2026-05-15T19:28:41-05:00 2025-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 20 STANWIX STREET PITTSBURGH PA 15222 990 2024-07-01 900759236 EXCELA HEALTH GROUP EXCE 7246891646 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 THOMAS S ALBANESI JR CPA FHFMA CFO/ASSISTANT TREASURER 7246891646 2026-04-24 1 1 KELLY A BROCIOUS P01254262 4126976400 2026-04-13 2024 2025-03-06 01:10:19Z KENNETH P DEFURIO 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 630481132 1 1 5547 X WWW.INDEPENDENCE.HEALTH X PA EXCELA HEALTH, AN AFFILIATE OF INDEPENDENCE HEALTH SYSTEM, WILL BE RECOGNIZED AS THE PREMIER PROVIDER OF HIGH QUALITY, VALUE-DRIVEN AFFORDABLE INTEGRATED CARE IN THE REGION. WE WILL ACHIEVE THIS THROUGH UNWAVERING COMMITMENT TO INDIVIDUAL AND ORGANIZATIONAL EXCELLENCE AND TECHNOLOGICAL INNOVATION. 10 8 3625 171 0 0 3592356 4760042 576154195 599757200 7218500 9951537 11409147 13637676 598374198 628106455 0 0 0 0 217511049 222776699 0 0 0 299512237 307230713 517023286 530007412 81350912 98099043 717703262 596742406 341594972 201027702 376108290 395714704 X EXCELA HEALTH, AN AFFILIATE OF INDEPENDENCE HEALTH SYSTEM, EXISTS TO PROVIDE A TRUSTED DELIVERY OF CARE WHICH MAKES A POSITIVE IMPACT ON THE LIVES OF EVERY INDIVIDUAL WE TOUCH. 0 0 497655028 609581352 ABOUT EXCELA HEALTH MAKING A POSITIVE IMPACT ON THE LIVES OF EVERY INDIVIDUAL 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 WITH THE GOAL OF SERVING AS A REGIONAL HEALTH CARE SYSTEM THAT EMBODIES HIGH QUALITY, ACCESSIBILITY AND ADVANCED TECHNOLOGY LOCALLY. MORE TO THE POINT, EXCELA HEALTH SEEKS TO LIVE ITS MISSION OF "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH" COUCHED IN VALUES KNOWN AS THE EXCELA WAY. EVIDENCE OF THOSE IDEALS CAN BE FOUND IN THE EVENTS OF FISCAL YEAR 2025, WITH THE ADDITION OF NEW CONCEPTS, SERVICES AND TECHNOLOGIES WHILE, AT THE SAME TIME, GARNERING RECOGNITION FOR ITS EFFORTS FROM NATIONAL, REGIONAL AND LOCAL ORGANIZATIONS. IN ALL CASES, THE RESULTING PROGRAMS, SERVICES AND AWARDS BENEFITTED THE AREA'S CITIZENRY AND DEMONSTRATED A FOCUS ON QUALITY MEASURES, FURTHER ENHANCING THE WAY EXCELA HEALTH PROVIDES CARE. PERHAPS MORE IMPORTANT IS THE CONTINUING ADDITION OF HIGHLY TRAINED PHYSICIANS, NURSES AND HEALTH CARE PROFESSIONALS. TOGETHER, MANAGEMENT, THE BOARD OF TRUSTEES AND MEDICAL STAFF COLLABORATE DILIGENTLY, AND THOUGHTFULLY, TO PROVIDE OUTSTANDING CARE TO THIS REGION. AS A PENNSYLVANIA NONPROFIT CORPORATION DESCRIBED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, EXCELA HEALTH WAS ORIGINALLY INCORPORATED AS SUCH EFFECTIVE JULY 1, 1984, PREVIOUSLY KNOWN AS SOUTHWEST HEALTH SYSTEM, THEN WESTMORELAND HEALTH SYSTEM, FOLLOWED BY WESTMORELAND LATROBE HEALTH PARTNERS AND, FINALLY, EXCELA HEALTH. IN ADDITION TO ITS HOSPITALS, EXCELA HEALTH ENCOMPASSES OTHER HEALTH-RELATED SUBSIDIARIES AND CONTINUES TO EXPAND AS THE NEEDS OF THE COMMUNITY DEMAND. ON JANUARY 1, 2023, EXCELA HEALTH ENTERED INTO AN AFFILIATION WITH BUTLER HEALTH SYSTEM, INC. (BHS) TO CREATE A NEW PARENT CORPORATION NAMED INDEPENDENCE HEALTH SYSTEM (IHS), WHICH HAS GOVERNANCE AUTHORITY OVER BOTH ORGANIZATIONS. 497655028 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 349 0 3625 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 1 1 1 PA X THOMAS S ALBANESI JR CPA FHFMA 7248324561 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 KENNETH P DEFURIO PRESIDENT & CEO 20.00 40.00 X X 0 3614613 23311 PAUL BACHARACH CHAIR 4.00 5.00 X X 0 0 0 TIMOTHY MORGUS VICE CHAIR 3.00 5.00 X X 0 0 0 PATRICK HAMPSON SECRETARY (UNTIL 12/17/24) 3.00 5.00 X X 0 0 0 LARRY RICHERT SECRETARY 3.00 5.00 X X 0 0 0 JEFFREY CURRY TREASURER 3.00 5.00 X X 0 0 0 ANIE PERARD MD TRUSTEE (UNTIL 12/31/24)/PHYSICIAN 3.00 50.00 X 0 341249 15460 JOHN REEFER MD TRUSTEE 3.00 5.00 X 0 0 0 JAMES ADISEY MD TRUSTEE/PHYSICIAN 3.00 50.00 X 0 765506 32146 TERESA PETRICK TRUSTEE 3.00 5.00 X 0 0 0 JOHN M SPHON TRUSTEE 3.00 5.00 X 0 0 0 DEBRA THOMPSON PHD TRUSTEE 3.00 5.00 X 0 0 0 THOMAS S ALBANESI JR CPA CFO/ASSISTANT TREASURER 50.00 10.00 X 663850 0 37722 CAROL J FOX MD CHIEF MEDICAL OFFICER 40.00 20.00 X 675147 0 23135 BRIAN FRITZ PRESIDENT WH, LH & FH 60.00 X 417861 0 33074 DAVID ROTTINGHAUS PHYSICIAN & PROVIDER NETWORK PRESIDENT 20.00 40.00 X 0 713182 25189 MICHAEL FIORINA DO CHIEF MEDICAL OFFICER 20.00 40.00 X 0 429625 25326 THOMAS GENEVRO CHIEF HUMAN RESOURCES OFFICER 20.00 40.00 X 0 470820 15295 ROGER LUTZ CHIEF INFORMATION OFFICER 20.00 40.00 X 0 412850 25503 WILLIAM MADDEN CHIEF OPERATING OFFICER 20.00 40.00 X 0 429561 7388 PAMELA HEPP ESQ CHIEF LEGAL OFFICER 20.00 40.00 X 0 534359 7053 THOMAS CHAKURDA CHIEF MARKET & COMM OFFICER 50.00 X 413597 0 36672 LAURIE ENGLISH SR. VP, HUMAN RESOURCES 50.00 X 362988 0 41779 MICHAEL DEBROECK DIR. ANESTHESIA SCHOOL 50.00 X 268494 0 12936 ERICA SHAFFER VPL, POST ACUTE AMB STRAT 50.00 X 258347 0 25281 TRACI FICK CHIEF NURSING OFFICER 40.00 X 246981 0 24682 JEFFREY TIESI FORMER CHIEF OPERATING OFFICER 0.00 X 115385 0 0 3422650 7711765 411952 250 1 1 0 OPTUM360 PO BOX 88050 CHICAGO IL 60680 REVENUE CYCLE SERVICES 47252309 CARDINAL HEALTH 411 INC 700 CARDINAL PLACE DUBLIN OH 43017 PHARMACY SERVICES 17591955 CERNER CORP CO ORACLE AMERICA INC 500 ORACLE PARKWAY REDWOOD SHORES CA 94065 IT SERVICES 5370727 AYA HEALTHCARE INC 5930 CORNERSTONE CT WEST SUITE 30 SAN DIEGO CA 92121 AGENCY STAFFING 5260797 ARTECH GROUP 201 BARDINE RD PO BOX M CRABTREE PA 15624 CONSTRUCTION SERVICES 4285636 327 1339226 3420816 4760042 NET PATIENT SERVICE REVENUE 900099 576764629 576764629 HOME CARE & HOSPICE REVENUE 900099 22213965 22213965 COUNTY PROGRAMS 900099 778606 778606 599757200 8595048 8595048 6524011 2374677 4149334 4149334 4149334 1356489 0 1356489 1356489 335810 1020679 PHARMACY REVENUE 900099 4197780 4197780 SCHOOL OF ANESTHESIA TUITION 900099 2023015 2023015 CAFETERIA INCOME 900099 1588571 1588571 1678976 1678976 9488342 628106455 609581352 0 13765061 X 1515239 1515239 177541118 164559307 12981811 6167747 5706761 460986 24420590 22470541 1950049 13132005 12072894 1059111 1509986 52614 1457372 318822 14350 304472 86935148 79910790 7024358 1202869 1202469 400 5478948 4305280 1173668 6275894 5594005 681889 763883 722406 41477 91320 84588 6732 2668377 2668377 25723390 25723390 5797266 5797266 MEDICAL SUPPLIES 110105333 110105333 EQUIPMENT RENTAL & MAIN 26156697 25771239 385458 SOFTWARE/MAINTENANCE 13903146 13903146 BAD DEBT 13287893 13287893 7011741 3702379 3309362 530007412 497655028 32352384 0 -1478433 82606322 76262321 5150161 5191691 11167160 16010750 846004467 655536785 186432683 190467682 218295416 235354784 9771168 9771168 205758785 63684010 717703262 596742406 77466630 81492348 637116 1324823 61645337 60133489 201845889 58077042 341594972 201027702 X 365484108 383466608 10624182 12248096 376108290 395714704 717703262 596742406 X 98099043 -1374824 -77117805 X X 0 1 X 1 0 X SCHEDULE A, PART I MEMBER OF EXCELA HEALTH GROUP'S PUBLIC CHARITY STATUS: WESTMORELAND REGIONAL HOSPITAL - BOX 3 - HOSPITAL LATROBE AREA HOSPITAL, INC - BOX 3 - HOSPITAL FRICK HOSPITAL AND COMMUNITY HEALTH CENTER - BOX 3 - HOSPITAL CAREGIVERS OF SOUTHWESTERN PA- BOX 10 - PUBLICLY SUPPORTED EXCELA HEALTH HOME CARE AND HOSPICE - BOX 10 - PUBLICLY SUPPORTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 27000 0 1 13195 40195 0 PART II-B, LINE 1: A PORTION OF THE EXCELA HEALTH GROUP'S DUES TO CENTER FOR HEALTHCARE SOLUTIONS AND THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) ARE USED FOR LOBBYING. 6086907 1175274 7262181 6270475 -183568 6086907 5664446 606029 6270475 6347111 -682665 5664446 4929086 1432831 14806 6347111 1.00000 0 0 14138601 14138601 309122587 205218291 103904296 17261960 14573962 2687998 456573327 408331147 48242180 48907992 27413385 21494607 190467682 RRG ASSETS 16925016 DUE FROM AFFILIATES 26675808 LONG TERM INVESTMENTS AT MARKET 2616350 OP. LEASE RIGHT-OF-USE ASSET 2839076 OTHER CURRENT ASSETS 14627760 63684010 LEASE PAYABLE 3160139 ASBESTOS ABATEMENT 3351542 RRG 20108122 ACCRUED PENSION 18059710 OTHER LIABILITIES 156152 DUE TO THIRD-PARTY PAYORS 13162512 CAPITAL LEASE 78865 58077042 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED PRIMARILY FOR SPECIFIED HOSPITAL PROGRAMS, DEPARTMENTS, RENOVATIONS, AND FACILITY EQUIPMENT AS RESTRICTED BY DONOR. PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. 1 1 X 1 X 250.000000000000 1 X 1 0 1 1 848552 848552 0.00160 49687660 51632448 0 0.00000 50536212 51632448 848552 0.00160 1288504 1288504 0.00250 7473496 6756980 716516 0.00140 24631085 16816568 7814517 0.01510 108182 108182 0.00020 33501267 23573548 9927719 0.01920 84037479 75205996 10776271 0.02080 40195 40195 0.00010 40195 40195 0.00010 0 3851022 287896270 267955807 19940463 X 1 1 3 1 LATROBE AREA HOSPITAL ONE MELLON WAY LATROBE PA 15650 X X X X 2 WESTMORELAND REGIONAL HOSPITAL 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 X X X 3 FRICK HOSPITAL 508 SOUTH CHURCH STREET MT PLEASANT PA 15666 X X X FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 24 1 1 1 1 X INDEPENDENCE.HEALTH/ABOUT-US/COMMUNITY-WELLNESS X 1 24 1 INDEPENDENCE.HEALTH/ABOUT-US/COMMUNITY-WELLNESS 0 1 X 250.000000000000 350.000000000000 X X X X 1 1 X X X 1 X INDEPENDENCE.HEALTH/PATIENTS-VISITORS/FINANCIAL-SERVICES X INDEPENDENCE.HEALTH/PATIENTS-VISITORS/FINANCIAL-SERVICES X INDEPENDENCE.HEALTH/PATIENTS-VISITORS/FINANCIAL-SERVICES X X X X X X 1 0 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A GROUP A-FACILITY 1 -- LATROBE AREA HOSPITAL, INC. PART V, SECTION B, LINE 5: TO GUIDE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), EXCELA HEALTH FORMED A STEERING COMMITTEE THAT CONSISTED OF HOSPITAL AND COMMUNITY LEADERS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THESE INCLUDED REPRESENTATIVES WHO UNDERSTOOD THE NEEDS AND ISSUES RELATED TO VARIOUS UNDERREPRESENTED GROUPS INCLUDING MEDICAL UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS, INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH, AND INTERNAL PROGRAM MANAGERS. DURING THE CHNA PERIOD, DATA WAS COLLECTED THROUGH A SERIES OF KEY STAKEHOLDER INTERVIEWS, COMMUNITY FOCUS GROUPS, AND A COMMUNITY SURVEY. PRIMARY QUALITATIVE DATA COLLECTED FOR THE CHNA INCLUDES 3 FOCUS GROUPS AND 14 STAKEHOLDER INTERVIEWS. THESE INDIVIDUAL AND GROUP INTERVIEWS WERE HELD WITH RESPONDENTS TO INCLUDE A VARIETY OF WESTMORELAND COUNTY RESIDENT'S INTERESTS AND VIEWPOINTS BASED ON OPINIONS ON COMMUNITY HEALTH ISSUES. QUESTIONS POSED DURING THESE SESSIONS ALLOWED US TO GATHER DETAILED INFORMATION ON KNOWLEDGE AND PERCEPTIONS ON THE STRENGTHS AND WEAKNESSES OF COMMUNITY HEALTH AS WELL AS WAYS IN WHICH OPPORTUNITIES COULD BE UTILIZED, AND THREATS AVOIDED.IN ADDITION TO FOCUS GROUPS AND INTERVIEWS, AN ONLINE COMMUNITY SURVEY WAS USED TO GATHER INFORMATION FROM EMPLOYEES AND 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. DETAILS ON THE DATA COLLECTION TOOLS USED FOR INTERVIEW, FOCUS GROUP, OR SURVEY INSTRUMENTS ARE AVAILABLE UPON REQUEST. GROUP A-FACILITY 1 -- LATROBE AREA HOSPITAL, INC. PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED FOR ALL HOSPITALS WITHIN EXCELA HEALTH: LATROBE AREA HOSPITAL, INC., WESTMORELAND REGIONAL HOSPITAL, AND FRICK HOSPITAL. GROUP A-FACILITY 1 -- LATROBE AREA HOSPITAL, INC. PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE CENTER FOR APPLIED RESEARCH (CFAR) AT THE UNIVERSITY OF PITTSBURGH AT GREENSBURG. GROUP A-FACILITY 1 -- LATROBE AREA HOSPITAL, INC. PART V, SECTION B, LINE 11: AS WITH MOST HEATH CARE FACILITIES, EXCELA HEALTH HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES. EXCELA HEALTH IS PARTNERING WITH OTHER COMMUNITY AGENCIES SUCH AS THE UNITED WAY WHOSE MISSION AND RESOURCES ARE FOCUSED ON ADDRESSING THESE ADDITIONAL COMMUNITY NEEDS. GROUP A-FACILITY 1 -- LATROBE AREA HOSPITAL, INC. PART V, SECTION B, LINE 16J: UPON DISCHARGE FROM ANY HOSPITAL, A PACKET IS PROVIDED TO PATIENTS WITH NO INSURANCE. THESE PACKETS INCLUDE A PLAIN LANGUAGE SUMMARY AND FAP APPLICATION FORM. BILLING STATEMENTS INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN INFORMATION. GROUP A-FACILITY 2 -- WESTMORELAND REGIONAL HOSPITAL PART V, SECTION B, LINE 5: TO GUIDE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), EXCELA HEALTH FORMED A STEERING COMMITTEE THAT CONSISTED OF HOSPITAL AND COMMUNITY LEADERS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THESE INCLUDED REPRESENTATIVES WHO UNDERSTOOD THE NEEDS AND ISSUES RELATED TO VARIOUS UNDERREPRESENTED GROUPS INCLUDING MEDICAL UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS, INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH, AND INTERNAL PROGRAM MANAGERS. DURING THE CHNA PERIOD, DATA WAS COLLECTED THROUGH A SERIES OF KEY STAKEHOLDER INTERVIEWS, COMMUNITY FOCUS GROUPS, AND A COMMUNITY SURVEY. PRIMARY QUALITATIVE DATA COLLECTED FOR THE CHNA INCLUDES 3 FOCUS GROUPS AND 14 STAKEHOLDER INTERVIEWS. THESE INDIVIDUAL AND GROUP INTERVIEWS WERE HELD WITH RESPONDENTS TO INCLUDE A VARIETY OF WESTMORELAND COUNTY RESIDENT'S INTERESTS AND VIEWPOINTS BASED ON OPINIONS ON COMMUNITY HEALTH ISSUES. QUESTIONS POSED DURING THESE SESSIONS ALLOWED US TO GATHER DETAILED INFORMATION ON KNOWLEDGE AND PERCEPTIONS ON THE STRENGTHS AND WEAKNESSES OF COMMUNITY HEALTH AS WELL AS WAYS IN WHICH OPPORTUNITIES COULD BE UTILIZED, AND THREATS AVOIDED.IN ADDITION TO FOCUS GROUPS AND INTERVIEWS, AN ONLINE COMMUNITY SURVEY WAS USED TO GATHER INFORMATION FROM EMPLOYEES AND 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. DETAILS ON THE DATA COLLECTION TOOLS USED FOR INTERVIEW, FOCUS GROUP, OR SURVEY INSTRUMENTS ARE AVAILABLE UPON REQUEST. GROUP A-FACILITY 2 -- WESTMORELAND REGIONAL HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED FOR ALL HOSPITALS WITHIN EXCELA HEALTH: LATROBE AREA HOSPITAL, INC., WESTMORELAND REGIONAL HOSPITAL, AND FRICK HOSPITAL. GROUP A-FACILITY 2 -- WESTMORELAND REGIONAL HOSPITAL PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE CENTER FOR APPLIED RESEARCH (CFAR) AT THE UNIVERSITY OF PITTSBURGH AT GREENSBURG. GROUP A-FACILITY 2 -- WESTMORELAND REGIONAL HOSPITAL PART V, SECTION B, LINE 11: AS WITH MOST HEATH CARE FACILITIES, EXCELA HEALTH HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES. EXCELA HEALTH IS PARTNERING WITH OTHER COMMUNITY AGENCIES SUCH AS THE UNITED WAY WHOSE MISSION AND RESOURCES ARE FOCUSED ON ADDRESSING THESE ADDITIONAL COMMUNITY NEEDS. GROUP A-FACILITY 2 -- WESTMORELAND REGIONAL HOSPITAL PART V, SECTION B, LINE 16J: UPON DISCHARGE FROM ANY HOSPITAL, A PACKET IS PROVIDED TO PATIENTS WITH NO INSURANCE. THESE PACKETS INCLUDE A PLAIN LANGUAGE SUMMARY AND FAP APPLICATION FORM. BILLING STATEMENTS INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN INFORMATION. GROUP A-FACILITY 3 -- FRICK HOSPITAL PART V, SECTION B, LINE 5: TO GUIDE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), EXCELA HEALTH FORMED A STEERING COMMITTEE THAT CONSISTED OF HOSPITAL AND COMMUNITY LEADERS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THESE INCLUDED REPRESENTATIVES WHO UNDERSTOOD THE NEEDS AND ISSUES RELATED TO VARIOUS UNDERREPRESENTED GROUPS INCLUDING MEDICAL UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS, INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH, AND INTERNAL PROGRAM MANAGERS. DURING THE CHNA PERIOD, DATA WAS COLLECTED THROUGH A SERIES OF KEY STAKEHOLDER INTERVIEWS, COMMUNITY FOCUS GROUPS, AND A COMMUNITY SURVEY. PRIMARY QUALITATIVE DATA COLLECTED FOR THE CHNA INCLUDES 3 FOCUS GROUPS AND 14 STAKEHOLDER INTERVIEWS. THESE INDIVIDUAL AND GROUP INTERVIEWS WERE HELD WITH RESPONDENTS TO INCLUDE A VARIETY OF WESTMORELAND COUNTY RESIDENT'S INTERESTS AND VIEWPOINTS BASED ON OPINIONS ON COMMUNITY HEALTH ISSUES. QUESTIONS POSED DURING THESE SESSIONS ALLOWED US TO GATHER DETAILED INFORMATION ON KNOWLEDGE AND PERCEPTIONS ON THE STRENGTHS AND WEAKNESSES OF COMMUNITY HEALTH AS WELL AS WAYS IN WHICH OPPORTUNITIES COULD BE UTILIZED, AND THREATS AVOIDED.IN ADDITION TO FOCUS GROUPS AND INTERVIEWS, AN ONLINE COMMUNITY SURVEY WAS USED TO GATHER INFORMATION FROM EMPLOYEES AND 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. DETAILS ON THE DATA COLLECTION TOOLS USED FOR INTERVIEW, FOCUS GROUP, OR SURVEY INSTRUMENTS ARE AVAILABLE UPON REQUEST. GROUP A-FACILITY 3 -- FRICK HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED FOR ALL HOSPITALS WITHIN EXCELA HEALTH: LATROBE AREA HOSPITAL, INC., WESTMORELAND REGIONAL HOSPITAL, AND FRICK HOSPITAL. GROUP A-FACILITY 3 -- FRICK HOSPITAL PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE CENTER FOR APPLIED RESEARCH (CFAR) AT THE UNIVERSITY OF PITTSBURGH AT GREENSBURG. GROUP A-FACILITY 3 -- FRICK HOSPITAL PART V, SECTION B, LINE 11: AS WITH MOST HEATH CARE FACILITIES, EXCELA HEALTH HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES. EXCELA HEALTH IS PARTNERING WITH OTHER COMMUNITY AGENCIES SUCH AS THE UNITED WAY WHOSE MISSION AND RESOURCES ARE FOCUSED ON ADDRESSING THESE ADDITIONAL COMMUNITY NEEDS. GROUP A-FACILITY 3 -- FRICK HOSPITAL PART V, SECTION B, LINE 16J: UPON DISCHARGE FROM ANY HOSPITAL, A PACKET IS PROVIDED TO PATIENTS WITH NO INSURANCE. THESE PACKETS INCLUDE A PLAIN LANGUAGE SUMMARY AND FAP APPLICATION FORM. BILLING STATEMENTS INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN INFORMATION. 2 1 - EXCELA HEALTH HOME CARE AND HOSPICE 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 HOME CARE AND HOSPICE 2 - CAREGIVERS OF SOUTHWESTERN PA 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 VARIOUS COUNTY PROGRAMS PART I, LINE 6A: EXCELA HEALTH PROVIDES A REPORT TO THE COMMUNITY ANNUALLY. THE REPORT IS PUBLISHED ANNUALLY ON THE WEBSITE AS WELL AS PERIODICALLY PROVIDED THROUGH COMMUNITY MAILINGS AND LOCATED AT STRATEGIC POINTS OF SERVICE WITHIN OUR HOSPITALS SUCH AS THE EMERGENCY ROOM, ADMISSIONS, REGISTRATION, ETC. PART I, LINE 7: THE PERCENT OF CHARITY CARE AND OTHER COMMUNITY BENEFITS IS BASED ON RATIOS OF COST TO CHARGES FROM THE MEDICARE COST REPORT. PART I, LINE 7G: EXCELA HEALTH OFFERS A NUMBER OF CLINICS TO THE COMMUNITY SUCH AS DIABETIC, PAIN, WOUND, WELLNESS, ETC. IN ADDITION TO THESE CLINICS, EXCELA HEALTH OFFERS BOTH INPATIENT AND OUTPATIENT MENTAL HEALTH SERVICES. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS 13,287,893. 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 2024 TAX YEAR, WHICH IS EQUVIALENT TO ITS FISCAL YEAR ENDED JUNE 30, 2025. THE IMPLEMENTATION STRATEGY WAS ALSO ADOPTED DURING THAT SAME FISCAL YEAR. PART VI, LINE 2: DURING FISCAL YEAR 2025, 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: EXCELA HEALTH, AN AFFILIATE OF INDEPENDENCE HEALTH SYSTEM, EXISTS TO PROVIDE A TRUSTED DELIVERY OF CARE WHICH MAKES A POSITIVE IMPACT ON THE LIVES OF EVERY INDIVIDUAL WE TOUCH. EVERY LIFE MEANS THAT INDEPENDENCE HEALTH SYSTEM 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. INDEPENDENCE HEALTH SYSTEM 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 INDEPENDENCE HEALTH SYSTEM MAY HAVE IN SECURE INVESTMENTS TO PROVIDE FOR FUTURE TECHNOLOGY, TREATMENTS OF CARE, AND MAINTAIN AGING FACILITIES. INDEPENDENCE HEALTH SYSTEM ENCOURAGES PATIENTS TO TELL IT WHAT IT IS DOING RIGHT AND WRONG THROUGH PATIENT SATISFACTION SURVEYS AND INDEPENDENCE HEALTH SYSTEM REACTS TO THOSE SURVEYS. INDEPENDENCE HEALTH SYSTEM STRIVES TO PROVIDE ITS PATIENTS WITH GREATER ACCESS TO CARE THROUGH OFF SITE CLINICS AND DIAGNOSTIC SERVICE CENTERS. INDEPENDENCE HEALTH SYSTEM 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. INDEPENDENCE HEALTH SYSTEM 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 PART OF INDEPENDENCE HEALTH SYSTEM. INDEPENDENCE HEALTH SYSTEM (IHS) COMPRISES BUTLER MEMORIAL, CLARION, FRICK, LATROBE, AND WESTMORELAND HOSPITALS. WITH A TOTAL BED COMPLEMENT OF 925, THE SYSTEM HAS MORE THAN 1,000 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS AND 7,300 EMPLOYEES. IHS IS NOW THE THIRD LARGEST HEALTHCARE SYSTEM IN WESTERN PENNSYLVANIA, SERVING A POPULATION BASE OF 750,000 IN A FOOTPRINT SPANNING MORE THAN 10 COUNTIES. 1 1 0 0 0 0 0 1 0 KENNETH P DEFURIO PRESIDENT & CEO 0 1015575 0 0 0 2599038 0 5175 0 18136 0 3637924 0 2501911 JAMES ADISEY MD TRUSTEE/PHYSICIAN 0 462342 0 183975 0 119189 0 13800 0 18346 0 797652 0 0 DAVID ROTTINGHAUS PHYSICIAN & PROVIDER NETWORK PRESIDE 0 546886 0 0 0 166296 0 5175 0 20014 0 738371 0 86493 THOMAS S ALBANESI JR CPA CFO/ASSISTANT TREASURER 506372 0 0 0 157478 0 18292 0 19430 0 701572 0 0 0 CAROL J FOX MD CHIEF MEDICAL OFFICER 518439 0 0 0 156708 0 21355 0 1780 0 698282 0 0 0 PAMELA HEPP ESQ CHIEF LEGAL OFFICER 0 508862 0 0 0 25497 0 5175 0 1878 0 541412 0 0 THOMAS GENEVRO CHIEF HUMAN RESOURCES OFFICER 0 162156 0 0 0 308664 0 3943 0 11352 0 486115 0 253308 MICHAEL FIORINA DO CHIEF MEDICAL OFFICER 0 425762 0 0 0 3863 0 5175 0 20151 0 454951 0 0 BRIAN FRITZ PRESIDENT WH, LH & FH 357281 0 0 0 60580 0 12035 0 21039 0 450935 0 0 0 THOMAS CHAKURDA CHIEF MARKET & COMM OFFICER 291821 0 30500 0 91276 0 18619 0 18053 0 450269 0 0 0 ROGER LUTZ CHIEF INFORMATION OFFICER 0 368219 0 0 0 44631 0 5175 0 20328 0 438353 0 0 WILLIAM MADDEN CHIEF OPERATING OFFICER 0 421771 0 0 0 7790 0 0 0 7388 0 436949 0 0 LAURIE ENGLISH SR. VP, HUMAN RESOURCES 352832 0 0 0 10156 0 23775 0 18004 0 404767 0 0 0 ANIE PERARD MD TRUSTEE (UNTIL 12/31/24)/PHYSICIAN 0 317782 0 0 0 23467 0 0 0 15460 0 356709 0 0 ERICA SHAFFER VPL, POST ACUTE AMB STRAT 224253 0 0 0 34094 0 8607 0 16674 0 283628 0 0 0 MICHAEL DEBROECK DIR. ANESTHESIA SCHOOL 219564 0 45000 0 3930 0 12097 0 839 0 281430 0 0 0 TRACI FICK CHIEF NURSING OFFICER 235333 0 0 0 11648 0 12397 0 12285 0 271663 0 0 0 JEFFREY TIESI FORMER CHIEF OPERATING OFFICER 0 0 0 0 115385 0 0 0 0 0 115385 0 0 0 PART I, LINE 3 THE CEO IS PAID BY BUTLER HEALTHCARE PROVIDERS, A NONPROFIT RELATED CORPORATION. BUTLER HEALTHCARE PROVIDERS USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, INDEPENDENT LEGAL REVIEW, AND APPROVAL BY THE BOARD AND BOARD COMPENSATION COMMITTEE. PART I, LINES 4A-B BUTLER HEALTHCARE PROVIDERS, A RELATED ORGANIZATION UTILIZES A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) TO RECRUIT AND RETAIN LEADERSHIP TALENT. VESTING PERIODS ARE 5 AND 10 YEARS, FOR ALL EXECUTIVES, WITH THE EXCEPTION OF THE PRESIDENT/CEO, AT AGE 65. THE THIRD VESTING PERIOD FOR THE PRESIDENT/CEO IS AGE 60. ELIGIBLE EXECUTIVES RECEIVE DISTRIBUTIONS UPON REACHING THE VESTING PERIODS. ALL CONTRIBUTIONS TO THE SERP HAVE BEEN REPORTED PREVIOUSLY AND ARE REPORTED ANNUALLY. THE ANNUAL ACCRUAL AMOUNTS FOR CALENDAR YEAR 2024 WERE: KENNETH P DEFURIO, $351,888 SEVERANCE: JEFFREY TIESI - $115,385 PART I, LINE 7 EXCELA HEALTH'S EMPLOYEES MAY RECEIVE A BONUS BASED ON INCREASED PATIENT SATISFACTION AND OTHER PERFORMANCE INDICATORS. PART II INDEPENDENCE HEALTH SYSTEM PRESIDENT & CEO KENNETH DEFURIO TURNED 60 DURING CALENDAR YEAR 2024. REACHING AGE 60 TRIGGERED A REQUIRED VESTED SERP PAYOUT OF $2,501,911. FOR THE PAST 18 YEARS, INDIVIDUAL SERP PAYMENTS FOR THE CEO HAD PREVIOUSLY BEEN REPORTED AS DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J. THIS REPORTED 2024 AMOUNT IS A TOTAL OF ALL PREVIOUSLY REPORTED FUNDING AMOUNTS. SERP PLANS ARE USED AS RECRUITMENT AND RETENTION VEHICLES IN A COMPETITIVE EXECUTIVE MARKET. A WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT 251433993 2015-06-24 70000000 REFINANCE PNC LOAN, RENOVATIONS, FUNDING RESERVES, COSTS OF ISSUANCE 0 0 0 B WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT 251433993 2020-12-15 93324078 REFUND PRIOR BONDS, NEW CONSTRUCTION, COSTS OF ISSUANCE 0 0 0 A 9785000 70000000 1598582 264725 69735275 2017 0 0 1 1 B 24099078 93324078 51471869 1072210 40049745 730254 2024 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 1 0 0 0 0 0 1 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT DATE THE REBATE COMPUTATION WAS PERFORMED: 06/23/2025 SCHEDULE K SUPPLENTAL INFORMATION PART 1, B, F - SERIES 2005 C, WESTMORELAND HOSPITAL CAPITAL PROJECTS BOND REFUNDING AND SERIES 2005 E, WESTMORELAND HOSPITAL 1986 BOND REFUNDING ELIZABETH FOX CAROL FOX, CHIEF MEDICAL OFFICER - FAMILY MEMBER 105381 EMPLOYEE OF EXCELA HEALTH HOME CARE AND HOSPICE 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION 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 15B THE BOARD OF TRUSTEES RECOGNIZES THE GREAT CHALLENGES AND DIFFICULTIES THAT HEALTHCARE EXECUTIVES FACE, PARTICULARLY IN THE CURRENT ERA OF NATIONAL AND STATE HEALTHCARE REFORM. IN ADDITION, THE PITTSBURGH REGIONAL MARKET IS HIGHLY COMPETITIVE AND CHANGING RAPIDLY. THE BOARD COMPETES FOR AND SEEKS EXECUTIVE TALENT ON A NATIONAL BASIS. IT ENGAGES EXPERT COMPENSATION CONSULTANTS, UTILIZING NATIONAL COMPARATIVE DATA TO GUIDE THE DETERMINATION OF COMPETITIVE, APPROPRIATE LEVELS OF COMPENSATION. THE EXECUTIVE COMPENSATION PROCESS IS OVERSEEN BY THE EXECUTIVE/COMPENSATION COMMITTEE OF THE IHS BOARD OF TRUSTEES. THE COMMITTEE IS COMPOSED ENTIRELY OF "DISINTERESTED" MEMBERS WITH NO CONFLICTS OF INTEREST. THE TOTAL COMPENSATION PROGRAM FOR EXECUTIVES CONSISTS OF CASH COMPENSATION AND BENEFITS. FACTORS TAKEN INTO CONSIDERATION IN DETERMINING COMPENSATION FOR EXECUTIVES INCLUDE: MARKET DEMAND AND COMPETITION FOR SIMILAR POSITIONS, EXPERIENCE AND TENURE, AND ACTUAL PERFORMANCE AND EFFECTIVENESS. BASED ON THESE AND OTHER PERTINENT CRITERIA, IHS TARGETS TOTAL COMPENSATION TO FALL WITHIN A RANGE OF THE 25TH TO 75TH PERCENTILE OF THE MARKET. IHS EXECUTIVE COMPENSATION GENERALLY WILL NOT EXCEED THE 75TH PERCENTILE OF THE MARKET. EXCEPTIONS TO THIS MAY BE SUBJECT TO REVIEW AND RECOMMENDATION BY THE COMPENSATION COMMITTEE, WHICH IN TURN IS SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES. EXCEPTION MUST BE SUPPORTED BY ORGANIZATIONAL AND/OR INDIVIDUAL PERFORMANCE, OR A RETENTION/RECRUITMENT CIRCUMSTANCE THAT WARRANTS SUCH COMPENSATION. THE COMPENSATION COMMITTEE CONSISTS EXCLUSIVELY OF INDEPENDENT INDIVIDUALS WITH NO REAL OR PERCEIVED CONFLICTS OF INTEREST IN RECOMMENDING EXECUTIVE COMPENSATION GUIDELINES AND LEVELS. WHILE BENEFITS ARE ACCOUNTED FOR IN SCHEDULE J, ACTUAL "TAKE HOME" PAY TO THE EXECUTIVE TYPICALLY CONSISTS ONLY OF BASE SALARY, AND INCENTIVE AWARD EARNED, IF EARNED. APPLICABLE TAXES OR OTHER WITHHOLDINGS ARE DEDUCTED. ANNUAL INCREASES IN BASE PAY, IF ANY, ARE BASED ON COMPETITIVE MARKET TRENDS FROM THE COMPARISON GROUP. SUPPLEMENTAL RETIREMENT BENEFITS ARE USED AS A VEHICLE FOR EXECUTIVE RECRUITMENT AND RETENTION WITH APPROPRIATE VESTING PERIODS. THE BOARD OF TRUSTEES REVIEWS AND APPROVES EXECUTIVE COMPENSATION IN ITS ENTIRETY, INCLUDING THE USE OF "TALLY SHEETS", WHICH DISCLOSE 100% EXECUTIVE COMPENSATION. THE BOARD OF TRUSTEES ENGAGES EXTERNAL COMPENSATION AND LEGAL EXPERTISE TO ASSURE REASONABLENESS OF EXECUTIVE COMPENSATION LEVELS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 990 AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 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 79,910,790. MANAGEMENT AND GENERAL EXPENSES 7,024,358. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,935,148. FORM 990, PART XI, LINE 9: CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY 3,727,801. OTHER 446,622. TRANSFER TO AFFILIATES -84,469,928. NET ASSETS RELEASED FROM RESTRICTION -266,688. DISBURSEMENTS RECEIVED 3,444,388. 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. LATROBE AREA HOSPITAL CHARITABLE FOUNDATION ONE MELLON WAY LATROBE PA 15650 251750654 FUNDRAISING PA 501(C)(3) LINE 12A, I LATROBE AREA HOSPITAL 1 WESTMORELANDFRICK HOSPITAL FOUNDATION 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 251309084 FUNDRAISING PA 501(C)(3) LINE 12A, I EXCELA HEALTH 0 EXCELA HEALTH 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 251471089 HEALTH CARE PA 501(C)(3) LINE 12C, III-FI INDEPENDENCE HEALTH SYSTEM 0 MOUNTAIN VIEW CANCER ASSOCIATES INC 200 VILLAGE DRIVE GREENSBURG PA 15601 030480551 HEALTH CARE PA 501(C)(3) LINE 3 EXCELA HEALTH 0 BUTLER HEALTH SYSTEM ONE HOSPITAL WAY BUTLER PA 16001 251441855 HC DELIV SYST PA 501(C)(3) LINE 10 INDEPENDENCE HEALTH SYSTEM 0 BUTLER HEALTHCARE PROVIDERS ONE HOSPITAL WAY BUTLER PA 16001 250965274 HOSPITAL PA 501(C)(3) LINE 3 BUTLER HEALTH SYSTEM 0 BUTLER MEDICAL PROVIDERS ONE HOSPITAL WAY BUTLER PA 16001 251441961 PHYSICIAN PRACTICE PA 501(C)(3) LINE 3 BUTLER HEALTH SYSTEM 0 NIXSAR CORPORATION ONE HOSPITAL WAY BUTLER PA 16001 251441960 REAL ESTATE PA 501(C)(3) LINE 12B, II BUTLER HEALTH SYSTEM 0 BUTLER HEALTH SYSTEM FOUNDATION ONE HOSPITAL WAY BUTLER PA 16001 261543883 FUNDRAISING PA 501(C)(3) LINE 12A, I BUTLER HEALTH SYSTEM 0 CLARION HOSPITAL ONE HOSPITAL WAY CLARION PA 16214 251010039 HOSPITAL PA 501(C)(3) LINE 3 BUTLER HEALTH SYSTEM 0 CLARION HOSPITAL SELF INS TRUST FUND ONE HOSPITAL WAY CLARION PA 16217 250766602 SELF INSURANCE PA 501(C)(3) LINE 12A, I CLARION HOSPITAL 0 BUTLER MEMORIAL HOSPITAL AUXILIARY ONE HOSPITAL WAY BUTLER PA 16001 251457575 AUXILIARY PA 501(C)(3) LINE 10 BUTLER HEALTH SYSTEM 0 INDEPENDENCE HEALTH SYSTEM ONE HOSPITAL WAY BUTLER PA 16001 921340805 HEALTH CARE PA 501(C)(3) LINE 12B, II N/A 0 BUTLER AMBULATORY SURGERY CENTER LLC 102 TECHNOLOGY DRIVE BUTLER PA 16001 061728190 AMBULATORY SURG. 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