﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v6.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-04-04T08:35:27-04:00</ReturnTs>
    <TaxPeriodEndDt>2024-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>251644159</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BROWN PLUS</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>210 GRANDVIEW AVE</AddressLine1Txt>
        <CityNm>CAMP HILL</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>170111706</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>232485020</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ALDER HEALTH SERVICES INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>ALDE</BusinessNameControlTxt>
      <PhoneNum>7172337190</PhoneNum>
      <USAddress>
        <AddressLine1Txt>100 N CAMERON ST SUITE 301-EAST</AddressLine1Txt>
        <CityNm>HARRISBURG</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>17101</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>ROSEMARY BROWNE</PersonNm>
      <PersonTitleTxt>PRESIDENT AND CEO</PersonTitleTxt>
      <PhoneNum>7172337190</PhoneNum>
      <SignatureDt>2025-03-24</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>BRIAN R MARCHUCK</PreparerPersonNm>
      <PTIN>P01231538</PTIN>
      <PhoneNum>7177617171</PhoneNum>
      <PreparationDt>2025-04-03</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="6">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc5">
      <PrincipalOfficerNm>ROSEMARY BROWNE</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>100 N CAMERON ST</AddressLine1Txt>
        <AddressLine2Txt>SUITE 301-EAST</AddressLine2Txt>
        <CityNm>HARRISBURG</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>17101</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>7638537</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.ALDERHEALTH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1987</FormationYr>
      <LegalDomicileStateCd>PA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>SEE SCHEDULE O.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>7</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>7</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>24</TotalEmployeeCnt>
      <TotalVolunteersCnt>9</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>976227</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>833992</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>596420</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>191048</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>33375</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>1800</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>1240905</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>977570</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>2846927</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>2004410</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1639507</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1278301</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>137276</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1375365</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>999897</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>3014872</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2278198</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-167945</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-273788</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>3380723</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>3081952</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>2311320</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>2311357</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>1069403</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>770595</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>MISSION - "ALDER HEATH SERVICES IMPROVES THE HEALTH AND WELL-BEING OF INDIVIDUALS LIVING WITH HIV/AIDS AND MEMBERS OF THE LGBTQ+ COMMUNITIES IN SOUTH CENTRAL PENNSYLVANIA BY PROVIDING AN INCLUSIVE AND AFFIRMING ENVIRONMENT THAT EMPOWERS THE PEOPLE WE SERVE." VISION - BY PROVIDING HIGH QUALITY CASE MANAGEMENT AND SUPPORTS, HEALTH AND WELLNESS EDUCATION, AND PHYSICAL AND MENTAL HEALTH SERVICES, ALDER HEALTH SERVICES STRIVES TO: REDUCE THE RATE OF HIV INFECTION, ENSURE ACCESS TO PERSON-CENTERED CARE, FOSTER A HEALTHY AND INFORMED COMMUNITY. CORE VALUES - ALDER HEALTH'S SERVICES AND PROGRAMS ARE DESIGNED TO BE REFLECTIVE OF THE VALUES THAT GUIDE AND SUPPORT THE AGENCY'S MISSION: - CLIENT-DRIVEN - COMPASSION - COLLABORATION - INCLUSION - LEADERSHIP - SERVICE TO OTHERS</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>1674882</ExpenseAmt>
      <RevenueAmt>191048</RevenueAmt>
      <Desc>ALDER HEALTH SERVICES IS A DEDICATED ADVOCATE FOR THE PHYSICAL, MENTAL AND SOCIAL SERVICE NEEDS OF INDIVIDUALS INFECTED AND AFFECTED BY HIV/AIDS AND MEMBERS OF COMMUNITIES TRADITIONALLY UNDERSERVED BY THE HEALTH CARE SYSTEM. OUR SERVICES HAVE A PARTICULAR FOCUS ON LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER/QUESTIONING (LGBTQ+) PERSONS. ALDER HEALTH STRIVES TO CREATE AN ENVIRONMENT WHERE ALL PATIENTS ARE COMFORTABLE BEING WHO THEY ARE, AND WE WORK TO ESTABLISH HONEST, TRUSTING AND NON-JUDGMENTAL RELATIONSHIPS THAT ARE FOCUSED ON HELPING THE PEOPLE WE SERVE TO MAKE HEALTH CHOICES THAT ARE RIGHT FOR THEM. WE ARE COMMITTED TO TREATING THE WHOLE PERSON BASED ON AN INTEGRATED DELIVERY SYSTEM OF CLIENT-CENTERED PRIMARY CARE, MENTAL HEALTH, WELLNESS, MEDICAL CASE MANAGEMENT AND SUPPORT SERVICES. ALDER HEALTH PROVIDES COMPREHENSIVE, GENDER AFFIRMING HEALTH CARE IN THREE (3) CORE AREAS: PRIMARY CARE - QUALITY MEDICAL CARE IN A COMFORTABLE SETTING THAT IS OPEN AND AFFIRMING. A SPECIAL EMPHASIS IS PLACED ON PROVIDING SERVICES ADDRESSING HEALTH DISPARITIES AFFECTING THE LGBTQ+ COMMUNITY, INCLUDING HORMONE REPLACEMENT THERAPY (HRT) FOR TRANSGENDER INDIVIDUALS. ALDER HEALTH PROVIDES ADDITIONAL SERVICES THROUGH ITS FAMILY PLANNING PROGRAM. BEHAVIORAL HEALTH - COMMITMENT TO TREATING THE WHOLE PERSON BASED USING STRENGTHS-BASED AND CLIENT CENTERED SERVICES INCLUDING MENTAL HEALTH THERAPY, TRANSGENDER INCLUSIVE SERVICES, PSYCHIATRIC SERVICES AND ASSESSMENT, AND MEDICATION MANAGEMENT THROUGH TELEPSYCHIATRY. BEHAVIORAL HEALTH SERVICES WERE SUSPENDED IN OCTOBER 2023 DUE TO COST CONSTRAINTS TO SUPPORT CONTRACTED PSYCHIATRISTS AND MENTAL HEALTH THERAPISTS. CASE MANAGEMENT &amp; COMMUNITY SUPPORT SERVICES - MEDICAL CASE MANAGEMENT SERVICES ARE DEDICATED TO HELPING HIV-POSITIVE INDIVIDUALS MAKE INFORMED CHOICES ABOUT THEIR CARE. THIS INCLUDES EDUCATING CLIENTS ON TREATMENT OPTIONS, REDUCING FEAR AND STIGMA, ACCESS TO MEDICAL CARE, HEALTH INSURANCE, PRESCRIPTION MEDICATIONS, FINANCIAL ASSISTANCE WITH HOUSING AND UTILITIES, A FOOD PANTRY, CLOTHING MARKET, MENTAL HEALTH SERVICES AND OTHER COMMUNITY RESOURCES AVAILABLE TO ADDRESS BARRIERS TO GAINFUL EMPLOYMENT AND AFFORDABLE HOUSING. TESTING &amp; WELLNESS SERVICES ARE INCLUDED UNDER COMMUNITY SUPPORT SERVICES - FREE AND CONFIDENTIAL HIV/STD SCREENING INCLUDING SYPHILIS, GONORRHEA, AND CHLAMYDIA, TARGETED PREVENTION INITIATIVES FOR HIGH-RISK GROUPS INCLUDING MEN WHO HAVE SEX WITH MEN (MSM), AND PREEXPOSURE PROPHYLAXIS (PREP). WALK- IN TESTING SERVICES WERE NEGATIVELY IMPACTED BY CHANGES IN THE PROVIDER AGREEMENT WITH THE PA DEPARTMENT OF HEALTH (DOH). ALDER HEALTH RESUMED WALK-IN TESTING IN OCTOBER 2024 AT THE HARRISBURG LOCATION ON WEDNESDAY NIGHTS FROM 3:30 PM - 6:30 PM. ONE SIGNIFICANT CHANGE IN THE TESTING PROGRAM IS THE REQUIREMENT TO USE PA DOH REIMBURSEMENT AS THE PAYOR OF LAST RESORT. TESTING PATIENTS WITH HEALTH INSURANCE MOST USE THEIR COVERAGE UNLESS THEY QUALIFY FOR A WAIVER. WELLNESS CENTER ACTIVITIES ARE OFFERED BOTH IN-PERSON AND VIRTUALLY INCLUDING TRAUMA-INFORMED YOGA, SELF-DEFENSE, AND SOCIAL SUPPORT GROUPS. AS OF JUNE 2024, ALDER HEATH SERVICES PROVIDED: -6,425 PRIMARY CARE AND MENTAL HEALTH VISITS FOR MORE THAN 1,500 INDIVIDUALS -HEALTH AND SUPPORTS NEEDS FOR 249 HIV+ CASE MANAGEMENT CLIENTS -1,326 HIV/STI TESTING AND TREATMENT SERVICES -44,639 IN HIV-RELATED HOUSING, UTILITIES, FOOD AND OTHER ASSISTANCE -479,240 PATIENT SAVINGS THROUGH ELIGIBILITY FOR THE 340B PHARMACY PROGRAM "AGENCY STRATEGIC PLAN WAS APPROVED IN SEPTEMBER 2021 BY THE BOARD OF DIRECTORS IN COLLABORATION WITH ALDER MANAGEMENT STAFF. THIS PLAN IS FOR THE PERIOD 2021-2024. THE KEY STRATEGIC PRIORITIES ESTABLISHED ARE: 1. ENHANCE, REFINE AND/OR EXPAND CORE SERVICES 2. INCREASE AWARENESS AND SUPPORT OF ALDER HEALTH SERVICES 3. MAXIMIZE AND DIVERSIFY INCOME GROWTH 4. BE AN ANTI-RACIST, DIVERSE, EQUITABLE, AND INCLUSIVE ORGANIZATION</Desc>
      <TotalProgramServiceExpensesAmt>1674882</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc6">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc4">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc4">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc4">true</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc4">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc4">false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc4">false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd referenceDocumentId="RetDoc4">false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>5</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>24</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>true</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>true</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>7</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>7</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>false</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <BooksInCareOfDetail>
        <PersonNm>ROSEMARY BROWNE</PersonNm>
        <PhoneNum>7172337190</PhoneNum>
        <USAddress>
          <AddressLine1Txt>100 N CAMERON ST</AddressLine1Txt>
          <AddressLine2Txt>SUITE 301-EAST</AddressLine2Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17101</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSEMARY BROWNE</PersonNm>
        <TitleTxt>PRESIDENT AN</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>118090</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1126</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMIN GIBSON</PersonNm>
        <TitleTxt>CHAIR AND TR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARMEN HENRY-HARRIS</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PERI JUDE RADECIC</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RUSSELL BOGGS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETHANY HENRY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRAVIS MCMASTER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER ZYROLL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REV BRITTANY POWELL</PersonNm>
        <TitleTxt>FORMER DIREC</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIN SHIRMER</PersonNm>
        <TitleTxt>FORMER DIREC</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>118090</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>1126</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IMAGINE MEDICAL GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 646011</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15264</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINICAL SRVCS</ServicesDesc>
        <CompensationAmt>158100</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>2139</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>745872</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>85981</AllOtherContributionsAmt>
      <TotalContributionsAmt>833992</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PRIMARY CARE</Desc>
        <TotalRevenueColumnAmt>126051</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>126051</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>BEHAVIORAL HEALTH</Desc>
        <TotalRevenueColumnAmt>56213</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>56213</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SCREENINGS AND TESTINGS</Desc>
        <TotalRevenueColumnAmt>5053</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5053</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INSURANCE INCENTIVES</Desc>
        <TotalRevenueColumnAmt>3731</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3731</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>191048</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1131</TotalRevenueColumnAmt>
        <ExclusionAmt>1131</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>669</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>669</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>669</TotalRevenueColumnAmt>
        <ExclusionAmt>669</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>6611697</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>5634127</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>977570</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>977570</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2004410</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1168618</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>1800</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>119146</TotalAmt>
        <ProgramServicesAmt>35744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59573</ManagementAndGeneralAmt>
        <FundraisingAmt>23829</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>902481</TotalAmt>
        <ProgramServicesAmt>748800</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116029</ManagementAndGeneralAmt>
        <FundraisingAmt>37652</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>173972</TotalAmt>
        <ProgramServicesAmt>134487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29204</ManagementAndGeneralAmt>
        <FundraisingAmt>10281</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>82702</TotalAmt>
        <ProgramServicesAmt>65260</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12506</ManagementAndGeneralAmt>
        <FundraisingAmt>4936</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>50566</TotalAmt>
        <ProgramServicesAmt>22200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28366</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>7072</TotalAmt>
        <ManagementAndGeneralAmt>7072</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>167011</TotalAmt>
        <ProgramServicesAmt>131822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34448</ManagementAndGeneralAmt>
        <FundraisingAmt>741</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>612</TotalAmt>
        <FundraisingAmt>612</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>29392</TotalAmt>
        <ProgramServicesAmt>18471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8615</ManagementAndGeneralAmt>
        <FundraisingAmt>2306</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>148822</TotalAmt>
        <ProgramServicesAmt>129836</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16175</ManagementAndGeneralAmt>
        <FundraisingAmt>2811</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>121490</TotalAmt>
        <ProgramServicesAmt>104752</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12567</ManagementAndGeneralAmt>
        <FundraisingAmt>4171</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>15730</TotalAmt>
        <ProgramServicesAmt>15350</ProgramServicesAmt>
        <ManagementAndGeneralAmt>281</ManagementAndGeneralAmt>
        <FundraisingAmt>99</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1255</TotalAmt>
        <ProgramServicesAmt>941</ProgramServicesAmt>
        <ManagementAndGeneralAmt>251</ManagementAndGeneralAmt>
        <FundraisingAmt>63</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>74318</TotalAmt>
        <ProgramServicesAmt>49518</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18619</ManagementAndGeneralAmt>
        <FundraisingAmt>6181</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>309914</TotalAmt>
        <ProgramServicesAmt>206497</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77644</ManagementAndGeneralAmt>
        <FundraisingAmt>25773</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>15381</TotalAmt>
        <ManagementAndGeneralAmt>15000</ManagementAndGeneralAmt>
        <FundraisingAmt>381</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>29690</TotalAmt>
        <ManagementAndGeneralAmt>29690</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FUNDRAISING EXPENSES</Desc>
        <TotalAmt>17440</TotalAmt>
        <FundraisingAmt>17440</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HOME DELIVERED MEALS/FOOD</Desc>
        <TotalAmt>10168</TotalAmt>
        <ProgramServicesAmt>10168</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HEALTH INS PREMIUM ASST</Desc>
        <TotalAmt>1036</TotalAmt>
        <ProgramServicesAmt>1036</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2278198</TotalAmt>
        <ProgramServicesAmt>1674882</ProgramServicesAmt>
        <ManagementAndGeneralAmt>466040</ManagementAndGeneralAmt>
        <FundraisingAmt>137276</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>209447</BOYAmt>
        <EOYAmt>175058</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>15623</BOYAmt>
        <EOYAmt>19523</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>145212</BOYAmt>
        <EOYAmt>112174</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1317224</BOYAmt>
        <EOYAmt>1363808</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>171083</BOYAmt>
        <EOYAmt>186698</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>563412</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>419213</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>168484</BOYAmt>
        <EOYAmt>144199</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1353650</BOYAmt>
        <EOYAmt>1080492</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>3380723</BOYAmt>
        <EOYAmt>3081952</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>885315</BOYAmt>
        <EOYAmt>1084428</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>4169</BOYAmt>
        <EOYAmt>95592</EOYAmt>
      </DeferredRevenueGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>15000</BOYAmt>
        <EOYAmt>32250</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>46657</BOYAmt>
        <EOYAmt>13961</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1360179</BOYAmt>
        <EOYAmt>1085126</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2311320</BOYAmt>
        <EOYAmt>2311357</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>975867</BOYAmt>
        <EOYAmt>667132</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>93536</BOYAmt>
        <EOYAmt>103463</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1069403</BOYAmt>
        <EOYAmt>770595</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3380723</BOYAmt>
        <EOYAmt>3081952</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-273788</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>12113</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-37133</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc6">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>811174</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>735346</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1172909</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>976227</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>833992</CurrentTaxYearAmt>
        <TotalAmt>4529648</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>811174</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>735346</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1172909</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>976227</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>833992</CurrentTaxYearAmt>
        <TotalAmt>4529648</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>184294</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>4345354</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>659</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>671</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>940</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2244</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1131</CurrentTaxYearAmt>
        <TotalAmt>5645</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>4535293</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>35386500</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.95810</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.95710</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>73848</BeginningYearBalanceAmt>
        <ContributionsAmt>4348</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>13906</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-4348</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-1435</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>86319</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>63840</BeginningYearBalanceAmt>
        <ContributionsAmt>3680</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>11259</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-3680</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-1251</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>73848</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>41934</BeginningYearBalanceAmt>
        <ContributionsAmt>37100</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-10844</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-3100</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-1250</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>63840</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>29632</BeginningYearBalanceAmt>
        <ContributionsAmt>1584</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>12863</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-1491</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-654</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>41934</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>31733</BeginningYearBalanceAmt>
        <ContributionsAmt>1471</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>15</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-3031</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-556</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>29632</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>229062</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>100962</DepreciationAmt>
        <BookValueAmt>128100</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>205101</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>200186</DepreciationAmt>
        <BookValueAmt>4915</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>129249</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>118065</DepreciationAmt>
        <BookValueAmt>11184</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>144199</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET, NET OF ACC AMORT</Desc>
        <BookValueAmt>985265</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ENDOWMENT FUND</Desc>
        <BookValueAmt>86319</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <BookValueAmt>8908</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1080492</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES</Desc>
        <Amt>985126</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LINE OF CREDIT</Desc>
        <Amt>100000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1085126</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>7673345</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>12113</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>53820</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>5604437</OtherRevenueAmt>
      <RevenueNotReportedAmt>5670370</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2002975</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>1435</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>1435</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2004410</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7972153</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>53820</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>5671260</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>5725080</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2247073</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>1435</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>29690</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>31125</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2278198</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY PROGRAM FEES 5,634,127 PROVISION FOR BAD DEBT -29,690</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RETURN OF PRIOR YEAR GRANT REVENUES 37,133 PHARMACY PROGRAM FEES 5,634,127</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBT 29,690</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="RetDoc4">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>ROSEMARY BROWNE</PersonNm>
        <RelationshipWithOrgTxt>PRESIDENT &amp; CEO</RelationshipWithOrgTxt>
        <LoanPurposeTxt>DAILY OPERATING EXPENSES</LoanPurposeTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>56500</OriginalPrincipalAmt>
        <BalanceDueAmt>32250</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>32250</TotalBalanceDueAmt>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>MISSION - "ALDER HEATH SERVICES IMPROVES THE HEALTH AND WELL-BEING OF INDIVIDUALS LIVING WITH HIV/AIDS AND MEMBERS OF THE LGBTQ+ COMMUNITIES IN SOUTH CENTRAL PENNSYLVANIA BY PROVIDING AN INCLUSIVE AND AFFIRMING ENVIRONMENT THAT EMPOWERS THE PEOPLE WE SERVE." VISION - BY PROVIDING HIGH QUALITY CASE MANAGEMENT AND SUPPORTS, HEALTH AND WELLNESS EDUCATION, AND PHYSICAL AND MENTAL HEALTH SERVICES, ALDER HEALTH SERVICES STRIVES TO: REDUCE THE RATE OF HIV INFECTION, ENSURE ACCESS TO PERSON-CENTERED CARE, FOSTER A HEALTHY AND INFORMED COMMUNITY. CORE VALUES - ALDER HEALTH'S SERVICES AND PROGRAMS ARE DESIGNED TO BE REFLECTIVE OF THE VALUES THAT GUIDE AND SUPPORT THE AGENCY'S MISSION: - CLIENT-DRIVEN - COMPASSION - COLLABORATION - INCLUSION - LEADERSHIP - SERVICE TO OTHERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALDER HEALTH SERVICES IS A DEDICATED ADVOCATE FOR THE PHYSICAL, MENTAL AND SOCIAL SERVICE NEEDS OF INDIVIDUALS INFECTED AND AFFECTED BY HIV/AIDS AND MEMBERS OF COMMUNITIES TRADITIONALLY UNDERSERVED BY THE HEALTH CARE SYSTEM. OUR SERVICES HAVE A PARTICULAR FOCUS ON LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER/QUESTIONING (LGBTQ+) PERSONS. ALDER HEALTH STRIVES TO CREATE AN ENVIRONMENT WHERE ALL PATIENTS ARE COMFORTABLE BEING WHO THEY ARE, AND WE WORK TO ESTABLISH HONEST, TRUSTING AND NON-JUDGMENTAL RELATIONSHIPS THAT ARE FOCUSED ON HELPING THE PEOPLE WE SERVE TO MAKE HEALTH CHOICES THAT ARE RIGHT FOR THEM. WE ARE COMMITTED TO TREATING THE WHOLE PERSON BASED ON AN INTEGRATED DELIVERY SYSTEM OF CLIENT-CENTERED PRIMARY CARE, MENTAL HEALTH, WELLNESS, MEDICAL CASE MANAGEMENT AND SUPPORT SERVICES. ALDER HEALTH PROVIDES COMPREHENSIVE, GENDER AFFIRMING HEALTH CARE IN THREE (3) CORE AREAS: PRIMARY CARE - QUALITY MEDICAL CARE IN A COMFORTABLE SETTING THAT IS OPEN AND AFFIRMING. A SPECIAL EMPHASIS IS PLACED ON PROVIDING SERVICES ADDRESSING HEALTH DISPARITIES AFFECTING THE LGBTQ+ COMMUNITY, INCLUDING HORMONE REPLACEMENT THERAPY (HRT) FOR TRANSGENDER INDIVIDUALS. ALDER HEALTH PROVIDES ADDITIONAL SERVICES THROUGH ITS FAMILY PLANNING PROGRAM. BEHAVIORAL HEALTH - COMMITMENT TO TREATING THE WHOLE PERSON BASED USING STRENGTHS-BASED AND CLIENT CENTERED SERVICES INCLUDING MENTAL HEALTH THERAPY, TRANSGENDER INCLUSIVE SERVICES, PSYCHIATRIC SERVICES AND ASSESSMENT, AND MEDICATION MANAGEMENT THROUGH TELEPSYCHIATRY. BEHAVIORAL HEALTH SERVICES WERE SUSPENDED IN OCTOBER 2023 DUE TO COST CONSTRAINTS TO SUPPORT CONTRACTED PSYCHIATRISTS AND MENTAL HEALTH THERAPISTS. CASE MANAGEMENT &amp; COMMUNITY SUPPORT SERVICES - MEDICAL CASE MANAGEMENT SERVICES ARE DEDICATED TO HELPING HIV-POSITIVE INDIVIDUALS MAKE INFORMED CHOICES ABOUT THEIR CARE. THIS INCLUDES EDUCATING CLIENTS ON TREATMENT OPTIONS, REDUCING FEAR AND STIGMA, ACCESS TO MEDICAL CARE, HEALTH INSURANCE, PRESCRIPTION MEDICATIONS, FINANCIAL ASSISTANCE WITH HOUSING AND UTILITIES, A FOOD PANTRY, CLOTHING MARKET, MENTAL HEALTH SERVICES AND OTHER COMMUNITY RESOURCES AVAILABLE TO ADDRESS BARRIERS TO GAINFUL EMPLOYMENT AND AFFORDABLE HOUSING. TESTING &amp; WELLNESS SERVICES ARE INCLUDED UNDER COMMUNITY SUPPORT SERVICES - FREE AND CONFIDENTIAL HIV/STD SCREENING INCLUDING SYPHILIS, GONORRHEA, AND CHLAMYDIA, TARGETED PREVENTION INITIATIVES FOR HIGH-RISK GROUPS INCLUDING MEN WHO HAVE SEX WITH MEN (MSM), AND PREEXPOSURE PROPHYLAXIS (PREP). WALK- IN TESTING SERVICES WERE NEGATIVELY IMPACTED BY CHANGES IN THE PROVIDER AGREEMENT WITH THE PA DEPARTMENT OF HEALTH (DOH). ALDER HEALTH RESUMED WALK-IN TESTING IN OCTOBER 2024 AT THE HARRISBURG LOCATION ON WEDNESDAY NIGHTS FROM 3:30 PM - 6:30 PM. ONE SIGNIFICANT CHANGE IN THE TESTING PROGRAM IS THE REQUIREMENT TO USE PA DOH REIMBURSEMENT AS THE PAYOR OF LAST RESORT. TESTING PATIENTS WITH HEALTH INSURANCE MOST USE THEIR COVERAGE UNLESS THEY QUALIFY FOR A WAIVER. WELLNESS CENTER ACTIVITIES ARE OFFERED BOTH IN-PERSON AND VIRTUALLY INCLUDING TRAUMA-INFORMED YOGA, SELF-DEFENSE, AND SOCIAL SUPPORT GROUPS. AS OF JUNE 2024, ALDER HEATH SERVICES PROVIDED: -6,425 PRIMARY CARE AND MENTAL HEALTH VISITS FOR MORE THAN 1,500 INDIVIDUALS -HEALTH AND SUPPORTS NEEDS FOR 249 HIV+ CASE MANAGEMENT CLIENTS -1,326 HIV/STI TESTING AND TREATMENT SERVICES -44,639 IN HIV-RELATED HOUSING, UTILITIES, FOOD AND OTHER ASSISTANCE -479,240 PATIENT SAVINGS THROUGH ELIGIBILITY FOR THE 340B PHARMACY PROGRAM "AGENCY STRATEGIC PLAN WAS APPROVED IN SEPTEMBER 2021 BY THE BOARD OF DIRECTORS IN COLLABORATION WITH ALDER MANAGEMENT STAFF. THIS PLAN IS FOR THE PERIOD 2021-2024. THE KEY STRATEGIC PRIORITIES ESTABLISHED ARE: 1. ENHANCE, REFINE AND/OR EXPAND CORE SERVICES 2. INCREASE AWARENESS AND SUPPORT OF ALDER HEALTH SERVICES 3. MAXIMIZE AND DIVERSIFY INCOME GROWTH 4. BE AN ANTI-RACIST, DIVERSE, EQUITABLE, AND INCLUSIVE ORGANIZATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE. IT IS THEN PROVIDED TO ALL BOARD MEMBERS FOR THEIR REVIEW, PRIOR TO FILING THE FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ENFORCEMENT OF CONFLICT OF INTEREST POLICY IF A CONFLICT IS IDENTIFIED, THAT INDIVIDUAL IS ASKED TO RESOLVE THE CONFLICT IMMEDIATELY. IF THE INDIVIDUAL IS UNWILLING TO ELIMINATE THE CONFLICT, HE OR SHE WILL BE ASKED TO END THE RELATIONSHIP WITH THE AGENCY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS MARKET DATA TO DETERMINE REASONABLE COMPENSATION FOR PRESIDENT AND CEO AND KEY EMPLOYEES. UPON SATISFACTORY REVIEW, BOARD APPROVES ANNUAL COMPENSATION FOR PRESIDENT AND CEO AND KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS MARKET DATA TO DETERMINE REASONABLE COMPENSATION FOR PRESIDENT AND CEO AND KEY EMPLOYEES. UPON SATISFACTORY REVIEW, BOARD APPROVES ANNUAL COMPENSATION FOR PRESIDENT AND CEO AND KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY PROGRAM FEES 5,634,127 PROVISION FOR BAD DEBT -29,690 RETURN OF PRIOR YEAR GRANT REVENUES -37,133 PHARMACY PROGRAM FEES -5,634,127 PROVISION FOR BAD DEBT 29,690 TOTAL -37,133</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>