Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
West Penn Allegheny Health System Inc
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
C/O Tax Dept Two Allegheny Center
 
Room/suite
City or town, state or country, and ZIP + 4
Pittsburgh, PA15212
D Employer identification number

25-0969492
E Telephone number

G Gross receipts $ 1,658,840,427
F Name and address of principal officer:
Matthew Peterson
Two Allegheny Center 11th Fl
Pittsburgh,PA15212
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.wpahs.org
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1848
M State of legal domicile: PA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: See Form 990, Page 2, Part III
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 21
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 16
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 9,912
6 Total number of volunteers (estimate if necessary) .... 6 800
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 4,950,805
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -43,093
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,448,809 32,207,430
9 Program service revenue (Part VIII, line 2g) ......... 1,128,960,901 1,082,525,696
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 24,626,364 41,990,794
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 35,477,421 62,177,577
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,191,513,495 1,218,901,497
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 337,590 349,751
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 491,091,346 464,543,965
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet221,693    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 621,970,142 636,123,935
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,113,399,078 1,101,017,651
19 Revenue less expenses. Subtract line 18 from line 12...... 78,114,417 117,883,846
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 1,023,486,557 1,029,709,145
21 Total liabilities (Part X, line 26)............ 1,239,508,664 1,167,217,731
22 Net assets or fund balances. Subtract line 21 from line 20 ..... -216,022,107 -137,508,586
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: WEST PENN ALLEGHENY HEALTH SYSTEM, INC. 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 539,869,424 including grants of $ 80,302 ) (Revenue $ 615,833,016 )
See Schedule O - West Penn Allegheny Health System, Inc. - Allegheny General Hospital Division.
4b (Code:   ) (Expenses $ 259,445,757 including grants of $ 1,595 ) (Revenue $ 270,715,941 )
See Schedule O - West Penn Allegheny Health System, Inc. - The Western Pennsylvania Hospital Division.
4c (Code:   ) (Expenses $ 168,485,719 including grants of $ 7,330 ) (Revenue $ 195,976,739 )
See Schedule O - West Penn Allegheny Health System, Inc. - The Western Pennsylvania Hospital - Forbes Regional Campus Division.
(Code:   ) (Expenses $ 41,851,933 including grants of $ 260,524 ) (Revenue $   )
SYSTEM WIDE SERVICES TO AFFILIATED ORGANIZATIONS
4d Other program services. (Describe in Schedule O.)
(Expenses $ 41,851,933 including grants of $ 260,524 ) (Revenue $   )
4e Total program service expensesMediumBullet$ 1,009,652,833
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Click to see attachment
.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see list of attachments
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
739
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
9,912
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
21
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
16
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
PA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
MATTHEW PETERSON
TWO ALLEGHENY CENTER 11TH FLOOR
Pittsburgh,PA15212
(412) 330-6012
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) David McClenahan
Chairman of the Board
1.0 X           0 0 0
(2) Gerd Mueller
Director
1.0 X           0 0 0
(3) John Isherwood
Director
1.0 X           0 0 0
(4) David Burstin
Director
1.0 X           0 0 0
(5) Alejandro Gonzalez MD
Director
1.0 X           0 0 0
(6) Paul Dimmick
Director
1.0 X           0 0 0
(7) Emanuel DiNatale
Director
1.0 X           0 0 0
(8) Evan Frazier
Director
1.0 X           0 0 0
(9) Robert Kampmeinert
Director
1.0 X           0 0 0
(10) Basil Cox
Director
1.0 X           0 0 0
(11) George Eichleay
Director
1.0 X           0 0 0
(12) Theodore Neighbors
Director
1.0 X           0 0 0
(13) Joseph Platt
Director
1.0 X           0 0 0
(14) Sandra Usher
Director
1.0 X           0 0 0
(15) Russell Evans
Ex-Officio Director
1.0 X           0 0 0
(16) Joseph Macarelli
Ex-Officio Director
1.0 X           0 0 0
(17) David Parda MD
Director
1.0 X           0 776,147 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Patrick Demeo MD
Director
1.0 X           0 1,031,314 0
(19) George Magovern MD
Director
1.0 X           0 614,319 0
(20) Thomas McClure MD
Director
1.0 X           0 319,920 0
(21) Christopher Olivia MD
Health System President & CEO
28.0 X   X       1,974,582 0 0
(22) James Wilberger MD
Director
1.0 X           0 988,347 0
(23) Diane Dismukes
Health System President & CEO
28.0 X   X       0 0 0
(24) Daniel Brailer
Director
1.0 X           0 0 0
(25) Roy Santarella
Treasurer
29.0     X       1,118,480 0 0
(26) Thomas Albanesi
Assistant Treasurer
30.0     X       321,474 0 0
(27) Judy Hlafcsak
Secretary
28.0     X       458,102 0 0
(28) Kathleen Sirkoch
Secretary
40.0     X       61,298 0 0
(29) Deborah Olszewski
Assistant Secretary
29.0     X       188,656 0 0
(30) Tony Farah MD
Director & AGH CMO
10.0       X     0 596,625 0
(31) Susan Manzi MD
Chair, Department of Medicine
20.0       X     0 366,562 0
(32) John Foley
WPAHS Chief Information Offcer
40.0       X     502,265 0 0
(33) David Kiehn
WPAHS Chief Financial Officer
30.0       X     555,706 0 0
(34) Sanford Kurtz MD
Physician Org. Pres. & CEO
1.0       X     1,008,252 0 0
(35) Dawn Gideon
EVP & Chief Hospital Operator
32.0       X     681,942 0 0
(36) William Edmondson
EVP of Strategic Planning
40.0       X     295,661 0 0
(37) Margaret McCormick Barron
EVP of External Affairs
40.0       X     368,206 0 0
(38) James Kanuch
AGH-WPH VP of Finance
40.0       X     188,003 0 0
(39) Denzil Rupert
AGH Chief Operating Officer
40.0       X     296,732 0 0
(40) Sherry Zisk
WPH Chief Operating Officer
40.0       X     319,721 0 0
(41) Thomas Moser
WPH-FRH Chief Operating Office
40.0       X     303,247 0 0
(42) David Lerberg MD
WPH Chief Medical Officer
39.0       X     0 220,060 0
(43) Mark Rubino MD
WPH-FRH Chief Medical Officer
10.0       X     0 458,564 0
(44) Judy Zedreck
VP & Chief Nursing Executive
40.0       X     231,665 0 0
(45) Sheran Shipley
Vice President
40.0       X     185,724 0 0
(46) Pamela Gallagher
VP of Finance - FRH
40.0       X     229,133 0 0
(47) Gregory Burfitt
AGH & WPH President and CEO
38.0       X     641,952 0 0
(48) Reese Jackson
WPH-FRH President & CEO
39.0       X     285,477 0 0
(49) Robert Brandfass
EVP-System Chief Legal Counsel
28.0       X     0 0 0
(50) John Lister MD
Physician
40.0         X   723,462 45,390 0
(51) Venkatraman Srinivasan MD
Physician
39.0         X   650,672 56,210 0
(52) Robert Mendicino MD
Physician
40.0         X   749,374 61,957 0
(53) Syed Husaini MD
Physician
40.0         X   584,818 54,512 0
(54) James McCormick MD
Physician
40.0         X   584,818 54,512 0
(55) James Rosenberg
WPAHS Chief Operating Officer
            X 180,987 0 0
(56) Michael DeVita MD
EVP of Medical Affairs
            X 300,183 0 0
(57) Gary Strong
FRH President & CEO
            X 279,266 0 0
(58) Augustine Lopez
Vice President
            X 281,250 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 14,551,108 5,644,439 0
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet299
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
Allscripts LLC
24630 Network Place
CHICAGO,IL60673
Software App Service 9,848,619
Pricewaterhouse Coopers LLP
PO Box 7247-8001
PHILADELPHIA,PA171708001
Operational Advisors 8,517,800
Clean Care
PO Box 40330
PITTSBURGH,PA15201
Linen Services 3,170,774
Tedco Construction
3824 Northern Pike
MONROEVILLE,PA15146
Construction 3,700,635
Maxit Healthcare LLC
PO Box 2589
FORT WAYNE,IN468012589
Temporary Staffing 2,368,944
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet91
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a 7,567
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
32,199,863
g Noncash contributions included in lines 1a-1f:$ 400,506
h Total. Add lines 1a-1f.......MediumBullet 32,207,430
 Program Service Revenue Business Code
2a PATIENT SERVICE REVENUE 621,110 1,082,525,696 1,079,437,845 3,087,851  
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,082,525,696
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 22,247,916     22,247,916
4 Income from investment of tax-exempt bond proceeds..MediumBullet 1,755,216 1,755,216    
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents 12,364,038  
b Less: rental expenses    
c Rental income or (loss) 12,364,038  
d Net rental income or (loss).......MediumBullet 12,364,038   1,862,954 10,501,084
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 446,336,551 11,590,041
b Less: cost or other basis and sales expenses 439,300,855 638,075
c Gain or (loss) 7,035,696 10,951,966
d Net gain or (loss)..........MediumBullet 17,987,662     17,987,662
8a Gross income from fundraising events (not including
$ 2,915
of contributions reported on line 1c). See Part IV, line 18 ...
a 7,550
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 7,550    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a PARKING REVENUE 621,110 5,397,679 5,397,679    
b CAFETERIA SALES 621,110 4,738,301 4,738,301    
c OFFSETTING GRANT REVENUE 621,110 1,231,495 1,231,495    
d All other revenue .... 38,438,514 38,438,514    
e Total. Add lines 11a–11d ......MediumBullet 49,805,989
12 Total revenue. See Instructions....MediumBullet 1,218,901,497 1,130,999,050 4,950,805 50,736,662
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 337,251 337,251
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 12,500 12,500
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 10,691,674 9,087,923 1,603,751 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 389,045,847 344,657,087 44,210,358 178,402
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 19,956,560 17,857,079 2,099,481  
9 Other employee benefits ....... 17,530,838 15,465,790 2,065,048  
10 Payroll taxes ........... 27,319,046 24,241,541 3,068,364 9,141
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 3,981,511 3,511,240 470,271  
c Accounting ........... 497,032   497,032  
d Lobbying ........... 424,588 424,588    
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 560,732 504,394 56,338  
g Other .......... 65,900,703 59,310,631 6,568,454 21,618
12 Advertising and promotion .... 7,882,052 7,094,033 788,019  
13 Office expenses ....... 5,747,409 5,172,668 574,287 454
14 Information technology ...... 20,774,352 18,696,917 2,077,435  
15 Royalties .. 0      
16 Occupancy ........... 20,247,777 18,222,999 2,024,778  
17 Travel ............ 1,670,353 1,503,538 166,815  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 1,452,453 1,307,013 145,440  
20 Interest ........... 50,617,187 42,961,101 7,656,086  
21 Payments to affiliates ....... 1,955,271 1,759,744 195,527  
22 Depreciation, depletion, and amortization ..... 48,219,090 43,396,314 4,822,776  
23 Insurance .............. 12,238,737 11,201,217 1,037,520  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PATIENT CARE SUPPLIES 222,091,317 222,091,317    
b REPAIR AND MAINTENANCE 72,318,518 65,061,390 7,257,128  
c BAD DEBT 51,214,894 51,214,894    
d PA ACT 49 - QUALITY CARE 19,241,142 19,241,142    
e RESTRUCTURING COSTS 15,853,027 13,732,008 2,121,019  
f All other expenses 13,235,790 11,586,514 1,637,198 12,078
25 Total functional expenses. Add lines 1 through 24f 1,101,017,651 1,009,652,833 91,143,125 221,693
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation
       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 70,101 1 3,084,511
2 Savings and temporary cash investments ....... 225,138,364 2 181,909,129
3 Pledges and grants receivable, net ......... 1,105,147 3 1,053,360
4 Accounts receivable, net ......... 125,793,223 4 109,540,322
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 0 7 3,185,000
8 Inventories for sale or use .............. 20,893,692 8 18,732,275
9 Prepaid expenses and deferred charges ............ 11,261,420 9 15,612,161
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 935,870,218
b Less: accumulated depreciation. ..... 10b 631,729,376 264,851,062 10c 304,140,842
11 Investments—publicly traded securities .......... 230,813,240 11 242,957,197
12 Investments—other securities. See Part IV, line 11 ...... 16,623,228 12 5,378,609
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ......... 18,225,793 14 16,997,276
15 Other assets. See Part IV, line 11 ........... 108,711,287 15 127,118,463
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,023,486,557 16 1,029,709,145
Liabilities 17 Accounts payable and accrued expenses . 118,166,230 17 147,239,366
18 Grants payable ..........   18  
19 Deferred revenue .......... 55,845,517 19 47,562,530
20 Tax-exempt bond liabilities .......... 747,693,619 20 736,998,726
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 64,361,987 23 69,916,636
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 253,441,311 25 165,500,473
26 Total liabilities. Add lines 17 through 25..... 1,239,508,664 26 1,167,217,731
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... -376,844,944 27 -318,883,645
28 Temporarily restricted net assets ..... 6,335,267 28 5,632,423
29 Permanently restricted net assets ..... 154,487,570 29 175,742,636
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... -216,022,107 33 -137,508,586
34 Total liabilities and net assets/fund balances ..... 1,023,486,557 34 1,029,709,145
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
1,218,901,497
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
1,101,017,651
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
117,883,846
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
-216,022,107
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-39,370,325
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
-137,508,586
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Part I
Contributors (see Instructions)
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
Organization's
Totals
(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...... 0 0
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 299,811 424,588
c Total lobbying expenditures (add lines 1a and 1b) ................... 299,811 424,588
d Other exempt purpose expenditures ........................ 1,100,717,840 1,647,450,412
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 1,101,017,651 1,647,875,000
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000 1,000,000
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
        6,000,000
             
c Total lobbying expenditures 613,479 585,102 418,483 424,588 2,041,652
             
d Grassroots non-taxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
        1,500,000
             
f Grassroots lobbying expenditures 0 0 0 0 0
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
 
 
j
Total. lines 1c through 1i ...................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Lobbying Expenditures Form 990, Schedule C, Page 2, Part II-A, Line 1b, Column (a) and (b) West Penn Allegheny Health System, Inc. (WPAHS) has made the IRC Section 501(h) election. WPAHS employs an Executive Vice President for External Affairs to lobby issues of importance to the System and all of its members. WPAHS also elected to engage the services of outside consultants to assist us in lobbying issues of importance. WPAHS directly paid all lobbying expenditures of $424,588 as reflected on Schedule C, Page 2, Part II-A, column (b). The lobbying expenditures of $299,811 attributed to WPAHS on Schedule C, Page 2, Part II-A, column (a) reflect expenditures allocated to WPAHS. The difference between total lobbying expenditures of $424,588 and the WPAHS allocated expenditures of $299,811 are reflected on the Form 990, Schedule C, Page 2, Part II-A, column (a) of the affiliated organizations filing Form 990 Schedule C.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 160,822,837 157,081,075 214,329,180
b Contributions ........ 2,114,402 1,806,358 3,967,020
c Investment earnings or losses ... 29,373,573 15,402,952 -28,171,702
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........
10,460,295 13,396,153 32,430,060
f Administrative expenses .... 475,458 71,395 613,362
g End of year balance ...... 181,375,059 160,822,837 157,081,076
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet96.000 %
c
Term endowment: SchDMd Bullet4.000 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
Yes
 
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   10,091,958 10,091,958
b Buildings ................   455,779,421 320,974,990 134,804,431
c Leasehold improvements ............   28,972,815 21,238,931 7,733,884
d Equipment ................   367,018,553 260,013,763 107,004,790
e Other .................   74,007,471 29,501,692 44,505,779
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 304,140,842
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM AFFILIATES 94,583,570
(2) INVEST - PASSTHROUGH ENTITIES 2,060,312
(3) CAPITALIZED COSTS 288,616
(4) RECEIVABLES - OTHER 29,463,965
(5) LETTER OF CREDIT 362,000
(6) THE PHYSICIAN CONTRACT 360,000



Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 127,118,463
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
ACCRUED PENSION LIABILITY 127,640,731
THIRD PARTY SETTLEMENTS 1,126,811
INSURANCE LIABILITIES 25,458,568
CAPITAL LEASES 3,661,418
ASBESTOS RETIREMENT OBLIGATION 3,692,945
PIRATE ADV 215,763
THREE RIVERS ONCOLOGY LIABILIT 2,718,333
PATIENT A/R CREDIT BALANCE - ESCHEAT 955,880
ACCRUED INTEREST - SIEMENS DEBT 30,024
Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 165,500,473
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
WPAHS, Inc. Inclusion In The Consolidated Audit of WPAHS Form 990, Schedule D, Part X Question 2, Part XII and XIII West Penn Allegheny Health System, Inc. 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 West Penn Allegheny Health System, Inc. The following analysis represents the reconciliation between the financial statement net income and the net income as reported on Form 990, Page 1, line 19: Net income per financial statements $109,780,880 Plus: Income and expense reclassified from restricted net assets on the financial statements to unrestricted income and expense on Form 990 2,492,141 Plus: Unrealized Loss reflected in unrestricted income on the financial statements and reclassified to net assets on Form 990 5,610,825 ___________ Net income per Form 990 $117,883,846 The following is the footnote to the audited consolidated financial statements of the West Penn Allegheny Health System for FASB ASC 740: WPAHS adopted Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740, Income Taxes, which clarifies the accounting for uncertainty in income taxes recognized in an enterprise's financial statements. FASB ASC 740 prescribes a more-likely than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under FASB ASC 740, tax positions will be evaluated for recognition, derecognition, and measurement using consistent criteria and will provide more information about the uncertainty in income tax assets and liabilities. Based on an analysis prepared by WPAHS, it was determined that the application of FASB ASC 740 had no material effect on the recorded assets and liabilities of WPAHS.
Intended Use of the Organization's Endowment Funds Schedule D, Page 2, Part V, Line 4 The intended use of West Penn Allegheny Health System, Inc. permanent and term endowments are for, but not exclusive to: capital improvements, research, education, departmental needs, operating efficiencies, and overall patient care. The earnings off of the permanent amount are expendable, based on the specific use of the fund.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total
expenditures for region/investments
in region
Central America and the Caribbean 1   Program Services Captive Insurance 186,274
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 1   186,274
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 1   186,274
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount of
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) ..
    2,282,736   2,282,736 0.210 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) .
    115,189,739 92,128,243 23,061,496 2.090 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs .....
    117,472,475 92,128,243 25,344,232 2.300 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
    1,060,989   1,060,989 0.100 %
f Health professions education
(from Worksheet 5) ..
    61,005,848 22,961,150 38,044,698 3.460 %
g Subsidized health services
(from Worksheet 6) ..
    275,578,963 261,433,768 14,145,195 1.280 %
h Research (from Worksheet 7)     6,335,820   6,335,820 0.580 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) ..
    374,902   374,902 0.030 %
jTotal Other Benefits ...     344,356,522 284,394,918 59,961,604 5.450 %
kTotal. Add lines 7d and 7j. ..     461,828,997 376,523,161 85,305,836 7.750 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     9,167   9,167 0.010 %
2 Economic development            
3 Community support     113,550   113,550 0.010 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building     88,158   88,158 0.010 %
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     210,875   210,875 0.030 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
12,976,658
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
5,371,836
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
195,513,006
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
185,374,909
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
10,138,097
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
1West Penn Amb Surg
 
Ambulatory Surgery Center 51.000 %    
25148 Lib Ave Assoc
 
Property Rental 50.000 %    
3Alleg Imag of McCand
 
Imaging Services 45.000 %    
4Optima Imaging Inc
 
Medical Imaging 20.000 %    
5Forbes Reg Urologic
 
Equipment Rental 20.000 %    
6North Shore Endoscop
 
Endoscopy Services 50.000 %   45.000 %
7McCandless Endoscopy
 
Endoscopy Services 50.000 %   49.000 %
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?3
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 Allegheny General Hospital
320 East North Avenue
Pittsburgh,PA15224
X X   X X X X    
2 The Western Pennsylvania Hospital
4800 Friendship Avenue
Pittsburgh,PA15224
X X   X X X X    
3 Forbes Regional Hospital
2570 Haymaker Road
Monroeville,PA15146
X X   X     X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:Allegheny General Hospital
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for free care: 200.%
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14 Yes  
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16 Yes  
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21 Yes  
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:The Western Pennsylvania Hospital
Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for free care: 200.%
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14 Yes  
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16 Yes  
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21 Yes  
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:Forbes Regional Hospital
Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for free care: 200.%
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14 Yes  
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16 Yes  
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21 Yes  
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?13
Name and address Type of Facility (Describe)
1 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202
Urgent Care - General Medical
2 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202
Urgent Care - General Medical
3 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202
Urgent Care - General Medical
4 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202
Urgent Care - General Medical
5 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202
Urgent Care - General Medical
6 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202
Urgent Care - General Medical
7 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202
Urgent Care - General Medical
8 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202
Urgent Care - General Medical
9 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202
Urgent Care - General Medical
10 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202
Urgent Care - General Medical
11 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202
Urgent Care - General Medical
12 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202
Urgent Care - General Medical
13 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202
Urgent Care - General Medical
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
Bad Debt Expense Financial Statement Footnote and Costing Methodology Schedule H, Part III, Question 4 West Penn Allegheny Health System, Inc. 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 West Penn Allegheny Health System 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 componet of uncompensated care.
Medicare Costing Methodology Schedule H, Part III, Question 8 The source used to determine the amount reported on Line 6 is the medicare cost report.
Collection Practices For Patients Who Qualify For Financial Assistance Schedule H, Part III, Question 9b Patients that qualify for charity care or financial assistance are provided with an approval letter with the effective dates for the assistance. At any time the individual presents for services within a 90 day span of approval, they show the letter and will be registered as a charity care case. Charity care cases are designated in the internal computerized systems with unique plan codes that prevent billing to the patient. Reports are run to capture the patient accounts registered with the charity care plan codes so they can be written off to charity care.
Charges For Medical Care Schedule H, Part V, Line 19 West Penn Allegheny Health System offers uninsured patients a fifty percent (50%) discount on total gross charges to all hospital charges. The intent of the discount is to standardize charging practices for covered and non covered patients. The discount is offered during patient contact for elective/ urgent (non cosmetic) procedures during the financial counseling process, as well as during the patient statement cycle process for services provided (including Emergency services.) Patient statements are clearly marked with the uninsured discount, reducing the 'amount owed' of the gross charges. An uninsured discount of 50% is applied to the patient account either at the time of payment or prior to transferring the account to bad debt upon conclusion of the routine four statement cycle, for any unpaid balances. This methodology is applied consistently among the three Hospitals of West Penn Allegheny Health System, Inc.
Charges Equal To Gross Charges For Patient Services Schedule H, Part V, Line 21 West Penn Allegheny Health System, Inc. offers cosmetic procedures. Each facility offers a variety of procedures. For elective/non medically emergent procedures not covered by health plans, individual fee schedules are published and communicated prior to services. Patients are contacted in advance of the procedure by financial counselors and are required to pay for services in full based on the fee schedule. The patient is required to pay the hospital fee schedule for the technical component and the physician for the professional services rendered. This methodology is applied consistently among the three Hospitals of West Penn Allegheny Health System, Inc.
Health Needs Assessment Schedule H, Part VI, Line 2 West Penn Allegheny Health System, Inc. 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. West Penn Allegheny Health System, Inc. 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, West Penn Allegheny Health System, Inc. gathers community input through participation in area rotaries, chambers of commerce, through partnerships with community organizations and other community engagement activities. Another means is through reviewing and taking appropriate actions on feedback gathered from the following sources: routine market assessments; patient and family satisfaction surveys; Press Ganey surveys; patient, patient family and staffs' suggestions for improving patient safety; medical staff input and physician surveys. In addition to the ongoing community health monitoring and assessment, West Penn Allegheny Health System, Inc. is actively working towards a formal community health needs assessment for each Hospital that will be completed in Fiscal 2013.
Patient Education For Eligibility For Assistance Schedule H, Part VI, Line 3 Each West Penn Allegheny Health System, Inc. Hospital displays signage in various patient Admission, Registration and Emergency Department areas that alerts that patient to Account Assistance program availability and contact information. West Penn Allegheny Health System, Inc. offers the "Account Assistance Program" which consists of application assistance for governmental eligibility, Charity Care application completion and submission support, as well as uninsured provisions. Account Assistance summaries are available on the West Penn Allegheny Health system website www.wpahs.org under the link titled Care for Uninsured are available to the public. The Charity Care application, as well as, a Medical Assistance check list is available for patients who wish to self-apply. In addition to the documents, toll free telephone numbers regarding Account Assistance, charity and/or other financial inquiries are available. The website also contains a copy of the brochure that summarizes the Account Assistance program, as well as provides various governmental and internal numbers to patients seeking additional support. Each Hospital also provides on-site support through Financial Counselor staff who are available to work with patient walk in's. Financial Counselors work directly with the patients as well as designated agency support regarding qualifying patients for Medical Assistance. Both week day and weekend coverage is available to the patient, as well as field support needed for post discharge follow up needed for application submission. The above support is available at no charge to the patient.
Community Served Information Schedule H, Part VI, Line 4 West Penn Allegheny Health System, Inc. consists of three Hospital Campus locations. Two campus locations are in the City of Pittsburgh, located in the North Side and Bloomfield and the third location is in the Municipality of Monroeville. Collectively, we provide health care services to the residents of Pittsburgh and Monroeville. The City of Pittsburgh has approximately 306,000 residents and the Municipality of Monroeville has approximately 28,000 residents. All three Hospital campuses are located in Allegheny County. Allegheny County consists of approximately 1,224,000 residents living in a land area of approximately 730 square miles. The median housing value in Allegheny County is $115,200.
Promotion of Community Health Schedule H, Part VI, Line 5 West Penn Allegheny Health System, Inc. promotes the health of the communities we service through the provision of a 24 hour emergency department located at every hospital available 7 days a week for everyone regardless of their ability to pay. Allegheny General Hospital's lifeflight provides regional emergency helicopter and critical care ground transportation services for critically ill and injured individuals who need immediate specialized care. Lifeflight is available 24 hours a day, 7 days a week. The Pennsylvania Trauma Systems Foundation has designated Allegheny General Hospital as a Level I regional resource trauma center. The Trauma center has capabilities in patient care, research and education of future medical professions. A trauma surgeon is available 24 hours a day, 7 days a week to respond to patient needs. We specialize in many forms of highly skilled and technical medical treatment. These services are necessary to advance the healthcare of the communities we serve, therefore we undertake and subsidize the services with the understanding that they will result in a financial loss. The Board of Directors of West Penn Allegheny Health System, Inc. is comprised of a majority of independent community members. Further, we apply all surplus funds into the advancement of healthcare for the communities we serve. The Hospitals also provide community benefits by contributing support to the community groups as described in the Community Benefit Report contained in Schedule O. Please refer to the Community Benefit Report for further information.
Affiliated Healthcare System Schedule H, Part VI, Line 6 West Penn Allegheny Health System (WPAHS) is comprised of some of the oldest and best-known names in health care in western Pennsylvania. From their inception, the system's hospitals have been in the vanguard of patient care, medical research and health sciences education. Comprised of two tertiary and three community hospitals, WPAHS includes Allegheny General Hospital and The Western Pennsylvania Hospital, both in Pittsburgh; Alle-Kiski Medical Center in Natrona Heights; Canonsburg General Hospital in Canonsburg and the Western Pennsylvania Hospital - Forbes Regional Campus in Monroeville. Offering a comprehensive range of medical and surgical services, the hospitals serve Pittsburgh and the surrounding five-state area, house nearly 1,600 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 4,000 newborns each year. Combined, the hospitals are among the leaders in percentages of total surgeries, cardiac surgeries, neurosurgeries and cardiac catheterization procedures performed throughout the region. West Penn Allegheny Health System, Inc. serves as the flagship for the West Penn Allegheny Health System. Through our Allegheny General, Western Pennsylvania and Forbes Regional Campuses we provide exceptional education to the aspiring healthcare professionals of tomorrow. We fund research that is conducted through the research arm of the health system, known as Allegheny Singer Research Institute. We specialize in areas such as Burn Care at the West Penn Campus and our affiliation with other national organizations such as the Joslin Diabetes Center and the Jones Institute for Reproductive Medicine guarantees the best possible treatment for our patients.
State Filing of Community Benefit Report Schedule H, Part VI, Line 7 West Penn Allegheny Health System, Inc. files the community benefit report with the state of Pennsylvania as part of our obligation to furnish the state of Pennsylvania with a copy of the IRS Form 990 and related schedules.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
West Penn Allegheny Health System Inc
 
Employer identification number
25-0969492
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed
......................... lBullet
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) Carnegie Mellon University5000 Forbes Avenue
Pittsburgh,PA15213
25-0969449 501(c)(3) 15,000       To further the higher education and research capabilities of the university.
(2) American Heart Association5455 North High Street
Columbus,OH43214
13-5613797 501(c)(3) 60,315       To further the charitable mission of the organization.
(3) Drexel University1601 Cherry Street Ste 11484
Philadelphia,PA19102
23-1352630 501(c)(3) 5,500       To further the higher education and research capabilities of the university.
(4) The Food Alergy and Anaphylaxis Network Inc11781 Lee Jackson Highway
Fairfax,VA22033
54-1605958 501(c)(3) 10,000       To increase food alergy education, public awareness and education.
(5) Lupus Foundation of America2000 L Street
Washington,DC20036
43-1131436 501(c)(3) 10,000       To support the charitable mission of the organization.
(6) Friends of the Riverfront33 Terminal Way
Pittsburgh,PA15219
25-1655056 501(c)(3) 10,000       To support the charitable mission of the organization.
(7) Gilda's Club Western Pennsylvania2816 Smallman Street
Pittsburgh,PA15222
25-1845284 501(c)(3) 5,450       To support the charitable mission of the organization.
(8) Pittsburgh Symphony Orchestra600 Penn Avenue
Pittsburgh,PA15222
25-0986052 501(c)(3) 12,500       To support the charitable mission of the organization.
(9) Junior Achievement of Western PA IncOne Allegheny Center Ste 430
Pittsburgh,PA15212
25-0983059 501(c)(3) 10,000       To support the charitable mission of the organization.
(10) Leukemia and Lymphoma Society333 E Carson Street Ste 441
Pittsburgh,PA15219
13-5644916 501(c)(3) 10,000       To support the charitable mission of the organization.
(11) Susan G Komen Breast Cancer Foundation1133 South Braddock Avenue
Pittsburgh,PA15218
13-1673104 501(c)(3) 10,000       To support the charitable mission of the organization.
(12) Partners For Quality Foundation Inc250 Clever Road
McKees Rocks,PA15136
30-0285255 501(c)(3) 6,000       To support the charitable mission of the organization.
(13) Pittsburgh Aids Task Force5913 Penn Avenue
Pittsburgh,PA15206
25-1537128 501(c)(3) 10,000       To support the charitable mission of the organization.
(14) The Western Pennsylvania Hospital Foundation4800 Friendship Avenue
Pittsburgh,PA15224
25-1470766 501(c)(3) 7,700       To support The Healing Journey - a charitable undertaking of the Foundation.
(15) Pittsburgh Arts & Lectures Inc301 S Craig Street 200
Pittsburgh,PA15213
25-1657947 501(c)(3) 7,000       To further the charitable mission of the organization.
(16) Historical Society of Western Pennsylvania1212 Smallman Street
Pittsburgh,PA15222
25-0965391 501(c)(3) 10,000       To further the charitable purpose of the organization.
(17) Woodlands Foundation Inc134 Shenot Road Building One
Wexford,PA15090
25-1818538 501(c)(3) 5,500       To further the charitable mission of the organization.
(18) Young Womens Christian Association of Greater PGH305 Wood Street
Pittsburgh,PA15222
25-0965639 501(c)(3) 6,000       To further the charitable mission of the organization.
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
18
3
Enter total number of other organizations ................................ . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Procedures for Monitoring the use of Grant Funds In the US Form 990, Schedule I, Page 1 West Penn Allegheny Health System, Inc. upper management analyzes requests for charitable disbursements on an ongoing basis. Disbursements are rewarded to organizations that demonstrate a charitable purpose, a community benefit and who will put the use of the funds towards the charitable mission on which West Penn Allegheny Health System, Inc. was founded.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
Yes
 
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) David Parda MD (i)
(ii)
0
690,787
0
85,000
0
360
0
9,800
0
22,226
0
808,173
0
0
(2) Patrick Demeo MD (i)
(ii)
0
864,512
0
166,250
0
552
0
10,819
0
18,526
0
1,060,659
0
0
(3) George Magovern MD (i)
(ii)
0
613,287
0
0
0
1,032
0
12,250
0
19,726
0
646,295
0
0
(4) Tony Farah MD (i)
(ii)
0
596,073
0
0
0
552
0
9,800
0
19,726
0
626,151
0
0
(5) Thomas McClure MD (i)
(ii)
0
273,254
0
45,634
0
1,032
0
12,250
0
19,428
0
351,598
0
0
(6) Christopher Olivia MD (i)
(ii)
1,209,879
0
678,000
0
86,703
0
5,396,562
0
20,495
0
7,391,639
0
0
0
(7) Roy Santarella (i)
(ii)
745,857
0
321,000
0
51,623
0
1,418,288
0
16,555
0
2,553,323
0
0
0
(8) Thomas Albanesi (i)
(ii)
278,626
0
42,488
0
360
0
293,054
0
18,346
0
632,874
0
0
0
(9) Judy Hlafcsak (i)
(ii)
252,637
0
8,351
0
197,114
0
287,243
0
4,480
0
749,825
0
0
0
(10) James Rosenberg (i)
(ii)
0
0
0
0
180,987
0
0
0
5,401
0
186,388
0
172,779
0
(11) Susan Manzi MD (i)
(ii)
0
316,424
0
50,000
0
138
0
0
0
11,944
0
378,506
0
0
(12) John Foley (i)
(ii)
367,985
0
133,728
0
552
0
9,800
0
18,261
0
530,326
0
0
0
(13) David Kiehn (i)
(ii)
444,122
0
110,000
0
1,584
0
14,700
0
14,449
0
584,855
0
0
0
(14) Sanford Kurtz MD (i)
(ii)
734,648
0
232,000
0
41,604
0
684,210
0
14,252
0
1,706,714
0
0
0
(15) Dawn Gideon (i)
(ii)
520,544
0
10,139
0
151,259
0
530,667
0
16,045
0
1,228,654
0
0
0
(16) Michael DeVita MD (i)
(ii)
69,794
0
0
0
230,389
0
0
0
2,000
0
302,183
0
230,217
0
(17) William Edmondson (i)
(ii)
295,109
0
0
0
552
0
9,800
0
17,066
0
322,527
0
0
0
(18) James Wilberger MD (i)
(ii)
0
844,713
0
95,000
0
48,634
0
77,084
0
17,935
0
1,083,366
0
0
(19) Margaret McCormick Barron (i)
(ii)
265,654
0
102,000
0
552
0
9,800
0
19,360
0
397,366
0
0
0
(20) Gary Strong (i)
(ii)
174,199
0
0
0
105,067
0
74,791
0
12,452
0
366,509
0
0
0
(21) Augustine Lopez (i)
(ii)
0
0
0
0
281,250
0
0
0
0
0
281,250
0
0
0
(22) James Kanuch (i)
(ii)
187,829
0
0
0
174
0
6,311
0
17,346
0
211,660
0
0
0
(23) Denzil Rupert (i)
(ii)
296,372
0
0
0
360
0
9,800
0
16,875
0
323,407
0
0
0
(24) Sherry Zisk (i)
(ii)
319,407
0
0
0
314
0
348,659
0
18,290
0
686,670
0
0
0
(25) Thomas Moser (i)
(ii)
284,860
0
17,835
0
552
0
9,800
0
2,252
0
315,299
0
0
0
(26) David Lerberg MD (i)
(ii)
0
217,408
0
0
0
2,652
0
14,416
0
12,870
0
247,346
0
0
(27) Mark Rubino MD (i)
(ii)
0
414,445
0
43,567
0
552
0
9,800
0
17,942
0
486,306
0
0
(28) Judy Zedreck (i)
(ii)
231,154
0
0
0
511
0
9,393
0
10,694
0
251,752
0
0
0
(29) John Lister MD (i)
(ii)
497,516
45,304
225,000
0
946
86
11,229
1,021
19,429
1,691
754,120
48,102
0
0
(30) Venkatraman Srinivasan MD (i)
(ii)
609,959
45,624
39,767
10,500
946
86
12,391
1,127
8,681
789
671,744
58,126
0
0
(31) Robert Mendicino MD (i)
(ii)
681,196
61,927
67,848
0
330
30
8,983
817
18,268
1,661
776,625
64,435
0
0
(32) Syed Husaini MD (i)
(ii)
560,783
45,547
22,583
8,833
1,452
132
12,418
1,129
14,644
1,098
611,880
56,739
0
0
(33) James McCormick MD (i)
(ii)
560,783
45,547
22,583
8,833
1,452
132
12,418
1,129
14,644
1,098
611,880
56,739
0
0
(34) Sheran Shipley (i)
(ii)
181,231
0
2,500
0
1,993
0
11,222
0
7,849
0
204,795
0
0
0
(35) Pamela Gallagher (i)
(ii)
228,793
0
0
0
340
0
9,243
0
7,796
0
246,172
0
0
0
(36) Gregory Burfitt (i)
(ii)
527,923
0
75,000
0
39,029
0
0
0
18,474
0
660,426
0
0
0
(37) Reese Jackson (i)
(ii)
243,542
0
40,000
0
1,935
0
0
0
801
0
286,278
0
0
0
(38) Deborah Olszewski (i)
(ii)
171,611
0
16,070
0
975
0
9,433
0
1,690
0
199,779
0
0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
Additional Compensation Disclosure Form 990, Schedule J The following represents additional disclosure for Schedule J, line 1a pertaining to officers and key employees listed in Form 990, Part VII, Section A, Line 1a: During the June 30, 2011 fiscal year, multiple executives were provided tax gross-up payments, multiple executives received country club dues and one executive received a housing allowance. In all cases, these amounts were included in each individual's IRS Form W-2 and are reflected in the compensation amounts listed on Form 990, Part VII and Schedule J. 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 ended within the June 30, 2011 fiscal year end: James Rosenberg $172,779 Dawn Gideon $104,173 Judy Hlafcsak $125,276 Augustine Lopez $281,250 Gary Strong $101,169 Michael Devita $230,217 The following represents additional disclosure for Schedule J, line 8 pertaining to amounts reported in Form 990, Part VII subject to the initial contract exception: During the June 30, 2011 fiscal year, multiple executives received compensation based upon their initial contract signed with West Penn Allegheny Health System. The amounts reported in Form 990, Part VII for these executives represent compensation paid subject to the initial contract exception described in Regs. Section 53.4958-4(a)(3). The following list represents Officers, Directors or Key Employees of West Penn Allegheny Health System, Inc. listed on Form 990, Part VII who did not serve a full consecutive twelve month tenure for the year ended June 30, 2011 along with the dates served: Alejandro Gonzalez, MD 07-01-2010 - 08-26-2010 Thomas McClure, MD 07-01-2010 - 08-26-2010 Christopher Olivia, MD 07-01-2010 - 06-28-2011 Diane Dismukes 06-29-2011 - 06-30-2011 Judy Hlafcsak 07-01-2010 - 09-03-2010 Kathleen Sirkoch 09-27-2010 - 06-30-2011 Thomas Albanesi 07-01-2010 - 01-27-2011 David Kiehn 01-27-2011 - 06-30-2011 Dawn Gideon 07-01-2010 - 10-31-2010 Sherry Zisk 07-01-2010 - 02-28-2011 Robert Brandfass 02-01-2011 - 06-30-2011
Deferred Compensation Schedule J, Part II, Column C Retirement and other deferred compensation reflect amounts accrued to the benefit of the applicable individuals related to qualified pension and severance plans. In this regard, the following individuals have amounts accrued related to future severance payments to be made: Christopher Olivia, MD Roy Santarella Judy Hlafcsak Thomas Albanesi Sanford Kurtz Dawn Gideon Sherry Zisk Gary Strong
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
West Penn Allegheny Health System Inc
 
Employer identification number
25-0969492
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A Allegheny County Hospital Development Authority
 
25-1327925 01728AG83 06-19-2007 758,726,273 See Schedule O   X   X    
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 20,275,000      
2 Amount of bonds defeased . . . . 0      
3 Total proceeds of issue . . . . 758,726,273      
4 Gross proceeds in reserve funds . . 84,074,315      
5 Capitalized interest from proceeds. 2,013,153      
6 Proceeds in refunding escrow. . . . . 605,198,542      
7 Issuance costs from proceeds . . . 15,174,525      
8 Credit enhancement from proceeds. 0      
9 Working capital expenditures from proceeds . . 0      
10 Capital expenditures from proceeds . . 109,942,784      
11 Other spent proceeds . . 0      
12 Other unspent proceeds. . . 0      
13 Year of substantial completion . . . 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X              
15 Were the bonds issued as part of an advance refunding issue? X              
16 Has the final allocation of proceeds been made? . .   X            
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X              
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X              
b Are there any research agreements that may result in private business use of bond-financed property? . .   X            
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X              
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0.930 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet        
6 Total of lines 4 and 5 . . .. . . . . . 0.930 %      
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X              
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X            
2 Is the bond issue a variable rate issue?   X            
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X            
b Name of provider .  
 
 
 
 
 
 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? . X              
b Name of provider . Hypo Public Finance
 
 
 
 
 
 
 
c Term of GIC . . 3.      
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . X              
5 Were any gross proceeds invested beyond an available temporary period? . X              
6 Did the bond issue qualify for an exception to rebate? . . .   X            
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Part I
Types of Property
(a)
Check if applicable
(b)
Number of Contributions or items contributed
(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures . X 1 217,206 Sale Price
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts .... X 1 183,300 Sale Price
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
...
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Third Party Services Utilized for the Sale of Contributed Property Schedule M, Line 32a and b West Penn Allegheny Health System, Inc. engaged the services of two auction houses to assist in the liquidation of the donated property.
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Identifier Return Reference Explanation
Subsequent Event - Proposed Affiliation Form 990 - General Information West Penn Allegheny Health System, of which West Penn Allegheny Health System, Inc. is an affiliate, is pursuing a formal corporate affiliation with UPE, a recently formed tax-exempt organization, and Highmark Inc., a non-profit corporation with substantial health insurance operations throughout Western Pennsylvania. UPE has made filings with the applicable regulatory authorities to acquire control of Highmark. Following the anticipated affiliation, UPE also will assume control of West Penn Allegheny Health System. West Penn Allegheny Health System approved the affiliation in 2011 in order to restore financial viability to the System and ensure its long term survival as a provider of quality healthcare services to the communities it has served for several generations. Among other advantages to the transaction, the affiliation will create a regional integrated health care services delivery and financing system that will better position West Penn Allegheny Health System given the competitive pressures in the Western Pennsylvania market. An affiliation agreement was signed by the parties in October, 2011. As of the date of this filing the regulatory agencies that must approve the transaction have either given their approval or are in the process of undertaking their review. We are optimistic that all approvals will be granted by the end of the 2012 calendar year and possibly sooner.
Statement of Program Service Accomplishments Form 990, Page 2, Part III, Line 4a INTRODUCTION TO WEST PENN ALLEGHENY HEALTH SYSTEM, INC. West Penn Allegheny Health System, Inc. (WPAHS, Inc.) 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 Medical Practice Network (AMPN), 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). This affiliation ensures that WPAHS, Inc. area residents have access to a complete continuum of health care services. Through appropriate integration across the System both clinically and operationally, our Hospitals are able to remain a high quality, low-cost provider with linkages to the latest medical research and advanced technology. WPAHS, Inc. was created on January 1, 2008 as a result of the merger of West Penn Allegheny Health System, Inc., EIN: 25-1848306 and Allegheny General Hospital, EIN: 25-1322626 with and into The Western Pennsylvania Hospital, EIN: 25-0969492. Immediately following the merger the Western Pennsylvania Hospital changed its name to West Penn Allegheny Health System, Inc. West Penn Allegheny Health System, Inc. consists of the following three hospital campuses: Allegheny General Hospital (WPAHS, Inc. - AGH), The Western Pennsylvania Hospital - Forbes Regional Campus (WPAHS, Inc. - FRH) and the Western Pennsylvania Hospital (WPAHS, Inc. - WPH). Because each hospital does numerous charitable activities for the communities we serve, we feel best served by presenting the Statement of Program Service Accomplishments for each hospital separately. In total, we will present the Statement of Program Service Accomplishments for WPAHS, Inc. - AGH, WPAHS, Inc. - WPH and WPAHS, Inc. - FRH. PURPOSE AND MISSION West Penn Allegheny Health System, Inc. 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. SUPPORT OF RESEARCH The Hospitals of WPAHS, Inc., through its research arm, an affiliated organization named Allegheny Singer Research Institute (ASRI), EIN: 25-1320493, are extremely dedicated to providing financial support in medical research activities. Approximately $6,336,000 was underwritten by WPAHS, Inc. and ASRI in Fiscal 2011 in support of research and education. ASRI has a distinguished history of pioneering biomedical research, and its accomplishments are described in greater detail in the filing of its own Statement of Program Service Accomplishments. SUPPORT OF EDUCATION The hospitals of WPAHS, Inc., are extremely dedicated to providing financial support for the education of healthcare professionals. During Fiscal 2011, approximately $36,960,000 was underwritten by WPAHS, Inc. in support of education. Among the activities supported were the training of medical interns and residents, the operation of two nursing schools and training programs for students enrolled in the schools of respiratory, radiology and pharmacy. WPAHS, Inc. also upholds an affiliation with both Temple University and the Drexel University College of Medicine in an effort to ensure the solid education of our healthcare professionals of the future. UNCOMPENSATED CARE To enhance the health status of the community in which it operates and consistent with its tax-exempt status, WPAHS, Inc. 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 at cost and unreimbursed Medicaid. WPAHS, Inc. provided uncompensated care at an approximate cost of $25,345,000 in Fiscal 2011. SUBSIDIZED HEALTH SERVICES Subsidized health services represent those programs provided to the community by WPAHS, Inc. despite the fact the Hospitals incur a financial loss to do so. WPAHS, Inc. recognizes the need of its community and voluntarily subsidizes these programs in support of its charitable mission. Among the subsidized health services provided by WPAHS, Inc. is the operation of the emergency department, lifeflight operation, drug and alcohol abuse treatment and burn care. Consistent with the filing of Schedule H, WPAHS, Inc. provided subsidized health services at an approximate cost of $14,146,000 in Fiscal 2011. INTRODUCTION TO ALLEGHENY GENERAL HOSPITAL Founded in 1885 on Pittsburgh's historic North Side, West Penn Allegheny Health System, Inc. - Allegheny General Hospital Campus (WPAHS, Inc. - AGH) has earned an international reputation for excellence and innovation in the care of patients, medical education and research. Serving Pittsburgh and the surrounding five-state area, the 661 bed academic health center offers a wide array of medical and surgical services as well as an emergency room open 24 hours a day 7 days a week open to everyone regardless of their ability to pay. WPAHS, Inc - AGH has historically won and continues to win both national and international recognition and awards for its programs in numerous specialty areas. Thomson Healthcare has recognized WPAHS, Inc. -AGH as one of the country's 100 Top Hospitals - and recently named our network of hospitals one of the best healthcare systems in the nation. WPAHS, Inc. - AGH also received the Consumer Choice Award for Western Pennsylvania from the National Research Corporation, and Solucient Inc., one of the healthcare industry's leading quality research organizations, recognizes Allegheny General as a Top 100 hospital in the country for both orthopaedic surgery and the treatment of stroke. Allegheny General Hospital has been recognized by U.S. News & World Reports in 9 areas of excellence and has been recognized by U.S. News & World Report as one of the country's best hospitals.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a As one of the largest tertiary facilities in the region, the 661 bed WPAHS, Inc. - AGH main campus and its two main outpatient campuses, AGH Suburban in nearby Bellevue and AGH McCandless in the North Hills offers the most advanced care available in specialty areas, including allergy, immunology, anesthesiology, pain medicine, bariatric weight loss surgery, cardiology, cardiothoracic surgery, colorectal surgery, critical care medicine, dental medicine, diagnostic and interventional radiology, emergency medicine, endocrinology, family medicine, gastroenterology, general surgery, gynecology, infectious disease, internal medicine, maternal and fetal medicine, minimally invasive surgery, nephrology, neurology, neurosurgery, nutrition, oncology, ophthalmology, oral and maxillofacial surgery, orthopaedic surgery, otorhinolaryngology, pathology and laboratory medicine, pediatrics, psychiatry, pulmonary medicine, radiation oncology, reproductive medicine and infertility, rheumatology, transplant surgery, urogynecology and vascular surgery. AGH McCandless gives patients in the North Hills easy access to a host of its state-of-the-art services and leading physicians. At AGH McCandless, the latest in imaging capabilities are available including open bore MRI, CT scans, ultrasound, x-ray, digital mammography, bone densitometry and nuclear medicine. An array of some of the region's finest doctors are seeing patient at AGH McCandless. From cardiology to rheumatology, general surgery, neurosurgery, thoracic surgery and vascular surgery, AGH McCandless brings the highly regarded expertise of Allegheny General right into the northern suburbs. In addition, there is on-site lab services and free parking. A long-standing commitment to education and research remains a cornerstone of WPAHS, Inc. - AGH philosophy, as evidenced by it serving as a regional campus of the Philadelphia-based Drexel University College of Medicine and Temple University School of Medicine and ongoing, innovative research studies in the neurosciences, medical oncology, human genetics, cardiovascular and pulmonary diseases, orthopedics and trauma. During FY 2011, WPAHS, Inc. - AGH admitted over 24,000 patients and logged over 49,000 emergency visits and 25,000 surgical procedures. Over 800 physicians and 4,500 employees share the hospital's commitment to excellence in patient care, medical education and research. WPAHS, Inc. - AGH Bariatric Surgery Center was named a Center for Excellence by the American Society of Bariatric Surgery - a designation that recognizes surgical programs with a demonstrated track record of favorable outcomes in bariatric surgery. Health care industry experts consider the hospital among the country's best in orthopedics for patient care and for being on the forefront of design, development and introduction of new orthopedic technology. During Fiscal 2011 WPAHS, Inc. - AGC was named a Highmark Blue Distinction Center for spine surgery by Highmark Blue Cross/Blue Shield as well as a Highmark Blue Distinction Center for hip and knee replacement surgery. The Hospital's highly regarded sports medicine program serves as the official medical provider for the Pittsburgh Pirates professional baseball club. The Hospital also supports and directs numerous scholastic sports medicine programs. WPAHS, Inc. - AGH has a longstanding successful partnership with the Northside Community and is celebrating its 21st year of the Northside Partnership Agreement. WPAHS, Inc. - AGH provides many programs, services and community benefit activities to Pittsburgh's Northside in the areas of reinvestment, mortgage and marketing, workforce home benefit, education programs and health improvement programs. WPAHS, Inc. - AGH Suburban offers the best in outpatient services to residents of the northern communities while maintaining a close connection with the physicians and services at WPAHS, Inc. - AGH's main campus, which is just a few miles away on the city's North Side. It provides an urgent care center which is open from 10:00 am to 10:00 pm daily, seven days per week. Board-certified physicians and pediatricians treat many common emergency injuries and illnesses. Outpatient services provide the residents of Bellevue and surrounding neighborhoods a variety of outpatient services including outpatient testing, cardiogram (EKG) and lab work; GI lab services; outpatient rehabilitation services including physical therapy, speech therapy and occupational therapy; radiology and diagnostic imaging services including CT scan, ultrasound, mammography and bone density scanning and cardiology services including echo, stress testing and nuclear medicine. AGH Suburban (WPAHS, Inc. - SGH) provides multiple health screening and educational programs for the Bellevue and surrounding Northern Pittsburgh communities. Physicians and other healthcare providers facilitate sessions aimed at improving health and injury prevention. Sessions are offered at the WPAHS, Inc. - SGH as well as in collaboration with other local community groups and partners. The hospital's highly acclaimed physicians are leaders in a vast array of specialty areas. WPAHS, Inc. - AGH specialists in cardiology and cardiothoracic surgery have been recognized among the nation's best for their experience and achievements in providing superior heart care. Through the Gerald McGinnis Cardiovascular Institute, these specialists offer a more streamlined pathway of care for treating cardiac and vascular diseases. Patients can receive the latest and most innovative therapies, as well as diagnostic and educational services, in one convenient location. Neurologists and neurosurgeons at WPAHS, Inc. - AGH are advancing groundbreaking, effective treatments for stroke, epilepsy, movement disorders and disorders of the peripheral nerves and muscles. The Hospital's neuroscience programs were collectively recognized as a Neuroscience Center of Excellence. Designated as a Primary Stroke Center by the Joint Commission, WPAHS, Inc. - AGH offers a dedicated Stroke Unit that serves as the primary destination for stroke patients admitted to the hospital, providing highly specialized acute care for ischemic and hemorrhagic stroke, including the post-operative care of patients who undergo interventional stroke procedures. The WPAHS, Inc. - AGH Cancer Center is one of the nation's most advanced facilities, offering patients access to state-of-the-art programs for the complete spectrum of malignant disease, including centers for lung, esophageal, prostate, breast, colon and rectal, liver, brain, pancreatic, gynecologic, head and neck, and blood-borne cancers. WPAHS, Inc. - AGH is the gateway to some of the most prominent research into breast and colorectal cancer treatment and prevention through studies conducted by the National Surgical Adjuvant Breast and Bowel Project. The cancer research initiative, supported by the National Cancer Institute, is based on the WPAHS, Inc. AGH and coordinates the efforts of more than 6,000 medical professionals in the study of breast and bowel cancer. WPAHS, Inc. - AGH was the first in the region to receive designation as a Level I Shock Trauma Center, which is the highest designation available, and its Life Flight aero medical service was the first to fly in the northeastern United States.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a COMMUNITY ASSESSMENT Community Health Improvement Services and Community Benefit Operations - Community health improvement services and community benefit operations include activities carried out to improve community health. They extend beyond patient care to include activities that are subsidized by the Hospital. The activities range from community health clinics and screenings to health education programs designed to raise community awareness of various healthcare topics and issues. As a division of WPAHS, Inc. and consistent with the filing of the WPAHS, Inc. Schedule H, WPAHS, Inc. - AGH provided these services at a cost of $375,798 in Fiscal 2011. WOMEN, INFANTS & CHILDREN High School Observation Program - The Surgery Observation Program invites high school students or those interested in a career in surgery to observe open heart surgery and interact with cardiac surgeons and other healthcare professionals. The program is supported by a coordinator and in Fiscal 2011 the program received 275 visits from approximately 1,500 students representing 70 schools or educational programs. Walk to Win Program - The Walk to Win program aims to promote physical activity in grade school children and teach them about the dangers of childhood obesity and the beneficial effect of walking for exercise. The program's goal is simple - promote more physical activity in youths. At the conclusion of the program, each participating elementary school is presented with an educational grant to be used in support of physical education. High School Career Days - WPAHS, Inc. - AGH held two career days at local High Schools. Specific department participating in the career days were the genetics and cardiology departments. Sci Tech Days - AGH Stroke program participating in SciTech days at Carnegie Science Center to promote and demonstrate AGH research in Neuroscience. Careers in bio-medical research and stroke awareness and prevention strategies were promoted to the middle school/high school age groups. COMMUNITY HEALTH EDUCATION Stress Management - WPAHS, Inc. - AGH professionals provided several lectures on the topic of Stress Management. The lectures are provided as part of the lunch and learn program to area businesses as well as at community gathering places such as churches. There was no fee charged to the participants in these activities. Levels of Medical Care - What To Expect - This presentation provided by a WPAHS, Inc. - AGH physician included a discussion of the various levels of medical care, including physician office visit, Urgent Care visit, hospital admission, nursing home and when each is appropriate as well as the care you should expect. Complimentary refreshments were provided to all participants. Community members benefit by becoming better informed consumers of health care services for themselves and loved ones. Health Care What Is It Going To Cost Me - WPAHS, Inc. - AGH realizes that we all need to plan for our health care. This free lecture included a discussion of what you should know about your health care plan and steps you should take to ensure that you are prepared should you need to access your health care benefits. Participants benefit from this lecture as better informed consumers of health care services. Complimentary coffee service was provided to the participants and an informal question and answer period following the lecture. Foods That Fight Disease - This presentation will teach the participant how foods fight disease, what these foods are, and help you to identify a few do-able changes you can make in your eating habits to reduce your risk of disease. Lecture participants learn about the relationship between a healthy diet and lifestyle and disease. Complimentary coffee service and social period provided prior to the lecture and an informal question and answer period following the lecture. Controlling Hypertension - In this presentation, a WPAHS, Inc. - AGH physician shares strategies for lifestyle modifications that have proven to be effective in managing hypertension. Lecture participants are better able to utilize life style modifications to control and prevent hypertension. Complimentary coffee service and social period provided prior to lecture with an informal question and answer period following the lecture. Relaxation Not Just Peace of Mind - A WPAHS, Inc. - AGH professional discusses how relaxation can reverse the adverse affects of stress on our body, mind, and spirit. Relaxation can help our body heal and rejuvenate. This discussion was provided in conjunction with the YMCA Community Center. H20 The Nutritional Secret Weapon - This lecture, presented by a WPAHS, Inc. - AGH physician will discuss the crucial role water plays in the function of major organs of the body. This program is offered at no cost and is open to any interested member of the community. 20 Weeks To A Better You - We often loose steam a few weeks into making healthy changes. Learn some tips and strategies to boost your enthusiasm, stay motivated, and achieve what you set out to do. This program is offered at no cost and is open to any interested member of the community. Trauma Prevention - What Can You Do To Reduce Risk - This lecture presented by a WPAHS, Inc. - AGH professional discusses the strategies that have been proven to reduce the risk of fall. Included in the presentation is a virtual tour of the home and home safety tips for the kitchen, bath, and stairs Cellulitis Discussion - Cellulitis is an inflammation of the soft tissue of the body and can occur anywhere there is skin. A WPAHS, Inc. - AGH physician led a discussion of this common infection, often involving the MRSA bacteria. Exercise Making It Work For You - A WPAHS, Inc. - AGH registered nurse explains how exercise can prevent or reverse obesity, heart disease, diabetes and cancer. Participants are urged to discover their exercise personality and learn how to match the exercise plan to personal goals and identify ways to incorporate exercise into everyday life. Genetics Presentation - A WPAHS, Inc. - AGH Certified Genetic Counselor, gave a lecture on genetics to the community at a public library. The discussion was based upon how genetics plays a vital role in your health. Osteoporosis and Bone Health - This community education lecture was provided by a WPAHS, Inc. - AGH physician on the topic of "Osteoporosis and Bone Health" for the residents of a Retirement Community. The lecture centered on symptoms and signs of osteoporosis, bone density tests and when is the right time to see a doctor. Healthy Behaviors - Do-Able Prevention - This presentation helps the participant learn about important factors than can lead to obesity, heart disease, diabetes and cancer and how these problems can be prevented or made less severe with simple changes in our eating habits, exercise habits, and even our thoughts. Bloodless Medicine Community Seminars - Through these seminars, the public is invited to learn more about bloodless medicine and blood conservation. Sessions are generally no more than two hours in length, and handout materials are provided. During Fiscal 2011, 5 sessions were provided at three different locations and 91 people participated.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III Bariatric Support - A WPAHS, Inc. - AGH registered dietician facilitated a presentation that focused on techniques to modify recipes to reduce the amount of calories, carbohydrates and fats. During the lecture, three recipes were produced that were low calorie, high protein and low fat dishes that the attendees were encouraged to sample. Bah Humbug Lecture - This lecture was presented in the month of December by a WPAHS, Inc. physician on the topic of sadness and depression. Specifically, the lecture addressed how depression is often intensified around the holiday season and communicated information on how best to deal with depression. HEALTH FAIRS AND SCREENINGS Hearts in the Park Walk and Rx for a Healthy Heart - An annual heart walk is organized to increase community awareness on the beneficial effect of exercise on heart disease. In addition, free blood pressure screenings, as well as information on fitness, preventive heart care measures, cholesterol, sodium and weight control are provided to members of the community at no cost. Celebration in the Park Health Fair - Two employees from the WPAHS, Inc. - AGH dental medicine department hosted a dental educational table at the Celebration in the Park Health Fair. The fair included games and activities for approximately 200 children who attended this event. Each child was given a bag containing a child's tooth brush, tooth paste, educational materials and instructional information concerning proper tooth brushing and flossing techniques. This take home material supports healthy oral hygiene in children. National Stroke Awareness Day - The WPAHS, Inc. - AGH Stroke program staff provided stroke risk screenings and stroke risk reduction educational materials to Hospital visitors and during this event. Hearts to Soles Influenza Vaccine Campaign - An Influenza Vaccine Campaign was conducted by the WPAHS, Inc. - AGH as part of the Hearts to Soles Campaign, held in Pittsburgh, Pennsylvania. Approximately 36,000 deaths occur in the United States annually as a result of influenza virus infections. The Centers for Disease Control and Prevention (CDC) recommends that persons ages 6 months and older receive the influenza vaccine on an annual basis. By protecting the community with the influenza vaccine, there is a potential for decreased influenza virus burden within the community. Therefore, decreased morbidity and mortality can occur. Approximately 330 people attended the Hearts to Soles events. Community Health Fairs - WPAHS, Inc. - AGH travel to many different locations throughout the community to conduct health fairs, screening, provide educational materials and to be available to answer questions. During Fiscal 2011, the focus of these health fairs included, but was not limited to education concerning the promotion of healthy eating habits and lifestyles, proper nutrition in children, stroke risk screenings and cholesterol screenings. Annual Pumpkin Patch Festival - The WPAHS, Inc. - AGH dental medicine department participates in this annual children's event. This community event had approximately 1,400 children attend. The festival included games and activities for the children and each child received a bag containing a child's tooth brush, tooth paste, a toy inflatable tube of toothpaste. In addition, educational dental materials that support good oral hygiene and instructional information for proper tooth brushing and flossing techniques were included in the take-home bag. Parents could ask a dentist advice concerning questions they may have regarding their children's teeth. Destination Wellness 6th Annual Health Fair - The WPAHS, Inc. - AGH Pulmonary Function Lab participated in this health fair by providing free lung testing screenings and tested Oxygen Saturation levels. The end result of the screening and tests was a report that individuals could take to their physicians. If abnormal results were identified we encouraged those individuals to take the report to their next doctor appointment. In addition, we provided educational literature on lung diseases such as asthma. This information included websites for support foundations where they could find additional information and education about lung disease. We also provided smoking cessation information and encouragement, and had free give-away items with a "don't smoke" message for children and adults. Prescription for a Healthy Heart - WPAHS, Inc. - AGH provided free blood pressure screenings, body massage, body fat analysis, and other information on achieving a "healthy heart". The Prescription for a Healthy Heart Program was held in conjunction with the Hearts in the Park Walk and Walk to Win Program. All of these programs are geared at increasing exercise and its positive effect on the Heart. Bellevue Community Health and Safety Day - Twenty three WPAHS, Inc. - AGH physicians and health care professionals participated in a community health and safety day. At the invitation of the Bellevue Boro police and fire safety personnel, the hospital was the leading participant in the event. Eleven various educational stations were provided by hospital physicians and health care professionals including "Ask the Doctor" stations and health and wellness lectures. The AGH Life Flight Helicopter landed and provided community members with the opportunity to inspect the helicopter and ask questions of staff. Long sleeve cotton t-shirts were given to the first 300 community members to arrive and various prizes were given away. Emergency Medicine staff fitted 150 free bicycle helmets to children in attendance. Lifeflight Community Visits - Throughout the year, the WPAHS, Inc. - AGH lifeflight team makes several visits to communities throughout Western Pennsylvania. These visits often coincide with a community gathering such as a community day's event, at local High Schools or at a workplace gathering. The visits allow community members to meet the Lifeflight crew and learn about the capabilities and life-saving emergency care we provide. CANCER Breast Cancer Events, Programs and Activities - WPAHS, Inc. - AGH participates in many community events geared toward detection and prevention of breast cancer. Included are the following activities: The Pitch for Hope program sponsored in part with the Pittsburgh Pirates baseball club, the Making Strikes Kick Off Breakfast with the American Cancer Society, various breast cancer screening events, presentation on facts and fiction on breast cancer screening and awareness, counseling women on ways to prevent breast cancer North American Menopause Society annual meeting, lunch and learn sessions provided to employees at various businesses, presentations to the Pennsylvania Breast Cancer Coalition at monthly meetings, presentations on new government guidelines on breast cancer screening, participation in the Salvation Army Breast Cancer Luncheon, participation in the Strides Against Breast Cancer Kickoff Breakfast, a presentation of breast cancer to the Jewish Community Foundation panel, a presentation on the facts and myths surrounding breast cancer, participation in the American Cancer Society Survivors Luncheon and participation in the Many Faces of Breast Cancer Survivorship Program. Komen Adagio Health Mammogram Voucher Committee - A WPAHS, Inc. - AGH physician is a member of the Komen Adagio Health Mammogram Voucher Committee. The Committee meets meets monthly for approximately 1 hour in an effort to provide vouchers for free screening mammograms for low income and uninsured persons. Ask the Doctor about Anal and Colorectal Cancer - A WPAHS, Inc. - AGH physician presented "Ask the Doctor about Anal and Colorectal Cancer in conjunction with Gilda's Club. At this presentation, participants learned about new treatments and were encouraged to ask questions about side effects" of cancer treatment. Complementary Medicine for Cancer Treatment and Prevention - A WPAHS, Inc. - AGH physician presented this community education lecture on the topic of "Complementary Medicine for Cancer Treatment and Prevention" at the Suburban Campus. Complimentary coffee service was provided to all in attendance. Skin Cancer - A WPAHS, Inc. - AGH physician provided a lecture on the topic of skin cancer. The lectured focused on identifying that cancer can occur at all ages and in all parts of the body. Skin cancer is the second leading cause of death in the United States today and is very common in adults age 65 and over. Gilda's Club - WPAHS, Inc. - AGH participates in meetings of Gilda's Club, a nationwide cancer support community. Among our participation was presentations made by WPAHS, Inc. - AGH physicians including Breast Reconstruction, The Emotional Roller Coaster After Breast Cancer, The role genetics plays in cancer and nutritional supplements during and after cancer treatment
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a ELDERLY Flu Clinics - WPAHS, Inc. - AGH conducted four flu clinics that targeted the elderly population within the region. Three Registered Nurses participated in each clinic and 135 elderly community members were provided flu shots. Understanding Diabetes - A WPAHS, Inc. - AGH physician provided a lecture at a Masonic Village Retirement Community to the community members and invited guests. This lecture provided information concerning diabetes and the treatment and care of individuals with diabetes. Health Eating Habits - A WPAHS, Inc. - AGH Registered Dietician spoke to a group of thirty seniors that reside in a local High-rise. The discussion centered on the importance of including increased amounts of fruits, vegetables and other high fiber sources in the diet to reduce blood pressure and control weight. Ohh, My Aching Joints - This community health education lecture was provided at a local Lutheran Senior Center by a WPAHS, Inc. - AGH physician on the topic of "Ohh, My Aching Joints". This program discussed different options related to the relief and aching joints and arthritis. Who's In Charge - Your Body or Your Mind - A WPAHS, Inc. - AGH employee provided a lecture to a group of senior citizens called "Who's In Charge - Your Body or Your Mind". This program centers around how mental well-being can be an important factor in an individual's overall health. How Will This Flu Season Affect You - This community education lecture was provided by a WPAHS, Inc. - AGH physician at a local Senior Center on the topic of "How Will This Year's Flu Season Affect You?". This program attempted to educate the elderly population about how to detect symptoms of the flu versus the common cold, prediction of when the flu season will occur and the importance of receiving a flu shot as a preventative measure. Heat Stroke - A community health education lecture was provided for residents of the Masonic Village and their guests on the topic of "Heat Stroke" by a WPAHS, Inc. - AGH physician. In total, seventeen community members attended the lecture that centered around the importance of proper hydration and care during the summer months. AARP - Dementia lecture - This community education lecture is provided by a WPAHS, Inc. - AGH physician on the topic of dementia. This lecture will identify and describe the difference between normal aging, mild cognitive impairment and dementia. Additionally, methods for promoting a healthy life style and protecting against cognitive decline will be discussed. When You Can't Speak - A WPAHS, Inc. - AGH physicians covers topics related to what is a living will and when one is needed. The lectures helps the participants understand the choices offered in a living will. Heart Failure - The Basics- A WPAHS, Inc. - AGH physician lead a discussion on heart failure at a local retirement center. This presentation included an informal question and answer period after the discussion. How to Prevent Pneumonia - A WPAHS, Inc. - AGH physician presented a lecture on how to prevent pneumonia, including a discussion of precautions to take in the prevention of pneumonia. Complimentary coffee and cookies were provided as well as an informal question and answer period following the lecture. MASS MEDIA COMMUNICATIONS Medical Frontiers Radio Talk Show - An interactive radio talk show named Medical Frontiers feature various WPAHS, Inc. - AGC physicians discussing different health topics. These talk shows provide patient education and public health awareness. Among the topics covered during the talk shows include: breast cancer, women's heart disease, liver disease, diabetes, heart failure, knee and hip replacement, carotid artery disease and lung disease. Television Interviews and News Reports - WPAHS, Inc. - AGC provides health information via mass media by making its physicians available for interviews and helping to develop health related news reports. Included in the topics discussed on local television include: open heart surgery, lung cancer in women, heart pumps, breast cancer screening, heart transplants, chemotherapy, eating disorders and the surgical observation program for high school students. Regional and Neighborhood Periodicals - WPAHS, Inc. - AGC provided health related educational articles in local newspapers either in print or on-line and neighborhood periodicals. The topics covered include: observation programs for high school students, heart health care, heart pumps, chemotherapy, surviving cancer, pain therapy for children and liver disease. Health Professions Education WPAHS, Inc. - AGC provides aspiring health professionals with many educational opportunities to further their career in healthcare. In addition to the educational support we provide to interns, residents, fellows, nurses and other allied health professionals, WPAHS, Inc. - AGC provides health-profession education to the community in a variety of ways and forums. As a division of West Penn Allegheny Health System, Inc. (WPAHS, Inc.) and consistent with the filing of the WPAHS, Inc. Schedule H, WPAHS, Inc. - AGC provided these services in addition to the educational support provided to interns, residents, fellows, nurses and other allied health professionals at a cost of $345,507 in Fiscal 2011. Nurse Externs - 15 Junior and/or senior nursing students have the opportunity to experience nursing at the bedside. This externship is a ten week program which enhances and builds upon what the nursing student has learned in nursing school. Emergency Medical Technician Training - WPAHS, Inc. is involved in the training of emergency medical technicians (EMS) throughout the region. In an effort to ensure our region has the most efficient EMS technicians possible, we conduct a variety of continuing education and case reviews for our areas EMS providers including, but not limited to the appropriate treatment of firefighters, treating patients with penetrating band ballistic injuries, hands on training for the appropriate and safe use of medical helicopters, mock mass-casualty simulated training the use of an electrocardiogram (EKG), advanced stroke life support, obstetrical and gynecological emergencies, the treatment of sports related injuries, trauma in the elderly, initial care and assessment of poisoned patients and new treatment modalities. Community College of Allegheny County Health Information Management - WPAHS, Inc. - AGH allows hands on experience to college students that often do not have any prior experience in a Hospital Medical Records Department. This experience exposes the student to different aspects of jobs in the hospital, which helps them apply knowledge learned to actual work processes. In addition, this experience broadens their exposure to different job processes that they can apply to future classes or employment and furthering the profession in Health Information Management and related departments. Occupational Therapy Student Affiliation - Occupational Therapy (OT) students complete required observation and training in the evaluation and treatment of patients under direct supervision of a licensed Occupation Therapist. WPAHS, Inc. - AGH hosted two Level II students and 3 Level I students with a total of 1,042 hours on site. Physical Therapy Student Affiliations - Physical Therapist (PT) and Physical Therapist Assistant(PTA) students spend time in the clinical setting observing, training, and participating in the evaluation and treatment of patients. This training is done under the direct supervision of a licensed Physical Therapist or Physical Therapist Assistant (for PTA students). Included in the affiliation is a Head Injury Conference for students in the physical therapy program. This conference provided education on how to treat various levels of head injured patients. 43rd Annual PA Therapeutic Recreation Institute State Conference - WPAHS, Inc. - AGH developed and provided an educational seminar and workshop for Therapeutic Recreational Therapists at the PA Therapeutic Recreation Institute State Conference on the topic of Mind and Body medicine. The seminar included a work shop and strategies for the use of mind and body medicine in the clinical setting. PA Society of Radiology Technicians Seminar - A WPAHS, Inc. - AGH physician presented a seminar dedicated to Stress Management Techniques to the PA Society of Radiology Technicians. Adagio Health Dietetic Internship Dietetic Seminar - A nutrition seminars was provided for the Adagio Health Dietetic Interns. The seminar addressed Bariatric Surgery and Nutrition and discussed the types of bariatric surgeries and the nutrition implications and interventions.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a Financial Contributions This category includes cash and in-kind services donated to individuals and/or the community at large. In-kind services include hours donated by staff to the community during hospital work hours, overhead expenses of meeting/other space donated to not-for-profit community groups, and the free provision of food, equipment, supplies and giveaways/raffle items as well as monetary donations. As a division of West Penn Allegheny Health System, Inc. (WPAHS, Inc.) and consistent with the filing of the WPAHS, Inc. Schedule H, WPAHS, Inc. - AGH provided these services at a cost of $360,904 in Fiscal 2011. Cash Donations - WPAHS, Inc. - AGH 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 the fiscal year ended June 30, 2011, WPAHS, Inc. - AGH made cash donations to the following organizations: Leukemia and Lymphoma Society Friends of the Riverfront Carnegie Mellon University Junior Achievement Lupus Foundation of America National Ovarian Cancer Coalition Pittsburgh Aids Task Force Susan G. Komen Breast Cancer Foundation YWCA of Greater Pittsburgh Urban League of Pittsburgh National Pancreas Foundation National Kidney Foundation National Aviary Mario Lemieux Foundation Gilda's Club Dapper Dan Charities American Heart Association Crohn's and Colitis Foundation Allegheny Heart Institute Pittsburgh Fire Fighters In-kind Donations - In addition to the cash contributions, WPAHS, Inc. - AGH also made in-kind donations of time and resources to help support various community functions. These donations included the following: Free Printing for Neighborhood Groups - WPAHS, Inc. - AGH allows many worthy community groups use our printing and copying facilities free of charge in order to get their message out to the public and continue with their mission. Driver Safety Refresher Course - WPAHS, Inc. - AGH donates space for this four hour driver safety course renewal course. Students review defensive driving techniques, new traffic laws, and rules of the road. Through interaction with one another, they learn how to safely adjust their driving to compensate for age-related changes in vision, hearing and reaction time. Refreshments are provided at no cost to the participant. Donated Food, Beverage and Meeting Space - WPAHS, Inc. - AGH supports many worthy community activities, events and initiatives by supplying food and beverages to the participants in an effort to make the experience better. Community House Presbyterian Church - AGH Parking Department provides parking for members and visitors of the Community House Church. Parking for 30 plus vehicles is donated every Sunday throughout the year. Additionally, parking for special events at the church is provided at least 4 times per year. Catholic Charities - Donation of Vaccines - WPAHS, Inc. - AGH donated seventy influenza vaccine doses & needles to the Catholic Charities for the Catholic Charities Free Health Care Center. 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. As a division of West Penn Allegheny Health System, Inc. (WPAHS, Inc.) and consistent with the filing of the WPAHS, Inc. Schedule H, WPAHS, Inc. - AGH provided these services at a cost of $140,665 in Fiscal 2011. Northside Holiday Party - The WPAHS, Inc. - AGH Northside Partnership provides staffing for the annual Northside Holiday Party, where disadvantaged Northside youth receive a gift. The party also provides food, activities and crafts for the children in attendance. Northside Youth Summer Guide - The WPAHS, Inc. - AGH Northside Partnership and the NSHIP create and distribute a summer guide for youth. The guide is a free listing of all summer activities aimed at our youth. The Northside Chronicle prints and circulates the guide to Northside residents and Northside schools. The goal is to offer parents and guardians options to keep their children engaged in healthy and educational activities all summer. Northside Partnership Meeting with WPAHS Senior Leadership - The meeting was held on July 1, 2010 and provided the opportunity for WPAHS Corporate Leadership and Northside Leadership Conference Executive Committee to meet and discuss AGH-Northside related issues as well as Community Development for Northside. Northside Health Improvement Partnership Meetings - AGH donates space and refreshments for the monthly Northside Leadership Conference (NSHIP) committee meetings. NSHIP is comprised of various Northside stakeholders in addition to several WPAHS, Inc. - AGH staff members. Northside Coordinating Committee - The WPAHS, Inc. - AGH Northside Partnership hosts monthly meetings with AGH employees from various departments, including but not limited to facilities, volunteer services, psychiatry, and emergency services. These act as advisory meetings to discuss ongoing and upcoming Northside initiatives. Northside Partnership Coordinator Salary & Operating Cost - WPAHS, Inc. - AGH provides to the Northside Leadership Conference (NSLC) both the salary of the Partnership Coordinator as well as the operating costs associated with the position. Coordinating Committee - The Northside Partnership hosts monthly meetings with AGH employees from various departments, including but not limited to, facilities, volunteer services, psychiatry, and emergency services. These act as advisory meetings to discuss ongoing and upcoming Northside initiatives. Start On Success Mentoring Program - Twenty-one WPAHS, Inc. - AGH employees mentor Pittsburgh Public School Students daily throughout the school year. These students learn basic workforce skills and job readiness training. Board of Director Representation - WPAHS, Inc. - AGH staff, executives and physicians hold positions on the Boards of Directors of local organizations or chapters of national organizations such as the American Heart Association. These organizations are viewed as important community resources and organizations that can help further our mission of improving the overall well-being of the communities we serve.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a Fresh Fridays at Northside Farmers Market - The WPAHS, Inc. - AGH Northside Partnership provided printing and staff time to Fresh Fridays at the Northside Farmers Market events. The goal of Fresh Fridays is to promote healthy and local eating to the Northside residents who shop at the Farmers Market. Allegheny Commons Initiative - The Allegheny Commons Initiative (ACI) is a community based action housed under the Northside Leadership Conference. The ACI consists of community stakeholders, neighborhood community organizations, Northside businesses and city government. The goal of the ACI is to preserve and restore the Allegheny Commons, the first public park in the city. WPAHS, Inc. - AGH is a stakeholder in the efforts to enhance the 88 acres serving as the front yard for the neighborhoods and businesses. WPAHS, Inc. - AGH has a seat on the ACI steering committee and donates funds and resources needed for tree care. The WPAHS, Inc. - AGH representative has created displays and education programs, presented education sessions to community groups and serves as the photographer for the restoration projects. Preservation of this urban forest with over 1,000 trees creates an environment of paths, recreational lake, historic monuments, the National Aviary, tennis courts, playgrounds, and a sense of natural openness in a high density urban setting. Improve The View - WPAHS, Inc. . - AGH was the lead sponsor for this one day event geared toward the completion of projects to improve the local community. Projects included work on Bellevue Park Hike and Bike Trail, Street Sweeping and Litter Removal, Lincoln Avenue Landscaping and Tree Trimming, work at North Hills Community Out Reach Food Bank Center, Lincoln Avenue Curb and Meter Painting, Bayne Library Painting and Gazebo Repair, Bellevue Park Fence Painting, Business Facade Painting. The Suburban Hospital campus provided the rental of a food tent, sponsored the main event, sponsored the Bike trail project, and provided a child's mountain bike as a raffle item. The first 100 volunteers to register were given a commemorative t-shirt. This event was completed in conjunction with a local community improvement group B.I.G. Hearts in the Park Walk and Walk to Win - WPAHS, Inc. - AGH offers staff support for the AGH Heart Institute Hearts in the Park Walk. This is an annual event held in a neighborhood community park. The Partnership Coordinator also provides staff time to support Walk to win; a program for Northside elementary school students encouraging them to be more active on a daily basis. Consumer Health Coalition Meeting - WPAHS, Inc. - AGH held a meeting with the members of the Consumer Health Coalition to discuss how to better reach the Latin American population of Pittsburgh. The goal was to make this population to make them aware of the availability of grant money for breast imaging. Flyby Remembrance - The WPAHS, Inc. - AGH Lifeflight crew performed two flyby activities at local events on September 11th as a means of remembering the victims of the tragedy nine years earlier. INTRODUCTION TO WEST PENN ALLEGHENY HEALTH SYSTEM, INC. - WEST PENN CAMPUS (WPAHS, Inc. - WPH) Founded in 1848 as Pittsburgh's first chartered public hospital, West Penn Allegheny Health System, Inc. - West Penn Campus (WPAHS, Inc. - WPH) has earned an international reputation for excellence and innovation in the care of patients, medical education and research. Today, WPAHS, Inc. - WPH is an academic medical center that serves Pittsburgh and the surrounding five-state area. WPAHS, Inc. - WPH is comprised of 251 licensed beds. WPAHS, Inc. - WPH was awarded Magnet recognition status from the American Nurses Credentialing Center (ANCC). WPAHS, Inc. - WPH was the first hospital in western Pennsylvania to receive this prestigious designation and is now among the top 4 percent of all healthcare facilities in the world recognized by the ANCC. The Magnet Recognition Program was developed by the ANCC to recognize health care organizations that provide not only excellence in nursing, but also the highest quality of patient care at all levels throughout the hospital. A Magnet hospital attracts and retains professional nurses who experience a high degree of professional and personal satisfaction in their practice. Magnet hospitals exhibit improved patient outcomes, enhanced nursing practice, increased staff morale and improved recruitment and retention. The Magnet Recognition Program provides consumers with the ultimate benchmark to measure the quality of care that they can expect to receive. WPAHS, Inc. - WPH offers advanced care in the following specialty areas: allergy, anesthesiology, bone marrow/stem cell transplant, burn care, diagnostic and interventional radiology, endocrinology, family medicine, gastroenterology, gynecology, gynecologic oncology, hematology/oncology, internal medicine, maternal and fetal medicine, medical oncology, minimally invasive surgery, neonatology, nephrology, obstetrics, oncology, pathology and laboratory medicine, primary care medicine, pulmonary medicine, reproductive medicine and infertility, rheumatology, and urogynecology. The Hospital also has specialized centers for breast diagnostic imaging, diabetes care, foot and ankle surgery, infant apnea, inpatient physical rehabilitation, reproductive medicine and infertility, and sleep disorders. WPAHS, Inc. - WPH has made tremendous strides in burn treatment and care. The West Penn Burn Center was the first burn program in the region to receive verification honors by the American College of Surgeons and the American Burn Association. The Hospital's obstetrics program is one of the busiest in the region and its neonatal intensive care unit is one of the region's largest referral resources for sick newborns. WPAHS, Inc. - WPH is also the home to the patient offices for the Jones Institute at West Penn Allegheny Health System (WPAHS), an affiliate of the renowned Jones Institute for Reproductive Medicine of the Eastern Virginia Medical School. A long-standing commitment to education and research remains a cornerstone of WPAHS, Inc. - WPH's mission. The Hospital sponsors medical residency and fellowship programs and provides clinical training to third- and fourth-year medical students of the Philadelphia-based Temple University School of Medicine. The Hospital also offers a School of Nursing diploma program as well as educational opportunities in respiratory therapy, radiology technology and nursing through affiliations with Indiana University of Pennsylvania, Pennsylvania State University and Clarion University. WPAHS, Inc. - WPH admits over 9,500 patients annually and treats over 94,500 outpatient cases. Approximately 750 physicians and 1,800 employees share the Hospital's commitment to excellence in patient care, education and research. In January 2011, WPAHS, Inc. - WPH closed its emergency department and moved a number of services to its sister hospital, WPAHS, Inc. - AGH, including cardiovascular, orthopaedic, bariatric, and general surgery, in addition to all neurosurgery. All inpatient volume not associated with rehabilitation, burn care, obstetrics, gynecology or oncology was also relocated. However, the Hospital is pleased to announce that the emergency department has reopened subsequent to the end of this Fiscal Year in February 2012. The Hospital also has also reopened some general medical and surgical units, and it is anticipated that the Hospital will return cardiovascular, orthopaedic, bariatric and some neurosurgery before the end of calendar year 2012. Additionally, it has plans to open a new Wound Care Center, as well as expand other outpatient services in autoimmunology in Fiscal Year 2013.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a COMMUNITY ASSESSMENT Community Health Improvement Services and Community Benefit Operations - Community health improvement services and community benefit operations include activities carried out to improve community health. They extend beyond patient care to include activities that are subsidized by the Hospital. The activities range from community health clinics and screenings to health education programs designed to raise community awareness of various healthcare topics and issues. As a division of West Penn Allegheny Health System, Inc. (WPAHS, Inc.) and consistent with the filing of the WPAHS, Inc. Schedule H, WPAHS, Inc. - WPH provided these services at a cost of $568,181 in Fiscal 2011. BURN CARE Burn Center - WPAHS, Inc. - WPH provides exceptional, specialized patient care to burn victims in its Burn Center. This internationally recognized treatment center for burn victims not only deals with the immediate crisis of the burn injury, but also the important psychosocial dynamics of a burn victim's rehabilitation and return to the community. Approximately 305 patients were admitted in fiscal year 2011, and of these, 53 were under the age of 18. Approximately 498 new patients were seen as outpatients. The following details highlight the Center's efforts toward burn care: Burn Care and Prevention Program - The Hospital sponsors a Burn Care and Prevention Program. The outreach coordinator provides educational programs to the surrounding communities. In fiscal year 2011, the outreach coordinator and/or staff conducted multiple burn prevention presentations at 6 sites, and provided 86 health fairs and exhibitions. The programs covered Allegheny, Beaver and Fayette counties in Pennsylvania. Approximately 1,500 children and adults attended the programs, with countless others attending the health fairs. Summer Burn Camp - A five-day summer camp, sponsored by Aluminum Cans for Burned Children (ACBC), is held each year to provide young campers with an opportunity to share their concerns about having been burned and talk about difficult issues involved in their recovery. Twenty-seven children attended camp in fiscal year 2011. The Hospital provides the multidisciplinary staff for the camp, which includes registered nurses and other staff from the burn center along with other volunteers from the Hospital and community. There were 18 volunteer counselors throughout the week. There is no charge for children to attend summer camp. COMMUNITY HEALTH EDUCATION Little Italy Days - WPAHS, Inc. - WPH was a sponsor of the Bloomfield Business Association's Little Italy Days festival. The Hospital provided staffing for a booth with educational information for the public. WTAE Phone Bank - Three certified diabetes educators for the Joslin Diabetes Center at WPAHAS, Inc. - WPH answered phone calls for 1.5 hours, answering diabetes-related questions including diet and how to manage diabetes. Maternal Child Women's Health at The Nursing Caf - This activity was started in an effort to provide support to new nursing mothers delivering their babies at WPAHS, Inc. - WPH and in the surrounding community. Mothers attending the caf are provided with a warm, supportive atmosphere where they come to learn how to nurse their babies and get questions answered by a board-certified lactation consultant. The Caf is a free service to the community. The group size varies but averages 6-10 moms who attend regularly at any given week. Since the Caf opened five years ago, more than 350 moms have attended the group. The emotional and health benefits for the nursing infant and community at large extend beyond the prevention of common infections and allergies to an impressive reduction in the incidence of more serious illnesses including diabetes and childhood obesity. Perhaps more easily observable however is the close emotional relationship nursing mothers and babies enjoy and the feelings of accomplishment moms express when they receive the support they need to successfully nurse their babies. HEALTH FAIRS AND COMMUNITY SCREENINGS Hospital School Health Partnership - A partnership agreement with the Board of Education and a local high school provides health and wellness services to support and supplement those offered by the School District of the City of Pittsburgh. A certified nurse practitioner from WPAHS, Inc. - WPH, with physician supervision, provides free screenings and primary care four half-days and one full-day each week at the high school. The practitioner coordinates and facilitates contact with the Hospital for consultation and advice for acute medical problems that arise during the school week. In addition, a physician medical resident and faculty physicians spend one half-day each week at the high school. The partnership ensures health education and health career awareness programs for students, parents and staff. The Wellness Center also provides immunizations through the Pennsylvania Health Department and "Vaccines for Children Program," as well as education regarding asthma, weight reduction, smoking cessation, pregnancy prevention, sexually transmitted diseases and cancer prevention. Other services include acute and episodic care, physical exams and pregnancy testing. The hospital assists students and their parents with overcoming obstacles to health care, such as lack of or inadequate insurance, or the inability to pay for services. There is no charge by the hospital for services rendered at the high school. During the fiscal year, the Wellness Center recorded 500 office visits. American Diabetes Association's Diabetes Expo - WPAHS, Inc. - WPH in coordination with the American Diabetes Association (ADA) sponsored a booth at the Healthy for Life Exposition. The estimated attendance at the Exposition was 510,000 people. WPAHS, Inc. - WPC certified diabetes educators staffed the booth where the participants could learn about healthy eating, the food content of fast food and portion control. HOMELESS, ELDERLY AND SPECIAL NEEDS Homeless Health Services - WPAHS, Inc. - WPH Health Care for the Homeless Program seeks to remove barriers to accessing care by bringing preventive comprehensive care into community facilities that serve the homeless. One such facility is the Jubilee Kitchen located on Fifth Avenue in the City of Pittsburgh. The homeless population is especially at risk for trauma, drug and alcohol abuse, diseases related to exposure, and infectious diseases such as tuberculosis and sexually transmitted diseases. This population is also at risk for chronic disease, including hypertension, heart disease and exposure to HIV. Primary care services are provided to the homeless on-site at the Jubilee Kitchen two-days each week. Services include medical evaluation and screening, podiatry exams, lab testing and all medical supplies. A registered nurse conducts tuberculin screenings and administers free influenza vaccines. A physician and a resident evaluate walk-in patients. Patients are admitted to the hospital as needed for acute episodic care and have no payment obligations for the services rendered. Volunteer Services for Special Needs - The Hospital acknowledges the benefits of helping adults with special needs. The Hospital works with the Achieva Agency, Friendship Academy and United Cerebral Palsy to benefit individuals that are mentally challenged or handicapped. Hospital employees work with the individuals and allow them to lend assistance with some tasks.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a SUPPORT GROUPS The Healing Journey - This free program for cancer survivors and their primary caregivers, provided attendees with practical tips for coping with the stresses of cancer and offers an inspirational talk by author Dave Balch. Nearly 325 people benefited from this event. Child Loss Bereavement Support Group - A bereavement support group for women who have lost a baby early in pregnancy is held by Social Services monthly. The group support helps women cope and learn coping skills from women who have had similar experiences. Child Loss Memorial Service - Chaplains from the Pastoral Care department assist with the planning and participation in the National Child Loss Memorial Service. The event provides a forum for grieving family members to express their grief for the loss of a child. Cancer Survivor Talk - A WPAHS, Inc. - WPC social work manager participated in a talk with cancer survivors. The talk focused on moving forward in life after going through the difficult battle with cancer. Light the Night - A WPAHS, Inc. - WPC social work manager and an oncology case manager participated in Light the Night planning. The Light the Night walk event is designed to bring help and hope to individuals battling blood cancers. PATIENT ASSISTANCE Temporary Housing for the Underprivileged - West Penn Hospital provides housing for underprivileged out of town patients during treatment, including cab fare, and cafeteria vouchers for food. Parking and Shuttle Services - WPAHS, Inc. - WPH Security and Parking department provides free parking and shuttle services to patients and family members by utilizing a parking lot close to the Hospital which the Hospital controls and maintains. Health Professions Education WPAHS, Inc. - WPH provides aspiring health professionals with many educational opportunities to further their career in healthcare. In addition to the educational support we provide to interns, residents, fellows, nurses and other allied health professionals, WPAHS, Inc. - WPH provides health-profession education to the community in a variety of ways and forums. As a division of West Penn Allegheny Health System, Inc. (WPAHS, Inc.) and consistent with the filing of the WPAHS, Inc. Schedule H, WPAHS, Inc. - WPH provided these services in addition to the educational support provided to interns, residents, fellows, nurses and other allied health professionals at a cost of $93,461 in Fiscal 2011. Observation and Shadowing - The Hospital attempts to promote health care careers throughout the region. In an effort to do this, the Hospital provides individuals with the opportunity to observe the medical staff in areas such as Pediatrics, Burn Unit, Ob/GYN, Pharmacy, Nursing, Occupational Therapy, Surgery, Radiology, Medical Genetics, Ophthalmology and Ultrasound. There were a total of 87 participants. Neonatal Resuscitation Course - Five neonatal resuscitation courses were conducted free of charge at community medical centers by the WPAHS, Inc. - WPH maternal child coordinator and a physician. Approximately 12 nurses, 8 CRNAs and 14 physicians benefited from the course. Infant Abstinence Update - This one day complimentary course was conducted at Lawrence County Child and Youth Services by the maternal child coordinator and a neonatologist from WPAHS, Inc - WPH. Eight nurses, eight physicians and four social workers benefited from the course. Ultrasound Techniques Course - WPAHS, Inc. - WPH staff taught a class for 8 physicians at Jameson hospital on the newest techniques in ultrasound technology. The STAR Center (Simulation, Teaching, Academic, and Research) - The STAR Center at WPAHS, Inc. - WPH is dedicated to achieving excellence in patient care through the pursuit of lifelong learning, research and innovation. Using state-of-the-art mannequins that mimic symptoms of a wide range of health conditions, the STAR Center provides hands-on learning opportunities to allow aspiring practicing health professionals to perfect their skills in situations closely resembling the clinical environment. In conjunction with Emergency Medical Services (EMS) Week, the STAR Center holds a competition for EMS providers. Prizes are awarded to both the 1st and 2nd place teams. For 1st place each team member receives an iPod Touch and an individual medal; the team's service receives a "STAR Cup" trophy for their station. For the 2nd place team, each team member receives a $50 gift card and an individual medal, as well as a trophy for their station. Teams are pre-scheduled in 30 minute intervals. There are no fees for this competition; however, pre-registration is mandatory for planning. STAR supports SciTech, which inspires diverse audiences of students and general public to support and participate in science and technology development to benefit themselves and the region by growing the knowledge economy. The program provides unique destination events that entertain, inspire and motivate visitors from the region and beyond to explore discoveries, innovations and issues regarding science and technology in the 21st century. It provides content links that empower visitors to explore topics and participate in public discussion beyond SciTech, and contributes to the national priority to increase interest and participation in science and technology careers. STAR participated in the Youth Link Career Fair, the "Become A Heart Saver for Valentine's Day" program, and the Alle-Kiski Medical Center and Destination Wellness Annual Mall-Wide Health Fair. STAR also provides CPR classes for the Community. These classes are designed for the general public to receive convenient, free and adult learner friendly CPR training and valuable life saving skills. Courses were held three times during the year and lasted 2 hours. Learners received training in Adult CPR, Child CPR, Obstructed Airway Techniques, and in the use of an Automatic External Defibrillator (AED). Learners benefitted from a low student to instructor ratio, allowing them to become comfortable with the necessary skills. As part of the East Side Neighborhood Employment Center's youth initiative, STAR demonstrated to students how an interest in medicine, health, nutrition, and fitness can translate into a fulfilling career. Students are to discover the benefits, financial and otherwise, of a career in the health sector. The STAR Simulation encouraged youth to ask questions and enable them to experience what it is like to work in a hospital by hosting the event at its facility.. The STAR Center fostered a relationship with the Pittsburgh Public Schools. The program consisted of multiple sessions that were designed to prepare students for healthcare studies and jobs. Students spend six to eight weeks and learn topics from first aid, nutrition, child birth, vital signs, the use of bed pans, elastic stockings, skills assessments, and communication skills.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a Financial Contributions This category includes monetary donations and in-kind services donated to individuals and the community at large. As a division of West Penn Allegheny Health System, Inc. (WPAHS, Inc.) and consistent with the filing of the WPAHS, Inc. Schedule H, WPAHS, Inc. - WPH provided these services at a cost of $2,668 in Fiscal 2011. Cash Donations - WPAHS, Inc. - WPH 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 the fiscal year ended June 30, 2011, WPAHS, Inc. - WPH made cash donations to the following organizations: Bloomfield Business Association Bloomfield Development Corporation Bloomfield Garfield Corporation In-kind Donations - In addition to the cash contributions, WPAHS, Inc. - WPH also made in-kind donations of time and resources to help support various community functions. These donations included the following: Printing of Publications and Flyers - The Hospital produces publications and flyers for various organizations to promote community activities at the request of Bloomfield Development Corporation and Bloomfield Garfield Association. 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. As a division of West Penn Allegheny Health System, Inc. (WPAHS, Inc.) and consistent with the filing of the WPAHS, Inc. Schedule H, WPAHS, Inc. - WPH provided these services at a cost of $62,920 in Fiscal 2011. Crime Prevention Day - The Security department sponsored Crime Prevention Day for patients, visitors, and community personnel. More than 350 individuals were educated on how not to become a victim of crime. Escort Service - Security personnel transported 400 patients, visitors, and community personnel to off-site locations. This service helps to insure the safety, decrease stress and ease the financial impact of those staying or needing to visit off-site locations. AARP-Senior Community Service Employment Program - The Hospital provides experience to people age 50 and older that are looking for employment. These individuals have been out of the work force for years. The Hospital provides experience and training in Dietary, Clerical, and Environmental Services. Approximately 23 individuals participated in this program. Earn Program and Urban League Community Employment Programs - The Hospital provides working experience for people looking for a job in the work force. The Hospital provides parking and a meal ticket. The Hospital provides training in Dietary, Rehab, Labor & Delivery, Pediatrics, Medical Records, Clerical and Data Entry. Approximately 12 individuals participated in this program. Pittsburgh Reinvestment Committee's SAFE Pittsburgh - Pittsburgh Community Reinvestment Group (PCRG) is a coalition of community leaders working for economic justice, equitable investment practices and sufficient financial resources to revitalize Allegheny County's most treasured neighborhoods. This group leads an initiative that brings communities together to address public safety issues through the sharing of information and resources across neighborhoods. The Hospital hosted 200 community members and underwrote parking, audiovisual support and facility expenses to support this initiative. Hospital provides working experience for people looking for a job in the work force. The Hospital provides parking and a meal ticket. The Hospital provides training in Dietary, Rehab, Labor & Delivery, Pediatrics, Medical Records, Clerical and Data Entry. Approximately 12 individuals participated in this program. Pittsburgh Reinvestment Committee's SAFE Pittsburgh - Pittsburgh Community Reinvestment Group (PCRG) is a coalition of community leaders working for economic justice, equitable investment practices and sufficient financial resources to revitalize Allegheny County's most treasured neighborhoods. This group leads an initiative that brings communities together to address public safety issues through the sharing of information and resources across neighborhoods. The Hospital hosted 200 community members and underwrote parking, audiovisual support and facility expenses to support this initiative. INTRODUCTION TO WEST PENN ALLEGHENY HEALTH SYSTEM, INC. - FORBES REGIONAL HOSPITAL (WPAHS, INC - FRH) WPAHS, Inc. - FRH has provided health care services to residents of eastern Allegheny and Westmoreland Counties since 1978. WPAHS, Inc. - FRH owns and operates a 350-bed acute care hospital located in Monroeville, Pennsylvania. The Hospital is licensed by the Pennsylvania Department of Health and is accredited by the Joint Commission. WPAHS, Inc. - FRH offers a complete array of surgical, medical and inpatient rehabilitation services. The facility offers care in the following specialty areas: back surgery, cardiac surgery, cardiology, colon and rectal surgery, diabetes, diagnostic imaging, emergency medicine, endocrinology, family medicine, foot and ankle surgery, gastroenterology, general surgery, gynecology, hospice care, neurology, neurosurgery, obstetrics, oncology, orthopedics, outpatient surgery, pediatrics, psychiatry and urology. The Hospital features an affiliate office of the world renowned Joslin Diabetes Center and operates an emergency room open 24 hours a day 7 days a week open to all persons without regard to their ability to pay. WPAHS, Inc. - FRH admits more than 15,000 patients annually, logs more than 48,000 emergency visits and performs nearly 12,000 surgical procedures each year. More than 600 physicians and 1,300 employees share the hospital's commitment to excellence in patient care. Forbes Hospice, located in Bloomfield, is Pittsburgh's oldest and most respected end-of-life and palliative care program, providing care for families from Allegheny, Beaver, Butler, Washington and Westmoreland counties. Forbes Hospice has a wealth of experience in delivering comprehensive hospice care to the community and feature nationally- recognized leadership, including a full-time medical director, board certified in hospice and palliative medicine. Forbes Hospice's team of caregivers offers a compassionate, loving approach to meeting the needs of our patients and their families. At a time when families are faced with the burden of care giving and emotional stress, Forbes Hospice is there to help them in their time of need. The focus of our hospice care is to create a comfortable and peaceful environment in which the patient may live each day to the fullest. At Forbes Hospice it is understood that a serious illness affects the entire family and our compassionate support and guidance are offered to them as well. After their loss, spiritual and psychological support is provided through the Bereavement Program. As life comes to a close, we open our hearts. When a cure is no longer possible, we are able to provide comfort. When you don't know what to expect, we will be there to help you every step of the way.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a COMMUNITY ASSESSMENT Community Health Improvement Services and Community Benefit Operations - Community health improvement services and community benefit operations include activities carried out to improve community health. They extend beyond patient care to include activities that are subsidized by the Hospital. The activities range from community health clinics and screenings to health education programs designed to raise community awareness of various healthcare topics and issues. As a division of West Penn Allegheny Health System, Inc. and consistent with the filing of the WPAHS, Inc. Schedule H, WPAHS, Inc. - FRH provided these services at a cost of $117,010 in Fiscal 2011. COMMUNITY HEALTH EDUCATION Keystone Health Club - The WPAHS, Inc. - FRH Joslin Diabetes Center provided an educational speaker to address issues surrounding diabetes at the Keystone Health Club. The education was provided as part of the Silver Sneakers program; a program helping older adults live healthy and active lifestyles. Childbirth Education Classes - The Women's and Infants Care Center at the Hospital offers several classes to help moms and their partners prepare for labor and delivery and beyond. While the hospital charges for these classes, in each class, there are couples who receive the classes free of charge due to financial constraints. Approximately 100 people without the ability to pay benefited from this class. Mass Media Communication - Radio - WPAHS, Inc. - FRH participated in various heath related forums conducted over the radio. Each broadcast has the ability to reach and impact an unquantifiable amount of listeners. Educational topics covered include but were not limited to diabetes and cardiovascular health. Health Education Guest Teaching - WPAHS, Inc. - FRH resident and faculty physicians and psychologists from the Forbes Family Medicine Residency Program taught health classes to students at a local School District. The school does not employ a full-time health teacher and relies on guest speakers to teach health classes to students in the fifth grade. The Ed Dardanell Heart and Vascular Center Education Series - The Education Series is a monthly presentation for heart patients and their families that feature demonstrations and question and answer sessions focusing on heart and vascular health. These one-hour presentations are free and take place at the Hospital. Presenters include physicians and specialists from the Hospital. A total of three sessions took place in Fiscal 2011. Miscellaneous Presentations and Screenings- The Ed Dardanell Heart and Vascular often fills requests to speak at different organizations or events. In FY11, this included presentations at the Plum Senior Center and various local Emergency Medical Services (EMS) providers. In addition, the Joslin Diabetes Center provided lectures to the Westmoreland County Area Agency on Aging and the Lions Club. "How to ask the difficult question" Lecture - The WPAHS, Inc. - FRH Forbes Family Medicine Behavioral Science Medicine Director presented "How to ask the difficult question" lecture at the Auberle House in McKeesport. The Auberle House is a faith-based Catholic agency dedicated to healing families and empowering youth throughout Southwestern Pennsylvania. About 150 people attended the lecture. Breast Cancer Education and Outreach - A WPAHS, Inc. - FRH cancer specialist attended several community and organization events geared towards providing information on breast cancer, early detection and treatment options.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a HEALTH FAIRS AND COMMUNITY SCREENINGS Fall Into Good Health at Forbes Health Fair - WPAHS, Inc. - FRH hosted a health fair that attracted over 200 community members. Several different Hospital departments were represented at the fair including the Heart and Vascular Center, Joslin Diabetes Center, Physical and Occupational Therapy and Pharmacy. Turtle Creek Community Days - WPAHS, Inc. - FRH staff members from the Joslin Diabetes Center, the Heart and Vascular Center and Radiology department participated in the Turtle Creek Community Days. Health information and screenings. Diabetes Education Health Fairs - WPAHS, Inc. - FRH staff from the Joslin Diabetes Center provided health education at the Faith in Action and Murrysville Methodist Church Health Fairs. Approximately 150 individuals attended theaw events. Century III Mall Senior Resource Fair - Individuals from the Forbes Hospice team attended this resource fair conducted at a local shopping mall. Information was provided during the event to approximately 300 community members who attended. West Penn Hospital Rehab Conference - WPAHS, Inc - WPH hosted a rehabilitation conference for the benefit of the Bloomfield community. Forbes Hospice attended the event and provided educational information to approximately 100 people from the community. Riverview Park Heritage Days - Representatives from the Forbes Hospice participated in the Riverview Park Heritage Days by occupying a table and providing educational handouts. Approximately 300 community members attended this event. Community Business and Employee Health and Wellness Fairs - WPAHS, Inc. - FRH was invited to help and assist with health and wellness benefits fairs for local businesses. The businesses requested this help targeting their employees. The nature and scope of these fairs was to provide specific health and wellness topics, health care access and screenings. The Hospital provided a variety of staff that consisted of physicians, nurse practitioners, nurses, respiratory therapist, registered dietitians and certified diabetes educators. Metro Family Practice - Faculty physicians from the WPAHS, Inc. - Forbes Family Medicine Residency Program provided medical coverage and services in a community health center in a local neighborhood. They provided free medical care to patients who do not have insurance or medical coverage. Health Screenings for the Uninsured - A faculty physician and three residents from the Family Medicine Residency Program provided free health care screenings to non-insured patients at a local clinic. Turtle Creek Senior Center Health Fair - This two-hour event featured a WPAHS, Inc. - FRC registered dietician who provided healthy eating tips. Approximately 50 people were in attendance. Alle-Kiski Medical Center Healthy Expo - Alle-Kiski Medical Center, an affiliated hospital hosted a healthy expo at the Destination Wellness location in a shopping mall in the community of Natrona Heights. Forbes Hospice participated in the event and staffed an information table. Approximately 600 community members attended the event. Celebrate Monroeville - The Hospital was a sponsor of the September 2010 Celebrate Monroeville, which took place in the local community. At no cost to the participant, the Hospital provided health and wellness information, medical screenings, medical and health information and help with providing access to health and medical information. This event benefited more than 3,000 members of the community by helping to provide resources and also helped the community obtain information about their health care needs.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a The American Diabetes Expo - Forbes Regional was invited to help and assist with The American Diabetes Expo. The nature and scope of this expo was to provide specific diabetes health and wellness topics and free screenings. The Hospital provided a variety of staff that consisted of physicians, nurse practitioners, nurses, and certified diabetes educators. Over 1,000 people attended this event. SUPPORT GROUPS Bereavement Support Groups - WPAHS, Inc. - FRH hosts five monthly support groups that are designed to serve bereavement care needs of families who lost loved ones in the Forbes Hospice program. In addition to supporting families in the Forbes Hospice program, the support group is open to any other community members who have suffered an emotional loss and are in need of support. Each of these monthly support groups are jointly facilitated by a member of the Forbes Hospice professional clinical staff and a volunteer trained by the hospice bereavement care coordinator. In total, the support groups served approximately 300 people during FY 2011. Fetal and Neonatal Grief Loss Support Services - Women who have experienced fetal or neonatal loss require ongoing support in order to regain homeostasis. WPAHS, Inc. - FRH grief counselors provide women and families the opportunity to talk through their grief. Diabetes Support Group - The diabetes support group, sponsored by the Joslin Diabetes Center meets monthly at WPAHS, Inc. - FRH. On average 30 individuals attend these free meetings. The purpose of the support group is to provide a forum for patients with diabetes to meet and discuss issues pertaining to diabetes. This will ultimately help them to maintain and improve their overall care. The speakers at the meetings range from physicians, dietitians, pharmacists, pharmaceutical representatives, insurance counselors and actual patients. Stroke Support Group - WPAHS, Inc. - FRH provides a monthly stroke support group to help families cope with loved ones who suffered a stroke. The support group is sponsored by the WPAHS, Inc. - FRH Stroke Program and Rehabilitation Departments. Individual/Family Counseling - The Forbes Hospice Bereavement Care Coordinator routinely fields phone calls of inquiry about available support services from members of the community at large and either guides them in process of referral support or provides direct service support through in-house therapy sessions or extended phone conversations of a quality equal to such service provided families whose loved ones have died on the Forbes Hospice program. The counseling program benefitted 110 people. Journeys Bereavement Newsletter - WPAHS, Inc. - FRH purchases this monthly publication from The Hospice Foundation of America for free distribution to approximately 1,600 families. The publication is sent monthly to every family that has lost a loved one on the Forbes Hospice program. Community Memorial Service - WPAHS, Inc. - FRH has a community-wide memorial services for bereaved family members two times a year. The memorial service is intended to comfort families who lost loved ones. Health Professions Education WPAHS, Inc - FRC provides aspiring health professionals with many educational opportunities to further their career in healthcare. In addition to the educational support we provide to interns, residents and fellows, WPAHS, Inc. - FRC provided health professions education to the community in a variety of ways and forums. As a division of West Penn Allegheny Health System, Inc. and consistent with the filing of the WPAHS, Inc. Schedule H, WPAHS, Inc. - FRC provided these services in addition to the educational support provided to interns, residents and fellows at a cost of $646,679 in Fiscal 2011. Forbes Hospice Health Professions Education - Part of Forbes Hospice's mission is "to support education and research" and in keeping with its mission, Forbes Hospice invites students and professionals to learn about end-of-life care. Students from Drexel, LECOM, Temple as well as resident from WPAHS, Inc. - WPH and FRH benefit from this training. Supervision of Master's Level Interns - The Forbes Hospice Bereavement Care Coordinator trained two interns from area universities in skills of counseling of dying patients and their families and in bereavement. Clinical Education for Physical Therapy, Occupational Therapy & Speech Language Pathology - Rehab Services offers extensive clinical education to students from a number of local universities and colleges. Clinical experiences range from one week to 4 months with a therapist spending up to 60 minutes a day for personalized education and supervision. There were 21 students using these services in Fiscal 2011. Phlebotomy Training - The Lab at Forbes Regional provided phlebotomy and processor training to five students from Westmoreland Community College and Community College of Allegheny County. The students were instructed and supervised to perform the practices of blood drawing skills. The program prepares the students to function as a phlebotomist in a clinical setting. Job Shadowing - Students from local colleges, technical schools, high schools, and some elementary schools are provided opportunities to do job shadowing to learn about various professions and the duties and responsibilities of these professions. This job shadowing occurs in nursing, labor and nursery, diagnostic imaging, respiratory therapy, surgery, cardiology, Joslin Diabetes Center, family practice, laboratory, GI lab, and rehab services. In FY11, more than 80 students were provided a job shadowing experience.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a Educator in the Workplace - A learning support teacher and 6 students from St. Anthony's School and Gateway High School came to Forbes Regional to learn about various health careers and the preparation required (especially high school prep). This helps to better prepare the teachers and their students to become better equipped to become working members of the community. The students and their teacher were here for 8 hours a week for approximately 36 weeks and worked with various Hospital staff. Penn Hills College School Prep Program - These schools have seniors prepare for their career choice with a specific department in the Hospital. The students can choose to work as an intern in a department or service that they are considering pursuing after graduation. The intern is supervised by an advisor/preceptor of this profession. The student receives a grade for this work as recommended by the hospital advisor. Student Nursing Clinical Internships - Departments of Forbes Regional have nursing students from , Citizens General School of Nursing, West Penn Hospital School of Nursing, University of Pittsburgh, CCAC, Westmoreland County Community College, Greater Johnstown Vo-Tech and Duquense University performing various internships, clinical experiences and shadowing throughout the year. Staff from various departments spend time providing explanations, education and sometimes supervision of various procedures or projects the nursing students complete as part of their rotations. The internships are to help prepare them for the work environment upon graduation. Staff is required to be available to teach/assist these students about 7 hours per day, three days per week, 40 weeks out of the year. The students are assigned intermittently to 10 different clinical units including Psych, Emergency Dept., ICU and OB and there are 6 to 8 students per unit or 20 to 60 students per day. The students also rotate to specialty areas such as the Cardiac Cath Lab and the OR for observation days. Financial Contributions This category includes funds and in-kind services donated to individuals and/or the community at large. In-kind services include hours donated by staff to the community during hospital work hours, overhead expenses of meeting space donated to not-for-profit community groups, and the free provision of food, equipment, supplies and giveaways items as well as monetary donations. As a division of West Penn Allegheny Health System, Inc. (WPAHS, Inc.) and consistent with the filing of the WPAHS, Inc. Schedule H, WPAHS, Inc. - FRH provided these contributions at a cost of $11,330 in Fiscal 2011. Cash Donations - WPAHS, Inc. - FRC 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 2011, WPAHS, Inc. - FRH made cash contributions to the following organizations: American Cancer Society Gateway Foundation Friends of Forbes Hospice The Wagner House Center for Children In-kind Donations - In addition to the cash contributions, WPAHS, Inc. - FRC also made in-kind donations of time and resources to help support various community functions. The in-kind donations included the following: Global Links - Global Links is a not-for-profit organization that recovers surplus medical materials from U.S. hospitals and makes it available to hospitals in less developed communities. WPAHS, Inc. - FRH donated health care supplies that will enable Global Links to provide the resources necessary for adequate care for patients throughout the U.S. Central Blood Bank Blood Drives - Forbes Regional hosted six blood drives for the Central Blood Bank. The hospital provided space and hospital staff and volunteers help man the table. The hospital also provided refreshments. Seventy-nine units of blood were collected as a result of the blood drives. 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. As a division of West Penn Allegheny Health System, Inc. and consistent with the filing of the WPAHS, Inc. Schedule H, WPAHS, Inc. - FRH provided these services at a cost of $7,150 in Fiscal 2011. American Heart Association Heart Walk (AHA) - The specific involvement for Forbes Regional was to recruit team captains, who recruited team members, walkers and solicited donations for the AHA. A management member at Forbes Regional was recruited to be the hospital team leader to coordinate the events and activities. Monroeville Night Out - WPAHS, Inc. - FRH participated in the Monroeville Night out located at the Monroeville Community Park. This event is a family event geared toward introducing residents of the community with various community resources such as healthcare, police and fire companies. A WPAHS, Inc. - FRH physician and nurse attended the event to answer questions and provide educational information. Approximately 1,500 community members attended the event. Association of Family Medicine Residency Directors - A WPAHS, Inc - FRH physician from the Forbes Family Medicine Residency Program serves as the Treasurer for this association.
Investment of Tax Exempt Bond Proceeds Beyond a Temporary Period Exception Form 990, Page 4, Part IV, Line 24b On June 19, 2007, the System's Series 2007 Project Fund was funded with proceeds from a tax-exempt bond issue. The President and Chief Executive Officer of the System resigned shortly thereafter. Since that time, the System has employed three different individuals as President and Chief Executive Officer. Because of this turnover in the leadership of the System there was a delay in the capital spending until each new President and Chief Executive Officer began to implement the capital spending which he or she deemed to be necessary. This delay caused the Series 2007 Project Fund to be spent down in a time period extending beyond the temporary period exception. We anticipate these proceeds to be spent by the end of calendar year 2012. It should be noted that the System timely completes arbitrage calculations on all tax-exempt borrowings. The first calculation was performed for the Series 2007 Project Fund in November 2011. This calculation did not produce any positive arbitrage based on the yield on investments in the Series 2007 Project Fund.
Form 990 Review Process Form 990, Page 6, Part VI, Section B, Line 11a Form 990 is prepared internally by an employee of the West Penn Allegheny Health System, Inc. (Health System) Tax Department who is a certified public accountant. The document is then reviewed internally by top management officials of the Health System. A detailed external review is conducted by Health System external tax advisors, who sign the return as preparer. The Chair of the organization's Board of Directors, or another Board Member otherwise designated by the Chair, along with members of the Audit and Compliance committee of the Health System Board review the Form 990 and recommend changes or accept the document as presented. A copy of the Form 990 is made available to every board member for review prior to filing the document with the Internal Revenue Service.
Monitoring and Enforcement of the Conflict of Interest Policy Form 990, Page 6, Part VI, Section B, Line 12c West Penn Allegheny Health System, Inc. 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 West Penn Allegheny Health System, Inc. as well as the other WPAHS affiliates: Conflict of Interest disclosure forms are completed on an annual basis by all board members, officers, employees who have a title of Manager and above, physicians in leadership roles, Pharmacy and Therapeutic Committee members, all employees of the System's Compliance and Internal Audit Departments as well as personnel involved with contracting in the Corporate Purchasing Department. Upon completion of the above disclosure statement by all applicable individuals, a report is generated listing all individuals that have reported a conflict. The System Compliance Officer and General Counsel review the conflicts disclosed. Those that require additional information or clarification receive a letter from the Compliance Officer requesting such. Once received, all additional information is added to the report and again reviewed by the Compliance Officer and General Counsel. Those conflicts that require a mitigation plan are sent to the respective organization's senior management for development of the mitigation plan. The organization's senior management is responsible to discuss the mitigation plan with the individual as needed and monitor compliance with the mitigation plan. Once mitigation is received, a final report is reviewed with the System Compliance Executive Committee and finally the Audit & Compliance Committee of the Board. In addition, all WPAHS board members, officers and key employees complete an annual independence disclosure statement which assists the System's Compliance Officer and Internal Audit Department to determine and monitor the levels of independence in each of the System's tax exempt affiliates as well as to determine the level of Form 990, Schedule L reporting.
Process Used To Determine Executive Compensation Form 990, Page 6, Part XI, Section B, Line 15b The West Penn Allegheny Health System process for determining compensation for executive positions (including officers, key employees and other management positions) within West Penn Allegheny Health System, Inc. (WPAHS) and its affiliates 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 includes 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 WPAHS and its affiliates officers and key employees. Each Compensation Committee member voting on a senior executive's compensation arrangement ensures that he or she has no conflict of interest, including that he or she (a) does not economically benefit from the proposed employment; (b) does not receive compensation subject to the approval of the proposed employee; and (c) has no material financial interest affected by the transaction. The Compensation Committee consists of five independent Board Members of WPAHS. All decisions of the Compensation Committee regarding executive compensation matters are documented.
Public Availability of Organizational Documents Form 990, Page 6, Part XI, Section C, Line 19 West Penn Allegheny Health System, Inc. (WPAHS, Inc.) does not make its governing documents available to the public. WPAHS, Inc. 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 WPAHS, Inc. being one of the consolidated entities. In addition, our annual report and quarterly financial results are available on our website. WPAHS has adopted a conflict of interest policy that is uniformly applied to all organizations of the health system, including WPAHS, Inc. 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.
Officer, Director and Key Employee Hour Allocation Form 990, Page 7, Part VII, Section A, Column B West Penn Allegheny Health System, Inc. allocates hours to officers, directors and key employees employed by West Penn Allegheny Health System, Inc. or a related organization on the basis of a 40 hour work week. West Penn Allegheny Health System, Inc. is a member of an integrated healthcare delivery system consisting of 13 different organizations. Many individuals are Health System executives who serve prominent roles on various organizations. Every employed individual who serves as an officer, director or key employee of any related organization as well as West Penn Allegheny Health System, Inc. will be allocated time served out of the 40 hour work week for each separate related organization. Thus, the cumulative total for each individual spread out between West Penn Allegheny Health System, Inc. and the 12 related organizations will equal 40 hours. Directors of West Penn Allegheny Health System, Inc. serving on a volunteer basis are allocated one hour of service per week to West Penn Allegheny Health System, Inc. If the director also volunteers time to one of the 12 related organizations in the capacity of a director for that related organization, one hour per week is reflected as devoted to each related organization served. The time and efforts of the volunteer directors of West Penn Allegheny Health System, Inc. may vary upon the needs of the organization. The one hour per week reported in Part VII is an estimate of the average time spent per week by the West Penn Allegheny Health System, Inc. volunteer directors when viewed on an annual basis.
Rental Expense Form 990, Page 9, Part VIII, Line 6b West Penn Allegheny Health System, Inc. does not account for rental expense in a manner that would allow for a direct offset to rental income. The components of rental expense are reported on Form 990, Page 10, Part IX, Statement of Functional Expense.
Purpose of Tax Exempt Bond Issuance Form 990, Page 11, Part X, Line 20 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.
Other Changes In Net Assets Form 990, Page 12, Part XI, Line 5 The following is a reconciliation of the Other Changes in Net Assets of West Penn Allegheny Health System, Inc. for the year ended June 30, 2011: Net Asset Transfers to Affiated Organizations $(101,927,052) Change in Minimum Pension Liability 49,983,948 Unrealized Gain on Investments 12,572,779 ____________ Other Changes In Net Assets $ (39,370,325)
Emergency and Critical Access Care - Western Pennsylvania Hospital Schedule H, Part V, Line 2 The Western Pennsylvania Hospital indicates that it is a critical access hospital with 24 hour emergency room capabilities in Schedule H, Part V, Line 2. During the year ended June 30, 2011 due to financial difficulties experienced by the West Penn Allegheny Health System, the emergency room was closed and many different medical capablilities were transfered out of the Western Pennsylvania Hospital and to affiliated Hospitals. We indicate in our response to Part V, Line 2 that the Western Pennsylvania Hospital does provide critical access and 24 hour emergency room capabilities because we did at some duration of time during the fiscal year ended June 30, 2011. As indicated in Schedule O, Statement of Program Service Accomplishments, the Western Pennsylvania Hospital has reopened the emergency room and re-established many additional medical capabilities during the year ended June 30, 2012.
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David McClenahan TITLE:Chairman of the Board HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David Burstin TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Sandra Usher TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Russell Evans TITLE:Ex-Officio Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Joseph Macarelli TITLE:Ex-Officio Director HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David Parda, MD TITLE:Director HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Patrick Demeo, MD TITLE:Director HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:George Magovern MD TITLE:Director HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Thomas McClure MD TITLE:Director HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Christopher Olivia MD TITLE:Health System President & CEO HOURS:12
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:James Wilberger, MD TITLE:Director HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Diane Dismukes TITLE:Health System President & CEO HOURS:12
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Roy Santarella TITLE:Treasurer HOURS:11
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Thomas Albanesi TITLE:Assistant Treasurer HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Judy Hlafcsak TITLE:Secretary HOURS:12
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Deborah Olszewski TITLE:Assistant Secretary HOURS:11
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Tony Farah MD TITLE:Director & AGH CMO HOURS:30
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Susan Manzi, MD TITLE:Chair, Department of Medicine HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David Kiehn TITLE:WPAHS Chief Financial Officer HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Sanford Kurtz MD TITLE:Physician Org. Pres. & CEO HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Dawn Gideon TITLE:EVP & Chief Hospital Operator HOURS:8
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David Lerberg MD TITLE:WPH Chief Medical Officer HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mark Rubino MD TITLE:WPH-FRH Chief Medical Officer HOURS:30
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Gregory Burfitt TITLE:AGH & WPH President and CEO HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Reese Jackson TITLE:WPH-FRH President & CEO HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Robert Brandfass TITLE:EVP-System Chief Legal Counsel HOURS:12
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Venkatraman Srinivasan MD TITLE:Physician HOURS:1
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity









(1) West Penn Allegheny Foundation LLC
4800 Friendship Avenue
Pittsburgh,PA15224
20-1107650
Capital Acq. PA 4,078,742 30,289,206 WPAHS Inc
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) Allegheny Medical Practice Network

4800 Friendship Avenue

Pittsburgh,PA15224
25-1838457
Healthcare PA 501(c)(3) 3 WPAHS Inc
 
 
 
(2) Allegheny Specialty Practice Network

320 East North Avenue

Pittsburgh,PA15212
25-1838458
Healthcare PA 501(c)(3) 3 WPAHS Inc
 
 
 
(3) Allegheny Singer Research Institute

320 East North Avenue

Pittsburgh,PA15212
25-1320493
Sci Research PA 501(c)(3) 4 WPAHS Inc
 
 
 
(4) Alle-Kiski Medical Center

1301 Carlisle Street

Natrona Heights,PA15065
25-1875178
Healthcare PA 501(c)(3) 3 WPAHS Inc
 
 
 
(5) Alle-Kiski Medical Center Trust

1301 Carlisle Street

Natrona Heights,PA15065
20-5855753
Fundraising PA 501(C)(3) 11-I AKMC
 
 
 
(6) Canonsburg General Hospital

100 Medical Boulevard

Canonsburg,PA15317
25-1737079
Healthcare PA 501(C)(3) 3 WPAHS Inc
 
 
 
(7) CGH Ambulance Service Inc

100 Medical Boulevard

Canonsburg,PA15317
23-2939715
Emer Response PA 501(C)(3) 9 WPAHS Inc
 
 
 
(8) Forbes Health Foundation

2570 Haymaker Road

Monroeville,PA15146
25-1798379
Fundraising PA 501(C)(3) 7 WPAHS Inc
 
 
 
(9) Suburban Health Foundation

100 South Jackson Avenue

Pittsburgh,PA15202
25-1472073
Fundraising PA 501(C)(3) 11-I WPAHS Inc
 
 
 
(10) West Penn Allegheny Oncology Network

4800 Friendship Avenue

Pittsburgh,PA15224
11-3683376
Healthcare PA 501(C)(3) 11-III FL WPAHS Inc
 
 
 
(11) West Penn Hospital Foundation

4800 Friendship Avenue

Pittsburgh,PA15224
25-1470766
Fundraising PA 501(C)(3) 11-I WPAHS Inc
 
 
 
(12) West Penn Physician Practice Network

4800 Friendship Avenue

Pittsburgh,PA15224
25-1494317
Healthcare PA 501(C)(3) 9 WPAHS Inc
 
 
 
(13) West Allegheny Hospital

100 Medical Boulevard

Pittsburgh,PA15317
25-1054206
Inactive PA 501(C)(3) 3 NA
 
 
 
(14) Greater Canonsburg Health System

100 Medical Boulevard

Canonsburg,PA15317
25-1488089
Inactive PA 501(C)(3) 11-I NA
 
 
 
(15) Canonsburg HealthHospital Foundation

100 Medical Boulevard

Canonsburg,PA15317
25-1818505
Inactive PA 501(C)(3) 11-I NA
 
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) Burn Care Associates
4800 Friendship Avenue
Pittsburgh,PA15224
23-2899534
Healthcare PA WPAHS Inc
 
C Corporation   15,413 100.000 %
(2) Liberty Physicians
4800 Friendship Avenue
Pittsburgh,PA15224
25-1637318
Healthcare PA WPAHS Inc
 
C Corporation 3,014,777   100.000 %
(3) Medical Center Clinic
4800 Friendship Avenue
Pittsburgh,PA15224
23-2894939
Healthcare PA WPAHS Inc
 
C Corporation 7,190 52,979 100.000 %
(4) West Penn Corporate Medical Services
4800 Friendship Avenue
Pittsburgh,PA15224
25-1437405
Healthcare PA WPAHS Inc
 
C Corporation   29,000 100.000 %
(5) West Penn Medical Associates
4800 Friendship Avenue
Pittsburgh,PA15224
25-1666783
Healthcare PA WPAHS Inc
 
C Corporation 4,983,177   100.000 %
(6) West Penn Neurosurgery
4800 Friendship Avenue
Pittsburgh,PA15224
25-1630719
Inactive PA WPAHS Inc
 
C Corporation     100.000 %
(7) West Penn OBGYN Multispecialty
4800 Friendship Avenue
Pittsburgh,PA15224
25-1619226
Healthcare PA WPAHS Inc
 
C Corporation 3,850,770   100.000 %
(8) Friendship Insurance Company
Barclay House Shedden Road
Grand Cayman,Cayman Islands  
CJ
98-0116952
Captive Insur CJ WPAHS Inc
 
C Corporation 0 924,006 100.000 %
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1) Allegheny Specialty Practice Network

1b 92,153,940  
(2) Allegheny Medical Practice Network

1b 7,170,422  
(3) Allegheny Singer Research Institute

1b 5,502,146  
(4) West Penn Physician Practice Network

1b 3,245,019  
(5) Suburban Health Foundation

1b 24,408  
(6) West Penn Allegheny Oncology Network

1c 2,968,985  
(7) Alle-Kiski Medical Center

1c 1,827,667  
(8) The Western Pennsylvania Hospital Foundation

1c 435,839  
(9) Canonsburg General Hospital

1c 296,501  
(10) Alle-Kiski Medical Center Trust

1c 14,169  
(11) Canonsburg General Hospital

1o 4,472,321  
(12) Alle-Kiski Medical Center

1o 2,075,957  
(13) West Penn Physician Practice Network

1o 843,570  
(14) Allegheny Medical Practice Network

1o 170,168  
(15) West Penn Corporate Medical Services

1o 78,286  
(16) The Western Pennsylvania Hospital Foundation

1o 18,259  
(17) West Penn Allegheny Oncology Network

1o 14,663  
(18) Friendship Insurance Company

1p 590,063  
(19) Canonsburg General Hospital Ambulance Service

1p 397,028  
(20) Allegheny Specialty Practice Network

1p 322,825  
(21) Allegheny Singer Research Institute

1p 19,636  
(22) Forbes Health Foundation

1p 10,559  
(23) Alle-Kiski Medical Center Trust

1p 2,965  
(24) Medical Center Clinic PC

1p 1,602  
(25) Burn Care Associates PC

1p 1,066  
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all
partners
section
501(c)(3)
organizations?
(e)
Share of
end-of-year
assets
(f)
Disproprtionate allocations?
(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Contributions to Allegheny Specialty Practice Network IRS Form 990, Schedule R, Part V, Line 1b West Penn Allegheny Health System, Inc. (WPAHS, Inc.) reflects a contribution to Allegheny Specialty Practice Network (ASPN), EIN: 25-1838458, an affiliated 501(c)(3) organization in the amount of $92,153,940 for the year ended June 30, 2011. ASPN provides healthcare practice services to Western Pennsylvania in fields such as cardiology, neurology, oncology, allergy and asthma, anesthesiology, orthopaedics, pediatrics and gynecology among others. WPAHS, Inc. subsidizes the operations of ASPN through transfers of net assets. No repayment obligation exists between WPAHS, Inc. and ASPN.
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