2024-04-08T11:50:17-05:00 2023-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-07-01 251400999 HAMOT HEALTH FOUNDATION HAMO 8148773739 302 FRENCH STREET ERIE PA 16507 BRADLEY DINGER TREASURER 8148773739 2024-04-03 1 BRADLEY DINGER 999009999 0 KERRI N BOGDA CPA P00760402 7177404863 2024-04-03 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CHARLES BOO HAGERTY 302 FRENCH STREET ERIE PA 16507 30239753 0 X WWW.HAMOTHEALTHFOUNDATION.ORG X 1881 PA SUPPORT UPMC HAMOT'S MISSION TO SERVE PATIENTS & COMMUNITY IN THE HAMOT TRADITION OF QUALITY. 17 17 10 120 0 0 2669822 3315945 0 0 1676858 927033 931733 967247 5278413 5210225 3479781 4720470 0 0 709814 735440 0 0 838668 318664 485668 4508259 5941578 770154 -731353 26374339 25598521 1854350 976136 24519989 24622385 TO SUPPORT UPMC HAMOT IN SERVING OUR PATIENTS, OUR COMMUNITIES, AND ONE ANOTHER IN THE TRADITION OF QUALITY, HEALTH, HEALING, AND EDUCATION. 0 0 4832291 4720470 THE FOUNDATION GIVES SUPPORT TO ITS AFFILIATED ORGANIZATIONS AND THE COMMUNITY THROUGH GRANTS FOR OPERATIONS, PROPERTY, AND EQUIPMENT AND PROGRAMS TO PROMOTE THE MISSION OF THESE OTHER NON-PROFIT ENTITIES. DURING FY23, THE FOUNDATION GAVE GRANTS OF TO UPMC HAMOT FOR CAPITAL IMPROVEMENTS, ACQUIRING EQUIPMENT, RESEARCH, AND MEDICAL EDUCATION. THE FOUNDATION ALSO AWARDED GRANTS TO ANOTHER AFFILIATE, REGIONAL HEALTH SERVICES, INC. ("RHS") FOR FINANCIAL SUPPORT FOR PROVIDING MEDICAL SERVICES IN A SMALL COMMUNITY. BESIDES THE AFFILIATES, THE FOUNDATION GAVE GRANTS TO ERIE COMMUNITY ENTITIES IN THE AMOUNT OF $2,086,992. 4832291 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 3 0 10 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X BRADLEY DINGER TREASURER 8148773739 201 STATE STREET ERIE PA 16550 BETH BURNSIDE CHAIR 1.00 1.00 X X 0 0 0 DANIELLE BATES CPA VICE CHAIR 1.00 X X 0 0 0 HAROLD BENDER DIRECTOR 1.00 X 0 0 0 MBEMBO BONGUTU DIRECTOR 1.00 40.00 X 0 0 0 BETSY BORT DIRECTOR 1.00 X 0 0 0 BISHOP DWANE BROCK DIRECTOR 1.00 1.00 X 0 0 0 ELLIOTT J EHRENREICH ESQ DIRECTOR 1.00 1.00 X 0 0 0 LORIANNE FELTZ DIRECTOR 1.00 X 0 0 0 MARGARET JOY DIRECTOR 1.00 1.00 X 0 0 0 ABIGAIL LECHNER DIRECTOR 1.00 X 0 0 0 ROBERT MAHOLIC DO DIRECTOR 1.00 40.00 X 0 0 0 JANE MCQUILLEN DIRECTOR 1.00 X 0 0 0 JENNIFER NABER MD DIRECTOR 1.00 X 0 0 0 DANIEL TEED DIRECTOR 1.00 1.00 X 0 0 0 DEBRA UHT DIRECTOR 1.00 X 0 0 0 LISA WATKINS DIRECTOR 1.00 X 0 0 0 DAVID J ZIMMER DIRECTOR 1.00 1.00 X 0 0 0 GARRETT A FUHRMAN DIRECTOR (NON-VOTING) 1.00 X 0 0 0 SALLY GEARITY DIRECTOR (NON-VOTING) 1.00 X 0 0 0 ALLISON HODAS DIRECTOR (NON-VOTING) 1.00 X 0 0 0 CAROLINE PATTERSON DIRECTOR (NON-VOTING) 1.00 X 0 0 0 SHIRLEY WILSON DIRECTOR (NON-VOTING) 1.00 X 0 0 0 BRADLEY N DINGER TREASURER 1.00 40.00 X 0 264161 34576 CARRIE E ENNIS SECRETARY 1.00 40.00 X 0 186923 27749 CHARLES BOO HAGERTY CHIEF DEVELOPMENT OFFICER/ 1.00 40.00 X 0 309807 38536 JAIMEE BLACK CHIEF OPERATING OFFICER 1.00 40.00 X 0 128682 33687 0 889573 134548 0 0 1 0 0 37900 232435 179150 866265 2000195 3315945 327034 327034 25306432 24706433 599999 599999 599999 149150 232435 322295 -173145 -173145 2900 800 2100 2100 MANAGEMENT FEE 541610 1138292 1138292 1138292 5210225 1138292 0 755988 4720470 4720470 686311 68631 102947 514733 49129 4913 7369 36847 1772 177 266 1329 30272 3027 4541 22704 102887 102887 80749 8075 12112 60562 76128 7613 11419 57096 5347 535 802 4010 31040 3104 4656 23280 18753 1875 2813 14065 8133 813 1220 6100 33749 3375 5062 25312 11794 1179 1769 8846 14047 1405 2107 10535 SPONSORSHIP 17221 1722 2583 12916 FOOD 14452 1445 2168 10839 EDUCATION 5928 593 889 4446 MEMBERSHIP DUES 4814 481 722 3611 28582 2858 4287 21437 5941578 4832291 270619 838668 2594281 2380030 273349 175623 111663 97726 16876917 16045937 166375 168255 6625103 6906573 26374339 25598521 1854350 976136 1854350 976136 X 842909 467923 23677080 24154462 24519989 24622385 26374339 25598521 X -731353 551279 282470 X 0 1 X 1 0 X X 2 UPMC HAMOT (HAMOT MEDICAL CENTER) 250965387 3 1 2535158 0 REGIONAL HEALTH SERVICES INC 251403958 10 1 98318 0 2 2633476 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 6: THE FOUNDATION PROVIDES GRANTS TO OTHER ORGANIZATIONS THAN THE TWO SUPPORTED ORGANIZATIONS - SEE SCHEDULE I FOR DETAILS OF GRANTS AWARDED. THESE GRANTS BENEFIT THE COMMUNITY SERVED BY THE SUPPORTED ORGANIZATIONS AND HELP IN ACHIEVING THEIR MISSION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9896096 484000 940000 628675 10691421 10826879 475832 -1138615 268000 9896096 8841085 76 2186946 201228 10826879 8610991 638559 65458 473923 8841085 8637399 44663 352421 423492 8610991 0.75000 0.25000 1 0 25610 25610 222689 165524 57165 23550 8599 14951 1500 1500 0 97726 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 6906573 6906573 INTERCOMPANY PAYABLES 976136 976136 X 5125890 551279 179583 730862 4395028 815197 815197 5210225 5023494 -815197 -815197 5838691 102887 102887 5941578 PART V, LINE 4: THE INVESTMENT INCOME ON ENDOWMENT FUNDS IS USED ON PROGRAMS TO SUPPORT UPMC HAMOT'S MISSION TO SERVE PATIENTS AND COMMUNITY. PART X, LINE 2: THE FOUNDATION WILL NOT INCUR ANY LIABILITY FOR INCOME TAXES, EXCEPT FOR POSSIBLE UNRELATED BUSINESS INCOME. THE FOUNDATION DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2023 AND 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: VALUATION GAIN/(LOSS) ON TRUST 282,470. ENDOWMENT EXPENSES NETTED AGAINST REVENUE ON FINANCIALS -306. INVESTMENT MANAGEMENT FEES NETTED AGAINST REVENUE ON FINANCIALS -102,581. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES -322,295. MANAGEMENT FEE REVENUE NETTED AGAINST EXPENSES ON FINANCIALS 1,138,292. GAMING EXPENSES -800. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 322,295. MANAGEMENT FEE REVENUE NETTED AGAINST EXPENSES ON FINANCIALS -1,138,292. GAMING EXPENSES 800. PART XII, LINE 4B - OTHER ADJUSTMENTS: ENDOWMENT EXPENSES NETTED AGAINST REVENUE ON FINANCIALS 306. INVESTMENT MANAGEMENT FEES NETTED AGAINST REVENUE ON FINANCIALS 102,581. 2022 GALA 273250 138350 134900 80371 45500 154555 2022 HHF OPEN 92300 78050 14250 1800 24622 400 15047 3 16035 16035 381585 232435 149150 1800 104993 45900 169602 322295 -173145 1 UPMC HAMOT 201 STATE ST ERIE PA 16550 250965387 501(C)(3) 2535158 0 N/A N/A VARIOUS PROJECTS AND PROGRAMS REGIONAL HEALTH SERVICES 201 STATE ST ERIE PA 16550 251403958 501(C)(3) 98318 0 N/A N/A NORTH EAST HEALTHCARE MAGEE WOMENS RESEARCH INSTITUTE AND FND 204 CRAFT AVE PITTSBURGH PA 15213 251462312 501(C)(3) 1000000 0 N/A N/A COMMUNITY HEALTH AND RESEARCH SAFE HARBOR BEHAVIORAL HEALTH 1330 W 26TH ST ERIE PA 16508 251317492 501(C)(3) 374787 0 N/A N/A COMMUNITY HEALTH AND RESEARCH ERIE CENTER FOR ARTS AND TECHNOLOGY PO BOX 6214 ERIE PA 16512 824610477 501(C)(3) 154045 0 N/A N/A COMMUNITY HEALTH AND RESEARCH PRISCHAK FAMILY PARTNERSHIP 100 STATE ST SUITE 100B ERIE PA 16507 251750468 501(C)(3) 121739 0 N/A N/A COMMUNITY HEALTH AND RESEARCH VENANGO COUNTY 1174 ELK ST PO BOX 831 FRANKLIN PA 16323 251472177 501(C)(3) 102610 0 N/A N/A COMMUNITY HEALTH AND RESEARCH UNIVERSITY OF PITTSBURGH 4200 FIFTH AVE PITTSBURGH PA 15260 250965591 501(C)(3) 100000 0 N/A N/A COMMUNITY HEALTH AND RESEARCH IMPACT100 GLOBAL 2840 W BAY DR 113 BELLEAIR BLUFFS FL 33770 474353630 501(C)(3) 51255 0 N/A N/A COMMUNITY HEALTH AND RESEARCH THE KAHKWA CLUB 3300 KAHKWA CLUB ROAD ERIE PA 16505 250582230 501(C)(3) 46604 0 N/A N/A COMMUNITY HEALTH AND RESEARCH ERIE COMMUNITY FOUNDATION 459 W 6TH ST ERIE PA 16507 256032032 501(C)(3) 33019 0 N/A N/A CAREER DEVELOPMENT EAST SIDE RENAISSANCE 1108 PARADE ST ERIE PA 16503 853381747 501(C)(3) 25000 0 N/A N/A COMMUNITY HEALTH AND RESEARCH ERIE CANCER WELLNESS 2212 W 15TH STREET UNIT 104 ERIE PA 16505 844822101 501(C)(3) 20000 0 N/A N/A COMMUNITY HEALTH AND RESEARCH HALO INNOVATIONS INC 11 CHESHIRE LANE SUITE 100 MINNETONKA MN 55305 501(C)(3) 16686 0 N/A N/A COMMUNITY HEALTH AND RESEARCH ERIE COUNTY COMMUNITY COLLEGE 2403 W 8TH STREET ERIE PA 16505 861217175 501(C)(3) 13149 0 N/A N/A CAREER DEVELOPMENT CHILD DEVELOPMENT CENTERS 2335 WEST 38TH ST STE 1 ERIE PA 16506 251198158 501(C)(3) 10000 0 N/A N/A COMMUNITY HEALTH AND RESEARCH ERIE POLICE ATHLETIC LEAGUE 1001 STATE STREET SUITE 1400 ERIE PA 16501 201939904 501(C)(3) 10000 0 N/A N/A COMMUNITY HEALTH AND RESEARCH EAGLES NEST LEADERSHIP CORPORATION 1129 PENNSYLVANIA AVE ERIE PA 16503 454708848 501(C)(3) 8100 0 N/A N/A COMMUNITY HEALTH AND RESEARCH 18 0 PART I, LINE 2: HAMOT HEALTH FOUNDATION ("HHF") PROVIDES GRANTS TO ITS TWO AFFILIATED NON-PROFIT ORGANIZATIONS. THE AFFILIATES REQUISITION HHF FOR THE FUNDS AFTER OBTAINING PROPER AUTHORIZATIONS. THE USE OF THE FUNDS IS MONITORED THROUGH PURCHASING, SUPPLY CHAIN INTERNAL CONTROLS, AND THE GRANT REPORTING PROCESS. GRANTS PAID TO NON-RELATED PARTIES ARE CHOSEN THROUGH AN APPLICATION PROCESS. THE RECIPIENT COMPLETES AN APPLICATION AND DEPENDING ON THE FUNDING AMOUNT REQUESTED, REVIEW AND APPROVAL OF THOSE APPLICATIONS IS DONE AT VARIOUS LEVELS. REQUESTED AMOUNTS OVER A CERTAIN LEVEL, GO TO THE EXECUTIVE COMMITTEE OF THE BOARD AND THEN THE BOARD. COMMUNITY PROMISE GRANTS ARE REVIEWED AND SCORED BY THE EXECUTIVE COMMITTEE OF THE BOARD. 0 0 0 0 0 0 0 0 0 CHARLES BOO HAGERTY CHIEF DEVELOPMENT OFFICER/ 0 211625 0 95164 0 3018 0 23571 0 14965 0 348343 0 0 BRADLEY N DINGER TREASURER 0 173253 0 88500 0 2408 0 20542 0 14034 0 298737 0 0 CARRIE E ENNIS SECRETARY 0 139201 0 47300 0 422 0 13145 0 14604 0 214672 0 0 JAIMEE BLACK CHIEF OPERATING OFFICER 0 111732 0 16630 0 320 0 10097 0 23590 0 162369 0 0 PART I, LINE 3 THE OFFICERS ARE EMPLOYEES OF RELATED ENTITY, UPMC HAMOT, AND SALARY IS DETERMINED COMMENSURATE WITH EQUIVALENT POSITIONS WITHIN THE UPMC SYSTEM. DELIBERATION AND DECISION IS DOCUMENTED WITH UPMC HR AND INCLUDES THE FOLLOWING METHODS: COMPENSATION COMMITTEE, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE. FORM 990, PART V, LINE 1: ALL ACCOUNTS PAYABLE AND PURCHASING ACTIVITIES FOR HAMOT HEALTH FOUNDATION ARE HANDLED BY RELATED PARTY UPMC. FORM 990, PART V, LINE 2: NUMBER OF EMPLOYEES REPORTED ON FORM W-3: THE EMPLOYEES OF HAMOT HEALTH FOUNDATION ARE REPORTED ON THE FORM W-3 OF A RELATED ENTITY AND COMMON PAYMASTER, UPMC HAMOT (HAMOT MEDICAL CENTER) EIN 25-0965387. FORM 990, PART VI, SECTION A, LINE 1A THE FOLLOWING BOARD MEMBERS COMPRISE THE EXECUTIVE COMMITTEE: - DANIELLE BATES, CPA - BETH BURNSIDE - ELLIOTT J. EHRENREICH, ESQ. - LISA WATKINS - DAVID J. ZIMMER BY THE BYLAWS, THE CHAIR & PRESIDENT PLUS OTHER TRUSTEES APPROVED BY THE BOARD SERVE ON THE EXECUTIVE COMMITTEE. THE PRESIDENT IS NOT A BOARD MEMBER, AND SITS EX-OFFICIO WITHOUT VOTE. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL BUSINESS OF THE BOARD IN THE MANAGEMENT OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO LIMITATIONS SET FORTH IN THESE BYLAWS AND ANY LIMITATIONS OTHERWISE IMPOSED BY THE BOARD. THE EXECUTIVE COMMITTEE SHALL MEET AS OFTEN AS NECESSARY TO FULFILL ITS DUTIES, SHALL MAINTAIN A PERMANENT RECORD OF ITS PROCEEDINGS AND ACTIONS, AND SHALL MAKE A REPORT THEREOF TO THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE HAMOT HEALTH FOUNDATION ARE KNOWN AS CORPORATORS. PERSONS ELIGIBLE FOR ELECTION AS CORPORATORS CONSIST OF INDIVIDUALS WHO ARE RECOMMENDED FOR MEMBERSHIP BY THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES AND AGREE TO BE BOUND BY THE RULES, REGULATIONS AND BYLAWS OF THE FOUNDATION. CORPORATORS IN CERTAIN CLASSES ARE ENTITLED TO ONE VOTE AT ANY MEETING OF THE CORPORATORS IN WHICH A VOTE IS TAKEN FOR ANY ELECTION OR ON ANY MATTER OR TRANSACTION. THE BYLAWS AND ARTICLES OF INCORPORATION OF THE FOUNDATION MAY BE ALTERED, AMENDED, REPEALED OR SUPPLEMENTED AND NEW BYLAWS OR ARTICLES MAY BE ADOPTED ONLY BY MAJORITY VOTES OF THE CORPORATORS AND THE TRUSTEES. ONLY CORPORATORS ARE ELIGIBLE FOR ELECTION OR APPOINTMENT TO THE BOARD OF TRUSTEES. THE FOLLOWING CLASSES OF CORPORATORS ARE ENTITLED TO VOTE: 1) ACTIVE CORPORATORS; 2) HAMOT AID CORPORATORS WHICH INCLUDE THE PRESIDENT AND THE IMMEDIATE PAST PRESIDENT OF THE HAMOT AID SOCIETY; AND 3) AFFILIATE CORPORATORS ARE APPOINTED BY THE BOARD OF TRUSTEES BY REASON OF DIRECTORSHIP OR OFFICERSHIP IN ANY ORGANIZATION ASSOCIATED WITH THE FOUNDATION OR ONE OF ITS AFFILIATES. FORM 990, PART VI, SECTION A, LINE 7A SEE DISCLOSURE FOR FORM 990, PART VI, LINE 6. FORM 990, PART VI, SECTION A, LINE 7B SEE DISCLOSURE FOR FORM 990, PART VI, LINE 6. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS POSTED TO A SECURE WEBSITE FOR ALL BOARD MEMBERS TO REVIEW. THE CHIEF DEVELOPMENT OFFICER PROVIDES 990 HIGHLIGHTS TO THE AUDIT COMMITTEE OF THE BOARD, AND THE CHAIR OF THE AUDIT COMMITTEE RECEIVES AN ENTIRE COPY OF THE 990. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS & TRUSTEES COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. COMPLETION OF THESE FORMS AND REVIEW OF IDENTIFIED CONFLICTS IS MONITORED BY THE GOVERNANCE COMMITTEE. ANY OFFICERS OR TRUSTESS WITH POTENTIAL CONFLICTS MUST ABSTAIN FROM VOTING ON MATTERS INVOLVING THE POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICERS ARE EMPLOYEES OF RELATED ENTITY, UPMC HAMOT, AND SALARY IS DETERMINED COMMENSURATE WITH EQUIVALENT POSITIONS WITHIN THE UPMC SYSTEM. DELIBERATION AND DECISION IS DOCUMENTED WITH UPMC HR AND INCLUDES THE FOLLOWING METHODS: COMPENSATION COMMITTEE, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: VALUATION GAIN/(LOSS) ON TRUSTS 282,470. REGIONAL HEALTH SERVICES INC 300 STATE STREET ERIE PA 16507 251403958 OUTPATIENT SERVICES PA 501(C)(3) LINE 10 UPMC HAMOT (HAMOT MEDICAL CENTER) 0 UPMC HAMOT (HAMOT MEDICAL CENTER) 201 STATE STREET ERIE PA 16550 250965387 HOSPITAL PA 501(C)(3) LINE 3 UPMC 0 ADOLF CURTZE TW PNC BANK NA TRUSTEE 620 LIBERTY AVE PITTSBURGH PA 15222 TRUST PA HAMOT HEALTH FOUNDATION T 138495 3225141 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0