2025-05-14T09:25:45-05:00 2024-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 20 STANWIX STREET PITTSBURGH PA 15222 990 2023-07-01 251750654 LATROBE AREA HOSPITAL CHARITABLE FOUNDATION LATR 7246891646 121 W SECOND AVENUE LATROBE PA 15650 THOMAS S ALBANESI JR CPA FHFMA CFO/ASSISTANT TREASURER 7246891646 2025-05-08 1 1 KELLY A BROCIOUS CPA P01254262 4126976400 2025-05-02 2023 2025-03-06 01:10:19Z KENNETH P DEFURIO 121 W SECOND AVENUE LATROBE PA 15650 1449376 0 X WWW.INDEPENDENCE.HEALTH X 1994 PA LATROBE AREA HOSPITAL CHARITABLE FOUNDATION, 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. 11 11 0 20 0 0 917372 301639 0 0 845598 1140950 -2123 -25725 1760847 1416864 1246332 1420475 0 0 120800 60440 0 0 0 11149 1908 1378281 1482823 382566 -65959 16751541 17248904 29475 23895 16722066 17225009 X LATROBE AREA HOSPITAL CHARITABLE FOUNDATION, 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 1482823 1420475 FOR MORE THAN 25 YEARS THE LATROBE AREA HOSPITAL CHARITABLE FOUNDATION HAS SUPPORTED THE ESSENTIAL LIFE-SAVING WORK AT LATROBE HOSPITAL. AS PART OF ITS ONGOING COMMITMENT TO THE COMMUNITIES THAT LATROBE HOSPITAL SERVES, THE CHARITABLE FOUNDATION PROVIDES IMPORTANT AND IMPACTFUL FINANCIAL SUPPORT BY FUNDING NEW AND VITAL MEDICAL EQUIPMENT, MUCH NEEDED HOSPITAL RENOVATIONS, AS WELL AS UP-TO-DATE PROFESSIONAL AND PATIENT EDUCATION.THE MISSION OF THE LATROBE AREA HOSPITAL CHARITABLE FOUNDATION, THROUGH FUNDRAISING AND THE THOUGHTFUL DISTRIBUTION OF THOSE FUNDS, IS TO SUPPORT INDEPENDENCE HEALTH (FORMERLY EXCELA HEALTH) LATROBE HOSPITAL AS THEY CONTINUE TO DELIVER OUTSTANDING COMMUNITY-BASED HEALTH CARE. BY FUNDING ONGOING CAPITAL IMPROVEMENTS, VITAL HEALTH CARE PROGRAMS, AND THOSE THAT SUPPORT THE HEALTH OF OUR COMMUNITY, THE LATROBE AREA HOSPITAL CHARITABLE FOUNDATION IS A CRITICAL HEALTH CARE PARTNER IN OUR COMMUNITY.OUR PRIORITIES COMMUNITY HEALTH AND WELLNESS EDUCATION PATIENT CARE ENHANCEMENTS QUALITY AND PATIENT SAFETY INITIATIVES PROFESSIONAL DEVELOPMENT STUDENT SCHOLARSHIPS THE LATROBE FAMILY MEDICINE RESIDENCY PROGRAM 1482823 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X THOMAS S ALBANESI JR CPA FHFMA 7248324561 532 WEST PITTSBURGH STRET GREENSBURG PA 15601 BARBARA K WANG MD CHAIRMAN 1.00 X X 0 0 0 DAVID S DEROSE ESQ VICE-CHAIRMAN 1.00 X X 0 0 0 DOUGLAS A CLARK SECRETARY 1.00 X X 0 0 0 THOMAS P GESSNER MD TRUSTEE 1.00 X 0 0 0 WYLIE L OVERLY MD TRUSTEE 1.00 X 0 0 0 SAM REIMAN TRUSTEE 1.00 X 0 0 0 PHYLLIS RUFFNER TRUSTEE 1.00 X 0 0 0 DOUGLAS L SISSON TRUSTEE 1.00 X 0 0 0 WILLIAM D STAVISKY EDD TRUSTEE 1.00 X 0 0 0 REV PAUL R TAYLOR OSB TRUSTEE 1.00 X 0 0 0 RUTH R TOLBERT TRUSTEE 1.00 X 0 0 0 THOMAS S ALBANESI JR CPA CFO/ASSISTANT TREASURER 1.00 59.00 X 0 503655 33620 KENNETH P DEFURIO PRESIDENT & CEO 1.00 59.00 X 0 1082276 23946 0 1585931 57566 0 0 1 0 0 87300 214339 301639 727321 727321 413629 0 413629 413629 413629 19362 87300 32512 -13150 -13150 OTHER REVENUE 900099 -12575 -12575 -12575 1416864 -12575 0 1127800 1407475 1407475 13000 13000 50160 50160 10280 10280 15 15 1329 1329 DUES AND SUBSCRIPTIONS 450 450 MISCELLANEOUS EXPENSES 114 114 1482823 1482823 0 0 -289775 340537 12500 12575 1041 1041 16637213 16902035 377987 5291 16751541 17248904 5713 26492 23762 -2597 29475 23895 X 11505909 13640073 5216157 3584936 16722066 17225009 16751541 17248904 X -65959 909530 -340628 X X 0 1 X 1 0 X X 1 LATROBE AREA HOSPITAL 250965414 3 1 1330158 0 1 1330158 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 268543 60106 328649 224893 43650 268543 208261 16632 224893 201307 6954 208261 192260 9047 201307 1.00000 0 0 0 DUE TO AFFILIATES -2597 -2597 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED PRIMARILY FOR SPECIFIED HOSPITAL PROGRAMS, DEPARTMENTS, RENOVATIONS, AND FACILITY EQUIPMENT AS RESTRICTED BY THE 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. GOLF OUTING 106662 87300 19362 7610 9980 12722 2200 106662 87300 19362 7610 9980 12722 2200 32512 -13150 1 LATROBE AREA HOSPITAL 121 W SECOND AVENUE LATROBE PA 15650 250965414 501(C)(3) 1330158 0 CASH TO FUND THE ACQUISITION OF VARIOUS MEDICAL EQUIPMENT AND SUPPORT HOSPITAL PROGRAMS 1 COLLEGE SCHOLARSHIPS 10 13000 PART I, LINE 2: LATROBE AREA HOSPITAL CHARITABLE FOUNDATION PROVIDES ASSISTANCE TO RELATED 501(C)(3) HOSPITALS AND OTHER LOCAL NONPROFIT ORGANIZATIONS. THE FOUNDATION MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF THE ASSISTANCE. 0 1 0 0 0 0 0 0 0 KENNETH P DEFURIO PRESIDENT & CEO 0 1078797 0 0 0 3479 0 4950 0 18996 0 1106222 0 0 THOMAS S ALBANESI JR CPA CFO/ASSISTANT TREASURER 0 496255 0 0 0 7400 0 18086 0 15534 0 537275 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, LINE 4B 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 2023 WERE: KENNETH P DEFURIO, $351,888 FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS OF THE CORPORATION SHALL BE ELECTED BY THE LATROBE AREA HOSPITAL, INC. THROUGH ITS BOARD OF DIRECTORS, FROM A SLATE OF DIRECTORS NOMINATED BY THE THEN-SERVING DIRECTORS OF LATROBE AREA HOSPITAL CHARITABLE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATION SHALL BE SUBJECT TO THE EXCLUSIVE RIGHTS OF THE LATROBE AREA HOSPITAL, INC. THOUGH ITS BOARD OF DIRECTORS TO DO THE FOLLOWING: (1) ELECT THE DIRECTORS OF THE CORPORATION. (2) REMOVE ANY AND ALL DIRECTORS AT ANY TIME; (3) APPROVE OR DISAPPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE BYLAWS OF THE CORPORATION; (4) APPROVE OR DISAPPROVE OF THE ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; AND (5) APPROVE ALL DISBURSEMENTS MADE BY THE CORPORATION PURSUANT TO ITS CHARITABLE PURPOSES. 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 15 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 FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATES -340,628. FORM 990, PART XII, LINE 2C: LATROBE AREA HOSPITAL CHARITABLE FOUNDATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF EXCELA HEALTH. 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 121 W SECOND AVENUE LATROBE PA 15650 250965414 HEALTH CARE PA 501(C)(3) LINE 3 EXCELA HEALTH 0 WESTMORELAND REGIONAL HOSPITAL 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 250965612 HEALTH CARE PA 501(C)(3) LINE 3 EXCELA HEALTH 0 WESTMORELANDFRICK HOSPITAL FOUNDATION 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 251309084 FUNDRAISING PA 501(C)(3) LINE 12A, I EXCELA HEALTH 0 FRICK HOSPITAL 508 SOUTH CHURCH STREET MOUNT PLEASANT PA 15650 250965375 HEALTH CARE PA 501(C)(3) LINE 3 EXCELA HEALTH 0 EXCELA HEALTH HOME CARE AND HOSPICE 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 203474707 HEALTH CARE PA 501(C)(3) LINE 10 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 CAREGIVERS OF SOUTHWESTERN PA 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 251570733 HEALTH CARE PA 501(C)(3) LINE 10 EXCELA HEALTH 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. PA N/A 0 0 BHS FASTERCARE ONE HOSPITAL WAY BUTLER PA 16001 271961562 URGENT CARE PA N/A 0 0 BHS FASTER CARE LABORATORY ONE HOSPITAL WAY BUTLER PA 16001 800628384 LAB. SERVICES PA N/A 0 0 EXCELA HEALTH PHYSICIAN PRACTICES 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 251744392 HEALTH CARE PA N/A C 0 EXCELA HEALTH HOLDING COMPANY 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 251826537 HEALTH CARE PA N/A C 0 EXCELA HEALTH VENTURES LLC 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 461290845 REAL ESTATE PA N/A C 0 EXCELA RECIPROCAL RRG & SUBSIDIARY 100 BANK STREET SUITE 610 BURLINGTON VT 05401 464602850 INSURANCE VT N/A C 0 EXCELA PHYSICIAN HOSPITAL ORGANIZATION LLC 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 820639487 HEALTH CARE PA N/A C 0 EXCELA HEALTH DIVERSIFIED SERVICES LLC 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 871455824 HEALTH CARE PA N/A C 0 PCA OF BUTLER PC 480 EAST JEFFERSON STREET BUTLER PA 16001 251351445 PHY. OFFICE PA N/A C 0 CLARION DEVELOPMENT CORPORATION ONE HOSPITAL DRIVE CLARION PA 16214 251516298 PHARMACY PA N/A C 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 1 1