FURP.ORG / PUBLIC DATA EXPLORER

HIGHMARK HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HIGHMARK HEALTH (EIN 25-1737079)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201141339349300414
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T07:35:23-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET STREET SUITE 3100AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251737079EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Canonsburg General HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCANONameControl
Phone4123306022Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O Tax Dept Two Alleghney CenterAddressLine1
CityPittsburghCity
StatePAState
ZIP Code15212ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDavid KiehnName
TitleWPAHS Chief Financial OfficerTitle
Date Signed2011-05-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGRANT THORNTON LLCName
Phone2155614200Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRoy SantarellaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line130 Isabella StreetAddressLine1
CityPittsburghCity
StatePAState
ZIP Code15212ZIPCode
FieldValueIRS element (for citing)
Gross Receipts50704138GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.wpahs.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionSee Form 990, Page 2, Part III, Line 1ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees606TotalNbrEmployees
Total Nbr Volunteers234TotalNbrVolunteers
Total Gross UBI138937TotalGrossUBI
Net Unrelated Business Txbl Income-35439NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year338851ContributionsGrantsPriorYear
Contributions Grants Current Year458685ContributionsGrantsCurrentYear
Program Service Revenue Prior Year52052718ProgramServiceRevenuePriorYear
Program Service Revenue CY49043346ProgramServiceRevenueCY
Investment Income Prior Year58197InvestmentIncomePriorYear
Investment Income Current Year24664InvestmentIncomeCurrentYear
Other Revenue Prior Year1130204OtherRevenuePriorYear
Other Revenue Current Year1147220OtherRevenueCurrentYear
Total Revenue Prior Year53579970TotalRevenuePriorYear
Total Revenue Current Year50673915TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4300GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year25550549SalariesEtcPriorYear
Salaries Etc Current Year22345660SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year92563TotalFundrsngExpCurrentYear
Other Expense Prior Year26817771OtherExpensePriorYear
Other Expenses Current Year26586774OtherExpensesCurrentYear
Total Expenses Prior Year52368820TotalExpensesPriorYear
Total Expenses Current Year48936734TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1211150RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1737181RevenuesLessExpensesCY
Total Assets BOY24866634TotalAssetsBOY
Total Assets EOY24067386TotalAssetsEOY
Total Liabilities BOY40276731TotalLiabilitiesBOY
Total Liabilities EOY40971673TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-15410097NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-16904287NetAssetsOrFundBalancesEOY
Mission DescriptionCANONSBURG GENERAL HOSPITAL IS AN ORGANIZATION DEFINED BY OUR TALENTED PEOPLE. AN ORGANIZATION COMMITTED TO EXCELLENCE; AN ORGANIZATION WITH ONE PURPOSE AND ONE MISSION. OUR ONE PURPOSE IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE WESTERN PENNSYLVANIA REGION. OUR ONE MISSION IS TO PRACTICE MEDICINE, EDUCATE AND CONDUCT RESEARCH AS AN INTEGRATED TEAM OF PHYSICIANS, NURSES AND SUPPORT PROFESSIONALS WHO ARE COMMITTED TO IMPROVING THE HEALTH OF OUR PATIENTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4575248Expense
Grants0Grants
Revenue3696504Revenue
DescriptionThe purpose of Canonsburg General Hospital is to improve the health of the people in Western Pennsylvania. In order to accomplish this mission, Canonsburg General Hospital provides rehabilitiation services to those individuals in need of treatment in order to regain their quality of life.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3522345Expense
Grants4300Grants
Revenue1796718Revenue
DescriptionThe purpose of Canonsburg General Hospital is to improve the health of the people in Western Pennsylvania. In order to accomplish this mission, Canonsburg General Hospital provides uncompensated care and community benefit to individuals in need of medical attention. See Schedule O - Statement of Program Service Accomplishments and Schedule H.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2091423Expense
Grants0Grants
Revenue1992070Revenue
DescriptionThe purpose of Canonsburg General Hospital is to improve the health of the people in Western Pennsylvania. In order to accomplish this mission, Canonsburg General Hospital provides oncology services to those individuals in need of treatment in their battle against cancer.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp29776665TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev41558054TotalOfOtherProgramServiceRev
Total Program Service Expense39965681TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109661NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees606NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDAVID KIEHNNamePerson
Telephone Number4123306005TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1TWO ALLEGHENY CENTER 11TH FLOORAddressLine1
CityPittsburghCity
StatePAState
ZIP Code15212ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Joseph Macerelli
Chairman of the Board2.0X000
William Burt
Director2.0X000
Carol Pankas
Director2.0X000
William Thomeier MD
Director2.0X000
Charles LaBelle
Director2.0X000
Michael Alterio
Director2.0X000
David Celko MD
Director2.0X000
David Burkey MD
Director2.0X000
David McClenahan
Ex Officio Director2.0X000
Joseph Cerenzia
Director2.0X000
Kimberly Malinky
Hospital President & CEO40.0X02596920X
Christopher Olivia MD
Health System President & CEO2.0X018794990X
Jeffrey Gretz MD
Ex-Officio Director2.0X02196060
Roy Santarella
Treasurer2.0012179220X
Thomas Albanesi
Assistant Treasurer2.003139760X
Judy Hlafcsak
Secretary2.006127590X
Deborah Olszewski
Assistant Secretary2.002077290X
Sharon Loftus
Assistant Secretary2.002825520X
Eugene Trout
VP of Finance40.001399550X
Thomas Corkery MD
Hospital Chief Medical Officer40.002225570X
Terry Wiltrout
Hospital VP of Operations40.011691600X
Teresa Gordon
CRNA40.019171400X
Denise Westwood
VP - Patient Care Services40.014514600X
Laurie Molinda MD
Physician40.014833000X
Cathleen Allinder
CRNA40.014197100X
Patti Pratt
CRNA40.012727900X
Jerry Fedele
Health System President & CEO02521750X
Dawn Javersack
Treasurer01020250X
FieldValueIRS element (for citing)
Total Reportable Comp From Org871356TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5710447TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Allegheny Chesapeake Physical The
3053 New Germany RoadEBENSBURGPA15931Physical Therapy1055451
Open MRI of Washington County LLC
PO Box 450NEW STANTONPA15672MRI Services390384
Metz Associates
2 Woodland DriveDALLASPA18612Management Service173301
Aramark Corporation
PO Box 33170NEWARKNJ07188Concession Services107646
Clean Care
PO Box 40330PITTSBURGHPA15201Linen Services300617
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Fundraising Events26052FundraisingEvents
Related Organizations9025RelatedOrganizations
All Other Contributions423608AllOtherContributions
Total Contributions458685TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621500BusinessCode
Total Revenue Column49043346TotalRevenueColumn
Related Or Exempt Function Income48945610RelatedOrExemptFunctionIncome
Unrelated Business Revenue97736UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue49043346TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column24664TotalRevenueColumn
Exclusion$24,664ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real34744Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real34744Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column34744TotalRevenueColumn
Unrelated Business Revenue5260UnrelatedBusinessRevenue
Exclusion$29,484ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events50831GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events26052CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses30223FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column20608TotalRevenueColumn
Exclusion$20,608ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REVENUE MATCH GRANTS621110204092204092
CAFETERIA621110149680149680
SCHOOL DISTRICT NURSING SERVICES621110216782216782

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column521314TotalRevenueColumn
Related Or Exempt Function Income485373RelatedOrExemptFunctionIncome
Unrelated Business Revenue35941UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue1091868TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column50673915TotalRevenueColumn
Related Or Exempt Function Income50001537RelatedOrExemptFunctionIncome
Unrelated Business Revenue138937UnrelatedBusinessRevenue
Exclusion$74,756ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3500Total
Program Services3500ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total800Total
Program Services800ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total130491Total
Program Services110917ProgramServices
Management And General19574ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18677464Total
Program Services15875844ProgramServices
Management And General2719916ManagementAndGeneral
Fundraising81704Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total514881Total
Program Services437649ProgramServices
Management And General77232ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1673313Total
Program Services1422316ProgramServices
Management And General250997ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1349511Total
Program Services1147084ProgramServices
Management And General196388ManagementAndGeneral
Fundraising6039Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total55816Total
Management And General55816ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1382Total
Program Services1244ProgramServices
Management And General138ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4006611Total
Program Services3205289ProgramServices
Management And General799312ManagementAndGeneral
Fundraising2010Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total137688Total
Management And General137688ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total339689Total
Program Services305720ProgramServices
Management And General33136ManagementAndGeneral
Fundraising833Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total840221Total
Program Services756199ProgramServices
Management And General84022ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total21414Total
Program Services19273ProgramServices
Management And General1948ManagementAndGeneral
Fundraising193Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9109Total
Program Services8199ProgramServices
Management And General560ManagementAndGeneral
Fundraising350Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1401855Total
Program Services1261670ProgramServices
Management And General140185ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total4471464Total
Program Services626004ProgramServices
Management And General3845460ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2427018Total
Program Services2184316ProgramServices
Management And General242702ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total761495Total
Program Services761495ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
REPAIR AND MAINTENANCE17632701586943176327
PATIENT MEDICATIONS70041147004114
PATIENT BAD DEBT - AT CHARGE22380322238032
DIETARY31900928710831313588
LICENSE AND FEES16839015155116839

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total620197Total
Program Services570414ProgramServices
Management And General48937ManagementAndGeneral
Fundraising846Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total48936734Total
Program Services39965681ProgramServices
Management And General8878490ManagementAndGeneral
Fundraising92563Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY32455BOY
EOY4887EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3325097BOY
EOY2636265EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY102098BOY
EOY268340EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4978069BOY
EOY3989855EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY904856BOY
EOY716475EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY314730BOY
EOY521816EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis44370414LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec30940294LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13102360BOY
EOY13430120EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY306215BOY
EOY551232EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY225453BOY
EOY311709EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1575301BOY
EOY1636687EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24866634BOY
EOY24067386EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4284951BOY
EOY4229553EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2667720BOY
EOY2635806EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY27318231BOY
EOY26945760EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6005829BOY
EOY7160554EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY40276731BOY
EOY40971673EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-15879304BOY
EOY-17680705EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY396233BOY
EOY699484EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY72974BOY
EOY76934EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-15410097BOY
EOY-16904287EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24866634BOY
EOY24067386EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals13568FilingOrganizationsTotals
Affiliated Group Totals418483AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals13568FilingOrganizationsTotals
Affiliated Group Totals418483AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals48923166FilingOrganizationsTotals
Affiliated Group Totals1648957517AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals48936734FilingOrganizationsTotals
Affiliated Group Totals1649376000AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3568458CurrentYearMinus3
Current Year Minus2613479CurrentYearMinus2
Current Year Minus1585102CurrentYearMinus1
Current Year418483CurrentYear
Total2185522Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus30CurrentYearMinus3
Current Year Minus20CurrentYearMinus2
Current Year Minus10CurrentYearMinus1
Current Year0CurrentYear
Total0Total

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLobbying ExpendituresIdentifier
Return ReferenceForm 990, Schedule C, Page 2, Part II-A, Line 1b, Column AReturnReference
ExplanationCanonsburg General Hospital (CGH) has made the IRC Section 501(h) election. CGH has not made any political expenditure and no direct lobbying expenditures. CGH 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 $13,568 attributed to CGH on Schedule C, Page 2, Part II-A reflect expenditures allocated to CGH from WPAHS and do not reflect direct expenditures made by CGH.Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance469207BeginningOfYearBalance
Contributions460881Contributions
Investment Earnings Or Losses10255InvestmentEarningsOrLosses
Other Expenditures163880OtherExpenditures
Administrative Expenses45AdministrativeExpenses
End Of Year Balance776418EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance290085BeginningOfYearBalance
Contributions183331Contributions
Investment Earnings Or Losses-1398InvestmentEarningsOrLosses
Other Expenditures2624OtherExpenditures
Administrative Expenses187AdministrativeExpenses
End Of Year Balance469207EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.10000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.90000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2410450OtherCostOrOtherBasis
Book Value2410450BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis25527490OtherCostOrOtherBasis
Depreciation18641513Depreciation
Book Value6885977BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis279707OtherCostOrOtherBasis
Depreciation275373Depreciation
Book Value4334BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis15069455OtherCostOrOtherBasis
Depreciation12023408Depreciation
Book Value3046047BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1083312OtherCostOrOtherBasis
Book Value1083312BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13430120TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES1542653
RECEIVABLES - NON PATIENT94034
FieldValueIRS element (for citing)
Total Book Value Other Assets1636687TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COST$6,704,229
INSURANCE LIABILITIES$456,325
FieldValueIRS element (for citing)
Total Of Amounts7160554TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierCGH Inclusion In The Consolidated Audit of WPAHSIdentifier
Return ReferenceForm 990, Schedule D, Part X, Question 2, Part XII and XIIIReturnReference
ExplanationCanonsburg General Hospital 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 Canonsburg General Hospital. The following analysis represents the reconciliation between the Canonsburg General Hospital financial statement net income and the net income as reported on Form 990, Page 1, line 19: Net income per financial statements $1,328,636 Plus: Income and expense reclassified from restricted net assets on the financial statements to unrestricted income and expense on Form 990 408,545 ___________ Net income per Form 990 $ 1,737,181 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."Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf EventNameOfEvent1
Gross Receipts Event176883GrossReceiptsEvent1
Charitable Contributions Event126052CharitableContributionsEvent1
Gross Revenue Event150831GrossRevenueEvent1
Rent Facility Costs Event114398RentFacilityCostsEvent1
Food And Beverage Event19479FoodAndBeverageEvent1
Other Direct Expenses Event16346OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total76883GrossReceiptsTotal
Charitable Contributions Total26052CharitableContributionsTotal
Gross Revenue Total Events50831GrossRevenueTotalEvents
Rent Facility Costs Total Events14398RentFacilityCostsTotalEvents
Food And Beverage Total Events9479FoodAndBeverageTotalEvents
Other Direct Expenses Total Events6346OtherDirectExpensesTotalEvents
Direct Expense Summary Events30223DirectExpenseSummaryEvents
Net Income Summary20608NetIncomeSummary

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense285131TotalCommunityBenefitExpense
Net Community Benefit Expense285131NetCommunityBenefitExpense
Percent Of Total Expense0.00580PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2789922TotalCommunityBenefitExpense
Direct Offsetting Revenue1645798DirectOffsettingRevenue
Net Community Benefit Expense1144124NetCommunityBenefitExpense
Percent Of Total Expense0.02340PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense3075053TotalCommunityBenefitExpense
Direct Offsetting Revenue1645798DirectOffsettingRevenue
Net Community Benefit Expense1429255NetCommunityBenefitExpense
Percent Of Total Expense0.02920PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense97925TotalCommunityBenefitExpense
Net Community Benefit Expense97925NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense61711TotalCommunityBenefitExpense
Net Community Benefit Expense61711NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense187558TotalCommunityBenefitExpense
Direct Offsetting Revenue150920DirectOffsettingRevenue
Net Community Benefit Expense36639NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense9658TotalCommunityBenefitExpense
Net Community Benefit Expense9658NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense356852TotalCommunityBenefitExpense
Direct Offsetting Revenue150920DirectOffsettingRevenue
Net Community Benefit Expense205933NetCommunityBenefitExpense
Percent Of Total Expense0.00420PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3431905TotalCommunityBenefitExpense
Direct Offsetting Revenue1796718DirectOffsettingRevenue
Net Community Benefit Expense1635188NetCommunityBenefitExpense
Percent Of Total Expense0.03340PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense418TotalCommunityBuildingExpense
Net Community Building Expense418NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense19156TotalCommunityBuildingExpense
Net Community Building Expense19156NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense53586TotalCommunityBuildingExpense
Net Community Building Expense53586NetCommunityBuildingExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense73160TotalCommunityBuildingExpense
Net Community Building Expense73160NetCommunityBuildingExpense
Percent Of Total Expense0.00160PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$621,501BadDebtExpenseAmount
Amount Attributable To173817AmountAttributableTo
Amount Reimbursed By Medicare10634763AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare12056350CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1421587MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgical
Canonsburg General Hospital
100 Medical BoulevardCanonsburgPA15317X
Healthworks
400 Southpointe Suite 235CanonsburgPA15317X
Canonsburg Community Healthcare Center
36 East Pike StreetCanonsburgPA15317X

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnoteCanonsburg General Hospital 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 Canonsburg General Hospital 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.BadDebtFootnote
Shortfall As Community BenefitCanonsburg General Hospital 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 Canonsburg General Hospital 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 Canonsburg General Hospital is a direct reflection of our commitment to the community and is a benefit to the community we serve. The costing source used to determine the amount reported on Line 6 is the Medicare Cost Report.ShortfallAsCommunityBenefit
Debt Collection PolicyPatients 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.DebtCollectionPolicy
Needs AssessmentCanonsburg General Hospital 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. Canonsburg General Hospital 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, Canonsburg General Hospital 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.NeedsAssessment
Patient Education AssistanceCanonsburg General Hospital 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.PatientEducationAssistance
Community InformationCanonsburg General Hospital, located in Canonsburg Pennsylvania, provides health care services to residents of Allegheny and Washington Counties. Located approximately 20 miles outside of Pittsburgh, Canonsburg has approximately 8,700 residents. Washington County consists of approximately 207,400 residents living in a land area of approximately 857 square miles. The median housing value in Washington County is $87,500. 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. Together, Washington and Allegheny County form the primary service area for Canonsburg General Hospital.CommunityInformation
Community Building ActivitiesThe Canonsburg General Hospital 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, Canonsburg General Hospital 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.CommunityBuildingActivities
Affiliated Health Care SystemWest 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, Canonsburg General Hospital 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. Canonsburg General Hospital provides a wide range of medical and surgical services, with advanced diagnostic and treatment services accessible on both an inpatient and outpatient basis. The hospital has an active and growing ambulatory care center, along with emergency medicine services, and an occupational medicine program. The facility also offers specialized services in acute patient rehabilitation, as well as having a strong focus on health education and preventative care that reflects a deep commitment to wellness and health improvement.AffiliatedHealthCareSystem

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Kimberly Malinky
02058330535750284018656010102028845000
Christopher Olivia MD
01261933050000001175660124350156040190753800
Roy Santarella
0765721032500001272010139650198220125170900
Thomas Albanesi
02723660412500360010725010829033553000
Judy Hlafcsak
0424098014316004550101074406212062971500
Deborah Olszewski
0165729041400060001040301666021979800
Sharon Loftus
028164300090901300402472029802800
Dawn Javersack
000001020250000010202500
Jerry Fedele
000002521750113300025330800
Thomas Corkery MD
022207100048609704010128024238900
Teresa Gordon
191430000284084980104380210650000
Jeffrey Gretz MD
021939500021108016011359023898100

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierAdditional Compensation DisclosureIdentifier
Return ReferenceForm 990, Schedule J, Page 1, Part I, Question 4aReturnReference
ExplanationThe 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 Canonsburg General Hospital 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: Joseph Cerenzia 11-19-2009 - 06-30-2010 Officers: Deborah Olszewski 01-28-2010 - 06-30-2010 Sharon Loftus 07-01-2009 - 12-31-2009Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Allegheny County Hospital Development AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN251327925IssuerEIN
CUSIP Number01728AG83CUSIPNumber
Date Issued2007-06-19DateIssued
Issue Price758726273IssuePrice
Description Of PurposeSee Schedule ODescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Statement of Program Service AccomplishmentsForm 990, Page 2, Part III, Question 4INTRODUCTION TO CANONSBURG GENERAL HOSPITAL Canonsburg General Hospital (CGH) is a 104-bed community hospital located 25 miles southwest of Pittsburgh. The hospital's primary service areas are northern Washington and southern Allegheny counties. CGH is part of the West Penn Allegheny Health System (WPAHS). Organized in 2000, WPAHS (www.wpahs.org) consists of West Penn Allegheny Health System, Inc. (WPAHS, Inc.), Alle-Kiski Medical Center (AKMC), Allegheny Medical Practice Network (AMPN), Allegheny Specialty Practice Network (ASPN), Allegheny-Singer Research Institute (ASRI), West Penn Allegheny Oncology Network (WPAON), West Penn Physician Practice Network (WPPPN), Canonsburg General Hospital Ambulance Service, Inc. (CGH Ambulance), Alle-Kiski Medical Center Trust (AKMC Trust), Forbes Health Foundation (FHF) and The Western Pennsylvania Hospital Foundation (WPHF) in addition to CGH. Supporting both a charitable and an academic mission, WPAHS has a strong commitment to medical research and education and is dedicated to training future generations of health-care professionals. Today, the system has two clinical campuses: Allegheny General Hospital serves as the clinical campus for the Drexel University College of Medicine in Philadelphia, and The Western Pennsylvania Hospital serves as the clinical campus for Temple University School of Medicine in Philadelphia. This affiliation ensures that CGH area residents have access to a complete continuum of health care services. 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. New equipment/programs/services implemented during the year ended June 30, 2010 (Fiscal 2010) included the purchase of a digital mammography unit, a stereotactic biopsy table, and a fixed Magnetic Resonance Imaging (MRI) unit. Additionally, the hospital has opened a Center for Women's Health, which includes services of gynecology, breast health, and medical nutritional counseling. Accreditations achieved in Fiscal 2010 for the Canonsburg General Hospital Imaging Department included: American College of Radiology - Mammographic Imaging, Ultrasound Imaging, Magnectic Resonance Imaging Services and Computed Tomography Services The Intersocietal Commission for the Accreditation of Nuclear Medicine Laboratories - Nuclear Medicine/Nuclear Cardiology The Intersocietal Commission for the Accreditation of Echocardiography Laboratories The CGH Imaging Department received a Certificate of Registration for radiation producing machines by the Commonwealth of Pennsylvania - Department of Environmental Protection and became a Certified Mammography Facility by the US Department of Health and Human Services. In addition, CGH earned The Joint Commission's Gold Seal of Approval by demonstrating compliance with The Joint Commission's national standards for health care quality and safety. CGH participated in the Quality Blue program sponsored by Highmark that measured quality initiatives to reduce Methicillin Resistant Staph Aureus (MRSA), Urinary Tract Infections, C-Diff Infections, and Emergency Department Throughput. The Hospital achieved the maximum level of reimbursement for the Highmark Quality Blue FY2010. CGH provides a wide range of medical and surgical services, with diagnostic and treatment services easily accessible on both an inpatient and outpatient basis. The Hospital offers specialized services in acute inpatient rehabilitation, as well as having a strong focus on health education and preventive care programs that reflect its commitment to wellness and health improvement. Our ambulatory care center offers a full complement of outpatient services including same-day surgery, Gastrointestinal (GI) procedures, Computed Tomography (CT) scans, pain management and sleep labs. Other specific departments and services available at CGH include medical imaging, laboratory testing and analysis, acute care and intensive care units, and rehabilitation services. During Fiscal 2010, CGH admitted 3,802 patients, registered 67,641 outpatient visits including outpatient emergency department visits, treated 2,276 inpatients and 18,833 outpatient emergency department patients including some patients who would later be admitted to the hospital, and performed 1,586 outpatient surgeries. CGH has an employed workforce of 501 employees as well as 230 physicians on its medical staff.
Statement of Program Service Accomplishments - ContinuedForm 990, Page 2, Part III, Question 4PURPOSE AND MISSION Canonsburg General Hospital is an organization defined by our talented people. We are an organization committed to excellence; a 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, CGH 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 is available 24 hours a day. Consistent with the filing of Schedule H, the components of uncompensated care include charity care and unreimbursed Medicaid costs. CGH provided uncompensated care at a cost of $1,445,521 in Fiscal 2010 broken down as follows: MA Shortfall (net) $1,144,124 Charity Care 285,131 _________ Total $1,429,255 COMMUNITY ASSESSESSMENT 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, CGH provided these services at a cost of $97,925 in Fiscal 2010. Women & Wellness - CGH conducted a program entitled "Women and Wellness". This program brought together top clinicians and the newest research information available. The goal of the program was to educate women on areas of health interest and concern. Topics included breast cancer overviews, breast cancer risk and reduction, weight management, heart disease, and contraceptive options. Flu Vaccinations - Flu vaccinations were provided free of charge to local fire, police and ambulance personnel of Canonsburg, Fort Cherry, North Strabane and Houston at Canonsburg General Hospital. Medivan Service - CGH provides a free transportation service to area residents who require testing or treatment at the Hospital. The Hospital provides this program to enhance access to healthcare for those members of the community who do not have access to adequate transportation. During Fiscal 2010, a total of 3,477 trips were made.
Statement of Program Service Accomplishments - ContinuedForm 990, Page 2, Part III, Question 4Health Fairs and Screenings - CGH sponsored various health fairs throughout the year. Services made available to the public at these fairs included blood pressure, cholesterol, glucose, body composition, bone density and lung capacity screenings. Support Groups - Free support is provided at CGH in areas which reflect the communities' needs. Support groups are provided for emotional concerns such as avoiding holiday overeating, emotional eating, and how to get through the holidays while coping with the loss of a loved one. Additionally, CGH also supports discussion groups focusing on hospice services and Alzheimer's support. Ask The Doctor Show - The Hospital, in collaboration with cable television, produced a monthly health education program. A CGH general surgeon hosts the 30-minute live show. Physician guests answer questions regarding a variety of topics. Videotaped copies of the show are sent to other local cable televisions stations to air. Ask The Pharmacist - A registered pharmacist is available to answer questions from the public on over the counter and prescription medications from 10 am to 2 pm, Monday through Friday. Pastoral Care - CGH, in association with Canonsburg Ministerial Association, contracts with a Hospital Chaplain to provide spiritual guidance and healing to CGH patients and their respective families. Bereavement Series - Three times a year, the Hospital Chaplain leads six-week series on the process of grief. A complimentary grief and loss support dinner is held monthly at the Hospital. Festivals - CGH participated in several local festivals throughout the year where first aid supplies were donated and CGH provided health care services, handed out health information and performed blood pressure screenings. 55 Alive Drivers Education Classes - The Hospital provides a meeting place, advertisement and refreshments for a driver education program for the elderly. Four, two-day courses are held for new members and four, one-day refresher courses are held for recurring members. Diabetes Awareness and Education - A registered pharmacist conducts quarterly presentations to the general public on diabetes related topics such as oral and insulin medications and the side effects of those medications. In addition, CGH sponsors a four-week course designed to promote diabetes awareness and education three times a year. The courses provide education on diabetes, diet, eye care, insulin pumps, foot care and coping skills. Sessions are in conjunction with other local agencies. Hospital Tours - 50 children from local pre-schools and elementary schools were given tours of the hospital. The event promotes awareness and comfort among area children who someday may need to visit the Hospital. If gives the chaperones awareness of the services the Hospital provides in the case of an emergency. Summer Camp Splash Program - This program is targeted to educate children attending summer camp about basic first aid, summer safety tips, hazardous weather emergencies and water safety concerns. Safe Sitter - This program is designed to teach boys and girls how to handle emergencies when caring for young children. CGH held 11 Safe Sitter classes during Fiscal 2010. Teaching Staff Wellness Day - Teachers and staff of a local school district were provided with health education, information about cholesterol and blood pressure reduction through diet and exercise, as well as receive blood pressure and body mass index screenings. Poison Presentations - Five presentations were given during the year to provide education to young children about the various types of poisons and how to avoid them. Glo-Germ Presentations - 16 presentations were made to pre-school and elementary grade children about how to properly wash hands. Educational lessons were given in conjunction with a photosynthesized gel to children. 180 children participated in these presentations. Health Professions Education CGH provides aspiring health professionals with many educational opportunities to further their career in healthcare. Consistent with the filing of Schedule H, CGH provided these services at a cost of $61,711 in Fiscal 2010. Technicians Training - CGH offers an opportunity for students in Radiology and Nuclear Medicine to complete their student externships within the Hospital's Medical Imaging Department. Radiology students work directly with a Registered Radiology Technologist. Emergency Medical and Paramedic Training - CGH's pre-hospital care department provides continuing education training to emergency medical technicians and paramedics from local ambulance departments. In addition, space is donated for a seminar on proper burn treatment. Information Technology Training - A student from Pittsburgh Technical Institute did his internship with a CGH Microcomputer Specialist for training in all aspects of hospital information technology. Physical Therapy Training - Physical therapy students receive mentoring and training by CGH therapists during clinical rotations. Medical Records Orientation - Students from the University of Pittsburgh and the Community College of Allegheny College complete a 112-hour directed practice, spending time with medical records and quality service employees. Pharmacy Training - Pharmacy students from the University of Pittsburgh and Duquesne University receive required rotation hours through the CGH Pharmacy Department. An average of 20 students per month rotate through the Pharmacy Department. Health Professions Job Shadowing - 14 students from local high schools shadowed CGH health care professionals to learn more about a particular health related specialty.
Statement of Program Service Accomplishments - ContinuedForm 990, Page 2, Part III, Question 4Subsidized Health Services Subsidized health services represent those programs provided to the community by CGH despite the fact the Hospital incurs a financial loss to do so. CGH recognizes the need of its community and voluntarily subsidizes these programs in support of its charitable mission. Among the subsidized health services provided by CGH are drug, alcohol and mental health services. Consistent with the filing of Schedule H, CGH provided subsidized health services at a cost of $36,639 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 physical space donated to not-for-profit community groups, and the free provision of food, equipment, supplies and giveaway items as well as monetary donations. Consistent with the filing of Schedule H, CGH provided these contributions at a cost of $9,658 in Fiscal 2010. Cash Donations - CGH supports the community through cash contributions made at the discretion of the Hospital and its directors, benefiting not only the non-profit recipient but also ultimately the community as a whole. During Fiscal 2010, CGH made cash donations totaling $4,300 to the following organizations: American Heart Association McDonald Volunteer Fire Department Houston Volunteer Fire Department North Strabane Volunteer Fire Department In-kind Donations - In addition to the cash contributions, CGH also made in-kind donations of time and resources to help support various community functions. The Hospital donated space for community food drives, blood drives, girl scouts, boy scouts, clothing drives, ministerial associations, United Way, Rotary International, local emergency medical service providers and fire departments, insurance company information sessions and for patient financial support. In addition, the Hospital donated products and equipment to various local charitable organizations including Brother's Brother Foundation; a foundation that promotes international health and education, a local humane society, and local youth sports teams. 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, CGH provided these services at a cost of $73,160 in Fiscal 2010. Social Work Services - The services of a professionally trained medical social worker is available to all patients and families for crisis intervention, counseling and discharge planning. The social worker handles problems that may arise during hospitalization or at the time of discharge. The social worker also provides counseling, emotional support and information regarding community services and programs. Representation on Community Boards and Partnerships - Several leaders at CGH reside on community boards and partnerships. These organizations include the Washington County Chamber of Commerce, Washington County Community Health Partners, SouthPointe CEO Association, Greater Canonsburg Economic Development Committee, American Heart Association, Hospital Councils of Western Pennsylvania, Nutritional Task Force and Health Assessment Program, The Child Seat Review, Pennsylvania Emergency Nurses Association, and the Western Area Career Advisory Board. Mom's Shower - CGH hosts the annual Mom's Shower for low-income women who are pregnant or have toddlers. This one-day event incorporates service providers from several counties to distribute information, resources and products to new or expectant mothers. Thanksgiving Essay Contest: The Hospital Children Services Department sponsors a Thanksgiving essay contest for elementary age students. The essays are intended to promote healthy themes to children. Each essay is focused on a healthy topic and the reasons why the child is thankful. Each child completes an essay and the essay is judged by a community forum. The winners receive a U.S. Savings Bond. Halloween Trail: The Hospital sponsors the annual Halloween Trail to provide a fun and safe way for children to celebrate Halloween. Treats are provided free of charge and hospital employees dress in costume and pass out treats. Approximately 1,000 children attended the free event held at the hospital.
Form 990 Review ProcessForm 990, Page 6, Part VI, Section A, Question 10Form 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 PolicyForm 990, Page 6, Part VI, Section B, Question 12cCanonsburg General Hospital 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 Canonsburg General Hospital 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 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 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 CompensationForm 990, Page 6, Part VI, Section B, Question 15West Penn Allegheny Health Systems (WPAHS) process for determining compensation for executive positions (including officers, key employees and other management positions) within Canonsburg General Hospital is covered by the WPAHS Executive Compensation Policy. This policy was approved by the West Penn Allegheny Health System, Inc. Board of Directors. It is the policy of WPAHS and its Board of Directors to compensate its executives in accordance with the market and in relation to the experience, service and accomplishments of the individual both prior to and during their service with WPAHS. The Compensation Committee of the West Penn Allegheny Health System, Inc. Board of Directors approves the compensation for WPAHS senior executives. The Compensation Committee approves the initial compensation for newly hired senior executives, which shall include all compensation components, including without limitation, base compensation, incentive compensation, deferred compensation, fringe and other benefits, as well as the total compensation. It shall also approve all base compensation adjustments and all incentive compensation awards, as well as material changes to deferred compensation, fringe, or other benefits. The Compensation Committee uses comparability data provided by the System Human Resources Department, which may include industry surveys, expert compensation studies, documented compensation of persons holding similar positions, or other comparable data in approving any executive compensation. The Compensation Committee shall periodically retain the services of an independent compensation consultant to provide an expert opinion report as to the reasonableness of total compensation of Canonsburg General Hospital 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 West Penn Allegheny Health System, Inc. All decisions of the Compensation Committee regarding executive compensation matters are documented.
Public Availability of Organizational DocumentsForm 990, Page 6, Part VI, Section C, Question 19Canonsburg General Hospital (CGH) makes its governing documents available to the public upon request. CGH 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 CGH 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 CGH. 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 IssueForm 990, Page 11, Line 20Canonsburg General Hospital 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, refund 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 $26,945,760 reflected on Form 990, Page 11, Line 20 represents the internal allocation of debt to Canonsburg General Hospital 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 Form 990 filed by West Penn Allegheny Health System, Inc., EIN: 25-0969492 to review Schedule K with regard to this bond issue.
Transfers With Affiliated OrganizationsSchedule R, Part V, Line 2Canonsburg General Hospital has chosen to complete Schedule R, Part V, line 2 in order to disclose transactions with affiliated organizations. No organization listed in Schedule R, Part V, line 2 is a controlled entity within the meaning of section 512(b)(13).

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
West Penn Allegheny Health System Inc
4800 Friendship AvenuePittsburghPA15224250969492HealthcarePA501(C)(3)3NA
Alle-Kiski Medical Center
1301 Carlisle StreetNatrona HeightsPA15065251875178HealthcarePA501(c)(3)3NA
Allegheny Singer Research Institute
320 East North AvenuePittsburghPA15212251320493Sci. ResearchPA501(c)(3)4NA
Allegheny Medical Practice Network
4800 Friendship AvenuePittsburghPA15224251838457HealthcarePA501(c)(3)3NA
Allegheny Specialty Practice Network
320 East North AvenuePittsburghPA15212251838458HealthcarePA501(c)(3)3NA
West Penn Allegheny Oncology Network
4800 Friendship AvenuePittsburghPA15224113683376HealthcarePA501(c)(3)11-III FLNA
West Penn Physician Practice Network
4800 Friendship AvenuePittsburghPA15224251494317HealthcarePA501(c)(3)9NA
CGH Ambulance Service Inc
100 Medical BoulevardCanonsburgPA15317232939715Emer ResponsePA501(c)(3)9NA
Alle-Kiski Medical Center Trust
1301 Carlisle StreetNatrona HeightsPA15065205855753FundraisingPA501(c)(3)11-INA
Forbes Health Foundation
2570 Haymaker RoadMonroevillePA15146251798379FundraisingPA501(c)(3)7NA
Suburban Health Foundation
100 South Jackson AvenuePittsburghPA15202251472073FundraisingPA501(c)(3)11-INA
Western Pennsylvania Hospital Foundation
4800 Friendship AvenuePittsburghPA15224251470766FundraisingPA501(c)(3)11-INA
West Allegheny Hospital
100 Medical BoulevardCanonsburgPA15317251054206InactivePA501(c)(3)3NA
Greater Canonsburg Health System
100 Medical BoulevardCanonsburgPA15317251488089InactivePA501(c)(3)11-INA
Canonsburg HealthHospital Foundation
100 Medical BoulevardCanonsburgPA15317251818505InactivePA501(c)(3)11-INA

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Burn Care Associates
4800 Friendship AvenuePittsburghPA15224232899534HealthcarePANAC Corporation
Liberty Physicians
4800 Friendship AvenuePittsburghPA15224251637318HealthcarePANAC Corporation
Medical Center Clinic
4800 Friendship AvenuePittsburghPA15224232894939HealthcarePANAC Corporation
West Penn Corporate Medical Services Inc
4800 Friendship AvenuePittsburghPA15224251437405HealthcarePANAC Corporation
West Penn Medical Associates
4800 Friendship AvenuePittsburghPA15224251666783HealthcarePANAC Corporation
West Penn Neurosurgery
4800 Friendship AvenuePittsburghPA15224251630719HealthcarePANAC Corporation
West Penn OBGYN Multispecialists PC
4800 Friendship AvenuePittsburghPA15224251619226HealthcarePANAC Corporation
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Allegheny Medical Practice Network
1b1759374
Allegheny Specialty Practice Network
1b695000
West Penn Allegheny Health System Inc
1p177625
West Penn Allegheny Health System Inc
1c203614