2024-05-13T09:45:10-05:00 2023-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-07-01 251655867 ARMSTRONG HEALTH & EDUCATION FOUNDATION % MATTHEW KOCIOLA ARMS 7245438618 ONE NOLTE DRIVE KITTANNING PA 16201 NICOLE D GERACI PRESIDENT AND CEO 7245438181 2024-02-23 true NICHOLE D GERACI 999009999 Brian D Todd P00422601 4178658701 2024-04-02 2 2022 2023-04-26 12:10:37Z NICHOLE D GERACI ONE NOLTE DRIVE KITTANNING PA 16201 6380759 false X ACMH.ORG/ACMH-FOUNDATION X 1991 PA THE MISSION IS TO PROVIDE FINANCIAL, EDUCATIONAL AND HUMAN RESOURCES TO COMMUNITY PROGRAMS THAT FOSTER THE AWARENESS, UNDERSTANDING AND CREATION OF HEALTHY COMMUNITIES. 7 4 0 4 0 0 525723 1175487 3111 3080 427345 405184 -2019 -5671 954160 1578080 114618 6068425 0 0 0 0 0 0 3323 140216 187357 254834 6255782 699326 -4677702 16112454 12053063 2452 1255 16110002 12051808 X THE MISSION OF THE ACMH FOUNDATION IS TO PROVIDE FINANCIAL, EDUCATIONAL AND HUMAN RESOURCES TO COMMUNITY PROGRAMS THAT FOSTER THE AWARENESS, UNDERSTANDING AND CREATION OF HEALTHY COMMUNITIES. SEE SCHEDULE O FOR MORE INFORMATION. false false 6176385 6049889 3080 THE ORGANIZATION IS INVOLVED IN AND CONTRIBUTES TO VARIOUS COMMUNITY PROGRAMS, INCLUDING: CANCER CENTER ASSISTANCE, EDUCATION AND OUTREACH, ONCOLOGY PROTOCOL, WELLNESS INITIATIVES, AND THE ACMH HEALING GARDEN. SEE SCHEDULE O FOR MORE INFORMATION. 18536 18536 THE ORGANIZATION SUPPLIES ONCOLOGY ASSISTANCE TO INDIVIDUALS WHO NEED HELP IN PURCHASING VARIOUS ITEMS INCLUDING: MEDICATIONS, TRAVEL, AND VARIOUS OTHER EXPENSES. 6194921 true true false false false false false false false false false false false false true false false true false false false false false false true false false true true true false false false false false false false false false false false false false true false false false true 10 0 true 0 false false false false false true true false false false false false false X 7 4 true false false false true true true true true false false true true true true true true false false false PA X MATTHEW KOCIOLA 7245438618 ONE NOLTE DRIVE KITTANNING PA 16201 X JOHN LEWIS PRESIDENT AND CEO 1.0 39.0 X X 0 475702 60947 MATT KOCIOLA CFO/VP OF FINANCE 1.0 39.0 X X 0 265921 58717 ANNE REMALEY DIRECTOR/VP OF HUMAN RESOURCES 1.0 39.0 X X 0 189420 49751 COLBY OWEN DIRECTOR 1.0 0.0 X 0 0 0 ELIZABETH WHITE DIRECTOR 1.0 1.0 X 0 0 0 ESTHER MILLER SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 STEVEN DAVIS VICE CHAIR/CHAIRMAN 1.0 1.0 X X 0 0 0 0 931043 169415 0 false true false 0 75128 1100359 1175487 OTHER REVENUE 900099 3080 3080 3080 410858 410858 0 0 0 0 0 4768123 4773797 -5674 -5674 -5674 23211 75128 28882 -5671 -5671 0 0 0 0 0 0 0 1578080 3080 0 399513 6049889 6049889 18536 18536 0 0 0 0 0 0 0 0 0 0 4800 4800 0 0 49613 49613 0 0 3323 3323 0 0 0 0 0 0 0 0 0 0 COMMUNITY & ORG WELLNESS 126496 126496 LICENSES, DUES, SUBSCRIPTIONS 3125 3125 6255782 6194921 57538 3323 0 0 4143854 338333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11968600 11714730 0 0 0 0 0 0 0 0 16112454 12053063 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2081 1255 2452 1255 X 15296725 11613344 813277 438464 16110002 12051808 16112454 12053063 -4677702 619508 X false true X true false X X 1 ACMH 204648477 10 true 6049889 0 1 6049889 0 true false false false false false false false false false false false false false false true false SCHEDULE A, PART I, LINE 12G, COLUMN (I) SUPPORTED ORGANIZATION: THE FULL NAME OF THE SUPPORTED ORGANIZATION IS ARMSTRONG CENTER FOR MEDICINE & HEALTH, INC. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO AFFILIATES 1255 1255 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. GOLF OUTING 82734 65024 17710 700 1564 5162 3961 0 10212 COLOR RUN 15605 10104 5501 0 0 400 238 250 6395 0 98339 75128 23211 700 1564 5562 4199 250 16607 28882 -5671 true ARMSTRONG COUNTY MEMORIAL HOSPITAL ONE NOLTE DRIVE KITTANNING PA 16201 250965237 501(C)(3) 6049889 SUPPORT 1 ONCOLOGY ASSISTANCE FUND 81 18536 SCHEDULE I, PART I, LINE 2 MONITORING THE USE OF GRANT FUNDS: THE ORGANIZATION PROVIDES ASSISTANCE TO ONCOLOGY PATIENTS BY PROVIDING FUNDS FOR MEDICATIONS AND TRANSPORTATION. THE RECIPIENTS ARE PATIENTS OF ARMSTRONG COUNTY MEMORIAL HOSPITAL OR ITS RELATED ENTITIES. false true false false false false false true false ANNE REMALEY DIRECTOR/VP OF HUMAN RESOURCES 0 189170 0 250 0 0 0 24543 0 25208 0 239171 0 0 JOHN LEWIS PRESIDENT AND CEO 0 412745 0 0 0 62957 0 34125 0 26822 0 536649 0 55000 MATT KOCIOLA CFO/VP OF FINANCE 0 265766 0 0 0 155 0 57183 0 1534 0 324638 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION: ARMSTRONG COUNTY MEMORIAL HOSPITAL, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUAL PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING 457(F) CONTRIBUTIONS OR DISTRIBUTIONS: $ 55,000 JOHN I. LEWIS - DISTRIBUTIONS $ 29,954.34 MATTHEW KOCIOLA - CONTRIBUTIONS THE 457(F) CONTRIBUTION PLAN THAT ARMSTRONG COUNTY MEMORIAL HOSPITAL ESTABLISHED FOR A SELECT GROUP OF MANAGEMENT INCLUDES THE FOLLOWING TERMS: A PARTICIPANT SHALL BECOME FULLY VESTED IN HIS DEFERRED COMPENSATION ACCOUNT, AND INCOME, GAINS AND LOSSES ATTRIBUTABLE THERETO, IF HE REMAINS IN SERVICE WITH THE EMPLOYER UNTIL THE FIRST OF THE FOLLOWING EVENTS OCCUR: (A) THE DEATH OF THE PARTICIPANT; (B) THE DISABILITY OF THE PARTICIPANT; (C) THE DATE THE PARTICIPANT ATTAINS AGE 65; OR (D) THE DATE A PARTICIPANT IS TERMINATED FROM EMPLOYMENT WITH THE EMPLOYER DUE TO A CHANGE OF CONTROL EVENT. (E) THE PARTICIPANT WILL BE VESTED AT 5 YEARS, AT WHICH TIME PAYMENTS WILL BEGIN. UPON VESTING, THE DEFERRED COMPENSATION ACCOUNT WILL BE INCLUDIBLE IN THE GROSS INCOME OF THE PARTICIPANT PURSUANT TO CODE SECTION 457(F). SCHEDULE J, PART II, COLUMN B(II) BONUS PAYMENTS: MANAGEMENT USES MGMA PUBLISHED STANDARDS TO ESTABLISH A BASE SALARY FOR PROVIDERS. IN ADDITION TO THE BASE SALARY, PROVIDERS HAVE THE ABILITY TO EARN INCENTIVES BASED UPON THEIR PRODUCTIVITY AS REFLECTED IN WORK RVU MEASURES. IN ADDITION, THE CEO PRESENTS GOALS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF WHAT THE ORGANIZATION HOPES TO ACHIEVE DURING EACH FISCAL YEAR. THESE GOALS ARE BASED ON REVENUES NET EARNINGS AND OTHER MEASURES. DEPENDING ON THE RESULTS, THE EXECUTIVE COMMITTEE OF THE BOARD, WITH INPUT FROM THE CEO, DETERMINES WHAT AMOUNT OF BONUSES (IF ANY) WILL BE PAID. IF APPROVED, BONUSES ARE PAID BY ARMSTRONG COUNTY MEMORIAL HOSPITAL. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: THE MISSION IS ACHIEVED PRIMARILY BY PERFORMING THE FOLLOWING DUTIES: - SUPPORT OF ARMSTRONG COUNTY MEMORIAL HOSPITAL AND ITS HEALTHCARE INITIATIVES - DEVELOP AND IMPLEMENT EFFECTIVE FUNDRAISING PROGRAMS - INVEST AND MANAGE ENTRUSTED FUNDS RESPONSIBLY, ETHICALLY AND EFFECTIVELY - PROMOTE AWARENESS OF THE FOUNDATION AND THE PROGRAMS IT SUPPORTS - DEVELOP, SUPPORT AND DEPLOY A NETWORK OF VOLUNTEERS, PROFESSIONALS AND COMMUNITY ORGANIZATIONS THAT PROMOTE AND CHAMPION HEALTH AND WELLNESS PROGRAMS FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: CANCER CENTER ASSISTANCE - ASSISTS ELIGIBLE CANCER PATIENTS BY UNDERWRITING UNINSURED COSTS ASSOCIATED WITH THE CANCER TREATMENT. CANCER CENTER EDUCATION - PROVIDES CANCER PATIENTS WITH OUTSTANDING NURSING CARE BY ENABLING NURSES TO LEARN THE MOST CUTTING-EDGE TECHNIQUES IN CANCER TREATMENT. CANCER CENTER OUTREACH - FREE SCREENINGS, EDUCATION AND SUPPORT PROGRAMS OFFER ELIGIBLE AREA CITIZENS THE OPPORTUNITY TO STOP CANCER BEFORE IT BEGINS OR TO DETECT CANCER IN ITS EARLIEST STAGES WHEN TREATMENT IS HIGHLY EFFECTIVE. ONCOLOGY PROTOCOL - OFFERS CANCER PATIENTS THE OPPORTUNITY TO TAKE PART IN PHARMACEUTICAL RESEARCH TRIALS SPECIFIC TO THEIR DIAGNOSIS. WELLNESS INITIATIVE FUND - COMMUNITY MEMBERS WHO WANT TO BECOME MORE PHYSICALLY FIT, HAVE ENERGIZED A NEW HEALTHIER FUTURE FOR THEMSELVES AND FOR THE NEXT GENERATION THROUGH WALKING EVENTS AND EDUCATIONAL PROGRAMS. ACMH HEALING GARDEN - PROVIDES A PEACEFUL SETTING FOR RELAXATION AND REFLECTION. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP: ANNE REMALEY, JOHN LEWIS AND MATTHEW KOCIOLA SHARE A BUSINESS RELATIONSHIP AS THEY ARE EMPLOYED BY A RELATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6, 7A & 7B MEMBERS/STOCKHOLDERS: ARMSTRONG CENTER FOR MEDICINE AND HEALTH, INC. (ACMH) IS THE CONTROLLING ENTITY OF THE FOUNDATION. THE BOARD OF DIRECTORS OF THE FOUNDATION IS ELECTED BY ACMH, AND ALL POWERS OF THE FOUNDATION SHALL BE EXERCISED BY AND UNDER THE AUTHORITY OF THE BOARD. IN ADDITION, THE BOARD OF ACMH HAS CERTAIN RIGHTS WITH RESPECT TO THE GOVERNANCE OF THE FOUNDATION AS SPECIFIED IN THE BYLAWS. THE POWERS ARE DEFINED BELOW: AMENDMENT OF BYLAWS OR ARTICLES OF INCORPORATION, MERGER OR CONSOLIDATION WITH ANY OTHER ENTITY, DISSOLUTION AND DISTRIBUTION OF ASSETS, ELECTION OF OFFICERS, ADOPTION OF INVESTMENT POLICIES AND SELECTION OF INVESTMENT ADVISORS, INVESTMENT OF RESTRICTED GIFTS, SELECTION OF ATTORNEYS AND AUDITORS, ADOPTION OF OPERATING AND CAPITAL BUDGETS, APPROVAL OF FUND-RAISING PROGRAMS, DONATION OR TRANSFER OF ANY ASSET WITH AN AGGREGATE VALUE IN EXCESS OF SUCH AMOUNT AS MAY BE DETERMINED BY THE BOARD OF ACMH, CREATION OF ANY LIEN OR SECURITY INTEREST IN ASSETS OF THE CORPORATION, DESIGNATION OR RESTRICTION OF GIFTS WITH A MARKET VALUE IN EXCESS OF SUCH AMOUNT AS MAY BE DETERMINED BY THE BOARD OF ACMH, AND ANY OTHER MATTER THAT WOULD REQUIRE THE APPROVAL OF THE MEMBERS OF A PA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A TENTATIVE DRAFT OF THE 990 IS REVIEWED BY THE DIRECTOR OF FINANCE, THE VICE PRESIDENT OF FINANCE, AND THE PRESIDENT/CEO BEFORE BEING PRESENTED TO THE BOARD OF DIRECTORS. THE 990 IS REVIEWED AND APPROVED AT THE BOARD MEETING AND FINAL REPORTS ARE PLACED ON THE BOARD OF DIRECTORS PORTAL ONCE OFFICIALLY FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REQUESTING ON AN ANNUAL BASIS THAT MEMBERS OF THE BOARD OF DIRECTORS, ALL CORPORATE OFFICERS, AND ALL KEY EMPLOYEES COMPLETE A QUESTIONNAIRE LISTING ALL ORGANIZATIONS WITH WHICH THEY HAVE AN AFFILIATION. THE POLICY OF THE ORGANIZATION DESCRIBES HOW ANY CONFLICTS OF INTEREST ARE TO BE ADDRESSED. THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH ALL SUCH DISCLOSURE STATEMENTS IN CASE A CONFLICT ARISES. THE VICE-CHAIRMAN OF THE BOARD SHALL BE FAMILIAR WITH THE STATEMENT FILED BY THE CHAIRMAN. IF A CONFLICT OF INTEREST SHOULD ARISE, THE MEMBERS ABSTAIN FROM THE VOTE RELATING TO THAT MATTER AND THE BOARD REVIEWS WHETHER THE MEMBER SHOULD BE REMOVED FROM THE BOARD OF DIRECTORS. FORM 990 PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW: THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PAID BY ARMSTRONG COUNTY MEMORIAL HOSPITAL (ACMH HOSPITAL). THE PROCESS ACMH HOSPITAL USES TO DETERMINE IF THE OFFICERS OF THE ORGANIZATION ARE TO RECEIVE A WAGE ADJUSTMENT IS AS FOLLOWS: 1) A SALARY COMPARISON PREPARED BY SURVEY DATA OBTAINED FROM YAFFE, WATSON WYATT AND SULLIVAN COTTON; 2) THE INFORMATION IS COMPILED BY THE VP OF HUMAN RESOURCES AND GIVEN TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR CONSIDERATION AND INPUT; 3) CHANGES TO EXECUTIVE COMPENSATION REQUIRE A SIGNED DOCUMENT FROM THE CHAIR OF THE HOSPITAL BOARD OF DIRECTORS. EXECUTIVE COMPENSATION IS REVIEWED AS DESCRIBED ABOVE, ON AN AS NEEDED BASIS AND WAS LAST COMPLETED IN MARCH 2021. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION TAKES THE FOLLOWING ACTIONS RELEASING INFORMATION REGARDING ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS: IF A REQUEST IS MADE TO REVIEW THE UNAUDITED FINANCIAL STATEMENTS, IT IS DISCUSSED AND DETERMINED ON A CASE BY CASE BASIS AS TO WHETHER THE INFORMATION WILL BE RELEASED. THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE ORGANIZATIONS THAT REQUEST THEM. A CODE OF CONDUCT FOR THE ORGANIZATION IS AVAILABLE TO THE PUBLIC ON ITS WEBSITE AT WWW.ACMH.ORG. THE CORPORATION'S GOVERNING DOCUMENTS ARE KEPT IN THE ADMINISTRATIVE DEPARTMENT OF THE HOSPITAL. THESE DOCUMENTS CAN BE VIEWED UPON REQUEST, BUT THEY ARE NOT ALLOWED TO BE TAKEN FROM THEIR DESIGNATED AREA OR HAVE COPIES MADE WITHOUT PERMISSION. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: NO BOARD MEMBERS RECEIVE ANY COMPENSATION FOR THEIR DIRECTOR DUTIES. JOHN I. LEWIS IS COMPENSATED BY ARMSTRONG COUNTY MEMORIAL HOSPITAL (ACMH HOSPITAL), A RELATED TAX-EXEMPT ORGANIZATION, AS PRESIDENT/CEO. MATTHEW KOCIOLA IS COMPENSATED BY ACMH HOSPITAL AS VICE PRESIDENT OF FINANCE/CFO. ANNE REMALEY IS COMPENSATED BY ACMH HOSPITAL AS VICE PRESIDENT OF HUMAN RESOURCES. ARMSTRONG COUNTY MEMORIAL HOSPITAL ONE NOLTE DRIVE KITTANNING PA 16201 250965237 HOSPITAL PA 501(C)(3) 3 ACMH false ACMH PHYSICIAN SERVICES ONE NOLTE DRIVE KITTANNING PA 16201 204648195 PRIMARY CARE PA 501(C)(3) 3 ACMH false ARMSTRONG CENTER FOR MEDICINE AND HEALTH ONE NOLTE DRIVE KITTANNING PA 16201 204648477 PARENT CORP. PA 501(C)(3) 10 NA false GLADE RUN MEDICAL ASSOCIATES INC ONE NOLTE DRIVE KITTANNING PA 16201 264750523 PHYSICIAN PRA PA 501(C)(3) 12A I ACMH false false true false false true false false false false false true true false true true true true true false