2023-05-15T08:05:07-05:00 2022-06-30 232415973 HERBEIN COMPANY INC 530 PELLIS RD STE 7000 GREENSBURG PA 15601 990 2021-07-01 251380418 MCKEESPORT HOSPITAL FOUNDATION MCKE 4126642590 1500 FIFTH AVENUE MCKEESPORT PA 15132 CARL KOVSKI PRESIDENT 4126642590 2023-05-12 1 CARL KOVSKI 999009999 LINDA S HIMEBACK CPA P00042618 7248347053 2023-05-12 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z CARL KOVSKI 1500 FIFTH AVENUE MCKEESPORT PA 15132 9971248 0 X WWW.MCKHOSPITALFOUNDATION.ORG X 1976 PA SUPPORT PRIMARY HEALTH CARE FACILITIES AND SERVICES IN THE LOCAL AREA 12 12 2 22 0 0 35234 274202 0 0 2783097 1537281 87342 45776 2905673 1857259 793083 351146 0 0 132610 57392 0 0 0 132245 224110 1057938 632648 1847735 1224611 32986478 27949512 133965 111034 32852513 27838478 X THE FOUNDATION IS A NON-PROFIT, COMMUNITY-BASED, PENNSYLVANIA CORPORATION THAT BUILDS AN ENDOWMENT TO BENEFIT AND PROVIDE FUNDING SUPPORT FOR HEALTH-RELATED CHARITABLE ENTITIES LOCATED IN THE COMMUNITIES SERVED BY UPMC MCKEESPORT. THIS FUNDING SUPPORT IS DERIVED FROM SPECIAL EVENTS, GRANTS, AND DONATIONS. THESE CONTRIBUTIONS WILL HELP ENSURE THE CONTINUED AVAILABILITY AND DELIVERY OF HEALTHCARE SERVICES FOR SUCH COMMUNITIES. 0 0 400621 351146 THE FOUNDATION IS SUPPORTIVE OF UPMC MCKEESPORT ADVANCEMENTS IN HEALTH CARE TECHNOLOGY. IN ADDITION, THE FOUNDATION IS A LEADER IN COMMUNITY HEALTH INITIATIVE PROGRAMS INCLUDING THE AWARD WINNING STATE HEALTH IMPROVEMENT PLAN COMMUNITY PARTNERSHIPS. THESE COMMUNITY PARTNERSHIPS PROVIDE PROGRAMS AND SERVICES WITH DEFINED GOALS AND OBJECTIVES FOR 33,000 RESIDENTS IN BRADDOCK, CLAIRTON, DUQUESNE AND MCKEESPORT. IN ADDITION, THE FOUNDATION HAS SUPPORTED THE MEDICATION NEEDS OF THOSE SEEKING MEDICAL CARE AND WHO HAVE NO MEDICATION COVERAGE AND THROUGH A CLOSE WORKING RELATIONSHIP WITH THE HOSPITAL PHARMACY AND SOCIAL WORK DEPARTMENTS, SERVING DOZENS OF PEOPLE EACH MONTH THROUGH THREE PROGRAMS. FURTHERMORE, THE FOUNDATION WORKS CLOSELY WITH LOCAL AGENCIES PROVIDING SUPPORT IN COORDINATING THEIR ACTIVITIES AND ANNUAL FUNDRAISERS. 400621 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 PA X THE ORGANIZATION 4126642590 1500 FIFTH AVENUE MCKEESPORT PA 15132 X CARL P KOVSKI PRESIDENT 1.00 X X 0 0 0 IRVING J LATTERMAN VICE PRESIDENT 1.00 X X 0 0 0 DONALD BECK DPM SECRETARY/TREASURER 1.00 X X 0 0 0 RICHARD BONDI MD BOARD MEMBER 1.00 X 0 0 0 D JAMES HEATHERINGTON BOARD MEMBER 1.00 X 0 0 0 ALMA HOFFMAN BOARD MEMBER 1.00 X 0 0 0 MARY ANN LATUSEK BOARD MEMBER 1.00 X 0 0 0 JOHN E MACDONALD BOARD MEMBER 1.00 X 0 0 0 REBECCA SHAW MCHOLME BOARD MEMBER 1.00 X 0 0 0 MADHUSUDANAN NAIR MD BOARD MEMBER 1.00 X 0 0 0 DR RULA SKESAZ BOARD MEMBER 1.00 X 0 0 0 REV ARLENE WALKER BOARD MEMBER 1.00 X 0 0 0 MARC CORDERO MD EX-OFFICIO MEMBER 1.00 X 0 0 0 ELIANA DRAGISIC DIRECTOR OF DEVELOPMENT THRU JUNE 16.50 X 22308 0 0 22308 0 0 0 0 0 0 0 26627 247575 274202 1009159 1009159 45776 0 45776 45776 45776 8642111 8113989 528122 528122 528122 1857259 0 0 1583057 329146 329146 22000 22000 22308 5577 16731 26885 6721 20164 3113 779 2334 5086 1271 3815 22300 22300 75063 75063 14205 14205 3089 3089 2300 2300 9671 9671 20394 20394 16260 16260 41260 41260 EVENT EXPENSES 18722 18722 MISCELLANEOUS 701 701 SUBSCRIPTION/PUBLICATIO 145 145 632648 400621 232027 0 168818 158703 1340958 11444 9629 8446 0 1379012 208387 1211885 1170625 30244927 26610555 32986478 27949512 107338 83240 27794 26627 0 133965 111034 X 11357716 9467378 21494797 18371100 32852513 27838478 32986478 27949512 1224611 -6238646 0 X 0 1 X 1 0 X 69091 92325 74156 35234 274202 545008 69091 92325 74156 35234 274202 545008 63712 481296 617425 640549 592308 690362 1054935 3595579 4140587 0.11620 0.09340 X MCKEESPORT HOSPITAL FOUNDATION MEETS THE FACTS AND CIRCUMSTANCES SUPPORT TEST FOR SECTION 170 (B)(A)(A)(VI) PUBLIC CHARITIES:1.) THE ORGANIZATION RECEIVES SUBSTANTIAL SUPPORT (GREATER THAN 10%) FROM GOVERNMENTAL UNITS AND/OR CONTRIBUTIONS FROM THE GENERAL PUBLIC; AND2.) THE ORGANIZATION IS ORGANIZED AND OPERATED AS TO ATTRACT NEW AND ADDITIONAL PUBLIC AND GOVERNMENTAL SUPPORT ON A CONTINUOUS BASIS. THE AMOUNT OF CONTRIBUTIONS, GIFTS, GRANTS, AND SIMILAR AMOUNTS RECEIVED WERE $274,202 AND $35,234 AS OF JUNE 30, 2022 AND 2021, RESPECTIVELY.3.) THE FOUNDATION HAS ENDOWMENTS THAT CONSIST OF INDIVIDUAL FUNDS ESTABLISHED FOR COMMUNITY HEALTH INITIATIVES. THE BOARD OF DIRECTORS ANNUALLY APPROVES ONE-TIME COMMUNITY GRANTS AND MULTI-YEAR IMPACT GRANTS DIRECTED TOWARDS NEEDS OR OPPORTUNITIES IN THE COMMUNITY IN THE AREAS OF EDUCATION, HEALTHCARE, HUMAN SERVICES AND COMMUNITY DEVELOPMENT. GRANTS FROM DONOR-ADVISED FUNDS ARE MADE BASED ON DONOR RECOMMENDATIONS OR DESIGNATIONS AND ARE ALSO APPROVED BY THE BOARD. TOTAL GRANT EXPENSES FOR THE FISCAL YEAR ENDED JUNE 30, 2022 TOTALED $351,146, WHICH WERE 62% OF THE FOUNDATION'S TOTAL EXPENSES. OF THE TOTAL GRANT EXPENSES, $246,832 (70%) WAS AWARDED TO COMMUNITY ORGANIZATIONS. THE REMAINING $104,314 (30%) WAS AWARDED TO THE UMPC MCKEESPORT HOSPITAL IN SUPPORT OF VARIOUS PROGRAMS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1519318 1519318 1519318 1519318 1519318 1519318 1519318 1519318 1519318 1519318 0.80250 0.19750 0 0 915143 915143 135658 86220 49438 328211 122167 206044 1170625 X -4456450 -6238646 -6238646 1782196 75063 75063 1857259 557585 0 557585 75063 75063 632648 PART V, LINE 4: THE FOUNDATION'S ENDOWMENTS CONSIST OF INDIVIDUAL FUNDS ESTABLISHED FOR COMMUNITY HEALTH INITIATIVES PART X, LINE 2: IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE FOUNDATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS RELATIVE TO UNRELATED BUSINESS INCOME, IF ANY, AS REQUIRED. 1 CCAC EDUCATION FOUNDATION 808 RIDGE AVENUE BYERS HALL ROOM 102 PITTSBURGH PA 15212 251384469 501(C)(3) 39000 0 TO SUPPORT THE CCAC EDUCATION FOUNDATION'S UPMC SCHOLARS PROGRAM DRAVOSBURG VOLUNTEER FIRE DEPARTMENT 598 RAVINE STREET DRAVOSBURG PA 15034 250997061 501(C)(3) 35834 0 TO PURCHASE NEW STABILIZATION EQUIPMENT PURCHASES ELIZABETH TOWNSHIP FIRE DEPT 1 425 SCENERY DRIVE ELIZABETH PA 15037 251899447 501(C)(3) 11000 0 EQUIPMENT PURCHASES FIRE DEPARTMENT OF NORTH VERSAILLES 1021 BROAD STREET PO BOX 220 NORTH VERSAILLES PA 15137 251828014 501(C)(3) 12147 0 RADIO EQUIPMENT PURCHASES FIRST STEP RECOVERY HOMES INC 336 PENNY STREET MCKEESPORT PA 15132 251718347 501(C)(3) 25000 0 TO SUPPORT THE FIRST STEP HEALTH AND WELLNESS PROGRAM. FRIENDS OF CAMP SOLES 134 CAMP SOLES LN ROCKWOOD PA 15557 853514602 501(C)(3) 17000 0 PROGRAM SUPPORT MEALS ON WHEELS OF ELIZABETH FORWARD 100 TIMOTHY DRIVE ELIZABETH PA 15037 251244403 501(C)(3) 18000 0 PROGRAM SUPPORT RAINBOW KITCHEN COMMUNITY SERVICE 135 EAST 9TH AVENUE HOMESTEAD PA 15120 251476536 501(C)(3) 25000 0 PROGRAM SUPPORT RAINBOW VOLUNTEER FIRE COMPANY 2916 JACKS RUN ROAD WHITE OAK PA 15131 251384433 501(C)(3) 12000 0 CANCER PREVENTION STAGE 2 PROJECT UPMC MCKEESPORT HOSPITAL 1500 FIFTH AVENUE MCKEESPORT PA 15132 250965423 501(C)(3) 104314 0 PROGRAM SUPPORT VIGILANT HOSE CO #1 OF PORT VUE 1800 ROMINE AVENUE PORT VUE PA 15133 237425435 501(C)(3) 6760 0 QRS/EMS EQUIPMENT PURCHASES WHITE OAK EMS 1130 CALIFORNIA AVENUE WHITE OAK PA 15131 251595945 501(C)(3) 5500 0 BALLISTIC VEST PURCHASES 12 NURSING SCHOOL SCHOLARSHIPS 4 22000 PART I, LINE 2: ONE-TIME COMMUNITY GRANTS AND MULTI-YEAR IMPACT GRANTS FROM DISCRETIONARY FUNDS ARE MADE ANNUALLY AND ARE DIRECTED TOWARD NEEDS OR OPPORTUNITIES IN THE COMMUNITY IN THE AREAS OF EDUCATION, HEALTHCARE, HUMAN SERVICES, AND COMMUNITY DEVELOPMENT. THE FOUNDATION'S BOARD OF DIRECTORS HAS SOLE DISCRETION REGARDING GRANT MAKING FROM THE AVAILABLE DONOR-DEFINED FUNDS AND SELECTS GRANTEES THROUGH AN ANNUAL APPLICATION PROCESS. GRANTS FROM THE DONOR-DEFINED FUNDS ARE MADE BASED ON DONOR RECOMMENDATIONS OR DESIGNATIONS AND ALSO MUST BE APPROVED BY THE FOUNDATION'S BOARD OF DIRECTORS. X 1 146524 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 THE DIRECTOR OF DEVELOPMENT, ELIANA DRAGISIC, IS THE GRANDDAUGHTER OF THE BOARD VICE PRESIDENT, IRVING J. LATTERMAN. FORM 990, PART VI, SECTION B, LINE 11B A PRELIMINARY FORM 990 IS PROVIDED TO THE PRESIDENT AND DIRECTOR OF DEVELOPMENT FOR THEIR REVIEW. THE FORM 990 IS DISCUSSED AND IS SUBSEQUENTLY REVIEWED BY THE GOVERNING BOARD. ANY CHANGES OR QUESTIONS ARE THEN ADDRESSED AND THE FINAL FORM 990 IS PREPARED AND SIGNED BY THE PRESIDENT. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION HAS A CONFLICT OF INTEREST POLICY AND CONFLICT FORM THAT IS RETAINED IN ITS POLICY AND PROCEDURES MANUAL. CONFLICT IS ALSO ADDRESSED IN THE BOARD BYLAWS. BOARD OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE CONFLICT FORMS UPON APPOINTMENT AND ARE REQUIRED TO REPORT ANY CHANGES IN STATUS DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 15A ANNUAL REVIEWS FOR COMPENSATION ARE PRESENTED TO THE BOARD FOR APPROVAL BY THE PRESIDENT OF THE MCKEESPORT HOSPITAL FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII FOUR BOARD MEMBERS OF THE FOUNDATION'S BOARD OF DIRECTORS ARE EMPLOYED BY OR AFFILIATED WITH THE RELATED PARTY, UPMC MCKEESPORT AND ONE BOARD MEMBER WHO IS ALSO ON THE BOARD OF DIRECTORS OF UPMC MCKEESPORT. UPMC MCKEESPORT 1500 FIFTH AVENUE MCKEESPORT PA 15132 250965423 HOSPITAL PA 501(C)(3) LINE 3 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 UPMC MCKEESPORT B 104314 COST UPMC MCKEESPORT J 33776 COST UPMC MCKEESPORT K 11470 COST