Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet 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.
MediumBullet 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:
CName of organization
HOME NURSING AGENCY FOUNDATION
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
201 CHESTNUT AVE PO BOX 352
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ALTOONA, PA166030352
D Employer identification number

25-1467014
E Telephone number

G Gross receipts $ 7,396,350
F Name and address of principal officer:
PHILIP FREEMAN JR
20 SHERATON DRIVE
ALTOONA,PA16601
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HOMENURSINGAGENCY.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1984
M State of legal domicile: PA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: HOME NURSING AGENCY FOUNDATION IS REFERRED TO AS THE "FOUNDATION" OR "HNA FOUNDATION" WITHIN THIS FORM 990. 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 EXCLUSIVELY FOR EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW)(THE "CODE"), AND, IN FURTHERANCE THEREOF, OPERATING EXCLUSIVELY FOR THE BENEFIT OF AND TO SUPPORT HOME NURSING AGENCY & VISITING NURSE ASSOCIATION AND HOME NURSING AGENCY COMMUNITY SERVICES, EACH A PENNSYLVANIA NONPROFIT CORPORATION, PROVIDED THAT EACH SUCH CORPORATION IS AN ORGANIZATION DESCRIBED IN SECTION 509(A)(1) OR 509(A)(2) OF THE CODE, THAT ULTIMATELY RESULTS IN A BENEFIT TO THE INDIVIDUAL, FAMILY AND COMMUNITY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 13
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 1
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 410,707 1,438,594
9 Program service revenue (Part VIII, line 2g) .........   0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 131,147 377,720
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 59,583 67,683
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 601,437 1,883,997
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 126,719 148,415
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) 125 114
16a Professional fundraising fees (Part IX, column (A), line 11e).....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet245,978    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 373,427 319,982
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 500,271 468,511
19 Revenue less expenses. Subtract line 18 from line 12....... 101,166 1,415,486
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 3,906,363 5,646,544
21 Total liabilities (Part X, line 26)............. 40,303 228,498
22 Net assets or fund balances. Subtract line 21 from line 20..... 3,866,060 5,418,046
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
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) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
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 ..............
1
Briefly describe the organization’s mission: HOME NURSING AGENCY FOUNDATION IS REFERRED TO AS THE "FOUNDATION" OR "HNA FOUNDATION" WITHIN THIS FORM 990. 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 EXCLUSIVELY FOR EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW)(THE "CODE"), AND, IN FURTHERANCE THEREOF, OPERATING EXCLUSIVELY FOR THE BENEFIT OF AND TO SUPPORT HOME NURSING AGENCY & VISITING NURSE ASSOCIATION AND HOME NURSING AGENCY COMMUNITY SERVICES, EACH A PENNSYLVANIA NONPROFIT CORPORATION, PROVIDED THAT EACH SUCH CORPORATION IS AN ORGANIZATION DESCRIBED IN SECTION 509(A)(1) OR 509(A)(2) OF THE CODE, THAT ULTIMATELY RESULTS IN A BENEFIT TO THE INDIVIDUAL, FAMILY AND COMMUNITY.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the 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 $ 34,515 including grants of $ 34,515 ) (Revenue $   )
THE RESPONSE STARTED BELOW IS COMPLETED IN SCHEDULE O THE 34,515 TOTAL ABOVE REPRESENTS GRANTS AND GIFTS FROM THE HOME NURSING AGENCY FOUNDATION TO THE HOME NURSING AGENCY & VISITING NURSE ASSOCIATION IN THE YEAR ENDED JUNE 30, 2014. SEE SCHEDULE O THE FOUNDATION CONTRIBUTED TO HOME NURSING AGENCY VISITING NURSE ASSOCIATION TO SUPPORT VARIOUS HOME HEALTH AND HOSPICE CHARITABLE NEEDS INCLUDING: HOSPICE: EMERGENCY FUND - PROVIDED FUNDS TO HELP INDIVIDUALS WHO ARE FACING A LIFE-LIMITING ILLNESS WITH EMERGENCY ONE-TIME FUNDING FOR UTILITY OR FUEL COSTS, MEDICATIONS, AIR CONDITIONERS, AND OTHER EMERGENCIES TO EASE THE EMOTIONAL AND PHYSICAL CHALLENGES OCCURING AT THE END OF LIFE. HOSPICE EMERGENCY ONGOING MEDICATIONS/DURABLE MEDICAL EQUIPMENT - TO HELP COVER ONGOING EXPENSES OF MEDICATIONS, TREATMENT, EQUIPMENT, AND SUPPLIES THAT ARE NOT COVERED BY THE MEDICARE HOSPICE BENEFIT (THE PRIMARY PAYER FOR THESE SERVICES) OR BECAUSE THE PATIENT DOES NOT HAVE PRIVATE INSURANCE TO COVER EXPENSES. HOSPICE BEREAVEMENT (SERVICES ARE OFFERED UP TO 13 MONTHS OR LONGER IF NEEDED TO ALL FAMILIES WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE IN HNA VNA HOSPICE PROGRAM) - DOLLARS UTILIZED TO PURCHASE STATIONARY ITEMS (CARDS, GRIEF SUPPORT LITERATURE) FOR THE EXTENDED MAILINGS TO BEREAVED FAMILIES. HOSPICE VETERANS PROGRAM - DOLLARS UTILIZED TO PURCHASE U.S. FLAG LAPEL PINS HONORING VETERAN HOSPICE PATIENTS THROUGHOUT THE YEAR. THE HEALING PATCH - CHILDREN'S GRIEF PROGRAM - FUNDS TO SUPPLEMENT OVERHEAD COSTS TO THE HEALING PATCH, A PEER SUPPORT, VOLUNTEER-DRIVEN PROGRAM THAT IS OFFERED FREE TO THE COMMUNITY. FUNDING ALSO TO SUPPLEMENT EXPENSES FOR IN-SCHOOL GROUPS WITH CHILDREN WHO WOULD NOT OTHERWISE HAVE ACCESS TO A CENTER OR GRIEF RESOURCES. HOSPICE VOLUNTEERS - PROVIDED FUNDS TO SUPPORT THE COMFORT AND CARE OF HOSPICE PATIENTS WHO ARE IN NEED OF BED SHEETS, NECK PILLOWS, HOSPITAL GOWNS, BABY MONITORS, OR READING MATERIALS. HOME HEALTH EMERGENCY FUND - EMERGENCY FUNDING FOR PATIENTS AND FAMILIES WHO HAVE NEEDS BEYOND NORMAL CIRCUMSTANCES AND NEED ASSISTANCE TO PURCHASE LIFE'S BASIC NECESSITIES, I.E. NUTRITIONAL SUPPLEMENTS, BATHING/SAFETY AIDES, BEDDING AND EMERGENCY MEDICATIONS.
4b (Code:   ) (Expenses $ 113,900 including grants of $ 113,900 ) (Revenue $   )
THE RESPONSE STARTED BELOW IS COMPLETED IN SCHEDULE O THE 113,900 TOTAL ABOVE REPRESENTS GRANTS AND GIFTS FROM THE HOME NURSING AGENCY FOUNDATION TO THE HOME NURSING AGENCY COMMUNITY SERVICES IN THE YEAR ENDED JUNE 30, 2014. SEE SCHEDULE O THE FOUNDATION GRANTS AND CONTRIBUTIONS TO HOME NURSING AGENCY COMMUNITY SERVICES PROVIDED FUNDING FOR CLIENT SERVICES AND MUCH NEEDED PROGRAM SUPPLIES FOR VARIOUS BEHAVIORAL HEALTH AND DAY SUPPORT PROGRAMS INCLUDING: AIDS INTERVENTION PROJECTS - FUNDS USED FOR PERSONAL CARE/HYGIENE ITEMS, CLEANING SUPPLIES, VITAMINS AND DIETARY SUPPLEMENTS, AND ASSIST HOMELESS INDIVIDUALS AND FAMILIES DEALING WITH HIV/AIDS. NURSE FAMILY PARTNERSHIP - FUNDING TO PROVIDE SUPPORT TO THIS EVIDENCE-BASED COMMUNITY HEALTH PROGRAM THAT TRANSFORMS THE LIVES OF FIRST-TIME MOTHERS LIVING IN POVERTY BY IMPROVING PRE-NATAL CARE AND PARENTING SKILLS RESULTING IN CHILD'S HEALTHY GROWTH AND DEVELOPMENT AND TO IMPROVE SELF-SUFFICIENCY. NURSE FAMILY PARTNERSHIP SERVES SEVEN COUNTIES, PROVIDING CARE TO 300 - 600 FAMILIES EACH YEAR. ACEL - ADULT CENTER FOR EXCEPTIONAL LEARNING - DOLLARS TO SUPPORT THE CONTINUATION OF THE SOUTHERN ALLEGHENIES MUSEUM OF ART (SAMA) ARTISTS-IN-RESIDENCE PROGRAM THAT PROVIDES ACEL INDIVIDUALS WHO HAVE COGNITIVE AND PHYSICAL DISABILITIES THE OPPORTUNITY TO EXPERIENCE ART, PAINTING, DANCING, AND STORYTELLING, WHICH CAN IMPROVE THIER QUALITY OF LIFE. ACEL - ADULT CENTER FOR EXCEPTIONAL LEARNING - FUNDS FOR INDIVIDUALS WHO ATTEND THE DAY PROGRAM BUT WHO GO OVER HIS/HER FUNDING ALLOCATION CAP AS WELL AS HELP THOSE WHO HAVE NO FUNDING AVAILABLE AND CANNOT SELF-PAY FOR SERVICES. ADULT DAY SERVICES - TO PROVIDE ADDITIONAL DAYS OF SUPPORT TO HELP FAMILIES SUCCESSFULLY MANAGE THE CARING OF A LOVED ONE WHO IS LIVING AT HOME AND IS UNABLE TO INDEPENDENTLY PERFORM SELF-CARE ACTIVITIES OR FUNCTION ALONE SAFELY. ADULT DAY SERVICES CAN PREVENT OR DELAY INSTITUTIONALIZATION THROUGH MEDICAL MONITORING, SOCIAL AND RECREATIONAL ACTIVITES AND PERSONAL CARE. ADULT DAY SERVICES - TO SUPPORT THE SOUTHERN ALLEGHENIES MUSUEM OF ART (SAMA) ARTISTS-IN-RESIDENCE PROGRAM THAT PROVIDES ADULT DAY SERVICES INDIVIDUALS WITH ART EXPERIENCES, I.E. PAINTING, DANCING, AND STORYTELLING TO IMPROVE THIER QUALITY OF LIFE. BLENDED CASE MANAGEMENT/RESOURCE COORDINATION - FOR CLIENTS OF THE BEHAVIORAL HEALTH PROGRAM WHO HAVE UNEXPECTED EMERGENCIES OR WHEN AN INDIVIDUAL HAS MINIMAL INCOME AND NEEDS BEYOND NORMAL CIRCUMSTANCES. ALSO HELPS FUND HOUSEHOLD AND PERSONAL HYGIENE PRODUCTS, CLOTHES FOR EMPLOYMENT/SCHOOL AND BUS PASSES FOR THOSE STARTING EMPLOYMENT. BLENDED CASE MANAGEMENT/CHILDREN AND ADOLESCENTS - TO BE USED FOR CHILDREN AND ADOLESCENTS WHO ARE ENROLLED IN THE CHILDREN'S BEHAVIORAL HEALTH PROGRAM WHO ARE IN NEED OF PERSONAL/HYGIENE PRODUCTS, CLEANING PRODUCTS, FOOD, SEASONAL CLOTHING ITEMS AND OTHER DAILY LIVING NEEDS. ALSO TO BE USED FOR START UP COSTS FOR COMMUNITY AND SCHOOL BASED ACTIVITIES, SUCH AS INTRAMURAL SPORTS, BOY SCOUTS, GIRL SCOUTS, AND USED IN SITUATIONS TO ASSIST CHILDREN AND FAMILIES WITH NO OR LIMITED INCOME. THIS PROGRAM CURRENTLY SERVES MORE THAN 400 CHILDREN, ADOLESCENTS AND FAMILIES. ADULT GROUP BLAIR (ART THERAPY) / ADULT PARTIAL HOSPITALIZATION (ART THERAPY IS USED IN TREATING POST-TRAUMATIC STRESS DISORDERS, ANXIETY DISORDERS, AND DEPRESSION AND SELF-ESTEEM SYMPTOMS. THE PARTIAL HOSPITAL PROGRAM - OFFERS INTENSE THERAPY TO INDIVIDUALS WHO ARE SEVERALLY DEPRESSED, ANXIOUS, OR EXPERIENCING PSYCHOSIS.) - DOLLARS TO SUPPORT ADULT BEHAVIORAL HEALTH PROGRAM CLIENTS UTILIZING THE ART THERAPY AS PART OF THEIR TREATMENT PLAN. FUNDING TO SUPPORT ART SUPPLIES USED IN WEEKLY ART THERAPY SESSIONS AND AN END OF YEAR ART SHOW RECOGNIZING THEIR ART. CENTER FOR COUNSELING: FUNDS TO ASSIST IN PROVIDING TREATMENT TO MORE THAN 300 CHILDREN AND 1,000 INDIVIDUALS WHO ARE EXPERIENCING BEHAVIORAL HEALTH ISSUES AND WHO OTHERWISE WOULD NOT RECEIVE SERVICES DUE TO HAVING NO INSURANCE, HIGH CO-PAYS/DEDUCTIBLES OR PRIVATE INSURANCES WOULD NOT COVER COUNSELING SERVICES. MULTI SYSTEMIC THERAPY (MST) - MST IS AN INTENSIVE FAMILY AND COMMUNITY BASED TREATMENT PROGRAM THAT FOCUSES ON ENCOMPASSING THE ENVIRONMENT OF THE CHRONIC AND VIOLENT JUVENILE OFFENDER. FUNDING TO PURCHASE GAS FOR FAMILIES TO ATTEND APPOINTMENTS (PSYCHIATRIC, PSYCHOLOGICAL, SCHOOL AND COURT HEARINGS), SEASONAL CLOTHING, BASIC HOUSEHOLD ITEMS, SUCH AS BEDDING AND CLEANING SUPPLIES AND GROCERIES. DRUG AND ALCOHOL ADULT PARTIAL HOSPITALIZATION/D & A ADULT OUTPATIENT - FUNDS TO HELP INDIVIDUALS SEEKING DRUG AND ALCOHOL TREATMENT THAT WOULD OTHERWISE NOT RECEIVE SERVICES DUE TO HAVING NO INSURANCE, HIGH CO-PAYS/DEDUCTIBLE OR PRIVATE INSURANCES THAT WILL NOT PAY FOR D & A SERVICES. ADULT PARTIAL HOSPITALIZATION (OFFERS SERVICES SUCH AS GROUP COUNSELING (INCLUDING ART THERAPY) ACCOMPANIED BY PSYCHIATRY TO AID THE INDIVIDUAL IN REMAINING INDEPENDENT IN THEIR COMMUNITY AND OUT OF THE HOSPITAL)- DOLLARS TO HELP INDIVIDUALS WITH MENTAL HEALTH DIAGNOSIS WHO ATTEND THE PROGRAM ON A DAILY BASIS AND WHO CANNOT AFFORD CO-PAYMENTS RELATED TO INSURANCE, COUNTY LIABILITIES OR FINANCIAL DIFFICULTIES. CHILDREN AND ADOLESCENTS PARTIAL HOSPITALIZATION(BLAIR AND CENTRE COUNTIES)- FUNDS TO STOCK THE "REWARDS STORE," FOR CHILDREN AND ADOLESCENTS ENROLLED IN THE SCHOOL-BASED BEHAVIORAL HEALTH PROGRAM THAT UTILIZES A THERAPEUTIC INCENTIVE-BASED MODEL THAT CHANGES NEGATIVE BEHAVIORS INTO POSITIVE ONES WITH THE USE OF A REWARDS SYSTEM. THERAPEUTIC STAFF SUPPORT(TSS)(PROVIDES THERAPEUTIC SUPPORT TO POLAR DISORDER AND ATTENTION DEFICIENT HYPERACTIVITY DISORDERS)- DOLLARS TO ASSIST WITH THE COMMUNITY ACTIVITY FEES FOR CHILDREN RECEIVING BEHAVIORAL HEALTH SERVICES. FUNDS TO PURCHASE THERAPEUTIC ACTIVITIES AND GAMES, USED EITHER ON-SITE AT THE CHILDREN'S BEHAVIORAL HEALTH CENTER OR TAKEN INTO THE CHILD'S HOME. FUNDS WILL ALSO BE USED TO PURCHASE ACTIVITY PASSES FOR AREA POOLS, WEIGHTED VESTS, TEDDY BEARS FOR CHILDREN WHO ARE EXPERIENCING SENSORY ISSUES, AND A SENSORY TABLE TO BE USED AT THE CHILDREN'S BEHAVIORAL HEALTH CENTER. TARTAGLIO HOME (PERSONAL CARE HOME FOR ADULTS RECEIVING SERVICES FROM THE BLAIR COUNTY MENTAL HEALTH SYSTEM) - FUNDS TO PURCHASE TWO WOODEN PICNIC TABLES, TWO BENCHES, AND A PATIO SET THAT WILL HELP PROMOTE SOCIALIZATION FOR RESIDENTS AND USE OF THE OUTDOOR SPACE FOR DAILY AND HOLIDAY EVENTS. EARLY INTERVENTION - FUNDING TO PURCHASE ITEMS THAT PARENTS/FAMILIES COULD BORROW FROM A "DEVELOPMENTAL LEARNING LIBRARY" ALLOWING THEM TO HAVE A PARENT/CHILD PLAY GROUP THAT WOULD INCLUDE SUCH ITEMS AS LANGUAGE STIMULATION DVDS, PHYSICAL THERAPY EQUIPMENT INCLUDING THERAPY BALLS AND WEDGES, LAP TABLES, BOOSTER SEATS, PUZZLES, AND BUILDING TOYS. WIC (WOMAN, INFANTS & CHILDREN)- FUNDING TO PROVIDE ITEMS TO STOCK THE "STORK STORE" THAT ENCOURAGES PREGNANT WOMAN TO SEEK EARLY, REGULAR PRENATAL CARE. THROUGH THE STORK STORE, WOMEN ARE REWARDED FOR ACHIEVING POSITIVE BEHAVIORS THAT CONTRIBUTE TO THE DELIVERY OF HEALTHY FULL-TERM INFANTS. THE ITEMS FOR THE STORE ARE CONSIDERED BASIC ITEMS NEEDED BY WIC FAMILIES AND INCLUDE DIAPERS, WIPES, INFANT CLOTHING, CRIB SHEETS, BLANKETS, ETC. OPPORTUNITY CLUB - FUNDING TO HOST FOUR SPECIAL EVENTS IN A STRESS- FREE, STIGMA-FREE ATMOSPHERE FOR PEOPLE 18 YEARS AND OLDER WHO ARE DIAGNOSED WITH A MENTAL ILLNESS OR CO-OCCURRING DISORDER. APPROXIMATELY 150 INDIVIDUALS ATTEND EACH SPECIAL EVENT.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet148,415
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts 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 IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 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 IVClick to see attachment..............
9
 
No
10
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 VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, 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
 
No
15
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
15
 
No
16
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...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
Yes
 
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
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... Click to see attachment
21
Yes
 
22
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........ Click to see attachment
22
 
No
23
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
23
 
No
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
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
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....................
26
 
No
27
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.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M............. Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
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
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
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
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
4
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
1
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
No
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
No
b
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
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
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
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
13
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.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
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? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
 
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
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
 
No
b
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
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
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
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 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
 
No
b
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
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
PA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
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.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletGREGG LAVERICK20 SHERATON DRIVEALTOONAPA16601 (814) 946-5411
Form 990 (2013)
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.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related 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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ROBERT PACKER........................................................................
CEO/PRESIDEN
  
.......................   		X   X       0 436,595 129,650
(2) NANCY FOGEL........................................................................
SECRETARY
 0.00
.......................0.00 		X   X       3,000 0 0
(3) ALLEN HANCOCK........................................................................
DIRECTOR
 0.00
.......................0.00 		X           0 0 0
(4) BARRY HALBRITTER........................................................................
CHAIRMAN
  
.......................   		X   X       0 0 0
(5) RAYMOND HESS........................................................................
DIRECTOR
 0.00
.......................0.00 		X           0 0 0
(6) KATHY WAGNER........................................................................
DIRECTOR
  
.......................   		X           0 0 0
(7) WILLIAM EARNEST........................................................................
DIRECTOR
  
.......................   		X           0 0 0
(8) STEVEN SELTZER........................................................................
DIRECTOR
  
.......................   		X           0 0 0
(9) KEITH DRIFTMIER........................................................................
DIRECTOR
  
.......................   		X           0 0 0
(10) JEAN GEIST........................................................................
DIRECTOR
  
.......................   		X           0 0 0
(11) HAROLD KANN........................................................................
TREASURER
  
.......................   		X   X       0 0 0
(12) LISA GERMAN........................................................................
DIRECTOR
  
.......................   		X           0 0 0
(13) NANCY PYLE........................................................................
DIRECTOR
  
.......................   		X           0 0 0
(14) APRIL RESSLER........................................................................
DIRECTOR
  
.......................   		X           0 0 0
(15) GREGG LAVERICK........................................................................
SVP/CFO
  
.......................   		    X       0 247,361 137,986




Form 990 (2013)
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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 3,000 947,695 3,897
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet  
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. 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
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet  
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 7,284
b Membership dues....1b  
c Fundraising events....1c 970
d Related organizations...1d 1,132,892
e Government grants (contributions)1e 32,025
f All other contributions, gifts, grants, and
similar amounts not included above1f 		265,423
g Noncash contributions included in lines
1a-1f:$ 		1,132,892
h Total. Add lines 1a-1f.......MediumBullet 1,438,594
Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet  
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 73,389     73,389
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 5,781,704 363
b Less: cost or other basis and sales expenses 5,473,199  
c Gain or (loss) 308,505 363
d Net gain or (loss)..........MediumBullet 308,868     308,868
8a Gross income from fundraising events (not including
$ 970
of contributions reported on line 1c). See Part IV, line 18 ..
a 2,300
b Less: direct expenses ...b 6,837
c Net income or (loss) from fundraising events..MediumBullet -4,537   -4,537
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 100,000
b Less: direct expenses ...b 32,317
c Net income or (loss) from gaming activities...MediumBullet 67,683 67,683    
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See Instructions......MediumBullet 1,883,997 67,683   377,720
Form 990 (2013)
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 21 148,415 148,415
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 ....        
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits ....... 114     114
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ...... 41,544   39,006 2,538
b Legal .........        
c Accounting ........... 2,250     2,250
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 35,112   35,112  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 149,993     149,993
12 Advertising and promotion .... 3,589     3,589
13 Office expenses ....... 41,810     41,810
14 Information technology ...... 10,601     10,601
15 Royalties ..        
16 Occupancy ........... 23,937     23,937
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 185     185
20 Interest ........... 70     70
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .....        
23 Insurance .............. 280     280
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 MISCELLANEOUS 10,611     10,611
b
c
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 468,511 148,415 74,118 245,978
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing .............   1  
2 Savings and temporary cash investments ......... 5,941 2 138,623
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net .............   4  
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 .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 7,554 9  
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a  
b Less: accumulated depreciation ..... 10b     10c  
11 Investments—publicly traded securities .......... 3,892,868 11 5,507,921
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 3,906,363 16 5,646,544
Liabilities 17 Accounts payable and accrued expenses ......... 7,356 17 2,045
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.................... 32,947 25 226,453
26 Total liabilities. Add lines 17 through 25......... 40,303 26 228,498
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 3,511,717 27 5,020,217
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ........... 354,343 29 397,829
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 3,866,060 33 5,418,046
34 Total liabilities and net assets/fund balances ........ 3,906,363 34 5,646,544
Form 990 (2013)
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 ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,883,997
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
468,511
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
1,415,486
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
3,866,060
5
Net unrealized gains (losses) on investments ...............
5
136,500
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
 
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
5,418,046
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
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:
b
Were the organization’s financial statements audited by an independent accountant?
2b
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:
c
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?
2c
 
No
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
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 FOUNDATION
 
Employer identification number

25-1467014
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
No
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
(A) HOME NURSING AGENCY VISITING NURSE ASSOCIATION
  		251188570 9 Yes   Yes   Yes   34,515
(B) HOME NURSING AGENCY COMMUNITY SERVICES
  		251517533 9 Yes   Yes   Yes   113,900
Total 148,415

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
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) right arrow (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) right arrow (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).  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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
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) right arrow (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 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
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:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet 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 FOUNDATION
 
Employer identification number

25-1467014
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box 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 FOUNDATION
  		Employer identification number

25-1467014
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


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(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 FOUNDATION
  		Employer identification number

25-1467014
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 FOUNDATION
  		Employer identification number

25-1467014
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 (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 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 FOUNDATION
 
Employer identification number

25-1467014
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds 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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a 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.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
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.
1a
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.
b
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 $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part 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 .... 288,778 263,557 277,653 224,039 201,956
b Contributions ........       5,000 5,000
c Net investment earnings, gains, and losses 42,868 30,035 -10,077 51,907 20,083
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		-5,123 -4,814 -4,019 -3,293 -2,730
f Administrative expenses ....          
g End of year balance ...... 326,523 288,778 263,557 277,653 224,309
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
Yes
 
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................        
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet  
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other 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.)Small Bullet  
Part VIII
Investments—Program 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.)Small Bullet  
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








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
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  
PAYABLE TO EXEMPT AFFILIATES 225,594
MISCELLANEOUS 859







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 226,453
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

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, PAGE 4, PART XIII PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS THE INTENDED USES OF THE ENDOWMENT FUNDS ARE TO PROMOTE THE CHARITABLE MISSION OF THE HOME NURSING AGENCY FOUNDATION AND ITS AFFILIATED ENTITIES: HOME NURSING AGENCY & VISITING NURSE ASSOCIATION AND HOME NURSING AGENCY COMMUNITY SERVICES.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (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 FOUNDATION
 
Employer identification number

25-1467014
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
All States
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

 
(event type) 		(b) Event #2

 
(event type) 		(c) Other events

 
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . .        
2 Less: Contributions . .        
3 Gross income (line 1
minus line 2) . . . 		       
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages .        
8 Entertainment . . .        
9 Other direct expenses .        
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow  
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow  
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .     100,000 100,000
VerticalDirectExpenses 2 Cash prizes . . . .     30,000 30,000
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .     2,317 2,317
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow 32,317
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow 67,683
9
Enter the state(s) in which the organization operates gaming activities: PA
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
GREGG LAVERICK
Address right arrow
20 SHERATON DRIVE
ALTOONA,PA16601
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
PAMELA SEASOLTZ
Gaming manager compensation right arrow $  
Description of services provided right arrow
SPONSORSHIP SOLICITATIONS
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$ 67,683
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
SCHEDULE G, PAGE 3, PART III, LINE 16 CAROL GALIOTO X 0 TICKET SALES
SCHEDULE G, PAGE 3, PART III, LINE 17B PENNSYLVANIA 67,683
SCHEDULE G, PART IV AS ADDRESSED IN THE RESPONSE TO PART 1, LINE 3, HNA FOUNDATION EMPLOYS NETWORK FOR GOOD IN A CAPACITY ONLY TO AGGREGATE AND REPORT DONATIONS FROM THE ORGANIZATIONS WEBSITE, AT A FEE OF 50 A MONTH. IT IS THE BELIEF THAT THIS SERVICE DOES NOT CONSTITUTE A PROFESSIONAL FUNDRAISING SERVICE. NOTE: THE GAMING COMPONENT (TICKET SALES FOR A DRAWING, AUTHORIZED BY BLAIR COUNTY, PA, SPECIAL RAFFLE PERMIT AND SMALL GAMES OF CHANCE LICENSE) ARE JUST ONE PART OF LARGER FUNDRAISING EFFORTS WHICH INCLUDE CORPORATE/SPONSORSHIP SOLICITATION (WHICH REVENUE IS INCLUDED IN LINE 1 TO THE PART VIII STATEMENT OF REVENUE) SINCE MS. SEASOLTZ AND MS. GALIOTO ARE FULL TIME EMPLOYEES OF THE HOME NURSING AGENCY AND VISITING NURSE ASSOCIATION, WITH SERVICES CONTRACTED TO THE HNA FOUNDATION, AND NOT HIRED UNIQUELY FOR THE GAMING ACTIVITY, THEIR SALARIES, IN PART OR WHOLE, HAVE NOT BEEN SEGREGATED INTO THE GAMING EXPENSE IN PART III.
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (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 FOUNDATION
 
Employer identification number
25-1467014
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) HOME NURSING AGENCY COMMUNITY
SERVICES
201 CHESTNUT AVENUE
ALTOONA,PA16603 		25-1517533 3 113,900       CHARITABLE CARE
(2) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
201 CHESTNUT AVENUE
ALTOONA,PA16603 		25-1188570 3 34,515       CHARITABLE CARE




















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, 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 FOUNDATION
 
Employer identification number

25-1467014
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
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.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)ROBERT PACKERCEO/PRESIDENT (i)
(ii)		  
381,913 		 
6,283 		 
48,399 		 
125,753 		 
3,897 		 
566,245 		 
 
(2)GREGG LAVERICKSVP/CFO (i)
(ii)		  
201,913 		 
3,914 		 
41,534 		 
137,986 		 
  		 
385,347 		 
 
Schedule J (Form 990) 2013

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 1 AND 2: MR PACKER AND MR LAVERICK'S COMPENSATION IS PAID BY HOME NURSING AGENCY AFFILIATES, THE PARENT COMPANY OF HNA FOUNDATION.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageInformation about Schedule M (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 FOUNDATION
 
Employer identification number

25-1467014
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 113 1,132,892 FAIR MARKET VALUE
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2013)
Schedule M (Form 990) (2013)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M (Form 990) (2013)
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
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 FOUNDATION
 
Employer identification number

25-1467014
Return Reference Explanation
FORM 990 - ORGANIZATION'S MISSION HOME NURSING AGENCY FOUNDATION IS REFERRED TO AS THE "FOUNDATION" OR "HNA FOUNDATION" WITHIN THIS FORM 990. 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 EXCLUSIVELY FOR EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW)(THE "CODE"), AND, IN FURTHERANCE THEREOF, OPERATING EXCLUSIVELY FOR THE BENEFIT OF AND TO SUPPORT HOME NURSING AGENCY & VISITING NURSE ASSOCIATION AND HOME NURSING AGENCY COMMUNITY SERVICES, EACH A PENNSYLVANIA NONPROFIT CORPORATION, PROVIDED THAT EACH SUCH CORPORATION IS AN ORGANIZATION DESCRIBED IN SECTION 509(A)(1) OR 509(A)(2) OF THE CODE, THAT ULTIMATELY RESULTS IN A BENEFIT TO THE INDIVIDUAL, FAMILY AND COMMUNITY.
FORM 990, PAGE 2, PART III, LINE 4A THE FOUNDATION CONTRIBUTED TO HOME NURSING AGENCY VISITING NURSE ASSOCIATION TO SUPPORT VARIOUS HOME HEALTH AND HOSPICE CHARITABLE NEEDS INCLUDING: HOSPICE: EMERGENCY FUND - PROVIDED FUNDS TO HELP INDIVIDUALS WHO ARE FACING A LIFE-LIMITING ILLNESS WITH EMERGENCY ONE-TIME FUNDING FOR UTILITY OR FUEL COSTS, MEDICATIONS, AIR CONDITIONERS, AND OTHER EMERGENCIES TO EASE THE EMOTIONAL AND PHYSICAL CHALLENGES OCCURING AT THE END OF LIFE. HOSPICE EMERGENCY ONGOING MEDICATIONS/DURABLE MEDICAL EQUIPMENT - TO HELP COVER ONGOING EXPENSES OF MEDICATIONS, TREATMENT, EQUIPMENT, AND SUPPLIES THAT ARE NOT COVERED BY THE MEDICARE HOSPICE BENEFIT (THE PRIMARY PAYER FOR THESE SERVICES) OR BECAUSE THE PATIENT DOES NOT HAVE PRIVATE INSURANCE TO COVER EXPENSES. HOSPICE BEREAVEMENT (SERVICES ARE OFFERED UP TO 13 MONTHS OR LONGER IF NEEDED TO ALL FAMILIES WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE IN HNA VNA HOSPICE PROGRAM) - DOLLARS UTILIZED TO PURCHASE STATIONARY ITEMS (CARDS, GRIEF SUPPORT LITERATURE) FOR THE EXTENDED MAILINGS TO BEREAVED FAMILIES. HOSPICE VETERANS PROGRAM - DOLLARS UTILIZED TO PURCHASE U.S. FLAG LAPEL PINS HONORING VETERAN HOSPICE PATIENTS THROUGHOUT THE YEAR. THE HEALING PATCH - CHILDREN'S GRIEF PROGRAM - FUNDS TO SUPPLEMENT OVERHEAD COSTS TO THE HEALING PATCH, A PEER SUPPORT, VOLUNTEER-DRIVEN PROGRAM THAT IS OFFERED FREE TO THE COMMUNITY. FUNDING ALSO TO SUPPLEMENT EXPENSES FOR IN-SCHOOL GROUPS WITH CHILDREN WHO WOULD NOT OTHERWISE HAVE ACCESS TO A CENTER OR GRIEF RESOURCES. HOSPICE VOLUNTEERS - PROVIDED FUNDS TO SUPPORT THE COMFORT AND CARE OF HOSPICE PATIENTS WHO ARE IN NEED OF BED SHEETS, NECK PILLOWS, HOSPITAL GOWNS, BABY MONITORS, OR READING MATERIALS. HOME HEALTH EMERGENCY FUND - EMERGENCY FUNDING FOR PATIENTS AND FAMILIES WHO HAVE NEEDS BEYOND NORMAL CIRCUMSTANCES AND NEED ASSISTANCE TO PURCHASE LIFE'S BASIC NECESSITIES, I.E. NUTRITIONAL SUPPLEMENTS, BATHING/SAFETY AIDES, BEDDING AND EMERGENCY MEDICATIONS.
FORM 990, PAGE 2, PART III, LINE 4B THE FOUNDATION GRANTS AND CONTRIBUTIONS TO HOME NURSING AGENCY COMMUNITY SERVICES PROVIDED FUNDING FOR CLIENT SERVICES AND MUCH NEEDED PROGRAM SUPPLIES FOR VARIOUS BEHAVIORAL HEALTH AND DAY SUPPORT PROGRAMS INCLUDING: AIDS INTERVENTION PROJECTS - FUNDS USED FOR PERSONAL CARE/HYGIENE ITEMS, CLEANING SUPPLIES, VITAMINS AND DIETARY SUPPLEMENTS, AND ASSIST HOMELESS INDIVIDUALS AND FAMILIES DEALING WITH HIV/AIDS. NURSE FAMILY PARTNERSHIP - FUNDING TO PROVIDE SUPPORT TO THIS EVIDENCE-BASED COMMUNITY HEALTH PROGRAM THAT TRANSFORMS THE LIVES OF FIRST-TIME MOTHERS LIVING IN POVERTY BY IMPROVING PRE-NATAL CARE AND PARENTING SKILLS RESULTING IN CHILD'S HEALTHY GROWTH AND DEVELOPMENT AND TO IMPROVE SELF-SUFFICIENCY. NURSE FAMILY PARTNERSHIP SERVES SEVEN COUNTIES, PROVIDING CARE TO 300 - 600 FAMILIES EACH YEAR. ACEL - ADULT CENTER FOR EXCEPTIONAL LEARNING - DOLLARS TO SUPPORT THE CONTINUATION OF THE SOUTHERN ALLEGHENIES MUSEUM OF ART (SAMA) ARTISTS-IN-RESIDENCE PROGRAM THAT PROVIDES ACEL INDIVIDUALS WHO HAVE COGNITIVE AND PHYSICAL DISABILITIES THE OPPORTUNITY TO EXPERIENCE ART, PAINTING, DANCING, AND STORYTELLING, WHICH CAN IMPROVE THIER QUALITY OF LIFE. ACEL - ADULT CENTER FOR EXCEPTIONAL LEARNING - FUNDS FOR INDIVIDUALS WHO ATTEND THE DAY PROGRAM BUT WHO GO OVER HIS/HER FUNDING ALLOCATION CAP AS WELL AS HELP THOSE WHO HAVE NO FUNDING AVAILABLE AND CANNOT SELF-PAY FOR SERVICES. ADULT DAY SERVICES - TO PROVIDE ADDITIONAL DAYS OF SUPPORT TO HELP FAMILIES SUCCESSFULLY MANAGE THE CARING OF A LOVED ONE WHO IS LIVING AT HOME AND IS UNABLE TO INDEPENDENTLY PERFORM SELF-CARE ACTIVITIES OR FUNCTION ALONE SAFELY. ADULT DAY SERVICES CAN PREVENT OR DELAY INSTITUTIONALIZATION THROUGH MEDICAL MONITORING, SOCIAL AND RECREATIONAL ACTIVITES AND PERSONAL CARE. ADULT DAY SERVICES - TO SUPPORT THE SOUTHERN ALLEGHENIES MUSUEM OF ART (SAMA) ARTISTS-IN-RESIDENCE PROGRAM THAT PROVIDES ADULT DAY SERVICES INDIVIDUALS WITH ART EXPERIENCES, I.E. PAINTING, DANCING, AND STORYTELLING TO IMPROVE THIER QUALITY OF LIFE. BLENDED CASE MANAGEMENT/RESOURCE COORDINATION - FOR CLIENTS OF THE BEHAVIORAL HEALTH PROGRAM WHO HAVE UNEXPECTED EMERGENCIES OR WHEN AN INDIVIDUAL HAS MINIMAL INCOME AND NEEDS BEYOND NORMAL CIRCUMSTANCES. ALSO HELPS FUND HOUSEHOLD AND PERSONAL HYGIENE PRODUCTS, CLOTHES FOR EMPLOYMENT/SCHOOL AND BUS PASSES FOR THOSE STARTING EMPLOYMENT. BLENDED CASE MANAGEMENT/CHILDREN AND ADOLESCENTS - TO BE USED FOR CHILDREN AND ADOLESCENTS WHO ARE ENROLLED IN THE CHILDREN'S BEHAVIORAL HEALTH PROGRAM WHO ARE IN NEED OF PERSONAL/HYGIENE PRODUCTS, CLEANING PRODUCTS, FOOD, SEASONAL CLOTHING ITEMS AND OTHER DAILY LIVING NEEDS. ALSO TO BE USED FOR START UP COSTS FOR COMMUNITY AND SCHOOL BASED ACTIVITIES, SUCH AS INTRAMURAL SPORTS, BOY SCOUTS, GIRL SCOUTS, AND USED IN SITUATIONS TO ASSIST CHILDREN AND FAMILIES WITH NO OR LIMITED INCOME. THIS PROGRAM CURRENTLY SERVES MORE THAN 400 CHILDREN, ADOLESCENTS AND FAMILIES. ADULT GROUP BLAIR (ART THERAPY) / ADULT PARTIAL HOSPITALIZATION (ART THERAPY IS USED IN TREATING POST-TRAUMATIC STRESS DISORDERS, ANXIETY DISORDERS, AND DEPRESSION AND SELF-ESTEEM SYMPTOMS. THE PARTIAL HOSPITAL PROGRAM - OFFERS INTENSE THERAPY TO INDIVIDUALS WHO ARE SEVERALLY DEPRESSED, ANXIOUS, OR EXPERIENCING PSYCHOSIS.) - DOLLARS TO SUPPORT ADULT BEHAVIORAL HEALTH PROGRAM CLIENTS UTILIZING THE ART THERAPY AS PART OF THEIR TREATMENT PLAN. FUNDING TO SUPPORT ART SUPPLIES USED IN WEEKLY ART THERAPY SESSIONS AND AN END OF YEAR ART SHOW RECOGNIZING THEIR ART. CENTER FOR COUNSELING: FUNDS TO ASSIST IN PROVIDING TREATMENT TO MORE THAN 300 CHILDREN AND 1,000 INDIVIDUALS WHO ARE EXPERIENCING BEHAVIORAL HEALTH ISSUES AND WHO OTHERWISE WOULD NOT RECEIVE SERVICES DUE TO HAVING NO INSURANCE, HIGH CO-PAYS/DEDUCTIBLES OR PRIVATE INSURANCES WOULD NOT COVER COUNSELING SERVICES. MULTI SYSTEMIC THERAPY (MST) - MST IS AN INTENSIVE FAMILY AND COMMUNITY BASED TREATMENT PROGRAM THAT FOCUSES ON ENCOMPASSING THE ENVIRONMENT OF THE CHRONIC AND VIOLENT JUVENILE OFFENDER. FUNDING TO PURCHASE GAS FOR FAMILIES TO ATTEND APPOINTMENTS (PSYCHIATRIC, PSYCHOLOGICAL, SCHOOL AND COURT HEARINGS), SEASONAL CLOTHING, BASIC HOUSEHOLD ITEMS, SUCH AS BEDDING AND CLEANING SUPPLIES AND GROCERIES. DRUG AND ALCOHOL ADULT PARTIAL HOSPITALIZATION/D & A ADULT OUTPATIENT - FUNDS TO HELP INDIVIDUALS SEEKING DRUG AND ALCOHOL TREATMENT THAT WOULD OTHERWISE NOT RECEIVE SERVICES DUE TO HAVING NO INSURANCE, HIGH CO-PAYS/DEDUCTIBLE OR PRIVATE INSURANCES THAT WILL NOT PAY FOR D & A SERVICES. ADULT PARTIAL HOSPITALIZATION (OFFERS SERVICES SUCH AS GROUP COUNSELING (INCLUDING ART THERAPY) ACCOMPANIED BY PSYCHIATRY TO AID THE INDIVIDUAL IN REMAINING INDEPENDENT IN THEIR COMMUNITY AND OUT OF THE HOSPITAL)- DOLLARS TO HELP INDIVIDUALS WITH MENTAL HEALTH DIAGNOSIS WHO ATTEND THE PROGRAM ON A DAILY BASIS AND WHO CANNOT AFFORD CO-PAYMENTS RELATED TO INSURANCE, COUNTY LIABILITIES OR FINANCIAL DIFFICULTIES. CHILDREN AND ADOLESCENTS PARTIAL HOSPITALIZATION(BLAIR AND CENTRE COUNTIES)- FUNDS TO STOCK THE "REWARDS STORE," FOR CHILDREN AND ADOLESCENTS ENROLLED IN THE SCHOOL-BASED BEHAVIORAL HEALTH PROGRAM THAT UTILIZES A THERAPEUTIC INCENTIVE-BASED MODEL THAT CHANGES NEGATIVE BEHAVIORS INTO POSITIVE ONES WITH THE USE OF A REWARDS SYSTEM. THERAPEUTIC STAFF SUPPORT(TSS)(PROVIDES THERAPEUTIC SUPPORT TO POLAR DISORDER AND ATTENTION DEFICIENT HYPERACTIVITY DISORDERS)- DOLLARS TO ASSIST WITH THE COMMUNITY ACTIVITY FEES FOR CHILDREN RECEIVING BEHAVIORAL HEALTH SERVICES. FUNDS TO PURCHASE THERAPEUTIC ACTIVITIES AND GAMES, USED EITHER ON-SITE AT THE CHILDREN'S BEHAVIORAL HEALTH CENTER OR TAKEN INTO THE CHILD'S HOME. FUNDS WILL ALSO BE USED TO PURCHASE ACTIVITY PASSES FOR AREA POOLS, WEIGHTED VESTS, TEDDY BEARS FOR CHILDREN WHO ARE EXPERIENCING SENSORY ISSUES, AND A SENSORY TABLE TO BE USED AT THE CHILDREN'S BEHAVIORAL HEALTH CENTER. TARTAGLIO HOME (PERSONAL CARE HOME FOR ADULTS RECEIVING SERVICES FROM THE BLAIR COUNTY MENTAL HEALTH SYSTEM) - FUNDS TO PURCHASE TWO WOODEN PICNIC TABLES, TWO BENCHES, AND A PATIO SET THAT WILL HELP PROMOTE SOCIALIZATION FOR RESIDENTS AND USE OF THE OUTDOOR SPACE FOR DAILY AND HOLIDAY EVENTS. EARLY INTERVENTION - FUNDING TO PURCHASE ITEMS THAT PARENTS/FAMILIES COULD BORROW FROM A "DEVELOPMENTAL LEARNING LIBRARY" ALLOWING THEM TO HAVE A PARENT/CHILD PLAY GROUP THAT WOULD INCLUDE SUCH ITEMS AS LANGUAGE STIMULATION DVDS, PHYSICAL THERAPY EQUIPMENT INCLUDING THERAPY BALLS AND WEDGES, LAP TABLES, BOOSTER SEATS, PUZZLES, AND BUILDING TOYS. WIC (WOMAN, INFANTS & CHILDREN)- FUNDING TO PROVIDE ITEMS TO STOCK THE "STORK STORE" THAT ENCOURAGES PREGNANT WOMAN TO SEEK EARLY, REGULAR PRENATAL CARE. THROUGH THE STORK STORE, WOMEN ARE REWARDED FOR ACHIEVING POSITIVE BEHAVIORS THAT CONTRIBUTE TO THE DELIVERY OF HEALTHY FULL-TERM INFANTS. THE ITEMS FOR THE STORE ARE CONSIDERED BASIC ITEMS NEEDED BY WIC FAMILIES AND INCLUDE DIAPERS, WIPES, INFANT CLOTHING, CRIB SHEETS, BLANKETS, ETC. OPPORTUNITY CLUB - FUNDING TO HOST FOUR SPECIAL EVENTS IN A STRESS- FREE, STIGMA-FREE ATMOSPHERE FOR PEOPLE 18 YEARS AND OLDER WHO ARE DIAGNOSED WITH A MENTAL ILLNESS OR CO-OCCURRING DISORDER. APPROXIMATELY 150 INDIVIDUALS ATTEND EACH SPECIAL EVENT.
FORM 990, PART VI FROM 990, PART, VI, LINE 12B - DISCLOSURE OF CONFLICTS OF INTEREST DIRECTORS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY THROUGH COMPLETION OF A SPECIFIC QUESTIONAIRE. ALL ORGANIZATION LEADERS, INCLUDING OFFICERS AND KEY EMPLOYEES, HAVE SIGNED A CONFLICT OF INTEREST AGREEMENT, WHICH REQUIRES THEM TO DISCLOSE CONFLICTS AS THEY OCCUR.
FORM 990, PAGE 6, PART VI, LINE 3 ARTICLE III, SECTION 3.6 OF THE BYLAWS OF THE ORGANIZATION INDICATE THAT THE PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE HOME NURSING AGENCY AFFILIATES SHALL SERVE AS THE PRESIDENT AND CEO OF THE CORPORATION. BECAUSE THIS SECTION OF THE BYLAWS ALSO PERMITS THE PRESIDENT AND THE CEO TO APPOINT EXECUTIVE STAFF FROM THE HOME NURSING AGENCY AFFILIATES TO PERFORM CERTAIN ASPECTS OF MANAGEMENT FUNCTIONS, THE 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 AFFILATES. THE SOLE MEMBER OF THE PARENT CORPORATION TRANSFERRED 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 NOMINATED 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 THE SALE OF THE SUBSTANTIAL ASSETS OF THE CORPORATION OR ANY SUBSIDIARY OF THE CORPORATION; INCURRENCE OF INDEBTEDNESS BY THE CORPORATION OR ANY SUBSIDIARY OF THE CORPORATION (OTHER THAN TRADE AND/OR ACCOUNTS PAYABLE ARISING IN THE ORDINARY COURSE OF BUSINESS) ABOVE THRESHOLDS TO BE DETERMINED BY THE HOME NURSING AGENCY AFFILIATES AND NOT APART OF AN APPROVAL CAPITAL AND/OR OPERATING BUDGET; THE ESTABLISHMENT, TERMINATION OR WITHDRAWAL FROM JOINT VENTURES INVOLVING THE CORPORATION (OR ANY SUBSIDIARY OF THE CORPORATION) IN WHICH THE CORPORATION OR ANY SUBSIDIARY OF THE CORPORATION, AS APPLICABLE, HAS A CONTROLLING INTEREST; AND THE ELECTION OR APPOINTMENT OF THE PRESIDENT OR CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND EACH SUBSIDIARY OF THE CORPORATION. ARTICLE II, SECTION 2.2, (B) OF THE ORGANIZATION'S BYLAWS ALSO GIVES THE HOME NURSING AGENCY AFFILIATES THE FOLLOWING POWERS WITH RESPECT TO THE CORPORATION: ELECTION OF THE DIRECTORS OF THE CORPORATION (APART FROM 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 FROM TIME TO TIME.
FORM 990, PAGE 6, PART VI, LINE 11B HNA FOUNDATION IS A SUBSIDIARY OF THE HOME NURSING AGENCY AFFILIATES. THE COMPLETED FORM 990 OF HNA FOUNDATION WAS PROVIDED TO THE ATTENDEES OF A MEETING OF THE HOME NURSING AGENCY AFFILIATES BOARD OF DIRECTORS. THE CHAIRMAN OF THE HNA FOUNDATION BOARD IS A MEMBER OF THE BOARD OF THE HOME NURSING AGECY AFFILIATES.
FORM 990, PAGE 6, PART VI, LINE 12C TO FAMILIARIZE THEMSELVES WITH POTENTIAL CONFLICTS, THE HOME NURSING AGENCY 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 OF 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 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 ORGANIZATIONS'S ANNUAL REPORT AND FORM 990; BOTH 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 FOUNDATION OR ITS PARENT ENTITY, HNA AFFILIATES, AND NO COMPENSATION IS PAID FOR THEIR ROLE AS A DIRECTOR. COMPENSATION: COLUMN B AVERAGE HOURS PER WEEK THE SOFTWARE USED TO SUBMIT THE 990 ROUNDS THE AVERAGE HOURS TO A WHOLE NUMBER. BELOW ARE THE LISTED ACTUAL AVERAGE HOURS PER WEEK. DRIFTMIER, KEITH; DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS - RELATED ORG EARNEST, WILLIAM; DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS - RELATED ORG FOGEL, NANCY; SECRETARY - 0.20 HOURS PER WEEK - 0.2 HOURS - RELATED ORG GEIST, JEAN; DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS - RELATED ORG GERMAN, LISA; DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS - RELATED ORG HALBRITTER, BARRY; CHAIRMAN - 0.40 HOURS PER WEEK - 0.2 HOURS RELATED ORG HANCOCK, ALLAN; DIRECTOR - 0.30 HOURS PER WEEK - 0.4 HOURS RELATED ORG HESS, RAYMOND; DIRECTOR - 0.20 HOURS PER WEEK - 0.2 HOURS RELATED ORG KANN, HAROLD; DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG PYLE, NANCY; DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG RESSLER, APRIL; DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG SELTZER, STEVEN; DIRECTOR - 0.20 HOURS PER WEEK - 0 HOURS RELATED ORG WAGNER, KATHY; DIRECTOR - 0.50 HOURS PER WEEK - 0 HOURS RELATED ORG PACKER, ROBERT; CEO LAVERICK, GREGG CFO 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 IX, LINE 11G CONTRACTED STAFFING / PERSONN 0 0 149,993
FORM 990, PART XI, LINE 9 EXPENSES FOR FUNDRAISER EVENTS 6,837 EXPENSES FOR GAMING ACTIVITIES 32,317 EXPENSES FOR FUNDRAISING EVENTS -6,837 EXPENSES FOR GAMING ACTIVITIES -32,317
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:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach 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 FOUNDATION
 
Employer identification number

25-1467014
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?
Yes No
(1) UPMC SENIOR COMMUNITIES INC

600 GRANT STREET

PITTSBURGH,PA15219
25-1574736 		SR LIVING PA 501C3 9 UPMC
 
 
No
(2) SENACA PLACE

600 GRANT STREET

PITTSBURGH,PA15219
72-1562844 		SR LIVING PA 501C3 9 UPMC SR CO
 
 
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 		ADULT DAY 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 HOSPITAL 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 AVENUE

ALTOONA,PA16603
25-1518698 		HOMECARE PA 501C3 11C CPS
 
 
No
(19) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
201 CHESTNUT AVENUE

ALTOONA,PA16603
25-1188570 		HOMECARE PA 501C3 9 UPMC
 
 
No
(20) HOME NURSING AGENCY COMMUNITY SERVI

201 CHESTNUT AVENUE

ALTOONA,PA16603
25-1517533 		HOMECARE PA 501C3 9 UPMC
 
 
No
(21) PITTSBURGH LIFETIME CARE COMMUNITY

600 GRANT STREET
58TH FLOOR
PITTSBURGH,PA15219
25-1335247 		CCRC PA 501C3 9 UPMC SENIO
 
 
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
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



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



 		(k)
Percentage
ownership
Yes No Yes No
(1) SENECA HILLS ASSIST LIVING

600 GRANT STREET
58TH FLOOR
PITTSBURGH,PA15219
 ASSISTED L PA NA
  		        No     No  
(2) ST MARGARET MEDICAL ARTS ASS

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 CENTERS ASSOC

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 SERVCS 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 STREET
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
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) AMERICAN HOME HEALTH INC

SUITE A 975 CROCKER ROAD
WESTLAKE,OH44145
31-1521422 		HOME HEALT OH QFH
  		C CORP         No
(2) HC PHARMACY CENTRAL INC

600 GRANT STREET
PITTSBURGH,PA15219
23-1364192 		PHARMACY PA NA
  		C CORP         No
(3) CHILDREN'S COMMUNITY CARE

600 GRANT STREET
PITTSBURGH,PA15219
25-1781887 		HEALTHCARE PA NA
  		C CORP         No
(4) UPMC CANCER CENTERS IRELAND LIMITED

6TH FLOOR BEACON HOSPITAL
18
DUBLIN    
EI
CANCER TR EI NA
  		C CORP         No
(5) UPMC CANCER CENTERS HOLDING COMPANY
UPMC CANCER CENTERS HOLDING COMPANY
600 GRANT STREET
PITTSBURGH,PA15219
25-1877017 		HOLDING CO PA NA
  		C CORP         No
(6) HEMATOLOGY ASSOC

600 GRANT STREET
PITTSBURGH,PA15219
42-1648357 		HEALTHCARE PA NA
  		C CORP         No
(7) ONCOLOGY HEMATOLOGY ASSOC

600 GRANT STREET
PITTSBURGH,PA15219
25-1762980 		HEALTHCARE PA NA
  		C CORP         No
(8) TRI-STATE NEUROSURGICAL ASSOC

600 GRANT STREET
PITTSBURGH,PA15219
25-1458655 		HEALTHCARE PA NA
  		C CORP         No
(9) RENAISSANCE FAMILY PRACTICE

600 GRANT STREET
PITTSBURGH,PA15219
26-2942406 		HEALTHCARE PA NA
  		C CORP         No
(10) UPMC HOLDING COMPANY INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1777713 		HOLDING CO PA NA
  		C CORP         No
(11) UPMC COVERAGE PRODUCTS INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1777710 		HOLDING CO PA NA
  		C CORP         No
(12) FREEDOM INSURANCE COMPANY

600 GRANT STREET
PITTSBURGH,PA15219
03-0308944 		INSURANCE VT NA
  		C CORP         No
(13) TRI-CENTURY INSURANCE CO

600 GRANT STREET
PITTSBURGH,PA15219
25-1500739 		INSURANCE PA NA
  		C CORP         No
(14) UPMC DNA INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1883237 		INSURANCE PA NA
  		C CORP         No
(15) UPMC HEALTH BENEFITS INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1844144 		INSURANCE PA NA
  		C CORP         No
(16) UPMC HEALTH NETWORK INC

600 GRANT STREET
PITTSBURGH,PA15219
72-1527566 		INSURANCE PA NA
  		C CORP         No
(17) UPMC HEALTH PLAN INC

600 GRANT STREET
PITTSBURGH,PA15219
23-2813536 		INSURANCE PA NA
  		C CORP         No
(18) UPMC BENEFIT MANAGEMENT SERV

600 GRANT STREET
PITTSBURGH,PA15219
25-1769564 		WORKERS CO PA NA
  		C CORP         No
(19) UPMC DIVERSIFIED SERVICES INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1778454 		HOLDING CO PA NA
  		C CORP         No
(20) MONROEVILLE SPECIALTY CLINIC

600 GRANT STREET
PITTSBURGH,PA15219
25-1666087 		HEALTHCARE PA NA
  		C CORP         No
(21) MEDICAL ARCHIVAL SYSTEMS INC

600 GRANT STREET
PITTSBURGH,PA15219
23-2912501 		SOFTWARE D DE NA
  		C CORP         No
(22) PRESBY HEALTH RESOURCE MGMT

600 GRANT STREET
PITTSBURGH,PA15219
25-1422155 		HEALTHCARE PA NA
  		C CORP         No
(23) RX PARTNERS INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1801966 		PHARMACY PA NA
  		C CORP         No
(24) BIOTRONICS INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1843500 		EQUIP MAIN PA NA
  		C CORP         No
(25) MEDICAL CENTER PROPERTIES INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1796940 		REAL ESTAT PA NA
  		C CORP         No
(26) ASKESIS DEVELOPMENT GROUP INC

600 GRANT STREET
PITTSBURGH,PA15219
54-1625585 		SOFTWARE D DE NA
  		C CORP         No
(27) PANTHER REINSURANCE COMPANY

PO BOX 1109 CJ
GRAND CAYMAN    
CJ
INSURANCE CJ NA
  		C CORP         No
(28) FORBES INSURANCE COMPANY

PO BOX 1109 CJ
GRAND CAYMAN    
CJ
INSURANCE CJ NA
  		C CORP         No
(29) CATHEDRAL (RE) INSURANCE COMPANY

PO BOX 1109 CJ
GRAND CAYMAN    
CJ
INSURANCE CJ NA
  		C CORP         No
(30) UPMC INTERNATIONAL HEALTH
UPMC INTERNATIONAL HEALTH
600 GRANT STREET
PITTSBURGH,PA15219
84-1706741 		INACTIVE PA NA
  		C CORP         No
(31) UPMC IRELAND LIMITED

6TH FLOOR BEACON HOSPITAL
8 EI
DUBLIN    
EI
HEALTHCARE EI NA
  		C CORP         No
(32) UPMC UNITED KINGDOM LTD

C/O NAIR CO 11TH FLOOR
BRISTOL WHITEFRIARS BB12
LEWINS MEAD   BS12
UK
98-0571026 		SOFTWARE UK NA
  		C CORP         No
(33) UPMC CYPRUS HOLDINGS LTD

JULIA HOUSE 3 106 NOCOSI
THEMISTOCKLES    
CY
HEALTHCARE CY NA
  		C CORP         No
(34) UPMC BEACON SANDYFORD LIMITED

STE 36 BEACON HILL
BEACON COURT
DUBLIN    
EI
HOSPITAL EI NA
  		C CORP         No
(35) UPMC BCS LIMITED

STE 36 BEACON HILL
BEACON COURT
DUBLIN    
EI
HOLDING CO EI NA
  		C CORP         No
(36) UPMC BMGS LIMITED

STE 36 BEACON HILL
BEACON COURT
DUBLIN    
EI
TRIOLGY LE EI NA
  		C CORP         No
(37) UPMC BHSH LIMITED

STE 36 BEACON HILL
BEACON COURT
DUBLIN    
EI
HOLDING CO EI NA
  		C CORP         No
(38) UPMC WORK ALLIANCE INC

600 GRANT STREET
PITTSBURGH,PA15219
45-2825053 		INSURANCE PA NA
  		C CORP         No
(39) EVOLENT HEALTH INC

600 GRANT STREET
PITTSBURGH,PA15219
45-3084136 		HEALTHCARE PA NA
  		C CORP         No
(40) 21ST CENTURY BIODEFENSE INC

600 GRANT STREET
PITTSBURGH,PA15219
26-3806281 		INACTIVE PA NA
  		C CORP         No
(41) UPMC CYPRUS LTD

JULIA HOUSE 3 106 NOCOSI
THEMISTOCKLES    
CY
HEALTHCARE CY NA
  		C CORP         No
(42) BAYFRONT REGIONAL DEVELOPMENT CORP

300 STATE STREET
ERIE,PA16507
25-1401388 		RE HOLDING PA NA
  		C CORP         No
(43) BAYSIDE DEVELOPMENT CORP

300 STATE STREET
ERIE,PA16507
25-1401386 		REAL ESTAT PA NA
  		C CORP         No
(44) UPMC CANADA TECHNOLOGIES LIMITED

600 GRANT STREET
PITTSBURGH   15219
CA
TECHNOLOGY CA NA
  		C CORP         No
(45) ALLIED ORTHOPEDICS APPLIANCES INC

600 GRANT STREET
PITTSBURGH,PA15219
16-1092951 		MED APPLIA PA NA
  		C CORP         No
(46) UPMC HEALTH COVERAGE INC

600 GRANT STREET
PITTSBURGH,PA15219
46-2824537 		HEALTH COV PA NA
  		C CORP         No
(47) UPMC HEALTH OPTIONS INC

600 GRANT STREET
PITTSBURGH,PA15219
46-2824626 		INSURANCE PA NA
  		C CORP         No
(48) PRODIGO SOLUTIONS INC

600 CRANBERRY WOODS DRIVE
CRANBERRY,PA16066
46-3889233 		SOFTWARE PA NA
  		C CORP         No
(49) VIA ONCOLOGY LLC

5750 CENTRE AVE STE 500
PITTSBURGH,PA15206
37-1754667 		ONCOLOGY PA NA
  		C CORP         No
(50) UPMC COMPLETE CARE INC

5215 CENTRE AVE
PITTSBURGH,PA15232
46-3605753 		HEALTHCARE PA NA
  		C CORP         No
Schedule R (Form 990) 2013
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
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
 M 28,391 % OF EXPENSES
(2) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
 B 34,515 GRANT AWARD
(3) HOME NURSING AGENCY VISITING NURSE
ASSOCIATION
 M 148,064 TIMECARDS
(4) HOME NURSING AGENCY COMMUNITY SERVI
SERVICES
 B 113,900 GRANT AWARD
(5) HOME NURSING AGENCY AFFILIATES

 K 23,934 SQ FOOTAGE
(6) HOME NURSING AGENCY AFFILIATES

 M 10,615 % OF EXPENSES
(7) HOME NURSING AGENCY AFFILIATES

 C 1,132,892 MARKET VALUE
Schedule R (Form 990) 2013
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
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


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