TY 2019 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) James M Collins...................................................................... President/CEO/Asst Secy -SCH	60.00 ................. 12.00	X	X		1,178,001	187,512
(2) Richard C Chesnos...................................................................... Sr VP/CFO/Treasurer-SCH	60.00 ................. 12.00		X		932,275	117,079
(3) Andy Kiser MD...................................................................... Physician	60.00 ................. 0.00			X	941,642	22,184
(4) Kevin Bordeau MD...................................................................... Board Member-SCMS thru 12/2019	60.00 ................. 0.00	X			828,976	35,971
(5) John T Sullivan MD...................................................................... Sr VP/CMO-SCH	60.00 ................. 2.00	X			607,832	111,086
(6) Michael J Flanagan...................................................................... Sr VP/COO/Secretary-SCH	60.00 ................. 8.00		X		589,910	110,606
(7) Derek Thomas MD...................................................................... Physician	60.00 ................. 0.00			X	615,589	16,893
(8) Shaka Walker MD...................................................................... Physician	60.00 ................. 0.00			X	539,929	36,591
(9) Maxim Bocharov MD...................................................................... Physician	60.00 ................. 0.00			X	537,520	37,226
(10) Richard Mitchell MD...................................................................... Physician	60.00 ................. 0.00			X	522,717	31,900
(11) Robert N Shogry MD...................................................................... Board Member-SCF	60.00 ................. 0.00	X			494,005	43,651
(12) Barry S Zaiser...................................................................... Sr VP/CSO.-SCH through 1/2020	60.00 ................. 10.00		X		441,042	85,726
(13) Andrea L Kalina...................................................................... SrVP Ext Affrs/CHRO-SCH thru 1/2020	60.00 ................. 2.00		X		360,098	85,353
(14) Mario J Fatigati MD...................................................................... Board Member-SCMS	45.00 ................. 2.00	X			392,879	39,327
(15) Charles J Rakaczky...................................................................... VP Phys Network-SCMS thru 1/2020	60.00 ................. 0.00		X		316,047	115,889
(16) Richard J Schaeffer...................................................................... VP & CIO-SCH through 1/2020	60.00 ................. 0.00		X		293,685	79,431
(17) Diane L Puccetti RN...................................................................... Adm VP/CNO-SCH through 1/2020	60.00 ................. 0.00		X		268,487	63,722

(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) Karl E Bushman MD........................................................................ Board Member-SCMS	60.00 .......................2.00	X		274,042	41,535
(19) Eric Luttringer........................................................................ VP Finance/Asst Treasurer-SCH	60.00 .......................12.00		X	236,206	70,629
(20) Charles V Dibello........................................................................ VP Fac Mgmt & Const.-SCH thru 1/2020	60.00 .......................0.00		X	228,609	43,236
(21) Elizabeth Pittman........................................................................ VP & COO-SCMS thru 1/2020	60.00 .......................0.00		X	206,107	58,963
(22) G Alan Yeasted MD........................................................................ Board Member-SCH	30.00 .......................5.00	X		178,208	36,717
(23) Richard Sieber........................................................................ Exc Dir Mkt/Devl-SCF thru 1/2020	60.00 .......................0.00		X	178,080	36,375
(24) Meredith Borst........................................................................ Exc Dir Strtgc Init-SCH thru 1/2020	60.00 .......................0.00		X	159,553	15,673
(25) Frank Arcuri Esq........................................................................ Board Member-SCMS as of 1/2020	2.00 .......................3.00	X		0	0
(26) Frank Arcuri Esq........................................................................ Vice Chairman-SCH	2.00 .......................3.00	X	X	0	0
(27) Joseph B Banko........................................................................ Board Member-SCH	2.00 .......................3.00	X		0	0
(28) Joseph B Banko........................................................................ Board Member-SCMS	2.00 .......................3.00	X		0	0
(29) James W Barson........................................................................ Board Member-SCMS	2.00 .......................1.00	X		0	0
(30) Susan M Bicket Esq........................................................................ Board Member-SCH	2.00 .......................0.00	X		0	0
(31) Michael Blehar........................................................................ Board Member-SCF	2.00 .......................0.00	X		0	0
(32) Rachel Brecht........................................................................ Board Member-SCF	2.00 .......................0.00	X		0	0
(33) Stephanie Brown MD........................................................................ Board Member-SCH	2.00 .......................0.00	X		0	0
(34) Karl E Bushman MD........................................................................ Board Member-SCH	2.00 .......................60.00	X		0	0
(35) James M Collins........................................................................ President/CEO-SCMS	2.00 .......................70.00	X	X	0	0
(36) Mario J Fatigati MD........................................................................ Board Member-SCH	2.00 .......................45.00	X		0	0
(37) Laura L Freedman........................................................................ Board Member-SCH	2.00 .......................0.00	X		0	0
(38) Gary G Glausser........................................................................ Board Member-SCH	2.00 .......................6.00	X		0	0
(39) Gary G Glausser........................................................................ Chairman-SCMS	5.00 .......................3.00	X	X	0	0
(40) Tricia Hammel........................................................................ Board Member-SCF	2.00 .......................0.00	X		0	0
(41) Scott Heeter........................................................................ Board Member-SCF	2.00 .......................2.00	X		0	0
(42) Scott Heeter........................................................................ Board Member-SCH	2.00 .......................2.00	X		0	0
(43) David R Heilman........................................................................ Board Member-SCH	2.00 .......................3.00	X		0	0
(44) David R Heilman........................................................................ Board Member-SCMS	2.00 .......................3.00	X		0	0
(45) Bryan Hondru........................................................................ Board Member-SCF	2.00 .......................0.00	X		0	0
(46) Christopher D Howard........................................................................ Board Member-SCH as of 10/2019	2.00 .......................0.00	X		0	0
(47) Deborah Lee........................................................................ Board Member-SCF	2.00 .......................0.00	X		0	0
(48) Dan Long........................................................................ Board Member-SCF	2.00 .......................0.00	X		0	0
(49) Vicki McKenna........................................................................ Board Member-SCF	2.00 .......................0.00	X		0	0
(50) Thomas M Medwig........................................................................ Board Member-SCF	2.00 .......................7.00	X		0	0
(51) Thomas M Medwig........................................................................ Board Member-SCH	2.00 .......................7.00	X		0	0
(52) Thomas M Medwig........................................................................ Board Member-SCMS	2.00 .......................7.00	X		0	0
(53) John P Meegan........................................................................ Board Member-SCF	2.00 .......................8.00	X		0	0
(54) John P Meegan........................................................................ Board Member-SCMS	2.00 .......................8.00	X		0	0
(55) John P Meegan........................................................................ Chairman-SCH	5.00 .......................5.00	X	X	0	0
(56) Edward A Nicholson........................................................................ Board Member-SCF as of 8/2019	2.00 .......................0.00	X		0	0
(57) Donald P Orr MD........................................................................ Board Member-SCH	2.00 .......................5.00	X		0	0
(58) Donald P Orr MD........................................................................ Board Member-SCMS	2.00 .......................5.00	X		0	0
(59) Matthew G Pesacreta MD........................................................................ Board Member-SCH	2.00 .......................0.00	X		0	0
(60) Jack B Piatt........................................................................ Board Member-SCF	2.00 .......................0.00	X		0	0
(61) Andrew F Rodgers........................................................................ Board Member-SCF thru 9/2019	2.00 .......................0.00	X		0	0
(62) Harry E Serene MD........................................................................ Board Member-SCF	2.00 .......................3.00	X		0	0
(63) Harry E Serene MD........................................................................ Board Member-SCH	2.00 .......................3.00	X		0	0
(64) Douglas E Shaffer........................................................................ Board Member-SCH	2.00 .......................1.00	X		0	0
(65) Joseph B Smith........................................................................ Board Member-SCH	2.00 .......................1.00	X		0	0
(66) Vaughn Strimlan MD........................................................................ Board Member-SCF	2.00 .......................0.00	X		0	0
(67) John T Sullivan MD........................................................................ Board Member-SCMS	2.00 .......................60.00	X		0	0
(68) Dena Haritos Tsamitis........................................................................ Board Member-SCF	2.00 .......................0.00	X		0	0
(69) Teresa Whalen........................................................................ Board Member-SCH	2.00 .......................0.00	X		0	0
(70) Thomas D Wright Jr Esq........................................................................ Board Member-SCF	2.00 .......................2.00	X		0	0
(71) Thomas D Wright Jr Esq........................................................................ Board Member-SCH	2.00 .......................2.00	X		0	0
(72) G Alan Yeasted MD........................................................................ Co-Chairman-SCF	5.00 .......................30.00	X	X	0	0
(73) Mark Zacur........................................................................ Board Member-SCH	2.00 .......................1.00	X		0	0
(74) Gary J Zentner........................................................................ Board Member-SCH	2.00 .......................6.00	X		0	0
(75) Gary J Zentner........................................................................ Co-Chairman-SCF	5.00 .......................3.00	X	X	0	0
(76) Richard C Chesnos........................................................................ Treasurer-SCF	2.00 .......................70.00		X	0	0
(77) Richard C Chesnos........................................................................ Treasurer-SCMS	2.00 .......................70.00		X	0	0
(78) James M Collins........................................................................ Asst Secretary-SCF	2.00 .......................70.00		X	0	0
(79) Andrea L Kalina........................................................................ SrVP Ext Affrs, Sec-SCF as of 1/2020	2.00 .......................60.00		X	0	0
(80) Eric Luttringer........................................................................ Asst Treasurer-SCF	2.00 .......................70.00		X	0	0
(81) Eric Luttringer........................................................................ Asst Treasurer-SCMS	2.00 .......................70.00		X	0	0
(82) Barry S Zaiser........................................................................ Secretary-SCMS	2.00 .......................68.00		X	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
PJ DICK 225 N SHORE DR PITTSBURGH,PA15212	CONSTRUCTION	16,174,302
MASCARO CONSTRUCTION COMPANY LP 1720 METROPOLITIAN ST PITTSBURGH,PA15233	CONSTRUCTION	12,950,951
ALLSCRIPTS HEALTHCARE LLC PO BOX 8538-133 PHILADELPHIA,PA19171	SOFTWARE SUPPORT	10,189,500
UPMC PO BOX 223270 PITTSBURGH,PA15251	STAFFING AGENCY	6,686,096
GE PRECISION HEALTHCARE LLC PO BOX 964830 CHICAGO,IL60693	SERVICE CONTRACTS	2,300,070
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 87

- 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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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(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	3	Yes		0	0

Total 1					0	0

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	1,380,441	2,161,478	3,631,649	4,111,052	5,201,987	16,486,607
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	1,380,441	2,161,478	3,631,649	4,111,052	5,201,987	16,486,607
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.						16,486,607

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..	1,380,441	2,161,478	3,631,649	4,111,052	5,201,987	16,486,607
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	364,451	359,123	411,677	326,525	399,259	1,861,035
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						18,347,642

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

1,403,231

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 2019 (line 6, column (f) divided by line 11, column (f)) .........

89.860 %

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

62.250 %

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2019

Page 6

Part V

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

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). 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

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) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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 - #12 Type II - St Clair Anesthesiology Associates, Inc EIN# 71-0875076 - #12 Type II - St Clair Medical Services, Inc EIN# 25-1876056 - #12 Type II

Schedule A (Form 990 or 990-EZ) 2019

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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 other 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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization St Clair Health Corporation Group Return

Part I Contributors	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization St Clair Health Corporation Group Return		Employer identification number 61-1663540

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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.) $ 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) (2019)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(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

17,901

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

Yes

22,735

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

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

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

40,636

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) 2019

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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 FASB 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 on 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 FASB ASC 958 relating to these items:

Revenue included on 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) 2019

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	10,063,464	10,321,464	10,343,723	10,036,805	10,776,099
b	Contributions ...	3,218,225		6,068		6,136
c	Net investment earnings, gains, and losses	86,397	254,312	498,013	855,742	-179,895
d	Grants or scholarships ...	100		100	100	100
e	Other expenditures for facilities and programs ...	531,362	512,312	526,240	548,724	565,435
f	Administrative expenses ....
g	End of year balance ......	12,836,624	10,063,464	10,321,464	10,343,723	10,036,805

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

Board designated or quasi-endowment SchDMd Bullet

7.020 %

Permanent endowment SchDMd Bullet

67.910 %

Term endowment SchDMd Bullet

25.070 %

The percentages on 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" on 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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	9,810,635		9,810,635
b	Buildings ....	110,336,700	63,608,778	46,727,922
c	Leasehold improvements	25,189,744	15,586,998	9,602,746
d	Equipment ....	130,661,949	94,146,436	36,515,513
e	Other .....	148,294,493	47,226,025	101,068,468
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				203,725,284

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on 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........
(3) Other (A) Series 2018 Rev Bond Project Fund	33,625,162	F
(B) Restricted Assets-Mutual Funds	13,356,600	F
(C) MLHA Debt Service Bond Funds	3,216,563	C
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	50,198,325

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	64,884,517
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) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on 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' on 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, 2020 and 2019, the Corporation does not have any uncertain tax positions.

Schedule D (Form 990) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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" on 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 the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	Central America and Caribbean			Investments	13,908,915
















3a	Sub-total ....	0	0		13,908,915
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		13,908,915

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

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

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

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

Schedule F (Form 990) 2019

Schedule F (Form 990) 2019Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

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
Part III Accounting Method:

Schedule F (Form 990) 2019

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" on 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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" on 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?

YesNo

If "Yes," list the 10 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 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2019

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on 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 . . . . .	314,857	314,857
2	Less: Contributions . . . .	220,510	220,510
3	Gross income (line 1 minus line 2) . . . . . .	94,347	94,347

4	Cash prizes . . . . .
5	Noncash prizes . . . .	24,062	24,062
6	Rent/facility costs . . . .	5,265	5,265
7	Food and beverages . . .	70,674	70,674
8	Entertainment . . . .
9	Other direct expenses . . .	2,901	2,901
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		102,902
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		-8,555

Part III

Gaming. Complete if the organization answered "Yes" on 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))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	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) 2019

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 activity 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) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

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) . . .	4,524,910		4,524,910	1.310 %
b	Medicaid (from Worksheet 3, column a) . . . . .	28,632,118	17,986,587	10,645,531	3.080 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	33,157,028	17,986,587	15,170,441	4.390 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	663,417		663,417	0.190 %
f	Health professions education (from Worksheet 5) . . .	505,502		505,502	0.150 %
g	Subsidized health services (from Worksheet 6) . . . .	8,845,381		8,845,381	2.560 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	314,449		314,449	0.090 %
j	Total. Other Benefits . .	10,328,749		10,328,749	2.990 %
k	Total. Add lines 7d and 7j .	43,485,777	17,986,587	25,499,190	7.380 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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	479,094	479,094	0.140 %
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	479,094	479,094	0.140 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

5,517,705

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).....

136,099,573

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

173,810,455

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

-37,710,882

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) 2019

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?1Name, 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) 2019

Page 4

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
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

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

6 a

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): https://www.stclair.org/community

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 18

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

12b

If "Yes" on 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) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	St Clair Memorial Hospital
Name of hospital facility or letter of facility reporting group

Yes

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)

Was widely publicized 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):

https://www.stclair.org/billing-insurance/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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	St Clair Memorial Hospital
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

Did the hospital facility or other authorized 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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

	St Clair Memorial Hospital
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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	Part V, Section B, Line 5: In keeping with its commitment to the community, St. Clair initiated a 2019 Community Health Needs Assessment (Tax Year 2018) and thereafter published a comprehensive action plan. Results of the study identified four broad categories of health needs in which St. Clair would develop programs, deploy resources and partner with other local agencies to positively impact the health of those we serve: access to services; chronic diseases and cancer; mental health and substance abuse; healthy environment and conditions Access - When access to care is limited health concerns go untreated; chronic conditions worsen and complications develop, leading to emergencies and preventable hospital admissions. To address the lack of access to care, St. Clair provided 12,526 free van transportation rides to the hospital and its outpatient centers. Coordination of services among providers is essential to ensuring residents' health needs are being met. St. Clair Hospital also made strides to expand access to prenatal education. A Family Birth Center Tour video was added to the Hospital's website and social media. The planning for several other prenatal education videos also took place during this tax year. Chronic Disease and Cancer - Chronic diseases such as heart disease, stroke, diabetes and cancer affect the health of millions of people and drive up the cost of medical care every year. To combat this, St. Clair provides free screening events to the community for prostate, breast, colon and skin cancers. However, due to COVID-19, the only screening that took place was the Free Mammography screening in FY20. The St. Clair Diabetes Center continued to serve as a resource to the community providing much needed education, treatment and support. Additionally, prior to COVID-19 the hospital participated in community health events, both preventative and treatment specific, to provide free health education and health screenings to the community. Particularly, St. Clair Hospital provided free education and screening at local food pantries.Mental Health and Substance Abuse - Substance abuse and addiction have reached epidemic proportions across the nation and St. Clair is not immune from that reality. To address this need, The Hospital offered free community-based mental health support groups in collaboration with other nonprofit mental health providers. In-person support groups were cancelled due to COVID-19, but the hospital still supported patients via outpatient and in-patient services through its Psychiatry and Mental Health Department. A new partnership with Mt. Lebanon Police and Outreach Teen & Family Services was initiated to provide funding for a Hidden in Plain Sight trailer, which educated parents on youth drug and alcohol use and abuse. The Hospital also expanded upon its partnership with Gateway Rehab, adding a second 24/7 Recovery Support Specialists for the Hospital's patients. St. Clair plans to make strides in the future to integrate mental health services in to our primary care physician offices.Healthy Environment and Conditions - St. Clair Hospital meets regularly with local municipalities to discuss how the Hospital can partner to create a healthier environment for our residents. The Hospital also funds community organizations whose work is conducive to creating healthier communities, and providing access to healthful foods. St. Clair Hospital also started a rooftop garden and donated produce to a partnering nonprofit food pantry.In addition to these specific CHNA initiatives, St. Clair also expands its reach to the community in the following ways:-St. Clair regularly contributes to partnering agencies in the form of monetary donations and in-kind contributions.-In the interest of safety and disease prevention, St. Clair has a needle disposal program for those who utilize needles, syringes and other sharp objects in managing conditions such as diabetes. This free service enables people to exchange containers of contaminated needles for empty ones.-St. Clair welcomes students from the region's many training programs and universities seeking to gain clinical experience. Medical students, residents, nursing students and others rotate through St. Clair's clinical departments as they prepare for careers in healthcare, and often times, returning to communities in need. These programs were impacted during the COVID-19 pandemic.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 during 2018 via focus groups, a web-based survey and a paper-based survey. 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 6/30/20:Joseph B. SmithSenior Vice President, Marketing,Dollar Bank Chairman,Community Benefit CommitteeBoard of Directors, St. Clair HospitalFrank Arcuri, Esq.Law Office of Frank ArcuriBoard of Directors, St. Clair HospitalRachel BrechtTiER1 Performance SolutionsBoard of Directors, St. Clair Hospital FoundationKarl E. Bushman, M.D.Mt. Lebanon Internal MedicineBoard of Directors, St. Clair HospitalLaura L. FreedmanUBS Wealth ManagementBoard of Directors, St. Clair HospitalDavid R. HeilmanOmax Health, Inc.Board of Directors, St. ClairAndrea L. KalinaExecutive Liaison,Community Benefit CommitteeSenior Vice President of External Relations and Chief Human Resources Officer,St. Clair HospitalDeborah LeePNC HealthcareBoard of Directors, St. Clair Hospital FoundationDan LongEnscoe Long Insurance Group, LLCBoard of Directors, St. Clair Hospital FoundationThomas M. MedwigChairman, St. Clair Health Corp.Board of Directors, St. Clair HospitalJohn P. MeeganHeffren-Tillotson, Inc.Board of Directors, St. Clair HospitalLindsay MeucciVice President - Marketing,Communications & AdvocacySt. Clair HospitalJohn T. Sullivan, M.D.Senior Vice President & ChiefMedical Officer, St. Clair HospitalBoard of Directors, St. Clair HospitalTeresa WhalenCytoAgentsBoard of Directors, St. Clair HospitalThomas D. Wright, Jr., Esq.Rosetta Capital CorporationBoard of Directors, St. Clair HospitalG. Alan Yeasted, M.D.Sr. Vice President & ChiefMedical Officer Emeritus, St. Clair HospitalBoard of Directors, St. Clair HospitalMark ZacurOwens MinorBoard of Directors, St. Clair HospitalCOMMUNITY LEADERS AND EXPERTS WHO CONTRIBUTED THEIR EXPERTISE:Paul BacharachGateway RehabDebbie BatesChrist United Methodist ChurchMary BirksOutreach Teen & Family ServicesRachael BurdetteGreenbriar Treatment CenterVenard CampbellPre Hospital CoordinatorSt. Clair HospitalScott CaveyScott Township EMSAlaina ConnerAllegheny County Dept. of HealthSusan CoyleChartiers CenterMichael DanielsCanon-McMillan School DistrictJason GagorikWhitehall Borough PoliceSean GormanBethel Park Police Dept.Jim GuffeySouth Hills Interfaith MovementKeith HendersonWhitehall Borough PoliceNora HelfrichTri-CommunityDeanna HessMt. Lebanon School DistrictKacie JankoskiAmerican Cancer SocietyJen KehmCancer Caring CenterJack KobistekBorough of CarnegieShawndel LaughnerDirector, Women & Children's ServicesSt. Clair HospitalAaron LauthMt. Lebanon Police DepartmentJosh McClureWhite Deer Run Treatment NetworkCaitlin McNultyBrookline Teen OutreachMike MillerSalvation Army CarnegieRichard MooreWashington City MissionTerrence O'BrienBaldwin Township PoliceMarianne OlscheskyCommunity Outreach &Marketing SpecialistSt. Clair HospitalDominic PanucciBoys & Girls Club of Western PAMilly PattersonSouth Hills Interfaith MovementDr. Joseph PasquerillaBethel Park School DistrictMonica PhillipsWhite Deer Run Treatment NetworkMary PinchalkCity of Pittsburgh EMSMegan RhoadesNurse ManagerOncologySt. Clair HospitalJesse SiefertMRTSAKyla TuckerSouth Hills Interfaith MovementDenis Valentine Southbridge EMSSister Janice VanderneckCasa San Jose
St Clair Memorial Hospital	Part V, Section B, Line 11: See Part VI and the CHNA Implementation Strategy (attached). Implementation progress is reported quarterly to the Community Benefit Committee and Board of Directors.
St Clair Memorial Hospital	Part V, Section B, Line 16j: St. Clair has a service for Limited English Proficiency (LEP) patients where patients can call and have the St. Clair Financial Assistance Policy translated. A simplified PLS for FAP and Collections is provided on the back of every statement and is available on our website https://wwww.stclair.org/billing-insurance/financial-assistance/. This simplified FAP listed on St. Clair website also applies for lines 16C (plain language FAP widely available on the St. Clair Website) as well as for line 16F (Plain language FAP is available upon request and without charge).
St Clair Memorial Hospital	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 qualify 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 under St. Clair's policy.
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 qualify for presumptive 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

Schedule H (Form 990) 2019

Page 9

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?39
Name and address		Type of Facility (describe)
1	1 - SCMS So Hills Cardiology Associates 2000 Oxford Drive Suite 305 Bethel Park,PA15102	Physician Office
2	2 - SCMS So Hills Cardiology Associates 3928 Washington Road Suite 270 McMurray,PA15317	Physician Office
3	3 - SCMS So Hills Cardiology Associates 1050 Bower Hill Road Suite 204 Pittsburgh,PA15243	Physician Office
4	4 - SCMS Fatigati Nalin Associates 733 Washington Rd Suite 401 Pittsburgh,PA15228	Physician Office
5	5 - SCMS Fatigati Nalin Associates 5187 Library Road Bethel Park,PA15102	Physician Office
6	6 - SCMS Fatigati Nalin Associates 1025 Washington Pike Bridgeville,PA15017	Physician Office
7	7 - SCMS Fatigati Nalin Associates 5482 Campbells Run Road Pittsburgh,PA15205	Physician Office
8	8 - SCMS Fatigati Nalin Associates 3928 Washington Road Suite 280 McMurray,PA15317	Physician Office
9	9 - SCMS St Clair Orthopedic Associates 1050 Bower Hill Road Suite 105 Pittsburgh,PA15243	Physician Office
10	10 - SCMS St Clair Orthopedic Associates 3928 Washington Road Suite 270 McMurray,PA15317	Physician Office
11	11 - SCMS Sholder and Bordeau Urologic Asoc 1145 Bower Hill Road Suite 105 Mt Lebanon,PA15243	Physician Office
12	12 - SCMS Mt Lebanon Internal Medicine 2000 Oxford Drive Suite 420 Bethel Park,PA15102	Physician Office
13	13 - SCMS Zubritzky & Christy OGGYN 1050 Bower Hill Road POB Suite 205 Pittsburgh,PA15243	Physician Office
14	14 - SCMS Zubritzky & Christy OGGYN 1767 Pine Hollow Road McKees Rocks,PA15136	Physician Office
15	15 - SCMS Zubritzky & Christy OGGYN 6000 Steubenville Pike Suite 105 McKees Rocks,PA15136	Physician Office
16	16 - SCMS Zubritzky & Christy OGGYN 2000 Oxford Drive Suite 415 Bethel Park,PA15102	Physician Office
17	17 - SCMS Colorectal Surgical Associates 1050 Bower Hill Road Suite 208 Pittsburgh,PA15243	Physician Office
18	18 - SCMS Urgent Care Center 2000 Oxford Drive Bethel Park,PA15102	Urgent Care Center
19	19 - SCMS Ripepi Surgical Associates 2000 Oxford Drive Suite 216 Bethel Park,PA15102	Physician Office
20	20 - SCMS Dobkin & Ricelli Associates 733 Washington Rd Mt Lebanon,PA15228	Physician Office
21	21 - SCMS Dobkin & Ricelli Associates 5301 Grove Road Pittsburgh,PA15236	Physician Office
22	22 - SCMS Pittsburgh Chest Physicians 1050 Bower Hill Road POB Suite 306 Pittsburgh,PA15243	Physician Office
23	23 - SCMS Pittsburgh Chest Physicians 1350 Locust Street Suite G104 Pittsburgh,PA15219	Physician Office
24	24 - SCMS Budway Surgical Associates 2000 Oxford Drive Suite 301 Bethel Park,PA15102	Physician Office
25	25 - SCMS Budway Surgical Associates 3928 Washington Road Suite 270 McMurray,PA15317	Physician Office
26	26 - SCMS DeGiovanni & Montini Associates 717 Washington Road Pittsburgh,PA15228	Physician Office
27	27 - SCMS Evron Endocrinology Associates 2000 Oxford Drive Suite 302 Bethel Park,PA15102	Physician Office
28	28 - SCMS St Clair Cardiovascular Surgery As 1050 Bower Hill Road POB Suite 204 Pittsburgh,PA15243	Physician Office
29	29 - SCMS Plastic Surgery 1050 Bower Hill Road Suite 101 Pittsburgh,PA15243	Physician Office
30	30 - SCMS Plastic Surgery 3928 Washington Road Suite 270 McMurray,PA15317	Physician Office
31	31 - SCMS West Hills Medical 27 Heckel Road Suite 212 McKees Rocks,PA15136	Physician Office
32	32 - SCMS Basheda Pulmonary Associates 1050 Bower Hill Road Suite 304 Pittsburgh,PA15243	Physician Office
33	33 - SCMS Basheda Pulmonary Associates 3928 Washington Road Suite 270 McMurray,PA15317	Physician Office
34	34 - SCMS St Clair Family Practice Associate 2000 Oxford Drive Suite 302 Bethel Park,PA15102	Physician Office
35	35 - SCMS Maley Thoracic Surgery Associates 1050 Bower Hill Road POB Suite 204 Pittsburgh,PA15243	Physician Office
36	36 - SCMS Maley Thoracic Surgery Associates 3928 Washington Road Suite 270 McMurray,PA15317	Physician Office
37	37 - SCMS Maley Thoracic Surgery Associates 27 Heckel Road Suite 106 McKees Rocks,PA15136	Physician Office
38	38 - SCMS Gobao Internal Medicine 1145 Bower Hill Road Suite 206 Pittsburgh,PA15243	Physician Office
39	39 - SCMS Prabhu Primary Care 1050 Bower Hill Road Suite 301 Pittsburgh,PA15243	Physician Office

Schedule H (Form 990) 2019

Page 10

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 qualify for presumptive 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 $6,002,343 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.During the COVID-19 pandemic, to contain the spread of the virus and for the convenience of the community members, St. Clair established an offsite COVID-19 testing center at one of its' outpatient facilities. Total costs incurred of $245,273 are included on line 7e, Community health improvement services and community benefit operations.St. Clair has undertaken extensive efforts to respond to the COVID-19 pandemic to ensure the safety and well-being of our employees, our patients and the community. In addition to the aforementioned COVID-19 screening clinic for the community, these efforts include ensuring an ample supply of personal protective equipment (PPE) for staff and patients; segregating COVID-19 patients into separate negative pressure infectious disease units of the Hospital; developing a five phase plan to accommodate patients during coronavirus surges; establishing a COVID-19 workforce triage line and increased employee education; and restricting building access, limiting visitor access and screening all employees and patients to minimize contact and exposure from infected individuals. St. Clair maintained an engaged workforce by implementing job-sharing instead of a reduction in force; providing employees with an additional PTO to assist with the financial burden of reduced hours; enabling employee assistance grants from the Foundation for those experiencing hardships and providing an employee meals program. St. Clair also received a great level of support from the community and dozens of corporations including donations of PPE, contributions to our employee assistance programs and providing meals for the staff.Subsidized health services cost includes $493,000 of support for physician psychiatrics losses provided to the Hospital.All other items in Part I, Line 7 represents actual costs.
Part I, Ln 7 Col(f):	Actual Provision for Bad Debts expense totaling $7,045,048 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 HospitalFoundation are Pennsylvania non-profit corporations, exempt from taxesunder Section 501(c)(3) of the Internal Revenue Code of 1986, as amended(the "Code"), which own and operate an acute care hospital providing acomprehensive range of general and specialized care along with physicianpractices supporting the hospital and surrounding communities and aFoundation, the purpose of which is to support health and welfareinitiatives.St. Clair Hospital is a national leader in quality care, patient safety, patient satisfaction, and value. In 2016, the Hospital became the exclusive Western Pennsylvania member of the Mayo Clinic Care Network. This clinical collaboration provides St. Clair's outstanding physicians with direct access to the world-renowned expertise of Mayo Clinic. Physicians can easily consult directly with Mayo Clinic specialists at no additional cost to the patient. The Hospital recently earned its sixteenth consecutive A grade for Hospital Safety, placing St. Clair in the top 2% in the nation. The Hospital has been honored by IBM Watson (formerly Truven Health Analytics) for excellent culture for the third consecutive year, an award that signifies we deliver higher quality, higher satisfaction and lower cost to patients. St. Clair has also been recognized by independent evaluators as having the highest patient satisfaction in the Pittsburgh region and among the top 10% in the nation.The Hospital 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 on and off campus ( to include partnering with other local healthcare agencies) and encompasses health education and screenings, prenatal education, smoking cessation, psychiatry and mental health services, 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, provision of Narcan supplies and training to first responders on usage, 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.The Foundation funds the Hospital's courtesy van-service transportation program, a free need-based service available to local residents who require rides to and from the Hospital and its affiliate locations. During the year ended June 30, 2020 the van service provided approximately 13,000 trips to area residents in need. In addition nearly 150 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 314 nursing students were served and more than 4,700 hours were spent on this program in the nurturing of 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 120 Emergency Medical Technicians and Paramedics. Although lower due to COVID, approximately 1,800 hours of training were devoted for their education in order to strengthen the quality of care given by these professionals. The following is a sample of other ways in which St. Clair supports thecommunity:Since its inception, St. Clair Hospital has remained focused on the needs of the community. St. Clair envisions our community as a place where healthful lifestyles are the norm, where residents of any neighborhood have access to health education, disease prevention, screening and primary care. By engaging in partnerships with established nonprofit agencies and charitable organizations who share our values and goals, St. Clair expands its reach into the community, building on existing strengths and delivering on our promise to be a regional resource. We aim to create a healthier region by providing excellent care and improving the quality of life for our neighbors. In keeping with its commitment to the community, St. Clair initiated a 2019 Community Heath Needs Assessment (Tax Year 2018) and thereafter published a comprehensive action plan. Results of the study identified four broad categories of health needs in which St. Clair would develop programs, deploy resources and partner with other local agencies to positively impact the health of those we serve: access to services; chronic diseases and cancer; mental health and substance abuse; healthy environments and conditions.Access - When access to care is limited health concerns go untreated; chronic conditions worsen and complications develop, leading to emergencies and preventable hospital admissions. To address the lack of access to care, St. Clair will continue to provide free van transportation services to the hospital and its outpatient centers. It will market the van to patients who are without transportation and patients living in areas of high need. Additionally, St. Clair works closely with other nonprofits in the region that provide health and human services. Coordination of services among providers is essential to ensuring residents' health needs are being met.Chronic Disease and Cancer - Chronic diseases such as heart disease, stroke, diabetes and cancer affect the health of millions of people and drive up the cost of medical care every year. To combat this, St. Clair provides free screening events to the community for prostate, breast, colon and skin cancers. The St. Clair Diabetes Center will continue to serve as a resource to the community providing much needed education, treatment and support. The Hospital will continue to participate in community health events, both preventative and treatment specific, to provide free health education and health screenings to the community.Mental Health and Substance Abuse - Substance abuse and addiction have reached epidemic proportions across the nation and St. Clair is not immune from that reality. To address this need, The Hospital will continue to offer free community-based mental health support groups in collaboration with other nonprofit mental health providers and will endeavor to integrate mental health services in to our primary care physician offices. A new partnership with Mt. Lebanon Police and Outreach Teen & Family Services was initiated to provide funding for a Hidden in Plain Sight trailer, which educates parents on youth drug and alcohol use and abuse. The Hospital also established a new partnership with Gateway Rehab to provide 24/7 access to Recovery Support Specialists for the Hospital's patients. Healthy Environment and Conditions - St. Clair meets regularly with local municipalities to discuss how the Hospital can partner to create a healthier environment for our residents. The Hospital also funds community organizations whose work is conducive to creating healthier communities, and providing access to healthful foods.In addition to CHNA initiatives, St. Clair also expands its reach to the community in the following ways: -St. Clair regularly makes donations to partnering agencies in the form of monetary donations and in-kind contributions.-In the interest of safety and disease prevention, St. Clair has a needle disposal program for those who utilize needles, syringes and other sharp objects in managing conditions such as diabetes. This free service enables people to exchange containers of contaminated needles for empty ones.-St. Clair welcomes students from the region's many training programs and universities seeking to gain clinical experience. Medical students, residents, nursing students and others rotate through St. Clair's -St. Clair Hospital regularly sponsors Youth Programs in the community, including those offered by the 14 school districts within our service area. These programs provide opportunities for children and teens to socialize with their peers and participate in arts and sports.
Part III, Line 2	The Hospital and St. Clair Medical Services individual ratios 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 includes both inpatient and outpatient services as well as maintaining an emergency department that is available twenty-four (24) hours a day and treats approximately 64,000 (54,000 in FY20 due to COVID) 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, 2020, $10,587,000 of uninsured discounts were provided.
Part VI, Line 2:	St. Clair completed all phases of its Community Health Needs Assessment (CHNA), publicizing its findings from the most recent assessment in June 2019 (Tax Year 2018). The CHNA process considered and assessed a wide range of primary and secondary data sources including focus groups withpersons who represent the broad interests of the community and those with expertise in public health as well as assessments and studies prepared by other organizations. While the Hospital has made great strides inreaching at-risk populations with underserved health needs, it is well understood that poor health is multifactorial and requires continued intervention. The 2019 CHNA reaffirmed the continued need for a number ofthe 2016 initiatives while identifying new unmet needs within St. Clair's community, inclusive of an opioid dependency warm handoff program. Using the 2019 CHNA as a roadmap, the Board adopted action plan will address the critical health needs in the following areas and, where appropriate, partner with other community agencies to improve care: Access to Services; Chronic Disease and Cancer; Mental Health and Substance Abuse, and Healthy Environment and Conditions.
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 southwestsuburban quadrant of metropolitan Pittsburgh, Pennsylvania, approximatelysix miles from the downtown proper. St. Clair considers its service areato include thirty-four zip codes within six regions in southwesternAllegheny and northern Washington County, with a population of nearly 500,000 and 16% 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 outpatientcenter located in Peters Township, Washington County, approximately tenmiles from the Hospital, as well as two smaller outpatient centers withinsimilar proximity. The Hospital is licensed for 329 beds of which 302were set up and staffed during the year ended June 30, 2020.
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 2,700 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. $8,845,381 of subsidized health services were provided for the year ended June 30, 2020.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; psychiatry and mental 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. To that end, the Hospital has invested approximately $181,000,000 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.St. Clair provides an array of advanced and highly specialized services. The Hospital is focused on continuously enhancing its services and technologies to ensure that the community's health needs are met. A description of key services follows:Cardiovascular Services - From diagnosis to treatment to rehabilitation and wellness, multidisciplinary teams of caregivers at St. Clair offer a full range of cardiac care services. St. Clair achieves industry-leading treatment times for heart attack victims arriving at our Emergency Department, resulting in best practice outcomes. St. Clair's average time from hospital door to first balloon inflation of 62 minutes is at the 75th percentile mark of 90 minutes for the national standard set by The American College of Cardiology. Additionally, St. Clair was named a Blue Distinction Center for Cardiac Care for its best practices and standards of care. Cardiologists and cardiac surgeons are available 24 hours a day, seven days a week to provide scheduled and emergency cardiac care, seamlessly delivered with a goal of high quality, compassionate, and personalized care. Additionally, St. Clair's cardiovascular program provides comprehensive services including screening, prevention, cardiac rehabilitation and educational programs to the community. St. Clair's Cardiac Rehabilitation program received more than 19,800 annual visits. St. Clair offers a full range of cardiac diagnostic testing, including ECG, holter monitoring, event recording, echocardiogram, cardiac CT angiography, and stress tests at multiple locations.Psychiatry and Mental Health Services - St. Clair provides comprehensive diagnosis, treatment and follow-up care for persons suffering from mental illness though an Inpatient unit, Outpatient Services, Electroconvulsive Therapy, Mental Health Consultation-Liaison, and Community Outreach. The Psychiatry and Mental Health Services program offers a safe compassionate treatment environment where the recovery process begins or continues. The program engages a multi-disciplinary team of caring professionals (physicians, nurses, therapists and social workers) to develop individual treatment plans to meet the specific needs of each patient. St. Clair provides mental health care services to nearly 3,000 patients annually. Orthopedics/Spine - 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 major joint replacement and spinal procedures to rehabilitation, St. Clair provides access to orthopedic care in a compassionate setting. The multidisciplinary team of physicians, therapists, and nurses, including an orthopedic nurse navigator, develop coordinated treatment plans for each patient with personalized attention and comprehensive care with the ultimate goals of better results and fewer complications. St. Clair also offers orthopedic education and prevention programs to the community. St. Clair's rate of complications of care for hip and knee replacement and the 90 day readmission rate for spinal fusion both rank in the top decile nationally. St. Clair has the 4th largest joint replacement program in the Pittsburgh market (IBM Watson Health).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 Family Birth Center includes 11 Labor, Delivery Recovery beds and 21 Post-Partum beds, a Level II neonatal intensive care unit and an 9 bed Pediatric unit. As 3rd busiest obstetric program in the Pittsburgh market (per IBM Watson Health), St. Clair performed 1,432 deliveries during the year ended June 30, 2020. Additionally, it provides education and support programs including a team of certified lactation specialists. A board-certified or board eligible pediatrician is on-site 24 hours a day. There is also a team of perinatologists available for consults, ultrasounds and shared management of high risk patients.Cancer Care - The St. Clair Hospital Cancer Care program provides comprehensive inpatient and outpatient services to patients diagnosed with cancer. The program is accredited by the American College of Surgeons Commission on Cancer. The focus is to treat not only the physical needs of patients but also their emotional, spiritual and psychosocial needs throughout all stages of the cancer care continuum. Additionally the Cancer Center Program provides community cancer screenings, educational programs on cancer prevention and wellness, and cancer support groups. St. Clair operates the 2nd busiest prostate and breast cancer programs in the Pittsburgh market (IBM Watson Health).St. Clair's Sipe Infusion Center is an outpatient clinic located within the hospital. Members of the Infusion Center Team provide skilled nursing care, education and emotional support to patients with various conditions, including those with cancer and benign hematologic disorders, autoimmune disorders (such as Crohn's Disease, Arthritis, and Multiple Sclerosis), and Osteoporosis. The Center provides administration services for intravenous and injectable treatments such as chemotherapies and biologics; immunotherapies; intravenous Immune Globulin (IVIG); antibiotics; hydration; blood products; therapeutic phlebotomy; and vaccinations. The Sipe Infusion Center provides services 7 days/week, 365 days/year.The St. Clair Hospital Radiation Oncology Center, in affiliation with UPMC Hillman Cancer Center, is located on the Hospital's main campus and offers area residents access to convenient, advanced, comprehensive, and high-quality care close to home. The Center provides a full spectrum of radiation treatment services, including 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. Emergency Services - St. Clair has the largest Emergency Department in its total service area, with more than 64,000 annual visits (54,000 in FY20 due to COVID) in the year ended June 30, 2020. The Emergency Department is open 24 hours a day, providing emergency care ranging from minor injuries and illness to life-threatening accidents or illnesses. The Emergency Department's rate for patients-left-without-being-seen of 0.6%, is well below the national average of approximately 3.0%. Door-to-room times averaged three minutes and door-to-doctor times averaged 21 minutes during the year ended June 30, 2020. Patient satisfaction scores from Press Ganey surveys for St. Clair's Emergency Department were in the 88th percentile nationwide for the same year.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 (13 operating rooms in the main suite and two operating rooms located in the Mt. Lebanon Surgical Center on the hospital campus) performs a wide range of operative procedures, including: minimally-invasive laparoscopy surgery; gynecological surgery; ear, nose and throat surgery; orthopedic and spine surgery; pediatric surgery; oral/maxillofacial surgery; podiatry 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. St. Clair provides minimally invasive surgical procedures through the use of the da Vinci Si robotic surgical system.Medical Imaging - St. Clair runs a full-service Medical Imaging Department, offering a variety of diagnostic and interventional studies at the Hospital campus and three outpatient centers using the modalities of general radiology, fluoroscopy, nuclear medicine, ultrasound, obstetrical ultrasound, screening and diagnostic mammography, CT scanning, MRI, PET/CT (a joint venture with UPMC Hillman Cancer Center) and interventional and endovascular services.Laboratory Services - St. Clair's full-service Laboratory operates 24 hours a day, seven days a week to provide quick and accurate test results. The Lab offers comprehensive testing in the specialties of Hematology, Chemistry, Microbiology, Histology, Cytology and Blood Banking. In addition to the main campus, St. Clair provides laboratory services at the two outpatient centers and outreach 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 provide exercise, mobility training, thermal and cryo modalities, and tissue mobilization. The health care professionals within St. Clair's Occupational Therapy Department treat patients to improve function in their day-to-day activities, including personal hygiene, mobility, vocational and leisure activities. The outpatient therapy department, located at the Village Square Outpatient Center, ranks in the top decile nationally for patient satisfaction (Press Ganey).

Schedule H (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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" on 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	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) St Clair Memorial Hospital 1000 Bower Hill Drive Pittsburgh,PA15243	25-1010303	501(c)(3)	8,196				Yoga classes for mental health patients

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) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) Employee disaster assistance for employees affected by COVID	367	181,680
(2) Employee meal program for employees affected by COVID	220		23,427	Cost	Direct assistance of take home meals provided solely by SCH
(3) Employee assistance - expenses	16	23,822
(4) Patient assistance	41	16,934
(5) Nursing scholarship	1	100
(5)
(6)
(7)

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) 2019

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 on 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 on 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 on 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 on 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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on 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" on 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) 2019

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 on 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 on 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)
1James M Collins President/CEO/Asst Secy -SCH	(i) (ii)	678,001 ------------- 0	500,000 ------------- 0	0 ------------- 0	168,762 ------------- 0	18,750 ------------- 0	1,365,513 ------------- 0	0 ------------- 0
2Richard C Chesnos Sr VP/CFO/Treasurer-SCH	(i) (ii)	386,679 ------------- 0	194,250 ------------- 0	351,346 ------------- 0	95,034 ------------- 0	22,045 ------------- 0	1,049,354 ------------- 0	350,596 ------------- 0
3Andy Kiser MD Physician	(i) (ii)	878,642 ------------- 0	63,000 ------------- 0	0 ------------- 0	5,600 ------------- 0	16,584 ------------- 0	963,826 ------------- 0	0 ------------- 0
4Kevin Bordeau MD Board Member-SCMS thru 12/2019	(i) (ii)	797,807 ------------- 0	31,169 ------------- 0	0 ------------- 0	16,800 ------------- 0	19,171 ------------- 0	864,947 ------------- 0	0 ------------- 0
5John T Sullivan MD Sr VP/CMO-SCH	(i) (ii)	447,632 ------------- 0	160,200 ------------- 0	0 ------------- 0	93,100 ------------- 0	17,986 ------------- 0	718,918 ------------- 0	0 ------------- 0
6Michael J Flanagan Sr VP/COO/Secretary-SCH	(i) (ii)	386,679 ------------- 0	194,250 ------------- 0	8,981 ------------- 0	91,261 ------------- 0	19,345 ------------- 0	700,516 ------------- 0	0 ------------- 0
7Derek Thomas MD Physician	(i) (ii)	590,589 ------------- 0	25,000 ------------- 0	0 ------------- 0	5,600 ------------- 0	11,293 ------------- 0	632,482 ------------- 0	0 ------------- 0
8Shaka Walker MD Physician	(i) (ii)	514,929 ------------- 0	25,000 ------------- 0	0 ------------- 0	16,800 ------------- 0	19,791 ------------- 0	576,520 ------------- 0	0 ------------- 0
9Maxim Bocharov MD Physician	(i) (ii)	536,770 ------------- 0	0 ------------- 0	750 ------------- 0	16,800 ------------- 0	20,426 ------------- 0	574,746 ------------- 0	0 ------------- 0
10Richard Mitchell MD Physician	(i) (ii)	497,717 ------------- 0	25,000 ------------- 0	0 ------------- 0	16,800 ------------- 0	15,100 ------------- 0	554,617 ------------- 0	0 ------------- 0
11Robert N Shogry MD Board Member-SCF	(i) (ii)	246,882 ------------- 0	246,373 ------------- 0	750 ------------- 0	22,400 ------------- 0	21,251 ------------- 0	537,656 ------------- 0	0 ------------- 0
12Barry S Zaiser Sr VP/CSO.-SCH through 1/2020	(i) (ii)	330,342 ------------- 0	109,950 ------------- 0	750 ------------- 0	76,588 ------------- 0	9,138 ------------- 0	526,768 ------------- 0	0 ------------- 0
13Andrea L Kalina SrVP Ext Affrs/CHRO-SCH thru 1/2020	(i) (ii)	269,899 ------------- 0	90,090 ------------- 0	109 ------------- 0	66,104 ------------- 0	19,249 ------------- 0	445,451 ------------- 0	0 ------------- 0
14Mario J Fatigati MD Board Member-SCMS	(i) (ii)	297,410 ------------- 0	95,413 ------------- 0	56 ------------- 0	22,400 ------------- 0	16,927 ------------- 0	432,206 ------------- 0	0 ------------- 0
15Charles J Rakaczky VP Phys Network-SCMS thru 1/2020	(i) (ii)	187,902 ------------- 0	30,320 ------------- 0	97,825 ------------- 0	96,875 ------------- 0	19,014 ------------- 0	431,936 ------------- 0	97,075 ------------- 0
16Richard J Schaeffer VP & CIO-SCH through 1/2020	(i) (ii)	221,570 ------------- 0	67,500 ------------- 0	4,615 ------------- 0	57,638 ------------- 0	21,793 ------------- 0	373,116 ------------- 0	0 ------------- 0
17Diane L Puccetti RN Adm VP/CNO-SCH through 1/2020	(i) (ii)	207,333 ------------- 0	52,500 ------------- 0	8,654 ------------- 0	53,335 ------------- 0	10,387 ------------- 0	332,209 ------------- 0	0 ------------- 0
18Karl E Bushman MD Board Member-SCMS	(i) (ii)	212,085 ------------- 0	61,207 ------------- 0	750 ------------- 0	19,557 ------------- 0	21,978 ------------- 0	315,577 ------------- 0	0 ------------- 0
19Eric Luttringer VP Finance/Asst Treasurer-SCH	(i) (ii)	192,206 ------------- 0	36,000 ------------- 0	8,000 ------------- 0	46,032 ------------- 0	24,597 ------------- 0	306,835 ------------- 0	0 ------------- 0
20Charles V Dibello VP Fac Mgmt & Const.-SCH thru 1/2020	(i) (ii)	190,909 ------------- 0	37,700 ------------- 0	0 ------------- 0	43,087 ------------- 0	149 ------------- 0	271,845 ------------- 0	0 ------------- 0
21Elizabeth Pittman VP & COO-SCMS thru 1/2020	(i) (ii)	173,977 ------------- 0	32,130 ------------- 0	0 ------------- 0	38,006 ------------- 0	20,957 ------------- 0	265,070 ------------- 0	0 ------------- 0
22G Alan Yeasted MD Board Member-SCH	(i) (ii)	147,458 ------------- 0	30,000 ------------- 0	750 ------------- 0	19,155 ------------- 0	17,562 ------------- 0	214,925 ------------- 0	0 ------------- 0
23Richard Sieber Exc Dir Mkt/Devl-SCF thru 1/2020	(i) (ii)	172,582 ------------- 0	1,997 ------------- 0	3,501 ------------- 0	14,643 ------------- 0	21,732 ------------- 0	214,455 ------------- 0	0 ------------- 0
24Meredith Borst Exc Dir Strtgc Init-SCH thru 1/2020	(i) (ii)	129,049 ------------- 0	28,600 ------------- 0	1,904 ------------- 0	8,072 ------------- 0	7,601 ------------- 0	175,226 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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	The Compensation Committee is a standing committee of the Board of Directors of the St. Clair Health Corporation, the parent of St. Clair Memorial Hospital, St. Clair Memorial Foundation and St. Clair Medical Services, 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 Richard Chesnos $ 72,634 James M. Collins $ 146,362 Michael Flanagan $ 71,661 Andrea Kalina $ 43,704 Charles Dibello $ 27,213 Elizabeth Pittman $ 25,337 Charles J. Rakaczky $ 26,375 Richard Schaeffer $ 35,238 Alan Yeasted $ 4,695 Barry S. Zaiser $ 54,188 John T. Sullivan $ 73,500 Diane L. Puccetti $ 31,638 Eric Luttringer $ 28,394

Schedule J (Form 990) 2019

Additional Data

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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	000000000	12-23-2010	20,000,000	Finance Capital Improvements		X		X		X
B	Mt Lebanon Hosp Authority	25-6189519	621820CS6	08-22-2012	24,746,452	2002 Bond Refinancing		X		X		X
C	Mt Lebanon Hosp Authority	25-6189519	000000000	10-04-2017	10,000,000	2007 Note Refi & Fina Cap Improv		X		X		X
D	Mt Lebanon Hosp Authority	25-6189519	621820DG1	10-16-2018	86,043,544	Finance Capital Improvements		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	10,228,000		5,995,000		1,087,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	20,139,725		24,746,452		10,000,000		87,906,614
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	29,457		510,468				1,000,078
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	20,110,268				3,750,000		53,281,185
11 Other spent proceeds .............			24,235,984		6,250,000
12 Other unspent proceeds .............							33,625,351
13 Year of substantial completion .............	2013		2013		2017
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........		X	X		X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X			X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X			X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
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 ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

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

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

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

Return Reference

Explanation

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. The Series 2018 Revenue Bond 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) 2019

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 section 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 the 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) 2019

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	653,376	Interpretation of Radiology Exams		No
(2) Nina Fatigati	Daughter of Board Member	159,573	Physician Salary		No
(3) Millcraft Development Services	Brd Mbr-SCF	1,050,000	Contract Management		No

Part V

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

Return Reference	Explanation
Sch L, Part IV Business Transactions involving interested Persons:

Schedule L (Form 990 or 990-EZ) 2019

Additional Data

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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	53,286	Market Value sale date
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 isn't 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 nonstandard 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 didn't 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) (2019)

Page 2

Part IISupplemental 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) (2019)

Additional Data

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Software Version:

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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 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 all 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.
Form 990, Part VI, Section A, line 2	Board members 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 11b	(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) - The Compensation Committee is a standing committee of the Board of Directors of the St. Clair Health Corporation, the parent of St. Clair Memorial Hospital, St. Clair Memorial Foundation and St. Clair Medical Services, 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, the conflict of interest policy and financial statements are made available to the public upon request from Chief Financial Officer.
Form 990, Part XI, line 9:	Change in pension liability -2,745,494. Transfer (to)/from affiliates 0. Investment income 28,338. Contributions 83,494. Grants received Assets released from restriction for operations -10,079. Other increases / (decreases) -691,865.
Form 990, Part XII, Line 3b	St. Clair Memorial Hospital, St. Clair Medical Services, St. Clair Professional Services Inc., and St. Clair Anesthesiology Associates Inc. each recognized federal funding through the Coronavirus Aid, Relief, and Economic Security (CARES) Act Provider Relief Fund, of $6,244,493, $873,735, $42,482, and $24,517 respectively in FY 2020, requiring a Single Audit. The UG audit will be completed on or before the federal deadline.
Form 990, Part IV, Line 2	St. Clair Memorial Hospital and St. Clair Medical Services 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 X, Line 25	Included in line 25, 'Other Liabilties' is $22,689,933 and $203,783 in Medicare Accelerated Payments received from CMS for St. Clair Memorial Hospital and St. Clair Medical Services, Inc., respectively.
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) 2019

Additional Data

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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)	12(A) Type I	St Clair Health Corporation	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

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
(1) St Clair Professional Office Building 1050 Bower Hill Road Pittsburgh,PA15243 25-1545786	Real Estate	PA					No			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	N/A	C				No

Schedule R (Form 990) 2019

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

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

Yes

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

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

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

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

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

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

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

Yes

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

Yes

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

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

Yes

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

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

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) St Clair HospitalUPMC Cancer Center PETCT	C	1,122,800	Actual
(2) St Clair HospitalUPMC Cancer Center PETCT	Q	263,190	Actual
(3) St Clair Memorial Hospital Foundation	O	498,052	Actual
(4) St Clair Memorial Hospital Foundation	Q	585,972	Actual
(5) St Clair Professional Services Inc	O	6,227,094	Actual
(6) St Clair Professional Services Inc	Q	546,922	Actual
(7) St Clair Professional Services Inc	S	3,748,264	Actual
(8) St Clair Anesthesiology Associates Inc	O	6,608,716	Actual
(9) St Clair Anesthesiology Associates Inc	Q	549,805	Actual
(10) St Clair Anesthesiology Associates Inc	S	3,861,761	Actual
(11) St Clair Medical Services Inc	O	34,651,337	Actual
(12) St Clair Medical Services Inc	Q	7,506,449	Actual
(13) St Clair Medical Services Inc	J	1,067,469	actual

Schedule R (Form 990) 2019

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) 2019

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) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: St. Clair provides highly valued, service-oriented healthcare to the community.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	55
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	41
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	2,765
6	Total number of volunteers (estimate if necessary) .............	6	343
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	423,693
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,687,551	12,866,235
9	Program service revenue (Part VIII, line 2g) .........	359,935,325	347,364,971
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	9,757,291	9,074,805
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-824,397	-746,877
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	374,555,770	368,559,134
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	77,241	243,920
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)	168,128,765	174,553,584
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 394,697
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	165,582,510	171,192,960
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	333,788,516	345,990,464
19	Revenue less expenses. Subtract line 18 from line 12.......	40,767,254	22,568,670
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	613,658,140	677,559,728
21	Total liabilities (Part X, line 26).............	200,120,997	244,789,521
22	Net assets or fund balances. Subtract line 21 from line 20.....	413,537,143	432,770,207

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 274,056,646 including grants of $ 243,920 ) (Revenue $ 347,316,713 )
	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 62,619 inpatient days of care to the adult and pediatric population of the community, served 14,707 admissions, performed 239,213 occasions of outpatient services and treated 54,881 Emergency room visits. St. Clair has undertaken extensive efforts to respond to the COVID-19 pandemic to ensure the safety and well-being of our employees, our patients and the community. St. Clair established an offsite COVID-19 testing center at one of its' outpatient facilities. Additional efforts include ensuring an ample supply of (Cont. on Schedule O) personal protective equipment (PPE) for staff and patients; segregating COVID-19 patients into separate negative pressure infectious disease units of the Hospital; developing a five phase plan to accommodate patients during coronavirus surges; establishing a COVID-19 workforce triage line and increased employee education; and restricting building access, limiting visitor access and screening all employees and patients to minimize contact and exposure from infected individuals. St. Clair maintained an engaged workforce by implementing job-sharing instead of a reduction in force; providing employees with an additional PTO to assist with the financial burden of reduced hours; enabling employee assistance grants from the Foundation for those experiencing hardships and providing an employee meals program. St. Clair also received a great level of support from the community and dozens of corporations including donations of PPE, contributions to our employee assistance programs and providing meals for the staff.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. 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 expenses274,056,646

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	11,321,439	0	1,523,275

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	220,510
d	Related organizations		1d
e	Government grants (contributions)		1e	7,610,962

f	All other contributions, gifts, grants, and similar amounts not included above		1f	5,034,763

g	Noncash contributions included in lines 1a - 1f:$		1g	53,286

h Total. Add lines 1a-1f.......		12,866,235

		Business Code
2a	Net patient service rev	622110	296,416,242	294,976,881		1,439,361
b	Program service revenue	621990	47,902,934	47,902,934
c	Cafeteria/Cafe	722514	1,660,127			1,660,127
d	Parking	812930	974,340			974,340
e	Lablink	621500	411,328		411,328
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		347,364,971

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,674,415			5,674,415
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		969,597	6a
b	Less: rental expenses		1,712,779	6b
c	Rental income or (loss)		-743,182	6c
d	Net rental income or (loss).......			-743,182			-743,182
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		54,004,084	7a
b	Less: cost or other basis and sales expenses		50,603,694	7b
c	Gain or (loss)		3,400,390	7c
d	Net gain or (loss).........			3,400,390			3,400,390
8a	Gross income from fundraising events (not including $ 220,510of contributions reported on line 1c). See Part IV, line 18 ....
			8a	94,347
b	Less: direct expenses ...		8b	102,902
c	Net income or (loss) from fundraising events..			-8,555			-8,555
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	116,062
b	Less: cost of goods sold ..		10b	75,349
c	Net income or (loss) from sales of inventory..			40,713			40,713
Business Code			Miscellaneous Revenue
11a	Telephone		561000	12,365		12,365
b	Clinical/Partnership Activities		561000	-48,218	-48,218
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			-35,853
12	Total revenue. See instructions.....			368,559,134	342,831,597	423,693	12,437,609

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	21,384	21,384
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	222,536	222,536
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 ...........	9,049,022	6,755,717	2,190,247	103,058
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........	135,056,688	110,661,019	24,332,590	63,079
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,810,801	4,734,421	1,071,154	5,226
9	Other employee benefits .......	14,929,254	12,022,283	2,897,751	9,220
10	Payroll taxes ...........	9,707,819	7,921,538	1,778,252	8,029
11	Fees for services (non-employees):
a	Management ......	1,954,624		1,954,624
b	Legal .........	432,632		432,632
c	Accounting ...........	239,895		239,895
d	Lobbying ...........	40,636		40,636
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	45,400		45,400
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	32,480,364	18,668,457	13,741,696	70,211
12	Advertising and promotion ....	1,941,848	73,668	1,868,180
13	Office expenses .......	1,770,048	1,190,809	536,081	43,158
14	Information technology ......	9,259,084	6,582,631	2,664,520	11,933
15	Royalties ..
16	Occupancy ...........	6,819,968	4,076,503	2,743,464	1
17	Travel ............	247,691	92,791	149,546	5,354
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	182,201	113,474	68,590	137
20	Interest ...........	508,115	503,036	5,079
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	18,716,199	10,291,993	8,406,755	17,451
23	Insurance ...	7,454,797	5,897,739	1,557,058
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	68,679,576	68,521,859	157,717
b	PA Quality Care Assessm	6,775,728	6,775,728
c	Equipment Rental & Main	3,100,299	2,760,375	339,924
d	Food Service	2,197,241	1,011,459	1,185,345	437
e	All other expenses	8,346,614	5,157,226	3,131,985	57,403
25	Total functional expenses. Add lines 1 through 24e	345,990,464	274,056,646	71,539,121	394,697
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).

1	Cash–non-interest-bearing ........			16,424	1	16,425
2	Savings and temporary cash investments .........			34,603,694	2	60,208,047
3	Pledges and grants receivable, net ......			7,356,724	3	5,660,820
4	Accounts receivable, net .............			41,318,237	4	37,668,017
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			1,853	7	101
8	Inventories for sale or use ............			7,386,809	8	7,661,752
9	Prepaid expenses and deferred charges ......			6,388,254	9	5,919,936
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	424,293,521
b	Less: accumulated depreciation	10b	220,568,237	158,080,287	10c	203,725,284
11	Investments—publicly traded securities .			266,214,194	11	285,433,319
12	Investments—other securities. See Part IV, line 11 .....			81,108,826	12	50,198,325
13	Investments—program-related. See Part IV, line 11 ..			4,319,528	13	5,078,485
14	Intangible assets ...............			1,000,479	14	1,077,941
15	Other assets. See Part IV, line 11 ...........			5,862,831	15	14,911,276
16	Total assets. Add lines 1 through 15 (must equal line 33)...			613,658,140	16	677,559,728

17	Accounts payable and accrued expenses .....	38,868,093	17	56,739,490
18	Grants payable ...		18
19	Deferred revenue .........	3,604,392	19	3,138,741
20	Tax-exempt bond liabilities .........	123,073,346	20	120,026,773
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			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	34,575,166	25	64,884,517
26	Total liabilities. Add lines 17 through 25..	200,120,997	26	244,789,521

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	382,175,421	27	397,407,543
28	Net assets with donor restrictions ...........	31,361,722	28	35,362,664
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	413,537,143	32	432,770,207
33	Total liabilities and net assets/fund balances ........	613,658,140	33	677,559,728

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 separately 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; don't 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No