2024-05-07T15:05:27-05:00 2023-06-30 WithumSmithBrown PC 1835 MARKET STREET SUITE 1710 PHILADELPHIA PA 191032945 990 2022-07-01 831933437 STAR COMMUNITY HEALTH INC % MATTHEW JAMES STAR 4845263111 520 E BROAD STREET SUITE 108 BETHLEHEM PA 180186330 MATTHEW JAMES CFO 4845263111 2024-05-15 true MATTHEW JAMES 000000000 Scott J Mariani P00642486 2155462140 2 2022 2023-04-26 12:10:37Z MARK ROBERTS 520 E BROAD STREET BETHLEHEM PA 180186330 34403615 false X WWW.STARWELLNESS.ORG X 2018 PA TO BE THE LEADING PREVENTATIVE AND COMPREHENSIVE PRIMARY HEALTH CARE PROVIDER IN PENNSYLVANIA. 11 11 32 11 0 0 9611858 9522076 20900655 24845161 13733 36378 0 0 30526246 34403615 1000 3750 0 0 2401129 2911340 0 0 0 27898252 31264111 30300381 34179201 225865 224414 9777597 9726329 8552462 8277274 1225135 1449055 X TO BE THE LEADING PREVENTIVE AND COMPREHENSIVE PRIMARY HEALTH CARE PROVIDER IN PENNSYLVANIA. WE ARE COMMITTED TO PROVIDING SERVICES THAT ARE PATIENT-FOCUSED, HIGH-QUALITY, ACCESSIBLE, AND COST-EFFECTIVE. SERVICES WILL BE PROVIDED WITH RESPECT TO THE SOCIAL, RELIGIOUS, CULTURAL, AND ECONOMIC NEEDS OF THE COMMUNITIES WE SERVE. ALL PATIENTS ARE SERVICED REGARDLESS OF ABILITY TO PAY. THROUGH EDUCATION, INNOVATION AND COMMUNITY PARTNERSHIPS, WE WILL ANTICIPATE AND EXCEED THE EXPECTATIONS OF OUR PATIENTS AND COMMUNITIES. false false 31004398 3750 24845161 EXPENSES INCURRED IN PROVIDING COMPASSIONATE, EXCELLENT QUALITY AND COST EFFECTIVE HEALTHCARE TO THE RESIDENTS OF THE COMMUNITIES WE SERVE REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. 31004398 true true false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true X 32 0 true 32 true false false false false false false false false false false false false X 11 11 false true true false false false false true true false false true true true true true true true true false X MATTHEW JAMES 4845263111 1110 AMERICAN PARKWAY ALLENTOWN PA 18109 X ALYCIA A WALTY MD CHIEF MEDICAL OFFICER 55.0 0.0 X 330293 0 56093 MARK ROBERTS EXECUTIVE DIRECTOR 55.0 0.0 X 244965 0 25947 LAURA HETRICK FORMER OFFICER 0.0 0.0 X 172292 0 42844 KAREN HEPWORTH DIRECTOR OF QUALITY MGMT 55.0 0.0 X 130500 0 25947 ERIC ROTHSTEIN ASSOCIATE REGIONAL MANAGER 55.0 0.0 X 106184 0 25947 SEYMOUR TRAUB CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 JOHN TALL VICE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 LUIS ACEVEDO SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 ANA PLACERES TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 BRENDA FERNANDEZ TRUSTEE 1.0 0.0 X 0 0 0 JEAN RAYMOND-HOFFMAN TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL RICHARDSON TRUSTEE 1.0 0.0 X 0 0 0 JESSICA RODRIGUEZ-COLON TRUSTEE 1.0 0.0 X 0 0 0 MELISSA SHAFER TRUSTEE 1.0 0.0 X 0 0 0 MARITZA TORRES TRUSTEE 1.0 0.0 X 0 0 0 CRYSTAL WRIGHT TRUSTEE 1.0 0.0 X 0 0 0 KATE HANEY TRUSTEE (TERMED 3/27/23) 1.0 0.0 X 0 0 0 MATTHEW JAMES CHIEF FINANCIAL OFFICER 55.0 0.0 X 0 0 0 984234 0 176778 5 true true false ST LUKE'S HOSPITAL OF BETHLEHEM PA 1110 ST LUKES WAY ALLENTOWN PA 18109 SYSTEM SUPPORT SVCS 4788996 GARFUNKEL WILD PC 111 GREAT NECK ROAD GREAT NECK NY 11021 LEGAL 184045 LEHIGH VALLEY CENTER FOR SIGHT PC 1739 FAIRMONT STREET ALLENTOWN PA 18104 MEDICAL 116655 VANGUARD CLEANING SYSTEMS 115 ROUTE 46 WEST SUITE A-8 MOUNTAIN LAKES NJ 07046 CLEANING 122472 4 1102083 8419993 9522076 NET PATIENT SERVICE REVENUE 621498 24826413 24826413 OTHER HEALTHCARE RELATED REVENUE 621498 18748 18748 24845161 36378 36378 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34403615 24845161 36378 X 3750 3750 0 0 0 386386 350491 35895 0 2011776 1824882 186894 54400 49346 5054 316330 286943 29387 142448 129215 13233 0 99822 90549 9273 0 0 0 0 5655933 5130513 525420 0 434209 393872 40337 1490151 1351720 138431 47286 42893 4393 0 1611323 1461636 149687 47342 42944 4398 0 36856 33432 3424 0 0 506925 459833 47092 450816 408936 41880 ALLOCATION OF PERSONNEL 18915943 17158705 1757238 MEDICAL SUPPLIES 1594823 1446668 148155 DUES & SUBSCRIPTIONS 77179 70009 7170 REPAIRS & MAINTENANCE 86788 78726 8062 208715 189335 19380 34179201 31004398 3174803 0 2531163 4222810 0 0 940796 23912 1648421 1015110 0 0 0 0 0 0 202628 188125 161606 166555 8005904 3939469 4253901 4066435 0 0 0 0 39082 43382 0 0 0 0 9777597 9726329 1368397 1380318 0 0 112473 275083 0 0 0 0 0 0 0 0 0 0 7071592 6621873 8552462 8277274 X 1225135 1449055 0 0 1225135 1449055 9777597 9726329 224414 -494 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1297766 245220 1052546 1765504 678513 1086991 4729542 3015736 1713806 213092 213092 4066435 0 DUE TO THIRD PARTY 6621873 6621873 X 33867183 33867183 536432 536432 34403615 34175451 34175451 3750 3750 34179201 SCHEDULE D, PART X; LINE 2 AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF STAR COMMUNITY HEALTH FOR THE YEAR ENDED JUNE 30, 2023. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2023 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): STAR IS A PENNSYLVANIA NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PRESCRIBE REQUIREMENTS FOR THE RECOGNITION OF INCOME TAXES IN FINANCIAL STATEMENTS, AND THE AMOUNTS RECOGNIZED ARE AFFECTED BY INCOME TAX POSITIONS TAKEN BY STAR IN ITS TAX RETURNS. STAR'S STATUS AS AN EXEMPT ORGANIZATION IS DEFINED AS AN INCOME TAX POSITION UNDER THESE REQUIREMENTS. WHILE MANAGEMENT BELIEVES IT HAS COMPLIED WITH THE INTERNAL REVENUE CODE, THE SUSTAINABILITY OF SOME INCOME TAX POSITIONS TAKEN BY STAR IN ITS TAX RETURNS MAY BE UNCERTAIN. THERE ARE MINIMUM THRESHOLDS OF LIKELIHOOD THAT UNCERTAIN TAX POSITIONS ARE REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THAT STAR HAS ANY MATERIAL UNCERTAIN TAX POSITIONS AT JUNE 30, 2023. IN THE EVENT INTEREST AND PENALTIES WERE DUE RELATING TO AN UNSUSTAINABLE TAX POSITION, THEY WOULD BE TREATED AS A COMPONENT OF INCOME TAX EXPENSE. There is no interest or penalties included in these financial statements for the year ended June 30, 2023. SCHEDULE D, PART XI; LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: - OPERATING INTEREST/INVESTMENT INCOME - $36,378; AND - OTHER NON-OPERATING INCOME - $500,054. SCHEDULE D, PART XII; LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: - DONATIONS TO OTHER ORGANIZATIONS - $3,750. X X X X false false false false false false false true false ALYCIA A WALTY MD CHIEF MEDICAL OFFICER 290268 0 39737 0 288 0 14550 0 41543 0 386386 0 0 0 MARK ROBERTS EXECUTIVE DIRECTOR 209156 0 34540 0 1269 0 13752 0 12195 0 270912 0 0 0 LAURA HETRICK FORMER OFFICER 153879 0 17961 0 452 0 19637 0 23207 0 215136 0 0 0 KAREN HEPWORTH DIRECTOR OF QUALITY MGMT 117255 0 11976 0 1269 0 13752 0 12195 0 156447 0 0 0 CORE FORM, PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2022 FORMS W-2. SCHEDULE J, PART I; QUESTION 7 THE INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Star Community Health is an Internal Revenue Code section 501(c)(3) tax-exempt organization, which is a Federally Qualified Health Center - "Look Alike" ("FQHC - LA") organization. FQHCs are community-based health care providers that have access to the centers for Medicare & Medicaid services (CMS) prospective payment system to adjust their claim reimbursement rate for several visit types. Star Community Health, Inc. ("Star") has access to a community needs assessment that identifies critical health disparities among community residents. These include: 1) Improving access to care 2) Promoting healthy lifestyles/preventing chronic diseases To continue to meet the needs of our underserved patients and deliver top-quality care in our community health centers, Star Community Health has developed a strategic plan to invest resources in a more comprehensive and unified care delivery system. Mission: our mission is to be the leading preventive and comprehensive primary health care provider in Pennsylvania. We are committed to providing services that are patient-focused, high quality, accessible, and cost-effective. Services will be provided with respect to social, religious, cultural, and economic needs of the communities we serve. All patients serviced regardless their ability to pay. Through education, innovation, and community partnerships, we will anticipate and exceed expectations of our patients and communities. Vision: the vision of Star Community Health is to promise to always provide compassionate, comprehensive, and culturally competent health care and wellness services to underserved and vulnerable people living in the communities we serve. Values: Star Community Health values are to provide high quality care at a reasonable cost with the intent to furnish the greatest satisfaction the patient and physicians who utilize star. Star focuses on improving the results of health care (including the outcome of care) and judgment about the quality and value of the health care delivered by star. We believe there is a relationship between performance, results, and judgment about quality and value. Star Community Health's values enhanced by systematically designing, measuring, analyzing, and improving the organization's functions. The value of patient care depends on the outcome achieved and resources used. FISCAL YEAR 2022-23 (FY 23) HIGHLIGHTS: ---------------------------------------- In FY 23, Star Community Health continued to provide quality health care to their patients even while managing a pandemic. Star Community Health provided a total of 151,858 visits, comprising: - 53,507 Family Practice - 44,371 Pediatric (KidsCare) - 24,166 Women's Health - 27,196 Dental Clinic - 4,999 Dental Van - 2,618 Specialty Key FY 23 Highlights -------------------- Patient Volume: In FY 23 Star experienced an 8% increase in total patient volume from FY 22, meaning more patients received the care they needed. Family Medicine, KidsCare, Women's Health and Specialty practices had 144,321 total visits and the Star Dental practice had 27,769 total visits. Quality Achievements: In FY 23 Star was in the 2nd decile nationally for quality measures including diabetes management, hypertension management, depression screenings and HIV screenings and linkages. Star Community Health received the Advancing Health Information Technology (HIT) for Quality recognition, the Addressing Social Risk Factor recognition and a Bronze Health Center Quality Leader recognition. Badges are awarded to health centers who have demonstrated the highest standards of quality of care in their practices. Access to Care: Patients are screened for the Social Determinants of Health once a year. High-risk patients are referred to care management and/or provided education about FindHelp.com. FindHelp.com is an online search engine for financial aid, food pantries, medical care, resources for pregnant women/new mothers, and other local, free, or reduced cost services. Since 2020, Star partnered with SLUHN to educate community organizations about FindHelp, verifying their information was current and correct on the site. Star providers can also send direct referrals to organizations via the FindHelp platform, ensuring that patients are connected directly to the services they need. In FY 23, there were 6,748 users on the Star Community Health FindHelp platform, 7,525 searches conducted, and 159 referrals made by care management. In October of 2022, the mobile dental clinic and mobile medical clinic traveled to Jaindl Turkey Farm to treat migrant workers. Star physicians and staff saw 57 patients at the farm, treating them for various health issues and conducted dental checks and cleanings. Due to long work hours and lack of transportation, the migrant workers did not have easy access to health care, so having the mobile units on the farm provided much needed care to the patients. Grant Funding: In FY 23, Star received $1,132,969 in grants. Star allocated the grant funds to a Covid vaccine campaign, new mobile dental units, and a workforce development campaign. Star Community Health awarded $9,450 in sponsorships to local non-profit agencies, school districts and community events to support the community and patient population Star Community Health serves. Community Engagement: Star prioritizes community engagement and outreach through various outreach and sponsorship events. In FY 23, Star physicians and residents from our Sigal Family Medicine practice performed 443 sport physicals for student athletes in the Allentown School District. Star also collaborated with the school district with kindergarten registrations. Incoming students registered at Sigal Center with school district staff and then completed their physicals with a Star pediatrician. This allowed caregivers to efficiently register their children in the district and ensure their child was up to date on vaccines. During National Health Center Week in August, Star hosted a back-to-school event at our Bethlehem Family Medicine practice, providing 50 families free backpacks and other school supplies. In December, all 12 Star practices held a food drive and collected clothing for food pantries in schools across the Lehigh Valley. Star participated in community events throughout the Lehigh Valley, including the Puerto Rican Festival, Back to School Events, the Allentown Halloween Parade, St Patrick's Day Parade, Meet the Athlete Nights at local high schools, ESOL Community Nights in Bethlehem and Read Across America events. Each of these events gave Star the opportunity to meet with the community and educate them on the services offered at Star and how to access care at an affordable cost. CORE FORM, PART VI, SECTION A; QUESTION 3 THE ORGANIZATION HAS ENTERED INTO VARIOUS AGREEMENTS WITH ST. LUKE'S HEALTH NETWORK ("SLHN"), AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION TO PROVIDE PROFESSIONAL, ADMINISTRATIVE AND OTHER SUPPORT SERVICES TO THE ORGANIZATION. THESE AGREEMENTS INCLUDE A SYSTEM SUPPORT AGREEMENT, COLLABORATION AGREEMENT, PROFESSIONAL SERVICES AGREEMENT AND GRANT AGREEMENTS. UNDER THESE AGREEMENTS SLHN AND ITS AFFILIATES PROVIDE SERVICES TO THE ORGANIZATION, INCLUDING, BUT NOT LIMITED TO, EXECUTIVE, LEGAL AND RISK MANAGEMENT, COMPLIANCE AND GOVERNANCE, HUMAN RESOURCES AND FINANCE. MARK ROBERTS SERVES AS THE EXECUTIVE DIRECTOR, HE WAS TRANSFERRED TO THIS ORGANIZATION AS OF 1/9/2022. FROM 1/1/2022 - 1/8/2022 MR. ROBERTS WAS EMPLOYED AT ST. LUKE'S PHYSICIAN GROUP, INC. AND RECEIVED $8,172 IN REPORTABLE COMPENSATION FOR SERVICES PROVIDED. IN ACCORDANCE WITH INTERNAL REVENUE SERVICE FORM 990 RULES, REGULATIONS AND INSTRUCTIONS, THE COMPENSATION REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J, PART II OF THIS FORM 990 IS DERIVED FROM 2022 FORMS W-2. MARK ROBERTS WAS EMPLOYED AS THE DIRECTOR OF OPERATIONS OF ST. LUKE'S PHYSICIAN GROUP, INC. THROUGH 1/9/2022, UNTIL HE WAS TRANSFERRED TO THIS ORGANIZATION. IN ADDITION, PURSUANT TO ITS PROFESSIONAL SERVICES AGREEMENT, CERTAIN PHYSICIANS AND SENIOR MANAGEMENT ARE LEASED FROM SLHN TO THIS ORGANIZATION. DURING THE YEAR ENDED JUNE 30, 2023, MATTHEW T. JAMES, THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, WAS LEASED BY SLHN. IN ACCORDANCE WITH THE FEDERAL FORM 990 INSTRUCTIONS, INCLUDED BELOW IS MATTHEW T. JAMES' 2022 REPORTABLE COMPENSATION AND OTHER COMPENSATION (DEFERRED COMPENSATION & NON-TAXABLE BENEFITS) FOR SERVICES PROVIDED TO STAR COMMUNITY HEALTH. MATTHEW T. JAMES ---------------- REPORTABLE COMPENSATION - $396,829 OTHER COMPENSATION (DEFERRED COMPENSATION & NON-TAXABLE BENEFITS) - $12,200 TOTAL COMPENSATION - $409,029 CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM FOR FINAL REVIEW AND APPROVAL. THEREAFTER, THE FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY AND REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THAT POLICY. THE POLICY REQUIRES THAT A CONFLICT-OF-INTEREST DISCLOSURE FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES, BOARD COMMITTEE MEMBERS, AGENTS AND SENIOR MANAGEMENT ANNUALLY. THE ORGANIZATION'S BOARD SECRETARY ASSUMES RESPONSIBILITY FOR THE COMPLETION OF THE CONFLICT-OF-INTEREST QUESTIONNAIRES AND ENFORCEMENT WITH THE POLICY. IF A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT MAY BE DISCLOSED TO THE ORGANIZATION'S GOVERNING BODY, WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD. AFTER CONSULTATION AND DISCUSSION, THE BOARD OF TRUSTEES MAY TAKE ACTION, IF APPROPRIATE AND NECESSARY, TO ADDRESS ANY SUCH CONFLICT IN A MANNER CONSISTENT WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. CORE FORM, PART VI, SECTION B; QUESTION 15 THE COMPENSATION AND BENEFITS OF SENIOR EXECUTIVES AND MEDICAL CHIEFS IS DETERMINED BY THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE AND ITS BOARD OF TRUSTEES BASED ON GUIDANCE FROM AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT WITH EXPERTISE IN THIS FIELD. THE CONSULTANT IS ENGAGED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEE AND THE BOARD OF TRUSTEES. THE CONSULTANT WILL PROVIDE A FULL REPORT TO THE EXECUTIVE COMPENSATION COMMITTEE AND BOARD OF TRUSTEES EVERY TWO YEARS. THE CONSULTANT REVIEWS THE ROLES OF THE ORGANIZATION'S EXECUTIVES, DETERMINES APPLICABLE PEER ORGANIZATIONS, COLLECTS AND ANALYZES PUBLISHED COMPENSATION SURVEY DATA, CONFIRMS THE DATA BASED ON PUBLICLY AVAILABLE INFORMATION AND COMPARES THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES AND MEDICAL CHIEFS TO THE MARKET DATA. IN ADDITION, THE CONSULTANT WILL PROVIDE A REPORT OF ITS MARKET FINDINGS AND PRESENT THE REPORT TO THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. FINALLY, THE CONSULTANT WILL PREPARE A LETTER COMMENTING ON THE REASONABLENESS OF THE ORGANIZATION'S COMPENSATION. A PORTION OF THE COMPENSATION PAYABLE TO SENIOR EXECUTIVES AND MEDICAL CHIEFS WILL BE CONTINGENT UPON THE ACHIEVEMENT OF PERFORMANCE MEASURES SET IN ADVANCE BY THE BOARD OF TRUSTEES BASED ON RECOMMENDATIONS FROM THE EXECUTIVE COMPENSATION COMMITTEE. THE CONTINGENT PORTION, REFERRED TO AS "INCENTIVE COMPENSATION", IS FORFEITED UPON FAILURE TO ACHIEVE A MINIMUM LEVEL OF OPERATING SURPLUS OR THE LOSS OF CERTAIN KEY SERVICE LINE ACCREDITATIONS. THE PERFORMANCE MEASURES CHANGE FROM YEAR TO YEAR AS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE AND THE BOARD OF TRUSTEES AND TYPICALLY INCLUDE MEASURES BASED ON QUALITY, PATIENT SATISFACTION AND FISCAL RESPONSIBILITY. THE EXECUTIVE COMPENSATION COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS. THE COMMITTEE WILL REVIEW THE "TOTAL COMPENSATION" WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW WILL BE DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF SENIOR MANAGEMENT. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA. CORE FORM, PART XII; QUESTION 2 AN INDEPENDENT ACCOUNTING FIRM AUDITED THE FINANCIAL STATEMENTS OF THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30, 2023. AN UNMODIFIED OPINION WAS ISSUED BY THE INDEPENDENT ACCOUNTING FIRM. THE ORGANIZATION'S FINANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS, WHICH INCLUDES THE SELECTION OF AN INDEPENDENT AUDITOR. FORM 990 PART IX LINE 11G DESCRIPTION:SYSTEM SUPPORT SERVICES TOTAL FEES:4788996 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:763829 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:103108