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 251838457 Allegheny Medical Practice Network 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 53752625 false X www.wpahs.org X 1999 PA See Form 990, Page 2, Part III 5 0 857 0 0 0 0 0 56297920 52950624 28404 -1180 604354 798662 56930678 53748106 9378 4135 0 0 53356470 52617681 0 0 0 18258536 19042296 71624384 71664112 -14693706 -17916006 10402754 7156204 21028357 21729568 -10625603 -14573364 ALLEGHENY MEDICAL PRACTICE NETWORK 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 38109000 0 32303000 The purpose of Allegheny Medical Practice Network is to improve the health of the people in Western Pennsylvania. In order to accomplish this mission, Allegheny Medical Practice Network provides Family Medicine services to those individuals in need of medical treatment. 12415000 0 12409000 The purpose of Allegheny Medical Practice Network is to improve the health of the people in Western Pennsylvania. In order to accomplish this mission, Allegheny Medical Practice Network provides obstetrical and gynecological services to those individuals in need of medical treatment. 5527000 0 5526000 The purpose of Allegheny Medical Practice Network is to improve the health of the people in Western Pennsylvania. In order to accomplish this mission, Allegheny Medical Practice Network provides pediatric services to those individuals in need of medical treatment. 4234941 4135 2712624 60285941 true false false true false false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 138 0 true 857 true false false false false false false false false false 5 0 false 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 Michael Devita MD 10.0 X X 0 256677 0 Dawn Gideon 2.0 X 0 835133 0 Roy Santarella 2.0 X X 0 1217922 0 Alan Cecala 40.0 X 0 243286 0 Christopher Olivia MD 2.0 X X 0 1879499 0 Sanford Kurtz MD 10.0 X X 0 348267 0 Thomas Albanesi 2.0 X 0 313976 0 Judy Hlafcsak 2.0 X 0 612759 0 Sharon Loftus 2.0 X 0 282552 0 Deborah Olszewski 2.0 X 0 207729 0 Edward Roeber 10.0 X 0 446375 0 Jeffrey Bushong 10.0 X 0 531464 0 Michael Pelekanos MD 40.0 X 422266 0 0 Mark Barnhart 10.0 X 0 0 0 Surinder Bajwa MD 40.0 X 701554 0 0 David Logan MD 40.0 X 521637 0 0 Datar Singh MD 40.0 X 484630 0 0 Robert Baraff MD 40.0 X 589007 0 0 Mark Rubino MD 40.0 X 457354 0 0 Jerry Fedele X 0 252175 0 Dawn Javersack X 0 102025 0 3176448 7529839 0 112 true true false Allscripts LLC 24630 Network Place CHICAGO IL 60673 Software Consulting 163697 Cynamed Healthcare 2333 East Carson Street PITTSBURGH PA 15203 Staffing Agency 301065 Professional Casualty Associates 1012 W 9th Avenue KING OF PRUSSIA PA 19406 Insurance 135286 MD Notes LLC 1615 Blackburn Heights Drive SEWICKLEY PA 15143 Transcription 117240 4 0 PATIENT SERVICE REVENUE 621110 52950624 52950624 52950624 3339 3339 0 0 190874 190874 190874 190874 4519 -4519 -4519 -4519 0 0 0 STIPENDS 621110 276300 276300 MEDICAL DIRECTOR FEES 621110 189561 189561 MEDICAL RECORDS 621110 50398 50398 91529 91529 607788 53748106 53558412 189694 4135 4135 0 0 0 444323 377675 66648 0 45136649 38328148 6808501 1053215 894255 158960 3591211 3051522 539689 2392283 2250216 142067 0 14994 14994 14802 14802 0 0 20341 20341 1333052 913018 420034 68872 68872 777437 704729 72708 0 0 4944282 4713946 230336 114008 83705 30303 0 66962 62094 4868 0 2629732 157478 2472254 565303 545081 20222 2068625 2060892 7733 PATIENT CARE MEDICATIONS 2711706 2711706 PATIENT RELATED BAD DEBT 1126289 1126289 TELEPHONE 854109 831577 22532 0 REPAIR AND MAINTENANCE 189237 109058 80179 DUES AND SUBSCRIPTIONS 239712 227726 11986 1302833 1132691 170142 0 71664112 60285941 11378171 0 11558 9252 1811857 13998 4336410 4432062 295491 156979 419649 470745 5475592 4141920 1691453 1333672 366409 519273 3000 8333 1466927 211890 10402754 7156204 5605744 6968906 695076 466019 14727537 14294643 21028357 21729568 X -10600603 -14548364 -25000 -25000 -10625603 -14573364 10402754 7156204 X false true true X false X X 0 0 13940 418483 13940 418483 71650172 1648957517 71664112 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) Allegheny Medical Practice Network (AMPN) has made the IRC Section 501(h) election. AMPN is a member of the West Penn Allegheny Health System (WPAHS). WPAHS employs an Executive Vice President of 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 $13,940 attributed to AMPN on Schedule C, Page 2, Part II-A reflect expenditures allocated to AMPN from WPAHS and do not reflect direct expenditures made by AMPN. -25000 -25000 -25000 -25000 1.00000 false false 2315544 1767113 548431 3076690 2374807 701883 83358 83358 1333672 INVESTMENT IN RRG 519273 F 519273 0 ACCRUED PENSION COSTS 13574773 INSURANCE LIABILITY 597226 LEASE ESCALATION OBLIGATION 122644 14294643 AMPN Inclusion in the consolidated audit of WPAHS Form 990, Schedule D, Part X - Question 2, Part XII and XIII Allegheny Medical Practice Network (AMPN) does not issue independent audited financial statements. AMPN is a member of a regional healthcare system named West Penn Allegheny Health System. The West Penn Allegheny Health System receives a consolidated audit which includes the operations of AMPN. The net loss of $17,916,006 reflected on Form 990 page 1, line 19 agrees to the net loss reflected on the financial statements. No reclassifications to financial statement net income were made on Form 990. 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." X X X X X true false false false false false false false false Michael Devita MD 0 241263 0 15000 0 414 0 230217 0 5954 0 492848 0 0 Dawn Gideon 0 710008 0 57500 0 67625 0 9800 0 11395 0 856328 0 0 Roy Santarella 0 765721 0 325000 0 127201 0 13965 0 19822 0 1251709 0 0 Alan Cecala 0 238262 0 0 0 5024 0 10424 0 10957 0 264667 0 0 Christopher Olivia MD 0 1261933 0 500000 0 117566 0 12435 0 15604 0 1907538 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 Sanford Kurtz MD 0 204133 0 100000 0 44134 0 0 0 1898 0 350165 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 Edward Roeber 0 446375 0 0 0 0 0 0 0 0 0 446375 0 0 Jeffrey Bushong 0 531464 0 0 0 0 0 0 0 0 0 531464 0 0 Michael Pelekanos MD 360475 0 61239 0 552 0 10863 0 11194 0 444323 0 0 0 Surinder Bajwa MD 699970 0 0 0 1584 0 16888 0 3982 0 722424 0 0 0 David Logan MD 283481 0 237916 0 240 0 8863 0 10662 0 541162 0 0 0 Datar Singh MD 483046 0 0 0 1584 0 16262 0 11961 0 512853 0 0 0 Robert Baraff MD 288360 0 299109 0 1538 0 15450 0 10690 0 615147 0 0 0 Mark Rubino MD 453320 0 3482 0 552 0 11250 0 11115 0 479719 0 0 0 Deborah Olszewski 0 165729 0 41400 0 600 0 10403 0 1666 0 219798 0 0 Additional Compensation Disclosure Form 990, Schedule J, 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 Allegheny Medical Practice Network 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: Sanford Kurtz, MD 10-15-2009 - 6-30-2010 Michael DeVita, MD 7-1-2009 - 11-30-2009 Deborah Olszewski 1-28-2010 - 6-30-2010 Sharon Loftus 7-1-2009 - 12-31-2009 Mark Barnhart 1-1-2010 - 6-30-2010 Allegheny Medical Practice Network - Board of Director Independence Form 990, Page 1, Part I, Question 4 The appointment of the Allegheny Medical Practice Network Board of Directors is made by the sole member of the organization, West Penn Allegheny Health System, Inc. The Bylaws of Allegheny Medical Practice Network provides that the sole member has the exclusive power to fix the number of, and elect, appoint, fill vacancies in and remove, with or without cause, the Directors; and elect and remove, with or without cause, the Chair and Vice Chair of the Board of Directors of the Corporation, and the Secretary and Treasurer of the Corporation. The Board of Directors of the sole member of Allegheny Medical Practice Network is comprised of a majority of independent Board Members. The Board of Directors of Allegheny Medical Practice Network consists of five members who have voting rights on matters pertinent to the organization. Of these five members, none are deemed to be independent to the organization. Because of the independence of the Board of Directors of the sole member, and the rights and powers of the sole member to appoint and fix the Board of Directors of Allegheny Medical Practice Network, we deem that the Board of Directors of Allegheny Medical Practice Network is in fact controlled by a majority of independent Board Members. Statement of Program Service Accomplishments Form 990, Page 2, Part III, Question 4 Allegheny Medical Practice Network (AMPN) is a Pennsylvania not-for-profit corporation that was incorporated on June 16, 1999 to provide community-based primary and specialty care services to individuals in Southwest Pennsylvania. In doing so, AMPN furthers its charitable purpose by promoting and delivering high-quality cost-efficient health care in the community. This activity supplements the acute care and other inpatient and outpatient services provided by the supported organization of the West Penn Allegheny Health System. AMPN is part of the West Penn Allegheny Health System (WPAHS). Organized in 2000, WPAHS (www.wpahs.org) is comprised of West Penn Allegheny Health System, Inc. (WPAHS, Inc.), Alle-Kiski Medical Center (AKMC), Canonsburg General Hospital (CGH), Allegheny Specialty Practice Network (ASPN), Allegheny-Singer Research Institute (ASRI), West Penn Physician Practice Network (WPPPN), West Penn Allegheny Oncology Network (WPAON), 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). AMPN owns and operates sixty-five primary care and specialty medical practice sites. These primary and specialty care practices benefit the communities served by expanding and enhancing public access to primary care medical services. We provide high quality cost-efficient health care services to the public regardless of their ability to pay. As part of a large academic health care system, AMPN's many community-based practice sites provide new and expanded opportunities for clinical research in a variety of settings, as well as enriched medical education opportunities for the System's students, the physicians, and the communities served by the System. The addition of a range of primary practice sites is particularly beneficial in expanding opportunities for medical students, residents, and the students of the other health profession programs offered by the System. To be exposed broadly during their training to primary care practice and to the challenges of coordinating a spectrum of care for individual patients is particularly significant to students in view of the current national emphasis on encouraging more young physicians to select primary care as their professional specialty. AMPN maintains a fee schedule for its services, and the fee structure reflects the local community's ability to pay for such services, so that reasonable access to the AMPN services is available in the community. In addition, AMPN maintains a charity care policy which was established to assure that all persons seeking treatment receive needed health care services regardless of their ability to pay. This policy provides that persons who lack the means to pay for all or a portion of their needed health care services receive financial assistance in the form of partial or total charge reductions. Finally, AMPN is affiliated with hospitals that maintain 24 hour emergency rooms open to all persons regardless of their ability to pay for services, and have open medical staffs. Accordingly, AMPN alone and in conjunction with its affiliates, provides a substantial benefit to the community. To carry out the foregoing activities, AMPN employs 157 providers in the Western Pennsylvania community, specializing in internal medicine, family practice, pediatrics, obstetrics and gynecology and neurology. Statement of Program Service Accomplishments (continued) Form 990, Page 2, Part III, Question 4 PURPOSE AND MISSION Allegheny Medical Practice Network 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, AMPN 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 access to an emergency room that is available 24 hours a day. The uncompensated care provided by AMPN consists of charity care measured at cost and MA shortfall. In Fiscal 2010, AMPN provided $6,065,557 of uncompensated care broken down as follows: MA Shortfall $5,899,183 Charity Care 166,374 __________ Total $6,065,557 COMMUNITY ASSESSMENT Community Health Improvement Services and Community Benefit Operations Community health improvement services and community benefit operations include activities intended to improve community health. They extend beyond patient care activities and are subsidized by AMPN. The programs ranged from community health education to free clinics and screenings. AMPN provided the following community health improvement services and community benefit operations during Fiscal 2010 at an estimated cost of $38,050. Medical Lectures/Presentations - AMPN physicians presented on various health topics and then conducted question & answer sessions in various public forum. Lectures and presentations were given on local cable TV, local radio, at senior living quarters, libraries and community centers. Health Fairs/Screenings - the AMPN medical staff provided free blood pressure screenings, preventative gynecological exams, heart health monitoring tips and answered various health related questions at different community centers throughout the fiscal year. Care for the Homeless - AMPN Physicians travel to homeless shelters around the community to provide homeless patients free medical care and clinics. Women's Health - AMPN physicians participated in a panel discussion surrounding women's health. The panel gathered questions from the audience and addressed the questions and concerns. Children and Toddlers - AMPN physicians provide guidance and instruction to young children and toddlers. Topics discussed include potty training, how to handle tough toddlers, how to have open communicate between teenagers and their parents and how to handle puberty. Periodicals - On multiple occasions during the fiscal year, AMPN physicians authored articles for community periodicals on various health related topics. Health Professions Education AMPN provides health professionals with educational opportunities to advance their careers in healthcare. AMPN provided the following health professions education during Fiscal 2010 at an estimated cost of $446,200. Training in Primary Care - Physicians teach residents and medical students at free clinics and internal medicine primary care settings. These students are able to interact with the AMPN physicians and they experience valuable lessons in healthcare field. Medical Externships - AMPN physician offices provide externships for Medical Assistants and Medical Receptionists from local colleges and business schools. Clinical Clerkship - AMPN participated in a clinical clerkship for the purpose of providing onsite training for a future medical professional . Nursing Education - AMPN provided hands on, on site training for future nurses. The individuals learned as they shadowed physicians and other healthcare professionals. Other Health Professions Education - AMPN participated in various other health professions education activities devoted to furthering the advancement of our communities healthcare providers. Education focused on the development of clinical skills in the primary care environment. Cost Financial Contributions AMPN supports the community through cash contributions made at the discretion of AMPN and its directors, benefiting not only the non-profit recipient but ultimately the community as a whole. AMPN made cash contributions totaling $4,135 including the following: Vincentian Charitable Foundation Greater Pittsburgh Council BSA Light of Life Mission Salvation Army Howard University College of Medicine 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. AMPN participated in the following community building activities during the fiscal year at an estimated cost of $52,650 Patient Assistance - AMPN offers assistance to individuals who lack the resources necessary to complete applications for needed programs and resources. We help patients enroll into programs to get all necessary medical and social needs covered by inputting information for those individuals who lack access to a computer. We also research community programs to help individuals with specific needs. Community Health Symposium for African Americans - An AMPN physician in conjunction with the Gateway Medical Society examines issues of disparities among African Americans. The physician helps young children stay clear of the dangers of society by being a mentor and allowing the children to explore the medical field with the hope that a difference can be made that will propel them through a childhood geared toward education and future possibilities. Board and Committee Membership - Several AMPN physicians sit on community advisory boards and councils. These include a chamber of commerce and medical assistant advisory boards. 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 Allegheny Medical Practice Network 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 Allegheny Medical Practice Network 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 For Determining 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 Allegheny Medical Practice Network 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 Allegheny Medical Practice Network 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 Availability of Organizational Documents Form 990, Page 6, Part VI, Section C, Question 19 Allegheny Medical Practice Network (AMPN) does not make its governing documents available to the public. AMPN 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 AMPN 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 AMPN. 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. Health System Tax Exempt Bond Issuance Form 990, Page 11, Question 20 Allegheny Medical Practice Network is a member of the West Penn Allegheny Health System obligated group in regards to 2007 Allegheny County Hospital Development Authority tax-exempt bonds. 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. No internal allocation of debt has been made to Allegheny Medical Practice Network, however, the organization's assets are security for purposes of this bond issue. Allegheny Medical Practice Network Schedule H Requirements Form 990, Schedule A, Part I, Line 3 Internal Revenue Service Form 990, Schedule H is required to be completed by all organizations that meet the IRS definition of a Hospital and in addition, is required to be licensed, registered or similarly recognized by a state as a Hospital. Allegheny Medical Practice Network is classified by the Internal Revenue Service as a Hospital under IRC section 170(b)(1)(A)(iii). Allegheny Medical Practice Network is not required to be licensed, registered or similarly recognized as a Hospital by the State of Pennsylvania. Accordingly, Internal Revenue Service Form 990, Schedule H is not completed by Allegheny Medical Practice Network. Transfers With Affiliated Organizations Schedule R, Part V, Line 2 Allegheny Medical Practice Network 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). 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 Alle-Kiski Medical Center 1301 Carlisle Street Natrona Heights PA 15065 251875178 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 NA 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 Alleghney Hospital 100 Medical Boulevard Canonsburg 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 Inc 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 Multispecialists 4800 Friendship Avenue Pittsburgh PA 15224 251619226 Healthcare PA NA C Corporation Friendship Insurance Company Barclays House Shedden Road Grand Cayman Grand Cayman CJ PO Box 1051 980116952 Insurance CJ NA C Corporation false false true false false false false false false false false false false false true false false false Alle-Kiski Medical Center 1c 1470239 Canonsburg General Hospital 1c 1759374 West Penn Allegheny Health System Inc 1c 5496741 West Penn Allegheny Health System Inc 1o 1284417