STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

AFFILIA HOME HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
AFFILIA HOME HEALTH (EIN 23-1352572)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-10
IRS object ID
202041929349301639
Schema version
2018v3.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-10T13:41:44-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN231352572EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AFFILIA HOME HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DOUGLAS W RINEHARTInCareOfNm
Business Name ControlAFFIBusinessNameControlTxt
Phone7175445398PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11811 OLDE HOMESTEAD LANEAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDOUGLAS W RINEHARTPersonNm
Person TitleTreasurerPersonTitleTxt
Phone7175445398PhoneNum
Signature2020-06-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTONIO C RUSSOPreparerPersonNm
PTINP00858539PTIN
Phone2673303000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address155.201.35.117IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id23522320201925000033FederalOriginalSubmissionId
Federal Original Submission Id2020-07-10FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3336404C425FC5D94D995B9A40B339DB67595AA7AtSubmissionCreationDeviceId
At Submission Filing Device IdB15AFFE00AA92DD1C7B3142019CFD5496048555BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDOUGLAS W RINEHARTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 N Duke StAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,345,591GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AFFILIAHOMEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1926FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionAffilia Home Health is a Community Service Organization providing comprehensive Home Health Care to people of all ages in Lancaster, Berks, Dauphin counties and their surrounding areasActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee231TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,902PYContributionsGrantsAmt
CY Contributions Grants$4,715CYContributionsGrantsAmt
PY Program Service Revenue$25,351,028PYProgramServiceRevenueAmt
CY Program Service Revenue$16,228,669CYProgramServiceRevenueAmt
PY Investment Income$200,219PYInvestmentIncomeAmt
CY Investment Income$22,893CYInvestmentIncomeAmt
PY Other Revenue$10,163PYOtherRevenueAmt
CY Other Revenue$21,610CYOtherRevenueAmt
PY Total Revenue$25,573,312PYTotalRevenueAmt
CY Total Revenue$16,277,887CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,282,686PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,530,770CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,227,380PYOtherExpensesAmt
CY Other Expenses$2,668,542CYOtherExpensesAmt
PY Total Expenses$26,510,066PYTotalExpensesAmt
CY Total Expenses$17,199,312CYTotalExpensesAmt
PY Revenues Less Expenses-$936,754PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$921,425CYRevenuesLessExpensesAmt
Total Assets BOY$10,117,565TotalAssetsBOYAmt
Total Assets EOY$4,353,063TotalAssetsEOYAmt
Total Liabilities BOY$2,841,429TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,655,289TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,276,136NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,697,774NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAFFILIA HOME HEALTH IS A COMMUNITY SERVICE ORGANIZATION THAT PROVIDES COMPREHENSIVE HOME HEALTH CARE TO PEOPLE OF ALL AGES IN LANCASTER, BERKS, CHESTER, SCHUYLKILL AND DAUPHIN COUNTIES AND THEIR SURROUNDING AREA REGARDLESS OF THEIR ABILITY TO PAY. AFFILIA HOME HEALTH PROVIDES SKILLED NURSING, THERAPHY, MEDICAL SOCIAL SERVICES, AND HOME HEALTH AID SERVICES FOR FISCAL YEAR ENDED JUNE 30, 2019.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,321,895ExpenseAmt
Grant$0GrantAmt
Revenue$8,065,162RevenueAmt
DescHOME HEALTH CARE: SKILLED NURSING (RN&LPN)-SKILLED NURSES HELP PATIENTS RECOVER AFTER AN OPERATION OR ILLNESS. PROVIDE CARE TO AGING OR CHRONICALLY ILL PATIENTS, AND RELIEVE THE STRESS FOR FAMILY MEMBERS CARING FOR THEIR LOVED ONES. (43,747 VISITS)Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,242,626ExpenseAmt
Grant$0GrantAmt
Revenue$5,499,010RevenueAmt
DescHOME HEALTH CARE: PHYSICAL THERAPY-PHYSICAL THERAPISTS HELP PATIENTS IMPROVE MUSCLE STRENGTH, REGAIN FUNCTIONAL MOVEMENT, RELIEVE PAIN AND USE MEDICAL EQUIPMENT PROPERLY. (31,988 VISITS)Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,391,440ExpenseAmt
Grant$0GrantAmt
Revenue$1,792,738RevenueAmt
DescHome Health Care: Occupational Therapy-occupational therapists work with patients to regain or adapt to their ability to perform daily living skills like bathing, dressing, or preparing meals. (10,491 VISITS)Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$289,004$0$380,601HOME HEALTH CARE AID
$228,790$0$288,441SPEECH THERAPY
$157,700$0$202,717MEDICAL SOCIAL WORKER
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$675,494TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$871,759TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$12,631,455TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationYes (true)PartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee231EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressYes (true)OfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDOUGLAS W RINEHARTPersonNm
Phone7175445398PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 NORTH DUKE STAddressLine1Txt
CitylANCASTERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17604ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Dan Ahern
Chairperson/Member2.00.0Yes (X)Yes (X)$0$0$0
Tammy L Ober
Vice Chair/Member2.053.0Yes (X)Yes (X)$0$262,020$0
Kay Brady
Trustee- AS OF 7/1/20182.053.0Yes (X)$0$248,637$0
Susan Wynne
Trustee2.053.0Yes (X)$0$446,544$0
Joan Silver
Trustee2.00.0Yes (X)$0$0$0
William K Wilkison
Trustee2.00.0Yes (X)$0$0$0
Mary C Agnew
Trustee2.00.0Yes (X)$0$0$0
Gary Conner
Trustee2.00.0Yes (X)$0$0$0
Margaret F Costella Esq
Secretary2.053.0Yes (X)$0$362,322$0
Douglas W Rinehart
Treasurer2.053.0Yes (X)$0$265,583$0
Michelle Dahlkemper
CEO55.00.0$228,953$0$14,964Yes (X)
Victoria Testa
Director of Clinical Operation55.00.0$117,633$0$4,316Yes (X)
Michael Roach
Director of Clinical Operation55.00.0$100,316$0$26,771Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$446,902TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,585,106TotReportableCompRltdOrgAmt
Total Other Compensation$46,051TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K20IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonBlacktree Healthcare ConsultingPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11030 Continental DriveAddressLine1Txt
CityKING OF PUSSIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19406ZIPCd
FieldValueIRS element (for citing)
ServicesMedical CodingServicesDesc
Compensation$428,607CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Federated Campaigns$1,266FederatedCampaignsAmt
All Other Contributions$3,449AllOtherContributionsAmt
Total Contributions$4,715TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOME HEALTH CARE MEDICARE REVENUE621610$9,831,551$9,831,551
HOME HEALTH CARE OTHER PAYERS621610$6,397,118$6,397,118
FieldValueIRS element (for citing)
Total Program Service Revenue$16,228,669TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,587TotalRevenueColumnAmt
Exclusion$62,587ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,028,010SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$8,047,376SecuritiesAmt
Other$20,328OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$19,366SecuritiesAmt
Other-$20,328OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$39,694TotalRevenueColumnAmt
Exclusion-$39,694ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISC OPERATING REVENUEDesc
Business900099BusinessCd
Total Revenue Column$21,610TotalRevenueColumnAmt
Exclusion$21,610ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$21,610OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,277,887TotalRevenueColumnAmt
Related Or Exempt Func Income$16,228,669RelatedOrExemptFuncIncomeAmt
Exclusion$44,503ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$261,687TotalAmt
Program Services$0ProgramServicesAmt
Management And General$261,687ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,677,345TotalAmt
Program Services$8,381,263ProgramServicesAmt
Management And General$2,296,082ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$507,135TotalAmt
Program Services$403,931ProgramServicesAmt
Management And General$103,204ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,275,821TotalAmt
Program Services$1,834,459ProgramServicesAmt
Management And General$441,362ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$808,782TotalAmt
Program Services$644,191ProgramServicesAmt
Management And General$164,591ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$553,936TotalAmt
Management And General$553,936ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$18,462TotalAmt
Management And General$18,462ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,000TotalAmt
Management And General$23,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,131TotalAmt
Management And General$1,131ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$475,031TotalAmt
Program Services$455,637ProgramServicesAmt
Management And General$19,394ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,174TotalAmt
Program Services$148ProgramServicesAmt
Management And General$3,026ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$99,188TotalAmt
Program Services$15,655ProgramServicesAmt
Management And General$83,533ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$149,048TotalAmt
Program Services$109,588ProgramServicesAmt
Management And General$39,460ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$515,019TotalAmt
Program Services$138,719ProgramServicesAmt
Management And General$376,300ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$428,902TotalAmt
Program Services$417,414ProgramServicesAmt
Management And General$11,488ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,798TotalAmt
Program Services$103ProgramServicesAmt
Management And General$4,695ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$95,764TotalAmt
Program Services$12,675ProgramServicesAmt
Management And General$83,089ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$57,031TotalAmt
Management And General$57,031ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MED PROG SUPPLIES$165,219$165,219
INFORM/EDUCATION RESOURCE$52,599$52,599
RECRUITING EXPENSES$23,438-$146$23,584
MISC FED TAX$2,802$2,802

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,199,312TotalAmt
Program Services$12,631,455ProgramServicesAmt
Management And General$4,567,857ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$650BOYAmt
EOY$250EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,319,468BOYAmt
EOY$2,566,512EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,455,552BOYAmt
EOY$1,174,432EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$403,179BOYAmt
EOY$71,730EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,040,773LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,980,448LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$176,417BOYAmt
EOY$60,325EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,417,218BOYAmt
EOY$127,853EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$345,081BOYAmt
EOY$351,961EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,117,565BOYAmt
EOY$4,353,063EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,030,513BOYAmt
EOY$1,290,766EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$810,916BOYAmt
EOY$364,523EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,841,429BOYAmt
EOY$1,655,289EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,008,652BOYAmt
EOY$2,437,647EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,020BOYAmt
EOY$25,184EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$239,465BOYAmt
EOY$234,943EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,276,137BOYAmt
EOY$2,697,774EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,117,566BOYAmt
EOY$4,353,063EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$921,425ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$345,568NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,311,370OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$57,702CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,452CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,374CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,188CurrentTaxYearMinus1YearAmt
Current Tax Year$4,715CurrentTaxYearAmt
Total$146,431TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$57,702CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,452CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,374CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,188CurrentTaxYearMinus1YearAmt
Current Tax Year$4,715CurrentTaxYearAmt
Total$146,431TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$146,431PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$71,112CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$141,173CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$98,047CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75,647CurrentTaxYearMinus1YearAmt
Current Tax Year$62,587CurrentTaxYearAmt
Total$448,566TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,270CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$71,151CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,665CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,163CurrentTaxYearMinus1YearAmt
Current Tax Year$21,610CurrentTaxYearAmt
Total$144,859TotalAmt
FieldValueIRS element (for citing)
Total Support$739,856TotalSupportAmt
Gross Receipts Rltd Activities$116,219,445GrossReceiptsRltdActivitiesAmt
Public Support CY1700.19792PublicSupportCY170Pct
Public Support PY1700.27130PublicSupportPY170Pct
Ten Pct Facts Crcmstncs Test CYYes (X)TenPctFactsCrcmstncsTestCYInd
Facts And Circumstances TestAFFILIA HOME HEALTH IS A COMMUNITY SERVICE ORGANIZATION THAT PROVIDES COMPREHENSIVE HOME HEALTH CARE TO PEOPLE OF ALL AGES IN LANCASTER, BERKS, CHESTER, SCHUYLKILL AND DAUPHIN COUNTIES AND THEIR SURROUNDING AREA REGARDLESS OF THEIR ABILITY TO PAY. AFFILIA HOME HEALTH PROVIDES SKILLED NURSING, THERAPHY, MEDICAL SOCIAL SERVICES, AND HOME HEALTH AID SERVICES. FOR FISCAL YEAR ENDED JUNE 30, 2019, 55% OF OUR SERVICES PROVIDED WERE SPECIFICALLY TO MEDICARE AND MEDICAID PATIENTS.FactsAndCircumstancesTestTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$52,315BeginningYearBalanceAmt
Investment Earnings Or Losses-$5,393InvestmentEarningsOrLossesAmt
End Year Balance$46,922EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$49,626BeginningYearBalanceAmt
Investment Earnings Or Losses$2,689InvestmentEarningsOrLossesAmt
End Year Balance$52,315EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$45,178BeginningYearBalanceAmt
Investment Earnings Or Losses$4,448InvestmentEarningsOrLossesAmt
End Year Balance$49,626EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$46,192BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,014InvestmentEarningsOrLossesAmt
End Year Balance$45,178EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$33,584BeginningYearBalanceAmt
Investment Earnings Or Losses$12,608InvestmentEarningsOrLossesAmt
End Year Balance$46,192EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.57000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.43000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,040,773OtherCostOrOtherBasisAmt
Depreciation$2,980,448DepreciationAmt
Book Value$60,325BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$60,325TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
PERPETUAL TRUST$208,308
TPA-RESTRICTED ASSETS$91,886
MISC RECIEVABLE-INTER/PR$25,027
403B PLAN FORFEITURES$12,484
MISC RECEIVABLE-EMPLOYEE$7,500
UNPAID PATIENT REFUNDS$6,756
INT RECEIVABLE$0
SECURITY DEPOSITS$0
FieldValueIRS element (for citing)
Total Book Value Other Assets$351,961TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,941,226TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$345,568NetUnrealizedGainsInvstAmt
Other Revenue$8,907OtherRevenueAmt
Revenue Not Reported-$336,661RevenueNotReportedAmt
Revenue Subtotal$16,277,887RevenueSubtotalAmt
Total Revenue Per Form990$16,277,887TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,199,312TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$17,199,312ExpensesSubtotalAmt
Total Expenses Per Form990$17,199,312TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4INTENDED USES OF ENDOWMENT FUNDS THE INTENDED USE OF ENDOWMENT FUNDS HELD BY AFFILIA HOME HEALTH ARE TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE OF PROVIDING COMPREHENSIVE HOME HEALTH CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. ------------------------------
SCHEDULE D, PART X, LINE 2FIN48 (ASC 740) FOOTNOTE AFFILIA HOME HEALTH FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECONGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AFFILIA HOME HEALTH DOES NOT BELIEVE IT'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. ------------------------------
SCHEDULE D, PART XI, LINE 2DOTHER REVENUE IN AUDITED FINANCIAL STATEMENT NOT ON 990 PERPETUAL TRUST DISTRIBUTION $8,907

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Tammy L Ober
Vice Chair/Member$0$257,134$0$1,094$0$3,792$0$0$0$0$0$262,020$0$0
Margaret F Costella Esq
Secretary$0$278,082$0$79,220$0$5,020$0$0$0$0$0$362,322$0$0
Douglas W Rinehart
Treasurer$0$217,674$0$39,946$0$7,963$0$0$0$0$0$265,583$0$0
Kay Brady
Trustee- AS OF 7/1/2018$0$202,005$0$41,602$0$5,030$0$0$0$0$0$248,637$0$0
Susan Wynne
Trustee$0$340,011$0$97,371$0$9,162$0$0$0$0$0$446,544$0$0
Michelle Dahlkemper
CEO$187,748$0$39,897$0$1,308$0$5,691$0$9,273$0$243,917$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ATAX INDEMNIFICATION AND GROSS-UP PAYMENTS AFFILIA HOME HEALTH (EIN # 23-1352572) PROVIDES GROSS-UP PAYMENTS TO EMPLOYEES WHEN THEY RECEIVE HOLIDAY GIFT CARDS SO AS TO PROVIDE TAX ASSISTANCE IN THAT NO TAX BURDENS ARE CREATED WITH THE INTENDED GIFT. HOLIDAY GIFT CARDS IN THE AMOUNT OF $15 PER EMPLOYEE WERE GIVEN DURING THE 2018 TAX YEAR. ------------------------------
SCHEDULE J, PART I, LINE 1BWRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT THERE ARE CURRENTLY NO WRITTEN POLICIES IN PLACE FOR GROSS UP PAYMENTS. ------------------------------
SCHEDULE J, PART I, LINE 3TOP MANAGEMENT COMPENSATION AFFILIA HOME HEALTH FOLLOWS THE COMPENSATION PROCESS OF LANCASTER GENERAL HEALTH, THE MANAGING MEMBER. LANCASTER GENERAL HEALTH'S EXECUTIVE COMPENSATION PROCESS INCLUDES THE FOLLOWING REVIEW AND ACTION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT TRUSTEES. AN EVALUATION OF PERFORMANCE AGAINST GOALS IS CONDUCTED AT THE CLOSE OF A FISCAL YEAR TO DETERMINE THE LEVEL OF ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OF THE CEO AND SENIOR EXECUTIVES SO AS TO DETERMINE MERIT AND INCENTIVE PAY ACTIONS. MARKET DATA FOR BASE SALARY, TOTAL CASH COMPENSATION AND TOTAL COMPENSATION IS PROVIDED BY AN INDEPENDENT THIRD PARTY TO THE COMMITTEE AND REFLECTS A MARKET BASKET OF SIMILARLY SIZED ORGANIZATIONS WITH COMPARABLE EXECUTIVE POSITIONS. UPON REVIEW AND DISCUSSION OF THE RELATED DATA AND INFORMATION THE COMMITTEE TAKES ACTION WHICH IS RECORDED IN THE MEETING MINUTES WHICH ARE THEN FILED FOR FUTURE REFERENCE. ------------------------------
SCHEDULE J, PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE LANCASTER GENERAL HEALTH SERP PLAN DURING THE YEAR AND/OR RECEIVED EMPLOYER PAID AMOUNTS DURING THE YEAR: COSTELLA, MARGARET F. NO DISTRIBUTION ------------------------------
SCHEDULE J, PART I, LINE 7NON-FIXED PAYMENTS AFFILIA HOME HEALTH PARTICIPATES IN THE LANCASTER GENERAL HEALTH ANNUAL INCENTIVE PLAN (THE PLAN). THE PURPOSE OF THE PLAN IS TO REINFORCE STRATEGIC PERFORMANCE PRIORITIES FOR SENIOR MANAGEMENT AND MANAGEMENT EMPLOYEES AND TO ENCOURAGE THE HIGHEST LEVEL OF PERFORMANCE IN THE DELIVERY OF HEALTH CARE SERVICES. AS A REWARD FOR EMPLOYEES' CONTRIBUTIONS TO LANCASTER GENERAL HEALTH'S SUCCESS, THE PLAN PROVIDES THE OPPORTUNITY TO EARN MEANINGFUL INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF LANCASTER GENERAL HEALTH AND THE INDIVIDUAL PARTICIPANTS. SPECIFICALLY, THE PLAN IS DESIGNED TO: *FOCUS PARTICIPANTS ON THE ACHIEVEMENT OF ORGANIZATION GOALS RELATED TO PEOPLE, SERVICE, QUALITY/SAFETY, FINANCIAL AND GROWTH; *PROMOTE AND FOSTER A TEAM ORIENTED CULTURE;*STRENGTHEN LANCASTER GENERAL HEALTH'S ABILITY TO ATTRACT AND RETAIN SUPERIOR TALENT, RECOGNIZE AND REWARD ACCOMPLISHMENTS THAT CLEARLY ADVANCE THE ORGANIZATION'S MISSION, AND DRIVE STRATEGIES;*PROVIDE INCENTIVE AWARDS THAT CAN BE ADJUSTED ANNUALLY FOR DIFFERENT BUSINESS CONDITIONS AND BUSINESS PLAN PRIORITIES WITHOUT CHANGING BASIC DESIGN FEATURES OF THE PLAN; AND *PROVIDE ANNUAL INCENTIVE OPPORTUNITIES WITH DUE CONSIDERATION TO THE REQUIREMENTS OF THE INTERMEDIATE SANCTIONS LAW AND THE REGULATIONS THERE UNDER. ------------------------------

Schedule N IRS990ScheduleN

FieldValueIRS element (for citing)
Liquidation Of Assets TableLiquidationOfAssetsTableGrp

Disposition Of Assets Detail DispositionOfAssetsDetail (2 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtEINEINAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionTxt
UPMC PINNACLE
Payout distruibution per separation-PHS2018-12-31$661,527Networking Capital251778658PO BOX 8700HARRISBURGPA170158700501(c)(3)
Reading Hospital
Payout distribution per separation-RH2018-12-31$2,571,639Networking Capital231352204Sixth Ave Spruce St PO Box 16052ReadingPA196126052501(c)(3)
FieldValueIRS element (for citing)
Director Of Successor2falseDirectorOfSuccessor2Ind
Employee Of Successor2falseEmployeeOfSuccessor2Ind
Owner Of Successor2falseOwnerOfSuccessor2Ind
Receive Compensation2falseReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE N, PART IIFormAndLineReferenceDesc
ExplanationSEPERATION DISCLOSURE PRIOR TO DECEMBER 31, 2018, AFFILIA HOME HEALTH OPERATED FOR THE BENEFIT OF THREE HEALTH SYSTEMS: LANCASTER GENERAL HEALTH, UPMC PINNACLE AND READING HOSPITAL. AFFILIA OPERATED OUT OF THREE BRANCH LOCATIONS, ONE FOR EACH MEMBER HEALTH SYSTEM. THE ORGANIZATION SEPARATED EFFECTIVE DECEMBER 31, 2018. EACH MEMBER HEALTH SYSTEM MAINTAINED THE OVERSIGHT OF THE BRANCH RELATED TO THEIR HEALTH SYSTEM. THE NAME, AFFILIA, AND THE TAX IDENTIFICATION NUMBER STAYED WITH THE LANCASTER BRANCH. A CALCULATION OF THE NET WORKING CAPITAL OF THE ORGANIZATION WAS PERFORMED AND A PAYOUT RELATED TO EACH MEMBER'S OWNERSHIP PERCENTAGE WAS ISSUED. ------------------------------ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990,PART VI, SECTION A, LINE 3DELEGATION OF MANAGEMENT DUTIES LANCASTER GENERAL HEALTH (EIN 23-2250941) AND LANCASTER GENERAL HOSPITAL (EIN 23-1365353) PROVIDE MANAGEMENT SERVICES TO AFFILIA HOME HEALTH. SUCH SERVICES INCLUDE, BUT ARE NOT LIMITED TO, ACCOUNTING, AUDIT, HUMAN RESOURCES, INFORMATION TECHNOLOGY, AND MANAGEMENT OVERSIGHT. -------------------------------
FORM 990, PART VI, SECTION A, LINE 4CHANGES TO GOVERNING DOCUMENTS SEPARATION OF BRANCHES AND OWNERSHIP OCCURED ON DECEMBER 31, 2018. BYLAWS WERE AMENDED UPON SEPARATION. PLEASE SEE SCHEDULE N, PART II FOR FURTHER DETAILS. -------------------------------
FORM 990, PART VI, SECTION A, LINE 6CLASSES OF MEMBER OR STOCKHOLDERS AS OF JANUARY 1, 2012 TO DECEMBER 31,2018, THE MEMBERS OF THE CORPORATION SHALL BE LANCASTER GENERAL HEALTH (EIN 22-2250941), A PENNSYLVANIA NONPROFIT CORPORATION. READING HOSPITAL (EIN 23-1352204), A PENNSYLVANIA NONPROFIT CORPORATION. UPMC PINNACLE HOSPITALS, (EIN 25-1778658), A PENNSYLVANIA NONPROFIT CORPORATION. SUBSEQUENT TO DECEMBER 31, 2018 THE SOLE MEMBER OF THE CORPORATION IS LANCASTER GENERAL HEALTH. ------------------------------
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS OR STOCKHOLDERS THE BOARD OF DIRECTORS OF THE CORPORATION SHALL BE COMPOSED OF EIGHT DIRECTORS. THIS NUMBER MAY BE INCREASED OR DECREASED, HOWEVER, THE PERCENTAGE OF PHYSICIAN DIRECTORS SHALL NEVER BE MORE THAN 20 PERCENT OF THE TOTAL NUMBER OF DIRECTORS IN OFFICE. AT THE BEGINNING OF THE FISCAL YEAR THE BOARD OF DIRECTORS CONSISTED OF THREE DIRECTORS EACH OF LG HEALTH (EIN 22-2250941) AND READING HOSPITAL (EIN 23-1352204), AND THE REMAINING ELECTED BY UPMC PINNACLE HOSPITALS (EIN 23-2024121). EACH DIRECTOR SHALL BE APPOINTED FOR A THREE YEAR TERM. UPON SEPARATION EFFECTIVE JANUARY 1ST, 2019, NUMBER OF MEMBERS DECREASE ONLY INCLUDING LG HEALTH MEMBERS. ------------------------------
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS REQUIRING APPROVAL BY MEMBERS A MAJORITY OF THE DIRECTORS OF THE BOARD SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS. THE ACTS OF A MAJORITY OF THE DIRECTORS PRESENT AND VOTING AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACTS OF THE BOARD. ------------------------------
FORM 990, PART VI, SECTION A, LINE 9INTERESTED PERSON NOT AT ORGANIZATION'S ADDRESS BOARD MEMBERS TAMMY L. OBER, MARGARET F. COSTELLA, DOUGLAS W. RINEHART, KAY BRADY AND SUSAN WYNNE CAN BE REACHED AT: LANCASTER GENERAL HEALTH, 555 NORTH DUKE STREET, PO BOX 3555, LANCASTER, PA 17604-3555. BOARD MEMBER DAN AHERN CAN BE REACHED AT THE READING HOSPITAL AND MEDICAL CENTER, 601 SPRUCE STREET, READING PA 19611. BOARD MEMBERS MARY C. AGNEW AND GARY CONNER CAN BE REACHED AT READING HOSPITAL, PO BOX 16052, READING, PA 19612. BOARD MEMBER WILLIAM K. WILKINSON CAN BE REACHED AT PINNACLE HEALTH COMMUNITY HOSPITAL, 4300 LONDONDERRY ROAD, HARRISBURG, PA 17109. BOARD MEMBER JOAN SILVER CAN BE REACHED AT PINNACLE HEALTH SYSTEM, P.O. BOX 8700, HARRISBURG, PA 17105-8700. -------------------------------
FORM 990, PART VI, SECTION B, LINE 11BREVIEW OF FORM 990 BY GOVERNING BODY THE VICE PRESIDENT CONTROLLER AND THE DIRECTOR OF BUDGETING, FORECASTING AND ACCOUNTING REVIEWED THE FORM 990. FORM 990 WILL ALSO BE PROVIDED TO BOARD MEMBERS UPON COMPLITION PRIOR TO FILING. -------------------------------
FORM 990, PART VI, SECTION B, LINES 15A & 15BPROCESS TO ESTABLISH COMP OF TOP MANAGEMENT THE FOLLOWING PRACTICES OCCUR IN REGARD TO THE REVIEW AND APPROVAL OF COMPENSATION FOR THE CEO OF AFFILIA HOME HEALTH. AN INDEPENDENT BOARD REVIEWS COMPARATIVE MARKET DATA FOR SIMILARLY SIZED ORGANIZATIONS AS PROVIDED BY A THIRD PARTY CONSULTANT PRIOR TO TAKING ACTION ON ANY COMPENSATION DECISIONS. MINUTES OF THESE PROCEEDINGS ARE DOCUMENTED FOR FUTURE REFERENCE AND BOARD APPROVAL OCCURS BEFORE DECISIONS ARE IMPLEMENTED. THE POSITION OF CEO IS THE ONLY POSITION CONSIDERED TO BE AN EXECUTIVE LEADER THEREBY FOLLOWING PROCESS NOTED ABOVE. -------------------------------
FORM 990, PART VI, SECTION B, LINE 12ACONFLICT OF INTEREST POLICY IN ORDER TO ASCERTAIN AND EVALUATE ACTUAL OR POTENTIAL CONFLICTS, CERTAIN INTERESTED PERSONS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ENTERING EMPLOYMENT OR BECOMING A TRUSTEE OF LANCASTER GENERAL HEALTH OR AN AFFILIATE, AND OTHERS ARE ALSO REQUIRED TO FILL OUT SUCH A STATEMENT ON AN ANNUAL BASIS. IN ADDITION TO THIS REQUIREMENT, ALL OFFICERS AND TRUSTEES, REGARDLESS OF WHETHER OR NOT THEY HAVE FILLED OUT OR HAVE BEEN ASKED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, HAVE AN ONGOING AFFIRMATIVE DUTY TO BRING TO THE ATTENTION OF LANCASTER GENERAL HEALTH, SITUATIONS WHICH MAY GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST AS DESCRIBED IN THE POLICY. ------------------------------
FORM 990, PART VI, SECTION B, LINE 14DOCUMENT RETENTION AND DESTRUCTION POLICY THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, LINE 14. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BOARD. ------------------------------
FORM 990, PART VI, SECTION C, LINE 19REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC AFFILIA HOME HEALTH DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. -------------------------------
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS PERPETUAL TRUST-AMOUNT $ 8,907 PAYOUT PER SEPERATION (3,320,227) ------------ TOTAL $(3,311,370) -----------------------------

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (46 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THE LEONARD AND MADLYN ABRAMSON INST
421 CURIE BLVD 450 BRB 11/111PHILADELPHIAPA19104232929823MED RESEARCHPA501(c)(3)4NAfalse
CARL V S PATTERSON 19 UN OF PA
C/O PNC BANK 620 LIBERTY AVE 10FLPITTSBURGHPA15222236415355SUPPORT TRUSTPA4947(A)(1)N/ANAfalse
CHESTER COUNTY HOSPITAL & HEALTH SYSTEM
701 E MARSHALL STREETWEST CHESTERPA19380264233321MGMT SRVCSPA501(C)(3)12, ITRUSTEESfalse
CLINICAL CARE ASSOCIATES OF UPHS
250 KING OF PRUSSIA RD 4TH FLRADNORPA19087232729852HEALTHCAREPA501(c)(3)10TRUSTEESfalse
FRANKLIN SPECIALTY PHYSICIANS
3451 WALNUT STREET ROOM 305PHILADELPHIAPA19104232992715SUPPORT ORGPA501(c)(3)12, IIPA HOSPITALfalse
LANCASTER GENERAL HEALTH
555 NORTH DUKE STREETLANCASTERPA17604232250941SUPPORT ORGPA501(C)(3)12, IITRUSTEESfalse
LANCASTER GENERAL HEALTH COLUMBIA CENTER
306 NORTH 7TH STREETCOLUMBIAPA17512230485650FACILITY MGMTPA501(C)(3)3LG HOSPITALfalse
LANCASTER GENERAL HEALTH FOUNDATION
555 NORTH DUKE STREETLANCASTERPA17604205767147FUNDRAISINGPA501(C)(3)7NAfalse
LANCASTER GENERAL HEALTH HOLDINGS
555 NORTH DUKE STREETLANCASTERPA17604204943109HEALTHCAREPA501(C)(3)3LG HEALTHfalse
LANCASTER GENERAL HOSPITAL
555 NORTH DUKE STREETLANCASTERPA17604231365353HEALTHCAREPA501(C)(3)3LG HEALTHfalse
LANCASTER GENERAL MEDICAL GROUP
1030 NEW HOLLAND AVENUELANCASTERPA17601232777286HEALTHCAREPA501(C)(3)3LG HEALTHfalse
MORRIS EST LYDIA T DECD TW
1525 W WT HARRIS BLVDCHARLOTTENC28262236210940SUPPORT TRUSTPA501(C)(3)12, III-FINAfalse
NEIGHBORHOOD HEALTH AGENCIES INC
795 E MARSHALL STREETWEST CHESTERPA19380232324782NURSINGPA501(C)(3)12, ICCH&HSfalse
NEIGHBORHOOD LEAGUE HEALTH SERVICES
795 E MARSHALL STREETWEST CHESTERPA19380232324787HEALTH SRVCSPA501(C)(3)10CCH&HSfalse
NEIGHBORHOOD VISITING NURSE ASSOCIATION
795 E MARSHALL STREETWEST CHESTERPA19380231352243NURSINGPA501(C)(3)7CCH&HSfalse
OAP INC
3451 WALNUT STREET ROOM 748PHILADELPHIAPA19104231986931SUPPORT ORGPA501(c)(3)12, ITRUSTEESfalse
PENN CENTER FOR REHAB AND CARE
3609 CHESTNUT STREETPHILADELPHIAPA19104232422635HEALTHCAREPA501(c)(3)3PMCfalse
PENN CLUB OF NEW YORK INC
30 WEST 44TH STREETNEW YORKNY10036232726687CLUBNY501(c)(7)N/ANAfalse
PENN PRAXIS INC
210 SOUTH 34TH STREETPHILADELPHIAPA19104752974931SUPPORT ORGPA501(c)(3)12, ITRUSTEESfalse
PENN PRESS INC
3905 SPRUCE STREETPHILADELPHIAPA19107231876142PUBLISHINGPA501(c)(3)12, ITRUSTEESfalse
PENNSYLVANIA COLLEGE OF HEALTH SCIENCES
850 GREENFIELD ROADLANCASTERPA17601061645496HEALTH EDUPA501(C)(3)2LG HOSPITALfalse
PENNSYLVANIA HOSPITAL OF UPHS
800 SPRUCE STREETPHILADELPHIAPA19107311538725HEALTHCAREPA501(C)(3)3TRUSTEESfalse
PGH DEVELOPMENT CORP
426 CURIE BLVDPHILADELPHIAPA19104232351015SUPPORT ORGPA501(c)(3)12, INAfalse
PHOENIXVILLE HOSPITAL OF UPHS
3001 MARKET STREET 3RD FLOORPHILADELPHIAPA19104232901089SUPPORT ORGPA501(c)(3)3TRUSTEESfalse
PRESBYTERIAN ANESTHESIOLOGY FOUNDATION
51 NORTH 39TH STREETPHILADELPHIAPA19104232561573SUPPORT ORGPA501(c)(3)12, IPMCfalse
PRESBYTERIAN MEDICAL CENTER OF UPHS
51 NORTH 39TH STREETPHILADELPHIAPA19104232810852HEALTHCAREPA501(c)(3)3TRUSTEESfalse
PRESBYTERIAN MULTI-SPECIALTY GROUP
51 NORTH 39TH STREETPHILADELPHIAPA19104232723154HEALTHCAREPA501(c)(3)10PMCfalse
PRESBYTERIAN PERSONAL CARE RESIDENCE
51 NORTH 39TH STREETPHILADELPHIAPA19104232294713HEALTHCAREPA501(c)(3)12, IPMCfalse
SS HUEBNER FOUNDATION FOR INSURANCE EDUC
3000 STEINBERG HALLPHILADELPHIAPA19104236297325EDU SUPPORTPA501(c)(3)12, INAfalse
THE ASC TRUST OF THE UNIV OF PA
1500 MARKET ST STE 3500EPHILADELPHIAPA19102810550464BUS. TRUSTPA501(c)(3)8NAfalse
CHESTER COUNTY HOSPITAL
701 E MARSHALL STREETWEST CHESTERPA19380230469150HEALTHCAREPA501(C)(3)3CCH&HSfalse
TRUSTEES OF THE UNIVERSITY OF PENN
3451 WALNUT STREET ROOM 305PHILADELPHIAPA19104231352685EDUCATIONPA501(c)(3)2NAfalse
UNITED AUXILIARIES TO LANCASTER GEN HOS
555 NORTH DUKE STREETLANCASTERPA17604231976868SUPPORT ORGPA501(C)(3)10NAfalse
UNIVERSITY CITY ASSOCIATES INC
3451 WALNUT STREET ROOM 329PHILADELPHIAPA19104233021159SUPPORT ORGPA501(c)(3)12, ITRUSTEESfalse
UNIVERSITY CLUB AT PENN INC
3611 WALNUT STREETPHILADELPHIAPA19104236299508FAC. CLUBPA501(c)(3)12, ITRUSTEESfalse
UPENN INTERNATIONAL
3451 WALNUT STREET SUITE 731PHILADELPHIAPA19104454985731SUPPORT ORGPA501(C)(3)12, ITRUSTEESfalse
UPENN MASTER RETIREMENT TRUST
3451 WALNUT STREET ROOM 305PHILADELPHIAPA19104043574136RETIRE TRUSTPA501(A)N/ATRUSTEESfalse
UPENN RETIREE BENEFITS TRUST
3451 WALNUT STREET ROOM 329PHILADELPHIAPA19104232769744BENEFITSPA501(c)(3)12, ITRUSTEESfalse
WISSAHICKON HOSPICE OF UPHS
150 MONUMENT ROAD SUITE 300BALA CYNWYDPA19004232152662HOSPICE CAREPA501(c)(3)10TRUSTEESfalse
WOMEN'S AND CHILDREN'S HEALTH SERVICES
700 SPRUCE STREETPHILADELPHIAPA19106232248956HEALTHCAREPA501(c)(3)3PA HOSPITALfalse
PRINCETON HEALTHCARE SYSTEM
ONE PLAINSBORO ROADPLAINSBORONJ08536210635009HEALTHCARENJ501(C)(3)3PHCS HOLDINGfalse
PRINCETON HEALTHCARE SYSTEM FDN INC
ONE PLAINSBORO ROADPLAINSBORONJ08536222225911SUPPORT PHCSNJ501(C)(3)7PHCS HOLDINGfalse
PRINCETON HEALTHCARE SYSTEM HOLDING INC
ONE PLAINSBORO ROADPLAINSBORONJ08536223493256SUPPORT ORGNJ501(C)(3)12,ITRUSTEESfalse
PRINCETON MEDICAL PROPERTIES INC
ONE PLAINSBORO ROADPLAINSBORONJ08536220022702REAL ESTATENJ501(C)(2)N/APHCS HOLDINGfalse
PRINCETON CAREGIVERS INC
ONE PLAINSBORO ROADPLAINSBORONJ08536222842773HOMECARE SVCSNJ501(C)(3)3PHCS HOLDINGfalse
PRINCETON HEALTHCARE AFFILIATED PHYS PC
ONE PLAINSBORO ROADPLAINSBORONJ08536264203938HLTHCARE SVCSNJ501(C)(3)10PCHS HOLDINGfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtGeneral Or Managing PartnerGeneralOrManagingPartnerIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ARI 1740 FUND
N SETSON AVE STE 5500CHICAGOIL60601320472404INVESTMENTILNAfalse
DVG 1740 FUND LP
ONE FAWCETT PLACEGREENWICHCT06830800961539INVESTMENTCTNAfalse
EAST MARSHALL STREET PARTNERSHIP LP
929 SOUTH HIGH STREETWEST CHESTERPA19382232902742INVESTMENTPANAfalse
FERN HILL PARTNERSHIP III LP
929 SOUTH HIGH STREETWEST CHESTERPA19382300409614RENTALPANAfalse
FERN HILL LLC
929 SOUTH HIGH STREETWEST CHESTERPA19382233005147RENTALPANAfalse
GALLOPAVO LP
2000 McKINNEY AVE STE 2125DALLASTX75201464621967INVESTMENTTXNAfalse
LANCASTER PET PARTNERSHIP LLP
PO BOX 4216LANCASTERPA17604233102793MEDICAL SERVICESPANAfalse
LG HEALTH COMMUNITY CARE COLLABORATIVE
555 NORTH DUKE STREETLANCASTERPA17604455542179ACOPANAfalse
LIONVILLE MED OFFICE BLDG PARTNERSHIP
929 SOUTH HIGH STREETWEST CHESTERPA19383161640799INVESTMENTPANAfalse
MRI GROUP LLP
PO BOX 4216LANCASTERPA17604331011386MEDICAL SERVICESPANAfalse
NEIGHBRHD PRES & DEV FUND LP
240 NEW YORK DR STE 1FORT WASHINGTONPA19034233037919RENTALPANAfalse
OAKLANDS WAY MEDICAL BUILDING ASSOCIATES
929 SOUTH HIGH STREETWEST CHESTERPA19382830490251RENTALPANAfalse
SRP INVESTORS FUND A LP
2001 ROSS AVE SUITE 2800DALLASTX75201611748291INVESTMENTTXNAfalse
JOG V C LIMITED PARTNERSHIP
INVESTMENTNAfalse2300-440 2ND AVE SWCALGARYALCAT2P5E9CA
TURK'S HEAD SURGERY CENTER LLC
915 OLD FERN HILL ROAD BLDG BPHILADELPHIAPA19106MEDICAL SERVICESPANAfalse
CYRUS 1740 MASTER FUND LP
981361754INVESTMENTSNAfalse89 NEXUS WAY CAMANA BAYGRCJKY1-9009CJ
JOG VI C LIMITED PARTNERSHIP
INVESTMENTSNAfalseSTE 2370 440 2ND AVE SWCALGARYALCACA
LIFT REAL ESTATE PARTNERS FUND I LP
180 SUTTER STREET SUITE 400SAN FRANCISCOCA94104831339929INVESTMENTCANAfalse
LG HEALTH COMMUNITY CARE COLLABORATVE II
555 NORTH DUKE STREETLANCASTERPA17604823809581ACOPAACOfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
BARGE GANSE VENACARE BUS TRUST
555 NORTH DUKE STREETLANCASTERPA17604232113017HEALTHCAREPALGS BTC CORPfalse
CLINICAL HEALTH CARE ASSOC OF NJ PC
250 KING OF PRUSSIA RD 4TH FLRADNORPA19087232865181PHYS MGMTPACCAC-CORPfalse
DELANCEY CORPORATION
800 SPRUCE STREETPHILADELPHIAPA19106232060159RENTALPAPA HOSPITALC-CORPfalse
FRANKLIN CASUALTY INSURANCE CO
PO BOX 530BURLINGTONVT054020530043378984INSURANCEVTTRUSTEESC-CORPfalse
LANCASTER GENERAL INSURANCE COMPANY
980176655INSURANCELG HEALTHC-CORPfalsePO BOX 1109 GTGRAND CAYMANGRAND CAYMANCJKYI-1102CJ
LANCASTER GENERAL SERVICES INC
555 NORTH DUKE STREETLANCASTERPA17604232250128PROPERTY SVCSPALG HEALTHC CORPfalse
NAYA 1740 FUND LTD
INVESTMENTSTRUSTEESC-CORPfalsePO BOX 309UGLAND HOUSEGRAND CAYMANCJKY1-1104CJ
PENN WHARTON CONSULTING (BEIJING) CO LTD
BUS. CONSULTINGUPENN INT'LC-CORPfalseCHINA WORLD TOWER 1 14FCHAOYANG DISTBEIJINGCH100004CH
PRESBYTERIAN MEDICAL SERVICES
39TH AND MARKET STREETPHILADELPHIAPA19104232307991HEALTHCAREPMCC-CORPfalsePA
UPENN HOSPITALITY INC
3401 WALNUT STREET SUITE 440APHILADELPHIAPA19104233076589HOTEL/RESTAURANTPATRUSTEESC-CORPfalse
QUAKER INSURANCE COMPANY LTD
3451 WALNUT ST ROOM 329PHILADELPHIAPA19104300708282SELF-INSURANCETRUSTEESC-CORPfalseBD
THE PAM 1740 FUND LTD
INVESTMENTSTRUSTEESC-CORPfalsePO BOX 309UGLAND HOUSEGRAND CAYMANCJKYI-1104CJ
TURK'S HEAD HEALTH SERVICES INC
701 E MARSHALL STREETWEST CHESTERPA19380232329753MEDICAL SERVICESPACCH&HSC-CORPfalse
LANCASTER GENERAL 457 DEFERRED COMP PLAN
555 North Duke StreetLancasterPA17604232250941TRUSTPALG HEALTHTRUSTfalse
ACRM 1740 FUND LTD
INVESTMENTSTRUSTEESC-CORPfalse27 HOSPITAL ROADGRAND CAYMANCJKY1-9008CJ
PRINCETON HEALTH INC & SUBS
ONE PLAINSBORO ROADPLAINSBORONJ08536223450093MEDICALNJPHCS HOLDINGC-CORPfalse
PHI PHARMACY INC
ONE PLAINSBORO ROADPLAINSBORONJ08536223467899INACTIVENJPHCS HOLDINGC-CORPfalse
CIRCLE MEDICAL ASSURANCE CO
2929 WALNUT STREET SUITE 460PHILADELPHIAPA19104833556286INSURANCEPATRUSTEESC-CORPfalse
PENN MEDICINE LONDON LIMITED
HEALTHCAREUPENN INT'LLIMITED COMPANYfalseRADIUS COMM SRVS LTD 11THWHITEFRIARS LEWSIN MEADBRISTOLUKBS1 2NTUK
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART V, LINE 2FormAndLineReferenceDesc
ExplanationTRANSACTIONS WITH RELATED ORGANIZATIONS ALL ARRANGEMENTS ARE NEGOTIATED AT ARM'S LENGTH AND FOR FAIR VALUE IN COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. AFFILIATES PERFORM INTER-COMPANY TRANSACTIONS AS PART OF THE NORMAL COURSE OF BUSINESS.ExplanationTxt