2024-11-13T12:09:17-06:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1000 COMMERCE PARK DR WILLIAMSPORT PA 17701 990 2023-01-01 201177431 ALLIED SERVICES RISK RETENTION GROUP ALLI 8008727475 1327 ASHLEY RIVER RD BLDG C 200 CHARLESTON SC 29407 WILLIAM CONABOY PRESIDENT/CEO 8008727475 2024-10-28 1 1 JAIME L KUNTZ CPA P01272711 5703236023 2024-10-28 2023 2024-10-15 13:58:12Z KENNETH KROGULSKI CFA 1327 ASHLEY RIVER RD BLDG C 200 CHARLESTON SC 29407 7622958 0 X N/A X 2004 SC TO PROVIDE INSURANCE AND/OR CLAIMS DEFENSE TO ALLIED SERVICES FOUNDATION AND AFFILIATES. 6 5 0 7 0 0 0 0 1654537 1631652 -57839 31676 0 0 1596698 1663328 0 0 0 0 0 0 0 0 0 1151885 1609420 1151885 1609420 444813 53908 8715082 8644209 5671975 6139873 3043107 2504336 TO PROVIDE INSURANCE AND/OR CLAIMS DEFENSE TO ALLIED SERVICES FOUNDATION ("THE FOUNDATION") AND EACH AFFILIATE, COLLECTIVELY ALLIED SERVICES, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SERVING NORTHEAST PENNSYLVANIA. 0 0 1585326 0 1631652 PROVIDING INSURANCE IN SUPPORT OF THE EXEMPT ACTIVITIES ENGAGED IN BY ALLIED SERVICES SYSTEM ENTITIES. 1585326 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X PAUL R NEWTON BOARD DIRECTOR 8778727475 1327 ASHLEY RIVER RD BLDG C 200 CHARLESTON SC 29407 KENNETH KROGULSKI CFA CHAIRMAN 1.00 7.00 X X 0 0 0 WILLIAM W SCRANTON III VICE CHAIRMAN 1.00 4.00 X X 0 0 0 GERALD B FRANCESKI TREASURER 1.00 4.00 X X 0 0 0 WILLIAM P CONABOY ESQ PRESIDENT/CEO/SECRETARY 1.00 39.00 X X 0 2622391 717659 MICHAEL FERGUSON DIRECTOR 1.00 3.00 X 0 0 0 PAUL R NEWTON DIRECTOR 1.00 3.00 X 0 0 0 MICHAEL AVVISATO ASST. SECRETARY & TREASURE 1.00 39.00 X 0 1206001 320211 0 3828392 1037870 0 0 1 0 0 PREMIUMS EARNED 524114 1631652 1631652 1631652 252781 252781 5738525 5959630 -221105 -221105 -221105 1663328 1631652 0 31676 156000 156000 3038 3038 35289 35289 8981 8981 47106 47106 3389 3389 20705 20705 LOSSES & LAE 1296176 1296176 PREMIUM TAXES 38736 38736 1609420 1585326 24094 0 9695 35312 1069348 511282 831180 807000 6745881 7219170 58978 71445 8715082 8644209 194769 144996 820242 802590 4656964 5192287 5671975 6139873 X 931697 931697 200000 200000 1911410 1372639 3043107 2504336 8715082 8644209 X 53908 628426 -1221105 X 0 1 X 1 0 X X 9 ALLIED SERVICES FOUNDATION 232523682 7 1 0 0 JOHN HEINZ INSTITUTE OF REHABILITATIVE MEDICINE 232262852 3 1 0 0 ALLIED SERVICES INSTITUTE OF REHABILITATIVE MEDICINE 232523395 3 1 0 0 ALLIED SERVICES SKILLED NURSING CENTER 232523688 10 1 0 0 ALLIED HEALTH CARE SERVICES 240860110 3 1 0 0 ALLIED SERVICES PERSONAL CARE CENTER 232862231 10 1 0 0 ALLIED NORTHEAST APARTMENTS 232523679 10 0 0 0 ALLIED PROJECT OPPORTUNITY 232523680 10 0 0 0 THE BURNLEY WORKSHOP OF POCONOCS INC 231642528 10 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 FORM 990, SCHEDULE A, PART I, LINE 12G, COLUMN V: THE ORGANIZATION PROVIDES MEDICAL, PROFESSIONAL, AND GENERAL LIABILITY INSURANCE AND/OR CLAIMS DEFENSE TO THE SUPPORTED ALLIED SERVICES FOUNDATION AND RELATED ENTITIES. FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 1: ALLIED NORTHEAST APARTMENTS, ALLIED PROJECT OPPORTUNITY, AND THE BURNLEY WORKSHOP OF THE POCONOS, INC. ARE NOT SPECIFICALLY LISTED IN THE ORGANIZATION'S GOVERNING DOCUMENTS AS SUPPORTED ORGANIZATIONS, HOWEVER, THEY ARE SUBSIDIARIES OF ALLIED HEALTH CARE SERVICES WHICH IS LISTED AS A SUPPORTED ORGANIZATION IN THE GOVERNING DOCUMENTS. 0 RESERVES FOR LOSSES AND LAE 5153550 PREMIUM TAXES PAYABLE 38737 5192287 X 2061668 628426 -230086 398340 1663328 0 1663328 1600439 0 1600439 8981 8981 1609420 PART X, LINE 2: ASRRG ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2023 AND 2022. ASRRG'S FEDERAL RETURNS OF ORGANIZATION EXEMPT FROM INCOME TAX FOR YEARS PRIOR TO 2020 ARE NO LONGER SUBJECT TO EXAMINATION BY THE IRS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFICATION ADJUSTMENTS FOR REALIZED GAINS INCLUDED IN NET INCOME -221,105. INVESTMENT MGT. FEES NETTED AGAINST REVENUE ON F/S -8,981. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MGT. FEES NETTED AGAINST REVENUE ON F/S 8,981. 0 1 0 0 0 0 0 0 0 WILLIAM P CONABOY ESQ PRESIDENT/CEO/SECRETARY 0 637277 0 0 0 1985114 0 642288 0 75371 0 3340050 0 0 MICHAEL AVVISATO ASST. SECRETARY & TREASURE 0 377902 0 0 0 828099 0 263689 0 56522 0 1526212 0 0 PART I, LINE 3 THE PRESIDENT, WILLIAM CONABOY, ESQ., AND THE ASSISTANT SECRETARY/TREASURER, MICHAEL AVVISATO, ARE COMPENSATED BY ALLIED HEALTH CARE SERVICES (AHCS), A RELATED TAX-EXEMPT ORGANIZATION. AHCS USES THE FOLLOWING METHODS TO DETERMINE THEIR COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B WILLIAM P. CONABOY, ESQ. (PRESIDENT/CEO) AND MICHAEL AVVISATO (CFO) PARTICIPATE IN A RABBI TRUST NON-QUALIFIED DEFERRED COMPENSATION PLAN. THEY RECEIVED FOLLOWING DISTRIBUTIONS DURING THE YEAR: WILLIAM P. CONABOY, ESQ. - $1,985,114 MICHAEL AVVISATO - $828,099 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES DUTIES TO A MANAGEMENT COMPANY THROUGH A SERVICE AGREEMENT WITH USA RISK GROUP OF SOUTH CAROLINA. ADDITIONAL SERVICES ARE PERFORMED BY ALLIED HEALTHCARE SERVICES, INC. NOTE THAT THE ORGANIZATION DOES NOT HAVE ANY EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 6 THE ALLIED SERVICES FOUNDATION IS THE MAJORITY CONTROLLING MEMBER WITH VOTING PRIVILEGES. FURTHER, THE MEMBERS OF ALLIED SERVICES RISK RETENTION GROUP ("THE ORGANIZATION") SHALL BE THOSE PERSONS WHO SERVE FROM TIME TO TIME AS MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF THE FOUNDATION. IN EACH CASE TO SERVE IN SUCH A CAPACITY IS AT THE DISCRETION OF THE FOUNDATION, AND EACH MEMBER IS SUBJECT TO REMOVAL BY THE FOUNDATION AT ANY TIME, WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION A, LINE 7A AS DOCUMENTED IN THE ORGANIZATION'S BYLAWS, THE FOUNDATION APPOINTS THE GOVERNING BODY AS MAJORITY CONTROLLING MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED IN DETAIL BY THE CHAIRMAN OF THE BOARD AND THE CHAIRMAN OF THE AUDIT COMMITTEE PRIOR TO FILING WITH THE IRS. A COPY OF THE RETURN IS AVAILABLE TO THE ENTIRE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALLIED SERVICES FOUNDATION AND RELATED ENTITIES' CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS DOWN TO DEPARTMENT HEADS AS WELL AS ANY STAFF THAT ARE INVOLVED IN THE PURCHASING PROCESS. ALL COVERED PERSONS MUST COMPLETE AN ANNUAL CONFLICT STATEMENT. IF A TRANSACTION IS PROPOSED INVOLVING A CONFLICT, THE BOARD INVESTIGATES ALTERNATIVES FOR THE TRANSACTION AND MAKES A DETERMINATION IF A MORE ADVANTAGEOUS ARRANGEMENT CAN BE MADE. MEMBERS INVOLVED IN THE CONFLICT MUST ABSTAIN FROM VOTING ON SUCH MATTERS. ANY VIOLATIONS OF THE POLICY ARE HANDLED AS NECESSARY FROM REPRIMAND TO TERMINATION FROM THE BOARD OR EMPLOYMENT, DEPENDING ON THE SEVERITY OF THE OFFENSE. COMPLIANCE WITH THIS POLICY IS MONITORED BY THE VICE PRESIDENT OF HUMAN RESOURCES. FORM 990, PART VI, SECTION B, LINE 15 ALLIED SERVICES FOUNDATION AND RELATED ENTITIES PARTICPATE IN MULTIPLE REGIONAL SALARY SURVEYS TO DETERMINE MARKET COMPETITIVENESS, AND CONSIDER THE EXTERNAL MARKET AS A FACTOR IN THE JOB EVALUATION PROCESS. COMPENSATION FOR OFFICERS AND KEY EMPLOYEES ARE REVIEWED BY A COMPENSATION COMMITTEE OF THE BOARD. INCREASES ARE RECOMMENDED BY THE COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS BASED ON THE EXTERNAL SURVEYS AND INTERNAL REVIEWS. THIS PROCESS IS DOCUMENTED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: RECLASSIFICATION ADJUSTMENTS FOR REALIZED GAINS INCLUDED IN NET INCOME -221,105. DISTRIBUTIONS TO POLICY HOLDERS -1,000,000. ALLIED SERVICES FOUNDATION 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232523682 INVESTED FUNDS FOR RELATED ENTITIES TO SUPPORT THEIR MISSION PA 501(C)(3) LINE 7 N/A 0 JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232262852 PROVIDES REHABILITATION SERVICES PA 501(C)(3) LINE 3 ALLIED SERVICES FOUNDATION 0 ALLIED SERVICES INSTITUTE OF REHABILITATION MEDICINE 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232523395 PROVIDES REHABILITATION SERVICES PA 501(C)(3) LINE 3 ALLIED SERVICES FOUNDATION 0 ALLIED SERVICES SKILLED NURSING CENTER 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232523688 OPERATE A SKILLED AND INTERMEDIATE NURSING FACILITY PA 501(C)(3) LINE 3 ALLIED SERVICES FOUNDATION 0 ALLIED SERVICES PERSONAL CARE INC 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232862231 OPERATE A PERSONAL CARE FACILITY PA 501(C)(3) LINE 3 ALLIED SERVICES FOUNDATION 0 ALLIED HEALTH CARE SERVICES 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 240860110 PROVIDE HEALTH CARE SERVICES TO ELDERLY AND MENTALLY CHALLENGED PA 501(C)(3) LINE 3 ALLIED SERVICES FOUNDATION 0 ALLIED NORTHEAST APARTMENTS 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232523679 PROVIDE LOW INCOME HOUSING PA 501(C)(3) LINE 10 ALLIED HEALTH CARE SERVICES 0 ALLIED PROJECT OPPORTUNITY 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232523680 PROVIDE LOW INCOME HOUSING PA 501(C)(3) LINE 10 ALLIED HEALTH CARE SERVICES 0 THE BURNLEY WORKSHOP OF THE POCONOS INC 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 231642528 OPERATE A VOCATIONAL REHABILITATION FACILITY PA 501(C)(3) LINE 7 ALLIED HEALTH CARE SERVICES 0 ALLIED SERVICES CONTINUING CARE RETIREMENT COMMUNITY 100 TERRACE LANE SCRANTON PA 18508 204472148 PROVIDE INDEPENDENT LIVING SERVICES PA 501(C)(3) LINE 12A, I ALLIED SERVICES FOUNDATION 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0