EXCELA HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: EXCELA HEALTH (EIN 90-0759236)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-05-07
IRS object ID: 202031289349300043
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-05-07T12:47:00-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	550486667	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ARNETT CARBIS TOOTHMAN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5700 CORPORATE DRIVE STE 650	AddressLine1Txt
City	PITTSBURGH	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15237	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	900759236	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EXCELA HEALTH GROUP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	EXCE	BusinessNameControlTxt
Phone	7246891646	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	532 WEST PITTSBURGH STREET	AddressLine1Txt
City	GREENSBURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS S ALBANESI JR CPA FHFMA	PersonNm
Person Title	CFO/ASSISTANT TREASURER	PersonTitleTxt
Phone	7246891646	PhoneNum
Signature	2020-04-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEFFREY J PETRELL CPA	PreparerPersonNm
PTIN	P00138808	PTIN
Phone	4126356270	PhoneNum
Preparation	2020-04-14	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	216.12.119.47	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-04-14	IPDt
IP Tm	10:06:59	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	482AF7E1F858188C2AC541C36DE82888598A2AEC	AtSubmissionCreationDeviceId
At Submission Filing Device Id	32527C447CCCD53681EE615E08AE1BAE27704951	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOHN SPHON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	532 WEST PITTSBURGH STREET	AddressLine1Txt
City	GREENSBURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$519,371,347	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (1)	AllAffiliatesIncludedInd
Group Exemption	5547	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.EXCELAHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	4541	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,681,372	PYContributionsGrantsAmt
CY Contributions Grants	$4,965,176	CYContributionsGrantsAmt
PY Program Service Revenue	$471,724,871	PYProgramServiceRevenueAmt
CY Program Service Revenue	$482,926,026	CYProgramServiceRevenueAmt
PY Investment Income	$18,240,069	PYInvestmentIncomeAmt
CY Investment Income	$25,645,775	CYInvestmentIncomeAmt
PY Other Revenue	-$15,408,587	PYOtherRevenueAmt
CY Other Revenue	$2,484,289	CYOtherRevenueAmt
PY Total Revenue	$483,237,725	PYTotalRevenueAmt
CY Total Revenue	$516,021,266	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$216,431,111	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$222,983,407	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$216,115,227	PYOtherExpensesAmt
CY Other Expenses	$230,053,808	CYOtherExpensesAmt
PY Total Expenses	$432,546,338	PYTotalExpensesAmt
CY Total Expenses	$453,037,215	CYTotalExpensesAmt
PY Revenues Less Expenses	$50,691,387	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$62,984,051	CYRevenuesLessExpensesAmt
Total Assets BOY	$686,432,759	TotalAssetsBOYAmt
Total Assets EOY	$681,470,415	TotalAssetsEOYAmt
Total Liabilities BOY	$374,477,942	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$384,976,983	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$311,954,817	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$296,493,432	NetAssetsOrFundBalancesEOYAmt
Mission	TO IMPROVE THE HEALTH AND WELL BEING OF EVERY LIFE WE TOUCH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$393,112,055	ExpenseAmt
Revenue	$483,970,504	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$393,112,055	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	334	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	4541	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Taxable Distributions	0	TaxableDistributionsInd
Distribution To Donor	0	DistributionToDonorInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THOMAS S ALBANESI JR CPA FHFMA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7248324040	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	532 WEST PITTSBURGH STREET	AddressLine1Txt
City	GREENSBURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15601	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN M SPHON
TRUSTEE & CEO	52.00	8.00	Yes (X)	Yes (X)	$324,274	$0	$55,403
ROBERT ROGALSKI
TRUSTEE & CEO (UNTIL 4/19)	52.00	8.00	Yes (X)	Yes (X)	$583,769	$0	$93,351
TERESA PETRICK
CHAIR	4.00		Yes (X)	Yes (X)	$0	$0	$0
BROTHER NORMAN W HIPPS OSB
VICE CHAIR	3.00		Yes (X)	Yes (X)	$0	$0	$0
GEOFFREY JOSEPH MD
SECRETARY	3.00	50.00	Yes (X)	Yes (X)	$0	$385,998	$58,926
EDWARD DEPASQUALE CPA
TREASURER	3.00		Yes (X)	Yes (X)	$0	$0	$0
ASTER ASSEFA MD
TRUSTEE	3.00	50.00	Yes (X)		$0	$415,537	$0
BARBARA C HINKLE
TRUSTEE	3.00		Yes (X)		$0	$0	$0
DIRK KALP
TRUSTEE	3.00		Yes (X)		$0	$0	$0
ERIK J AGOSTONI CPA
TRUSTEE	3.00		Yes (X)		$0	$0	$0
THOMAS M YARABINETZ
TRUSTEE	3.00		Yes (X)		$0	$0	$0
WALID KASSIR MD
TRUSTEE	3.00		Yes (X)		$0	$0	$0
HEATHER WALKER MD
TRUSTEE	3.00		Yes (X)		$0	$0	$0
TIMOTHY FEDELE
CHIEF LEGAL/ASST. SECRETARY	40.00	10.00		Yes (X)	$311,494	$0	$51,289
THOMAS S ALBANESI JR CPA
CFO/ASSISTANT TREASURER	52.00	8.00		Yes (X)	$349,751	$0	$67,519
MICHAEL D BUSCH
CHIEF OPERATING OFFICER	40.00	10.00			$380,717	$0	$66,404	Yes (X)
HELEN BURNS PHD RN
CHIEF NURSING OFFICER	49.00	1.00			$230,821	$0	$50,097	Yes (X)
CAROL J FOX MD
CHIEF MEDICAL OFFICER	40.00	10.00			$340,780	$0	$65,324	Yes (X)
ZACHARY WALTON DO
PHYSICIAN	50.00				$256,163	$0	$38,119		Yes (X)
LAURIE ENGLISH
SENIOR VP HUMAN RESOURCES	50.00				$234,927	$0	$56,638		Yes (X)
JANICE DEVINE
SENIOR VP CHIEF INFORMATION OFFICER	50.00				$232,078	$0	$21,091		Yes (X)
PAUL IMBROGNO
PHYSICAL THERAPIST	50.00				$240,187	$0	$14,505		Yes (X)
ALBERT J NOVAK
VP CHIEF DEVELOPMENT OFFICER	50.00				$216,071	$0	$48,450		Yes (X)
DAVID GAWALUCK
FORMER CHIEF INFORMATION OFFICER	0.00				$127,534	$0	$17,644			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,828,566	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$801,535	TotReportableCompRltdOrgAmt
Total Other Compensation	$704,760	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	110	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUEST DIAGNOSTICS
3 GIRALDA FARMS	MADISON	NJ	07940	LAB SERVICES	$2,747,928
AUREUS NURSING LLC
2425 S 171ST STREET	OMAHA	NE	68130	MEDICAL STAFFING SERVICE	$1,051,492
WESTMORELAND EMERGENCY MEDICAL SPECIALIS
532 W PITTSBURGH ST	GREENSBURG	PA	15601	ER PHYSICIANS	$726,895
SPECIALTY CARE CARDIOVASCULAR
3100 WEST END AVE STE 800	NASHVILLE	TN	37203	PERFUSION SERVICES & STAFFING	$533,445
FRESENIUS MEDICAL INC
475 W 13TH ST	OGDEN	UT	84404	LAB SERVICES	$440,300

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	31	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$4,965,176	AllOtherContributionsAmt
Total Contributions	$4,965,176	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	900099	$455,304,438	$455,304,438
HOME CARE & HOSPICE REVENUE	900099	$26,363,227	$26,363,227
COUNTY PROGRAMS	900099	$1,258,361	$1,258,361

Field	Value	IRS element (for citing)
Total Program Service Revenue	$482,926,026	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,577,386	TotalRevenueColumnAmt
Exclusion	$4,577,386	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$114,388	TotalRevenueColumnAmt
Exclusion	$114,388	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,942,467	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,350,081	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,592,386	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,592,386	TotalRevenueColumnAmt
Exclusion	$2,592,386	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$20,954,001	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$20,954,001	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,954,001	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,152,575	RelatedOrExemptFuncIncomeAmt
Exclusion	$19,801,426	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA INCOME	900099	$2,023,083	$2,023,083
PHARMACY REVENUE	900099	$830,674	$830,674
SCHOOL OF ANESHESIA TUITION	900099	$822,533	$822,533

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,784,387	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$3,784,387	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$108,097	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$516,021,266	TotalRevenueColumnAmt
Related Or Exempt Func Income	$483,970,504	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$27,085,586	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,970,993	TotalAmt
Management And General	$2,970,993	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$174,134,140	TotalAmt
Program Services	$150,164,796	ProgramServicesAmt
Management And General	$23,969,344	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,321,521	TotalAmt
Program Services	$5,373,558	ProgramServicesAmt
Management And General	$947,963	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,530,433	TotalAmt
Program Services	$22,933,979	ProgramServicesAmt
Management And General	$3,596,454	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,026,320	TotalAmt
Program Services	$11,072,919	ProgramServicesAmt
Management And General	$1,953,401	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$847,938	TotalAmt
Management And General	$847,938	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$440,061	TotalAmt
Management And General	$440,061	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$49,372,411	TotalAmt
Program Services	$34,069,883	ProgramServicesAmt
Management And General	$15,302,528	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,822,427	TotalAmt
Program Services	$1,822,186	ProgramServicesAmt
Management And General	$241	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,229,361	TotalAmt
Program Services	$4,262,972	ProgramServicesAmt
Management And General	$2,966,389	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,531,043	TotalAmt
Program Services	$5,988,400	ProgramServicesAmt
Management And General	$542,643	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$954,722	TotalAmt
Program Services	$877,612	ProgramServicesAmt
Management And General	$77,110	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$322,518	TotalAmt
Program Services	$196,278	ProgramServicesAmt
Management And General	$126,240	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,371,395	TotalAmt
Program Services	$5,371,395	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,274,129	TotalAmt
Program Services	$27,274,129	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,490,612	TotalAmt
Program Services	$6,490,612	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$78,664,134	$78,664,134
EQUIPMENT RENTAL & MAIN	$21,058,390	$18,137,305	$2,921,085
BAD DEBT	$16,533,699	$16,533,699
G & A COST ALLOCATION	$3,125,505	$162,526	$2,962,979

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,015,463	TotalAmt
Program Services	$3,715,672	ProgramServicesAmt
Management And General	$299,791	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$453,037,215	TotalAmt
Program Services	$393,112,055	ProgramServicesAmt
Management And General	$59,925,160	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$1,255,597	BOYAmt
EOY	-$1,292,361	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$60,079,581	BOYAmt
EOY	$65,917,476	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,911,899	BOYAmt
EOY	$4,437,326	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,393,658	BOYAmt
EOY	$7,133,251	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$710,393,444	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$516,781,731	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$197,203,298	BOYAmt
EOY	$193,611,713	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$286,131,637	BOYAmt
EOY	$267,512,407	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,796,611	BOYAmt
EOY	$10,397,630	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$123,171,672	BOYAmt
EOY	$133,752,973	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$686,432,759	BOYAmt
EOY	$681,470,415	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$43,427,917	BOYAmt
EOY	$42,772,818	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$892,134	BOYAmt
EOY	$913,010	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$136,857,315	BOYAmt
EOY	$131,823,482	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$193,300,576	BOYAmt
EOY	$209,467,673	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$374,477,942	BOYAmt
EOY	$384,976,983	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$298,433,754	BOYAmt
EOY	$282,823,838	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,503,980	BOYAmt
EOY	$9,637,566	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,017,083	BOYAmt
EOY	$4,032,028	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$311,954,817	BOYAmt
EOY	$296,493,432	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$686,432,759	BOYAmt
EOY	$681,470,415	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$62,984,051	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$16,589,029	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$61,856,407	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART I	FormAndLineReferenceDesc
Explanation	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 9 - PUBLICLY SUPPORTED EXCELA HEALTH HOME CARE AND HOSPICE - BOX 9 - PUBLICLY SUPPORTED	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$12,501	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$2,893	OtherActivitiesAmt
Total Lobbying Expenditures	$15,394	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PORTION OF THE EXCELA HEALTH GROUP'S DUES TO HEALTHCARE COUNCIL AND THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) ARE USED FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,573,628	BeginningYearBalanceAmt
Investment Earnings Or Losses	$220,854	InvestmentEarningsOrLossesAmt
Administrative Expenses	$14,201	AdministrativeExpensesAmt
End Year Balance	$4,780,281	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,248,951	BeginningYearBalanceAmt
Investment Earnings Or Losses	$339,072	InvestmentEarningsOrLossesAmt
Administrative Expenses	$14,395	AdministrativeExpensesAmt
End Year Balance	$4,573,628	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,517,175	BeginningYearBalanceAmt
Investment Earnings Or Losses	$770,405	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,017,417	OtherExpendituresAmt
Administrative Expenses	$21,212	AdministrativeExpensesAmt
End Year Balance	$4,248,951	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,525,876	BeginningYearBalanceAmt
Investment Earnings Or Losses	$14,819	InvestmentEarningsOrLossesAmt
Administrative Expenses	$23,520	AdministrativeExpensesAmt
End Year Balance	$6,517,175	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,281,078	BeginningYearBalanceAmt
Investment Earnings Or Losses	$267,438	InvestmentEarningsOrLossesAmt
Administrative Expenses	$22,640	AdministrativeExpensesAmt
End Year Balance	$6,525,876	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,923,069	OtherCostOrOtherBasisAmt
Book Value	$13,923,069	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$260,813,314	OtherCostOrOtherBasisAmt
Depreciation	$146,997,243	DepreciationAmt
Book Value	$113,816,071	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,234,960	OtherCostOrOtherBasisAmt
Depreciation	$8,779,741	DepreciationAmt
Book Value	$8,455,219	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$386,008,013	OtherCostOrOtherBasisAmt
Depreciation	$337,043,400	DepreciationAmt
Book Value	$48,964,613	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,414,088	OtherCostOrOtherBasisAmt
Depreciation	$23,961,347	DepreciationAmt
Book Value	$8,452,741	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$193,611,713	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	SECURITIES AND OTHER INVESTMENTS	Desc
Book Value	$267,512,407	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$267,512,407	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
CHA RRG ASSETS	$16,190,697
DUE FROM AFFILIATES	$102,545,465
ASSETS HELD BY BOND TRUSTEE	$5,493,729
LONG TERM INVESTMENTS AT MARKET	$3,300,952
OTHER CURRENT ASSETS	$6,222,130

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$133,752,973	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
ASBESTOS ABATEMENT	$2,796,987
CHA RRG	$30,554,584
ACCRUED PENSION	$95,141,336
ACCRUED INTEREST PAYABLE	$1,000,356
OTHER LIABILITIES	$432,177
LEASE PAYABLE	$134,454
DUE TO AFFILIATES	$74,952,334
DUE TO THIRD-PARTY PAYORS	$4,455,445

Field	Value	IRS element (for citing)
Total Liability	$209,467,673	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, 2019.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,862,257	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,862,257	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,165,076	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,313,940	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,851,136	NetCommunityBenefitExpnsAmt
Total Expense	0.03380	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,027,333	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,313,940	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,713,393	NetCommunityBenefitExpnsAmt
Total Expense	0.03830	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,920,923	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,920,923	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,283,229	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,935,130	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,348,099	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,634,859	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,681,197	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,953,662	NetCommunityBenefitExpnsAmt
Total Expense	0.02670	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$297,327	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$297,327	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,136,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,616,327	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,520,011	NetCommunityBenefitExpnsAmt
Total Expense	0.03540	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$86,163,671	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,930,267	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,233,404	NetCommunityBenefitExpnsAmt
Total Expense	0.07370	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,395	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,395	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,395	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,395	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$4,995,930	BadDebtExpenseAmt
Reimbursed By Medicare	$205,002,123	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$209,956,355	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,954,232	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
LATROBE AREA HOSPITAL
1	ONE MELLON WAY	LATROBE	PA	15650	Yes (X)	Yes (X)	Yes (X)	Yes (X)
WESTMORELAND REGIONAL HOSPITAL
2	532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	Yes (X)	Yes (X)		Yes (X)
FRICK HOSPITAL
3	508 SOUTH CHURCH STREET	MT PLEASANT	PA	15666	Yes (X)	Yes (X)		Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.EXCELAHEALTH.ORG/COMMUNITY-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.EXCELAHEALTH.ORG/COMMUNITY-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.EXCELAHEALTH.ORG/FAQS	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.EXCELAHEALTH.ORG/FAQS	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.EXCELAHEALTH.ORG/FAQS	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, A PATIENT AND RESIDENT SURVEY, AND AN EMPLOYEE SURVEY. PRIMARY QUALITATIVE DATA COLLECTED FOR THE CHNA INCLUDES 10 FOCUS GROUPS AND 15 STAKEHOLDER INTERVIEWS. THESE INDIVIDUAL AND GROUP INTERVIEWS WERE HELD WITH RESPONDENTS TO INCLUDE A VARIETY OF WESTMORELAND COUNTY RESIDENTS 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, A PAPER-BASED PATIENT AND RESIDENT 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. DETAILS ON THE DATA COLLECTION TOOLS USED FOR INTERVIEW, FOCUS GROUP, OR SURVEY INSTRUMENTS IS 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 AND THE HEALTHY COMMUNITIES INITIATIVE (HCI) OF XEROX CORPORATION.
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, A PATIENT AND RESIDENT SURVEY, AND AN EMPLOYEE SURVEY. PRIMARY QUALITATIVE DATA COLLECTED FOR THE CHNA INCLUDES 10 FOCUS GROUPS AND 15 STAKEHOLDER INTERVIEWS. THESE INDIVIDUAL AND GROUP INTERVIEWS WERE HELD WITH RESPONDENTS TO INCLUDE A VARIETY OF WESTMORELAND COUNTY RESIDENTS 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, A PAPER-BASED PATIENT AND RESIDENT 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. DETAILS ON THE DATA COLLECTION TOOLS USED FOR INTERVIEW, FOCUS GROUP, OR SURVEY INSTRUMENTS IS 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 AND THE HEALTHY COMMUNITIES INITIATIVE (HCI) OF XEROX CORPORATION.
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, A PATIENT AND RESIDENT SURVEY, AND AN EMPLOYEE SURVEY. PRIMARY QUALITATIVE DATA COLLECTED FOR THE CHNA INCLUDES 10 FOCUS GROUPS AND 15 STAKEHOLDER INTERVIEWS. THESE INDIVIDUAL AND GROUP INTERVIEWS WERE HELD WITH RESPONDENTS TO INCLUDE A VARIETY OF WESTMORELAND COUNTY RESIDENTS 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, A PAPER-BASED PATIENT AND RESIDENT 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. DETAILS ON THE DATA COLLECTION TOOLS USED FOR INTERVIEW, FOCUS GROUP, OR SURVEY INSTRUMENTS IS 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 AND THE HEALTHY COMMUNITIES INITIATIVE (HCI) OF XEROX CORPORATION.
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.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 AND EXPENSES OF NON-HOSPITAL ORGANIZATIONS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS 42,754,699.
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 2018 TAX YEAR, WHICH IS EQUVIALENT TO ITS FISCAL YEAR ENDED JUNE 30, 2019. THE IMPLEMENTATION STRATEGY WAS ALSO ADOPTED DURING THAT SAME FISCAL YEAR.
PART VI, LINE 2:	DURING FISCAL YEAR 2019, 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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN M SPHON
TRUSTEE & CEO	$238,819	$0	$0	$0	$85,455	$0	$44,636	$0	$10,767	$0	$379,677	$0	$0	$0
ROBERT ROGALSKI
TRUSTEE & CEO (UNTIL 4/19)	$571,547	$0	$0	$0	$12,222	$0	$74,165	$0	$19,186	$0	$677,120	$0	$0	$0
GEOFFREY JOSEPH MD
SECRETARY	$0	$330,477	$0	$0	$0	$55,521	$0	$43,028	$0	$15,898	$0	$444,924	$0	$0
ASTER ASSEFA MD
TRUSTEE	$0	$415,537	$0	$0	$0	$0	$0	$0	$0	$0	$0	$415,537	$0	$0
TIMOTHY FEDELE
CHIEF LEGAL/ASST. SECRETARY	$306,988	$0	$0	$0	$4,506	$0	$44,759	$0	$6,530	$0	$362,783	$0	$0	$0
THOMAS S ALBANESI JR CPA
CFO/ASSISTANT TREASURER	$344,233	$0	$0	$0	$5,518	$0	$48,846	$0	$18,673	$0	$417,270	$0	$0	$0
MICHAEL D BUSCH
CHIEF OPERATING OFFICER	$361,169	$0	$0	$0	$19,548	$0	$49,861	$0	$16,543	$0	$447,121	$0	$0	$0
HELEN BURNS PHD RN
CHIEF NURSING OFFICER	$216,291	$0	$0	$0	$14,530	$0	$34,007	$0	$16,090	$0	$280,918	$0	$0	$0
CAROL J FOX MD
CHIEF MEDICAL OFFICER	$337,500	$0	$0	$0	$3,280	$0	$53,968	$0	$11,356	$0	$406,104	$0	$0	$0
ZACHARY WALTON DO
PHYSICIAN	$223,197	$0	$0	$0	$32,966	$0	$32,140	$0	$5,979	$0	$294,282	$0	$0	$0
LAURIE ENGLISH
SENIOR VP HUMAN RESOURCES	$223,965	$0	$0	$0	$10,962	$0	$40,535	$0	$16,103	$0	$291,565	$0	$0	$0
JANICE DEVINE
SENIOR VP CHIEF INFORMATION OFFICER	$202,698	$0	$0	$0	$29,380	$0	$20,439	$0	$652	$0	$253,169	$0	$0	$0
PAUL IMBROGNO
PHYSICAL THERAPIST	$57,475	$0	$0	$0	$182,712	$0	$6,055	$0	$8,450	$0	$254,692	$0	$0	$0
ALBERT J NOVAK
VP CHIEF DEVELOPMENT OFFICER	$214,053	$0	$0	$0	$2,018	$0	$33,415	$0	$15,035	$0	$264,521	$0	$0	$0
DAVID GAWALUCK
FORMER CHIEF INFORMATION OFFICER	$126,535	$0	$0	$0	$999	$0	$13,336	$0	$4,308	$0	$145,178	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4A	PAUL IMBROGNO - $150,000
PART I, LINE 7	EXCELA HEALTH'S EMPLOYEES MAY RECEIVE A BONUS BASED ON INCREASED PATIENT SATISFACTION AND OTHER PERFORMANCE INDICATORS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT
A	251433993	961008PU7	2005-03-26	$15,135,000	REFINANCE PNC LOAN	0	0	0
WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT
B	251433993	961008RJ0	2010-06-01	$60,170,000	REFINANCE SERIES 2005 B FRICK HOSPITAL 1997 BOND ADVANCED REFUNDING	0	0	0
WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT
C	251433993	961008RK7	2010-06-01	$21,200,000	NEW DEBT TO FINANCE HOSPITAL ACQUISITION AND OTHER HOSPITAL PROJECT	0	0	0
WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT
D	251433993		2015-06-24	$70,000,000	REFINANCE PNC LOAN, RENOVATIONS, FUNDING RESERVES, COSTS OF ISSUANCE	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt
A	$15,135,000	$212,603	Yes (1)	0	Yes (1)	Yes (1)
B	$60,170,000	$719,790	Yes (1)	Yes (1)	Yes (1)	Yes (1)	$5,298,913
C	$21,200,000	$201,636	0	0	Yes (1)	Yes (1)
D	$70,000,000	$247,559	0	0	Yes (1)	Yes (1)		$1,598,582	$18,865,902

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)
D	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
WELLS FARGO
A	0	0	0	Yes (1)	Yes (1)	Yes (1)	22.250000000000	0	0	0	0	Yes (1)
(no name)
B	0	0	0	Yes (1)	0	0				0	0	Yes (1)
(no name)
C	0	0	0	Yes (1)	Yes (1)	0				0	0	Yes (1)
(no name)
D	0	0	0	Yes (1)	0	0				0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

DATE REBATE COMPUTATION PERFORMED

ISSUER NAME: WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT DATE THE REBATE COMPUTATION WAS PERFORMED: 06/23/2018

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ELIZABETH FOX	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	CAROL FOX, CHIEF MEDICAL OFFICER - FAMILY MEMBER	RelationshipDescriptionTxt
Transaction	$97,056	TransactionAmt
Transaction	EMPLOYEE OF EXCELA HEALTH HOME CARE AND HOSPICE	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	ROBERT ROGALSKI & TOM YARABINETZ SERVE ON THE BOARD OF DIRECTORS FOR UNIVERSITY OF PITTSBURGH AT GREENSBURG.
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 34,069,883. MANAGEMENT AND GENERAL EXPENSES 15,302,528. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,372,411.
FORM 990, PART XI, LINE 9:	CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY -18,618,000. OTHER 43,593. NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONS -1,781,000. TRANSFER TO AFFILIATES -41,501,000.
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.
FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS:	ABOUT EXCELA HEALTH - IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH EXCELA 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, AND IN 2008 ACQUIRED JEANNETTE DISTRICT MEMORIAL HOSPITAL - WITH THE GOAL OF SERVING AS A REGIONAL HEALTH CARE SYSTEM THAT EMBODIES HIGH QUALITY, ACCESSIBILITY AND ADVANCED TECHNOLOGY LOCALLY. STAYING THE COURSE, EXCELA HEALTH CONTINUES TO BELIEVE ITS SUCCESS IS ROOTED IN SAFE AND EFFICIENT PATIENT-CENTERED CARE DRIVEN BY VALUE-BASED BEHAVIORS. 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 2019, 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 WAS THE CONTINUING ADDITION OF HIGHLY TRAINED PHYSICIANS, NURSES AND HEALTH CARE PROFESSIONALS WHO CONTINUOUSLY BRING ITS MISSION TO LIFE WHILE TOGETHER, MANAGEMENT, THE BOARD OF TRUSTEES AND MEDICAL STAFF COLLABORATE DILIGENTLY, AND THOUGHTFULLY, TO PROVIDE OUTSTANDING CARE TO THIS REGION. ALL IN A DAY'S WORK AT EXCELA HEALTH AS THE EXTRAORDINARY IS EMBRACED AS ROUTINE BY THE 4,999 EMPLOYEES, 511 PHYSICIANS, 242 ALLIED HEALTH PROFESSIONALS, 22 FAMILY MEDICINE RESIDENTS, AND 776 VOLUNTEERS AND AUXILIANS WHO ARE THE LIFE'S BLOOD OF THE HEALTH SYSTEM. AS A PENNSYLVANIA NON-PROFIT 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. THE TRADITION OF PROVIDING CARE IN NEIGHBORHOODS AND COMMUNITIES CONTINUES SO ACCESSIBILITY AND CONVENIENCE ARE MORE THAN JUST AN IDEA...THEY ARE AN IDEAL BROUGHT TO LIFE FOR THE GOOD OF ALL CONSTITUENTS. ACROSS WESTMORELAND COUNTY AND BEYOND, EXCELA HEALTH OUTPATIENT REHABILITATION FOR OUTPATIENT PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, QUIKDRAW AND QUIKDRAW PLUS FOR ROUTINE BLOOD WORK, IMAGING AND DIAGNOSTICS, AND EXCELA'S NETWORK OF PRIMARY CARE PHYSICIANS AND SPECIALISTS OFFER HIGH QUALITY CARE AND SERVE AS EXAMPLES OF WHAT MEDICAL CARE IS ALL ABOUT - PROVIDING TREATMENT EFFICIENTLY AND EFFECTIVELY WITH THE OBJECTIVE OF MINIMIZING AND/OR RESOLVING THE DETRIMENTAL EFFECTS OF A GIVEN CONDITION SO INDIVIDUALS CAN LEAD THE BEST LIFE POSSIBLE. BUT "CONDITIONS" ENCOMPASS MORE THAN THE PHYSICAL; THEY INCLUDE THE PSYCHOSOCIAL/EMOTIONAL ASPECTS OF GOOD HEALTH AS WELL. THE BEHAVIORAL HEALTH TEAM, WITH SERVICES OFFERED AT THE LATROBE AND WESTMORELAND HOSPITAL CAMPUSES, ALSO REACHES INTO THE COMMUNITY TO AID THOSE IN CRISIS. DURING FISCAL YEAR 2019, EXCELA HEALTH BEHAVIORAL HEALTH SERVICES PROVIDED THE FOLLOWING COMMUNITY SERVICES: 1. THE SCHOOL-BASED MENTAL HEALTH PROGRAM (OUT OF THE LATROBE HOSPITAL CAMPUS) OPERATES FULLY FUNCTIONAL OUTPATIENT CLINICS IN SEVEN WESTMORELAND COUNTY SCHOOL DISTRICTS IN DERRY, LATROBE, LIGONIER VALLEY, HEMPFIELD, SOUTHMORELAND, JEANNETTE AND MOUNT PLEASANT. ELEVEN LICENSED MENTAL HEALTH PROFESSIONALS, A PART-TIME PSYCHIATRIST, AND A NURSE PRACTITIONER PROVIDE SERVICES IN THE SCHOOL SETTING. EACH SCHOOL SITE IS LICENSED BY THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (OMHSAS) AS SATELLITE CLINICS OF THE LATROBE HOSPITAL CHILD OUTPATIENT CLINIC. CURRENTLY THERE ARE 558 CHILDREN IN TREATMENT IN THE SCHOOL BASED PROGRAM. 2. NURSING HOME SUPPORT - MOBILE MEDICATION EDUCATION (MME) AND MONITORING PROGRAM, BASED AT THE WESTMORELAND HOSPITAL CAMPUS, IS A COMMUNITY PSYCHIATRIC NURSING PROGRAM PROVIDING IN-HOME/COMMUNITY PSYCHIATRIC NURSING SERVICES. THE PROGRAM TARGETS PRIORITY POPULATIONS (AN OMHSAS DESIGNATION) WHO WOULD OTHERWISE BE AT-RISK FOR STATE HOSPITAL ADMISSION AS WELL AS SERVING AS THE FIRST POINT OF FOLLOW-UP FOR INDIVIDUALS DISCHARGED FROM STATE HOSPITALS. SINCE THE NUMBER OF INDIVIDUALS BEING DISCHARGED FROM STATE HOSPITALS HAS SLOWED, WE ARE NOW WORKING WITH ACUTE CARE MENTAL HEALTH INPATIENT UNITS TO IDENTIFY INDIVIDUALS WHO HAVE HAD MULTIPLE PSYCHIATRIC ADMISSIONS TO PROVIDE ADDITIONAL SUPPORTS TO ASSIST THEM IN THE COMMUNITY. THERE ARE NINE REGISTERED NURSES AND ONE AIDE ATTACHED TO THIS PROGRAM, WHICH IS LICENSED BY THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (OMHSAS) AS A SATELLITE OF THE WESTMORELAND HOSPITAL OUTPATIENT CLINIC. IN FISCAL YEARS 2018-2019 152 INDIVIDUALS WERE SERVED IN THE MME PROGRAM. 3. THE CRISIS RESPONSE CENTER (CRC), LOCATED ON THE WESTMORELAND HOSPITAL CAMPUS, WAS DEVELOPED TO PROVIDE AN ALTERNATIVE TO EMERGENCY ROOM TREATMENT FOR INDIVIDUALS IN PSYCHIATRIC CRISIS. COMBINED WITH THE EXCELA HEALTH EMERGENCY DEPARTMENTS, WE SEE APPROXIMATELY 3,600 INDIVIDUALS IN SOME FORM OF PSYCHIATRIC CRISIS EACH YEAR; AT LEAST 60 PERCENT DO NOT MEET THE CRITERIA FOR INPATIENT ADMISSION AND ARE DISCHARGED FROM THE EMERGENCY DEPARTMENT INTO THE COMMUNITY. AS WE HAVE SEEN A SIGNIFICANT INCREASE IN INDIVIDUALS SUFFERING FROM SUBSTANCE USE DISORDERS (SUD), WE HAVE DEVELOPED A "WARM HAND OFF" PROCESS WHICH ENABLES DRUG AND ALCOHOL CASE MANAGERS FROM OUR SINGLE COUNTY AUTHORITY SPHS TO COME AND MEET WITH INDIVIDUALS WITH SUD WHO PRESENT IN CRISIS. THIS PROGRAM FACILITATES A RAPID LEVEL OF CARE ASSESSMENT AND LINKAGE, THE APPROPRIATE LEVEL OF TREATMENT WHILE THE INDIVIDUAL IS ENGAGED AND MOTIVATED TO RECEIVE HELP. THE PROGRAM HAS BEEN SUCCESSFUL IN HELPING INDIVIDUALS RECEIVE TREATMENT MORE QUICKLY AND SOMETIMES "DOOR TO DOOR" LINKAGE IS ACHIEVED. OUR CRISIS RESPONSE CENTER IS INDEPENDENTLY LICENSED BY THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (OMHSAS) AND IS ATTACHED TO OUR PSYCHIATRIC OUTPATIENT CLINIC. THE CRISIS RESPONSE CENTER PROVIDED SERVICES TO 787 INDIVIDUALS THIS YEAR. 4. BEHAVIORAL HEALTH OPERATES A SEVEN-WEEK SUMMER CAMP, CALLED CAMP FOCUS, WHICH SERVED 158 CHILDREN FROM THE LATROBE, DERRY, MOUNT PLEASANT, HEMPFIELD AND LIGONIER VALLEY SCHOOL DISTRICTS IN FISCAL YEAR 2019. THE CAMP OFFERS AN ALTERNATIVE FOR SCHOOL AGE CHILDREN SO MENTAL HEALTH TREATMENT, GROWTH AND LEARNING CAN CONTINUE DURING THE SUMMER OPPORTUNITY TO APPLY AND REFINE SKILLS DEVELOPED THROUGHOUT THE YEAR. EXPENSES FOR THE CAMP TOTALED $22,777. THE BEHAVIORAL HEALTH STAFF MEMBERS ALSO PROVIDE VARIOUS TRAININGS, IN-SERVICES AND CONSULTATIONS INCLUDING QUARTERLY PRESENTATIONS TO THE BARIATRIC SURGERY SUPPORT GROUP AND AN ANNUAL CHILDREN'S WELLNESS SYMPOSIUM. EXCELA CAREGIVERS OF SOUTHWESTERN PA CAREGIVERS IS A SEPARATE, NOT-FOR-PROFIT 501(C) (3) ORGANIZATION, OPERATED AS A SUBSIDIARY OF EXCELA HEALTH AND UNDER THE DIRECTION/SUPERVISION OF THE DIRECTOR OF BEHAVIORAL HEALTH. AS MEMBERS OF THE UNITED STATES PSYCHIATRIC REHABILITATION ASSOCIATION (USPRA), THE CAREGIVERS RECOVERY PROGRAMS ARE NATIONALLY RENOWNED AS MODELS OF BEST PRACTICE AND EVIDENCE-BASED IMPLEMENTATION IN THE OPERATION OF PEER DRIVEN, PATIENT-CENTERED PROGRAMMING. CAREGIVERS IS THE LARGEST COMMUNITY-BASED RECOVERY PROGRAM IN SOUTHWESTERN PENNSYLVANIA. CAREGIVERS IS LOCATED AT 1037 COMPASS CIRCLE, SUITE 102, GREENSBURG, PA., AND ALL PROGRAMS ARE INDEPENDENTLY LICENSED BY THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (OMHSAS) AND ACCREDITED BY USPRA. ADDITIONALLY, THE CLUBHOUSE IS ACCREDITED BY THE INTERNATIONAL COALITION FOR CLUBHOUSE DESIGN (ICCD), A SWEDISH-BASED ORGANIZATION THAT OVERSEES FIDELITY TO THE EVIDENCE BASE OF THE CLUBHOUSE MODEL IN THE UNITED STATES. THE INDIVIDUAL PROGRAMS ARE: CLUBHOUSE THE CLUBHOUSE IS A MEMBER-DRIVEN BODY WHERE MEMBERS AND STAFF WORK SIDE BY SIDE IN A NUMBER OF SOCIAL, EDUCATIONAL AND VOCATIONAL REHABILITATION PROGRAMS. IT SERVES INDIVIDUALS WHO HAVE REACHED A POINT IN THEIR RECOVERY WHERE THEY ARE READY TO RESUME THE PATH THEY WERE ON PRIOR TO THE ACUTE STAGE OF THEIR ILLNESS. IT PROVIDES EDUCATIONAL COUNSELING AND SUPPORTIVE SERVICES FOR INDIVIDUALS SEEKING TO RETURN TO HIGH SCHOOL OR COLLEGE AND OPERATES BOTH A TRANSITIONAL EMPLOYMENT PROGRAM AND A SUPPORTIVE EMPLOYMENT PROGRAM. THE CLUBHOUSE CURRENTLY SERVES 38 ACTIVE CLIENTS.
FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT)	EACH OF THESE INDIVIDUALS HAS DEVELOPED THEIR OWN PERSON-CENTERED PLAN WHICH CHARTS THEIR PERSONAL COURSE TO WELLNESS. PSYCHIATRIC REHABILITATION THE MISSION OF WESTMORELAND PSYCHIATRIC REHABILITATION IS TO PROMOTE A SYSTEM OF INTEGRATED AND HOLISTIC SERVICES TO SUPPORT MENTAL HEALTH RECOVERY SO THAT INDIVIDUALS WITH MENTAL ILLNESS ARE ABLE TO ACHIEVE SUCCESS AND SATISFACTION IN THE LIVING, WORKING, LEARNING AND SOCIAL ENVIRONMENTS OF THEIR CHOICE. THIS IS ACCOMPLISHED THROUGH PSYCHO-EDUCATION, SKILL ACQUISITION AND SOCIAL NETWORKING. PSYCHIATRIC REHABILITATION IS A GROUP THERAPY-BASED DAY PROGRAM, RUN BY RECOVERING CONSUMERS IN CONJUNCTION WITH MENTAL HEALTH PROFESSIONALS. OUR PSYCHIATRIC REHABILITATION PROGRAM PROVIDES 15 PSYCHO-EDUCATIONAL AND SKILL DEVELOPMENT GROUPS EACH WEEK. THE GROUP SETTING FACILITATES A SHARING OF EXPERIENCES AND PROVIDES SUPPORT FOR THE INDIVIDUALS ON THEIR JOURNEY TO RECOVERY. THE PROGRAM CURRENTLY SERVES APPROXIMATELY 40 CONSUMERS. MOBILE PSYCHIATRIC REHABILITATION MOBILE PSYCHIATRIC REHABILITATION IS THE SMALLEST OF THE CAREGIVERS PROGRAMS WITH ONE PRACTITIONER ASSIGNED TO IT. THIS PROGRAM PROVIDES MORE INDIVIDUALIZED SUPPORT AND REHABILITATIVE OPPORTUNITIES AND SERVES AS A TRANSITIONAL SERVICE TO CONSUMERS NOT YET READY FOR THE OPEN ISSUE IDENTIFICATION THAT OCCURS IN THE GROUP-BASED PSYCHIATRIC REHABILITATION PROGRAMS. THERE ARE CURRENTLY 9 INDIVIDUALS PARTICIPATING IN THIS PROGRAM. WEST PLACE DROP-IN CENTER WESTPLACE IS A MEMBER-GOVERNED SOCIAL GATHERING PLACE OFFERING AN ENVIRONMENT IN WHICH CONSUMERS CAN INTERACT SOCIALLY AND BECOME INVOLVED IN ADVOCACY AND COMMUNITY SERVICE OPPORTUNITIES. MEMBERSHIP IN THE PROGRAM PROVIDES OPPORTUNITIES FOR NETWORKING, FOSTERS ACCEPTANCE AND MITIGATES THE ISOLATION FELT BY SO MANY INDIVIDUALS WITH MENTAL ILLNESS WHO ARE ENGAGED IN THE RECOVERY PROCESS. WESTPLACE PROVIDES A SENSE OF COMMUNITY AND SERVES ALMOST 400 MEALS EACH MONTH TO THE MEMBERS. BY PARTNERING WITH THE LOCAL FOOD BANK WE ARE ABLE TO PROVIDE A NUTRITIOUS WELL-BALANCED MEAL AT A NOMINAL COST. OUR SENSE OF COMMUNITY IS ALSO ENHANCED THROUGH OUR HOLIDAY CELEBRATIONS; 65 MEMBERS ATTENDED OUR EASTER HOLIDAY DINNER IN FISCAL YEAR 2019. IN 2018, 120 INDIVIDUALS PARTICIPATED IN THE WESTPLACE PROGRAM. THE PROGRAM IS OPERATIONAL EACH EVENING FROM 4:00 TO 8:00 AND HAS SPECIAL ACTIVITIES OFFERED ON SATURDAYS. EXCELA HEALTH JOINTWORKS AT LATROBE AND WESTMORELAND HOSPITALS INCORPORATES CURRENT CARE FOR JOINT REPLACEMENT PATIENTS WITH UP-TO-THE-MINUTE TECHNIQUES AND TREATMENTS. JOINTWORKS, A PROGRAM THAT OFFERS A COMFORTABLE, ENJOYABLE AND RAPID JOINT REPLACEMENT EXPERIENCE, FEATURES A WELCOMING ENVIRONMENT AND ALLOWS THE PATIENT TO GO THROUGH THE THERAPY AND RECOVERY PROCESS WITH A FAMILY MEMBER WHO CAN ENCOURAGE THE PATIENT THROUGHOUT THAT TIME. THE PROGRAM LIVES THE CONCEPT OF A TEAM EFFORT AS ORTHOPEDIC SURGEONS, CAREGIVERS AND THERAPISTS IN THE HOSPITAL, HOME AND OUTPATIENT SETTINGS WORK CLOSELY WITH THE PATIENT AND FAMILY FOR THE BEST POSSIBLE OUTCOME. FROM PRE-CONDITIONING EXERCISE TO HOME CARE FOLLOW-UP, JOINTWORKS PRESENTS A SEAMLESS APPROACH TO JOINT REPLACEMENT ACCORDING TO THE 2018 STATE ESTIMATE, THE WESTMORELAND COUNTY POPULATION NUMBERS 350,611. CONSIDERING THAT THE AGE RANGE FOR MOST HIP AND KNEE REPLACEMENT SURGERY IS 50 TO 80 YEARS OF AGE AS NOTED BY THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, EXCELA HEALTH SHOULD CONTINUE TO SEE A RISE IN THOSE PROCEDURES AS WELL AS OTHER ORTHOPEDIC AND REHABILITATIVE SERVICES. MINIMALLY INVASIVE SURGERY, TOO, REMAINS A VIABLE OPTION FOR THOSE NEEDING SURGERY AND IS AVAILABLE AT THE HOSPITALS OF EXCELA HEALTH AS WELL AS THE OUTPATIENT SITES AT EXCELA SQUARE AT NORWIN AND LAUREL SURGICAL CENTER. WITH A SECOND ROBOT AT WESTMORELAND HOSPITAL IN ADDITION TO THE FIRST DA VINCI ROBOTIC SURGICAL SYSTEM AT LATROBE HOSPITAL, THIS FORM OF SURGERY CONTINUES TO GROW IN POPULARITY, WITH TRAINED GENERAL, GYNECOLOGIC, THORACIC AND UROLOGIC SURGEONS PERFORMING PROCEDURES SUCH AS HYSTERECTOMY; UTERINE FIBROID REMOVAL; PROSTATE/PROSTATE CANCER SURGERIES; BLADDER AND KIDNEY SURGERIES; COLORECTAL, HIATAL HERNIA/ESOPHAGEAL (ACID REFLUX) SURGERY; GALLBLADDER AND HERNIA SURGERIES, AND OTHERS. LATE IN 2014, THE SYSTEM ADDED A ROBOTIC THORACIC SURGEON TO ITS MEDICAL STAFF, WIDENING THE SCOPE OF SERVICES FOR THE POPULATION. THE DA VINCI DEVICE GREATLY AIDS IN PATIENT RECOVERY AND THE PHYSICIAN'S ABILITY TO PERFORM PROCEDURES WITH GREATER PRECISION AND VISIBILITY. EXCELA LATROBE HOSPITAL HAS OFFERED ROBOTIC SURGERY SINCE 2009, WITH PROCEDURES INCREASING YEAR OVER YEAR. IN FISCAL YEAR 2019 ALONE FOR BOTH FACILITIES, 979 PATIENTS (334 AT LATROBE HOSPITAL; 645 AT WESTMORELAND HOSPITAL) AVAILED THEMSELVES OF THIS ADVANCED SURGICAL TECHNOLOGY. QUALITY AND SAFETY EFFORTS EXCELA HEALTH IS ALWAYS KEENLY AWARE OF QUALITY AND PATIENT SAFETY, AS EVIDENCED BY THE NEW INITIATIVES AND PROGRAMS UNDERTAKEN IN FISCAL YEAR 2019 TO RAISE THE BAR EVEN HIGHER. AS SUCH, THE FOLLOWING WAS INSTITUTED AND, IN SOME CASES, MADE NOTE OF BY EXTERNAL AGENCIES. 1. EXCELA HEALTH HOME CARE & HOSPICE, IN PARTNERSHIP WITH THE FRED ROGERS CENTER FOR EARLY LEARNING AND CHILDREN'S MEDIA AND SETON HILL UNIVERSITY, HOSTED A CONTINUING EDUCATION COURSE IN MAY 2019 CALLED "IT TAKES A NEIGHBORHOOD: THE CALL OF COMMUNITY TO CARE FOR OUR BEREAVED CHILDREN". THIS SEMINAR PROVIDED INFORMATION ABOUT THE PROCESS FOR HOW CHILDREN EXPERIENCE GRIEF AND LOSS AND THEIR COPING MECHANISMS FOR DEALING WITH THE DEATH OF A LOVED ONE OR FRIEND. THE FINAL SESSION OF THE SEMINAR INTRODUCED A NEW BEREAVEMENT CARE INITIATIVE CALLED NEIGHBORHOOD KIDS: FAMILY BASED GRIEF SUPPORT PROGRAM. THIS PROGRAM WILL BE LAUNCHING IN LATE 2019 AND FOCUSES ON OFFERING CREATIVE OUTLETS FOR CHILDREN TO EXPRESS THEIR FEELINGS OF GRIEF AND LOSS THROUGH ART, MUSIC AND PET THERAPY. THIS COLLABORATIVE EFFORT BETWEEN EXCELA HEALTH HOME CARE AND HOSPICE, THE FRED ROGERS CENTER FOR EARLY LEARNING AND CHILDREN'S MEDIA, AND SETON HILL UNIVERSITY WILL CONTINUE INTO 2020 WITH SESSIONS OFFERED FOR YOUTHS BASED ON AGE-APPROPRIATE ACTIVITIES. 2. THE EXCELA HEALTH SAFETY AND OCCUPATIONAL HEALTH DEPARTMENT PRESENTS ANNUAL SAFETY FAIRS THAT ARE OPEN TO ALL EXCELA HEALTH EMPLOYEES. THESE EVENTS PRESENT THE DIFFERENT SAFETY MEASURES AND PROGRAMS IN PLACE TO ENSURE THE SAFETY OF EXCELA HEALTH STAFF, PATIENTS AND VISITORS. THE SAFETY FAIRS COVER A RANGE OF TOPICS INCLUDING BUT NOT LIMITED TO NEEDLE SAFETY (BLOOD AND BODY FLUID EXPOSURES), PERSONAL PROTECTION EQUIPMENT, SLIPS, TRIPS AND FALLS, FIRE SAFETY, INFECTION CONTROL, EMPLOYEE WELLNESS, PATIENT SAFETY, AND MORE. THE FAIR IS SET UP AS DIFFERENT BOOTHS THAT ARE ENGAGING AND INTERACTIVE AS THE EMPLOYEES ATTEND EACH BOOTH AND LEARN ABOUT THE DIFFERENT SAFETY SUBJECTS. THESE SAFETY FAIRS ARE HOSTED AT ALL THREE HOSPITAL CAMPUSES PLUS EXCELA SQUARE AT NORWIN, EXCELA SQUARE AT LATROBE AND CORPORATE SERVICES CENTER. IN 2019 THE TOTAL ATTENDANCE FOR THE SAFETY FAIRS WAS 674 EMPLOYEES. ADDITIONALLY, THE SAFETY DEPARTMENT ALSO DID "WALK AROUND" SAFETY FAIRS AT ALL THREE HOSPITALS FOR THE NIGHT SHIFT EMPLOYEES. SAFETY AND OCCUPATIONAL HEALTH TRAVELED TO THE CAMPUSES AND ENGAGED EMPLOYEES AND SHARED SAFETY INFORMATION AT EACH AREA ALONG WITH PRIZES AND CANDY FOR THE EMPLOYEES. THE NIGHT SHIFT WALK-AROUND DESCRIBED ABOVE REACHED AN ADDITIONAL 250-300 EMPLOYEES. 3. NURSE RESIDENCY PROGRAM - IN FISCAL YEAR 2019, 97 NURSES ENTERED THE NURSE RESIDENCY PROGRAM. THE 24-MONTH, COMPREHENSIVE PROGRAM IS COMPOSED OF TWO PHASES - PHASE ONE, YEAR ONE AND PHASE II, YEAR ONE AND YEAR TWO - DESIGNED TO SUPPORT THE DEVELOPMENT OF THE NEW NURSE'S ROLE AS A PROFESSIONAL, CLINICIAN AND LEADER. 4. THERE WERE 128 IN ATTENDANCE AT THE 4TH ANNUAL EVIDENCE-BASED PRACTICE AND RESEARCH FORUM: BRIDGING THE GAP FROM IDEA TO PRACTICE IN SEPTEMBER 2018. MARIE A. FIORAVANTI, DNP, RN, ASSOCIATE PROFESSOR OF NURSING, DIRECTOR OF NURSING AT THE UNIVERSITY OF PITTSBURGH SCHOOL OF NURSING AT GREENSBURG WAS THE MORNING KEYNOTE SPEAKER AND PROVIDED HER EXPERTISE ABOUT "DEVELOPING A UNIT-BASED COMMITTEE FOR THE IMPLEMENTATION OF EVIDENCE-BASED PRACTICE". JENNIFER H. LINGLER, PHD, CRNP, ASSOCIATE PROFESSOR OF NURSING AND PSYCHIATRY, DIRECTOR OF ADRC OUTREACH, RECRUITMENT AND EDUCATION CORE FROM THE UNIVERSITY OF PITTSBURGH, PITTSBURGH, PA PROVIDED THE AFTERNOON KEYNOTE. DR. LINGLER SHARED HER RESEARCH ABOUT "PERSONALIZING RISK FOR ALZHEIMER'S DISEASE IN THE ERA OF PRECISION MEDICINE: IMPLICATIONS FOR NURSING PRACTICE". THE FOLLOWING EXCELA HEALTH NURSES PRESENTED THEIR MASTER OF SCIENCE IN NURSING CAPSTONE PROJECTS: PALLIATIVE AND HOSPICE CARE EDUCATIONAL MODULE-MELISSA CLAWSON-RIETSCHA, MSN, RN, EDUCATOR, HOME CARE AND HOSPICE THE BENEFITS OF HAVING WELL-DEVELOPED PRECEPTORS-JENNIFER B. FARIS, MSN, RN, COS-C, NURSING SUPERVISOR, HOME CARE AND HOSPICE
FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT)	CARE NAVIGATION STRATEGIES IN THE EMERGENCY DEPARTMENT-JESSICA LOVE, MSN, RN, MAGNET PROGRAM COORDINATOR EDUCATING STAFF ABOUT MAGNET DESIGNATION - CHRISTY WEST, MSN, RN, CLINICAL DIRECTOR, 1D/1E SUSAN OVERLY, MSN, RN, CLINICAL DIRECTOR, BEHAVIORAL HEALTH AND RACHEL JACKSON, MS, LBS, MANAGER, BEHAVIORAL HEALTH OUTPATIENT SHARED THEIR WORK ABOUT "COLLABORATIVE CARE: PARTNERSHIPS IN THE COMMUNITY". NICK ZAKSEK, PHARM D, INFECTIOUS DISEASE PHARMACIST, PHARMACY DISCUSSED HOW "NURSES CAN PLAY A BIGGER ROLE IN ANTIBIOTIC STEWARDSHIP PROGRAMS". DEBRA MOFFA, MSN, RN, NURSE EDUCATOR PRESENTED AND EXPLAINED THE IMPORTANCE OF "DELIVERING HEALTH LITERATE CARE". FINALLY, THERE WERE EIGHT POSTER PRESENTATIONS, RECRUITMENT ACTIVITIES FOR THE STUDENTS IN ATTENDANCE, AND A MAGNET STATION. 5. PROFESSIONAL GOVERNANCE - PROFESSIONAL GOVERNANCE OFFERS CLINICAL, PROFESSIONAL NURSES A VOICE IN DECISION MAKING TO CREATE A POSITIVE IMPACT ON THE QUALITY OF PATIENT AND FAMILY CARE THROUGH A STRUCTURE OF COUNCILS, COMMITTEES AND WORK GROUPS. THIS MODEL ALSO EMBRACES SHARED RESPONSIBILITY AS NURSES FACILITATE RECOMMENDATIONS AND MAKE DECISIONS ABOUT CLINICAL CARE, QUALITY IMPROVEMENT AND PROFESSIONAL NURSING PRACTICE. IDEAS ARE SHARED THROUGH THE UNIT-BASED COUNCIL SPRING SHOWCASE AND PROFESSIONAL GOVERNANCE FALL FAIR. THE COUNCILS AND COMMITTEES PARTICIPATING IN THE FAIR AND SHOWCASE ARE: - LEADERSHIP COUNCIL PROVIDES A MEANS FOR COMMUNICATION, INTEGRATION AND COORDINATION OF THE FUNCTIONS OF PROFESSIONAL GOVERNANCE. - UNIT-BASED PRACTICE COUNCIL PROVIDES A "VOICE" FOR CLINICAL NURSING IN DECISION MAKING AT THE UNIT LEVEL. - PROFESSIONAL DEVELOPMENT COUNCIL OVERSEES DEVELOPMENT, IMPLEMENTATION AND EVALUATION OF PROFESSIONAL CAREER DEVELOPMENT PROGRAMS. - MANAGEMENT COUNCIL OVERSEES THE HUMAN, FISCAL, MATERIAL AND SUPPORT RESOURCES/SERVICES WITHIN AND AFFECTING THE CONTINUING OPERATIONS OF THE NURSING DEPARTMENT. - PRACTICE EXCELLENCE COUNCIL DEFINES, IMPLEMENTS AND MAINTAINS THE HIGHEST STANDARDS OF EVIDENCE-BASED NURSING PRACTICE WITH ADDITIONAL COMMITTEES REVIEWING SUBSETS OF THIS COUNCIL. - ADVANCED PRACTICE PROVIDER COUNCIL IMPLEMENTS THOSE STANDARDS OF PRACTICE DEFINED BY THE AMERICAN NURSES ASSOCIATION. 6. MAGNET ACCREDITATION - EXCELA HEALTH NURSING APPLIED FOR MAGNET RECOGNITION THROUGH THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) IN AUGUST 2018. MAGNET RECOGNITION IS THE MOST PRESTIGIOUS CREDENTIAL FOR NURSING EXCELLENCE THAT A HEALTH CARE ORGANIZATION CAN ACHIEVE. ONLY SEVEN PERCENT OF HEALTHCARE ORGANIZATIONS IN THE NATION HAVE MAGNET DESIGNATION. THE 247-PAGE APPLICATION, WHICH PROVIDED EVIDENCE OF NURSING EXCELLENCE IN 78 DIFFERENT STANDARDS, WAS REVIEWED AND APPROVED BY MAGNET APPRAISERS, AND SITE VISITS WILL BE SCHEDULED FOR A LATER DATE. SOME OF THE INITIATIVES HIGHLIGHTED FOR THE FISCAL YEAR 2019 INCLUDE: -NURSE LED EFFORTS TO PREVENT CATHETER - ASSOCIATED URINARY TRACT INFECTIONS (CAUTI) AT WESTMORELAND HOSPITAL - CATHETER-ASSOCIATED URINARY TRACT INFECTIONS (CAUTI) ARE THE MOST COMMONLY REPORTED HOSPITAL-ACQUIRED CONDITION, AND THE RATES CONTINUE TO RISE. CAUTIS LEAD TO EXTENDED HOSPITAL STAYS, INCREASED HEALTH CARE COSTS, AND PATIENT MORBIDITY AND MORTALITY. REGISTERED NURSES CAN PLAY A MAJOR ROLE IN REDUCING CAUTI RATES TO SAVE LIVES AND PREVENT HARM. NURSES CONTINUALLY TRACK CAUTI RATES IN THEIR AREAS. THE NURSES IN THE INTENSIVE CARE UNIT (ICU) AT WESTMORELAND HOSPITAL NOTICED THAT THE NUMBER OF PATIENTS EXPERIENCING CAUTIS HAD INCREASED. AS A RESULT, THE ICU UNIT COMMITTED TO PARTICIPATING IN A PROGRAM FUNDED AND GUIDED BY THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) AND MANAGED BY THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) TO PREVENT CAUTI. IN JULY 2018 A TEAM WAS FORMED AND SPECIFIC GOALS AND INTERVENTIONS WERE IDENTIFIED AND AN ACTION PLAN WAS SET. STAFF WERE EDUCATED AND NEW PROTOCOLS WERE CREATED BASED ON THE LATEST EVIDENCE. AS A RESULT OF MULTIPLE INTERVENTIONS, THE CAUTI RATE IN THE ICU AT WESTMORELAND HOSPITAL WAS ZERO FOR THE MONTHS OF NOVEMBER AND DECEMBER 2018 AND JANUARY 2019. STAFF FROM THE ICU AT WESTMORELAND HOSPITAL TRAVELED TO HARRISBURG TO PRESENT THEIR STRATEGIES AND RESULTS AT THE HAP CONFERENCE IN HARRISBURG IN 2019. -NURSES SUGGESTED IMPROVEMENTS TO WESTMORELAND HOSPITAL EMERGENCY ROOM DESIGN - IN 2017 STAFF MEETINGS WERE HELD TO ASK NURSES AND OTHER STAFF FOR INPUT RELATED TO OPPORTUNITIES FOR IMPROVEMENTS IN THE WESTMORELAND HOSPITAL EMERGENCY DEPARTMENT. STAFF VOICED BARRIERS TO COMMUNICATION AND TEAMWORK AND ULTIMATELY PATIENT FLOW. THE EXECUTIVE LEADERSHIP TEAM WAS SUPPORTIVE OF IMPLEMENTING THE SUGGESTED CHANGES, AND AN ARCHITECT WAS CONSULTED REGARDING PROPOSED CHANGES. NURSES AND FRONT LINE STAFF WERE ABLE TO REMAIN ACTIVELY INVOLVED IN THE PLANNING THROUGHOUT SO THAT CHANGES WERE MADE WITH THEIR DIRECT EXPERIENCE AND FEEDBACK IN MIND. THE REMODEL OF THE EMERGENCY DEPARTMENT NURSES STATION WAS COMPLETE IN THE FALL OF 2018 WITH IMMEDIATE POSITIVE FEEDBACK FROM STAFF REGARDING THE IMPROVEMENT TO THE WORK ENVIRONMENT. -PATIENT FALL EDUCATION - NURSES STRIVE TO PREVENT ANY AND ALL PATIENT FALLS. IN JUNE 2018, UNIT 3D/3E AT WESTMORELAND HOSPITAL REVIEWED RECENT PATIENT FALL DATA AND IDENTIFIED THAT THE MAJORITY OF FALLS OCCURRED WHILE PATIENTS WERE AMBULATING WITHOUT STAFF ASSISTING THEM. THE TEAM ASSESSED DEPARTMENTAL FACTORS IMPACTING AN INCREASE IN FALLS AND IDENTIFIED THAT STAFF PROFESSIONAL DEVELOPMENT WAS NEEDED TO FURTHER REFINE THE TEAM'S KNOWLEDGE AND PRACTICES. STAFF EDUCATION OCCURRED IN JUNE AND JULY OF 2018. AS A RESULT, DURING THE MONTHS OF AUGUST, SEPTEMBER AND OCTOBER OF 2018, THERE WERE ZERO PATIENT FALLS ON UNIT 3D/3E AT WESTMORELAND HOSPITAL. FOR OUR EFFORTS IN QUALITY, SAFETY AND CARE PROVISION, EXCELA HEALTH WAS RECOGNIZED THROUGH THE FOLLOWING AWARDS AND ACCOLADES 1. THE EXCELA HEALTH HEART CENTER ACHIEVED MISSION: LIFELINE STEMI RECEIVING CENTER CERTIFICATION ON JUNE 30, 2017, WHICH EXPIRES JUNE 29, 2020, THROUGH THE AMERICAN HEART ASSOCIATION AND THE AMERICAN COLLEGE OF CARDIOLOGY ACCREDITATION SERVICES. RECEIVING CENTER ACCREDITATION IDENTIFIES HOSPITALS WITH THE CAPABILITIES TO PROVIDE COMPREHENSIVE STEMI (ST ELEVATION MYOCARDIAL INFARCTION) CARE, INCLUDING 24/7 PERCUTANEOUS CORONARY INTERVENTION (PIC). HOSPITALS AND HEALTH CARE ORGANIZATIONS RECEIVING THESE ACCREDITATIONS FOLLOW STRINGENT GUIDELINES INCLUDING COORDINATION WITH EMS AND REFERRAL CENTERS, PARTICIPATION IN A MULTIDISCIPLINARY TEAM, CONTINUING EDUCATION AND DATA COLLECTION, AMONG OTHERS. 2. THE NATIONAL ASSOCIATION FOR BUSINESS RESOURCES HAS NAMED EXCELA HEALTH AMONG THE "NATION'S BEST AND BRIGHTEST IN WELLNESS" FOR THE THIRD STRAIGHT YEAR. THE PROGRAM HONORING COMPANIES AND ORGANIZATIONS RECOGNIZING AND CELEBRATING QUALITY AND EXCELLENCE IN EMPLOYEE AND WORKSITE HEALTH, IS ADMINISTERED BY SYNBELLA, THE NATION'S LEADING WELLNESS SYSTEMS FIRM. WINNING COMPANIES WERE EVALUATED BY AN ASSESSMENT AND EXAMINED STATISTICALLY FOR QUANTITATIVE DATA AND BASED ON CRITERIA TO BENCHMARK AND IMPROVE WELLNESS PROGRAM EFFECTIVENESS. THOSE CRITERIA INCLUDE OUTCOMES, ANALYSIS AND TRACKING, PARTICIPATION AND INCENTIVES, BENEFITS AND PROGRAMS, LEADERSHIP, EMPLOYEE INPUT, CULTURE AND ENVIRONMENT. 3. THE EXCELA ADVANCED VEIN CENTER IS ONE OF ONLY SEVEN IAC ACCREDITED VEIN CENTER SITES IN THE STATE OF PENNSYLVANIA. THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC) ACCREDITS IMAGING FACILITIES AND HOSPITALS SPECIFIC TO SUPERFICIAL VENOUS TREATMENT AND MANAGEMENT. IAC ACCREDITATION IS A MEANS BY WHICH FACILITIES CAN EVALUATE AND DEMONSTRATE THE LEVEL OF PATIENT CARE THEY PROVIDE. 4. HIGHMARK BLUE CROSS BLUE SHIELD CONTINUES TO RECOGNIZE EXCELA HEALTH WESTMORELAND HOSPITAL AS ONE OF THE FIRST IN THE NATION TO RECEIVE A BLUE DISTINCTION CENTER PLUSSM DESIGNATION IN THE AREA OF CARDIAC CARE AS PART OF THE BLUE DISTINCTION CENTER FOR SPECIALTY CARE PROGRAM. ADDITIONALLY, EXCELA HEALTH'S MATERNITY CARE, BARIATRIC SURGERY PROGRAM AND KNEE AND HIP REPLACEMENT PROGRAM (CALLED JOINT WORKS) HAVE ALSO BEEN NAMED AS BLUE DISTINCTION CENTERS PLUS. THE DESIGNATION IS GIVEN TO HOSPITALS WHO ARE SHOWN TO DELIVER QUALITY SPECIALTY CARE BASED ON OBJECTIVE, TRANSPARENT MEASURES FOR PATIENT SAFETY AND HEALTH OUTCOMES THAT WERE DEVELOPED WITH INPUT FROM THE MEDICAL COMMUNITY. 5. EXCELA HEALTH HOSPITALS - FRICK, LATROBE AND WESTMORELAND - HAVE BEEN DESIGNATED AS PRIMARY STROKE CENTERS BY THE JOINT COMMISSION AND RECOGNIZED BY THE DEPARTMENT OF HEALTH FOR EXCEEDING NATIONAL STANDARDS FOR QUALITY PATIENT CARE. TO EARN ACCREDITATION, THE EXCELA HEALTH HOSPITALS HAVE DEMONSTRATED PROFICIENCY IN THE PREVENTION AND EARLY MANAGEMENT OF STROKE AND TIA SYMPTOMS BASED ON GUIDELINES ESTABLISHED BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION FOR HEALTH CARE PROFESSIONALS.
FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT)	6. EXCELA HEALTH LATROBE AND WESTMORELAND HOSPITALS WERE RECOGNIZED IN 2019 FOR THEIR STATUS AS GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD AND TARGET: STROKE HONOR ROLL BY THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION. THE ACHIEVEMENT IS BASED ON OUR USAGE OF THE MOST UP-TO-DATE, EVIDENCE-BASED TREATMENT GUIDELINES TO IMPROVE PATIENT CARE AND OUTCOMES. 7. IN DECEMBER 2017, EXCELA HEALTH WORKS, THE SYSTEM'S OCCUPATIONAL MEDICINE PROGRAM, RECEIVED CERTIFICATION FROM THE NATIONAL ASSOCIATION OF OCCUPATIONAL HEALTH PROFESSIONALS (NAOHP). THIS THREE-YEAR CERTIFICATION IS CONSIDERED THE INDUSTRY'S GOLD STANDARD OF OUTSTANDING OCCUPATIONAL HEALTH PRACTICES FOR THE DELIVERY OF QUALITY HEALTH CARE SERVICES TO THE WORKFORCE IN THE COMMUNITY. THE NAOHP IS THE PREMIER PROFESSIONAL ORGANIZATION FOR OCCUPATIONAL PROVIDERS AND CLINICS. IT PROVIDES BENCHMARKS, STANDARDS AND BEST PRACTICE CONSULTATION NATIONWIDE WITH SERVICES EVALUATED ON ADMINISTRATION, OPERATIONAL FRAMEWORK, STAFFING PROCESSES, QUALITY ASSURANCE, PRODUCT LINE DEVELOPMENT AND SALES AND MARKETING. THE NAOHP SURVEYOR NOTED THAT THE PROGRAM HAS "A HIGHLY COMMITTED STAFF THAT WORK WONDERFULLY AS A TEAM FOR PATIENT AND CLIENT COMPANY EXCELLENCE THERE ARE MANY ASPECTS OF PRACTICE THAT TRULY SET IT APART." JUST AS EXCELA HEALTH CARES FOR ITS PATIENTS, SO TOO, DOES IT TAKE INTO ACCOUNT THE HEALTH AND WELL-BEING OF ITS WORK FORCE THROUGH A VARIETY OF HEALTH INITIATIVES. 1. FOR THE FIFTH CONSECUTIVE YEAR, EXCELA HEALTH HAS BEEN RECOGNIZED AS A HEALTHIEST 100 WORKPLACE IN AMERICA, AN AWARDS PROGRAM PRESENTED BY HEALTHIEST EMPLOYER, LLC. IN 2018, EXCELA HEALTH WAS RANKED 12 OUT OF 100. MORE THAN 10,000 EMPLOYERS NATIONALLY APPLIED FOR THE AWARD. EXCELA HEALTH CONTINUED ITS RECOGNITION AS ONE OF THE "HEALTHIEST EMPLOYERS OF WESTERN PENNSYLVANIA", WHICH IN 2018, MARKED THE EIGHTH CONSECUTIVE YEAR. THE PITTSBURGH BUSINESS TIMES, A LOCAL BUSINESS AND INDUSTRY PUBLICATION, PARTNERED WITH INDIANAPOLIS-BASED HEALTHIEST EMPLOYER LLC TO FIND THE HEALTHIEST WORKPLACES IN WESTERN PENNSYLVANIA. COMMUNITY HEALTH NEEDS ASSESSMENT PLEASE SEE ATTACHMENT FOR DETAILED INFORMATION. AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010, NON-PROFIT HOSPITALS ARE REQUIRED TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURVEY EVERY THREE YEARS. AN IMPLEMENTATION PLAN MUST BE ADOPTED TO ADDRESS THE IDENTIFIED NEEDS AND COMPLIANCE WITH THIS REQUIREMENT. THE PURPOSE OF THE CHNA PROCESS IS TO IMPROVE COMMUNITY HEALTH THROUGH UTILIZATION OF A MODEL THAT INTEGRATES HEALTH SYSTEM PLANNING WITH PUBLIC HEALTH AND COMMUNITY PLANNING. A COMMUNITY HEALTH NEEDS ASSESSMENT MUST INCLUDE A DESCRIPTION OF THE COMMUNITY, A DESCRIPTION OF THE PROCESS AND METHODS TO CONDUCT THE ASSESSMENT AND OTHER COLLABORATING AGENCIES INVOLVED IN THE PROCESS, A DESCRIPTION OF HOW THE HOSPITAL CONSIDERED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AND A DESCRIPTION OF THE HEALTH CARE FACILITIES AND OTHER RESOURCES WITHIN THE COMMUNITY AVAILABLE TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. IF A HOSPITAL HAS MORE THAN ONE FACILITY, A SEPARATE REPORT AND IMPLEMENTATION STRATEGY MUST BE COMPLETED FOR EACH FACILITY. ONCE THE CHNA IS COMPLETED, IT MUST BE MADE AVAILABLE WIDELY TO THE PUBLIC BY POSTING IT ON THE FACILITY'S WEBSITE AND MUST BE EASILY DOWNLOADABLE FROM THE WEBSITE. EQUIPMENT, SERVICE AND TECHNOLOGY UPDATES BY WAY OF SYSTEM-WIDE EQUIPMENT AND SERVICE ENHANCEMENTS, EXCELA HEALTH COMMITTED MONIES TOWARD SEVERAL VITAL SERVICE ADDITIONS: 1. THE EXPANSION OF THE EXCELA ADVANCED LUNG CENTER CONTINUED AT EXCELA SQUARE AT FRICK IN MOUNT PLEASANT. THE ADVANCED LUNG CENTER OFFERS LOW DOSE CT SCREENINGS THAT ALLOW FOR EARLY DETECTION AND TREATMENT OF LUNG CANCER. IN 2019, THE ADVANCED LUNG CENTER BEGAN UTILIZING THE EXCELA SQUARE AT LATROBE CAMPUS FOR PATIENT FOLLOW-UP SCREENINGS. 2. EXCELA HEALTH COMPLETED PHASE FOUR OF A FIVE-YEAR RENOVATION PROJECT AT THE FRICK HOSPITAL CAMPUS IN FEBRUARY 2019, WHICH HAS BECOME KNOWN AS EXCELA SQUARE AT FRICK. THIS FOURTH PHASE FEATURED A BUILD-OUT OF OFFICES ON THE FIRST FLOOR FOR PRIMARY CARE PROVIDERS INCLUDING A RESIDENCY PRACTICE. THE CONVERGENCE OF MAIN STREET MEDICAL IN MOUNT PLEASANT AND NORVELT FAMILY MEDICINE ARE NOW LOCATED UNDER ONE ROOF WITH CONVENIENT ACCESS TO OTHER OUTPATIENT SERVICES SUCH AS LAB, X-RAY, AND OTHER THERAPIES. THE INTERNAL MEDICINE COMPONENT OF THE PRIMARY CARE PRACTICES MOVED TO THE THIRD FLOOR AT FRICK. A BUILT-OUT OF NEW SPACE FOR THE EXCELA HEALTH ORTHOPEDIC AND SPORTS MEDICINE PRACTICE AT EXCELA SQUARE AT FRICK WAS COMPLETED IN THE SUMMER OF 2018 AND IS ALSO LOCATED ON THE THIRD FLOOR AT THE FRICK FACILITY, ALLOWING EXCELA HEALTH'S ORTHOPEDIC SPECIALISTS TO PROVIDE SPORTS MEDICINE AND ORTHOPEDIC MEDICAL AND SURGICAL SERVICES TO THE POPULATIONS OF MOUNT PLEASANT, SCOTTDALE, CONNELLSVILLE AND BEYOND. AN ALL-DAY OPEN HOUSE WAS HELD IN FEBRUARY 2019 TO CELEBRATE THE INTEGRATION OF THE TWO FAMILY MEDICINE PRACTICES AND MIGRATION OF INTERNAL MEDICINE AND ORTHOPEDICS AND SPORTS MEDICINE GROUP TO THEIR NEW HOME ON THE THIRD FLOOR. RESIDENTS FROM THE SOUTHERN PARTS OF THE COUNTY WERE INVITED TO THE "TREASURE YOUR HEALTH" OPEN HOUSE AND HAD THE OPPORTUNITY TO VISIT WITH THE PRIMARY CARE AND ORTHOPEDICS CARE TEAMS AND TOUR THE FACILITY. OVER 500 PEOPLE ATTENDED AND ABOUT 100 NEW PATIENTS WERE ADDED TO THE PRIMARY CARE PRACTICE SINCE THE OPENING. PHASE FIVE IS CURRENTLY UNDER WAY AND INCLUDES THE CONVERGENCE OF GASTROENTEROLOGY/GI, UPMC HILLMAN CANCER CENTER AT ARNOLD PALMER PAVILION (EXCELA HEALTH JOINT VENTURE WITH UPMC FOR CANCER CARE), AND EXCELA HEALTH ADVANCED LUNG CENTER, UNDER ONE ROOF. 3. EXCELA HEALTH HOSTED A NOT SO SPOOKY" HALLOWEEN WALK IN OCTOBER 2018 TO CULMINATE THE COMPLETION OF THE BUILD-OUT FOR EXCELA SQUARE AT LATROBE. ABOUT 300 RESIDENTS FROM THE COMMUNITY WERE INVITED TO ATTEND AND MEET THE SERVICE LINE CLINICIANS AND STAFF EMPLOYED AT THE FACILITY, AND THEY RECEIVED SWEET TREATS AND CHANCES TO PLAY GAMES AND WIN PRIZES AT EACH STATION INSIDE THE BUILDING. 4. EXCELA HEALTH WORKS OCCUPATIONAL MEDICINE, A CONVENIENT AND COMPREHENSIVE SERVICE DEVELOPED WITH INDUSTRY AND BUSINESS EMPLOYERS IN MIND, EXPANDED SERVICES TO A NEW LOCATION IN LATROBE. NOW SEEING PATIENTS IN THE EASTERN PORTION OF THE COUNTY, IN ADDITION TO THE ORIGINAL CENTER IN NORTH HUNTINGDON IN THE WESTERN PORTION OF THE COUNTY, DR. DONALD J. MCGRAW WORKS ALONGSIDE BOARD CERTIFIED AND TRAINED OCCUPATIONAL MEDICINE PROFESSIONALS, INCLUDING A PHYSICIAN ASSISTANT, REGISTERED NURSE, AND A NURSE CASE MANAGER TO KEEP THE REGION'S EMPLOYEES HEALTHY AND ABLE TO PERFORM THEIR JOBS. 5. EXCELA HEALTH, AT ITS LATROBE CAMPUS, IS ASSISTING THE COMMUNITY WITH THE EFFORT AS A REGISTERED COLLECTOR FOR THE FEDERAL DRUG ENFORCEMENT ADMINISTRATION. THE HEALTH SYSTEM INSTALLED A MEDSAFE RECEPTACLE IN APRIL 2018 AVAILABLE 24 HOURS A DAY IN A PUBLICALLY ACCESSIBLE CORRIDOR ON LATROBE HOSPITAL'S GROUND FLOOR FOR THE SAFE DISPOSAL OF PILLS, TABLETS, CAPSULES, OINTMENTS, CREAMS, LOTIONS, POWDERS AND LIQUID MEDICATIONS OF NO MORE THAN FOUR OUNCES. THE RECEPTACLE IS AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK. THE SECURE DROP BOX IS UNDER CONSTANT SURVEILLANCE AND EMPTIED PERIODICALLY BY AUTHORIZED HEALTH SYSTEM PERSONNEL FOR PROCESSING OF ITS CONTENTS. THE ADDITION OF THE MEDSAFE BOX IS VIEWED AS A MEANS TO HELP ADDRESS A PUBLIC SAFETY AND PUBLIC HEALTH ISSUE OF OPIOID AND OTHER DRUG ADDICTIONS GROWING WITHIN THE WESTMORELAND COUNTY COMMUNITY. THE HEALTH SYSTEM HAS SINCE EXPANDED THE PROGRAM TO FRICK AND WESTMORELAND HOSPITALS AND CONTINUES TO PROMOTE SAFE DISPOSAL OF UNWANTED OPIOID AND OTHER SUBSTANCE-RELATED MEDICATIONS. IN AUGUST 2018, EXCELA HEALTH PHARMACY DIRECTOR DEAN MATANIN CONDUCTED AN INTERVIEW WITH A LOCAL RADIO STATION AND DISCUSSED THE IMPORTANCE OF UTILIZING THE MEDSAFE RECEPTACLES AND URGED MEMBERS OF THE COMMUNITY TO DISPOSE OF THEIR UNWANTED AND UNUSED MEDICATIONS. 6. THE COMMITMENT CONTINUES TO THE LATROBE COMMUNITY AS EXCELA HEALTH MOVES FORWARD WITH AN ONGOING EFFORT TO MODERNIZE THE EXCELA LATROBE HOSPITAL CAMPUS. MORE THAN $2 MILLION WAS EARMARKED FOR IMPROVEMENTS IN PATIENT CARE AREAS AND VISITOR/EMPLOYEE PARKING. THE INITIAL UPGRADES OCCURRED ON THE HOSPITAL'S FOURTH FLOOR WITH THE RENOVATION OF THE NURSES' STATIONS AND TREATMENT AREAS AMONG OTHERS. EXPANSION OF EXISTING PARKING LOTS AND DEMOLITION OF THE ADJACENT PARKING GARAGE ALSO OCCURRED WITH THE REMOVAL OF THE WOMEN'S CARE SERVICES HOUSE, WHOSE SERVICES WERE MOVED TO EXCELA SQUARE AT LATROBE. EXCELA LATROBE HOSPITAL HOUSES STATE-OF-THE-ART RADIATION ONCOLOGY SERVICES AND THROUGH A DONOR CONTRIBUTION TO LATROBE AREA HOSPITAL CHARITABLE FOUNDATION, THE LATEST EQUIPMENT FOR THE DELIVERY OF HIGH DOSE RADIATION (HDR) BRACHYTHERAPY IS NOW AVAILABLE TO PROSTATE CANCER PATIENTS.
FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT)	SPECIAL CHAIRS WERE ALSO PROVIDED TO THE UPMC HILLMAN CANCER CENTER AT ARNOLD PALMER PAVILION FOR PATIENTS TO USE DURING THEIR TREATMENTS. 7. TO RELIEVE THE ANXIETY THAT MAY ACCOMPANY A HOSPITAL STAY, PARTICULARLY ONE THAT IS UNPLANNED, EXCELA HEALTH IS UTILIZING PET THERAPY AT ITS THREE HOSPITALS WITH THE MOST RECENT INCLUSION AT EXCELA SQUARE AT NORWIN. FROM JULY 1, 2018 TO JUNE 30, 2019, 41 DOGS AND THEIR HANDLERS PARTICIPATED IN THE PROGRAM WITH ASSIGNMENTS RANGING FROM VISITING IN THE OUTPATIENT WAITING AREAS TO BEDSIDE VISITS. THEY CONTRIBUTED 1,173.19 VOLUNTEER HOURS TOWARDS THE TOTAL VOLUNTEER HOURS FOR THE HEALTH SYSTEM. THE PROGRAM CONTINUES TO EXPAND IN AN EFFORT TO ENHANCE THE PATIENT EXPERIENCE FURTHER. RESEARCH HAS SHOWN THAT PET THERAPY PROVIDES VARIOUS HEALTH BENEFITS TO PATIENTS AND OTHERS. ALL DOGS IN THE PROGRAM ARE REGISTERED AS THERAPY DOGS THROUGH ONE OF A NUMBER OF NATIONAL OR REGIONAL ORGANIZATIONS AND MUST BE UP-TO-DATE ON THEIR OWN HEALTH REQUIREMENTS. 8. IN THE FALL OF 2018, EXCELA HEALTH INTRODUCED ONLINE SCHEDULING FOR MAMMOGRAM APPOINTMENTS. PATIENTS COULD NOW SCHEDULE THEIR MAMMOGRAM ONLINE AND RECEIVE AN APPOINTMENT CONFIRMATION WITHIN 24 BUSINESS HOURS. PATIENTS PROVIDE THEIR CONTACT INFORMATION, TWO PREFERRED APPOINTMENT LOCATIONS, DATES AND TIMES WITH EXCELA'S SCHEDULERS PERFORMING THE REMAINING FUNCTIONS. IN FISCAL YEAR 2019, THE ORGANIZATION CONTINUED TO HEAVILY PROMOTE THE ONLINE SCHEDULING TOOL THROUGH COMMUNITY OUTREACH PROGRAMS AND ACTIVITIES AS WELL AS ONLINE PLATFORMS SUCH AS DIGITAL ADVERTISING AND SOCIAL MEDIA. EXCELA HEALTH ALSO OFFERS CARE ACROSS A CONTINUUM FROM PREVENTION AND WELLNESS TO EMERGENCY CARE, ACUTE CARE, OUTPATIENT CARE, REHABILITATION, HOME CARE AND HOSPICE AND DURABLE MEDICAL EQUIPMENT (MEDICAL SUPPLIES). REACHING INTO THE COMMUNITY IN FACT, THE HEALTH SYSTEM HAS GARNERED MUCH RECOGNITION FOR ITS EFFORTS ON BEHALF OF THE "HEALTH AND WELL-BEING" OF THE PUBLIC IT SERVES, ALWAYS STRIVING FOR EXCELLENCE AS OUR VERY NAME IMPLIES. EXCELA HEALTH TAKES THE ROLE OF CORPORATE CITIZEN SERIOUSLY, TOO, PARTNERING WITH COMMUNITY ORGANIZATIONS TO SPREAD THE WORD ABOUT VARIOUS HEALTH ISSUES, GIVING OF ITS TIME AND TALENTS TO NEIGHBORHOOD CAUSES, AND SUPPORTING THE EFFORTS OF AREA HEALTH-RELATED GROUPS AND OTHERS WHOSE MISSION MESHES WITH ITS OWN. THE FOLLOWING INITIATIVES FUNCTION AS EXAMPLES OF EXCELA'S PRESENCE IN WESTMORELAND COUNTY AND OPPORTUNITIES TO ADDRESS AND MEET THE NEEDS OF THE PRIORITIES LISTED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). 1. THE SPOTLIGHT SHOWN ON WOMEN'S HEALTH IN OCTOBER 2018 WITH THE A BRUSH OF HOPE BREAST HEALTH AWARENESS EVENT. THIS SPECIFIC EVENT PAIRED A PAINTING SESSION FOR ATTENDEES WITH ARTFUL PRESENTATIONS ON THE LATEST ADVANCEMENTS IN BREAST HEALTH TECHNOLOGY. EXCELA HEALTH BREAST SPECIALISTS AND RADIOLOGISTS DISCUSSED THE IMPORTANCE OF 3D MAMMOGRAPHY AND HOW THIS TECHNOLOGY HAS REVOLUTIONIZED THE WAY MAMMOGRAMS ARE READ AND DIAGNOSED. EXCELA HEALTH NURSE NAVIGATORS EDUCATED ATTENDEES ON THE ROLE OF THE NURSE NAVIGATOR IN THE BREAST HEALTH JOURNEY AND SHARED INSIGHT INTO THE VAST AMOUNT OF RESOURCES AVAILABLE TO WOMEN WHO ARE DIAGNOSED WITH BREAST CANCER. ATTENDEES WALKED AWAY WITH A WEALTH OF INFORMATION, ENCOURAGEMENT TO RECEIVE THEIR ANNUAL MAMMOGRAM SCREENINGS AND A BEAUTIFUL PORTRAIT PAINTING OF A SUNFLOWER, RESEMBLING NEW BEGINNINGS AND HOPE. A TOTAL OF 225 ATTENDEES WERE IN THE HOUSE THE EVENING OF THE EVENT. 2. EXCELA'S MALL WALKERS PROGRAM CONTINUED FOR THE EIGHTH YEAR FOR FISCAL YEAR 2019, WITH MORE THAN 200 INDIVIDUALS ATTENDING EACH MONTH (EXCLUDING DECEMBER) AT WESTMORELAND MALL, LOCATED IN GREENSBURG, PA. THE PROGRAM FEATURES A FREE HEALTH TALK FROM EXCELA HEALTH PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, FREE HEALTH SCREENINGS, LIGHT BREAKFAST ITEMS, AND A PRE-MEASURED WALKING COURSE WITH INTERACTIVE STATIONS AT MULTIPLE LOCATIONS. BIOMETRIC SCREENINGS ARE OFFERED IN THE BEGINNING AND END OF THE YEAR SO WALKERS CAN GAUGE THEIR HEALTH PROGRESS IN AREAS SUCH AS CHOLESTEROL LEVELS, BLOOD PRESSURE, WEIGHT/BODY MASS INDEX AND MORE. FOR FISCAL YEAR 2019, A TOTAL OF 180 BIOMETRIC SCREENINGS WERE PERFORMED AND SCREENING PARTICIPATION IS EXPECTED TO INCREASE IN FISCAL YEAR 2020. THESE SCREENINGS ARE PROVIDED BY THE EXCELA HEALTH WELL-BEING CENTER AS AN IN-KIND CONTRIBUTION TO THE COMMUNITY. 3. TO HELP PEOPLE GAUGE THEIR HEALTH STATUS, EXCELA HEALTH ONCE AGAIN CONTINUED TO CO-SPONSOR "WELLNESS CHECKS", A MULTIPHASIC BLOOD ANALYSIS THAT ALLOWS FOR THE DETECTION OF MANY POTENTIAL HEALTH PROBLEMS AT A LOW COST. ADDITIONAL SCREENINGS WERE ALSO OFFERED WITH THE PROGRAM UTILIZING SEVEN TO 10 REGIONAL LOCATIONS ACROSS WESTMORELAND COUNTY IN BOTH THE FALL (2018) AND THE SPRING (2019). EXCELA HEALTH PARTNERS WITH AREA ROTARY CLUBS, KIWANIS, VOLUNTEER FIRE DEPARTMENTS AND OTHERS TO PRESENT THE PROGRAMS. MONIES EARNED IN PART GO TO THE SCHOLARSHIP FUNDS OF THE VARIOUS PUBLIC ORGANIZATIONS. WELLNESS CHECKS FOR FISCAL YEAR 2019 ADDED UP TO A TOTAL OF 1,635 PARTICIPANTS/SCREENINGS. 4. THE EXCELA HEALTH ADVANCED VEIN CENTER PARTNERED WITH THE LATROBE ROTARY TO HOST A "WELLNESS CHECK PLUS" EVENT IN OCTOBER 2018. THIS EVENT FEATURED THE MULTIPHASIC BLOOD SCREENING ALONG WITH A VASCULAR SCREENING COMPONENT, WHERE ATTENDEES RECEIVED AN ABDOMINAL AORTIC SCREENING ULTRASOUND, A SCREENING CAROTID DUPLEX, AN ABI AND A FOOT CHECK. ADDITIONALLY, EDUCATORS FROM THE EXCELA HEALTH ADVANCED WOUND CENTER AND DIABETES CENTER WERE ONSITE TO PROVIDE EDUCATIONAL MATERIALS AND INFORMATION TO PARTICIPANTS AND THEIR FAMILY MEMBERS. ABOUT 51 INDIVIDUALS PARTICIPATED IN THE VASCULAR SCREENING AND 11 OF THOSE SCREENED SCHEDULED FOLLOW-UP APPOINTMENTS WITH THE VASCULAR SURGERY TEAM FOR ADDITIONAL CONSULTATION. IN APRIL 2019, THE VASCULAR SCREENING WAS REPLICATED, TARGETING RESIDENTS IN THE SOUTHERN MARKET OF WESTMORELAND COUNTY WHO HAVE A HIGHER RISK FOR PRE-DIABETES AND TYPE II DIABETES, HEART DISEASE AND OTHER RISK FACTORS THAT COULD LEAD TO ARTERIAL (VASCULAR) DISEASE. ATTENDEES RECEIVED A FREE VASCULAR SCREENING PROVIDED BY EXCELA HEALTH PHYSICIANS AND CLINICIANS ALONG WITH AN OPTIONAL A1C BLOOD TEST, PLUS A DIABETES COOKING DEMONSTRATION WITH FREE REFRESHMENTS AND FREE RECIPES PROVIDED BY EXCELA HEALTH DIABETES CENTER EDUCATORS. EIGHTY-FIVE PEOPLE REGISTERED FOR THE EVENT, 75 VASCULAR SCREENINGS WERE COMPLETED WITH 14 FOLLOW-UP APPOINTMENTS SCHEDULED, 27 A1C BLOOD TESTS WERE COMPLETED WITH 10 ABNORMAL RESULTS PROMPTING FOLLOW-UP, AND 27 INDIVIDUALS ATTENDED THE DIABETES COOKING DEMONSTRATION WITH ADDED ADVANCED WOUND CARE/DIABETES PRESENTATIONS. THE VASCULAR TEAM WAS ABLE TO IDENTIFY A 6.5CM ABDOMINAL AORTIC ANEURYSM IN ONE OF THE SCREENED PATIENTS AND THE PATIENT HAS UNDERGONE SUCCESSFUL REPAIR SINCE THE EVENT. 5. A FREE HERNIA SEMINAR AND SCREENING WAS HELD IN JANUARY AND APRIL 2019 FOR MEMBERS OF THE COMMUNITY. PHYSICIANS FROM EXCELA HEALTH SURGICAL SPECIALISTS DISCUSSED THE IMPORTANCE OF DIAGNOSING A HERNIA, ITS RISKS, AND THE LATEST TREATMENTS INCLUDING ROBOTIC TECHNOLOGY PRIOR TO THE PRIVATE, INDIVIDUAL EXAMINATIONS. THE JANUARY HERNIA SEMINAR AND SCREENING RESULTED IN 42 ATTENDEES, 34 SCREENINGS AND 12 APPOINTMENTS SCHEDULED. OF THOSE 12 APPOINTMENTS, FOUR PARTICIPANTS WERE SCHEDULED FOR SURGERY, THREE WERE PENDING SURGERY DUE TO ADDITIONAL TESTING, THREE CANCELLED THEIR FOLLOW-UP APPOINTMENTS, ONE DEFERRED SURGERY, AND ONE WAS DEEMED "NO SURGERY NEEDED." THE APRIL HERNIA SCREENING AND SEMINAR GARNERED 45 ATTENDEES WITH 37 SCREENINGS AND 10 RESULTING APPOINTMENTS. OF THOSE 10 APPOINTMENTS, TWO PARTICIPANTS WERE SCHEDULED FOR SURGERY, THREE WERE PENDING SURGERY DUE TO ADDITIONAL TESTING, THREE CANCELLED THEIR APPOINTMENTS, ONE HAD YET TO RECEIVE THEIR FOLLOW-UP APPOINTMENT, AND ONE DID NOT RECEIVE SURGERY BUT WAS SCHEDULED FOR A FOLLOW-UP CONSULTATION ONE YEAR FROM THE APPOINTMENT DATE. 6. EXCELA'S OUTREACH EFFORTS ALSO ENCOMPASS COMMUNITY SEMINARS AND LECTURES IN A VARIETY OF SCHOOLS THROUGHOUT WESTMORELAND COUNTY. ONE POPULAR PROGRAM, HEALTHY HABITS A-Z, REACHES EXCELA'S YOUNGER AUDIENCE WITH TIPS AND SUGGESTIONS FOR LIVING A HEALTHY LIFESTYLE, SO THAT GOOD HABITS CAN BE INSTILLED EARLY IN LIFE. THE PROGRAM IS DESIGNED TO TEACH MIDDLE SCHOOL STUDENTS HOW TO READ A FOOD LABEL, PRACTICE HEALTHY NUTRITION AND PHYSICAL FITNESS, AND UNDERSTAND THE IMPORTANCE OF MENTAL, EMOTIONAL AND SOCIAL HEALTH AND WELL-BEING BY DISCUSSING WAYS TO IMPROVE BRAIN AND HEART HEALTH. FOR THE 2018-2019 SCHOOL YEAR, FIVE SCHOOL DISTRICTS, 12 CLASSROOMS AND 617 STUDENTS PARTICIPATED IN THE PROGRAM. STUDENTS WERE PROVIDED A PRE-TEST OF THE MATERIAL COVERED TO MEASURE CURRENT KNOWLEDGE OF PROGRAM TOPICS; 72 PERCENT WAS THE AVERAGE PRE-EDUCATION KNOWLEDGE SCORE.
FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT)	ONCE THE STUDENTS COMPLETED THE PROGRAM, A POST-TEST WAS ISSUED; THE AVERAGE POST-EDUCATION KNOWLEDGE SCORE WAS 86 PERCENT, AND THE BEHAVIORAL GOAL POST-EDUCATION WAS 85 PERCENT, EXCEEDING THE BASELINE SCORE OF 80 PERCENT. 7. OCTOBER 2018 SAW THE CELEBRATION OF THE LAUNCH OF PROJECT FIT AMERICA AT JEANNETTE-MCKEE ELEMENTARY SCHOOL. EXCELA HEALTH PARTNERED WITH JEANNETTE-MCKEE AND THE COMMUNITY WITH THE OBJECTIVE OF EMPOWERING CHILDREN AND THEIR FAMILIES TO LEARN HEALTHY HABITS AND ENJOY HEALTHIER LIVES. STUDENTS ARE TAUGHT HOW TO USE THE OUTDOOR EQUIPMENT AND HOW ACTIVITY BENEFITS THEIR BODIES WHILE ALSO AIDING IN BUILDING SOCIAL SKILLS, CHARACTER AND LEADERSHIP SKILLS. EXCELA HEALTH, THROUGH ITS FOUNDATIONS, HAS BEEN GIVING GRANTS TO AREA SCHOOLS FOR THIS INITIATIVE SINCE 2014 WITH PREVIOUS RECIPIENTS INCLUDING GREATER LATROBE JUNIOR HIGH SCHOOL (LATROBE), NORWIN HILLCREST INTERMEDIATE SCHOOL (NORTH HUNTINGDON), FRANKLIN REGIONAL HERITAGE ELEMENTARY SCHOOL (MURRYSVILLE), AND DERRY AREA MIDDLE SCHOOL (DERRY). THE GRANT PROVIDES STATE-OF-THE-ART FITNESS EQUIPMENT, INDOOR FITNESS EQUIPMENT, A CURRICULUM WITH GAMES, ACTIVITIES AND CHALLENGES FOR CHILDREN WITH THE INDOOR AND OUTDOOR EQUIPMENT. THE PROGRAM ALSO TEACHES CHARACTER DEVELOPMENT, SPORTSMANSHIP, TEAMWORK AND LEADERSHIP SKILLS. 8. UNDERSTANDING THE IMPORTANCE OF PREPARING HIGH SCHOOL STUDENTS FOR CAREERS AFTER GRADUATION, EXCELA HEALTH HOSTED TEACHERS FROM WESTMORELAND COUNTY SCHOOL DISTRICTS FOR "TEACHER IN THE WORKFORCE" WORKSHOPS, AS PART OF THE COUNTY'S OVERALL WORKFORCE DEVELOPMENT INITIATIVE. THIS PROGRAM INVITES TEACHERS FROM SURROUNDING SCHOOL DISTRICTS TO SPEND THE DAY "SHADOWING AND HEARING FROM EXCELA HEALTH CLINICIANS IN A VARIETY OF HEALTHCARE FIELDS. PROFESSIONALS FROM EXCELA HEALTH MULTIDISCIPLINARY TEAMS PROVIDED GROUP AND ONE-ON-ONE INTERACTIONS WITH THE TEACHERS ALONG WITH EDUCATION PREPARATION, SUCH AS TECHNICAL SCHOOL, COLLEGE, ETC., FOR THESE CAREERS AND OTHERS. ABOUT 40 TEACHERS ATTENDED THE SPRING 2019 WORKSHOPS, AND EXCELA HEALTH HOPES TO EXPAND THE NUMBER OF WORKSHOP OPPORTUNITIES IN THE COMING MONTHS AND YEARS. 9. CONTINUING IN THE QUEST TO PREPARE AND EDUCATE THE NEXT GENERATION OF FUTURE HEALTHCARE LEADERS, EXCELA HEALTH HAS PARTNERED WITH THE WESTMORELAND-FAYETTE COUNCIL OF THE BOY SCOUTS OF AMERICA AS PART OF ITS EXPLORER'S PROGRAM. THE PROGRAM INTRODUCES HIGH SCHOOL AGED, CO-ED STUDENTS TO VARIOUS HEALTHCARE CAREERS. THE PROGRAM COMMENCED IN OCTOBER 2018 AND CONTINUED TO THE END OF THE SCHOOL YEAR (MAY 2019). ONE HUNDRED TWENTY YOUTHS ATTENDED THE PROGRAM FROM VARIOUS SCHOOL DISTRICTS THROUGHOUT WESTMORELAND COUNTY MEETING ON THE FIRST WEDNESDAY OF EACH MONTH. STUDENTS CHOSE TOPICS OF INTEREST THAT WERE PRESENTED BY HEALTHCARE PROFESSIONALS TOUCHING ON THEIR DAY-TO-DAY ACTIVITIES, NECESSARY EDUCATION, HANDS-ON ACTIVITIES AND SIMULATIONS. 10. EXCELA HEALTH CONTINUED ITS PARTICIPATION IN COMMUNITY WALKS SUCH AS WALK A MILE IN HER SHOES, WALK FOR SUICIDE AWARENESS AND PREVENTION, MS WALK, JOINTWORKS WALK, WALK TO END ALZHEIMER'S, MARCH OF DIMES WALK, WESTMORELAND WALKS, AND FREEDOM 5K, AMONG MANY OTHERS. REPRESENTATIVES FROM EXCELA HEALTH SERVICE LINES ATTEND AND PARTICIPATE AT THESE WALKS EVERY YEAR TO PROMOTE THE QUALITY, CONVENIENT CARE EXCELA OFFERS, CLOSE TO HOME. HUNDREDS OF PEOPLE ACROSS WESTMORELAND COUNTY AND SURROUNDING COMMUNITIES REGISTER AND PARTICIPATE IN THESE WALKS IN SUPPORT OF THEIR PROMOTED CAUSES. 11. EXCELA HEALTH ENGAGES THE COMMUNITY AT MULTIPLE FESTIVALS, FAIRS AND PARADES THROUGHOUT THE YEAR, INCLUDING THE WESTMORELAND FAIR, BANANA SPLIT FESTIVAL, PENN TOWNSHIP FALL FESTIVAL, MOUNT PLEASANT GLASS FESTIVAL, IRWIN LIGHT-UP NIGHT AND GREENSBURG HOLIDAY PARADES. THESE FAMILY-FRIENDLY GATHERINGS, RANGING FROM 5,000 TO 50,000 ATTENDEES EACH YEAR, ALLOW THE EXCELA HEALTH TEAM TO SHARE THEIR EXCELA PRIDE AND REMIND RESIDENTS OF THE PRIMARY AND SPECIALTY CARE SERVICES THEY CAN RECEIVE RIGHT IN THEIR BACKYARD, AS WELL AS THE FACT THAT EXCELA ACCEPTS ALL MAJOR INSURANCES. 12. WESTMORELAND COUNTY INCLUDES A HIGH POPULATION OF SENIOR CITIZEN RESIDENTS, AND HEALTH CARE PLAYS A MAJOR ROLE IN THEIR EVERYDAY LIVES. THESE RESIDENTS HAVE THE OPPORTUNITY TO ATTEND A VARIETY OF SENIOR EXPOS AND HEALTH FAIRS SPONSORED BY LOCAL POLITICAL FIGURES AND AGENCIES TO LEARN MORE ABOUT HEALTH CARE OPTIONS IN THEIR COMMUNITY. EXCELA HEALTH PROUDLY ATTENDS AND PARTICIPATES IN THESE EVENTS AND RECRUITS PHYSICIANS, DIRECT CARE TEAM MEMBERS AND STAFF TO SHARE INFORMATION ABOUT EXCELA'S QUALITY SERVICES AND, IN SOME CASES, PERFORM BLOOD PRESSURE SCREENINGS OR A SPECIFIC SCREENING RELATED TO THEIR SPECIALTY, AT NO COST TO THE INDIVIDUAL. THESE EVENTS HAVE GENERATED POPULARITY WITHIN THE COUNTY OVER THE YEARS, AND THOUSANDS OF COUNTY RESIDENTS ATTEND EACH EVENT EACH YEAR. 13. EXCELA HEALTH HAS A LONGSTANDING PARTNERSHIP WITH THE AMERICAN RED CROSS AND OFFERS USE OF CAMPUSES FOR HOSTING REGIONAL BLOOD DRIVES IN THE COMMUNITY. IN FISCAL YEAR 2019, 10 BLOOD DRIVES WERE HOSTED AT EXCELA HEALTH FACILITIES, 250 INDIVIDUALS PRESENTED FOR BLOOD DONATION, AND 203 UNITS OF BLOOD WERE COLLECTED. 14. IN FISCAL YEAR 2019, EXCELA HEALTH BEREAVEMENT COUNSELORS AND STAFF FROM OUR CLUBHOUSE, A GROUP WHO PROVIDES FREE EMOTIONAL AND SOCIAL SUPPORT TO THOSE TOUCHED BY CANCER IN WESTERN PENNSYLVANIA, OFFERED YOGA FOR THE GRIEVING HEART, A YOGA THERAPY CLASS HELD APRIL 25 TO MAY 16, 2019, AS A MEANS OF HELPING COMFORT THOSE WHO HAVE LOST A LOVED ONE TO CANCER. THE SESSIONS INCLUDED GENTLE YOGA, MEDITATION, REIKI, AND DIALOGUE TO EXPRESS AND RELEASE GRIEF AS AN ALTERNATIVE MEANS OF COPING. ADDITIONAL RESOURCES ARE AVAILABLE IN PARTNERSHIP WITH OUR CLUBHOUSE, INCLUDING LIVING LIFE POST CANCER TREATMENT, A GROUP FOR ADULTS OF ANY CANCER DIAGNOSIS WHO HAVE COMPLETED TREATMENT WITHIN THE LAST TWO YEARS. OFFERED AT NO COST TO DIAGNOSED PATIENTS, THE NINE-WEEK PROGRAM PROVIDES PHYSICAL, MENTAL, EMOTIONAL AND SOCIAL SUPPORT WHILE TEACHING THE ROLE OF NUTRITION, EXERCISE AND MEDICAL MANAGEMENT IN THE PATIENT'S CARE PLAN. SESSIONS WERE FACILITATED BY OUR CLUBHOUSE AND SEVERAL MEMBERS OF THE EXCELA HEALTH CLINICAL TEAM. NINE INDIVIDUALS ATTENDED THESE SESSIONS DURING THE LENGTH OF THE PROGRAM, MARCH 19 TO MAY 7, 2019. FOLLOW-UP SESSIONS COMMENCED JUNE 7, 2019. 15. THE NURSING PROFESSIONAL IMAGE AND COMMUNITY PARTNERSHIP COMMITTEE, EXCELA HEALTH LATROBE HOSPITAL AND EXCELA HEALTH INFORMATION TECHNOLOGY AT CORPORATE SERVICES CENTER TEAMED UP WITH DERRY AREA SCHOOL DISTRICT FOR THE SECOND CONSECUTIVE YEAR TO ASSIST WITH A CHRISTMAS DINNER PROJECT. THE COMMITTEE CREATED A LIST OF NON-PERISHABLE FOOD ITEMS TO CREATE A CHRISTMAS DINNER FOR FAMILIES IN THE AREA. ADDITIONAL ITEMS WERE COLLECTED TO SUPPLEMENT THE FAMILIES' FOOD NEED. THE 150 PARTICIPANTS WERE ELIGIBLE FOR FREE/REDUCED LUNCHES DURING THE SCHOOL YEAR. THE DESIRE WAS TO FILL THE GAP DURING THE HOLIDAY BREAK. STAFF COLLECTED 150 OF THE ASSIGNED ITEMS WITH DELIVERY ON DECEMBER 19, 2018. AT CHURCHES, MALLS AND SCORES OF OTHER VENUES, FOR YOUTH, SENIORS, AND EVERYONE IN BETWEEN, HEALTH-RELATED EVENTS ARE OFFERED. IN THIS MANNER PEOPLE HAVE THE OPPORTUNITY TO PURSUE A COURSE OF WELLNESS, FIND NEEDED SUPPORT, LEARN ABOUT OUR CAPABILITIES AND HOW THEY CAN HELP, OR DISCOVER SUSPECTED OR UNKNOWN HEALTH CONDITIONS EARLY ON, SO THAT TREATMENT CAN BEGIN, OFFERING THE BEST POSSIBLE CHANCE FOR CARE AND CURE. THROUGH THE SPEAKER'S BUREAU, PROFESSIONALS IN THEIR FIELDS OFFER INSIGHTS ON GIVEN TOPICS AND ARE FREE OF CHARGE. A RANGE OF SUPPORT GROUPS HELPS EASE THE BURDEN OF FEAR, APPREHENSION, GRIEF AND OTHER EMOTIONS AFTER A LIFE-CHANGING EVENT. THROUGH SUPPORT GROUPS, OR THOSE GROUPS SUPPORTED BY EXCELA HEALTH, INDIVIDUALS HAVE THE OPPORTUNITY TO SHARE THOUGHTS AND FEELINGS WITHIN AN ATMOSPHERE OF ACCEPTANCE, WHERE EMOTIONS CAN BE SORTED THROUGH AND CONCERNS AIRED. ADDITIONAL COMMUNITY CONTACTS INCLUDE PROGRAMS OFFERED THROUGH THE WELL-BEING CENTER, EXCELA'S OB/GYN PROFESSIONALS AND OTHERS. BY REACHING BEYOND THE TRADITIONAL WALLS OF ITS HOSPITALS, AS WELL AS UNDERSTANDING THE MANY, VARIED MEDICAL NEEDS OF THE POPULATIONS THEY SERVE, EXCELA HEALTH CAN DIRECT CARE WHERE IT IS MOST ACCESSIBLE AND MOST NEEDED. THROUGH EVENTS SUCH AS WELLNESS CHECKS CO-SPONSORED BY AREA ROTARY AND KIWANIS CLUBS, WELLNESS INITIATIVES AT LOCAL COLLEGES AND SCHOOLS, AREA FESTIVALS, SENIOR EXPOS AND HEALTH FAIRS, AND MUCH MORE, EXCELA HAS TOUCHED INNUMERABLE LIVES, WITH THE GOAL OF PREVENTING ILLNESS, KEEPING FOLKS HEALTHY, OR TEACHING THEM HOW TO STAY HEALTHY AFTER A HOSPITAL VISIT. EXCELA HEALTH ALSO OFFERS NUMEROUS HEALTH AND WELLNESS AVENUES FOR ITS EMPLOYEES WITH ON-SITE GYMS, EMPLOYEE HEALTH FAIRS AND MORE. ACROSS EXCELA HEALTH, TO KEEP INDIVIDUALS HEALTHY AND DISEASE-FREE, CONSIDERABLE ATTENTION IS PAID TO WELLNESS THROUGH THE WELL-BEING CENTER AND THEIR COMMUNITY PROGRAMS:
FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT)	1. TO SPREAD THE MESSAGE OF WELLNESS AND AVAILABLE WELLNESS OPPORTUNITIES FREE TO THE PUBLIC VIA EXCELA'S WELL-BEING CENTER, SPEAKER'S BUREAU AND MORE, EXPENDED $233,006. 2. TO CONTROL THE SPREAD OF FLU BY PROVIDING FLU VACCINES FOR EMPLOYEES AND OTHER STAFF FOR A HEALTHIER POPULATION WHILE CONTAINING THE SPREAD OF FLU AMONG THE HEALTH SYSTEM POPULATIONS. EMPLOYEES, VOLUNTEERS AND CONTRACT EMPLOYEES RECEIVING THE FLU VACCINE: 4,765. COST ABSORBED FOR PROVIDING VACCINE: $66,753. 3. LIVES TOUCHED THROUGH THE WELL-BEING CENTER PROFESSIONALS AND OTHERS VIA DIABETES EDUCATION, PRE-NATAL CLASSES AND MORE, POPULATION SERVED 6,978. 4. COST ABSORBED FOR PROVIDING BIOMETRIC SCREENINGS TO EMPLOYEES: $121,210. 5. DISCOUNTS PROVIDED TO SUBSCRIBERS BASED ON INCOME ACCORDING TO AREA AGENCY ON AGING INCOME GUIDELINES FOR THE LIFELINE PERSONAL EMERGENCY RESPONSE PROGRAM FOR OLDER ADULTS OR THOSE AT MEDICAL RISK, EXPENDED $4,519. FURTHER, EXCELA HEALTH CONTINUES TO MOVE BEYOND ITS TRADITIONAL WALLS TO STRENGTHEN BONDS WITH ITS COMMUNITIES AND TOUCH LIVES WELL BEYOND THOSE WHO ENTER ITS DOORS THROUGH AN ACTIVE COMMUNITY OUTREACH PROGRAM. IN THESE OUTREACH VENUES, EXCELA HEALTH CAN BRIDGE THE GULF FOR THOSE WHO OTHERWISE MAY NOT SEEK CARE, PURSUE WELLNESS MEASURES, OR KNOW WHERE TO TURN FOR HEALTH INFORMATION. ADDITIONAL RESOURCES WERE EXPENDED TO ACCOMPLISH THE EXCELA HEALTH MISSION OF IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH IN THE FOLLOWING FASHION: 1. COMMUNITY HEALTH FAIRS, SCREENINGS, EDUCATION PROGRAMS, $653,255. 2. LIVES TOUCHED THROUGH COMMUNITY HEALTH/WELLNESS EFFORTS, 367,318. 3. FREE SCREENINGS PERFORMED, 7,844. 4. COMMUNITY HEALTH PUBLICATIONS, $44,329. 5. COMMUNITY CONTRIBUTIONS, $225,000. 6. CONTINUING MEDICAL EDUCATION PROVIDED THROUGH THE HEALTH SYSTEM FOR ITS MEDICAL STAFF, $4,472. 7. TUITION REIMBURSEMENT FOR EMPLOYEES RAISING THEIR LEVEL OF EDUCATION ULTIMATELY BENEFITTING THE QUALITY OF CARE DELIVERED, $791,411. 8. VOLUNTEER HOURS DONATED SYSTEM-WIDE (CAN TRANSLATE TO $965,555 OF TIME SPENT AIDING THE HEALTH SYSTEM MISSION) - NUMBER INCLUDES VOLUNTEERS WHO ARE INACTIVE/RETIRED, 50,031. HOSPICE VOLUNTEER HOURS DONATED, 4,415. HOSPICE VOLUNTEER MILEAGE TRACKED AS AN IN-KIND DONATION, 17,633. 9. MONIES FOR CAMP FOCUS, PROVIDING A SUMMER DAY CAMP FOR SCHOOL AGE CHILDREN SO MENTAL HEALTH TREATMENT, GROWTH AND LEARNING CAN CONTINUE DURING THE SUMMER MONTHS, $22,777. 10. THE EMPLOYEES CHARITABLE TRUST FUND: EXCELA HEALTH SYSTEM EMPLOYEES WHO, DURING FISCAL YEAR 2019, DONATED A PERCENTAGE OF THEIR PAY TO AID FELLOW EMPLOYEES, COMMUNITY CAUSES AND THE SYSTEM'S FOUNDATIONS, DISPERSED: - TO THE WESTMORELAND HOSPITAL FOUNDATION, DESIGNATED FOR THE NEONATAL UNIT AND HEART AND VASCULAR CENTER, $5,000 - OTHER EXTERNAL AID, $37,000 - INTERNAL AID, $13,700 - OTHER (ACCOUNTING, MISC.), $1,700 TOTAL IS $57,400. BUT IT'S ALL ABOUT A CALL TO ACTION. AND THOSE ACTIONS TRANSLATE TO ASSUMING A PURPOSED LEADERSHIP ROLE AS EXCELA HEALTH SEEKS TO INCREASE ACCESS AND ENHANCE QUALITY IN NEW AND ENLIGHTENED WAYS. FROM ITS BOARD OF TRUSTEES TO PROFESSIONAL STAFF, EXCELA CONTINUES TO FOCUS ITS SITES ON WHAT PEOPLE NEED MOST - THE BEST CARE POSSIBLE, AS CLOSE TO HOME AS POSSIBLE, WITH THE ADVANCED TECHNOLOGY AND EXPERTISE TO DELIVER THAT CARE. A STATISTICAL LOOK AT EXCELA HEALTH AS A FISCALLY RESPONSIBLE ORGANIZATION, EXCELA HEALTH CONTINUES TO LOOK AT WAYS TO CONSOLIDATE, INTEGRATE AND INITIATE PRACTICES AND PROCESSES THAT CAN SUSTAIN THE HEALTH SYSTEM OVER TIME, SO THAT IT IS HERE TODAY, AND WELL INTO THE FUTURE. AS STEWARDS OF THE PUBLIC TRUST, IT IS EXCELA'S DUTY TO DO SO, AND THE LEGACY IT LEAVES AT THIS MOMENT WILL BECOME PART OF ITS HISTORY SPANNING MORE THAN 120 YEARS. - LICENSED BEDS - 578 - STAFFED BEDS - 427 - EMPLOYEES - 4,999 - INSERVICE AND HOSPICE VOLUNTEERS - 558 - AUXILIARY MEMBERS - 218 - INPATIENT ADMISSIONS/OBSERVATIONS - 30,448 - NEWBORNS - 1,236 - ACUTE CARE PATIENT DAYS - 101,889 - EMERGENCY ROOM VISITS - 97,562 - OP REGISTRATIONS - 687,119 - WESTMORELAND COUNTY SERVED 263,894 - FAYETTE COUNTY SERVED 40,109 - INDIANA COUNTY SERVED 18,722 IN ADDITION TO ITS HOSPITALS, EXCELA HEALTH IS A SOLE CORPORATE MEMBER OF THE FOLLOWING ORGANIZATIONS LOCATED IN WESTMORELAND AND PARTS OF FAYETTE COUNTIES AND INCLUDES THE FOLLOWING NOT-FOR PROFIT SUBSIDIARIES: - EXCELA HEALTH HOME CARE AND HOSPICE - CAREGIVERS OF SOUTHWESTERN PA - WESTMORELAND HOSPITAL FRICK HOSPITAL FOUNDATION, A CHARITABLE FOUNDATION - LATROBE AREA HOSPITAL CHARITABLE FOUNDATION AND ITS HEALTH CARE-RELATED SUBSIDIARIES UNDER THE EXCELA HEALTH HOLDING COMPANY UMBRELLA: - EXCELA HEALTH MEDICAL GROUP (FORMERLY CALLED THE EXCELA HEALTH PHYSICIAN PRACTICES) ENCOMPASSING BARIATRIC SURGERY, BEHAVIORAL HEALTH, CARDIOLOGY, CARDIOTHORACIC SURGERY, ENT, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, HOSPITALIST PROGRAM, INTERNAL MEDICINE, INTENSIVIST PROGRAM, NEUROLOGY, OB-GYN, OCCUPATIONAL MEDICINE, ORTHOPEDICS AND SPORTS MEDICINE, PAIN MEDICINE, PALLIATIVE CARE, PHYSIATRY, THORACIC SURGERY AND VASCULAR SURGERY. - MEDCARE EQUIPMENT COMPANY - EXCELA HEALTH DIVERSIFIED SERVICES - EXCELA HEALTH VENTURES, LLC - EXCELA HEALTH ANESTHESIA ASSOCIATES, LLC - EXCELA HEALTH RECIPROCAL RISK RETENTION GROUP WESTMORELAND HOSPITAL OVER A CENTURY AGO, WESTMORELAND HOSPITAL OPENED ITS DOORS TO A COMMUNITY IN NEED OF MEDICAL CARE AND THUS BEGAN A "HEALTHY" PARTNERSHIP THAT HAS NOT ONLY ENDURED, BUT FLOURISHED. MORE IMPORTANTLY, THE COMMUNITY LEADERS WHO SERVED AS THE DRIVING FORCE BEHIND THIS FLEDGLING HOSPITAL SET A STANDARD BY WHICH ALL FUTURE LEADERS WOULD BE MEASURED, ONE THAT EMBODIED THE TENETS OF HIGH QUALITY, COST EFFECTIVENESS AND COMMITMENT TO EXCELLENCE IN PATIENT CARE, ALL CLOSE TO HOME. AS A 501 (C)(3) ORGANIZATION LOCATED IN THE HEART OF WESTMORELAND COUNTY, PENNSYLVANIA, WESTMORELAND HOSPITAL HAS SOUGHT TO ABIDE BY THOSE TENETS WHILE NAVIGATING THE WATERS OF INDUSTRY CHANGE, ECONOMIC DOWNTURN, AND DEMOGRAPHIC SHIFTS, ALWAYS WITH AN EYE TOWARD A STEADY HORIZON - ITS MISSION OF "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH." TODAY, WESTMORELAND, WITH 375 LICENSED BEDS, PROVIDES A FULL RANGE OF ACUTE CARE SERVICES WHILE SERVING AS A REGIONAL REFERRAL CENTER, CARING FOR FRIENDS, NEIGHBORS, FAMILY MEMBERS AND OTHERS. - INPATIENT ADMISSIONS/OBSERVATIONS - 18,545 - NEWBORNS - 1,236 - ACUTE CARE PATIENT DAYS - 68,950 - EMERGENCY ROOM VISITS - 46,523 - IP OR PROCEDURES - 3,071 - OP OR PROCEDURES - 7,113 - IP GI PROCEDURES - 823 - OP GI PROCEDURES - 5,074 - TOTAL LAB PROCEDURES & TESTS - 1,554,189 - OP REGISTRATIONS - 337,642 - OP IMAGING PROCEDURES - 138,547 - PHYSICAL THERAPY TREATMENTS - 234,228 BECAUSE EXCELA WESTMORELAND FIRMLY BELIEVES THAT ITS MISSION IS INCLUSIVE AND SPEAKS TO ITS TRUEST SENSE OF COMMUNITY COMMITMENT, THE HOSPITAL AND ITS EMPLOYEES REINVEST IN THE COMMUNITY IN THE FOLLOWING FASHION: - ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $3,419,740 - 262 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 17,543 HOURS - PATIENT EDUCATION MATERIALS: $30,068 THE FAMILY ADDITIONS MATERNITY CENTER OFFERS MATERNITY CARE IN A HOME-LIKE ATMOSPHERE FEATURING 10 LABOR-DELIVERY-RECOVERY SUITES (LDRS) WITH OPERATING SUITES FOR CESAREAN OR HIGH RISK BIRTHS, A SPECIAL CARE (LEVEL II) NURSERY STAFFED WITH A NEONATOLOGIST AND NEONATOLOGY PRACTITIONERS, AND PEDIATRIC CARE. SERVICES FOR WOMEN PLANNING OR CONSIDERING PREGNANCY ARE OFFERED, ALONG WITH GYNECOLOGICAL SERVICES FOR WOMEN OF ALL AGES. BEHAVIORAL HEALTH SERVICES FEATURES A 32-BED ADULT INPATIENT PROGRAM, OUTPATIENT SERVICES FOR ADULTS AND CHILDREN AND REACHES INTO THE COMMUNITY THROUGH A VARIETY OF COMMUNITY-BASED PROGRAMS. IN 2013, BEHAVIORAL HEALTH EXPANDED AND REMODELED THE CRISIS RESPONSE CENTER, GIVING IT A TOTAL OF 4,000 SQUARE FEET TO ACCOMMODATE INDIVIDUALS WITH MULTIPLE PHYSICAL AND EMOTIONAL NEEDS THROUGH A "LIVING ROOM MODEL" OF CRISIS INTERVENTION. THE CRISIS CENTER HAS BECOME A CENTRAL EVALUATION AND REFERRAL SERVICE FOR THE COMMUNITY AND SERVED OVER 900 INDIVIDUALS IN PSYCHIATRIC CRISES IN 2018. ADDITIONALLY, THE HOSPITAL HOUSES A BREAST HEALTH CENTER; EXTENSIVE OUTPATIENT SERVICES INCLUDING A SHORT STAY SURGERY UNIT; DIABETES SERVICES; A FULL COMPLEMENT OF IMAGING SERVICES INCLUDING FIXED-SITE AND OPEN MRI UNITS; A BARIATRIC SURGERY CENTER, A LARGE, NEWLY RENOVATED CRITICAL CARE UNIT WITH STATE-OF-THE-ART FEATURES AND AN INTENSIVIST PROGRAM (OFFERING 24 HOUR A DAY, IN-HOUSE PHYSICIAN SPECIALIST COVERAGE IN THE CRITICAL CARE AREAS), AND EMERGENCY CARE. THE WESTMORELAND HOSPITAL EMERGENCY DEPARTMENT CONTINUES TO SEE PATIENTS FROM ALL WALKS OF LIFE AND ALL STAGES OF ILLNESS AND INJURY. WITHIN ITS REFURBISHED SPACE, THE DEPARTMENT SAW 46,523 INDIVIDUALS IN FISCAL YEAR 2019.
FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT)	THE EXCELA ADVANCED WOUND CENTER CONTINUES TO HELP PATIENTS WITH ALL TYPES OF WOUNDS, MOST NOTABLY, WITH HYPERBARIC OXYGEN CHAMBER TREATMENT TO SPEED HEALING IN SOME TYPES OF WOUNDS, ESPECIALLY DIABETIC ULCERS. EXCELA HEALTH IS THE FIRST IN THE AREA TO DO SO. FURTHER, THE CENTER OFFERS OTHER TREATMENTS INCLUDING TOPICAL SKIN CARE, WOUND DRESSINGS AND MEDICATIONS. FOR MORE SERIOUS CASES, EXCELA HEALTH OFFERS SOPHISTICATED SOLUTIONS, SUCH AS "SKIN SUBSTITUTES" TO HELP COVER AN OPEN WOUND, REDUCE HEALING TIME, AND PAIN. GETTING TO THE HEART OF THE MATTER THE HEART AND VASCULAR CENTER AT WESTMORELAND HOSPITAL THE HEART AND VASCULAR CENTER AT EXCELA HEALTH OFFERS THE LATEST TECHNOLOGIES, COMPASSIONATE CARE, HIGHLY ADVANCED MEDICAL EXPERTISE REFLECTED IN EXCEPTIONAL OUTCOMES, AND EXPERIENCE COMMENSURATE WITH HIGH VOLUMES. THE HEART AND VASCULAR CENTER SPANS EMERGENCY CARE FOR QUICK ASSESSMENT AND TREATMENT OF HEART ATTACK AND RELATED CONDITIONS TO DIAGNOSTIC CARE, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, CARDIOTHORACIC AND VASCULAR SURGERY, A HEART FAILURE CLINIC, AN A-FIB CLINIC AND CARDIAC/PULMONARY REHABILITATION. OF EQUAL IMPORTANCE IS THE FACT THAT AREA RESIDENTS NO LONGER NEED TO TRAVEL GREAT DISTANCES FOR TOP QUALITY, COMPREHENSIVE HEART CARE, PARTICULARLY WITH WESTMORELAND COUNTY HOLDING THE DUBIOUS DISTINCTION OF HAVING A HIGHER INCIDENCE OF HEART DISEASE THAN ANYWHERE ELSE IN THE STATE. HERE, PATIENTS CAN FIND CARE IN THEIR OWN COMMUNITY KNOWING THAT EXCELA HEALTH SEEKS AND MEETS STRINGENT STANDARDS OF CARE AND QUALITY. AS THE CENTERPIECE OF EXCELA HEALTH'S SYSTEM-WIDE CARDIAC EXPERTISE, THIS INTERVENTIONAL CENTER HOUSES THE CARDIAC CATHETERIZATION AND ELECTROPHYSIOLOGY LABS AND A 64-SLICE CT SCANNER; ALLOWS FOR HIGH-VOLUME OPEN HEART SURGERY (THREE CARDIOVASCULAR OPERATING ROOMS WITH TWO DEDICATED TO OPEN HEART PROCEDURES AS WELL AS A 16-BED CARDIAC CARE UNIT, 52 TELEMETRY BEDS AND A DEDICATED NURSING STAFF); HAS AN IMAGING DEPARTMENT WITH ECHOCARDIOGRAPHY, CARDIAC CT, CARDIAC MRI AND A VASCULAR LAB, AND ALL RELATED TECHNOLOGIES ALONG WITH THE EXPERIENCED MEDICAL STAFF FOR DIAGNOSIS AND TREATMENT TO ENSURE HIGH QUALITY AND EXCELLENT SURVIVAL RATES. WITH THE RECRUITMENT OF ADDITIONAL INTERVENTIONAL CARDIOLOGISTS, EXCELA HEALTH ALSO OFFERS ATRIAL ABLATION TO CORRECT ATRIAL FIBRILLATION (A-FIB) AND SUPRAVENTRICULAR TACHYCARDIA (SVT). THE HEART CENTER PROCEDURES PERFORMED: - OPEN HEART SURGERIES - 178 - CARDIAC CATHETERIZATIONS - 2,976 - ELECTROPHYSIOLOGY STUDIES - 27 - DEVICE IMPLANTATIONS - 366 - ABLATIONS - 109 - CARDIAC REHABILITATION VISITS (ALL LOCATIONS) - 26,616 - PULMONARY REHABILITATION (ALL LOCATIONS) - 7,082 ADDITIONALLY, INNOVATIVE PROGRAMS HAVE FURTHER INCREASED SURVIVAL RATES OF INDIVIDUALS EXPERIENCING A CARDIAC EVENT AND INCLUDE: - TWELVE-LEAD EKG TRANSMISSION A PRE-HOSPITAL PROGRAM, 12-LEAD EKG TRANSMISSION BRINGS TOGETHER MULTIPLE TECHNOLOGIES TO AID IN PATIENT DIAGNOSIS, EXPEDITE CARE, AND MINIMIZE HEART DAMAGE. THIS PROGRAM REDUCES THE TIME TO CARDIAC INTERVENTION SIGNIFICANTLY, IN FACT, BELOW STATE AVERAGES, WHICH HAS IMPROVED OUTCOMES FOR HEART ATTACK VICTIMS. THE GOAL HAS BEEN FOR EACH PATIENT TRANSPORTED BY EMERGENCY MEDICAL SERVICES TO SKIP THE EMERGENCY DEPARTMENT VISIT AND GO DIRECTLY TO THE CARDIAC CATHETERIZATION LABORATORY. FOR THE HEALTH SYSTEM'S EFFORTS, THEY HAVE BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION AS A MODEL AMONG THE MEMBERS OF ITS MISSION LIFELINE COALITION IN PENNSYLVANIA. - HYPOTHERMIC TREATMENT OF CARDIAC ARRESTS PATIENTS SUFFERING A CARDIAC ARREST HAVE A HIGH RATE OF MORTALITY AND MORBIDITY. STUDIES HAVE SHOWN THAT MORE THAN 90 PERCENT OF PEOPLE WITH CARDIAC ARREST DIE BEFORE THEY REACH A HOSPITAL. STUDIES ALSO HAVE INDICATED THAT COOLING A PATIENT'S CORE BODY TEMPERATURE IMPROVES THOSE ODDS. HYPOTHERMIA THERAPY, MOST OFTEN BEGUN IN THE EMERGENCY DEPARTMENT, CAN ALSO BE STARTED IN A CARDIAC CATHETERIZATION LABORATORY, A CRITICAL CARE OR INTENSIVE CARE UNIT OR IN THE FIELD BY EMERGENCY MEDICAL FIRST RESPONDERS. MANY EMS PROVIDERS ARE TRAINED AND EQUIPPED TO INITIATE HYPOTHERMIA THERAPY IN THE FIELD INCLUDING EXCELA HEALTH'S EMS CREWS AT FRICK HOSPITAL. EXCELA WESTMORELAND ALSO SUPPORTS TRANSPARENT PUBLIC REPORTING OF HEALTH CARE QUALITY DATA AND PARTICIPATES IN NATIONAL INITIATIVES SUCH AS: - AMERICAN COLLEGE OF CARDIOLOGY CATH/PCI R - SOCIETY OF THORACIC SURGERY REGISTRY - AMERICAN COLLEGE OF CARDIOLOGY ICD REGISTRY - CENTER FOR MEDICARE AND MEDICAID - HOSPITAL COMPARE (WWW.HOSPITALCOMPARE.HHS.GOV) HIGHMARK BLUE CROSS BLUE SHIELD HAS DESIGNATED EXCELA'S PROGRAM AS A BLUE DISTINCTION CENTER PLUS FOR CARDIAC CARE. EXCELA WESTMORELAND HAS ALSO RECEIVED THE AMERICAN HEART ASSOCIATION "GET WITH THE GUIDELINES" HEART FAILURE QUALITY ACHIEVEMENT AWARD. EXCELA HEALTH ACHIEVED MISSION: LIFELINE STEMI RECEIVING CENTER CERTIFICATION ON JUNE 20, 2017 (AND CONTINUING) THROUGH THE ACC/AHA. PATIENTS ARE ALSO INTRODUCED TO A COMPREHENSIVE CARDIAC REHABILITATION PROGRAM CONSISTING OF EXERCISE AND EDUCATION AS WELL AS SUPPORT SERVICES AND HOME HEALTH CARE, IF NEEDED. WE'RE EXPECTING YOU - THE FAMILY ADDITIONS MATERNITY CENTER AT WESTMORELAND EXPERT CARE, SUPPORT AND EDUCATION ARE THE HALLMARKS OF THE FAMILY ADDITIONS MATERNITY CENTER WHERE EXCELA WESTMORELAND CONTINUES THE TRADITION OF PROVIDING PARENTS-TO-BE WITH A WARM, CARING ENVIRONMENT COUPLED WITH STATE-OF-THE-ART TECHNOLOGY. EXCELA WESTMORELAND UNDERSTANDS THAT BECOMING A MOM IS NOT JUST ABOUT THE BIRTH, BUT THE BEGINNING OF AN INCREDIBLE JOURNEY, ONE IN WHICH THEY HELP WOMEN, AND THEIR GROWING FAMILIES, ENJOY THE EXPERIENCE WHILE PROVIDING CARE AND SUPPORT THAT CAN LAST A LIFETIME. IT STARTS WITH A RANGE OF EDUCATIONAL CLASSES, MOST FREE, WHERE INDIVIDUALS LEARN ABOUT PREGNANCY, PARENTING, CARE FOR THE NEW INFANT, AND SO MUCH MORE. PRE-NATAL TESTING IS AVAILABLE AS IS NUTRITIONAL ADVICE FOR KEEPING MOTHER AND BABY HEALTHY AND HAPPY. BIRTHING CLASSES ARE OFFERED FOR MOM, THE BABY'S FATHER AND EVEN SIBLINGS. GRANDPARENTING CLASSES ARE AVAILABLE WHEN THE EXTENDED FAMILY IS MORE INTIMATELY INVOLVED. THIS AWARD-WINNING CENTER, FEATURES 10 WELL-APPOINTED LABOR-DELIVERY-RECOVERY (LDRS) SUITES WITH ALL THE COMFORTS OF HOME BUT EQUIPPED WITH THE LATEST TECHNOLOGY. THERE IS ALSO A SPECIAL CARE (LEVEL II) NURSERY FOR INFANTS BORN PREMATURELY, WITH VERY LOW BIRTH WEIGHT, OR OTHER DIFFICULTIES, PROVIDING 'ROUND-THE-CLOCK' CARE BY CERTIFIED NEONATAL NURSE PRACTITIONERS AND NEONATOLOGISTS. PEDIATRICIANS ARE ALSO CLOSE BY TO ADDRESS SPECIAL NEWBORN NEEDS. ALSO, PRIVATE, POST-PARTUM ROOMS WITH PULL-OUT BEDS FOR DADS AND OPERATING ROOMS ON THE SAME FLOOR FOR CESAREAN SECTIONS, COMFORTABLE WAITING ROOMS AND A NEWBORN PHOTO SERVICE. BONDING WITH BABY BEGINS IMMEDIATELY FOLLOWING DELIVERY THROUGH THE 24/7 COUPLET CARE, WHICH MEANS BABY "ROOMS IN" SO THAT THE NURSING TEAM CAN HELP PREPARE THE NEW FAMILY FOR LIFE AT HOME. THE PRIVATE POST-PARTUM ROOMS ALSO ARE FURNISHED WITH PULL-OUT BEDS HELPING TO PROMOTE FAMILY TOGETHERNESS. A CELEBRATORY DINNER IS ALSO AVAILABLE AFTER BABY'S BIRTH. BIRTHS FOR THE FISCAL YEAR 2019 REACHED 1,236. RECOGNIZED AS A "BREASTFEEDING FRIENDLY WORKPLACE" BY THE BREASTFEEDING FRIENDLY WORKPLACE COLLABORATIVE AND THE PENNSYLVANIA BREASTFEEDING COALITION, EXCELA HEALTH OFFERS THE SUPPORT WOMEN NEED TO BREAST FEED THE BABY SUCCESSFULLY. LACTATION CONSULTANTS ARE HERE BEFORE DELIVERY WITH PRENATAL EDUCATION AND SEE EVERY MOM DURING THE HOSPITAL STAY. ONCE MOM AND BABY ARE HOME, THE LACTATION CONSULTANTS ARE AVAILABLE FOR CONSULTATION. EXCELA HEALTH'S WEB SITE ALSO OFFERS A COMPONENT CALLED "BABY TALK WITH MY EXCELA DOC" WHERE WOMEN CAN TYPE IN QUESTIONS AND GET A RESPONSE FROM A DOCTOR OR ALLIED PROFESSIONAL REGARDING THE MANY, VARIED ASPECTS OF MATERNITY CARE. EXCELA HEALTH VOLUNTEER SERVICES, ALONG WITH THE MATERNITY CENTER, INSTITUTED A PROGRAM CALLED THE VOLUNTEER CUDDLER PROGRAM. VOLUNTEER "CUDDLERS" PROVIDE HOURS OF ONE-ON-ONE ATTENTION TO INFANTS WITH NEONATAL ABSTINENCE SYNDROME WITHIN THE HOSPITAL'S SPECIAL CARE (LEVEL II) NURSERY. BABIES BORN WITH ADDICTIONS ARE HELPED THROUGH THIS PROVEN METHOD OF HUMAN TOUCHING AND INTERACTION. FAMILY ADDITIONS MATERNITY CENTER NOW PART OF KEYSTONE SCHOLARS KEYSTONE SCHOLARS IS PENNSYLVANIA'S INVESTMENT IN A BABY'S FUTURE. WESTMORELAND COUNTY WAS SELECTED AS ONE OF SIX COUNTIES IN PENNSYLVANIA TO PARTICIPATE IN KEYSTONE SCHOLARS. THE PENNSYLVANIA TREASURY IS INVESTING $100 FOR EVERY BABY BORN OR ADOPTED IN WESTMORELAND COUNTY DURING CALENDAR YEARS 2018 AND 2019 TO USE FOR FUTURE HIGHER EDUCATION EXPENSES. A BABY WITH A HIGHER EDUCATION SAVINGS ACCOUNT AT BIRTH IS THREE TIMES MORE LIKELY TO PURSUE EDUCATION OR TRAINING AFTER HIGH SCHOOL AND FOUR TIMES MORE LIKELY TO GRADUATE.
FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT)	HIGHER EDUCATION INCLUDES COMMUNITY COLLEGE, VOCATIONAL AND TECHNICAL SCHOOLS, 2-YEAR COLLEGES, 4-YEAR COLLEGES, AND GRADUATE SCHOOL PROGRAMS. PARENTS HAVE UNTIL THE BABY'S FIRST BIRTHDAY TO CLAIM THE $100 KEYSTONE SCHOLARS INVESTMENT. KEYSTONE SCHOLAR ACCOUNTS CAN BE USED UP UNTIL THE CHILD TURNS 29. IN FISCAL YEAR 2019, 23.3% OF WESTMORELAND COUNTY PARTICIPATED IN THIS PROGRAM. MAKING CARE MORE ACCESSIBLE - OUTPATIENT CARE AND COMMUNITY OUTREACH TO MAKE HEALTH CARE MORE ACCESSIBLE TO ITS COMMUNITIES, EXCELA WESTMORELAND CONTINUES TO OFFER SERVICES IN AN OUTPATIENT SETTING AS WELL AS HEALTH SCREENINGS, HEALTH FAIRS, EDUCATIONAL CLASSES, SUPPORT GROUPS AND A VIBRANT SPEAKERS BUREAU, ALL WITH THE PURPOSE OF KEEPING ITS COMMUNITIES HEALTHY. THE DIABETES CENTER TENDS TO THE NEEDS OF THE COUNTY'S DIABETIC POPULATION, WHICH IS 12 PERCENT OF THE TOTAL WESTMORELAND COUNTY POPULATION. DIABETES EDUCATION WAS PROVIDED TO 549 PATIENTS AT WESTMORELAND HOSPITAL. THE DIABETES CENTER ALSO PROVIDES EDUCATION TO PERSONAL CARE AND GROUP HOMES, SEEING 383 PATIENTS IN FISCAL YEAR 2019. OTHER CLINICS INCLUDE THE DIGESTIVE DISORDERS CENTER, BREAST HEALTH CENTER, EXCELA HEALTH OUTPATIENT SERVICES, OUTPATIENT LABS AND IMAGING STATIONS (QUIKDRAW AND QUIKDRAW PLUS), AND THE SHORT STAY SURGERY SUITE. VARIED PROCEDURES TOTALED: - IP OR PROCEDURES: 3,071 - OP OR PROCEDURES: 7,113 - IP GI PROCEDURES: 823 - OP GI PROCEDURES: 5,074 - TOTAL LAB PROCEDURES & TESTS: 1,554,189 - OP REGISTRATIONS: 337,642 - OP IMAGING PROCEDURES: 138,547 FRICK HOSPITAL AT THE START OF THE 20TH CENTURY, THE WHEELS OF PROGRESS WERE TURNING FOR THE COMMUNITY OF MOUNT PLEASANT. WITH THE HELP OF A DONATION BEQUEATHED BY A FORMER RESIDENT, A CHARTER FOR A DISPENSARY WAS GRANTED AND LATER THAT SAME YEAR, IN SEPTEMBER 1902, A HOSPITAL CHARTER WAS APPROVED. TODAY, FRICK HOSPITAL, A 33 LICENSED BED HOSPITAL OFFERS GENERAL ACUTE CARE SERVICES, SURGICAL SERVICES, REHABILITATION SERVICES, OUTPATIENT SERVICES AND MORE. BEYOND THAT, THE HOSPITAL IS STAFFED WITH HIGHLY TRAINED, HOME GROWN PROFESSIONALS; FRIENDS TAKING CARE OF FRIENDS AND NEIGHBORS WITH ALL THE UNDERSTANDING AND COMPASSION SHARED EXPERIENCE FOSTERS. THE PHYSICIANS ARE DEDICATED TO QUALITY AND CARING IN EQUAL MEASURE, WITH A COMMITMENT TO THEIR COMMUNITY NOT OFTEN SEEN IN MORE URBAN AREAS. AS A FOUNDING MEMBER OF EXCELA HEALTH, FRICK EXPANDED HEALTH CARE SERVICES TO INCLUDE WOMEN'S CARE SERVICES, PROVIDING A RANGE OF BREAST HEALTH SERVICES AND BONE DENSITY SCANNING, AS WELL AS AN OUTPATIENT SERVICES CENTER FEATURING A CENTRALIZED OUTPATIENT REGISTRATION AREA WITH QUICK, CONVENIENT PATIENT REGISTRATION SURROUNDED BY A VARIETY OF OUTPATIENT TESTING AREAS AND SERVICES, DRAWING TOGETHER NUCLEAR MEDICINE, PULMONARY FUNCTION LAB, STRESS LAB, EKG, EEG, ECHOCARDIOGRAPHY, X-RAY, ULTRASOUND AND MAMMOGRAPHY FOR "ONE-STOP SHOPPING." ALWAYS AN OBJECT OF COMMUNITY PRIDE AND COMMUNITY LIFE, FRICK HOSPITAL ALSO BOASTS A NATIONALLY RECOGNIZED EMERGENCY DEPARTMENT STAFFED WITH BOARD CERTIFIED EMERGENCY MEDICINE PHYSICIANS. SERVING SOUTHERN WESTMORELAND AND NORTHERN FAYETTE COUNTIES, FRICK HOSPITAL ALSO OFFERS ENHANCED SURGICAL SERVICES AND NEW, STATE-OF-THE-ART CARDIAC REHABILITATION. ITS CARDIAC AND PULMONARY REHABILITATION PROGRAM IS ONE OF THREE ACROSS THE EXCELA HEALTH SYSTEM, PROVIDING EXERCISE, EDUCATION AND SUPPORT TO THOSE WHO HAVE HAD A HEART ATTACK. PATIENTS ARE OFTEN JOINED BY FAMILY MEMBERS IN A STRUCTURED PROGRAM OF RECOVERY THAT INCLUDES MONITORING, SUPERVISION, MAINTENANCE AND FINALLY, INDEPENDENT EXERCISE. WITH THE ANNOUNCEMENT MADE IN JUNE 2014, EXCELA HEALTH IS INVESTING MORE THAN $15 MILLION IN THE FRICK COMMUNITY OVER FIVE YEARS TO DESIGN AN INNOVATIVE HEALTH CARE DELIVERY SYSTEM FOR THE NORTHERN FAYETTE AND SOUTHERN WESTMORELAND COUNTY REGION. THE COMPLETED PROJECT WILL BOAST A MEDICAL MALL CONCEPT WITH LAB, IMAGING AND PHYSICAL THERAPY SERVICES, PHYSICIAN OFFICES, SPECIALTY SERVICES AND EXTENSIVE RENOVATIONS. PHASE I OF THIS PROJECT BEGAN WITH A $2 MILLION REMODEL OF THE EMERGENCY DEPARTMENT. PHASES II AND III BOASTED RENOVATIONS TO THE LOBBY AREA AND CAFE, ENHANCED DIAGNOSTICS WITH RAPID RESULTS AND RENOVATIONS TO THE SECOND AND THIRD FLOORS FOR MEDICAL SPECIALTY OFFICES. PHASE IV ADDED A COMBINED FAMILY MEDICINE PRACTICE WITH RESIDENCY PROGRAM AND A NEW SPACE FOR AN INTERNAL MEDICINE PRACTICE AS WELL AS ORTHOPEDICS AND SPORTS MEDICINE. PHASE V BEGAN IN THE SPRING OF 2019 AND INCLUDES THE CONVERGENCE OF GASTROENTEROLOGY/GI, UPMC HILLMAN CANCER CENTER AT ARNOLD PALMER PAVILION (EXCELA HEALTH JOINT VENTURE WITH UPMC FOR CANCER CARE), AND EXCELA HEALTH ADVANCED LUNG CENTER. THIS 501(C)(3) HOSPITAL HAS ALSO GARNERED THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA ACHIEVEMENT AWARD FOR QUALITY, IS A PRESS GANEY PATIENT SATISFACTION LEADER, AND IS AMONG THE TOP 200 CODING HOSPITALS NAMED BY INGENIX. LIKE ITS SISTER HOSPITALS, FRICK READILY EMBRACES THE MISSION OF "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH." - INPATIENT ADMISSIONS/OBSERVATIONS: 2,785 - NEWBORNS: N/A - ACUTE CARE PATIENT DAYS: 8,304 - EMERGENCY ROOM VISITS: 22,377 - IP OR PROCEDURES: 49 - OP OR PROCEDURES: 1,488 - IP GI PROCEDURES: 147 - OP GI PROCEDURES: 2,671 - TOTAL LAB PROCEDURES & TESTS: 473,011 - OP REGISTRATIONS: 110,396 - OP IMAGING PROCEDURES: 56,319 - PHYSICAL THERAPY TREATMENTS: 36,307 BECAUSE EXCELA FRICK FIRMLY BELIEVES THAT ITS MISSION IS INCLUSIVE AND SPEAKS TO ITS TRUEST SENSE OF COMMUNITY COMMITMENT, IT REINVESTS IN ITS COMMUNITIES IN THE FOLLOWING FASHION: - ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $1,207,139 - 77 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 11,215 HOURS - PATIENT EDUCATION MATERIALS: $4,044 OUTPATIENT PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES ARE ALSO AVAILABLE HERE. LOYAL TO THEIR COMMUNITY HOSPITAL, AREA RESIDENTS VOLUNTEER TO HELP WITH THE DAY-TO-DAY TASKS THAT ALLOW THE HOSPITAL TO RUN SMOOTHLY. FRICK HOUSES A CARDIAC AND PULMONARY REHABILITATION CENTER PROVIDING EASIER ACCESS AND CONVENIENCE TO THOSE RECOVERING FROM HEART AND LUNG-RELATED ISSUES. AS THE NUMBER OF PATIENTS NEEDING SERVICES NEARLY DOUBLED, IT WAS OBVIOUS THAT A LARGER, UPDATED FACILITY WAS A NECESSITY. CONSOLIDATING ALL REHABILITATION SERVICES IN ONE LOCATION, THE SIZE OF THE CENTER NEARLY DOUBLED. THE GYM HOLDS $80,000 IN EQUIPMENT INCLUDING FIVE STATIONARY BIKES, THREE NUSTEP MACHINES, A RECUMBENT BIKE, TWO UPPER BODY ERGOMETERS AND FIVE TREADMILLS. FLAT SCREEN TELEVISIONS ARE AN ADDED AMENITY FOR PATIENTS AS THEY WORK OUT. JACOB'S CREEK AREA FAITH IN ACTION IS ALSO LOCATED AT FRICK HOSPITAL, WHICH IS ONE OF FOUR SITES IN WESTMORELAND COUNTY. THE GROUP PROVIDES VOLUNTEER COMPANIONSHIP AND ASSISTANCE TO HELP OLDER ADULTS REMAIN IN THEIR HOMES INDEPENDENTLY AND HEALTHFULLY. THE GOAL OF THE FREE PROGRAM IS TO BRING INTERFAITH, NON-PROFIT AND BUSINESS COMMUNITIES TOGETHER TO ENHANCE THE EVERYDAY LIVES OF THOSE AGE 60 AND OLDER. WITH ITS PARALLEL MISSION, HOSTING FAITH IN ACTION SEEMED A NATURAL FIT AND FRICK HAS HELPED TO REDUCE ADMINISTRATIVE EXPENSES SO MORE UNITED WAY DOLLARS CAN BE USED FOR VOLUNTEER SUPPORT. SERVICES RANGE FROM TRANSPORTATION TO MEDICAL APPOINTMENTS AND CAREGIVER RELIEF TO TELEPHONE REASSURANCE AND SUPPORTIVE VISITS. THE CHAPTER SERVES THE SOUTHERN WESTMORELAND COUNTY AREAS OF ALVERTON, EVERSON, MOUNT PLEASANT, SCOTTDALE AND OTHER COMMUNITIES. QUALITY EMERGENCY CARE - THE FRICK HOSPITAL EMERGENCY DEPARTMENT EXCELA FRICK'S EMERGENCY DEPARTMENT HAS RECEIVED NATIONAL RECOGNITION OVER THE LAST SEVERAL YEARS FOR ACHIEVING EXCELLENCE IN PATIENT SATISFACTION, RANKING AS A LEADER AMONG SIMILAR-SIZED HOSPITALS ACROSS THE COUNTRY AND SERVING AS A MODEL FOR THE REST OF EXCELA HEALTH. PATIENTS PRAISE THE RAPID ENTRY PROGRAM THAT SHORTENS WAITING TIMES, AND THE EFFICIENCY, WARM WELCOME AND EXCELLENT CARE THAT KEEPS THEM COMING BACK TO THE HOSPITAL WHERE EVERYONE KNOWS THEIR NAMES. IN FACT, THE EMERGENCY DEPARTMENT SAW 22,377 PATIENTS IN FISCAL YEAR 2019. DR. WILLIAM JENKINS, EMERGENCY DEPARTMENT DIRECTOR AT EXCELA HEALTH FRICK HOSPITAL, WAS NAMED THE 2015 EMERGENCY PHYSICIAN OF THE YEAR BY THE PENNSYLVANIA CHAPTER OF THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS. THIS STATEWIDE DESIGNATION IS GIVEN TO A DESERVING EMERGENCY MEDICINE PHYSICIAN OF UNUSUAL MERIT, WHICH WAS DEMONSTRATED OVER THE COURSE OF HIS 24-YEAR CAREER AT EXCELA. MAKING CARE MORE ACCESSIBLE - OUTPATIENT CARE TO MAKE HEALTH CARE MORE ACCESSIBLE TO ITS COMMUNITIES, EXCELA FRICK HOSPITAL CONTINUES TO OFFER OUTPATIENT CARE AS WELL AS HEALTH SCREENINGS, HEALTH FAIRS, EDUCATIONAL CLASSES, SUPPORT GROUPS AND A VIBRANT SPEAKERS BUREAU.
FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT)	THE DIABETES CENTER TENDS TO THE NEEDS OF THE COUNTY'S DIABETIC POPULATION, WHICH IS 12 PERCENT OF THE TOTAL WESTMORELAND COUNTY POPULATION. DIABETES EDUCATION WAS PROVIDED TO 150 PATIENTS AT FRICK HOSPITAL IN FISCAL YEAR 2019. OTHER OUTPATIENT PROCEDURES INCLUDE: - IP OR PROCEDURES: 49 - OP OR PROCEDURES: 1,488 - IP GI PROCEDURES: 147 - OP GI PROCEDURES: 2,671 - TOTAL LAB PROCEDURES & TESTS: 473,011 - OP REGISTRATIONS: 110,396 - OP IMAGING PROCEDURES: 56,319 LATROBE HOSPITAL IN LATROBE, PRACTICING PHYSICIANS TRAVELED BY HORSE-DRAWN BUGGY AT ALL HOURS OF THE DAY AND NIGHT, THROUGH ALL TYPES OF WEATHER CONDITIONS TO REACH THE BEDSIDE OF STRICKEN PATIENTS. THESE DEDICATED SOULS NOT ONLY JOURNEYED FAR TO ADMINISTER MEDICAL CARE BUT ALSO BLAZED THE WAY FOR A LOCAL HOSPITAL TO BE BUILT. THAT WAS 1907. TODAY, THIS 170 LICENSED BED HOSPITAL OFFERS A SPECIAL BLEND OF CONCERN AND COMPASSION, CREATING A UNIQUE EXPERIENCE FOR PATIENTS IN LATROBE HOSPITAL, SERVING THE EASTERN PORTION OF WESTMORELAND COUNTY AND SOUTHERN INDIANA COUNTY. COMPASSIONATE, EXPERT AND HIGH QUALITY CARE ARE THE TRAITS MOST PROFOUNDLY EMBODIED BY ITS PHYSICIANS, NURSES, AND ALL HEALTH CARE PROFESSIONALS, INSPIRING TRUST AND CONFIDENCE IN A LIFELONG RELATIONSHIP WITH THE HOSPITAL. THERE'S A PRIDE IN THIS PLACE THAT TRANSCENDS THE CHANGES IN HEALTH CARE, ENSURING THE COMMUNITY'S ENDURING SUPPORT AND THE HOSPITAL'S CONTINUING SERVICE TO PATIENTS AND THEIR FAMILIES. A 501(C)(3) ORGANIZATION, LATROBE PROVIDES ACUTE, SURGICAL AND SPECIALIZED CARE, WITH: - INPATIENT ADMISSIONS/OBSERVATIONS: 9,118 - NEWBORNS: N/A - ACUTE CARE PATIENT DAYS: 24,635 - EMERGENCY ROOM VISITS: 28,662 - IP OR PROCEDURES: 1,350 - OP OR PROCEDURES: 6,613 - IP GI PROCEDURES: 501 - OP GI PROCEDURES: 6,878 - TOTAL LAB PROCEDURES & TESTS: 961,887 - OP REGISTRATIONS: 239,081 - OP IMAGING PROCEDURES: 79,888 - PHYSICAL THERAPY TREATMENTS: 121,612 BECAUSE EXCELA LATROBE HOSPITAL FIRMLY BELIEVES THAT ITS MISSION IS INCLUSIVE AND SPEAKS TO ITS TRUEST SENSE OF COMMUNITY COMMITMENT, ITS EMPLOYEES REINVEST IN THE COMMUNITY IN THE FOLLOWING FASHION: - ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $2,175,582 - 151 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 16,213 HOURS - PATIENT EDUCATION MATERIALS: $12,762 FUNDAMENTAL TO A HEALTHY COMMUNITY ARE STRONG CAPABILITIES IN INTERNAL AND FAMILY MEDICINE. LATROBE HOSPITAL IS HOME TO MANY PRIMARY CARE PHYSICIANS WHO HAVE PRACTICED IN THE AREA THEIR ENTIRE CAREER, AND SEVERAL ARE GRADUATES OF THE HEALTH SYSTEM'S FAMILY MEDICINE RESIDENCY PROGRAM, AFFILIATED WITH THE JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY. AS PART OF THE RESIDENCY PROGRAM, FAMILY MEDICINE RESIDENTS ARE STRONGLY ENCOURAGED TO PARTICIPATE IN COMMUNITY HEALTH FAIRS AND SCREENINGS TO BUILD RAPPORT WITH RESIDENTS IN THE COMMUNITY WHO MAY BECOME POTENTIAL PATIENTS WITHIN THE HEALTH SYSTEM AND, POSSIBLY, PATIENTS OF THE RESIDENTS THEMSELVES IF THEY CHOOSE TO STAY AND PRACTICE IN WESTMORELAND COUNTY. WITH COMMUNITY NEEDS AS A FOCUS AND WITH THE HELP OF EXCELA'S EXTENSIVE RESOURCES, LATROBE HAS EXPANDED THE SCOPE OF SERVICES BEYOND THE TRADITIONAL COMMUNITY HOSPITAL REALM. BUT AT THE HEART OF ALL EXCELA LATROBE HOSPITAL DOES IS THE SIMPLE MESSAGE OF ITS MISSION, "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH." MINIMALLY INVASIVE SURGERY, OFFERING QUICKER RECOVERY AND LESS DISCOMFORT, IS FAST BECOMING THE NORM IN MANY SURGICAL SPECIALTIES THROUGHOUT THE HEALTH SYSTEM WITH LATROBE OFFERING A DEDICATED SUITE FOR MINIMALLY INVASIVE SURGERY. THE EMERGENCY DEPARTMENT HAS THE ABILITY TO PLACE A DEDICATED EMERGENCY PHYSICIAN IN TRIAGE TO EXPEDITE CARE FOR NON-THREATENING EMERGENCIES, GIVEN THAT THEY REACH 28,662. CHILDREN AND ADOLESCENTS WITH EMOTIONAL AND BEHAVIORAL PROBLEMS RECEIVE COUNSELING, MEDICATION AND OTHER THERAPIES THROUGH BEHAVIORAL HEALTH SERVICES. THE CHILD SERVICE INCLUDES AN 11-BED, ACUTE INPATIENT PROGRAM, OUTPATIENT SERVICES FOR CHILDREN, ADOLESCENTS AND FAMILIES, AND PROVIDES SCHOOL-BASED MENTAL HEALTH SERVICES IN FOUR DISTRICTS. THROUGH LATROBE'S BEHAVIORAL HEALTH SERVICES, CAMP FOCUS CONVENES EACH SUMMER, AIDING CHILDREN EXPERIENCING EMOTIONAL DIFFICULTIES AT THIS THERAPEUTIC DAY CAMP. THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS ONCE AGAIN HAS GRANTED A THREE-YEAR APPROVAL WITH COMMENDATION TO THE CANCER PROGRAM AT EXCELA LATROBE HOSPITAL. THE APPROVAL RECOGNIZES THE QUALITY OF COMPREHENSIVE PATIENT CARE AND COMMITMENT TO PROVIDING ACCESS TO ALL OF THE VARIOUS MEDICAL SPECIALTIES INVOLVED IN DIAGNOSING AND TREATING CANCER. CURRENTLY, SOME 1,400 COMMISSION ON CANCER PROGRAMS EXIST IN THE UNITED STATES AND PUERTO RICO, REPRESENTING 25 PERCENT OF ALL HOSPITALS. OUTPATIENT SERVICES INCLUDE EXTENSIVE IMAGING SERVICES, CARDIAC REHABILITATION, AND LAB SERVICES. OUTPATIENT SURGERY AND SHORT PROCEDURE SUITES ALONG WITH A SLEEP CENTER, WELLNESS PROGRAMS AND MORE ARE ALSO FOUND HERE. EPIC REHAB - THE STEP BETWEEN HOSPITAL AND HOME HERE, SPECIALISTS WORK AS A TEAM TO MAKE ACTIVITIES OF DAILY LIVING POSSIBLE FOR PEOPLE WITH LIMITED MOBILITY OR DIMINISHED STRENGTH AFTER SURGERY, STROKE OR INJURY. THE REHABILITATION PROGRAM IS DESIGNED TO MEET EACH PERSON'S SPECIFIC NEEDS. UNLIKE MANY SKILLED NURSING FACILITIES, EPIC'S INPATIENT REHAB LEVEL OF CARE PROVIDES FOR THREE HOURS OF EXTENSIVE REHABILITATION EACH DAY, AT LEAST FIVE DAYS A WEEK. THE MOST COMMON DIAGNOSES TREATED INCLUDE STROKE, AMPUTATION, MULTIPLE TRAUMA, ARTHRITIS, HIP FRACTURES AND NEUROLOGICAL DISORDERS SUCH AS MS, PARKINSON'S DISEASE, MYOPATHY AND POLYNEUROPATHY. EVERYTHING LEARNED IN THERAPY IS PRACTICED, EVEN DURING NON-THERAPY HOURS, SO THERE IS CARRY OVER FROM THERAPY TO THE PATIENT'S DAILY ACTIVITIES. ADDITIONALLY, EPIC ALSO OFFERS: FAMILY TRAINING TO AID THE SUPPORT PERSON; ACTIVITIES OF DAILY LIVING SUITE WHERE THE PATIENT AND SUPPORT PERSON CAN SHARE AN OVERNIGHT EXPERIENCE IN A CONTROLLED ENVIRONMENT; NEIGHBORHOOD WAY, TO AID IN COMMUNITY REINTEGRATION, AND PET THERAPY AND VISITATION. THE FUTURE OF SURGERY TODAY - MIS AND THE DA VINCI ROBOTIC SURGICAL SYSTEM PHYSICIANS AT LATROBE ARE DOING MORE WITH LESS...MEANING SMALLER INCISIONS. USING MINIMALLY INVASIVE TECHNIQUES, SPECIALLY TRAINED SURGEONS OPERATE THROUGH MULTIPLE SMALL INCISIONS RATHER THAN THE SINGLE LARGER ONE OFTEN ASSOCIATED WITH TRADITIONAL SURGERIES. THESE PROCEDURES TYPICALLY RESULT IN LESS PAIN, SCARRING AND BLOOD LOSS AS WELL AS A SHORTER RECOVERY TIME. WITH THE $1.5 MILLION DA VINCI SURGICAL SYSTEM USED FOR ROBOT-ASSISTED SURGERIES, PATIENTS EXPERIENCE LESS BLOOD LOSS AND POSTOPERATIVE PAIN, REALIZE A SHORTER HOSPITAL STAY AND RECOVER FASTER. THE FIRST ORGANIZATION IN THE REGION OUTSIDE OF PITTSBURGH TO OFFER THE DA VINCI SYSTEM, EXCELA'S SURGEONS CAN ACHIEVE GREATER PRECISION, BETTER RANGE OF MOTION AND INCREASED VISIBILITY, OFTEN WITH IMPROVED OUTCOMES. PHYSICIANS AND SURGEONS USE THE DA VINCI SYSTEM FOR GENERAL SURGERY, UROLOGY CASES AND GYNECOLOGIC PROCEDURES AT LATROBE. THE WOMEN'S CARE SERVICES LOCATED WITHIN EXCELA SQUARE AT LATROBE SERVES AS A COMFORTABLE PLACE WHERE WOMEN CAN GET ANSWERS TO HEALTH QUESTIONS REGARDLESS OF AGE OR INCOME. HERE, CARING AND UNDERSTANDING PROFESSIONALS TREAT A WOMAN'S NEEDS WITH DIGNITY AND RESPECT. A NURSE PRACTITIONER PERFORMS THE EXAM AND ADDRESSES CONCERNS PRIVATELY. MEMBERS OF THE EXCELA HEALTH MEDICAL STAFF SPECIALIZING IN OBSTETRICS AND GYNECOLOGY OVERSEE THE EXAMINATION, TESTING AND TREATMENT. DURING FISCAL YEAR 2019, 1,019 PATIENTS VISITED THE FAMILY PLANNING CLINIC AND 1,414 VISITED THE PRENATAL CLINIC, ALL OF WHICH OPERATES ON A SLIDING SCALE ACCORDING TO INCOME AND FAMILY SIZE. HEALTHY WOMEN VISITS REALIZED A SLIGHT DECREASE FOR FISCAL YEAR 2019. THE BREAKDOWN IS AS FOLLOWS: FAMILY PLANNING VISITS: 1,019 HEALTHY WOMEN VISITS: 71 PRE-NATAL CLINIC: 1,414 GYNE CLINIC: 249 PRE-NATAL DELIVERIES: 97 EXCELA HEALTH PARTICIPATES IN A PENNSYLVANIA STATE PROGRAM CALLED SELECT PLAN FOR WOMEN AGES 18 TO 44 WHO QUALIFY FOR FREE SERVICES. EXCELA HEALTH ALSO OFFERS THE HEALTHY WOMEN PLAN FOR WOMEN OVER AGE 40 WHO ARE UNINSURED OR UNDERINSURED SO THAT THEY MIGHT RECEIVE FREE MAMMOGRAMS AND PAP SMEARS. PATIENTS UNDER AGE 18 ALSO RECEIVE FREE SERVICES. THESE CLINICS ALSO SERVE AS A CLINICAL TEACHING SITE FOR THE EXCELA HEALTH LATROBE FAMILY MEDICINE RESIDENCY PROGRAM. FIRST AND SECOND YEAR RESIDENTS SPEND ONE MONTH EACH ON INPATIENT SERVICES AND OUTPATIENT CLINICS.
FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT)	WELLNESS, COMMUNITY OUTREACH AND OUTPATIENT SERVICES TO MAKE HEALTH CARE MORE ACCESSIBLE TO ITS COMMUNITIES, EXCELA LATROBE HOSPITAL CONTINUES TO OFFER SERVICES IN OUTPATIENT SETTINGS INCLUDING HEALTH SCREENINGS, HEALTH FAIRS, EDUCATIONAL CLASSES, SUPPORT GROUPS AND A VIBRANT SPEAKERS BUREAU. THE DIABETES CENTER TENDS TO THE NEEDS OF THE COUNTY'S DIABETIC POPULATION, WHICH IS 12 PERCENT OF THE TOTAL COUNTY POPULATION. SOME 210 PATIENTS RECEIVED EDUCATION AT LATROBE HOSPITAL IN FISCAL YEAR 2019. ADDITIONAL CLINICS INCLUDE EXCELA HEALTH OUTPATIENT REHABILITATION, OUTPATIENT LABS AND IMAGING STATIONS (QUIKDRAW AND QUIKDRAW PLUS), THE SHORT PROCEDURE SUITE AND OUTPATIENT SURGERY WHERE PROCEDURES TOTALED: - IP OR PROCEDURES: 1,350 - OP OR PROCEDURES: 6,613 - IP GI PROCEDURES: 501 - OP GI PROCEDURES: 6,878 - TOTAL LAB PROCEDURES & TESTS: 961,887 - OP REGISTRATIONS: 239,081 - OP IMAGING PROCEDURES: 79,888 EXCELA HEALTH HOME CARE AND HOSPICE HOME CARE A 501(C)(3) ORGANIZATION PROVIDING NURSING CARE, REHABILITATION, MEDICAL SOCIAL SERVICES, PALLIATIVE CARE AND HOSPICE CARE IN THE HOME, NURSING HOME, HOSPITAL AND OTHER, VARIED SETTINGS, EXCELA HEALTH HOME CARE AND HOSPICE TENDS TO PATIENTS THROUGHOUT WESTMORELAND AND SURROUNDING COUNTIES. THE HOME HEALTH TEAM HAS MORE THAN 40 YEARS OF COMBINED EXPERIENCE WORKING WITH PATIENTS AND THEIR FAMILIES, REGARDLESS OF THEIR ABILITY TO PAY. THE ORGANIZATION PRIDES ITSELF ON GETTING TO KNOW THE PATIENT AND LISTENING TO THE INDIVIDUAL'S HEALTH CARE CONCERNS. THE HOME HEALTH TEAM, CONSISTING OF NURSES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, MEDICAL SOCIAL WORKERS, HOME HEALTH AIDES, DIETITIANS, VOLUNTEERS AND OTHERS, ENCOURAGES EVERYONE INVOLVED TO MAKE EACH TREATMENT PLAN A SUCCESS. THE EXCELA HEALTH HOME CARE AND HOSPICE COMMUNITY LIAISON CONTINUES TO DEVELOP RELATIONSHIPS WITH SKILLED NURSING FACILITIES, PERSONAL CARE HOMES, PHYSICIANS, REGIONAL HEALTH PROVIDERS AND THE PUBLIC, SERVING AS A BRIDGE FOR THE HOSPITALIZED PATIENT RETURNING TO ANOTHER CARE SETTING, AND A PROBLEM SOLVER FOR PHYSICIANS AND OTHER CARE PROVIDERS. REFERRALS ARE MADE VIA THE PHYSICIAN, NURSE, SOCIAL WORKER, CASE MANAGER, A SOCIAL SERVICE AGENCY OR INSURANCE COMPANY AFTER WHICH A THOROUGH HOME HEALTH ASSESSMENT IS COMPLETED. WHILE HOME HEALTH SERVICES ARE COVERED BY MANY INSURANCE PLANS, STAFF WORKS WITH INDIVIDUALS TO ANSWER QUESTIONS, MAXIMIZE AVAILABLE COVERAGE, AND COUNSEL THEM. HOSPICE CARE AS ONE OF THE OLDEST, MOST EXPERIENCED NON-PROFIT HOSPICE SERVICES IN WESTMORELAND COUNTY, EXCELA HOSPICE IS COMMITTED TO PROVIDING THE HIGHEST LEVEL OF PALLIATIVE CARE TO PATIENTS AND FAMILIES FACED WITH A TERMINAL ILLNESS. EXCELA'S HOSPICE PROGRAM IS MEDICARE CERTIFIED AND PROVIDED UNDER THE APPROVAL AND SUPERVISION OF THE INDIVIDUAL'S FAMILY PHYSICIAN. CARE IS COORDINATED BY SKILLED NURSING STAFF AND MAY INCLUDE SYMPTOM CONTROL, PAIN MANAGEMENT, AND PHYSICAL, EMOTIONAL, PSYCHOSOCIAL, SPIRITUAL AND PRACTICAL SUPPORT FOR PATIENTS AND THEIR FAMILIES. THE TEAM CONSISTS OF NURSES, SOCIAL WORKERS, HOME HEALTH AIDES, THERAPISTS, BEREAVEMENT COUNSELORS, DIETITIAN, HOME HEALTH AND HOSPICE-TRAINED VOLUNTEERS (NUMBERING 81 GIVING 10,108 HOURS OF SERVICE) AND CLERGY. EACH PATIENT'S PLAN OF CARE IS SUPERVISED BY THE HOSPICE MEDICAL DIRECTOR AND DELIVERED BY THE HOSPICE TEAM, WHO WORKS CLOSELY WITH THE PATIENT AND FAMILY TO GIVE MEANINGFUL, END-OF-LIFE CARE AND SUPPORT. PATIENTS AND FAMILY ARE ENCOURAGED TO ASK QUESTIONS AND PARTICIPATE ACTIVELY IN THE PATIENT'S CARE AND TREATMENT, PARTICULARLY WHEN ASSISTANCE OR REASSURANCE IS NEEDED. AFTER THE DEATH OF A PATIENT, LOVED ONES RECEIVE BEREAVEMENT SUPPORT FOR UP TO 13 MONTHS. TO ENTER HOSPICE, PATIENTS MUST CHOOSE THIS SERVICE AND HAVE A CERTIFIED PROGNOSIS OF SIX MONTHS OR LESS FROM A PHYSICIAN. MOST RECENTLY, A FORMALIZED PALLIATIVE CARE COMPONENT WAS ADDED FOCUSING ON IMPROVING A PERSON'S QUALITY OF LIFE BY PROVIDING RELIEF FROM PAIN AND OTHER SYMPTOMS WHILE WORKING WITH THE PATIENT TO DETERMINE GOALS OF CARE AND ENSURING THOSE GOALS ARE BEING ADDRESSED THROUGH TREATMENT. DURING THE YEAR, EXCELA HEALTH HOME CARE AND HOSPICE OFFERS PROGRAMS, IN-SERVICES AND SPECIALIZED SUPPORT GROUPS FOR THE PUBLIC DEALING WITH ISSUES OF LOSS, GRIEF, AND SEPARATION. THEY INCLUDE THE FOLLOWING: - ANNUAL MEMORIAL SERVICE - ANNUAL GRIEF AND THE HOLIDAYS SEMINAR - BEREAVEMENT/GRIEF SUPPORT GROUPS ADDITIONALLY, PROGRAMS FOCUSING ON CARE PROVIDERS WERE OFFERED AT VARIOUS TIMES THROUGHOUT THE YEAR. THEY INCLUDED: SPECIALIZED* SUPPORT GROUPS: - ART-BASED SUPPORT/ART EXPRESSION OF GRIEF - YOGA - REIKI - MEN'S GROUP - CANCER BEREAVEMENT - SCRAPBOOKING *ALL GROUPS ARE MEANT TO GATHER GRIEVING INDIVIDUALS WITH OTHERS IN SIMILAR SITUATIONS FOR PEER SUPPORT. ALL GROUPS ARE SUPERVISED BY BEREAVEMENT COUNSELORS WITH MANY YEARS OF EXPERIENCE. EXCELA HEALTH HOME CARE AND HOSPICE SPECIFICS: HOME CARE VISITS: 133,883 HOME CARE ADMISSIONS: 7,525 HOME CARE PATIENTS SERVED (UNDUPLICATED): 7,282 HOSPICE ADMISSIONS: 732 HOSPICE VISITS: 21,115 HOSPICE PATIENTS SERVED (UNDUPLICATED): 827 BECAUSE EXCELA HEALTH HOME CARE AND HOSPICE FIRMLY BELIEVES THAT ITS MISSION IS INCLUSIVE AND SPEAKS TO ITS TRUEST SENSE OF COMMUNITY COMMITMENT, IT MAKES PROVISIONS TO: - ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $45,727 LIFELINE PERSONAL EMERGENCY RESPONSE UNDER THE AUSPICES OF EXCELA HEALTH HOME CARE & HOSPICE, THE LIFELINE PERSONAL EMERGENCY RESPONSE PROGRAM IS AN EASY-TO-USE, PERSONAL RESPONSE SERVICE. THE PROGRAM ALLOWS FOR ASSISTANCE AND EMERGENCY HELP FOR OLDER ADULTS OR THOSE AT MEDICAL RISK 24 HOURS A DAY, 365 DAYS A YEAR. IT OFFERS THE SUBSCRIBER A MORE INDEPENDENT LIFESTYLE WHILE GIVING FAMILIES, WHO MAY NOT LIVE IN THE IMMEDIATE AREA, PEACE OF MIND KNOWING THEIR LOVED ONES ARE NEVER FARTHER FROM HELP THAN THE PUSH OF A BUTTON. THE PROGRAM IS HIGHLY AFFORDABLE, PARTICULARLY IN COMPARISON TO LIKE SERVICES AND DOES NOT REQUIRE A LONG TERM CONTRACT. EXCELA HEALTH FOLLOWS THE AREA AGENCY ON AGING INCOME GUIDELINES, WHICH MAY MEAN REDUCED RATES FOR THOSE WHO QUALIFY. ADDITIONALLY, THE PHILLIPS LIFELINE EQUIPMENT USED BY EXCELA HEALTH IS THE ONLY PERSONAL EMERGENCY RESPONSE EQUIPMENT APPROVED BY THE FOOD AND DRUG ADMINISTRATION (FDA). THE LIFELINE UNIT WORKS WITH AN EXISTING LAND LINE TELEPHONE, OFFERING THE BENEFITS OF 24 HOUR MONITORING SERVICE ALONG WITH TWO-WAY VOICE COMMUNICATION. A "PERSONAL HELP BUTTON" IS USED BY THE SUBSCRIBER TO CALL FOR HELP. THE LIFELINE UNIT AUTOMATICALLY DIALS A LOCAL AMBULANCE SERVICE WHEN THE BUTTON IS PUSHED. PERSONAL SERVICE IS THE HALLMARK AND INCLUDES SIX TRAINED VOLUNTEERS WHO INSTALL, TROUBLESHOOT AND CHECK EQUIPMENT, MAKING FRIENDLY VISITS AS NEEDED. - DISCOUNTS PROVIDED TO SUBSCRIBERS BASED ON INCOME ACCORDING TO AREA AGENCY ON AGING INCOME GUIDELINES: $4,644 - SERVICE AREA (WESTMORELAND COUNTY AND BEYOND): 122 ZIP CODES - LIFELINE SUBSCRIBERS: 380 CONCLUSION AS A HEALTH CARE SYSTEM WITH WELL-ESTABLISHED ROOTS IN WESTMORELAND COUNTY AND BEYOND, EXCELA HEALTH CONTINUES TO MOVE IN A HEALTHY DIRECTION, ADDRESSING THE NEEDS OF VARIED POPULATIONS DEFINED BY COMMUNITY HEALTH NEEDS ASSESSMENT, SURVEYS, DEMOGRAPHIC INFORMATION AND MORE. THROUGH A ROBUST SLATE OF EDUCATIONAL CLASSES, HEALTH SCREENINGS, AND OUTREACH ENDEAVORS, COUPLED WITH THE ADVANCEMENT OF HIGH LEVELS OF CLINICAL CARE AND THE RETENTION/RECRUITMENT OF NEW TALENT BRINGING EXPERTISE TO OUR REGION, EXCELA HEALTH CAN STAY THE COURSE OF DIRECTING CARE WHERE IT IS MOST ACCESSIBLE AND APPROPRIATE. FURTHER, UNCOMPENSATED CARE IS RENDERED SO THAT SEGMENTED POPULATIONS ARE NOT DENIED FUNDAMENTAL ACCESS TO NEEDED TREATMENT. AS EXCELA'S NAME IMPLIES, EXCELLENCE, AT ALL LEVELS OF CARE IN ALL VENUES, IS NOT ONLY A GOAL BUT A HEALTH CARE WAY OF LIFE, ONE THAT "IMPROVES THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH".

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WESTMORELANDFRICK HOSPITAL FOUNDATION
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	251309084	HEALTH CARE	PA	501(C)(3)	509(A)(1)	EXCELA HEALTH	0
LATROBE AREA HOSPITAL CHARITABLE FOUNDATION
ONE MELLON WAY	LATROBE	PA	15650	251750654	HEALTH CARE	PA	501(C)(3)	509(A)(3)	LATROBE AREA HOSPITAL	Yes (1)
MOUNTAIN VIEW CANCER ASSOCIATES INC
200 VILLAGE DRIVE	GREENSBURG	PA	15601	030480551	HEALTH CARE	PA	501(C)(3)	509(A)(1)	EXCELA HEALTH	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
EXCELA HEALTH PHYSICIAN PRACTICES
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	251744392	HEALTH CARE	PA	EXCELA HEALTH HOLDING COMPANY	C	0
EXCELA HEALTH HOLDING COMPANY
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	251826537	HEALTH CARE	PA	EXCELA HEALTH	C	0
EXCELA HEALTH DIVERSIFIED SERVICES
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	251404064	HEALTH CARE	PA	EXCELA HEALTH HOLDING COMPANY	C	0
EXCELA HEALTH VENTURES LLC
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	461290845	REAL ESTATE	PA	EXCELA HEALTH PHYSICIAN PRACTICES INC	C	0
EXCELA RECIPROCAL RRG & SUBSIDIARY
100 BANK STREET SUITE 610	BURLINGTON	VT	05401	464602850	INSURANCE	VT	EXCELA HEALTH	C	0
EXCELA PHYSICIAN HOSPITAL ORGANIZATION LLC
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	820639487	HEALTH CARE	PA	EXCELA HEALTH	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LATROBE AREA HOSPITAL CHARITABLE FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$1,079,735	InvolvedAmt