Home Nursing Agency Community Services

“Form 990, part vi, line 12b - disclosure of conflicts of interest directors are required to disclose conflicts of interest annually through completion of a specific questionaire. All organization leaders, including officers and key employees, have signed a conflict of interest agreement, which requires them to disclose conflicts as they occur.”

“Robert packer; fran vaughn business relationship”

“Article iii, section 3.6 of the bylaws of the organization indicate that the president and chief executive officer of home nursing agency affiliates shall serve as the president and ceo of the corporation. Because this section of the bylaws also permits the president and the ceo to appoint executive staff from home nursing agency affiliates to perform certain aspects of management functions, the chief financial officer and the chief people officer of home nursing agency affiliates controlled management duties of the organization.”

“Effective january 1, 2014 the organization's board of directors amended and restated the bylaws to reflect the structural change of the organization's parent corporation, home nursing agency affiliates. The sole member of the parent corporation transfered from upmc altoona, formally altoona regional health system, to upmc community provider services.”

“Article ii, section 2.3,(b) of the organization's bylaws permits the home nursing agency affiliates to elect or refuse to elect each person nominated by the nominating committee. These elections are subject to the approval of upmc community provider services.”

“Article ii, section 2.2,(a) of the organization's bylaws requires that the following actions that have been approved by the board also have the affirmative approval of the home nursing agency affiliates: any strategic plans and any operating and capital budgets of the corporation and each subsidiary of the corporation; amendments to articles or these bylaws or amendments to the articles or bylaws of each subsidiary of the corporation (apart from changes of registered office); merger (unless the merger results in the corporation or the respective subsidiary, as applicable, being the surviving entity and the transaction is less than 1,000,000), consolidation, dissolution and sale of substantial assets of the corporation or any subsidiary of the corporation; incurrence of indebtedness by the corporation or any subsidiary of the corporation (other than trade and/or accounts payable arising in the ordinary course of business) above thresholds to be determined by the home nursing agency affiliates and not apart of an approval capital and/or operating budget; the establishment, termination or withdrawal from joint ventures involving the corporation (or any subsidiary of the corporation) in which the corporation or any subsidiary of the corporation, as applicable, has a controlling interest; and the election or appointment of the president or chief executive officer of the corporation and each subsidiary of the corporation. Article ii, section 2.2,(b) of the organization's bylaws also gives the home nursing agency affiliates the following powers with respect to the corporation: election of the directors of the corporation (apart from ex-officio directors); approval of any plan of division of the corporation; approval of any plan of merger of the corporation with another corporation (whether or not the corporation is the surviving entity); and all other approvals and/or actions as are reserved to home nursing agency affiliates by virtue of these bylaws or by virtue of any resolutions enacted by the corporation.”

“Hna cs is a subsidiary of the home nursing agency affiliates. The completed form 990 of hna cs was provided to the attendees of a meeting of the home nursing agency affiliates board of directors. The chairman of the hna cs board is a memeber of the board of the home nursing agency affiliates.”

“To familiarize themselves with potential conflicts, the home nursing agency ceo, cfo, chief people officer, and the compliance officer review each form completed annually by members of the boards. All board and committee meetings are attended by at least one person in this group. If a potential conflict surfaces before or during the meeting, they are responsible for ensuring that the conflict is noted and appropriate action is taken.”

“Executive compensation for home nursing agency ceo of the home nursing agency entities is reviewed and analyzed by an independent consultant to determine region and market conditions for both wages and benefits. Results of those findings are presented to an executive compensation committee for further review, analysis, recommendations, and approvals.”

“Executive compensation for key employees is reviewed and analyzed by an independent consultant to determine region and market conditions for both wages and benefits. Results of those findings are presented to an executive compensation committee for further review, analysis, recommendations, and approvals.”

“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.”

“All compensation is paid to persons for their operational roles to hna community services and no compensation is paid for their role as a director. Form 990, part vii, compensation: column b. Average hours per week the software used to submit this 990 rounds the average hours to a whole number. Below are listed the actual average hours per week. Adams, margaret; secretary - 0.20 hours per week - 0.0 hours related org calvert, margaret; director - 0.20 hours per week - 0.0 hours related org cowger, david; director - 0.20 hours per week - 0.0 hours related org creppage, bernard director - 0.70 hours per week - 1.6 hours related org dean, carolyn; director - 0.20 hours per week - 0.0 hours related org hess, raymond; director - 0.20 hours per week - 0.2 hours related org himmel, joy; director - 0.20 hours per week - 0.0 hours related org levine, thomas; director - 0.20 hours per week - 0.0 hours related org mcclellan, dawn; director - 0.20 hours per week - 0.0 hours related org mignogna, val; director - 0.20 hours per week - 50 hours related org roberts, jay; director - 0.20 hours per week - 0.0 hours related org schactner, janet; director - 0.20 hours per week - 0.0 hours related org sinclair, jack; director - 0.20 hours per day - 0.0 hours related org smith, karen; treasurer - 0.30 hours per week - 0.0 hours related org swindell, amy; director - 0.20 hours per week - 50 hours related org vaughn, frances; director - 0.20 hours per week - 0.0 hours related org erb, bruce; chairman - 0.60 hours per day - 1.2 hours related org scholl, robert; director - 0.20 hours per day = 0.2 hours related org drenning, james; director - 0.40 hours per day - 1.1 hours related org woy, diana; director - 0.20 hours per week - 50.0 hours related org laverick, gregg; cfo, 0 packer, robert; ceo, 0 freeman, philip; coo - 0 because the following officers are employed by the home nursing agency affiliates or home nursing agency & visiting nurse association all of their hours are recorded in their corporation of employment: gregg laverick, cfo; robert packer, ceo, philip freeman, coo”

“Home nursing agency community services is referred to as "hna community services" or "hna cs" within this form 990. Form 990, part i, line 1 and part iii, line 1 - organization's mission. As provided in its articles, the corporation is organized and shall be operated exclusively for exempt purposes within the meaning of section 501c3 of the internal revenue code of 1986, as amended,or the corresponding provision of any future united states internal revenue lawthe "code", including, without limitation, establishing and operating community health programs, services or clinics that will contribute to the overall health and well-being of all persons, regardless of race, color, creed, religion,sex, age or national origin. Home nursing agency is dedicated to providing the highest quality of customer service with a sense of warmth, kindness, and individual pride. Form 990, part iii, line 4, exempt purpose achievement narrative uncompensated care to hna cs clients is determined as the difference between home nursing agency's cost to provide the service, on a per unit or per visit basis, and the reimbursement that home nursing agency receives from governmental payers or from self-pay clients, including services provided at no charge due to client's financial hardship. These amounts are recorded as a reduction in net patient service revenue in the financial statements. Patients are required to apply for the charity care discount, but often do not complete the necessary paperwork to determine if they qualify. As a result, there is an unquantifiable amount of uncompensated services that would potentially be considered charity care under the policy, but rather are ultimately reflected in bad debt expense. In addition to uncompensated care, home nursing agency provides free and below-cost services and programs for the benefit of the community. The cost of these programs is included in salaries, and wages, fringe benefits, professional fees, supplies, and other expense lines in the financial statements.”

“Whether it's at home, school, or at one of our community sites, hna community services are committed to ensuring families have the resources to remain in their homes and in their communities. Over the past year alone, the hna cs staff has served as leaders, and/or are currently serving multiple boards, committees, and community grass roots associations including head start health advisory committee; pennsylvania community providers association; nurse-family partnership supervisors and administrators groups, as well as the following local county-based efforts: blair county: healthy blair county coalition lifestyle committee and early childhood sub-committee blair county health and welfare council, marketing director penn state cooperative extension advisory board blair county social services advisory board may is mental health month committee blair county human rights committee, chair blair county providers association, co-chair local intra-agency coordinating council (licc) maternal child symposium planning committee teen pregnancy prevention team week of the young child cambria county: cambria county health and welfare council communities that care committee cribs for kids committee executive board committee local intra-agency coordinating council (licc) child find committee penn cambria school district literacy team cambria county child death review team laural highlands breastfeeding coalition cambria county week of the young child centre county: centre county council for human services local children's team cenclear health advisory committee centre county partnership for community health and obesity/diabetes, sub-committee chamber of business and industry of center county local interagency coordinatiing council (licc) leadership centre county centre county child death review team clearfield/jefferson counties: local intra-agency coordinating council (licc) kidd council huntingdon county: huntingdon county healthy communities partnership huntingdon county human service council huntingdon county prevention network early head start planning/ continuous improvement committee 2013-14 accomplishments of hna cs behavioral health, community health and wellness. Partnering with the local national alliance on mental illness (nami) chapter and county mh/mr, hna cs continues to offer ancillary service called 'opportunity drop in' which welcomes any individual in the community that lives with a diagnosed mental health disorder (including co-occurring) to socialize with their peers. Held weekly, over 60 individuals are now 'dropping in' at this highly valued peer-run service offered to the community-at-large. Hna cs school-based children/adolescent program serves over 700 students from 11 school districts, throughout 59 satellites. 100% compliance from pa department of health/welfare: - tartaglio personal care home - blended case management - adult case management - peer support services - center for counseling home nursing agency programs/services including behavioral health, drug & alcohol, early intervention, and nurse-family partnership, featured in regional newspapers and publications expanded early intervention program to centre county all behavior specialists in the children's community health center have become licensed to provide services to those diagnosed with autism began training under pcit (parent child interaction therapy) across pennsylvania study being conducted by the university of pittsburgh adult center for exceptional learning (acel) hosted an artist-in- residence program in the summer that will result in a mini exhibit at the southern alleghenies museum of art in altoona maintained at least 95% capacity of clients in the nurse-family partnership in blair, cambria, and huntingdon counties statement of usage of support funding from home nursing agency foundation: aids intervention project - funds used for personal care/hygiene items, cleaning supplies, vitamins and dietary supplements and assist homeless individuals”

“Home nursing agency strives to maintain or improve the quality of life for individuals, 18 years of age or older, who have physical limitations, memory loss, or who have difficulty remaining safe at home alone during the day. The adult day program also yields a significant benefit to caregivers who will have some time to tend to their own personal needs while their loved one is in the care of the hna cs's adult day staff. In most instances, transportation is also arranged. Improving the health and functioning of every adult day participant is the number one goal at hna cs, and a personalized plan of care is developed for each participant. The medical, social, and nutritional needs of each participant are met every day or as needed. Often, a client's memory and mobility are improved and they enjoy improved rest in the evenings - all significant benefits to the caregiver as well. Caregivers need breaks and adult day centers provide support and relief. Services include the following: safe environment personal care medication management socialization nutritious meals monitoring of ongoing medical conditions. 2013 -14 accomplishments of adult day services: 100% compliance from pa department of health/welfare: - ebensburg adult day services statement of usage of support funding from home nursing agency foundation: adult day services - to provide additional days of support to help families successfully manage the caring of a loved one who is living at home and is unable to independently perform self-care activities or function alone safely. Adult day services can prevent or delay institionalization through medical monitoring, social and recreational activities and personal care. Adult day services - to support the southern alleghenies museum of art (sama) artists-in- residence program that provides adult day services individuals with art experiences, i.e. Painting, dancing, and storytelling to improve thier quality of life.”

“Private duty services help residents to avoid premature placement in a long-term care facility by providing the support they need to remain in the comfort, safety, and privacy of home while offering direction and peace of mind to family members who have other obligations or live at a distance. Whether they need a few hours of assistance a week or 24/7 care, our personalized non-medical home care services allow them to receive the level of support needed while providing the dignity and respect they deserve. 2013 -2014 accomplishment of hna cs private duty: private duty home care services earned the 2014 best of home care award in 10 of 12 categories”

“Other program services include cpr / first aide training for home nursing employees and others.”

“Pension - other comprehensive income 1,198,473”

“Form 990, part xii, line 2b - audited financial statements the financial statements of hna community services are consolidated into and reported in the upmc audited consolidated financial statements, for the year ended june 30, 2014.”