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
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
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 120 Fifth Avenue St
Suite
Room/suite
City or town, state or country, and ZIP + 4
Pittsburgh, PA15222
D Employer identification number

25-0969492
E Telephone number

G Gross receipts $ 1,259,509,288
F Name and address of principal officer:
John Paul
30 Isabella Street
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 12
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 7
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 9,154
6 Total number of volunteers (estimate if necessary) ............. 6 775
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 4,784,405
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -355,102
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 14,889,011 1,208,495
9 Program service revenue (Part VIII, line 2g) ......... 1,043,861,740 1,056,393,295
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 25,845,934 25,923,546
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 55,875,146 48,265,049
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,140,471,831 1,131,790,385
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 339,952 322,613
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) 442,137,972 472,097,208
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet226,781    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 641,552,773 656,432,835
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,084,030,697 1,128,852,656
19 Revenue less expenses. Subtract line 18 from line 12....... 56,441,134 2,937,729
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,049,793,316 1,332,986,927
21 Total liabilities (Part X, line 26)............. 1,341,953,646 1,165,921,767
22 Net assets or fund balances. Subtract line 21 from line 20..... -292,160,330 167,065,160
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 Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
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 a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit.
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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 579,712,657 including grants of $ 103,825 ) (Revenue $ 625,922,821 )
West Penn Allegheny Health System, Inc. is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit. See Schedule O - West Penn Allegheny Health System, Inc. - Allegheny General Hospital.
4b (Code:   ) (Expenses $ 255,464,247 including grants of $ 13,420 ) (Revenue $ 266,099,402 )
West Penn Allegheny Health System, Inc. is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit. See Schedule O - West Penn Allegheny Health System, Inc. - The Western Pennsylvania Hospital.
4c (Code:   ) (Expenses $ 180,256,295 including grants of $ 1,500 ) (Revenue $ 180,520,261 )
West Penn Allegheny Health System, Inc. is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit. See Schedule O - West Penn Allegheny Health System, Inc. - Forbes Regional Hospital.
(Code:   ) (Expenses $ 3,540,039 including grants of $ 203,868 ) (Revenue $ 17,995,873 )
SYSTEM WIDE SERVICES TO AFFILIATED ORGANIZATIONS
4d Other program services (Describe in Schedule O.)
(Expenses $ 3,540,039 including grants of $ 203,868 ) (Revenue $ 17,995,873 )
4e Total program service expensesMediumBullet1,018,973,238
Form 990 (2012)
Form 990 (2012)
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 (see instructions)? 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, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick 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 IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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 IClick 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 for escrow or custodial account liability; 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 IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, 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, line 10?
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 VIIClick 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 VIIIClick 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 IXClick 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 XClick 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 XClick 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 and XII 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 and XII 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, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV......... 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 United States? If “Yes,” complete Schedule F, Parts II and IVClick 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 United States? If “Yes,” complete Schedule F, Parts III and IV... 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 (see instructions)....
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
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization 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, line 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 lines 24b through 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, highest 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 employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? 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 direct or indirect 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 M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
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, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, 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
35b
Yes
 
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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
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
670
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
9,154
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, securities account, or other financial 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 as charitable contributions?...
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
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
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. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
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
12
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
7
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
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
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
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete 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 this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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 15a or 15b, 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,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take 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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletMATTHEW PETERSON30 ISABELLA STREETPittsburghPA15212 (412) 330-6090
Form 990 (2012)
Form 990 (2012)
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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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) John Isherwood........................................................................
Chairman of the Board
 1.0
.......................   		X   X       0 0 0
(2) Daniel Brailer........................................................................
Vice Chair
 1.0
.......................   		X   X            
(3) Paul Dimmick........................................................................
Vice Chair
 1.0
.......................   		X   X            
(4) Keith Ghezzi MD........................................................................
Director and Officer
 1.0
.......................   		X   X            
(5) Robert Kampmeinert........................................................................
Director
 1.0
.......................   		X                
(6) Basil Cox........................................................................
Director
 1.0
.......................   		X                
(7) Theodore Neighbors........................................................................
Director
 1.0
.......................   		X                
(8) Joseph Platt........................................................................
Director
 1.0
.......................   		X                
(9) Sandra Usher........................................................................
Director
 1.0
.......................   		X                
(10) David Burstin........................................................................
Director
 1.0
.......................   		X                
(11) David McClenahan........................................................................
Director
 1.0
.......................   		X                
(12) Gerd Mueller........................................................................
Director
 1.0
.......................   		X                
(13) Edward Marasco........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(14) Emanuel Dinatale........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(15) Joseph Macerelli........................................................................
Ex-Officio Director
 1.0
.......................0.0 		X                
(16) Russell Evans........................................................................
Ex-Officio Director
 1.0
.......................   		X                
(17) David Blandino MD........................................................................
Director
 1.0
.......................   		X           0 0 0
Form 990 (2012)
Form 990 (2012)
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 (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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) Robert Baum MD........................................................................
Director
 1.0
.......................39.0 		X           0 0 0
(19) Doris Carson Williams........................................................................
Director
 1.0
.......................39.0 		X           0 0 0
(20) John Paul........................................................................
Director
 1.0
.......................39.0 		X           0 0 0
(21) Nanette DeTurk........................................................................
Director
 1.0
.......................39.0 		X           0 0 0
(22) Patricia Liebman........................................................................
Director
 1.0
.......................39.0 		X           0 0 0
(23) David Parda MD........................................................................
Director
 1.0
.......................39.0 		X           0 776,411 0
(24) Tony Farah MD........................................................................
Director
 40.0
.......................0.0 		X           820,677 0 0
(25) Patrick Demeo MD........................................................................
Director
 1.0
.......................39.0 		X           0 1,040,136 0
(26) George Magovern MD........................................................................
Director
 1.0
.......................39.0 		X           0 648,728 0
(27) James Wilberger........................................................................
Director
 1.0
.......................39.0 		X           0 934,846 0
(28) Daniel Lebish........................................................................
Treasurer
 1.0
.......................39.0 		    X       0 0 0
(29) Jacqueline Bauer........................................................................
Secretary
 1.0
.......................39.0 		    X       0 0 0
(30) Micheal Sirott........................................................................
Secretary
 40.0
.......................   		    X       193,042 0 0
(31) Robert Brandfass........................................................................
Secretary
 40.0
.......................   		    X       478,243 0 0
(32) Colleen Grimm........................................................................
Assistant Secretary
 40.0
.......................0.0 		    X       61,166 0 0
(33) Matthew Peterson........................................................................
Treasurer
 40.0
.......................   		    X       281,808 0 0
(34) Douglas Womer........................................................................
System Interim CFO
 40.0
.......................   		    X       0 0 0
(35) Judy Zedreck........................................................................
AGH Interim President & CEO
 40.0
.......................0.0 		      X     415,075 0 0
(36) Denzil Rupert........................................................................
WPH President & CEO
 40.0
.......................0.0 		      X     389,103 0 0
(37) Reese Jackson........................................................................
FRH President & CEO
 40.0
.......................0.0 		      X     343,385 0 0
(38) Margaret Barron........................................................................
EVP of External Affairs
 40.0
.......................0.0 		      X     380,613 0 0
(39) Bart Metzger........................................................................
System Chief HR Officer
 40.0
.......................   		      X     507,229 0 0
(40) Thomas Moser........................................................................
FRH Chief Operations Officer
 40.0
.......................   		      X     290,057 0 0
(41) James Kanuch........................................................................
WPH VP of Finance
 40.0
.......................   		      X     207,203 0 0
(42) Pamela Gallegher........................................................................
FRH VP of Finance
 40.0
.......................   		      X     237,488 0 0
(43) Kimberly Sperring........................................................................
Vice President of Operations
 40.0
.......................   		      X     195,221 0 0
(44) Sheran Shipley........................................................................
Vice President- Peiro Perative
 40.0
.......................   		      X     195,809 0 0
(45) Terry Wiltrout........................................................................
Vice President - CGH
 40.0
.......................0.0 		      X     186,183 0 0
(46) Richard Fries........................................................................
VP Finance-AGH
 40.0
.......................   		      X     218,072 0 0
(47) Roger Yost........................................................................
Vice President - Decision Sup
 40.0
.......................   		      X     293,177 0 0
(48) Ned Laubacher........................................................................
AKMC President & CEO
 40.0
.......................   		        X   333,121 0 0
(49) Paul Kiproff........................................................................
Physician
 40.0
.......................   		        X   309,972 0 0
(50) Euthemy Lebrew........................................................................
VP Revenue Cycle
 40.0
.......................   		        X   325,139 0 0
(51) Kerry Kerlin........................................................................
Corp VP Cinical Info Services
 40.0
.......................   		        X   289,618 0 0
(52) Linda Novak........................................................................
Vice President - Haman Res
 40.0
.......................   		        X   281,561 0 0
(53) Diane Dismukes........................................................................
Health System President & CEO
  
.......................   		          X 833,367 0 0
(54) David Kiehn........................................................................
Assistant Treasurer
  
.......................   		          X 619,128 0 0
(55) Christopher Olivia MD........................................................................
Health System President & CEO
  
.......................   		          X 1,261,143 0 0
(56) Gregory Burfitt........................................................................
AGH and WPH President & CEO
  
.......................   		          X 403,148 0 0
(57) William Edmondson........................................................................
EVP of Strategic Planning
  
.......................   		          X 166,684 0 0
(58) John Foley........................................................................
System Chief Information Ofcr
  
.......................   		          X 417,626 0 0
(59) Roy Santarella........................................................................
EVP & Chief Admin. Officer
  
.......................   		          X 703,046 0 0
(60) Sanford Kurtz MD........................................................................
President & CEO Physician Org.
  
.......................   		          X 334,768 0 0
(61) Dwight Monson........................................................................
VP-Strategic & Business Plans
  
.......................   		          X 392,532 0 0
(62) Mark Barnhart........................................................................
Physician Organization COO
  
.......................   		          X 209,230 0 0
(63) Marian Block........................................................................
Physician
  
.......................   		          X 223,241 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 12,796,875 3,400,121 0
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet251
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Allscripts LLC, 24630 Network PlaceCHICAGOIL60673 Consulting/Contract 7,358,841
Alvarez Marsal, 600 Lexington Ave 6th FloorNEW YORKNY10220 Management Consultin 8,894,428
Clean Care, 51st and AV R RPITTSBURGHPA15201 Linen Services 3,078,582
Pepper Hamilton LLP, 3000 Two Logan SquarePHILADELPHIAPA19103 Legal Services 2,257,231
MModal, PO Box 102467ATLANTAGA30368 Transcription 2,104,972
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet73
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 34,485
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		1,174,010
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 1,208,495
Program Service Revenue Business Code
2a PATIENT SERVICE REVENUE 621110 1,056,393,295 1,053,422,837 2,970,458  
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,056,393,295
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 13,607,074     13,607,074
4 Income from investment of tax-exempt bond proceeds..MediumBullet 2,342,729 2,342,729    
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 13,492,258  
b Less: rental expenses    
c Rental income or (loss) 13,492,258 0
d Net rental income or (loss).......MediumBullet 13,492,258   1,813,947 11,678,311
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 131,786,873 5,905,773
b Less: cost or other basis and sales expenses 127,671,312 47,591
c Gain or (loss) 4,115,561 5,858,182
d Net gain or (loss)..........MediumBullet 9,973,743     9,973,743
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
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 HIGHMARK INCENTIVE 621110 7,196,000 7,196,000    
b PARKING REVENUE 621110 5,736,027 5,736,027    
c CAFETERIA REVENUE 621110 5,715,943 5,715,943    
d All other revenue .... 16,124,821 16,124,821    
e Total. Add lines 11a–11d ...... MediumBullet 34,772,791
12 Total revenue. See Instructions......MediumBullet 1,131,790,385 1,090,538,357 4,784,405 35,259,128
Form 990 (2012)
Form 990 (2012)
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).Check if Schedule O contains a response to any question in this Part IX ...............
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 United States. See Part IV, line 21 314,113 314,113
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 8,500 8,500
3 Grants and other assistance to governments, organizations, and individuals outside the United States. 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 .... 7,636,001 6,490,601 1,145,400  
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 388,786,719 330,390,954 58,318,008 77,757
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 31,998,615 27,192,423 4,799,792 6,400
9 Other employee benefits ....... 15,923,375 13,531,684 2,388,506 3,185
10 Payroll taxes ........... 27,752,498 23,581,297 4,162,875 8,326
11 Fees for services (non-employees):        
a Management ...... 5,589,362   5,589,362  
b Legal ......... 6,958,579 6,136,771 821,808  
c Accounting ........... 1,059,136   1,059,136  
d Lobbying ........... 412,346 412,346    
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 625,410   625,410  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 68,012,338 61,211,104 6,780,830 20,404
12 Advertising and promotion .... 3,728,847 3,355,962 372,885  
13 Office expenses ....... 5,327,407 4,794,667 531,142 1,598
14 Information technology ...... 21,139,870 19,025,883 2,113,987  
15 Royalties .. 0      
16 Occupancy ........... 39,409,797 35,468,817 3,940,980  
17 Travel ............ 1,408,826 1,268,084 140,742  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 1,724,643 1,552,179 172,464  
20 Interest ........... 32,664,661 30,953,033 1,711,628  
21 Payments to affiliates ....... 236,680 213,012 23,668  
22 Depreciation, depletion, and amortization ..... 53,393,064 48,053,758 5,339,306  
23 Insurance .............. 17,333,656 17,111,785 221,871  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PATIENT CARE COSTS 233,941,644 233,941,644    
b BAD DEBTS 56,956,523 56,956,523    
c REPAIRS AND MAINTENANCE 50,275,522 45,247,970 5,027,552  
d PA ACT 49 - QUALITY CARE 21,002,204 21,002,204    
e All other expenses 35,232,320 30,757,924 4,365,285 109,111
25 Total functional expenses. Add lines 1 through 24e 1,128,852,656 1,018,973,238 109,652,637 226,781
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 7,643,373 1 6,743,135
2 Savings and temporary cash investments ......... 178,332,846 2 98,982,669
3 Pledges and grants receivable, net ........... 347,307 3 387,773
4 Accounts receivable, net ............. 101,591,409 4 114,972,324
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 3,585,000 7 3,585,000
8 Inventories for sale or use .............. 17,821,713 8 18,644,725
9 Prepaid expenses and deferred charges .......... 11,175,676 9 13,172,234
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 492,487,055
b Less: accumulated depreciation ..... 10b 7,543,114 343,393,969 10c 484,943,941
11 Investments—publicly traded securities .......... 233,931,873 11 200,627,944
12 Investments—other securities. See Part IV, line 11 ..... 7,015,664 12 9,373,033
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 16,205,002 14 151,227,021
15 Other assets. See Part IV, line 11 ........... 128,749,484 15 230,327,128
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,049,793,316 16 1,332,986,927
Liabilities 17 Accounts payable and accrued expenses ......... 131,421,649 17 109,809,242
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 94,707,492 19 41,858,428
20 Tax-exempt bond liabilities ............. 725,775,485 20 533,176,046
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 171,253,162 23 66,455,237
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 218,795,858 25 414,622,814
26 Total liabilities. Add lines 17 through 25......... 1,341,953,646 26 1,165,921,767
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. -463,955,658 27 -14,657,538
28 Temporarily restricted net assets ........... 5,214,594 28 5,062,783
29 Permanently restricted net assets ........... 166,580,734 29 176,659,915
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... -292,160,330 33 167,065,160
34 Total liabilities and net assets/fund balances ........ 1,049,793,316 34 1,332,986,927
Form 990 (2012)
Form 990 (2012)
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
1,131,790,385
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,128,852,656
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
2,937,729
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
-292,160,330
5
Net unrealized gains (losses) on investments ...............
5
10,430,055
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
445,857,706
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
167,065,160
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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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
2012
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 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
Provide the following information about the supported organization(s).
(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 monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

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
2012
Name of the 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 on line H of its
Form 990-EZ or on Part I, 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
West Penn Allegheny Health System Inc
  		Employer identification number

25-0969492
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total 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)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
West Penn Allegheny Health System Inc
  		Employer identification number

25-0969492
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
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
that total 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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(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) (2012)

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
2012
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 35c (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 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 function 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
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) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  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) .................    
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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
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)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(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? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
412,346
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
 
j
Total. Add lines 1c through 1i ...............................
412,346
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible 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; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
Lobbying Expenditures Form 990, Schedule C, Page 3, Part II-B, Line 1a 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 $412,346 as reflected on Schedule C, Page 3, Part II-B, column (b).
Schedule C (Form 990 or 990EZ) 2012

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
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 can 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 through 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 (ASC 958) 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 171,795,328 181,375,059 160,822,837 157,081,075 214,329,180
b Contributions ........ 1,111,484 1,224,584 2,114,402 1,806,358 3,967,020
c Net investment earnings, gains, and losses 20,071,905 -56,362 29,373,573 15,402,952 -28,171,702
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		10,760,576 10,332,607 10,460,295 13,396,153 32,430,060
f Administrative expenses .... 495,443 415,346 475,458 71,395 613,362
g End of year balance ...... 181,722,698 171,795,328 181,375,059 160,822,837 157,081,076
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet97.210 %
c
Temporarily restricted endowment SchDMd Bullet2.790 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
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 XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   23,960,000 23,960,000
b Buildings ................   244,229,077 2,569,993 241,659,084
c Leasehold improvements ............   9,537,080 98,044 9,439,036
d Equipment ................   195,946,700 3,841,906 192,104,794
e Other .................   18,814,198 1,033,171 17,781,027
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 484,943,941
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
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) must 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) must 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 74,984,249
(2) INVEST - PASSTHROUGH ENTITIES 49,277,404
(3) FOURTH FUNDING COMMIT PER AA 100,000,000
(4) RECEIVABLES - OTHER 5,405,616
(5) LETTER OF CREDIT 366,000
(6) CAPITALIZED COSTS 293,859



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 230,327,128
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
ACCRUED PENSION LIABILITY 178,397,268
THIRD PARTY SETTLEMENTS -4,605,352
INSURANCE LIABILITIES 25,484,330
CAPITAL LEASES 737,861
ASSET RETIREMENT OBLIGATION 4,137,417
NON-CURRENT BOND INT EXP 4,715,903
LONG TERM DEBT - HIGHMARK 200,000,000
BLUE CROSS ADVANCE 4,859,059
OTHER LIABILITIES 896,328
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 414,622,814
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI 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 XIII.) ............ 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 XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII 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 XIII.) ............ 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 XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
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, line 2; Part XI, lines 2d and 4b; and Part XII, 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 ($221,921,536) Add: Impairment Loss reflected in unrestricted income on the financial statements and reclassified to net assets on Form 990 214,699,000 Plus: Income and expense reclassified from restricted net assets on the financial statements to unrestricted income and expense on Form 990 8,867,193 Add: Unrealized losses reflected in unrestricted income on the financial statements and reclassified to net assets on Form 990 1,293,072 ___________ Net income per Form 990 $2,937,729 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) 2012

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
2012
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. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (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 and investments
in region
Central America and the Caribbean 1   Program Services Captive Insurance 320,712
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 1   320,712
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 1   320,712
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
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. Part II can be duplicated 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) 2012
Schedule F (Form 990) 2012Page 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.
Part III can be duplicated 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) 2012
Schedule F (Form 990) 2012
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, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (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) 2012
Schedule F (Form 990) 2012
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2012
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
2012
Open to Public Inspection
Name of the organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did 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
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance 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 Financial Assistance at cost
(from Worksheet 1) .. 		    3,759,083   3,759,083 0.350 %
b Medicaid (from Worksheet 3,
column a) .... 		    119,881,459 89,757,207 30,124,253 2.810 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    123,640,542 89,757,207 33,883,336 3.160 %
Other Benefits
     903,639   903,639 0.080 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    47,244,992 15,652,957 31,592,035 2.950 %
g Subsidized health services
(from Worksheet 6) .. 		    286,796,518 260,197,321 26,599,197 2.480 %
h Research (from Worksheet 7)     8,484,061   8,484,061 0.790 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    322,613   322,613 0.030 %
j Total. Other Benefits ..     343,751,823 275,850,278 67,901,545 6.330 %
k Total. Add lines 7d and 7j .     467,392,365 365,607,485 101,784,881 9.490 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(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     4,431   4,431  
2 Economic development            
3 Community support     42,600   42,600  
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building     159,846   159,846 0.010 %
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     206,877   206,877 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
15,516,572
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
6,626,148
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
180,797,795
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
175,328,529
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
5,469,266
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
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(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 %   50.000 %
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?3
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
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) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Allegheny General Hospital
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22 Yes  
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
The Western Pennsylvania Hospital
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 2
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22 Yes  
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Forbes Regional Hospital
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 3
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22 Yes  
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?29
Name and address Type of Facility (describe)
1 AGH - Suburban General Campus
101 South Jackson Avenue
Pittsburgh,PA15202 		Urgent Care - General Medical
2 AGH - Dialysis Center
1136 Thorn Run Road
Moon Township,PA15108 		Dialysis Center
3 AGH - Physician Practices
490 East North Avenue
Pittsburgh,PA15212 		General Medical
4 AGH - Child Care
621 East North Avenue
Pittsburgh,PA15212 		Child Care
5 AGH - Ear Treatment and Care
8500 Brooktree Road
Wexford,PA15090 		Ear Treatment
6 AGH - Physician Practices
9335 McKnight Road
Pittsburgh,PA15237 		General Medical
7 WPH - Physician Practices
1 Dolly Avenue
Jeanette,PA15644 		General Medical
8 WPH - Physician Practices
4815 Liberty Avenue
Pittsburgh,PA15224 		General Medical
9 FRH - Diabetes Center
100 Forest Hills Plaza
Pittsburgh,PA15221 		Diabetes Treatment
10 FRH - Diabetes Center
3824 Northern Pike
Monroeville,PA15146 		Diabetes Treatment
11 FRH - Physician Practices
One Monroeville Center
Monroeville,PA15146 		General Medical
12 AGH - Medical Practices
1307 Federal Street
Pittsburgh,PA15212 		General Medical
13 AGH - Medical Practice
133 Church Hill Road
McKees Rocks,PA15136 		General Medical
14 AGH - Rheumatology
150 Lake Drive
Wexford,PA15090 		Rheumatology
15 AGH - AV Dialysis Center
1618 Pacific Avenue
Natrona Heights,PA15065 		Dialysis Clinic
16 AGH - Physician Practices
2027 Lebanon Church Road
West Mifflin,PA15122 		General Medical
17 AGH - Pulmonary and Critical Care
2500 Brooktree Road
Wexford,PA15090 		Pulmonary and Critical Care
18 FRH - Lab and Human Motion Center
2550 Mosside Blvd
Monroeville,PA15146 		Lab and Human Motion Center
19 FRH - Physician Practices
2566 Haymaker Road
Monroeville,PA15146 		General Medicine
20 FRH - Physician Practice
314 South Kimberly Avenue
Somerset Borough,PA15501 		General Medical
21 AGH - Neurosurgery
420 Wood Street
Clarion,PA16214 		Neurosurgery
22 AGH - Human Motion and Imaging
500 Blazier Drive
Wexford,PA15090 		Human Motion and Imaging
23 WPH - Institute for Pain Medicine
5124 Liberty Avenue
Pittsburgh,PA15224 		Institute for Pain Medicine
24 AGH-WPH Various Medical Specialties
5140 Liberty Avenue
Pittsburgh,PA15224 		Diabetes, Sleep Disorder and Human Motion
25 AGH - Lab
5318 Ranalli Drive
Gibsonia,PA15044 		Lab
26 AGH - Radiology and Sports Medicine
5375 William Flynn Highway
Gibsonia,PA15044 		Radiology and Sports Medicine
27 AGH - Physician Practices
575 Lincoln Avenue
Pittsburgh,PA15202 		General Medicine
28 AGH - Orthopaedic
59 Fort Couch Road
Bethel Park,PA15241 		Orthopaedic
29 AGH - Lab
651 Holiday Drive
Pittsburgh,PA15220 		Lab
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
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 charity care.
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.
Addressing The Needs Identified In The CHNA Schedule H, Part V, Section B, Line 7 Some needs identified in the most recently conducted Community Health Needs Assessment (CHNA) are not addressed by implementation strategy programs because existing hospital and community resources work to address these needs. West Penn Allegheny Health System, Inc. evaluated all top priority needs and put forth plans to address the needs we felt we were best positioned to make a positive impact for the betterment of the health of the communities we serve. Various needs outlined in the CHNA will not be addressed through these planning efforts. These needs will not be addressed as a result of prioritization efforts, which included individuals with expertise in public health and representatives of underserved populations, the need was ranked low for any one or more of the following reasons: 1) the hospital was not identified as the accountable entity; 2) the need falls outside of the hospital area of expertise; 3) the issue is already being addressed by existing community assets; or 4) necessary internal resources to meet the need are lacking.
Charges For Medical Care Schedule H, Part V, Section B, Line 20d 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 and Line 22 Each facility offers a variety of procedures. For elective and non medically emergent procedures not covered by health plans, individual fee schedules are published and communicated prior to services. Patients are contacted in advance of the procedure by financial counselors and are required to pay for services in full based on the fee schedule. The patient is required to pay the hospital fee schedule for the technical component and the physician for the professional services rendered. 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. has completed a formal community health needs assessment (CHNA) for each Hospital for the fiscal year ended June 30, 2013. This assessment was done separately for each hospital. Each Hospital had a CHNA steering committee assigned that consisted of: community leaders, individuals with expertise in public health, hospital board members, physicians and internal hospital leaders and managers. The steering committees met between July 2012 and April 2013 to provide guidance on various components of the CHNA. The CHNA involved systematically analyzing demographic and other health-related data, considering local, state and national health goals, and understanding existing community health resources and programs. The West Penn Allegheny Health System, Inc. - Allegheny General Hospital (WPAHS, Inc. - AGH) addressed the following community health needs: heart disease and high blood pressure, diabetes, breast, lung and colon cancers. Early screening is incorporated into all implementation strategy programs and WPAHS, Inc.- AGH engages in early screening through existing community outreach and health screening efforts. The areas of mental health service access and flu and pneumonia were not addressed by implementation strategy programs because existing hospital and community resources work to address these needs. WPAHS, Inc. - AGH evaluated all top priority needs and put forth plans to address the needs we felt we were best positioned to make a positive impact for the betterment of the health of the communities we serve. The West Penn Allegheny Health System, Inc. - Western Pennsylvania Hospital (WPAHS, Inc. - WPH) addressed the following community health needs: cardiovascular disease, diabetes and breast cancer. Early screening is incorporated into all implementation strategy programs and WPAHS, Inc.- WPH engages in early screening through existing community outreach and health screening efforts. The area of flu and pneumonia were not addressed by its implementation strategy programs because existing hospital and/or community resources work to address these needs. WPAHS, Inc. - WPH evaluated all top priority needs and put forth plans to address the needs we felt we were best positioned to make a positive impact for the betterment of the health of the communities we serve. The West Penn Allegheny Health System, Inc. - Forbes Regional Hospital (WPAHS, Inc. - FRH) addressed the community health need of diabetes. Early screening is incorporated into the implementation strategy program and WPAHS, Inc.- FRH engages in early screening through existing community outreach and health screening efforts. The areas of mental health services, flu and pneumonia, high blood pressure, cardiovascular disease, obesity, breast cancer and bronchus/ lung cancer were not addressed by implementation strategy programs because existing hospital and community resources work to address these needs. WPAHS, Inc. - FRH evaluated all top priority needs and put forth plans to address the needs we felt we were best positioned to make a positive impact for the betterment of the health of the communities we serve. The WPAHS, Inc. board of directors approved and implemented the CHNA plans on October 31, 2013. All WPAHS, Inc. Community Health Needs Assessments can be viewed at: www.wpahs.org.
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. During the preservice process, patients are evaluated to determine financial assistance options. 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 patients, 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 308,000 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 1,228,000 residents living in a land area of approximately 730 square miles. The median housing value in Allegheny County is $118,700.
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 56,000 patients, log over 164,000 emergency visits and deliver more than 3,800 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. On April 29, 2013, West Penn Allegheny Health System, Inc. formalized an affiliation with Highmark Health to create an integrated delivery network named Allegheny Health Network. See the Organizational Comment narrative in Schedule O for further detail.
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) 2012
Additional Data


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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
2012
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. Part II can be duplicated if additional space is needed.
(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) American Diabetes Association
300 Penn Center Blvd
Pittsburgh,PA15235 		25-1798379 501(c)(3) 17,000       To further the charitable mission of the organization.
(2) American Heart Association
5455 North High Street
Columbus,OH43214 		13-5613797 501(c)(3) 42,000       To further the charitable mission of the organization.
(3) March of Dimes Foundation
5168 Campbells Run Road Ste 101
Pittsburgh,PA15205 		54-1605958 501(c)(3) 10,000       To support the charitable mission of the organization.
(4) Friends of the Riverfront
33 Terminal Way
Pittsburgh,PA15219 		25-1655056 501(c)(3) 10,000       To support the charitable mission of the organization.
(5) National Ovarian Cancer Coalition
6507 Wilkins Ave Ste 100
Pittsburgh,PA15217 		25-1845284 501(c)(3) 7,500       To support the charitable mission of the organization.
(6) Susan G Komen Breast Cancer Foundation
1133 South Braddock Avenue
Pittsburgh,PA15218 		13-1673104 501(c)(3) 37,500       To support the charitable mission of the organization.
(7) Allegheny General Hospital Auxiliary
320 Eat North Ave
Pittsburgh,PA15212 		23-2993372 501(c)(3) 16,100       To further the charitable mission of the organization.
(8) City Source Associates
414 Grant Street 400 City County B
Pittsburgh,PA15219 		  37,000       To sponsor the Pittsburgh Great Race
(9) Food Allergy and Anaphylaxis Network
11781 Lee jackson Hwy Ste 160
Fairfax,VA22033 		  10,000       To sponsor the Walk for Food Allergy
(10) RJW Media RJW Communications Inc
12827 Frankstown Road Ste B
Pittsburgh,PA15235 		  18,375       To support Community Days




2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
7
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
3
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
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.
Part III can be duplicated 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, Part III, column (b), 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.
Donations to Other Organizations Schedule I, Page 1, Part II West Penn Allegheny Health System Inc. made the following donations to organizations not recognized under IRC Section 501(c)(3) during the year ended June 30, 2013: City Source Association - A contribution of $37,000 was made for the purpose of sponsorship of the Pittsburgh Great Race Food Allergy and Anaphylaxis Network - A contribution of $10,000 was made for the purpose of sponsorship of the Walk for Food Allergy RJW Media RJW Communications Inc. - A contribution of $18,375 was made for Ross Township Community Days.
Schedule I (Form 990) 2012


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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
2012
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 or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
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
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
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
Yes
 
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 Regulations 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)Diane DismukesHealth System President & CEO (i)
(ii)		 0
0 		0
0 		833,367
0 		0
0 		183
0 		833,550
0 		833,367
0
(2)David KiehnAssistant Treasurer (i)
(ii)		 13,033
0 		100,000
0 		506,095
0 		0
0 		725
0 		619,853
0 		564,419
0
(3)David Parda MDDirector (i)
(ii)		 0
690,859 		0
85,000 		0
552 		0
10,000 		0
14,071 		0
800,482 		0
0
(4)Gregory BurfittAGH and WPH President & CEO (i)
(ii)		 0
0 		0
0 		403,148
0 		0
0 		0
0 		403,148
0 		394,425
0
(5)Judy ZedreckAGH Interim President & CEO (i)
(ii)		 379,144
0 		34,000
0 		1,931
0 		12,500
0 		13,188
0 		440,763
0 		0
0
(6)Denzil RupertWPH President & CEO (i)
(ii)		 388,743
0 		0
0 		360
0 		10,000
0 		11,898
0 		411,001
0 		0
0
(7)Reese JacksonFRH President & CEO (i)
(ii)		 343,025
0 		0
0 		360
0 		10,000
0 		17,597
0 		370,982
0 		0
0
(8)Margaret BarronEVP of External Affairs (i)
(ii)		 279,581
0 		100,000
0 		1,032
0 		442,074
0 		14,875
0 		837,562
0 		0
0
(9)William EdmondsonEVP of Strategic Planning (i)
(ii)		 0
0 		0
0 		166,684
0 		0
0 		0
0 		166,684
0 		166,684
0
(10)Tony Farah MDDirector (i)
(ii)		 820,125
0 		0
0 		552
0 		10,000
0 		12,471
0 		843,148
0 		0
0
(11)John FoleySystem Chief Information Ofcr (i)
(ii)		 70,128
0 		0
0 		347,498
0 		0
0 		2,573
0 		420,199
0 		308,674
0
(12)Roy SantarellaEVP & Chief Admin. Officer (i)
(ii)		 0
0 		0
0 		703,046
0 		585,817
0 		183
0 		1,289,046
0 		703,046
0
(13)Bart MetzgerSystem Chief HR Officer (i)
(ii)		 405,645
0 		100,000
0 		1,584
0 		12,500
0 		9,870
0 		529,599
0 		0
0
(14)Thomas MoserFRH Chief Operations Officer (i)
(ii)		 289,505
0 		0
0 		552
0 		10,000
0 		6,125
0 		306,182
0 		0
0
(15)James KanuchWPH VP of Finance (i)
(ii)		 206,906
0 		0
0 		297
0 		8,573
0 		11,615
0 		227,391
0 		0
0
(16)Pamela GallegherFRH VP of Finance (i)
(ii)		 236,961
0 		0
0 		527
0 		240,387
0 		9,941
0 		487,816
0 		0
0
(17)Kimberly SperringVice President of Operations (i)
(ii)		 194,818
0 		0
0 		403
0 		9,974
0 		8,915
0 		214,110
0 		0
0
(18)Sheran ShipleyVice President- Peiro Perative (i)
(ii)		 193,538
0 		0
0 		2,271
0 		11,895
0 		9,387
0 		217,091
0 		0
0
(19)Terry WiltroutVice President - CGH (i)
(ii)		 186,012
0 		0
0 		171
0 		7,667
0 		8,745
0 		202,595
0 		0
0
(20)Mark BarnhartPhysician Organization COO (i)
(ii)		 0
0 		0
0 		209,230
0 		0
0 		0
0 		209,230
0 		209,230
0
(21)Ned LaubacherAKMC President & CEO (i)
(ii)		 332,761
0 		0
0 		360
0 		10,000
0 		9,487
0 		352,608
0 		0
0
(22)Paul KiproffPhysician (i)
(ii)		 309,972
0 		0
0 		0
0 		10,000
0 		0
0 		319,972
0 		0
0
(23)Christopher Olivia MDHealth System President & CEO (i)
(ii)		 0
0 		0
0 		1,261,143
0 		625,000
0 		7,325
0 		1,893,468
0 		1,250,000
0
(24)Sanford Kurtz MDPresident & CEO Physician Org. (i)
(ii)		 0
0 		0
0 		334,768
0 		0
0 		0
0 		334,768
0 		334,768
0
(25)Dwight MonsonVP-Strategic & Business Plans (i)
(ii)		 0
0 		50,000
0 		342,532
0 		0
0 		135
0 		392,667
0 		342,518
0
(26)Euthemy LebrewVP Revenue Cycle (i)
(ii)		 166,896
0 		69,737
0 		88,506
0 		145,627
0 		6,847
0 		477,613
0 		0
0
(27)Kerry KerlinCorp VP Cinical Info Services (i)
(ii)		 134,001
0 		50,000
0 		105,617
0 		134,428
0 		1,106
0 		425,152
0 		0
0
(28)Linda NovakVice President - Haman Res (i)
(ii)		 206,224
0 		50,000
0 		25,337
0 		0
0 		10,910
0 		292,471
0 		0
0
(29)Richard FriesVP Finance-AGH (i)
(ii)		 217,586
0 		0
0 		486
0 		9,001
0 		10,442
0 		237,515
0 		0
0
(30)Roger YostVice President - Decision Sup (i)
(ii)		 242,826
0 		50,000
0 		351
0 		10,000
0 		8,895
0 		312,072
0 		0
0
(31)Micheal SirottSecretary (i)
(ii)		 192,662
0 		0
0 		380
0 		0
0 		9,370
0 		202,412
0 		0
0
(32)Robert BrandfassSecretary (i)
(ii)		 317,358
0 		150,717
0 		10,168
0 		0
0 		10,801
0 		489,044
0 		0
0
(33)Matthew PetersonTreasurer (i)
(ii)		 231,605
0 		50,000
0 		203
0 		6,250
0 		9,353
0 		297,411
0 		0
0
(34)Patrick Demeo MDDirector (i)
(ii)		 0
864,584 		0
175,000 		0
552 		0
11,019 		0
10,371 		0
1,061,526 		0
0
(35)George Magovern MDDirector (i)
(ii)		 0
613,359 		0
33,785 		0
1,584 		0
12,500 		0
11,571 		0
672,799 		0
0
(36)James WilbergerDirector (i)
(ii)		 0
824,780 		0
110,000 		0
66 		0
75,694 		0
9,993 		0
1,020,533 		0
0
(37)Marian BlockPhysician (i)
(ii)		 0
0 		0
0 		223,241
0 		0
0 		0
0 		223,241
0 		223,241
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
Severance Payments Received by Listed Individuals Schedule J, Page 1, Part I, Line 4a The following represents additional disclosure for Schedule J, line 4a pertaining to officers and key employees listed in Form 990, Part VII, Section A, Line 1a receiving severance pay during the calendar year ended within the June 30, 2013 fiscal year end: Christopher Olivia, MD $1,250,000 Roy Santarella $703,046 Marian Block, MD $223,241 Mark Barnhart $209,230 Sanford Kurtz, MD $334,768 Dwight Monson $342,532 Diane Dismukes $833,367 David Kiehn $464,419 Gregory Burfitt $403,148 William Edmondson $166,684 Euthemy Lebrew $69,480 John Foley $309,093 Kerry Kerlin $91,064
Supplemental Nonqualified Retirement Plan IRS Form 990, Schedule J, Page 1, Part I, Line 4b The following represents additional disclosure for Schedule J, line 4b pertaining to officers and directors listed in Form 990, Part VII, Section A, Line 1a participating in a supplemental nonqualified retirement plan: Jacqueline Bauer Nan DeTurk Dan Lebish
Initial Contract Exception IRS Form 990, Schedule J, Page 1, Part I, Line 8 An individual receiving compensation during the calendar year ended within the June 30, 2013 fiscal year was subject to the initial contract exception.
Deferred Compensation Analysis of Listed Individuals IRS Form 990, Schedule J, Page 2, 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 Euthemy Lebrew Kerry Kerlin Margaret Barron Pamela Gallagher
Schedule J (Form 990) 2012

Additional Data


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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 Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
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 01728AGB3 06-19-2007 758,726,273 Allegheny County Hospital Developm   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 103,328,485      
2 Amount of bonds legally defeased . . . . . . . . . . . 0      
3 Total proceeds of issue . . . . . . . . . . . . . . 758,726,273      
4 Gross proceeds in reserve funds . . . . . . . . . . . . 56,287,168      
5 Capitalized interest from proceeds . . . . . . . . . . . 1,890,407      
6 Proceeds in refunding escrows . . . . . . . . . . . . 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 . . . . . . . . . . . 136,118,576      
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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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 of bond-financed property? . . . . . . . . . . . . X              
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . . X              
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X            
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
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%   %   %   %
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%   %   %   %
7 Does the bond issue meet the private security or payment test? . . . . . X              
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X            
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X            
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
  X            
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . . X              
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .                
b Exception to rebate? . . . . . . . .                
c No rebate due? . . . . . . . . . .
               
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X            
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X            
b Name of provider . . . . . . . . . 0
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (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              
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . . X              
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X            
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X            
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Written Procedures in FY 2013 Schedule K, Part III, Line 9 and Part IV, Line 7 and Part V West Penn Allegheny Health System, Inc. is working towards finalizing the referenced procedures.
Schedule K (Form 990) 2012

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
2012
Open to Public
Inspection
Name of the organization
West Penn Allegheny Health System Inc
 
Employer identification number

25-0969492
Identifier Return Reference Explanation
IRS Form 990 - Organizational Comment IRS Form 990 On April 29, 2013, West Penn Allegheny Health System, Inc. formalized an affiliation with Highmark Health, EIN: 45-3674900, a 501(c)(3) tax exempt organization to become a member of a newly created integrated delivery system named Allegheny Health Network (the "Network"). In addition to the West Penn Allegheny Health System, Inc., the Allegheny Health Network also consists of Jefferson Regional Medical Center and Saint Vincent Health System. In total, the Network consists of 22 different organizations exempt from federal income tax under IRS Section 501(c)(3). The parent organization of the Network is Allegheny Health Network, EIN: 45-3674924, a 501(c)(3) tax exempt organization. Together, these organizations have combined to create a cost-effective health system that raises quality, enhances outcomes and preserves consumer choice for everyone.
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), Suburban Health Foundation (SHF) 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. West Penn Allegheny Health System, Inc. consists of the following three hospital campuses: Allegheny General Hospital (WPAHS, Inc. - AGH), Forbes Regional Hospital (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 a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit. 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. During Fiscal 2013 $8,484,061 was underwritten by WPAHS, Inc. and ASRI 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 2013, $30,332,130 was underwritten by WPAHS, Inc. in support of education. Among the activities supported were the training of medical interns, residents and fellows, nursing school training 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 a cost of $33,883,336 in Fiscal 2013. 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 neonatal care. Consistent with the filing of Schedule H, WPAHS, Inc. provided subsidized health services at a cost of $26,599,197 in Fiscal 2013. COMMUNITY BENEFIT ACTIVITIES WPAHS, Inc. undertakes various activities that benefit the health and well-being of the communities we serve. These activities have little or no reimbursement and are operated at a loss. Consistent with the filing of Schedule H, WPAHS, Inc. provided the following community benefit activities at the associated cost during Fiscal 2013: Community Health Improvement Services and Community Benefit Operation $903,639 Health Professions Education - Net of Intern, Resident, Fellow and School of Nursing $1,259,905 Financial and In-Kind Contributions $322,613 Community Building Activities $206,877 The specific activities associated with the cost of providing community benefit is disclosed in the pages that follow in the Hospital specific community benefit reports of Allegheny General Hospital, The Western Pennsylvania Hospital and Forbes Regional Hospital.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III INTRODUCTION TO WEST PENN ALLEGHENY HEALTH SYSTEM, INC. - ALLEGHENY GENERAL HOSPITAL Founded in 1885 on Pittsburgh's historic North Side, West Penn Allegheny Health System, Inc. - Allegheny General Hospital (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 631 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. AGH has historically won and continues to win both national and international recognition and awards for its programs in numerous specialty areas. The hospital has been recognized by U.S. News and World Report in 9 areas of excellence as well as one of the country's best hospitals. The hospital was recognized by Thomson Healthcare as one of the country's "100 Top Hospitals: Performance Improvement Leaders" and by Thompson Healthcare as one of the Top 100 Hospitals for Cardiovascular Care. Additionally it was named by Thomson Reuters as the top teaching hospital in the Pittsburgh. The hospital is recognized by the American Heart Association Get with the Guidelines - Heart Failure Gold Achievement Award. The hospital was also lauded as a Highmark Blue Distinction Center for Spine Surgery, a Hip and Knee Replacement Surgery Center of Excellence and was accredited by The Joint Commission as a comprehensive stroke center. It also received the Get with the Guidelines - Coronary Artery Disease Gold Performance - Achievement Award from the American Heart Association. HealthGrades ranked AGH as the top hospital in Pittsburgh for stroke care and among the nation's top 10 percent of hospitals for stroke care. As one of the largest tertiary facilities in the region, the 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 colorectal surgery, diagnostic and interventional radiology, emergency medicine, endocrinology, gastroenterology, general surgery, allergy/immunology, anesthesiology/pain medicine, internal medicine, bariatric/weight loss surgery, minimally invasive surgery, nephrology, gynecology, cardiology, cardiothoracic surgery, ophthalmology, otorhinolaryngology, pediatrics, psychiatry, critical care medicine, infectious disease, oncology, pathology and laboratory medicine, reproductive medicine and infertility, vascular surgery, urogynecology, maternal and fetal medicine, pulmonary medicine, radiation oncology, rheumatology, transplant surgery, oral and maxillofacial surgery, dental medicine and nutrition. The hospital's highly acclaimed physicians are leaders in a vast array of specialty areas. 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 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. Recently designated as a Comprehensive Stroke Center by the Joint Commission, 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 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. 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 AGH Campus coordinates the efforts of more than 6,000 medical professionals in the study of breast and bowel cancer. 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. 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. AGH is a Highmark Blue Distinction Center for spine surgery 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. AGH has a longstanding successful partnership with the Northside Community and is celebrating its 25th year. AGH provides many programs, services and community benefit activities to Pittsburgh's Northside in the areas of reinvestment, workforce home benefit, education programs and health improvement programs. 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 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 Monday-Friday and 10:00 am - 6:00 pm Saturday and Sunday. Board-certified physicians 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; 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. AGH Suburban 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 Suburban General Campus as well as in collaboration with other local community groups and partners.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a 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 AGH, 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 2013, AGH admitted over 22,000 patients and logged over 49,000 emergency visits, 21,000 surgical procedures and more than 200,000 outpatient visits. Over 800 physicians and 4,000 employees share the hospital's commitment to excellence in patient care, medical education and research. COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT OPERATIONS Community health improvement services and community benefit operations include activities intended to improve health and wellness. They extended beyond patient care activities and are subsidized by the Hospital. The programs range from community health education to free clinics and screenings. As a component of West Penn Allegheny Health System, Inc. and consistent with the filing of Schedule H, AGH provided the following community health services during Fiscal 2013 at an estimated cost of $383,289 Community Health Services - Community Health Education Concussion Education - AGH athletic trainers educate the parents, students, athletes and the community in general about concussion health and awareness. Multiple events have taken place throughout the area including schools and community events. Nutrition & Bone Health Presentation - Two registered AGH Dietitians and a Diet Technician prepared and presented an hour long presentation regarding nutrition and bone health to residents of the Reformed Presbyterian Home in Pittsburgh. World Kidney Day - AGH is aware of the dangers of kidney failure and disease. To help educate the community, AGH provided community education intended to increasing community awareness of end state kidney disease and dialysis. Open Heart Surgery Observation Program - The AGH Cardiovascular Institute's Open Heart Surgery Observation Program offers a unique educational experience for high school and other educational classes who are interested in the field of medicine. Students are provided an opportunity to observe an open heart surgery case and interact with the surgeon and OR team. The program has a dedicated coordinator(s) whose salary is supported through the cardiovascular Endowment and a retired cardiothoracic surgeon who volunteers his time to the program. The program is offered at no cost to the public. For fiscal year 2013, 126 classes, including 1,681 students, were hosted by the program. Seminar on Atrial Fibrillation - This seminar, presented by two AGH physicians, dealt with the signs and symptoms of atrial fibrillation. The class was intended to educate the audience to detect when a health issue may be arising.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a Sports Medicine and Injury Prevention - AGH provides education and care for athletes and the community in general. To this extent, we participated in educational and screenings associated with the Pittsburgh Great Race and lectured in various forums surrounding muscle weakness, the importance of warming up, knee injuries, injury prevention and functional movement. Walk to Win Program - The mission of the Walk to Win program is to reach out to the children and show them that exercise can be both good for you and fun. This is the 9th year of the program and included both Allegheny Traditional Academy and Northside Catholic Elementary School. The program aims to promote physical activity in children and teach them about the dangers of childhood obesity. The program initiates with a presentation at the school assembly, engaging both the teachers and students in answering questions related to healthy eating habits and exercise. Each teacher is provided with a pedometer and each grade levels compete against each other to determine which classroom walks the farthest distance within a specified time frame (usually 4-weeks in the month of April). Winning classrooms are recognized at the annual Hearts in the Park Walk. Following the Walk, plaques are presenting to the winning class rooms and an educational grant in the amount of $1,000 was provided to each school in support of their physical education programs. Pathways to Wellness - This is a community health and prevention education program offered monthly at the Suburban Campus at no cost to participants. The program is open to any interested member of the community. The program includes a health lecture with discussion of prevention strategies and an informal question and answer period. Topics covered include shared strategies for lifestyle modifications that are proven to be effective in controlling hypertension, including discussion of dietary considerations including tours of grocery stores, how to read food labels, how to grow your own vegetables and garden and what foods can help fight disease and illness. Healthy Living Guest Lecture Series - The Health Living Guest Lecture Series is a series of education opportunities provided by AGH physicians for the benefit of the general public. Topics covered include: brain power and memory, consequences of high blood sugar, high blood pressure, complications involving diabetes, physical and mental health and the importance of physical activity. Community Health and Safety Day - This program included a presentation on Safe Skate Boarding, including discussion of the importance of wearing a helmet when skateboarding, and consequences of unsafe behaviors of skating without a helmet. Police Professionals also provided safety demonstrations as part of the day's events. The event was attended by over 400 residents of the Bellevue community. Injury Prevention - This program included discussions on brain and spinal cord injuries, the anatomy of the brain and spinal cord, physical results of the injuries and how to make safe choices. A short film was shown to teenagers bring home the message that these injuries can and do happen to people just like them, while engaging in typical teenage activities, but that safe choices can prevent most injuries from occurring. This program is provided at no cost.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a Corporate Lunch & Learn - A lunch and learn session was provided at no cost to a large local corporation. The topic was relaxation techniques and included discussions on mind-focused techniques that use our very powerful mind-body connection to elicit a relaxation response, provide a sense of calm, and reverse the adverse effects of stress. This presentation did provide a brief overview of the body's stress and relaxation responses and will introduce relaxation techniques that are easily learned and can be utilized to reduce the adverse effects of daily stress in your life. Produce to People Food Distribution - A clinical dietitian distributed information to encourage increased consumption of fruits and vegetables, recipe ideas and tips to spend food dollars wisely to members of the Northside community. AHA Eating Healthy Day - Three dietitians and one diet tech prepared and facilitated the three hour event to emphasis the components of a healthy diet. Target audience was Cafeteria customers. In addition the Food Service Department prepared a healthy meal that was offered at the specialty bar to provide ideas of appropriate menu choices. Samples of a healthy dessert were provided to individuals that stopped at the table to obtain info to promote a healthy diet. Allegheny County Breast Health Initiative - An AGH staff physician participated in the Allegheny County Breast Health Initiative. The education focused on racial disparities in diagnosis and treatment of breast cancer. Community Health Education - Health Fairs & Screenings Health Fairs and Screenings - AGH participated in numerous health and wellness fairs during the course of the fiscal year. These fairs included education and screening related to but not limited to: abnormal lung function, spirometric lung screening, smoking cessation, body fat analysis, healthy diet education, children safety, heart health, hyperglycemia, general first aid, colon cancer and stroke risk assessment. Community Days and Events - AGH participated in many community events including Hearts in the Park Expo, Pumpkin Festivals, Belview Community Day, Ross Community Day, Pittsburgh Great Race, Prescription for a Healthy Heart, Komen Race for the Cure and Riverview Park Heritage Days. Education activities and screenings were conducted at these events including: dietary advice for controlling diabetes, heart healthy menus, healthy choices for children, dietary control, athletic safety, blood pressure screening, body fat analysis and information on how to achieve a heart healthy lifestyle. Community Health Education - Elderly Healthy Living Guest Lecture Series - Senior Citizens - AGH provides numerous educational opportunities for the senior population through the Healthy Living Guest Lecture Series. These opportunities are provided throughout the community and includes the following topics: bullying, kidney disease, osteoporosis, coronary artery disease, influenza, high blood pressure, hydration, chronic disease, thinking functions, falls, inflammation of the sciatic nerve, relaxation techniques, protein deficiency, back pain and exercises for your brain.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a Community Health Education - Mass Media Communication Medical Frontiers Radio Show - The Medical Frontiers Radio Show is an interactive radio talk show featuring various AGH staff physicians discussing different health topics. These talk shows provide patient education and public health awareness. Topics covered during the fiscal year ended include but are not limited to: hand surgery, rheumatologic disease, sleep disorders, heart disease, diabetes, cancer, eye disease, atrial fibrillation, cardiovascular disease, breast cancer and hip and knee reconstruction. Television Appearances - AGH staff physicians participate in television spots by making appearances to discuss a variety of health related topics. These topics include but are not limited to: Allergies, Chronic Traumatic Encephalopathy, mastectomies, breast cancer treatment, injury prevention in athletes, sentinel node surgery, lung cancer and varicose vein. Newspapers and Periodicals - AGH staff physicians contribute toward numerous periodicals and newspaper articles circulated in the mass public. Topics covered include but are not limited to: bone loss, gluten-free foods, obesity, genetic studies, mastectomies, breast cancer, cancer in African American women, cardiovascular health, atrial fibrillation and open heart surgery. Community Health Education - Other Education Lifeflight Community Visits - The Lifeflight team at AGH is involved in many community events. These events often involve the team bringing a helicopter from the fleet to the event to demonstrate capabilities as well as provide educational opportunities and forums for health related topics and discussion. At some events, the staff performs mock simulations of emergency situations. During the year, the Lifeflight team visited the following events: community of Ingram, Eau Claire community, Plum EMS, Monroeville EMS, Murrysville EMS, community of Saxonburg, Butler Township Ambulance, Chicora Fire and EMS, Butler County Fallen Firefighters Memorial, Butler County Chili Cookoff, Lower Burrell VFW, Zelienople VFD, Harmony VFW, Worthington Community Day, East Butler Fire Department, Freeport EMS, Cub Scouts, Norwin High School, North Washington VFW, Jeanette EMS, Unionville VFW and the North American Martyr's Festival. CPR and First Aid Demonstration - AGH EMS staff conducted various educational and training events for CPR and First Aid. The events benefitted the general public by demonstrating techniques that someday could be used in an emergency situation. HEALTH PROFESSIONS EDUCATION AGH 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, AGH provides health profession 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, AGH provided these services in addition to the educational support provided to interns, residents and fellows, nurses and other allied health professionals at a cost of $551,905
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a Nursing Education Nurse Externs - Sixteen senior nursing students work side by side with a nursing preceptor to gain experience caring for patients. They work the same schedule as the preceptor and care for the same patient assignment. This benefits our community by allowing nursing students to utilize concepts learned in their nursing programs related to the care of the patients. It broadens their knowledge base and skill by being exposed to more complex patients on a individual basis. This is a 10 week program which crosses over 2 Fiscal years. Jameson School of Nursing Senior Nursing Students Visit - Jameson School of Nursing senior nursing students and their instructor tour nursing units to connect the learned concepts of caring with reality. Students watch a procedure from the observation deck and 2 educators quiz the students and answer their questions. Later that day, the students visit nursing units of their choice. Staff nurses and educators talk about the types of patients they care for on the unit and answer questions. The day is completed with a post conference to answer questions and meet the Chief Nursing Officer. Graduate Nurse Capstone Projects - Two graduate students complete their capstone projects for their master's Degrees which focused on finding solutions to make healthcare safer for our patients. Cameo of Caring - Nurses nominate their colleagues for the Cameo of Caring event. Each nurse is interviewed and a team of past winners and the nursing administration score each nurse to determine who the winner is for each category. This event benefits the community by recognizing excellent nurses at the bedside who care for people and their families in the community. CCAC Nursing Student Presentation - The AGH Center for Bloodless Medicine provides education sessions upon request to the Pittsburgh Community College of Allegheny County nursing students on the topic of managing the care of bloodless medicine patients, as well as general principles of patient blood management. A PowerPoint slide presentation and handouts are created for this session. Medical Technician Training Emergency Medical Technician Training - Emergency medical technician training is educational lectures and hands-on training provided by AGH medical staff to non-affiliated emergency medical technicians on the safe use and handling of medical helicopters and the equipment contained in the helicopter. Training also involves proper CPR techniques, left ventricular assist device, geriatric trauma, continuous positive airway pressure, concussions, difficult deliveries, myocardial infarction, shock and bleeding, advance life support and pediatric emergencies. CCAC Nuclear Medicine Technology Program - Students from Community College of Allegheny County that are given on the job training. The student spends time with medical professionals to develop skills necessary to succeed in the profession. Other Health Professions Education College Intern - The Volunteer Director provides an unpaid internship for a college student in the Volunteer Department. The student is mentored by a volunteer director and learns leadership, management, organizational, and communication skills in a real work environment. The student completes 400 hours of internship. LVAD Education Days - AGH provides education for those professionals in the community that may come in contact with our left ventricular assist device patients. This includes emergency medical technicians and other health professionals. Free parking is provided to those that attend the class.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a Physical Therapy Student Affiliations - AGH 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 under the supervision of a licensed PT or PTA. A total of 11 students benefitted from this training. Adagio Health Dietetic Internship Clinical Rotation - Three dietetic interns each completed an eight week clinical rotation at AGH that focused on disease management and medical nutrition therapy [MNT] and the nutrition care process. Dietitians reviewed cases, recommended treatment, observed patient interactions and signed off on all documentation. Occupational Therapy Student Affiliation - Occupational Therapy (OT) students complete required observation and training in the evaluation and treatment of patients under the direct supervision of a licensed Occupational Therapist. Three Level II OTR students, two Level I OTR students, one Level -II COTA student and one Level- I COTA student benefitted from the affiliation. CCAC Diet Technician Clinical Rotation - One CCAC diet technician student completed their supervised three week clinical dietetics experience at AGH that focused on medical nutrition therapy and nutrition screening. The clinical team of registered dietitians and registered diet technicians supervised the student during their clinical experience. Greater Pittsburgh Nursing Research Council - This council highlights and promotes nursing research which benefits patients and healthcare to advance safe, evidenced based practices. An AGH medical professional presented at the conference on "Pediatric Code Blue Simulation to Improve Nursing Performance." Slippery Rock University Safety Management Degree Internship - The Hospital sponsored internships for Slippery Rock Safety Management degree candidates. Two interns participated in this twelve week program. The training provides practical experience in all aspects of safety management in the healthcare setting while providing interns with career opportunity training with focus on healthcare safety issues and challenges. Asepsis Classes - Two OR RNs teach residents and medical students how to scrub for the operating room. High School Students City High Charter School Internship Program - AGH hosts students from the City High Charter School in Pittsburgh for their senior internship. Students are placed in various areas of the hospital for a hands-on learning approach. This project is coordinated through the Volunteer Services Department. This is a wonderful learning experience for the youth who are considering a career in the healthcare field.
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 the community at large. In-kind services could 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 giveaway items as well as monetary donation. As a division of West Penn Allegheny Health System, Inc. and consistent with the filing of the West Penn Allegheny Health System Schedule H, AGH provided these services at a cost of $288,113 in Fiscal 2013. East Allegheny Pumpkinfest - AGH Northside Partnership donated 4 cases of hot dogs in addition to providing staffing and health and wellness screenings for the benefit of those attending the East Allegheny Pumpkinfest. The event is fun and educational for over 1,500 children and youth who reside on the Northside. AGH Auxiliary - Junior Volunteer Scholarships - The AGH Auxiliary, a separate non-affiliated organization awarded scholarships to eligible junior college volunteers. The Hospital provided staff time to support this project that included creating and distributing applications, interviewing volunteers and compiling forms. North Suburban Chamber of Commerce - AGH donates of space at its Suburban campus to the North Suburban Chamber of Commerce and AARP for monthly membership meeting.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a AARP Driver Refresher Course - This is a four hour driver safety renewal class. 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. Light refreshments are provided and the course is at no cost. Printing and Publication - AGH provided complimentary printing and publication services to various local organizations including the Northside Chronical, Brighton Heights Citizens Report, Brighton Heights Chocolate House Tour, Mexican House Tour, Northside Leadership Conference Book, Shadyside House Tour, Spring Hill Community Newsletter, Pumpkin Festival Brochure, Northside Community Guide Map and the Kidney Foundation Program. Weekly Parking for Parishioners to Attend Service - AGH Parking Department provides parking for members and visitors of the Community House Presbyterian Church and Allegheny Center Alliance Church. Parking is provided every weekend for multiple services for both churches. Additional parking for special events at the churches is provided four times a year. Northside Health Improvement Partnership Meetings - AGH donates space and refreshments for the monthly NSHIP committee meetings. NSHIP is comprised of various Northside stakeholders in addition to several AGH staff members. Northside Health Improvement Partnership Meetings - AGH donates space for the bi-monthly NSHIP committee meetings. NSHIP is comprised of various Northside stakeholders in addition to several AGH staff members.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a Cash Donations - 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, 2013, AGH made cash donation to the following organizations: American Diabetes Association American Heart Association City Source Associates National Ovarian Cancer Coalition Pittsburgh Affiliate of Susan G Komen Foundation Woodlands Foundation 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 West Penn Allegheny Health System, Inc. Schedule H, AGH provided these services at a cost of $128,917 in Fiscal 2013. Northside Vendor Fair - The AGH Northside Partnership hosts annual vendor fairs to encourage AGH staff to shop and support local businesses. AGH provides staff support to assist with the event, lunch for vendors, as well as marketing space. Partnership Coordinator salary and operating cost - AGH provides funds to the Northside Leadership Conference (NSLC) for both the salary of the AGH Partnership Coordinator as well as operating costs associated with the position. Coordinating Committee - The AGH Northside Partnership hosts monthly meetings with AGH employees from various departments, including but not limited to facilities, volunteer services, psychiatry, emergency services. These act as advisory meetings to discuss ongoing and upcoming Northside initiatives. Northside Youth Summer Guide - The AGH Northside Partnership and the NSHIP create and distribute a summer guide for youth; which is a 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.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a Northside Holiday Party - The 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. Board of Directors - Director for Cardiovascular Services serves as a member of the Board of Directors of the American Heart Association, providing a pathway between Allegheny General Hospital, the AHA and community in developing program with a focus on health related programs, including childhood obesity and women's heart. Various other members of AGH staff, executives and physicians hold Board positions. Start on Success Mentoring Program - AGH employees mentor Pittsburgh Public School students daily throughout the school year and summer. These students learn basic workforce skills and job readiness training. Disability Mentoring Day - The AGH Northside Partnership supported the United Way Disability Mentoring Day with the support of seven AGH staff members, providing information and support to the students regarding medical careers. Project MOVE Mentoring - Ten AGH staff members mentor Pittsburgh Public School sophomores in training, workplace readiness over a 6 week period. Allegheny Commons Initiative - Allegheny Commons Initiative (ACI) is a community based effort to restore the Allegheny Commons Park, Pittsburgh's first planned Public Park. AGH has worked and have planted over 100 new trees, restored two park segments provided new paths, lighting, turf improvements, park benches, drinking fountains and playgrounds in the park. Community Event Support - Volunteer Services Department supported the following community events with volunteers: Pumpkin Fest on 10/13/12. Community Event Support - Volunteer Services Department supported the following community events with volunteers: Duquesne Light Fair (2 fairs) and National Aviary Celebration. Community Event Support - The Volunteer Department provides volunteer support and the Director of Volunteer Services annually contributes hours to coordinate volunteer support for various community events included but not limited to: Auxiliary Community Sponsored Events, Pumpkinfest, Blood Drives, Gift Wrapping for Community Children's Holiday Party and Fruit Basket preparation for Community Children's Holiday Party. AGH Northside Children's Holiday Party - AGH provides volunteer time to underserved community members and their children around the holiday season by hosting a holiday party. Total Cost: $120.00. underserved community members and their children around the holiday season by hosting a holiday party.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a INTRODUCTION TO WEST PENN ALLEGHENY HEALTH SYSTEM, INC. - WEST PENN HOSPITAL Founded in 1848 as Pittsburgh's first chartered public hospital, West Penn Allegheny Health System, Inc. - West Penn Hospital (West Penn Hospital) has earned an international reputation for excellence and innovation in the care of patients, medical education and research. Today, West Penn Hospital is an academic medical center that serves Pittsburgh and the surrounding five-state area. In April 2013, West Penn Allegheny Health Systems, of which West Penn Hospital was a vital part, affiliated with Highmark, forming the Allegheny Health Network. The eight hospitals in the Allegheny Health Network are Allegheny General Hospital, Allegheny Valley Hospital, Canonsburg Hospital, Forbes Hospital, Jefferson Hospital, Saint Vincent Health Center, Westfield Memorial Hospital and West Penn Hospital. This newly formed integrated delivery care system is focused on preserving health care choice and providing affordable, high-quality care in western Pennsylvania and the region. West Penn Hospital, with 308 licensed beds, is recognized for nursing excellence. It was the first hospital in western Pennsylvania (2006) to be awarded the Magnet Recognition status and the first in the region to receive re-designation status (2012) from the American Nurses Credentialing Center (ANCC), setting it among the top 6% of all healthcare facilities in the world recognized by the ANCC. The ANCC's Magnet Recognition Program recognizes healthcare organizations that provide not only excellence in nursing, but 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 professionalism and personal satisfaction in their practice. They also exhibit improved patient outcomes, enhanced nursing practice, increased staff morale, and improved recruitment and retention. The Magnet Recognition Program also provides consumers with the ultimate benchmark to measure the quality of care that they can expect to receive. For the 12 months ended June 30, 2013, WPH served 8,746 inpatients, registered 90,580 outpatient visits (including outpatient emergency department visits), treated 18,570 patients in the emergency department (1,979 of which were admitted) and performed 6,574 surgeries. Based on gross charges, medical assistance payers (Medicaid, Gateway/MedPlus, Best, Three Rivers, MA HMO All Other, Medicaid Applying) comprised 27.1% for inpatient and 14.0% for outpatient. WPH employs a workforce of 1,547 employees and has 890 physicians on its medical staff. West Penn Hospital offers a sophisticated level of care, bringing the latest in clinical expertise and medical technology serving patients with the most complex of needs. Specialty services include: Allergy/immunology, Anesthesiology/pain medicine, Bariatric surgery, Cancer, Cardiovascular, Colorectal surgery, Critical care medicine, Dermatology, Emergency medicine, Endocrinology/diabetes, Esophageal disease, Family medicine, Gastroenterology, General surgery, Geriatrics, Gynecologic Oncology, Infectious disease, Internal medicine, Lupus, Minimally Invasive Gynecology, Neonatology, Nephrology, Neurosurgery, Obstetrics/gynecology, Ophthalmology, Oral and maxillofacial surgery, Orthopaedic surgery, Otolaryngology (ear, nose, throat), Pathology and laboratory medicine, Pediatrics, Pelvic floor disorders, Plastic reconstructive surgery, Podiatry, Primary care medicine, Pulmonary medicine, Radiation oncology, Radiology, Rheumatology, Sleep disorders, Surgery, Thoracic Surgery, Urogynecology, Urology and more. The Hospital's highly regarded Women's and Infant's Services features a Level III Neonatal Intensive Care Unit, one of only two in the region, a high-risk labor and delivery center along with reproductive medicine offered through the Jones Institute for Reproductive Medicine. West Penn Hospital's Burn Center continues to be a leader in burn care in the region as the region's first and only American Burn Association, American College of Surgeons-verified center for care of both adults and children. A long-standing commitment to education and research remains a cornerstone of Allegheny Health Network and West Penn Hospital. 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, Penn State University, and Clarion University. The hospital is also home to Star Stimulation, teaching and academic research center and is a site of the Allegheny-Singer Research Institute, an affiliated 501(c )(3) organization. Community Assessment 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 Schedule H, West Penn Hospital provided these services at a cost of $360,500 in FY2013. Burn Care West Penn Hospital 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. Four hundred sixteen (416) patients were admitted in Fiscal Year 2013 while 1572 were seen as outpatients; of these, 389 were new outpatients, up 20% from FY12. Pediatric in-patients numbered 80, while pediatric outpatients were 91. 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 FY13, the Outreach Coordinator and staff conducted multiple burn prevention presentations at 6 sites, for a total of 7 prevention programs, and attended numerous health fairs and exhibitions covering Allegheny, Beaver, and Fayette counties in Pennsylvania. Approximately 1500 children and adults attended the programs with countless others attending the health fairs including 5 industry lectures and 23 professional lectures on burn management. Summer Burn Camp - A five-day summer camp, sponsored by Aluminum Cans for Burned Children (ACBC), is held each year to provide young children with an opportunity to share their concerns about having been burned and talk about difficult issues involved in their recover. Twenty-seven children attended camp in FY13. 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 22 volunteer counselors throughout the week. There is no charge for the children to attend summer camp. Community Health Education Little Italy Days - West Penn Hospital 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. Six people from the Pharmacy Department provided medication records cards as well as drug information. 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 West Penn Hospital and in the surrounding community. Mothers attending this 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. 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.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a American Diabetes Association's Diabetes Expo - West Penn Hospital, in coordination with the American Diabetes Association (ADA), sponsored a booth at the Healthy for Life expo. The estimated attendance at the expo was in excess of 500,000. West Penn Hospital certified diabetes educators staffed the booth where the participants could learn about healthy eating, the food content of fast food, and portion control. West Penn Hospital School of Respiratory Care - The West Penn Hospital School of Respiratory Care provided many educational opportunities during the fiscal year. Included in those opportunities was an open house on health profession education to talk with prospective students, volunteering with the Pennsylvania Society of Respiratory Care on seminar planning, visiting 11 high schools to describe respiratory care to interested seniors, and attending 2 career fairs. Health Fair and Screening - West Penn Hospital medical staff attended Destination Wellness Health Fair at Pittsburgh Mills mall and a Senior Center, assisting with health (eye, blood pressure, and blood glucose) screenings. Volunteer Services for Special Needs - TheHospital 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. Star Ambulance Community Safety Fair - The Star Center provided the Star Ambulance for the Community Days Safety Fair at Forbes Hospital. The fair provides unique events that entertain, inspire and motivate visitors from the region and beyond to learn safety techniques and explore science and technology. 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 speaker. Nearly 330 people benefited from this program. 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 - West Penn Hospital Social Work manager participated in a talk with cancer survivors. The talk focuses on moving forward in life after going through the difficult battle with cancer. Health Professions Education West Penn Hospital provides aspiring health professionals with many educational opportunities to further their career in healthcare. In addition to the educational support provided to interns, residents, fellows, nurses and other allied health professionals, West Penn Hospital provides health-profession 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 Schedule H, West Penn Hospital provided these services in addition to the educational support provided to interns, residents, fellows, nurses, and other allied health professionals at a cost of $88,000 in FY13. Observation and Shadowing - The hospital promotes healthcare 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 85 participants. The Star Center (Stimulation, Teaching, Academic and Research) - the STAR Center at West Penn Hospital 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. There are no fees for this competition, though pre-registration is mandatory for planning purposes. 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, Shaler High School Health Careers Day, 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 two hours. Learners received training in adult CPR, pediatric 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.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a 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. 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 with West Penn Hospital. 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 such as first aid, nutrition, childbirth, vital signs, bed pans, elastic stockings, skills assessments, and communications skills. 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. and consistent with the filing of Schedule H, West Penn Hospital provided these contributions at a cost of $25,500 in FY13. Cash Donations - West Penn Hospital supports the community through cash contributions made at the discretion of the hospital and its directors, benefitting not only the non-profit recipient but also ultimately the community as a whole. During FY13, West Penn Hospital made cash donations to the following organizations: American Heart Association Allegheny General Hospital Auxiliary American Diabetes Society Butler City Firefighters VNA Hospice Services Allegheny Valley Hospital Trust In-Kind Donations - In addition to the cash donations, West Penn Hospital also made in-kind donations of time and resources to help support various community functions. These donations included but is not limited to printing and publication of flyers for community organizations and groups, providing free breakfasts, the free use of space to community groups and providing free shirts. 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 Schedule H, West Penn Hospital provided these services at a cost of $36,200 in FY13. Crime Prevention Day - The Security Department sponsored Crime Prevention Day for patients, visitors, and community personnel. More than 100 individuals were educated on how not to become a victim of crime. Parking, Shuttle and Escort Services - West Penn Hospital 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. Security escorts many patients, visitors, and community personnel each day. Gateway Medical Society Allied Health Training Academy - This nine-week course is designed for 6th and 7th grade students who are interested in pursuing a career in an allied health field. In this course, students are introduced to various allied health careers through didactic teaching, guest lecturers, and hands-on simulated experiences. In this engaging course, students are active learners, learning about medical careers with their eyes, ears, and hands. This course begins by showing 16 students various pieces of common medical equipment and teaching them about their uses. Students are then introduced to careers by listening to nursing and medical students' first-hand accounts of what it really means to embark on a journey to achieve a medical career. They also hear first-hand from medical professionals, who are already working in the field, what typical work days involve. Simulated activities are sprinkled throughout the program and highlight the importance of team-building and working together effectively as a team. This course provides the future healthcare leaders of tomorrow with a solid introduction to many healthcare careers. Science, Technology, Engineering, Math, Medicine (STEMM) Program - This one-day seminar is designed for high school juniors and seniors who are enrolled in the science, technology, engineering, mathematics, and medicine (STEMM) program. This course introduces students to stimulation training and its role in medical education. Students receive a tour of the STAR Center, listen to simulation experts, watch videos, and participate in small-group learning sessions. These educational sessions cover the following topics: mock resuscitation demonstration, simulation technology, airway management lab, patient communications, and mannequin technology.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a INTRODUCTION TO WEST PENN ALLEGHENY HEALTH SYSTEM, INC. - FORBES REGIONAL HOSPITAL West Penn Allegheny Health System, Inc. - Forbes Regional Hospital (Forbes Hospital) is a member of the Allegheny Health Network (AHN). The AHN is an integrated delivery network focused on preserving health care choice and providing affordable, high-quality care to the people in our communities. In addition to Forbes Hospital, the AHN consists of seven hospitals and numerous other organizations dedicated to serving the community. Forbes Hospital has continuously provided health care services to residents of eastern Allegheny and Westmoreland Counties since 1978. Forbes owns and operates a 350-bed acute care hospital located in Monroeville, and is licensed by the Pennsylvania Department of Health. It is also accredited by the Joint Commission. Forbes Hospital 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 and level II trauma center are open to all persons without regard to their ability to pay.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a 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. Forbes admits more than 15,000 patients annually, logs more than 50,000 emergency visits, and performs nearly 12,000 surgical procedures each year. More than 800 physicians and 1,300 employees share the hospital's commitment to excellence in patient care.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS Community health improvement services and community benefit operations include activities intended to improve health and wellness. They extended beyond patient care activities and are subsidized by the Hospital. The programs range from community health education to free clinics and screenings. As a component of West Penn Allegheny Health System, Inc. and consistent with the filing of Schedule H, Forbes Hospital provided the following community health services during Fiscal 2013 at an estimated cost of $159,850. Diabetes Education -Forbes Hospital understands that many individuals live with diabetes or are at risk for developing diabetes. As such, the Hospital provides education to those living and at risk for diabetes. The educational activities conducted by the Hospital include, but are not limited to educational seminars, radio interviews, talks on meal planning, presentations on the impact of a disease management report card on lab tests assessing the average level of blood sugar and participation in the American Diabetes Expo. The nature and scope of the American Diabetes Expo was to provide specific diabetes health and wellness topics, health care access, counseling and screenings. Over 1,000 people benefitted from our efforts towards diabetes education. Health Education For Women - Forbes Hospital conduct many educational activities geared towards women's health. Included in these activities are lectures, discussions on advanced life support for obstetrics, childbirth education classes and breast cancer education and outreach. Lectures on Issues for Elderly - Staff from Forbes Hospital presented lectures on dementia, falls and health concerns for the elderly at a Senior Center and the Hospital. These lectures included information on the signs and symptoms of dementia and common concerns of the elderly and their families. Advanced Stroke Life Support Class - The Stroke Center at Forbes Hospital provided a presentation on advanced stroke life support. Early and accurate identification of stroke and quicker treatment will reduce the disability associated with stroke. The course not only provides the assessment tools for stroke detection, but also provides insight into to the treatment and care of the stroke patients beyond the emergency room. Heart and Vascular Presentations -The Forbes Cardiovascular Institute often fills requests to speak at different organizations or events. In FY13, this included presentations at community colleges, senior living centers and various local Emergency Medical Services (EMS) providers.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a HEALTH FAIRS Protecting Our Protectors -Forbes Hospital provided free health screenings for emergency medical service providers. Included in the screening was lab work, electrocardiograms, hearing screenings and a review of all information with a cardiologist. Celebrate Monroeville -Forbes Hospital was a sponsor of Celebrate Monroeville, which took place at the Monroeville Convention Center. 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 the community by helping to provide resources and also helped the community obtain information about their health care needs. More than 3,000 people attended this event. Senator Brewster Health Fair- Forbes Hospital was a sponsor of Senator Brewster's Health Fair, which took place in McKeesport Palisades. The Hospital provided health and wellness information, flu shots and lunches to the community. More than 500 people attended this event. Go Red for Women- Forbes Hospital sponsored the Go Red event. The hospital provided cardiovascular health and wellness information and giveaways for all visitors at event. More than 500 people attended this event. Participation in Other Health Fairs - Forbes participated in numerous health fairs during the course of Fiscal 2013. Education, information and community benefits provided at these health fairs included but were not limited to diabetes education, free lunches, flu shots, various screenings and stroke education. SUPPORT GROUPS Bereavement Support Groups - Five monthly support groups were provided by Forbes Hospital designed to serve the age-range specific bereavement care needs not only of families whose loved ones have died on the Forbes Hospice program, but as well the bereavement care needs of any members of the community who wish to attend or participate. 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. Over 300 people benefitted from this activity. Fetal and Neonatal Grief Loss Support Services - Women who have experienced fetal or neonatal loss require ongoing support in order to regain homeostasis. Available Forbes Hospital grief counselors provide women and families the opportunity to talk through their grief. Counselors are able to make additional appropriate referrals, based on potential problems. Diabetes Support Group - This support group meets monthly and is supported and sponsored by Forbes Hospital. The group's average monthly attendance is 30. 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 -Forbes Hospital Stroke Rehabilitation Department conducts a monthly Stroke Support Group at the Hospital. The intention of this group is to help stroke victims and the loved ones by providing a forum for which they can communicate experiences and concerns with individuals and families who have suffered through similar circumstances. 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, when able to provide 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. Approximately 110 individuals benefitted from these services. Community Memorial Services -Forbes Hospice has a community-wide memorial services for bereaved family members twice a year. The Hospital provides food, printing, mailings, and mementos to support this activity.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a Health Professions Education WE NEED THE COST OF THE INDIVIDUAL PROGRAMS LISTED BELOW - WE WILL PROVIDE THE RESIDENT COMPONENT Forbes Hospital 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, Forbes Hospital 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, Forbes Hospital provided these services in addition to the educational support provided to interns, residents and fellows at a cost of $620,000 in Fiscal 2013. Student Nursing Clinical Internships - Various departments of Forbes Hospital have nursing students from several area institutions of higher learning perform internships, clinical experiences and professional shadowing throughout the year. Staff from Hospital departments spends 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. Hospital staff is readily available to teach and assist these students approximately 40 weeks out of the year. The students are assigned intermittently to 10 different clinical units including Psychology, Emergency Department, Intensive Care Unit and OBGYN. The students also rotate to specialty areas such as the Cardiac Catherization Lab and the operating room for observation days. Supervision of Master's Level Interns - Forbes Hospice Bereavement Care Coordinator routinely trains interns from several area universities in skills of counseling of dying patients and their families and in bereavement. Two interns within the same training period were provided this in-depth supervision, which necessarily includes monitoring of all hours of their internship. Forbes Hospice Health Professions Education - Forbes Hospice invites students and professionals to learn about end-of-life care. Included in this education is direct one on one instruction from the Forbes Hospice Medical Director, lectures to non-affiliated hospital groups and education to healthcare professionals at senior centers. Clinical Education for Physical Therapy, Occupational Therapy & Speech Language Pathology - Forbes Hospital Rehabilitation 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 therapists spending time each day on education and supervision. Phlebotomy Training - The Lab at Forbes Hospital provided phlebotomy and processor training to five students from local Community Colleges. 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 delivery, nursery, diagnostic imaging, respiratory therapy, surgery, cardiology, the Joslin Diabetes Center, family practice, laboratory, Gastro intestinal lab, and rehab services. In Fiscal 2013, 27 students were provided a job shadowing experience. High School College Prep Program - Forbes Hospital helps high school 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 associated with the chosen profession. The student receives a grade for this work as recommended by the hospital advisor. Code O: From Drills to Skills - A Forbes Family Medicine attending physician presented information on the management of common obstetrical emergencies to several hundred physicians at a national conference.
Statement of Program Service Accomplishments - Continued Form 990, Page 2, Part III, Line 4a CASH AND IN-KIND CONTRIBUTIONS This category includes monetary and in-kind services donated to individuals and the community at large. In-kind services include hours donated by staff to the community during hospital work hours, overhead expenses of meeting space donated to not-for-profit community groups, and donations of food, equipment, and supplies. Consistent with the filing of Schedule H, Forbes provided financial contributions during Fiscal 2013 totaling $9,000. Cash Donations -Forbes 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. The organization made cash contributions during Fiscal 2013 to the following organization: Monroeville Rotary Scholarship Fund In-kind Donations - In addition to the cash contributions, Forbes also made in-kind donations of time and resources to help support various community functions. The in-kind donations included the following: Global Links -Forbes Hospice donated health care supplies to Global Links in an effort to provide adequate care for patients throughout the region. Central Blood Bank Blood Drives -Forbes hosted four 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 to participants in the blood drive. Community Building Activities Community Building Activities include activities engaged in for the purpose of improving or protecting the health, future and wellbeing of the community. Consistent with the filing of Schedule H, Forbes provided these services at a cost of $41,760 in Fiscal 2013. Application Assistance - Forbes Hospital nurse manager and clinical staff assist low income pregnant women with the completion and submission of Presumptive Eligibility paperwork to qualify for free prenatal care through the Pennsylvania Department of Health. Educator in the Workplace - A learning support teacher and 6 students from local schools came to Forbes Hospital to learn about various health careers and the preparation required. This helps to 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. Career Day- Two nurses from Forbes Hospital provided career information to high school seniors career day at a local high school.
Investment of Tax Exempt Bonds 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 recognized four different individuals as President and Chief Executive Officer. Because of this turnover in the leadership of the System a delay was experienced 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 2007A Project Fund to be spent down in a time period extending beyond the temporary period exemption. These proceeds have been spent down completely as of June 30, 2013.
Operational Oversight By A Third Party Management Company Form 990, Page 6, Part VI, Section A, Line 3 West Penn Allegheny Health System, Inc. (WPAHS, Inc.) is a member of the West Penn Allegheny Health System (System). The System consists of thirteen operational IRC Section 501(c)(3) organizations. WPAHS, Inc. is the parent organization for the other twelve operational IRC Section 501(c)(3) organizations. The board of directors of WPAHS, Inc. is comprised of a majority of independent members. On November 7, 2011 (Effective Date), the board of directors of WPAHS, Inc. engaged Alvarez & Marsal Healthcare Industry Group, LLC (A&M) to assign an Interim Chief Executive Officer of the System, Interim Chief Operating Officer of the System and Interim Chief Financial Officer of the System. All individuals appointed to their respective positions are under the employment of A&M and have daily oversight of all matters pertinent to the operation of the System as a whole and all organizations on an independent basis. All interim management personnel under the employment of A&M are responsible to and report to the WPAHS, Inc. board of directors. The term of the engagement is to last one year from the effective date with the option to renew the engagement beyond the initial one year term. During the course of the engagement, the WPAHS, Inc. board of directors upon written notice may cause any individual employed by A&M to be removed from their respective position and replaced by another similarly qualified individual. WPAHS, Inc. directly compensated A&M for their management services. The decision was made to allocate a portion of the expenditures of WPAHS, Inc. to other affiliated organizations. Thus the amount reflected on Form 990, Page 10, Line 11a, Column A does not reflect the entire cash outlay paid by WPAHS, Inc. for the A&M services. The affiliated organizations also reflect a component of the overall expenditure by WPAHS, Inc. for the A&M management services. On April 29, 2013, West Penn Allegheny Health System, Inc., consummated a formal affiliation to establish a regional integrated health care services delivery system. With the establishment of this formal affiliation, the management team from A&M were removed from their respective positions and ceased to provide management services.
Changes To The West Penn Allegheny Health System, Inc. Bylaws Form 990, Page 6, Part VI, Section A, Line 4 The bylaws of West Penn Alleghney Health System, Inc. were amended effective May 17, 2013 to reflect an affiliation with Highmark Health, EIN: 45-3674900 and the creation of a regional integrated healthcare delivery system, the parent organization of which is Allegheny Health Network, EIN: 45-3674924. In accordance with the affiliation, Highmark Health assumed certain reserve powers over West Penn Allegheny Health System, Inc.. Among the reserve powers given to Highmark Health includes the right to approve the election, re-election and removal of all officers of the corporation; to amend, revise and restate the corporation's Articles of Incorporation and Bylaws; adopt or change the mission, purpose, philosophy or objective of the corporation; to change the general structure of the corporation; to dissolve or liquidate, consolidate or merge and sell or acquire assets in excess of certain thresholds; approve the capital, operating plan and budget of the corporation; approve the incurrence of debt by the corporation and the making of capital expenditures in excess of certain thresholds; to approve donations or other transfers in excess of certain thresholds; approve the strategic plan and mission statement; approve investment policies; approve the closure or relocation of a licensed healthcare facility; approve the creation of or dissolution of subsidiary corporations, partnerships or other joint ventures in excess of certain thresholds; manage the corporations program for compliance with all legal requirements; selection of auditors and the designation of the fiscal year of the corporation.
Form 990 Review Process Form 990, Page 6, Part VI, Section B, Line 11a The IRS Form 990 of the West Penn Allegheny Health System, Inc. was prepared by the Highmark Health Tax Department and reviewed externally by a third party CPA Firm who signed the return as paid preparer. Prior to filing the final tax return with the Internal Revenue Service, members of senior management reviewed components of the tax return and the voting members of the governing body received a copy of the tax return.
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 Allegheny Health Network by virtue of being affiliated with 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 by System Executive Compliance Council with the Legal Department and the Allegheny Health Network(AHN)senior management and finally with the AHN Audit and Compliance Subcommittee of the Board.
Process Used To Determine Executive Compensation Form 990, Page 6, Part VI, Section B, Line 15a and Line 15b The West Penn Allegheny Health Systems (WPAHS) process for determining compensation for executive positions (including officers, key employees and other management positions) within West Penn Allegheny Health System, Inc. is covered by the WPAHS Executive Compensation Policy. This policy was approved by the West Penn Allegheny Health System, Inc. Board of Directors. It is the policy of WPAHS and its Board of Directors to compensate its executives in accordance with the market and in relation to the experience, service and accomplishments of the individual both prior to and during their service with WPAHS. The Compensation Committee of the West Penn Allegheny Health System, Inc. Board of Directors approves the compensation for WPAHS senior executives. The Compensation Committee approves the initial compensation for newly hired senior executives, which shall include all compensation components, including without limitation, base compensation, incentive compensation, deferred compensation, fringe and other benefits, as well as the total compensation. It shall also approve all base compensation adjustments and all incentive compensation awards, as well as material changes to deferred compensation, fringe, or other benefits. The Compensation Committee uses comparability data provided by the System Human Resources Department, which may include industry surveys, expert compensation studies, documented compensation of persons holding similar positions, or other comparable data in approving any executive compensation. The Compensation Committee shall periodically retain the services of an independent compensation consultant to provide an expert opinion report as to the reasonableness of total compensation of West Penn Allegheny Health System, Inc. 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 West Penn Allegheny Health System, Inc. All decisions of the Compensation Committee regarding executive compensation matters are documented.
Public Availability of Organizational Documents Form 990, Page 6, Part VI, Section C, 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. 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.
Compensation Reported For Individuals Serving Less Than a Full Year Form 990, Page 7, Part VII, Section A, Column A The following individuals served as Directors, Officers or Key Employees of West Penn Allegheny Health System, Inc. without serving a consecutive twelve month period in the position in which they are being reported. The following lists these individuals along with the dates served during the year ended June 30, 2013: Directors: Gerd Mueller 07-01-2012 - 02-28-2013 John Isherwood 07-01-2012 - 04-29-2013 Daniel Brailer 07-01-2012 - 04-29-2013 Patrick Demeo, MD 07-01-2012 - 04-29-2013 Paul Dimmick 07-01-2012 - 04-29-2013 Emanuel Dinatale 07-01-2012 - 04-29-2013 Robert Kampmeinert 07-01-2012 - 04-29-2013 George Magovern, Jr., MD 07-01-2012 - 04-29-2013 David Parda, MD 07-01-2012 - 04-29-2013 Joseph Platt 07-01-2012 - 04-29-2013 James Wilberger, MD 07-01-2012 - 04-29-2013 David Burstin 07-01-2012 - 04-29-2013 David Mclenahan 07-01-2012 - 04-29-2013 Russel Evans 07-01-2012 - 04-29-2013 Keith Ghezzi, MD 07-01-2012 - 04-29-2013 Tony Farah, MD 04-29-2013 - 06-30-2013 Ed Marasco 04-29-2013 - 06-30-2013 Officers: Robert Brandfass 07-01-2012 - 11-16-2012 Michael Sirott 02-28-2013 - 04-29-2013 Key Employees: Pamela Gallegher 07-01-2012 - 12-28-2012 Margaret Barron 07-01-2012 - 04-30-2013 Multiple individuals listed on Form 990, Part VII will not have compensation disclosed. This is due to the filing organization not being related to their compensating organization during the period for which compensation is required to be reported.
Health System Chief Executive and Chief Financial Officer Form 990, Page 7, Part VII, Section A, Column A Effective on November 7, 2011, Keith Ghezzi, MD and Douglas Womer were appointed as the System Chief Executive Officer and System Chief Financial Officer respectively. Neither Keith Ghezzi, MD nor Douglas Womer are employees of West Penn Allegheny Health System, Inc. or any of its affiliated organizations. Both are employees of Alvarez & Marsal Healthcare Industry Group, LLC (A&M); a management company engaged by the West Penn Allegheny Health System, Inc. Board of Directors to provide management oversight services to West Penn Allegheny Health System, Inc. and its affiliated organizations. Accordingly, no compensation is reported for Keith Ghezzi, MD or Douglas Womer on Form 990, Page 7, Part VII, Section A, Column (A). Please refer to the narrative in Schedule O corresponding to Form 990, Page 6, Part VI, Section A, Line 3 for a further understanding of the relationship between West Penn Allegheny Health System, Inc. and its affiliated organizations and A&M and Form 990, Page 10, Part IX, Line 11a for information related to the cost for West Penn Allegheny Health System, Inc. and its affiliated organizations to engage A&M for management oversight services.
Officer, Director and Key Employee Hour Allocation Form 990, Page 7, Part VII, Section A, Column B West Penn Allegheny Health System, Inc. is a member of the Allegheny Health Network by virtue of being affiliated with West Penn Allegheny Health System (WPAHS). Individuals employed by one organization may be assigned to provide management for an affiliated organization. As such, many individuals play key roles or serve as officers or directors on multiple affiliated organizations. Each individual will be assigned forty hours to the organization of their actual employment. If the individual is employed by one organization and appointed as an officer, director or key employee of affiliated organizations the hour allocation on Form 990, Part VII, Page 7, Column (B) takes various factors into account when attempting to assign hours in a reasonable manner. Thus, it is possible for a single individual to have hours assigned in excess of forty hours per week if all affiliated organization IRS Forms 990 is taken into account. Directors who are not employed and volunteer their services are assigned one hour of service. The actual time served for all individuals disclosed in IRS Form 990 can vary based upon the need of the organization.
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, 2012: Purchase Accounting Adjustments $447,996,222 Net Asset Transfers to Affiated Organizations (19,630,641) Change in Minimum Pension Liability 17,492,125 Adjust Net Income to Financial Statement Amount 6,982 ____________ Other Changes In Net Assets $ 445,857,706
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

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
2012
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" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) 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     WPAHS Inc
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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 entity?
Yes No
(1) Highmark Health

120 Fifth Ave Suite 922

Pittsburgh,PA15222
45-3674900 		Healthcare PA 501(c)(3) 11-I NA
 
 
No
(2) Allegheny Health Network

120 Fifth Ave Suite 922

Pittsburgh,PA15222
45-3674924 		Healthcare PA 501(c)(3) 11-I HMK Health
 
 
No
(3) Allegheny Medical Practice Network

4800 Friendship Ave

Pittsburgh,PA15224
25-1838457 		Healthcare PA 501(c)(3) 3 WPAHS Inc
 
 
No
(4) Allegheny Singer Research Institute

320 East North Ave

Pittsburgh,PA15212
25-1320493 		Sci Research PA 501(c)(3) 4 WPAHS Inc
 
 
No
(5) Allegheny Specialty Practice Network

320 East North Ave

Pittsburgh,PA15212
25-1838458 		Healthcare PA 501(c)(3) 3 WPAHS Inc
 
 
No
(6) Alle-Kiski Medical Center

1301 Carlisle Street

Pittsburgh,PA15065
25-1875178 		Healthcare PA 501(c)(3) 3 WPAHS Inc
 
 
No
(7) Alle-Kiski Medical Center Trust

1301 Carlisle Street

Pittsburgh,PA15065
20-5855753 		Fundraising PA 501(c)(3) 11-I AKMC
 
 
No
(8) Canonsburg General Hospital

100 Medical Blvd

Canonsburg,PA15317
25-1737079 		Healthcare PA 501(c)(3) 3 WPAHS Inc
 
 
No
(9) Canonsburg General Hospital Ambulance Se

100 Medical Blvd

Canonsburg,PA15317
23-2939715 		ER Response PA 501(c)(3) 9 CGH
 
 
No
(10) Canonsburg Hospital & Health Foundation

100 Medical Blvd

Canonsburg,PA15317
25-1818505 		Inactive PA 501(c)(3) 11-I NA
 
 
No
(11) Forbes Health Foundation

2570 Haymaker Rd

Monroeville,PA15146
25-1798379 		Fundraising PA 501(c)(3) 7 WPAHS Inc
 
 
No
(12) Greater Canonsburg Health System

100 Medical Blvd

Canonsburg,PA15317
25-1488089 		Inactive PA 501(c)(3) 11-I NA
 
 
No
(13) Suburban Health Foundation

100 South Jackson Ave

Pittsburgh,PA15202
25-1472073 		Fundraising PA 501(c)(3) 11-I WPAHS Inc
 
 
No
(14) The Western Pennsylvania Hospital Founda

4800 Friendship Ave

Pittsburgh,PA15224
25-1470766 		Fundraising PA 501(c)(3) 11-I WPAHS Inc
 
 
No
(15) West Allegheny Hospital

100 Medical Blvd

Pittsburgh,PA15317
25-1054206 		Inactive PA 501(c)(3) 3 NA
 
 
No
(16) West Penn Allegheny Oncology Network

4800 Friendship Ave

Pittsburgh,PA15224
11-3683376 		Healthcare PA 501(c)(3) 11-III FL WPAHS Inc
 
 
No
(17) West Penn Physician Practice Network

4800 Friendship Ave

Pittsburgh,PA15224
25-1494317 		Healthcare PA 501(c)(3) 9 WPAHS Inc
 
 
No
(18) JRMCUPMC Cancer Associates

565 Coal Valley Rd

Jefferson Hills,PA15236
20-1634783 		Healthcare PA 501(c)(3) 3 NA
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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
(1) Employee Benefit Data Services Company

120 Fifth Ave Suite 922
Pittsburgh,PA15222
25-1824465 		Data Services PA N/A
   0 0            
(2) Gateway Health Plan LP

444 Liberty Avenue Suite 2100
Pittsburgh,PA15222
25-1691945 		Insurance PA N/A
   0 0            
(3) Jenkins Empire Associates

120 Fifth Ave Suite 922
Pittsburgh,PA15222
25-1524682 		Property Mgmt PA N/A
   0 0            
(4) Silver Rain LP

120 Fifth Ave Suite 922
Pittsburgh,PA15222
27-3035436 		Property Mgmt PA N/A
   0 0            
(5) Provider PPI LLC

120 Fifth Ave Suite 922
Pittsburgh,PA15222
32-0429947 		Facilities Suppor PA N/A
   0 0            
(6) Chartwell Pennsylvania LP

120 Fifth Ave Suite 922
Pittsburgh,PA15222
 Medical Practice PA NA
  		  0 0            
(7) Waterfront Surgery Assoc

120 Fifth Ave Suite 922
Pittsburgh,PA15222
 Medical Practice PA NA
  		  0 0            
(8) Waterfront Medical Assoc

120 Fifth Ave Suite 922
Pittsburgh,PA15222
 Medical Practice PA NA
  		  0 0            
(9) Upper Midwest Consol Services Ctr LLC

120 Fifth Ave Suite 922
Pittsburgh,PA15222
 Medical Practice PA NA
  		  0 0            
(10) 5148 Liberty Avenue Associates

4800 Friendship Ave
Pittsburgh,PA15224
 Medical Practice PA N/A
   37,376 972,665   No       50.000 %
(11) Allegheny Imaging of McCandless

4800 Friendship Ave
Pittsburgh,PA15224
 Medical Practice PA N/A
   222,684 212,427   No       45.000 %
(12) Forbes Regional Urologic

4800 Friendship Ave
Pittsburgh,PA15224
 Medical Practice PA N/A
   0 0            
(13) McCandless Endoscopy Center

4800 Friendship Ave
Pittsburgh,PA15224
 Medical Practice PA N/A
   325,536 481,135   No       50.000 %
(14) North Shore Endoscopy Center

4800 Friendship Ave
Pittsburgh,PA15224
 Medical Practice PA N/A
   424,679 336,156   No       50.000 %
(15) West Penn Ambulatory Center

15305 Dallas Parkway
Pittsburgh,PA15224
 Medical Practice PA N/A
   -673,248 -174,554   No       51.000 %
(16) Peters Ambulatory Surgery Ctr LLC

4800 Friendship Ave
Pittsburgh,PA15224
 Medical Practice PA N/A
   0 0            
(17) UPMC Jefferson Regional Home Health LP

565 Coal Valley Rd
Jefferson Hills,PA15236
25-1844485 		    Fundraising
  		  0 0            
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Delaware Ancillary Insurance Agency

800 Delaware Avenue
Wilmington,DE198011368
51-0383213 		Insurance Service DE Highmark Inc
  		C Corporation          
(2) The Gateway Group LTD

800 Delaware Avenue
Wilmington,DE198011368
51-0293417 		Benefit Administr DE Highmark Inc
  		C Corporation          
(3) Highmark BCBSD Inc

800 Delaware Avenue
Wilmington,DE198011368
51-0020405 		Insurance DE Highmark Inc
  		C Corporation          
(4) Davis Vision Inc

175 East Houston Street
San Antonio,TX78205
11-3051991 		Vision Service TX Highmark Inc
  		C Corporation          
(5) Davis Vision IPA Inc

175 East Houston Street
San Antonio,TX78205
11-2958041 		TPA TX Highmark Inc
  		C Corporation          
(6) Visionworks Distribution Services Inc

175 East Houston Street
San Antonio,TX78205
04-3742989 		Optical Retail TX Highmark Inc
  		C Corporation          
(7) Visionworks Enterprises Inc

175 East Houston Street
San Antonio,TX78205
35-2196998 		Trademarks TX Highmark Inc
  		C Corporation          
(8) ECCA Managed Vision Care Inc

175 East Houston Street
San Antonio,TX78205
74-2759084 		Physician Service TX Highmark Inc
  		C Corporation          
(9) Empire Vision Center Inc

175 East Houston Street
San Antonio,TX78205
14-1586016 		Retail Sales TX Highmark Inc
  		C Corporation          
(10) Eye Drx Retail Management Inc

175 East Houston Street
San Antonio,TX78205
74-2924030 		Office Administra TX Highmark Inc
  		C Corporation          
(11) Visionworks Inc

175 East Houston Street
San Antonio,TX78205
02-0677066 		Optical Retail TX Highmark Inc
  		C Corporation          
(12) Gateway Health Plan Inc

444 Liberty Avenue Suite 2100
Pittsburgh,PA15222
25-1505506 		Insurance PA Highmark Inc
  		C Corporation          
(13) Gateway Health Plan of Ohio Inc

444 Liberty Avenue Suite 2100
Pittsburgh,PA15222
30-0282076 		Insurance PA Highmark Inc
  		C Corporation          
(14) HM Broker Services Inc

120 Fifth Ave Suite 922
Pittsburgh,PA15222
23-2384777 		Marketing Agent PA Highmark Inc
  		C Corporation          
(15) HCI Inc

120 Fifth Ave Suite 922
Pittsburgh,PA15222
75-3002215 		Finance & Insuran PA Highmark Inc
  		C Corporation          
(16) Highmark Casualty Insurance Company

120 Fifth Ave Suite 922
Pittsburgh,PA15222
25-1334623 		Insurance PA Highmark Inc
  		C Corporation          
(17) HM Health Insurance Company

120 Fifth Ave Suite 922
Pittsburgh,PA15222
54-1637426 		Insurance Sales PA Highmark Inc
  		C Corporation          
(18) Highmark Inc

120 Fifth Ave Suite 922
Pittsburgh,PA15222
23-1294723 		Insurance PA Highmark Inc
  		C Corporation          
(19) HM Casualty Insurance Company

120 Fifth Ave Suite 922
Pittsburgh,PA15222
87-0807723 		Insurance Sales PA Highmark Inc
  		C Corporation          
(20) HM Benefits Administrators Inc

120 Fifth Ave Suite 922
Pittsburgh,PA15222
25-1128451 		Funds Administrat PA Highmark Inc
  		C Corporation          
(21) HM Captive Insurance Company

120 Fifth Ave Suite 922
Pittsburgh,PA15222
65-1274122 		Insurance PA Highmark Inc
  		C Corporation          
(22) HM Insurance Group

120 Fifth Ave Suite 922
Pittsburgh,PA15222
25-1646315 		Management Servic PA Highmark Inc
  		C Corporation          
(23) Highmark West Virginia

PO Box 1948
Parkersburg,WV26102
55-0624615 		Insurance Sales WV Highmark Inc
  		C Corporation          
(24) HM Life Insurance Company

120 Fifth Ave Suite 922
Pittsburgh,PA15222
06-1041332 		Insurance Sales PA Highmark Inc
  		C Corporation          
(25) HM Life Insurance Company of New York

120 Fifth Ave Suite 922
Pittsburgh,PA15222
25-1800302 		Insurance Sales PA Highmark Inc
  		C Corporation          
(26) Highmark Senior Resources

120 Fifth Ave Suite 922
Pittsburgh,PA15222
20-2353206 		Insurance Sales PA Highmark Inc
  		C Corporation          
(27) HVHC Inc

175 East Houston Street
San Antonio,TX78205
25-1801124 		Holding Company TX Highmark Inc
  		C Corporation          
(28) Highmark Ventures Inc

120 Fifth Ave Suite 922
Pittsburgh,PA15222
25-1645888 		Holding Company PA Highmark Inc
  		C Corporation          
(29) JEA Inc

120 Fifth Ave Suite 922
Pittsburgh,PA15222
25-1712017 		Management Servic PA Highmark Inc
  		C Corporation          
(30) Keystone Health Plan West Inc

120 Fifth Ave Suite 922
Pittsburgh,PA15222
25-1522457 		Insurance Sales PA Highmark Inc
  		C Corporation          
(31) Miracle Optics Inc

3140 Route 22 West
Somerville,NJ08876
95-4481411 		Trading NJ Highmark Inc
  		C Corporation          
(32) Parker Benefits

PO Box 1948
Parkersburg,WV26102
55-0625743 		TPA WV Highmark Inc
  		C Corporation          
(33) South Shore Optometrists PC

2921 Erie Boulevard
Syracuse,NY13224
04-3429510 		Health Care NY Highmark Inc
  		C Corporation          
(34) Standard Property Corporation

120 Fifth Ave Suite 922
Pittsburgh,PA15222
25-1668093 		Real Estate Opera PA Highmark Inc
  		C Corporation          
(35) Union Benefit Management Inc

120 Fifth Ave Suite 922
Pittsburgh,PA15222
25-1845908 		Benefit Plan Mgmt PA Highmark Inc
  		C Corporation          
(36) United Concordia Companies Inc

4401 Deer Path Road
Harrisburg,PA17110
25-1687586 		Dental Insurance PA Highmark Inc
  		C Corporation          
(37) United Concordia Dental Corporation of

4401 Deer Path Road
Harrisburg,PA17110
63-1028262 		Dental Insurance PA Highmark Inc
  		C Corporation          
(38) United Concordia Dental Plans of Califor

4401 Deer Path Road
Harrisburg,PA17110
23-7328765 		Dental Insurance PA Highmark Inc
  		C Corporation          
(39) United Concordia Dental Plans of Florida

4401 Deer Path Road
Harrisburg,PA17110
65-0243292 		Dental Insurance PA Highmark Inc
  		C Corporation          
(40) United Concordia Dental Plans Inc

4401 Deer Path Road
Harrisburg,PA17110
52-1542269 		Dental Insurance PA Highmark Inc
  		C Corporation          
(41) United Concordia Dental Plans of Kentuck

4401 Deer Path Road
Harrisburg,PA17110
61-1012900 		Dental Insurance PA Highmark Inc
  		C Corporation          
(42) United Concordia Dental Plans of the Mid

4401 Deer Path Road
Harrisburg,PA17110
38-2289438 		Dental Insurance PA Highmark Inc
  		C Corporation          
(43) United Concordia Dental Plans of Pennsyl

4401 Deer Path Road
Harrisburg,PA17110
23-2541529 		Dental Insurance PA Highmark Inc
  		C Corporation          
(44) United Concordia Dental Plans of Texas

4401 Deer Path Road
Harrisburg,PA17110
74-2489037 		Dental Insurance PA Highmark Inc
  		C Corporation          
(45) United Concordia Insurance Company

4401 Deer Path Road
Harrisburg,PA17110
86-0307623 		Dental Insurance PA Highmark Inc
  		C Corporation          
(46) United Concordia Insurance Company of Ne

4401 Deer Path Road
Harrisburg,PA17110
11-3008245 		Dental Insurance PA Highmark Inc
  		C Corporation          
(47) United Concordia Life and Health Insuran

4401 Deer Path Road
Harrisburg,PA17110
23-1661402 		Dental Insurance PA Highmark Inc
  		C Corporation          
(48) Visionworks Lab Services Inc

175 East Houston Street
San Antonio,TX78205
04-3742977 		Optical Retail TX Highmark Inc
  		C Corporation          
(49) Visionary Properties Inc

175 East Houston Street
San Antonio,TX78205
74-2849554 		Leasing TX Highmark Inc
  		C Corporation          
(50) Visionary Retail Management Inc

175 East Houston Street
San Antonio,TX78205
74-2849552 		Office Administra TX Highmark Inc
  		C Corporation          
(51) Viva Europa Inc

3140 Route 22 West
Somerville,NJ08876
22-3390239 		Investing NJ Highmark Inc
  		C Corporation          
(52) Viva International Inc

3140 Route 22 West
Somerville,NJ08876
22-3106453 		Wholesale Distrib NJ Highmark Inc
  		C Corporation          
(53) Viva IP Corp

3140 Route 22 West
Somerville,NJ08876
22-3841079 		Holding Company NJ Highmark Inc
  		C Corporation          
(54) Viva Optique Inc

3140 Route 22 West
Somerville,NJ08876
22-2192365 		Wholesale Distrib NJ Highmark Inc
  		C Corporation          
(55) Visionworks of America Inc

175 East Houston Street
San Antonio,TX78205
74-2337775 		Retail Sales TX Highmark Inc
  		C Corporation          
(56) West Virginia Family Health Plan Inc

1219 Virginia Street East
Charleston,WV25301
45-2763165 		Insurance WV Highmark Inc
  		C Corporation          
(57) Prime Medical Group PCG 1

1200 Brooks Ln 110
Clairton,PA15025
26-4194208 		Medical Practice PA JRMC
  		C Corporation          
(58) Primary Care Group 2 Inc

6011 Baptist Rd Ste 220
Pittsburgh,PA15236
90-0451375 		Medical Practice PA JRMC
  		C Corporation          
(59) Primary Care Group 3 Inc

5426 Mifflin Rd
Pittsburgh,PA15227
90-0451380 		Medical Practice PA JRMC
  		C Corporation          
(60) Primary Care Group 4 Inc

1907 Lebanon Church Rd
West Mifflin,PA15122
80-0403090 		Medical Practice PA JRMC
  		C Corporation          
(61) Primary Care Group 5 Inc

624 Monongahela Ave
Glassport,PA15045
80-0403100 		Medical Practice PA JRMC
  		C Corporation          
(62) Primary Care Group 6 Inc

PO Box 333
West Mifflin,PA15122
45-3684432 		Medical Practice PA JRMC
  		C Corporation          
(63) Primary Care Group 7 Inc

575 Coal Valley Rd
Jefferson Hills,PA15025
90-0503600 		Medical Practice PA JRMC
  		C Corporation          
(64) Primary Care Group 8 Inc

803 Miller Ave
Clairton,PA15025
01-0927360 		Medical Practice PA JRMC
  		C Corporation          
(65) Primary Care Group 9 Inc

1200 Brooks Ln 270
Clairton,PA15025
01-0929359 		Medical Practice PA JRMC
  		C Corporation          
(66) Primary Care Group 10 Inc

3726 Brownsville Rd
Pittsburgh,PA15227
38-3807173 		Medical Practice PA JRMC
  		C Corporation          
(67) Primary Care Group 11 Inc

455 Valley Brook Rd Ste 300
McMurray,PA15317
80-0494617 		Medical Practice PA JRMC
  		C Corporation          
(68) Primary Care Group 12 Inc

17 Arentzen Blvd Ste 101
Charleroi,PA15022
90-0614054 		Medical Practice PA JRMC
  		C Corporation          
(69) Park Cardiothoracic & Vascular Inst

565 Coal Valley Rd
Jefferson Hills,PA15236
72-1529328 		Medical Practice PA JRMC
  		C Corporation          
(70) Family Practice Medical Associates South

2414 Lytle Rd Ste 300
Bethel Park,PA15102
25-1684735 		Medical Practice PA JRMC
  		C Corporation          
(71) Health System Services Corp & Subs

565 Coal Valley Rd
Jefferson Hills,PA15236
25-1403745 		Medical Office Bl PA JRMC
  		C Corporation          
(72) JRMC Health Pavilion

565 Coal Valley Rd
Jefferson Hills,PA15236
25-1203449 		Medical Practice PA JRMC
  		C Corporation          
(73) HSSC Diversified Services Inc

565 Coal Valley Rd
Jefferson Hills,PA15236
25-1770047 		Medical Practice PA JRMC
  		C Corporation          
(74) Specialty Group Practice 1 Inc

575 Coal Valley Rd Ste 365
Jefferson Hills,PA15025
35-2367818 		Medical Practice PA JRMC
  		C Corporation          
(75) Grandis Rubin Shanahan & Assoc

565 Coal Valley Rd
Jefferson Hills,PA15236
45-3355906 		Medical Practice PA JRMC
  		C Corporation          
(76) Steel Valley Orthopedics & Sports Medici

1200 Brooks Ln 240
Clairton,PA15025
45-3540378 		Medical Practice PA JRMC
  		C Corporation          
(77) Jefferson Hills Surgical Specialists PA

1200 Brooks Ln 150
Clairton,PA15025
30-0477313 		Medical Practice PA JRMC
  		C Corporation          
(78) JRMC Specialty Group Practice

565 Coal Valley Rd
Jefferson Hills,PA15236
72-1529332 		Medical Practice PA JRMC
  		C Corporation          
(79) JRMC Physician Service Corp

565 Coal Valley Rd
Jefferson Hills,PA15236
86-1159658 		Medical Practice PA JRMC
  		C Corporation          
(80) Pace Re Ltd

565 Coal Valley Rd
Jefferson Hills,PA15236
98-1109020 		Medical Practice PA JRMC
  		C Corporation          
(81) Pittsburgh Bone Joint and Spine Inc

565 Coal Valley Rd
Jefferson Hills,PA15236
25-1203449 		Medical Practice PA JRMC
  		C Corporation          
(82) West Penn Corporate Medical Services In

4800 Friendship Avenue
Pittsburgh,PA15224
25-1437405 		Medical Practice PA WPAHS Inc
  		C Corporation -363 29,175 100.000 % Yes  
(83) West Penn Neurosurgery PC

4800 Friendship Avenue
Pittsburgh,PA15224
25-1630719 		Medical Practice PA WPAHS Inc
  		C Corporation 583 583 100.000 % Yes  
(84) Burn Care Associates Ltd

4800 Friendship Avenue
Pittsburgh,PA15224
23-2899534 		Medical Practice PA WPAHS Inc
  		C Corporation 64,104 13,856 100.000 % Yes  
(85) Medical Center Clinic PC

4800 Friendship Avenue
Pittsburgh,PA15224
23-2894939 		Medical Practice PA WPAHS Inc
  		C Corporation -12,789 53,398 100.000 % Yes  
(86) Optima Imaging

4800 Friendship Avenue
Pittsburgh,PA15224
 Medical Practice PA WPAHS Inc
  		S Corporation 2,452   20.000 %   No
(87) HMPG Inc

120 Fifth Ave Suite 922
Pittsburgh,PA15222
45-3444325 		Holding Company PA AHN
  		C Corporation          
(88) Physician Landing Zone PC

120 Fifth Ave Suite 922
Pittsburgh,PA15222
45-3913973 		Health Care PA HMPG Inc
  		C Corporation          
(89) Lake Erie Medical Group PC

120 Fifth Ave Suite 922
Pittsburgh,PA15222
45-3444157 		Health Care PA HMPG Inc
  		C Corporation          
(90) Premier Medical Associates PC

120 Fifth Ave Suite 922
Pittsburgh,PA15222
25-1742869 		Health Care PA HMPG Inc
  		C Corporation          
(91) Beam Medical Associates PC

120 Fifth Ave Suite 922
Pittsburgh,PA15222
28-1816080 		Health Care PA HMPG Inc
  		C Corporation          
(92) Palladium Risk Retention Group

120 Fifth Ave Suite 922
Pittsburgh,PA15222
46-3476730 		Insurance PA HMPG Inc
  		C Corporation          
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
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-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Allegheny Specialty Practice Network

 1b 103,423,339 GAAP Accounting
(2) Allegheny Medical Practice Network

 1b 20,823,711 GAAP Accounting
(3) Allegheny Singer Research Institute

 1b 8,014,319 GAAP Accounting
(4) West Penn Physician Practice Network

 1c 333,696 GAAP Accounting
(5) Suburban Health Foundation

 1b 21,642 GAAP Accounting
(6) The Western Pennsylvania Hospital Foundation

 1b 382,691 GAAP Accounting
(7) West Penn Alleghney Oncology Network

 1c 191,682 GAAP Accounting
(8) Forbes Health Foundation

 1p 12,642 GAAP Accounting
(9) Alle-Kiski Medical Center

 1b 58,006 GAAP Accounting
(10) Allegheny Singer Research Institute

 1p 4,852,683 GAAP Accounting
(11) Medical Center Clinic

 1p 4,139 GAAP Accounting
(12) Allegheny Clinic

 1q 9,306 GAAP Accounting
(13) Alle-Kiski Medical Center

 1p 29,514,800 GAAP Accounting
(14) Canonsburg General Hospital

 1p 13,970,717 GAAP Accounting
(15) West Penn Corporate Medical Services

 1q 80,504 GAAP Accounting
(16) Burn Care Associates Ltd

 1p 1,429 GAAP Accounting
(17) West Penn Allegheny Oncology Network

 1p 72,945 GAAP Accounting
(18) West Penn Physician Practice Network

 1q 6,773 GAAP Accounting
(19) Allegheny Medical Practice Network

 1q 803,684 GAAP Accounting
(20) The Western Pennsylvania Hospital Foundation

 1p 252,029 GAAP Accounting
(21) Allegheny Specialty Practice Network

 1p 19,033,317 GAAP Accounting
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(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 Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
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 $103,423,339 for the year ended June 30, 2013. 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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