TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) PAUL MONGELL CHAIR	4.00	X	X	0	0	0
(2) JAMES R BREISINGER VICE CHAIR	3.00	X	X	0	0	0
(3) SHARON P SMITH PHD TREASURER	2.00	X	X	0	0	0
(4) THOMAS L SOCHACKI SECRETARY	2.00	X	X	0	0	0
(5) URMI ASHAR MD MBA TRUSTEE	2.00	X		0	0	0
(6) GEOFFREY BISIGNANI MD TRUSTEE	2.00	X		0	0	0
(7) SCOTT A GONGAWARE TRUSTEE	2.00	X		0	0	0
(8) GEOFFREY JOSEPH MD TRUSTEE	2.00	X		0	26,612	960
(9) DIRK KALP TRUSTEE	2.00	X		0	0	0
(10) DAVID RICHARDS MD TRUSTEE	2.00	X		0	235,064	23,613
(11) DALE A WALKER TRUSTEE	2.00	X		0	0	0
(12) ROBERT R WHIPKEY MD TRUSTEE	2.00	X		0	0	0
(13) THOMAS M YARABINETZ TRUSTEE	2.00	X		0	0	0
(14) HELEN K BURNS RN PHD TRUSTEE	2.00	X		0	0	0
(15) ROBERT ROGALSKI TRUSTEE & CEO	52.00		X	516,477	0	14,888
(16) JEFFREY T CURRY ASSISTANT TREASURER/CFO	52.00		X	497,849	0	31,526
(17) TIMOTHY FEDELE CHIEF LEGAL/ASST. SECRETAR	50.00		X	239,703	0	25,128

(A) Name and business address	(B) Description of services	(C) Compensation
WESTERN PA ANESTHESIA ASSOCIATION LTD 4727 FRIENDSHIP AVENUE SUITE 240 PITTSBURGH,PA15224	ANESTHESIA SERVICES	2,536,000
MCKESSON INFORMATION SOLUTIONS ONE POST STREET SAN FRANCISCO,CA94104	SOFTWARE MAINTENANCE FEES	2,076,700
POINT SECURITY COMPANY INC 4 SOUTH FOUTH STREET 2ND FLOOR YOUNGWOOD,PA15697	SECURITY SERVICES	1,912,098
PARIS HEALTHCARE LINEN SERVICE 67 HOOVER AVE DUBOIS,PA15801	LAUNDRY SERVICES	1,174,092
SPECIALTY LABORATORIES PO BOX 54920 LOS ANGELES,CA90054	LABORATORY SERVICES	799,343
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 67

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,587,151		2,587,151
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	162,178,507	148,560,426	13,618,081
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	7,304,979	6,657,174	647,805
9	Other employee benefits .......	29,413,933	26,595,623	2,818,310
10	Payroll taxes ...........	12,117,366	10,934,323	1,183,043
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	223,983		223,983
c	Accounting ...........	373,001		373,001
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	28,204,883	18,689,324	9,515,559
12	Advertising and promotion ....	1,718,927	1,718,927
13	Office expenses .......	7,055,835	5,728,988	1,326,847
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	8,190,790	7,158,598	1,032,192
17	Travel ............	1,129,233	1,047,465	81,768
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	488,668	344,783	143,885
20	Interest ...........	3,417,950	3,417,950
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	29,001,618	29,001,618
23	Insurance ..............	8,341,170	8,341,170
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	MEDICAL SUPPLIES	74,156,709	74,156,709
b	BAD DEBT	23,476,097	23,476,097
c	EQUIPMENT RENTAL & MAIN	14,643,912	13,043,431	1,600,481
d	G & A COST ALLOCATION	6,120,417	3,797,270	2,323,147
e	EDUCATION	3,234,563	3,234,563
f	All other expenses	4,224,007	3,952,462	271,545
25	Total functional expenses. Add lines 1 through 24f	427,603,699	389,856,901	37,746,798	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	1,441,598	1	7,647,981
2	Savings and temporary cash investments .......	44,597,565	2	33,525,484
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	35,700,416	4	45,077,332
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	275,982	7
8	Inventories for sale or use ..............	3,331,088	8	3,202,131
9	Prepaid expenses and deferred charges ............	4,071,606	9	5,200,533
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	597,478,280
b	Less: accumulated depreciation. .....	10b	414,000,041	191,446,450	10c	183,478,239
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 ......	186,013,525	12	203,975,124
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	31,452,745	15	36,888,489
16	Total assets. Add lines 1 through 15 (must equal line 34)...	498,330,975	16	518,995,313
	17	Accounts payable and accrued expenses .	46,226,844	17	44,265,684
18	Grants payable ..........		18
19	Deferred revenue ..........	462,691	19	411,019
20	Tax-exempt bond liabilities ..........	98,104,028	20	94,022,593
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	86,692,333	25	79,708,489
26	Total liabilities. Add lines 17 through 25.....	231,485,896	26	218,407,785
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	256,055,164	27	289,963,349
28	Temporarily restricted net assets .....	6,537,806	28	5,470,380
29	Permanently restricted net assets .....	4,252,109	29	5,153,799
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	266,845,079	33	300,587,528
34	Total liabilities and net assets/fund balances .....	498,330,975	34	518,995,313

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

EXCELA HEALTH GROUP

Employer identification number

90-0759236

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation
SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: MEMBER OF EXCELA HEALTH GROUP'S PUBLIC CHARITY STATUS: EXCELA HEALTH - BOX 11A WESTMORELAND HOSPITAL - BOX 3 LATROBE HOSPITAL - BOX 3 FRICK HOSPITAL - BOX 3 CAREGIVERS - BOX 9 SURGI CENTER - BOX 3 EXCELA HEALTH HOME CARE AND HOSPICE - BOX 3

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

EXCELA HEALTH GROUP

Employer identification number

90-0759236

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization EXCELA HEALTH GROUP
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization EXCELA HEALTH GROUP
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
EXCELA HEALTH GROUP

Employer identification number

90-0759236

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

EXCELA HEALTH GROUP

Employer identification number

90-0759236

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

92,636

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

22,026

Total. lines 1c through 1i ...................................

114,662

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES:	PART II-B, LINE 1I:	A PORTION OF THE EXCELA HEALTH GROUP'S DUES TO HOSPITAL COUNCIL AND HAP ARE USED FOR LOBBYING.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

EXCELA HEALTH GROUP

Employer identification number

90-0759236

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	11,110,381		11,110,381
b	Buildings ................	194,257,897	115,336,154	78,921,743
c	Leasehold improvements ............	2,144,257	1,530,049	614,208
d	Equipment ................	361,013,681	288,865,015	72,148,666
e	Other .................	28,952,064	8,268,823	20,683,241
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				183,478,239

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) SECURITIES AND OTHER INVESTMENTS	203,975,124	F








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)	203,975,124

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) CHA RRG ASSETS				7,962,792
(2) DUE FROM AFFILIATES				5,662,278
(3) DEFERRED BOND ISSUANCE COSTS				979,779
(4) ASSETS HELD BY BOND TRUSTEE				7,245,042
(5) INVESTMENT IN HOLDING COMPANY				12,954,419
(6) LONG TERM INVESTMENTS AT MARKET				2,084,179



Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				36,888,489

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
DEFERRED COMPENSATION		128,284
ASBESTOS ABATEMENT		1,672,850
CHA RRG		17,043,903
POST RETIREMENT LIFE		8,966,303
ACCRUED PENSION		49,190,818
ACCRUED INTEREST PAYABLE		1,302,639
OTHER LIABILITIES		1,403,692


Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		79,708,489
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	464,389,726
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	427,603,699
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	36,786,027
4	Net unrealized gains (losses) on investments ..........................	4	-6,216,571
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	3,172,993
9	Total adjustments (net). Add lines 4 - 8 .............................	9	-3,043,578
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	33,742,449

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:		CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY 17,013,000. OTHER -904,258. TEMPORARILY RESTRICTED CONTRIBUTIONS 2,082,000. NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONS -104,000. EXCELA HEALTH HOLDING LOSS -17,084,749. TRANFER FROM AFFILIATES 2,171,000.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

EXCELA HEALTH GROUP

Employer identification number

90-0759236

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other 0 %

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	1,989	893,308		893,308	0.230 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .		47,145,724	33,621,710	13,524,014	3.530 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....	1,989	48,039,032	33,621,710	14,417,322	3.760 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	271,911	1,372,876		1,372,876	0.360 %
f Health professions education (from Worksheet 5) ..	18	4,200,934	3,432,093	768,841	0.200 %
g Subsidized health services (from Worksheet 6) ..		18,075,659	10,692,143	7,383,516	1.930 %
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..
jTotal Other Benefits ...	271,929	23,649,469	14,124,236	9,525,233	2.490 %
kTotal. Add lines 7d and 7j. ..	273,918	71,688,501	47,745,946	23,942,555	6.250 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	114,662	114,662	0.030 %
8	Workforce development
9	Other
10	Total	114,662	114,662	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense (at cost).....

8,302,327

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

187,876,364

Enter Medicare allowable costs of care relating to payments on line 5.....

208,402,380

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-20,526,016

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?4 Name and address		Other (Describe)
1	LATROBE AREA HOSPITAL ONE MELLON WAY LATROBE,PA15650	X	X	X	X
2	WESTMORELAND REGIONAL HOSPITAL 532 WEST PITTSBURGH STREET GREENSBURG,PA15601	X	X		X
3	WESTMORELAND HOSPITAL AT JEANNETTE 600 JEFFERSON AVENUE JEANNETTE,PA15644		X		X
4	FRICK HOSPITAL 508 SOUTH CHURCH STREET MT PLEASANT,PA15666	X	X		X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:EXCELA HEALTH GROUP

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		PART I, LINE 6A: EXCELA HEALTH PROVIDES A REPORT TO THE COMMUNITY PERIODICALLY. THE REPORT IS PUBLISHED ON THE WEBSITE AS WELL AS 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 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, WE OFFER BOTH INPATIENT AND OUTPATIENT MENTAL HEALTH SERVICES.
		PART I, L7 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 44,130,625.
		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: THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY DOES NOT CONTAIN A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE; HOWEVER, THERE IS A PROCEDURE IN PLACE TO ENSURE PATIENTS WHO DO QUALIFY FOR CHARITY CARE DO NOT GET SENT TO COLLECTIONS.
		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 VI, LINE 2: EXCELA HEALTH DOES NOT CURRENTLY HAVE A FORMALIZED METHOD TO ASSESS THE COMMUNITY FOR ITS HEALTH CARE NEEDS. WE CURRENTLY USE INTERNAL AND EXTERNAL MARKET STUDIES TO ESTABLISH PATTERNS OF UTILIZATION OF SERVICES AND AGE OF POPULATION. WE ALSO USE SURVEY REPORTS SUCH AS PRESS GANEY TO DETERMINE WHAT AREAS WE ARE DOING WELL IN AND WHAT AREAS WE CAN IMPROVE ON. OUR COMBINED MEDICAL STAFF ALSO DOES STUDIES TO DETERMINE WHAT SPECIALTY SERVICES WE NEED TO RECRUIT PHYSICIANS FOR, SUCH AS CARDIAC, SURGICAL, UROLOGY, INTERNAL MEDICINE AND FAMILY PRACTICE. IN THE NEXT YEAR, EXCELA HEALTH PLANS TO LAUNCH A MORE FORMALIZED PROCESS TO ASSESS OUR COMMUNITY NEEDS.
		PART VI, LINE 3: EXCELA HEALTH HOSPITALS PROVIDES CHARITY CARE INFORMATION ON ITS WEB SITE AS WELL AS IN PATIENT ADMISSION INFORMATION. THE HOSPITALS ALSO PROVIDE FINANCIAL ASSISTANCE AS PART OF THE INTAKE AND DISCHARGE PRACTICES AT EACH LOCATION.
		PART VI, LINE 4: EXCELA HEALTH SERVES 97 ZIP CODES IN WESTMORELAND, FAYETTEE, AND INDIANA COUNTIES. THE SERVICE AREA POPULATION IS APPROXIMATELY 323,159.
		PART VI, LINE 6: THE MISSION OF EXCELA HEALTH IS TO "IMPROVE THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH". EVERY LIFE MEANS THAT WE DO NOT DISCRIMINATE FOR RACE, RELIGION, GENDER, COLOR OR CREED AND ACCEPT ALL PATIENTS FOR ANY SERVICES, REGARDLESS OF THE ABILITY TO PAY FOR THOSE SERVICES. WE STRIVE TO PROVIDE OUR COMMUNITIES WITH STATE OF THE ART EQUIPMENT AND FACILITIES. THIS CAN ONLY BE ACCOMPLISHED BY INVESTING ANY EXCESS IN REVENUES OVER EXPENSES WE MAY HAVE IN SECURE INVESTMENTS TO PROVIDE FOR FUTURE TECHNOLOGY, TREATMENTS OF CARE, AND MAINTAIN AGING FACILITIES. WE ENCOURAGE OUR PATIENTS TO TELL US WHAT WE'RE DOING RIGHT AND WRONG THROUGH PATIENT SATISFACTION SURVEYS AND WE REACT TO THOSE SURVEYS. WE STRIVE TO PROVIDE OUR PATIENTS WITH GREATER ACCESS TO CARE THROUGH OFF SITE CLINICS AND DIAGNOSTIC SERVICE CENTERS. WE ASSIST OUR MEDICAL STAFF IN RECRUITING TOP OF THE CLASS DOCTORS TO PROVIDE SERVICES TO OUR COMMUNITY WHERE THERE IS A NEED AND A SHORTAGE OF PHYSICIANS. WE ALSO RECRUIT 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 7: EXCELA HEALTH IS THE PARENT ORGANIZATION OF THREE HOSPITALS, A HOME HEALTH AND HOSPICE AGENCY, A SMALL SURGICAL CENTER, AN ORGANIZATION WHO PROVIDES COUNTY ASSISTANCE TO MENTALLY CHALLENGED PATIENTS, A MULTI-SPECIALTY PHYSICIAN PRACTICE GROUP, A HOME MEDICAL EQUIPMENT COMPANY AND TWO FOUNDATIONS. 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 SERVICES TO OUR COMMUNITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY.

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

EXCELA HEALTH GROUP

Employer identification number

90-0759236

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) DAVID RICHARDS MD	(i) (ii)	0 205,388	0 25,000	0 4,676	0 11,505	0 12,108	0 258,677	0 0
(2) ROBERT ROGALSKI	(i) (ii)	464,929 0	0 0	51,548 0	4,534 0	10,354 0	531,365 0	0 0
(3) JEFFREY T CURRY	(i) (ii)	307,973 0	0 0	189,876 0	20,125 0	11,401 0	529,375 0	0 0
(4) TIMOTHY FEDELE	(i) (ii)	238,497 0	0 0	1,206 0	12,341 0	12,787 0	264,831 0	0 0
(5) RONALD H OTT	(i) (ii)	229,289 0	0 0	2,149 0	4,825 0	11,182 0	247,445 0	0 0
(6) MARGARET A HAYDEN	(i) (ii)	205,680 0	0 0	659 0	10,810 0	4,820 0	221,969 0	0 0
(7) JOHN C CAVERNO	(i) (ii)	202,129 0	0 0	641 0	10,316 0	1,031 0	214,117 0	0 0
(8) DAVID GAWALUCK	(i) (ii)	190,532 0	0 0	12,919 0	3,854 0	9,647 0	216,952 0	0 0
(9) DANIEL B DICOLA	(i) (ii)	187,241 0	72,652 0	3,654 0	34,801 0	10,541 0	308,889 0	0 0
(10) JONATHAN WILSON	(i) (ii)	196,315 0	54,014 0	3,846 0	21,815 0	12,108 0	288,098 0	0 0
(11) CAROL J FOX	(i) (ii)	230,241 0	100 0	54,278 0	21,714 0	12,438 0	318,771 0	0 0
(12) STEPHEN C MILLS	(i) (ii)	163,485 0	91,998 0	22,635 0	20,891 0	12,061 0	311,070 0	0 0
(13) JOHN P HORNE	(i) (ii)	190,489 0	31,022 0	7,600 0	16,439 0	12,108 0	257,658 0	0 0
(14) DAVID S GALLATIN	(i) (ii)	93,234 0	0 0	21,247 0	4,985 0	385 0	119,851 0	0 0
(15) KIM HOLLON	(i) (ii)	191,376 0	0 0	255,035 0	4,534 0	7,253 0	458,198 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	PART I, LINES 4A-B	PART I, LINE 4A: SEVERANCE PAYMENTS: KIM HOLLON, CEO OF HOSPITALS - $252,308 PART I, LINE 4B: 457(F) SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN: JEFFREY T. CURRY, ASSISTANT TREASURER/CFO - $169,765

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
EXCELA HEALTH GROUP

Employer identification number
90-0759236

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT	25-1433993	961008PU7	03-26-2005	15,135,000	REFINANCE PNC LOAN		X		X		X
B	WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT	25-1433993	961008RJ0	06-01-2010	60,170,000	REFINANCE SERIES 2005 B FRICK HOSPITAL 1997 BOND ADVANCED REFUNDING		X		X		X
C	WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT	25-1433993	961008RK7	06-01-2010	21,200,000	NEW DEBT TO FINANCE HOSPITAL ACQUISITION AND OTHER HOSPITAL PROJECT		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	15,135,000		60,170,000		21,200,000
4 Gross proceeds in reserve funds . .	5,298,913		5,298,913
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	212,603		719,790		201,636
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .
11 Other spent proceeds . .
12 Other unspent proceeds. . .
13 Year of substantial completion . . .
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?	X		X		X
15 Were the bonds issued as part of an advance refunding issue?		X	X			X
16 Has the final allocation of proceeds been made? . .	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .	X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0 %		0 %		0 %
6 Total of lines 4 and 5 . . .. . . . . .	0 %		0 %		0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X		X
2 Is the bond issue a variable rate issue?	X			X	X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?	X			X		X
b Name of provider .	WELLS FARGO
c Term of hedge . .	22.250000000000
d Was the hedge superintegrated? .		X
e Was a hedge terminated? .		X
4a Were gross proceeds invested in a GIC? .		X		X		X
b Name of provider .
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .
5 Were any gross proceeds invested beyond an available temporary period? .		X		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
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 K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

EXCELA HEALTH GROUP

Employer identification number

90-0759236

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) APRIL CURRY	JEFFREY T. CURRY, ASSISTANT TREASURER/CFO - FAMILY MEMBER	49,322	EMPLOYEE OF WESTMORELAND REGIONAL HOSPITAL		No
(2) MARIANNE SCAIFE	PAUL MONGELL, CHAIR - FAMILY MEMBER	57,231	EMPLOYEE OF FRICK HOSPITAL AND COMMUNITY HEALTH CENTER		No
(3) WESTMORELAND EMER MEDICAL SPECIALISTS (ROBERT WHIPKEY MD)	DR. WHIPKEY, TRUSTEE IS A KEY EMPLOYEE OF WESTMORELAND EMERGENCY MED. SPEC.	844,635	EMERGENCY MEDICINE SERVICES		No
(4) MAILING SPECIALISTS INC (DAVID S GALLATIN)	DAVID S. GALLATIN, FORMER CEO OWNS MORE THAN 35% OF THIS ENTITY	409,597	DIRECT MAILING		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

EXCELA HEALTH GROUP

Employer identification number

90-0759236

Identifier	Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11		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 HR 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 HR 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.
	FORM 990, PART VI, SECTION C, LINE 19	EXCELA HEALTH AND MEMBERS OF EXCELA HEALTH GROUP MAKES ITS CONFLICTS OF INTEREST POLICY AVAILABLE UPON REQUEST. AT THIS TIME, EXCELA HEALTH AND MEMBERS OF EXCELA HEALTH GROUP DO NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -6,216,571. CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY 17,013,000. OTHER -904,258. TEMPORARILY RESTRICTED CONTRIBUTIONS 2,082,000. NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONS -104,000. EXCELA HEALTH HOLDING LOSS -17,084,749. TRANFER FROM AFFILIATES 2,171,000. TOTAL TO FORM 990, PART XI, LINE 5: -3,043,578.
	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:	NOW IN ITS EIGHTH YEAR, EXCELA HEALTH CONTINUES TO HOLD TRUE TO ITS MISSION OF "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH." THE FISCAL YEAR 2011 UNFOLDED WITH A RANGE OF NEW TECHNOLOGIES, SERVICES AND RENOVATION PROJECTS BENEFITTING THE AREA'S CITIZENRY BUT ALSO SAW A FOCUS ON QUALITY MEASURES, FURTHER ENHANCING THE WAY WE PROVIDE CARE. PERHAPS MORE IMPORTANT WAS THE ADDITION OF HIGHLY TRAINED PHYSICIANS, NURSES AND HEALTH CARE PROFESSIONALS WHO CONTINUOUSLY BRING OUR MISSION TO LIFE, WHILE MANAGEMENT, THE BOARD OF TRUSTEES AND MEDICAL STAFF COLLABORATE DILIGENTLY AND THOUGHTFULLY TO PROVIDE OUTSTANDING CARE TO THIS REGION. THE EXTRAORDINARY IS EMBRACED AS ROUTINE BY THE 4,635 EMPLOYEES, 571 PHYSICIANS, 185 ALLIED HEALTH PROFESSIONALS, 18 RESIDENTS AND 1,083 VOLUNTEERS AND AUXILIARY MEMBERS WHO ARE THE LIFE'S BLOOD OF THE HEALTH SYSTEM, WHICH IS ALL IN A DAY'S WORK AT EXCELA HEALTH. A PENNSYLVANIA NON-PROFIT CORPORATION AS DESCRIBED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, EXCELA HEALTH WAS INCORPORATED ON JULY 1, 1984. COMPRISED OF THREE HOSPITALS - FRICK, LATROBE AND WESTMORELAND - IN ADDITION TO OTHER HEALTH-RELATED AFFILIATES, EXCELA HEALTH 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 IDEAS BUT IDEALS 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 OUR NETWORK OF PRIMARY CARE PHYSICIANS 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 2011, EXCELA HEALTH BEHAVIORAL HEALTH SERVICES PROVIDED THE FOLLOWING COMMUNITY SERVICES: 1) THE D-CORT (DISASTER, CRISIS, OUTREACH AND REFERRAL) TEAMS WERE DISPATCHED SIX TIMES, MOST NOTABLY IN RESPONSE TO THE TORNADO THAT DEVASTATED OUR COMMUNITIES AS WELL AS A SHOOTING THAT OCCURRED IN THE LIGONIER AREA. 2) BEHAVIORAL HEALTH COUNSELORS WERE SENT TO NORWIN HIGH SCHOOL, NORTH HUNTINGDON, AND FRANKLIN REGIONAL HIGH SCHOOL, MURRYSVILLE, TO SUPPORT STAFF AND STUDENTS IN THE AFTERMATH OF THE THREE STUDENT SUICIDES. 3) EXCELA HEALTH BEHAVIORAL HEALTH PROVIDES STUDENT ASSISTANCE (SAP) IN 12 SCHOOL DISTRICTS THROUGHOUT WESTMORELAND COUNTY. ADDITIONALLY, WE OPERATE FULL SERVICE OUTPATIENT CLINICS IN THREE DISTRICTS (LATROBE, DERRY AND MOUNT PLEASANT). 4) BEHAVIORAL HEALTH OPERATES A SIX-WEEK SUMMER CAMP, CALLED CAMP FOCUS, WHICH SERVED 248 CHILDREN FROM THE LATROBE, DERRY AND MOUNT PLEASANT SCHOOL DISTRICTS. THE CAMP OFFERS AN ALTERNATIVE FOR SCHOOL AGE CHILDREN SO MENTAL HEALTH TREATMENT, GROWTH AND LEARNING CAN CONTINUE DURING THE SUMMER MONTHS. THE DAY CAMP FEATURES INDIVIDUALIZED PLANS OF CARE TO RESOLVE A CHILD'S DIFFICULTIES MORE EXPEDIENTLY. EXPENSES FOR THE CAMP TOTAL $30,000. 5) STAFF PROVIDES VARIOUS TRAINING, IN-SERVICES AND CONSULTATIONS AT SEVERAL SCHOOLS DURING THE YEAR (LIGONIER VALLEY, DERRY AND MOUNT PLEASANT). THE EXCELA HEALTH JOINTWORKS REPLACEMENT CENTERS AT ITS THREE 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 SETTING 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. MINIMALLY INVASIVE SURGERY WAS ENHANCED WITH THE ADDITION OF A SECOND MINIMALLY INVASIVE SURGERY OPERATING ROOM SUITE AT WESTMORELAND HOSPITAL. ADDED IN OCTOBER 2010, THE NEWLY REMODELED SURGICAL SUITE PROVIDES MAXIMUM PATIENT BENEFITS IN A MINIMALLY INVASIVE WAY. DESCRIBED AS THE "OPERATING ROOM OF THE FUTURE - TODAY" THE I-SUITE OPERATING ROOM BY STRYKER FEATURES THE LATEST TECHNOLOGIES FOR ENHANCING THE QUALITY AND EFFICIENCY OF MINIMALLY INVASIVE SURGERY. A SIMILAR SUITE IS IN PLACE AT LATROBE HOSPITAL. THE DA VINCI ROBOTIC SURGICAL SYSTEM, LOCATED AT LATROBE HOSPITAL, HAS GROWN IN POPULARITY, WITH NINE TRAINED GENERAL, GYNECOLOGIC 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. THE DEVICE GREATLY AIDS IN PATIENT RECOVERY AND THE PHYSICIAN'S ABILITY TO PERFORM PROCEDURES WITH GREATER PRECISION AND VISIBILITY. EXCELA HEALTH WAS INVITED TO PRESENT "DEVELOPMENT OF HEALTHCARE SYSTEM-WIDE SURGICAL SAFETY CHECKLIST PROGRAM" AT HIGHMARK'S QUALITYBLUE HOSPITAL BEST PRACTICES FORUM NOVEMBER 5, 2010, SINCE EXCELA HAD ACHIEVED 90 PERCENT OR ABOVE IN COMPLIANCE, MAKING IT A QUALITY LEADER IN SURGICAL SAFETY. WHILE EXCELA HEALTH IS ALWAYS KEENLY AWARE OF QUALITY AND PATIENT SAFETY, A RANGE OF NEW INITIATIVES AND ENHANCED PROGRAMS ABOUNDED IN FY 2011 TO RAISE THE BAR EVEN HIGHER. AS SUCH, THE FOLLOWING INITIATIVES WERE INSTITUTED AND, IN SOME CASES, NOTED BY EXTERNAL AGENCIES. 1) EXCELA HEALTH WESTMORELAND HOSPITAL IS ONE OF 33 IN PENNSYLVANIA PARTICIPATING IN A NATIONAL PATIENT SAFETY DEMONSTRATION PROJECT CALLED CUSP OR COMPREHENSIVE UNIT-BASED SAFETY PROGRAM, FUNDED BY THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY IN AUGUST 2010. CUSP ENCOMPASSES ANY NUMBER OF PATIENT SAFETY MEASURES, BUT THE WESTMORELAND FOCUS WAS ON REDUCING CENTRAL LINE-ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI). 2) RECOGNIZED FOR INSTITUTING A SUCCESSFUL QUALITY INITIATIVE - DAILY ICU ROUNDS - WESTMORELAND HOSPITAL WAS INVITED TO PRESENT AT THE NATIONAL "ON THE CUSP: STOP HOSPITAL ACQUIRED INFECTIONS PROJECT" - PENNSYLVANIA COHORT II MID-POINT SESSION HELD SEPT. 20, 2011 IN HARRISBURG, PA. DAILY ROUNDS, PART OF THE HOSPITAL'S QUALITY EFFORTS, FOCUSES ON REDUCING CLABSI IN THE ICU AND INCLUDES PARTICIPATION FROM SENIOR EXECUTIVES, PHARMACY, RESPIRATORY THERAPY, NURSING AND PHYSICIANS. 3) EXCELA HEALTH'S QUALITY IMPROVEMENT INITIATIVES WERE FEATURED IN THE SEPTEMBER 2010 ISSUE OF "HEALTHCARE BENCHMARKS AND QUALITY IMPROVEMENT" HIGHLIGHTING EFFORTS ACROSS PENNSYLVANIA TO REDUCE HOSPITAL ACQUIRED INFECTIONS. 4) EXCELA HEALTH PARTNERED WITH NAVIGANT CONSULTING, INC., A NATIONALLY RECOGNIZED STRATEGY AND OPERATIONAL CONSULTING FIRM, TO LEAD IT THROUGH A COLLABORATIVE PROCESS WITH THE MEDICAL STAFF AND DESIGNED TO POSITION EXCELA HEALTH AS A LEADER IN QUALITY, PHYSICIAN ALIGNMENT AND OPERATIONAL EXCELLENCE. WORK TEAMS OF PHYSICIANS AND HOSPITAL CLINICAL LEADERSHIP WERE DEVELOPED AND PROGRESS MADE IN THE AREAS OF PHYSICIAN LEADERSHIP AND ALIGNMENT STRATEGIES, SERVICE LINE DEVELOPMENT AND CLINICAL QUALITY IMPROVEMENT.
		5) THE WINTER 2011 EDITION OF "TRANSITION INSIGHTS," AN ELECTRONIC NEWSLETTER BY QUALITY INSIGHTS, HIGHLIGHTED FIVE EXCELA HEALTH FAMILY MEDICINE PRACTICES AND HOW THEY SCHEDULED FOLLOW-UP APPOINTMENTS. THE NOD STEMS FROM EXCELA HEALTH'S PARTNERSHIP WITH QUALITY INSIGHTS OF PENNSYLVANIA AND THE WESTMORELAND COUNTY AREA AGENCY ON AGING CALLED THE CARE TRANSITION PROJECT, DESIGNED TO FIND SOLUTIONS TO THE RISING PROBLEMS OF READMISSIONS. IN MAY 2011, SECRETARY OF AGING BRIAN DUKE, RECOGNIZED EXCELA HEALTH, WCAAA, AND QUALITY INSIGHTS WHO HAD EARNED FEDERAL AWARDS FOR WORKING TO HELP OLDER ADULTS REMAIN HEALTHY AFTER A HOSPITAL STAY. DUKE PRESENTED THE GROUP WITH THE 2011 EXCELLENCE IN ACTION AWARDS FOR OUTSTANDING ACHIEVEMENT IN CARE TRANSITION. THE RECIPIENTS WERE CHOSEN BY THE U.S. ADMINISTRATION ON AGING AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. EXCELA HEALTH CONTINUES TO GARNER THE AMERICAN HEART /STROKE ASSOCIATION'S "GET WITH THE GUIDELINES (REGISTERED TRADEMARK)" PROGRAM STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD FOR ALL THREE HOSPITALS. TO RECEIVE THE AWARD, EXCELA HEALTH ACHIEVED 85 PERCENT OR HIGHER ADHERENCE TO ALL "GET WITH THE GUIDELINES - STROKE PERFORMANCE ACHIEVEMENT" INDICATORS FOR TWO OR MORE CONSECUTIVE 12-MONTH INTERVALS AND ACHIEVED 75 PERCENT OR HIGHER COMPLIANCE WITH SIX OF THE TEN "GET WITH THE GUIDELINES - STROKE QUALITY MEASURES," WHICH ARE REPORTING INITIATIVES TO MEASURE QUALITY OF CARE. 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. EXCELA HEALTH WAS HONORED JUNE 16, 2011, IN PITTSBURGH AS A "HEALTHIEST EMPLOYER OF WESTERN PENNSYLVANIA" FOR 2011. 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. EXCELA HEALTH WAS ALSO ONE OF FIVE OVERALL WINNERS BASED ON WORKFORCE SIZE AND RANK TOPS IN THE 1,500 TO 4,999 EMPLOYEES' CATEGORY. HEALTHIEST EMPLOYER IS A NATIONAL RESEARCH FIRM INVOLVED IN RECOGNIZING WELLNESS LEADERS. EXCELA HEALTH, IN PARTNERSHIP WITH THE WESTMORELAND/FAYETTE WORKFORCE INVESTMENT BOARD (WIB), WESTMORELAND COUNTY ACTION, WESTMORELAND COUNTY COMMUNITY COLLEGE (WCCC) AND UNITED WAY OF WESTMORELAND COUNTY, OFFERED ADDITIONAL EDUCATION, TRAINING AND SUPPORT SERVICES TO SINGLE MOTHERS WHO MEET A CERTAIN COMPENSATION LEVEL AND HAVE DEPENDENT CHILDREN UNDER THE AGE OF 18 CALLED "MOMS MAKING MORE." THROUGH A GRANT FUNDED BY THE DEPARTMENT OF LABOR AND INDUSTRY, THE PROGRAM FOCUSES ON INCREASING THE FINANCIAL STABILITY OF FAMILIES HEAD BY SINGLE WOMEN. THROUGH AN INITIAL SURVEY OF EXCELA HEALTH EMPLOYEES, 13 WOMEN EXPRESSED INTEREST IN THE FOUR-WEEK CLASS THAT REVIEWED THEIR READINESS TO RETURN TO SCHOOL, GAUGE THEIR FINANCIAL POSITION, ACCESS PHYSICAL AND MENTAL HEALTH AS WELL AS THEIR FAMILY AND COMMUNITY RELATIONSHIPS. EXCELA HEALTH WAS THE FIRST EMPLOYER IN THE COUNTY TO OFFER THIS TYPE OF OPPORTUNITY TO ITS EMPLOYEES. BY WAY OF SYSTEM-WIDE EQUIPMENT AND SERVICE ENHANCEMENTS, EXCELA HEALTH COMMITTED MONIES TOWARD SEVERAL VITAL SERVICE ADDITIONS: 1) JULY THROUGH AUGUST 2010 SAW AUTOMATED AND STREAMLINED BLOOD BANK FUNCTIONS AT EACH HOSPITAL CAMPUS, INCREASING OVERALL PRODUCTIVITY FOR SPECIFIC TESTING DONE IN THE BLOOD BANK. 2) EXCELA HEALTH INTRODUCED DIGITAL MAMMOGRAPHY, GIVING PHYSICIANS THE ABILITY TO HAVE A VERY DETAILED VIEW OF THE BREAST STRUCTURES THEREBY AIDING IN DIAGNOSIS AND DETECTION OF ANY BREAST MASSES. DIGITAL MAMMOGRAPHY IS AVAILABLE AT FRICK, LATROBE AND WESTMORELAND HOSPITALS, NORWIN MEDICAL COMMONS NOW CALLED EXCELA SQUARE, AND MOUNTAIN VIEW MEDICAL PARK FOR A TOTAL OF SEVEN UNITS. 3) THANKS TO A GRANT SECURED BY MUTUAL AID AMBULANCE SERVICE AND THE CONTINUING SUPPORT OF THE WESTMORELAND/FRICK HOSPITAL FOUNDATION, MORE THAN 90 POLICE, FIRE AND EMERGENCY AGENCIES IN WESTMORELAND COUNTY RECEIVED NEW AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS). PLACING AEDS WITH FIRST RESPONDERS INCREASES THE SURVIVAL RATE AND DECREASES THE RESPONSE TIME FOR A VICTIM OF SUDDEN CARDIAC DEATH. 4) THE PURCHASE OF MED SLEDS GIVING HOSPITAL STAFF THE ABILITY TO EVACUATE NON-AMBULATORY PATIENTS OR VISITORS IN AN EMERGENCY. THE RELATIVELY NEW PRODUCT FILLS A NEED FOR HEALTH CARE WORKERS AS THEY REVIEW DISASTER PREPAREDNESS PLANS AND EMERGENCY PROCEDURES FOR EVACUATING NON-AMBULATORY PATIENTS. 5) IN LATE JUNE 2011, EXCELA HEALTH ANNOUNCED ITS PLAN FOR THE INFECTION PREVENTION AND CONTROL PROGRAM FOR THE COMING FLU SEASON, INTRODUCING NEW SAFETY MEASURES TO PROTECT PATIENTS AND HALT THE SPREAD OF FLU. IN ADDITION TO FREE INOCULATIONS FOR ALL EMPLOYEES, PHYSICIANS AND VOLUNTEERS, A "MASK ON" PROTOCOL WAS PUT IN PLACE FOR THOSE NOT RECEIVING THE VACCINE. 6) ON A RECOMMENDATION FROM THE EXCELA HEALTH HOSPITAL PHYSICIAN ADVISORY COUNCILS, NURSING EXECUTIVE COUNCIL AND ADMINISTRATION, A CONVERSION FROM CARE MANAGER TO STAR PHARMACY AS AN INTERIM SOLUTION TO IMPROVE MEDICATION RECONCILIATION WAS ADOPTED. THE CONVERSION OCCURRED JANUARY 2011. 7) IN JANUARY 2011, THE EXCELA HEALTH EMERGENCY DEPARTMENTS' EPOWERDOC, AN ELECTRONIC RECORD KEEPING SYSTEM, WENT LIVE, STREAMLINING THE DOCUMENTATION SYSTEM AND PROVIDING THE CLINICIAN THE ABILITY TO DOCUMENT FOCUSED, ACCURATE ASSESSMENTS FASTER, BASED UPON THE PATIENT'S CLINICAL PICTURE. 8) FISCAL 2011 SAW THE ESTABLISHMENT OF THE NURSING/VOLUNTEER PARTNERSHIP, A GROUP OF VOLUNTEERS PARTICIPATING IN THE CARE TEAM. EXCELA HEALTH ALSO OFFERS CARE ACROSS A CONTINUUM FROM PREVENTION AND WELLNESS TO EMERGENCY CARE, ACUTE CARE, OUTPATIENT CARE, REHABILITATION, HOME CARE AND HOSPICE. THROUGH A SYSTEM APPROACH, EXCELA HEALTH CAN, AND DOES, SEEK TO MAKE CARE ACCESSIBLE AND AFFORDABLE WHILE ATTRACTING AND RETAINING TALENTED PROFESSIONALS WHO STRIVE TO RAISE THE QUALITY BAR, ALLOWING FOR A LEVEL AND SOPHISTICATION OF SERVICES THAT PREVIOUSLY COULD ONLY BE FOUND IN TERTIARY MEDICAL CENTERS. FURTHER, EXCELA HEALTH, WHICH IS WESTMORELAND COUNTY'S LARGEST EMPLOYER, HAS MADE A $1.4 BILLION IMPACT ON THE LOCAL ECONOMY IN 2009. THE RIPPLE BENEFIT OF ITS WORKFORCE AND ANNUAL TOTAL SPENDING IS BASED ON REGIONAL ECONOMIC MULTIPLIERS FROM THE BUREAU OF ECONOMIC ANALYSIS, U.S. DEPARTMENT OF COMMERCE, AND RIMS II MULTIPLIER FOR THE HOSPITAL INDUSTRY. IN FACT, THE HEALTH SYSTEM HAS GARNERED MUCH RECOGNITION FOR OUR EFFORTS ON BEHALF OF THE "HEALTH AND WELL-BEING" OF THE PUBLIC WE SERVE, ALWAYS STRIVING FOR EXCELLENCE AS OUR VERY NAME IMPLIES. WE TAKE THE ROLE OF CORPORATE CITIZEN SERIOUSLY TOO, PARTNERING WITH COMMUNITY ORGANIZATIONS TO SPREAD THE WORD ABOUT VARIOUS HEALTH ISSUES, GIVING OUR TIME AND TALENTS TO NEIGHBORHOOD CAUSES, AND SUPPORTING THE EFFORTS OF AREA HEALTH-RELATED GROUPS AND OTHERS WHOSE MISSION MESHES WITH OUR OWN. AS A FISCALLY RESPONSIBLE ORGANIZATION, WE CONTINUE TO LOOK AT WAYS TO CONSOLIDATE, INTEGRATE AND INITIATE PRACTICES AND PROCESSES THAT CAN SUSTAIN US OVER TIME SO THAT WE ARE HERE TODAY AND WELL INTO THE FUTURE. AS STEWARDS OF THE PUBLIC TRUST, IT IS OUR DUTY TO DO SO, AND THE LEGACY WE LEAVE AT THIS MOMENT WILL BECOME PART OF OUR HISTORY SPANNING SOME 116 YEARS. A STATISTICAL LOOK AT EXCELA HEALTH LICENSED BEDS: 654 STAFFED BEDS: 577 EMPLOYEES: 4,603 VOLUNTEERS/AUXILIANS: 1,086 BIRTHS: 1,773 INPATIENT ADMISSIONS: 30,536 OUTPATIENT VISITS: 692,534 EMERGENCY DEPARTMENT VISITS: 118,126 COMMUNITIES SERVED: 97 ZIP CODES IN WESTMORELAND, FAYETTE AND INDIANA COUNTIES SERVICE AREA POPULATION: 323,159 AT CHURCHES, MALLS AND SCORES OF OTHER VENUES, FOR OUR YOUTH, OUR 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. OUR OUTREACH EFFORTS ALSO ENCOMPASS COMMUNITY SEMINARS AND LECTURES IN A VARIETY OF LOCATIONS THROUGHOUT WESTMORELAND, FAYETTE AND INDIANA COUNTIES. BOOKS FOR BABIES, THE GOLDEN HOUR HEART PROGRAM, AND OTHER INITIATIVES REACH OUR YOUNGER AUDIENCE WITH A MESSAGE OF GOOD HEALTH IN A NON-THREATENING, POSITIVE WAY, SO THAT GOOD HEALTH HABITS CAN BE INSTILLED EARLY IN LIFE. THROUGH OUR SPEAKER'S BUREAU, PROFESSIONALS IN THEIR FIELDS OFFER INSIGHTS ON GIVEN TOPICS 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 OUR SUPPORT GROUPS, OR THOSE GROUPS SUPPORTED BY US, 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 BY THE NANCY G. HOFFMAN COMPLEMENTARY HEALTH SERVICES, THE WELL BEING CENTER, TOBACCO CESSATION AND OTHERS. BY REACHING BEYOND THE TRADITIONAL WALLS OF OUR HOSPITALS, AS WELL AS UNDERSTANDING THE MANY, VARIED MEDICAL NEEDS OF THE POPULATIONS WE SERVE, WE CAN DIRECT CARE WHERE IT IS MOST ACCESSIBLE AND MOST NEEDED. THROUGH EVENTS SUCH AS AMERICAN RED CROSS BLOOD DRIVES, BONE DENSITY SCREENINGS, BLOOD SCREENINGS, WESTINGHOUSE HEALTH AND WELLNESS, AREA ROTARY AND KIWANIS CLUBS, WESTMORELAND COUNTY HOUSING AUTHORITY, THE WESTMORELAND COUNTY AGENCY ON AGING, WELLNESS INITIATIVES AT LOCAL COLLEGES AND SCHOOLS, AREA FESTIVALS, MARCH OF DIMES WALK-A-THON, AND OUR GOLDEN HOUR HEART AND STROKE PROGRAM AND MUCH MORE, WE HAVE TOUCHED INNUMERABLE LIVES, WITH THE GOAL OF PREVENTING ILLNESS, KEEPING FOLKS HEALTHY, OR TEACHING THEM HOW TO STAY HEALTHY AFTER A HOSPITAL VISIT. WE ALSO OFFER NUMEROUS HEALTH AND WELLNESS AVENUES FOR OUR EMPLOYEES WITH ON-SITE GYMS, EMPLOYEE HEALTH FAIRS AND MORE. ACROSS EXCELA HEALTH, WE ATTEND TO KEEPING INDIVIDUALS HEALTHY AND DISEASE-FREE BY GIVING CONSIDERABLE ATTENTION TO WELLNESS THROUGH OUR WELL-BEING CENTER AND THEIR COMMUNITY PROGRAMS AMONG OTHERS. TO SPREAD THE MESSAGE OF WELLNESS AND AVAILABLE WELLNESS OPPORTUNITIES FREE TO THE PUBLIC: $54,684 TO EDUCATE THE PUBLIC AND CONTROL THE SPREAD OF FLU FOR A HEALTHIER POPULATION WHILE KEEPING FLU ADMISSIONS TO A MINIMUM: $11,000 TO HELP INTERESTED EMPLOYEES PURSUE HEALTHY LIVING THROUGH A PROGRAM OF EXERCISE: $4,975 LIVES TOUCHED THROUGH THE WELL-BEING CENTER PROFESSIONALS AND OTHERS VIA DIABETES EDUCATION, SMOKING CESSATION, PRE-NATAL CLASSES AND MORE: 14,515 INDIVIDUALS WHO GARNERED HELP IN KICKING THE SMOKING HABIT THROUGH EXCELA HEALTH'S SMOKING CESSATION PROGRAM: 93 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: $20,400 FURTHER, WE HAVE SOUGHT TO MOVE BEYOND OUR TRADITIONAL WALLS TO STRENGTHEN BONDS WITH OUR COMMUNITIES AND TOUCH LIVES WELL BEYOND THOSE WHO ENTER OUR DOORS THROUGH AN ACTIVE COMMUNITY OUTREACH PROGRAM. IN THESE OUTREACH VENUES, WE 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 OUR MISSION OF IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH IN THE FOLLOWING FASHION: COMMUNITY HEALTH FAIRS, SCREENINGS, EDUCATION PROGRAMS: $519,628 LIVES TOUCHED THROUGH COMMUNITY HEALTH AND WELLNESS EFFORTS: 244,854 FREE SCREENINGS PREFORMED: 12,449 COMMUNITY HEALTH PUBLICATIONS: $15,346 COMMUNITY CONTRIBUTIONS: $320,100 CONTINUING MEDICAL EDUCATION PROVIDED THROUGH THE HEALTH SYSTEM FOR ITS MEDICAL STAFF: $69,400 TUITION REIMBURSEMENT FOR EMPLOYEES RAISING THEIR LEVEL OF EDUCATION ULTIMATELY BENEFITTING THE QUALITY OF CARE DELIVERED: $327,343 VOLUNTEER HOURS DONATED SYSTEM WIDE: 102,799 (CAN TRANSLATE TO $1,233,588 OF TIME SPENT AIDING THE HEALTH SYSTEM MISSION) 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: $30,000 IT'S ALL ABOUT A CALL TO ACTION. AND THOSE ACTIONS TRANSLATE TO ASSUMING A PURPOSED LEADERSHIP ROLE AS WE SEEK TO INCREASE ACCESS AND ENHANCE QUALITY IN NEW AND ENLIGHTENED WAYS. FROM OUR BOARD OF TRUSTEES TO OUR PROFESSIONAL STAFF, WE CONTINUE TO FOCUS OUR 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. IN SHORT - WE HAVE EXCELLENCE IN HEALTH CARE. IN ADDITION TO OUR HOSPITALS, EXCELA HEALTH IS A SOLE CORPORATE MEMBER OF THE FOLLOWING ORGANIZATIONS THAT ARE LOCATED IN WESTMORELAND AND PARTS OF FAYETTE COUNTIES AND INCLUDE OUR NOT-FOR PROFIT SUBSIDIARIES: - EXCELA HEALTH HOME CARE AND HOSPICE - CAREGIVERS OF SOUTHWESTERN PA - EXCELA HEALTH SURGICENTER AT LIGONIER - FOR OUTPATIENT OPHTHALMIC SURGERY AND PAIN MANAGEMENT - FRICK/WESTMORELAND HOSPITAL FOUNDATION, A CHARITABLE FOUNDATION - FRICK HOSPITAL FOUNDATION; WESTMORELAND HOSPITAL FOUNDATION - LATROBE AREA HOSPITAL CHARITABLE FOUNDATION AND OUR HEALTH CARE-RELATED SUBSIDIARIES UNDER THE EXCELA HEALTH HOLDING COMPANY UMBRELLA: - EXCELA HEALTH PHYSICIAN PRACTICES - ENCOMPASSING BEHAVIORAL HEALTH, CARDIOLOGY, CARDIOTHORACIC SURGERY, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, INTERNAL MEDICINE, NEUROLOGY, ORTHOPEDICS AND SPORTS MEDICINE AND PHYSIATRY. - EXCELA HEALTH DIVERSIFIED SERVICES - EXCELA HEALTH CHESTNUT RIDGE - MEDCARE EQUIPMENT COMPANY - LATROBE INTERNAL MEDICINE - WESTMORELAND GASTROENTEROLOGY ASSOCIATES, INC. - LATROBE CARDIOLOGY, INC. 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 - OUR MISSION OF "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH." TODAY, WESTMORELAND HOSPITAL, WITH 364 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. PATIENT ADMISSIONS: 19,054 ACUTE CARE PATIENT DAYS: 94,279 TOTAL OPERATING ROOM PROCEDURES: 11,995 LAB PROCEDURES AND TESTS: 1,729,320 EMERGENCY ROOM VISITS: 56,727 PHYSICAL THERAPY TREATMENTS: 110,644 OUTPATIENT SURGERIES: 8,530 OUTPATIENT VISITS: 335,899 OUTPATIENT X-RAY PROCEDURES: 140,743 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 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 AN ADULT INPATIENT UNIT WITH OUTPATIENT SERVICES FOR ADULTS AND CHILDREN AND REACHES INTO THE COMMUNITY THROUGH SCHOOL AND COMMUNITY-BASED PROGRAMS. ADDITIONALLY, THE HOSPITAL HOUSES A BREAST HEALTH CENTER; EXTENSIVE OUTPATIENT SERVICES INCLUDING THE SURGICENTER AT WESTMORELAND AND THE SHORT STAY SURGERY UNIT; DIABETES SERVICES AND ENDOCRINE CLINIC; DIGESTIVE DISORDERS CENTER; PAIN CENTER; A FULL COMPLEMENT OF IMAGING SERVICES INCLUDING FIXED-SITE AND OPEN MRI UNITS; A BARIATRIC SURGERY CENTER, A LARGE CRITICAL CARE UNIT WITH AN INTENSIVIST PROGRAM (OFFERING 24 HOUR A DAY, IN-HOUSE PHYSICIAN SPECIALIST COVERAGE IN THE CRITICAL CARE AREAS), AND EMERGENCY CARE. MINIMALLY INVASIVE SURGERY WAS ENHANCED WITH THE ADDITION OF A SECOND MINIMALLY INVASIVE SURGERY OPERATING ROOM SUITE AT WESTMORELAND HOSPITAL. ADDED IN OCTOBER 2010, THE NEWLY REMODELED SURGICAL SUITE PROVIDES MAXIMUM PATIENT BENEFITS IN A MINIMALLY INVASIVE WAY. DESCRIBED AS THE "OPERATING ROOM OF THE FUTURE - TODAY" THE I-SUITE OPERATING ROOM BY STRYKER FEATURES THE LATEST TECHNOLOGIES FOR ENHANCING THE QUALITY AND EFFICIENCY OF MINIMALLY INVASIVE SURGERY. IN FEBRUARY 2011, AN OBSERVATION UNIT ON THE HOSPITAL'S SECOND FLOOR WAS ADDED, GEARED TOWARD PATIENTS WHO ARE EXPECTED TO BE EVALUATED, DIAGNOSED AND TREATED RAPIDLY, WITH THE LIKELIHOOD OF IMPROVEMENT AND DISCHARGE WITHIN 24 HOURS. IT IS ALSO HOME TO THE INTERVENTIONAL CAPABILITIES OF THE HEART CENTER. THE WELL BEING CENTER OFFERS WELLNESS AND PREVENTION PROGRAMS FOR OUR COMMUNITIES AND EMPLOYEES ALIKE. A PASTORAL SERVICES COMPONENT TENDS TO THE EMOTIONAL AND SPIRITUAL NEEDS OF OUR PATIENTS, THEIR FAMILIES, AND STAFF WHILE A VIBRANT VOLUNTEER SERVICES PROGRAM HELPS WITH THE DAY-TO-DAY TASKS THAT ALLOW THE HOSPITAL TO RUN SMOOTHLY.
		THE YEAR-LONG ENDEAVOR TO REFURBISH THE WESTMORELAND HOSPITAL EMERGENCY DEPARTMENT CAME TO FRUITION IN MARCH 2011. THE IMPROVEMENTS INCLUDED A 3,400 SQUARE FOOT BUILDING ADDITION WITH THE RENOVATION OF ANOTHER 3,700 SQUARE FEET. THE UPDATE INCLUDED: NEW ENTRANCE, WAITING AREA, REGISTRATION AND TRIAGE AREAS; THE ADDITION OF EIGHT TREATMENT ROOMS, BRINGING THE TOTAL TO 45; THE ADDITION OF A 16-SLICE CT SCANNER, DIGITAL IMAGING REVIEW STATION AND ADDITIONAL X-RAY CAPABILITIES WITHIN THE DEPARTMENT; A 29-SPACE PARKING LOT, AND ENHANCED AMBULANCE ACCESS. ALONG WITH THE PROJECT, WESTMORELAND HOSPITAL ALSO PARTICIPATED IN "URGENT MATTERS LEARNING NETWORK II", AN 18-MONTH NATIONAL INITIATIVE FOR FINDING, DEVELOPING AND MEASURING THE EFFECTIVENESS OF STRATEGIES TO IMPROVE PATIENT FLOW AND REDUCE EMERGENCY DEPARTMENT CROWDING. THE EXCELA ADVANCED WOUND CARE 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. BECAUSE WE FIRMLY BELIEVE THAT OUR MISSION IS INCLUSIVE AND SPEAKS TO OUR TRUEST SENSE OF COMMUNITY COMMITMENT, WESTMORELAND HOSPITAL AND ITS EMPLOYEES REINVEST IN OUR COMMUNITIES IN THE FOLLOWING FASHION: ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $4,932,024 EMPLOYEES' CHARITABLE TRUST FUND DISTRIBUTIONS: $101,100 221 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 39,110 HOURS PATIENT EDUCATION MATERIALS: $38,108 GETTING TO THE HEART OF THE MATTER - THE HEART CENTER AT WESTMORELAND HOSPITAL COMING TO FRUITION IN 2007, THE HEART CENTER OFFERS THE LATEST TECHNOLOGIES, COMPASSIONATE CARE, HIGHLY ADVANCED MEDICAL EXPERTISE REFLECTED IN EXCEPTIONAL OUTCOMES, AND EXPERIENCE COMMENSURATE WITH HIGH VOLUMES. 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 WE SEEK AND MEET 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. CARDIAC LAB PROCEDURES PERFORMED: 4,387 OPEN HEART SURGERIES: 211 DEVICE IMPLANTATIONS: 507 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, EXPEDITES CARE, AND MINIMIZES 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. ENHANCED EXTERNAL COUNTER-PULSATION (EECP) A WELL TOLERATED, NON-INVASIVE PROCEDURE THAT AIDS IN REDUCING THE SYMPTOMS OF ANGINA. WE ALSO SUPPORT TRANSPARENT PUBLIC REPORTING OF HEALTH CARE QUALITY DATA AND PARTICIPATE IN NATIONAL INITIATIVES SUCH AS: AMERICAN COLLEGE OF CARDIOLOGY CATH/PCIR SOCIETY OF THORACIC SURGERY REGISTRY AMERICAN COLLEGE OF CARDIOLOGY ICD REGISTRY CENTER FOR MEDICARE AND MEDICAID HOSPITAL COMPARE (WWW.HOSPITALCOMPARE.HHS.GOV) THE SOCIETY OF THORACIC SURGEONS RECOGNIZED OUR CARDIAC SURGERY PROGRAM WITH A "3-STAR RATING", FOR ITS QUALITY. ONLY ABOUT 10 PERCENT OF HOSPITALS NATIONWIDE ACHIEVE THIS HIGHEST TIER RANKING. THE DELTA GROUP ALSO LISTS OUR CARDIAC CARE PROGRAM IN THE TOP 10 PERCENT BASED ON NATIONAL BENCHMARKING STANDARDS FOR MORTALITY, COMPLICATIONS, CORE PROCESSES AND PATIENT SAFETY. BLUE CROSS/BLUE SHIELD DESIGNATES OUR CARDIAC CARE AS A BLUE DISTINCTION CENTER, DEMONSTRATING EXPERTISE IN THE DELIVERY OF HEART CARE. 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 WE CONTINUE THE TRADITION OF PROVIDING PARENTS-TO-BE WITH A WARM, CARING ENVIRONMENT COUPLED WITH STATE-OF-THE-ART TECHNOLOGY. WE UNDERSTAND THAT BECOMING A MOM IS NOT JUST ABOUT THE BIRTH, BUT THE BEGINNING OF AN INCREDIBLE JOURNEY, ONE IN WHICH WE HELP YOU, AND YOUR GROWING FAMILY, ENJOY THE EXPERIENCE WHILE PROVIDING CARE AND SUPPORT THAT CAN LAST A LIFETIME. IT STARTS WITH A RANGE OF EDUCATIONAL CLASSES, MOST FREE, WHERE THE NEW MOM LEARNS ABOUT PREGNANCY, PARENTING, CARE FOR THE NEW INFANT, AND SO MUCH MORE. PRE-NATAL TESTING IS AVAILABLE, AS IS NUTRITIONAL ADVICE FOR KEEPING YOU AND BABY HEALTHY AND HAPPY. BIRTHING CLASSES ARE OFFERED FOR THE NEW MOM, THE BABY'S FATHER AND EVEN SIBLINGS. GRAND PARENTING CLASSES ARE ALSO 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. YOU'LL ALSO FIND A NEWBORN NURSERY, A SPECIAL CARE (LEVEL II) NURSERY, 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. BIRTHS FOR THE FISCAL YEAR 2011 REACHED 1,773 WITH THE UNIT GARNERING AWARDS FROM A NATIONAL BODY FOR ITS HIGH QUALITY CARE.
		MAKING CARE MORE ACCESSIBLE - OUTPATIENT CARE AND COMMUNITY OUTREACH TO MAKE HEALTH CARE MORE ACCESSIBLE TO OUR COMMUNITIES, WE CONTINUE 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 OUR COMMUNITIES HEALTHY. THE DIABETES CENTER TENDS TO THE NEEDS OF THE COUNTY'S DIABETIC POPULATION, WHICH IS EIGHT PERCENT OF THE TOTAL COUNTY POPULATION. DIABETES CLINIC VISITS AT WESTMORELAND TOTALED 3,330. ADDITIONAL CLINICS INCLUDE THE DIGESTIVE DISORDERS CENTER, BREAST HEALTH CENTER, EXCELA HEALTH OUTPATIENT SERVICES, OUTPATIENT LABS AND IMAGING STATIONS (QUIKDRAW AND QUIKDRAW PLUS), THE SURGICENTER AT WESTMORELAND AND THE SHORT STAY SURGERY SUITE WHERE PROCEDURES TOTALED: OUTPATIENT X-RAY PROCEDURES: 140,743 OUTPATIENT SURGERIES: 8,530 OUTPATIENT ENDOSCOPIES: 9,096 TOTAL OUTPATIENT REGISTRATIONS/VISITS: 335,899 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 102 LICENSED BED HOSPITAL OFFERS GENERAL ACUTE CARE SERVICES, SURGICAL SERVICES, A SLEEP CENTER, 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 NEW CARDIAC AND PULMONARY REHABILITATION PROGRAM IS ONE OF FIVE 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. THIS 501(C)(3) HOSPITAL HAS ALSO GARNERED THE HOSPITAL AND HEALTH SYSTEM 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." PATIENT ADMISSIONS: 3,562 ACUTE CARE PATIENT DAYS: 16,127 TOTAL OPERATING ROOM PROCEDURES: 2,684 LAB PROCEDURES AND TESTS: 442,615 EMERGENCY ROOM VISITS: 25,661 PHYSICAL THERAPY TREATMENTS: 23,388 OUTPATIENT SURGERIES: 2,178 OUTPATIENT REGISTRATION/VISITS: 97,785 OUTPATIENT X-RAY PROCEDURES: 47,409 DIABETES SERVICES IN THE FRICK HOSPITAL AREA NUMBERED 167, AND THE LIFELINE EMERGENCY RESPONSE PROGRAM IS LOCATED HERE, AS ARE OUTPATIENT PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES. 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 NEW 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 WE HAVE 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. BECAUSE WE FIRMLY BELIEVE THAT OUR MISSION IS INCLUSIVE AND SPEAKS TO OUR TRUEST SENSE OF COMMUNITY COMMITMENT, FRICK HOSPITAL REINVESTS IN OUR COMMUNITIES IN THE FOLLOWING FASHION: ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $1,610,053 95 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 15,407 HOURS PATIENT EDUCATION MATERIALS: $7,124 QUALITY EMERGENCY CARE - THE FRICK HOSPITAL EMERGENCY DEPARTMENT OUR 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 ROOM SEES SOME 25,661 PATIENTS. IN RECENT YEARS, THE EMERGENCY DEPARTMENT UNDERWENT RENOVATION, RECONFIGURING SPACE TO ACCOMMODATE THE FLOW OF PATIENTS AND STAFF ALIKE, ADDING NEW TECHNOLOGY, AND INSTITUTING BEST PRACTICES IN PATIENT CARE. LIFELINE PERSONAL EMERGENCY RESPONSE HEADQUARTERED AT FRICK HOSPITAL, THE LIFELINE PERSONAL EMERGENCY RESPONSE PROGRAM IS AN EASY-TO-USE, PERSONAL RESPONSE SERVICE AVAILABLE THROUGH EXCELA HEALTH HOSPITALS. 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. WE FOLLOW 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 TRAINED VOLUNTEERS WHO INSTALL, TROUBLESHOOT AND CHECK EQUIPMENT, MAKING FRIENDLY VISITS AS NEEDED. CURRENTLY, THERE ARE NEARLY 450 SUBSCRIBERS TO THIS VITAL PROGRAM. DISCOUNTS PROVIDED TO SUBSCRIBERS BASED ON INCOME ACCORDING TO AREA AGENCY ON AGING INCOME GUIDELINES: $20,400 MAKING CARE MORE ACCESSIBLE - OUTPATIENT CARE AND COMMUNITY OUTREACH TO MAKE HEALTH CARE MORE ACCESSIBLE TO OUR COMMUNITIES, WE CONTINUE TO OFFER OUTPATIENT CARE AS WELL AS HEALTH SCREENINGS, HEALTH FAIRS, EDUCATIONAL CLASSES, SUPPORT GROUPS AND A VIBRANT SPEAKER'S BUREAU. DIABETES CLINIC VISITS AT THE NEWLY BEGUN CLINIC HAVE TOTALED 19 WITH EDUCATIONAL PROGRAM ATTENDANCE AT 220. OTHER OUTPATIENT PROCEDURES INCLUDE: OUTPATIENT X-RAY PROCEDURES: 47,409 OUTPATIENT SURGERIES: 2,178 OUTPATIENT ENDOSCOPIES: 2,639 OUTPATIENT REGISTRATIONS/VISITS: 97,785
		AT CHURCHES, MALLS AND SCORES OF OTHER VENUES, FOR OUR YOUTH, OUR 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. FURTHER, THE PARTNERS ADVOCATING TOTAL HEALTH, (PATH) SEEKS TO OFFER RESOURCES AND NEEDED FUNDING WHEREBY HEALTH AND HEALTH-RELATED INITIATIVES THAT ARE COMMUNITY-DRIVEN CAN BE ACHIEVED. OUR OUTREACH EFFORTS ALSO ENCOMPASS COMMUNITY SEMINARS AND LECTURES IN A VARIETY OF LOCATIONS THROUGHOUT WESTMORELAND AND FAYETTE COUNTIES. THE CHILDREN'S HEALTH FAIR AND OTHER INITIATIVES REACH OUR YOUNGER AUDIENCE WITH A MESSAGE OF GOOD HEALTH IN A NON-THREATENING, POSITIVE WAY, SO THAT GOOD HEALTH HABITS CAN BE INSTILLED EARLY IN LIFE. THROUGH OUR SPEAKER'S BUREAU, PROFESSIONALS IN THEIR FIELDS OFFER INSIGHTS ON GIVEN TOPICS 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 OUR SUPPORT GROUPS, OR THOSE GROUPS SUPPORTED BY US, 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 BY THE NANCY G. HOFFMAN COMPLEMENTARY HEALTH SERVICES, THE WELL BEING CENTER, MUSIC THERAPY, TOBACCO CESSATION AND OTHERS. BY REACHING BEYOND THE TRADITIONAL WALLS OF THE HOSPITAL, AS WELL AS UNDERSTANDING THE MANY, VARIED MEDICAL NEEDS OF THE POPULATIONS WE SERVE, WE CAN DIRECT CARE WHERE IT IS MOST ACCESSIBLE AND MOST NEEDED. THROUGH EVENTS SUCH AS AMERICAN RED CROSS BLOOD DRIVES, BONE DENSITY SCREENINGS, BLOOD SCREENINGS, THE MOUNT PLEASANT GLASS AND ETHNIC FESTIVAL, WELLNESS INITIATIVES AT LOCAL COLLEGES AND SCHOOLS, SILVER SNEAKERS AT THE MOUNT PLEASANT YMCA, THE WESTINGHOUSE HEALTH FAIR, OUR GOLDEN HOUR HEART AND STROKE PROGRAM AND MUCH MORE, WE HAVE TOUCHED MANY LIVES WITHIN THE COMMUNITIES WE SERVE. 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 188 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 OUR PHYSICIANS, NURSES, AND ALL HEALTH CARE PROFESSIONALS, INSPIRING TRUST AND CONFIDENCE IN A LIFELONG RELATIONSHIP WITH OUR 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: PATIENT ADMISSIONS: 7,920 ACUTE CARE PATIENT DAYS: 32,039 TOTAL OPERATING ROOM PROCEDURES: 5,441 LAB PROCEDURES AND TESTS: 1,161,691 EMERGENCY ROOM VISITS: 35,738 PHYSICAL THERAPY TREATMENTS: 67,282 OUTPATIENT SURGERIES: 3,450 OUTPATIENT REGISTRATION/VISITS: 258,850 OUTPATIENT X-RAY PROCEDURES: 100,580 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 HOSPITAL'S FAMILY MEDICINE RESIDENCY PROGRAM, AFFILIATED WITH THE JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY. 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 WE DO IS THE SIMPLE MESSAGE THAT IS OUR MISSION - "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH." OUR NEUROSCIENCE CENTER IS UNIQUE IN THE REGION AND ADDRESSES THOSE WITH NEUROMUSCULAR CONDITIONS. HERE, PATIENTS ARE TREATED BY A SPECIALIZED TEAM OF PHYSICIANS, SURGEONS, NURSES AND THERAPISTS. ALL CARE MOVES THROUGH THE CENTER FROM SURGERY AND INTENSIVE CARE TO REHABILITATION AND RECOVERY. 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 35,738. CHILDREN AND ADOLESCENTS WITH EMOTIONAL AND BEHAVIORAL PROBLEMS RECEIVE COUNSELING, MEDICATION AND OTHER THERAPIES THROUGH BEHAVIORAL HEALTH SERVICES. THE 10-BED, SHORT TERM INPATIENT SERVICE AT LATROBE IS PART OF THE SYSTEM'S BEHAVIORAL HEALTH PROGRAM. THROUGH LATROBE'S BEHAVIORAL HEALTH SERVICES, CAMP FOCUS CONVENES EACH SUMMER, AIDING CHILDREN EXPERIENCING EMOTIONAL DIFFICULTIES AT THIS THERAPEUTIC DAY CAMP. THE COMMUNITY HOSPITAL COMPREHENSIVE CANCER PROGRAM AT LATROBE HOSPITAL CONTINUES TO BE ACCREDITED WITH COMMENDATION BY THE AMERICAN COLLEGE OF SURGEONS, RECOGNIZING THE MULTIDISCIPLINARY APPROACH, MEDICAL STAFF, QUALIFICATIONS AND MEDICAL RESEARCH. ONLY 1,430 PROGRAMS ARE RECOGNIZED IN THE U.S. AND PUERTO RICO, REPRESENTING 25 PERCENT OF ALL HOSPITALS. A PILOT PROJECT DEBUTED AT LATROBE HOSPITAL IN MARCH 2011 CALLED THE NURSING/VOLUNTEER CARE TEAM, DEVELOPED AS ANOTHER TOOL TO AID IN THE ENHANCEMENT OF QUALITY PATIENT CARE, THE RESPONSIVENESS TO PATIENT REQUESTS, AND THE PATIENT'S AWARENESS OF AVAILABLE RESOURCES. GROUNDBREAKING FOR THE NEW LIGONIER VALLEY AMBULANCE SERVICE OCCURRED SEPTEMBER 2010, WITH A $1.2 MILLION GRANT FOR THE PROJECT FROM THE RICHARD KING MELLON FOUNDATION. THE PROJECT CONSISTED OF GARAGE BAYS FOR THE SIX ICU-TYPE AMBULANCES; AN OPERATIONS CENTER FOR MONITORING AND DISPATCHING; SLEEPING QUARTERS, LOCKER ROOMS, LOUNGE, KITCHEN AND DINING FACILITIES FOR 26 PARAMEDICS AND EMERGENCY MEDICAL TECHNICIANS WHO STAFF THE GARAGE 24 HOURS A DAY, AND A COMMUNITY EDUCATION CENTER FOR ON-SITE LIFE SUPPORT TRAINING FOR OTHER FIRST RESPONDERS. THE PROJECT WAS COMPLETED IN APRIL 2011, WITH THE SERVICE MARKING ITS 44TH YEAR OF SERVICE. TENDING TO THE EVER GROWING ELDERLY POPULATION IN WESTMORELAND COUNTY, LATROBE OFFERS A GERIATRIC ASSESSMENT SERVICE TO ENHANCE QUALITY OF LIFE AND COORDINATE APPROPRIATE SERVICES BOTH AT THE HOSPITAL AND COMMUNITY LEVELS. OUTPATIENT SERVICES INCLUDE EXTENSIVE IMAGING SERVICES, CARDIAC REHABILITATION, LAB SERVICES, AND A DIABETES CENTER THAT HELD CLASSES WITH SOME 700 INDIVIDUALS ATTENDING. OUTPATIENT SURGERY AND SHORT PROCEDURE SUITES ALONG WITH A SLEEP CENTER, ENDOCRINE CLINIC, WELLNESS PROGRAMS AND MORE ARE ALSO FOUND HERE. PASTORAL SERVICES TEND TO THE EMOTIONAL AND SPIRITUAL NEEDS OF OUR PATIENTS, THEIR FAMILIES, AND STAFF WHILE A VIBRANT VOLUNTEER SERVICES PROGRAM HELPS WITH THE DAY-TO-DAY TASKS THAT ALLOW THE HOSPITAL TO RUN SMOOTHLY. LATROBE HOSPITAL ALSO OPENED "AUSTIN'S PLAYROOM", A GIFT FROM THE MARIO LEMIEUX FOUNDATION. LOCATED ON THE GROUND FLOOR ADJACENT TO OUTPATIENT REGISTRATION, THE PLAYROOM OFFERS FAMILIES WITH CHILDREN A PLACE FOR DIVERSION DURING A HOSPITAL VISIT. THE WOMEN'S CARE SERVICES ON THE LATROBE HOSPITAL CAMPUS 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 EXAMINATION AND TAKES TIME TO TALK, ADDRESSING CONCERNS PRIVATELY. MEMBERS OF THE EXCELA HEALTH MEDICAL STAFF SPECIALIZING IN OBSTETRICS AND GYNECOLOGY OVERSEE THE EXAMINATION, TESTING AND TREATMENT. DURING FISCAL 2011, 6,944 PATIENTS VISITED THE FAMILY PLANNING CLINIC AS WELL AS 3,778 PATIENTS VISITING THE PRENATAL CLINIC, ALL OF WHICH OPERATES ON A SLIDING SCALE ACCORDING TO INCOME AND FAMILY SIZE. IN FACT, 15 PERCENT OF ALL DELIVERIES AT EXCELA HEALTH WERE PRE-NATAL CLINIC PATIENTS. WE PARTICIPATE IN A PENNSYLVANIA STATE PROGRAM CALLED SELECT PLAN FOR WOMEN 18 TO 44 WHO QUALIFY FOR FREE SERVICES. WE ALSO OFFER THE HEALTHY WOMAN PLAN FOR WOMEN OVER 40 WHO ARE UNINSURED OR UNDERINSURED SO THAT THEY MIGHT RECEIVE FREE MAMMOGRAMS AND PAP SMEARS. FURTHER, WE HAVE THE WISE WOMAN PROGRAM FOR WOMEN OVER 50 SO THAT THEY MAY RECEIVE FREE LIPID PANELS, FASTING GLUCOSE TESTS, MAMMOGRAMS AND PAP SMEARS. PATIENTS UNDER AGE 18 ALSO RECEIVE FREE SERVICES.
		ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $2,653,556 255 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 30,463 HOURS PATIENT EDUCATION MATERIALS: $15,840 THE BRAIN CHILD OF CARING PEOPLE - THE NEUROSCIENCE CENTER SHOPPING FOR GROCERIES, PARKING A CAR, OR SWINGING A GOLF CLUB MAY NOT BE THE STANDARD NOTION OF MEDICAL CARE. BUT FOR THE PEOPLE WHO'VE HAD A STROKE, BRAIN INJURY, SPINAL SURGERY OR OTHER NEUROLOGIC CONDITIONS, THESE "NEIGHBORHOOD WAY" ACTIVITIES ARE PART OF AN INTENSE PROGRAM TO PREPARE INDIVIDUALS TO RESUME NORMAL LIFE. THIS IS JUST ONE ASPECT OF THE CARE FOUND IN THE NEUROSCIENCE CENTER, DEVELOPED BY THE FORWARD THINKING MANAGEMENT AND MEDICAL/SURGICAL TEAMS AT LATROBE. HERE, PATIENTS EXPERIENCE A FULL SPECTRUM OF SPECIALIZED CARE FROM NEUROSURGERY TO INTENSIVE CARE, RECOVERY AND REHABILITATION. PATIENTS STAY IN ONE PLACE THROUGH THE DIFFERENT PHASES OF CARE, CLUSTERED AROUND A CENTRAL AREA OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY AND SURROUNDED BY MEDICAL AND SURGICAL SPECIALISTS, RADIOLOGISTS, NURSES AND THERAPISTS ALL FOCUSED ON RETURNING THE PATIENT HOME. THE CENTER IS DECORATED IN HEALING COLORS, WITH SMOOTH, ROUNDED WALLS AND OTHER SAFETY FEATURES TO PROTECT PATIENTS AS THEY RELEARN SKILLS AND REGAIN STRENGTH. EACH ROOM HAS A WINDOW TO THE WORLD OUTSIDE AND A "WARM ZONE" FOR THE FAMILY TO WAIT AND WATCH. INNOVATIONS IN CARE ARE CONTINUALLY INTRODUCED INCLUDING ACTIVITIES OF DAILY LIVING SUITE, A STROKE SUPPORT GROUP AND PET THERAPY AND VISITATION. A STATE-OF-THE-ART GYM AND COMMUNITY DINING AREA HELP TO SPEED RECOVERY AND PREPARE PATIENTS FOR ACTIVITIES OF DAILY LIVING. FURTHER, LATROBE HOSPITAL HAS GARNERED THE GOLD PERFORMANCE ACHIEVEMENT IN STROKE FROM THE AMERICAN HEART ASSOCIATION. 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. AS THE FIRST ORGANIZATION IN THE REGION OUTSIDE OF PITTSBURGH TO OFFER THE DA VINCI SYSTEM, OUR SURGEONS CAN ACHIEVE GREATER PRECISION, BETTER RANGE OF MOTION AND INCREASED VISIBILITY, OFTEN WITH IMPROVED OUTCOMES. WELLNESS, COMMUNITY OUTREACH AND OUTPATIENT SERVICES TO MAKE HEALTH CARE MORE ACCESSIBLE TO OUR COMMUNITIES, WE CONTINUE TO OFFER SERVICES IN OUTPATIENT SETTINGS INCLUDING HEALTH SCREENINGS, HEALTH FAIRS, EDUCATIONAL CLASSES, SUPPORT GROUPS AND A VIBRANT SPEAKER'S BUREAU. THE DIABETES CENTER TENDS TO THE NEEDS OF THE COUNTY'S DIABETIC POPULATION, WHICH IS EIGHT PERCENT OF THE TOTAL COUNTY POPULATION. 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: OUTPATIENT X-RAY PROCEDURES: 100,580 OUTPATIENT SURGERIES: 3,450 OUTPATIENT ENDOSCOPIES: 6,373 OUTPATIENT REGISTRATION/VISITS: 258,850 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 COUNTY AND INTO SURROUNDING COUNTIES. THE HOME CARE TEAM HAS MORE THAN 40 YEARS OF COMBINED EXPERIENCE WORKING WITH PATIENTS AND THEIR FAMILIES, REGARDLESS OF THEIR ABILITY TO PAY. HOME CARE AND HOSPICE PRIDE THEMSELVES ON GETTING TO KNOW THE PATIENT AND LISTENING TO THE INDIVIDUAL'S HEALTH CARE CONCERNS. OUR 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. REFERRALS ARE MADE VIA THE PHYSICIAN, NURSE, SOCIAL WORKER, CASE MANAGER, A SOCIAL SERVICE AGENCY OR INSURANCE COMPANY AFTER WHICH A THOROUGH HOME CARE ASSESSMENT IS COMPLETED. WHILE HOME CARE 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. OUR 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 CARE AND HOSPICE-TRAINED VOLUNTEERS (NUMBERING 80 GIVING 5,247 HOURS OF SERVICE) AND CLERGY. EACH PATIENT'S PLAN OF CARE IS SUPERVISED BY OUR 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. DURING THE YEAR, EXCELA HEALTH HOME CARE AND HOSPICE ALSO OFFERS PROGRAMS AND SPECIALIZED SUPPORT GROUPS FOR THE PUBLIC DEALING WITH ISSUES OF LOSS, GRIEF, AND SEPARATION. THEY INCLUDE THE FOLLOWING PROGRAMS: 1) "FORTITUDE AND FUTILITY" PRESENTATION ON END OF LIFE DISCUSSION (FOR HEALTH CARE PROVIDERS) 2) WESTMORELAND COUNTY COMMUNITY COLLEGE, YOUNGWOOD - HOSPICE CARE 3) ANNUAL MEMORIAL SERVICE - OUR LADY OF GRACE CATHOLIC CHURCH, GREENSBURG 4) ANNUAL GRIEF AND THE HOLIDAYS SEMINAR - FIRST BAPTIST CHURCH, GREENSBURG 5) BEREAVEMENT SUPPORT GROUPS SPECIALIZED SUPPORT GROUPS/PROGRAMS HELD IN FY 2011 INCLUDE: ADULT CHILD LOSS WIDOWS/WIDOWERS LOSS OF PARENTS HOLIDAY SUPPORT GROUP GRIEF BOOK CLUB HELP TO HEAL TEEN LOSS PROGRAM DEALING WITH SUICIDE (FOR AREA FACULTY AND STUDENTS, TWO SEPARATE SESSIONS) ART THERAPY FOR CANCER PATIENTS EXPRESSIVE ART FOR BREAST CANCER PATIENTS GRIEF GROUP PRESENTATION CANCER SURVIVORSHIP CANCER ADVOCACY/SMOKING CESSATION EXCELA HEALTH HOME CARE AND HOSPICE SPECIFICS: HOME CARE VISITS: 104,482 HOME CARE ADMISSIONS: 7,164 HOME CARE PATIENTS SERVED (UNDUPLICATED): 6,848 HOSPICE ADMISSIONS: 622 HOSPICE VISITS: 20,103 HOSPICE INPATIENT ADMISSIONS: 119 HOSPICE PATIENTS SERVED (UNDUPLICATED): 684 HOSPICE INPATIENTS SERVED (UNDUPLICATED): 151 TO HELP PATIENTS AND THE GENERAL COMMUNITY COPE WITH LOSS AND GRIEF WHILE FINDING NEEDED SUPPORT AND INFORMATION: $15,600 CAREGIVERS OF SOUTHWESTERN PA CAREGIVERS OF SOUTHWESTERN PENNSYLVANIA, A SUBSIDIARY OF EXCELA HEALTH AND A 501(C)(3) NON-PROFIT COMPANY, ASSISTS INDIVIDUALS RESIDING IN WESTMORELAND COUNTY WHO EXPERIENCE BEHAVIORAL HEALTH CHALLENGES. CAREGIVERS' RECOVERY PROGRAMS USE A STRENGTH-BASED APPROACH TO ASSIST CLIENTS IN STRENGTHENING THE LIVING, LEARNING, WORKING, SOCIAL AND WELLNESS AREAS OF THEIR LIVES. CAREGIVERS OF SOUTHWESTERN PENNSYLVANIA CURRENTLY OPERATES SIX PROGRAMS UNDER THE SUPERVISION OF WESTMORELAND COUNTY MENTAL HEALTH MENTAL RETARDATION AND THE PENNSYLVANIA OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE, WHICH INCLUDE: WESTMORELAND PSYCHIATRIC REHABILITATION PROFESSIONALS AID INDIVIDUALS WITH FUNCTIONAL DISABILITIES RESULTING FROM MENTAL ILLNESS SO THAT THEY MAY DEVELOP, ENHANCE, AND/OR RETAIN PSYCHIATRIC STABILITY, SOCIAL COMPETENCIES, PERSONAL ADJUSTMENT, AND/OR INDEPENDENT LIVING COMPETENCIES EXPERIENCING MORE SUCCESS AND SATISFACTION IN THEIR ENVIRONMENT. THE SERVICE SAW 82 INDIVIDUALS. WESTMORELAND MOBILE PSYCHIATRIC REHABILITATION PROFESSIONALS WORK WITH 19 INDIVIDUALS TO DEVELOP SKILLS SO THAT THEY CAN LIVE AS INDEPENDENTLY AS POSSIBLE IN THE ENVIRONMENT OF THEIR CHOICE, WHILE CREATING A SUPPORTIVE MECHANISM BY HELPING IN THE CONSUMER'S OWN LOCATION. WESTMORELAND PEER SUPPORT SPECIALISTS PROVIDED HOPE AND ROLE MODELED THE POSSIBILITY OF RECOVERY FOR 116 CONSUMERS.
		WEST PLACE CLUBHOUSE THE CLUBHOUSE OFFERS MEMBERS TRANSITIONAL EMPLOYMENT PLACEMENT OPPORTUNITIES AND SUPPORTED EMPLOYMENT, AS WELL AS SOCIAL AND RECREATIONAL ACTIVITIES WITH THE GOAL OF PROMOTING EQUAL OPPORTUNITIES AND IMPROVED QUALITY OF LIFE FOR THOSE RECOVERING FROM MENTAL ILLNESS. THE CLUBHOUSE AIDED 107 INDIVIDUALS. WEST PLACE DROP-IN CENTER THE DROP-IN CENTER PROVIDED 171 MENTAL HEALTH CONSUMERS WITH ACTIVITIES AND SERVICES FOR EMOTIONAL SUPPORT, EDUCATION AND SKILL TRAINING TO PROMOTE FURTHER INDEPENDENCE AND EMPOWERMENT. WESTMORELAND COUNTY WARMLINE A NON-EMERGENCY, TOLL-FREE SUPPORT TELEPHONE LINE FOR MENTAL HEALTH CONSUMERS AND FAMILY MEMBERS REALIZING 1,984 CALLS FROM JULY 1, 2010 THROUGH JUNE 30, 2011. CAREGIVERS IS REIMBURSED FOR THESE COUNTY PROGRAMS PRIMARILY ON A COST BASIS. AN ADMINISTRATIVE FEE IS CHARGED TO THE COUNTY TO RECOVER A PORTION OF THE ADMINISTRATIVE OVERHEAD COSTS FOR THESE PROGRAMS. THE SURGICENTER AT LIGONIER LOCATED IN THE FOOTHILLS OF THE LAUREL HIGHLANDS, THE SURGICENTER AT LIGONIER IS A 501(C)(3) AND SERVES AS A FREE STANDING, OUTPATIENT SURGERY CENTER WITH AN EMPHASIS ON EYE SURGERIES AND PAIN MANAGEMENT. THE SURGICENTER PROVIDES SURGICAL SERVICES TO MEMBERS OF ITS COMMUNITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THOSE SERVICES. AS PART OF THE LIGONIER COMMUNITY, THE SITE IS ALSO HOST TO SEVERAL OUTREACH EVENTS DURING THE YEAR, MOST SPECIFICALLY, SERVING AS A COMMUNITY FIRST AID STATION DURING THE HIGHLY ATTENDED LIGONIER DAYS IN OCTOBER. IT IS A WHOLLY OWNED SUBSIDIARY OF EXCELA HEALTH AND UPHOLDS THE MISSION OF "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH." FOR THE FISCAL YEAR 2011, 661 CASES WERE PERFORMED AT THE CENTER AND WERE BROKEN DOWN AS FOLLOWS: EYE SURGERIES: 584 PAIN CLINIC: 33 ENDOSCOPIES/COLONOSCOPIES: 39 OTHER: 5 TOTAL: 661
	FORM 990, PART VII, COLUMN B	ROBERT ROGALSKI AND JEFFREY T. CURRY SPLIT THEIR TIME BETWEEN RELATED ORGANIZATIONS IN THE FOLLOWING MANNER. BREAKDOWN OF HOURS PER WEEK DEVOTED TO EACH ENTITY: ROBERT ROGALSKI, CEO: EXCELA HEALTH GROUP - 52 HOURS WESTMORELAND/FRICK HOSPITAL FOUNDATION - 1 HOUR LATROBE AREA HOSPITAL CHARITABLE FOUNDATION - 1 HOUR OTHER AFFILIATED ENTITIES - 6 HOURS JEFFREY T. CURRY, CFO: EXCELA HEALTH GROUP - 52 HOURS WESTMORELAND/FRICK HOSPITAL FOUNDATION - 1 HOUR LATROBE AREA HOSPITAL CHARITABLE FOUNDATION - 1 HOUR OTHER AFFILIATED ENTITIES - 6 HOURS

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

EXCELA HEALTH GROUP

Employer identification number

90-0759236

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) WESTMORELANDFRICK HOSPITAL FOUNDATION 532 WEST PITTSBURGH STREET GREENSBURG,PA15601 25-1309084	HEALTH CARE	PA	501(C)(3)	509(A)(1)	EXCELA HEALTH	Yes
(2) LATROBE AREA HOSPITAL CHARITABLE FOUNDATION ONE MELLON WAY LATROBE,PA15650 25-1750654	HEALTH CARE	PA	501(C)(3)	509(A)(3)	LATROBE AREA HOSPITAL	Yes
(3) MOUNTAIN VIEW CANCER ASSOCIATES INC 200 VILLAGE DRIVE GREENSBURG,PA15601 03-0480551	HEALTH CARE	PA	501(C)(3)	509(A)(1)	EXCELA HEALTH	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) EXCELA RCL PETCT IMAGING LLC 532 WEST PITTSBURGH STREET GREENSBURG,PA15601 20-3677906	HEALTH CARE	PA	EXCELA HEALTH	RELATED	1,460,159	940,510		No		Yes
(2) MEDCARE EQUIPMENT COMPANY 532 WEST PITTSBURGH STREET GREENSBURG,PA15601 26-1361520	HEALTH CARE	PA	EXCELA HEALTH PHYSICIAN PRACTICES INC	RELATED				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) WESTMORELAND GASTROENTEROLOGY INC 532 WEST PITTSBURGH STREET GREENSBURG,PA15601 20-3831533	HEALTH CARE	PA	EXCELA HEALTH HOLDING COMPANY	C
(2) LATROBE INTERNAL MEDICINE INC 121 W 2ND AVENUE LATROBE,PA15650 23-2907489	HEALTH CARE	PA	EXCELA HEALTH HOLDING COMPANY	C
(3) LATROBE CARDIOLOGY ASSOCIATES 532 WEST PITTSBURGH STREET GREENSBURG,PA15601 20-8083244	HEALTH CARE	PA	EXCELA HEALTH HOLDING COMPANY	C
(4) EXCELA HEALTH PHYSICIAN PRACTICES 532 WEST PITTSBURGH STREET GREENSBURG,PA15601 25-1744392	HEALTH CARE	PA	EXCELA HEALTH HOLDING COMPANY	C
(5) EXCELA HEALTH HOLDING COMPANY 532 WEST PITTSBURGH STREET GREENSBURG,PA15601 25-1826537	HEALTH CARE	PA	EXCELA HEALTH	C	44,074,488	29,312,653	100.000 %
(6) EXCELA HEALTH DIVERSIFIED SERVICES 532 WEST PITTSBURGH STREET GREENSBURG,PA15601 25-1404064	HEALTH CARE	PA	EXCELA HEALTH HOLDING COMPANY	C
(7) EXCELA HEALTH CHESTNUT RIDGE LLC 532 WEST PITTSBURGH STREET GREENSBURG,PA15601 26-1770762	HEALTH CARE	PA	EXCELA HEALTH HOLDING COMPANY	C

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved
(1) EXCELA HEALTH PHYSICIAN PRACTICES	P	150,000
(2) EXCELA HEALTH DIVERSIFIED SERVICES	P	60,000
(3) MEDCARE EQUIPMENT COMPANY	Q	267,000
(4) EXCELA HEALTH PHYSICIAN PRACTICES	Q	190,000
(5) EXCELA HEALTH PHYSICIAN PRACTICES	I	511,349
(6) EXCELA HEALTH DIVERSIFIED SERVICES	I	41,004
(7) WESTMORELAND GASTROENTEROLOGY INC	I	3,600
(8) MEDCARE EQUIPMENT COMPANY	I	89,073
(9) EXCELA HEALTH CHESTNUT RIDGE	I	43,579
(10) EXCELA HEALTH PHYSICIAN PRACTICES	Q	12,250,000
(11) WESTMORELAND GASTROENTEROLOGY INC	Q	1,000,000
(12) EXCELA HEALTH CHESTNUT RIDGE	Q	2,200,000
(13) LATROBE CARDIOLOGY ASSOCIATES	Q	1,150,000
(14) EXCELA HEALTH DIVERSIFIED SERVICES	J	406,625

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	9
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	4,635
6	Total number of volunteers (estimate if necessary) ....	6	1,083
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	202,430
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-13,771

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	530,532	191,073
9	Program service revenue (Part VIII, line 2g) .........	441,001,670	437,978,661
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,411,096	5,678,102
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,862,959	20,541,890
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	455,806,257	464,389,726
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	209,421,481	213,601,936
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	207,439,755	214,001,763
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	416,861,236	427,603,699
19	Revenue less expenses. Subtract line 18 from line 12......	38,945,021	36,786,027
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	498,330,975	518,995,313
21	Total liabilities (Part X, line 26)............	231,485,896	218,407,785
22	Net assets or fund balances. Subtract line 21 from line 20 .....	266,845,079	300,587,528

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 389,856,901 including grants of $ ) (Revenue $ 437,978,661 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 389,856,901

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) RONALD H OTT PRESIDENT- WESTMORELAND HO	50.00	X			231,438	0	16,007
(19) MARGARET A HAYDEN PRESIDENT- LATROBE HOSPITA	50.00	X			206,339	0	15,630
(20) JOHN C CAVERNO SENIOR VP HUMAN RESOURCES	50.00	X			202,770	0	11,347
(21) DAVID GAWALUCK CHIEF INFORMATION OFFICER	50.00	X			203,451	0	13,501
(22) DANIEL B DICOLA PHYSICIAN	50.00		X		263,547	0	45,342
(23) JONATHAN WILSON PHYSICIAN	50.00		X		254,175	0	33,923
(24) CAROL J FOX ASST. CHIEF MEDICAL OFFICE	50.00		X		284,619	0	34,152
(25) STEPHEN C MILLS PHYSICIAN	50.00		X		278,118	0	32,952
(26) JOHN P HORNE PHYSICIAN	50.00		X		229,111	0	28,547
(27) DAVID S GALLATIN FORMER CEO	0.00			X	114,481	0	5,370
(28) KIM HOLLON FORMER CEO OF HOSPITALS	0.00			X	446,411	0	11,787

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,968,489	261,676	344,673

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		15,449

f	All other contributions, gifts, grants, and similar amounts not included above1f		175,624
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			191,073
			Business Code
2a	NET PATIENT SERVICE RE		900,099	412,565,267	412,565,267
b	HOME CARE & HOSPICE RE		900,099	17,801,733	17,801,733
c	SUBSIDIARY MANAGEMENT		900,099	3,038,060	3,036,108	1,952
d	MT VIEW CANCER INCOME		900,099	2,332,885	2,332,885
e	COUNTY PROGRAMS		900,099	1,280,443	1,280,443
f	All other program service revenue .			960,273	960,273
g	Total. Add lines 2a–2f........			437,978,661
3	Investment income (including dividends, interest
	and other similar amounts).....			4,605,289			4,605,289
4	Income from investment of tax-exempt bond proceeds..			203			203
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	3,315,464
b	Less: rental expenses	2,660,180
c	Rental income or (loss)	655,284
d	Net rental income or (loss).......			655,284			655,284
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	13,389,521
b	Less: cost or other basis and sales expenses		12,316,911
c	Gain or (loss)	13,389,521	-12,316,911
d	Net gain or (loss)..........			1,072,610			1,072,610
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	PHARMACY REVENUE		900,099	2,189,498			2,189,498
b	CAFETERIA INCOME		900,099	1,659,366			1,659,366
c
d	All other revenue ....			16,037,742		200,478	15,837,264
e	Total. Add lines 11a–11d ......			19,886,606
12	Total revenue. See Instructions....			464,389,726	437,976,709	202,430	26,019,514


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			1,441,598	1	7,647,981
2	Savings and temporary cash investments .......			44,597,565	2	33,525,484
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			35,700,416	4	45,077,332
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			275,982	7
8	Inventories for sale or use ..............			3,331,088	8	3,202,131
9	Prepaid expenses and deferred charges ............			4,071,606	9	5,200,533
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	597,478,280
b	Less: accumulated depreciation. .....	10b	414,000,041	191,446,450	10c	183,478,239
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 ......			186,013,525	12	203,975,124
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			31,452,745	15	36,888,489
16	Total assets. Add lines 1 through 15 (must equal line 34)...			498,330,975	16	518,995,313
17	Accounts payable and accrued expenses .			46,226,844	17	44,265,684
18	Grants payable ..........				18
19	Deferred revenue ..........			462,691	19	411,019
20	Tax-exempt bond liabilities ..........			98,104,028	20	94,022,593
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			86,692,333	25	79,708,489
26	Total liabilities. Add lines 17 through 25.....			231,485,896	26	218,407,785
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			256,055,164	27	289,963,349
28	Temporarily restricted net assets .....			6,537,806	28	5,470,380
29	Permanently restricted net assets .....			4,252,109	29	5,153,799
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			266,845,079	33	300,587,528
34	Total liabilities and net assets/fund balances .....			498,330,975	34	518,995,313