2012-05-11T15:31:36-05:00 2011-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 3100 PHILADELPHIA PA 19103 990 2010-07-01 251875178 Alle-Kiski Medical Center ALLE 4123306022 C/O Tax Dept Two Allegheny Center Pittsburgh PA 15212 MATTHEW PETERSON 2012-05-04 true 2155614200 2010 2016-02-24 21:20:13Z Matthew Peterson Two Allegheny Center 11th Fl Pittsburgh PA 15212 165538191 false X www.wpahs.org X 2000 PA See Form 990, Page 2, Part III, Question 1 12 7 1363 270 4619842 -553285 8265 0 121894023 122312091 1088780 1211579 3615292 5670227 126606360 129193897 4756 7175 0 0 56771507 53384921 0 0 0 60623576 66414619 117399839 119806715 9206521 9387182 84249621 86913877 104898534 97223681 -20648913 -10309804 X 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. false false 16615653 7175 10838141 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. 10932101 0 10381962 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. 8309233 0 7030750 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. 61050364 0 94061238 Other Medical Services Provided To Our Patients 61050364 0 94061238 96907351 true false false true false false false false true true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false true false false false false false true true true false false true 97 0 true 1363 true true true false false false false false false false false false X 12 7 true false false false false false false true true false false true true true true true true true true false PA X X MATTHEW PETERSON 4123306005 TWO ALLEGHENY CENTER 11TH FLOOR Pittsburgh PA 15212 X Russell Evans 1.0 X 0 0 0 Ruth Becker 1.0 X 0 0 0 David Bonvenuto 1.0 X 0 0 0 Jason Ross 1.0 X 0 0 0 Russell Livingston 1.0 X 0 0 0 Ginger Taylor 1.0 X 0 0 0 Jerry Taylor MD 1.0 X 0 0 0 David McClenahan 1.0 X 0 0 0 John Balacko MD 1.0 X 0 450010 0 Hadi Firoz MD 1.0 X 0 268094 0 Christopher Olivia MD 1.0 X X 0 1974582 0 Ned Laubacher 39.0 X X 0 307504 0 Dawn Gideon 1.0 X 0 681942 0 Michael O'Keefe 20.0 X 0 9900 0 Diane Dismukes 1.0 X X 0 0 0 Roy Santarella 1.0 X 0 1118480 0 Thomas Albanesi 1.0 X 0 321474 0 Judy Hlafcsak 1.0 X 0 458102 0 Deborah Olszewski 1.0 X 0 188656 0 Robert Brandfass 1.0 X 0 0 0 David Kiehn 1.0 X 0 555706 0 Michael Harlovic 40.0 X 217200 0 0 George Sandora 39.0 X 0 149413 0 William Englert 40.0 X 140673 0 0 Janet Boehm 40.0 X 135256 0 0 Elaine Hatfield 40.0 X 113969 0 0 Brian Olender 40.0 X 123248 0 0 Diane Bowser 40.0 X 114128 0 0 844474 6483863 0 11 false true false 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 8 0 PATIENT SERVICE REVENUE 621500 122312091 118068310 4243781 122312091 391133 391133 0 0 711835 711835 711835 376061 335774 37142826 21914 36344294 798532 21914 820446 820446 0 0 0 UNITED HEALTHCARE SETTLEMENT 621110 1667986 1667986 SCHOOL OF NURSING TUITION 621110 1412940 1412940 CAFETERIA SALES 621110 703493 703493 1173973 1173973 4958392 129193897 123026702 4619842 1547353 7175 7175 0 0 0 240552 204469 36083 0 42295297 35951002 6344295 1973874 1677793 296081 5835575 4960239 875336 3039623 2583680 455943 0 0 0 0 0 120096 120096 4942188 4447969 494219 89420 80478 8942 576810 519129 57681 0 0 3562586 3206328 356258 95682 86114 9568 0 26767 24090 2677 3517027 3481857 35170 13690538 1369054 12321484 6235749 5612174 623575 1260044 1260044 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 1910115 1623597 286518 119806715 96907351 22899364 0 11510575 4255 16875365 2363 48499 11240455 10423847 1491812 1480293 858269 710046 132490454 102494608 28513485 29995846 20903425 21645200 570010 126252 3190998 2724021 5968229 2880253 84249621 86913877 9820125 9912113 1881678 3178283 66616930 65648819 4006488 3126834 22573313 15357632 104898534 97223681 X -20757044 -10418130 108131 108326 -20648913 -10309804 84249621 86913877 X 9387182 951927 X false true true X true true X X 0 0 33295 424588 33295 424588 119773420 1647450412 119806715 1647875000 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 613479 585102 418483 424588 2041652 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 Lobbying Expenditures Form 990, Schedule C, Page 2, Part II-A, Line 1b, Column (a) 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. 108131 195 108326 106555 968 608 108131 102387 2760 1408 106555 0.00000 0.00000 1.00000 false false 0 27912 27912 82229396 63606156 18623240 510953 438077 72876 44269200 36633469 7635731 5452993 1816906 3636087 29995846 0 ACCRUED PENSION COSTS 13967513 THIRD PARTY SETTLEMENTS 1317385 ASBESTOS RETIREMENT OBLIGATION 72734 15357632 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. true true true X true X true true true false true true 540444 55879 484565 0.00400 11554523 7586767 3967756 0.03310 12094967 7642646 4452321 0.03710 542628 542628 0.00450 3319665 3265116 54549 0.00050 168024 108032 59993 0.00050 8283 8283 0.00010 4038600 3373148 665453 0.00560 16133567 11015794 5117774 0.04270 9540 9540 0.00010 356965 356965 0.00300 366505 366505 0.00310 true 1952493 767499 19659358 21862161 -2202803 X true true 1 1 Alle-Kiski Medical Center

1301 Carlisle Street Natrona Heights PA 15065

X X X Alle-Kiski Medical Center 1 true true 200. true 400. true X X X X X X true true X X X X true X true X X X X X true X false true 11 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 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. true X 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. X X X X X true false false false false false false false false 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 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 Allegheny County Hospital Development Authority 251327925 01728AG83 2007-06-19 758726273 See Schedule O false false false Jason Ross Organization Director 506005 See Schedule O false 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 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 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 Barclays House Shedden Road Grand Cayman Cayman Islands CJ PO Box 1051 980116952 Insurance CJ NA C Corporation false true false false false false false false false false false false false false true true false false Alle-Kiski Medical Center Trust 1b 233300 Alle-Kiski Medical Center Trust 1p 296689 Transactions with Affiliated Organizations Schedule R, Part V, Line 2 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.