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      <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 FOUR (4) 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. 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 - 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). HIV/STD TESTING IS CONDUCTED REQUIRING NO APPOINTMENT AND AT NO CHARGE EVERY MONDAY AND WEDNESDAY NIGHT AT OUR HARRISBURG LOCATION FROM 4:00 - 8:00 PM. WELLNESS CENTER ACTIVITIES ARE OFFERED BOTH IN-PERSON AND VIRTUALLY INCLUDING TRAUMA-INFORMED YOGA, SELF- DEFENSE, AND SOCIAL SUPPORT GROUPS. AS OF JUNE 2023, 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 -100,474 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>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REV BRITTANY POWELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>COLE GOODMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YOLANDA EDRINGTON</PersonNm>
        <TitleTxt>FORMER DIREC</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GAIL SNYDER</PersonNm>
        <TitleTxt>FORMER DIREC</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>116660</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>4376</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <FederatedCampaignsAmt>2580</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>746268</GovernmentGrantsAmt>
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      <TotalContributionsAmt>976227</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>BEHAVIORAL HEALTH</Desc>
        <TotalRevenueColumnAmt>335918</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>335918</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIMARY CARE</Desc>
        <TotalRevenueColumnAmt>236160</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>236160</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SCREENINGS AND TESTINGS</Desc>
        <TotalRevenueColumnAmt>20008</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20008</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INSURANCE INCENTIVES</Desc>
        <TotalRevenueColumnAmt>4334</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4334</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>596420</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>2244</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>31131</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>31131</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>31131</TotalRevenueColumnAmt>
        <ExclusionAmt>31131</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>6953673</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>5712768</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1240905</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1240905</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2846927</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1837325</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>33375</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>125216</TotalAmt>
        <ProgramServicesAmt>37565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62608</ManagementAndGeneralAmt>
        <FundraisingAmt>25043</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1230043</TotalAmt>
        <ProgramServicesAmt>979828</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162937</ManagementAndGeneralAmt>
        <FundraisingAmt>87278</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>172195</TotalAmt>
        <ProgramServicesAmt>131104</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27721</ManagementAndGeneralAmt>
        <FundraisingAmt>13370</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>112053</TotalAmt>
        <ProgramServicesAmt>81025</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24451</ManagementAndGeneralAmt>
        <FundraisingAmt>6577</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>21600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19501</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>6454</TotalAmt>
        <ManagementAndGeneralAmt>6454</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>417364</TotalAmt>
        <ProgramServicesAmt>394169</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21900</ManagementAndGeneralAmt>
        <FundraisingAmt>1295</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>4932</TotalAmt>
        <FundraisingAmt>4932</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>39659</TotalAmt>
        <ProgramServicesAmt>22001</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11800</ManagementAndGeneralAmt>
        <FundraisingAmt>5858</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>175070</TotalAmt>
        <ProgramServicesAmt>152034</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20271</ManagementAndGeneralAmt>
        <FundraisingAmt>2765</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>101499</TotalAmt>
        <ProgramServicesAmt>88153</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10020</ManagementAndGeneralAmt>
        <FundraisingAmt>3326</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>14646</TotalAmt>
        <ProgramServicesAmt>14295</ProgramServicesAmt>
        <ManagementAndGeneralAmt>234</ManagementAndGeneralAmt>
        <FundraisingAmt>117</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>4934</TotalAmt>
        <ProgramServicesAmt>3700</ProgramServicesAmt>
        <ManagementAndGeneralAmt>987</ManagementAndGeneralAmt>
        <FundraisingAmt>247</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>84516</TotalAmt>
        <ProgramServicesAmt>56313</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21174</ManagementAndGeneralAmt>
        <FundraisingAmt>7029</FundraisingAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>203622</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76563</ManagementAndGeneralAmt>
        <FundraisingAmt>25415</FundraisingAmt>
      </DepreciationDepletionGrp>
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        <ManagementAndGeneralAmt>14490</ManagementAndGeneralAmt>
        <FundraisingAmt>362</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>138078</TotalAmt>
        <ManagementAndGeneralAmt>138078</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HOME DELIVERED MEALS/FOOD</Desc>
        <TotalAmt>25905</TotalAmt>
        <ProgramServicesAmt>25905</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HEALTH INS PREMIUM ASST</Desc>
        <TotalAmt>755</TotalAmt>
        <ProgramServicesAmt>755</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>2212069</ProgramServicesAmt>
        <ManagementAndGeneralAmt>619189</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>209447</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <EOYAmt>15623</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>164058</BOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>1195925</BOYAmt>
        <EOYAmt>1317224</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>1439378</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>72748</BOYAmt>
        <EOYAmt>82756</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>3380723</EOYAmt>
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      <DeferredRevenueGrp>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>975867</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>80907</BOYAmt>
        <EOYAmt>93536</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>3380723</EOYAmt>
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      <NetUnrlzdGainsLossesInvstAmt>-20856</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc6">
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        <CurrentTaxYearMinus3YearsAmt>811174</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>735346</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1172909</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>1172909</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>976227</CurrentTaxYearAmt>
        <TotalAmt>4450802</TotalAmt>
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        <CurrentTaxYearMinus1YearAmt>940</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2244</CurrentTaxYearAmt>
        <TotalAmt>5525</TotalAmt>
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      <TotalSupportAmt>4456327</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>34267720</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.95710</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99850</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      </ContributorInformationGrp>
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        <AdministrativeExpensesAmt>-1251</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>73848</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>41934</BeginningYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>-10844</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-3100</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-1250</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>63840</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>29632</BeginningYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>12863</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-1491</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-654</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>41934</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>31733</BeginningYearBalanceAmt>
        <ContributionsAmt>1471</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>15</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-3031</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-556</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>29632</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
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        <BeginningYearBalanceAmt>30741</BeginningYearBalanceAmt>
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        <OtherExpendituresAmt>-1581</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-566</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>31733</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>229062</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>85692</DepreciationAmt>
        <BookValueAmt>143370</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>205101</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>198149</DepreciationAmt>
        <BookValueAmt>6952</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1670349</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>381293</DepreciationAmt>
        <BookValueAmt>1289056</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1439378</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES</Desc>
        <Amt>1260179</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LINE OF CREDIT</Desc>
        <Amt>100000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1360179</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>8399510</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-20856</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>5574690</OtherRevenueAmt>
      <RevenueNotReportedAmt>5553834</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2845676</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>1251</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2846927</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8588311</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>5574690</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>5574690</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3013621</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>1251</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>1251</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3014872</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY PROGRAM FEES 5,712,768 PROVISION FOR BAD DEBT -138,078</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY PROGRAM FEES 5,712,768 PROVISION FOR BAD DEBT -138,078</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="RetDoc4">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>ROSEMARY BROWNE</PersonNm>
        <RelationshipWithOrgTxt>EXECUTIVE DIRECTOR</RelationshipWithOrgTxt>
        <LoanPurposeTxt>DAILY OPERATING EXPENSES</LoanPurposeTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>15000</OriginalPrincipalAmt>
        <BalanceDueAmt>15000</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>15000</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 FOUR (4) 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. 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 - 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). HIV/STD TESTING IS CONDUCTED REQUIRING NO APPOINTMENT AND AT NO CHARGE EVERY MONDAY AND WEDNESDAY NIGHT AT OUR HARRISBURG LOCATION FROM 4:00 - 8:00 PM. WELLNESS CENTER ACTIVITIES ARE OFFERED BOTH IN-PERSON AND VIRTUALLY INCLUDING TRAUMA-INFORMED YOGA, SELF- DEFENSE, AND SOCIAL SUPPORT GROUPS. AS OF JUNE 2023, 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 -100,474 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 IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL BUREAU ANSWERING SERV 0 7,754 0 PAYROLL SERVICE 12,036 2,719 1,295 CHRISTINE WARREN 0 1,725 0 JESSICA FLYNN 0 2,594 0 KIMEKA CAMPBELL 0 4,050 0 NONPROFIT JESS 0 3,058 0 MEDICAL DIRECTOR 135,737 0 0 CONTRACTED CLINICAL 243,264 0 0 CONTRACTED BILLING SERVICE 3,132 0 0 TOTAL 394,169 21,900 1,295</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY PROGRAM FEES 5,712,768 PROVISION FOR BAD DEBT -138,078 PHARMACY PROGRAM FEES -5,712,768 PROVISION FOR BAD DEBT 138,078</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
