HIGHMARK HEALTH: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- HIGHMARK HEALTH (EIN 25-1875178)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-11
- IRS object ID
- 201231329349303203
- Schema version
- 2010v3.7
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-11T15:31:36-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET STREET SUITE 3100 | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251875178 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alle-Kiski Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ALLE | NameControl |
| Phone | 4123306022 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O Tax Dept Two Allegheny Center | AddressLine1 |
| City | Pittsburgh | City |
| State | PA | State |
| ZIP Code | 15212 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MATTHEW PETERSON | Name |
| Title | TREASURER | Title |
| Date Signed | 2012-05-04 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2155614200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Matthew Peterson | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Two Allegheny Center 11th Fl | AddressLine1 |
| City | Pittsburgh | City |
| State | PA | State |
| ZIP Code | 15212 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 165538191 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.wpahs.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | See Form 990, Page 2, Part III, Question 1 | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1363 | TotalNbrEmployees |
| Total Nbr Volunteers | 270 | TotalNbrVolunteers |
| Total Gross UBI | 4619842 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -553285 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 8265 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 121894023 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 122312091 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1088780 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1211579 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3615292 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5670227 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 126606360 | TotalRevenuePriorYear |
| Total Revenue Current Year | 129193897 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4756 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 7175 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 56771507 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 53384921 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 60623576 | OtherExpensePriorYear |
| Other Expenses Current Year | 66414619 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 117399839 | TotalExpensesPriorYear |
| Total Expenses Current Year | 119806715 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 9206521 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 9387182 | RevenuesLessExpensesCY |
| Total Assets BOY | 84249621 | TotalAssetsBOY |
| Total Assets EOY | 86913877 | TotalAssetsEOY |
| Total Liabilities BOY | 104898534 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 97223681 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -20648913 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -10309804 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ALLE-KISKI MEDICAL CENTER IS AN ORGANIZATION DEFINED BY OUR TALENTED PEOPLE. AN ORGANIZATION COMMITTED TO EXCELLENCE; AN ORGANIZATION WITH ONE PURPOSE AND ONE MISSION. OUR ONE PURPOSE IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE WESTERN PENNSYLVANIA REGION. OUR ONE MISSION IS TO PRACTICE MEDICINE, EDUCATE AND CONDUCT RESEARCH AS AN INTEGRATED TEAM OF PHYSICIANS, NURSES AND SUPPORT PROFESSIONALS WHO ARE COMMITTED TO IMPROVING THE HEALTH OF OUR PATIENTS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 16615653 | Expense |
| Grants | 7175 | Grants |
| Revenue | 10838141 | Revenue |
| Description | The purpose of Alle-Kiski Medical Center is to improve the health of the people in Western Pennsylvania. In order to accomplish this mission, Alle-Kiski Medical Center provides uncompensated care and community benefit to individuals in need of medical treatment, training and education. See Schedule O - Statement of Program Service Accomplishments and Schedule H. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10932101 | Expense |
| Grants | 0 | Grants |
| Revenue | 10381962 | Revenue |
| Description | The purpose of Alle-Kiski Medical Center is to improve the health of the people in Western Pennsylvania. In order to accomplish this mission, Alle-Kiski Medical Center provides orthopedic services to those individuals in need of treatment inorder to regain their quality of life. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8309233 | Expense |
| Grants | 0 | Grants |
| Revenue | 7030750 | Revenue |
| Description | The purpose of Alle-Kiski Medical Center is to improve the health of the people in Western Pennsylvania. In order to accomplish this mission, Alle-Kiski Medical Center provides behavioral health treatment on an inpatient and outpatient basis to those individuals in need of treatment in order to regain their quality of life. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 61050364 | Expense |
| Grants | 0 | Grants |
| Revenue | 94061238 | Revenue |
| Description | Other Medical Services Provided To Our Patients | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 61050364 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 94061238 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 96907351 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 97 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1363 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MATTHEW PETERSON | NamePerson |
| Telephone Number | 4123306005 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO ALLEGHENY CENTER 11TH FLOOR | AddressLine1 |
| City | Pittsburgh | City |
| State | PA | State |
| ZIP Code | 15212 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Russell Evans | ||||||||
| Chair | 1.0 | X | 0 | 0 | 0 | |||
| Ruth Becker | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| David Bonvenuto | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Jason Ross | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Russell Livingston | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Ginger Taylor | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Jerry Taylor MD | ||||||||
| Ex Officio Director | 1.0 | X | 0 | 0 | 0 | |||
| David McClenahan | ||||||||
| Ex Officio Director | 1.0 | X | 0 | 0 | 0 | |||
| John Balacko MD | ||||||||
| Ex Officio Director | 1.0 | X | 0 | 450010 | 0 | |||
| Hadi Firoz MD | ||||||||
| Director | 1.0 | X | 0 | 268094 | 0 | |||
| Christopher Olivia MD | ||||||||
| Health System President & CEO | 1.0 | X | 0 | 1974582 | 0 | X | ||
| Ned Laubacher | ||||||||
| Hospital President & CEO | 39.0 | X | 0 | 307504 | 0 | X | ||
| Dawn Gideon | ||||||||
| Ex Officio Director | 1.0 | X | 0 | 681942 | 0 | |||
| Michael O'Keefe | ||||||||
| Ex Officio Director | 20.0 | X | 0 | 9900 | 0 | |||
| Diane Dismukes | ||||||||
| Health System President & CEO | 1.0 | X | 0 | 0 | 0 | X | ||
| Roy Santarella | ||||||||
| Treasurer | 1.0 | 0 | 1118480 | 0 | X | |||
| Thomas Albanesi | ||||||||
| Assistant Treasurer | 1.0 | 0 | 321474 | 0 | X | |||
| Judy Hlafcsak | ||||||||
| Secretary | 1.0 | 0 | 458102 | 0 | X | |||
| Deborah Olszewski | ||||||||
| Assistant Secretary | 1.0 | 0 | 188656 | 0 | X | |||
| Robert Brandfass | ||||||||
| Secretary | 1.0 | 0 | 0 | 0 | X | |||
| David Kiehn | ||||||||
| Assistant Treasurer | 1.0 | 0 | 555706 | 0 | X | |||
| Michael Harlovic | ||||||||
| Sr. VP and Chief Oper. Officer | 40.0 | 217200 | 0 | 0 | X | |||
| George Sandora | ||||||||
| Vice President of Finance | 39.0 | 0 | 149413 | 0 | X | |||
| William Englert | ||||||||
| VP - Business Development | 40.0 | 140673 | 0 | 0 | X | |||
| Janet Boehm | ||||||||
| Registered Nurse - IV Therapy | 40.0 | 135256 | 0 | 0 | X | |||
| Elaine Hatfield | ||||||||
| VP - Patient Care Services | 40.0 | 113969 | 0 | 0 | X | |||
| Brian Olender | ||||||||
| Pharmacy Director | 40.0 | 123248 | 0 | 0 | X | |||
| Diane Bowser | ||||||||
| Pharmacist | 40.0 | 114128 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 844474 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 6483863 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 11 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Valentour English Bodnar Howell | |||||
| 470 Washington Road | PITTSBURGH | PA | 15228 | Architect Services | 244949 |
| Clean Care | |||||
| PO Box 40330 | PITTSBURGH | PA | 15201 | Linen Services | 470156 |
| Emergency Medicine Physician -Alle- | |||||
| 4535 Dressler Road | CANTON | OH | 44718 | Emergency Med. Care | 173000 |
| Laser Technology Services Ltd | |||||
| 1009 Merchant Street | AMBRIDGE | PA | 15003 | Laser Service | 174400 |
| Ohio Mobile Lithotripsy LLC | |||||
| PO Box 714774 | COLUMBUS | OH | 432714774 | Lithotripsy Service | 158600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENUE | Description |
| Business Code | 621500 | BusinessCode |
| Total Revenue Column | 122312091 | TotalRevenueColumn |
| Related Or Exempt Function Income | 118068310 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4243781 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 122312091 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 391133 | TotalRevenueColumn |
| Exclusion | $391,133 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 711835 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 711835 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 711835 | TotalRevenueColumn |
| Unrelated Business Revenue | 376061 | UnrelatedBusinessRevenue |
| Exclusion | $335,774 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 37142826 | Securities |
| Other | 21914 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 36344294 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 798532 | Securities |
| Other | 21914 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 820446 | TotalRevenueColumn |
| Exclusion | $820,446 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| UNITED HEALTHCARE SETTLEMENT | 621110 | 1667986 | 1667986 |
| SCHOOL OF NURSING TUITION | 621110 | 1412940 | 1412940 |
| CAFETERIA SALES | 621110 | 703493 | 703493 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1173973 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1173973 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4958392 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 129193897 | TotalRevenueColumn |
| Related Or Exempt Function Income | 123026702 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4619842 | UnrelatedBusinessRevenue |
| Exclusion | $1,547,353 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7175 | Total |
| Program Services | 7175 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 240552 | Total |
| Program Services | 204469 | ProgramServices |
| Management And General | 36083 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42295297 | Total |
| Program Services | 35951002 | ProgramServices |
| Management And General | 6344295 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1973874 | Total |
| Program Services | 1677793 | ProgramServices |
| Management And General | 296081 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5835575 | Total |
| Program Services | 4960239 | ProgramServices |
| Management And General | 875336 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3039623 | Total |
| Program Services | 2583680 | ProgramServices |
| Management And General | 455943 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120096 | Total |
| Management And General | 120096 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4942188 | Total |
| Program Services | 4447969 | ProgramServices |
| Management And General | 494219 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89420 | Total |
| Program Services | 80478 | ProgramServices |
| Management And General | 8942 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 576810 | Total |
| Program Services | 519129 | ProgramServices |
| Management And General | 57681 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3562586 | Total |
| Program Services | 3206328 | ProgramServices |
| Management And General | 356258 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95682 | Total |
| Program Services | 86114 | ProgramServices |
| Management And General | 9568 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26767 | Total |
| Program Services | 24090 | ProgramServices |
| Management And General | 2677 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3517027 | Total |
| Program Services | 3481857 | ProgramServices |
| Management And General | 35170 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13690538 | Total |
| Program Services | 1369054 | ProgramServices |
| Management And General | 12321484 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6235749 | Total |
| Program Services | 5612174 | ProgramServices |
| Management And General | 623575 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1260044 | Total |
| Program Services | 1260044 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PATIENT CARE MEDICATION | 15261754 | 15261754 | |
| BAD DEBT | 7708223 | 7708223 | |
| REPAIR AND MAINTENANCE | 4816711 | 4335040 | 481671 |
| PA ACT 49 - QUALITY CARE | 1663236 | 1663236 | |
| FOOD AND DIETARY | 937673 | 843906 | 93767 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1910115 | Total |
| Program Services | 1623597 | ProgramServices |
| Management And General | 286518 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 119806715 | Total |
| Program Services | 96907351 | ProgramServices |
| Management And General | 22899364 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11510575 | BOY |
| EOY | 4255 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 16875365 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2363 | BOY |
| EOY | 48499 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11240455 | BOY |
| EOY | 10423847 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1491812 | BOY |
| EOY | 1480293 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 858269 | BOY |
| EOY | 710046 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 132490454 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 102494608 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28513485 | BOY |
| EOY | 29995846 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20903425 | BOY |
| EOY | 21645200 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 570010 | BOY |
| EOY | 126252 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3190998 | BOY |
| EOY | 2724021 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5968229 | BOY |
| EOY | 2880253 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84249621 | BOY |
| EOY | 86913877 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9820125 | BOY |
| EOY | 9912113 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1881678 | BOY |
| EOY | 3178283 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66616930 | BOY |
| EOY | 65648819 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4006488 | BOY |
| EOY | 3126834 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22573313 | BOY |
| EOY | 15357632 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104898534 | BOY |
| EOY | 97223681 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -20757044 | BOY |
| EOY | -10418130 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108131 | BOY |
| EOY | 108326 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -20648913 | BOY |
| EOY | -10309804 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84249621 | BOY |
| EOY | 86913877 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 9387182 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 951927 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Belongs To Affiliated Group | X | OrgBelongsToAffiliatedGroup |
Total Grassroots Lobbying TotalGrassrootsLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
| Affiliated Group Totals | 0 | AffiliatedGroupTotals |
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 33295 | FilingOrganizationsTotals |
| Affiliated Group Totals | 424588 | AffiliatedGroupTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 33295 | FilingOrganizationsTotals |
| Affiliated Group Totals | 424588 | AffiliatedGroupTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 119773420 | FilingOrganizationsTotals |
| Affiliated Group Totals | 1647450412 | AffiliatedGroupTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 119806715 | FilingOrganizationsTotals |
| Affiliated Group Totals | 1647875000 | AffiliatedGroupTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
| Affiliated Group Totals | 1000000 | AffiliatedGroupTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
| Affiliated Group Totals | 250000 | AffiliatedGroupTotals |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 613479 | CurrentYearMinus3 |
| Current Year Minus2 | 585102 | CurrentYearMinus2 |
| Current Year Minus1 | 418483 | CurrentYearMinus1 |
| Current Year | 424588 | CurrentYear |
| Total | 2041652 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 0 | CurrentYearMinus3 |
| Current Year Minus2 | 0 | CurrentYearMinus2 |
| Current Year Minus1 | 0 | CurrentYearMinus1 |
| Current Year | 0 | CurrentYear |
| Total | 0 | Total |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Lobbying Expenditures | Identifier |
| Return Reference | Form 990, Schedule C, Page 2, Part II-A, Line 1b, Column (a) | ReturnReference |
| Explanation | Alle-Kiski Medical Center (AKMC) has made the IRC Section 501(h) election. AKMC has not made any political expenditures and no direct lobbying expenditures. AKMC is a member of the West Penn Allegheny Health System (WPAHS). WPAHS employs an Executive Vice President for External Affairs to lobby issues of importance to WPAHS and all of its members. WPAHS also elected to engage the services of outside consultants to assist us in lobbying issues of importance. The lobbying expenditures of $33,295 attributed to AKMC on Schedule C, Page 2, Part II-A reflect expenditures allocated to AKMC from WPAHS and do not reflect direct expenditures made by AKMC. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 108131 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 195 | InvestmentEarningsOrLosses |
| End Of Year Balance | 108326 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 106555 | BeginningOfYearBalance |
| Contributions | 968 | Contributions |
| Investment Earnings Or Losses | 608 | InvestmentEarningsOrLosses |
| End Of Year Balance | 108131 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 102387 | BeginningOfYearBalance |
| Contributions | 2760 | Contributions |
| Investment Earnings Or Losses | 1408 | InvestmentEarningsOrLosses |
| End Of Year Balance | 106555 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 27912 | OtherCostOrOtherBasis |
| Book Value | 27912 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 82229396 | OtherCostOrOtherBasis |
| Depreciation | 63606156 | Depreciation |
| Book Value | 18623240 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 510953 | OtherCostOrOtherBasis |
| Depreciation | 438077 | Depreciation |
| Book Value | 72876 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 44269200 | OtherCostOrOtherBasis |
| Depreciation | 36633469 | Depreciation |
| Book Value | 7635731 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5452993 | OtherCostOrOtherBasis |
| Depreciation | 1816906 | Depreciation |
| Book Value | 3636087 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 29995846 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION COSTS | $13,967,513 |
| THIRD PARTY SETTLEMENTS | $1,317,385 |
| ASBESTOS RETIREMENT OBLIGATION | $72,734 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 15357632 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| AKMC Inclusion In The Consolidated Audit of WPAHS | Form 990, Schedule D, Part X Question 2, Part XII and XIII | Alle-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 $8,992,257 Plus: Income Reclassified From Restricted Net Assets on the Financial Statements to Unrestricted Revenue on Form 990 195 Less: Unrealized Loss on Investments reflected as current year loss on the financial statements reclassified through net assets on Form 990 394,730 ___________ Net Income Per Form 990 $9,387,182 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 Funds | Schedule D, Page 2, Part V, Line 4 | The intended use of Alle-Kiski Medical Center term endowments are for but not exclusive to: capital improvements, research, education, departmental needs, operating efficiencies, and overall patient care. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 540444 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55879 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 484565 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11554523 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7586767 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3967756 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03310 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12094967 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7642646 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4452321 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03710 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 542628 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 542628 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00450 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3319665 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3265116 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 54549 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 168024 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 108032 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 59993 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8283 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8283 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4038600 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3373148 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 665453 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00560 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16133567 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11015794 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5117774 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04270 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 9540 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 9540 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 356965 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 356965 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 366505 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 366505 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00310 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,952,493 | BadDebtExpenseAmount |
| Amount Attributable To | 767499 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 19659358 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 21862161 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2202803 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alle-Kiski Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 Carlisle Street | AddressLine1 |
| City | Natrona Heights | City |
| State | PA | State |
| ZIP Code | 15065 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alle-Kiski Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 11 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (11 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Vandergrift Outpatient Care Center | ||||
| 244 Longfellow Street | Vandergrift | PA | 15690 | Outpatient Care Center |
| Citizens Ambulatory Care Center | ||||
| 651 Fourth Avenue | New Kensington | PA | 15065 | Ambulatory Care Center |
| AVH Outpatient Physical Therapy | ||||
| 1620 Pacific Avenue | Natrona Heights | PA | 15065 | Physical Therapy |
| Allegheny Valley Hospital Prolab | ||||
| 1620 Pacific Avenue | Natrona Heights | PA | 15065 | Laboratory Services |
| Allegheny Valley Hospital Prolab | ||||
| 2692 Leechburg Road | Lower Burrell | PA | 15068 | Laboratory Services |
| Destination Wellness | ||||
| 590 Pittsburgh Mills Circle | Tarentum | PA | 15084 | General Health and Wellness |
| AKMC Radiological Imaging | ||||
| 2801 Freeport Road | Natorna Heights | PA | 15065 | Radiological Imaging |
| AKMC Physician Practices | ||||
| 1622 Pacific Avenue | Natrona Heights | PA | 15065 | Physician Practices |
| AKMC Physician Practices | ||||
| 1624 Pacific Avenue | Natrona Heights | PA | 15065 | Physician Practices |
| AKMC Physician Practice | ||||
| 1001 North Avenue | Brakenridge | PA | 15014 | Neurosurgery Practice |
| AKMC Physician Practices | ||||
| 1301 Alabama Avenue | Natrona Heights | PA | 15065 | Medical Office Building |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Bad Debt Expense Financial Statement Footnote and Costing Methodology | Schedule H, Part III, Question 4 | Alle-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 uncompensated care. |
| Medicare Shortfall as a Community Benefit and Costing Methodology | Schedule H, Part III, Question 8 | Alle-Kiski Medical Center takes the shortfall in medicare into consideration in its provision of charity care and below cost services to the community. The source used to determine the amount reported on line 6 is the Medicare Cost Report. |
| Collection Practices For Patients Who Qualify For Financial Assistance | Schedule H, Part III, Question 9b | Patients that qualify for charity care or financial assistance are provided with an approval letter with the effective dates for the assistance. At any time the individual presents for services within a 90 day span of approval, they show the letter and will be registered as a charity care case. Charity care cases are designated in the internal computerized systems with unique plan codes that prevent billing to the patient. Reports are run to capture the patient accounts registered with the charity care plan codes so they can be written off to charity care. |
| Charges For Medical Care | Schedule H, Part V, Line 19 | West Penn Allegheny Health System 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 Services | Schedule H, Part V, Line 21 | Alle-Kiski Medical Center offers cosmetic procedures. The 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 Assessment | Schedule H, Part VI, Line 2 | Alle-Kiski Medical Center 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. In addition to the ongoing community health monitoring and assessment, Alle-Kiski Medical Center is actively working towards a formal community health needs assessment that will be completed in Fiscal 2013. |
| Patient Education For Eligibility For Assistance | Schedule H, Part VI, Line 3 | Alle-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. 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 patient, 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 Information | Schedule H, Part VI, Line 4 | Alle-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 1,224,000 residents living in a land area of approximately 730 square miles. The median housing value in Allegheny County is $115,200. 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 $89,100. 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 $112,400. Butler County consists of approximately 184,000 residents living in a land area of approximately 789 square miles. The median housing value in Butler County is $159,000. Together, Allegheny, Armstrong, Beaver and Bulter Counties form the primary service area for Alle-Kiski Medical Center. |
| Promotion of Community Health | Schedule H, Part VI, Line 5 | The 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 System | Schedule H, Part VI, Line 6 | West 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 62,000 patients, log over 171,000 emergency visits and deliver more than 4,000 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. |
| State Filing of Community Benefit Report | Schedule H, Part VI, Line 7 | Alle-Kiski Medical Center files the community benefit report with the State of Pennsylvania as part of our obligation to furnish the State of Pennsylvania with a copy of the IRS Form 990 and related schedules. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
| No Grant More Than5000 | X | NoGrantMoreThan5000 |
Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Procedures For Monitoring The Use Of Funds | Form 990, Schedule I, Part I, Question 2 | Alle-Kiski Medical Center upper management analyzes requests for charitable disbursements on an ongoing basis. Disbursements are rewarded to organizations that demonstrate a charitable purpose, a community benefit and who will put the use of the funds towards the charitable mission on which Alle-Kiski Medical Center was founded. |
| Equity Transactions With Related Organizations | Form 990, Schedule R, Page 3, Part V, Line 1b | During the year ended June 30, 2011 transfers of money were made from Alle-Kiski Medical Center to West Penn Allegheny Health System, Inc. and Alle-Kiski Medical Center Trust. Management has made the decision to treat this activity as a capital contribution recorded through net assets and not an item of current year profit and loss. The activity represents the funding of various aspects of operations. Due to the recording of this activity as a capital contribution, Schedule I disclosure is not generated on page 1 because these transactions are not part of the profit and loss recorded for the year. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John Balacko MD | |||||||||||||
| 0 | 449458 | 0 | 0 | 0 | 552 | 0 | 9800 | 0 | 11716 | 0 | 471526 | 0 | 0 |
| Hadi Firoz MD | |||||||||||||
| 0 | 245037 | 0 | 22850 | 0 | 207 | 0 | 7963 | 0 | 16197 | 0 | 292254 | 0 | 0 |
| Christopher Olivia MD | |||||||||||||
| 0 | 1209879 | 0 | 678000 | 0 | 86703 | 0 | 5396562 | 0 | 20495 | 0 | 7391639 | 0 | 0 |
| Ned Laubacher | |||||||||||||
| 0 | 307144 | 0 | 0 | 0 | 360 | 0 | 9800 | 0 | 19333 | 0 | 336637 | 0 | 0 |
| Michael Harlovic | |||||||||||||
| 188122 | 0 | 28670 | 0 | 408 | 0 | 7868 | 0 | 15484 | 0 | 240552 | 0 | 0 | 0 |
| Roy Santarella | |||||||||||||
| 0 | 745857 | 0 | 321000 | 0 | 51623 | 0 | 1418288 | 0 | 16555 | 0 | 2553323 | 0 | 0 |
| Thomas Albanesi | |||||||||||||
| 0 | 278626 | 0 | 42488 | 0 | 360 | 0 | 293054 | 0 | 18346 | 0 | 632874 | 0 | 0 |
| Judy Hlafcsak | |||||||||||||
| 0 | 252637 | 0 | 8351 | 0 | 197114 | 0 | 287243 | 0 | 4480 | 0 | 749825 | 0 | 0 |
| Deborah Olszewski | |||||||||||||
| 0 | 171611 | 0 | 16070 | 0 | 975 | 0 | 9433 | 0 | 1690 | 0 | 199779 | 0 | 0 |
| David Kiehn | |||||||||||||
| 0 | 444122 | 0 | 110000 | 0 | 1584 | 0 | 14700 | 0 | 14449 | 0 | 584855 | 0 | 0 |
| Dawn Gideon | |||||||||||||
| 0 | 520544 | 0 | 10139 | 0 | 151259 | 0 | 530667 | 0 | 16045 | 0 | 1228654 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Additional Compensation Disclosure | Form 990, Schedule J, Page 1, Line 4a | The following represents additional disclosure for Schedule J, line 4a pertaining to officers and key employees listed in Form 990, Part VII, Section A, Line 1a receiving severance pay during the calendar year ending within the June 30, 2011 fiscal year end: Dawn Gideon $104,173 Judy Hlafcsak $125,276 The following list represents Officers, Directors or Key Employees of Alle-Kiski Medical Center listed on Form 990, Part VII who did not serve a full consecutive twelve month tenure for the year ended June 30, 2011 along with the dates served: Ex-Officio Directors: Christopher Olivia, MD 07-01-2010 - 06-28-2011 Diane Dismukes 06-29-2011 - 06-30-2011 Dawn Gideon 07-01-2010 - 10-31-2010 Michael O'Keefe 12-22-2010 - 05-31-2011 Officers: Judy Hlafcsak 07-01-2010 - 09-03-2010 Deborah Olszewski 07-01-2010 - 03-25-2011 Robert Brandfass 03-25-2011 - 06-30-2011 Thomas Albanesi 07-01-2010 - 01-27-2011 David Kiehn 01-27-2011 - 06-30-2011 |
| Deferred Compensation | Schedule J, Part II, Column C | Retirement 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 Judy Hlafcsak Thomas Albanesi Dawn Gideon |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Allegheny County Hospital Development Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 251327925 | IssuerEIN |
| CUSIP Number | 01728AG83 | CUSIPNumber |
| Date Issued | 2007-06-19 | DateIssued |
| Issue Price | 758726273 | IssuePrice |
| Description Of Purpose | See Schedule O | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Jason Ross | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Organization Director | Relationship |
| Amount Of Transaction | 506005 | AmountOfTransaction |
| Description Of Transaction | See Schedule O | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (30 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Subsequent Event - Proposed Affiliation | Form 990 - General Information | West Penn Allegheny Health System, of which Alle-Kiski Medical Center is an affiliate, is pursuing a formal corporate affiliation with UPE, a recently formed tax-exempt organization, and Highmark Inc., a non-profit corporation with substantial health insurance operations throughout Western Pennsylvania. UPE has made filings with the applicable regulatory authorities to acquire control of Highmark. Following the anticipated affiliation, UPE also will assume control of West Penn Allegheny Health System. West Penn Allegheny Health System approved the affiliation in 2011 in order to restore financial viability to the System and ensure its long term survival as a provider of quality healthcare services to the communities it has served for several generations. Among other advantages to the transaction, the affiliation will create a regional integrated health care services delivery and financing system that will better position West Penn Allegheny Health System given the competitive pressures in the Western Pennsylvania market. An affiliation agreement was signed by the parties in October, 2011. As of the date of this filing the regulatory agencies that must approve the transaction have either given their approval or are in the process of undertaking their review. We are optimistic that all approvals will be granted by the end of the 2012 calendar year and possibly sooner. |
| Statement of Program Service Accomplishments | Form 990, Page 2, Part III, Line 4a | INTRODUCTION TO ALLE-KISKI MEDICAL CENTER The Alle-Kiski Medical Center (AKMC) is dedicated to providing exceptional health care to nearly 170,000 people in portions of Allegheny, Butler, Westmoreland and Armstrong counties. AKMC is part of the West Penn Allegheny Health System. Organized in 2000, WPAHS (www.wpahs.org) is comprised of West Penn Allegheny Health System, Inc. (WPAHS) West Penn Physician Practice Network (WPPPN), Alle-Kiski Medical Center (AKMC), Canonsburg General Hospital (CGH), Canonsburg General Hospital Ambulance Service, Inc. (CGH Ambulance), West Penn Allegheny Oncology Network (WPAON), Allegheny Medical Practice Network (AMPN), Allegheny Specialty Practice Network (ASPN) Allegheny-Singer Research Institute (ASRI), the Western Pennsylvania Hospital Foundation (WPHF), Forbes Health Foundation (FHF), Suburban Health Foundation (SHF) and the Alle-Kiski Medical Center Trust (AKMC Trust). AKMC is comprised of a hospital campus, located in Allegheny County at 1301 Carlisle Street, Natrona Heights, Pa., the AKMC Ambulatory Care Center, located in Westmoreland County at 651 Fourth Avenue, New Kensington, Pa., offering a number of outpatient programs, including an Urgent Care Center for minor emergencies. AKMC 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 and ultrasound. In October 2010, AKMC opened an outpatient services center in Vandergrift. This site offers basic imaging services, cardiac services, lab draws and sleep studies. Honors and awards bestowed upon AKMC for Fiscal 2011 include recognition by U.S. News & World Report placing AKMC as fifth in the region for overall quality care. AKMC was also noted for its excellence in Gastroenterology, Geriatrics, Pulmonology and Urology. Additionally the readers of the Valley News Dispatch voted AKMC as 2011 Readers' Choice Award "Best Hospital" for the ninth consecutive year. For the 12 months ended June 30, 2011, AKMC treated 9,129 inpatient discharges, 213,248 outpatients, 53,180 emergency department and urgent care center visits; 6,143 inpatient and outpatient surgeries. The Hospital has 308 physicians on staff and 1,086 employees. PURPOSE AND MISSION Alle-Kiski Medical Center is an organization defined by our talented people. We are an organization committed to excellence; an organization with one purpose and one mission. Our purpose is to improve the health of the people in the Western Pennsylvania region. Our mission is to practice medicine, educate and conduct research as an integrated team of physicians, nurses and support professionals who are committed to improving the health of our patients. 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 $4,743,963 in Fiscal 2011 broken down as follows: MA Shortfall $3,967,756 Charity Care 484,565 __________ Total $4,452,321 COMMUNITY ASSESSMENT Community Health Services Community health services 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 2011 at an estimated cost of $542,628. 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. 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 pressures or researching topics in the on-site health resource library. During Fiscal 2011, Destination Wellness sponsored or hosted 209 events with a total of 24,641 attendees. 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. Over 1,700 members have enrolled in this program since its inception in 2005. Paramedics Staffing - AKMC staffs a local galleria mall with on-site paramedics to respond to a variety medical emergencies at the mall and surrounding businesses. During the fiscal year paramedics responded to 252 calls. Priority Care Senior Membership Program - Since 1987, AKMC has offered this outreach program to adults age 55 and older with the purpose of improving their health and their knowledge about health care and other issues related to the aging process. A newsletter is mailed quarterly to over 14,000 households reaching a total membership of over 20,000 adults. Cumulatively, over 36,000 adults have enrolled in the program. In addition to health education articles, the newsletter keeps members informed about hospital and community services and contains a calendar of monthly educational programs and support groups. AARP's 55 Alive Mature Driving Program - AKMC co-sponsored this two-day driver refresher course 17 times during FY11. During the year, 225 drivers participated in the program offered at Alle-Kiski Medical Center's main campus, AKMC's Ambulatory Care Center in New Kensington or Destination Wellness. Free meeting space, parking and refreshments are provided through the Hospital. Childbirth Education - AKMC offered six classes during fiscal year 2011 involving the experience of childbirth and newborn care. Classes included topics such as breast feeding, newborn care and sibling interaction. |
| Statement of Program Service Accomplishments - Continued | Form 990, Page 2, Part III, Line 4a | Babysitting Classes - Four babysitting classes were held during fiscal year 2011. The classes are an educational tool to help teach parents and babysitters on safe sitting techniques. School Tours - Every year, AKMC provides free hospital tours to nursery schools, scout troops, career clubs and other groups as requested. Approximately 82 visitors toured AKMC in Fiscal 2011. Nutrition Clinic - AKMC teaches individuals how to change their eating habits through meal planning and behavior modification. Staffed by registered nutritionists, the clinic focuses on a variety of diets, including diabetic, cardiac rehabilitation, weight control, digestive disorders, food allergies, high blood pressure, healthy meal plans for children and food and drug interaction. Doc Talks - AKMC 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. Community Health Fairs, Screenings and Workshops - AKMC provides numerous health fairs within the community and at community events. These fairs target a broad range of the community and focus on topics that are prevalent to the well-being of the community. Exercise Classes - AKMC sponsors free Tai Chi exercise classes throughout the year to members of the community. The classes help promote healthy living to members of the community. Support Groups - AKMC sponsors a variety of support groups in the community. These support groups include but are not limited to: Alzheimer's, Diabetes 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 $54,549 in Fiscal 2011. 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. CPR Classes - AKMC instructors teach a variety of CPR classes each year. From Basic Life Support for Healthcare providers, to Friends & Family CPR, to Automated External Defibrillator (AED) usage, AKMC held 43 classes in Fiscal 2011. Subsidized Health Services Subsidized health services represent those programs provided to the community by AKMC despite the fact the Hospital incurs a financial loss to do so. AKMC recognizes the need of its community and voluntarily subsidizes these programs in support of its charitable mission. Among the subsidized health services provided by AKMC is the treatment of drug and alcohol abuse. Consistent with the filing of Schedule H, AKMC provided subsidized health services at a cost of $54,549 in Fiscal 2011. 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 2011 totaling $8,283. 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 $7,175 to the following: Strongland Chamber of Commerce New Kensington Area Chamber of Commerce Allegheny Valley Chamber of Commerce Highland Area Rotary American Cancer Society Pennsylvania State University New Kensington Rotary Concordia Lutheran Ministries 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 2011, in-kind contributions amounted to $1,108. Allegheny County Bar Association - VIP (Very Important Papers) program. Through a partnership with the Priority Care program, the Bar Association offers a series of legal information workshops targeting the interests and needs of older adults. This program is held at AKMC facilities where the space is free of charge. 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. Equipment - During FY11 AKMC donated various assets to Goodwill Industries. Among the donated items were 30 computers, various printers, monitors and a television set. 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 $366,505 in Fiscal 2011. Board Memberships - AKMC employees serve as board members on numerous local boards including Leadership Alle-Kiski Valley, Rotary, Chamber of Commerce, Citizens General Hospital Foundation and the YMCA. Social Services - AKMC's social 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. |
| Family Relationships Among Alle-Kiski Medical Center Directors | Form 990, Page 6, Part VI, Section A, Line 2 | Alle-Kiski Medical Center Directors Jerry Taylor, MD and Ginger Taylor are related as husband and wife. |
| Form 990 Review Process | Form 990, Page 6, Part VI, Section B, Question 11a | Form 990 is prepared internally by an employee of the West Penn Allegheny Health System, Inc. (Health System) Tax Department who is a certified public accountant. The document is then reviewed internally by top management officials of the Health System. A detailed external review is conducted by Health System external tax advisors, who sign the return as preparer. The Chair of the organization's Board of Directors, or another Board Member otherwise designated by the Chair, along with members of the Audit and Compliance committee of the Health System Board review the Form 990 and recommend changes or accept the document as presented. A copy of the Form 990 is made available to every board member for review prior to filing the document with the Internal Revenue Service. |
| Monitoring and Enforcement of the Conflict of Interest Policy | Form 990, Page 6, Part VI, Section B, Question 12c | Alle-Kiski Medical Center is a member of the 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 with the System Compliance Executive Committee and finally the Audit & Compliance Committee of the Board. In addition, all WPAHS board members, officers and key employees complete an annual independence disclosure statement which assists the System's Compliance Officer and Internal Audit Department to determine and monitor the levels of independence in each of the System's tax exempt affiliates as well as to determine the level of Form 990, Schedule L reporting. |
| Process Used To Determine Executive Compensation | Form 990, Page 6, Part VI, Section B, Line 15b | 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 WPAHS 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 WPAHS 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 also approves 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 periodically retains 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 WPAHS. All decisions of the Compensation Committee regarding executive compensation matters are documented. |
| Public Access To Organizational Documents | Form 990, Page 6, Part VI, Section C, Line 19 | Alle-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. The condensed policy is contained in the code of ethics disclosure. |
| Rental Expense | Form 990, Page 9, Part VIII, Line 6b | Alle-Kiski Medical Center does not account for rental expense in a manner that would allow for a direct offset of rental income on Form 990, page 9, Part VIII, Line 6b. The components of rental expense are reflected on Form 990, Page 10, Statement of Functional Expense. |
| Officer, Director and Key Employee Hour Allocation | Form 990, Page 7, Part VII, Section A, Column B | Alle-Kiski Medical Center allocates hours to officers, directors and key employees employed by Alle-Kiski Medical Center or a related organization on the basis of a 40 hour work week. Alle-Kiski Medical Center is a member of an integrated healthcare delivery system consisting of 13 different organizations. Many individuals are Health System executives who serve prominent roles on various organizations. Every employed individual who serves as an officer, director or key employee of any related organization as well as Alle-Kiski Medical Center will be allocated time served out of the 40 hour work week for each separate related organization. Thus, the cumulative total for each individual spread out between Alle-Kiski Medical Center and the 12 related organizations will equal 40 hours. Directors of Alle-Kiski Medical Center serving on a volunteer basis are allocated one hour of service per week to Alle-Kiski Medical Center. If the director also volunteers time to one of the 12 related organizations in the capacity of a director for that related organization, one hour per week is reflected as devoted to each related organization served. The time and efforts of the volunteer directors of Alle-Kiski Medical Center may vary upon the needs of the organization. The one hour per week reported in Part VII is an estimate of the average time spent per week by the Alle-Kiski Medical Center volunteer directors when viewed on an annual basis. |
| Purpose of Tax Exempt Bond Issuance | Form 990, Page 11, Part X, Line 20 | Alle-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 $65,648,819 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 Assets | Form 990, Page 12, Part XI, Line 5 | The following is a reconciliation of the other changes in net assets of Alle-Kiski Medical Center for the year ended June 30, 2011: Change in Minimum Pension Liability $3,574,982 Net Transfers To Affiliated Organizations (2,228,325) Unrealized Loss on Investments (394,730) ___________ Other Changes in Net Assets $ 951,927 |
| Transactions With Interested Persons | Schedule L, Part IV | Jason Ross, a director of Alle-Kiski Medical Center is also an officer of Allegheny Valley Bank. Allegheny Valley Bank provides lending services to Alle-Kiski Medical Center. All terms and conditions of the lending service is done at fair market value. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Russell Evans TITLE:Chair HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Jason Ross TITLE:Director HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Ginger Taylor TITLE:Director HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:David McClenahan TITLE:Ex Officio Director HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:John Balacko, MD TITLE:Ex Officio Director HOURS:39 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Hadi Firoz MD TITLE:Director HOURS:39 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Christopher Olivia MD TITLE:Health System President & CEO HOURS:39 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Ned Laubacher TITLE:Hospital President & CEO HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Dawn Gideon TITLE:Ex Officio Director HOURS:39 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Michael O'Keefe TITLE:Ex Officio Director HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Roy Santarella TITLE:Treasurer HOURS:39 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Thomas Albanesi TITLE:Assistant Treasurer HOURS:39 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Judy Hlafcsak TITLE:Secretary HOURS:39 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Deborah Olszewski TITLE:Assistant Secretary HOURS:39 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Robert Brandfass TITLE:Secretary HOURS:39 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:David Kiehn TITLE:Assistant Treasurer HOURS:39 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:George Sandora TITLE:Vice President of Finance HOURS:1 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| West Penn Allegheny Health System Inc | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 250969492 | Healthcare | PA | 501(c)(3) | 3 | NA |
| Allegheny Singer Research Institute | |||||||||
| 320 East North Avenue | Pittsburgh | PA | 15212 | 251320493 | Sci. Research | PA | 501(c)(3) | 4 | NA |
| Canonsburg General Hospital | |||||||||
| 100 Medical Boulevard | Canonsburg | PA | 15317 | 251737079 | Healthcare | PA | 501(c)(3) | 3 | NA |
| Allegheny Medical Practice Network | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251838457 | Healthcare | PA | 501(c)(3) | 3 | NA |
| Allegheny Specialty Practice Network | |||||||||
| 320 East North Avenue | Pittsburgh | PA | 15212 | 251838458 | Healthcare | PA | 501(c)(3) | 3 | NA |
| West Penn Allegheny Oncology Network | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 113683376 | Healthcare | PA | 501(c)(3) | 11-III FL | NA |
| West Penn Physician Practice Network | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251494317 | Healthcare | PA | 501(c)(3) | 9 | NA |
| CGH Ambulance Service Inc | |||||||||
| 100 Medical Boulevard | Canonsburg | PA | 15317 | 232939715 | Emer Response | PA | 501(c)(3) | 9 | NA |
| Alle-Kiski Medical Center Trust | |||||||||
| 1301 Carlisle Street | Natrona Heights | PA | 15065 | 205855753 | Fundraising | PA | 501(c)(3) | 11-I | AKMC |
| Forbes Health Foundation | |||||||||
| 2570 Haymaker Road | Monroeville | PA | 15146 | 251798379 | Fundraising | PA | 501(c)(3) | 7 | NA |
| Suburban Health Foundation | |||||||||
| 100 South Jackson Avenue | Pittsburgh | PA | 15202 | 251472073 | Fundraising | PA | 501(c)(3) | 11-I | NA |
| Western Pennsylvania Hospital Foundation | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251470766 | Fundraising | PA | 501(c)(3) | 11-I | NA |
| West Allegheny Hospital | |||||||||
| 100 Medical Boulevard | Pittsburgh | PA | 15317 | 251054206 | Inactive | PA | 501(c)(3) | 3 | NA |
| Greater Canonsburg Health System | |||||||||
| 100 Medical Boulevard | Canonsburg | PA | 15317 | 251488089 | Inactive | PA | 501(c)(3) | 11-I | NA |
| Canonsburg HealthHospital Foundation | |||||||||
| 100 Medical Boulevard | Canonsburg | PA | 15317 | 251818505 | Inactive | PA | 501(c)(3) | 11-I | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Burn Care Associates | ||||||||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 232899534 | Healthcare | PA | NA | C Corporation | ||||||
| Liberty Physicians | ||||||||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251637318 | Healthcare | PA | NA | C Corporation | ||||||
| Medical Center Clinic | ||||||||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 232894939 | Healthcare | PA | NA | C Corporation | ||||||
| West Penn Corporate Medical Services | ||||||||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251437405 | Healthcare | PA | NA | C Corporation | ||||||
| West Penn Medical Associates | ||||||||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251666783 | Healthcare | PA | NA | C Corporation | ||||||
| West Penn Neurosurgery | ||||||||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251630719 | Inactive | PA | NA | C Corporation | ||||||
| West Penn OBGYN Multispecialist | ||||||||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251619226 | Healthcare | PA | NA | C Corporation | ||||||
| Friendship Insurance Company | ||||||||||||||
| 980116952 | Insurance | NA | C Corporation | Barclays House Shedden Road | Grand Cayman | Cayman Islands | CJ | PO Box 1051 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Alle-Kiski Medical Center Trust | |
| 1b | 233300 |
| Alle-Kiski Medical Center Trust | |
| 1p | 296689 |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Transactions with Affiliated Organizations | Identifier |
| Return Reference | Schedule R, Part V, Line 2 | ReturnReference |
| Explanation | Alle-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 |
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