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ObjectId: 201531329349303293 - Submission: 2015-05-12
TIN: 76-0701257
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
See separate instructions.
Information about Schedule R (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
13
Open to Public Inspection
Name of the organization
NHS MIDATLANTIC INC
Employer identification number
76-0701257
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
NHS HUMAN SERVICES FOUNDATION
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-3005583
FUNDRAISING
PA
501(C)(3)
LINE 9
No
(2)
NHS HUMAN SERVICES INC
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2175924
SUPPORT SERVICES
PA
501(C)(3)
LINE 9
No
(3)
NHS CHESTER COUNTY
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-1884756
BH & IDD SERVICES
PA
501(C)(3)
LINE 9
No
(4)
NHS BUCKS COUNTY
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-1876000
BH & IDD SERVICES
PA
501(C)(3)
LINE 9
No
(5)
NHS NEW JERSEY
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
22-2334709
IDD SERVICES
PA
501(C)(3)
LINE 9
No
(6)
NHS PHILADELPHIA
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2175923
AUTISM, BH & IDD SERVICES
PA
501(C)(3)
LINE 9
No
(7)
NHS PENNSYLVANIA
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2799679
AUTISM, BH & IDD SERVICES
PA
501(C)(3)
LINE 9
No
(8)
NHS YOUTH SERVICES INC
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2728553
JUVENILE JUSTICE
PA
501(C)(3)
LINE 9
No
(9)
NHS DELAWARE COUNTY
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-1887233
BH & IDD SERVICES
PA
501(C)(3)
LINE 9
No
(10)
NHS WOODHAVEIN INC
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2784811
IDD SERVICES
PA
501(C)(3)
LINE 9
No
(11)
NHS YOUTH SERVICES WEST INC
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2362011
INACTIVE
PA
501(C)(3)
LINE 9
No
(12)
LILLIAN HOLLIDAY RESIDENCE CORP
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2715238
LOW INCOME HOUSING
PA
501(C)(3)
LINE 9
No
(13)
NHS CHILDRENS REACH
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-6296524
CHILDREN'S BH & EARLY INTERVENTION
PA
501(C)(3)
LINE 9
No
(14)
NORTHWESTERN PROPERTIES CORP
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
22-0018629
HOLDS TITLE TO PROPERTIES
PA
501(C)(2)
No
(15)
NHS PARKSIDE RECOVERY INC
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2258743
SUBSTANCE ABUSE REHABILITATION
PA
501(C)(3)
LINE 9
No
(16)
NHS MONTGOMERY COUNTY
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2304620
BH & IDD SERVICES
PA
501(C)(3)
LINE 9
No
(17)
NHS STEVENS CENTER
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
25-1878857
BH & IDD SERVICES
PA
501(C)(3)
LINE 9
No
(18)
NHS STEVENS HOUSING CORP
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
25-1740509
LOW INCOME HOUSING
PA
501(C)(3)
LINE 9
No
(19)
NHS II PROPERTIES LLC
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
30-0204506
HOLDS TITLE TO PROPERTIES
PA
501(C)(2)
No
(20)
TRI VALLEY CARE INC
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
26-2061732
BH SERVICES COORDINATION
PA
501(C)(3)
LINE 9
No
(21)
ALLEGHENY VALLEY SCHOOL
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
25-1094911
IDD SERVICES
PA
501(C)(3)
LINE 9
No
(22)
THE ASSOCIATION FOR INDEPENDENT GROWTH
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
22-2454140
IDD SERVICES
PA
501(C)(3)
LINE 9
No
(23)
TAIG FOUNDATION
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2645777
FUNDRAISING
PA
501(C)(3)
LINE 9
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Page 2
Schedule R (Form 990) 2013
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
THE AMICA COMPANY
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2461337
INACTIVE
PA
C
No
(2)
NORTHWESTERN ENTERPRISES INC
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2443521
HOLDING COMPANY
PA
C
No
(3)
HOUSE NEXT DOOR INC
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2093671
INACTIVE
PA
C
No
(4)
NORTHWESTERN MANAGEMENT SERVICES COMPANY
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
23-2144909
HOLDING COMPANY
PA
C
No
(5)
LIFE TREE PHARMACY SERVICES INC
620 E GERMANTOWN PIKE
LAFAYETTE HILL
,
PA
19444
20-2433174
PHARMACY
PA
C
No
Schedule R (Form 990) 2013
Page 3
Schedule R (Form 990) 2013
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.
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1a
No
b
Gift, grant, or capital contribution to related organization(s)
.
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1b
No
c
Gift, grant, or capital contribution from related organization(s)
.
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1c
No
d
Loans or loan guarantees to or for related organization(s)
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1d
No
e
Loans or loan guarantees by related organization(s)
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1e
No
f
Dividends from related organization(s)
.
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1f
No
g
Sale of assets to related organization(s)
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1g
No
h
Purchase of assets from related organization(s)
.
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1h
No
i
Exchange of assets with related organization(s)
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1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
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1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
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1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
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1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
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1m
No
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
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1n
No
o
Sharing of paid employees with related organization(s)
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1o
No
p
Reimbursement paid to related organization(s) for expenses
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1p
No
q
Reimbursement paid by related organization(s) for expenses
.
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1q
No
r
Other transfer of cash or property to related organization(s)
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1r
No
s
Other transfer of cash or property from related organization(s)
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1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
Schedule R (Form 990) 2013
Page 4
Schedule R (Form 990) 2013
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2013
Page 5
Schedule R (Form 990) 2013
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2013
Additional Data
Software ID:
Software Version: