2026-07-10T11:00:56+00:00 2024-06-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-07-01 204648477 Armstrong Center for Medicine & Health Inc ARMS 7245488618 One Nolte Dr Kittanning PA 16201 NICHOLE D GERACI PRESIDENT AND CEO 2026-07-10 true true Brian Todd P00422601 4178658701 2026-07-10 2023 2025-03-06 01:10:19Z X X NICHOLE D GERACI One Nolte Dr Kittanning PA 16201 812204 false X WWW.ACMG.ORG X 2006 PA THE ORGANIZATION IS DEDICATED TO THE PROVISION OF QUALITY HEALTHCARE AND IMPROVEMENT OF THE HEALTH AND WELLNESS OF THE PEOPLE OF ARMSTRONG AND NEIGHBORING COUNTIES. X 11 9 13 9 0 0 0 0 873412 812204 0 0 0 0 873412 812204 0 0 0 0 2309555 2614480 0 0 0 1042 1095 2310597 2615575 -1437185 -1803371 160744 0 160745 0 -1 0 X THE ORGANIZATION SHALL PROVIDE PLANNING, SUPPORT AND COORDINATION OF THE CHARITABLE ACTIVITIES OF ARMSTRONG COUNTY MEMORIAL HOSPITAL AND ITS OTHER SUBSIDIARIES THAT PROMOTE HEALTH TO THE COMMUNITY. false true 2614675 0 812204 THE ORGANIZATION PROVIDES ANESTHESIA SERVICES TO THE COMMUNITY THROUGH ITS 100% OWNERSHIP OF ACMH ANESTHESIA SERVICES, LLC. ANESTHESIA SERVICES WERE PROVIDED TO 5,879 PATIENTS DURING THE YEAR. 2614675 true false false false false false false false false false false false false false false false true false false false false false false false false false false false true false false false false false false false false false false true false true true true true false false true X 0 0 13 true false false false false false false false false false false false false X 11 9 true false true false false false false true true false false true true true true true true false false false PA X NATHAN STOLITZA 7245438618 ONE NOLTE DR KITTANNING PA 16201 JOHN I LEWIS PRESIDENT AND CEO END 07/23 1.0 39.0 X X 0 334216 19433 MARY KRAULAND SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 NICHOLE GERACI President and CEO BEG 07/23 1.0 39.0 X X 0 298448 45526 VOLKER ZAUN VICE CHAIRMAN 1.0 3.0 X X 0 0 0 W STEVEN DAVIS CHAIRMAN 1.0 1.0 X X 0 0 0 CHAD SHAFFER MD DIRECTOR 1.0 39.0 X 0 295748 34436 CHRIS DILLICK DIRECTOR 1.0 1.0 X 0 0 0 COLLEEN MANTINI DIRECTOR 1.0 1.0 X 0 0 0 DONALD TYLINSKI DIRECTOR 1.0 1.0 X 0 0 0 ELIZABETH WHITE DIRECTOR 1.0 1.0 X 0 0 0 JAMES BACKSTROM CHIEF MEDICAL OFFICER END 02/24 1.0 39.0 X 0 304787 30608 SAMUEL FRIEDE DIRECTOR 1.0 1.0 X 0 0 0 SANDY BRADIGAN DIRECTOR 1.0 1.0 X 0 0 0 MATTHEW KOCIOLA CHIEF FINANCIAL OFFICER 1.0 39.0 X 0 441793 63832 ANDREW LATTANZIO NURSE ANESTHETIST 40.0 0 X 213389 0 39394 ANDREW MILLER NURSE ANESTHETIST 40.0 0 X 192366 0 16351 LETITIA BOWERS NURSE ANESTHETIST 40.0 0 X 294014 0 3030 LORI CAMPBELL NURSE ANESTHETIST 40.0 0 X 275220 0 41869 NICOLE DIMOND NURSE ANESTHETIST 40.0 0 X 293501 0 40014 1268490 1674992 334493 8 false true false 0 0 PATIENT SERVICE REVENUE 900099 811542 811542 OTHER PROGRAM REVENUE 900999 662 662 0 0 0 0 812204 0 0 0 0 0 0 0 0 0 812204 812204 0 0 2444628 2444628 70726 70726 99126 99126 900 900 0 0 0 0 195 195 0 0 0 0 2615575 2614675 900 0 68125 0 92619 0 0 0 0 0 0 0 0 0 0 0 0 0 160744 0 4784 0 0 0 155961 0 160745 0 X -1 0 -1 0 160744 0 X -1803371 1803372 X false true X true false X 19476 0 25489 0 0 44965 827119 882389 926408 873412 812204 4321532 0 0 0 846595 882389 951897 873412 812204 4366497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4366497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 846595 882389 951897 873412 812204 4366497 1 1.0 0 0.0 X Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS 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. false true false false false false false false false NICHOLE GERACI President and CEO BEG 07/23 0 285428 0 1020 0 12000 0 19962 0 25564 0 343974 0 0 JOHN I LEWIS PRESIDENT AND CEO END 07/23 0 223712 0 0 0 110504 0 2625 0 16808 0 353649 0 55000 JAMES BACKSTROM CHIEF MEDICAL OFFICER END 02/24 0 296479 0 0 0 8308 0 1500 0 29108 0 335395 0 0 CHAD SHAFFER MD DIRECTOR 0 206205 0 89543 0 0 0 1875 0 32561 0 330184 0 0 MATTHEW KOCIOLA CHIEF FINANCIAL OFFICER 0 256612 0 0 0 185181 0 52699 0 11133 0 505625 0 173181 LETITIA BOWERS NURSE ANESTHETIST 284092 0 0 0 9922 0 1500 0 1530 0 297044 0 0 0 LORI CAMPBELL NURSE ANESTHETIST 275220 0 0 0 0 0 13260 0 28609 0 317089 0 0 0 NICOLE DIMOND NURSE ANESTHETIST 293501 0 0 0 0 0 7453 0 32561 0 333515 0 0 0 ANDREW LATTANZIO NURSE ANESTHETIST 213389 0 0 0 0 0 5470 0 33924 0 252783 0 0 0 ANDREW MILLER NURSE ANESTHETIST 192366 0 0 0 0 0 16351 0 0 0 208717 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ARMSTRONG COUNTY MEMORIAL HOSPITAL, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING 457(F) CONTRIBUTIONS OR DISTRIBUTIONS: DISTRIBUTIONS: - $55,000 JOHN I. LEWIS - $173,181 MATTHEW KOCIOLA CONTRIBUTIONS: - $51,199 MATTHEW KOCIOLA - $18,087 NICHOLE GERACI THE 457(F) PLAN THAT ARMSTRONG COUNTY MEMORIAL HOSPITAL ESTABLISHED FOR A SELECT GROUP OF MANAGEMENT INCLUDES THE FOLLOWING TERMS: A PARTICIPANT SHALL BECOME FULLY VESTED IN HIS DEFERRED COMPENSATION ACCOUNT AND INCOME, GAINS AND LOSSES ATTRIBUTABLE THERETO, IF HE REMAINS IN SERVICE WITH THE EMPLOYER UNTIL THE FIRST OF THE FOLLOWING EVENTS OCCUR: (A) THE DEATH OF THE PARTICIPANT; (B) THE DISABILITY OF THE PARTICIPANT; (C) THE DATE THE PARTICIPANT ATTAINS AGE 65; 0R (D) THE DATE A PARTICIPANT IS TERMINATED FROM EMPLOYMENT WITH THE EMPLOYER DUE TO A CHANGE OF CONTROL EVENT. (E) THE PARTICIPANT WILL BE VESTED AT 5 YEARS, AT WHICH TIME PAYMENTS WILL BEGIN. UPON VESTING, THE DEFERRED COMPENSATION ACCOUNT WILL BE INCLUDIBLE IN THE GROSS INCOME OF THE PARTICIPANT PURSUANT TO CODE SECTION 457(F). Schedule J, Part I, Line 5a & 6A - CONTINGENT COMPENSATION MANAGEMENT USES MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) PUBLISHED STANDARDS TO ESTABLISH A BASE SALARY FOR PROVIDERS. IN ADDITION TO THE BASE SALARY, PROVIDERS HAVE THE ABILITY TO EARN INCENTIVES BASED UPON THEIR PRODUCTIVITY AS REFLECTED IN WORK RELATIVE VALUE UNIT (RVU) MEASURES. IN ADDITION, THE CEO PRESENTS GOALS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF WHAT THE ORGANIZATION HOPES TO ACHIEVE DURING EACH FISCAL YEAR. THESE GOALS ARE BASED ON REVENUES, NET EARNINGS, AND OTHER MEASURES. DEPENDING ON THE RESULTS, THE EXECUTIVE COMMITTEE OF THE BOARD, WITH INPUT FROM THE CEO, DETERMINES WHAT AMOUNT OF BONUSES (IF ANY) WILL BE PAID. IF APPROVED, BONUSES ARE PAID BY ARMSTRONG COUNTY MEMORIAL HOSPITAL. CASH & CASH EQUIVALENT 2024-06-30 43093 BOOK VALUE 250965237 ARMSTRONG COUNTY MEMORIAL HOSPITAL ONE NOLTE DRIVE KITTANNING PA 16201 501(C)(3) OTHER RECEIVABLES 2024-06-30 84428 BOOK VALUE 250965237 ARMSTRONG COUNTY MEMORIAL HOSPITAL ONE NOLTE DRIVE KITTANNING PA 16201 501(C)(3) true true false false true true true true false Schedule N, Part I ASSUMED LIABILITIES AS PART OF THE MERGER, ARMSTRONG COUNTY MEMORIAL HOSPITAL ALSO ASSUMED LIABILITIES TOTALING $3,330. Schedule N, Part I, Line 2a Interested person is a director or trustee of successor org. NICHOLE GERACI, CEO AND MATTHEW KOCIOLA, CFO ARE LISTED AS OFFICERS OF ARMSTRONG COUNTY MEMORIAL HOSPITAL. ADDITIONALLY, CHAD SHAFFER, MARY KRAULAND AND STEVEN DAVIS SERVE AS BOARD MEMBERS OF ARMSTRONG COUNTY MEMORIAL HOSPITAL. Schedule N, Part I, Line 2b Interested person is an employee or ind. contractor of successor org. NICHOLE GERACI, CEO, MATTHEW KOCIOLA, CFO, AND DR. CHAD SHAFFER ARE ALSO EMPLOYED BY ARMSTRONG COUNTY MEMORIAL HOSPITAL. Form 990, Part III, Line 3 Significant changes in program services EFFECTIVE JUNE 30, 2024, ARMSTRONG CENTER FOR MEDICINE AND HEALTH MERGED WITH ARMSTRONG COUNTY MEMORIAL HOSPITAL. FOLLOWING THE MERGER, THE ANESTHESIA SERVICES WERE TRANSFERRED TO ARMSTRONG COUNTY MEMORIAL HOSPITAL. Form 990, Part V, Line 2a & PART IX LINES 7, 8, & 9 - W-2'S FILED AND COMPENSATION ARMSTRONG CENTER FOR MEDICINE AND HEALTH, INC. (ACMH) DID NOT DIRECTLY COMPENSATE EMPLOYEES, BUT RATHER, EMPLOYEES ARE COMPENSATED THROUGH ARMSTRONG COUNTY MEMORIAL HOSPITAL, A RELATED ORGANIZATION. THE SALARY AND RELATED BENEFIT EXPENSES FOR ARMSTRONG CENTER FOR MEDICINE AND HEALTH, INC.'S EMPLOYEES ARE ALLOCATED FROM THE HOSPITAL TO ARMSTRONG CENTER FOR MEDICINE AND HEALTH, INC. ON A MONTHLY BASIS. THE W-2'S RELATED TO THIS SALARY EXPENSE ARE FILED BY THE HOSPITAL, AND REPRESENT THE NUMBER ON FORM 990, PART V, LINE 2A. Form 990, Part VI, Line 15a & 15B - COMPENSATION REVIEW THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PAID BY ARMSTRONG COUNTY MEMORIAL HOSPITAL (ACMH HOSPITAL). THE PROCESS ACMH HOSPITAL USES TO DETERMINE IF THE OFFICERS OF THE ORGANIZATION ARE TO RECEIVE A WAGE ADJUSTMENT IS AS FOLLOWS: 1) A SALARY COMPARISON PREPARED BY SURVEY DATA OBTAINED FROM YAFFE, WATSON WYATT AND SULLIVAN COTTON; 2) THE INFORMATION IS COMPILED BY THE VP OF HUMAN RESOURCES AND GIVEN TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR CONSIDERATION AND INPUT; 3) CHANGES TO EXECUTIVE COMPENSATION REQUIRE A SIGNED DOCUMENT FROM THE CHAIR OF THE HOSPITAL BOARD OF DIRECTORS. EXECUTIVE COMPENSATION IS REVIEWED AS DESCRIBED ABOVE, ON AN AS NEEDED BASIS AND WAS LAST COMPLETED IN MAY 2024. Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS JAMES BACKSTROM, MD, JOHN LEWIS, NICHOLE GERACI AND MATTHEW KOCIOLA SHARE A BUSINESS RELATIONSHIP AS THEY ARE EMPLOYED BY A RELATED TAX-EXEMPT ORGANIZATION. Form 990, Part VI, Line 4 Significant changes to organizational documents EFFECTIVE JUNE 30, 2024, ARMSTRONG CENTER FOR MEDICINE AND HEALTH MERGED WITH ARMSTRONG COUNTY MEMORIAL HOSPITAL. FOLLOWING THE MERGER, THE ANESTHESIA SERVICES WERE TRANSFERRED TO ARMSTRONG COUNTY MEMORIAL HOSPITAL. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT OF THE 990 WILL BE REVIEWED BY TOP MANAGEMENT AND WILL BE DISCUSSED AT A MEETING OF THE FINANCE COMMITEE OF THE BOARD OF DIRECTORS. A FINAL DRAFT IS PROVIDED TO THE FULL BOARD OF DIRECTORS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REQUESTING ON AN ANNUAL BASIS THAT MEMBERS OF THE BOARD OF DIRECTORS, ALL CORPORATE OFFICERS, AND ALL KEY EMPLOYEES COMPLETE A QUESTIONNAIRE LISTING ALL ORGANIZATIONS WITH WHICH THEY HAVE AN AFFILIATION. THE POLICY OF THE ORGANIZATION DESCRIBES HOW ANY CONFLICTS OF INTEREST ARE TO BE ADDRESSED. THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH ALL SUCH DISCLOSURE STATEMENTS IN CASE A CONFLICT ARISES. THE VICE-CHAIRMAN OF THE BOARD SHALL BE FAMILIAR WITH THE STATEMENT FILED BY THE CHAIRMAN. IF A CONFLICT OF INTEREST SHOULD ARISE, THE MEMBERS ABSTAIN FROM THE VOTE RELATING TO THAT MATTER AND THE BOARD REVIEWS WHETHER THE MEMBER SHOULD BE REMOVED FROM THE BOARD OF DIRECTORS. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION TAKES THE FOLLOWING ACTIONS RELEASING INFORMATION REGARDING ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS: IF A REQUEST IS MADE TO REVIEW THE UNAUDITED FINANCIAL STATEMENTS, IT IS DISCUSSED AND DETERMINED ON A CASE BY CASE BASIS AS TO WHETHER THE INFORMATION WILL BE RELEASED. THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE ORGANIZATIONS THAT REQUEST THEM. A CODE OF CONDUCT FOR THE ORGANIZATION IS AVAILABLE TO THE PUBLIC ON ITS WEBSITE AT WWW.ACMH.ORG. THE CORPORATION'S GOVERNING DOCUMENTS ARE KEPT IN THE ADMINISTRATIVE DEPARTMENT OF THE HOSPITAL. THESE DOCUMENTS CAN BE VIEWED UPON REQUEST, BUT THEY ARE NOT ALLOWED TO BE TAKEN FROM THEIR DESIGNATED AREA OR HAVE COPIES MADE WITHOUT PERMISSION. Form 990, Part VII, Section A BOARD MEMBER COMPENSATION NO BOARD MEMBERS RECEIVE ANY COMPENSATION FOR THEIR DIRECTOR DUTIES. JOHN I. LEWIS AND NICHOLE GERACI ARE COMPENSATED BY ARMSTRONG COUNTY MEMORIAL HOSPITAL (ACMH HOSPITAL), A RELATED TAX-EXEMPT ORGANIZATION, AS PRESIDENT/CEO. JAMES BACKSTROM, MD, IS COMPENSATED BY ACMH HOSPITAL AS CHIEF MEDICAL OFFICER. CHAD SHAFFER IS COMPENSATED BY ACMH HOSPITAL AS A PHYSICIAN. Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER FROM AFFILIATE - 1803372; GENERAL INFORMATION, PART B AMENDED RETURN THE ORGANIZATION IS FILING AN AMENDED FORM 990 TO UPDATE THE FILING TO REFLECT THAT THE TAX YEAR REPRESENTS ITS FINAL RETURN. THE ORGANIZATION DISSOLVED AND CEASED OPERATIONS AS OF JUNE 30, 2024, FOLLOWING ITS MERGER WITH ARMSTRONG COUNTY MEMORIAL HOSPITAL. ACCORDINGLY, THE "FINAL RETURN/TERMINATED" BOX HAS BEEN CHECKED AND SCHEDULE N HAS BEEN COMPLETED TO REPORT THE DISSOLUTION AND TRANSFER OF NET ASSETS. THE BALANCE SHEET HAS ALSO BEEN UPDATED TO REFLECT THE TRANSFER OF ASSETS AS OF THE DATE OF DISSOLUTION. ACMH ANETHESIA SERVICES LLC ONE NOLTE DRIVE KITTANNING PA 16204 205597436 ANESTHESIA SERVICES PA 812204 127521 ARMSTRONG CENTER FOR MEDICINE & HEALTH INC ARMSTRONG COUNTY MEMORIAL HOSPITAL ONE NOLTE DRIVE KITTANNING PA 16201 250965237 HOSPITAL PA 501(c)(3) 3 ARMSTRONG CENTER FOR MEDICINE & HEALTH INC true ACMH PHYSICIAN SERVICES ONE NOLTE DRIVE KITTANNING PA 16201 204648195 PRIMARY CARE PA 501(c)(3) 3 ARMSTRONG CENTER FOR MEDICINE & HEALTH INC true ARMSTRONG HEALTH & EDUCATION FOUNDATION ONE NOLTE DRIVE KITTANNING PA 16201 251655867 FOUNDATION PA 501(c)(3) Type I ARMSTRONG CENTER FOR MEDICINE & HEALTH INC true GALDE RUN MEDICAL ASSOCIATES INC ONE NOLTE DRIVE KITTANNING PA 16201 264750523 PHYSICIAN PRACTICE PA 501(c)(3) Type I ARMSTRONG CENTER FOR MEDICINE & HEALTH INC true false false false false true false false false false false false false false true true true false false true ARMSTRONG COUNTY MEMORIAL HOSPITAL P 2615380 FMV ARMSTRONG COUNTY MEMORIAL HOSPITAL S 1803372 FMV