Form 990 for tax year 2024

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $1,339,226

• 1f · All other contributions, gifts and grants

  $3,420,816

• 2a · Program service revenue: NET PATIENT SERVICE REVENUE

  total $576,764,629 · related or exempt $576,764,629

• 2b · Program service revenue: HOME CARE & HOSPICE REVENUE

  total $22,213,965 · related or exempt $22,213,965

• 2c · Program service revenue: COUNTY PROGRAMS

  total $778,606 · related or exempt $778,606

• 3 · Investment income

  total $8,595,048 · excluded $8,595,048

• 6a · Gross rents

  real property $6,524,011

• 6b · Less rental expenses

  real property $2,374,677

• 6c · Rental income or loss

  real property $4,149,334

• 6d · Net rental income or loss

  total $4,149,334 · excluded $4,149,334

• 7a · Gross sales of assets other than inventory

  securities $1,356,489

• 7b · Less cost or other basis and sales expenses

  securities $0

• 7c · Gain or loss

  securities $1,356,489

• 7d · Net gain or loss

  total $1,356,489 · related or exempt $335,810 · excluded $1,020,679

• 11a · Other revenue: PHARMACY REVENUE

  total $4,197,780 · related or exempt $4,197,780

• 11b · Other revenue: SCHOOL OF ANESTHESIA TUITION

  total $2,023,015 · related or exempt $2,023,015

• 11c · Other revenue: CAFETERIA INCOME

  total $1,588,571 · related or exempt $1,588,571

• 11d · All other revenue

  total $1,678,976 · related or exempt $1,678,976

• 11e · Other revenue, total

  $9,488,342

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $1,515,239 · management and general $1,515,239

• 7 · Other salaries and wages

  total $177,541,118 · program services $164,559,307 · management and general $12,981,811

• 8 · Pension plan contributions

  total $6,167,747 · program services $5,706,761 · management and general $460,986

• 9 · Other employee benefits

  total $24,420,590 · program services $22,470,541 · management and general $1,950,049

• 10 · Payroll taxes

  total $13,132,005 · program services $12,072,894 · management and general $1,059,111

• 11b · Fees: legal

  total $1,509,986 · program services $52,614 · management and general $1,457,372

• 11c · Fees: accounting

  total $318,822 · program services $14,350 · management and general $304,472

• 11g · Fees: other

  total $86,935,148 · program services $79,910,790 · management and general $7,024,358

• 12 · Advertising and promotion

  total $1,202,869 · program services $1,202,469 · management and general $400

• 13 · Office expenses

  total $5,478,948 · program services $4,305,280 · management and general $1,173,668

• 16 · Occupancy

  total $6,275,894 · program services $5,594,005 · management and general $681,889

• 17 · Travel

  total $763,883 · program services $722,406 · management and general $41,477

• 19 · Conferences, conventions and meetings

  total $91,320 · program services $84,588 · management and general $6,732

• 20 · Interest

  total $2,668,377 · program services $2,668,377

• 22 · Depreciation, depletion and amortization

  total $25,723,390 · program services $25,723,390

• 23 · Insurance

  total $5,797,266 · program services $5,797,266

• 24a · Other expenses: MEDICAL SUPPLIES

  total $110,105,333 · program services $110,105,333

• 24b · Other expenses: EQUIPMENT RENTAL & MAIN

  total $26,156,697 · program services $25,771,239 · management and general $385,458

• 24c · Other expenses: SOFTWARE/MAINTENANCE

  total $13,903,146 · program services $13,903,146

• 24d · Other expenses: BAD DEBT

  total $13,287,893 · program services $13,287,893

• 24e · All other expenses

  total $7,011,741 · program services $3,702,379 · management and general $3,309,362

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year -$1,478,433

• 4 · Accounts receivable

  beginning of year $82,606,322 · end of year $76,262,321

• 8 · Inventories for sale or use

  beginning of year $5,150,161 · end of year $5,191,691

• 9 · Prepaid expenses and deferred charges

  beginning of year $11,167,160 · end of year $16,010,750

• 10a · Land, buildings and equipment: cost or other basis

  $846,004,467

• 10b · Land, buildings and equipment: accumulated depreciation

  $655,536,785

• 10c · Land, buildings and equipment, net

  beginning of year $186,432,683 · end of year $190,467,682

• 11 · Investments: publicly traded securities

  beginning of year $218,295,416 · end of year $235,354,784

• 14 · Intangible assets

  beginning of year $9,771,168 · end of year $9,771,168

• 15 · Other assets

  beginning of year $205,758,785 · end of year $63,684,010

• 17 · Accounts payable and accrued expenses

  beginning of year $77,466,630 · end of year $81,492,348

• 19 · Deferred revenue

  beginning of year $637,116 · end of year $1,324,823

• 20 · Tax-exempt bond liabilities

  beginning of year $61,645,337 · end of year $60,133,489

• 25 · Other liabilities

  beginning of year $201,845,889 · end of year $58,077,042

• 27 · Net assets without donor restrictions

  beginning of year $365,484,108 · end of year $383,466,608

• 28 · Net assets with donor restrictions

  beginning of year $10,624,182 · end of year $12,248,096

The filer's explanations (Part III)

PART I, LINE 3

THE CEO IS PAID BY BUTLER HEALTHCARE PROVIDERS, A NONPROFIT RELATED CORPORATION. BUTLER HEALTHCARE PROVIDERS USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, INDEPENDENT LEGAL REVIEW, AND APPROVAL BY THE BOARD AND BOARD COMPENSATION COMMITTEE.

PART I, LINES 4A-B

BUTLER HEALTHCARE PROVIDERS, A RELATED ORGANIZATION UTILIZES A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) TO RECRUIT AND RETAIN LEADERSHIP TALENT. VESTING PERIODS ARE 5 AND 10 YEARS, FOR ALL EXECUTIVES, WITH THE EXCEPTION OF THE PRESIDENT/CEO, AT AGE 65. THE THIRD VESTING PERIOD FOR THE PRESIDENT/CEO IS AGE 60. ELIGIBLE EXECUTIVES RECEIVE DISTRIBUTIONS UPON REACHING THE VESTING PERIODS. ALL CONTRIBUTIONS TO THE SERP HAVE BEEN REPORTED PREVIOUSLY AND ARE REPORTED ANNUALLY. THE ANNUAL ACCRUAL AMOUNTS FOR CALENDAR YEAR 2024 WERE: KENNETH P DEFURIO, $351,888 SEVERANCE: JEFFREY TIESI - $115,385

PART I, LINE 7

EXCELA HEALTH'S EMPLOYEES MAY RECEIVE A BONUS BASED ON INCREASED PATIENT SATISFACTION AND OTHER PERFORMANCE INDICATORS.

PART II

INDEPENDENCE HEALTH SYSTEM PRESIDENT & CEO KENNETH DEFURIO TURNED 60 DURING CALENDAR YEAR 2024. REACHING AGE 60 TRIGGERED A REQUIRED VESTED SERP PAYOUT OF $2,501,911. FOR THE PAST 18 YEARS, INDIVIDUAL SERP PAYMENTS FOR THE CEO HAD PREVIOUSLY BEEN REPORTED AS DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J. THIS REPORTED 2024 AMOUNT IS A TOTAL OF ALL PREVIOUSLY REPORTED FUNDING AMOUNTS. SERP PLANS ARE USED AS RECRUITMENT AND RETENTION VEHICLES IN A COMPETITIVE EXECUTIVE MARKET.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• BUTLER AMBULATORY SURGERY CENTER LLC

  AMBULATORY SURG. · PA

• BHS FASTERCARE

  URGENT CARE · PA

• BHS FASTER CARE LABORATORY

  LAB. SERVICES · PA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• EXCELA HEALTH PHYSICIAN PRACTICES

  C · HEALTH CARE · PA

• EXCELA HEALTH HOLDING COMPANY

  C · HEALTH CARE · PA

• EXCELA HEALTH VENTURES LLC

  C · REAL ESTATE · PA

• EXCELA RECIPROCAL RRG & SUBSIDIARY

  C · INSURANCE · VT

• EXCELA PHYSICIAN HOSPITAL ORGANIZATION LLC

  C · HEALTH CARE · PA

• EXCELA HEALTH DIVERSIFIED SERVICES LLC

  C · HEALTH CARE · PA

• PCA OF BUTLER PC

  C · PHY. OFFICE · PA

• CLARION DEVELOPMENT CORPORATION

  C · PHARMACY · PA