2011-05-12T08:24:18-05:00 2010-06-30 REILLY CREPPAGE & CO INC CPA'S 601 VALLEY VIEW BLVD ALTOONA PA 166026421 990 2009-07-01 251188570 HOME NURSING AGENCY & VISITING NURSE ASSOCIATION HOME 8149465411 201 CHESTNUT AVENUE PO BOX 352 ALTOONA PA 166030352 GREGG LAVERICK 8149465411 2011-05-09 true PAUL VRABEL 8149446178 2011-05-12 2009 2016-02-24 21:20:13Z ROBERT PACKER 20 SHERATON DRIVE ALTOONA PA 16601 48479483 false X WWW.HOMENURSINGAGENCY.COM X 1966 PA SEE SCHEDULE O PART I, LINE 1 AND PART III, LINE 1. AS PROVIDED IN ITS ARTICLES, THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCUSIVELY FOR EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED(OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW) (THE "CODE"), INCLUDING, WITHOUT LIMITATION, ESTABLISHING AND OPERATING COMMUNITY SERVICES PROGRAMS, SERVICES OR CLINICS THAT WILL CONTRIBUTE TO THE OVERALL HEALTH AND WELL-BEING OF ALL PERSONS, REGARDLESS OF RACE, COLOR, CREED, RELIGION, SEX, AGE OR NATIONAL ORIGIN. HOME NURSING AGENCY IS DEDICATED TO PROVIDING THE HIGHEST QUALITY OF CUSTOMER SERVICE WITH A SENSE OF WARMTH, KINDNESS AND INDIVIDUAL PRIDE. FORM 990, PART III, LINE 4 - EXEMPT PURPOSE ACHIEVEMENT NARRATIVE UNCOMPENSATED CARE TO HOME NURSING AGENCY CLIENTS IS DETERMINED AS THE DIFFERENCE BETWEEN HOME NURSING AGENCY'S COST TO PROVIDE SERVICE, ON A PER UNIT OR PER VISIT BASIS,AND THE REIMBURSEMENT 12 8 688 51 0 716309 550154 37985335 41801966 -291225 236052 10250 7767 38420669 42595939 0 0 24182567 27674663 0 0 10299891 11957759 34482458 39632422 3938211 2963517 20131187 20641694 8147807 10106172 11983380 10535522 SEE SCHEDULE O PART I, LINE 1 AND PART III, LINE 1. AS PROVIDED IN ITS ARTICLES, THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCUSIVELY FOR EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED(OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW) (THE "CODE"), INCLUDING, WITHOUT LIMITATION, ESTABLISHING AND OPERATING COMMUNITY SERVICES PROGRAMS, SERVICES OR CLINICS THAT WILL CONTRIBUTE TO THE OVERALL HEALTH AND WELL-BEING OF ALL PERSONS, REGARDLESS OF RACE, COLOR, CREED, RELIGION, SEX, AGE OR NATIONAL ORIGIN. HOME NURSING AGENCY IS DEDICATED TO PROVIDING THE HIGHEST QUALITY OF CUSTOMER SERVICE WITH A SENSE OF WARMTH, KINDNESS AND INDIVIDUAL PRIDE. FORM 990, PART III, LINE 4 - EXEMPT PURPOSE ACHIEVEMENT NARRATIVE UNCOMPENSATED CARE TO HOME NURSING AGENCY CLIENTS IS DETERMINED AS THE DIFFERENCE BETWEEN HOME NURSING AGENCY'S COST TO PROVIDE SERVICE, ON A PER UNIT OR PER VISIT BASIS,AND THE REIMBURSEMENT false false 18371303 80776 21276624 HOME HEALTH SERVICES PROVIDED TO 8,595 CLIENTS FROM CENTRAL OFFICES IN THE PENNSYLVANIA COUNTIES OF BLAIR, BEDFORD, CAMBRIA, CENTRE, FRANKLIN, HUNTINGDON, MIFFLIN AND SOMERSET. FOR THE YEAR ENDED JUNE 30, 2010, HOME NURSING AGENCY VISITING NURSE ASSOCIATION PROVIDED 1,275,236 OF UNCOMPENSATED CARE TO ITS HOME HEALTH CLIENTS. SEE SCHEDULE O SERVING ALL AGES, HOME NURSING AGENCY OFFERS CARE WHEN AN INJURY, CHRONIC ILLNESS, OR SURGERY AFFECTS THE QUALITY OF LIFE. CARE IS AVAILABLE IN A PERSONAL RESIDENCE, ASSISTED LIVING FACILITY, OR PERSONAL CARE HOME - WHEREVER ONE CALLS HOME. 99% OF OUR HOME HEALTH CUSTOMERS RECOMMEND US TO OTHERS. HOME NURSING AGENCY WAS NAMED A BEST PRACTICES AGENCY IN HOME HEALTH CARE AND HOSPICE BY PENNSYLVANIA HOMECARE ASSOCIATION 2010; ACCREDITED AND CERTIFIED HOME HEALTH PROGRAM FROM CHAP (COMMUNITY HEALTH ACCREDITATION PROGRAM); AND A MEMBER OF HOMECARE ELITE 2010. OUR AWARD-WINNING SERVICES BEGIN WITH A DEDICATED STAFF: ADVANCE-PRACTICE NURSES HELP PATIENTS MANAGE DISEASES SUCH AS DIABETES AND PROVIDE MEDICATION MANAGEMENT, WOUND CARE, CARDIAC CARE, AND MENTAL HEALTH SERVICES. PHYSICAL THEREPISTS IMPROVE A PATIENT'S MOBILITY AND INDEPENDENCE BY USING TREATMENTS SUCH AS EXCERCISE AND RANGE OF MOTION WITH A FOCUS ON SAFETY. OCCUPATIONAL THERAPISTS HELP INDIVIDUALS WITH ENERGY CONSERVATION AND ACTIVITIES OF DAILY LIVING, SUCH AS EATING, DRESSING, AND BATHING USING TRAINING AND ASSISTIVE DEVICES. SPEECH THERAPISTS WORK WITH INDIVIDUALS WHO NEED SPEECH, LANGUAGE, COMMUNICATION, AND SWALLOWING TRAINING AFTER A STROKE, SURGERY OR OTHER CONDITION. HOME HEALTH AIDES HELP WITH PERSONAL CARE AND ACTIVITIES OF DAILY LIVING WHEN SKILLED SERVICES ARE ALSO PROVIDED. SPECIALTY SERVICES ARE ALSO PROVIDED BY SOCIAL WORKERS, NUTRITIONISTS, BEHAVIORAL HEALTH NURSES, AND GRIEF SPECIALISTS FOR BOTH CHILDREN AND ADULTS. COMMUNITY HEALTH AND EDUCATION PROGRAMS INCLUDING - BLOOD PRESSURE SCREENINGS - FLU CLINICS - PRESENTATIONS FOR COMMUNITY ORGANIZATIONS - SUPPORT GROUPS 13257126 126635 16722121 HOSPICE/BEREAVEMENT SERVICES WERE PROVIDED TO 1,452 CLIENTS FROM CENTRAL OFFICES IN THE PENNSYLVANIA COUNTIES OF BLAIR, BEDFORD, CAMBRIA, CENTRE, FRANKLIN, HUNTINGDON, MIFFLIN, AND SOMERSET. FOR THE YEAR ENDED JUNE 30, 2010, HOME NURSING AGENCY VISITING NURSE ASSOCIATION PROVIDED 151,901 OF UNCOMPENSATED CARE TO ITS HOSPICE AND BEREAVEMENT CLIENTS. 99% OF OUR HOSPICE CUSTOMERS RECOMMEND HNA TO OTHERS. AS PENNSYLVANIA'S FIRST-MEDICARE CERTIFIED HOSPICE, HOME NURSING AGENCY PARTNERS WITH PHYSICIANS AND IS UNIFIED BY A COMMON MISSION TO PROVIDE THE HIGHEST QUALITY OF HOSPICE CARE. SEE SCHEDULE 0 OUR ADVANCE-PRACTICE NURSES, SOCIAL WORKERS, HOSPICE AIDES, CHAPLAINS, AND VOLUNTEERS ARE SPECIALLY-TRAINED TO DEVELOPE A PLAN TO PROVIDE COMFORT MANAGEMENT, PERSONAL CARE, AND SPECIALIZED SERVICES FOR BOTH THE PATIENT AND THE FAMILY, INCLUDING GRIEF SUPPORT. HOME NURSING AGENCY IS THE REGION'S ONLY HOSPICE PROVIDER TO OFFER PALLIATIVE CARE CONSULTATION: UNDER THE DIRECTION OF THE PATIENT'S PHYSICIAN AND THE WISHES OF THE PATIENT, THE HOSPICE TEAM USES METHODS OF PAIN AND SYMPTOM CONTROL, ENABLING THE PATIENT TO LIVE AS PAIN-FREE, COMFORTABLY, AND ALERT AS POSSIBLE. MESSAGE THERAPY, MUSIC AND ART THERAPY, AROMATHERAPY AND STRESS MANAGEMENT ARE ALSO OFFERED. HOME NURSING AGENCY IS THE REGION'S ONLY HOSPICE PROVIDER TO OFFER A GRIEF AND BEREAVEMENT CENTER: THE HEALING PATCH: A CENTER FOR LOSS AND HOPE FOR GRIEVING CHILDREN AND THEIR FAMILIES IS DESIGNED FOR CHILDREN AND THEIR FAMILIES WHO HAVE SUFFERED THE LOSS OF A LOVED ONE, SUCH AS A PARENT, SIBLING, GRANDPARENT OR CLOSE FAMLIY MEMBER. THE FREE SERVICE IS FUNDED BY HOME NURSING AGENCY'S FOUNDATION AND HIGHMARK HEALTHY HIGH 5. 2030554 4036 2550140 PEDIATRIC PRIVATE DUTY SERVICES PROVIDED TO 34 CLIENTS FROM CENTRAL OFFICES IN THE PENNSYLVANIA COUNTIES OF BLAIR, BEDFORD, CAMBRIA, CENTRE, FRANKLIN, HUNTINGDON, MIFFLIN AND SOMERSET. FOR THE YEAR ENDED JUNE 30, 2010, HOME NURSING AGENCY VISITING NURSE ASSOCIATION PROVIDED 5,553 OF UNCOMPENSATED CARE TO ITS PEDIATRIC PRIVATE DUTY CLIENTS. SEE SCHEDULE O PEDIATRIC PRIVATE DUTY IS A SERVICE FOR MEDICALLY-FRAGILE CHILDREN WHO REQUIRE 24-HOUR CARE. CHILDREN IN THIS PROGRAM ARE TECHNOLOGY-DEPENDENT OR SUFFERING FROM CHRONIC, LIFE-LIMITING DISABILITIES. FAMILIES NEED ADDITIONAL SUPPORT, NOT PAID FOR BY MEDICAL OR GOVERNMENTAL INSURANCES, AND CONTRIBUTIONS HAVE PROVIDED THE FUNDS TO COVER THE COST OF RELIEF SERVICES FOR PARENTS AND CAREGIVERS IN THIS SERVICE. FUNDS WERE USED TO PURCHASE EDUCATIONAL RESOURCES AND TOYS THAT ARE SPECIALLY DESIGNED FOR SPECIAL NEEDS CHILDREN AND OTHER ITEMS TO MAINTAIN THE COMFORT AND WELLBEING OF THE CHILD. FUNDS WERE ALSO ALLOCATED TO PROVIDE NURSING AND COUNSELING FOR THE AGENCY'S MOST CRICALLY CARED FOR CHILDREN. FUNDS HELPED TO PAY FOR ADDITIONAL HOURS OF NURSING CARE, WHEN NEEDED. IN ADDITION, DUE TO THE TREMENDOUS EMOTIONAL COMPONENT OF HAVING A TECHNOLOGY-DEPENDENT CHILD, SOCIAL SERVICE INTERVENTION FOR FAMILY MEMBERS IS A NECESSSARY COMPONENT OF CARE. TESTIMONIAL: "ONE FAMILY WE'VE CARED FOR HAD A FOUR-YEAR-OLD SON ON A CONTINUOUS FEEDING TUBE. HE HAS TWO OTHER SIBLINGS AND THE PARENTS HAVE NOT BEEN ABLE TO GO OUT TO DINNER ALONE FOR FOUR YEARS. THEY HAVE NO OTHER FAMILY MEMBERS WHO ARE COMFORTABLE WATCHING HIM BECAUSE OF HIS COMPLEX MEDICAL NEEDS. WE WERE ABLE TO PROVIDE AN EVENING OF NURSING SERVICE SO THEY COULD GO OUT AND CELEBRATE THEIR WEDDING ANNIVERSARY. THE COMMENT THE MOTHER MADE TO ME WAS THAT IT WAS THE BEST GIFT SHE EVER COULD HAVE RECEIVED." 536285 404065 TO PROVIDE QUALITY HEALTH CARE SERVICES: OTHER PROGRAM SERVICES INCLUDE THE ADMINSTRATION OF GRANTS SUPPORTING THE INSTALLATION AND USAGE OF TELEHEALTH EQUIPMENT INTO CLIENT HOMES AND THE COSTS TO ADMINISTER ITS PALLIATIVE CARE PROGRAM. FOR THE YEAR ENDED JUNE 30, 2010, HOME NURSING AGENCY & VISITING NURSE ASSOCIATION INCURRED UNCOMPENSATED EXPENSES OF 132,008 IN SUPPORT OF PALLIATIVE CLIENTS. 536285 404065 34195268 true true false false false false false false false false true false true false false false false false false false false false false false true false false false false true true false true false false false false false true false false false true 125 0 true 688 true false false false false false false false false false false false false false false 12 8 true true false false false true true true false false false true true true true true true true false PA X GREGG LAVERICK 8149465411 20 SHERATON DRIVE ALTOONA PA 16601 BERNARD CREPPAGE 1.00 X X 0 0 0 DONALD KAUFFMAN 1.00 X 0 0 0 DONNA GORITY 1.00 X X 0 0 0 JAMES RAMSAY DVM 1.00 X 0 0 0 JOHN BEYER 1.00 X 0 0 0 JOHN SHEEDY MD 1.00 X 0 0 0 KATHY WAGNER 1.00 X X 0 0 0 NANCY FOGEL 1.00 X 0 0 0 NICK SPALLONE 1.00 X 0 0 0 PATRICIA GILDEA 1.00 X X 0 0 0 THOMAS LEVINE 1.00 X 0 0 0 TIMOTHY O'BRIEN 1.00 X 0 0 0 MERLE EVEY 1.00 X 0 0 0 ROBERT PACKER 1.00 X 0 0 0 GREGG LAVERICK 1.00 X 0 0 0 KIM M KRANZ 50.00 X 182695 0 10285 ROBIN KANAR 38.00 X 122680 0 0 CELESTE TWARDON 50.00 X 113881 0 3550 JAMES BUTLER 50.00 X 112252 0 10285 531508 24120 4 false true false ALTOONA REGIONAL HEALTH SYSTEM 620 HOWARD AVE ALTOONA PA 16601 HEALTH CARE SVC 715568 DELTA HEALTH TECHNOLOGIES LLC PO BOX 360 CLEARFIELD PA 16830 SOFTWARE MAINT 587808 JC BLAIR MEMORIAL 1225 WARM SPRINGS AVE HUNTINGDON PA 16652 HEALTH CARE SVC 139414 EPEOPLE HEALTHCARE 1108 OHIO RIVER BLVD SUITE 803 SEWICKLEY PA 15143 THERAPY STAFF 129080 4 97360 280352 172442 550154 HOME HEALTH CARE SERVICES 21195848 21195848 HOMECARE FOR HOSPICE SVCS 16595486 16595486 PEDIATRIC PRIVATE DUTY SVCS 2546103 2546103 ADMINISTRATIVE SUPPORT & SVCS 1464529 1464529 41801966 146430 146430 5973106 60 5883544 89562 60 89622 89622 MISCELLANEOUS 7767 7767 7767 42595939 41809733 236052 181765 181765 22457479 20066151 2391328 635715 568566 67149 2654989 2296140 358849 1744715 1560425 184290 1125248 1125248 15274 13728 1546 20289 20289 1909030 1909030 250091 1283 248808 1215050 970671 244379 484179 140984 343195 964815 823929 140886 1795947 1725492 70455 62284 44719 17565 508608 435392 73216 750 750 MEDICAL EQUIPMENT DRUGS 2540584 2536269 4315 OTHER SERVICES 674406 568703 105703 MISCELLANEOUS 234344 194411 39933 PROVISION FOR BAD DEBTS 156860 156860 39632422 34195268 5437154 0 941227 1118685 6751587 4445419 29808 174 5320354 6647524 96266 112847 258760 89952 2530571 1084498 728054 1446073 5667310 6632943 337821 148077 20131187 20641694 3371131 3650811 84348 68111 100000 4592328 6387250 8147807 10106172 X 11950040 10500477 33340 35045 11983380 10535522 20131187 20641694 X false true true true true X 75139 34807 561639 716309 550154 1938048 20540974 26711507 31131423 38291526 41809733 158485163 20616113 26746314 31693062 39007835 42359887 160423211 160423211 123114 277097 311255 160663 146430 1018559 123114 277097 311255 160663 146430 1018559 14106 20274 7348 10250 7767 59745 20753333 27043685 32011665 39178748 42514084 161501515 0.99330 0.99300 0.01000 0.01000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 2530571 1084498 1446073 1446073 PENSION LIABILITY 6095941 RESERVE FOR CONTINGENT LIABILITIES 291309 6387250 42595939 39632422 2963517 548783 -4960158 -4411375 -1447858 43144722 548783 548783 42595939 42595939 39632422 39632422 39632422 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 CONTRIBUTED EQUITY TO HOME NURSING AGENCY AFFILIATES -2,722,705 PENSION - OTHER COMPREHENSIVE INCOME -2,237,453 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D CONTRIBUTED EQUITY TO HOME NURSING AGENCY AFFILIATES 2,722,705 PENSION - OTHER COMPREHENSIVE INCOME 2,237,453 false false false false false true true false false KIM M KRANZ 148510 27026 7159 10285 192980 165144 COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION SCHEDULE J, PAGE 1, PART I, LINE 6A INCENTIVE PAY FOR KEY EMPLOYEES IS BASED ON A FORMULA BASED ON OPERATING EXCESS OF HNA VISITING NURSE ASSOCIATION AND HNA COMMUNITY SERVICES. AN INCENTIVE WILL BE PAID WHEN THE COMBINED COMPANIES EXCEED 4% RETURN ON REVENUE. KEY EXECUTIVE RANGES ARE PRORATED, WITH MINIMUM BEING 4% TO A MAXIMUM OF 18% OF BASE PAY. INCENTIVE COMPENSATION IS REVIEWED AND APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. COMPENSATION CONTINGENT UPON NET EARNINGS OF RELATED ORG SCHEDULE J, PAGE 1, PART I, LINE 6B INCENTIVE PAY FOR KEY EMPLOYEES IS BASED ON A FORMULA BASED ON OPERATING EXCESS OF HNA VISITING NURSE ASSOCIATION AND HNA COMMUNITY SERVICES. AN INCENTIVE WILL BE PAID WHEN THE COMBINED COMPANIES EXCEED 4% RETURN ON REVENUE. KEY EXECUTIVE RANGES PRORATED, WITH THE MINIMUM BEING 4% TO A MAXIMUM OF 18% OF BASE PAY. INCENTIVE COMPENSATION IS REVIEWED AND APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. NANCY FOGEL'S SISTER SISTER 3531 BERNARD CREPPAGE DIRECTOR 5250 ACCOUNTING false NICK SPALLONE DIRECTOR 19070 COMMUNICATION SVCS false KATHY WAGNER DIRECTOR 552392 COMPUTER SVCS false ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION SEE SCHEDULE O PART I, LINE 1 AND PART III, LINE 1. AS PROVIDED IN ITS ARTICLES, THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCUSIVELY FOR EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED(OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW) (THE "CODE"), INCLUDING, WITHOUT LIMITATION, ESTABLISHING AND OPERATING COMMUNITY SERVICES PROGRAMS, SERVICES OR CLINICS THAT WILL CONTRIBUTE TO THE OVERALL HEALTH AND WELL-BEING OF ALL PERSONS, REGARDLESS OF RACE, COLOR, CREED, RELIGION, SEX, AGE OR NATIONAL ORIGIN. HOME NURSING AGENCY IS DEDICATED TO PROVIDING THE HIGHEST QUALITY OF CUSTOMER SERVICE WITH A SENSE OF WARMTH, KINDNESS AND INDIVIDUAL PRIDE. FORM 990, PART III, LINE 4 - EXEMPT PURPOSE ACHIEVEMENT NARRATIVE UNCOMPENSATED CARE TO HOME NURSING AGENCY CLIENTS IS DETERMINED AS THE DIFFERENCE BETWEEN HOME NURSING AGENCY'S COST TO PROVIDE SERVICE, ON A PER UNIT OR PER VISIT BASIS,AND THE REIMBURSEMENT THAT HOME NURSING AGENCY RECEIVES FROM GOVERNMENTAL PAYERS OR FROM SELF-PAY CLIENTS, INCLUDING SERVICES PROVIDED AT NO CHARGE DUE TO CLIENT'S FINANCIAL HARDSHIP. THESE AMOUNTS ARE RECORDED AS A REDUCTION IN NET PATIENT SERVICE REVENUE IN THE FINANCIAL STATEMENTS. PATIENTS ARE REQUIRED TO APPLY FOR THE CHARITY CARE DISCOUNT, BUT OFTEN DO NOT COMPLETE THE NECESSARY PAPERWORK TO DETERMINE IF THEY QUALIFY. AS A RESULT, THERE IS AN UNQUANTIFIABLE AMOUNT OF UNCOMPANSATED SERVICES THAT WOULD POTENTIALLY BE CONSIDERED CHARITY CARE UNDER THE POLICY, BUT RATHER ARE ULTIMATELEY REFLECTED IN BAD DEBT EXPENSE. IN ADDITION TO UNCOMPENSATED CARE, HOME NURSING AGENCY PROVIDED FREE AND BELOW-COST SERVICES AND PROGRAMS FOR THE BENEFIT OF THE COMMUNITY. THE COST OF THESE PROGRAMS IS INCLUDED IN SALARIES AND WAGES, FRINGE BENEFITS, PROFESSIONAL FEES, SUPPLIES, AND OTHER EXPENSE LINES IN THE FINANCIAL STATEMENTS. FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A SERVING ALL AGES, HOME NURSING AGENCY OFFERS CARE WHEN AN INJURY, CHRONIC ILLNESS, OR SURGERY AFFECTS THE QUALITY OF LIFE. CARE IS AVAILABLE IN A PERSONAL RESIDENCE, ASSISTED LIVING FACILITY, OR PERSONAL CARE HOME - WHEREVER ONE CALLS HOME. 99% OF OUR HOME HEALTH CUSTOMERS RECOMMEND US TO OTHERS. HOME NURSING AGENCY WAS NAMED A BEST PRACTICES AGENCY IN HOME HEALTH CARE AND HOSPICE BY PENNSYLVANIA HOMECARE ASSOCIATION 2010; ACCREDITED AND CERTIFIED HOME HEALTH PROGRAM FROM CHAP (COMMUNITY HEALTH ACCREDITATION PROGRAM); AND A MEMBER OF HOMECARE ELITE 2010. OUR AWARD-WINNING SERVICES BEGIN WITH A DEDICATED STAFF: ADVANCE-PRACTICE NURSES HELP PATIENTS MANAGE DISEASES SUCH AS DIABETES AND PROVIDE MEDICATION MANAGEMENT, WOUND CARE, CARDIAC CARE, AND MENTAL HEALTH SERVICES. PHYSICAL THEREPISTS IMPROVE A PATIENT'S MOBILITY AND INDEPENDENCE BY USING TREATMENTS SUCH AS EXCERCISE AND RANGE OF MOTION WITH A FOCUS ON SAFETY. OCCUPATIONAL THERAPISTS HELP INDIVIDUALS WITH ENERGY CONSERVATION AND ACTIVITIES OF DAILY LIVING, SUCH AS EATING, DRESSING, AND BATHING USING TRAINING AND ASSISTIVE DEVICES. SPEECH THERAPISTS WORK WITH INDIVIDUALS WHO NEED SPEECH, LANGUAGE, COMMUNICATION, AND SWALLOWING TRAINING AFTER A STROKE, SURGERY OR OTHER CONDITION. HOME HEALTH AIDES HELP WITH PERSONAL CARE AND ACTIVITIES OF DAILY LIVING WHEN SKILLED SERVICES ARE ALSO PROVIDED. SPECIALTY SERVICES ARE ALSO PROVIDED BY SOCIAL WORKERS, NUTRITIONISTS, BEHAVIORAL HEALTH NURSES, AND GRIEF SPECIALISTS FOR BOTH CHILDREN AND ADULTS. COMMUNITY HEALTH AND EDUCATION PROGRAMS INCLUDING - BLOOD PRESSURE SCREENINGS - FLU CLINICS - PRESENTATIONS FOR COMMUNITY ORGANIZATIONS - SUPPORT GROUPS SECOND ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4B OUR ADVANCE-PRACTICE NURSES, SOCIAL WORKERS, HOSPICE AIDES, CHAPLAINS, AND VOLUNTEERS ARE SPECIALLY-TRAINED TO DEVELOPE A PLAN TO PROVIDE COMFORT MANAGEMENT, PERSONAL CARE, AND SPECIALIZED SERVICES FOR BOTH THE PATIENT AND THE FAMILY, INCLUDING GRIEF SUPPORT. HOME NURSING AGENCY IS THE REGION'S ONLY HOSPICE PROVIDER TO OFFER PALLIATIVE CARE CONSULTATION: UNDER THE DIRECTION OF THE PATIENT'S PHYSICIAN AND THE WISHES OF THE PATIENT, THE HOSPICE TEAM USES METHODS OF PAIN AND SYMPTOM CONTROL, ENABLING THE PATIENT TO LIVE AS PAIN-FREE, COMFORTABLY, AND ALERT AS POSSIBLE. MESSAGE THERAPY, MUSIC AND ART THERAPY, AROMATHERAPY AND STRESS MANAGEMENT ARE ALSO OFFERED. HOME NURSING AGENCY IS THE REGION'S ONLY HOSPICE PROVIDER TO OFFER A GRIEF AND BEREAVEMENT CENTER: THE HEALING PATCH: A CENTER FOR LOSS AND HOPE FOR GRIEVING CHILDREN AND THEIR FAMILIES IS DESIGNED FOR CHILDREN AND THEIR FAMILIES WHO HAVE SUFFERED THE LOSS OF A LOVED ONE, SUCH AS A PARENT, SIBLING, GRANDPARENT OR CLOSE FAMLIY MEMBER. THE FREE SERVICE IS FUNDED BY HOME NURSING AGENCY'S FOUNDATION AND HIGHMARK HEALTHY HIGH 5. THIRD ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4C PEDIATRIC PRIVATE DUTY IS A SERVICE FOR MEDICALLY-FRAGILE CHILDREN WHO REQUIRE 24-HOUR CARE. CHILDREN IN THIS PROGRAM ARE TECHNOLOGY-DEPENDENT OR SUFFERING FROM CHRONIC, LIFE-LIMITING DISABILITIES. FAMILIES NEED ADDITIONAL SUPPORT, NOT PAID FOR BY MEDICAL OR GOVERNMENTAL INSURANCES, AND CONTRIBUTIONS HAVE PROVIDED THE FUNDS TO COVER THE COST OF RELIEF SERVICES FOR PARENTS AND CAREGIVERS IN THIS SERVICE. FUNDS WERE USED TO PURCHASE EDUCATIONAL RESOURCES AND TOYS THAT ARE SPECIALLY DESIGNED FOR SPECIAL NEEDS CHILDREN AND OTHER ITEMS TO MAINTAIN THE COMFORT AND WELLBEING OF THE CHILD. FUNDS WERE ALSO ALLOCATED TO PROVIDE NURSING AND COUNSELING FOR THE AGENCY'S MOST CRICALLY CARED FOR CHILDREN. FUNDS HELPED TO PAY FOR ADDITIONAL HOURS OF NURSING CARE, WHEN NEEDED. IN ADDITION, DUE TO THE TREMENDOUS EMOTIONAL COMPONENT OF HAVING A TECHNOLOGY-DEPENDENT CHILD, SOCIAL SERVICE INTERVENTION FOR FAMILY MEMBERS IS A NECESSSARY COMPONENT OF CARE. TESTIMONIAL: "ONE FAMILY WE'VE CARED FOR HAD A FOUR-YEAR-OLD SON ON A CONTINUOUS FEEDING TUBE. HE HAS TWO OTHER SIBLINGS AND THE PARENTS HAVE NOT BEEN ABLE TO GO OUT TO DINNER ALONE FOR FOUR YEARS. THEY HAVE NO OTHER FAMILY MEMBERS WHO ARE COMFORTABLE WATCHING HIM BECAUSE OF HIS COMPLEX MEDICAL NEEDS. WE WERE ABLE TO PROVIDE AN EVENING OF NURSING SERVICE SO THEY COULD GO OUT AND CELEBRATE THEIR WEDDING ANNIVERSARY. THE COMMENT THE MOTHER MADE TO ME WAS THAT IT WAS THE BEST GIFT SHE EVER COULD HAVE RECEIVED." ALL OTHER ACHIEVEMENTS DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D TO PROVIDE QUALITY HEALTH CARE SERVICES: OTHER PROGRAM SERVICES INCLUDE THE ADMINSTRATION OF GRANTS SUPPORTING THE INSTALLATION AND USAGE OF TELEHEALTH EQUIPMENT INTO CLIENT HOMES AND THE COSTS TO ADMINISTER ITS PALLIATIVE CARE PROGRAM. FOR THE YEAR ENDED JUNE 30, 2010, HOME NURSING AGENCY & VISITING NURSE ASSOCIATION INCURRED UNCOMPENSATED EXPENSES OF 132,008 IN SUPPORT OF PALLIATIVE CLIENTS. RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 THOMAS LEVINE; BENJAMIN LEVINE FAMILY RELATIONSHIP W/DIRECTOR DONNA GORITY; ROBERT SCHOLL BUSINESS RELATIONSHIP KATHY WAGNER; DONALD DEVORRIS BUSINESS RELATIONSHIP MANAGEMENT DELEGATED FORM 990, PAGE 6, PART VI, LINE 3 ARTICLE III, SECTION 3.6 OF THE BYLAWS OF THE ORGANIZATION INDICATE THAT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE HOME NURSING AGENCY AFFILIATES SHALL SERVE AS THE PRESIDENT AND CEO OF THE CORPORATION. BECAUSE THIS SECTION OF THE BYLAWS ALSO PERMITS THE PRESIDENT AND CEO TO APPOINT EXECUTIVE STAFF FROM THE HOME NURSING AGENCY AFFILIATES TO PERFORM CERTAIN ASPECTS OF MANAGEMENT FUNCTIONS, THE CFO AND SENIOR VICE PRESIDENT ADMINISTRATIVE SERVICES OF THE HOME NURSING AGENCY AFFILIATES CONTROLLED MANAGEMENT DUTIES OF THE ORGANIZATION. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A ARTICLE II, SECTION 2.3,(B) OF THE ORGANIZATION'S BYLAWS PERMITS THE HOME NURSING AGENCY AFFILIATES TO ELECT OR REFUSE TO ELECT EACH PERSON NOMINATED BY THE NOMINATING COMMITTEE. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B ARTICLE II, SECTION 2.2,(A) OF THE ORGANIZATION'S BYLAWS REQUIRES THAT THE FOLLOWING ACTIONS THAT HAVE BEEN APPROVED BY THE AFFILIATES BOARD ALSO HAVE THE AFFIRMATIVE APPROVAL OF THE HOME NURSING AGENCY AFFILIATES: ANY STRATEGIC PLANS AND ANY OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND EACH SUBSIDIARY OF THE CORPORATION; AMENDMENTS TO ARTICLES OR THESE BYLAWS OR AMENDMENTS TO THE ARTICLES OR BYLAWS OF EACH SUBSIDIARY OF THE CORPORATION (APART FROM CHANGES OF REGISTERED OFFICE); MERGER (UNLESS THE MERGER RESULTS IN THE CORPORATION OR THE RESPECTIVE SUBSIDIARY, AS APPLICABLE, BEING THE SURVIVING ENTITY AND THE TRANSACTION IS LESS THAN 1,000,000), CONSOLIDATION, DISSOLUTION AND SALE OF SUBSTANTIAL ASSETS OF THE CORPORATION OR ANY SUBSIDIARY OF THE CORPORATION; INCURRANCE OF INDEBTEDNESS BY THE CORPORATION OR ANY SUBSIDIARY OF THE CORPORATION (OTHER THAN TRADE AND/OR ACCOUNTS PAYABLE ARISING IN THE ORDINARY COURSE OF BUSINESS) ABOVE THRESHOLDS TO BE DETERMINED BY THE HOME NURSING AGENCY AFFILIATES AND NOT APART OF AN APPROVAL CAPITAL AND/OR OPERATING BUDGET; THE ESTABLISHMENT, TERMINATION OR WITHDRAWL FROM JOINT VENTURES INVOLVING THE CORPORATION (OR ANY SUBSIDIARY OF THE CORPORATION) IN WHICH THE CORPORATION OR ANY SUBSIDIARY OF THE CORPORATION, AS APPLICABLE, HAS A CONTROLLING INTEREST; AND THE ELECTION OR APPOINTMENT OF THE PRESIDENT OR CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND EACH SUBSIDIARY OF THE CORPORATION. ARTICLE II, SECTION 2.2,(B) OF THE ORGANIZATION'S BYLAWS ALSO GIVES 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 HOME NURSING AGENCY & VISITING NURSE ASSOCIATION IS A SUBSIDIARY OF THE NOME NURSING AGENCY AFFILIATES. THE EXECUTIVE COMMITTEE OF THE HOME NURSING AGENCY AFFILIATES HELD A SPECIAL SESSION TO REVIEW THE COMPLETED FORM 990. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C TO FAMILIARIZE THEMSELVES WITH POTENTIAL CONFLICTS, THE HOME NURSING AGENCY CEO, CFO, SENIOR VICE PRESIDENT ADMINISTRATIVE SERVICES, AND THE COMPLIANCE OFFICER, REVIEW EACH FORM COMPLETED ANNUALLY BY MEMBERS OF THE BOARDS. ALL BOARD AND COMMITTEE MEETINGS ARE ATTENDED BY AT LEAST ONE PERSON IN THIS GROUP. IF A POTENTIAL CONFLICT SURFACES BEFORE OR DURING A MEETING, THEY ARE RESPONSIBLE FOR ENSURING THAT THE CONFLICT IS NOTED AND APPROPRIATE ACTION IS TAKEN. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A EXECUTIVE COMPENSATION FOR THE HOME NURSING AGENCY CEO IS REVIEWED AND ANALYZED BY AN INDEPENDENT CONSULTANT TO DETERMINE REGION AND MARKET COMPETITIVENESS FOR BOTH WAGES AND BENEFITS. RESULTS OF THOSE FINDINGS ARE PRESENTED TO AN EXECUTIVE COMPENSATION COMMITTEE FOR FURTHER REVIEW, ANALYSIS, RECOMMENDATIONS, AND APPROVALS. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B EXECUTIVE COMPENSATION FOR KEY EMPLOYEES IS REVIEWED AND ANALYZED BY AN INDEPENDENT CONSULTANT TO DETERMINE REGION AND MARKET COMPETITIVENESS FOR BOTH WAGES AND BENEFITS. RESULTS OF THOSE FINDINGS ARE PRESENTED TO AN EXECUTIVE COMPENSATION COMMITTEE FOR FURTHER REVIEW, ANALYSIS, RECOMMENDATIONS, AND APPROVALS. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FINANCIAL AND GOVERNANCE INFORMATION IS AVAILABLE IN THE ORGANIZATION'S ANNUAL REPORT AND FORM 990; BOTH OF WHICH ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. ADDITIONAL INFORMATION SCHEDULE O FORM 990, PART VI, LINE 1A: GOVERNANCE, MANAGEMENT AND DISCLOSURE: HOME NURSING AGENCY & VISITING NURSE ASSOCIATION IS A SUBSIDIARY OF THE HOME NURSING AGENCY AFFILIATES. ALTHOUGH HOME NURSING AGENCY VISITING NURSE ASSOCIATION BYLAWS HAS NOT DELEGATED AUTHORITY TO AN EXECUTIVE COMMITTEE, THE EXECUTIVE COMMITTEE OF THE HOME NURSING AGENCY AFFILIATES DOES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE VISITING NURSE ASSOCIATION GOVERNING BODY. ARTICLE IV, SECTION 4.2 OF THE HOME NURSING AGENCY AFFILIATES BYLAWS INDICATES THAT THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON, PRESIDENT AND CEO, VICE PRESIDENT (IF ANY) SECRETARY, TREASURER, AND THE CHAIRPERSONS OF THE STANDING COMMITTEES, PROVIDED THAT ALL SUCH INDIVIDUALS ARE DIRECTORS OF THE CORPORATION. MEETINGS OF THIS COMMITTEE SHALL BE CALLED BY THE CHAIRPERSON OR BY ANY THREE (3) OF ITS MEMBERS. A QUORUM SHALL CONSIST OF A MAJORITY OF THE MEMBERS (WHICH MUST INCLUDE AT LEAST ONE (1) OF ITS OFFICERS). THE ACT OF A MAJORITY OF THE MEMBERS ENTITLED TO VOTE AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWERS OF THE BOARD FOR THE TRANSACTIONS OF BUSINESS BETWEEN BOARD MEETINGS OR IN AN EMERGENCY, EXCEPT THAT IT SHALL NOT REVERSE ANY PREVIOUS ACTION OF THE BOARD. ANY ACTION BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED AT THE NEXT MEETING OF THE BOARD. ARTICLE II, SECTION 2.5 INDICATES THAT NO COMPENSATION SHALL BE PAID TO ANY DIRECTOR FOR SERVICES AS A DIRECTOR. FROM 990, PART VI, SECTION B LINE 12B DIRECTORS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY THROUGH COMPLETION OF A SPECIFIC QUESTIONNAIRE. 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, PART VII, COMPENSATION: COLUMN B. AVERAGE HOURS PER WEEK THE SOFTWARE USED TO SUBMIT THIS FORM 990 ROUNDS THE AVERAGE HOURS TO A WHOLE NUMBER. BELOW ARE LISTED THE ACTUAL AVERAGE HOURS PER WEEK. COLUMN B. FOR EACH PERSON LISTED IN COLUMN (A), PROVIDE AN ESTIMATE OF THE AVERAGE HOURS PER WEEK(IF ANY) DEVOTED TO THE ORGANIZATION AND TO RELATED ORGANIZATIONS ON SCHEDULE O. DIRECTOR, OFFICER, KEY EMPLOYEE, (B) AVERAGE HOURS PER HIGHEST COMPENSATED AVERAGE HOURS WEEK DEVOTED TO PER WEEK RELATED ORGANIZATIONS JOHN BEYER, DIRECTOR 0.4 0.5 BERNARD CREPPAGE, DIRECTOR & CHAIRMAN 0.8 0 MERLE EVEY, DIRECTOR 0.3 0 NANCY FOGEL, DIRECTOR 0.4 0 PATRICIA GILDEA, DIRECTOR & SECRETARY 0.2 0 DONNA GORITY, DIRECTOR & VICE CHAIRMAN 0.2 0 DONALD KAUFFMAN, DIRECTOR 0.2 0 THOMAS LEVINE, DIRECTOR 0.3 0 TIMOTHY O'BRIEN, DIRECTOR 0.2 0 JAMES RAMSAY, DIRECTOR 0.2 0 JOHN SHEEDY, DIRECTOR 0.2 0 NICK SPALLONE, DIRECTOR 0.3 0 KATHY WAGNER, DIRECTOR & TREASURER 0.4 0 GREGG LEVERICK, CFO, KEY EMPLOYEE 0 ROBERT PACKER, CEO, KEY EMPLOYEE 0 KIM KRANZ, SENIOR VICE PRESIDENT 50.0 0 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 STATEMENT OF FUNCTIONAL EXPENSES MANAGEMENT AND GENERAL EXPENSES RECORDED IN COLUMN C REPRESENTS (1) ALLOCATED EXPENSES TO HOME NURSING AGENCY & VISITING NURSE ASSOCIATION FROM HOME NURSING AGENCY AFFILIATES (PARENT COMPANY) INCLUDING, BUT NOT LIMITED TO, COMPENSATION OF THE HOME NURSING AGENCY EXECUTIVE STAFF(CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND SENIOR VICE PRESIDENT), AGENCY INSURANCE COSTS AND EXTERNAL AUDITING FEES, AND (2) THE DIRECT COSTS OF HOME NURSING AGENCY BACK OFFICE OPERATIONS/DEPARTMENTS, INCLUDING ACCOUNTING, ACCOUNTS RECEIVABLE/BILLING, PAYROLL, HUMAN RESOURCES PERSONNEL, FACILITIES, AND TRANSPORTATION MANAGEMENT, MANAGEMENT INFORMATION SYTEMS, AND THE COSTS OF SPECIALIZED DEPARTMENTS FOR COMPLIANCE, PERFORMANCE IMPROVEMENT AND PUBLIC EDUCATION. HOME NURSING AGENCY COMMUNITY SERVICES AND HOME NURSING AGENCY FOUNDATION REIMBURSE HOME NURSING AGENCY & VISITING NURSE ASSOCIATION FOR THEIR ALLOCATED SHARE OF THE BACK-OFFICE OPERATIONS, WHICH REVENUE IS SHOWN IN LINE 2D OF PART VIII - STATEMENT OF REVENUE. HOME NURSING AGENCY AFFILIATES 201 CHESTNUT AVENUE ALTOONA PA 16603 251518698 SUPPORT PA 501 11B ARHS ALTOONA REGINAL HEALTH SYSTEM HOME NURSING AGENCY COMMUNITY SERVI 201 CHESTNUT AVENUE ALTOONA PA 16603 251517533 HEALTH CAR PA 501 9 AFFILIATES HOME NURSING AGENCY AFFILIATES HOME NURSING AGENCY FOUNDATION 201 CHESTNUT AVENUE ALTOONA PA 16603 251467014 FUNDRAISIN PA 501 11D AFFILIATES HOME NURSING AGENCY AFFILIATES ALTOONA REGIONAL HEALTH SYSTEM 600 HOWARD AVENUE ALTOONA PA 16603 HEALTH CAR PA 501 3 NA false true true false false false false false false true true true false false true true false false HNA AFFILIATES B 2722705 HNA FOUNDATION P 163714 HNA AFFILIATES J 962660 HNA COMMUNITY SERVICES K 83241 HNA COMMUNITY SERVICES L 104147 HNA FOUNDATION C 97360 HNA COMMUNITY SERVICES K 88751 HNA COMMUNITY SERVICES K 1136980 HNA AFFILIATES O 2519731 HNA AFFILIATES L 1095887 ALTOONA REGIONAL HEALTH SYSTEM L 715568 HNA COMMUNITY SERVICES O 138527 HNA AFFILIATES O 128662 HNA COMMUNITY SERVICES P 136797