2011-05-13T07:35:21-05:00 2010-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 3100 PHILADELPHIA PA 19103 990 2009-07-01 251875178 Alle-Kiski Medical Center ALLE 4123306022 C/O Tax Dept Two Allegheny Center Pittsburgh PA 15212 David Kiehn 2011-05-09 true GRANT THORNTON LLC 2155614200 2009 2016-02-24 21:20:13Z Roy Santarella 30 Isabella Street Pittsburgh PA 15212 151532243 false X www.wpahs.org X 2000 PA See Form 990, Page 2, Part III, Question 1 13 9 1406 22 4099812 -601145 1200 8265 124191642 121894023 1055497 1088780 3085015 3615292 128333354 126606360 11100 4756 0 0 62230996 56771507 0 0 0 57331279 60623576 119573375 117399839 8759979 9206521 73079298 84249621 100338956 104898534 -27259658 -20648913 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 16572277 0 16231297 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 surgical procedures on an inpatient and outpatient basis in health fields such as but not limited to Urology, Ophthalmology and Colon Rectal to those individuals in need of treatment in order to regain their quality of life. 15790454 4756 10137184 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. 12397235 0 10943350 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 in order to regain their quality of life. 52902647 0 84582192 97662613 true false false true false false false false true true false true false false false false false false false false true false false true true false false false false false false false false false true false false false false false true true false false true 110 0 true 1406 true true true false false false false false false false false 13 9 true false false false false false false true true false false true true true true true true true true false PA X DAVID KIEHN 4123306005 TWO ALLEGHENY CENTER 11TH FLOOR Pittsburgh PA 15212 Russell Evans 2.0 X 0 0 0 Irene Staresinic 2.0 X 0 0 0 Jerry Taylor MD 2.0 X 0 0 0 David Bonvenuto 2.0 X 0 0 0 Jason Ross 2.0 X 0 0 0 Russell Livingston 2.0 X 0 0 0 Ginger Taylor 2.0 X 0 0 0 Ruth Becker 2.0 X 0 0 0 Mohan Patel MD 2.0 X 0 0 0 David McClenahan 2.0 X 0 0 0 Hadi Firoz MD 2.0 X 0 264279 0 Christopher Olivia MD 2.0 X X 0 1879499 0 Ned Laubacher 40.0 X X 0 309427 0 Roy Santarella 2.0 X 0 1217922 0 Thomas Albanesi 2.0 X 0 313976 0 Judy Hlafcsak 2.0 X 0 612759 0 Deborah Olszewski 2.0 X 0 207729 0 Sharon Loftus 2.0 X 0 282552 0 Michael Harlovic 40.0 X 228391 0 0 George Sandora 40.0 X 0 165674 0 William Englert 40.0 X 163745 0 0 Radha Kambhampati MD 40.0 X 132000 0 0 Brad Wolk 40.0 X 218836 0 0 Elaine Hatfield 40.0 X 139090 0 0 Brian Olender 40.0 X 120553 0 0 Mary Beth Demasi 40.0 X 120218 0 0 A Jackson Davis 40.0 X 114541 0 0 Jerry Fedele X 0 252175 0 Dawn Javersack X 0 102025 0 1237374 5608017 0 12 true true false Valentour English bodnar Howell 470 Washington Road PITTSBURGH PA 15228 Architect Services 498666 Clean Care PO Box 40330 PITTSBURGH PA 15201 Linen Services 530863 Emergency Medicine Physician -Alle- 4535 Dressler Road CANTON OH 44718 Physician Services 240000 JSO Associates 1301 Carlisle Street NATRONA HEIGHTS PA 15065 Pathology Services 217167 Gemstar Group LLC 14800 Rolling Green Way NORTH POTOMAC MD 20878 Consulting 201196 8 8265 8265 PATIENT SERVICE REVENUE 621500 121894023 117803866 4090157 121894023 740342 740342 0 0 216978 216978 216978 9655 207323 25271821 2500 24925883 345938 2500 348438 348438 0 0 0 HIGHMARK INCENTIVE 621110 749000 749000 CAFETERIA REVENUE 621110 704202 704202 SCHOOL OF NURSING TUITION 621110 1317388 1317388 627724 627724 3398314 126606360 121202180 4099812 1296103 4756 4756 0 0 0 552007 469206 82801 0 45471501 38650691 6820810 1203329 1022830 180499 6203947 5273355 930592 3340723 2839615 501108 0 40000 36000 4000 128789 128789 0 0 0 5652094 5128601 523493 105232 94709 10523 679979 611981 67998 0 0 1725226 1552703 172523 112352 101117 11235 0 31104 27994 3110 3644653 3280188 364465 9470855 1403175 8067680 5940321 5346289 594032 1189348 1189348 PATIENT CARE MEDICATION 15943469 15943469 REPAIRS AND MAINTENANCE 6954103 6258693 695410 PATIENT RELATED BAD DEBT 5978266 5978266 0 DIETARY PROVISIONS 934598 841138 93460 DUES AND SUBSCRIPTIONS 330519 297467 33052 1762668 1311022 451646 0 117399839 97662613 19737226 0 6594722 11510575 2363 11034660 11240455 1782456 1491812 854810 858269 126261565 97748080 23811929 28513485 19447310 20903425 438522 570010 3657973 3190998 5456916 5968229 73079298 84249621 10603514 9820125 348852 1881678 67537775 66616930 4826750 4006488 17022065 22573313 100338956 104898534 X -27366213 -20757044 106555 108131 -27259658 -20648913 73079298 84249621 X false true true X true true X X 0 0 32556 418483 32556 418483 117367283 1648957517 117399839 1649376000 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 568458 613479 585102 418483 2185522 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 $32,556 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. 106555 968 608 108131 102387 2760 1408 106555 1.00000 false false false 27912 27912 72762858 62049840 10713018 510953 426562 84391 42183172 33463309 8719863 10776670 1808369 8968301 28513485 DUE FROM AFFILIATES 4753824 LETTER OF CREDIT 706000 RECEIVABLE - OTHER 13504 SCHOOL OF NURSING TUITION A/R 494901 5968229 0 ACCRUED PENSION COSTS 21431345 THIRD PARTY SETTLEMENTS 1075517 ASBESTOS RETIREMENT OBLIGATION 66451 22573313 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 $9,639,926 Plus: Income Reclassified From Restricted Net Assets on the Financial Statements to Unrestricted Revenue on Form 990 1,458 Less: Unrealized Gains on Investments reflected as current year profit on the financial statements reclassified through net assets on Form 990 (434,863) ___________ Net Income Per Form 990 $9,206,521 The following is the footnote to the audited consolidated financial statements of the West Penn Allegheny Health System for FASB ASC 740: "WPAHS adopted FASB 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 tax assets and liabilities of WPAHS." true true true X true X true true true false true true 552419 552419 0.00470 10727062 7154972 3572090 0.03040 11279481 7154972 4124509 0.03510 514384 514384 0.00440 3086624 2814553 272071 0.00230 178888 149193 29695 0.00030 5193 5193 0.00010 3785089 2963746 821343 0.00710 15064570 10118718 4945852 0.04220 5240 5240 0.00010 303500 303500 0.00260 308740 308740 0.00270 true 1500545 640323 21901604 22803250 -901646 X true true Alle-Kiski Medical Center

1301 Carlisle Street Natrona Heights PA 15065

X X X Citizens Ambulatory Care Center

651 Fourth Avenue New Kensington PA 15065

X AVH Outpatient Physical Therapy

1620 Pacific Avenue Natrona Heights PA 15065

X Allegheny Valley Hospital ProLab

1620 Pacific Avenue Natrona Heights PA 15065

X Allegheny Valley Hospital ProLab

2697 Leechburg Road Lower Burrell PA 15068

X Destination Wellness

590 Pittsburgh Mills Circle Tarentum PA 15084

X AKMC Radiological Imaging

2801 Freeport Road Natrona Heights PA 15065

X 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. 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 primary service area for Alle-Kiski Medical Center is Western Pennsylvania. Western Pennsylvania includes Allegheny County which has the third largest percentage of adults age 65 or older in the United States. The shortfall in Medicare subsidized by Alle-Kiski Medical Center is a direct reflection of our commitment to the community and is a benefit to the community we serve. The costing source used to compile the amount reported on line 6 is the Medicare Cost Report. 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. 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 and through partnerships with community organizations. Another means is through reviewing and taking appropriate actions on feedback gathered from the following sources: routine market assessments; patient and family satisfaction surveys; Press Ganey surveys; patient, patient family and staffs' suggestions for improving patient safety; medical staff input and physician surveys. Alle-Kiski Medical Center displays signage that describes the charity care policy and process at each of our registration sites. We also include information related to charity care in the patient brochures available at the registration sites. A summary of our charity care policy is available on our internet page www.wpahs.org, as well as the actual application. In addition, our internet page provides toll free telephone numbers that are available for patient inquiries concerning charity care. Our counselors can assist individuals with the process of applying for charity care. Our counselors can also assist patients in obtaining governmental assistance by helping identifying areas of assistance that they may qualify to obtain. If we are unsuccessful in helping the patient qualify, we use outside consultants to work with the patients to further help the qualification process. This is provided at no charge to the patient. 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 11,500 residents with a median age of 44 years and a median income of $38,770. Allegheny County consists of approximately 1,218,000 residents living in a land area of approximately 730 square miles. The median housing value in Allegheny County is $84,200. Armstrong County consists of approximately 68,000 residents living in a land area of approximately 654 square miles. The median housing value in Armstrong County is $64,500. Beaver County consists of approximately 172,000 residents living in a land area of approximately 434 square miles. The median housing value in Beaver County is $85,000. Butler County consists of approximately 185,000 residents living in a land area of approximately 789 square miles. The median housing value in Butler County is $114,100. Together, Allegheny, Armstrong, Beaver and Bulter Counties form the primary service area for Alle-Kiski Medical Center. The Alle-Kiski Medical Center community building activities promote and enhance the health of the community by providing readily available resources to patients and all community members for the identification of needed healthcare services. In addition, Alle-Kiski Medical Center also has a voice in many worth community associations, groups and boards that directly contribute to the health and well-being of communities in which we serve. 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 hospital-based ambulance service 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. AKMC has open medical staff privileges with positions available to all members of the community. 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. 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 four 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; The Western Pennsylvania Hospital - Forbes Regional Campus in Monroeville; and Allegheny General Hospital - Suburban Campus in Bellevue. Offering a comprehensive range of medical and surgical services, the hospitals serve Pittsburgh and the surrounding five-state area, house nearly 2,000 beds and employ more than 11,000 people. Together, the WPAHS hospitals admit nearly 74,000 patients, log over 196,000 emergency visits and deliver more than 4,500 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. And 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 consists of a hospital campus in Natrona Heights and an Ambulatory Care Center in New Kensington. The 250-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. X X X X X true false false false false false false false false Hadi Firoz MD 0 246426 0 17613 0 240 0 8744 0 8838 0 281861 0 0 Christopher Olivia MD 0 1261933 0 500000 0 117566 0 12435 0 15604 0 1907538 0 0 Ned Laubacher 0 275362 0 33750 0 315 0 9800 0 8131 0 327358 0 0 Michael Harlovic 190117 0 38020 0 254 0 9311 0 9187 0 246889 0 0 0 Roy Santarella 0 765721 0 325000 0 127201 0 13965 0 19822 0 1251709 0 0 Thomas Albanesi 0 272366 0 41250 0 360 0 10725 0 10829 0 335530 0 0 Judy Hlafcsak 0 424098 0 143160 0 45501 0 10744 0 6212 0 629715 0 0 Deborah Olszewski 0 165729 0 41400 0 600 0 10403 0 1666 0 219798 0 0 Sharon Loftus 0 281643 0 0 0 909 0 13004 0 2472 0 298028 0 0 Jerry Fedele 0 0 0 0 0 252175 0 1133 0 0 0 253308 0 0 Dawn Javersack 0 0 0 0 0 102025 0 0 0 0 0 102025 0 0 George Sandora 0 137289 0 27920 0 465 0 7192 0 7537 0 180403 0 0 William Englert 138377 0 25140 0 228 0 8606 0 767 0 173118 0 0 0 Brad Wolk 217954 0 0 0 882 0 11740 0 10631 0 241207 0 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, 2010 fiscal year end: Jerry Fedele $252,175 Dawn Javersack $102,025 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, 2010 along with the dates served: Director: Ruth Becker 01-28-2010 - 06-60-2010 Officers: Sharon Loftus 07-01-2009 - 12-31-2009 Deborah Olszewski 01-28-2010 - 06-30-2010 Allegheny County Hospital Development Authority 251327925 01728AG83 2007-06-19 758726273 See Schedule O false false Jason Ross Organization Director 772915 See Schedule O false Statement of Program Service Accomplishments Form 990, Page 2, Part III, Line 4 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), 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) as well as AKMC. AKMC is comprised of a hospital campus, located in Allegheny County at 1301 Carlisle Street, Natrona Heights, PA and 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. Opened in December 2008, 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. Honors and awards bestowed upon AKMC for Fiscal 2010 include recognition by the readers of the Valley News Dispatch as 2009 Readers' Choice Award "Best Hospital" and "Best Physical Therapy" facility. HealthGrades awarded AKMC the 2010 Distinguished Hospital Award for Clinical Excellence, a distinction it has held for five consecutive years. Further, AKMC was awarded the HealthGrades 2010 Pulmonary Care Excellence Award and the 2010 Critical Care Excellence Award. AKMC also achieved five-stars in eleven clinical areas by HealthGrades for the treatment of heart attack, heart failure, stroke, overall pulmonary services, treatment of pneumonia, sepsis, respiratory failure, overall critical care, spine surgery, back and neck surgery, GI procedures and surgeries and treatment of bowel obstruction. For the 12 months ended June 30, 2010, AKMC treated 9,939 inpatient admissions, 220,006 outpatient, 52,917 emergency department and urgent care center visits and 6,177 inpatient and outpatient surgeries. The Hospital has 273 physicians on staff and 1,111 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 $4,124,509 in Fiscal 2010 broken down as follows: MA Shortfall $3,572,090 Charity Care 552,419 __________ Total $4,124,509 COMMUNITY ASSESSMENT Community Health Improvement Services and Community Benefit Operations Community health improvement services and community benefit operations include activities carried out to improve community health. They extend beyond patient care to include activities that are subsidized by the Hospital. The activities range from community health clinics and screenings to health education programs designed to raise community awareness of various healthcare topics and issues. Consistent with the filing of Schedule H, AKMC provided these services at a cost of $514,384 in Fiscal 2010. 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 a Pittsburgh area shopping mall. Destination Wellness provides a variety of health-related activities including classes & "Doc Talks" on topics ranging from arthritis to peripheral vascular disease. Destination Wellness is staffed with a registered dietitian and registered nurses to assist visitors in finding a physician, checking blood pressure or researching a topic in the on-site health resource library. During FY10, Destination Wellness sponsored and/or hosted 292 events with a total of 46,947 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. Numerous programs are available exclusively for members of the Mills Milers. Approximately 1,650 members were enrolled in this program as of June 30, 2010. Paramedics Staffing - AKMC staffs a community shopping mall with on-site paramedics to respond to a variety medical emergencies at the mall and surrounding businesses. In Fiscal 2010 paramedics responded to 224 calls. PriorityCare Senior Membership Program - AKMC offers this outreach program to adults age 55 and older with the purpose of improving their health and their knowledge about health care and other issues related to the aging process. A newsletter is mailed quarterly to over 14,000 households reaching a total membership of over 20,000 adults. Cumulatively, over 36,000 adults have enrolled in the program. AARP's 55 Alive Mature Driving Program - AKMC co-sponsored this two-day driver refresher course 20 times during Fiscal 2010. During the year, 296 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, refreshments, and publicity are provided through the Hospital. School Tours - Every year, AKMC provides free hospital tours to nursery schools, scout troops, career clubs and other community groups. Approximately 65 visitors toured AKMC during Fiscal 2010. 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 limed to: Coping with Chronic Pain, Congestive Heart Failure, Understanding and Managing Hypertension, Eye Health, Prostate Health and Women's Health. Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4 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. Support Groups - AKMC sponsors a variety of support groups in the community. Some examples would include: Freedom from Smoking, Alzheimers, Bipolar, 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 $272,071 in Fiscal 2010. Citizens School of Nursing - Open since 1913, the Citizens School of Nursing has provided nearly 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. 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 are the treatment of drug and alcohol abuse and neonatology. Consistent with the filing of Schedule H, AKMC provided subsidized health services at a cost of $29,695 in Fiscal 2010. Financial Contributions This category includes cash and in-kind services donated to individuals and/or the community at large. In-kind services include hours donated by staff to the community during hospital work hours, overhead expenses of meeting/other space donated to not-for-profit community groups, and donation of food, equipment, and supplies. Consistent with the filing of Schedule H, AKMC provided these contributions at a cost of $5,193 in Fiscal 2010. 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 $4,756 to the following: Strongland Chamber of Commerce Highland Area Rotary YMCA Allegheny Valley Chamber of Commerce American Cancer Society Vandergrift Improvement Program Hightower Scholars In-kind Donations - In addition to the cash contributions, AKMC also made in-kind donations of time and resources to help support various community functions. The Hospital provided the following In-kind support at a cost of $437 during Fiscal 2010: Allegheny County Bar Association - VIP (Very Important Papers) program. Through a partnership with the PriorityCare program, the Bar Association's Young Lawyers section offers a series of legal information workshops targeting the interests and needs of older adults. This activity is held at AKMC facilities. 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. This program meets quarterly at the Hospital. 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 $308,740 in Fiscal 2010. Social Services - AKMC's social work services are available to help patients and their families adjust to changes in their lives due to illness and hospitalization. Our social workers help patients and families identify and manage factors that may interfere with health and recovery. Through counseling, discharge planning and providing information and referrals, the staff helps to ensure a comfortable return home or other level of care that is appropriate at the time of discharge. Board Memberships - AKMC employees serve as board members on numerous local boards including Leadership Alle-Kiski Valley, Rotary, Chamber of Commerce, Citizens General Hospital Foundation and the YMCA. Family Relationships among Alle-Kiski Medical Center Directors Form 990, Page 6, Part VI, Section A, Question 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 including the Chief Financial Officer and Chief Administrative Officer 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 how the corporate compliance department monitors and oversees compliance with the conflict of interest policy for Alle-Kiski Medical Center as well as the other organizations of WPAHS: Conflict of Interest disclosures 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 Committee members, Therapeutic Committee members, all employees of the System's Internal Audit Department as well as the employees involved with contracting in the Corporate Purchasing Department. Upon completion of the above disclosure statements 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 CEO or organization management for development of the mitigation plan. The CEO and organization management are 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 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, Question 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 three 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. 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. Purpose of Tax Exempt Bond Issuance Form 990, Page 11, 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 $66,616,930 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. Transactions With Interested Parties Form 990, 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. Transfers With Affiliated Organizations Schedule R, Part V, Line 2 Alle-Kiski Medical Center has chosen to complete Schedule R, Part V, line 2 in order to disclose transactions with affiliated organizations. Alle-Kiski Medical Center Trust is a controlled entity within the meaning of section 512(b)(13). No other organization listed in Schedule R, Part V, line 2 is a controlled entity within the meaning of section 512(b)(13). 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 true false false false false false false false false false false false true true false false Allegheny Specialty Practice Network 1b 2254500 Allegheny Medical Practice Network 1b 1470239 West Penn Allegheny Health System Inc 1c 3781742 Alle-Kiski Medical Center Trust 1c 1107250 West Penn Allegheny Health System Inc 1o 2020400 Allegheny Specialty Practice Network 1p 236216 Alle-Kiski Medical Center Trust 1p 549649 West Penn Physician Practice Network 1p 53837