOME HEALTH	L	102,126	TIMECARDS & % OF EXP
(16) AMERICNA HOME HEALTH	A	24,532	% OF PRIME RATE ON O/S

Schedule R (Form 990) 2013

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)	(e) Are all partners section 501(c)(3) organizations?		(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version: