Liabilities / Assets
62nd percentile
Higher debt load relative to assets than 62% of similar nonprofits.
Alliance Visiting Nurses
EIN 25-1764544 • 501(c)3 • Meadville, PA
Profile
Health care delivery & management: Provide community-based programs, services, and facilities to seniors, disabled and ill persons in their homes and communities. Collaborative care is provided by a team that includes nursing, therapy, personal care, home health aide, medical social work, and other related services. Services were provided regardless of race, ethnicity, creed, or ability to pay.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.23x
Liabilities / Revenue
52nd percentile
Higher debt load relative to revenue than 52% of similar nonprofits.
Net Margin
78th percentile
Higher net margin than 78% of similar nonprofits.
Top Officer Pay
54th percentile
Higher top officer pay than 54% of similar nonprofits.
Top officer pay equals 2.1% of source-year revenue.
Asset Growth
89th percentile
Faster asset growth than 89% of similar nonprofits.
Revenue Growth
68th percentile
Faster revenue growth than 68% of similar nonprofits.
Balance Sheet
Assets
Down$4,624,189
Down $1,295,682 (-22%) from 2023
Liabilities
Up$1,153,288
Up $31,846 (+2.8%) from 2023
Net Assets
Down$3,470,901
Down $1,327,528 (-28%) from 2023
Revenue
Up$10,898,802
Up $1,428,124 (+15%) from 2023
Expenses
Up$8,226,330
Up $1,113,107 (+16%) from 2023
Net Income
Up$2,672,472
Up $315,017 (+13%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $4,624,189
- Liabilities
- $1,153,288
- Net assets
- $3,470,901
- Revenue
- $10,898,802
- Expenses
- $8,226,330
- Net income
- $2,672,472
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2023 to Jun 30, 2024
- Signed
- May 8, 2025
- Return Version
- 2023v6.0
- Gross Receipts
- $10,898,999
Mission and Program Overview
Mission
Health care delivery & management: Provide community based programs, services, and facilities to seniors, disabled and ill persons in their homes and communities. Collaborative care is provided by a team that includes nursing, therapy, personal care, home health aide, medical social work, and other related services. Services were provided regardless of race, ethnicity, creed, or ability to pay.
Health care delivery & management: Provide community based programs, services, and facilities to seniors, disabled and ill persons in their homes and communities. Includes nursing, therapy, home health aide, medical social work, and related services.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $1,508,298 | $1,498,771 | ▼ $9,527 |
| Cash and Non-Interest-Bearing Accounts | $976,488 | $448,475 | ▼ $528,013 |
| Intangible Assets | $350,000 | $350,000 | → $0 |
| Land, Buildings, and Equipment, Net | $338,659 | $334,078 | ▼ $4,581 |
| Prepaid Expenses and Deferred Charges | $119,197 | $153,333 | ▲ $34,136 |
| Savings and Temporary Cash Investments | $161,214 | $38,922 | ▼ $122,292 |
| Total Assets | $5,919,871 | $4,624,189 | ▼ $1,295,682 |
| Other Assets Total | $2,466,015 | $1,800,610 | ▼ $665,405 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $523,700 | $570,833 | ▲ $47,133 |
| Deferred Revenue | $258,100 | $312,551 | ▲ $54,451 |
| Other Liabilities | $339,642 | $269,904 | ▼ $69,738 |
| Total Liabilities | $1,121,442 | $1,153,288 | ▲ $31,846 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $4,798,429 | $3,470,901 | ▼ $1,327,528 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $4,798,429 | $3,470,901 | ▼ $1,327,528 |
| Total Liabilities and Net Assets / Fund Balance | $5,919,871 | $4,624,189 | ▼ $1,295,682 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $41,389 | $8,611 | $0 |
| Other Land Buildings | $0 | $0 | $0 |
| Land | $0 | - | $0 |
| Equipment | $292,689 | $343,908 | $0 |
| Leasehold Improvements | $0 | $0 | $0 |
| Other Assets Org | $243,050 | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Timothy Dunn | Executive Director | FT | $134,010 | $25,037 | $159,047 |
| Marybeth Niggel | Physical Therapist | FT | $111,615 | $13,835 | $125,450 |
| Kristie Feidler | Physical Therapist | FT | $103,792 | $14,012 | $117,804 |
| Stacy Lowery | Registered Nurse | FT | $104,262 | $4,998 | $109,260 |
Board Members and Trustees
| Name | Title |
|---|---|
| Philip Pandolph | Board Chairman |
| Joe Palmiero | Board Chairman until Dec 2023 |
| Tammy Young | Vice Chair |
| Alishia Stevenson | Board Member |
| Brian Mailliard | Board Member |
| Brian Nageotte | Board Member |
| Holli Wolfe | Board Member |
| Kimberly Kepple | Board Member |
| Martin Trettel | Board Member |
| Robin Knight | Board Member |
| Tracy Meure | Board Member |
| Lisa Maddy | Board Member as of Jan 2024 |
| Chris Wright | Secretary/Treasurer |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Concordia Care Network | Mgmt & Consulting Services | 613 North Pike Road, Suite B, Cabot, PA 16023 | $324,640 |
| Penn Ohio Rehabilitation PC | Contracted Therapy Services | 1599 North Hermitage Road, Hermitage, PA 16148 | $103,769 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $250
- Program Service Revenue
- $10,780,875
- Investment Income
- $117,677
- Other Revenue
- $0
- All Other Contributions
- $250
- Change in Net Assets
- $2,672,472
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $10,898,802
- Revenue Not Reported on Financial Statements
- $0
- Revenue Not Reported on Form 990
- $0
- Other Revenue Adjustments
- $0
- Total Revenue per Audited Statements
- $10,898,802
- Total Revenue per Form 990
- $10,898,802
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $6,271,332 |
| Other Expenses | $1,953,857 |
| Grants and Similar Amounts Paid | $1,141 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,430,789 | $598,382 | - | $5,029,171 |
| Other Employee Benefits | $347,967 | $79,905 | - | $427,872 |
| Payroll Taxes | $348,165 | $58,892 | - | $407,057 |
| Fees for Services Other | $160,443 | $194,266 | - | $354,709 |
| Fees for Services Management | - | $324,640 | - | $324,640 |
| Travel | $276,109 | $5,244 | - | $281,353 |
| Pension Plan Contributions | $204,219 | $31,926 | - | $236,145 |
| Current Officers, Directors, Trustees, and Key Employees | - | $171,087 | - | $171,087 |
| Fees for Services Accounting | - | $162,204 | - | $162,204 |
| Office Expenses | $57,491 | $73,658 | - | $131,149 |
| Information Technology | $69,286 | $60,301 | - | $129,587 |
| Occupancy | $71,958 | $9,718 | - | $81,676 |
| All Other Expenses | $46,118 | $34,223 | - | $80,341 |
| Depreciation Depletion | $59,488 | $8,034 | - | $67,522 |
| Insurance | $41,641 | $5,624 | - | $47,265 |
| Other Expenses | $0 | $32,113 | $0 | $32,113 |
| Advertising | - | $24,588 | - | $24,588 |
| Conferences and Meetings | $1,484 | $2,295 | - | $3,779 |
| Grants to Domestic Orgs | $1,141 | - | - | $1,141 |
| Fees for Services Legal | - | $299 | - | $299 |
| Total Functional Expenses | $6,302,723 | $1,923,607 | $0 | $8,226,330 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $8,226,330 |
| Total Expenses per Audited Statements | $8,226,330 |
| Total Expenses per Form 990 | $8,226,330 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Other Expense Adjustments | $0 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Long Term Liability - Lease Liability | $168,758 |
| Current Liability - Lease Liability | $74,292 |
| Due to Affiliates | $26,854 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- Yes
- Other officer compensation reviewed
- No
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- No
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 6
“The members are Concordia Care Network dba Concordia Community Support Services, Wesbury United Methodist Retirement Community, St Paul Homes, Meadville Medical Center. Each member has a 25% membership of Alliance Visiting Nurses.”
Form 990, Part VI, Section A, Line 7A
“Each member of Alliance Visiting Nurses may elect or appoint a maximum of 3 (three) board members.”
Form 990, Part VI, Section A, Line 7B
“The Meadville Medical Center has certain reserve powers and decisions of the governing body related to those powers are subject to their approval.”
Form 990, Part VI, Section B, Line 11B
“The Form 990 is prepared and reviewed by the accounting department for Concordia Care Network dba Concordia Community Support Services the entity holding the management agreement. The document is then reviewed by the CFO. The board is sent draft copies of the 990 prior to filing, in order to assess questions, comments, and feedback. Questions and comments are addressed accordingly. Upon board acceptance the final 990 is submitted to the taxing authorities. A copy of the final 990 is made available to all board members.”
Form 990, Part VI, Section B, Line 12C
“The corporate compliance officer attends at least 1 (one) board meeting a year. All officers, directors or trustees, and key employees are educated on compliance policies and procedures with the corporate compliance officer. Updates on corporate compliance are addressed in scheduled meetings during the year with all staff (including management). Specific corporate compliance goals and objectives are reviewed and evaluated on an ongoing basis during the year with the corporate compliance officer. Additionally, board members are required to disclose any potential conflict of interest prior to discussion on a topic where a conflict may exist. The Board will determine if a conflict exists and act accordingly, which may include the conflicted board member recusing himself/herself from discussion and any votes related to the matter. VNAA has launched a robust Quality Assessment Performance Improvement (QAPI) program which has seen objective improvements in the data-driven analysis of hospitalization percentages and VNAA patient experience reporting via HH-CAHPS review.”
Form 990, Part VI, Section B, Line 15
“The organization reviews national and state salary surveys for various non-profit organizations. Compensation is then appropriately determined based upon experience and comparison to the benchmarks. The personnel committee reviews the efforts and accomplishments of the Executive Director and recommends any adjustment to the board for approval. The Alliance Visiting Nurses board of directors has final authority/responsibility for approving any salary adjustment for the Executive Director. The Executive Director was reviewed during the fiscal year associated with this return.”
Form 990, Part VI, Section C, Line 19
“Alliance Visiting Nurses publishes an annual report that summarizes the financial and operational accomplishments of the organization, which is forwarded to Alliance Visiting Nurses constituents and is available to the public upon request. The Alliance Visiting Nurses governing documents, conflict of interest policies, and financial statements are available to the public upon request.”
Form 990, Part VII, Section A, Line 1A
“All board members of Alliance Visiting Nurses serve on a purely volunteer basis.”
Filing and Contact Details
Filer
- Filer Name
- Alliance Visiting Nurses
- EIN
- 25-1764544
- Phone
- 8143337000
- Address
- 18360 Conneaut Lake Rd Ste 2, Meadville, PA 16335-3757
- Doing Business As
- VNA Alliance
Signing Officer
- Name
- Tammy Young
- Title
- CFO
- Phone
- 8143337000
- Signed
- 2025-05-08
Organization Details
- Principal Officer
- Tammy S Young CFO
- Formed
- 1995
- Legal Domicile
- Pa
- Voting Board Members
- 12
- Independent Board Members
- 12
- Employees
- 115
- Volunteers
- 13
Supplemental Narrative
Additional Explanations
Form 990, Part XI, Line 9
“Net Value of Distributions to members during current fiscal year ($4,000,000)”
Financial Statement Notes
Schedule D, Part X, Line 2
“The Organization is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes has been provided.”
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| IRS990/Desc | 0 | VNA Alliance (VNAA) is an independent, voluntary, nonprofit home health agency licensed in Pennsylvania. All services are available without regard to race, religion, creed, color, age, ancestry, national origin, sex, sexual preference, lifestyle, socioeconomic status, veteran's status, or handicap. The agency strives to operate in a Christian manner in all interactions with consumers, staff, and the community. The provision of care to consumers recognizes and supports consumers' rights and the inherent worth and dignity of everyone. During the 2023-2024 fiscal year, the VNAA completed over 69,000 home health care visits and maintained an average daily census of over 500 patients. For the past 15 years, the VNAA has been the driving force in quality, post-acute, care in Northwest Pennsylvania. As the only 4.5 STAR agency in the region, the VNAA excels in delivering evidence based, effective and efficient health care across a six-county territory. Our mission is simple- helping our neighbors successfully age in place. To achieve our mission, the VNAA has taken a four-prong approach: 1) Improving the quality and efficiency of our home health care: In 13 of the 15 publicly reported quality of patient care indicators, the VNAA surpasses national performance thresholds. 2) Improving our patient's experience with care: On average, less than 4 nurses care for a VNAA patient over the course of their 55-day (on average) episode of care. 3) Strengthening our patient's physical function: Based on CMS data, patients treated by the VNAA are far more likely to improve their balance, strength and aerobic capacity as compared to National and Pennsylvania averages. 4) Preventative Medicine: Addressing our patient's health issues before they require an ED visit or an unnecessary hospitalization. Our patients are more likely to remain in the community following discharge and are less likely to be admitted to the hospital for a potentially preventable condition while receiving home health care. The VNAA has launched specific clinical programs addressing high risk, high volume, problem prone conditions such has CHF, COPD, UTI, sepsis, endocrine risks, and falls. Over the past fiscal year, one in five patients referred to the VNAA dealt with a wound. The VNAA employs Wound Certified PTs and RNs who provide evidence-based care to optimize healing. Our team guided over 96% of this population to a successful outcome-exceeded both state and national trends. Correctly identifying wound ideology while establishing evidenced based care are the key ingredients to wound care success. The VNAA has successfully integrated wound photography with the clinical record to provide a detailed analysis of wound recovery. To aide in achieving our aging in place mission, the VNAA launched its Achieving Clinical Excellence (ACE) initiative during the past fiscal year. The ACE program addresses acute care discharges at risk for early hospitalization. Research has coupled readmission rates to in-hospital and post discharge quality of care. During the past year, the VNAA partnered with Titusville Area Hospital to address hospital recidivism within their shared patient population, or 3.0% of the VNAA patient census. Coordinated discharge planning coupled with a focus on staffing continuity, family engagement and a concentrated look at the first 2 weeks of care led to meaningful results. Over the course of the year, Titusville Area Hospital's re-admission percentage dropped from 25.2% to 11.6%. The VNAA has been proactively preparing for a new key performance indicator-Home Health Within-Stay Potentially Preventable Hospitalization(PPH). In 2025, this new claims based measure will track the number of patients with at least one potentially preventable hospitalization or observation stay during the home health episode. Exaserbations of congestive heart failure or hypoglycemia would fall within the classification of being potentially preventable. For the past fiscal year, 7.9% o |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 45 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 20562 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 13835 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 14012 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 4998 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Timothy Dunn |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Marybeth Niggel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Kristie Feidler |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Stacy Lowery |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Joe Palmiero |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Philip Pandolph |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Tammy Young |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Chris Wright |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Holli Wolfe |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Martin Trettel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Kimberly Kepple |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Brian Mailliard |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Robin Knight |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Brian Nageotte |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Tracy Meure |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Alishia Stevenson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Lisa Maddy |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 138485 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 111615 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 103792 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 104262 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Executive Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Physical Therapist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Physical Therapist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Registered Nurse |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Board Chairman until Dec 2023 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Secretary/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Board Member as of Jan 2024 |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1995 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/FundraisingAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -197 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 0 |
| IRS990/GrantAmt | 0 | 1141 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 1141 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 1141 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 10898999 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IncmFromInvestBondProceedsGrp/ExclusionAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 4 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 60301 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 69286 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 129587 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 5624 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 41641 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 47265 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 350000 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 350000 |
| IRS990/InvestmentExpenseAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 117874 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 117874 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 15 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 352519 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 338659 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 334078 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 686597 |
| IRS990/LegalDomicileStateCd | 0 | PA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 197 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembershipDuesAmt | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | Health care delivery & management: Provide community-based programs, services, and facilities to seniors, disabled and ill persons in their homes and communities. Collaborative care is provided by a team that includes nursing, therapy, personal care, home health aide, medical social work, and other related services. Services were provided regardless of race, ethnicity, creed, or ability to pay. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 4798429 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 3470901 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 0 |
| IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt | 0 | -197 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -197 |
| IRS990/NetGainOrLossInvestmentsGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 4798429 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 3470901 |
| IRS990/NoncashContributionsAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 9718 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 71958 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 81676 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 73658 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 57491 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 131149 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2466015 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1800610 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -4000000 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 79905 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 347967 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 427872 |
| IRS990/OtherExpensesGrp/Desc | 0 | Pharmacy & Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Other Supplies |
| IRS990/OtherExpensesGrp/Desc | 2 | Equipment Rental |
| IRS990/OtherExpensesGrp/Desc | 3 | Storage Exp |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 1 | 0 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 2 | 0 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 3 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 46208 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 32113 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 138526 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 2291 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 45607 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 0 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 138526 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 48499 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 45607 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 32113 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 339642 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 269904 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 598382 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 4430789 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 5029171 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 58892 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 348165 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 407057 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 31926 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 204219 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 236145 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 119197 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 153333 |
| IRS990/PrincipalOfficerNm | 0 | Tammy S Young CFO |
| IRS990/PriorPeriodAdjustmentsAmt | 0 | 0 |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621610 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Clinical Services |
| IRS990/ProgramServiceRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 10780875 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 10780875 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 175 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 140832 |
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