2015-11-13T09:35:26-06:00 2014-12-31 990 2014-01-01 251875178 Alle-Kiski Medical Center % MATTHEW PETERSON ALLE 4125446668 C/O Tax Dept120 Fifth AveSte 922 Pittsburgh PA 15212 ELIZABETH M ALLEN CFO 4123302420 2015-11-10 2014 2016-03-07 17:11:31Z Elizabeth Allen 30 Isabella Street Pittsburgh PA 15212 129488593 false X www.ahn.org X 2000 PA See Form 990, Page 2, Part III, Question 1 13 10 1167 177 2217182 -1100507 10000 10000 54351724 105396012 271215 673152 3819177 6155728 58452116 112234892 930 929 0 0 26178069 50356869 0 0 0 32053547 64370175 58232546 114727973 219570 -2493081 104114770 112230662 100250416 85049343 3864354 27181319 X ALLE-KISKI MEDICAL CENTER IS A TEAM OF CARE GIVERS COMMITTED TO IMPROVING HEALTH AND PROMOTING WELLNESS IN OUR COMMUNITIES, ONE PERSON AT A TIME. IT PLEDGES TO CONSISTENTLY DELIVER SAFE, COMPASSIONATE QUALITY HEALTHCARE BY TREATING THE WHOLE PERSON - BODY, MIND AND SPIRIT. false false 38289524 31939409 Alle-Kiski Medical Center is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. It pledges to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit. To complete this mission, Alle-Kiski Medical Center provides Medical services that include endocrine, nephrology, infectious diesease and others to all patients regardless of their ability to pay. 7207330 7175922 Alle-Kiski Medical Center is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. It pledges to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit. Alle-Kiski Medical Center provides Onocology services to all patients regardless of their ability to pay. 11403131 11056785 Alle-Kiski Medical Center is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. It pledges to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit. Alle-Kiski Medical Center provides Orthopedic services to all patients regardless of their ability to pay. 46027779 929 58580925 Other Medical Services Provided To Our Patients 46027779 929 58580925 102927764 true true false false false false false false false true true true false false true true false true false false false false false false false false true true false false true false false false false false false true false false false false false false true true true false false true 90 0 true 1167 true true true false false false false false false false false false X 13 10 false true false false true true true true true false false true true true true true true true true false PA X MATTHEW PETERSON 4123306090 30 ISABELLA STREET Pittsburgh PA 15212 X Russell Evans Director 1.0 0.0 X 0 0 0 Russell Livingston Chair 1.0 0.0 X X 0 0 0 David Bonvenuto Director 1.0 0.0 X 0 0 0 Jason Ross Director 1.0 0.0 X 0 0 0 Robin Bergstrom Director 1.0 0.0 X 0 0 0 Michael Miller Director 1.0 0.0 X 0 0 0 Joseph Macerelli EX OFFICIO DIRECTOR 1.0 10.0 X 0 0 0 David Blandino Director 1.0 10.0 X 0 118119 0 John Balacko MD Ex Officio Director 1.0 39.0 X 0 510592 22089 Daniel Casper Director 1.0 39.0 X 0 391554 24466 John Paul EX OFFICIO DIRECTOR 1.0 39.0 X 0 1864483 136134 Joseph Thimons Ex-Officio Director 1.0 39.0 X 0 0 0 Michael Harlovic Ex-Officio Director and Pres 1.0 39.0 X X 0 434319 19623 Rosemary Musolino Director 1.0 0.0 X 0 0 0 David Goldberg Director 1.0 39.0 X 0 460256 28833 Jacqueline Bauer Secretary 1.0 39.0 X 0 412601 27316 Elizabeth Allen Treasurer 1.0 39.0 X 0 756501 55916 William Englert VP - Business Development 40.0 0.0 X 157714 0 15682 Walter Hoover Physician 40.0 0.0 X 164734 0 18836 Mary Wasilowski Pharmacist 40.0 0.0 X 120987 0 15946 Esther Atwood Chief Nursing Officer 40.0 0.0 X 144046 0 7749 Kelley Wasicek Director of Pharmacy 40.0 0.0 X 130460 0 15125 Thomas Bearer Pharmacist 40.0 0.0 X 115885 0 15558 Ned Laubacher Director 0.0 0.0 X 0 221685 0 Michael Sirott Secretary 0.0 0.0 X 0 114831 0 833826 5284941 403273 13 true true false Carl Walker Construction Group Inc 935 Vista Park Drive PITTSBURGH PA 15205 Construction Service 1475839 MBM Contracting Inc 4999 Old Clairton Road PITTSBURGH PA 15236 Contracting Services 794744 Ruthrauff Services LLC 419 E Main Street CARNEGIE PA 15106 Mechanical Services 481315 Cura Hospitality Inc PO Box 644091 PITTSBURGH PA 15264 Management Services 424038 CLARUS LINEN 60 GRIDER ST BUFFALO NY 14215 LINEN SERVICE 403510 69 X 10000 10000 PATIENT SERVICE REVENUE 621500 105396012 103360099 2035913 105396012 795039 795039 0 0 762786 762786 0 762786 181269 581517 17128665 3149 17253701 -125036 3149 -121887 -121887 0 0 0 GRANT REVENUE 621110 2499798 2499798 SCHOOL OF NURSING TUITION 621110 1116138 1116138 CAFETERIA REVENUE 621110 470019 470019 1306987 1306987 5392942 112234892 108753041 2217182 1254669 929 929 0 0 0 173396 173396 0 40914977 34777731 6137246 1076019 914616 161403 5459549 4640617 818932 2732928 2322989 409939 0 15988 14389 1599 0 0 0 55756 55756 4508352 4057517 450835 3043 2739 304 547722 492950 54772 0 0 3362508 3026257 336251 81949 73754 8195 0 13541 12187 1354 2252484 2027236 225248 18618827 16756944 1861883 4974269 4476842 497427 1383448 1245103 138345 0 PATIENT CARE COSTS 14018682 14018682 BAD DEBT 6293128 6293128 REPAIR AND MAINTENANCE 1287822 1159040 128782 PA ACT 49 - QUALITY CARE 1987680 1987680 4964976 4453038 511938 114727973 102927764 11800209 0 X 3264 4064 14407385 20826188 11801 46116 12488640 11343970 0 0 0 0 0 0 1576897 1753887 712039 456724 43572168 6907734 34744577 36664434 23055303 23666445 15132130 15225233 0 0 0 0 1982734 2243601 104114770 112230662 9535132 9376527 0 0 2686439 264540 63010139 0 0 0 0 0 2663789 60513334 0 0 22354917 14894942 100250416 85049343 X 3685128 27002093 179226 179226 0 0 3864354 27181319 104114770 112230662 X -2493081 176555 25633491 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 179226 179226 179226 179226 179109 20 97 179226 108326 70653 130 179109 108131 195 108326 1.00000 false false 588000 588000 22911936 3727528 19184408 12966450 2884555 10081895 7105782 295651 6810131 36664434 INVESTMENT IN AMERINET 47349 F INVESTMENT IN VHA 30127 F INVESTMENT ACCT 15147757 F 15225233 0 ACCRUED PENSION COSTS 11744658 THIRD PARTY SETTLEMENTS 2468582 ASBESTOS RETIREMENT OBLIGATION 77173 DUE TO AFFILIATED ORGANIZATION 604529 14894942 X AKMC Inclusion In The Consolidated Audit of WPAHS Alle-Kiski Medical Center (AKMC) does not issue independent audited financial statements. AKMC is a component of the Highmark Health consolidated audited financial statements. The following analysis represents the reconciliation between the financial statement net income and the net income as reported on Form 990, Page 1, line 19: Net Loss Per Financial Statements (2,316,526) Less: Unrealized Gain on Investments on the financial statements reclassified through net assets on Form 990 (176,555) ___________ Net Loss Per Form 990 $(2,493,081) Highmark Health records uncertain tax positions in accordance with FASB Accounting Standards Codification (ASC) 740, Income Taxes. ASC 740 clarifies the accounting for uncertainty in income taxes by defining criteria that a tax position on an individual matter must meet before that position is recognized. ASC 740 also provides guidance on measurement, classification, interest and penalties, disclosure and accounting in interim periods. The following is the footnote to the audited consolidated financial statements of Highmark Health for FASB ASC 740: At December 31, 2014 and 2013, gross unrecognized tax benefits (excluding the federal benefit received from state positions) were $150,575,000 and 147,685,000, respectively, and, if recognized, would have impacted the effective tax rate. Intended Use of the Organization Endowment Funds The intended use of Alle-Kiski Medical Center term endowments are for but not exclusive to: capital improvements, research, education, departmental needs, operating efficiencies, and overall patient care. true true true X false true true true false true true 7909537 5228306 2681231 0.02470 12377601 7530135 4847466 0.04470 20287138 12758441 7528697 0.06940 469775 469775 0.00430 828187 828187 0.00760 59146276 46441102 12705174 0.11720 929 929 60445167 46441102 14004065 0.12910 80732305 59199543 21532762 0.19850 306449 306449 0.00280 306449 306449 0.00280 true 1343350 503891 48403321 54788575 -6385254 X true true 1 1 Alle-Kiski Medical Center 1301 Carlisle Street Natrona Heights PA 15065 X X X Alle-Kiski Medical Center false false true X X X X X X X X 12 true false false true X www.ahn.org X true 12 false true false true X 200. 0. X X X X X X true true X X X X true X X X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 Input From Persons Who Represent the Community For the Community Health Needs Assessment, AKMC formed steering committees that consisted of: community leaders representing the broad interests of the community as well as underserved constituencies, individuals with expertise in public health, hospital board members, physicians and internal system and hospital leaders and managers. The hospital took into account input from individuals by interviews and focus groups that captured personal perspectives from community members, providers and leaders with insight and expertise. To assist with the CHNA process, AKMC retained a planning and research firm. SCHEDULE H, PART V, SECTION B, LINE 7 & 11 The results of the CHNA identified multiple health needs in the communities we serve. The Hospital addressed the following health needs: diabetes, heart disease and breast cancer. The CHNA identified the following health needs the Hospital chose not to address: flu and pneumonia, bronchus and lung cancer and health literacy because existing hospital and/or community resources work to address these needs. AKMC evaluated all top priority needs and put forth plans to address the needs we felt we were best positioned to make a positive impact for the betterment of the health of the communities we serve. AKMC is addressing the identified significant needs by community education, outreach and health screenings, physician outreach and training and programs for patients. AKMC has made the CHNA widely available to the public. The community health needs assessment can be viewed at : www.ahn.org. Schedule H, Part V, Section B, Line 13H AKMC is part of the integrated delivery system named Allegheny Health Network. In 2014, AKMC adopted the Allegheny Health Network Financial Assistance Policy. During 2014, Allegheny Health Network enhanced its Financial Assistance Policy with a Presumptive eligibility program that enables AHN to make an informed decision on the financial need of patients utilizing the best estimates available in the absence of information provided directly by the patient. The Health system utilizes a healthcare industry-recognized model that is based on public record databases. This predictive model incorporates public record data to calculate a socio-economic and financial capacity score that includes estimates for income, assets and liquidity. The electronic technology is designed to assess each patient to the same standards and is calibrated against historical approvals for AHN financial assistance under the traditional application process. The electronic technology is deployed prior to bad debt assignment after all other eligibility and payment sources have been exhausted. This allows AHN to screen all patients for financial assistance prior to pursuing any extraordinary collection actions. The data returned from this electronic eligibility review will constitute adequate documentation of financial need under our policy. When electronic enrollment is used as the basis for presumptive eligibility, the highest discount of full free care is granted for eligible services for retrospective dates of service only. Schedule H, Part V, line 22D Charges For Medical Care AKMC offers uninsured patients a fifty percent (50%) discount on total gross charges to all hospital charges. The intent of the discount is to standardize charging practices for covered and non covered patients. The discount is offered during patient contact for elective/ urgent (non cosmetic) procedures during the financial counseling process, as well as during the patient statement cycle process for services provided (including Emergency services.) Patient statements are clearly marked with the uninsured discount, reducing the 'amount owed' of the gross charges. An uninsured discount of 50% is applied to the patient account either at the time of payment or prior to transferring the account to bad debt upon conclusion of the routine four statement cycle, for any unpaid balances. 7 Vandergrift Outpatient Care Center 244 Longfellow Street Vandergrift PA 15690 Outpatient Care Center Citizens Ambulatory Care Center 651 Fourth Avenue New Kensington PA 15065 Ambulatory Care Center AVH Outpatient Physical Therapy 1620 Pacific Avenue Natrona Heights PA 15065 Physical Therapy Allegheny Valley Hospital Prolab 1620 Pacific Avenue Natrona Heights PA 15065 Laboratory Services Destination Wellness 590 Pittsburgh Mills Circle Tarentum PA 15084 General Health and Wellness AKMC Radiological Imaging 2801 Freeport Road Natorna Heights PA 15065 Radiological Imaging Nursing School 651 Fourth Avenue New Kensington PA 15068 Nursing School Schedule H, Part III, Line 3 and Line 4 Bad Debt Expense Financial Statement Footnote and Costing Methodology AKMC does not issue separate audited financial statements and therefore a footnote does not exist. Bad Debt expense is accounted for on a charge basis in our internal financial statements. A cost to charge ratio is applied to the internal figures to convert the charge to cost. SCHEDULE H, PART III, LINE 8 AKMC receives overall reimbursement from Medicare less than the cost of the services provided. As such, we consider the shortfall a community benefit. The source used to determine the amount reported on line 6 is the cost accounting system. Schedule H, Part III, Line 9b Collection Practices For Patients Who Qualify For Financial Assistance Patients that qualify for charity care or financial assistance are provided with an approval letter with the effective dates for the assistance. At any time the individual presents for services within a 90 day span of approval, they show the letter and will be registered as a charity care case. Charity care cases are designated in the internal computerized systems with unique plan codes that prevent billing to the patient. Reports are run to capture the patient accounts registered with the charity care plan codes so they can be written off to charity care. SCHEDULE H, PART VI, LINE 2 Health Needs Assessment AKMC management and staff utilize multiple strategies to continually monitor and assess the health care needs of the communities it serves. One approach to assessing needs involves surveying community members about health needs related to national and state health goals. Alle-Kiski Medical Center also acts on expressed community needs by responding to direct community requests for health screenings, outreach events and other health-related activities and by maintaining longstanding programs that are well attended and positively evaluated by community participants. In addition, Alle-Kiski Medical Center gathers community input through participation in area rotaries, chambers of commerce, through partnerships with community organizations and other community engagement activities. Another means is through reviewing and taking appropriate actions on feedback gathered from the following sources: routine market assessments; patient and family satisfaction surveys; Press Ganey surveys; patient, patient family and staffs' suggestions for improving patient safety; medical staff input and physician surveys. AKMC conducted a Community Health Needs Assessment (CHNA) during the year ended June 30, 2013 in accordance with IRC Section 501(r) and the guidance documented in the Internal Revenue Bulletin 2011-30, Notice 2011-52 and the proposed regulations issued April 5, 2013. The CHNA process began in August 2012 and concluded in May 2013. The Board of Directors that govern AKMC approved an implementation strategy designed to address the community health needs identified in the CHNA on September 23, 2013. The CHNA process included input from persons representing the broad interests of the community including individuals with special knowledge of or expertise in public health, organizations with information relevant to the health needs of the community and representatives of medically underserved populations. To achieve this end, the Hospital included representatives of the following organizations in the conduct of the CHNA: West Penn Allegheny Health System; Highmark, Inc.; Allegheny-Kiski Health Foundation; Family Services of Western Pennsylvania; Allegheny Valley Association of Churches; Citizens General Hospital Foundation; Tri-City Life Center, Inc.; Citizens Family Health Clinic; and Community Health Clinic, Inc. The results of the CHNA identified multiple health needs in the communities we serve. The Hospital addressed the following health needs: diabetes, colorectal cancer and breast cancer. The CHNA identified the following health needs the Hospital chose not to address: high blood pressure/hypertension, cardiovascular disease and obesity. We did not specifically address these because either (1) the health need was considered to be a co-morbidity to a condition we chose to focus on, such as blood pressure/hypertension and obesity could be positively impacted as part of an effective diabetes management program or (2) a strong program already exists within the hospital, as is the case with cardiovascular disease. Alle-Kiski Medical Center is in the process of executing the above mentioned implementation strategy. The Hospital has made the CHNA widely available to the public. The community health needs assessment can be viewed at : www.ahn.org. SCHEDULE H, PART VI, LINE 3 Patient Education For Eligibility For Assistance AKMC displays signage in various patient Admission, Registration and Emergency Department areas that alerts that patient to Account Assistance program availability and contact information. During the preservice process, patients are evaluated to determine financial assistance options. AKMC offers the "Account Assistance Program" which consists of application assistance for governmental eligibility, Charity Care application completion and submission support, as well as uninsured provisions. AKMC also provides on-site support through Financial Counselor staff who are available to work with patient walk in's. Financial Counselors work directly with the patients as well as designated agency support regarding qualifying patients for Medical Assistance. Both week day and weekend coverage is available to the patients, as well as field support needed for post discharge follow up needed for application submission. The above support is available at no charge to the patient. SCHEDULE H, PART VI, LINE 4 Community Served Information AKMC, located in Natrona Heights Pennsylvania, provides health care services to residents of Allegheny, Armstrong, Beaver and Butler Counties. Located approximately 20 miles outside of Pittsburgh, Natrona Heights has approximately 11,800 residents. Allegheny County consists of approximately 1,232,000 residents living in a land area of approximately 745 square miles. The median housing value in Allegheny County is $126,500. Armstrong County consists of approximately 67,800 residents living in a land area of approximately 654 square miles. The median housing value in Armstrong County is $94,100. Beaver County consists of approximately 169,400 residents living in a land area of approximately 434 square miles. The median housing value in Beaver County is $115,400. Butler County consists of approximately 186,000 residents living in a land area of approximately 789 square miles. The median housing value in Butler County is $169,700. Together, Allegheny, Armstrong, Beaver and Bulter Counties form the primary service area for AKMC. SCHEDULE H, PART VI, LINE 5 Promotion of Community Health The AKMC Emergency Department cares for the community by operating 24 hours a day, 7 days a week with highly skilled and trained emergency medicine physicians and nurses. The Emergency Department is open to all individuals regardless of their ability to pay. The emergency response capabilities of AKMC are provided in conjunction with Alle-Kiski Paramedic Unit for Life Support Emergency Response (AKPULSER), a paramedic response unit and a separate 501(c)(3) organization. AKMC staffs the emergency department physicians who provide medical command to the AKPULSER ambulance crew in the field. Our emergency response service has been designated as the primary 911 responder for the greater Alle-Kiski Valley Service Area. The voting members of the AKMC Board of Directors consist of a majority of independent community members without personal financial ties to the hospital or any of its affiliated organizations. SCHEDULE H, PART VI, LINE 6 Affiliated Healthcare System West Penn Allegheny Health System (WPAHS) is part of the integrated delivery system named Allegheny Health Network (AHN). In addition to WPAHS, the AHN consists of Saint Vincent Health Center, Saint Vincent Health System and Jefferson Regional Medical Center. WPAHS is comprised of some of the oldest and best-known names in health care in western Pennsylvania. From their inception, the system's hospitals have been in the vanguard of patient care, medical research and health sciences education. Comprised of two tertiary and three community hospitals, WPAHS includes Allegheny General Hospital and The Western Pennsylvania Hospital, both in Pittsburgh; Alle-Kiski Medical Center in Natrona Heights; Canonsburg General Hospital in Canonsburg and the Western Pennsylvania Hospital - Forbes Regional Campus in Monroeville. Offering a comprehensive range of medical and surgical services, the hospitals serve Pittsburgh and the surrounding five-state area, house nearly 1,600 beds and employ more than 12,000 people. Together, the WPAHS hospitals admit nearly 55,000 patients, log over 164,000 emergency visits and deliver more than 3,800 newborns each year. Combined, the hospitals are among the leaders in percentages of total surgeries, cardiac surgeries, neurosurgeries and cardiac catheterization procedures performed throughout the region. West Penn Allegheny Health System, Inc. serves as the flagship for the West Penn Allegheny Health System. Through our Allegheny General, Western Pennsylvania and Forbes Regional Campuses we provide exceptional education to the aspiring healthcare professionals of tomorrow. We fund research that is conducted through the research arm of the health system, known as Allegheny Singer Research Institute. We specialize in areas such as Burn Care at the West Penn Campus and our affiliation with other national organizations such as the Joslin Diabetes Center and the Jones Institute for Reproductive Medicine guarantees the best possible treatment for our patients. SCHEDULE H, PART VI, LINE 7 State Filing of Community Benefit Report Alle-Kiski Medical Center files the community benefit report with the State of Pennsylvania as part of our obligation to furnish the State of Pennsylvania with a copy of the IRS Form 990 and related schedules. X X X X true true false false false false false false false John Balacko MD Ex Officio Director 0 474533 0 35027 0 1032 0 0 0 0 0 510592 0 0 Daniel Casper Director 0 389970 0 0 0 1584 0 0 0 0 0 391554 0 0 John Paul EX OFFICIO DIRECTOR 0 933552 0 900944 0 29987 0 0 0 0 0 1864483 0 0 Ned Laubacher Director 0 0 0 0 0 221685 0 0 0 0 0 221685 0 221685 Michael Harlovic Ex-Officio Director and Pres 0 433767 0 0 0 552 0 0 0 0 0 434319 0 0 William Englert VP - Business Development 157157 0 0 0 557 0 0 0 0 0 157714 0 0 0 Jacqueline Bauer Secretary 0 321366 0 71578 0 19657 0 0 0 0 0 412601 0 0 Elizabeth Allen Treasurer 0 409508 0 325000 0 21993 0 0 0 0 0 756501 0 0 Walter Hoover Physician 163800 0 0 0 934 0 0 0 0 0 164734 0 0 0 Michael Sirott Secretary 0 0 0 0 0 114831 0 0 0 0 0 114831 0 114831 Esther Atwood Chief Nursing Officer 143782 0 0 0 264 0 0 0 0 0 144046 0 0 0 David Goldberg Director 0 320363 0 100000 0 39893 0 7388 0 21445 0 489089 0 0 Additional Compensation Disclosure The following represents additional disclosure for Schedule J, line 4a pertaining to officers and key employees listed in Form 990, Part VII, Section A, Line 1a receiving severance pay during the calendar year 2014: Ned Laubacher $ 221,685 Michael Sirott $ 114,831 Supplemental Nonqualified Retirement Plan The following represents additional disclosure for Schedule J, line 4b pertaining to officers and directors listed in Form 990, Part VII, Section A, Line 1a participating in a supplemental nonqualified retirement plan: Jacqueline Bauer $2,740 Deferred Non-qualifying Retirement Plan 457(f) The following individuals have amounts accrued related to 457(f) Non-qualifying retirement plans: Elizabeth Allen $46,733 John Paul $95,127 David Goldberg $5,412 Robin Bergstrom Director 54783 See Supplemental Disclosure false Business Transactions Involving Interested Persons Robin Bergstrom - Family member of Robin Bergstrom is employed by the filing organization. Statement of Program Service Accomplishments Introduction to Allegheny Valley Hospital Alle-Kiski Medical Center, DBA Allegheny Valley Hospital (AVH)is a member of the integrated delivery system named Allegheny Health Network. In 2013, to be consistent with the Highmark Health tax year, Alle-Kiski Medical Center changed its tax year from a fiscal year ended June 30th to Calendar year. This transition caused the short period July 1, 2013 through December 31, 2013. Prior period balances on the calendar year 2014 Form 990 are not reflective of a full twelve month period. Alle-Kiski Medical Center is dedicated to providing exceptional health care to nearly 170,000 people in portions of Allegheny, Butler, Westmoreland and Armstrong counties. AVH is part of the Allegheny Health Network which is an integrated delivery network that includes seven hospitals in Pennsylvania. With nearly 2,400 licensed beds, Allegheny Health Network is comprised of Allegheny General Hospital, West Penn Hospital, Allegheny Valley Hospital (AVH), Canonsburg Hospital, Forbes Hospital, Jefferson Hospital and Saint Vincent Hospital. AVH is comprised of a hospital campus, located in Allegheny County at 1301 Carlisle Street, Natrona Heights, Pa., and outpatient care centers located throughout the community. The AVH Outpatient Care Center - New Kensington is located in Westmoreland County at 651 Fourth Avenue, New Kensington, Pa., and offers a number of outpatient services, including radiology, laboratory, medical oncology and hematology, Joslin Diabetes Center and an Urgent Care Center for minor emergencies. AVH also offers two off-campus lab draw sites, one in Lower Burrell, Pa., and another in Natrona Heights, Pa. An off-campus outpatient physical therapy center in Natrona Heights offers patients rehabilitation services in a convenient location. AVH Radiological Imaging, located in Allegheny County at 2801 Freeport Road, Natrona Heights Pa., offers outpatient radiology imaging services including X-rays, CT scans, mammography, MRI, ultrasound and bone-density testing. In October 2010, AVH opened an outpatient care center in Vandergrift. This site offers basic imaging services, cardiac services, lab draws and sleep studies. Honors and awards bestowed upon AVH in 2014 include recognition by the Joint Commission as a 2013 Top Performer on Key Quality Measures for heart attack, heart failure, pneumonia and surgical care. The hospital also received the 2014 Fine Platinum Award for Teamwork Excellence in Elevating and Disseminating Best Practices in Infection control and Pain Management, HealthGrades America's 50 Best 2013 - Top 1%, CareChex - 2013 - #1 Hospital in PA for overall medical care, cardiac care, MI and pulmonary care and the Heart Failure Gold Plus Award from the American Heart Association. For the twelve months ended December 31, 2014, AVH treated 5,789 inpatient discharges, 201,355 outpatients, 38,923 emergency department visits; 543 inpatient and outpatient surgeries. The hospital has 317 physicians on staff and 1,020 employees. PURPOSE AND MISSION Alle-Kiski Medical Center is a team of caregivers committed to improving health and promoting wellness in our communities, one person at a time. It pledges to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind, and spirit. UNCOMPENSATED CARE To enhance the health status of the community in which it operates and consistent with its tax-exempt status, AVH provides needed health care services to individuals regardless of their ability to pay for all or part of the services rendered. These services include both inpatient and outpatient services as well as an emergency room that remains available 24 hours a day. Consistent with the filing of Schedule H, the components of uncompensated care include charity care and unreimbursed Medicaid costs. AKMC provided uncompensated care at a cost of $7,528,697 for the year ended December 31, 2014. COMMUNITY ASSESSMENT Community Health Services Community health services include activities intended to improve community health. They extend beyond patient care activities and are subsidized by the hospital. The programs ranged from community health education to free clinics and screenings. AVH provided the following community health services during the twelve months at an estimated cost of $469,775. Destination Wellness - Destination Wellness is a community health and wellness education resource center sponsored by AVH. One of the few community-based outreach centers of its kind, Destination Wellness is a storefront located in the Galleria at Pittsburgh Mills. Destination Wellness provides a variety of health-related activities including classes and "Doc Talks" on topics ranging from arthritis to peripheral vascular disease. Destination Wellness is staffed with a registered dietitian and a registered nurse to assist visitors in finding a physician, checking blood pressure or researching a topic in the on-site health resource library. Destination Wellness also sponsors the "Mills Milers", a no-charge, indoor walking program designed to engage members of the community in physical exercise in a safe, controlled environment. Numerous programs are available exclusively for members of the Mills Milers. Paramedics Staffing - AVH staffs the mall with on-site paramedics to respond to a variety medical emergencies at the mall and surrounding businesses. In the twelve months paramedics responded to over 100 calls. PriorityCare Senior Membership Program - Since 1987, AVH has offered this outreach program to adults age 55 and older with the purpose of improving their health and their knowledge about health care and other issues related to the aging process. A newsletter is mailed quarterly to over 13,000 households reaching a total membership of over 18,000 adults. Cumulatively, over 36,000 adults have enrolled in the program. In addition to health education articles, the newsletter keeps members informed about hospital and community services and contains a calendar of monthly educational programs and support groups. AARP's 55 Alive Mature Driving Program - AVH co-sponsored this two-day driver refresher course 20 times during the calendar year 2014. During the year, 243 drivers participated in the program offered at Allegheny Valley Hospital's main campus, AVH's Outpatient Care Center in New Kensington or Destination Wellness. Free meeting space, parking, refreshments and publicity are provided through the hospital. Look Good - Feel Better! - The hospital hosted five classes in 2014, providing free space for the American Cancer Society to host the program. Center for Organ Recovery and Education (CORE) - Annually, AVH notifies CORE of potential donors and provides space to CORE to encourage organ donation. Influenza and Pneumonia Immunization - During the year, flu shots were administered to the public and subsidized by the hospital. A total of 3,054 influenza immunizations and 21 pneumonia immunizations were provided at several sites throughout the community. Babysitting Classes - Six babysitting classes were held in the twelve month period. The classes are an educational tool to help teach parents, grandparents and babysitters on safe sitting techniques. Twenty two community members attended these sessions. Costs are included with Destination Wellness. Doc/Medical Professionals Talks - AVH hosts many "Doc Talks" and other educational workshops at the campus and in the community during 2014. These events target all segments of the community population and are presented on current topics of interest. The Doc Talks are interactive and include topics such as, but not limited to: Coping with Sleep Apnea, Crohn's Disease, Healthy Lifestyle/Healthy Brain, Kidney Smart, Living with Psoriasis, Atrial-Fibrillation, Diabetes Control, Blood Pressure awareness and Women's Health. Community Health Fairs, Screenings and Workshops - AVH provides numerous health fairs within the community and at community events. These fairs target a broad range of the community and focus on topics that are prevalent to the well-being of the community. Exercise Classes - AVH sponsors a variety of exercise classes throughout the year to members of the community. Classes held during the twelve months included Wise Walk, Tai Chi and Yoga for Beginners. Costs included with Destination Wellness. Support Groups - AVH sponsors a variety of support groups in the community. Some examples would include Alzheimer's and cardiac disease Hope Cancer Support Group and Care for the Caregiver. CPR Classes - AVH instructors teach a variety of CPR classes each year. From Basic Life Support for Healthcare providers, to Friends & Family CPR, to AED usage, AVH held 40 classes during the twelve months. Total Costs are included in Destination Wellness. Health Professions Education AVH provided the following education for health professionals during the calendar year at an estimated net cost of $828,187. Citizens School of Nursing - Open since Statement of Program Service Accomplishments - Continued Cash and In-Kind Donations Cash Donations - AKMC supports the community through cash contributions made at the discretion of the Hospital and its directors, benefiting not only the non-profit recipient but ultimately the community as a whole. The Hospital made cash contributions totaling $929. In-Kind Donations - In addition to the cash contributions listed above, AKMC also made in-kind donations of time and resources to help support various community functions. Community Building Activities Community Building Activities include activities engaged in for the purpose of improving or protecting the health, future and wellbeing of the community. Consistent with the filing of Schedule H, AKMC provided these services at a cost of $306,449 for the current year ended December 31, 2014. Social Services - AKMC social work services are available to help patients and their families adjust to changes in their lives due to illness and hospitalization. Our social workers help patients and families identify and manage factors that may interfere with health and recovery. Through counseling, discharge planning and providing information and referrals, the staff helps to ensure a comfortable return home or other level of care that is appropriate at the time of discharge. Board Memberships - AKMC employees serve as board members on numerous local boards including the local Rotary, New Kensington Chamber of Commerce, Strongland Chamber of Commerce, Alle-Kiski Paramedic Unit for Life Support Emergency Response (AKPULSER), Leadership Alle-Kiski Valley, Salvation Army, Westmoreland County Community College, Penn State New Ken Nursing Advisory Board, North Western Career and Vocational School Advisory Board, New Ken Civic Theater Executive Board and the YMCA. Operational Oversight By A Third Party Management Company Alle-Kiski Medical Center is a member of the integrated delivery system named Allegheny Health Network. Deloitte Financial Advisory Services, LLP (Deloitte) was engaged to assign a Chief Financial Officer and Treasurer to Allegheny Health Network. Elizabeth Allen was appointed in an interim capacity to these positions and was under the employment of Deloitte from January 1, 2014 until May 5, 2014. She has daily oversight of all financial matters pertinent to the operation of the network. Elizabeth Allen became an employee of the Allegheny Health Network on May 5, 2014. Form 990 Review Process The IRS Form 990 of the Alle-Kiski Medical Center was prepared by the Highmark Health Tax Department. Prior to filing the final tax return with the Internal Revenue Service, members of senior management reviewed components of the tax return and the voting members of the governing body received a copy of the tax return. Monitoring and Enforcement of the Conflict of Interest Policy Highmark Health (HH), the parent organization of Allegheny Health Network (AHN), has a corporate compliance department that monitors and oversees compliance with the AHN conflict of interest policy. Alle-Kiski Medical Center (AKMC)is a member of the Allegheny Health Network by virtue of being affiliated with West Penn Allegheny Health System (WPAHS). WPAHS has a corporate compliance department that, in conjuction with the HH Compliance Department, monitors compliance with AHN COI policy. The following describes the manner in which the corporate compliance department monitors and oversees compliance with the conflict of interest policy for AHN: Conflict of Interest disclosure forms are completed on an annual basis by all board members, officers, any person who has authority to act on behalf of the BOD, key employees,employed physicians and non-employed physicians serving in an elected or appointed leadership position, managers and above, persons with purchasing or contracting authority including procurement department employees and committees which may influence purchasing decisions, and any other employees as designated by the Compliance Department. Upon completion of the above disclosure statement by all applicable individuals, the Integrity and Compliance Department reviews all disclosures. Those that require additional information or clarification are contacted by the Integrity and Compliance Department requesting such. Once received, all information is evaluated in consultation with the Legal Department and Senior Management as applicable to determine whether a real or potential conflict of interest exists. Those conflicts that require a mitigation plan are developed and approved in coordination with the respective responsible senior management. The senior managers are responsible for discussing the mitigation plan with the individual as needed and monitoring compliance with the mitigation plan. A final report of all board and executive level management disclosures is submitted for review to the Audit and Compliance Subcommittee of the Board, as well as by the board of directors. management disclosures is submitted for review to the Audit and Compliance Subcommittee of the Board, as well as by the board of directors. Process Used To Determine Executive Compensation The top management official, officers and key employees of AKMC are employed by both AKMC and related organizations. The executive compensation policy is different for certain individuals. Stated below is the executive compensation policies that cover the top management official, officers and key employees of AKMC: The Allegheny Health Network (AHN) process for determining compensation for executive positions (including officers, key employees and other management positions) is covered by the HH Executive Compensation Policy. This policy was approved by the HH Board of Directors. It is the policy of HH and its Board of Directors to compensate its executives in accordance with the market and in relation to the experience, service and accomplishments of the individual both prior to and during their service with HH. The Personnel and Compensation Committee makes recommendations to the HH Board of Directors who ultimately approve the compensation for the President and CEO of AHN and all senior executives who report directly to the President and CEO of AHN. All other AHN senior executives' compensation is approved by the HH CEO and HH CHRO. Compensation includes all compensation components, including without limitation, base compensation, incentive compensation, deferred compensation, fringe and other benefits. The Board of Directors also approve all base compensation adjustments and all incentive compensation awards, as well as material changes to deferred compensation, fringe, or other benefits. The Personnel & Compensation Committee uses comparability data provided by an independent compensation consultant. The external consultant provides a letter of reasonability for all offers made to new executives that report to the AHN CEO. Each Board of Director member voting on a senior executive's compensation arrangement ensures that he or she has no conflict of interest, including that he or she (a) does not economically benefit from the proposed employment; (b) does not receive compensation subject to the approval of the proposed employee; and (c) has no material financial interest affected by the transaction. Allegheny Health Network follows the requirement in the regulations to comply with the rebuttable presumption of the reasonableness of compensation. The WPAHS, Inc. executive compensation program is administered by the CEO of Allegheny Health Network ("AHN") with respect to the WPAHS, Inc. CEO, COO and CFO, and by the WPAHS, Inc. CEO, for all other officers, each pursuant to overall guidelines established by the Personnel and Compensation Committee ("P&C Committee") of the Board of Directors of Highmark Health. It is the policy of the WPAHS, Inc. to compensate its executives in accordance with competitive market practices, taking into account both organization performance and the skills, experience, qualifications, and performance of each executive. The WPAHS, Inc. generally targets the median of the relevant market, with reasonable variation based on each executive's skills, experience, performance and current positioning relative to market. Compensation may include several forms of cash compensation, including base salary, performance-based incentive compensation, and a competitive employee benefits program. Base salary is the fixed element of compensation intended to align with each executive's role, responsibilities, overall performance and other contributions. Incentive compensation is used to provide variable, or "at risk" compensation based on the performance of both the executive and the organization. The hospital executives can earn incentive compensation only if the organization achieves certain pre-determined financial goals. The plans are intended to hold executives accountable for achieving performance that is consistent with the long-term goals and objectives of the hospital. The Human Resources Department obtains appropriate market comparability data for each entity, including nationally published compensation surveys and/or specific organization peer groups, to prepare compensation recommendations for all key executives, including officers, key employees, and other disqualified persons. Recommendations are reviewed and approved by a governing body that is independent with respect to the compensation provided to the executives. Public Access To Organizational Documents Alle-Kiski Medical Center (AKMC) does not make its governing documents available to the public. Highmark Health (HH) financial statements are on a consolidated basis which include Alle-Kiski Medical Center. The audited financial statements of HH are available upon the request and approval by the CFO of Highmark Health. WPAHS has adopted a conflict of interest policy that is uniformly applied to all organizations of the health system, including AKMC. This is not available to the public. Officer, Director and Key Employee Hour Allocation Alle-Kiski Medical Center (AKMC) is a member of the Allegheny Health Network by virtue of being affiliated with West Penn Allegheny Health System (WPAHS). Individuals employed by one organization may be assigned to provide management for an affiliated organization. As such, many individuals play key roles or serve as officers or directors on multiple affiliated organizations. Each individual will be assigned forty hours to the organization of their actual employment. If the individual is employed by one organization and appointed as an officer, director or key employee of affiliated organizations the hour allocation on Form 990, Part VII, Page 7, Column (B) takes various factors into account when attempting to assign hours in a reasonable manner. Thus, it is possible for a single individual to have hours assigned in excess of forty hours per week if all affiliated organization IRS Forms 990 is taken into account. Directors who are not employed and volunteer their services are assigned one hour of service. One director is compensated for services provided in the capacity of a director for a for-profit affiliated organization. This individual serves as a volunteer on the Alle-Kiski Medical Center Board of Directors due to their experience and knowledge of the healthcare field. The actual time served for all individuals disclosed in IRS Form 990 can vary based upon the need of the organization. Officers and Directors - Partial Year Terms The following list represents Officer or Directors of Alle-Kiski Medical Center listed on Form 990, Part VII who did not serve a full consecutive tenure during the period January 1, 2014 through December 31, 2014 along with the dates served: Michael Harlovic 01-01-2014 - 06-03-2014 Rent Expense Alle-Kiski Medical Center does not account for rental expense in a manner that would allow for a direct offset of rental income on Form 990, page 9, Part VIII, Line 6b. The components of rental expense are reflected on Form 990, Page 10, Statement of Functional Expense. Other Changes In Net Assets The following is a reconciliation of the other changes in net assets of Alle-Kiski Medical Center for the year ended December 31, 2014: Change in Minimum Pension Liability $ (1,718,142) Transfers from Supported Entities 27,351,633 ___________ Other Changes in Net Assets $ 25,633,491 Allegheny Clinic 320 East North Ave Pittsburgh PA 15212 251838458 Healthcare PA 501(c)(3) 3 WPAHS Inc false Allegheny Health Network 120 Fifth Ave Suite 922 Pittsburgh PA 15222 453674924 Healthcare PA 501(c)(3) 11-I Highmark Hea false Allegheny Medical Practice Network 4800 Friendship Ave Pittsburgh PA 15224 251838457 Healthcare PA 501(c)(3) 3 WPAHS Inc false Allegheny Singer Research Institute 320 East North Ave Pittsburgh PA 15212 251320493 Sci Research PA 501(c)(3) 4 WPAHS Inc false Alle-Kiski Medical Center Trust 1301 Carlisle Street Pittsburgh PA 15065 205855753 Fundraising PA 501(c)(3) 11-I AKMC true Canonsburg General Hospital 100 Medical Blvd Canonsburg PA 15317 251737079 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