TY 2014 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Gregory Harbaugh........................................................................ Chair	1.0 .......................0.0	X	X	0
(2) Edward Marasco........................................................................ Vice Chair	1.0 .......................0.0	X	X	0
(3) William Richardson........................................................................ Director	1.0 .......................0.0	X		0
(4) Cheri Bomar........................................................................ Director	1.0 .......................0.0	X		0
(5) Sister Marguerite Coyne SSJ........................................................................ Director	1.0 .......................0.0	X		0
(6) Richard Talarico........................................................................ Director	1.0 .......................0.0	X		0
(7) Karen Evans........................................................................ Director	1.0 .......................0.0	X		0
(8) Arnold Fingeret MD........................................................................ Director	1.0 .......................0.0	X		0
(9) Natalie Vaccari Furlong DO........................................................................ Director	1.0 .......................0.0	X		0
(10) David Stapor........................................................................ Director	1.0 .......................0.0	X		0
(11) James Graham........................................................................ Director	1.0 .......................0.0	X		0
(12) Sister Geraldine Grandpre SSJ........................................................................ Director	1.0 .......................0.0	X		0
(13) Timothy Honkala MD........................................................................ Ex-Officio Director	1.0 .......................0.0	X		0
(14) Ambaram Chauhan MD........................................................................ Ex-Officio Director	1.0 .......................0.0	X		0
(15) Charles Modispacher........................................................................ Director - Emeritus	1.0 .......................0.0	X		0
(16) John Echement........................................................................ Director- Emeritus	1.0 .......................0.0	X		0
(17) Robert Baum........................................................................ Director	1.0 .......................10.0	X		140,767

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) David Blandino........................................................................ Director	1.0 .......................10.0	X				0	118,119	0
(19) Patricia Liebman........................................................................ Director	1.0 .......................39.0	X				0	1,132,224	89,945
(20) Thomas VanKirk........................................................................ Director	1.0 .......................39.0	X				0	1,663,816	160,822
(21) John Paul........................................................................ Director	1.0 .......................39.0	X				0	1,864,483	136,135
(22) Louise Urban........................................................................ EX-OFFICIO DIRECTOR & COO	40.0 .......................0.0	X	X			368,859	0	23,791
(23) John Dempster........................................................................ Ex-Officio Director & Presiden	40.0 .......................0.0	X	X			565,560	0	996,373
(24) Elizabeth Allen........................................................................ Treasurer	1.0 .......................39.0		X			0	756,501	55,916
(25) Joanne Hahey........................................................................ Treasurer	40.0 .......................0.0		X			549,480	0	177,609
(26) Jacqueline Bauer........................................................................ Secretary	1.0 .......................39.0		X			0	412,601	27,316
(27) Susan Barrett........................................................................ Assistant Secretary	40.0 .......................0.0		X			94,741	0	23,278
(28) James Rohrbaugh........................................................................ Assistant Treasurer	40.0 .......................0.0		X			108,452	0	5,020
(29) Marcie Caplan........................................................................ Senior Vice President	40.0 .......................0.0			X		510,651	0	233,851
(30) Rosanne Saunders........................................................................ VP Human Resources	40.0 .......................0.0			X		461,503	0	182,986
(31) Albert Ragan........................................................................ Vice President	40.0 .......................0.0			X		424,184	0	57,974
(32) Michael Evans........................................................................ VP Patient Experience/Support	40.0 .......................0.0			X		390,189	0	122,173
(33) James Witenske........................................................................ Director-Info Serv/ CIO	40.0 .......................0.0			X		187,593	0	225,803
(34) Richard Collins Jr MD........................................................................ SENIOR VP & CMO	.......................				X	387,702	0	338,859
(35) James Cooper........................................................................ Senior Executive VP	0.0 .......................0.0				X	384,613	0	414,891
(36) Daniel Lebish........................................................................ Assistant Treasurer	0.0 .......................0.0				X	0	952,318	107,078

(A) Name and business address	(B) Description of services	(C) Compensation
South Pittsburgh Anesthesia, 1699 washington Rd Ste 307 PITTSBURGH,PA15228	Physician	1,736,189
LDS Partners, 1200 Brooks Ln Ste 130 CLAIRTON,PA15025	Physician	540,020
Allegheny Specialty Practice, PO Box 951742 CLEVELAND,OH44193	Physician	399,400
Mostoufi Mahpareh MD PC, 105 Quail Hill Ln PITTSBURGH,PA15238	Physician	295,260
Emergency Physicians of Pittsburgh, 565 Coal Valley Rd JEFFERSON HILLS,PA15025	Physician	216,648
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 8

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 domestic organizations and domestic governments. See Part IV, line 21 ....	18,214	18,214
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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 ....	1,648,208	1,486,684	161,524
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 ....	77,720,919	70,104,269	7,616,650
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,002,071	903,868	98,203
9	Other employee benefits .......	10,530,742	9,498,729	1,032,013
10	Payroll taxes ...........	5,771,599	5,205,982	565,617
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	257,733	232,475	25,258
c	Accounting ...........	44,800	40,410	4,390
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	302,160		302,160
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	29,157,417	26,299,990	2,857,427
12	Advertising and promotion ....	256,907	231,730	25,177
13	Office expenses .......	961,096	329,877	629,729	1,490
14	Information technology ......	4,106,176	3,703,771	402,405
15	Royalties ..	0
16	Occupancy ...........	6,035,399	5,443,930	591,469
17	Travel ............	88,166	79,526	8,640
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	73,209	66,035	7,174
20	Interest ...........	3,475,739	3,135,116	340,623
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	18,085,011	18,085,011
23	Insurance ..............	3,900,002	3,517,802	382,200
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	MEDICAL SUPPLIES AND EQUIPMENT	57,555,767	57,555,767
b	BAD DEBTS	18,826,178	18,826,178
c	DATA PROCESSING	10,904,730	9,836,066	1,068,664
d	RESTRUCTURING	5,033,106	4,539,862	493,244
e	All other expenses	13,680,651	12,633,407	1,026,733	20,511
25	Total functional expenses. Add lines 1 through 24e	269,436,000	251,774,699	17,639,300	22,001
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 if following SOP 98-2 (ASC 958-720).	0

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	10,480	1	49,876
2	Savings and temporary cash investments .........	2,819,578	2	6,055,598
3	Pledges and grants receivable, net ...........	16,810	3	14,617
4	Accounts receivable, net .............	46,837,869	4	53,191,233
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 .............	760,972	7	1,476,473
8	Inventories for sale or use ..............	4,168,304	8	4,316,878
9	Prepaid expenses and deferred charges ..........	2,914,812	9	2,252,756
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	154,486,093
b	Less: accumulated depreciation .....	10b	32,706,252	113,420,667	10c	121,779,841
11	Investments—publicly traded securities ..........	117,120,172	11	99,755,673
12	Investments—other securities. See Part IV, line 11 .....	5,054,306	12	4,592,680
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	100,092,933	15	123,794,981
16	Total assets. Add lines 1 through 15 (must equal line 34)......	393,216,903	16	417,280,606
	17	Accounts payable and accrued expenses .........	94,829,062	17	136,739,951
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	105,661,679	20	101,228,740
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 ..	0	23	0
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....................	17,346,706	25	14,431,872
26	Total liabilities. Add lines 17 through 25.........	217,837,447	26	252,400,563
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	174,325,039	27	164,106,846
28	Temporarily restricted net assets ...........	757,631	28	476,411
29	Permanently restricted net assets ...........	296,786	29	296,786
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	175,379,456	33	164,880,043
34	Total liabilities and net assets/fund balances ........	393,216,903	34	417,280,606

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

Jefferson Regional Medical Center

Employer identification number

25-1260215

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

Jefferson Regional Medical Center

Employer identification number

25-1260215

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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 its Form 990PF, Part I, line 2, 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization Jefferson Regional Medical Center

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization Jefferson Regional Medical Center

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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
Jefferson Regional Medical Center

Employer identification number

25-1260215

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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

(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

(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

(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

(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) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Jefferson Regional Medical Center

Employer identification number

25-1260215

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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) 2014

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ......................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(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) 2014

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)

Yes

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

16,032

Total. Add lines 1c through 1i ...............................

16,032

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

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."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1	Lobbying expenses were paid to an outside firm to lobby on issues of importance that the Hospital feels is necessary to the achievement of its charitable purpose.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Jefferson Regional Medical Center

Employer identification number

25-1260215

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 value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

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)? .......................................

Yes No

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.

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.

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)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

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:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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
1a	Beginning of year balance ....	1,054,417	1,037,148
b	Contributions ........			1,037,148
c	Net investment earnings, gains, and losses		17,269
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	281,220
f	Administrative expenses ....
g	End of year balance ......	773,197	1,054,417	1,037,148

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

38.000 %

Temporarily restricted endowment SchDMd Bullet

62.000 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	8,763,087		8,763,087
b	Buildings ................	58,206,636	7,866,038	50,340,598
c	Leasehold improvements ............	2,295,515	1,009,687	1,285,828
d	Equipment ................	74,955,059	23,830,527	51,124,532
e	Other .................	10,265,796		10,265,796
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				121,779,841

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(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.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) AMOUNTS DUE FROM AFFILIATES				77,397,573
(2) INVESTMENTS IN SUBS AND PTNR				46,397,408







Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				123,794,981

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
CAPITAL LEASE		504,269
MALPRACTICE INSURANCE RECOVERY		9,920,882
LINE OF CREDIT		3,765,000
OTHER LIABILITIES		241,721





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		14,431,872
2. Liability for uncertain tax positions. 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) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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

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.

Return Reference

Explanation

Intended Use of the Organization's Endowment Funds

The intended use of Jefferson Regional Medical Center permanent and temporarily 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.

JRMC Inclusion In The Consolidated Audit of WPAHS

Inclusion In The Consolidated Audit Of Highmark Health: Jefferson Regional Medical Center (JRMC) does not issue independent audited financial statements. JRMC is a component of the Highmark Health consolidated audited financial statments. 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 ($8,913,055) Add: Income reclassified from unrestricted 604,344 Less: unrecognized loss 578,799 _________ Net income per Form 990 ($7,729,912) Highmark Health records uncertain tax positions in accordance with FASB Accounting Standards Codification (ASC) 740, Income Taxes. ASC 740 clarifies the accounting for uncertainty in income taxes by defining criteria that a tax position on an individual matter must meet before that position is recognized. ASC 740 also provides guidance on measurement, classification, interest and penalties, disclosure and accounting in interim periods.Based on an analysis prepared by Highmark Health, it was determined that the application of FASB ASC 740 had no material effect on the recorded assets and liabilities of HH on a standalone basis. The following is the footnote to the audited consolidated financial statements of Highmark Health for FASB ASC 740: At December 31, 2014 and 2013, gross unrecognized tax benefits (excluding the federal benefit received from state positions) were $150,575,000 and 147,685,000, respectively, and, if recognized, would have impacted the effective tax rate.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
Jefferson Regional Medical Center

Employer identification number

25-1260215

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17. Form 990-EZ

filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total .................

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2014

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 GALA (event type)	(b) Event #2 GOLF OUTING (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	273,780	202,095	475,875
2	Less: Contributions . .	18,200	25,000	43,200
3	Gross income (line 1 minus line 2) . . .	255,580	177,095	432,675
4	Cash prizes . . .		2,000	2,000
5	Noncash prizes . .		4,425	4,425
6	Rent/facility costs . .	60,808	38,069	98,877
7	Food and beverages .
8	Entertainment . . .
9	Other direct expenses .	67,973	27,021	94,994
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........			200,296
11	Net income summary. Subtract line 10 from line 3, column (d)...........			232,379

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2014

Page 3

Does the organization conduct gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activities conducted in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Jefferson Regional Medical Center

Employer identification number

25-1260215

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: .........

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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"? ..............

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

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? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) ..	5,009,002	3,535,002	1,474,000	0.590 %
b	Medicaid (from Worksheet 3, column a) ....	3,803,932	2,786,982	1,016,950	0.410 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	12,033,210	6,487,794	5,545,416	2.210 %
d	Total Financial Assistance and Means-Tested Government Programs .	20,846,144	12,809,778	8,036,366	3.210 %
Other Benefits		337,175		337,175	0.130 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	337,175		337,175	0.130 %
f	Health professions education (from Worksheet 5) ..	118,687		118,687	0.050 %
g	Subsidized health services (from Worksheet 6) ..	1,776,983		1,776,983	0.710 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	18,214		18,214	0.010 %
j	Total. Other Benefits ..	2,251,059		2,251,059	0.900 %
k	Total. Add lines 7d and 7j .	23,097,203	12,809,778	10,287,425	4.110 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

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.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	103,412	103,412	0.040 %
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	103,412	103,412	0.040 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

18,826,178

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. ......

3,836,629

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

Enter total revenue received from Medicare (including DSH and IME).....

118,588,788

Enter Medicare allowable costs of care relating to payments on line 5.....

141,955,518

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-23,366,730

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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.......................

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 %	(e) Physicians' profit % or stock ownership %
1JeffersonUPMC CANC	Oncology Services	50.000 %
2Jefferson Medical As	Medical Services	43.790 %
3WSC Realty Partners	Medical Office Building	23.490 %	76.510 %
4UPMC VNA Home Health	Home Health Services	33.420 %
5South Hills Surgery	Medical Services	41.920 %
6Waterfront Surgery A	Outpatient Surgery	25.000 %	75.000 %
7Upper Midwest Consol	Medical Products Supply Chain	1.270 %
8
9
10
11
12
13

Schedule H (Form 990) 2014

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?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	Jefferson Regional Medical Center 565 Coal Valley Road PO Box 18119 pittsburgh,PA15236 www.jeffersonregional.org	X	X	X

Schedule H (Form 990) 2014

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)

	Jefferson Regional Medical Center
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

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 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.ahn.org

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, 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) 2014

Page

Part VFacility Information (continued)

	Jefferson Regional Medical Center
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Jefferson Regional Medical Center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, PART V, SECTION B, LINE 5	The CHNA process included input from persons representing the broad interests of the community including individuals with special knowledge of or expertise in public health, organizations with information relevant to the health needs of the community and representatives of medically underserved populations. To achieve this end, the Hospital included representatives of the following organizations in the conduct of the CHNA: Allegheny County Dept of Human Services, Agency on Aging; Sister's Place, Inc.; Coldwell Banker Real Estate; Community College of Allegheny County, South Campus; Mon Valley Initiative; Highmark, Jefferson Regional Medical Center Board Members; and Jefferson Regional Medical Center Foundation Board Members.
SCHEDULE H, PART V, SECTION B, LINE 11	Jefferson Regional Medical Center conducted a Community Health Needs Assessment (CHNA) in accordance with IRC Section 501(r) and the guidance documented in the Internal Revenue Bulletin 2011-30, Notice 2011-52 and the proposed regulations issued April 5, 2013. The CHNA process began in April 2012 and concluded May 2013. The Board of Directors that govern Jefferson Regional Medical Center approved an implementation strategy designed to address the community health needs identified in the CHNA on May 20, 2013. The results of the CHNA identified multiple health needs in the communities we serve. The Hospital addressed the following health need: Increasing access to Women's Health Services in the Jefferson Regional Medical Center Service region. The CHNA identified the following health needs the Hospital chose not to address: Transportation to/from Medical Services was identified as a priority need in the community, but the hospital itself, does not have the resources to provide public transportation. Availability of broader community based services, indicating the need for more satellite offices was also identified, but the hospital did not have the resources to pursue additional satellite offices. Also, the affiliation with Highmark, opened the service area to a broader range of services through partnership with other providers within the Allegheny Health Network. Other priorities identified included perception of quality of local care; affordability of heath care/insurance; lack of physical activity; and air and water quality, all items that the hospital would not have the resources or the influence directly. The Hospital has made the CHNA widely available to the public. To accomplish this, we have included the Community Health Needs Assessment on the website www.ahn.org. The progress made to date implementing the CHNA includes the building of a women's center and a obstetrics unit at the hospital. Also, additional physicians, such as women's midlife specialist and urinary track specialists have been hired. Schedule H, Part V, Line 13h Jefferson Regional Medical Center is part of the integrated delivery system named Allegheny Health Network. In 2014, Jefferson Regional Medical Center adopted the Allegheny Health Network Financial Assistance Policy. During 2014, Allegheny Health Network enhanced its Financial Assistance Policy with a Presumptive eligibility program that enables AHN to make an informed decision on the financial need of patients utilizing the best estimates available in the absence of information provided directly by the patient. The Health system utilizes a healthcare industry-recognized model that is based on public record databases. This predictive model incorporates public record data to calculate a socio-economic and financial capacity score that includes estimates for income, assets and liquidity. The electronic technology is designed to assess each patient to the same standards and is calibrated against historical approvals for AHN financial assistance under the traditional application process. The electronic technology is deployed prior to bad debt assignment after all other eligibility and payment sources have been exhausted. This allows AHN to screen all patients for financial assistance prior to pursuing any extraordinary collection actions. The data returned from this electronic eligibility review will constitute adequate documentation of financial need under our policy. When electronic enrollment is used as the basis for presumptive eligibility, the highest discount of full free care is granted for eligible services for retrospective dates of service only. When electronic enrollment is used as the basis for presumptive eligibility, the highest discount of full free care is granted for eligible services for retrospective dates of service only. eligible services for retrospective dates of service only.
SCHEDULE H, PART V, SECTION B, LINE 22D	Charges For Medical Care Jefferson Regional Medical Center 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.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. 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?7
Name and address		Type of Facility (describe)
1	BETHEL PARK HEALTH & WELLNESS PAVILION 1000 HIGBEE DRIVE SUITE 110 BETHEL PARK,PA15102	THERAPY, DIAGNOSTIC AND LAB SERVICES
2	BRENTWOOD PROFESSIONAL PLAZA 3720 BROWNSVILLE ROAD 3RD FLOOR BRENTWOOD,PA15227	THERAPY, DIAGNOSTIC AND LAB SERVICES
3	JEFFERSON OUTPATIENT SERVICES BUILDING 140 CURRY HOLLOW ROAD PITTSBURGH,PA15236	THERAPY TREATMENT
4	BELLE VERNON MEDICAL ASSOCIATES BUILDING 1533 BROAD AVENUE SUITE 200 BELLE VERNON,PA15012	DIAGNOSTIC & LAB SERVICES
5	WATERFRONT MEDICAL BUILDING 495 WATERFRONT DRIVE EAST SUITE 10 HOMESTEAD,PA15120	DIAGNOSTIC & LAB SERVICES
6	YADAGANI PLAZA 97 DELAWARE AVENUE SUITE 103 UNIONTOWN,PA15401	DIAGNOSTIC & LAB SERVICES
7	CENTURY III MEDICAL BUILDING 2027 LEBANON CHURCH ROAD 1ST FLOOR WEST MIFFLIN,PA15122	DIAGNOSTIC & LAB SERVICES
8
9
10

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
Schedule H, Part I, Line 3	All uninsured patients qualify for discounted care. There is no income or asset test to qualify. Schedule H, Part III, Question 4 Jefferson regional Medical Center does not issue separate audited financial statements and therefore a footnote does not exist. Net patient service revenue and receivables are derived from patients who reside primarily in the medical center's local geographic region. Patient service revenue is reported at the estimated net realizable amounts from patients and third-party payers for services rendered at the time the service is performed and includes estimated retroactive revenue adjustments due to future audits, reviews and investigations. Revenue received under some third-party agreements is subject to examination and retroactive adjustment by the third-party payers. Provisions for estimated third-party payer settlements are provided in the period the related services are rendered. Differences between the amounts provided and subsequent adjustment are recorded in operations, as the adjustment becomes known. The costing methodology used in determining bad debts expense at cost and estimated amount of the organization's bad debt expense attributed to patients eligible under the organization's charity care policy is based on a cost accounting method. Jefferson Regional Medical Center is diligent in the classification of amounts as charity care or bad debt. We believe none of the amounts in bad debt would be reclassified to charity care given additional information.
Schedule H, Part III, Question 8	The information in this section was derived based on JRMC's decision support system based on payor specific reports. A large percentage of the population served (32.9%) are age 55 or older. These individuals are reliant on Medicare for their health care needs. We are committed to serving this sector of the population with the best care available. Thus, the unreimbursed costs we incur benefit the community with healthier and more independent seniors and should be treated as community benefit.
Schedule H, Part III, Question 9b	Understanding that some patients will not communicate the need for financial assistance until receipt of a bill, the patient financial services department accepts applications within 90 days of the date of service or within 90 days of denial by a third party payer. All applicants must apply for medical assistance coverage and final determination made by medical assistance before consideration of eligibility for the uncompensated care program. However, if because of a patient's resources it is evident that he or she will not be eligible on medical assistance coverage, this clause for eligibility consideration for the uncompensated care program is waived. Jefferson Regional Medical Center utilized the Paro scoring software product as a final attempt to identify patients who qualify for charity care prior to being referred to an outside collection agency. Paro scoring is a software product that uses a compilation of public data bases and a methodology to categorize self pay balance for eligible charity care. If the patient qualifies, Jefferson Regional Medical Center will write them off to free care.
Schedule H, Part V, Line 8 and Part VI, Line 2	Jefferson Regional Medical Center has created multiple touch points in the community that provide a conduit for the expression of community needs. Community Health Council: This is a formal group comprised of representatives from all of the 14 municipalities in our core service area. The council meets quarterly and is our link to organizations within their respective municipalities. The council keeps us in touch with community need and assists us in many ways such as obtaining sites in their communities for us to conduct our free stroke screenings. Members of the council act as a sounding board for any programming that we are developing so that the outcome dovetails the community need. Health for Her: this program educates women and provides tools on current health topics which empower them and enable them to be better healthcare consumers, practice preventive healthcare and positively pursue management of chronic disease. The topics for inclusion in the program are solicited directly from the many attendees and future programming is driven by this community input as well as input from family practice physicians who see firsthand what major healthcare problems are seen in their practices. Speakers Bureau: This program serves over 100 community organizations and responds directly to their individual needs. These organizations include but are not limited to AARP groups, church groups, neighborhood crime watch, schools, retired union clubs, civic organizations, long term care facilities, chamber of commerce, senior groups, dept. of energy, support groups, senior fairs, lunch & learn, teachers associations and family foundation. Our presentations are tailored to the health topic requested, thereby addressing an immediate community need. It may be a concern about H1N1 flu or information regarding how to quickly assess possible stroke and action to take. The presentations always include extensive question and answer periods and the speaker stays afterwards to address individual needs of the attendees. We also participate in community-sponsored health fairs. Retired Nurses Program: We provide outreach in the form of a monthly blood pressure clinic at off-sites which have determined a need for the community groups they serve. These include service to the lifespan senior sites (county programs) in our service area. The county area agency on aging has determined this community need for those they serve. Community Stroke Outreach: This program was developed in response to the significant number (35%) of individuals 55 years of age and older in our primary service area that are vulnerable to stroke with the risk doubling in each successive decade of life. Since the inception of the program we have identified 90% of the participants with risk factors. We were able to obtain broad-based grant funding from many foundations, insurers, and community appeal campaigns; This is proof of the high community priority given to this program and validation of the community need. Senior Services: This free program is offered to the community as described in other sections of Schedule H. It is included here to demonstrate the need for services as evidenced in the number of clients served during the prior tax reporting period: a total of 1,449 clients. This number served is a validation of the need that exists in our community which has a large senior population with few resources and a great need for comprehensive assistance and follow-up in order to decrease barriers to access of services for which they qualify. We also collaborate with other county and state programs for which the community need is already well established. The senior services program offers free non-medical assistance (information, referral and follow-up)to those in need, which relieves a burden that has been documented to have a beneficial effect of improving overall health status. Assistance with access to in-home services, application to government programs, transportation, and care-giving are representative of the calls received. We work in collaboration with the PA Dept. of Aging (HHS) to provide medical insurance counseling (apprise) and with AARP as a site for tax preparation and driver's safety. Senior Services' emphasis is on keeping seniors in their own homes to age-in-place. This ultimately reduces the burden on long term care and this goal is consistent with that of the Allegheny County Area Agency on Aging. The program utilizes a community-wide database for referrals and allows us to be an extension for government programs, with community needs already well established. All the above varied and diverse responses to community needs are delivered in varying degrees of collaboration with the community. Our outreach is comprehensive and very responsive to any need which is communicated to us. Jefferson Regional Medical Center conducted a Community Health Needs Assessment (CHNA) in accordance with IRC Section 501(r) and the guidance documented in the Internal Revenue Bulletin 2011-30, Notice 2011-52 and the proposed regulations issued April 5, 2013. The CHNA process began in April 2012 and concluded May 2013. The Board of Directors that govern Jefferson Regional Medical Center approved an implementation strategy designed to address the community health needs identified in the CHNA on May 20, 2013.
Schedule H, Part VI, Line 3	Jefferson Regional Medical Center 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 Jefferson Regional's charity care policy with a variety of communications during registration/admission and on their bills. Jefferson Regional Medical Center's charity care policy is communicated to eligible patients at registration through brochures available in the registration department that explain the program. A brochure titled Patient Payment Alternatives is provided to patients as part of the registration/admission process. This brochure describes Jefferson Regional Medical Center's credit policy, payment options, and the Health Concern Program, which provides for services at a reduced rate or without charge. Financial assistance contact information is provided in the brochure. Every in-patient is referred to a financial counselor for verification of insurance coverage benefits. If the patient has no insurance or minimum insurance, they are screened for referral to one of two outside agencies that we use to assist the patient for applying for medical assistance. The financial counselor also has the patient complete the uncompensated care (free care) application for Jefferson Regional Medical Center. This process is designed to identify patients who need medical assistance (uncompensated care and medical assistance criteria is not the same; the process searches for patients eligible for both). The front of the patient bills clearly state three payment options: option A is payment in full, with a 20 percent discount if the payment is received within 20 days of billing. Option B is the opportunity to make a payment arrangement, and pay off the bill in three equal monthly installments. Option C is the medical finance program for individuals needing more than three months to pay off their account balance. The back of the patient bill includes a section titled For Assistance in Paying Bills and provides income limits to qualify for the Health Concern Program. Financial assistance contact information is provided both on the front and the back of the patient bills. Additional Information: Translation services are available, if needed. Our financial counselors are trained on eligibility of both medical assistance (conducted by our outside vendors) and uncompensated care program (conducted by Jefferson Regional Medical Center management). We use an outside firm to assist the patient in actually applying for medical assistance. This company visits the patients in their home for follow up, or transports them to appointments, if necessary and conducts follow up as needed. Roles and responsibilities of financial assistance counselor include reviewing patient insurance and determining benefits available for that particular hospital stay. If there are no or limited benefits, they look to medical assistance. Social workers also identify financial assistance needs. Payment can be made by cash, check or credit card, as stated under the first option. In addition, application for a help loan is also a choice. All of these options will be discussed whenever the patient meets with the financial counselor.
Schedule H, Part VI, Line 4	The community that Jefferson Regional Medical Center serves is located in southwest Pennsylvania, in an area south of Pittsburgh, including the southern part of the City of Pittsburgh, and can best be described by geographic boundaries. The type of community Jefferson Regional Medical Center serves is primarily suburban, but also includes some urban and rural communities. The community we serve can be described from a demographic perspective as primarily white (87.7 percent), with some presence of African Americans (9.6percent) and only 2.7 percent other; only 1.1 percent Hispanic; 52.4 percent female and 47.6 percent male; skewing older with 28.7 percent ages 24 and under, 22.6 percent ages 25-45, 15.8 percent ages 45-54, and 32.9 percent ages 55 and older. In terms of income, 26.3 percent of the community has income at $24,999 and below, 28.3 percent between $25,000 and $49,999, 19.4 percent between $50,000 and $74,999 and 26 percent are at $75,000 and above. Percent of households below the poverty guidelines is not available. While the rate of uninsured or underinsured for the community we serve is undetermined at this point, 31 percent of the total cases treated in our emergency department in 2011 were uninsured or underinsured. The percent of families who are on Medicaid or other assistance in our service area is 15.5 percent; at Jefferson Regional Medical Center, the percent is 9.9 percent.
Schedule H, Part VI, Line 5	A majority of Jefferson Regional Medical Center's 19 member governing body is comprised of persons who reside in the primary service area. Jefferson Regional extends medical staff privileges to all qualified physicians in its community for most of its departments. Jefferson Regional Medical Center is involved in governance and advisory groups through its community health council, which was created 30+ years ago as a way for the communities in which we serve to be partners with their health care provider. Council members are appointed by the mayor of each community and serve as a liaison for their municipality. Jefferson Regional Medical Center is involved in advocacy initiatives through its participation in the Hospital Council of Western PA. Hospital Council works closely with governments throughout the region in conjunction with its members, on a local, state and federal level. Hospital Council assists members by providing and using data and information with local government outlining trends. State legislators often turn to hospital council and its members for the regional perspective on pending legislation and budget-related issues. Hospital council also provides testimony and comments when requested at local and state-related hearings, and works closely with Pennsylvania congressional and senate delegation on issues of importance to members and impacting the delivery of health care across the continuum in Western Pennsylvania. The emergency department, including our urgent care center called quick care, serves all persons regardless of the ability to pay. Of the total cases treated during 2014, approximately 33 percent were uninsured or underinsured. Jefferson Regional Medical Center participates in government sponsored health care programs including Medicare, Medicaid, Champus and Tricare. Financial assistance and sliding scale discounts are available (as described in section 3, above). Volunteers make a valuable contribution to the health care team at Jefferson Regional Medical Center. Volunteers are called upon to assist staff in many ways, including patient escorts, guest shop and gift cart services, physical/occupational therapy, information desk volunteer, mail room assistance, nursing unit assistance, patient representatives, intensive care and emergency department hosts, spiritual care representatives, x-ray patient representatives, and visitor/patient greeters. The Hospital enhances the overall well-being of the community by serving as a meeting place for many community groups, such as AA, Alanon, Alateen, Drivers Safety, Bereavement, Computer Classes, etc. Jefferson Regional Medical Center uses surplus funds to replace obsolete or work medical equipment, purchase innovative medical equipment and systems and make improvements to or expand physical plant in order to provide quality patient care. Jefferson is also consistently assessing community needs and addressing those needs with additional services.
Schedule H, Part VI, Line 6	Jefferson Regional Medical Center is a community hospital, located just south of the City of Pittsburgh, PA. Jefferson Regional Medical Center provides quality health care services from emergency admissions to inpatient hospitalization and leading edge surgery to rehabilitation and home care. Jefferson Regional Medical Center is part of the integrated delivery system named Allegheny Health Network. In addition to Jefferson Regional Medical Center, the Allegheny Health Network also includes West Penn Allegheny Health System, Saint Vincent Health System and Saint Vincent Health Center.
Schedule H, Part VI, Line 7	Jefferson Regional Medical Center 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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
Jefferson Regional Medical Center

Employer identification number
25-1260215

Part I

General Information on Grants and Assistance

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? ....................................

Yes No

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 Domestic Organizations and Domestic Governments. 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 section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) BOROUGH OF JEFFERSON AMBULANCE ASSOCIATION INC 2121 CENTURY DR JEFFERSON HILLS,PA15025	25-1298231	501(C)(3)	15,507	Contribution to refill oxygen tanks.

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. 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. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
Procedures for Monitoring the use of Grant Funds In the US	Jefferson Regional Medical Center 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 Jefferson Regional Medical Center was founded.

Schedule I (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Jefferson Regional Medical Center

Employer identification number

25-1260215

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

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 in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Richard Collins Jr MDSENIOR VP & CMO	(i) (ii)	330,412 ............................... 0	0 ............................... 0	57,290 ............................... 0	320,954 ............................... 0	17,905 ............................... 0	726,561 ............................... 0	0 ............................... 0
2Marcie CaplanSenior Vice President	(i) (ii)	441,262 ............................... 0	0 ............................... 0	69,389 ............................... 0	212,847 ............................... 0	21,005 ............................... 0	744,503 ............................... 0	0 ............................... 0
3Rosanne SaundersVP Human Resources	(i) (ii)	351,502 ............................... 0	0 ............................... 0	110,001 ............................... 0	164,393 ............................... 0	18,593 ............................... 0	644,489 ............................... 0	0 ............................... 0
4Albert RaganVice President	(i) (ii)	424,184 ............................... 0	0 ............................... 0	0 ............................... 0	37,869 ............................... 0	20,104 ............................... 0	482,157 ............................... 0	0 ............................... 0
5Michael EvansVP Patient Experience/Support	(i) (ii)	253,792 ............................... 0	0 ............................... 0	136,397 ............................... 0	112,085 ............................... 0	10,087 ............................... 0	512,361 ............................... 0	0 ............................... 0
6James WitenskeDirector-Info Serv/ CIO	(i) (ii)	187,593 ............................... 0	0 ............................... 0	0 ............................... 0	204,408 ............................... 0	21,094 ............................... 0	413,095 ............................... 0	0 ............................... 0
7Patricia LiebmanDirector	(i) (ii)	0 ............................... 605,282	0 ............................... 499,195	0 ............................... 27,747	0 ............................... 58,886	0 ............................... 31,059	0 ............................... 1,222,169	0 ............................... 0
8Thomas VanKirkDirector	(i) (ii)	0 ............................... 576,975	0 ............................... 925,564	0 ............................... 161,277	0 ............................... 148,112	0 ............................... 12,710	0 ............................... 1,824,638	0 ............................... 0
9John PaulDirector	(i) (ii)	0 ............................... 933,552	0 ............................... 900,944	0 ............................... 29,987	0 ............................... 104,088	0 ............................... 32,046	0 ............................... 2,000,617	0 ............................... 0
10Louise UrbanEX-OFFICIO DIRECTOR & COO	(i) (ii)	333,059 ............................... 0	25,000 ............................... 0	10,800 ............................... 0	5,200 ............................... 0	18,591 ............................... 0	392,650 ............................... 0	0 ............................... 0
11John DempsterEx-Officio Director & Presiden	(i) (ii)	534,039 ............................... 0	0 ............................... 0	31,521 ............................... 0	985,717 ............................... 0	10,657 ............................... 0	1,561,934 ............................... 0	0 ............................... 0
12James CooperSenior Executive VP	(i) (ii)	375,613 ............................... 0	0 ............................... 0	9,000 ............................... 0	397,080 ............................... 0	17,811 ............................... 0	799,504 ............................... 0	0 ............................... 0
13Elizabeth AllenTreasurer	(i) (ii)	0 ............................... 409,508	0 ............................... 325,000	0 ............................... 21,993	0 ............................... 46,733	0 ............................... 9,183	0 ............................... 812,417	0 ............................... 0
14Joanne HaheyTreasurer	(i) (ii)	343,862 ............................... 0	0 ............................... 0	205,618 ............................... 0	170,967 ............................... 0	6,642 ............................... 0	727,089 ............................... 0	0 ............................... 0
15Jacqueline BauerSecretary	(i) (ii)	0 ............................... 321,366	0 ............................... 71,578	0 ............................... 19,657	0 ............................... 12,155	0 ............................... 15,161	0 ............................... 439,917	0 ............................... 0
16Daniel LebishAssistant Treasurer	(i) (ii)	0 ............................... 0	0 ............................... 515,639	0 ............................... 436,679	0 ............................... 106,458	0 ............................... 620	0 ............................... 1,059,396	0 ............................... 436,142

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
Form 990, schedule J, Page 1, Line 1A	THE FOLLOWING REPRESENTS ADDITIONAL DISCLOSURE PERTAINING TO A KEY EMPLOYEE LISTED IN FORM 990, PART VII, SECTION A WHO RECEIVED A BENEFIT LISTED ON SCHEDULE J, LINE 1A FROM THE ORGANIZATION DURING THE YEAR ENDED DECEMBER 31, 2014: HOUSING ALLOWANCE - AN OFFICER RECEIVED A HOUSING ALLOWANCE UP FROM THE ORGANIZATION DURING THE YEAR ENDED DECEMBER 31, 2014. THIS GROSS UP WAS INCLUDED IN THE INDIVIDUAL'S BOX 5 OF THE IRS FORM W-2. Additional Compensation Disclosure The following represents additional disclosure for Schedule J, line 4a pertaining to officers listed in Form 990, Part VII, Section A, Line 1a receiving severance pay during the period January 1, 2014 - December 31,2014: Richard Collins Jr., MD $47,790 Marcie Caplan $69,389 Michael Evans $136,397 JoAnne Hahey $205,618 Rosanne Saunders $110,001 Daniel Lebish $436,107
Supplemental Nonqualified Retirement Plan	The following represents additional disclosure for Schedule J, line 4b pertaining to officers and a director listed in Form 990, Part VII, Section A, Line 1a participating in a supplemental nonqualified retirement plan: Jacqueline Bauer $2,740 John Dempster $255,374 Thomas VanKirk $27,484
Deferred Non-qualifying Retirement Plan 457(f)	The following individuals have amounts accrued related to 457(f) Non-qualifying retirement plans: Patricia Liebman $48,486 John Paul $95,127 Thomas VanKirk $68,934 Elizabeth Allen $46,733
Deferred Compensation	Retirement and other deferred compensation reflect amounts accrued to the benefit of the applicable individuals related to qualified pension and severance plans. In this reguard, the following individuals have amounts accrued related to future severance payments to be made: Richard Collins Jr., MD James Cooper John Dempster James Witenske Marcie Caplan Michael Evans JoAnne Hahey Rosanne Saunders

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
Jefferson Regional Medical Center

Employer identification number
25-1260215

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Allegheny County Hospital Development Authority	25-1260215	01728AZ41	09-22-2010	17,500,000	Construction-Renovation of Operati		X		X		X
B	Allegheny County Hospital Development Authority	25-1260215	01728AS31	07-24-2008	14,500,000	Miscellaneous Capital Projects		X		X		X
C	Allegheny County Hospital Development Authority	25-1260215		01-25-2007	14,105,000	Refund 2000B Bonds		X		X		X
D	Allegheny County Hospital Development Authority	25-1260215	01728AE51	04-27-2006	22,000,000	Refund 1996A Bonds		X		X		X
	Allegheny County Hospital Development Authority	25-1260215		04-11-2006	19,670,000	Refund 1996A Bonds		X		X		X
	Allegheny County Hospital Development Authority	25-1260215		05-07-2004	6,935,000	Refund 1994A Bonds		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	645,000		1,045,000		3,900,000		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	17,500,000		14,500,000		14,105,000		22,000,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	231,077		150,643		152,762		174,012
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	17,268,923		0		0		0
11 Other spent proceeds . . . . . . . . . . . . . .	0		14,349,357		13,952,238		21,825,988
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2012		2010		2007		2006
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		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		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

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		X		X		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?
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		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?		X		X				X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %		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 . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .
7 Does the bond issue meet the private security or payment test? . . . . .	X		X		X		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		X		X		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		X		X		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		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .	X		X		X		X
c No rebate due? . . . . . . . .		X		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .	X		X			X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X			X	X
b Name of provider . . . . . . . . .	0		PNC BANK		0
c Term of hedge . . . . . . . . . .	29.		29.				19.
d Was the hedge superintegrated? . . . .		X		X				X
e Was the hedge terminated? . . . . . .		X		X				X

Schedule K (Form 990) 2014

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		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K, PART III, LINE 9 AND PART IV, LINE 7 AND PART V	Jefferson Regional Medical Center is working towards putting into place the referenced procedures.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
Jefferson Regional Medical Center

Employer identification number
25-1260215

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Allegheny County Hospital Development Authority	25-1260215	01728AZ41	09-22-2010	17,500,000	Construction-Renovation of Operati		X		X		X
B	Allegheny County Hospital Development Authority	25-1260215	01728AS31	07-24-2008	14,500,000	Miscellaneous Capital Projects		X		X		X
C	Allegheny County Hospital Development Authority	25-1260215		01-25-2007	14,105,000	Refund 2000B Bonds		X		X		X
D	Allegheny County Hospital Development Authority	25-1260215	01728AE51	04-27-2006	22,000,000	Refund 1996A Bonds		X		X		X
	Allegheny County Hospital Development Authority	25-1260215		04-11-2006	19,670,000	Refund 1996A Bonds		X		X		X
	Allegheny County Hospital Development Authority	25-1260215		05-07-2004	6,935,000	Refund 1994A Bonds		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	645,000		1,045,000		3,900,000		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	17,500,000		14,500,000		14,105,000		22,000,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	231,077		150,643		152,762		174,012
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	17,268,923		0		0		0
11 Other spent proceeds . . . . . . . . . . . . . .	0		14,349,357		13,952,238		21,825,988
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2012		2010		2007		2006
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		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		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

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		X		X		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?
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		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?		X		X				X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %		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 . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .
7 Does the bond issue meet the private security or payment test? . . . . .	X		X		X		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		X		X		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		X		X		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		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .	X		X		X		X
c No rebate due? . . . . . . . .		X		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .	X		X			X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X			X	X
b Name of provider . . . . . . . . .	0		PNC BANK		0
c Term of hedge . . . . . . . . . .	29.		29.				19.
d Was the hedge superintegrated? . . . .		X		X				X
e Was the hedge terminated? . . . . . .		X		X				X

Schedule K (Form 990) 2014

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		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K, PART III, LINE 9 AND PART IV, LINE 7 AND PART V	Jefferson Regional Medical Center is working towards putting into place the referenced procedures.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Jefferson Regional Medical Center

Employer identification number

25-1260215

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) John Echement	Board Director	69,600	See Part V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
Business Transactions with Interested Persons	John Echement is a Director of Jefferson Regional Medical Center. A family member of his is an employee of Jefferson Diagnostic Services, LLC.

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

Jefferson Regional Medical Center

Employer identification number

25-1260215

Return Reference	Explanation
IRS Form 990 - Organizational Comment	Jefferson Regional Medical Center is a member of the integrated delivery system named Allegheny Health Network (The "Network"). In 2013, to be consistent with the Highmark Health tax year, Jefferson Regional Health Center changed its tax year from a fiscal year ended June 30th to Calendar year. This transition caused the short period July 1, 2013 through December 31, 2013. Prior period balances on the calendar year 2014 Form 990 are not reflective of a full twelve month period. Form 990, Page 2, Part III, Line 4a INTRODUCTION Jefferson Regional Medical Center (JRMC)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 JRMC, AHN consists of seven hospitals and numerous other organizations dedicated to serving the community. You can visit the AHN at www.ahn.org. UNCOMPENSATED CARE To enhance the health status of the community in which it operates and consistent with its tax-exempt status, JRMC provides needed health care services to individuals regardless of their ability to pay for all or part of the services rendered. Consistent with the filing of Schedule H, the components of uncompensated care include charity care, unreimbursed Medicaid costs and other means tested government programs. JRMC provided uncompensated care at a cost of $8,036,366 in the period January 1 through December 31, 2014. JRMC's uncompensated care policy bases eligibility on household gross income of those persons applying for uncompensated care. A sliding scale based upon federally approved poverty income guidelines is used to determine levels of uncompensated care eligibility. JRMC annually updates uncompensated care eligibility requirements to adhere to Federal guidelines. A large percentage of the population served (32.9%) are age 65 or older. These individuals are reliant on Medicare for their health care needs. We are committed to serving this sector of the population with the best care available. Thus, it is management's opinion that the unreimbursed costs we incur benefit the community with healthier and more independent seniors and should be treated as a community benefit. Understanding that some patient will not communicate the need for financial assistance until receipt of a bill, the patient financial services department accepts applications within 90 days of the date of service or within 90 days of denial by a third party payer. All applicants must apply for medical assistance coverage and final determination made by medical assistance before consideration of eligibility for the uncompensated care program. However, if because of a patient's resources it is evident that he will not be eligible on medical assistance coverage, this clause for eligibility consideration for the uncompensated care program is waived. JRMC utilized the Paro scoring software product as a final attempt to identify patients who qualify on charity care prior to being referred to an outside collection agency. Paro scoring is a software product that uses a compilation of public data bases and a methodology to categorize self pay balances for eligible charity care. If the patient qualifies, JRMC will move the amount to free care. 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 extend beyond patient care activities and are subsidized by the Hospital. The programs ranged from community health education to free clinics and screenings. Consistent with the filing of Schedule H, JRMC provided the following community health services during the twelve months ended December 31, 2014 at an estimated cost of $337,175.
Statement of Program Service Accomplishments - continued	Senior Services - Senior Services is a free program offering free non-medical assistance (information, referral and follow-up) to those seniors in need. The 1,432 client served is validation to the need that exists in our community. Our service area has a large senior population, with few resources and a great need for comprehensive assistance and follow-up in order to decrease the barriers to access healthcare. The program also collaborates with other Allegheny County and Pennsylvania programs for which the community need is already well established. Community Stroke Outreach Program - The Community Stroke Outreach program was developed in response to the significant number (35%)of individuals 55 years of age and older in our primary service area that are vulnerable to stroke with the risk doubling in each successive decade of life. Screenings are held in a variety of venues in order to identify risk factors for as many as possible. Blood Pressure Clinics- Outreach services are also provided by monthly offsite blood pressure clinics. Locations include lifespan senior sites (Allegheny County program) in our service area. The County Agency on Aging has determined this to be a community need for those they serve. Health For Her Program - The Health for Her program educates women and provides tools on current health topics which empower women and enable them to be better healthcare consumers, practice preventive healthcare and positively pursue management of chronic disease. The topics for inclusion in the program are solicited directly from the many attendees and future programming is driven by this community input as well as input from family practice physicians that see the needs of the community first hand. JRMC Speakers Bureau - The Speakers Bureau serves over 100 community organizations and responds directly to their individual needs. These organizations include AARP groups, church groups, neighborhood crime watches, schools, civic organizations, long term care facilities, chambers of commerce, senior groups, etc. Our presentations are tailored to the health topic requested by the caller thereby addressing an immediate need in the community. It may be a concern about flu or information regarding how to quickly assess a possible stroke and what action to take. The presentations always include extensive question and answer periods and the speaker stays afterwards to address individual concerns of the attendees. We also participate in community-sponsored health fairs. HEALTH PROFESSIONS EDUCATION JRMC provides aspiring health professionals with educational opportunities to further their career in healthcare. Consistent with the filing of Schedule H, JRMC provided these services at a cost of $118,687 for the twelve months ending December 31, 2014. Higher Education Partnership - JRMC has partnerships with multiple colleges and universities to provide clinical experience for students completing their degrees. These partnerships include programs for nursing, pharmacy and technicians. SUBSIDIZED HEALTH SERVICES Subsidized health services represent those programs provided to the community by JRMC despite the fact the organization incurs a financial loss to do so. Jefferson Regional Medical Center recognizes the need of its community and voluntarily subsidizes these programs in support of its charitable mission. In this regard, Jefferson Regional Medical Center subsidized the Congestive Heart Failure (CHF) clinic; The Wellness Center; wound care; and emergency dispatch services. These services are available to all in the community regardless of whether the participant is a patient of JRMC. Consistent with the filing of Schedule H, JRMC, provided subsidized health services at a cost of $1,776,983 for the twelve months ending December 31, 2014. CASH CONTRIBUTIONS Cash Donations - Jefferson Regional Medical Center supports the community through cash contributions made at the discretion of the Hospital and its directors, benefiting not only the non-profit recipient but ultimately the community as a whole. The organization made cash contributions totaling $18,214 including contributions to: St. Paul of the Cross Monestary Borough of Jefferson Ambulance Sisters of St. Joseph Medical and Health Sciences Foundation March of Dimes COMMUNITY BUILDING ACTIVITES Community Building Activities include activities engaged in for the purpose of improving or protecting the health, future and well being of the community. Consistent with the filing of Schedule H, JRMC provided these services at a cost of $103,412 for the twelve months ending December 31, 2014. The Community Health Council - The community health council originated more than 30 years ago in response to the construction of the hospital as a way for the communities we serve to be partners with their healthcare provider. The members were appointed by the mayor of each community as the representative who would be the liaison for their municipality. During the past year, the council worked to find community sites for the medical center to conduct free stroke screenings. Through their community contacts they were able to obtain venues that would not otherwise have been available. The council disseminates information to the communities, informing them of the many opportunities for improved access and health education for prevention and chronic disease management. Job Shadowing and Career Exploration - JRMC also has partnerships with multiple colleges, universities, technical schools and high schools and provide a site for job shadowing and career exploration. This involves approximately 20 different departments and many types of programs spanning degrees in nursing to ultrasound/vascular technicians. The programs allow students to explore opportunities in the health care industries and/or to "shadow" a professional through their day, learning the rewards and challenges that the career offers. JRMC believes it is important to present health care careers to students so that they can make wise career commitments.
Operational Oversight and Change to Organizational Governing Documents	Jefferson Regional Medical Center is a member of the integrated delivery system named Allegheny Health Network. Deloitte Financial Advisory Services, LLP (Deloitte) was engaged to assign a Chief Financial Officer and Treasurer to Allegheny Health Network. Elizabeth Allen was appointed in an interim capacity to these positions and was under the employment of Deloitte from January 1, 2014 until May 5, 2014. She has daily oversight of all financial matters pertinent to the operation of the network. Elizabeth Allen became an employee of the Allegheny Health Network on May 5, 2014. Form 990, Page 6, Part VI, Section A, Question 4 The bylaws of Jefferson Regional Medical Center were amended effective May 21,2014 to reflect the name change of UPE and Highmark to Highmark Health wherever applicable. The Finance and Investment Committee was removed from the group of Standing and Special Committees. The bylaws were also amended on November 3, 2014. A majority approval of all Corporate directors present at duly called meetings prior to Corporate action was defined.
Form 990 Review Process	The IRS Form 990 of Jefferson Regional Medical Center was prepared by the Highmark Health Tax Department. Prior to filing the final tax return with the Internal Revenue Service, members of senior management reviewed components of the tax return. All voting members of the governing body received a copy of the tax return in advance of filing the tax return with the Internal Revenue Service.
Monitoring and Enforcement of the Conflict of Interest Policy	Highmark Health (HH), the parent organization of Jefferson Regional Medical Center (JRMC), has a corporate compliance department that monitors and oversees compliance with the JRMC conflict of interest policy. The following describes the manner in which the corporate compliance department monitors and oversees compliance with the conflict of interest policy for JRMC: Conflict of Interest disclosure forms are completed on an annual basis by all board members, officers and employees who have title of Manager and above. Upon completion of the above disclosure statement by all applicable individuals, a report is generated listing all individuals that have reported a conflict. The HH Compliance Officer reviews 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. 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 the HH Executive Compliance Council with the Legal Department and JRMC senior management and finally with the HH Audit and Compliance Subcommittee of the Board.
Process Used To Determine Executive Compensation	The top management official, officers and key employees of Jefferson Regional Medical Center are employed by both Jefferson Regional Medical Center and related organizations. The executive compensation policy is different for certain individuals. Stated below is the executive compensation policies that cover the top management official, officers and key employees of Jefferson Regional Medical Center: The Jefferson Regional Medical Center (JRMC) process for determining compensation for executive positions (including officers, key employees and other management positions) is covered by the HH Executive Compensation Policy. This policy was approved by the HH Board of Directors. It is the policy of HH 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 HH. The Personnel & Compensation Committee makes recommendations to the HH Board of Directors who ultimately approve the compensation for newly hired senior executives. Compensation shall include all compensation components, including without limitation, base compensation, incentive compensation, deferred compensation, fringe and other benefits, as well as the total compensation. The Board of Directors 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 Personnel & Compensation Committee uses comparability data provided by an independent compensation consultant. The external consultant provides a letter of reasonability for all offers made to new executives. Each Board of Director 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.
Public Access To Organizational Documents	Jefferson Regional Medical Center (JRMC)does not make its governing documents available to the public. HH financial statements are on a consolidated basis which include JRMC. The audited financial statements of HH are available upon the request and approval by the CFO of Highmark Health. JRMC has adopted a conflict of interest policy that is uniformly applied to all HH organizations. This policy is not made available to the public.
Compensation Reported For Individuals	The following individuals served as an Directors and Officers of Jefferson Regional Medical Center (JRMC). They did not hold there respective position with JRMC for a consecutive twelve month period. The dates of their respective service is listed below. Sister Marguerite Coyne,SSJ 01-01-2014 - 06-30-2014 Richard Talarico 01-01-2014 - 06-30-2014 Karen Evans 01-01-2014 - 06-30-2014 Arnold Fingeret,MD 01-01-2014 - 06-30-2014 Natalie Vaccari Furlong,DO 01-01-2014 - 06-30-2014 Louise Urban 05-21-2014 - 12-31-2014 John Dempster 01-01-2014 - 07-23-2014 Richard Collins Jr.,MD 01-01-2014 - 05-21-2014 JoAnne Hahey 01-01-2014 - 05-21-2014 James Graham 01-01-2014 - 06-30-2014 Timothy Honkala 01-01-2014 - 05-21-2014 Edward Marasco 01-01-2014 - 06-30-2014
Purpose Of Tax Exempt Bond Issuance	In September 2010, Jefferson Regional Medical Center (JRMC) issued $17,500 (2010-A) of bonds through the Allegheny County Hospital Development Authority of which the proceeds were deposited into a project fund and are to be used primarily for expansion and renovation of the surgical suites. The bonds are secured by a Trust Indenture between the Authority and the JRMC and from the JRMCs 2010 Promissory Note issued to the Authority. The 2010-A is a 30-year variable rate bond, with annual principal payments which began in 2012 and continue until maturity in 2040. In July 2008, JRMC issued $14,500 (2008-A) bonds through the Authority of which the majority of the proceeds were used for various capital projects with the remaining $1,940 held in trust at U.S. Bank. The 2008-A is a variable rate bond, with annual principal payments which began in 2010 and continue until maturity in 2038. In February 2007, JRMC issued $14,105 (2007-A) bonds through the Authority of which the proceeds were used primarily for refunding the Medical Centers Series 2000-B serial bonds. $6,695 of this issue is due over a period of 10 years and $7,410 is due May 1, 2025. In May 2006, JRMC issued $22,000 (2006-A) and $19,670 (2006-B) of bonds through the Authority of which the proceeds were used primarily for refunding JRMCs Series 1996-A serial bonds. The principal payments for the 2006-B serial bonds are due over a period of 12 years. The first principal payment for the Series 2006-A variable rate bonds is due on May 1, 2018, and the payments are due over a period of nine years. In May 2004, JRMC issued $6,935 (2004-A) of bonds through the Authority of which the proceeds were used primarily for refunding JRMCs Series 1994-A serial bonds. The principal payments for the 2004-A bonds are due over a period of 10 years. All (2004-A) bonds were retired for the period ended December 31, 2014. In May 2000, JRMC issued $15,000 (2000-A) of bonds through the Authority of which the proceeds were used primarily to finance various capital projects. The principal payments for the 2000-A bonds are due over a period of 27 years. In March 1998, JRMC issued $22,460 (1998-A) of bonds through the Authority of which the proceeds were used primarily for refunding JRMCs Series 1992-A serial bonds. The principal payments for the 1998-A bonds are due over a period of 10 years beginning on May 1, 2020. Schedule K has been inserted into this Form 990 for full disclosure purposes.
Other Changes In Net Assets	The following is a reconciliation of the Other Changes in Net Assets of the Jefferson Regional Medical Center for the calendar year ended December 31, 2014: SWAP Adjustment $2,282,561 Transfer From Affiliates 37,916,110 Other 614,636 ____________ Other Changes In Net Assets $40,813,307

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Jefferson Regional Medical Center

Employer identification number

25-1260215

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on 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) JRMC Diagnostic Services LLC 565 Coal Valley Road Pittsburgh,PA15025 80-0069336	Medical Pract	PA	-105,995	525,726	JRMC
(2) Jefferson Magnetic Resonance Imaging LLC 565 Coal Valley Road Pittsburgh,PA15025 25-1840696	Medical Pract	PA			JRMC

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) Allegheny Clinic 320 East North Ave Pittsburgh,PA15212 25-1838458	Healthcare	PA	501(c)(3)	3	WPAHS Inc		No
(2) Allegheny Health Network 120 Fifth Ave Suite 922 Pittsburgh,PA15222 45-3674924	Healthcare	PA	501(c)(3)	11-I	Highmark Hea		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) Alle-Kiski Medical Center 1301 Carlisle Street Pittsburgh,PA15065 25-1875178	Healthcare	PA	501(c)(3)	3	WPAHS Inc		No
(6) Alle-Kiski Medical Center Trust 1301 Carlisle Street Pittsburgh,PA15065 20-5855753	Fundraising	PA	501(c)(3)	11-I	AKMC		No
(7) Canonsburg General Hospital 100 Medical Blvd Canonsburg,PA15317 25-1737079	Healthcare	PA	501(c)(3)	3	WPAHS Inc		No
(8) Canonsburg General Hospital Ambulance Se 100 Medical Blvd Canonsburg,PA15317 23-2939715	ER Response	PA	501(c)(3)	9	CGH		No
(9) Canonsburg Hospital & Health Foundation 100 Medical Blvd Canonsburg,PA15317 25-1818505	Inactive	PA	501(c)(3)	11-I	NA		No
(10) Clinical Pathology Institute Cooperative 1526 Peach Street Erie,PA16501 25-1528055	Healthcare	PA	501(c)(3)	3	SVHC		No
(11) Community Blood Bank 232 West 25th Street Erie,PA16544 25-1181389	Healthcare	PA	501(c)(3)	11-I	SVHC		No
(12) EnergyCare Inc 232 West 25th Street Erie,PA16544 25-1430922	Healthcare	PA	501(c)(3)	9	SVHC		No
(13) Forbes Health Foundation 2570 Haymaker Rd Monroeville,PA15146 25-1798379	Fundraising	PA	501(c)(3)	7	WPAHS Inc		No
(14) Greater Canonsburg Health System 100 Medical Blvd Canonsburg,PA15317 25-1488089	Inactive	PA	501(c)(3)	11-I	NA		No
(15) Highmark Health 120 Fifth Ave Suite 922 Pittsburgh,PA15222 45-3674900	Healthcare	PA	501(c)(3)	11-I	NA		No
(16) JRMCUPMC Cancer Associates 565 Coal Valley Rd Jefferson Hills,PA15236 20-1634783	Healthcare	PA	501(c)(3)	3	JRMC	Yes
(17) Regional Cancer Center 232 West 25th Street Erie,PA16544 25-1385705	Healthcare	PA	501(c)(3)	3	SVHS		No
(18) Regional Heart Network 232 West 25th Street Erie,PA16544 25-1856341	Healthcare	PA	501(c)(3)	3	SVHC		No
(19) Regional Home Health and Hospice 232 West 25th Street Erie,PA16544 83-0371265	Healthcare	PA	501(c)(3)	9	SVHS		No
(20) Saint Vincent Affiliated Physicians 1910 Sassafras Street Erie,PA16502 20-3784338	Healthcare	PA	501(c)(3)	9	SVHS		No
(21) Saint Vincent Foundation - HHS 232 West 25th Street Erie,PA16544 25-1669168	Fundraising	PA	501(c)(3)	11-I	SVHS		No
(22) Saint Vincent Health Center 232 West 25th Street Erie,PA16544 25-0965547	Healthcare	PA	501(c)(3)	3	AHN		No
(23) Saint Vincent Health System 232 West 25th Street Erie,PA16544 25-1406710	Healthcare	PA	501(c)(3)	11-I E	AHN		No
(24) Saint Vincent Med Ed & Research 1910 Sassafras Street Erie,PA16502 25-1679140	Healthcare	PA	501(c)(3)	9	SVHS		No
(25) Suburban Health Foundation 100 South Jackson Ave Pittsburgh,PA15202 25-1472073	Fundraising	PA	501(c)(3)	11-I	WPAHS Inc		No
(26) The Western Pennsylvania Hospital Founda 4800 Friendship Ave Pittsburgh,PA15224 25-1470766	Fundraising	PA	501(c)(3)	11-I	WPAHS Inc		No
(27) Vantage Health Group 232 West 25th Street Erie,PA16544 25-1498145	Healthcare	PA	501(c)(3)	3	SVHC		No
(28) West Allegheny Hospital 100 Medical Blvd Pittsburgh,PA15317 25-1054206	Inactive	PA	501(c)(3)	3	NA		No
(29) West Penn Allegheny Health System Inc Two Allegheny Ctr Pittsburgh,PA15212 25-0969492	Healthcare	PA	501(c)(3)	3	AHN		No
(30) West Penn Allegheny Oncology Network 4800 Friendship Ave Pittsburgh,PA15224 11-3683376	Healthcare	PA	501(c)(3)	11-III FL	WPAHS Inc		No
(31) Westfield Memorial Hospital Inc 189 East Main Street Westfield,NY14787 16-0743222	Healthcare	NY	501(c)(3)	3	SVHS		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) 5148 Liberty Avenue Associates 4800 Friendship Ave Pittsburgh,PA15224 25-0969492	Medical Practice	PA		NONE	0	0		No	0		No	0 %
(2) Allegheny Imaging of McCandless 4800 Friendship Ave Pittsburgh,PA15224	Medical Practice	PA		NONE	0	0		No	0		No	0 %
(3) Associated Clinical Lab LP 312 West 25th Street Erie,PA16502 25-1533746	Medical Practice	PA		NONE	0	0		No	0		No	0 %
(4) Associated Clinical Lab of PA Ltd 312 West 25th Street Erie,PA16502 45-3688292	Medical Practice	PA		NONE	0	0		No	0		No	0 %
(5) Employee Benefit Data Services Company 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1824465	Data Services	PA		NONE	0	0		No	0		No	0 %
(6) Erie Medical Complex LLC 312 West 25th Street Erie,PA16502 20-1017545	Medical Practice	PA		NONE	0	0		No	0		No	0 %
(7) Forbes Regional Urologic 4800 Friendship Ave Pittsburgh,PA15224	Medical Practice	PA		NONE	0	0		No	0		No	0 %
(8) Gateway Health Plan LP 444 Liberty Avenue Suite 2100 Pittsburgh,PA15222 25-1691945	Insurance	PA		NONE	0	0		No	0		No	0 %
(9) Jefferson Medical Associates LP 1200 Brooks Ln 150 Clairton,PA15025	Medical Practice	PA		NONE	215,157	5,124,545		No	0		No	43.790 %
(10) Jenkins Empire Associates 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1524682	Property Mgmt	PA		NONE	0	0		No	0		No	0 %
(11) JV Holdco LLC 120 Fifth Ave Suite 922 Pittsburgh,PA15222	Medical Practice	PA		NONE	0	0		No	0		No	0 %
(12) McCandless Endoscopy Center 4800 Friendship Ave Pittsburgh,PA15224	Medical Practice	PA		NONE	0	0		No	0		No	0 %
(13) North Shore Endoscopy Center 4800 Friendship Ave Pittsburgh,PA15224	Medical Practice	PA		NONE	0	0		No	0		No	0 %
(14) Peters Ambulatory Surgery Ctr LLC 4800 Friendship Ave Pittsburgh,PA15224	Medical Practice	PA		NONE	0	0		No	0		No	0 %
(15) Provider PPI LLC 120 Fifth Ave Suite 922 Pittsburgh,PA15222 32-0429947	Facilities Suppor	PA		NONE	0	0		No	0		No	0 %
(16) Saint Vincent NWPA Surgery Ct Ltd 312 West 25th Street Erie,PA16502 05-0591755	Medical Practice	PA		NONE	0	0		No	0		No	0 %
(17) Saint Vincent Professional Bldg Leasehol 312 West 25th Street Erie,PA16502 25-1578290	Property Mgmt	PA		NONE	0	0		No	0		No	0 %
(18) Silver Rain LP 120 Fifth Ave Suite 922 Pittsburgh,PA15222 27-3035436	Property Mgmt	PA		NONE	0	0		No	0		No	0 %
(19) South Hills Surgery Center LLC 6161 Clairton Rd West Mifflin,PA15122 27-4011352	Medical Practice	PA		NONE	0	190,000		No	0		No	41.920 %
(20) Tri State Regional Assoc LLP 312 West 25th Street Erie,PA16502 23-2919277	Medical Practice	PA		NONE	0	0		No	0		No	0 %
(21) UPMC VNA Home Health LP 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1844485	Medical Practice	PA		NONE	2,059,488	12,071,461		No	0		No	33.420 %
(22) Upper Midwest Consol Services Ctr LLC 7601 Frances Ave Ste 500 Minneapolis,MN55435 26-3112347	Supply Chain	PA		NONE	0	75,000		No	0		No	1.270 %
(23) Vantage Capital Management Ltd 312 West 25th Street Erie,PA16502 23-3099689	Capital Mgmt	PA		NONE	0	0		No	0		No	0 %
(24) Vantage Holding Company LLC 312 West 25th Street Erie,PA16502 03-0477182	Capital Mgmt	PA		NONE	0	0		No	0		No	0 %
(25) Waterfront Surgery Center LLC 495 E Waterfront Dr Ste 110 Homestead,PA15120 25-1898743	Medical Practice	PA		NONE	288,655	562,655		No	0		No	25.000 %
(26) West Penn Ambulatory Center 15305 Dallas Parkway Pittsburgh,PA15224 27-2344847	Medical Practice	PA		NONE	0	0		No	0		No	0 %
(27) WSC Realty Partners LP 495 E Waterfront Dr Ste 110 Homestead,PA15120 25-1874990	Property Mgmt	PA		NONE	21,376	420,000		No	0		No	23.490 %

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) Burn Care Associates Ltd 4800 Friendship Avenue Pittsburgh,PA15224 23-2899534	Medical Practice	PA	WPAHS Inc	C Corporation
(2) Clinical Services Inc 232 West 25th Street Erie,PA16544 25-1403846	Health Care	PA	SVHS	C Corporation
(3) Davis Vision IPA Inc 175 East Houston Street San Antonio,TX78205 11-2958041	TPA	TX	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) Delaware Ancillary Insurance Agency 800 Delaware Avenue Wilmington,DE198011368 51-0383213	Insurance Service	DE	Highmark Inc	C Corporation
(6) ECCA Managed Vision Care Inc 175 East Houston Street San Antonio,TX78205 74-2759084	Physician Service	TX	Highmark Inc	C Corporation
(7) Empire Vision Center Inc 175 East Houston Street San Antonio,TX78205 14-1586016	Retail Sales	TX	Highmark Inc	C Corporation
(8) Eye Drx Retail Management Inc 175 East Houston Street San Antonio,TX78205 74-2924030	Office Administra	TX	Highmark Inc	C Corporation
(9) Family Practice Medical Associates South 2414 Lytle Rd Ste 300 Bethel Park,PA15102 25-1684735	Medical Practice	PA	JRMC	C Corporation	8,487,000	2,296,410	100.000 %	Yes
(10) Gateway Health Plan of Ohio Inc 444 Liberty Avenue Suite 2100 Pittsburgh,PA15222 30-0282076	Insurance	PA	Highmark Inc	C Corporation
(11) Gateway Health Plan Inc 444 Liberty Avenue Suite 2100 Pittsburgh,PA15222 25-1505506	Insurance	PA	Highmark Inc	C Corporation
(12) Grandis Rubin Shanahan & Assoc 565 Coal Valley Rd Jefferson Hills,PA15025 45-3355906	Medical Practice	PA	JRMC	C Corporation	3,983,298	773,444	100.000 %	Yes
(13) HCI Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 75-3002215	Finance & Insuran	PA	Highmark Inc	C Corporation
(14) Health System Services Corp & Subs 565 Coal Valley Rd Jefferson Hills,PA15025 25-1403745	Medical Office Bl	PA	JRMC	C Corporation	2,831,096	29,953,718	100.000 %	Yes
(15) Highmark BCBSD Inc 800 Delaware Avenue Wilmington,DE198011368 51-0020405	Insurance	DE	Highmark Inc	C Corporation
(16) Highmark Benefits Group Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 46-4763378	Insurance Sales	PA	Highmark Inc	C Corporation
(17) Highmark Casualty Insurance Company 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1334623	Insurance	PA	Highmark Inc	C Corporation
(18) Highmark Coverage Advantage Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 46-4757476	Insurance Sales	PA	Highmark Inc	C Corporation
(19) Highmark Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 23-1294723	Insurance	PA	Highmark Inc	C Corporation
(20) Highmark Select Resources Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 20-2353206	Insurance Sales	PA	Highmark Inc	C Corporation
(21) Highmark Senior Health Company 120 Fifth Ave Suite 922 Pittsburgh,PA15222 46-4156633	Insurance Sales	PA	Highmark Inc	C Corporation
(22) Highmark Senior Solutions Company 120 Fifth Ave Suite 922 Pittsburgh,PA15222 46-4156854	Insurance Sales	PA	Highmark Inc	C Corporation
(23) Highmark Ventures Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1645888	Holding Company	PA	Highmark Inc	C Corporation
(24) Highmark West Virginia PO Box 1948 Parkersburg,WV26102 55-0624615	Insurance Sales	WV	Highmark Inc	C Corporation
(25) HM Benefits Administrators Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1128451	Funds Administrat	PA	Highmark Inc	C Corporation
(26) HM Broker Services Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 23-2384777	Marketing Agent	PA	Highmark Inc	C Corporation
(27) HM Captive Insurance Company 120 Fifth Ave Suite 922 Pittsburgh,PA15222 65-1274122	Insurance	PA	Highmark Inc	C Corporation
(28) HM Casualty Insurance Company 120 Fifth Ave Suite 922 Pittsburgh,PA15222 87-0807723	Insurance Sales	PA	Highmark Inc	C Corporation
(29) HM Health Insurance Company 120 Fifth Ave Suite 922 Pittsburgh,PA15222 54-1637426	Insurance Sales	PA	Highmark Inc	C Corporation
(30) HM Health Solutions Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 46-3823617	Info Technology	PA	Highmark Inc	C Corporation
(31) HM Insurance Group 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1646315	Management Servic	PA	Highmark Inc	C Corporation
(32) HM Life Insurance Company 120 Fifth Ave Suite 922 Pittsburgh,PA15222 06-1041332	Insurance Sales	PA	Highmark Inc	C Corporation
(33) HM Life Insurance Company of New York 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1800302	Insurance Sales	PA	Highmark Inc	C Corporation
(34) HMPG Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 45-3444325	Holding Company	PA	AHN	C Corporation
(35) HSSC Diversified Services Inc 565 Coal Valley Rd Jefferson Hills,PA15025 25-1770047	Medical Practice	PA	JRMC	C Corporation	0	0	100.000 %	Yes
(36) HVHC Inc 175 East Houston Street San Antonio,TX78205 25-1801124	Holding Company	TX	Highmark Inc	C Corporation
(37) JEA Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1712017	Management Servic	PA	Highmark Inc	C Corporation
(38) Jefferson Hills Surgical Specialists PA 1200 Brooks Ln 150 Clairton,PA15025 30-0477313	Medical Practice	PA	JRMC	C Corporation	3,710,216	633,906	100.000 %	Yes
(39) JRMC Health Pavilion 565 Coal Valley Rd Jefferson Hills,PA15025 25-1203449	Medical Practice	PA	JRMC	C Corporation	0	0	100.000 %	Yes
(40) JRMC Physician Service Corp 565 Coal Valley Rd Jefferson Hills,PA15025 86-1159658	Medical Practice	PA	JRMC	C Corporation	282,622	38,297	100.000 %	Yes
(41) JRMC Specialty Group Practice 565 Coal Valley Rd Jefferson Hills,PA15025 72-1529332	Medical Practice	PA	JRMC	C Corporation	1,695,485	234,869	100.000 %	Yes
(42) Keystone Health Plan West Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1522457	Insurance Sales	PA	Highmark Inc	C Corporation
(43) Klingensmith Healthcare Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1375204	Health Care	PA	HMPG Inc	C Corporation
(44) Lake Erie Medical Group PC 120 Fifth Ave Suite 922 Pittsburgh,PA15222 45-3444157	Health Care	PA	AC	C Corporation
(45) Medical Center Clinic PC 4800 Friendship Avenue Pittsburgh,PA15224 23-2894939	Medical Practice	PA	WPAHS Inc	C Corporation
(46) Optima Imaging 4800 Friendship Avenue Pittsburgh,PA15224 25-1652874	Medical Practice	PA	WPAHS Inc	S Corporation
(47) Palladium Risk Retention Group 409 Broad St Ste 270 Sewickley,PA15143 46-3476730	Health Care	PA	HMPG Inc	C Corporation
(48) Park Cardiothoracic & Vascular Inst 565 Coal Valley Rd Jefferson Hills,PA15025 72-1529328	Medical Practice	PA	JRMC	C Corporation	1,575,681	168,806	100.000 %	Yes
(49) Parker Benefits PO Box 1948 Parkersburg,WV26102 55-0625743	TPA	WV	Highmark Inc	C Corporation
(50) Physician Landing Zone PC 120 Fifth Ave Suite 922 Pittsburgh,PA15222 45-3913973	Health Care	PA	AC	C Corporation
(51) Pittsburgh Bone Joint and Spine Inc 1200 BROOKS LN STE G20 Jefferson Hills,PA15025 25-1203449	Medical Practice	PA	JRMC	C Corporation	7,868,232	1,191,032	100.000 %	Yes
(52) Pittsburgh Pulmonary & Critical Care Ass 1200 BROOKS LN STE 130 Clairton,PA15025 46-3274101	Medical Practice	PA	JRMC	C Corporation	4,399,905	444,730	100.000 %	Yes
(53) Premier Medical Associates PC 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1742869	Health Care	PA	AC	C Corporation
(54) Primary Care Group 10 Inc 3726 Brownsville Rd Pittsburgh,PA15227 38-3807173	Medical Practice	PA	JRMC	C Corporation	389,638	87,532	100.000 %	Yes
(55) Primary Care Group 11 Inc 455 Valley Brook Rd Ste 300 McMurray,PA15317 80-0494617	Medical Practice	PA	JRMC	C Corporation
(56) Primary Care Group 12 Inc 17 Arentzen Blvd Ste 101 Charleroi,PA15022 90-0614054	Medical Practice	PA	JRMC	C Corporation	1,263,616	197,786	100.000 %	Yes
(57) Primary Care Group 2 Inc 6011 Baptist Rd Ste 220 Pittsburgh,PA15236 90-0451375	Medical Practice	PA	JRMC	C Corporation	893,175	113,464	100.000 %	Yes
(58) Primary Care Group 3 Inc 5426 Mifflin Rd Pittsburgh,PA15227 90-0451380	Medical Practice	PA	JRMC	C Corporation	727,406	129,290	100.000 %	Yes
(59) Primary Care Group 4 Inc 1907 Lebanon Church Rd West Mifflin,PA15122 80-0403090	Medical Practice	PA	JRMC	C Corporation	620,982	101,118	100.000 %	Yes
(60) Primary Care Group 5 Inc 624 Monongahela Ave Glassport,PA15045 80-0403100	Medical Practice	PA	JRMC	C Corporation	632,561	139,670	100.000 %	Yes
(61) Primary Care Group 6 Inc PO Box 333 West Mifflin,PA15122 45-3684432	Medical Practice	PA	JRMC	C Corporation	435,233	98,047	100.000 %	Yes
(62) Primary Care Group 7 Inc 575 Coal Valley Rd Jefferson Hills,PA15025 90-0503600	Medical Practice	PA	JRMC	C Corporation	486,749	262,650	100.000 %	Yes
(63) Primary Care Group 8 Inc 803 Miller Ave Clairton,PA15025 01-0927360	Medical Practice	PA	JRMC	C Corporation	194,667	122,922	100.000 %	Yes
(64) Primary Care Group 9 Inc 1200 Brooks Ln 270 Clairton,PA15025 01-0929359	Medical Practice	PA	JRMC	C Corporation	365,084	106,120	100.000 %	Yes
(65) Prime Medical Group PCG 1 1200 Brooks Ln 110 Clairton,PA15025 26-4194208	Medical Practice	PA	JRMC	C Corporation	3,515,095	396,583	100.000 %	Yes
(66) PWH Holdco 120 Fifth Ave Suite 922 Pittsburgh,PA15222 46-4682160	Medical Practice	PA	Highmark Inc	C Corporation
(67) Remworks Sleep Store Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1411844	Rental & Sales	PA	Highmark Inc	C Corporation
(68) South Pittsburgh Urology Associates 1200 BROOKS LN STE 220 Clairton,PA15025 46-4954859	Medical Practice	PA	JRMC	C Corporation	568,679	375,356	100.000 %	Yes
(69) Specialty Group Practice 1 Inc 575 Coal Valley Rd Ste 365 Clairton,PA15025 35-2367818	Medical Practice	PA	JRMC	C Corporation	350,455	0	100.000 %	Yes
(70) Standard Property Corporation 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1668093	Real Estate Opera	PA	Highmark Inc	C Corporation
(71) Steel Valley Orthopedics & Sports Medici 1200 Brooks Ln 240 Clairton,PA15025 45-3540378	Medical Practice	PA	JRMC	C Corporation	4,247,148	784,391	100.000 %	Yes
(72) The Gateway Group LTD 800 Delaware Avenue Wilmington,DE198011368 51-0293417	Benefit Administr	DE	Highmark Inc	C Corporation
(73) Union Benefit Management Inc 120 Fifth Ave Suite 922 Pittsburgh,PA15222 25-1845908	Benefit Plan Mgmt	PA	Highmark Inc	C Corporation
(74) United Concordia Companies Inc 4401 Deer Path Road Harrisburg,PA17110 25-1687586	Dental Insurance	PA	Highmark Inc	C Corporation
(75) United Concordia Dental Corporation of A 4401 Deer Path Road Harrisburg,PA17110 63-1028262	Dental Insurance	PA	Highmark Inc	C Corporation
(76) United Concordia Dental Plans of Califor 4401 Deer Path Road Harrisburg,PA17110 23-7328765	Dental Insurance	PA	Highmark Inc	C Corporation
(77) United Concordia Dental Plans of Kentuck 4401 Deer Path Road Harrisburg,PA17110 61-1012900	Dental Insurance	PA	Highmark Inc	C Corporation
(78) United Concordia Dental Plans of Pennsyl 4401 Deer Path Road Harrisburg,PA17110 23-2541529	Dental Insurance	PA	Highmark Inc	C Corporation
(79) United Concordia Dental Plans of Texas 4401 Deer Path Road Harrisburg,PA17110 74-2489037	Dental Insurance	PA	Highmark Inc	C Corporation
(80) United Concordia Dental Plans of the Mid 4401 Deer Path Road Harrisburg,PA17110 38-2289438	Dental Insurance	PA	Highmark Inc	C Corporation
(81) United Concordia Dental Plans Inc 4401 Deer Path Road Harrisburg,PA17110 52-1542269	Dental Insurance	PA	Highmark Inc	C Corporation
(82) United Concordia Insurance Company 4401 Deer Path Road Harrisburg,PA17110 86-0307623	Dental Insurance	PA	Highmark Inc	C Corporation
(83) United Concordia Insurance Company of Ne 4401 Deer Path Road Harrisburg,PA17110 11-3008245	Dental Insurance	PA	Highmark Inc	C Corporation
(84) United Concordia Life and Health Insuran 4401 Deer Path Road Harrisburg,PA17110 23-1661402	Dental Insurance	PA	Highmark Inc	C Corporation
(85) United Concordia Services Inc 4401 Deer Path Road Harrisburg,PA17110 37-1494957	Dental Insurance	PA	Highmark Inc	C Corporation
(86) Visionary Properties Inc 175 East Houston Street San Antonio,TX78205 74-2849554	Leasing	TX	Highmark Inc	C Corporation
(87) Visionary Retail Management Inc 175 East Houston Street San Antonio,TX78205 74-2849552	Office Administra	TX	Highmark Inc	C Corporation
(88) Visionworks Distribution Services Inc 175 East Houston Street San Antonio,TX78205 04-3742989	Optical Retail	TX	Highmark Inc	C Corporation
(89) Visionworks Enterprises Inc 175 East Houston Street San Antonio,TX78205 35-2196998	Trademarks	TX	Highmark Inc	C Corporation
(90) Visionworks Lab Services Inc 175 East Houston Street San Antonio,TX78205 04-3742977	Optical Retail	TX	Highmark Inc	C Corporation
(91) Visionworks of America Inc 175 East Houston Street San Antonio,TX78205 74-2337775	Retail Sales	TX	Highmark Inc	C Corporation
(92) Visionworks Inc 175 East Houston Street San Antonio,TX78205 02-0677066	Optical Retail	TX	Highmark Inc	C Corporation
(93) West Penn Corporate Medical Services In 4800 Friendship Avenue Pittsburgh,PA15224 25-1437405	Medical Practice	PA	WPAHS Inc	C Corporation
(94) West Penn Neurosurgery PC 4800 Friendship Avenue Pittsburgh,PA15224 25-1630719	Medical Practice	PA	WPAHS Inc	C Corporation
(95) West Virginia Family Health Plan Inc 1219 Virginia Street East Charleston,WV25301 45-2763165	Insurance	WV	Highmark Inc	C Corporation

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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

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 . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Pittsburgh Pulmonary & Critical Care Assoc	p	716,752	GAAP Accounting
(2) Health System Services Corp & Subs	p	710,971	GAAP Accounting
(3) Park Cardiothoracic & Vascular Inst	p	29,226,729	GAAP Accounting
(4) JRMC Diagnostic Services LLC	q	422,249	GAAP Accounting
(5) JRMC Physician Service Corp	p	11,909,399	GAAP Accounting
(6) Jefferson Hills Surgical Specialists	p	2,576,055	GAAP Accounting
(7) Steel Valley Orthopedics & Sports Med	p	2,137,163	GAAP Accounting
(8) Pittsburgh Bone Joint and Spine Inc	p	1,583,692	GAAP Accounting
(9) Prime Medical Group	p	2,764,579	GAAP Accounting
(10) Grandis Rubin Shanahan & Associates	p	436,741	GAAP Accounting
(11) South Pittsburgh Urology Associates	p	197,105	GAAP Accounting
(12) JRMC Specialty Group Practice	p	10,953,429	GAAP Accounting

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: See Form 990, Page 2, Part III, Line 1
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	2,239
6	Total number of volunteers (estimate if necessary) .............	6	328
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	94,501	1,010,815
9	Program service revenue (Part VIII, line 2g) .........	115,181,616	239,903,775
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,645,107	12,310,328
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	5,044,380	8,481,170
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	124,965,604	261,706,088
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	40,016	18,214
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)	50,878,159	96,673,539
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 22,001
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	76,553,583	172,744,247
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	127,471,758	269,436,000
19	Revenue less expenses. Subtract line 18 from line 12.......	-2,506,154	-7,729,912
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	393,216,903	417,280,606
21	Total liabilities (Part X, line 26).............	217,837,447	252,400,563
22	Net assets or fund balances. Subtract line 21 from line 20.....	175,379,456	164,880,043

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 36,020,899 including grants of $ ) (Revenue $ 111,622,482 )
	Jefferson Regional Medical Center(JRMC)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. To complete this mission, Jefferson Regional Medical Center provides Circulatory services to all patients regardless of their ability to pay. For additional information reqarding the program services of JRMC, refer to schedule O.

4b	(Code: ) (Expenses $ 24,430,977 including grants of $ ) (Revenue $ 52,652,900 )
	Jefferson Regional Medical Center(JRMC)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. To complete this mission, Jefferson Regional Medical Center provides Connective Tissue services to all patients regardless of their ability to pay. For additional information reqarding the program services of JRMC, refer to schedule O.

4c	(Code: ) (Expenses $ 16,270,447 including grants of $ ) (Revenue $ 44,840,023 )
	Jefferson Regional Medical Center(JRMC)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. To complete this mission, Jefferson Regional Medical Center provides Respiratory services to all patients regardless of their ability to pay. For additional information reqarding the program services of JRMC, refer to schedule O.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 175,052,376 including grants of $ 18,214 ) (Revenue $ 38,971,047 )
4e	Total program service expenses251,774,699

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,433,527	7,040,829	3,379,820

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a		2,433
b	Membership dues....1b
c	Fundraising events....1c		43,200
d	Related organizations...1d		287,235
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		677,947

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			1,010,815
			Business Code
2a	NET PATIENT SERVICE REVENUE		623000	239,903,775	239,903,775
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			239,903,775
3	Investment income (including dividends, interest, and other similar amounts).......			12,254,379			12,254,379
4	Income from investment of tax-exempt bond proceeds..			85,644			85,644
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	2,231,084
b	Less: rental expenses	2,164,970
c	Rental income or (loss)	66,114	0
d	Net rental income or (loss).......			66,114			66,114
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	68,832,787	-2,282,561
b	Less: cost or other basis and sales expenses	66,579,921
c	Gain or (loss)	2,252,866	-2,282,561
d	Net gain or (loss)..........			-29,695			-29,695
8a	Gross income from fundraising events (not including $ 43,200 of contributions reported on line 1c). See Part IV, line 18 ..
	a		432,675
b	Less: direct expenses ...b		200,296
c	Net income or (loss) from fundraising events..			232,379			232,379
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...			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..			0
Miscellaneous Revenue			Business Code
11a	SECURITY SERVICE REVENUE		900099	3,999,461	3,999,461
b	JV/PARTNERSHIP REVENUE		900099	3,211,844	3,211,844
c	CAFETERIA REVENUE		900099	951,355	951,355
d	All other revenue ....			20,017	20,017
e	Total. Add lines 11a–11d ......			8,182,677
12	Total revenue. See Instructions......			261,706,088	248,086,452	0	12,608,821


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			10,480	1	49,876
2	Savings and temporary cash investments .........			2,819,578	2	6,055,598
3	Pledges and grants receivable, net ...........			16,810	3	14,617
4	Accounts receivable, net .............			46,837,869	4	53,191,233
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 .............			760,972	7	1,476,473
8	Inventories for sale or use ..............			4,168,304	8	4,316,878
9	Prepaid expenses and deferred charges ..........			2,914,812	9	2,252,756
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	154,486,093
b	Less: accumulated depreciation .....	10b	32,706,252	113,420,667	10c	121,779,841
11	Investments—publicly traded securities ..........			117,120,172	11	99,755,673
12	Investments—other securities. See Part IV, line 11 .....			5,054,306	12	4,592,680
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			100,092,933	15	123,794,981
16	Total assets. Add lines 1 through 15 (must equal line 34)......			393,216,903	16	417,280,606
17	Accounts payable and accrued expenses .........			94,829,062	17	136,739,951
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			105,661,679	20	101,228,740
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 ..			0	23	0
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....................			17,346,706	25	14,431,872
26	Total liabilities. Add lines 17 through 25.........			217,837,447	26	252,400,563
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			174,325,039	27	164,106,846
28	Temporarily restricted net assets ...........			757,631	28	476,411
29	Permanently restricted net assets ...........			296,786	29	296,786
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			175,379,456	33	164,880,043
34	Total liabilities and net assets/fund balances ........			393,216,903	34	417,280,606