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 900759236 EXCELA HEALTH GROUP EXCE 7246891646 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 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 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 561238389 1 1 5547 X WWW.EXCELAHEALTH.ORG X PA TO IMPROVE THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH, BY OFFERING QUALITY, STATE OF THE ART HEALTH CARE SERVICES, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THESE SERVICES. 12 8 3668 165 0 0 8204999 2650532 528314085 537410150 35295022 -2032089 16380244 11924028 588194350 549952621 0 0 0 0 217284783 217991893 0 0 0 278040342 294763674 495325125 512755567 92869225 37197054 728748728 780191872 335744895 384079879 393003833 396111993 X TO IMPROVE THE HEALTH AND WELL BEING OF EVERY LIFE WE TOUCH. 0 0 466596553 546596175 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. 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. 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. 466596553 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 293 0 3668 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA X X THOMAS S ALBANESI JR CPA FHFMA 7248324040 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 JOHN M SPHON TRUSTEE & CEO 52.00 8.00 X X 709195 0 37379 PAUL BACHARACH CHAIR 4.00 X X 0 0 0 ALFRED R REITANO VICE CHAIR (UNTIL 12/22) 3.00 X X 0 0 0 KELLEY SKOLODA SECRETARY (UNTIL 12/22) 3.00 X X 0 0 0 JEFFREY CURRY TREASURER 3.00 X X 0 0 0 JAMES ADISEY MD TRUSTEE 3.00 50.00 X 724390 0 28925 ERIK J AGOSTONI CPA TRUSTEE (UNTIL 12/22) 3.00 X 0 0 0 GEOFFREY BISIGNANI MD TRUSTEE (UNTIL 12/22) 3.00 X 0 0 0 EDWARD DEPASQUALE CPA TRUSTEE (UNTIL 12/22) 3.00 X 0 0 0 JACQUELINE HORRALL PHD TRUSTEE (UNTIL 12/22) 3.00 X 0 0 0 WALID KASSIR MD TRUSTEE (UNTIL 12/22) 3.00 X 0 0 0 MICHAEL L KESLAR TRUSTEE (UNTIL 12/22) 3.00 X 0 0 0 MICHAEL T LORDI ESQ TRUSTEE (UNTIL 12/22) 3.00 X 0 0 0 TERESA PETRICK TRUSTEE 3.00 X 0 0 0 DEBRA THOMPSON PHD TRUSTEE 3.00 X 0 0 0 RANDI TURKEWITZ MD TRUSTEE (UNTIL 12/22) 3.00 X 441796 0 13649 KEN DEFURIO PRESIDENT & CEO 3.00 57.00 X X 0 1015706 284894 PATRICK HAMPSON SECRETARY 3.00 X X 0 0 0 TIMOTHY MORGUS VICE CHAIR 3.00 X X 0 0 0 LARRY RICHERT TRUSTEE 3.00 X 0 0 0 ANIE PERARD TRUSTEE 3.00 X 0 0 0 JOHN REEFER TRUSTEE 3.00 6.00 X 0 9800 0 THOMAS S ALBANESI JR CPA CFO/ASSISTANT TREASURER 52.00 8.00 X 398089 0 31250 HELEN BURNS PHD RN CHIEF NURSING OFFICER (UNTIL 1/23) 49.00 1.00 X 292793 0 28088 CAROL J FOX MD CHIEF MEDICAL OFFICER 40.00 10.00 X 461676 0 21156 JEFFREY TIESI CHIEF OPERATING OFFICER (UNTIL 1/23) 40.00 10.00 X 544253 0 50948 DANE FICCO SENIOR VP, EHMG (UNTIL 1/23) 50.00 X 366884 0 28286 LAURIE ENGLISH SENIOR VP HUMAN RESOURCES 50.00 X 287470 0 36146 TOM CHAKURDA CHIEF MARKETING & COMMUNIC 50.00 X 281781 0 28349 VIRGINIA ISCRUPE NURSE 50.00 X 222472 0 18938 TRACI FICK VP PATIENT CARE SERVICES 50.00 X 214526 0 16337 4945325 1025506 624345 230 0 1 0 OPTUM 360 11000 OPTUM CIRCLE MN101-W600 EDEN PRAIRIE MN 55344 REVENUE CYCLE 37602412 QUEST DIAGNOSTICS 3 GIRALDA FARMS MADISON NJ 07940 LAB SERVICES 3124203 MCKAMISH INC 50 55TH ST PITTSBURGH PA 15201 CONSTRUCTION SERVICES 2511835 ROLTA ADVIZEX TECHNOLOGIES LLC 6480 ROCKSIDE WOODS BLVD SOUTH SU INDEPENDENCE OH 44131 CONSTRUCTION SERVICES 2364175 BUCHANAN INGERSOLL & ROONEY PC 501 GRANT ST SUITE 200 PITTSBURGH PA 15219 LEGAL SERVICES 1582497 39 2650532 2650532 NET PATIENT SERVICE REVENUE 900099 511536673 511536673 HOME CARE & HOSPICE REVENUE 900099 24690737 24690737 COUNTY PROGRAMS 900099 1182740 1182740 537410150 5651299 5651299 70 70 6340313 2850024 3490289 3490289 3490289 752286 8435744 -7683458 -7683458 752286 -8435744 OTHER OPERATING REVENUE 900099 3091440 3091440 PHARMACY REVENUE 900099 1739426 1739426 CAFETERIA INCOME 900099 1617321 1617321 1985552 1985552 8433739 549952621 546596175 0 705914 X 3783587 3783587 176298090 158688221 17609869 5926424 5228511 697913 18801709 16774064 2027645 13182083 11629722 1552361 225000 225000 2592817 1841408 751409 220936 220936 83769354 73812657 9956697 1007013 1006539 474 6083529 3830116 2253413 6400323 5987707 412616 859767 792599 67168 116740 92445 24295 2757174 2757174 27690555 27690555 5229396 5229396 MEDICAL SUPPLIES 101651914 101651914 EQUIPMENT RENTAL & MAIN 25383436 22272032 3111404 BAD DEBT 13882337 13882337 SOFTWARE/MAINTENANCE 9972858 9972858 6920525 3456298 3464227 512755567 466596553 46159014 0 -1054504 -1349035 68701470 64170315 5911604 5186694 8371260 11008986 798583301 606434604 187750881 192148697 270006466 236293602 9771168 9771168 179290383 262961445 728748728 780191872 70933994 71011393 925736 1306048 64159034 63142185 199726131 248620253 335744895 384079879 X 377839087 383900616 15164746 12211377 393003833 396111993 728748728 780191872 X 37197054 16201458 -50290352 X X 0 1 X 1 0 X SCHEDULE A, PART I MEMBER OF EXCELA HEALTH GROUP'S PUBLIC CHARITY STATUS: WESTMORELAND REGIONAL HOSPITAL - BOX 3 - HOSPITAL LATROBE AREA HOSPITAL, INC - BOX 3 - HOSPITAL FRICK HOSPITAL AND COMMUNITY HEALTH CENTER - BOX 3 - HOSPITAL CAREGIVERS OF SOUTHWESTERN PA- BOX 10 - PUBLICLY SUPPORTED EXCELA HEALTH HOME CARE AND HOSPICE - BOX 10 - PUBLICLY SUPPORTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 44492 44492 0 PART II-B, LINE 1: A PORTION OF THE EXCELA HEALTH GROUP'S DUES TO CENTER FOR HEALTHCARE SOLUTIONS AND THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) ARE USED FOR LOBBYING. 5664446 606029 6270475 6347111 -682665 5664446 4929086 1432831 14806 6347111 4780281 162525 13720 4929086 4573628 220854 14201 4780281 1.00000 0 0 15392855 15392855 280186842 186380786 93806056 17234960 13101536 4133424 433217275 380265044 52952231 52551369 26687238 25864131 192148697 RRG ASSETS 17831349 DUE FROM AFFILIATES 220140719 LONG TERM INVESTMENTS AT MARKET 3243354 OP. LEASE RIGHT-OF-USE ASSET 5080172 OTHER CURRENT ASSETS 16665851 262961445 LEASE PAYABLE 5420341 ASBESTOS ABATEMENT 3093417 RRG 20841185 ACCRUED PENSION 35261224 OTHER LIABILITIES 156152 DUE TO AFFILIATES 179345855 DUE TO THIRD-PARTY PAYORS 4502079 248620253 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED PRIMARILY FOR SPECIFIED HOSPITAL PROGRAMS, DEPARTMENTS, RENOVATIONS, AND FACILITY EQUIPMENT AS RESTRICTED BY DONOR. PART X, LINE 2: EXCELA HEALTH DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX PROVISIONS AT JUNE 30, 2023. 1 1 X 1 X 250.000000000000 1 X 1 0 1 1 2417090 2417090 0.00480 57156713 43008963 14147750 0.02840 59573803 43008963 16564840 0.03320 1153041 1153041 0.00230 6788282 5088865 1699417 0.00340 25381301 14819920 10561381 0.02120 101878 101878 0.00020 33424502 19908785 13515717 0.02710 92998305 62917748 30080557 0.06030 44492 44492 0.00010 44492 44492 0.00010 0 4285977 242755722 252313222 -9557500 X 1 1 3 1 LATROBE AREA HOSPITAL ONE MELLON WAY LATROBE PA 15650 X X X X 2 WESTMORELAND REGIONAL HOSPITAL 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 X X X 3 FRICK HOSPITAL 508 SOUTH CHURCH STREET MT PLEASANT PA 15666 X X X FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 1 1 1 X HTTPS://WWW.EXCELAHEALTH.ORG/COMMUNITY-WELLNESS/COMMUNITY-OUTREACH X 1 21 1 HTTPS://WWW.EXCELAHEALTH.ORG/COMMUNITY-WELLNESS/COMMUNITY-OUTREACH 0 1 X 250.000000000000 350.000000000000 X X X X 1 1 X X X 1 X WWW.EXCELAHEALTH.ORG/FAQS X WWW.EXCELAHEALTH.ORG/FAQS X WWW.EXCELAHEALTH.ORG/FAQS X X X X X X 1 0 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A GROUP A-FACILITY 1 -- LATROBE AREA HOSPITAL, INC. PART V, SECTION B, LINE 5: TO GUIDE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), EXCELA HEALTH FORMED A STEERING COMMITTEE THAT CONSISTED OF HOSPITAL AND COMMUNITY LEADERS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THESE INCLUDED REPRESENTATIVES WHO UNDERSTOOD THE NEEDS AND ISSUES RELATED TO VARIOUS UNDERREPRESENTED GROUPS INCLUDING MEDICAL UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS, INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH, AND INTERNAL PROGRAM MANAGERS. DURING THE CHNA PERIOD, DATA WAS COLLECTED THROUGH A SERIES OF KEY STAKEHOLDER INTERVIEWS, COMMUNITY FOCUS GROUPS, AND A COMMUNITY SURVEY. PRIMARY QUALITATIVE DATA COLLECTED FOR THE CHNA INCLUDES 8 FOCUS GROUPS AND 21 STAKEHOLDER INTERVIEWS. THESE INDIVIDUAL AND GROUP INTERVIEWS WERE HELD WITH RESPONDENTS TO INCLUDE A VARIETY OF WESTMORELAND COUNTY RESIDENT'S INTERESTS AND VIEWPOINTS BASED ON OPINIONS ON COMMUNITY HEALTH ISSUES. QUESTIONS POSED DURING THESE SESSIONS ALLOWED US TO GATHER DETAILED INFORMATION ON KNOWLEDGE AND PERCEPTIONS ON THE STRENGTHS AND WEAKNESSES OF COMMUNITY HEALTH AS WELL AS WAYS IN WHICH OPPORTUNITIES COULD BE UTILIZED, AND THREATS AVOIDED. IN ADDITION TO FOCUS GROUPS AND INTERVIEWS, AN ONLINE COMMUNITY SURVEY WAS USED TO GATHER INFORMATION FROM RESIDENTS. QUESTIONS ASKED ON THE SURVEY WERE DESIGNED TO GATHER DETAILED INFORMATION ON KNOWLEDGE AND PERCEPTIONS OF COMMUNITY HEALTH IN A SIMILAR DESIGN TO THE FOCUS GROUPS AND INTERVIEWS. ONCE THESE DATA WERE COLLECTED, DATA WERE SORTED BY THEME AND RESPONSES TO QUESTIONS WERE GROUPED INTO CATEGORIES. THIS ALLOWED FOR THE CONTENT ANALYSIS OF DATA, WHICH WAS THEN PRESENTED TO THE CHNA STEERING COMMITTEE FOR COMMENT AND FEEDBACK, AND THEN USED TO FURTHER ASSIST WITH THE DEVELOPMENT OF AN IMPLEMENTATION PLAN. DETAILS ON THE DATA COLLECTION TOOLS USED FOR INTERVIEW, FOCUS GROUP, OR SURVEY INSTRUMENTS ARE AVAILABLE UPON REQUEST. GROUP A-FACILITY 1 -- LATROBE AREA HOSPITAL, INC. PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED FOR ALL HOSPITALS WITHIN EXCELA HEALTH: LATROBE AREA HOSPITAL, INC., WESTMORELAND REGIONAL HOSPITAL, AND FRICK HOSPITAL. GROUP A-FACILITY 1 -- LATROBE AREA HOSPITAL, INC. PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE CENTER FOR APPLIED RESEARCH (CFAR) AT THE UNIVERSITY OF PITTSBURGH AT GREENSBURG. GROUP A-FACILITY 1 -- LATROBE AREA HOSPITAL, INC. PART V, SECTION B, LINE 11: AS WITH MOST HEATH CARE FACILITIES, EXCELA HEALTH HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES. EXCELA HEALTH IS PARTNERING WITH OTHER COMMUNITY AGENCIES SUCH AS THE UNITED WAY WHOSE MISSION AND RESOURCES ARE FOCUSED ON ADDRESSING THESE ADDITIONAL COMMUNITY NEEDS. GROUP A-FACILITY 1 -- LATROBE AREA HOSPITAL, INC. PART V, SECTION B, LINE 16J: UPON DISCHARGE FROM ANY HOSPITAL, A PACKET IS PROVIDED TO PATIENTS WITH NO INSURANCE. THESE PACKETS INCLUDE A PLAIN LANGUAGE SUMMARY AND FAP APPLICATION FORM. BILLING STATEMENTS INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN INFORMATION. GROUP A-FACILITY 2 -- WESTMORELAND REGIONAL HOSPITAL PART V, SECTION B, LINE 5: TO GUIDE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), EXCELA HEALTH FORMED A STEERING COMMITTEE THAT CONSISTED OF HOSPITAL AND COMMUNITY LEADERS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THESE INCLUDED REPRESENTATIVES WHO UNDERSTOOD THE NEEDS AND ISSUES RELATED TO VARIOUS UNDERREPRESENTED GROUPS INCLUDING MEDICAL UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS, INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH, AND INTERNAL PROGRAM MANAGERS. DURING THE CHNA PERIOD, DATA WAS COLLECTED THROUGH A SERIES OF KEY STAKEHOLDER INTERVIEWS, COMMUNITY FOCUS GROUPS, AND A COMMUNITY SURVEY. PRIMARY QUALITATIVE DATA COLLECTED FOR THE CHNA INCLUDES 8 FOCUS GROUPS AND 21 STAKEHOLDER INTERVIEWS. THESE INDIVIDUAL AND GROUP INTERVIEWS WERE HELD WITH RESPONDENTS TO INCLUDE A VARIETY OF WESTMORELAND COUNTY RESIDENT'S INTERESTS AND VIEWPOINTS BASED ON OPINIONS ON COMMUNITY HEALTH ISSUES. QUESTIONS POSED DURING THESE SESSIONS ALLOWED US TO GATHER DETAILED INFORMATION ON KNOWLEDGE AND PERCEPTIONS ON THE STRENGTHS AND WEAKNESSES OF COMMUNITY HEALTH AS WELL AS WAYS IN WHICH OPPORTUNITIES COULD BE UTILIZED, AND THREATS AVOIDED. IN ADDITION TO FOCUS GROUPS AND INTERVIEWS, AN ONLINE COMMUNITY SURVEY WAS USED TO GATHER INFORMATION FROM RESIDENTS. QUESTIONS ASKED ON THE SURVEY WERE DESIGNED TO GATHER DETAILED INFORMATION ON KNOWLEDGE AND PERCEPTIONS OF COMMUNITY HEALTH IN A SIMILAR DESIGN TO THE FOCUS GROUPS AND INTERVIEWS. ONCE THESE DATA WERE COLLECTED, DATA WERE SORTED BY THEME AND RESPONSES TO QUESTIONS WERE GROUPED INTO CATEGORIES. THIS ALLOWED FOR THE CONTENT ANALYSIS OF DATA, WHICH WAS THEN PRESENTED TO THE CHNA STEERING COMMITTEE FOR COMMENT AND FEEDBACK, AND THEN USED TO FURTHER ASSIST WITH THE DEVELOPMENT OF AN IMPLEMENTATION PLAN. DETAILS ON THE DATA COLLECTION TOOLS USED FOR INTERVIEW, FOCUS GROUP, OR SURVEY INSTRUMENTS ARE AVAILABLE UPON REQUEST. GROUP A-FACILITY 2 -- WESTMORELAND REGIONAL HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED FOR ALL HOSPITALS WITHIN EXCELA HEALTH: LATROBE AREA HOSPITAL, INC., WESTMORELAND REGIONAL HOSPITAL, AND FRICK HOSPITAL. GROUP A-FACILITY 2 -- WESTMORELAND REGIONAL HOSPITAL PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE CENTER FOR APPLIED RESEARCH (CFAR) AT THE UNIVERSITY OF PITTSBURGH AT GREENSBURG. GROUP A-FACILITY 2 -- WESTMORELAND REGIONAL HOSPITAL PART V, SECTION B, LINE 11: AS WITH MOST HEATH CARE FACILITIES, EXCELA HEALTH HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES. EXCELA HEALTH IS PARTNERING WITH OTHER COMMUNITY AGENCIES SUCH AS THE UNITED WAY WHOSE MISSION AND RESOURCES ARE FOCUSED ON ADDRESSING THESE ADDITIONAL COMMUNITY NEEDS. GROUP A-FACILITY 2 -- WESTMORELAND REGIONAL HOSPITAL PART V, SECTION B, LINE 16J: UPON DISCHARGE FROM ANY HOSPITAL, A PACKET IS PROVIDED TO PATIENTS WITH NO INSURANCE. THESE PACKETS INCLUDE A PLAIN LANGUAGE SUMMARY AND FAP APPLICATION FORM. BILLING STATEMENTS INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN INFORMATION. GROUP A-FACILITY 3 -- FRICK HOSPITAL PART V, SECTION B, LINE 5: TO GUIDE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), EXCELA HEALTH FORMED A STEERING COMMITTEE THAT CONSISTED OF HOSPITAL AND COMMUNITY LEADERS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THESE INCLUDED REPRESENTATIVES WHO UNDERSTOOD THE NEEDS AND ISSUES RELATED TO VARIOUS UNDERREPRESENTED GROUPS INCLUDING MEDICAL UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS, INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH, AND INTERNAL PROGRAM MANAGERS. DURING THE CHNA PERIOD, DATA WAS COLLECTED THROUGH A SERIES OF KEY STAKEHOLDER INTERVIEWS, COMMUNITY FOCUS GROUPS, AND A COMMUNITY SURVEY. PRIMARY QUALITATIVE DATA COLLECTED FOR THE CHNA INCLUDES 8 FOCUS GROUPS AND 21 STAKEHOLDER INTERVIEWS. THESE INDIVIDUAL AND GROUP INTERVIEWS WERE HELD WITH RESPONDENTS TO INCLUDE A VARIETY OF WESTMORELAND COUNTY RESIDENT'S INTERESTS AND VIEWPOINTS BASED ON OPINIONS ON COMMUNITY HEALTH ISSUES. QUESTIONS POSED DURING THESE SESSIONS ALLOWED US TO GATHER DETAILED INFORMATION ON KNOWLEDGE AND PERCEPTIONS ON THE STRENGTHS AND WEAKNESSES OF COMMUNITY HEALTH AS WELL AS WAYS IN WHICH OPPORTUNITIES COULD BE UTILIZED, AND THREATS AVOIDED. IN ADDITION TO FOCUS GROUPS AND INTERVIEWS, AN ONLINE COMMUNITY SURVEY WAS USED TO GATHER INFORMATION FROM RESIDENTS. QUESTIONS ASKED ON THE SURVEY WERE DESIGNED TO GATHER DETAILED INFORMATION ON KNOWLEDGE AND PERCEPTIONS OF COMMUNITY HEALTH IN A SIMILAR DESIGN TO THE FOCUS GROUPS AND INTERVIEWS. ONCE THESE DATA WERE COLLECTED, DATA WERE SORTED BY THEME AND RESPONSES TO QUESTIONS WERE GROUPED INTO CATEGORIES. THIS ALLOWED FOR THE CONTENT ANALYSIS OF DATA, WHICH WAS THEN PRESENTED TO THE CHNA STEERING COMMITTEE FOR COMMENT AND FEEDBACK, AND THEN USED TO FURTHER ASSIST WITH THE DEVELOPMENT OF AN IMPLEMENTATION PLAN. DETAILS ON THE DATA COLLECTION TOOLS USED FOR INTERVIEW, FOCUS GROUP, OR SURVEY INSTRUMENTS ARE AVAILABLE UPON REQUEST. GROUP A-FACILITY 3 -- FRICK HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED FOR ALL HOSPITALS WITHIN EXCELA HEALTH: LATROBE AREA HOSPITAL, INC., WESTMORELAND REGIONAL HOSPITAL, AND FRICK HOSPITAL. GROUP A-FACILITY 3 -- FRICK HOSPITAL PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE CENTER FOR APPLIED RESEARCH (CFAR) AT THE UNIVERSITY OF PITTSBURGH AT GREENSBURG. GROUP A-FACILITY 3 -- FRICK HOSPITAL PART V, SECTION B, LINE 11: AS WITH MOST HEATH CARE FACILITIES, EXCELA HEALTH HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES. EXCELA HEALTH IS PARTNERING WITH OTHER COMMUNITY AGENCIES SUCH AS THE UNITED WAY WHOSE MISSION AND RESOURCES ARE FOCUSED ON ADDRESSING THESE ADDITIONAL COMMUNITY NEEDS. GROUP A-FACILITY 3 -- FRICK HOSPITAL PART V, SECTION B, LINE 16J: UPON DISCHARGE FROM ANY HOSPITAL, A PACKET IS PROVIDED TO PATIENTS WITH NO INSURANCE. THESE PACKETS INCLUDE A PLAIN LANGUAGE SUMMARY AND FAP APPLICATION FORM. BILLING STATEMENTS INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN INFORMATION. 2 1 - EXCELA HEALTH HOME CARE AND HOSPICE 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 HOME CARE AND HOSPICE 2 - CAREGIVERS OF SOUTHWESTERN PA 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 VARIOUS COUNTY PROGRAMS PART I, LINE 6A: EXCELA HEALTH PROVIDES A REPORT TO THE COMMUNITY ANNUALLY. THE REPORT IS PUBLISHED ANNUALLY ON THE WEBSITE AS WELL AS PERIODICALLY PROVIDED THROUGH COMMUNITY MAILINGS AND LOCATED AT STRATEGIC POINTS OF SERVICE WITHIN OUR HOSPITALS SUCH AS THE EMERGENCY ROOM, ADMISSIONS, REGISTRATION, ETC. PART I, LINE 7: THE PERCENT OF CHARITY CARE AND OTHER COMMUNITY BENEFITS IS BASED ON RATIOS OF COST TO CHARGES FROM THE MEDICARE COST REPORT. PART I, LINE 7G: EXCELA HEALTH OFFERS A NUMBER OF CLINICS TO THE COMMUNITY SUCH AS DIABETIC, PAIN, WOUND, WELLNESS, ETC. IN ADDITION TO THESE CLINICS, EXCELA HEALTH OFFERS BOTH INPATIENT AND OUTPATIENT MENTAL HEALTH SERVICES. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS 13,882,337. PART I, LINE 7 THE PERCENTAGE OF TOTAL EXPENSES IS CALCULATED USING ONLY THE HOSPITALS' EXPENSES ON PART IX, LINE 25. PART I, LINE 3B THE ORGANIZATION USES A SLIDING SCALE TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE. PART III, LINE 4: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARGE RATIO. MEDICARE MANAGED CARE COSTS ARE CALCULATED USING THE COST ACCOUNTING SYSTEM.EXCELA HEALTH PROVIDES SERVICES BELOW COST FOR PARTICIPANTS ENROLLED IN MEDICARE MANAGED CARE AND TRADITIONAL MEDICARE PROGRAMS. THE MEDICARE SHORTFALL REPORTED ON LINE 7 IS DUE TO CONTINUED CUTS IN MEDICARE REIMBURSEMENT WHILE EXCELA HEALTH CONTINUES TO INVEST IN STATE OF THE ART EQUIPMENT AND FACILITIES TO MEET THE CONTINUALLY CHANGING HEALTHCARE NEEDS OF THE COMMUNITY. PART III, LINE 9B: UPON DISCHARGE FROM ANY HOSPITAL, A PACKET IS PROVIDED TO PATIENTS WITH NO INSURANCE. THESE PACKETS INCLUDE A MEDICAL ASSISTANCE APPLICATION, PLAIN LANGUAGE SUMMARY OF THE FAP, AND FAP APPLICATION FORM. EXCELA HEALTH HAS FAP COUNSELORS WHO HELP WITH THE FAP PROCESS. THE HOSPITALS DO NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS. PART V, SECTION B, LINE 2 THE CHNA WAS LAST CONDUCTED DURING THE ORGANIZATION'S 2021 TAX YEAR, WHICH IS EQUVIALENT TO ITS FISCAL YEAR ENDED JUNE 30, 2022. THE IMPLEMENTATION STRATEGY WAS ALSO ADOPTED DURING THAT SAME FISCAL YEAR. PART VI, LINE 2: DURING FISCAL YEAR 2022, EXCELA HEALTH CONDUCTED A COUNTY-WIDE CHNA. THE CHNA IDENTIFIED HEALTH ISSUES AND NEEDS AND PROVIDED CRITICAL INFORMATION TO EXCELA HEALTH AND OTHERS IN A POSITION TO MAKE A POSITIVE IMPACT ON THE HEALTH OF OUR REGION'S RESIDENTS. THE RESULTS ENABLE EXCELA HEALTH TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS AND DIRECT RESOURCES TO IMPROVE THE HEALTH OF PEOPLE LIVING IN WESTMORELAND COUNTY. IN ADDITION TO THE CHNA, EXCELA HEALTH USES INTERNAL AND EXTERNAL MARKET STUDIES TO ESTABLISH PATTERNS OF UTILIZATION OF SERVICES AND AGE OF POPULATION. EXCELA HEALTH ALSO USE SURVEY REPORTS SUCH AS PRESS GANEY TO DETERMINE WHAT AREAS ITS DOING WELL IN AND WHAT AREAS IT CAN IMPROVE ON. EXCELA HEALTH'S COMBINED MEDICAL STAFF ALSO DOES STUDIES TO DETERMINE WHAT SPECIALTY SERVICES IT NEEDS TO RECRUIT PHYSICIANS FOR, SUCH AS CARDIAC, SURGICAL, UROLOGY, INTERNAL MEDICINE AND FAMILY PRACTICE. PART VI, LINE 3: THE FINANCIAL ASSISTANCE POLICY (FAP), PLAIN LANGUAGE SUMMARY OF THE FAP, AND FAP APPLICATION ARE AVAILABLE ON EXCELA HEALTH'S WEBSITE. PAPER COPIES OF THE FAP, PLAIN LANGUAGE SUMMARY OF THE FAP, AND FAP APPLICATION ARE AVAILABLE UPON REQUEST AND COPIES ARE IN THE EMERGENCY ROOM AND ADMISSIONS OF EACH HOSPITAL. THE HOSPITALS HAVE SIGNS THAT NOTIFY THE PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE EMERGENCY ROOM AND ADMISSIONS AREA. UPON DISCHARGE FROM ANY HOSPITAL, A PACKET IS PROVIDED TO PATIENTS WITH NO INSURANCE. THESE PACKETS INCLUDE A PLAIN LANGUAGE SUMMARY AND FAP APPLICATION FORM. BILLING STATEMENTS INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN INFORMATION. PART VI, LINE 4: EXCELA HEALTH SERVES 97 ZIP CODES IN WESTMORELAND, FAYETTE, AND INDIANA COUNTIES. THE SERVICE AREA POPULATION IS APPROXIMATELY 355,458. THE COST OF LIVING IS BELOW THE NATIONAL AVERAGE AND THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $46,700 WHICH IS ALSO BELOW THE PENNSYLVANIA AVERAGE. APPROXIMATELY 17% OF RESIDENTS IN THE SERVICE AREA LIVE IN POVERTY. PART VI, LINE 5: THE MISSION OF EXCELA HEALTH IS TO "IMPROVE THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH". EVERY LIFE MEANS THAT EXCELA HEALTH DOES NOT DISCRIMINATE FOR RACE, RELIGION, GENDER, COLOR OR CREED AND ACCEPTS ALL PATIENTS FOR ANY SERVICES, REGARDLESS OF THE ABILITY TO PAY FOR THOSE SERVICES. EXCELA HEALTH STRIVES TO PROVIDE ITS COMMUNITIES WITH STATE OF THE ART EQUIPMENT AND FACILITIES. THIS CAN ONLY BE ACCOMPLISHED BY INVESTING ANY EXCESS IN REVENUES OVER EXPENSES EXCELA HEALTH MAY HAVE IN SECURE INVESTMENTS TO PROVIDE FOR FUTURE TECHNOLOGY, TREATMENTS OF CARE, AND MAINTAIN AGING FACILITIES. EXCELA HEALTH ENCOURAGES PATIENTS TO TELL IT WHAT IT IS DOING RIGHT AND WRONG THROUGH PATIENT SATISFACTION SURVEYS AND EXCELA HEALTH REACTS TO THOSE SURVEYS. EXCELA HEALTH STRIVES TO PROVIDE ITS PATIENTS WITH GREATER ACCESS TO CARE THROUGH OFF SITE CLINICS AND DIAGNOSTIC SERVICE CENTERS. EXCELA HEALTH ASSISTS ITS MEDICAL STAFF IN RECRUITING TOP OF THE CLASS DOCTORS TO PROVIDE SERVICES TO ITS COMMUNITY WHERE THERE IS A NEED AND A SHORTAGE OF PHYSICIANS. EXCELA HEALTH ALSO RECRUITS SPECIALTY PHYSICIANS THAT WOULD HELP TO OFFSET THE BURDEN OF CALL COVERAGE AND FOR SUCCESSION PLANNING WHICH IS ESSENTIAL FOR THE CONTINUUM OF CARE. PART VI, LINE 6: EXCELA HEALTH IS THE PARENT ORGANIZATION OF THREE HOSPITALS (LATROBE AREA HOSPITAL, INC., WESTMORELAND REGIONAL HOSPITAL, AND FRICK HOSPITAL), A HOME HEALTH AND HOSPICE AGENCY (EXCELA HEALTH HOME CARE AND HOSPICE), AN ORGANIZATION THAT PROVIDES COUNTY ASSISTANCE TO MENTALLY CHALLENGED PATIENTS (CAREGIVERS OF SOUTHWESTERN PA), A MULTI-SPECIALTY PHYSICIAN PRACTICE GROUP (EXCELA HEALTH MEDICAL GROUP), A HOME MEDICAL EQUIPMENT COMPANY (MEDCARE EQUIPMENT COMPANY) AND TWO FOUNDATIONS (WESTMORELAND/FRICK HOSPITAL FOUNDATION AND LATROBE AREA HOSPITAL CHARITABLE FOUNDATION). ALL OF OUR SUBSIDIARIES AT EXCELA HEALTH FLY UNDER THE SAME BANNER AND SUBSCRIBE TO THE SAME MISSION STATED ABOVE. ALL OF OUR ORGANIZATIONS AT EXCELA HEALTH PROVIDE MEDICALLY NECESSARY SERVICES TO OUR COMMUNITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY. X X X X X 0 1 0 0 0 0 0 1 0 KEN DEFURIO PRESIDENT & CEO 0 693580 0 280001 0 42125 0 263951 0 20943 0 1300600 0 0 JAMES ADISEY MD TRUSTEE 355288 0 369102 0 0 0 12200 0 16725 0 753315 0 0 0 JOHN M SPHON TRUSTEE & CEO 700000 0 9195 0 0 0 22696 0 14683 0 746574 0 0 0 JEFFREY TIESI CHIEF OPERATING OFFICER (UNTIL 1/23) 451923 0 92330 0 0 0 36265 0 14683 0 595201 0 0 0 CAROL J FOX MD CHIEF MEDICAL OFFICER 402942 0 58734 0 0 0 20174 0 982 0 482832 0 0 0 RANDI TURKEWITZ MD TRUSTEE (UNTIL 12/22) 328521 0 113275 0 0 0 6638 0 7011 0 455445 0 0 0 THOMAS S ALBANESI JR CPA CFO/ASSISTANT TREASURER 365574 0 32515 0 0 0 16724 0 14526 0 429339 0 0 0 DANE FICCO SENIOR VP, EHMG (UNTIL 1/23) 305748 0 61136 0 0 0 15934 0 12352 0 395170 0 0 0 LAURIE ENGLISH SENIOR VP HUMAN RESOURCES 243841 0 43629 0 0 0 21800 0 14346 0 323616 0 0 0 HELEN BURNS PHD RN CHIEF NURSING OFFICER (UNTIL 1/23) 254517 0 38276 0 0 0 13977 0 14111 0 320881 0 0 0 TOM CHAKURDA CHIEF MARKETING & COMMUNIC 260616 0 21165 0 0 0 14754 0 13595 0 310130 0 0 0 VIRGINIA ISCRUPE NURSE 155554 0 66918 0 0 0 12249 0 6689 0 241410 0 0 0 TRACI FICK VP PATIENT CARE SERVICES 180834 0 33692 0 0 0 10884 0 5453 0 230863 0 0 0 PART I, LINE 4B A CONTRIBUTION TO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS MADE FOR THE FOLLOWING EMPLOYEES: JEFFREY TIESI - $19,500 KEN DEFURIO - $242,201 PART I, LINE 7 EXCELA HEALTH'S EMPLOYEES MAY RECEIVE A BONUS BASED ON INCREASED PATIENT SATISFACTION AND OTHER PERFORMANCE INDICATORS. A WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT 251433993 2015-06-24 70000000 REFINANCE PNC LOAN, RENOVATIONS, FUNDING RESERVES, COSTS OF ISSUANCE 0 0 0 B WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT 251433993 2020-12-15 93324078 REFUND PRIOR BONDS, NEW CONSTRUCTION, COSTS OF ISSUANCE 0 0 0 A 6760000 70000000 1598582 247559 18865902 0 0 0 1 B 9110000 100482643 1132170 15347931 52251869 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT DATE THE REBATE COMPUTATION WAS PERFORMED: 06/23/2020 SCHEDULE K SUPPLENTAL INFORMATION PART 1, B, F - SERIES 2005 C, WESTMORELAND HOSPITAL CAPITAL PROJECTS BOND REFUNDING AND SERIES 2005 E, WESTMORELAND HOSPITAL 1986 BOND REFUNDING ELIZABETH FOX CAROL FOX, CHIEF MEDICAL OFFICER - FAMILY MEMBER 103239 EMPLOYEE OF EXCELA HEALTH HOME CARE AND HOSPICE 0 LUCAS SPHON JOHN M. SPHON, CEO - FAMILY MEMBER 41396 EMPLOYEE OF EXCELA HEALTH 0 FORM 990, PART VI, SECTION B, LINE 11B EXCELA HEALTH 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 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. FORM 990, PART VI, SECTION C, LINE 18 EXCELA HEALTH AND MEMBERS OF EXCELA HEALTH GROUP MAKES ITS FORM 990, FORM 990-T, AND FINANCIAL STATEMENTS 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, EXCELA HEALTH AND MEMBERS OF EXCELA HEALTH GROUP DO NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 73,812,657. MANAGEMENT AND GENERAL EXPENSES 9,956,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,769,354. FORM 990, PART XI, LINE 9: CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY 12,812,632. OTHER 2,025,983. TRANSFER TO AFFILIATES -57,801,440. PENSION SETTLEMENT CHARGES -4,382,487. NET ASSETS RELEASED FROM RESTRICTION -2,945,040. FORM 990, PART XII, LINE 2C: 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 LATROBE AREA HOSPITAL CHARITABLE FOUNDATION ONE MELLON WAY LATROBE PA 15650 251750654 FUNDRAISING PA 501(C)(3) LINE 12A, I LATROBE AREA HOSPITAL 1 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 0 1 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 LATROBE AREA HOSPITAL CHARITABLE FOUNDATION C 1089310