2026-05-15T18:01:55-05:00 2025-06-30 346565596 Ernst & Young US LLP 2100 One PPG Place Pittsburgh PA 15222 990 2024-07-01 611663540 St Clair Health Corporation Group Return STCL 4129424000 1000 Bower Hill Road Pittsburgh PA 15243 Eric J Luttringer CPA CPA, SVP, CFO, Treasurer 4129424000 2026-05-15 1 0 Eileen M Webb P01641852 4126447800 2024 2025-03-06 01:10:19Z Michael J Flanagan 1000 Bower Hill Road Pittsburgh PA 15243 596279536 1 1 5858 X www.stclair.org X St. Clair provides highly valued, service-oriented healthcare to the community. 60 40 2838 178 282505 0 10249514 6255573 479393443 457834940 15559139 20662076 1536418 1897033 506738514 486649622 137864 431004 0 0 209923318 220015846 0 0 464810 286277128 242295428 496338310 462742278 10400204 23907344 814497845 830888364 275676208 254284129 538821637 576604235 X To provide highly valued, service-oriented healthcare to the community. 0 0 367869065 431004 459691411 St Clair Memorial Hospital's primary exempt purpose is to provide healthcare services to the community and operate a 24 hour Emergency Department to meet the medical needs of the community regardless of ability to pay. In the current year,the Hospital provided 62,507 inpatient days of care to the adult and pediatric population of the community, served 12,844 admissions, performed 235,561 occasions of outpatient services and treated 55,250 Emergency room visits.St Clair Memorial Hospital Foundation provides administrative and support functions associated with program services. St. Clair Medical Services, Inc. provides physician and other healthcare services to the community to support, provide assistance, and (Cont. on Schedule O) advance the interests of St. Clair Health Corporation. St. Clair Professional Services, Inc., a non-profit subsidiary of St. Clair Medical Services, Inc., provides physician and other healthcare services to the community, regardless of ability to pay, including, but not limited to, pediatric and certain hospitalists and intensivists services to support, assist, and advance the interests of St. Clair Memorial Hospital(exempt) and other corporations or organizations that are affiliated with St. Clair Health Corporation which are exempt from federal income tax under Sections 501(c)(3) and public charities exempt under 509(a)(1) or (2) of the Code. St. Clair Anesthesiology Associates, Inc., a non-profit subsidiary of St. Clair Medical Services, Inc. employs Certified Nurse Anesthetists who provide healthcare services to the community, regardless of ability to pay, including, but not limited to, anesthesia services to support, assist, and advance the interests of St. Clair Memorial Hospital(exempt) and other corporations or organizations that are affiliates with St. Clair Health Corporation which are exempt from federal income tax under Sections 501(c)(3) and public charities exempt under 509(a)(1) or (2) of the Code. 367869065 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 0 0 1 X 89 0 2838 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 60 40 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X Eric J Luttringer SR VP & CFO 4129421250 1000 Bower Hill Road Pittsburgh PA 15243 Andy C Kiser MD Board Member-SCMS 60.00 0.00 X 1612641 0 50382 Michael J Flanagan President/CEO-SCH 60.00 12.00 X X 1004223 0 181559 Kevin Bordeau MD Board Member-SCMS 60.00 2.00 X 1074527 0 55801 Shaka Walker MD Physician 60.00 0.00 X 979187 0 50581 Ryan Zuzek MD Physician 60.00 0.00 X 907071 0 43976 Jeffrey Liu MD Physician 60.00 0.00 X 847679 0 29484 John T Sullivan MD Sr. VP/CMO-SCH 60.00 2.00 X 736339 0 130881 James Mullen MD Physician 60.00 0.00 X 796068 0 42674 Richard Mitchell MD Physician 60.00 0.00 X 788720 0 48713 Marion M McGowan Sr. VP/COO/Asst Sec-SCH 60.00 0.00 X 708387 0 67651 Barry S Zaiser Sr. VP/CSO/Asst Secretary-SCMS 60.00 0.00 X 589275 0 128710 Diane L Puccetti RN VP Nursing & CNO-SCH 60.00 0.00 X 574515 0 90755 Nicholas P DiTullio MD Board Member-SCH 60.00 0.00 X 556730 0 61643 Eric Luttringer Sr. VP/CFO/Treasurer-SCH 60.00 12.00 X 493349 0 117235 Paula L Hooper Esq Sr. VP/CLO/Secretary-SCH 60.00 12.00 X 490224 0 105626 Andrea L Kalina Sr. VP Ext Affrs & CHRO/Asst Sec-SCF 60.00 0.00 X 464687 0 116753 Robert N Shogry MD Board Member-SCF 60.00 0.00 X 505536 0 63361 Antonio M Riccelli MD Board Member-SCMS 60.00 0.00 X 454622 0 57539 Mario J Fatigati MD Board Member-SCMS 45.00 1.00 X 364851 0 61231 Elizabeth Pittman Former Officer-SCMS 0.00 0.00 X 271994 0 76345 Donna M Shipley Exec Dir. Finance/Asst Treas-SCH 60.00 12.00 X 226607 0 31832 Richard Chesnos Former Officer-SCH 0.00 0.00 X 98127 0 2420 G Alan Yeasted MD Chair-SCF 30.00 2.00 X X 64943 0 0 Frank Arcuri Esq Board Member-SCH 2.00 3.00 X 0 0 0 Frank Arcuri Esq Board Member-SCMS 2.00 3.00 X 0 0 0 Susan M Bicket Esq Board Member-SCH 2.00 0.00 X 0 0 0 Michael Blehar Board Member-SCF 2.00 2.00 X 0 0 0 Kevin Bordeau MD Board Member-SCH as of 1/2025 2.00 60.00 X 0 0 0 Rachel Brecht Board Member-SCF 2.00 0.00 X 0 0 0 Stephanie Brown MD Board Member-SCH 2.00 0.00 X 0 0 0 Linda Eremita Board Member-SCH 2.00 1.00 X 0 0 0 Michael J Flanagan President/CEO-SCMS 2.00 70.00 X X 0 0 0 Norman G Fornella Board Member-SCF 2.00 3.00 X 0 0 0 Norman G Fornella Board Member-SCMS 2.00 3.00 X 0 0 0 Laura L Freedman Board Member-SCH 2.00 1.00 X 0 0 0 Ann B Garbin Board Member-SCF 2.00 0.00 X 0 0 0 Tricia Hammel Board Member-SCF 2.00 0.00 X 0 0 0 Scott Heeter Board Member-SCF 2.00 2.00 X 0 0 0 Scott Heeter Board Member-SCH 2.00 2.00 X 0 0 0 David R Heilman Board Member-SCH 2.00 5.00 X 0 0 0 David R Heilman Board Member-SCMS 2.00 5.00 X 0 0 0 Amy M Kuntz Board Member-SCF 2.00 0.00 X 0 0 0 Paul F Lackner Board Member-SCF 2.00 0.00 X 0 0 0 Deborah M Lee Board Member-SCH 2.00 0.00 X 0 0 0 Dan L Long Board Member-SCF 2.00 0.00 X 0 0 0 Vicki McKenna Board Member-SCF 2.00 0.00 X 0 0 0 Thomas M Medwig Board Member-SCF 2.00 5.00 X 0 0 0 Thomas M Medwig Board Member-SCH 2.00 5.00 X 0 0 0 Thomas M Medwig Board Member-SCMS 2.00 5.00 X 0 0 0 John P Meegan Board Member-SCH 2.00 3.00 X 0 0 0 John P Meegan Board Member-SCMS 2.00 3.00 X 0 0 0 Kate Murphy Board Member-SCH as of 1/2025 2.00 0.00 X 0 0 0 Donald P Orr MD Board Member-SCH thru 12/2024 2.00 1.00 X 0 0 0 Christopher Passodelis Jr Esq Board Member-SCH 2.00 0.00 X 0 0 0 Brett C Perricelli MD Board Member-SCH thru 5/2025 4.00 0.00 X 0 0 0 Matthew G Pesacreta MD Board Member-SCH 2.00 0.00 X 0 0 0 Lucas B Piatt Board Member-SCF 2.00 0.00 X 0 0 0 Louis D Pietragallo Board Member-SCF 2.00 0.00 X 0 0 0 Jeffrey A Rex Board Member-SCH 2.00 3.00 X 0 0 0 Jeffrey A Rex Board Member-SCMS 2.00 3.00 X 0 0 0 Virginia W Rothschild Board Member-SCH 2.00 0.00 X 0 0 0 Matthew R Serakowski Board Member-SCF 2.00 0.00 X 0 0 0 Harry E Serene MD Board Member-SCF 2.00 0.00 X 0 0 0 Douglas E Shaffer Chair-SCH 5.00 1.00 X X 0 0 0 Joseph B Smith Board Member-SCH thru 12/2024 2.00 1.00 X 0 0 0 John T Sullivan MD Board Member-SCMS 2.00 60.00 X 0 0 0 Dena Haritos Tsamitis Board Member-SCF 2.00 0.00 X 0 0 0 Katie A Unger-Chipps Board Member-SCF 2.00 0.00 X 0 0 0 Teresa R Whalen Vice Chair-SCH 2.00 6.00 X X 0 0 0 Teresa R Whalen Chair-SCMS 5.00 3.00 X X 0 0 0 Eric M Wright Board Member-SCH 2.00 1.00 X 0 0 0 Thomas D Wright Jr Esq Board Member-SCF 2.00 2.00 X 0 0 0 Thomas D Wright Jr Esq Board Member-SCH 2.00 2.00 X 0 0 0 Susan Wyatt Board Member-SCF 2.00 0.00 X 0 0 0 G Alan Yeasted MD Board Member-SCH 2.00 30.00 X 0 0 0 Mark Zacur Board Member-SCH 2.00 1.00 X 0 0 0 Michael J Flanagan President/CEO-SCF 2.00 70.00 X 0 0 0 Paula L Hooper Esq Sr. VP/CLO/Secretary-SCF 2.00 70.00 X 0 0 0 Paula L Hooper Esq Sr. VP/CLO/Secretary-SCMS 2.00 70.00 X 0 0 0 Eric Luttringer Sr. VP/CFO/Treasurer-SCF 2.00 70.00 X 0 0 0 Eric Luttringer Sr. VP/CFO/Treasurer-SCMS 2.00 70.00 X 0 0 0 Donna M Shipley Asst Treas-SCF 2.00 70.00 X 0 0 0 Donna M Shipley Asst Treas-SCMS 2.00 70.00 X 0 0 0 14610302 0 1615152 352 1 1 0 UPMC PO BOX 223270 PITTSBURGH PA 15251 CONTRACTED EMPLOYEES 24090292 R1 RCM HOLDCO INC 29586 NETWORK PLACE CHICAGO IL 60673 CONTRACTED SERVICES 13757702 ALLSCRIPTS HEALTHCARE LLC PO BOX 8538-133 PHILADELPHIA PA 19171 SOFTWARE SUPPORT 7823972 AMERGIS HEALTHCARE STAFFING INC 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 EMPLOYMENT AGENCY 7723604 MASCARO CONSTRUCTION COMPANY LP 1720 METROPOLITAN STREET PITTSBURGH PA 15233 GENERAL CONTRACTOR 5053252 111 229089 60000 135499 5830985 168264 6255573 Net patient service rev 622110 390573931 388667042 1906889 Net physician practice revenue 621990 63826930 63826930 Cafeteria/Cafe 722514 1862456 1862456 Parking 812930 1289774 1289774 Lablink 621500 281849 281849 457834940 12333004 12333004 1848210 1822383 25827 25827 25827 115940501 107243388 368041 8697113 -368041 8329072 8329072 134535 229089 148944 -14409 -14409 75647 47158 28489 28489 Clinical/Partnership Activities 561000 1856470 1856470 Telephone 561000 656 656 1857126 486649622 454350442 282505 25761102 X 244095 244095 186909 186909 12963450 9935838 2849112 178500 170454441 145982724 24435922 35795 8565024 7244702 1317372 2950 15967189 13370573 2590447 6169 12065742 10239935 1823156 2651 4893799 4893799 1238154 1238154 309046 309046 37271 37271 29345 29345 62054470 34967870 26985186 101414 2383711 354859 2028852 1331954 997178 297993 36783 11083992 8425642 2636371 21979 9017241 4923098 4094143 312682 168925 135447 8310 174161 158660 14987 514 3842259 3836599 5660 29175561 14759060 14400749 15752 5461023 4704797 756226 Patient Care Supplies 88171092 87956356 214736 PA Quality Care Assessm 9719911 9719911 Equipment Rental & Main 4172612 3851709 320903 Food Service 2675849 1343530 1331710 609 6211295 4496095 1661816 53384 462742278 367869065 94408403 464810 20030 20030 16025082 22953929 6068130 5118786 92170867 75866596 7690256 9850958 9739864 10043140 560374485 307630407 249944184 252744078 372083343 392499122 13336435 14789493 3174222 3166741 2370251 3053606 41875181 40781885 814497845 830888364 84908014 72148455 4411397 2765632 108942714 105047358 77414083 74322684 275676208 254284129 X 513392878 552031980 25428759 24572255 538821637 576604235 814497845 830888364 X 23907344 15835126 -1959872 X 0 1 X 1 0 X X 1 St Clair Memorial Hospital 251010303 3 1 0 0 1 0 0 2154282 2784747 3900012 8777501 5093280 22709822 2154282 2784747 3900012 8777501 5093280 22709822 6887602 15822220 235461 180659 269828 364391 474967 1525306 24235128 921065 0.65290 0.53560 X 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Schedule A, Part II Reason for Public Charity Status St Clair Health Corp Group is comprised of - St Clair Memorial Hospital EIN# 25-1010303 - #3 - St Clair Memorial Health Foundation EIN# 25-1407399 - #7 - St Clair Professional Services, Inc EIN# 25-1691194 - #12 Type II - St Clair Anesthesiology Associates, Inc EIN# 71-0875076 - #12 Type II - St Clair Medical Group, Inc EIN# 25-1876056 - #12 Type II RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 11477 1 25794 0 0 37271 0 Part II-B, Line 1: Form 990, Part IV, Line 4 St. Clair Hospital is engaged in lobbying activities through membership dues paid to The Hospital & Healthsystem Association of Pennsylvania and through legal fees paid to Buchanan Ingersoll & Rooney. Additionally, any time spent by paid employees and / or management in lobbying activities are tracked internally and reported. 16134530 222498 1583781 524304 17416505 15004938 213591 1471180 555179 16134530 12967295 1968931 609980 541268 15004938 15538359 -2027577 543487 12967295 12836624 3217203 515468 15538359 0.03650 0.60280 0.36070 0 0 9810635 9810635 200616117 89065353 111550764 34575987 22749784 11826203 173399680 125017736 48381944 141972066 70797534 71174532 252744078 Due to Third Parties 7830171 Accrued Retirement Benefits 13315130 Accrued Professional Liability 23099956 Operating Lease ROU Assets 26031198 Accrued Interest 2012696 Finance Lease Liabilities 1073572 Other Liabilities 959961 74322684 X Part V, Line 4: Endowments are designated by donors and/ or the Board. Part X, Line 2: The Corporation, the Hospital, the Foundation, and SCMS are Pennsylvania nonprofit corporations that are described in Section 501(c)(3) of the Internal Revenue Code and are therefore exempt from federal income tax under Section 501(a) and are not subject to the Pennsylvania Corporate Net Income Tax or Pennsylvania Capital Stock Tax. The Corporation and its subsidiaries have adopted Accounting Standards Codification Subtopic 740-10, Accounting for Uncertainty in Income Taxes - an Interpretation of FASB Statement No. 109 (ASC 740-10). ASC 740-10 addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under ASC 740-10, the Corporation may recognize the tax benefit from an uncertain tax position only if its more likely than not that the tax position will be sustained upon examination by the taxing authorities, based on the technical merits of the position. As of June 30, 2025 and 2024, the Corporation does not have any uncertain tax positions. Central America and Caribbean Investments 26643830 0 0 0 0 0 0 26643830 0 26643830 1 0 1 1 0 0 Golf Outing and Dinner 363624 229089 134535 43600 1025 69863 34456 363624 229089 134535 43600 1025 69863 34456 148944 -14409 1 1 X 1 X 1 X 1 1 1 0 1 1 4780054 4780054 0.01030 38464154 22363538 16100616 0.03480 43244208 22363538 20880670 0.04510 476161 476161 0.00100 3777175 3777175 0.00820 12910781 12910781 0.02790 269442 269442 0.00060 17433559 17433559 0.03770 60677767 22363538 38314229 0.08280 494660 494660 0.00110 494660 494660 0.00110 1 8048447 228707447 267055768 -38348321 X 1 1 1 1 St Clair Memorial Hospital 1000 Bower Hill Road Pittsburgh PA 15243 https://www.stclair.org 450501 X X X St Clair Memorial Hospital 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X https://www.stclair.org/community/ X 1 24 1 https://www.stclair.org/community/ 0 1 X 200.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X https://www.stclair.org/billing-insurance/financial-assistance/ X See Part V, Line 16a X See Part V, Line 16a X X X X X X X 1 X 0 1 X 0 0 St Clair Memorial Hospital Part V, Section B, Line 5: In keeping with its commitment to the community, St. Clair Health initiated a 2025 Community Health Needs Assessment (Tax Year 2024) and thereafter published a comprehensive action plan. Results of the study identified four broad categories of health needs in which St. Clair would develop programs, deploy resources and partner with other local agencies to positively impact the health and well-being of those we serve: access to care; behavioral health; chronic diseases; healthy environment and conditions.Access to care - Access to care is fundamental to maintaining and improving community health; however, barriers such as cost, insurance status, transportation limitations, and scheduling challenges can delay or prevent individuals from receiving needed services. This lack of affordable and convenient access means people may be waiting too long to seek the treatment they need, which can lead to chronic conditions worsening, complications developing, and even emergencies and hospital admissions. To address these challenges, St. Clair Health continued to expand access through transportation, preventive outreach, and workforce development. In FY25, approximately 14,000 rides were provided through the Courtesy Van Service, representing an increase of more than 3,000 rides from the prior year, helping patients access hospital services, outpatient centers, and physician offices throughout the service region. To encourage preventive care, St. Clair sent over 9,000 annual wellness visit reminders via email and direct mail. Additionally, St. Clair strengthened provider availability by recruiting 26 new physicians across 12 specialties, expanding access to both primary and specialty care services. St. Clair also selected a leading Electronic Health Record (E.H.R.) partner to ease patient access to medical records and scheduling appointments and improve population health reporting.Healthy Environment and Conditions - Healthy environments and access to nutritious food are essential to preventing chronic disease and supporting overall well-being. To address food insecurity and promote healthy living, St. Clair Health continued partnerships with community organizations to expand access to fresh and nutritious foods. In FY25, St. Clair donated $30,000 to the Food Assistance Match (FAM) program to support the distribution of healthy foods at the Bethel Park Farmers Market, helping reduce financial barriers for lower-income families. St. Clair also donated 1,439 pounds of food to Living Stones to support its weekly Sunday meal program for community members in need. St. Clair continued to provide free health education at local food pantries, community events and farmers markets. Preventive health efforts continued through the administration of 500 free flu vaccinations to community members, helping reduce the spread of seasonal illness and support public health. These initiatives reflect St. Clair Health's ongoing commitment to creating healthier environments and improving conditions that support long-term wellness across its service area.Chronic Diseases and Cancer - Chronic diseases and cancer represent a substantial burden on individuals, families, and the healthcare system. St. Clair Health focuses on early detection, disease management, and survivorship support to improve long-term outcomes. In FY25, St. Clair hosted five free cancer screening events focused on breast, skin, and prostate cancer, resulting in 141 free cancer screenings for community members. The Diabetes Center continued to serve as a key community resource, with more than 400 patients receiving care and education. Additional support services included engagement of 138 participants in the Stroke Support Group. Survivorship programming was further expanded through the Feel Well Arts Oncology Survivorship Series, which hosted 24 sessions incorporating restorative movement, mindful art making, and literary arts to support holistic healing and quality of life for cancer survivors. In addition, the St. Clair Health Foundation, in partnership with A Glimmer of Hope and the St. Clair Hospital Cancer Center affiliated with UPMC Hillman Cancer Center, began offering Amma Cold Cap Therapy to breast cancer patients undergoing chemotherapy. Through this initiative, the Foundation covers the cost of cold caps for patients whose insurance does not provide coverage, helping to reduce treatment-related side effects and support patient dignity during care. St. Clair has also partnered with Cancer Bridges to provide comprehensive resources for cancer patients and survivors, including caregiver support groups, counseling services, and yoga classes. St. Clair is exploring developing a women's cardiac screening program to help focus on women's heart health and early detection.Behavioral Health - Behavioral health continues to be a significant and growing concern nationally and within southwestern Pennsylvania. Barriers such as stigma, workforce shortages, and limited access to timely services contribute to unmet mental health and substance use disorder needs. To address this priority, St. Clair Health maintained its commitment to community-based behavioral health services and partnerships. In collaboration with Gateway Rehab, St. Clair supported access to substance use disorder services by serving 299 new patients and 159 returning patients during FY25, including the continued availability of 24/7 Certified Recovery Support Specialists for hospital patients. St. Clair also continued offering community-based support programs, integrating behavioral health education, and working to reduce stigma among providers and patients through ongoing education and outreach.In addition to these specific CHNA initiatives, St. Clair also expands its reach to the community in the following ways:-St. Clair regularly contributes to partnering agencies in the form of monetary donations and in-kind contributions.-In the interest of safety and disease prevention, St. Clair has a needle disposal program for those who utilize needles, syringes and other sharp objects in managing conditions such as diabetes. This free service enables people to exchange containers of contaminated needles for empty ones.-St. Clair welcomes students from the region's many training programs and universities seeking to gain clinical experience. Medical students, residents, nursing students and others rotate through St. Clair's clinical departments as they prepare for careers in healthcare, and often times, returning to communities in need. After collecting data in 2024 from in-person interviews and focus groups with nonprofit partners and local community members, as well as a survey completed by St. Clair Health employees and the general public, St. Clair was able to reevaluate its main community needs. Therefore, in June 2025 St. Clair was able to publish a new three-year Community Health Needs Assessment Implementation Strategy to identify the most critical community health needs and how St. Clair can support them. St. Clair Health acknowledges the following for their valuable feedback and ideas:ST. CLAIR HOSPITAL COMMUNITY BENEFIT COMMITTEE MEMBERS at 6/30/25:G. Alan Yeasted, M.D.Sr. Vice President & Chief Medical Officer Emeritus, St. Clair HospitalBoard of Directors, St. Clair HospitalFrank Arcuri, Esq.Law Office of Frank ArcuriBoard of Directors, St. Clair HospitalRachel BrechtTiER1 Performance SolutionsBoard of Directors, St. Clair Hospital FoundationNorman FornellaExecutive Vice President & CFO, Baker Construction Enterprises, IncBoard of Directors, St. Clair Hospital FoundationDavid R. HeilmanHigh Oak Advisory Group, LLCBoard of Directors, St. Clair HospitalAndrea L. KalinaExecutive Liaison, Community Benefit CommitteeSenior Vice President of External Relations and Chief Human ResourcesOfficer, St. Clair HealthDan LongRetired, Enscoe Long Insurance Group, LLCBoard of Directors, St. Clair Hospital FoundationThomas M. MedwigBoard of Directors, St. Clair Health Corp.Board of Directors, St. Clair HospitalLindsay MeucciVice President - Marketing,Communications & Advocacy, St. Clair HealthKate MurphyPresident & CEO, CamposBoard of Directors, St. Clair HospitalLouis D. Pietragallo Jr.CEO, Stone Rooster Distributors, Inc.Board of Directors, St. Clair Health FoundationGinny Rothschild ReisingerChief Executive Officer/Principal, Workscape, Inc.Board of Directors, St. Clair HospitalMatthew R. SerakowskiUpper St. Clair Township ManagerBoard of Directors, St. Clair Hospital FoundationJohn T. Sullivan, M.D.Senior Vice President & Chief Medical Officer, St. Clair HealthBoard of Directors, St. Clair HospitalThomas D. Wright, Jr., Esq.Rosetta Capital CorporationBoard of Directors, St. Clair Hospital(Continued on Schedule O) St Clair Memorial Hospital Part V, Section B, Line 11: See Part VI and the CHNA Implementation Strategy. Implementation progress is reported quarterly to the St. Clair Health Community Benefit Committee and Board of Directors. St Clair Memorial Hospital Part V, Section B, Line 16j: St. Clair has a service for Limited English Proficiency (LEP) patients where patients can call and have the St. Clair Financial Assistance Policy translated. A simplified PLS for FAP and Collections is provided on the back of every statement and is available on our website https://www.stclair.org/billing-insurance/financial-assistance/. This simplified FAP listed on St. Clair's website also applies for lines 16C (plain language FAP widely available on the St. Clair Website) as well as for line 16F (Plain language FAP is available upon request and without charge). St Clair Memorial Hospital Part V, Section B, Line 20e: and 20f: St. Clair's Financial Assistance/Charity Care policy includes presumptive charity care as an addition to the regular financial assistance discount process. Patients that do not complete a formal charity care application are screened for presumptive charity care prior to being placed in the regular collection process and qualify for charity care if the patient's credit score is below St. Clair's threshold credit score or their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account. Line 20 is left blank because none of the actions in Line 19 are permitted under St. Clair's policy. Part V, Section B, Line 13h All patients without insurance are billed services at a discount regardless of income. Inpatient and outpatient services are discounted to a level approximating the average of Medicare and all commercial payment rates. In addition to Federal Poverty Guidelines, St. Clair utilizes a presumptive charity care determination process. Patients that do not complete a formal charity care application qualify for presumptive charity care if the patient's credit score is below St. Clair's threshold credit score or their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account. 40 1 - SCMG Cardiology 1000 Bower Hill Road Suite 7400 Pittsburgh PA 15243 Physician Office 2 - SCMG Cardiology 2000 Oxford Drive Suite 305 Bethel Park PA 15102 Physician Office 3 - SCMG Cardiology 5000 Waterdam Plaza Drive Suite 120 McMurray PA 15317 Physician Office 4 - SCMG Urology 1000 Bower Hill Rd Suite 7600 Pittsburgh PA 15243 Physician Office 5 - SCMG Urology 1029 Country Club Rd Suite 205 Monongahela PA 15063 Physician Office 6 - SCMG Urology 651 Collier Way Suite 509 Weirton WV 26062 Physician Office 7 - SCMG Internal Med-Fatigati Nalin Assoc 5187 Library Road Bethel Park PA 15102 Physician Office 8 - SCMG Internal Med-Fatigati Nalin Assoc 350 Broughton Road Bethel Park PA 15102 physician Office 9 - SCMG Internal Med-Fatigati Nalin Assoc 1025 Washington Pike Suite 3 Bridgeville PA 15017 Physician Office 10 - SCMG Internal Med-Fatigati Nalin Assoc 1 Robinson Plaza Suite 410 Pittsburgh PA 15205 Physician Office 11 - SCMG Internal Med-Fatigati Nalin Assoc 3928 Washington Road Suite 280 McMurray PA 15317 Physician Office 12 - SCMG Internal Med-Fatigati Nalin Assoc 1050 Bower Hill Rd Suite 101 Pittsburgh PA 15243 Physician Office 13 - SCMG Orthopedic Surgery 3928 Washington Rd Suite 270 mcMurray PA 15317 physician Office 14 - SCMG Orthopedic Surgery 1000 Bower Hill Rd Suite 7300 Pittsburgh PA 15243 Physician Office 15 - SCMG OBGyn 1050 Bower Hill Road Suite 205 Pittsburgh PA 15243 Physician Office 16 - SCMG OBGyn 1 Robinson Plaza Suite 410 Pittsburgh PA 15205 Physician Office 17 - SCMG OBGyn 2000 Oxford Drive Suite 415 Bethel Park PA 15102 Physician Office 18 - SCMG Internal Med-Riccelli Associates 5301 Grove Road Suite 631 Pittsburgh PA 15236 Physician Office 19 - SCMG Internal Med-Riccelli Associates 2000 Oxford Drive Suite 420 Bethel Park PA 15102 Physician Office 20 - SCMG Internal Med-Riccelli Associates 3928 Washington Rd Suite 270 mcMurray PA 15317 physician Office 21 - SCMG Family Medicine 2000 Oxford Drive Suite 302 Bethel Park PA 15102 Physician Office 22 - SCMG Family Medicine 3828 Washington Rd Suite 280 McMurray PA 15317 Physician Office 23 - SCMG Family Medicine 1 Robinson Plaza Suite 410 pittsburgh PA 15205 physician Office 24 - SCMG Neurology 1050 Bower Hill Road Suite 101 Pittsburgh PA 15243 Physician Office 25 - SCMG Neurology 5000 Waterdam Plaza Drive Suite 120 mcMurray PA 15317 Physician Office 26 - SCMG Colorectal Surgery 1050 Bower Hill Road Suite 208 Pittsburgh PA 15243 Physician Office 27 - SCMG Pulmonary & Critical Care Med 1050 Bower Hill Road Suite 306 Pittsburgh PA 15243 Physician Office 28 - SCMG Urgent Care 2000 Oxford Drive Suite 100 Bethel Park PA 15102 Urgent Care Center 29 - SCMG General Surgery 1050 Bower Hill Road Suite 301 pittsburgh PA 15243 Physician Office 30 - SCMG General Surgery 1050 Bower Hill Road Suite 201 Pittsburgh PA 15243 Physician Office 31 - SCMG General Surgery 3928 Washington Rd Suite 270 McMurray PA 15317 Physician Office 32 - SCMG Internal Med-West Hills Medical 1 Robinson Plaza Suite 410 Pittsburgh PA 15205 Physician Office 33 - SCMG Cardiac Surgery 1000 Bower Hill Rd Suite 7400 Pittsburgh PA 15243 Physician Office 34 - SCMG Breast&General Surgery 2000 Oxford Drive Suite 301 Bethel Park PA 15102 Physician Office 35 - SCMG Breast&General Surgery 3928 Washington Road Suite 270 McMurray PA 15317 Physician Office 36 - SCMG Associates in Endocrinology 2000 Oxford Drive Suite 200 bethel Park PA 15102 physician Office 37 - SCMG Plastic Surgery 2000 Oxford Drive Suite 410 Bethel Park PA 15102 Physician Office 38 - SCMG Endocrinology 2000 Oxford Drive Suite 405 Bethel Park PA 15102 Physician Office 39 - SCMG Thoracic Surgery 1050 Bower Hill Road Suite 204 Pittsburgh PA 15243 Physician Office 40 - SCMG Pulmonary Medicine 1050 Bower Hill Road Suite 304 Pittsburgh PA 15243 Physician Office Part I, Line 3c: In addition to Federal Poverty Guidelines, St. Clair utilizes a presumptive charity care determination process. Patients that do not complete a formal charity care application qualify for presumptive charity care if the patients' credit score is below St. Clair's threshold credit score or their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account. Additionally, all patients without insurance are billed services at a discount regardless of income. Inpatient and outpatient services are discounted to a level approximating the average of Medicare and all commercial payment rates. Part I, Line 7: The Hospital's ratio of cost to charges was applied to the total charges for accounts written off to charity care of $5,252,899 in order to determine a reasonable approximation of the cost of providing services for those patients. Costs were then prorated between payments and charity care write-offs on the accounts to calculate the cost amount disclosed.The cost of Medicaid accounts utilized to calculate the Medicaid Community Benefit expense was derived from St. Clair's internal cost accounting system.Subsidized health services cost includes $1,157,000 of support for physician psychiatrics losses provided to the Hospital. Behavioral Health was one of the four categories of community needs as identified in St Clair's 2025 Community Needs Assessment discussed later in Schedule H, Part II, Community Building Activities, and continues to be a high need as many facilities continue to reduce their programs and available beds. St. Clair has not reduced any behavioral health services to its community. All other items in Part I, Line 7 represents actual costs. Part I, Ln 7 Col(f): Actual Provision for Bad Debts expense totaling $10,200,124 have been excluded from the denominator in the calculation of percentage of total expense. Part II, Community Building Activities: St. Clair Hospital, St. Clair Medical Services and St. Clair HospitalFoundation are Pennsylvania non-profit corporations, exempt from taxesunder Section 501(c)(3) of the Internal Revenue Code of 1986, as amended(the "Code"), which own and operate an acute care hospital providing acomprehensive range of general and specialized care along with physicianpractices supporting the hospital and surrounding communities and aFoundation, the purpose of which is to support health and welfareinitiatives.St. Clair Hospital is a national leader in quality care, patient safety, patient satisfaction, and value. In 2025, St. Clair Hospital celebrated its 9th year as the exclusive Western Pennsylvania member of the Mayo Clinic Care Network. This clinical collaboration provides St. Clair's outstanding physicians with direct access to the world-renowned expertise of Mayo Clinic. Physicians can easily consult directly with Mayo Clinic specialists at no additional cost to the patient. The Hospital has been recognized twenty-four times with A grades for Hospital Safety. St. Clair has also achieved the Centers for Medicare & Medicaid Services (CMS) 4 star rating, with only 10.1% of hospitals in the national achieving higher. Additionally, the Hospital was recognized by The Hospital and Healthsystem Association of Pennsylvania (HAP) for excellence in patient safety in 2025.The Hospital is committed to improving the health status of patients in our region without regard to their ability to pay. A comprehensive offering of programs and services is made available on and off campus (to include partnering with other local healthcare agencies) and encompasses health education and screenings, prenatal education, smoking cessation, psychiatry and mental health services, cancer care, nutrition and weight control, and the management of chronic diseases such as diabetes, congestive heart failure, COPD and asthma. In most cases these programs are provided at no cost to participants, and are generally fully subsidized. Among its other charitable works, St. Clair supports numerous community based programs including a subsidized cardiac rehabilitation program, well-baby programs, CPR training for schools and non-profit organizations, provision of Narcan supplies and training to first responders on usage, flu and pneumonia vaccinations for local EMS workers, a needle disposal program for diabetics and other individuals who self administer medications, and mentoring opportunities for young adults interested in healthcare careers.The Foundation funds the Hospital's courtesy van-service transportation program, a free need-based service available to local residents who require rides to and from the Hospital and its affiliate locations. During the year ended June 30, 2025, the van provided approximately 14,000 area residents access to healthcare services. In addition over 150 community outreach education programs were sponsored by St. Clair, encompassing nearly every clinical service.St. Clair has established regional partners with whom learner placements are coordinated, serving approximately 480 total learners in the Pittsburgh region during FY 2025. St. Clair serves as a clinical site for nursing and health science learners, in addition to medical students and residents, resulting in over 46,000 total student hours (or upwards of 31 FTE count) on St. Clair's main hospital and surrounding campus settings. Dedicated St. Clair employees have committed over 44,000 hours precepting learners and facilitating future healthcare workers in our local communities. A high school career exploration day occurs semiannually to introduce local high school students to careers in healthcare, expanding their access to learn directly from healthcare professionals at St. Clair.St. Clair is actively involved with the clinical training of over 80 Emergency Medical Technicians and Paramedics. Approximately 1,200 hours of training were devoted for their education in order to strengthen the quality of care given by these professionals. The following is a sample of other ways in which St. Clair supports thecommunity:Since its inception, St. Clair Hospital has remained focused on the needs of the community. St. Clair envisions our community as a place where healthful lifestyles are the norm, where residents of any neighborhood have access to health education, disease prevention, screening and primary care. By engaging in partnerships with established nonprofit agencies and charitable organizations who share our values and goals, St. Clair expands its reach into the community, building on existing strengths and delivering on our promise to be a regional resource. We aim to create a healthier region by providing excellent care and improving the quality of life for our neighbors. In keeping with its commitment to the community, St. Clair Health initiated a 2025 Community Health Needs Assessment (Tax Year 2024) and thereafter published a comprehensive action plan. Results of the study identified four broad categories of health needs in which St. Clair would develop programs, deploy resources and partner with other local agencies to positively impact the health and well-being of those we serve: access to care; healthy environment and conditions; chronic disease and cancer; behavioral health.Access to care - Access to care is fundamental to maintaining and improving community health; however, barriers such as cost, insurance status, transportation limitations, and scheduling challenges can delay or prevent individuals from receiving needed services. This lack of affordable and convenient access means people may be waiting too long to seek the treatment they need, which can lead to chronic conditions worsening, complications developing, and even emergencies and hospital admissions. To address these challenges, St. Clair Health continued to expand access through transportation, preventive outreach, and workforce development. In FY25, approximately 14,000 rides were provided through the Courtesy Van Service, representing an increase of more than 3,000 rides from the prior year, helping patients access hospital services, outpatient centers, and physician offices throughout the service region. To encourage preventive care, St. Clair sent over 9,000 annual wellness visit reminders via email and direct mail. Additionally, St. Clair strengthened provider availability by recruiting 26 new physicians across 12 specialties, expanding access to both primary and specialty care services. St. Clair also selected a leading Electronic Health Record (E.H.R.) partner to ease patient access to medical records and scheduling appointments and improve population health reporting.Healthy Environment and Conditions - Healthy environments and access to nutritious food are essential to preventing chronic disease and supporting overall well-being. To address food insecurity and promote healthy living, St. Clair Health continued partnerships with community organizations to expand access to fresh and nutritious foods. In FY25, St. Clair donated $30,000 to the Food Assistance Match (FAM) program to support the distribution of healthy foods at the Bethel Park Farmers Market, helping reduce financial barriers for lower-income families. St. Clair also donated 1,439 pounds of food to Living Stones to support its weekly Sunday meal program for community members in need. St. Clair continued to provide free health education at local food pantries, community events and farmers markets. Preventive health efforts continued through the administration of 500 free flu vaccinations to community members, helping reduce the spread of seasonal illness and support public health. These initiatives reflect St. Clair Health's ongoing commitment to creating healthier environments and improving conditions that support long-term wellness across its service area.Continued in Additional Information Part III, Line 2 The Hospital and St. Clair Medical Services individual ratios of cost to charges was applied to the total charges for accounts written off in order to determine a reasonable approximation of the cost of providing services for those patients. Costs were then prorated between payments and bad debt write-offs on the accounts to calculate the cost amount disclosed in Part III section A. Part III, Line 3 St. Clair's Financial Assistance/Charity Care policy includes presumptive charity care as an addition to the regular financial assistance discount process. Patients that do not complete a formal charity care application are screened for presumptive charity care prior to being placed in the regular collection process and qualify for charity care if the patients' credit score is below St. Clair's threshold credit score or their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account. As such, St. Clair expects the amount of bad debt expense attributable to patients eligible under the financial assistance policy to be negligible. Part III, Line 4: St. Clair's audited financial statements, Note 2, pages 17-20 describe bad debt expense and uncompensated care. Part III, Line 8: The Hospital provides services regardless of the level of reimbursement to be received from the patient or its insurer. Reimbursement from the government-sponsored programs including Medicare and state Medical Assistance and indigent care programs are often less than the cost of providing these services and therefore should be treated as community benefit. The Hospital's ratio of cost to charges was utilized to estimate this shortfall. Part III, Line 9b: St. Clair provides quality medical health care regardless of race, creed, sex, national origin, age, sexual orientation, or the ability to pay. The care includes both inpatient and outpatient services as well as maintaining an emergency department that is available twenty-four (24) hours a day and treats approximately 55,000 patients annually. St. Clair provides free or discounted care to patients who meet certain criteria under St. Clair's Financial Assistance and Charity Care Program. St. Clair ensures that its financial assistance program is easily accessible to patients in need and the policy is posted in all key public areas, all registration areas and in all ancillary departments. The policy extends free or discounted services to low-income, uninsured or underinsured, patients with extraordinary medical expenses and indigent individuals who do not otherwise have the ability to pay fully for medically necessary health care. All patients without insurance are billed services at a discount regardless of income. Inpatient and outpatient services are discounted to a level approximating the average of Medicare and all commercial payment rates. Once St. Clair determines that a patient has qualified for formal charity care or free care, based on a sliding scale of 200%, 250% or 300% of federal poverty guidelines an additional adjustment of 100%, 30% or 20%, respectively, is applied to all accounts reviewed in the charity care/financial assistance application process. Those patients that do not complete a formal charity care application are screened for presumptive charity care prior to being placed in the regular collection process and qualify for charity care if the patients' credit score is below St. Clair's threshold credit score or if their estimated income are within the policy guidelines. Presumptive charity care is extended to a single account. No further collection efforts are made on those qualifying for the 100% discount. For the patients qualifying for the 20% or 30% discount, the balance due is adjusted by the applicable percentage and the remaining balance continues through the regular collection process. During the year ended June 30, 2025, $11,456,000 of uninsured discounts were provided. Part VI, Line 2: St. Clair completed all phases of its Community Health Needs Assessment (CHNA), publicizing its findings from the most recent assessment in May 2025 (Tax Year 2024). The CHNA process considered and assessed a wide range of primary and secondary data sources including focus groups withpersons who represent the broad interests of the community and those with expertise in public health as well as assessments and studies prepared by other organizations. While the Hospital has made great strides inreaching at-risk populations with underserved health needs, it is well understood that poor health is multifactorial and requires continued intervention. The 2025 CHNA reaffirmed the continued need for a number ofthe 2022 initiatives. Using the 2025 CHNA as a roadmap, the Board adopted action plan will address the critical health needs in the following areas and, where appropriate, partner with other community agencies to improve care: Access to Care, Healthy Environment and Conditions, Chronic Disease and Cancer, and Behavioral Health. Part VI, Line 3: The Hospital's process for educating patients about the Charity Care/Financial Assistance Policy is as follows:All uninsured patients who are registered through the emergency department are given a handout with information about the Hospital's Charity Care/Financial Assistance Policy. All patients who are admitted as inpatients receive a Patient Handbook and one section of the Handbook describes the Charity Care/Financial Assistance Policy. All self-pay patients are mailed the charity care letter and application.The Hospital's customer service representatives discuss the charity care policy when patients call the customer service line.All Self-pay patients who are admitted are seen by an outside consulting firm for a Medical Assistance qualification screening process. The firm also handles high-dollar outpatient accounts. The Hospital strives to be as helpful as possible in discussing charity care for our scheduled and unscheduled patient population.All patient statements notify patients that the hospital offers financial assistance/charity care, the customer service phone number, and hours of operation for additional information.The hospital's website notifies patients that the hospital offers financial assistance and provides access to the financial assistance/charity care application.Financial assistance notification is posted in all registration and other high volume patient areas. Part VI, Line 4: St. Clair is located in the municipality of Mt. Lebanon, in the southwestsuburban quadrant of metropolitan Pittsburgh, Pennsylvania, approximatelysix miles from the downtown proper. St. Clair considers its service areato include thirty-four zip codes within six regions in southwesternAllegheny and northern Washington County, with a population of 509,000 and 11% of all households having incomes below $25,000. St. Clair also maintains a comprehensive outpatient center located in Bethel Park,approximately three miles from the main hospital, and a second outpatientcenter located in Peters Township, Washington County, approximately tenmiles from the Hospital, as well as two smaller outpatient centers withinsimilar proximity. The Hospital is licensed for 329 beds of which 293were set up and staffed during the year ended June 30, 2025. Part VI, Line 5: St. Clair is the region's leading healthcare provider, excelling in quality, service and value. St. Clair's values are demonstrated through performance, integrity, compassion, pride and innovation. With around 2,500 employees, St. Clair is the largest employer in southern Allegheny County. St. Clair's board of directors is comprised of members of the local community so that community needs can be properly determined and addressed. Subsidized Health ServicesIn addition to charity care and costs not covered by Medicaid payments, another community benefit provided by St. Clair is subsidized health services. These services yield low or negative margins, but are necessary to serve the community. $12,910,781 subsidized health services were provided for the year ended June 30, 2025.Healthcare ServicesSt. Clair offers a comprehensive array of inpatient and outpatient services, including: advanced cardiovascular services; specialized care for women, children and infants; diabetes treatment; oncology services; emergency care; general surgery services; primary care; psychiatry and mental health services; and pulmonary care. In addition to the high quality, broad range of clinical services offered, St. Clair is equally committed to capital improvements and purchases of new technology to enhance its services to meet the community's health needs. To that end, the Hospital has invested approximately $168,000,000 over the past five years.Each of these areas is staffed by a team of skilled physicians, nurses and other clinicians. St. Clair considers requests for clinical privileges and medical staff membership based upon the needs of the community and Medical Staff Development Plan.St. Clair provides an array of advanced and highly specialized services. The Hospital is focused on continuously enhancing its services and technologies to ensure that the community's health needs are met. A description of key services follows:In May 2021, St. Clair completed construction of and opened its Dunlap Family Outpatient Center ("the Center"), a 280,000-square-foot comprehensive outpatient center on St. Clair's main campus. The Center is designed to consolidate outpatient services currently offered across multiple buildings, as well as expand outpatient offerings to include high-acuity and multidisciplinary services. The building includes 10 operating rooms (8 of which are set-up and staffed), six endoscopy suites (4 of which are set-up and staffed), 39 pre- and 15 post-operative beds, a Walgreens pharmacy offering a meds to beds program, diagnostic facilities, a cancer center and clinical office space.Cardiovascular Services - From diagnosis to treatment to rehabilitation and wellness, multidisciplinary teams of caregivers at St. Clair offer a full range of cardiac care services. St. Clair achieves industry-leading treatment times for heart attack victims arriving at our Emergency Department, resulting in best practice outcomes. St. Clair's average time from hospital door to first balloon inflation of 62 minutes is at the 50th percentile mark of 90 minutes for the national standard set by The American College of Cardiology. St. Clair continues to expand its cardiovascular program. In addition to the transcatheter aortic valve replacement (TAVR) program started in 2019, in FY22, St. Clair successfully performed its first Watchman procedure designed to reduce blood clots entering the blood stream and aid in stroke prevention and performed its first MitraClip procedure for the treatment of mitral valve regurgitation. In FY24, St. Clair initiated Shockwave Therapy, intravascular lithotripsy of severely calcified coronary or vascular vessels, performed its first Impella 5.5, a surgically implanted heart pump, and initiated a pulmonary embolus response program to expand the treatment of life-threatening blood clots. Additionally, for the third year in a row, St. Clair was named a Blue Distinction Center for Cardiac Care for its best practices and standards of care. St. Clair also hosts the annual Pittsburgh Heart Summit, bringing leading local and national cardiovascular physicians and health professionals together for two days to share current trends and data. Cardiologists and cardiac surgeons are available 24 hours a day, seven days a week to provide scheduled and emergency cardiac care, seamlessly delivered with a goal of high quality, compassionate, and personalized care. Additionally, St. Clair's cardiovascular program provides comprehensive services including screening, prevention, cardiac rehabilitation and educational programs to the community. St. Clair's Cardiac Rehabilitation program received approximately 19,700 annual visits. St. Clair offers a full range of cardiac diagnostic testing, including ECG, holter monitoring, event recording, echocardiogram, cardiac CT angiography, and stress tests at multiple locations. Psychiatry and Mental Health Services - St. Clair provides comprehensive diagnosis, treatment and follow-up care for persons suffering from mental illness though an Inpatient unit, Outpatient Services, Electroconvulsive Therapy, Mental Health Consultation-Liaison, and Community Outreach. The Psychiatry and Mental Health Services program offers a safe compassionate treatment environment where the recovery process begins or continues. The program engages a multi-disciplinary team of caring professionals (physicians, nurses, therapists and social workers) to develop individual treatment plans to meet the specific needs of each patient. St. Clair provides mental health care services to approximately 3,500 patients annually. Orthopedics/Spine - St. Clair's Orthopedics program includes a variety of services focused on the prevention, diagnosis and treatment of disorders of the musculoskeletal system. From diagnostic testing to arthroscopic and minimally invasive surgery to major joint replacement and spinal procedures to rehabilitation, St. Clair provides access to orthopedic care in a compassionate setting. The multidisciplinary team of physicians, therapists, and nurses, including an orthopedic nurse navigator, develop coordinated treatment plans for each patient with personalized attention and comprehensive care with the ultimate goals of better results and fewer complications. St. Clair also offers orthopedic education and prevention programs to the community. St. Clair's 90-day readmission rate for hip and knee replacement performs better than the national benchmark according to the national American Joint Replacement Registry.Women's and Children's Services - Women's and Children's Services provides a comprehensive continuum of care, spanning from pre-natal, obstetrics, newborn and pediatric services to complete gynecological and urological services. The Family Birth Center includes 11 Labor, Delivery Recovery beds and 21 Post-Partum beds, a Level II neonatal intensive care unit and an 9 bed Pediatric unit. St. Clair performed 1,095 deliveries during the year ended June 30, 2025. Additionally, it provides education and support programs including a team of certified lactation specialists. A board-certified or board eligible pediatrician is on-site 24 hours a day. There is also a team of perinatologists available for consults, ultrasounds and shared management of high risk patients.Cancer Care - The St. Clair Hospital Cancer Care program provides comprehensive inpatient and outpatient services to patients diagnosed with cancer. The program is accredited by the American College of Surgeons Commission on Cancer. The focus is to treat not only the physical needs of patients but also their emotional, spiritual and psychosocial needs throughout all stages of the cancer care continuum. Additionally the Cancer Center Program provides community cancer screenings, educational programs on cancer prevention and wellness, and cancer support groups. St. Clair operates the 2nd busiest prostate and 3rd busiest breast cancer programs in the Pittsburgh market (PHC4 2024). In September 2021, St. Clair developed western Pennsylvania's first high-risk breast imaging program, patterned after one at Mayo Clinic. The program uses the Tyrer-Cuzick Risk Assessment Calculator to identify patients at elevated risk for breast cancer, and employs a multidisciplinary team to closely follow those patients. Through June 30, 2025 over 14,000 patients completed the high-risk breast cancer assessment while having their annual breast cancer screening mammogram.See Additional Information for other services. Part VI, Line 7, Reports Filed With States PA Additional Information Continued Part II Community Building Activities:Chronic Diseases and Cancer - Chronic diseases and cancer represent a substantial burden on individuals, families, and the healthcare system. St. Clair Health focuses on early detection, disease management, and survivorship support to improve long-term outcomes. In FY25, St. Clair hosted five free cancer screening events focused on breast, skin, and prostate cancer, resulting in 141 free cancer screenings for community members. The Diabetes Center continued to serve as a key community resource, with more than 400 patients receiving care and education. Additional support services included engagement of 138 participants in the Stroke Support Group. Survivorship programming was further expanded through the Feel Well Arts Oncology Survivorship Series, which hosted 24 sessions incorporating restorative movement, mindful art making, and literary arts to support holistic healing and quality of life for cancer survivors. In addition, the St. Clair Health Foundation, in partnership with A Glimmer of Hope and the St. Clair Hospital Cancer Center affiliated with UPMC Hillman Cancer Center, began offering Amma Cold Cap Therapy to breast cancer patients undergoing chemotherapy. Through this initiative, the Foundation covers the cost of cold caps for patients whose insurance does not provide coverage, helping to reduce treatment-related side effects and support patient dignity during care. St. Clair has also partnered with Cancer Bridges to provide comprehensive resources for cancer patients and survivors, including caregiver support groups, counseling services, and yoga classes. St. Clair is exploring developing a women's cardiac screening program to help focus on women's heart health and early detection. Behavioral Health - Behavioral health continues to be a significant and growing concern nationally and within southwestern Pennsylvania. Barriers such as stigma, workforce shortages, and limited access to timely services contribute to unmet mental health and substance use disorder needs. To address this priority, St. Clair Health maintained its commitment to community-based behavioral health services and partnerships. In collaboration with Gateway Rehab, St. Clair supported access to substance use disorder services by serving 299 new patients and 159 returning patients during FY25, including the continued availability of 24/7 Certified Recovery Support Specialists for hospital patients. St. Clair also continued offering community-based support programs, integrating behavioral health education, and working to reduce stigma among providers and patients through ongoing education and outreach.In addition to these specific CHNA initiatives, St. Clair also expands its reach to the community in the following ways:-St. Clair regularly contributes to partnering agencies in the form of monetary donations and in-kind contributions.-In the interest of safety and disease prevention, St. Clair has a needle disposal program for those who utilize needles, syringes and other sharp objects in managing conditions such as diabetes. This free service enables people to exchange containers of contaminated needles for empty ones.-St. Clair welcomes students from the region's many training programs and universities seeking to gain clinical experience. Medical students, residents, nursing students and others rotate through St. Clair's clinical departments as they prepare for careers in healthcare, and often times, returning to communities in need.Continued from above Healthcare Services:The St. Clair Hospital Radiation Oncology Center, in affiliation with UPMC Hillman Cancer Center, is located on the Hospital's main campus and offers area residents access to convenient, advanced, comprehensive, and high-quality care close to home. The Center provides a full spectrum of radiation treatment services, including Intensity-Modulated Radiation Therapy (IMRT) capabilities. IMRT gives radiation oncologists the ability to more precisely "custom sculpt" the shape of a tumor, delivering the right amount of radiation with more accuracy and helping to preserve healthy tissue around the tumor. In June 2021, the Center treated its first patient using state-of-the-art Stereotactic Body Radiotherapy (SBRT) which delivers a higher dose of radiation over a shorter number of sessions. During the year ended June 30, 2025, 200 treatments were provided using the SBRT technology. Medical Oncology - In May 2021, also in affiliation with the UPMC Hillman Cancer Center, the opening of the Dunlap Family Outpatient Center consolidated medical oncology into a single campus with surgical and radiation oncology. The 20,000 square foot Cancer Center allows area residents access to the most cutting-edge treatments, interactions with the highest-level researchers, physicians and clinicians and convenient access to care. The affiliation also provides area residents access to clinical trials, including immunotherapy.St. Clair's Sipe Infusion Center is an outpatient clinic located within the hospital. Members of the Infusion Center Team provide skilled nursing care, education and emotional support to patients with various conditions, including those with cancer and benign hematologic disorders, autoimmune disorders (such as Crohn's Disease, Arthritis, and Multiple Sclerosis), and Osteoporosis. The Center provides administration services for intravenous and injectable treatments such as chemotherapies and biologics; immunotherapies; intravenous Immune Globulin (IVIG); antibiotics; hydration; blood products; therapeutic phlebotomy; and vaccinations. The Sipe Infusion Center provides services 7 days/week, 365 days/year.Emergency Services - St. Clair has the largest Emergency Department in its total service area with approximately 55,000 annual visits in the year ended June 30, 2025. The Emergency Department is open 24 hours a day, providing emergency care ranging from minor injuries and illness to life-threatening accidents or illnesses.Surgical Services - St. Clair's Surgical Services Department (13 operating rooms in the main suite and 8 operating rooms located in the Dunlap Family Outpatient Center on the hospital campus) performs a wide range of operative procedures, including: minimally-invasive laparoscopy surgery; gynecological surgery; ear, nose and throat surgery; orthopedic and spine surgery; pediatric surgery; oral/maxillofacial surgery; podiatry surgery; open chest (heart) surgery; urological surgery; ophthalmologic surgery; pain control services; laser surgery; general surgery; vascular surgery; plastic and reconstructive surgery; lithotripsy; and thoracic surgery. St. Clair provides minimally invasive surgical procedures through the use of the da Vinci Si robotic surgical system. In FY24, St. Clair added a second robot on its main campus at its Dunlap Family Outpatient Center.Medical Imaging - St. Clair runs a full-service Medical Imaging Department, offering a variety of diagnostic and interventional studies at the Hospital campus and three outpatient centers using the modalities of general radiology, fluoroscopy, nuclear medicine, ultrasound, obstetrical ultrasound, screening and diagnostic mammography, CT scanning, MRI, PET/CT (a joint venture with UPMC Hillman Cancer Center) and interventional and endovascular services.Laboratory Services - St. Clair's full-service Laboratory operates 24 hours a day, seven days a week to provide quick and accurate test results. The Lab offers comprehensive testing in the specialties of Hematology, Chemistry, Microbiology, Histology, Cytology and Blood Banking. In addition to the main campus and new services offered in Dunlap Family Outpatient Center, St. Clair provides laboratory services at the two outpatient centers and outreach facilities.Physical and Occupational Therapy - St. Clair's Physical Therapy Department offers comprehensive rehabilitation services to inpatients and outpatients. Licensed Physical Therapists and Physical Therapist Assistants provide exercise, mobility training, thermal and cryo modalities, and tissue mobilization. The health care professionals within St. Clair's Occupational Therapy Department treat patients to improve function in their day-to-day activities, including personal hygiene, mobility, vocational and leisure activities. The outpatient therapy department, located at the Village Square Outpatient Center, ranks in the top decile nationally for patient satisfaction (Press Ganey). 1 St Clair Memorial Health Foundation (related org) 251407399 60000 0 Employee Assistance Employee assistance - expenses 22 43669 Patient assistance 18 31169 Oncology 432 20325 Breast Care Fund 40 38071 OT/PT Rehab 2 1250 NanRees Employee Assistance 1050 52425 Part I, Line 2: Funds are budgeted and approved by St. Clair Health Foundation Board on an annual basis. St. Clair Memorial Hospital Social Service department identifies employees and patients in need, from a care perspective and makes recommendations to senior management. Based on established criteria and need senior management forwards approved recommendations to St. Clair Health Foundation for disbursement of approved funding. X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 Andy C Kiser MD Board Member-SCMS 1212641 0 400000 0 0 0 27306 0 23076 0 1663023 0 0 0 Michael J Flanagan President/CEO-SCH 708298 0 225000 0 70925 0 157137 0 24422 0 1185782 0 70175 0 Kevin Bordeau MD Board Member-SCMS 801226 0 273301 0 0 0 33768 0 22033 0 1130328 0 0 0 Shaka Walker MD Physician 717167 0 262020 0 0 0 28177 0 22404 0 1029768 0 0 0 Ryan Zuzek MD Physician 685260 0 221811 0 0 0 22264 0 21712 0 951047 0 0 0 Jeffrey Liu MD Physician 573640 0 273979 0 60 0 29058 0 426 0 877163 0 0 0 John T Sullivan MD Sr. VP/CMO-SCH 493809 0 169000 0 73530 0 108180 0 22701 0 867220 0 73500 0 James Mullen MD Physician 723568 0 72500 0 0 0 17739 0 24935 0 838742 0 0 0 Richard Mitchell MD Physician 679410 0 109310 0 0 0 28232 0 20481 0 837433 0 0 0 Marion M McGowan Sr. VP/COO/Asst Sec-SCH 471556 0 161000 0 75831 0 55546 0 12105 0 776038 0 75831 0 Barry S Zaiser Sr. VP/CSO/Asst Secretary-SCMS 386305 0 139000 0 63970 0 105768 0 22942 0 717985 0 63133 0 Diane L Puccetti RN VP Nursing & CNO-SCH 266664 0 63000 0 244851 0 76758 0 13997 0 665270 0 232974 0 Nicholas P DiTullio MD Board Member-SCH 320833 0 235897 0 0 0 38259 0 23384 0 618373 0 0 0 Eric Luttringer Sr. VP/CFO/Treasurer-SCH 341389 0 108000 0 43960 0 86967 0 30268 0 610584 0 28394 0 Paula L Hooper Esq Sr. VP/CLO/Secretary-SCH 375224 0 115000 0 0 0 85662 0 19964 0 595850 0 0 0 Andrea L Kalina Sr. VP Ext Affrs & CHRO/Asst Sec-SCF 309842 0 98000 0 56845 0 93575 0 23178 0 581440 0 49444 0 Robert N Shogry MD Board Member-SCF 437160 0 67567 0 809 0 36461 0 26900 0 568897 0 0 0 Antonio M Riccelli MD Board Member-SCMS 322707 0 131165 0 750 0 37241 0 20298 0 512161 0 0 0 Mario J Fatigati MD Board Member-SCMS 281155 0 83696 0 0 0 40285 0 20946 0 426082 0 0 0 Elizabeth Pittman Former Officer-SCMS 199225 0 45000 0 27769 0 52175 0 24170 0 348339 0 25337 0 Donna M Shipley Exec Dir. Finance/Asst Treas-SCH 197640 0 20136 0 8831 0 20438 0 11394 0 258439 0 0 0 Richard Chesnos Former Officer-SCH 87016 0 0 0 11111 0 928 0 1492 0 100547 0 0 0 Part I, Line 1a Duquesne Club: Membership dues are paid for Michael J. Flanagan at the Duquesne Club. The Duquesne Club is a social club where local leaders meet to conduct business and accepts only individual memberships. The Hospital conducts business meetings at the facility. The accountable plan rules are met. Part I, Line 3 The Compensation Committee is a standing committee of the Board of Directors of the St. Clair Health Corporation, the parent of St. Clair Memorial Hospital, St. Clair Memorial Foundation and St. Clair Medical Services, and is charged annually with evaluating, determining and approving the annual compensation of executives. Salary survey information and 990 comparative evaluations are considered along with the written performance evaluation for each executive. In addition, data provided by an independent compensation consultant is used to validate and support executive compensation. Part I, Line 4b These officers and/or former officers participated in the Hospital's Supplemental Nonqualified Retirement Plan Diane Puccetti $232,974 Marion McGowan $75,831 John Sullivan MD $73,500 Michael Flanagan $70,175 Barry Zaiser $63,133 Andrea Kalina $49,444 Eric Luttringer $28,394 Elizabeth Pittman $25,337 A Mt Lebanon Hosp Authority 256189519 000000000 2010-12-23 20000000 Finance Capital Improvements 0 0 0 B Mt Lebanon Hosp Authority 256189519 000000000 2017-10-04 10000000 2007 Note Refi & Fina Cap Improv 0 0 0 C Mt Lebanon Hosp Authority 256189519 621820DG1 2018-10-16 86043544 Finance Capital Improvements 0 0 0 D Mt Lebanon Hosp Authority 256189519 000000000 2021-11-19 2200000 Finance Capital Improvements 0 0 0 A 17573000 20139725 29457 20110268 2013 0 0 1 1 B 3393000 10000000 3750000 6250000 2017 1 0 1 1 C 87908983 1000078 86908905 2021 0 0 1 1 D 455000 2200000 2200000 2024 0 0 1 1 A 0 1 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 C 0 1 1 1 0 0 0 1 D 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 1 0 1 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Part I, Line B In October 2024, the Hospital Revenue Note issued on 10/4/2017 was amended and restated to extend the maturity of the original note to 2029. Part II, Line 3, column B The Series 2010 Revenue Note Project Fund variance between the issue price and the total proceeds of issue represents investments earnings on the project fund. Project Fund was established to fund costs over construction period. The Series 2018 Revenue Bond Project Fund variance between the issue price and the total proceeds of issue represents investments earnings on the project fund. Project Fund was established to fund costs over construction period. A Mt Lebanon Hosp Authority 256189519 000000000 2021-11-19 13635000 2012 Bond Refinancing 0 0 0 A 2945000 13635000 74024 13560976 2022 1 0 1 1 A 0 0 1 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 Nina Fatigati Daughter of Brd Mbr (Mario Fatigati) 327575 Salary 0 Christopher Pray Son-in-Law of Brd Mbr (Mario Fatigati) 658946 Salary 0 Scott Holekamp Son-in-Law of Brd Mbr (Yeasted) 512513 Salary 0 CJR earnings and physician stipend 0 Rachel Rex Daughter of Brd Mbr (Jeff Rex) 35952 Salary 0 James Mullen Son of Brd Mbr (linda Eremita) 895774 Salary 0 Paper Products Co P Lackner Brd Mbr-SCF 126736 Janitorial & Food Service Disposables 0 Giant Steps Orthopaedics LLC B P Board Mbr-SCH (thru May 2025) 135000 Orthopedic services 0 Heeter Scott Heeter Board Mbr-SCH 283878 Mail and printing 0 Sch L, Part IV Business Transactions involving interested Persons: X 8 168264 Market value sale date 0 1 0 Form 990, Part V, Line 3a St. Clair Memorial Hospital recorded more than $1,000 in unrelated gross business income. Form 990, Part V, Line 3b St. Clair Memorial Hospital has filed a 990-T to report all unrelated gross business income. Form 990, Part V, Line 7a St. Clair Memorial Hospital Foundation provided goods or services in exchange for a contribution more than $75. The Foundation notified the donor of the value. Form 990, Part VI, Section A, line 2 There is a family relationship between St. Clair Hospital Board Director Christopher Passodelis, Esq. and St. Clair Hospital Board Officer Douglas Shaffer. Form 990, Part VI, Section A, line 6 - St. Clair Memorial Hospital, St. Clair Memorial Hospital Foundation, and St. Clair Medical Services do not have members or stockholders. St. Clair Medical Services is the sole member of St. Clair Anesthesiology Associates and St. Clair Professional Services. Form 990, Part VI, Section A, line 7a - According to the governing documents of St. Clair Memorial Hospital, St. Clair Memorial Hospital Foundation, and St. Clair Medical Services, St. Clair Health Corporation, as the parent company, has the power to approve the election or nomination of the board of directors of such organizations. St. Clair Anesthesiology Associates and St. Clair Professional Services are governed by the board of directors of St. Clair Medical Services. Form 990, Part VI, Section A, line 7b According to the governing documents of St. Clair Memorial Hospital and St. Clair Memorial Hospital Foundation, St. Clair Medical Services, St. Clair Health Corporation, as the parent company of such organizations, has the power to make or approve certain decisions of such organizations including approval of the sale or encumberance of a substantial amount of assets, the approval of annual operating and capital budgets, and the approval of strategic plans. St. Clair Anesthesiology Associates and St. Clair Professional Services are governed by the board of directors of St. Clair Medical Services. Form 990, Part VI, Section B, line 11b (b) - This Form 990 is prepared internally, reviewed by management, and reviewed by a third-party accounting firm, Ernst & Young LLP. The draft Form 990 is provided to each board member for review via a secure website prior to filing. Form 990, Part VI, Section B, line 12c Conflicts are monitored through an annual survey completed by Board Members and Officers. Enforcements of the corporations policies are managed by the CEO and Board Members, to whom all conflicts are reported. The Corporate Compliance Officer also manages enforcement of St. Clair Hospital policies. To the extent any conflicts are identified, such Board members or Officers are excluded from participating in the relative decision making process. Form 990, Part VI, Section B, line 15 (a & b) - The Compensation Committee is a standing committee of the Board of Directors of the St. Clair Health Corporation, the parent of St. Clair Memorial Hospital, St. Clair Memorial Foundation and St. Clair Medical Services, and is charged with annually evaluating, determining and approving the annual compensation of executives. Salary survey information and 990 comparative evaluations are considered along with the written performance evaluations for each executive. In addition, data provided by an independent compensation consultant is used to validate and support executive compensation. Form 990, Part VI, Section C, line 19 Governing documents, the conflict of interest policy and financial statements are made available to the public upon request from the Chief Financial Officer. Form 990, Part IX, line 11g Agency Staffing Services: Program service expenses 18,538,501. Management and general expenses 6,372,773. Fundraising expenses 25,000. Total expenses 24,936,274. Joint Venture Management Fees: Program service expenses 1,882,621. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,882,621. IT Purchased Services: Program service expenses 3,249,888. Management and general expenses 4,859,277. Fundraising expenses 0. Total expenses 8,109,165. Supporting Services: Program service expenses 2,420,961. Management and general expenses 204,464. Fundraising expenses 76,414. Total expenses 2,701,839. Laboratory Testing: Program service expenses 2,871,216. Management and general expenses 243. Fundraising expenses 0. Total expenses 2,871,459. Clinical Purchased Services: Program service expenses 2,646,675. Management and general expenses 406,825. Fundraising expenses 0. Total expenses 3,053,500. Non-Employed Physician Fees: Program service expenses 2,654,763. Management and general expenses 649,462. Fundraising expenses 0. Total expenses 3,304,225. Revenue Cycle: Program service expenses 703,245. Management and general expenses 14,492,142. Fundraising expenses 0. Total expenses 15,195,387. Form 990, Part XI, line 9: Change in pension liability 6,047,611. Contributions - Released from Restriction 90,558. Pension earning/cost -6,194,009. Other increases / (decreases) -1,904,301. Investment Income 269. Form 990, Part IV, Line 2 St. Clair Memorial Hospital and St. Clair Medical Services receives and reports amounts exceeding $5,000 from any one contributor, and St. Clair Memorial Hospital Foundation receives and reports amounts exceeding the 2% special rule threshold from any one contributor. Form 990, Part IV, Line 4 St. Clair Hospital is engaged in lobbying activities and has properly reported the allowable costs on Schedule C. Form 990, Part IV, Line 10 St. Clair Memorial Hospital and St. Clair Memorial Hospital Foundation hold assets in term, permanent, or endowments and have properly reported on Schedule D, Part V. Form 990, Part IV, Line 20 St. Clair Memorial Hospital operates one hospital and has properly completed Schedule H. Form 990, Part IV, Line 24a St. Clair Hospital has tax-exempt bond issues exceeding $100,000 issued after December 31, 2002 and have properly reported on Schedule K. Schedule H, Part V, Section B, Line 5 COMMUNITY LEADERS AND EXPERTS WHO CONTRIBUTED THEIR EXPERTISE: 1. Allegheny County Health Department Community and Family Health 2. Amiercan Diabetes Association 3. Boys & Girls Clubs of Western Pennsylvania 4. Chartiers Center 5. Food Assistance Match 6. Gateway Rehabilitation Center 7. Outreach Teen & Family Services 8. South Hills Interfaith Movement Service 9. Southwood Psychiatric Hospital 10. St. Clair Health Emergency/EMT Department 11. St. Clair Health Family Birth Education Center 12. St. Clair Health Medical Oncology Center 13. St. Clair Health Stroke Department 14. The Midwife Center Schedule B, Contributions covered by General or Special Rule The organizations comprising St. Clair Health Corp Group return are covered by both the General Rule and Special Rule. - St. Clair Memorial Hospital - General Rule - St. Clair Professional Services, Inc. - General Rule - St. Clair Anesthesiology Associates, Inc. - General Rule - St. Clair Medical Services, Inc.(dba St. Clair Medical Group) - General Rule - St. Clair Memorial Hospital Foundation - Special Rule St Clair HospitalUPMC Cancer Center PETCT 1000 Bower Hill Road Pittsburgh PA 15243 202814053 Community Healthcare Provider PA 501(c)(3) 12(A) Type I St Clair Health Corporation 1 St Clair Professional Office Building 1050 Bower Hill Road Pittsburgh PA 15243 251545786 Real Estate PA 0 0 SCNSC Properties 1000 Bower Hill Road Pittsburgh PA 15243 262004682 Real Estate PA N/A C 0 St Clair Physician Partners LLC 1000 Bower Hill Road Pittsburgh PA 15243 821645287 Accountable Care Organization PA N/A C 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 1 St Clair HospitalUPMC Cancer Center PETCT C 1661100 Actual St Clair HospitalUPMC Cancer Center PETCT Q 318042 Actual St Clair Memorial Hospital Foundation O 445530 Actual St Clair Memorial Hospital Foundation Q 794898 Actual St Clair Professional Services Inc O 10079097 Actual St Clair Professional Services Inc Q 792609 Actual St Clair Professional Services Inc S 6255981 Actual St Clair Anesthesiology Associates Inc O 10807298 Actual St Clair Anesthesiology Associates Inc Q 467718 Actual St Clair Anesthesiology Associates Inc S 7426449 Actual St Clair Medical Services Inc O 59077839 Actual St Clair Medical Services Inc Q 16484119 Actual St Clair Medical Services Inc J 2577236 Actual