Bethlehem Haven of Pittsburgh

“The sole member of bethlehem haven is pittsburgh mercy health system (pittsburgh mercy). See line 7 for additional information.”

“Pittsburgh mercy is the sole member of bethlehem haven. Pittsburgh mercy has the right to appoint all persons to the board of directors of bethlehem haven.”

“As sole member, pittsburgh mercy must approve certain decisions of the governing body, including the strategic plan, annual capital plan, and annual operating budget. Pittsburgh mercy must also approve significant changes such as a merger, dissolution, sale of assets in excess of certain limits, and modifications to governing documents. As the parent of the national trinity health system, certain powers are reserved to trinity health corporation. These include the authority to adopt or modify the organization's governing documents, to approve major changes such as a merger or dissolution, and to approve significant finance matters in excess of certain limits established by trinity health corporation.”

“Prior to filing, the form 990 for bethlehem haven is reviewed by management. Each member of the board receives a copy of the return in its final form before it is filed with the internal revenue service.”

“Bethlehem haven has adopted trinity health's governance policy no. 1, which sets forth the organization's conflict of interest policy and processes. It applies to all "interested persons" of bethlehem haven, which includes directors, principal officers, key employees, and members of committees with board-delegated powers. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of bethlehem haven and to avoid situations involving a conflict of interest. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are provided to the integrity and compliance officer, who collaborates with internal legal counsel to assess the conflict and identify a conflict management plan when necessary. Additionally, the integrity and compliance officer along with legal counsel prepares a report for the board chair and ceo. A summary of potential conflicts is reviewed with the board of directors of bethlehem haven (or a delegated committee of the board) on a yearly basis. Interested persons are required to make full disclosure to bethlehem haven of any financial or business interests that might result in or have the appearance of a conflict of interest. The board of directors of bethlehem haven (or a delegated committee of the board) is responsible for the review of transactions to determine whether an actual conflict of interest exists. In the event of an actual conflict, the board (or a delegated committee of the board) will either avoid the conflict or appropriately scrutinize the transaction to ensure it is in the best interests of bethlehem haven. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The policy further addresses the proper documentation of the proceedings and potential disciplinary and corrective action for violations of the policy. The policy is available to the public upon request.”

“In establishing executive director compensation, bethlehem haven follows a process for determining compensation which includes the following: consideration of the previous executive director's compensation, a small compensation market review of other similarly sized organizations, and review of the bayer wages and benefit survey. The executive committee of the board of directors reviews the executive director's compensation annually. Question 15b is answered "no" because the compensation for certain officers and key management officials of bethlehem haven is established by trinity health, a related organization. In establishing cfo compensation, trinity health follows a process and policy that is intended to mirror the irc section 4958 guidelines for obtaining a "rebuttable presumption of reasonableness" with regard to compensation and benefits. As part of that process, the compensation and benefits of the cfo of bethlehem haven are reviewed at least annually by the trinity health board or the trinity health human resources and compensation committee (hrcc) of the board, authorized to act on behalf of the board with respect to certain compensation matters. As part of its review process, the hrcc retains an independent firm experienced in compensation and benefit matters for not-for-profit health care organizations to advise it in the determinations it makes on the reasonableness of proposed compensation and benefits arrangements.”

“Bethlehem haven is a subsidiary organization in the trinity health system. Trinity health makes certain of its key documents available to the public on its website, www.trinity-health.org, in the "about us" section. In this section, the consolidated audited financial statements are publicly available. Bethlehem haven's governing documents and conflict of interest policy are available upon request.”

“Other transactions -197,143.”

“Bethlehem haven's financial statements were included in the fy24 consolidated financial statements of trinity health, which were audited by an independent public accounting firm.”