2024-05-13T05:13:57-05:00 2023-06-30 390859910 BAKER TILLY US LLP 20 STANWIX STREET PITTSBURGH PA 15222 990 2022-07-01 251750654 LATROBE AREA HOSPITAL CHARITABLE FOUNDATION LATR 7246891646 121 W SECOND AVENUE LATROBE PA 15650 THOMAS S ALBANESI JR CPA FHFMA CFO/ASSISTANT TREASURER 7246891646 2024-05-03 1 THOMAS ALBANESI JR CPA FHFM 999009999 1 JEFFREY J PETRELL P00138808 4126976400 2024-05-03 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOHN SPHON 121 W SECOND AVENUE LATROBE PA 15650 2769028 0 X WWW.EXCELAHEALTH.ORG X 1994 PA FUNDRAISING FOR LATROBE AREA HOSPITAL 12 12 0 20 0 0 1940151 917372 0 0 1784720 845598 -2950 -2123 3721921 1760847 2188196 1246332 0 0 111020 120800 14867 0 0 26084 11149 2340167 1378281 1381754 382566 15316623 16751541 37385 29475 15279238 16722066 X TO FUNDRAISE ON BEHALF OF LATROBE AREA HOSPITAL AND SUPPORT THEIR MISSION "TO IMPROVE THE HEALTH AND WELL BEING OF EVERY LIFE WE TOUCH" 0 0 1378281 1246332 12575 FOR MORE THAN 25 YEARS THE LATROBE AREA HOSPITAL CHARITABLE FOUNDATION HAS SUPPORTED THE ESSENTIAL LIFE-SAVING WORK AT LATROBE HOSPITAL. AS PART OF ITS ONGOING COMMITMENT TO THE COMMUNITIES THAT LATROBE HOSPITAL SERVES, THE CHARITABLE FOUNDATION PROVIDES IMPORTANT AND IMPACTFUL FINANCIAL SUPPORT BY FUNDING NEW AND VITAL MEDICAL EQUIPMENT, MUCH NEEDED HOSPITAL RENOVATIONS, AS WELL AS UP-TO-DATE PROFESSIONAL AND PATIENT EDUCATION.THE MISSION OF THE LATROBE AREA HOSPITAL CHARITABLE FOUNDATION, THROUGH FUNDRAISING AND THE THOUGHTFUL DISTRIBUTION OF THOSE FUNDS, IS TO SUPPORT INDEPENDENCE HEALTH (FORMERLY EXCELA HEALTH) LATROBE HOSPITAL AS THEY CONTINUE TO DELIVER OUTSTANDING COMMUNITY-BASED HEALTH CARE. BY FUNDING ONGOING CAPITAL IMPROVEMENTS, VITAL HEALTH CARE PROGRAMS, AND THOSE THAT SUPPORT THE HEALTH OF OUR COMMUNITY, THE LATROBE AREA HOSPITAL CHARITABLE FOUNDATION IS A CRITICAL HEALTH CARE PARTNER IN OUR COMMUNITY.OUR PRIORITIES COMMUNITY HEALTH AND WELLNESS EDUCATION PATIENT CARE ENHANCEMENTS QUALITY AND PATIENT SAFETY INITIATIVES PROFESSIONAL DEVELOPMENT STUDENT SCHOLARSHIPS THE LATROBE FAMILY MEDICINE RESIDENCY PROGRAMA MAJOR HIGHLIGHT FROM FY2023 WAS THE ADDITION OF THE SIEMENS CONE BEAM 3D CT SCANNER TO AID IN THE DIAGNOSIS AND TREATMENT OF LUNG CANCER. THORACIC SURGEONS MICHAEL SZWERC, MD, FACS, AND BRIAN LACE, MD, ARE THE FIRST IN SOUTHWESTERN PENNSYLVANIA TO USE THIS NEW TECHNOLOGY IN THEIR PRACTICE AT THE SURGICAL INSTITUTE AT LATROBE HOSPITAL. THE TECHNOLOGY ADDS REAL TIME IMAGE FEEDBACK FOR PRECISE VISUALIZATION OF NODULES IN THE LUNGS. PURCHASE OF THE DEVICE WAS MADE POSSIBLE BY A $500,000 GRANT FROM THE ALLEGHENY FOUNDATION WITH ASSISTANCE FROM THE LATROBE AREA HOSPITAL CHARITABLE FOUNDATION. THE CONE BEAM CT SCANNING ALSO CAN BE UTILIZED BY ORTHOPEDIC AND NEUROSURGEONS FOR ORTHOPEDIC TRAUMA AND SPINE PROCEDURES. 1378281 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X X THOMAS S ALBANESI JR CPA FHFMA 7248324040 532 WEST PITTSBURGH STRET GREENSBURG PA 15601 BARBARA K WANG MD CHAIRMAN 1.00 X X 0 0 0 DAVID S DEROSE ESQ VICE-CHAIRMAN 1.00 X X 0 0 0 DOUGLAS A CLARK SECRETARY 1.00 X X 0 0 0 JOSEPH A SCARPO TREASURER 1.00 X X 0 0 0 THOMAS P GESSNER MD TRUSTEE 1.00 X 0 0 0 WYLIE L OVERLY MD TRUSTEE 1.00 X 0 0 0 SAM REIMAN TRUSTEE 1.00 X 0 0 0 PHYLLIS RUFFNER TRUSTEE 1.00 X 0 0 0 DOUGLAS L SISSON TRUSTEE 1.00 X 0 0 0 WILLIAM D STAVISKY EDD TRUSTEE 1.00 X 0 0 0 REV PAUL R TAYLOR OSB TRUSTEE 1.00 X 0 0 0 RUTH R TOLBERT TRUSTEE 1.00 X 0 0 0 JOHN M SPHON CEO OF EXCELA HEALTH 1.00 59.00 X 0 709195 37379 THOMAS S ALBANESI JR CPA CFO/ASSISTANT TREASURER 1.00 59.00 X 0 398089 31250 KEN DEFURIO PRESIDENT & CEO 1.00 59.00 X 0 1015706 284894 ALBERT J NOVAK JR VP,CHIEF PHILANTHROPY(UNTIL 09/22) 20.00 20.00 X 0 185817 21274 0 2308807 374797 0 0 1 0 0 93945 823427 917372 395737 395737 1427187 977326 449861 449861 449861 16157 93945 30855 -14698 -14698 OTHER REVENUE 900099 12575 12575 12575 1760847 12575 0 830900 1233332 1233332 13000 13000 101373 101373 19427 19427 15 15 4734 4734 SOFTWARE/MAINTENANCE 3261 3261 DUES AND SUBSCRIPTIONS 3139 3139 1378281 1378281 0 0 -181095 -289775 512500 12500 12575 1072 1041 14943365 16637213 40781 377987 15316623 16751541 16906 5713 20479 23762 37385 29475 X 10200897 11505909 5078341 5216157 15279238 16722066 15316623 16751541 X 382566 724595 335667 X X 0 1 X 1 0 X X 1 LATROBE AREA HOSPITAL 250965414 3 1 1089310 0 1 1089310 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 224893 43650 268543 208261 16632 224893 201307 6954 208261 192260 9047 201307 192260 192260 0.00000 1.00000 0.00000 0 0 0 DUE TO AFFILIATES 23762 23762 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED PRIMARILY FOR SPECIFIED HOSPITAL PROGRAMS, DEPARTMENTS, RENOVATIONS, AND FACILITY EQUIPMENT AS RESTRICTED BY THE DONOR. PART X, LINE 2: THE FOUNDATION DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX PROVISIONS AT JUNE 30, 2023. GOLF OUTING 110102 93945 16157 10569 11049 9237 110102 93945 16157 10569 11049 9237 30855 -14698 1 LATROBE AREA HOSPITAL 121 W SECOND AVENUE LATROBE PA 15650 250965414 501(C)(3) 1089310 0 CASH TO FUND THE ACQUISITION OF VARIOUS MEDICAL EQUIPMENT AND SUPPORT HOSPITAL PROGRAMS EXCELA HEALTH HOME CARE AND HOSPICE 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 203474707 501(C)(3) 55446 0 CASH TO FUND THE ACQUISITION OF VARIOUS MEDICAL EQUIPMENT AND SUPPORT HOSPITAL PROGRAMS 2 0 COLLEGE SCHOLARSHIPS 10 13000 PART I, LINE 2: LATROBE AREA HOSPITAL CHARITABLE FOUNDATION PROVIDES ASSISTANCE TO RELATED 501(C)(3) HOSPITALS AND OTHER LOCAL NONPROFIT ORGANIZATIONS. THE FOUNDATION MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF THE ASSISTANCE. 0 1 0 0 0 0 0 0 0 KEN DEFURIO PRESIDENT & CEO 0 693580 0 280001 0 42125 0 263951 0 20943 0 1300600 0 0 JOHN M SPHON CEO OF EXCELA HEALTH 0 700000 0 9195 0 0 0 22696 0 14683 0 746574 0 0 THOMAS S ALBANESI JR CPA CFO/ASSISTANT TREASURER 0 365574 0 32515 0 0 0 16724 0 14526 0 429339 0 0 ALBERT J NOVAK JR VP,CHIEF PHILANTHROPY(UNTIL 09/22) 0 126245 0 59572 0 0 0 10442 0 10832 0 207091 0 0 PART I, LINE 3 THE ORGANIZATION'S CEO IS PAID BY EXCELA HEALTH. EXCELA HEALTH USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B A CONTRIBUTION TO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS MADE FOR THE FOLLOWING EMPLOYEE: KEN DEFURIO - $242,201 FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS OF THE CORPORATION SHALL BE ELECTED BY THE LATROBE AREA HOSPITAL, INC. THROUGH ITS BOARD OF DIRECTORS, FROM A SLATE OF DIRECTORS NOMINATED BY THE THEN-SERVING DIRECTORS OF LATROBE AREA HOSPITAL CHARITABLE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATION SHALL BE SUBJECT TO THE EXCLUSIVE RIGHTS OF THE LATROBE AREA HOSPITAL, INC. THOUGH ITS BOARD OF DIRECTORS TO DO THE FOLLOWING: (1) ELECT THE DIRECTORS OF THE CORPORATION. (2) REMOVE ANY AND ALL DIRECTORS AT ANY TIME; (3) APPROVE OR DISAPPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE BYLAWS OF THE CORPORATION; (4) APPROVE OR DISAPPROVE OF THE ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; AND (5) APPROVE ALL DISBURSEMENTS MADE BY THE CORPORATION PURSUANT TO ITS CHARITABLE PURPOSES. FORM 990, PART VI, SECTION B, LINE 11B LATROBE AREA HOSPITAL CHARITABLE FOUNDATION HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C A WEB-BASED SOFTWARE PROGRAM IS USED TO ADMINISTER A CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE ANNUALLY TO ALL BOARD TRUSTEES, KEY EMPLOYEES AND CERTAIN OTHER DIRECTORS, MANAGERS AND CONTRACTED PHYSICIANS. COMPLIANCE IN COMPLETING THE FORM IS REQUIRED AT 100% FOR OFFICERS, TRUSTEES AND KEY EMPLOYEES. THE DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER, CHIEF LEGAL OFFICER AND CERTAIN BOARD COMMITTEES. ADDITIONALLY, THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT IS SHARED WITH EMPLOYEES, MEDICAL STAFF AND BUSINESS PARTNERS THROUGH ONE OR MORE OF THE FOLLOWING METHODS: POSTING ON THE ORGANIZATION'S INTRANET WEBSITE, ON THE ORGANIZATION'S PUBLIC WORLD WIDE WEBSITE, IN ITS POLICY MANUAL AND IN ITS CORPORATE CODE. REPORTS AND SUBSEQUENT FINDINGS OF NON-COMPLIANCE RESULT IN DISCIPLINARY ACTION THROUGH HUMAN RESOURCES, THE OFFICE OF MEDICAL AFFAIRS, OR THROUGH COMPANY SANCTIONS TOWARDS BUSINESS PARTNERS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S CEO IS PAID BY EXCELA HEALTH. AFTER THE CLOSE OF EACH FISCAL YEAR, AND SUBJECT TO APPLICABLE LAW, EXCELA HEALTH'S 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. EXCELA HEALTH'S HUMAN RESOURCES COMMITTEE PRESENTS THE STUDY'S FINDINGS AND ANY RECOMMENDED CHANGES TO THEIR EXECUTIVE COMMITTEE FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 18 LATROBE AREA HOSPITAL CHARITABLE FOUNDATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 IS ALSO AVAILABLE AT EXCELAHEALTH.ORG. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME, LATROBE AREA HOSPITAL CHARITABLE FOUNDATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATES 335,667. FORM 990, PART XII, LINE 2C: LATROBE AREA HOSPITAL CHARITABLE FOUNDATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF EXCELA HEALTH. 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. WESTMORELANDFRICK HOSPITAL FOUNDATION 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 251309084 FUNDRAISING PA 501(C)(3) LINE 12A, I EXCELA HEALTH 0 WESTMORELAND REGIONAL HOSPITAL 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 250965612 HEALTH CARE PA 501(C)(3) LINE 3 EXCELA HEALTH 0 FRICK HOSPITAL 508 SOUTH CHURCH STREET MOUNT PLEASANT PA 15666 250965375 HEALTH CARE PA 501(C)(3) LINE 3 EXCELA HEALTH 0 EXCELA HEALTH HOME CARE AND HOSPICE 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 203474707 HEALTH CARE PA 501(C)(3) LINE 10 EXCELA HEALTH 0 LATROBE AREA HOSPITAL 121 W SECOND AVENUE LATROBE PA 15650 250965414 HEALTH CARE PA 501(C)(3) LINE 3 EXCELA HEALTH 0 CAREGIVERS OF SOUTHWESTERN PA 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 251570733 HEALTH CARE PA 501(C)(3) LINE 10 EXCELA HEALTH 0 EXCELA HEALTH 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 251471089 HEALTH CARE PA 501(C)(3) LINE 12C, III-FI INDEPENDENCE HEALTH SYSTEM 0 MOUNTAIN VIEW CANCER ASSOCIATES INC 200 VILLAGE DRIVE GREENSBURG PA 15601 030480551 HEALTH CARE PA 501(C)(3) LINE 3 EXCELA HEALTH 0 BUTLER HEALTH SYSTEM ONE HOSPITAL WAY BUTLER PA 16001 251441855 HC DELIV SYST PA 501(C)(3) LINE 10 INDEPENDENCE HEALTH SYSTEM 0 BUTLER HEALTHCARE PROVIDERS ONE HOSPITAL WAY BUTLER PA 16001 250965274 HOSPITAL PA 501(C)(3) LINE 3 BUTLER HEALTH SYSTEM 0 BUTLER MEDICAL PROVIDERS ONE HOSPITAL WAY BUTLER PA 16001 251441961 PHYSICIAN PRACTICE PA 501(C)(3) LINE 3 BUTLER HEALTH SYSTEM 0 NIXSAR CORPORATION ONE HOSPITAL WAY BUTLER PA 16001 251441960 REAL ESTATE PA 501(C)(3) LINE 12B, II BUTLER HEALTH SYSTEM 0 BUTLER HEALTH SYSTEM FOUNDATION ONE HOSPITAL WAY BUTLER PA 16001 261543883 FUNDRAISING PA 501(C)(3) LINE 12A, I BUTLER HEALTH SYSTEM 0 CLARION HOSPITAL ONE HOSPITAL WAY CLARION PA 16214 251010039 HOSPITAL PA 501(C)(3) LINE 3 CLARION HEALTHCARE SYSTEM 0 HEALTH SERVICES OF CLARION ONE HOSPITAL WAY CLARION PA 16215 753126134 PHYS. GROUP PA 501(C)(3) LINE 3 CLARION HEALTHCARE SYSTEM 0 CLARION HEALTHCARE SYSTEM ONE HOSPITAL WAY CLARION PA 16216 251534023 HOLDING COMP. PA 501(C)(3) LINE 12A, I BUTLER HEALTH SYSTEM 0 CLARION HOSPITAL SELF INS TRUST FUND ONE HOSPITAL WAY CLARION PA 16217 250766602 SELF INSURANCE PA 501(C)(3) LINE 12A, I CLARION HEALTHCARE SYSTEM 0 BUTLER MEMORIAL HOSPITAL AUXILIARY ONE HOSPITAL WAY BUTLER PA 16001 251457575 AUXILIARY PA 501(C)(3) LINE 10 BUTLER HEALTH SYSTEM 0 INDEPENDENCE HEALTH SYSTEM ONE HOSPITAL WAY BUTLER PA 16001 921340805 HEALTH CARE PA 501(C)(3) LINE 12B, II N/A 0 BUTLER AMBULATORY SURGERY CENTER LLC 102 TECHNOLOGY DRIVE BUTLER PA 16001 061728190 AMBULATORY SURG. PA N/A 0 0 BHS FASTERCARE ONE HOSPITAL WAY BUTLER PA 16001 271961562 URGENT CARE PA N/A 0 0 BHS FASTER CARE LABORATORY ONE HOSPITAL WAY BUTLER PA 16001 800628384 LAB. SERVICES PA N/A 0 0 EXCELA HEALTH PHYSICIAN PRACTICES 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 251744392 HEALTH CARE PA N/A C 0 EXCELA HEALTH HOLDING COMPANY 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 251826537 HEALTH CARE PA N/A C 0 EXCELA HEALTH VENTURES LLC 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 461290845 REAL ESTATE PA N/A C 0 EXCELA RECIPROCAL RRG & SUBSIDIARY 100 BANK STREET SUITE 610 BURLINGTON VT 05401 464602850 INSURANCE VT N/A C 0 EXCELA PHYSICIAN HOSPITAL ORGANIZATION LLC 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 820639487 HEALTH CARE PA N/A C 0 EXCELA HEALTH DIVERSIFIED SERVICES LLC 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 871455824 HEALTH CARE PA N/A C 0 PCA OF BUTLER PC 480 EAST JEFFERSON STREET BUTLER PA 16001 251351445 PHY. OFFICE PA N/A C 0 CLARION DEVELOPMENT CORPORATION ONE HOSPITAL DRIVE CLARION PA 16214 251516298 PHARMACY PA N/A C 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 1 1