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      <Desc>ABOUT EXCELA HEALTH IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCHEXCELA HEALTH, THE LEADING HEALTH CARE PROVIDER AND THE LARGEST EMPLOYER IN WESTMORELAND COUNTY, BROUGHT TOGETHER THREE HOSPITALS IN 2004 WESTMORELAND HOSPITAL IN GREENSBURG, FRICK HOSPITAL IN MOUNT PLEASANT AND LATROBE HOSPITAL IN LATROBE WITH THE GOAL OF SERVING AS A REGIONAL HEALTH CARE SYSTEM THAT EMBODIES HIGH QUALITY, ACCESSIBILITY AND ADVANCED TECHNOLOGY LOCALLY. MORE TO THE POINT, EXCELA HEALTH SEEKS TO LIVE ITS MISSION OF "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH" COUCHED IN VALUES KNOWN AS THE EXCELA WAY. EVIDENCE OF THOSE IDEALS CAN BE FOUND IN THE EVENTS OF FISCAL YEAR 2023, WITH THE ADDITION OF NEW CONCEPTS, SERVICES AND TECHNOLOGIES WHILE, AT THE SAME TIME, GARNERING RECOGNITION FOR ITS EFFORTS FROM NATIONAL, REGIONAL AND LOCAL ORGANIZATIONS. IN ALL CASES, THE RESULTING PROGRAMS, SERVICES AND AWARDS BENEFITTED THE AREA'S CITIZENRY AND DEMONSTRATED A FOCUS ON QUALITY MEASURES, FURTHER ENHANCING THE WAY EXCELA HEALTH PROVIDES CARE. PERHAPS MORE IMPORTANT IS THE CONTINUING ADDITION OF HIGHLY TRAINED PHYSICIANS, NURSES AND HEALTH CARE PROFESSIONALS. TOGETHER, MANAGEMENT, THE BOARD OF TRUSTEES AND MEDICAL STAFF COLLABORATE DILIGENTLY, AND THOUGHTFULLY, TO PROVIDE OUTSTANDING CARE TO THIS REGION. ON JANUARY 1, 2023, EXCELA HEALTH ENTERED INTO AN AFFILIATION WITH BUTLER HEALTH SYSTEM, INC. (BHS) TO CREATE A NEW PARENT CORPORATION NAMED INDEPENDENCE HEALTH SYSTEM (IHS), WHICH HAS GOVERNANCE AUTHORITY OVER BOTH ORGANIZATIONS.AS A PENNSYLVANIA NONPROFIT CORPORATION DESCRIBED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, EXCELA HEALTH WAS ORIGINALLY INCORPORATED AS SUCH EFFECTIVE JULY 1, 1984, PREVIOUSLY KNOWN AS SOUTHWEST HEALTH SYSTEM, THEN WESTMORELAND HEALTH SYSTEM, FOLLOWED BY WESTMORELAND LATROBE HEALTH PARTNERS AND, FINALLY, EXCELA HEALTH. IN ADDITION TO ITS HOSPITALS, EXCELA HEALTH ENCOMPASSES OTHER HEALTH-RELATED SUBSIDIARIES AND CONTINUES TO EXPAND AS THE NEEDS OF THE COMMUNITY DEMAND.</Desc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER SHALL HAVE THE EXCLUSIVE POWER AND AUTHORITY TO TAKE THE FOLLOWING ACTIONS: (A) DETERMINE THE NUMBER OF, AND TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE TRUSTEES OF THE CORPORATION; (B) ELECT AND REMOVE, WITH OR WITHOUT CAUSE, ALL OFFICERS OF THE CORPORATION, INCLUDING THE PRESIDENT &amp; CEO; (C) DETERMINE THE COMPENSATION OF THE PRESIDENT &amp; CEO OF THE CORPORATION; (D) ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE CORPORATION; (E) APPROVE ANY AND ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS (OR COMPARABLE ORGANIZATIONAL OR GOVERNING DOCUMENTS) OF THE CORPORATION; (F) APPROVE THE DISSOLUTION, DIVISION, CONVERSION OR LIQUIDATION OF THE CORPORATION, THE CONSOLIDATION OR MERGER OF THE CORPORATION WITH ANOTHER CORPORATION OR ENTITY, OR THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (G) APPROVE THE FORMATION OF, DISSOLUTION OF, OR MAKING OF INVESTMENTS IN SUBSIDIARY CORPORATIONS, PARTNERSHIPS, AND JOINT VENTURES, AND THE ACQUISITION OF SUBSTANTIALLY ALL OF THE ASSETS OF ANOTHER CORPORATION OR ENTITY; (H) APPROVE ALL STRATEGIC PLANS OF THE CORPORATION AND MATERIAL CHANGES THERETO; (I) APPROVE ANY INVESTMENT POLICY OF THE CORPORATION; (J) APPROVE THE ANNUAL OPERATING AND/OR CAPITAL BUDGETS OF THE CORPORATION, AND ANY AMENDMENTS THERETO; (K) TO APPROVE ALL UNBUDGETED EXPENDITURES IN EXCESS OF SUCH AMOUNT AS IS SET FORTH IN THE APPLICABLE POLICY OF IHS; (L) APPROVAL OF ANY GRANT OR CHARITABLE DONATION BY THE CORPORATION, OTHER THAN TO THE SOLE MEMBER OR ANY NONPROFIT ENTITY THAT THE SOLE MEMBER DIRECTLY OR INDIRECTLY CONTROLS, IN EXCESS OF SUCH AMOUNT AS IS SET FORTH IN THE APPLICABLE POLICY OF IHS AND WHICH WAS NOT INCLUDED IN A PREVIOUSLY APPROVED BUDGET; (M) APPROVE THE CORPORATION'S BORROWING OF MONEY, ISSUANCE OF INDEBTEDNESS AND/OR INCURRENCE OF GUARANTEES, WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS, IN EXCESS OF SUCH AMOUNT AS IS SET FORTH IN THE APPLICABLE IHS POLICY AND WHICH WAS NOT APPROVED IN CONNECTION WITH A PREVIOUSLY APPROVED BUDGET, WHETHER OR NOT SUCH BORROWINGS, INDEBTEDNESS OR GUARANTEES ARE TO BE SECURED BY A MORTGAGE, PLEDGE OR OTHER LIEN ON THE CORPORATION'S CURRENT OR FUTURE REAL PROPERTY, PERSONAL PROPERTY OR ENDOWMENT FUNDS; (N) ESTABLISH OR MODIFY AN OBLIGATED GROUP FOR FINANCING PURPOSES; (O) ADOPT NEW EMPLOYEE BENEFIT PLANS OR THE TERMINATION OF EXISTING EMPLOYEE BENEFIT PLANS; (P) SELECT AND APPOINT AUDITORS FOR, AND TO DESIGNATE THE FISCAL YEAR OF, THE CORPORATION; (Q) RETAIN LEGAL COUNSEL ON BEHALF OF THE CORPORATION AND SETTLE ANY LITIGATION AGAINST THE CORPORATION IN EXCESS OF SUCH AMOUNTS AS ARE DETERMINED UNDER THE APPLICABLE IHS POLICY; (R) APPROVE AND AUTHORIZE THE CONSTRUCTION, RELOCATION OR CLOSURE OF LICENSED ACUTE CARE FACILITIES OF THE CORPORATION, AND DETERMINE THE LOCATION OF LICENSED ACUTE CARE FACILITIES ACROSS IHS (AS DEFINED BELOW); (S) TO ENTER INTO AGREEMENTS AND TAKE SUCH OTHER ACTIONS AS THE SOLE MEMBER DEEMS NECESSARY OR ADVISABLE TO FURTHER THE INTEGRATION AND EFFICIENT OPERATION OF IHS (E.G., BRANDING, GROUP PURCHASING AGREEMENTS, PARTICIPATION IN A CENTRALIZED FINANCIAL AND CASH MANAGEMENT SYSTEM); AND (T) TO ELECT TO EXERCISE, IN ITS DISCRETION, THE POWERS RESERVED TO THE CORPORATION BY ITS SUBSIDIARIES OR HELD BY THE CORPORATION AND/OR ITS SUBSIDIARIES WITH RESPECT TO JOINT VENTURES, IN WHICH CASE THE ACTION OF THE SOLE MEMBER SHALL TAKE PRECEDENCE OVER ANY ACTION OF THE BOARD OF TRUSTEES OF THIS CORPORATION.</ExplanationTxt>
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        <ExplanationTxt>AFTER THE CLOSE OF EACH FISCAL YEAR, AND SUBJECT TO APPLICABLE LAW, THE HUMAN RESOURCES COMMITTEE OF THE BOARD MAY COMMISSION AN EXECUTIVE COMPENSATION STUDY BE COMPLETED USING DATA OBTAINED FROM OUTSIDE PARTIES AND OTHER PUBLIC RECORDS TO DETERMINE THE MARKET COMPETITIVENESS, APPROPRIATENESS AND REASONABLENESS OF EACH PAY ELEMENT AND THE AGGREGATE TOTAL COMPENSATION PACKAGE. THE HUMAN RESOURCES COMMITTEE PRESENTS THE STUDY'S FINDINGS AND ANY RECOMMENDED CHANGES TO THE EXECUTIVE COMMITTEE FOR APPROVAL.</ExplanationTxt>
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        <ExplanationTxt>EXCELA HEALTH MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 IS ALSO AVAILABLE AT EXCELAHEALTH.ORG.</ExplanationTxt>
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        <ExplanationTxt>OTHER FEES: PROGRAM SERVICE EXPENSES 1,224,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,224,364.</ExplanationTxt>
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        <ExplanationTxt>EXCELA HEALTH HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
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      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>1</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EXCELA HEALTH PHYSICIAN PRACTICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1232258</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WESTMORELAND REGIONAL HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1809699</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FRICK HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>307862</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LATROBE AREA HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>949140</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CAREGIVERS OF SOUTHWESTERN PA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>9038</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EXCELA HEALTH HOME CARE AND HOSPICE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>186410</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
