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) Andrew Aloe........................................................................ Board Member-SCH	2.00 .......................2.00	X		0	0
(2) Frank Arcuri ESQ........................................................................ Board Member-SCH	2.00 .......................2.00	X		0	0
(3) Joseph Banko........................................................................ Vice Chairman-SCH	5.00 .......................5.00	X	X	0	0
(4) Stephanie Brown MD........................................................................ Board Member-SCH	2.00 .......................2.00	X		0	0
(5) Karl E Bushman MD........................................................................ Board Member-SCH	60.00 .......................2.00	X		234,038	30,442
(6) Louis A Civitarese DO........................................................................ CMIO-SCH through 11/2014	2.00 .......................2.00	X		0	0
(7) James M Collins........................................................................ President/CEO/Asst Secy -SCH	60.00 .......................12.00	X	X	897,394	48,902
(8) Robert Daley........................................................................ Board Member-SCH as of 1/2015	2.00 .......................2.00	X		0	0
(9) Kim Edvardsson........................................................................ Board Member-SCH as of 8/2014	2.00 .......................2.00	X		0	0
(10) Mario J Fatigati MD........................................................................ Board Member-SCH	2.00 .......................2.00	X		0	0
(11) Gary G Glausser........................................................................ Board Member-SCH	2.00 .......................6.00	X		0	0
(12) Andrew R Hays........................................................................ Board Member-SCH	2.00 .......................2.00	X		0	0
(13) David R Heilman........................................................................ Chairman-SCH	5.00 .......................3.00	X	X	0	0
(14) David R Jardini........................................................................ Board Member-SCH	2.00 .......................1.00	X		0	0
(15) Donald J Jenkins........................................................................ Board Member-SCH	2.00 .......................1.00	X		0	0
(16) Joan L Massella........................................................................ Adm VP/CNO-SCH	60.00 .......................2.00	X	X	269,054	36,743
(17) Thomas M Medwig........................................................................ Board Member-SCH	2.00 .......................7.00	X		0	0

(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) Donald P Orr MD........................................................................ Board Member-SCH	60.00 .......................5.00	X			10,000	0
(19) Melvin D Rex........................................................................ Chairman-SCH thru 11/2014	5.00 .......................3.00	X	X		0	0
(20) Harry E Serene MD........................................................................ Board Member-SCH	2.00 .......................6.00	X			0	0
(21) Joseph B Smith........................................................................ Board Member-SCH	2.00 .......................2.00	X			0	0
(22) G Alan Yeasted MD........................................................................ Sr VP/CMO-SCH	60.00 .......................12.00	X	X		373,674	47,505
(23) Mark Zacur........................................................................ Board Member-SCH as of 11/2014	2.00 .......................2.00	X			0	0
(24) Gary J Zentner........................................................................ Board Member-SCH	2.00 .......................6.00	X			0	0
(25) Robert L Allman II........................................................................ Board Member-SCF	2.00 .......................2.00	X			0	0
(26) Andrew Aloe........................................................................ Board Member-SCF	2.00 .......................2.00	X			0	0
(27) Jodi Amos........................................................................ Board Member-SCF	2.00 .......................2.00	X			0	0
(28) Joseph Banko........................................................................ Board Member-SCF	2.00 .......................8.00	X			0	0
(29) Bryan Hondru........................................................................ Board Member-SCF	2.00 .......................1.00	X			0	0
(30) Vicki McKenna........................................................................ Board Member-SCF	2.00 .......................2.00	X			0	0
(31) Thomas M Medwig........................................................................ Board Member-SCF	2.00 .......................7.00	X			0	0
(32) Jack B Piatt........................................................................ Board Member-SCF	2.00 .......................2.00	X			0	0
(33) Stephen F Reich........................................................................ Board Member-SCF	2.00 .......................2.00	X			0	0
(34) Andrew F Rodgers........................................................................ Board Member-SCF	2.00 .......................2.00	X			0	0
(35) Harry E Serene MD........................................................................ Vice Chairman-SCF	5.00 .......................6.00	X	X		0	0
(36) C Vaughn Strimlan MD........................................................................ Board Member-SCF	2.00 .......................2.00	X			0	0
(37) G Alan Yeasted MD........................................................................ Board Member & Secretary-SCF	2.00 .......................62.00	X	X		0	0
(38) Gary J Zentner........................................................................ Chairman-SCF	5.00 .......................3.00	X	X		0	0
(39) Joseph Banko........................................................................ Board Member-SCMS	2.00 .......................8.00	X			0	0
(40) James W Barson........................................................................ Board Member-SCMS	2.00 .......................1.00	X			0	0
(41) Karl E Bushman MD........................................................................ Board Member-SCMS	2.00 .......................60.00	X			0	0
(42) James M Collins........................................................................ President-SCMS	2.00 .......................70.00	X	X		0	0
(43) Mario J Fatigati MD........................................................................ Board Member-SCMS	60.00 .......................2.00	X			343,565	30,028
(44) Gary G Glausser........................................................................ Chairman-SCMS	5.00 .......................3.00	X	X		0	0
(45) David R Heilman........................................................................ Board Member-SCMS	2.00 .......................2.00	X			0	0
(46) Thomas M Medwig........................................................................ Board Member-SCMS	2.00 .......................7.00	X			0	0
(47) Donald P Orr MD........................................................................ Board Member-SCMS	2.00 .......................2.00	X			0	0
(48) Melvin D Rex........................................................................ Board Member-SCMS through 11/2014	2.00 .......................6.00	X			0	0
(49) Robert N Shogry MD........................................................................ Board Member-SCF	2.00 .......................60.00	X			506,084	32,374
(50) Richard C Chesnos........................................................................ Sr VP/CFO/Treasurer-SCH	60.00 .......................12.00		X		393,162	42,635
(51) Michael J Flanagan........................................................................ Sr VP/COO/Secretary-SCH	60.00 .......................2.00		X		387,815	36,426
(52) Holly M Hampe........................................................................ VP & CQO-SCH thru 7/4/14	60.00 .......................0.00		X		10,323	15,823
(53) Andrea L Kalina........................................................................ VP External Affairs/CHRO-SCH	60.00 .......................2.00		X		253,462	32,681
(54) Eric Luttringer........................................................................ Asst Treasurer-SCH	60.00 .......................12.00		X		174,782	26,262
(55) Charles J Rakaczky........................................................................ VP-Physician Network-SCH 12/2014	60.00 .......................2.00		X		6,538	0
(56) Richard J Schaffer........................................................................ VP & CIO-SCH	60.00 .......................2.00		X		242,305	43,352
(57) Barry S Zaiser........................................................................ Sr VP Op&SD-SCH	60.00 .......................10.00		X		329,698	30,291
(58) James M Collins........................................................................ Asst Secretary-SCF	2.00 .......................70.00		X		0	0
(59) Richard C Chesnos........................................................................ Treasurer-SCF	2.00 .......................72.00		X		0	0
(60) Eric Luttringer........................................................................ Asst Treasurer-SCF	2.00 .......................72.00		X		0	0
(61) Richard Sieber........................................................................ Exec Dir Mkt/Devl-SCF	60.00 .......................0.00		X		156,074	26,937
(62) Richard C Chesnos........................................................................ Treasurer-SCMS	2.00 .......................72.00		X		0	0
(63) Eric Luttringer........................................................................ Asst Treasurer-SCMS	2.00 .......................72.00		X		0	0
(64) Barry S Zaiser........................................................................ Secretary-SCMS	2.00 .......................70.00		X		0	0
(65) Kevin P Bordeau........................................................................ Physician	60.00 .......................0.00			X	833,779	29,388
(66) John Girod........................................................................ Physician	60.00 .......................0.00			X	538,291	29,427
(67) Mark K Greathouse........................................................................ Physician	60.00 .......................0.00			X	521,687	32,374
(68) Jeffrey Friedel........................................................................ Physician	60.00 .......................0.00			X	499,183	29,427
(69) Arnold Sholder........................................................................ Physician	60.00 .......................0.00			X	479,302	18,200

(A) Name and business address	(B) Description of services	(C) Compensation
Allscripts Healthcare LLC PO Box 8538-133 Philadelphia,PA191710133	Software Support	5,824,492
Massaro Corporation 120 Delta Drive Pittsburgh,PA152382806	Construction	3,156,349
GE Healthcare Services PO Box 96483 Chicago,IL60693	Software Support	1,807,569
Volpatt Construction Corp 100 Castleview Road Pittsburgh,PA15243	Construction	1,764,590
MBM Contracting 4999 Old Clairton Road Pittsburgh,PA15236	Construction	1,641,792
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 66

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 ....	87,181	87,181
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	39,393	39,393
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	6,815,404	5,173,470	1,641,934
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages ....	114,301,478	92,071,273	22,139,413	90,792
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,467,529	1,995,474	470,060	1,995
9	Other employee benefits .......	14,170,009	11,269,136	2,891,439	9,434
10	Payroll taxes ...........	8,335,751	6,728,399	1,600,588	6,764
11	Fees for services (non-employees):
a	Management ......	671,226		671,226
b	Legal .........	420,705		420,705
c	Accounting ...........	352,612		352,612
d	Lobbying ...........	46,829		46,829
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	28,910		28,910
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	20,104,413	9,060,019	10,954,461	89,933
12	Advertising and promotion ....	1,503,039	100,662	1,402,377
13	Office expenses .......	1,687,219	1,113,628	489,781	83,810
14	Information technology ......	7,312,207	5,854,584	1,452,597	5,026
15	Royalties ..
16	Occupancy ...........	6,757,426	3,787,233	2,970,192	1
17	Travel ............	168,100	56,383	111,642	75
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	202,742	136,408	66,265	69
20	Interest ...........	1,274,053	1,274,053
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	18,468,127	9,362,059	9,084,850	21,218
23	Insurance ..............	4,726,791	3,817,952	908,839
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Patient Care Supplies	59,497,274	59,410,013	87,261
b	PA Quality Care Assessm	4,178,170	4,178,170
c	Equipment Rental & Main	2,634,023	2,223,064	410,959
d	Food Service	2,395,330	1,035,720	1,358,861	749
e	All other expenses	6,140,721	3,434,956	2,662,624	43,141
25	Total functional expenses. Add lines 1 through 24e	284,786,662	222,209,230	62,224,425	353,007
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).

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 .............	16,056	1	16,287
2	Savings and temporary cash investments .........	5,710,022	2	10,010,708
3	Pledges and grants receivable, net ...........	339,621	3	300,777
4	Accounts receivable, net .............	28,338,639	4	30,522,328
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
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
			6
7	Notes and loans receivable, net .............	1,612,609	7	1,252,234
8	Inventories for sale or use ..............	4,347,366	8	4,813,130
9	Prepaid expenses and deferred charges ..........	3,382,779	9	5,408,892
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	313,495,103
b	Less: accumulated depreciation .....	10b	189,172,716	123,366,707	10c	124,322,387
11	Investments—publicly traded securities ..........	185,026,227	11	189,581,509
12	Investments—other securities. See Part IV, line 11 .....	8,559,807	12	7,563,801
13	Investments—program-related. See Part IV, line 11 .....	4,801,713	13	4,236,591
14	Intangible assets ...............	1,296,866	14	1,396,275
15	Other assets. See Part IV, line 11 ...........	6,155,803	15	4,882,490
16	Total assets. Add lines 1 through 15 (must equal line 34)......	372,954,215	16	384,307,409
	17	Accounts payable and accrued expenses .........	24,158,869	17	28,978,286
18	Grants payable .................		18
19	Deferred revenue ................	4,305,633	19	4,210,412
20	Tax-exempt bond liabilities .............	48,449,257	20	45,731,675
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
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..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
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....................	38,852,534	25	39,175,094
26	Total liabilities. Add lines 17 through 25.........	115,766,293	26	118,095,467
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	240,382,074	27	249,671,605
28	Temporarily restricted net assets ...........	6,563,211	28	6,825,179
29	Permanently restricted net assets ...........	10,242,637	29	9,715,158
	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 ...........	257,187,922	33	266,211,942
34	Total liabilities and net assets/fund balances ........	372,954,215	34	384,307,409

- 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

St Clair Health Corporation Group Return

Employer identification number

61-1663540

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 ............................. 1

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)
(A) St Clair Memorial Hospital	251010303	Yes		0	0

Total 1				0

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.") ....	1,104,721	1,900,639	1,815,833	2,093,727	1,111,634	8,026,554
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	1,104,721	1,900,639	1,815,833	2,093,727	1,111,634	8,026,554
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)..						1,912,143
6	Public support. Subtract line 5 from line 4.						6,114,411

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..	1,104,721	1,900,639	1,815,833	2,093,727	1,111,634	8,026,554
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	253,610	263,329	302,071	318,522	360,007	1,497,539
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.						9,524,093

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

1,315,603

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)) .........

64.200 %

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

58.110 %

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.

Yes

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).

Yes

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, Part II	Reason for Public Charity Status St Clair Health Corp Group Return is comprised of - St Clair Memorial Hospital EIN# 25-1010303 - #3 - St Clair Memorial Hospital Foundation EIN# 25-1407399 - #7 - St Clair Professional Services, Inc EIN# 25-1691194 - #11, Type II - St Clair Anesthesiology Associates, Inc EIN# 71-0875076 - #11, Type II - St Clair Medical Services, Inc EIN# 25-1876056 - #11, Type II

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

St Clair Health Corporation Group Return

Employer identification number

61-1663540

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 St Clair Health Corporation Group Return

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 St Clair Health Corporation Group Return

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
St Clair Health Corporation Group Return

Employer identification number

61-1663540

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

St Clair Health Corporation Group Return

Employer identification number

61-1663540

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)? ....

Yes

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

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

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

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

Yes

22,949

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

Yes

23,430

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

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

Yes

450

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

46,829

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:	Form 990, Part IV, Line 4 St. Clair Hospital is engaged in lobbying activities through membership dues paid to the American Hospital Association, The Hospital & Healthsystem Association of Pennsylvania, Healthcare Council of Western PA, and through legal fees paid to Buchanan Ingersoll & Rooney. Additionally, any time spent by paid employees and / or management in lobbying activities are tracked internally and reported.

Return Reference

Explanation

Part II-B, Line 1:

Form 990, Part IV, Line 4 St. Clair Hospital is engaged in lobbying activities through membership dues paid to the American Hospital Association, The Hospital & Healthsystem Association of Pennsylvania, Healthcare Council of Western PA, and through legal fees paid to Buchanan Ingersoll & Rooney. Additionally, any time spent by paid employees and / or management in lobbying activities are tracked internally and reported.

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

St Clair Health Corporation Group Return

Employer identification number

61-1663540

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	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	11,373,246	10,398,985	9,894,895	10,090,921	8,926,091
b	Contributions ........	6,321
c	Net investment earnings, gains, and losses	-54,711	1,358,625	902,255	184,795	1,302,689
d	Grants or scholarships .....	100	100	100	100	100
e	Other expenditures for facilities and programs ........	548,657	384,264	398,065	380,721	137,759
f	Administrative expenses ....
g	End of year balance ......	10,776,099	11,373,246	10,398,985	9,894,895	10,090,921

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

Board designated or quasi-endowment SchDMd Bullet

9.850 %

Permanent endowment SchDMd Bullet

90.150 %

Temporarily restricted endowment SchDMd Bullet

0 %

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 .................	9,082,318		9,082,318
b	Buildings ................	98,185,724	48,663,847	49,521,877
c	Leasehold improvements ............	18,615,504	8,035,700	10,579,804
d	Equipment ................	114,277,159	80,627,457	33,649,702
e	Other .................	73,334,398	51,845,712	21,488,686
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				124,322,387

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









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

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
Due to Third Parties		1,390,974
Accrued Retirement Benefits		23,250,487
Accrued Professional Liability		13,131,309
Other Liabilities		1,402,324





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		39,175,094
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

Part V, Line 4:

Endowments are designated by donors and/ or the Board.

Part X, Line 2:

The Corporation, the Hospital, the Foundation, and SCMS are Pennsylvania nonprofit corporations that are described in Section 501(c)(3) of the Internal Revenue Code and are therefore exempt from federal income tax under Section 501(a) and are not subject to the Pennsylvania Corporate Net Income Tax or Pennsylvania Capital Stock Tax. The Corporation and its subsidiaries have adopted Accounting Standards Codification Subtopic 740-10, Accounting for Uncertainty in Income Taxes - an Interpretation of FASB Statement No. 109 (ASC 740-10). ASC 740-10 addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under ASC 740-10, the Corporation may recognize the tax benefit from an uncertain tax position only if its more likely than not that the tax position will be sustained upon examination by the taxing authorities, based on the technical merits of the position. As of June 30, 2015 and 2014, the Corporation does not have any uncertain tax positions.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
St Clair Health Corporation Group Return

Employer identification number

61-1663540

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and Caribbean			Investments	7,836,018
















3a	Sub-total .....	0	0		7,836,018
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		7,836,018

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (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
St Clair Health Corporation Group Return

Employer identification number

61-1663540

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 Golf Outing and Dinner (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	308,479	308,479
2	Less: Contributions . .	222,685	222,685
3	Gross income (line 1 minus line 2) . . .	85,794	85,794
4	Cash prizes . . .
5	Noncash prizes . .	44,463	44,463
6	Rent/facility costs . .	19,635	19,635
7	Food and beverages .	53,667	53,667
8	Entertainment . . .
9	Other direct expenses .	50,731	50,731
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........		168,496
11	Net income summary. Subtract line 10 from line 3, column (d)...........		-82,702

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

St Clair Health Corporation Group Return

Employer identification number

61-1663540

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: .........

Yes

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) ..	5,184,149		5,184,149	1.820 %
b	Medicaid (from Worksheet 3, column a) ....	20,775,485	13,525,581	7,249,904	2.550 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	25,959,634	13,525,581	12,434,053	4.370 %
Other Benefits		593,477		593,477	0.210 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	593,477		593,477	0.210 %
f	Health professions education (from Worksheet 5) ..	319,313		319,313	0.110 %
g	Subsidized health services (from Worksheet 6) ..	1,697,466		1,697,466	0.600 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	167,736		167,736	0.060 %
j	Total. Other Benefits ..	2,777,992		2,777,992	0.980 %
k	Total. Add lines 7d and 7j .	28,737,626	13,525,581	15,212,045	5.350 %

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	901,373	901,373	0.320 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	901,373	901,373	0.320 %

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. ......

2,769,323

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. ......

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).....

130,629,195

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

152,284,596

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

-21,655,401

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 %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
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	St Clair Memorial Hospital 1000 Bower Hill Road Pittsburgh,PA15243	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)

	St Clair Memorial Hospital Line 1
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.stclair.org/221/about

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)

	St Clair Memorial Hospital Line 1
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 200.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

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): www.stclair.org/191/financial-assistance

The FAP application form was widely available on a website (list url): See Part V, Line 16a

A plain language summary of the FAP was widely available on a website (list url):
See Part V, Line 16a

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)

	St Clair Memorial Hospital Line 1
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
St Clair Memorial Hospital, Line 1	Part V, Section B, Line 5: St. Clair completed all phases of its Community Health Needs Assessment, publicizing its findings in May 2013. Using primary and secondary data sources, interviews with public health experts, stakeholder input and guidance, and community member feedback, a priority index was developed in order to establish an implementation plan. Key areas of focus included: improving access to care for seniors and the underserved; improving the quality of prenatal care available in the region; reducing the incidence of prevalent cancers such as colon, lung and breast cancer; better education and management of chronic lifestyle conditions and lack of community services for behavioral and mental health patients. Additional and expanded program development is currently underway resulting in new programs being delivered directly in community neighborhoods. St Clair gathered information through interviews and surveys of dozens of persons who are invested in healthcare in the community. Also, St. Clair Hospital interviews were conducted in June and July of 2011. The web-based survey was conducted from September-November of 2011. These included external stakeholders - those not affiliated with St. Clair - as well as members of our medical and Hospital staff. These persons shared their perspectives and experience on community health needs and their ideas for interventions and innovative programs to meet those needs. St. Clair Hospital acknowledges the following leaders for their valuable feedback and ideas:ST. CLAIR HOSPITAL COMMUNITY BENEFIT COMMITTEE MEMBERS at that time:Joseph B. Smith Senior Vice President, Marketing, Dollar Bank Chairman, Community Benefit Committee, St. Clair Hospital Board of DirectorsAndrew Aloe Chair CE 411, Vistage International, St. Clair Hospital Board of DirectorsFrank Arcuri, Esq. Law Office of Frank Arcuri, St. Clair Hospital Board of DirectorsKarl E. Bushman, M.D. Mt. Lebanon Internal Medicine, St. Clair Hospital Board of DirectorsJames M. Collins President & Chief Executive Officer, St. Clair Hospital, St. Clair Hospital Board of DirectorsAndrew R. Hays Managing Director, Strategic Advisors, St. Clair Hospital Board of DirectorsAndrea L. Kalina Executive Liaison, Community Benefit Committee, Vice President - External Affairs and Chief Human Resources Officer, St. Clair HospitalJoan R. Massella Administrative Vice President and Chief Nursing Officer, St. Clair Hospital, St. Clair Hospital Board of DirectorsHarriett M. Rea St. Clair Hospital Board of DirectorsMelvin D. Rex Chairman, St. Clair Hospital Board of DirectorsT.A. Ward President, T.A. Ward Constructors, Inc., St. Clair Hospital Board of DirectorsG. Alan Yeasted, M.D. Sr. Vice President & Chief Medical Officer St. Clair Hospital, St. Clair Hospital Board of DirectorsCOMMUNITY LEADERS AND EXPERTSFrank Aggazio Director, Allegheny County Housing AuthorityBarbara Baulding Resident Services Assistant Director Allegheny County Housing AuthoritySister Ruth Bearer Associate Director Sto-Rox Neighborhood Health Center (Focus on Renewal)James Brophy Former Director of Operations Outreach Teen and Family ServicesVenard Campbell EMS and Emergency Communications Coordinator St. Clair HospitalRichard C. Chesnos Senior Vice President and Chief Financial Officer St Clair HospitalMary Jo Dickson Administrator, Adult Mental Health Services Allegheny County Department of Human ServicesBruce Dixon, M.D. (Now deceased) Former Director, Allegheny County Health DepartmentMichael J. Flanagan Sr. Vice President and Chief Operating Officer St Clair HospitalHarry Fruecht Police Chief, Peters TownshipJames Guffey Executive Director, South Hills Interfaith MinistriesNora Helfrich EMS Director, Tri-Community South EMSKeith Kanel Chief Medical and Learning Officer Pittsburgh Regional Health InitiativeTim Kimmel Director, Washington County Department of Human ServicesChad King Chief of Police, BridgevilleDave Kish Executive Director, St. Clair Hospital Emergency ServicesSue Martone Assistant Deputy Director, Office of Behavioral Health Allegheny County Department of Human ServicesColeman McDonough Police Chief, Mt. LebanonJenny Michaux Director of Community Impact United Way of Allegheny CountyMildred Morrison Director, Area Agency on Aging, Allegheny County Department of Human ServicesBarbara Murphy President, United Way of Washington CountyMarianne K. Olschesky Community Outreach and Marketing Coordinator St. Clair HospitalKathe Niznik Director, St. Clair Hospital Behavioral HealthMichael Panka Former Superintendent, Sto-Rox School DistrictTodd Pritchard Director, Medical Rescue Team SouthNan Rees Former Director, St. Clair Hospital Care ManagementFather Regis Ryan Former Executive Director, Sto-Rox Neighborhood Health Center (Focus on Renewal)Tom Salerno Director of Operations, Scott TownshipAndrea Schachner Program Director Angel's PlaceJames Secrete Chief of Police, Scott TownshipMary Sedore Administrative Services Coordinator, Chartiers Community Mental HealthScott Seltzer Assistant Superintendent, Mt. Lebanon School DistrictRichard M. Sieber Director of Marketing and Development St. Clair HospitalMary Lynn Spilak Director of Aging Services, Washington County Department of Human ServicesTimothy Steinhauer Superintendent, Mt. Lebanon School DistrictKay Stepp Executive Director, Compassion ConnectionMichelle Tipton Executive Director Angel's PlaceDenis Valentine Director, Southbridge EMSJoe Wissel Director, Kirwan Heights EMSReginald Young Deputy Director, Office of Community Services Allegheny County Department of Human ServicesJanet Yuhasz Health Services Coordinator, Pittsburgh Public SchoolsPatricia Zurawski Medical Services Director, Sto-Rox Neighborhood Health Center
St Clair Memorial Hospital, Line 1	Part V, Section B, Line 11: See Part VI and the CHNA Implementation Strategy (attached). Implementation progress is reported quarterly to the Community Benefits Committee and Board of Directors. There were three primary health needs identified in the most recent CHNA that St. Clair did not address in its implementation strategy. Specifically the need for improved dental care among the underserved population was not included as it is not a core competency of the hospital. Two other areas of need, addiction services and insufficient food sources were also not addressed directly. However, recognizing the importance and value of collaboration among community agencies we are partnering with organizations better equipped to address these issues. With respect to addiction services, St. Clair is not licensed to provide this treatment however we are partnering with community agencies such as Greenbriar Treatment Center and Outreach Teen to facilitate services for residents in need. Additionally we have a strong relationship with all of the local food banks and partner with them to meet the food shortage needs of the region.
St Clair Memorial Hospital, Line 1	Part V, Section B, Line 20e: and 20f: St. Clair's Financial Assistance/Charity Care policy includes presumptive charity care as an addition to the regular financial assistance discount process. Patients that do not complete a formal charity care application are screened for presumptive charity care prior to being placed in the regular collection process and qualitfy for charity care if the patient's credit score is below St. Clair's threshold credit score or their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account. Line 20 is left blank because none of the actions in Line 19 are permitted St. Clair's policy.
St Clair Memorial Hospital, Line 1	Part V, Section B, Line 22d: In accordance with Internal Revenue Code Section 501(r) Regulations, the Hospital facility used the average of Medicare and all commercial payment rates when calculating the maximum amounts that can be charged.
Part V, Section B, Line 13	All patients without insurance are billed services at a discount regardless of income. Inpatient and outpatient services are discounted to a level approximating the average of Medicare and all commercial payment rates. In addition to Federal Poverty Guidelines, St. Clair utilizes a presumptive charity care determination process. Patients that do not complete a formal charity care application and qualify for charity care if the patients' credit score is below St. Clair's threshold credit score or their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account.
Part V, Section B, Line 10b	See attached copy of St. Clair's CHNA Implementation Strategy
Part V, Section B, Line 16	Financial Assistance Policy Website Availability
St Clair Memorial Hospital, Line 1 Part V, Section B, line 16a website:	www.stclair.org/191/financial-assistance
St Clair Memorial Hospital, Line 1 Part V, Section B, line 16b website:	See Part V, Line 16a

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?27
Name and address		Type of Facility (describe)
1	SCMS So Hills Cardiology Associates 2000 Oxford Drive Suite 305 Bethel Park,PA15102	Physician Office
2	SCMS Sholder and Bordeau Urologic Asoc 1145 Bower Hill Road Mt Lebanon,PA15243	Physician Office
3	SCMS Mt Lebanon Internal Medicine 300 Cedar Boulevard Pittsburgh,PA15228	Physician Office
4	SCMS Colorectal Surgical Associates 1050 Bower Hill Road POB Suite 208 Pittsburgh,PA15243	Physician Office
5	SCMS Zubritzky & Christy OGGYN 1050 Bower Hill Road POB Suite 205 Pittsburgh,PA15243	Physician Office
6	SCMS DeGiovanni & Montini Associates 717 Washington Road Pittsburgh,PA15228	Physician Office
7	SCMS Dobkin & Ricelli Associates 250 Mt Lebanon Boulevard Suite 306 Pittsburgh,PA15234	Physician Office
8	SCMS Fatigati Nalin Associates 733 Washington Rd Suite 401 Pittsburgh,PA15228	Physician Office
9	SCMS Fatigati Nalin Associates 1025 Washington Pike Bridgeville,PA15017	Physician Office
10	SCMS Fatigati Nalin Associates 5187 Library Road Bethel Park,PA15102	Physician Office
11	SCMS Budway Surgical Associates 2000 Oxford Drive Bethel Park,PA15102	Physician Office
12	SCMS Tucker Orthopedics Division 1082 Bower Hill Road Pittsburgh,PA15243	Physician Office
13	SCMS Maley Thoracic Surgery Associates 1050 Bower Hill Road Pittsburgh,PA15243	Physician Office
14	SCMS Urgent Care Center 2000 Oxford Drive Bethel Park,PA15102	Urgent Care Center
15	SCMS Robinson 5482 Campbells Run Road Pittsburgh,PA15205	Physician Office
16	SCMS Evron Endocrinology Associates 2000 Oxford Drive Bethel Park,PA15102	Physician Office
17	SCMS Fatigati Nalin Associates 3928 Washington Road Suite 280 McMurray,PA15317	Physician Office
18	SCMS John E Love Family Practice 1626 Potomac Avenue Dormont,PA15216	Physician Office
19	SCMS Johnston Internal Medicine 2000 Oxford Drive Suite 302 Bethel Park,PA15102	Physician Office
20	SCMS Zuckerman Family Practice 2500 Baldwick Road Pittsburgh,PA15205	Physician Office
21	SCMS Sholder and Bordeau Urologic Aso 3928 Washington Road Suite 270 McMurray,PA15317	Physician Office
22	SCMS Colorectal Surgical Associates 3928 Washington Road Suite 270 McMurray,PA15317	Physician Office
23	SCMS Zubritzky & Christy OGGYN 1767 Pine Hollow Road McKees Rocks,PA15136	Physician Office
24	SCMS Zubritzky & Christy OGGYN 6000 Steubenville Pike Suite 105 McKees Rocks,PA15136	Physician Office
25	SCMS Maley Thoracic Surgery Associates 3928 Washington Road Suite 270 McMurray,PA15317	Physician Office
26	SCMS Maley Thoracic Surgery Associates 27 Heckel Road Suite 106 McKees Rocks,PA15136	Physician Office
27	SCMS Fatigati Nalin Associates 601 McMillan Street Bridgeville,PA15017	Physician Office

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
Part I, Line 3c:	In addition to Federal Poverty Guidelines, St. Clair utilizes a presumptive charity care determination process. Patients that do not complete a formal charity care application and qualify for charity care if the patients' credit score is below St. Clair's threshold credit score or their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account. Additionally, all patients without insurance are billed services at a discount regardless of income. Inpatient and outpatient services are discounted to a level approximating the average of Medicare and all commercial payment rates.
Part I, Line 7:	The Hospital's ratio of cost to charges was applied to the total charges for accounts written off to charity care of $5,541,443 in order to determine a reasonable approximation of the cost of providing services for those patients. Costs were then prorated between payments and charity care write-offs on the accounts to calculate the cost amount disclosed.The cost of Medicaid accounts utilized to calculate the Medicaid Community Benefit expense was derived from St. Clair's internal cost accounting system. All other items in Part I, Line 7 represents actual costs.
Part I, Ln 7 Col(f):	Actual Provision for Bad Debts expense totaling $3,134,859 and St. Clair Memorial Hospital Foundation expenses totaling $998,285 have been excluded from the denominator in the calculation of percentage of total expense.
Part II, Community Building Activities:	St. Clair Hospital, St. Clair Medical Services and St. Clair Hospital Foundation are Pennsylvania non-profit corporations, exempt from taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (the "Code"), which own and operate an acute care hospital providing a comprehensive range of general and specialized care along with physician practices supporting the hospital and surrounding communities and a Foundation, the purpose of which is to support health and welfare initiatives at St. Clair and other organizations that service communities within the footprint of the hospital. St. Clair is committed to improving the health status of patients in our region without regard to their ability to pay. A comprehensive offering of programs and services is made available both on and off campus (to include partnering with other local healthcare agencies) and encompasses health education and screenings, prenatal education, smoking cessation, mental and behavioral health support programs, addiction, cancer care, nutrition and weight control, and the management of chronic diseases such as diabetes, congestive heart failure, COPD and asthma. In most cases these programs are provided at no cost to participants, and are generally fully subsidized. Among its other charitable works, St. Clair supports numerous community based programs including a subsidized cardiac rehabilitation program, well-baby programs, CPR training for schools and non-profit organizations, annual flu and pneumonia vaccinations for local EMS workers, a needle disposal program for diabetics and other individuals who self-administer medications, and mentoring opportunities for young adults interested in healthcare careers. Among its most well received services is the Hospital's van-service program. Intended to improve access to care for the elderly and poor, transportation is provided on a scheduled basis to and from the hospital and its outpatient centers, at no cost, helping to ensure that health related appointments are kept and that the care process is not negatively impacted as a result of lack of transportation. During the year ended June 30, 2015, the van service provided over 13,000 trips to area residents in need and nearly 200 community outreach education programs were sponsored by St. Clair encompassing nearly every clinical service. St. Clair has established a coordinated program with the nursing schools of surrounding communities and St. Clair's nursing staff serves as preceptors to the nursing students. As many as 347 nursing students were served and more than 3,300 hours were spent on this program in nurturing the future healthcare givers of the region.Additionally, St. Clair serves as a clinical site for post-secondary advanced clinical degree programs for medical imaging students in multiple modalities, CRNA students and 5th and 6th year doctoral students in pharmacy. Its medical school preceptor program hosts between 6 to 8 students for 8 week rotations throughout the year. Job shadowing programs are also coordinated for high-school students. St. Clair is actively involved with the clinical training of over 100 Emergency Medical Technicians and Paramedics. Approximately 2,400 hours of training were devoted for their education in order to strengthen the quality of care given by these professionals.St. Clair's website (www.stclair.org) provides consumers of healthcare with robust health information. Nearly 450,000 visitors utilize the website each year.St. Clair has a very active volunteer program including over 250 junior and 400 senior volunteers. Approximately 60,000 volunteer hours of service are provided in numerous areas covering a broad range of services from clerical duties to patient assistance and supportive visiting.The following is a sample of other ways in which St. Clair supports the community: - St. Clair's Community Health Needs Assessment identified that 10 percent of expectant moms in the region do not receive prenatal care in their first trimester. With the goal of reaching those with the greatest need, St. Clair is providing subsidized prenatal education for low-income families and families who lack insurance coverage. Vouchers were distributed to OB/GYNs affiliated with St. Clair so they can be distributed to their patients with the greatest needs.- St. Clair maintains a supportive relationship with The Sto-Rox Neighborhood Family Health Center, a non-profit organization that has been a beacon of hope in the Sto-Rox community for more than 40 years. The Health Center is located within St Clair's service area and was identified as underserved in St. Clair's Community Health Needs Assessment. The federally qualified health care facility provides a broad spectrum of services, including general medicine for adults and children; -obstetric and gynecologic care; -podiatry; -optometry; -dental medicine; and counseling and social services to the residents of Stowe Township and McKees Rocks. St. Clair partners with Tobacco Free Allegheny and the Health Center in the delivery of programs and services aimed at improving the overall health status of moms and babies and the smoking cessation of mothers in neighborhoods like Stowe, Ingram and McKees Rocks. Additionally, St. Clair is partnering with Women, Infants & Children (WIC) to aid prenatal efforts to expectant mothers in the McKees Rocks and Carnegie areas.- -St. Clair Hospital has expanded its relationship with Focus on Renewal (FOR), a comprehensive community social service organization that helps more than 15,000 economically disadvantaged individuals and families annually. This organization previously encompassed the Sto-Rox Neighborhood Family Health Center, but the two organizations have become separate nonprofits. St. Clair conducted a Wellness Day at FOR to promote healthy lifestyles. St. Clair clinicians provided health-related education and performed free health screenings, including glucose, cholesterol, bone density, and stroke. The wellness day was held on a Food Pantry distribution day, in order to reach the individuals with the greatest needs.- Annually, St. Clair Hospital participates in the Boy Scouts of America Scouting for Food Drive. Donations gathered were donated to the Focus on Renewal food pantry and the South Hills Interfaith Ministries food pantry.- St. Clair partners with other local nonprofit organizations like Our Clubhouse, South Hills Interfaith Ministry, Brookline 3For1, Bridgeville Public Library, Cancer Caring Center, American Cancer Society, Adagio and Susan B. Komen to provide cancer support and education. Additionally, St. Clair's Community Health Needs Assessment identified high rates of breast and lung cancer. To address the high incidence rate, St. Clair will provide Free Mammography Screenings for uninsured women over 40 and free lung cancer screenings to community members. The planning phase of these projects began in FY14. Several departments, physicians, hospital management leaders and Community Benefit Committee Board of Directors have been involved in the planning phase. The breast and lung cancer screening events were executed in FY15.- Mental and behavioral concerns were found to be critical issues impacting the entire St. Clair community, specifically a lack of support services and outreach programs. In previous years, St. Clair held one Mental Health Support Group. As part of the Hospital's Community Health Needs Assessment initiatives, St. Clair expanded its support groups, adding two Mental Health Support Group classes in areas identified to be high-need within St Clair's service area. Additionally, St. Clair management has been active with the Mt. Lebanon Drug Task Force, helping to educate the community and combat addiction problems that are often coupled with mental health issues. St. Clair has also started a Narcam (opiod reversal drug) program to help combat the number of deaths caused by overdoses in the St. Clair service area. St. Clair trains the EMS, fire and police departments on how to use Narcam and provides the initial supplies. - Consistent with St. Clair's Community Health Needs Assessment and in order to combat high rates of obesity and diabetes, often linked to poor diet and physical inactivity, St. Clair offers a diabetes support group for those newly diagnosed with the condition. St. Clair also conducts health fairs with free glucose, cholesterol and blood pressure screenings to make residents aware of their levels before they could potentially become a health crisis. - Monetary and in-kind donations were made by St. Clair to support various non-profit health and human services agencies that provide support to underserved residents in our region.
Part III, Line 2	The Hospital's ratio of cost to charges was applied to the total charges for accounts written off in order to determine a reasonable approximation of the cost of providing services for those patients. Costs were then prorated between payments and bad debt write-offs on the accounts to calculate the cost amount disclosed in Part III section A.
Part III, Line 3	St. Clair's Financial Assistance/Charity Care policy includes presumptive charity care as an addition to the regular financial assistance discount process. Patients that do not complete a formal charity care application are screened for presumptive charity care prior to being placed in the regular collection process and qualify for charity care if the patients' credit score is below St. Clair's threshold credit score or their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account. As such, St. Clair expects the amount of bad debt expense attributable to patients eligible under the financial assistance policy to be negligible.
Part III, Line 4:	St. Clair's audited financial statements, Note 2, pages 14-17 describe bad debt expense and uncompensated care.
Part III, Line 8:	The Hospital provides services regardless of the level of reimbursement to be received from the patient or its insurer. Reimbursement from the government-sponsored programs including Medicare and state Medical Assistance and indigent care programs are often less than the cost of providing these services and therefore should be treated as community benefit. The Hospital's ratio of cost to charges was utilized to estimate this shortfall.
Part III, Line 9b:	St. Clair provides quality medical health care regardless of race, creed, sex, national origin, age, sexual orientation, or the ability to pay. The care include both inpatient and outpatient services as well as maintaining an emergency department that is available twenty-four (24) hours a day and treats nearly 64,000 patients annually. St. Clair provides free or discounted care to patients who meet certain criteria under St. Clair's Financial Assistance and Charity Care Program. St. Clair ensures that its financial assistance program is easily accessible to patients in need and the policy is posted in all key public areas, all registration areas and in all ancillary departments. The policy extends free or discounted services to low-income, uninsured or underinsured, patients with extraordinary medical expenses and indigent individuals who do not otherwise have the ability to pay fully for medically necessary health care. All patients without insurance are billed services at a discount regardless of income. Inpatient and outpatient services are discounted to a level approximating the average of Medicare and all commercial payment rates. Once St. Clair determines that a patient has qualified for formal charity care or free care, based on a sliding scale of 200%, 250% or 300% of federal poverty guidelines an additional adjustment of 100%, 30% or 20%, respectively, is applied to all accounts reviewed in the charity care/financial assistance application process. Those patients that do not complete a formal charity care application are screened for presumptive charity care prior to being placed in the regular collection process and qualify for charity care if the patients' credit score is below St. Clair's threshold credit score or if their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account. No further collection efforts are made on those qualifying for the 100% discount. For the patients qualifying for the 20% or 30% discount, the balance due is adjusted by the applicable percentage and the remaining balance continues through the regular collection process. During the year ended June 30, 2015, $5,646,000 of uninsured discounts were provided.
Part VI, Line 2:	St. Clair completed all phases of its Community Health Needs Assessment, publicizing its findings in May 2013. Using primary and secondary data sources, interviews with public health experts, stakeholder input and guidance, and community member feedback, a priority index was developed in order to establish an implementation plan. Key areas of focus included: improving access to care for seniors and the underserved; improving the quality of prenatal care available in the region; reducing the incidence of prevalent cancers such as colon, lung and breast cancer; better education and management of chronic lifestyle conditions and lack of community services for behavioral and mental health patients. Additional and expanded program development is currently underway resulting in new programs being delivered directly in community neighborhoods. St. Clair has regular dialogue with regional healthcare experts, government officials, partnering agencies and community members regarding the health status of the community. That feedback is used to supplement the CHNA action plan as appropriate.
Part VI, Line 3:	The Hospital's process for educating patients about the Charity Care/Financial Assistance Policy is as follows:All uninsured patients who are registered through the emergency department are given a handout with information about the Hospital's Charity Care/Financial Assistance Policy. All patients who are admitted as inpatients receive a Patient Handbook and one section of the Handbook describes the Charity Care/Financial Assistance Policy. All self-pay patients are mailed the charity care letter and application.The Hospital's customer service representatives discuss the charity care policy when patients call the customer service line.All Self-pay patients who are admitted are seen by an outside consulting firm for a Medical Assistance qualification screening process. The firm also handles high-dollar outpatient accounts. The Hospital strives to be as helpful as possible in discussing charity care for our scheduled and unscheduled patient population.All patient statements notify patients that the hospital offers financial assistance/charity care, the customer service phone number, and hours of operation for additional information.The hospital's website notifies patients that the hospital offers financial assistance and provides access to the financial assistance/charity care application.Financial assistance notification is posted in all registration and other high volume patient areas.
Part VI, Line 4:	St. Clair is located in the municipality of Mt. Lebanon, in the southwest suburban quadrant of metropolitan Pittsburgh, Pennsylvania, approximately six miles from the downtown proper. St. Clair considers its service area to include thirty-four zip codes within six regions in southwestern Allegheny and northern Washington County, along with three other community hospitals. In 2015, the total population of this community was 483,000, with 19% of all households having incomes below $25,000. St. Clair also maintains a comprehensive outpatient center located in Bethel Park, approximately three miles from the main hospital, and a second outpatient center located in Peters Township, Washington County, approximately ten miles from the Hospital, as well as two smaller outpatient centers within similar proximity. The Hospital is licensed for 328 beds of which 303 were set up and staffed during the year ended June 30, 2015.
Part VI, Line 5:	St. Clair is the region's leading healthcare provider, excelling in quality, service and value. St. Clair's values are demonstrated through performance, integrity, compassion, pride and innovation. With more than 2,500 employees, St. Clair is the largest employer in southern Allegheny County. St. Clair's board of directors is comprised of members of the local community so that community needs can be properly determined and addressed. Subsidized Health ServicesIn addition to charity care and costs not covered by Medicaid payments, another community benefit provided by St. Clair is subsidized health services. These services yield low or negative margins, but are necessary to serve the community. $1,697,466 of subsidized health services were provided for the year ended June 30, 2015.Healthcare ServicesSt. Clair offers a comprehensive array of inpatient and outpatient services, including advanced cardiovascular services; specialized care for women, children and infants; diabetes treatment; oncology services; emergency care; general surgery services; primary care; behavioral health services; and pulmonary care. In addition to the high quality, broad range of clinical services offered, St. Clair is equally committed to capital improvements and purchases of new technology, to enhance its services to meet the community's health needs, investing in excess of $117,000,000 over the past five years.Each of these areas is staffed by a team of skilled physicians, nurses and other clinicians. St. Clair considers requests for clinical privileges and medical staff membership based upon the needs of the community and Medical Staff Development Plan.In addition, each area is attractive, modern, and fully equipped for a full continuum of diagnostic, treatment, and rehabilitation procedures.Cardiovascular Services - From diagnosis to treatment to rehabilitation and wellness, our multidisciplinary team of caregivers at St. Clair offers a full range of cardiac care services. Our highly skilled professionals have, in fact, helped St. Clair achieve industry-leading treatment times for heart attack victims arriving at our Emergency Department, resulting in better outcomes than some of the most recognized hospitals in the United States. St. Clair excels in a host of other cardiac performance measurements as well, having been named a Blue Distinction Center for Cardiac Care for its best practices and standards of care. Our cardiologists and cardiac surgeons are available 24 hours a day, seven days a week to provide scheduled and emergency cardiac care, seamlessly delivered with St. Clair's longtime reputation for quality, compassionate, personalized care. Additionally, Cardiovascular Services provides a comprehensive offering of screening, prevention, cardiac rehabilitation and educational programs to the community. St. Clair subsidizes one of the busiest Cardiac Rehabilitation programs in southwestern Pennsylvania, with more than 16,000 annual visits.Behavioral and Mental Health Services - St. Clair provides comprehensive diagnosis, treatment and follow-up care for persons suffering from mental illness and substance abuse. The Behavioral and Mental Health program offers a safe compassionate treatment environment where patients can learn to understand their illness and begin the recovery process. It engages a multi-disciplinary team of caring professionals (physicians, nurses, therapists and social workers) to develop individual treatment plans to best meet the specific needs of each patient. As one of the few remaining area hospitals to provide this much needed care, the program offers services to nearly 4,000 patients annually. (Inpatient unit, Outpatient Services, Mental Health Consultation-Liaison Program, Community Outreach)Orthopedics - St. Clair's orthopedics program includes a variety of services focused on the prevention, diagnosis and treatment of disorders of the musculoskeletal system. From diagnostic testing to arthroscopic and minimally invasive surgery to elective surgery to rehabilitation, St. Clair provides access to leading edge technologies in a compassionate and caring setting. Our multidisciplinary team of physicians, nurses, and therapists develop coordinated treatment plans for each patient to ensure that each individual receives personalized attention and comprehensive care with the ultimate goals of better results and fewer complications. St. Clair also was recognized as a Blue Distinction Center for Spine Surgery and for Knee and Hip Replacement by the Blue Cross and Blue Shield Association. Additionally, it offers an extensive variety of community education and prevention programs monthly, aimed at improving the health status of orthopedic patients.Women's and Children's Services - Women's and Children's Services provides a comprehensive continuum of care, spanning from pre-natal, obstetrics, newborn and pediatric services to complete gynecological and urological services. The state-of-the-art Family Birth Center includes 23 Labor, Delivery, Recovery and Post-Partum (LDRP) beds, a Level II neonatal intensive care unit and an 9 bed Pediatric unit. As one of 6 hospitals in the service area providing Obstetric services, St. Clair performed 1,346 deliveries during the year ended June 30, 2015. Additionally, it provides an extensive offering of education and support programs. A board certified pediatrician is on-site 24 hours a day.Cancer Care- Cancer Care provides comprehensive inpatient and outpatient services to patients diagnosed with cancer, and their families. The focus is to treat the physical, emotional, spiritual and psychological needs of patients throughout all stages of the cancer continuum, from diagnosis to treatment, recovery and rehabilitation. Additionally, Cancer Care provides a significant number of cancer screening, education and wellness programs to the community.St. Clair's Sipe Infusion Center is used by patients being treated with chemotherapy, blood transfusions and injections for various ailments. The experienced Infusion Center team consists of registered nurses who have received specialized education and training in cancer care, including certifications in oncology, infusion therapy, critical care and medical-surgical care. The staff consistently receives high satisfaction ratings from patients and their families for their excellent care. Services include: chemotherapy, blood/blood products and IV solutions/medications administration; PICC and mid-line insertions for both inpatients and outpatients; maintenance, care, repair and de-clotting of central IV lines/ports; and therapeutic phlebotomies.The UPMC/St. Clair Hospital Cancer Center, located on the Hospital campus, provides a full spectrum of radiation treatment services, which are designed to help treat cancerous tumors while preserving healthy surrounding tissue. The Center is a joint venture between UPMC CancerCenters, a partner with University of Pittsburgh Cancer Institute, and St. Clair Hospital. The Center recently expanded and now includes Intensity-Modulated Radiation Therapy (IMRT) capabilities. IMRT gives radiation oncologists the ability to more precisely "custom sculpt" the shape of a tumor, delivering the right amount of radiation with more accuracy and helping to preserve healthy tissue around the tumor. Located at St. Clair, this partnership offers area residents access to convenient, advanced, comprehensive, and high-quality care close to home.Emergency Services - St. Clair is home to the region's largest Emergency Department, with nearly 64,000 annual visits in the year ended June 30, 2015. The Emergency Department is open 24 hours a day and accessible by all patients, providing emergency care ranging from minor injuries and illness to life-threatening accidents or illnesses. The Emergency Department is fully integrated with all of the other service areas of St. Clair to ensure that, should patients require additional specialized treatment, it is provided in a coordinated environment. To accommodate the growing needs of the community, St. Clair completed a two-phase, $13.5 million construction project in 2009 to accommodate up to 80,000 patient visits per year. St. Clair has made improvements in our throughput processes to better serve our community as evidenced by a patients-left-without-being-seen rate of 0.27%, which is well below the national average of between 2.5%-3%. Door-to-room times averaged 3 minutes and door-to-doctor times averaged 15 minutes during the year ended June 30, 2015. Patient satisfaction scores for St. Clair's Emergency Department were in the 96th percentile nationwide for the year ended June 30, 2015. See Additional Information for other Services
Part VI, Line 7, Reports Filed With States	PA
Additional Information	Surgical Services - St. Clair's Surgical Services Department performs a wide range of operative procedures, including: endoscopy, gynecological surgery, ear, nose and throat surgery, orthopedic surgery, pediatric surgery, oral/maxillofacial surgery, minimally invasive surgery, podiatric surgery, open chest (heart) surgery, urological surgery, ophthalmologic surgery, pain control services, laser surgery, general surgery, vascular surgery, plastic and reconstructive surgery, lithotripsy, and thoracic surgery. In the year ended June 30, 2011, St. Clair also initiated a robotic-assisted, minimally-invasive surgical program, for which it acquired the da Vinci Si robotic surgical system. This system benefits our patients by using the most advanced technology to enable surgeons to perform delicate and complex operations through a few tiny incisions with increased vision, precision, dexterity and control, resulting in less pain and blood loss, a shorter hospital stay, and quicker recovery and return to everyday activities. Other ServicesInpatient Rehabilitation Unit - St. Clair's Inpatient Rehabilitation Unit (IRU) provides therapy programs that help patients reach the maximum independence in living skills, mobility, and communication. The IRU provides acute, individualized rehabilitative services for patients with conditions such as stroke, brain injuries, spinal cord injuries, burns, fractures, and neurological disorders. Medical Imaging - Physicians at St. Clair use the most sophisticated imaging and diagnostic equipment available to ensure that their patients are receiving the fastest and most accurate readings to determine their conditions and to serve as the foundation to developing a course of treatment. A full-service Medical Imaging Department offers a variety of diagnostic and interventional studies in four locations in southern Allegheny County using the modalities of general radiology, nuclear medicine, ultrasound, mammography, CT scanning, MRI, PET scanning and special procedures. Laboratory Services - St. Clair's full-service Laboratory is staffed by a team of professionals operating 24 hours a day, seven days a week to provide quick and accurate test results. The lab is equipped with leading-edge technology and analyzers, offering comprehensive testing in the specialties of hematology, chemistry, microbiology, histology, cytology and blood banking. St. Clair's outreach program operates four community-based service centers and provides services to more than 90 physician offices and eleven long-term care facilities. Physical and Occupational Therapy - St. Clair's Physical Therapy Department offers comprehensive rehabilitation services to inpatients and outpatients. Licensed Physical Therapists and Physical Therapist Assistants focus their treatment on restoring patients' loss of motion, strength and function. Physical Therapy works as a treatment for existing problems and prevention of complications. The goal is to return patients to their optimum level of function through exercise, walking therapy, heat and cold treatments, and tissue mobilization. The health care professionals within St. Clair's Occupational Therapy Department help individuals who are suffering from an illness, injury or disability return to a healthy way of living. With a personalized plan of care, patients are assisted in resuming activities they need or want to participate in, including independent self-care, home and work-related skills, and leisure activities. Utilizing purposeful activity to maximize independence, prevent disability and maintain health, the department promotes safety at home, work or school. Respiratory Care/Respiratory Therapy - The Respiratory Care Department at St. Clair delivers comprehensive, consistent, state-of-the art pulmonary services to patients. The department treats patients of all ages, offering a full continuum of care, ranging from diagnostic testing, Emergency Department care, inpatient and outpatient pulmonary rehabilitation, and education. Services include:-Respiratory Care-Sleep Disorders Center-Intensive Care Unit-22-Bed Pulmonary/Telemetry-Inpatient Unit-Pulmonary Rehabilitation Program-Pulmonary Health Education-Smoking Cessation ClassesHeart Testing - St. Clair offers a full range of diagnostic testing, including ECG, holter monitoring, event recording, echocardiogram, cardiac CT angiography, and stress tests at multiple locations.

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
St Clair Health Corporation Group Return

Employer identification number
61-1663540

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) St Clair Memorial Hospital Foundation (paid by SCH) 1000 Bower Hill Road Pittsburgh,PA15243	25-1407399	501(c)(3)	15,000	Employee Assistance

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
(1) Employee assistance-expenses	29	31,618
(2) Patient Assistance	18	5,690
(3) Education Assistance	2	1,985
(4) Scholarship-Nursing Student	1	100

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

Part I, Line 2:

Funds are budgeted and approved by St. Clair Memorial Foundation Board on an annual basis. St. Clair Memorial Hospital Social Service department identifies employees and patients in need, from a care perspective and makes recommendations to senior management. Based on established criteria and need senior management forwards approved recommendations to St. Clair Memorial Foundation for disbursement of approved funding.

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

St Clair Health Corporation Group Return

Employer identification number

61-1663540

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

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)
1Karl E Bushman MDBoard Member-SCH	(i) (ii)	179,363 ............................... 0	54,675 ............................... 0	0 ............................... 0	16,710 ............................... 0	13,732 ............................... 0	264,480 ............................... 0	0 ............................... 0
2James M CollinsPresident/CEO/Asst Secy -SCH	(i) (ii)	546,819 ............................... 0	350,575 ............................... 0	0 ............................... 0	26,618 ............................... 0	22,284 ............................... 0	946,296 ............................... 0	0 ............................... 0
3Joan L MassellaAdm VP/CNO-SCH	(i) (ii)	200,992 ............................... 0	68,062 ............................... 0	0 ............................... 0	28,686 ............................... 0	8,057 ............................... 0	305,797 ............................... 0	0 ............................... 0
4G Alan Yeasted MDSr VP/CMO-SCH	(i) (ii)	280,920 ............................... 0	86,110 ............................... 0	6,644 ............................... 0	30,433 ............................... 0	17,072 ............................... 0	421,179 ............................... 0	0 ............................... 0
5Mario J Fatigati MDBoard Member-SCMS	(i) (ii)	238,402 ............................... 0	105,163 ............................... 0	0 ............................... 0	17,700 ............................... 0	12,328 ............................... 0	373,593 ............................... 0	0 ............................... 0
6Robert N Shogry MDBoard Member-SCF	(i) (ii)	346,678 ............................... 0	159,406 ............................... 0	0 ............................... 0	18,200 ............................... 0	14,174 ............................... 0	538,458 ............................... 0	0 ............................... 0
7Richard C ChesnosSr VP/CFO/Treasurer-SCH	(i) (ii)	274,417 ............................... 0	118,745 ............................... 0	0 ............................... 0	24,289 ............................... 0	18,346 ............................... 0	435,797 ............................... 0	0 ............................... 0
8Michael J FlanaganSr VP/COO/Secretary-SCH	(i) (ii)	272,706 ............................... 0	115,109 ............................... 0	0 ............................... 0	18,430 ............................... 0	17,996 ............................... 0	424,241 ............................... 0	0 ............................... 0
9Andrea L KalinaVP External Affairs/CHRO-SCH	(i) (ii)	192,482 ............................... 0	60,980 ............................... 0	0 ............................... 0	27,886 ............................... 0	4,795 ............................... 0	286,143 ............................... 0	0 ............................... 0
10Eric LuttringerAsst Treasurer-SCH	(i) (ii)	163,844 ............................... 0	10,938 ............................... 0	0 ............................... 0	10,777 ............................... 0	15,485 ............................... 0	201,044 ............................... 0	0 ............................... 0
11Richard J SchafferVP & CIO-SCH	(i) (ii)	184,860 ............................... 0	57,445 ............................... 0	0 ............................... 0	26,868 ............................... 0	16,484 ............................... 0	285,657 ............................... 0	0 ............................... 0
12Barry S ZaiserSr VP Op&SD-SCH	(i) (ii)	237,833 ............................... 0	91,865 ............................... 0	0 ............................... 0	20,397 ............................... 0	9,894 ............................... 0	359,989 ............................... 0	0 ............................... 0
13Richard SieberExec Dir Mkt/Devl-SCF	(i) (ii)	146,281 ............................... 0	9,793 ............................... 0	0 ............................... 0	11,070 ............................... 0	15,867 ............................... 0	183,011 ............................... 0	0 ............................... 0
14Kevin P BordeauPhysician	(i) (ii)	833,779 ............................... 0	0 ............................... 0	0 ............................... 0	15,600 ............................... 0	13,788 ............................... 0	863,167 ............................... 0	0 ............................... 0
15John GirodPhysician	(i) (ii)	256,149 ............................... 0	282,142 ............................... 0	0 ............................... 0	15,600 ............................... 0	13,827 ............................... 0	567,718 ............................... 0	0 ............................... 0
16Mark K GreathousePhysician	(i) (ii)	246,268 ............................... 0	275,419 ............................... 0	0 ............................... 0	18,200 ............................... 0	14,174 ............................... 0	554,061 ............................... 0	0 ............................... 0
17Jeffrey FriedelPhysician	(i) (ii)	353,947 ............................... 0	145,236 ............................... 0	0 ............................... 0	15,600 ............................... 0	13,827 ............................... 0	528,610 ............................... 0	0 ............................... 0
18Arnold SholderPhysician	(i) (ii)	479,302 ............................... 0	0 ............................... 0	0 ............................... 0	18,200 ............................... 0	0 ............................... 0	497,502 ............................... 0	0 ............................... 0

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
Part I, Line 1a	Duquesne Club: Membership dues are paid for James M. Collins at the Duquesne Club. The Duquesne Club is a social club where local leaders meet to conduct business and accepts only individual memberships. The Hospital conducts business meetings at the facility. The accountable plan rules are met.
Part I, Line 3	A subcommittee of the Board of Directors of St. Clair Health Corporation (whose Board members are also members of the St Clair Memorial Hospital Board), the parent of St. Clair Memorial Hospital, St. Clair Memorial Foundation and St. Clair Medical Services, serves as the executive compensation committee and is charged annually with evaluating, determining and approving the annual compensation of executives. Salary survey information and 990 comparative evaluations are considered along with the written performance evaluation for each executive. In addition, data provided by an independent compensation consultant is used to validate and support executive compensation.
Part I, Line 4b	These officers participated in the Hospital's Supplemental Nonqualified Retirement Plan James M. Collins $8,418 Richard Chesnos $6,089 Barry S. Zaiser $2,197 Alan Yeasted $9,633 Michael Flanagan $2,830 Andrea Kalina $ 28 Joan Massella $ 86

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
St Clair Health Corporation Group Return

Employer identification number
61-1663540

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	Mt Lebanon Hosp Authority	25-6189519	621820C09	12-01-2007	10,000,000	Finance Capital Improvements		X		X		X
B	Mt Lebanon Hosp Authority	25-6189519		12-23-2010	20,000,000	Finance Capital Improvements		X		X		X
C	Mt Lebanon Hosp Authority	25-6189519	621820CS6	08-22-2012	24,746,452	2002 Bond Refinancing		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	2,750,000		3,901,060		1,565,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	10,000,000		20,139,725		24,746,452
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	16,980		29,457		510,468
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	9,983,020		20,110,268
11 Other spent proceeds . . . . . . . . . . . . . .	24,235,984				24,235,984
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2009		2013		2013
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		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
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		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?
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 %
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 . . . . . . .	0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? . . . . .		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
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? . . . . . . . . . . . . .
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

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
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X	X		X
b Exception to rebate? . . . . . . . .	X			X	X
c No rebate due? . . . . . . . .		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
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

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
b Name of provider . . . . . . . . .
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
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	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

Part VI

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

Return Reference	Explanation
Part II, Line 3, column B	The Series 2010 Revenue Note Project Fund variance between the issue price and the total proceeds of issue represents investments earnings on the project fund. Project Fund was established to fund costs over construction period.

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

St Clair Health Corporation Group Return

Employer identification number

61-1663540

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) SH Radiology D Orr Pres SHR	Brd Mbr-SCH, SCMS	960,834	Interpretation of Radiology Exams		No
(2) PPCP L Civitarese PPCP shrhlder	Brd Mbr-SCH	303,398	Professional Services		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

St Clair Health Corporation Group Return

Employer identification number

61-1663540

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	5	40,300	Market Value
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2014)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (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

St Clair Health Corporation Group Return

Employer identification number

61-1663540

Return Reference	Explanation
Form 990, Part VI, Section A, line 2	Board members Don Jenkins, Gary Zentner and Bryan Hondru each hold greater than 10% of interest in the same non-St Clair related real estate investment partnership.
Form 990, Part VI, Section A, line 6	- St. Clair Memorial Hospital, St. Clair Memorial Hospital Foundation, and St. Clair Medical Services do not have members or stockholders. St. Clair Medical Services is the sole member of St. Clair Anesthesiology Associates and St. Clair Professional Services.
Form 990, Part VI, Section A, line 7a	- According to the governing documents of St. Clair Memorial Hospital, St. Clair Memorial Hospital Foundation, and St. Clair Medical Services, St. Clair Health Corporation, as the parent company, has the power to approve the election or nomination of the board of directors of such organizations. St. Clair Anesthesiology Associates and St. Clair Professional Services are governed by the board of directors of St. Clair Medical Services.
Form 990, Part VI, Section A, line 7b	According to the governing documents of St. Clair Memorial Hospital and St. Clair Memorial Hospital Foundation, St. Clair Medical Service, St. Clair Health Corporation, as the parent company of such organizations, has the power to make or approve certain decisions of such organizations including approval of the sale or encumberance of a substantial amount of assets, the approval of annual operating and capital budgets, and the approval of strategic plans. St. Clair Anesthesiology Associates and St. Clair Professional Services are governed by the board of directors of St. Clair Medical Services.
Form 990, Part VI, Section B, line 11	(b) - This Form 990 is prepared internally, reviewed by management, and reviewed by a third-party accounting firm, Ernst & Young LLP. The draft Form 990 is provided to each board member for review via a secure website prior to filing.
Form 990, Part VI, Section B, line 12c	Conflicts are monitored through an annual survey completed by Board Members and Officers. Enforcements of the corporations policies are managed by the CEO and Board Members, to whom all conflicts are reported. The Corporate Compliance Officer also manages enforcement of St. Clair Hospital policies. To the extent any conflicts are identified, such Board members or Officers are excluded from participating in the relative decision making process.
Form 990, Part VI, Section B, line 15	(a & b) - A subcommittee of the Board of Directors of St. Clair Health Corporation, the parent of St. Clair Memorial Hospital, St. Clair Memorial Foundation and St. Clair Medical Services, serves as the executive compensation committee and is charged with annually evaluating, determining and approving the annual compensation of executives. Salary survey information and 990 comparative evaluations are considered along with the written performance evaluations for each executive. In addition, data provided by an independent compensation consultant is used to validate and support executive compensation.
Form 990, Part VI, Section C, line 19	Governing documents, conflict of interest policy and financial statements are made available to the public upon request.
Form 990, Part XI, line 9:	Change in pension liability -13,243,092. Transfer (to)/from affiliates -56,623. Investment income 72. Contributions 103,595. Grants received -181,524. Assets released from restriction for operations -131,859. Other increases / (decreases) -68,506.
Form 990, Part IV, Line 2	St. Clair Memorial Hospital receives and reports amounts exceeding $5,000 from any one contributor, and St. Clair Memorial Hospital Foundation receives and reports amounts exceeding the 2% special rule threshold from any one contributor.
Form 990, Part IV, Line 4	St. Clair Hospital is engaged in lobbying activities and has properly reported the allowable costs on Schedule C.
Form 990, Part IV, Line 10	St. Clair Memorial Hospital and St. Clair Memorial Hospital Foundation hold assets in term, permanent, or endowments and have properly reported on Schedule D, Part V.
Form 990, Part IV, Line 18	St. Clair Foundation's gross receipts from fundraising events exceeded $15,000 and have been properly included in Schedule G, Part II.
Form 990, Part IV, Line 20	St. Clair Memorial Hospital operates one hospital and has properly completed Schedule H.
Form 990, Part IV, Line 24a	St. Clair Hospital has tax-exempt bond issues exceeding $100,000 issued after December 31, 2002 and have properly reported on Schedule K.
Form 990, Part V, Line 3a.	St. Clair Memorial Hospital recorded more than $1,000 in unrelated gross business income.
Form 990, Part V, Line 3b.	St. Clair Memorial Hospital has filed a 990-T to report unrelated gross business income.
Form 990, Part V, Line 7a.	St. Clair Memorial Hospital Foundation provided goods or services in exchange for a contribution more than $75. The Foundation notified the donor of the value.
Schedule B, Contributions covered by General or Special Rule	The organizations comprising St. Clair Health Corp Group return are covered by both the General Rule and Special Rule. - St. Clair Memorial Hospital - General Rule - St. Clair Professional Services, Inc. - General Rule - St. Clair Anesthesiology Associates, Inc. - General Rule - St. Clair Medical Services, Inc. - General Rule - St. Clair Memorial Hospital Foundation - Special Rule

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

St Clair Health Corporation Group Return

Employer identification number

61-1663540

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

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) St Clair HospitalUPMC Cancer Center PETCT 1000 Bower Hill Road Pittsburgh,PA15243 20-2814053	Community Healthcare Provider	PA	501(c)(3)	11	St Clair Health Corporation	Yes

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	(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 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

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	(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) SCNSC Properties 1000 Bower Hill Road Pittsburgh,PA15243 26-2004682	Real Estate	PA	NA	C				No

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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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) St Clair HospitalUPMC Cancer Center PETCT	B	966,000	Actual
(2) St Clair HospitalUPMC Cancer Center PETCT	O	211,735	Actual
(3) St Clair HospitalUPMC Cancer Center PETCT	P	897,727	Actual
(4) St Clair Memorial Hospital Foundation	O	498,526	Actual
(5) St Clair Memorial Hospital Foundation	Q	567,024	Actual
(6) St Clair Professional Services Inc	O	3,612,584	Actual
(7) St Clair Professional Services Inc	Q	54,596	Actual
(8) St Clair Professional Services Inc	S	2,140,344	Actual
(9) St Clair Anesthesiology Associates Inc	O	5,711,194	Actual
(10) St Clair Anesthesiology Associates Inc	Q	674,150	Actual
(11) St Clair Anesthesiology Associates Inc	S	2,270,798	Actual
(12) St Clair Medical Services Inc	O	23,328,508	Actual
(13) St Clair Medical Services Inc	Q	6,898,283	Actual
(14) St Clair Medical Services Inc	S	453,704	Actual

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: St Clair is the region's leading healthcare provider, excelling in quality, service and value.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	46
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	34
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	2,588
6	Total number of volunteers (estimate if necessary) .............	6	623
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	646,536
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) .........	4,236,851	2,405,166
9	Program service revenue (Part VIII, line 2g) .........	277,714,618	300,208,524
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	10,787,108	8,021,828
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-349,498	204,285
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	292,389,079	310,839,803
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	92,316	126,574
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)	144,776,899	146,090,171
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 353,007
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	122,112,077	138,569,917
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	266,981,292	284,786,662
19	Revenue less expenses. Subtract line 18 from line 12.......	25,407,787	26,053,141
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	372,954,215	384,307,409
21	Total liabilities (Part X, line 26).............	115,766,293	118,095,467
22	Net assets or fund balances. Subtract line 21 from line 20.....	257,187,922	266,211,942

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 222,209,230 including grants of $ 126,574 ) (Revenue $ 300,410,070 )
	St Clair Memorial Hospital's primary exempt purpose is to provide healthcare services to the community and operate a 24 hour Emergency Department to meet the medical needs of the community regardless of ability to pay. In the current year,the Hospital provided 71,589 inpatient days of care to the adult and pediatric population of the community, served 16,359 admissions, performed 297,524 occasions of outpatient services and treated 63,852 Emergency room visits. St Clair Memorial Hospital Foundation provides administrative and support functions associated with program services. St. Clair Medical Services, Inc. provides physician and other healthcare services to the community to support, provide assistance, and advance the interests of St. Clair Health Corporation. (Continued on Schedule O)St. Clair Professional Services, Inc., a non-profit subsidiary of St. Clair Medical Services, Inc., provides physician and other healthcare services to the community, regardless of ability to pay, including, but not limited to, pediatric and certain hospitalists and intensivists services to support, assist, and advance the interests of St. Clair Memorial Hospital(exempt) and other corporations or organizations that are affiliated with St. Clair Health Corporation which are exempt from federal income tax under Sections 501 (c) (3) and public charities exempt under 509 (a) (1) or (2) of the Code. St. Clair Anesthesiology Associates, Inc., a non-profit subsidiary of St. Clair Medical Services, Inc. employs Certified Nurse Anesthetists who provide healthcare services to the community, regardless of ability to pay, including, but not limited to, anesthesia services to support, assist, and advance the interests of St. Clair Memorial Hospital(exempt) and other corporations or organizations that are affiliates with St. Clair Health Corporation which are exempt from federal income tax under Sections 501 (c) (3) and public charities exempt under 509 (a) (1) or (2) of the Code.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses222,209,230

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	7,460,210	0	619,217

				(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
b	Membership dues....1b
c	Fundraising events....1c		222,685
d	Related organizations...1d		25,000
e	Government grants (contributions)1e		1,293,532

f	All other contributions, gifts, grants, and similar amounts not included above1f		863,949

g	Noncash contributions included in lines 1a-1f:$		40,300
h	Total. Add lines 1a-1f.......			2,405,166
			Business Code
2a	Net patient service rev		622110	266,792,908	264,527,353		2,265,555
b	Program service revenue		621990	29,942,597	29,942,597
c	Cafeteria/Cafe		722210	1,906,022			1,906,022
d	Parking		812930	930,371			930,371
e	Lablink		621500	636,626		636,626
f	All other program service revenue .
g	Total. Add lines 2a–2f........			300,208,524
3	Investment income (including dividends, interest, and other similar amounts).......			3,717,048			3,717,048
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	1,129,573
b	Less: rental expenses	1,133,835
c	Rental income or (loss)	-4,262
d	Net rental income or (loss).......			-4,262			-4,262
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	127,016,510	2,473
b	Less: cost or other basis and sales expenses	122,706,083	8,120
c	Gain or (loss)	4,310,427	-5,647
d	Net gain or (loss)..........			4,304,780			4,304,780
8a	Gross income from fundraising events (not including $ 222,685 of contributions reported on line 1c). See Part IV, line 18 ..
	a		85,794
b	Less: direct expenses ...b		168,496
c	Net income or (loss) from fundraising events..			-82,702			-82,702
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...
10a	Gross sales of inventory, less returns and allowances .
	a		213,630
b	Less: cost of goods sold ..b		133,837
c	Net income or (loss) from sales of inventory..			79,793			79,793
Miscellaneous Revenue			Business Code
11a	Partnership Activities		561000	201,546	201,546
b	Telephone		900002	9,910		9,910
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			211,456
12	Total revenue. See Instructions......			310,839,803	294,671,496	646,536	13,116,605


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			16,056	1	16,287
2	Savings and temporary cash investments .........			5,710,022	2	10,010,708
3	Pledges and grants receivable, net ...........			339,621	3	300,777
4	Accounts receivable, net .............			28,338,639	4	30,522,328
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
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
					6
7	Notes and loans receivable, net .............			1,612,609	7	1,252,234
8	Inventories for sale or use ..............			4,347,366	8	4,813,130
9	Prepaid expenses and deferred charges ..........			3,382,779	9	5,408,892
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	313,495,103
b	Less: accumulated depreciation .....	10b	189,172,716	123,366,707	10c	124,322,387
11	Investments—publicly traded securities ..........			185,026,227	11	189,581,509
12	Investments—other securities. See Part IV, line 11 .....			8,559,807	12	7,563,801
13	Investments—program-related. See Part IV, line 11 .....			4,801,713	13	4,236,591
14	Intangible assets ...............			1,296,866	14	1,396,275
15	Other assets. See Part IV, line 11 ...........			6,155,803	15	4,882,490
16	Total assets. Add lines 1 through 15 (must equal line 34)......			372,954,215	16	384,307,409
17	Accounts payable and accrued expenses .........			24,158,869	17	28,978,286
18	Grants payable .................				18
19	Deferred revenue ................			4,305,633	19	4,210,412
20	Tax-exempt bond liabilities .............			48,449,257	20	45,731,675
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
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..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
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....................			38,852,534	25	39,175,094
26	Total liabilities. Add lines 17 through 25.........			115,766,293	26	118,095,467
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			240,382,074	27	249,671,605
28	Temporarily restricted net assets ...........			6,563,211	28	6,825,179
29	Permanently restricted net assets ...........			10,242,637	29	9,715,158
	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 ...........			257,187,922	33	266,211,942
34	Total liabilities and net assets/fund balances ........			372,954,215	34	384,307,409

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................	Yes	No