HIGHMARK HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HIGHMARK HEALTH (EIN 25-1875178)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201401349349305190
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T14:15:29-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251875178EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Alle-Kiski Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MATTHEW PETERSONInCareOfName
Name ControlALLENameControl
Phone4125446668Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O Tax Dept 120 Fifth Ave SuitAddressLine1
Address Line2SuiteAddressLine2
CityPittsburghCity
StatePAState
ZIP Code15212ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameElizabeth AllenName
TitleChief Financial OfficerTitle
Phone4125446668Phone
Date Signed2014-05-09DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonMatthew PetersonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line130 Isabella StreetAddressLine1
CityPittsburghCity
StatePAState
ZIP Code15212ZIPCode
FieldValueIRS element (for citing)
Gross Receipts195627889GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.wpahs.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionSee Form 990, Page 2, Part III, Question 1ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees1235TotalNbrEmployees
Total Nbr Volunteers169TotalNbrVolunteers
Total Gross UBI4526454TotalGrossUBI
Net Unrelated Business Txbl Income-2813158NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year75653ContributionsGrantsPriorYear
Contributions Grants Current Year10020ContributionsGrantsCurrentYear
Program Service Revenue Prior Year123807673ProgramServiceRevenuePriorYear
Program Service Revenue CY116972070ProgramServiceRevenueCY
Investment Income Prior Year1031554InvestmentIncomePriorYear
Investment Income Current Year1175923InvestmentIncomeCurrentYear
Other Revenue Prior Year4877521OtherRevenuePriorYear
Other Revenue Current Year7791006OtherRevenueCurrentYear
Total Revenue Prior Year129792401TotalRevenuePriorYear
Total Revenue Current Year125949019TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1168GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year55223034SalariesEtcPriorYear
Salaries Etc Current Year57640689SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year68225339OtherExpensePriorYear
Other Expenses Current Year70515458OtherExpensesCurrentYear
Total Expenses Prior Year123449541TotalExpensesPriorYear
Total Expenses Current Year128157147TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6342860RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2208128RevenuesLessExpensesCY
Total Assets BOY92939334TotalAssetsBOY
Total Assets EOY102598203TotalAssetsEOY
Total Liabilities BOY94485665TotalLiabilitiesBOY
Total Liabilities EOY134186914TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1546331NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-31588711NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAlle-Kiski Medical Center is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense35040045Expense
Revenue15611433Revenue
DescriptionAlle-Kiski Medical Center is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge 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 to all patients regardless of their ability to pay.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense23986058Expense
Revenue8002153Revenue
DescriptionAlle-Kiski Medical Center is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8045475Expense
Revenue6646996Revenue
DescriptionAlle-Kiski Medical Center is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit. Alle-Kiski Medical Center provides Behavioral Health services to all patients regardless of their ability to pay.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense47288705Expense
Grants1000Grants
Revenue89676689Revenue
DescriptionOther Medical Services Provided To Our PatientsDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp47288705TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt1000TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev89676689TotalOfOtherProgramServiceRev
Total Program Service Expense114360283TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109689NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1235NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMATTHEW PETERSONNamePerson
Telephone Number4123306090TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line130 ISABELLA STREETAddressLine1
CityPittsburghCity
StatePAState
ZIP Code15212ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerAverage Hours Per Week RelatedAverageHoursPerWeekRelatedReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Russell Evans
Chair1.0XX
David Bonvenuto
Director1.0X
Jason Ross
Director1.0X
Russell Livingston
Director1.0X
Ginger Taylor
Director1.0X
David Shin MD
Director1.0X
Janis Evans
Director1.0X
Hadi Firoz MD
Director1.0X39.003347160
Robin Bergstrom
Director1.0X
Jerry Taylor MD
Ex Officio Director1.0X
John Balacko MD
Ex Officio Director1.0X39.005942680
Emanual Dinatale
Ex-Officio Director1.0X
John Isherwood
Ex Officio Director1.0X
Ned Laubacher
Hospital President & CEO1.0XX39.003331210
Robert Brandfass
Secretary1.0X39.004782430
Matthew Peterson
Treasurer1.0X39.002818080
Michael Sirott
Secretary1.0X39.001930420
Michael Harlovic
Sr. VP and Chief Oper. Officer40.023081300X
William Englert
VP - Business Development40.014670300X
Walter Hoover
Physician40.014069600X
Nancy Kantorski
Pharmacist40.011271400X
Diane Bowser
Pharmacist40.011593900X
Mary Wasilowski
Pharmacist40.011750200X
Eric Yarnell
Director of Pharmacy40.014761100X
Christopher Olivia MD
Health System President & CEO012611430X
Diane Dismukes
Health System President & CEO08333670X
Roy Santarella
Treasurer07030460X
David Kiehn
Assistant Treasurer06191280X
George Sandora
Vice President of Finance01576870X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1011978TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5789569TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MModal Services LTD
PO Box 102467ATLANTAGA30368Transcription Servic324857
Clean Care
51ST and AV R RPITTSBURGHPA15201Linen Services475031
Emergency Medicine Physician -Alle-
4535 Dressler RoadCANTONOH44718Emergency Med. Care168000
Laser Technology Services Ltd
1009 Merchant StreetAMBRIDGEPA15003Laser Service143450
JSO Associates
1301 Carlisle StNATRONA HEIGHTSPA15065Lithotripsy Service156098
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Info In Schedule O Part VIIIXInfoInScheduleOPartVIII
All Other Contributions10020AllOtherContributions
Total Contributions10020TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621500BusinessCode
Total Revenue Column116972070TotalRevenueColumn
Related Or Exempt Function Income112909503RelatedOrExemptFunctionIncome
Unrelated Business Revenue4062567UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue116972070TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column645359TotalRevenueColumn
Exclusion$642,214ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real763238Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real763238Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column763238TotalRevenueColumn
Unrelated Business Revenue463887UnrelatedBusinessRevenue
Exclusion$299,351ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities70208552Securities
Other882Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities69678870Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities529682Securities
Other882Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column530564TotalRevenueColumn
Exclusion$530,564ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ELECTRONIC HEALTH RECORDS62111025822472582247
SCHOOL OF NURSING TUITION62111016490911649091
CAFETERIA REVENUE621110771380771380

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2025050TotalRevenueColumn
Related Or Exempt Function Income2025050RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue7027768TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column125949019TotalRevenueColumn
Related Or Exempt Function Income119937271RelatedOrExemptFunctionIncome
Unrelated Business Revenue4526454UnrelatedBusinessRevenue
Exclusion$1,472,129ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1000Total
Program Services1000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total405447Total
Management And General405447ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total45669280Total
Program Services38818888ProgramServices
Management And General6850392ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2268372Total
Program Services1928117ProgramServices
Management And General340255ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6187140Total
Program Services5259069ProgramServices
Management And General928071ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3110450Total
Program Services2643882ProgramServices
Management And General466568ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total799975Total
Management And General799975ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total43921Total
Program Services39529ProgramServices
Management And General4392ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total53455Total
Management And General53455ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3273245Total
Program Services2945920ProgramServices
Management And General327325ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total9302Total
Program Services8372ProgramServices
Management And General930ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total542284Total
Program Services488056ProgramServices
Management And General54228ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3594026Total
Program Services3234623ProgramServices
Management And General359403ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total89194Total
Program Services80275ProgramServices
Management And General8919ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total12689Total
Program Services11420ProgramServices
Management And General1269ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3503002Total
Program Services3430210ProgramServices
Management And General72792ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total16073352Total
Program Services14466017ProgramServices
Management And General1607335ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6286245Total
Program Services5657620ProgramServices
Management And General628625ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1811629Total
Program Services1811629ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PATIENT CARE COSTS1480779314807793
BAD DEBT97586749758674
REPAIR AND MAINTENANCE43942003954780439420
PA ACT 49 - QUALITY CARE18154681815468

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3647004Total
Program Services3198941ProgramServices
Management And General448063ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total128157147Total
Program Services114360283ProgramServices
Management And General13796864ManagementAndGeneral
Fundraising0Fundraising
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4255BOY
EOY3264EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY21841961BOY
EOY10419447EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY7777EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12779072BOY
EOY13635034EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1447304BOY
EOY1386999EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY742999BOY
EOY912305EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis36493251LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec671184LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY29258642BOY
EOY35822067EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY22893369BOY
EOY22878425EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY130306BOY
EOY15046364EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2257047BOY
EOY-77829EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1584379BOY
EOY2564350EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY92939334BOY
EOY102598203EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9344001BOY
EOY9165540EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3062589BOY
EOY2791815EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY64630994BOY
EOY63560927EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3817245BOY
EOY2863960EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13630836BOY
EOY55804672EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY94485665BOY
EOY134186914EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1725440BOY
EOY-31767937EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY179109BOY
EOY179226EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1546331BOY
EOY-31588711EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY92939334BOY
EOY102598203EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2208128ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-1182007ReconciliationUnrealizedInvest
Reconcilation Other Changes-26652245ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance179109BeginningOfYearBalance
Contributions20Contributions
Investment Earnings Or Losses97InvestmentEarningsOrLosses
End Of Year Balance179226EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance108326BeginningOfYearBalance
Contributions70653Contributions
Investment Earnings Or Losses130InvestmentEarningsOrLosses
End Of Year Balance179109EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance108131BeginningOfYearBalance
Investment Earnings Or Losses195InvestmentEarningsOrLosses
End Of Year Balance108326EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance106555BeginningOfYearBalance
Contributions968Contributions
Investment Earnings Or Losses608InvestmentEarningsOrLosses
End Of Year Balance108131EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance102387BeginningOfYearBalance
Contributions2760Contributions
Investment Earnings Or Losses1408InvestmentEarningsOrLosses
End Of Year Balance106555EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis588000OtherCostOrOtherBasis
Book Value588000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22506454OtherCostOrOtherBasis
Depreciation369058Depreciation
Book Value22137396BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10903484OtherCostOrOtherBasis
Depreciation268362Depreciation
Book Value10635122BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2495314OtherCostOrOtherBasis
Depreciation33765Depreciation
Book Value2461549BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings35822067TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN AMERINET47349F
INVESTMENT IN VHA33075F
INVESTMENT ACCT14965940F
FieldValueIRS element (for citing)
Total Of Book Value Securities15046364TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COSTS$12,898,134
THIRD PARTY SETTLEMENTS$1,776,517
ASBESTOS RETIREMENT OBLIGATION$85,252
DUE TO AFFILIATED ORGANIZATION$41,044,769
FieldValueIRS element (for citing)
Total Of Amounts55804672TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
AKMC Inclusion In The Consolidated Audit of WPAHSForm 990, Schedule D, Part X Question 2 and Part XIIIAlle-Kiski Medical Center does not receive its own independent audit. It is a member of a regional healthcare system named West Penn Allegheny Health System. West Penn Allegheny Health System receives a consolidated audit that includes the operations of Alle-Kiski Medical Center. The following analysis represents the reconciliation between the Alle-Kiski Medical Center financial statement net income and the net income as reported on Form 990, Page 1, line 19: Net Income Per Financial Statements ($3,390,253) Plus: Income Reclassified From Restricted Net Assets on the Financial Statements to Unrestricted Revenue on Form 990 118 Less: Unrealized Loss on Investments reflected as current year gain on the financial statements reclassified through net assets on Form 990 1,182,007 ___________ Net Income Per Form 990 ($2,208,128) The following is the footnote to the audited consolidated financial statements of the West Penn Allegheny Health System for FASB ASC 740: WPAHS adopted Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740, Income Taxes, which clarifies the accounting for uncertainty in income taxes recognized in an enterprise's financial statements. FASB ASC 740 prescribes a more-likely than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under FASB ASC 740, tax positions will be evaluated for recognition, derecognition, and measurement using consistent criteria and will provide more information about the uncertainty in income tax assets and liabilities. Based on an analysis prepared by WPAHS, it was determined that the application of FASB ASC 740 had no material effect on the recorded assets and liabilities of WPAHS.
Intended Use of the Organization Endowment FundsSchedule D, Page 2, Part V, Line 4The 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense347305TotalCommunityBenefitExpense
Net Community Benefit Expense347305NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10470297TotalCommunityBenefitExpense
Direct Offsetting Revenue6154820DirectOffsettingRevenue
Net Community Benefit Expense4315477NetCommunityBenefitExpense
Percent Of Total Expense0.03640PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense10817602TotalCommunityBenefitExpense
Direct Offsetting Revenue6154820DirectOffsettingRevenue
Net Community Benefit Expense4662782NetCommunityBenefitExpense
Percent Of Total Expense0.03930PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense608296TotalCommunityBenefitExpense
Net Community Benefit Expense608296NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3304034TotalCommunityBenefitExpense
Direct Offsetting Revenue3298590DirectOffsettingRevenue
Net Community Benefit Expense5444NetCommunityBenefitExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense188175TotalCommunityBenefitExpense
Direct Offsetting Revenue133948DirectOffsettingRevenue
Net Community Benefit Expense54227NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense6806TotalCommunityBenefitExpense
Net Community Benefit Expense6806NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4107311TotalCommunityBenefitExpense
Direct Offsetting Revenue3432538DirectOffsettingRevenue
Net Community Benefit Expense674773NetCommunityBenefitExpense
Percent Of Total Expense0.00570PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14924913TotalCommunityBenefitExpense
Direct Offsetting Revenue9587358DirectOffsettingRevenue
Net Community Benefit Expense5337555NetCommunityBenefitExpense
Percent Of Total Expense0.04500PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense9572TotalCommunityBuildingExpense
Net Community Building Expense9572NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense361171TotalCommunityBuildingExpense
Net Community Building Expense361171NetCommunityBuildingExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense370743TotalCommunityBuildingExpense
Net Community Building Expense370743NetCommunityBuildingExpense
Percent Of Total Expense0.00320PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,531,400BadDebtExpenseAmount
Amount Attributable To949635AmountAttributableTo
Amount Reimbursed By Medicare17513762AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare21425246CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3911484MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Alle-Kiski Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11301 Carlisle StreetAddressLine1
CityNatrona HeightsCity
StatePAState
ZIP Code15065ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Alle-Kiski Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Other ReasonXOtherReason
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Vandergrift Outpatient Care Center
244 Longfellow StreetVandergriftPA15690Outpatient Care Center
Citizens Ambulatory Care Center
651 Fourth AvenueNew KensingtonPA15065Ambulatory Care Center
AVH Outpatient Physical Therapy
1620 Pacific AvenueNatrona HeightsPA15065Physical Therapy
Allegheny Valley Hospital Prolab
1620 Pacific AvenueNatrona HeightsPA15065Laboratory Services
Allegheny Valley Hospital Prolab
2692 Leechburg RoadLower BurrellPA15068Laboratory Services
Destination Wellness
590 Pittsburgh Mills CircleTarentumPA15084General Health and Wellness
AKMC Radiological Imaging
2801 Freeport RoadNatorna HeightsPA15065Radiological Imaging

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Bad Debt Expense Financial Statement Footnote and Costing MethodologySchedule H, Part III, Question 4Alle-Kiski Medical Center 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. It is the opinion of Alle-Kiski Medical Center management that because patients are often reluctant to complete the required charity care paperwork that an unquantifiable amount of charity care results in bad debt. Thus, it is our opinion that bad debt expense can be considered a justifiable component of charity care.
Medicare Shortfall as a Community Benefit and Costing MethodologySchedule H, Part III, Question 8Alle-Kiski Medical Center 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 Medicare Cost Report.
Collection Practices For Patients Who Qualify For Financial AssistanceSchedule H, Part III, Question 9bPatients 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.
Charges For Medical CareSchedule H, Part V, Line 19Alle-Kiski Medical Center 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.
Charges Equal To Gross Charges For Patient ServicesSchedule H, Part V, Line 21The facility offers a variety of procedures. For elective and non medically emergent procedures not covered by health plans, individual fee schedules are published and communicated prior to services. Patients are contacted in advance of the procedure by financial counselors and are required to pay for services in full based on the fee schedule. The patient is required to pay the hospital fee schedule for the technical component and the physician for the professional services rendered.
Health Needs AssessmentSchedule H, Part VI, Line 2Alle-Kiski Medical Center (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. Alle-Kiski Medical Center ( 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. The Hospital has made the CHNA widely available to the public. To accomplish this, we have published an executive summary and the full results of AKMC's CHNA at http://www.wpahs.org/community-health-needs-assessments.
Patient Education For Eligibility For AssistanceSchedule H, Part VI, Line 3Alle-Kiski Medical Center 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. Alle-Kiski Medical Center 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. Account Assistance summaries are available on the West Penn Allegheny Health system website www.wpahs.org under the link titled, "Care for Uninsured" are available to the public. The Charity Care application, as well as, a Medical Assistance check list is available for patients who wish to self-apply. In addition to the documents, toll free telephone numbers regarding Account Assistance, charity and/or other financial inquiries are available. The website also contains a copy of the brochure that summarizes the Account Assistance program, as well as provides various governmental and internal numbers to patients seeking additional support. Alle-Kiski Medical Center 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.
Community Served InformationSchedule H, Part VI, Line 4Alle-Kiski Medical Center, 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 10,500 residents. Allegheny County consists of approximately 1,227,000 residents living in a land area of approximately 730 square miles. The median housing value in Allegheny County is $118,700. Armstrong County consists of approximately 69,000 residents living in a land area of approximately 654 square miles. The median housing value in Armstrong County is $91,600. Beaver County consists of approximately 171,000 residents living in a land area of approximately 434 square miles. The median housing value in Beaver County is $113,600. Butler County consists of approximately 185,000 residents living in a land area of approximately 789 square miles. The median housing value in Butler County is $162,900. Together, Allegheny, Armstrong, Beaver and Bulter Counties form the primary service area for Alle-Kiski Medical Center.
Promotion of Community HealthSchedule H, Part VI, Line 5The Alle-Kiski Medical Center (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.
Affiliated Healthcare SystemSchedule H, Part VI, Line 6West Penn Allegheny Health System (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 areas, house nearly 1,600 beds and employ more than 11,000 people. Together, the WPAHS hospitals admit nearly 56,000 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. Through the West Penn Allegheny Health System, Alle-Kiski Medical Center (AKMC) is able to ensure that area residents have access to a complete continuum of health care services. Also, through appropriate integration across the system, both clinically and operationally, the hospital is able to remain a high-quality, low-cost provider with linkages to the latest medical research and advanced technology. AKMC's main campus is in Natrona Heights. The 228-bed hospital serves as AKMC's inpatient facility and offers a broad spectrum of programs, including medical and surgical services, inpatient psychiatric care and geriatric psychiatric care, cardiology and orthopaedics. Virtually all outpatient services are available on the hospital campus. AKMC's Ambulatory Care Center presents a wide array of outpatient programs, including medical oncology services, laboratory studies, cardiac diagnostics and radiology services, such as routine X-rays, CT scans, mammography and ultrasound. In addition, the site is the home of the Joslin Diabetes Center Affiliate at AKMC and an Urgent Care Center for the treatment of minor medical emergencies. On April 29, 2013, WPAHS consummated an affiliation with Highmark Health, a 501(c)(3) tax exempt organization. This affiliation was one step toward the creation of an integrated delivery system named Allegheny Health Network. In addition to WPAHS, the Allegheny Health Network also includes Jefferson Regional Medical Center, Saint Vincent Health System and Saint Vincent Health Center.
State Filing of Community Benefit ReportSchedule H, Part VI, Line 7Alle-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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Hadi Firoz MD
Director029403804043802400812509476035231700
Christopher Olivia MD
Health System President & CEO0000012611430625000073250189346801250000
Michael Harlovic
Sr. VP and Chief Oper. Officer23031500049809434087320248979000
Roy Santarella
Treasurer0000070304605858170183012890460703046
John Balacko MD
Ex Officio Director048703401066820552010000010052061432000
Robert Brandfass
Secretary0317358015071701016800010801048904400
David Kiehn
Assistant Treasurer0130330100000050609500072506198530564419
George Sandora
Vice President of Finance0880180006966905782051140168583069389
Diane Dismukes
Health System President & CEO0000083336700018308335500833367
Ned Laubacher
Hospital President & CEO0326975000614601000009487035260800
Matthew Peterson
Treasurer023160505000002030625009353029741100
Michael Sirott
Secretary01926620003800009370020241200

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Additional Compensation DisclosureForm 990, Schedule J, Page 1, Line 4aThe 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 ending within the June 30, 2013 fiscal year end: Christopher Olivia, MD $1,250,000 Diane Dismukes $ 833,367 Roy Santarella $ 703,046 David Kiehn $ 464,419 George Sandora $ 69,389
Deferred CompensationSchedule J, Part II, Column CRetirement and other deferred compensation reflect amounts accrued to the benefit of the applicable individuals related to qualified pension and severance plans. In this regard, the following individuals have amounts accrued related to future severance payments to be made: Christopher Olivia, MD Roy Santarella George Sandora

Schedule K IRS990ScheduleK

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierBond InformationIdentifier
Return ReferenceForm 990, Schedule K, Part VIReturnReference
ExplanationAlle-Kiski Medical Center is a member of the West Penn Allegheny Health System obligated group in regards to 2007 Allegheny County Hospital Development Authority tax-exempt bonds. Accordingly, Schedule K has been inserted into this Form 990 for full disclosure purposes. The IRS Form 990 filed for West Penn Allegheny Health System, Inc., EIN: 25-0969492 contains the full disclosure for schedule K.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
IRS Form 990 - Organizational CommentIRS Form 990On April 29, 2013, West Penn Allegheny Health System, Inc., the parent organization of the West Penn Allegheny Health System formalized an affiliation with Highmark Health, EIN: 45-3674900, a 501(c)(3) tax exempt organization to become a member of a newly created integrated delivery system named Allegheny Health Network (the "Network"). West Penn Allegheny Health System, Inc. is the sole member of Alle-Kiski Medical Center. In addition to West Penn Allegheny Health System, the Allegheny Health Network also consists of Jefferson Regional Medical Center, Saint Vincent Health Center and Saint Vincent Health System. In total, the Network consists of 22 different organizations exempt from federal income tax under IRS Section 501(c)(3). The parent organization of the Network is Allegheny Health Network, EIN: 45-3674924, a 501(c)(3) tax exempt organization. Together, these organizations have combined to create a cost-effective health system that raises quality, enhances outcomes and preserves consumer choice for everyone. Statement of Program Service Accomplishments Form 990, Page 2, Part III, Line 4a INTRODUCTION TO ALLE-KISKI MEDICAL CENTER 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. AKMC is a member of the Allegheny Health Network by virtue of being affiliated with West Penn Allegheny Health System (WPAHS). Organized in 2000, WPAHS (www.wpahs.org) is comprised of West Penn Allegheny Health System, Inc. (WPAHS, Inc.), Canonsburg General Hospital (CGH), Allegheny Medical Practice Network (AMPN), Allegheny Specialty Practice Network (ASPN), Allegheny-Singer Research Institute (ASRI), West Penn Allegheny Oncology Network (WPAON), West Penn Physician Practice Network (WPPPN), Canonsburg General Hospital Ambulance Service (CGH Ambulance), Alle-Kiski Medical Center Trust (AKMC Trust), Forbes Health Foundation (FHF), Suburban Health Foundation (SHF), The Western Pennsylvania Hospital Foundation (WPHF) as well as AKMC. AKMC 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, the Joslin Diabetes Center and an Urgent Care Center for minor emergencies. AKMC 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. AKMC 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. The AKMC outpatient care center in Vandergrift offers basic imaging services, cardiac services, lab draws and sleep studies. For the 12 months ended June 30, 2013, AKMC treated 7,523 inpatient discharges, 216,933 outpatients, 44,593 emergency department and urgent care center visits and 5,731 inpatient and outpatient surgeries. The hospital has 313 physicians on staff and 1,235 employees at December 31, 2012. PURPOSE AND MISSION 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. We pledge 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, AKMC 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 $4,662,782 in Fiscal 2013. COMMUNITY ASSESSMENT Community Health Improvement Services and Community Benefit Operations Community health improvement services and community benefit operations include activities intended to improve health and wellness. They extend beyond patient care activities and are subsidized by the Hospital. The programs ranged from community health education to free clinics and screenings. Consistent with the filing of Schedule H, AKMC provided the following community health services during Fiscal 2013 at an estimated cost of $608,296. Destination Wellness - Destination Wellness is a community health and wellness education resource center sponsored by AKMC. One of the few community-based outreach centers of its kind, Destination Wellness is a storefront located in the Galleria at Pittsburgh Mills shopping mall. 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 registered nurses to assist visitors in finding a physician, checking blood pressure or researching a topic in the on-site health resource library. During Fiscal 2013, Destination Wellness sponsored or hosted 188 events. 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. Over 2,280 members have enrolled in this program since its inception in September, 2005. Paramedics Staffing - AKMC staffs the mall with on-site paramedics to respond to a variety medical emergencies at the mall and surrounding businesses. In Fiscal 2013 paramedics responded to 172 calls. PriorityCare Senior Membership Program - AKMC offers 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. Childbirth Education - AKMC offered a class involving the experience of childbirth and newborn care. Class topics included areas of interest such as breast feeding, newborn care and sibling interaction. Babysitting Classes - Six babysitting classes were held in Fiscal 2013. The classes are an educational tool to help teach parents and babysitters on safe sitting techniques. techniques. Doc/Medical Professionals Talks - AVH hosts many "Doc Talks" at the campus and in the community. 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 Chronic Pain, Congestive Heart Failure, Understanding and Managing Hypertension, Eye Health, Prostate Health and Women's Health.
Statement of Program Service Accomplishments - ContinuedForm 990, Page 2, Part III, Line 4aCommunity Health Fairs, Screenings and Workshops - AKMC provides numerous health fairs within the community and at community events. These fairs target a broad range of community members and focus on topics that are prevalent to the well-being of the community. Exercise Classes - During Fiscal 2013, the Hospital sponsored a variety of exercise classes free of charge to members of the community. Classes included Belly Dancing, Tai Chi and Yoga. Support Groups - AKMC acknowledges the stress and distress medical conditions can cause to families and their loved ones. AKMC sponsors a variety of support groups in the community to address these needs. Examples of support groups sponsored by AKMC would include but not be limited to Alzheimer's, Cardiac Disease and Restless Leg Syndrome. Health Professions Education AKMC provides aspiring health professionals with many educational opportunities to further their career in healthcare. Consistent with the filing of Schedule H, AKMC provided these services at a cost of $5,444 in Fiscal 2013. Citizens School of Nursing - Open since 1913, the Citizens School of Nursing has provided over 2,200 graduates with a strong foundation on which to build their future nursing careers. The school earned its first National League of Nursing accreditation in 1960 and continues to enjoy the privilege of full accreditation, due in part to a constantly evolving curriculum that consistently meets the needs of its students and reflects the changes of the nursing profession. The school prepares each student with the knowledge and skills necessary to exceed the challenges of providing quality nursing in the 21st century. Financial Contributions This category includes monetary and in-kind services donated to individuals and the community at large. In-kind services include hours donated by staff to the community during hospital work hours, overhead expenses of meetings, other space donated to not-for-profit community groups, and donations of food, equipment, and supplies. Consistent with the filing of Schedule H, AKMC provided financial contributions during Fiscal 2013 totaling $6,806. 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 $1,000 including contributions to: The American Cancer Society 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. For Fiscal 2013, in-kind contributions amounted to $5,806 and consisted of the following: AARP's 55 Alive Mature Driving Program - The Hospital co-sponsored this two-day driver refresher course 22 times during Fiscal 2013. During the year, 243 drivers participated in the program offered at the Hospital's main campus, the 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 provides free space for the American Cancer Society to host the program Look Good - Feel Better, a program directed toward helping cancer patients feel good about their appearance. 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 $370,743 in Fiscal 2013. 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) and the YMCA.
Family Relationships Among Alle-Kiski Medical Center DirectorsForm 990, Page 6, Part VI, Section A, Line 2The following Alle-Kiski Medical Center Directors are related as husband and wife: Russell Evans Janis Evans Jerry Taylor, MD Ginger Taylor
Operational Oversight By A Third Party Management CompanyForm 990, Page 6, Part VI, Section A, Line 3Alle-Kiski Medical Center ( AKMC) is a member of the Allegheny Health Network by virtue of being affiliated with West Penn Allegheny Health System (System). The System consists of thirteen operational IRC Section 501(c)(3) organizations. The parent organization for AKMC and the other eleven operational IRC Section 501(c)(3) organizations is West Penn Allegheny Health System, Inc. (WPAHS, Inc.). The board of directors of WPAHS, Inc. is comprised of a majority of independent members. On November 7, 2011 (Effective Date), the board of directors of WPAHS, Inc. engaged Alvarez & Marsal Healthcare Industry Group, LLC (A&M) to assign an Interim Chief Executive Officer of the System, Interim Chief Operating Officer of the System and Interim Chief Financial Officer of the System. All individuals appointed to their respective positions are under the employment of A&M and have daily oversight of all matters pertinent to the operation of the System as a whole and all organizations on an independent basis. All interim management personnel under the employment of A&M are responsible to and report to the WPAHS, Inc. board of directors. The term of the engagement is to last one year from the effective date with the option to renew the engagement beyond the initial one year term. During the course of the engagement, the WPAHS, Inc. board of directors upon written notice may cause any individual employed by A&M to be removed from their respective position and replaced by another similarly qualified individual. AKMC did not directly compensate A&M for their management services. WPAHS, Inc. compensates A&M directly for these services. The decision was made to allocate a portion of the expenditures of WPAHS, Inc. to AKMC. Thus, the portion of management expense allocated from WPAHS, Inc. to AKMC is reflected on Form 990, Page 10, Line 11a. On April 29, 2013, West Penn Allegheny Health System, Inc., the sole member of Alle-Kiski Medical Center consummated a formal affiliation to establish a regional integrated health care services delivery system. With the establishment of this formal affiliation, the management team from A&M were removed from their respective positions and ceased to provide management services.
Change to Organizational Governing DocumentsForm 990, Page 6, Part VI, Section A, Question 4The bylaws of Alle-Kiski Medical Center were amended effective May 17, 2013 to reflect an affiliation with Highmark Health, EIN: 45-3674900 and the creation of a regional integrated healthcare delivery system, the parent organization of which is Allegheny Health Network, EIN: 45-3674924. In accordance with the affiliation, Highmark Health assumed certain reserve powers over Alle-Kiski Medical Center. Among the reserve powers given to Highmark Health includes the right to approve the election, re-election and removal of all officers of the corporation; to amend, revise and restate the corporation's Articles of Incorporation and Bylaws; adopt or change the mission, purpose, philosophy or objective of the corporation; to change the general structure of the corporation; to dissolve or liquidate, consolidate or merge and sell or acquire assets in excess of certain thresholds; approve the capital, operating plan and budget of the corporation; approve the incurrence of debt by the corporation and the making of capital expenditures in excess of certain thresholds; to approve donations or other transfers in excess of certain thresholds; approve the strategic plan and mission statement; approve investment policies; approve the closure or relocation of a licensed healthcare facility; approve the creation of or dissolution of subsidiary corporations, partnerships or other joint ventures in excess of certain thresholds; manage the corporations program for compliance with all legal requirements; selection of auditors and the designation of the fiscal year of the corporation.
Form 990 Review ProcessForm 990, Page 6, Part VI, Section B, Line 11aThe 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 PolicyForm 990, Page 6, Part VI, Section B, Line 12cAlle-Kiski Medical Center 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 monitors and oversees compliance with the conflict of interest policy of all organizations in the health system. The following describes the manner in which the corporate compliance department monitors and oversees compliance with the conflict of interest policy for Alle-Kiski Medical Center as well as the other WPAHS affiliates: Conflict of Interest disclosure forms are completed on an annual basis by all board members, officers, employees who have a title of Manager and above, physicians in leadership roles, Pharmacy and Therapeutic Committee members, all employees of the System's Compliance and Internal Audit Departments as well as personnel involved with contracting in the Corporate Purchasing Department. Upon completion of the above disclosure statement by all applicable individuals, a report is generated listing all individuals that have reported a conflict. The System Compliance Officer and General Counsel review the conflicts disclosed. Those that require additional information or clarification receive a letter from the Compliance Officer requesting such. Once received, all additional information is added to the report and again reviewed by the Compliance Officer and General Counsel. Those conflicts that require a mitigation plan are sent to the respective organization's senior management for development of the mitigation plan. The organization's senior management is responsible to discuss the mitigation plan with the individual as needed and monitor compliance with the mitigation plan. Once mitigation is received, a final report is reviewed by System Executive Compliance Council with the Legal Department and the Allegheny Health Network(AHN)senior management and finally with the AHN Audit and Compliance Subcommittee of the Board.
Process Used To Determine Executive CompensationForm 990, Page 6, Part VI, Section B, Line 15bThe West Penn Allegheny Health Systems (WPAHS) process for determining compensation for executive positions (including officers, key employees and other management positions) within Alle-Kiski Medical Center is covered by the WPAHS Executive Compensation Policy. This policy was approved by the West Penn Allegheny Health System, Inc. Board of Directors. It is the policy of WPAHS 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 WPAHS. The Compensation Committee of the West Penn Allegheny Health System, Inc. Board of Directors approves the compensation for WPAHS senior executives. The Compensation Committee approves the initial compensation for newly hired senior executives, which shall include all compensation components, including without limitation, base compensation, incentive compensation, deferred compensation, fringe and other benefits, as well as the total compensation. It shall also approve all base compensation adjustments and all incentive compensation awards, as well as material changes to deferred compensation, fringe, or other benefits. The Compensation Committee uses comparability data provided by the System Human Resources Department, which may include industry surveys, expert compensation studies, documented compensation of persons holding similar positions, or other comparable data in approving any executive compensation. The Compensation Committee shall periodically retain the services of an independent compensation consultant to provide an expert opinion report as to the reasonableness of total compensation of Alle-Kiski Medical Center officers and key employees. Each Compensation Committee 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. The Compensation Committee consists of five independent Board Members of West Penn Allegheny Health System, Inc. All decisions of the Compensation Committee regarding executive compensation matters are documented.
Public Access To Organizational DocumentsForm 990, Page 6, Part VI, Section C, Line 19Alle-Kiski Medical Center (AKMC) does not make its governing documents available to the public. AKMC is a member of the West Penn Allegheny Health System (WPAHS). The WPAHS makes available their annual and quarterly financial statements through the use of a dissemination agent. These financial statements are on a consolidated basis with AKMC being one of the consolidated entities. In addition, the WPAHS annual report and quarterly financial results are available on the WPAHS website. WPAHS has adopted a conflict of interest policy that is uniformly applied to all organizations of the health system, including AKMC. A condensed version of this conflict of interest policy is available on the WPAHS website.
Officer, Director and Key Employee Hour AllocationForm 990, Page 7, Part VII, Section A, Column BAlle-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. 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 TermsForm 990, Page 7, Part VII, Column CThe following list represents Officer or Directors of Alle-Kiski Medical Center listed on Form 990, Part VII who did not serve a full consecutive twelve month tenure during the year ended June 30, 2013 along with the dates served: Robert Brandfass 07-01-2012 - 11-16-2012 Jerry Taylor, MD 07-01-2012 - 02-28-2013 Robin Bergstrom 02-28-2013 - 06-30-2013 David Shin, MD 02-28-2013 - 06-30-2013 Michael Sirott 02-28-2013 - 06-30-2013
Rent ExpenseForm 990, Page 9, Part VIII, Line 6bAlle-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.
Purpose Of Tax Exempt Bond IssuanceForm 990, Page 11, Part X, Line 20Alle-Kiski Medical Center is a member of the West Penn Allegheny Health System obligated group in regards to 2007 Allegheny County Hospital Development Authority tax-exempt bonds. Accordingly, Schedule K has been inserted into this Form 990 for full disclosure purposes. The purpose of the issue of the Allegheny County Hospital Development Authority (ACHDA) Hospital Revenue Bonds, Series 2007 A is to refund the outstanding ACHDA Series 2000A and B Bond Issues, the Dauphin County General Authority (DCGA) Series 1992A and B Hospital Bonds, the Pennsylvania Higher Education Facility Authority (PHEFA) Series 1991A Revenue Bonds, the Monroeville Hospital Authority (MHA) Series 1992 and 1995 Revenue Bonds, the funding of a project fund for certain prior and future capital expenditures and to pay the cost of issuing Series 2007A Debt. The amount of $63,560,927 reflected on Form 990, Page 11, Line 20 represents the internal allocation of debt to Alle-Kiski Medical Center by the parent organization, West Penn Allegheny Health System, Inc. The IRS Form 990 filed by West Penn Allegheny Health System, Inc., EIN: 25-0969492 has completed Schedule K in its entirety. Please refer to the IRS Form 990 filed by West Penn Allegheny Health System, Inc., EIN: 25-0969492 to review Schedule K with regard to this bond issue.
Other Changes In Net AssetsForm 990, Page 12, Part XI, Line 9The following is a reconciliation of the other changes in net assets of Alle-Kiski Medical Center for the year ended June 30, 2013: Change in Minimum Pension Liability $1,264,704 Net Transfers To Affiliated Organizations 58,006 Purchase Accounting Adjustments (27,974,955) ___________ Other Changes in Net Assets ($26,652,245)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Highmark Health
120 Fifth Ave Suite 922PittsburghPA15222453674900HealthcarePA501(c)(3)11-INAfalse
Allegheny Health Network
120 Fifth Ave Suite 922PittsburghPA15222453674924HealthcarePA501(c)(3)11-IHighmark Heafalse
Allegheny Medical Practice Network
4800 Friendship AvePittsburghPA15224251838457HealthcarePA501(c)(3)3WPAHS Incfalse
Allegheny Singer Research Institute
320 East North AvePittsburghPA15212251320493Sci ResearchPA501(c)(3)4WPAHS Incfalse
Allegheny Specialty Practice Network
320 East North AvePittsburghPA15212251838458HealthcarePA501(c)(3)3WPAHS Incfalse
Alle-Kiski Medical Center Trust
1301 Carlisle StreetPittsburghPA15065205855753FundraisingPA501(c)(3)11-IAKMCtrue
Canonsburg General Hospital
100 Medical BlvdCanonsburgPA15317251737079HealthcarePA501(c)(3)3WPAHS Incfalse
Canonsburg General Hospital Ambulance Se
100 Medical BlvdCanonsburgPA15317232939715ER ResponsePA501(c)(3)9CGHfalse
Canonsburg Hospital & Health Foundation
100 Medical BlvdCanonsburgPA15317251818505InactivePA501(c)(3)11-INAfalse
Forbes Health Foundation
2570 Haymaker RdMonroevillePA15146251798379FundraisingPA501(c)(3)7WPAHS Incfalse
Greater Canonsburg Health System
100 Medical BlvdCanonsburgPA15317251488089InactivePA501(c)(3)11-INAfalse
The Western Pennsylvania Hospital Founda
4800 Friendship AvePittsburghPA15224251470766FundraisingPA501(c)(3)11-IWPAHS Incfalse
West Allegheny Hospital
100 Medical BlvdPittsburghPA15317251054206InactivePA501(c)(3)3NAfalse
West Penn Allegheny Health System Inc
Two Allegheny CtrPittsburghPA15212250969492HealthcarePA501(c)(3)3AHNfalse
West Penn Allegheny Oncology Network
4800 Friendship AvePittsburghPA15224113683376HealthcarePA501(c)(3)11-III FLWPAHS Incfalse
West Penn Physician Practice Network
4800 Friendship AvePittsburghPA15224251494317HealthcarePA501(c)(3)9WPAHS Incfalse
JRMCUPMC Cancer Associates
565 Coal Valley RdJefferson HillsPA15236201634783HealthcarePA501(c)(3)3NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStatePredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Employee Benefit Data Services Company
120 Fifth Ave Suite 922PittsburghPA15222251824465Data ServicesPANONE00false$0false0.00000
Gateway Health Plan LP
444 Liberty Avenue Suite 2100PittsburghPA15222251691945InsurancePANONE00false$0false0.00000
Jenkins Empire Associates
120 Fifth Ave Suite 922PittsburghPA15222251524682Property MgmtPANONE00false$0false0.00000
Silver Rain LP
120 Fifth Ave Suite 922PittsburghPA15222273035436Property MgmtPANONE00false$0false0.00000
Provider PPI LLC
120 Fifth Ave Suite 922PittsburghPA15222320429947Facilities SupporPANONE00false$0false0.00000
Chartwell Pennsylvania LP
120 Fifth Ave Suite 922PittsburghPA15222Medical PracticePANONE00false$0false0.00000
Waterfront Surgery Assoc
120 Fifth Ave Suite 922PittsburghPA15222Medical PracticePANONE00false$0false0.00000
Waterfront Medical Assoc
120 Fifth Ave Suite 922PittsburghPA15222Medical PracticePANONE00false$0false0.00000
Upper Midwest Consol Services Ctr LLC
120 Fifth Ave Suite 922PittsburghPA15222Medical PracticePANONE00false$0false0.00000
UPMC VNA Home Health
120 Fifth Ave Suite 922PittsburghPA15222251844485Medical PracticePANONE00false$0false0.00000
5148 Liberty Avenue Associates
4800 Friendship AvePittsburghPA15224Medical PracticePANONE00false$0false0.00000
Allegheny Imaging of McCandless
4800 Friendship AvePittsburghPA15224Medical PracticePANONE00false$0false0.00000
Forbes Regional Urologic
4800 Friendship AvePittsburghPA15224Medical PracticePANONE00false$0false0.00000
McCandless Endoscopy Center
4800 Friendship AvePittsburghPA15224Medical PracticePANONE00false$0false0.00000
North Shore Endoscopy Center
4800 Friendship AvePittsburghPA15224Medical PracticePANONE00false$0false0.00000
West Penn Ambulatory Center
15305 Dallas ParkwayPittsburghPA15224272344847Medical PracticePANONE00false$0false0.00000
Peters Ambulatory Surgery Ctr LLC
4800 Friendship AvePittsburghPA15224Medical PracticePANONE00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (92 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Delaware Ancillary Insurance Agency
800 Delaware AvenueWilmingtonDE198011368510383213Insurance ServiceDEHighmark IncC Corporation
The Gateway Group LTD
800 Delaware AvenueWilmingtonDE198011368510293417Benefit AdministrDEHighmark IncC Corporation
Highmark BCBSD Inc
800 Delaware AvenueWilmingtonDE198011368510020405InsuranceDEHighmark IncC Corporation
Davis Vision Inc
175 East Houston StreetSan AntonioTX78205113051991Vision ServiceTXHighmark IncC Corporation
Davis Vision IPA Inc
175 East Houston StreetSan AntonioTX78205112958041TPATXHighmark IncC Corporation
Visionworks Distribution Services Inc
175 East Houston StreetSan AntonioTX78205043742989Optical RetailTXHighmark IncC Corporation
Visionworks Enterprises Inc
175 East Houston StreetSan AntonioTX78205352196998TrademarksTXHighmark IncC Corporation
ECCA Managed Vision Care Inc
175 East Houston StreetSan AntonioTX78205742759084Physician ServiceTXHighmark IncC Corporation
Empire Vision Center Inc
175 East Houston StreetSan AntonioTX78205141586016Retail SalesTXHighmark IncC Corporation
Eye Drx Retail Management Inc
175 East Houston StreetSan AntonioTX78205742924030Office AdministraTXHighmark IncC Corporation
Visionworks Inc
175 East Houston StreetSan AntonioTX78205020677066Optical RetailTXHighmark IncC Corporation
Gateway Health Plan Inc
444 Liberty Avenue Suite 2100PittsburghPA15222251505506InsurancePAHighmark IncC Corporation
Gateway Health Plan of Ohio Inc
444 Liberty Avenue Suite 2100PittsburghPA15222300282076InsurancePAHighmark IncC Corporation
HM Broker Services Inc
120 Fifth Ave Suite 922PittsburghPA15222232384777Marketing AgentPAHighmark IncC Corporation
HCI Inc
120 Fifth Ave Suite 922PittsburghPA15222753002215Finance & InsuranPAHighmark IncC Corporation
Highmark Casualty Insurance Company
120 Fifth Ave Suite 922PittsburghPA15222251334623InsurancePAHighmark IncC Corporation
HM Health Insurance Company
120 Fifth Ave Suite 922PittsburghPA15222541637426Insurance SalesPAHighmark IncC Corporation
Highmark Inc
120 Fifth Ave Suite 922PittsburghPA15222231294723InsurancePAHighmark IncC Corporation
HM Casualty Insurance Company
120 Fifth Ave Suite 922PittsburghPA15222870807723Insurance SalesPAHighmark IncC Corporation
HM Benefits Administrators Inc
120 Fifth Ave Suite 922PittsburghPA15222251128451Funds AdministratPAHighmark IncC Corporation
HM Captive Insurance Company
120 Fifth Ave Suite 922PittsburghPA15222651274122InsurancePAHighmark IncC Corporation
HM Insurance Group
120 Fifth Ave Suite 922PittsburghPA15222251646315Management ServicPAHighmark IncC Corporation
Highmark West Virginia
PO Box 1948ParkersburgWV26102550624615Insurance SalesWVHighmark IncC Corporation
HM Life Insurance Company
120 Fifth Ave Suite 922PittsburghPA15222061041332Insurance SalesPAHighmark IncC Corporation
HM Life Insurance Company of New York
120 Fifth Ave Suite 922PittsburghPA15222251800302Insurance SalesPAHighmark IncC Corporation
Highmark Senior Resources
120 Fifth Ave Suite 922PittsburghPA15222202353206Insurance SalesPAHighmark IncC Corporation
HVHC Inc
175 East Houston StreetSan AntonioTX78205251801124Holding CompanyTXHighmark IncC Corporation
Highmark Ventures Inc
120 Fifth Ave Suite 922PittsburghPA15222251645888Holding CompanyPAHighmark IncC Corporation
JEA Inc
120 Fifth Ave Suite 922PittsburghPA15222251712017Management ServicPAHighmark IncC Corporation
Keystone Health Plan West Inc
120 Fifth Ave Suite 922PittsburghPA15222251522457Insurance SalesPAHighmark IncC Corporation
Miracle Optics Inc
3140 Route 22 WestSomervilleNJ08876954481411TradingNJHighmark IncC Corporation
Parker Benefits
PO Box 1948ParkersburgWV26102550625743TPAWVHighmark IncC Corporation
South Shore Optometrists PC
2921 Erie BoulevardSyracuseNY13224043429510Health CareNYHighmark IncC Corporation
Standard Property Corporation
120 Fifth Ave Suite 922PittsburghPA15222251668093Real Estate OperaPAHighmark IncC Corporation
Union Benefit Management Inc
120 Fifth Ave Suite 922PittsburghPA15222251845908Benefit Plan MgmtPAHighmark IncC Corporation
United Concordia Companies Inc
4401 Deer Path RoadHarrisburgPA17110251687586Dental InsurancePAHighmark IncC Corporation
United Concordia Dental Corporation of
4401 Deer Path RoadHarrisburgPA17110631028262Dental InsurancePAHighmark IncC Corporation
United Concordia Dental Plans of Califor
4401 Deer Path RoadHarrisburgPA17110237328765Dental InsurancePAHighmark IncC Corporation
United Concordia Dental Plans of Florida
4401 Deer Path RoadHarrisburgPA17110650243292Dental InsurancePAHighmark IncC Corporation
United Concordia Dental Plans Inc
4401 Deer Path RoadHarrisburgPA17110521542269Dental InsurancePAHighmark IncC Corporation
United Concordia Dental Plans of Kentuck
4401 Deer Path RoadHarrisburgPA17110611012900Dental InsurancePAHighmark IncC Corporation
United Concordia Dental Plans of the Mid
4401 Deer Path RoadHarrisburgPA17110382289438Dental InsurancePAHighmark IncC Corporation
United Concordia Dental Plans of Pennsyl
4401 Deer Path RoadHarrisburgPA17110232541529Dental InsurancePAHighmark IncC Corporation
United Concordia Dental Plans of Texas
4401 Deer Path RoadHarrisburgPA17110742489037Dental InsurancePAHighmark IncC Corporation
United Concordia Insurance Company
4401 Deer Path RoadHarrisburgPA17110860307623Dental InsurancePAHighmark IncC Corporation
United Concordia Insurance Company of Ne
4401 Deer Path RoadHarrisburgPA17110113008245Dental InsurancePAHighmark IncC Corporation
United Concordia Life and Health Insuran
4401 Deer Path RoadHarrisburgPA17110231661402Dental InsurancePAHighmark IncC Corporation
Visionworks Lab Services Inc
175 East Houston StreetSan AntonioTX78205043742977Optical RetailTXHighmark IncC Corporation
Visionary Properties Inc
175 East Houston StreetSan AntonioTX78205742849554LeasingTXHighmark IncC Corporation
Visionary Retail Management Inc
175 East Houston StreetSan AntonioTX78205742849552Office AdministraTXHighmark IncC Corporation
Viva Europa Inc
3140 Route 22 WestSomervilleNJ08876223390239InvestingNJHighmark IncC Corporation
Viva International Inc
3140 Route 22 WestSomervilleNJ08876223106453Wholesale DistribNJHighmark IncC Corporation
Viva IP Corp
3140 Route 22 WestSomervilleNJ08876223841079Holding CompanyNJHighmark IncC Corporation
Viva Optique Inc
3140 Route 22 WestSomervilleNJ08876222192365Wholesale DistribNJHighmark IncC Corporation
Visionworks of America Inc
175 East Houston StreetSan AntonioTX78205742337775Retail SalesTXHighmark IncC Corporation
West Virginia Family Health Plan Inc
1219 Virginia Street EastCharlestonWV25301452763165InsuranceWVHighmark IncC Corporation
Prime Medical Group PCG 1
1200 Brooks Ln 110ClairtonPA15025264194208Medical PracticePAJRMCC Corporation
Primary Care Group 2 Inc
6011 Baptist Rd Ste 220PittsburghPA15236900451375Medical PracticePAJRMCC Corporation
Primary Care Group 3 Inc
5426 Mifflin RdPittsburghPA15227900451380Medical PracticePAJRMCC Corporation
Primary Care Group 4 Inc
1907 Lebanon Church RdWest MifflinPA15122800403090Medical PracticePAJRMCC Corporation
Primary Care Group 5 Inc
624 Monongahela AveGlassportPA15045800403100Medical PracticePAJRMCC Corporation
Primary Care Group 6 Inc
PO Box 333West MifflinPA15122453684432Medical PracticePAJRMCC Corporation
Primary Care Group 7 Inc
575 Coal Valley RdJefferson HillsPA15025900503600Medical PracticePAJRMCC Corporation
Primary Care Group 8 Inc
803 Miller AveClairtonPA15025010927360Medical PracticePAJRMCC Corporation
Primary Care Group 9 Inc
1200 Brooks Ln 270ClairtonPA15025010929359Medical PracticePAJRMCC Corporation
Primary Care Group 10 Inc
3726 Brownsville RdPittsburghPA15227383807173Medical PracticePAJRMCC Corporation
Primary Care Group 11 Inc
455 Valley Brook Rd Ste 300McMurrayPA15317800494617Medical PracticePAJRMCC Corporation
Primary Care Group 12 Inc
17 Arentzen Blvd Ste 101CharleroiPA15022900614054Medical PracticePAJRMCC Corporation
Park Cardiothoracic & Vascular Inst
565 Coal Valley RdJefferson HillsPA15236721529328Medical PracticePAJRMCC Corporation
Family Practice Medical Associates South
2414 Lytle Rd Ste 300Bethel ParkPA15102251684735Medical PracticePAJRMCC Corporation
Health System Services Corp & Subs
565 Coal Valley RdJefferson HillsPA15236251403745Medical Office BlPAJRMCC Corporation
JRMC Health Pavilion
565 Coal Valley RdJefferson HillsPA15236251203449Medical PracticePAJRMCC Corporation
HSSC Diversified Services Inc
565 Coal Valley RdJefferson HillsPA15236251770047Medical PracticePAJRMCC Corporation
Specialty Group Practice 1 Inc
575 Coal Valley Rd Ste 365Jefferson HillsPA15025352367818Medical PracticePAJRMCC Corporation
Grandis Rubin Shanahan & Assoc
565 Coal Valley RdJefferson HillsPA15236453355906Medical PracticePAJRMCC Corporation
Steel Valley Orthopedics & Sports Medici
1200 Brooks Ln 240ClairtonPA15025453540378Medical PracticePAJRMCC Corporation
Jefferson Hills Surgical Specialists PA
1200 Brooks Ln 150ClairtonPA15025300477313Medical PracticePAJRMCC Corporation
JRMC Specialty Group Practice
565 Coal Valley RdJefferson HillsPA15236721529332Medical PracticePAJRMCC Corporation
JRMC Physician Service Corp
565 Coal Valley RdJefferson HillsPA15236861159658Medical PracticePAJRMCC Corporation
Pace Re Ltd
565 Coal Valley RdJefferson HillsPA15236981109020Medical PracticePAJRMCC Corporation
Pittsburgh Bone Joint and Spine Inc
565 Coal Valley RdJefferson HillsPA15236251203449Medical PracticePAJRMCC Corporation
West Penn Corporate Medical Services In
4800 Friendship AvenuePittsburghPA15224251437405Medical PracticePAWPAHS IncC Corporation
West Penn Neurosurgery PC
4800 Friendship AvenuePittsburghPA15224251630719Medical PracticePAWPAHS IncC Corporation
Burn Care Associates Ltd
4800 Friendship AvenuePittsburghPA15224232899534Medical PracticePAWPAHS IncC Corporation
Medical Center Clinic PC
4800 Friendship AvenuePittsburghPA15224232894939Medical PracticePAWPAHS IncC Corporation
Optima Imaging
4800 Friendship AvenuePittsburghPA15224251652874Medical PracticePAWPAHS IncS Corporation
HMPG Inc
120 Fifth Ave Suite 922PittsburghPA15222453444325Holding CompanyPAHighmark IncC Corporation
Physician Landing Zone PC
120 Fifth Ave Suite 922PittsburghPA15222453913973Health CarePAHMPG IncC Corporation
Lake Erie Medical Group PC
120 Fifth Ave Suite 922PittsburghPA15222453444157Health CarePAHMPG IncC Corporation
Premier Medical Associates PC
120 Fifth Ave Suite 922PittsburghPA15222251742869Health CarePAHMPG IncC Corporation
Beam Medical Associates PC
120 Fifth Ave Suite 922PittsburghPA15222281816080Health CarePAHMPG IncC Corporation
Palladium Risk Retention Group
120 Fifth Ave Suite 922PittsburghPA15222463476730Health CarePAHMPG IncC Corporation
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Alle-Kiski Medical Center TrustBusinessNameLine1
FieldValueIRS element (for citing)
Transaction Type1qTransactionType
Amount Involved50740AmountInvolved

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierTransactions with Affiliated OrganizationsIdentifier
Return ReferenceSchedule R, Part V, Line 2ReturnReference
ExplanationAlle-Kiski Medical Center has chosen not to complete Schedule R, Part V, line 2 for organizations that are not controlled entities within the meaning of section 512(b)(13). The disclosure of this information is only required for organizations listed in Schedule R, Part V, line 2 that are controlled entities within the meaning of section 512(b)(13). The only organization listed in Schedule R, Part V, line 2 that is a controlled entity within the meaning of section 512(b)(13) for Alle-Kiski Medical Center is the Alle-Kiski Medical Center Trust.Explanation

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.