TY 2021 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/1099-NEC)
(1) James M Collins...................................................................... President/CEO-SCH through 6/30/22	60.00 ................. 12.00	X	X			2,225,620	203,496
(2) Kevin Bordeau MD...................................................................... Physician	60.00 ................. 0.00			X		1,128,855	41,634
(3) Andy C Kiser MD...................................................................... Board Member-SCMS	60.00 ................. 0.00	X				1,082,732	40,133
(4) John T Sullivan MD...................................................................... Sr VP/CMO-SCH	60.00 ................. 2.00	X				745,896	129,685
(5) Michael J Flanagan...................................................................... Sr VP/COO/Asst Secretary-SCH	60.00 ................. 8.00		X			790,264	135,767
(6) Richard C Chesnos...................................................................... Sr VP/CFO/Treas.-SCH through 4/2022	60.00 ................. 12.00		X			715,291	127,583
(7) Muhammad Salman MD...................................................................... Physician	60.00 ................. 0.00			X		597,168	32,804
(8) Barry S Zaiser...................................................................... Sr. VP/CSO/Asst Secretary-SCMS	60.00 ................. 8.00		X			573,580	97,447
(9) Ryan Zuzek MD...................................................................... Physician	60.00 ................. 0.00			X		547,195	36,856
(10) Robert N Shogry MD...................................................................... Board Member-SCF	60.00 ................. 0.00	X				487,229	49,051
(11) Jay Lutins MD...................................................................... Physician	60.00 ................. 0.00			X		530,793	23,387
(12) Shailen Sehgal MD...................................................................... Physician	60.00 ................. 0.00			X		529,783	19,495
(13) Andrea L Kalina...................................................................... SrVP Ext Affrs & CHRO/Asst Sec-SCF	60.00 ................. 0.00		X			451,349	98,903
(14) Paula L Hooper Esq...................................................................... Sr. VP/CLO/Secretary-SCH	60.00 ................. 12.00		X			473,831	95,311
(15) Richard J Schaeffer...................................................................... Former Officer-SCH	0.00 ................. 0.00				X	366,268	90,771
(16) Diane L Puccetti RN...................................................................... VP Nursing & CNO-SCH as of 1/2022	60.00 ................. 0.00	X				346,957	77,708
(17) Karl E Bushman MD...................................................................... Board Member-SCMS through 9/2021	51.00 ................. 2.00	X				248,654	27,677

(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/1099-NEC)
(18) Antonio M Riccelli MD........................................................................ Board Member-SCMS as of 1/2022	60.00 .......................0.00	X			355,678	42,112
(19) Eric Luttringer........................................................................ Sr VP/CFO/Treasurer-SCH as of 4/2022	60.00 .......................12.00		X		329,300	85,536
(20) Mario J Fatigati MD........................................................................ Board Member-SCMS	45.00 .......................3.00	X			315,419	45,082
(21) Charles V Dibello........................................................................ Former Officer-SCH	0.00 .......................0.00			X	268,803	52,105
(22) Elizabeth Pittman........................................................................ Former Officer-SCMS	0.00 .......................0.00			X	267,030	67,571
(23) Meredith Dieffenbach........................................................................ Former Officer-SCH	0.00 .......................0.00			X	243,376	51,098
(24) Donna M Shipley........................................................................ Exc Dir Fin/Ast Trs-SCH as of 4/2022	60.00 .......................12.00		X		163,230	21,845
(25) G Alan Yeasted MD........................................................................ Chair-SCF	30.00 .......................2.00	X	X		25,430	0
(26) Frank Arcuri Esq........................................................................ Chair-SCH	5.00 .......................3.00	X	X		0	0
(27) Frank Arcuri Esq........................................................................ Board Member-SCMS	2.00 .......................6.00	X			0	0
(28) Joseph B Banko........................................................................ Board Member-SCH through 4/2022	2.00 .......................3.00	X			0	0
(29) Joseph B Banko........................................................................ Board Member-SCMS through 4/2022	2.00 .......................3.00	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 through 12/2021	2.00 .......................51.00	X			0	0
(35) James M Collins........................................................................ President/CEO-SCMS through 6/30/22	2.00 .......................70.00	X	X		0	0
(36) Mario J Fatigati MD........................................................................ Board Member-SCH	2.00 .......................46.00	X			0	0
(37) Laura L Freedman........................................................................ Board Member-SCH	2.00 .......................1.00	X			0	0
(38) Ann B Garbin........................................................................ Board Member-SCF as of 12/2021	2.00 .......................0.00	X			0	0
(39) Tricia Hammel........................................................................ Board Member-SCF	2.00 .......................0.00	X			0	0
(40) Scott Heeter........................................................................ Board Member-SCF	2.00 .......................2.00	X			0	0
(41) Scott Heeter........................................................................ Board Member-SCH	2.00 .......................2.00	X			0	0
(42) David R Heilman........................................................................ Chair-SCMS	5.00 .......................3.00	X	X		0	0
(43) David R Heilman........................................................................ Board Member-SCH	2.00 .......................6.00	X			0	0
(44) Christopher D Howard........................................................................ Board Member-SCH through 1/2022	2.00 .......................0.00	X			0	0
(45) Amy M Kuntz........................................................................ Board Member-SCF as of 2/2022	2.00 .......................0.00	X			0	0
(46) Deborah M Lee........................................................................ Board Member-SCF	2.00 .......................0.00	X			0	0
(47) Dan L Long........................................................................ Board Member-SCF	2.00 .......................0.00	X			0	0
(48) Vicki McKenna........................................................................ Board Member-SCF	2.00 .......................0.00	X			0	0
(49) Thomas M Medwig........................................................................ Board Member-SCF	2.00 .......................7.00	X			0	0
(50) Thomas M Medwig........................................................................ Board Member-SCH	2.00 .......................7.00	X			0	0
(51) Thomas M Medwig........................................................................ Board Member-SCMS	2.00 .......................7.00	X			0	0
(52) John P Meegan........................................................................ Board Member-SCH	2.00 .......................3.00	X			0	0
(53) John P Meegan........................................................................ Board Member-SCMS	2.00 .......................3.00	X			0	0
(54) Edward A Nicholson Ph D........................................................................ Board Member-SCF	2.00 .......................0.00	X			0	0
(55) Donald P Orr MD........................................................................ Board Member-SCH	2.00 .......................3.00	X			0	0
(56) Donald P Orr MD........................................................................ Board Member-SCMS through 3/2022	2.00 .......................3.00	X			0	0
(57) Christopher Passodelis Jr Esq........................................................................ Board Member-SCH as of 4/2022	2.00 .......................0.00	X			0	0
(58) Brett C Perricelli MD........................................................................ Board Member-SCH	4.00 .......................0.00	X			0	0
(59) Matthew G Pesacreta MD........................................................................ Board Member-SCH	2.00 .......................0.00	X			0	0
(60) Lucas B Piatt........................................................................ Board Member-SCF as of 4/2022	2.00 .......................0.00	X			0	0
(61) Louis D Pietragallo........................................................................ Board Member-SCF as of 12/2021	2.00 .......................0.00	X			0	0
(62) Jeffrey A Rex........................................................................ Board Member-SCH as of 1/2022	2.00 .......................1.00	X			0	0
(63) Harry E Serene MD........................................................................ Board Member-SCF	2.00 .......................1.00	X			0	0
(64) Douglas E Shaffer........................................................................ Vice Chair-SCH	2.00 .......................1.00	X			0	0
(65) Joseph B Smith........................................................................ Board Member-SCH	2.00 .......................3.00	X			0	0
(66) Joseph B Smith........................................................................ Board Member-SCMG as of 6/2022	2.00 .......................3.00	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 .......................1.00	X			0	0
(70) Eric M Wright........................................................................ Board Member-SCH as of 9/2021	2.00 .......................1.00	X			0	0
(71) Thomas D Wright Jr Esq........................................................................ Board Member-SCH	2.00 .......................2.00	X			0	0
(72) Thomas D Wright Jr Esq........................................................................ Board Member-SCF	2.00 .......................2.00	X			0	0
(73) G Alan Yeasted MD........................................................................ Board Member-SCH	2.00 .......................30.00	X			0	0
(74) Mark Zacur........................................................................ Board Member-SCH	2.00 .......................3.00	X			0	0
(75) Mark Zacur........................................................................ Board Member-SCMG as of 6/2022	2.00 .......................3.00	X			0	0
(76) Richard C Chesnos........................................................................ Treasurer-SCF through 4/2022	2.00 .......................70.00		X		0	0
(77) Richard C Chesnos........................................................................ Treasurer-SCMS through 4/2022	2.00 .......................70.00		X		0	0
(78) James M Collins........................................................................ President/CEO-SCF through 6/30/22	2.00 .......................70.00		X		0	0
(79) Paula L Hooper Esq........................................................................ Secretary-SCF	2.00 .......................70.00		X		0	0
(80) Paula L Hooper Esq........................................................................ Secretary-SCMS	2.00 .......................70.00		X		0	0
(81) Eric Luttringer........................................................................ Treasurer-SCF	2.00 .......................70.00		X		0	0
(82) Eric Luttringer........................................................................ Treasurer-SCMS	2.00 .......................70.00		X		0	0
(83) Donna M Shipley........................................................................ Asst Treasurer-SCF as of 4/2022	2.00 .......................70.00		X		0	0
(84) Donna M Shipley........................................................................ Asst Treasurer-SCMS as of 4/2022	2.00 .......................70.00		X		0	0

(A) Name and business address	(B) Description of services	(C) Compensation
PJ DICK 225 N SHORE DR PITTSBURGH,PA15212	CONSTRUCTION	24,394,854
ALLSCRIPTS HEALTHCARE LLC PO BOX 8538-133 PHILADELPHIA,PA19171	SOFTWARE SUPPORT	9,874,085
UPMC PO BOX 223270 PITTSBURGH,PA15251	CONTRACTED EMPLOYEES	6,670,820
GE PRECISION HEALTHCARE LLC PO BOX 96483 CHICAGO,IL60693	MEDICAL SUPPLY SUPPORT	3,555,238
NFMDYMUN 200 FIRST AVENUE PITTSBURGH,PA15222	MARKETING AGENCY	2,425,113
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 102

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

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

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

OMB No. 1545-0047

2021

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	3,631,649	4,111,052	5,201,987	2,154,282	2,784,747	17,883,717
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	3,631,649	4,111,052	5,201,987	2,154,282	2,784,747	17,883,717
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) ..						5,931,116
6	Public support. Subtract line 5 from line 4.						11,952,601

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..	3,631,649	4,111,052	5,201,987	2,154,282	2,784,747	17,883,717
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	411,677	326,525	399,259	235,461	180,659	1,553,581
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						19,437,298

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

1,147,588

First 5 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 2021 (line 6, column (f) divided by line 11, column (f)) .........

61.490 %

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

90.880 %

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 5 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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

Did one or more disqualified persons (as defined on 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 on 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) 2021

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

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 0.015 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 0.035	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) 2021

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

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 is comprised of - St Clair Memorial Hospital EIN# 25-1010303 - #3 - St Clair Memorial Health 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 Group, Inc EIN# 25-1876056 - #12 Type II

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2021

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) (2021)

Schedule B (Form 990) (2021) 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) (2021)

Schedule B (Form 990) (2021)

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) (2021)

Schedule B (Form 990) (2021)

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) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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

20,626

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

Yes

9,363

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

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

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

29,989

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 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) 2021

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

2021

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) 2021

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 ....	15,538,359	12,836,624	10,063,464	10,321,464	10,343,723
b	Contributions ...			3,218,225		6,068
c	Net investment earnings, gains, and losses	-2,027,577	3,217,203	86,397	254,312	498,013
d	Grants or scholarships ...			100		100
e	Other expenditures for facilities and programs ...	543,487	515,468	531,362	512,312	526,240
f	Administrative expenses ....
g	End of year balance ......	12,967,295	15,538,359	12,836,624	10,063,464	10,321,464

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

Board designated or quasi-endowment SchDMd Bullet

5.750 %

Permanent endowment SchDMd Bullet

68.070 %

Term endowment SchDMd Bullet

26.180 %

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 .....	9,809,341		9,809,341
b	Buildings ....	184,767,012	72,538,138	112,228,874
c	Leasehold improvements	26,993,029	19,218,247	7,774,782
d	Equipment ....	152,302,094	101,846,365	50,455,729
e	Other .....	127,379,289	55,258,966	72,120,323
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				252,389,049

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other 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)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	53,935,883
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) 2021

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, 2022 and 2021, the Corporation does not have any uncertain tax positions.

Schedule D (Form 990) 2021

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

2021

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	14,703,647
















3a	Sub-total ....	0	0		14,703,647
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		14,703,647

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021

Schedule F (Form 990) 2021

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) 2021

Schedule F (Form 990) 2021Page 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) 2021

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2021

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) 2021

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

2021

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) . . .	3,531,570		3,531,570	0.810 %
b	Medicaid (from Worksheet 3, column a) . . . . .	38,286,018	22,777,374	15,508,644	3.540 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	41,817,588	22,777,374	19,040,214	4.350 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	373,556		373,556	0.090 %
f	Health professions education (from Worksheet 5) . . .	682,550		682,550	0.160 %
g	Subsidized health services (from Worksheet 6) . . . .	7,725,895		7,725,895	1.760 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	205,821		205,821	0.050 %
j	Total. Other Benefits . .	8,987,822		8,987,822	2.060 %
k	Total. Add lines 7d and 7j .	50,805,410	22,777,374	28,028,036	6.410 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

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	213,139	213,139	0.050 %
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	213,139	213,139	0.050 %

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. ......

7,162,756

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).....

155,157,249

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

185,018,313

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

-29,861,064

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) 2021

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 https://www.stclair.org 450501	X	X	X

Schedule H (Form 990) 2021

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 21

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 21

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) 2021

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) 2021

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) 2021

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) 2021

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 2022 Community Health Needs Assessment (Tax Year 2021) 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 care; healthy environment and conditions; chronic disease and cancer; mental health and substance abuse.Access to care - Access is instrumental in ensuring quality health care for the community. However, there are people in our community who may not be able to afford to see a doctor, don't have health insurance, lack transportation, or can't make appointments during regular office hours. This lack of affordable and convenient access means people may be waiting too long to seek the treatment they need, which can lead to chronic conditions worsening, complications developing, and even emergencies and hospital admissions. To address this community health need, St. Clair Health will continue to provide free van transportation services to the hospital and outpatient centers, and continue providing healthcare and wellness fairs to provide medical education. St. Clair provided approximately 11,000 free van transportation rides to the hospital, outpatient centers, and private physician offices within our six regions. In addition, St. Clair will continue providing virtual and in-person support/health education classes and explore expanding primary care services throughout all six of our service regions. Healthy Environment and Conditions - Eating well requires a combination of both having enough to eat as well as having food with the right nutrients. This can be a challenge for many in the community facing poverty and unemployment, and they can experience food insecurity. Unfortunately, the absence of healthy eating leads to a chain of problems including diabetes, heart disease, high blood pressure, obesity, and major depression. To address this community health need, St. Clair Health will continue its partnership with South Hills and South Hills Interfaith Movement (SHIM) and Pete Donati & Sons Florist to help with the hospital's rooftop garden and distribute produce to SHIM's community/clients. St. Clair will also work to expand our flu vaccine clinic throughout St. Clair's six service regions served, and connect with local municipalities and community partners to identify areas of need. In addition, St. Clair plans to explore developing small gardens at senior living facilities to provide healthy food choices and on-site activities.Chronic diseases - Heart disease, stroke, diabetes, and cancer cost billions of dollars in medical expenses every year, not to mention the emotional and mental toll they can take on patients and their families. Therefore, a large focus of our care is actively preventing diseases in the first place or alleviating conditions with a healthy lifestyle. To address this community health need, St. Clair Health will continue providing annual free preventative screenings (prostate, mammography, and skin) and continue to offer the Diabetes Center as a resource to the community, assisting with the needs of newly diagnosed patients and those dealing with the condition long-term. In addition, St. Clair will launch an oncology speaker series from our Cancer Committee that will educate the community about cancer-related information and what St. Clair has to offer. St. Clair will also explore a partnership with the American Heart Association to offer blood pressure machines to the community to help track blood pressure over a period of time and come up with simple healthy lifestyle changes.Mental health and substance abuse - The effects of substance abuse, drug overdose, heavy drinking, and tobacco can result in everything from unintentional injury to conditions such as liver disease and cancer to even death, and psychological issues such as depression and anxiety can be equally devastating to someone's life. The solution is providing treatment that is compassionate and comprehensive to simultaneously tackle these issues - though part of the challenge in treatment is overcoming the stigma of substance abuse and mental health services. To address this community health need, St. Clair Health will provide community-based mental health support groups such as our inpatient/outpatient music therapy support groups and work with other nonprofit mental health providers and health and human service nonprofit organizations. St. Clair will also focus on postpartum depression and expand our reach within the community to help support our new moms. St. Clair will continue its partnership with Gateway Rehab providing 24/7 Recovery Support Specialists for the Hospital's patients, and educate our St. Clair Medical Group practices on this resource available for patients.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. After collecting data in Fall 2021 from in-person interviews and focus groups with nonprofit partners and local community members, as well as a survey completed by St. Clair Health employees and the general public, St. Clair was able to reevaluate its main community needs. Therefore, in FY 22 St. Clair was able to begin a new three year Community Health Needs Assessment Implementation Strategy to identify the most critical community health needs and how St. Clair can support them. St. Clair Health acknowledges the following leaders for their valuable feedback and ideas:ST. CLAIR HOSPITAL COMMUNITY BENEFIT COMMITTEE MEMBERS at 6/30/22: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 FoundationDavid R. HeilmanOmax Health, Inc.Board of Directors, St. Clair HospitalAndrea 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 HospitalLindsay MeucciVice President - Marketing,Communications & AdvocacySt. Clair HospitalLouis D. Pietragallo Jr.CEOStone Rooster Distributors, Inc.Board of Directors, St. Clair Health FoundationGinny Rothschild ReisingerChief Executive Officer/PrincipalWorkscape, Inc.John T. Sullivan, M.D.Senior Vice President & Chief Medical Officer, St. Clair HospitalBoard 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 HospitalCOMMUNITY LEADERS AND EXPERTS WHO CONTRIBUTED THEIR EXPERTISE:Bethany BachmanCommunity Events & Communication Coordinator, Borough of DormontSteve BeuterBorough Manager, CarnegieMary BirksOutreach Teen & Family ServicesVenard CampbellPre Hospital & Emergency Services Coordinator, St. Clair HealthSarah CooperClinical Nurse Specialist, St. Clair HealthSue CoyleChartiers CenterSarah DarbyOncology Supervisor, St. Clair HealthMat DavisFire Chief & Building and Code Enforcement, Dormont FireLeah DietrichWashington City MissionSusan EvansMental Health Manager, St. Clair Health(Continued on Schedule O)
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's 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 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.
Part V, Section B, Line 10b	See attached copy of St. Clair's CHNA Implementation Strategy

Schedule H (Form 990) 2021

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?47
Name and address		Type of Facility (describe)
1	1 - SCMG Urology 1000 Bower Hill Rd Suite 7600 Pittsburgh,PA15243	Physician Office
2	2 - SCMG Urology 1029 Country Club Rd Suite 205 Monongahela,PA15063	Physician Office
3	3 - SCMG Urology 651 Collier Way Suite 509 Weirton,WV26062	Physician Office
4	4 - SCMG Internal Med-Fatigati Nalin Assoc 733 Washington Rd Suite 401 Pittsburgh,PA15228	Physician Office
5	5 - SCMG Internal Med-Fatigati Nalin Assoc 5187 Library Road Bethel Park,PA15102	Physician Office
6	6 - SCMG Internal Med-Fatigati Nalin Assoc 1025 Washington Pike Suite 3 Bridgeville,PA15017	Physician Office
7	7 - SCMG Internal Med-Fatigati Nalin Assoc 1 Robinson Plaza Suite 410 Pittsburgh,PA15205	Physician Office
8	8 - SCMG Internal Med-Fatigati Nalin Assoc 3928 Washington Road Suite 280 McMurray,PA15317	Physician Office
9	9 - SCMG Internal Med-Fatigati Nalin Assoc 5482 Campbells Run Road Pittsburgh,PA15205	Physician Office
10	10 - SCMG Cardiology-So Hills Cardio Assoc 1000 Bower Hill Rd Suite 7400 Pittsburgh,PA15243	Physician Office
11	11 - SCMG Cardiology-So Hills Cardio Assoc 2000 Oxford Drive Suite 305 Bethel Park,PA15102	Physician Office
12	12 - SCMG Cardiology-So Hills Cardio Assoc 3928 Washington Road Suite 270 McMurray,PA15317	Physician Office
13	13 - SCMG Cardiology- St Clair Health 1000 Bower Hill Rd Suite 7400 Pittsburgh,PA15243	Physician Office
14	14 - SCMG Internal Med-Mt Lebo Internal Med 2000 Oxford Drive Suite 420 Bethel Park,PA15102	Physician Office
15	15 - SCMG Pulmonary & Critical Care Med 1050 Bower Hill Road Suite 306 Pittsburgh,PA15243	Physician Office
16	16 - SCMG Pulmonary & Critical Care Med 1350 Locust Street Suite G104 Pittsburgh,PA15219	Physician Office
17	17 - SCMG Orthopedic Surgery 1000 Bower Hill Rd Suite 7300 Pittsburgh,PA15243	Physician Office
18	18 - SCMG Orthopedic Surgery 3928 Washington Road Suite 270 McMurray,PA15317	Physician Office
19	19 - SCMG OBGyn 1050 Bower Hill Road Suite 205 Pittsburgh,PA15243	Physician Office
20	20 - SCMG OBGyn 1767 Pine Hollow Road McKees Rocks,PA15136	Physician Office
21	21 - SCMG OBGyn 1 Robinson Plaza Suite 410 Pittsburgh,PA15205	Physician Office
22	22 - SCMG OBGyn 2000 Oxford Drive Suite 415 Bethel Park,PA15102	Physician Office
23	23 - SCMG OBGyn 6000 Steubenville Pike Suite 105 Mckees Rocks,PA15136	Physician Office
24	24 - SCMG Neurology 3928 Washington Rd Suite 270 Canonsburg,PA15317	Physician Office
25	25 - SCMG Neurology 1050 Bower Hill Road Suite 105 Pittsburgh,PA15243	Physician Office
26	26 - SCMG Colorectal Surgery 1050 Bower Hill Road Suite 208 Pittsburgh,PA15243	Physician Office
27	27 - SCMG Urgent Care 2000 Oxford Drive Suite 100 Bethel Park,PA15102	Urgent Care Center
28	28 - SCMG Internal Med-Dobkin & Ricelli 5301 Grove Road Suite 631 Pittsburgh,PA15236	Physician Office
29	29 - SCMG Internal Med-Dobkin & Ricelli 2000 Oxford Drive Suite 420 Bethel Park,PA15102	Physician Office
30	30 - SCMG General Surgery 2000 Oxford Drive Suite 216 Bethel Park,PA15102	Physician Office
31	31 - SCMG General Surgery 1050 Bower Hill Road Suite 204 Pittsburgh,PA15243	Physician Office
32	32 - SCMG Cardiac Surgery 1050 Bower Hill Road Suite 204 Pittsburgh,PA15243	Physician Office
33	33 - SCMG Internal Med-DeGiovanni Montini 2000 Oxford Drive Suite 410 Pittsburgh,PA15102	Physician Office
34	34 - SCMG Plastic Surgery 1050 Bower Hill Road Suite 101 Pittsburgh,PA15243	Physician Office
35	35 - SCMG Plastic Surgery 3928 Washington Road Suite 270 McMurray,PA15317	Physician Office
36	36 - SCMG Internal Med-West Hills Medical 1 Robinson Plaza Suite 410 Pittsburgh,PA15205	Physician Office
37	37 - SCMG Internal Med-West Hills Medical 27 Heckel Road Suite 212 McKees Rocks,PA15136	Physician Office
38	38 - SCMG Endocrinology 2000 Oxford Drive Suite 302 Bethel Park,PA15102	Physician Office
39	39 - SCMG Family Medicine 2000 Oxford Drive Suite 302 Bethel Park,PA15102	Physician Office
40	40 - SCMG Breast&General Surgery 2000 Oxford Drive Suite 301 Bethel Park,PA15102	Physician Office
41	41 - SCMG Breast&General Surgery 3928 Washington Road Suite 270 McMurray,PA15317	Physician Office
42	42 - SCMG Thoracic Surgery 1050 Bower Hill Road Suite 204 Pittsburgh,PA15243	Physician Office
43	43 - SCMG Thoracic Surgery 3928 Washington Road Suite 280 McMurray,PA15317	Physician Office
44	44 - SCMG Thoracic Surgery 27 Heckel Road Suite 106 McKees Rocks,PA15136	Physician Office
45	45 - SCMG Pulmonary Medicine 1050 Bower Hill Road Suite 304 Pittsburgh,PA15243	Physician Office
46	46 - SCMG Internal Med-Gobao 2000 Oxford Drive Suite 420 Bethel Park,PA15102	Physician Office
47	47 - SCMG Internal Med-Prabhu Primary Care 1050 Bower Hill Road Suite 301 Pittsburgh,PA15243	Physician Office

Schedule H (Form 990) 2021

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 $4,175,518 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.Covid-19, while challenging, also provided us the opportunity to connect even further with the communities we serve. St Clair established a vaccine clinic at the Hospital to first ensure our staff was vaccinated, protecting themselves, patients, and the community while they continued to deliver healthcare to all patients. We then started administering vaccines to the most vulnerable populations both onsite and by conducing 15 vaccination clinics at senior congregate living facilities. We provided free transportation for those who otherwise wouldn't be able to get the vaccine. Our outreach followed state guidelines and opened to all eligible Pennsylvanians as approved by the FDA and CDC. Additional vaccination clinics were conducted at churches, schools and community centers. St. Clair continues to provide vaccines and boosters as made available.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; established 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 $362,000 of support for physician psychiatrics losses provided to the Hospital. Mental and Substance abuse was one of the four categories of community needs as identified in St Clair's 2022 Community Needs Assessment discussed later in Schedule H, Part II, Community Building Activities. All other items in Part I, Line 7 represents actual costs.
Part I, Ln 7 Col(f):	Actual Provision for Bad Debts expense totaling $9,633,764 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 has been recognized for twenty consecutive A grade for Hospital Safety, making St. Clair one of only 33 in the nation to achieve that record of sustained excellence. The Hospital has been honored by IBM Watson (formerly Truven Health Analytics) for excellent culture for four consecutive years, 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, 2022 the van service provided approximately 11,000 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 356 nursing students were served and more than 5,000 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 41 Emergency Medical Technicians and Paramedics. Although lower due to COVID, approximately 700 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 2022 Community Health Needs Assessment (Tax Year 2021) 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 care; healthy environment and conditions; chronic disease and cancer; mental health and substance abuse. Access to care - Access is instrumental in ensuring quality health care for the community. However, there are people in our community who may not be able to afford to see a doctor, don't have health insurance, lack transportation, or can't make appointments during regular office hours. This lack of affordable and convenient access means people may be waiting too long to seek the treatment they need, which can lead to chronic conditions worsening, complications developing, and even emergencies and hospital admissions. To address this community health need, St. Clair Health will continue to provide free van transportation services to the hospital and outpatient centers, and continue providing healthcare and wellness fairs to provide medical education. St. Clair provided approximately 11,000 free van transportation rides to the hospital, outpatient centers, and private physician offices within our six regions. In addition, St. Clair will continue providing virtual and in-person support/health education classes and explore expanding primary care services throughout all six of our service regions. Healthy Environment and Conditions - Eating well requires a combination of both having enough to eat as well as having food with the right nutrients. This can be a challenge for many in the community facing poverty and unemployment, and they can experience food insecurity. Unfortunately, the absence of healthy eating leads to a chain of problems including diabetes, heart disease, high blood pressure, obesity, and major depression. To address this community health need, St. Clair Health will continue its partnership with South Hills and South Hills Interfaith Movement (SHIM) and Pete Donati & Sons Florist to help with the hospital's rooftop garden and distribute produce to SHIM's community/clients. St. Clair will also work to expand our flu vaccine clinic throughout St. Clair's six service regions served, and connect with local municipalities and community partners to identify areas of need. In addition, St. Clair plans to explore developing small gardens at senior living facilities to provide healthy food choices and on-site activities.Chronic diseases - Heart disease, stroke, diabetes, and cancer cost billions of dollars in medical expenses every year, not to mention the emotional and mental toll they can take on patients and their families. Therefore, a large focus of our care is actively preventing diseases in the first place or alleviating conditions with a healthy lifestyle. To address this community health need, St. Clair Health will continue providing annual free preventative screenings (prostate, mammography, and skin) and continue to offer the Diabetes Center as a resource to the community, assisting with the needs of newly diagnosed patients and those dealing with the condition long-term. In addition, St. Clair will launch an oncology speaker series from our Cancer Committee that will educate the community about cancer-related information and what St. Clair has to offer. St. Clair will also explore a partnership with the American Heart Association to offer blood pressure machines to the community to help track blood pressure over a period of time and come up with simple healthy lifestyle changes.Continued in Additional Information
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 17-18 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 54,000 (reduced post-pandemic volumes) 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 are 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, 2022, $12,060,000 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 2022 (Tax Year 2021). 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 2022 CHNA reaffirmed the continued need for a number ofthe 2019 initiatives. Using the 2022 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 care, Healthy Environment and Conditions, Chronic Diseases, and Mental Health and Substance Abuse.
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 14% 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 301were set up and staffed during the year ended June 30, 2022.
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. $7,725,895 of subsidized health services were provided for the year ended June 30, 2022.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 $240,000,000 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:In May 2021, St. Clair completed construction of the Dunlap Family Outpatient Center ("the Center"), a 280,000-square-foot comprehensive outpatient center on St. Clair's main campus. The Center is designed to consolidate outpatient services currently offered across multiple buildings, as well as expand outpatient offerings to include high-acuity and multidisciplinary services. The new building includes 10 operating rooms (8 of which are set-up and staffed), six endoscopy suites (4 of which are set-up and staffed), 39 pre- and 15 post-operative beds, a Walgreens pharmacy, diagnostic facilities, a cancer center and clinical office space.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 60 minutes is at the 50th percentile mark of 90 minutes for the national standard set by The American College of Cardiology. St. Clair continues to expand its cardiovascular program. In addition to the transcatheter aortic valve replacement (TAVR) program started in 2019, in FY22, St. Clair successfully performed its first Watchman procedure designed to reduce blood clots entering the blood atream and aid in stroke prevention. Also in FY22, St Clair performed its first MitraClip procedure for the treatment of mitral valve regurgitation. 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 15,800 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 approximately 4,000 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 2021).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 2021), St. Clair performed 1,223 deliveries during the year ended June 30, 2022. 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.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.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 2021). In September 2021, St. Clair developed western Pennsylvania's first high-risk breast imaging program, patterned after one at Mayo Clinic. The program uses the Tyrer-Cuzick Risk Assessment Calculator to identify patients at elevated risk for breast cancer, and employs a multidisciplinary team to closely follow those patients. Through June 30, 2022 over 5,000 patients completed the high-risk breast cancer assessment while having their annual breast cancer screening mammogram. See Additional Information for other services.
Part VI, Line 7, Reports Filed With States	PA
Additional Information	Continued Part II Community Building Activities:Mental health and substance abuse - The effects of substance abuse, drug overdose, heavy drinking, and tobacco can result in everything from unintentional injury to conditions such as liver disease and cancer to even death, and psychological issues such as depression and anxiety can be equally devastating to someone's life. The solution is providing treatment that is compassionate and comprehensive to simultaneously tackle these issues - though part of the challenge in treatment is overcoming the stigma of substance abuse and mental health services. To address this community health need, St. Clair Health will provide community-based mental health support groups such as our inpatient/outpatient music therapy support groups and work with other nonprofit mental health providers and health and human service nonprofit organizations. St. Clair will also focus on postpartum depression and expand our reach within the community to help support our new moms. St. Clair will continue its partnership with Gateway Rehab providing 24/7 Recovery Support Specialists for the Hospital's patients, and educate our St. Clair Medical Group practices on this resource available for patients.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. Continued from above Healthcare Services: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. In June 2021, the Center treated its first patient using state-of-the-art Stereotactic Body Radiotherapy (SBRT) which delivers a higher dose of radiation over a shorter number of sessions. During the year ended June 30, 2022. 117 treatments were provided using the SBRT technology. Medical Oncology - In May 2021, also in affiliation with the UPMC Hillman Cancer Center, the opening of the Dunlap Family Outpatient Center consolidated medical oncology into a single campus with surgical and radiation oncology. The 20,000 square foot Cancer Center allows area residents access to the most cutting-edge treatments, interactions with the highest-level researchers, physicians and clinicians and convenient access to care. The affiliation also provides area residents access to clinical trials, including immunotherapy.Emergency Services - St. Clair has the largest Emergency Department in its total service area, with approximately 54,000 annual visits in the year ended June 30, 2022. The Emergency Department is open 24 hours a day, providing emergency care ranging from minor injuries and illness to life-threatening accidents or illnesses. Patient satisfaction scores from Press Ganey surveys for St. Clair's Emergency Department were in the 88th percentile nationwide for the same year.Surgical Services - St. Clair's Surgical Services Department (13 operating rooms in the main suite and 8 operating rooms located in the Dunlap Family Outpatient 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 and new services offered in Dunlap Family Outpatient Center, 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) 2021

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

2021

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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

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) 2021

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 assistance - expenses	36	80,467
(2) Patient assistance	14	10,193
(3) Breast Care Fund	120	3,983
(4) Oncology	150	1,644
(5) Occupational Therapy / Physical Therapy	1	1,085
(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 Health 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 Health Foundation for disbursement of approved funding.

Schedule I (Form 990) 2021

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

2021

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) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(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-SCH through 6/30/22	(i) (ii)	828,951 ------------- 0	600,000 ------------- 0	796,669 ------------- 0	185,047 ------------- 0	18,449 ------------- 0	2,429,116 ------------- 0	795,586 ------------- 0
2Kevin Bordeau MD Physician	(i) (ii)	813,794 ------------- 0	315,005 ------------- 0	56 ------------- 0	22,033 ------------- 0	19,601 ------------- 0	1,170,489 ------------- 0	0 ------------- 0
3Andy C Kiser MD Board Member-SCMS	(i) (ii)	881,732 ------------- 0	200,000 ------------- 0	1,000 ------------- 0	20,524 ------------- 0	19,609 ------------- 0	1,122,865 ------------- 0	0 ------------- 0
4John T Sullivan MD Sr VP/CMO-SCH	(i) (ii)	465,331 ------------- 0	280,565 ------------- 0	0 ------------- 0	110,738 ------------- 0	18,947 ------------- 0	875,581 ------------- 0	0 ------------- 0
5Michael J Flanagan Sr VP/COO/Asst Secretary-SCH	(i) (ii)	416,431 ------------- 0	311,250 ------------- 0	62,583 ------------- 0	114,581 ------------- 0	21,186 ------------- 0	926,031 ------------- 0	52,929 ------------- 0
6Richard C Chesnos Sr VP/CFO/Treas.-SCH through 4/2022	(i) (ii)	413,346 ------------- 0	224,100 ------------- 0	77,845 ------------- 0	104,115 ------------- 0	23,468 ------------- 0	842,874 ------------- 0	76,845 ------------- 0
7Muhammad Salman MD Physician	(i) (ii)	597,168 ------------- 0	0 ------------- 0	0 ------------- 0	12,873 ------------- 0	19,931 ------------- 0	629,972 ------------- 0	0 ------------- 0
8Barry S Zaiser Sr. VP/CSO/Asst Secretary-SCMS	(i) (ii)	346,497 ------------- 0	165,115 ------------- 0	61,968 ------------- 0	89,084 ------------- 0	8,363 ------------- 0	671,027 ------------- 0	61,218 ------------- 0
9Ryan Zuzek MD Physician	(i) (ii)	547,195 ------------- 0	0 ------------- 0	0 ------------- 0	17,400 ------------- 0	19,456 ------------- 0	584,051 ------------- 0	0 ------------- 0
10Robert N Shogry MD Board Member-SCF	(i) (ii)	404,415 ------------- 0	82,064 ------------- 0	750 ------------- 0	24,907 ------------- 0	24,144 ------------- 0	536,280 ------------- 0	0 ------------- 0
11Jay Lutins MD Physician	(i) (ii)	482,043 ------------- 0	48,750 ------------- 0	0 ------------- 0	5,800 ------------- 0	17,587 ------------- 0	554,180 ------------- 0	0 ------------- 0
12Shailen Sehgal MD Physician	(i) (ii)	481,033 ------------- 0	48,750 ------------- 0	0 ------------- 0	5,800 ------------- 0	13,695 ------------- 0	549,278 ------------- 0	0 ------------- 0
13Andrea L Kalina SrVP Ext Affrs & CHRO/Asst Sec-SCF	(i) (ii)	281,265 ------------- 0	136,285 ------------- 0	33,799 ------------- 0	77,653 ------------- 0	21,250 ------------- 0	550,252 ------------- 0	33,799 ------------- 0
14Paula L Hooper Esq Sr. VP/CLO/Secretary-SCH	(i) (ii)	336,131 ------------- 0	137,700 ------------- 0	0 ------------- 0	74,850 ------------- 0	20,461 ------------- 0	569,142 ------------- 0	0 ------------- 0
15Richard J Schaeffer Former Officer-SCH	(i) (ii)	237,625 ------------- 0	93,600 ------------- 0	35,043 ------------- 0	67,354 ------------- 0	23,417 ------------- 0	457,039 ------------- 0	30,048 ------------- 0
16Diane L Puccetti RN VP Nursing & CNO-SCH as of 1/2022	(i) (ii)	224,842 ------------- 0	112,500 ------------- 0	9,615 ------------- 0	66,019 ------------- 0	11,689 ------------- 0	424,665 ------------- 0	0 ------------- 0
17Karl E Bushman MD Board Member-SCMS through 9/2021	(i) (ii)	178,480 ------------- 0	69,369 ------------- 0	805 ------------- 0	5,073 ------------- 0	22,604 ------------- 0	276,331 ------------- 0	0 ------------- 0
18Antonio M Riccelli MD Board Member-SCMS as of 1/2022	(i) (ii)	223,339 ------------- 0	131,534 ------------- 0	805 ------------- 0	22,256 ------------- 0	19,856 ------------- 0	397,790 ------------- 0	0 ------------- 0
19Eric Luttringer Sr VP/CFO/Treasurer-SCH as of 4/2022	(i) (ii)	206,435 ------------- 0	112,500 ------------- 0	10,365 ------------- 0	61,044 ------------- 0	24,492 ------------- 0	414,836 ------------- 0	0 ------------- 0
20Mario J Fatigati MD Board Member-SCMS	(i) (ii)	275,587 ------------- 0	39,801 ------------- 0	31 ------------- 0	26,000 ------------- 0	19,082 ------------- 0	360,501 ------------- 0	0 ------------- 0
21Charles V Dibello Former Officer-SCH	(i) (ii)	198,228 ------------- 0	70,575 ------------- 0	0 ------------- 0	51,264 ------------- 0	841 ------------- 0	320,908 ------------- 0	0 ------------- 0
22Elizabeth Pittman Former Officer-SCMS	(i) (ii)	181,248 ------------- 0	66,670 ------------- 0	19,112 ------------- 0	46,733 ------------- 0	20,838 ------------- 0	334,601 ------------- 0	16,911 ------------- 0
23Meredith Dieffenbach Former Officer-SCH	(i) (ii)	162,347 ------------- 0	77,625 ------------- 0	3,404 ------------- 0	41,849 ------------- 0	9,249 ------------- 0	294,474 ------------- 0	0 ------------- 0
24Donna M Shipley Exc Dir Fin/Ast Trs-SCH as of 4/2022	(i) (ii)	151,579 ------------- 0	5,882 ------------- 0	5,769 ------------- 0	12,410 ------------- 0	9,435 ------------- 0	185,075 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

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 and/or former officers participated in the Hospital's Supplemental Nonqualified Retirement Plan James M. Collins $ 159,046 Michael Flanagan $ 91,911 John T. Sullivan $ 89,990 Richard Chesnos $ 78,115 Barry S. Zaiser $ 63,130 Paula Hooper $ 57,450 Andrea Kalina $ 50,627 Diane L. Puccetti $ 40,962 Richard Schaeffer $ 40,217 Eric Luttringer $ 39,235 Charles Dibello $ 32,066 Elizabeth Pittman $ 30,326 Meredith Dieffenbach $ 29,257
Part II,Column B(iii) and Column F:	Certain officers, directors, key employees and highest compensated employees earned other reportable compensation resulting from meeting specific vesting requirements of unqualified retirement plans in individual tax years.

Schedule J (Form 990) 2021

Additional Data

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- TIN:

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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

2021

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	000000000	10-04-2017	10,000,000	2007 Note Refi & Fina Cap Improv		X		X		X
C	Mt Lebanon Hosp Authority	25-6189519	621820DG1	10-16-2018	86,043,544	Finance Capital Improvements		X		X		X
D	Mt Lebanon Hosp Authority	25-6189519	000000000	11-19-2021	2,200,000	Finance Capital Improvements		X		X		X
	Mt Lebanon Hosp Authority	25-6189519	000000000	11-19-2021	13,635,000	2012 Bond Refinancing		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	13,035,000		1,988,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	20,139,725		10,000,000		87,907,810		2,200,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	29,457				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		86,907,732		50,000
11 Other spent proceeds .............	13,560,976		6,250,000
12 Other unspent proceeds .............							2,150,000
13 Year of substantial completion .............	2013		2017		2021
	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 2020, 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 2020, 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

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

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
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

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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? ........
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) 2021

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 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

2021

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	000000000	10-04-2017	10,000,000	2007 Note Refi & Fina Cap Improv		X		X		X
C	Mt Lebanon Hosp Authority	25-6189519	621820DG1	10-16-2018	86,043,544	Finance Capital Improvements		X		X		X
D	Mt Lebanon Hosp Authority	25-6189519	000000000	11-19-2021	2,200,000	Finance Capital Improvements		X		X		X
	Mt Lebanon Hosp Authority	25-6189519	000000000	11-19-2021	13,635,000	2012 Bond Refinancing		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	13,035,000		1,988,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	20,139,725		10,000,000		87,907,810		2,200,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	29,457				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		86,907,732		50,000
11 Other spent proceeds .............	13,560,976		6,250,000
12 Other unspent proceeds .............							2,150,000
13 Year of substantial completion .............	2013		2017		2021
	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 2020, 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 2020, 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

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

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
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

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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? ........
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

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

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

2021

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) 2021

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 DOrrPresSHR	Brd Mbr-SCH, SCMS	613,212	Interpretation of Radiology Exams		No
(2) Nina Fatigati	Daughter of Brd Mbr	223,891	Salary		No
(3) Christopher Pray	Son-in-Law of Brd Mbr	451,479	Salary		No
(4) Scott Holekamp	Son-in-Law of Brd Mbr	263,630	Salary		No
(5) Giant Steps Orthopaedics LLC B P	Brd Mbr-SCH	132,670	CJR earnings and physician stipend		No
(6) Rachel Rex	Daughter of Brd Mbr	75,295	Salary		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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

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

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2021

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	271,058	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) (2021)

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) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

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 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 Services, 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 the Chief Financial Officer.
Part VII, Section A, Column (D):	Certain officers, directors, key employees and highest compensated employees earned other reportable compensation resulting from specific vesting requirements of unqualified retirement plans in individual tax years.
Form 990, Part IX, line 11g	Agency Staffing Services: Program service expenses 24,512,880. Management and general expenses 7,379,305. Fundraising expenses 36,600. Total expenses 31,928,785. Joint Venture Management Fees: Program service expenses 7,619,641. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,619,641. IT Purchased Services: Program service expenses 530,428. Management and general expenses 3,629,706. Fundraising expenses 0. Total expenses 4,160,134. Supporting Services: Program service expenses 931,869. Management and general expenses 3,030,323. Fundraising expenses 59,539. Total expenses 4,021,731. Laboratory Testing: Program service expenses 2,465,680. Management and general expenses 210. Fundraising expenses 0. Total expenses 2,465,890. Clinical Purchased Services: Program service expenses 1,964,593. Management and general expenses 284,845. Fundraising expenses 0. Total expenses 2,249,438. Non-Employed Physician Fees: Program service expenses 1,467,382. Management and general expenses 468,000. Fundraising expenses 0. Total expenses 1,935,382. Patient Billing, Coding, & Electronic Health Record: Program service expenses 876,176. Management and general expenses 887,485. Fundraising expenses 0. Total expenses 1,763,661.
Form 990, Part XI, line 9:	Change in pension liability -16,280,266. Investment income 464. Contributions 88,537. Grants received 0. Other increases / (decreases) 2,300,858.
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 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 $4,112,436 Medicare Accelerated Payments received from CMS for St. Clair Memorial Hospital.
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.(dba St. Clair Medical Group) - General Rule - St. Clair Memorial Hospital Foundation - Special Rule
Schedule H, Part V, Section B, Line 5	Mike Fisher Assistant Superintendent, Peters Township School District Denise Fitzgerald Director, Scott Township Angela Garcia Executive Director, Global Links Tyler Geist Associate Elementary Principal & Safety Coordinator, South Fayette School District Chokri Guetari Attawheed Islamic Center Jim Guffey South Hills Interfaith Movement Deputy Cheif Jason Haberman Mt. Lebanon Police Department Nora Helfrich Tri-Community South EMS J.R. Henry Chief, Valley Ambulance Authority Randi Hill Southwood Psych Hospital Sara J. Hoffman Director of Special Education & Pupil Services, Carlynton School District Angela Iglar Director of Communications, South Fayette Corporal Jeff Kite Mt. Lebanon Police Department Shawndel Laughner Family Birth Center Director, St. Clair Health Karen Miles Lead Nurse, South Fayette School District Juan Perez Boys & Girls Clubs of Western Pennsylvania Megan Rhoades Nurse Manager, St. Clair Health Dr. Timothy Steinhauer Superintendent, Mt. Lebanon School District James Troup Gateway Rehab Dr. Johannah Vanatta Superintendent, Chartiers Valley School District Sarah Welchn Coordinator of Communications, Keystone Oaks School District Kellie Wild Catholic Catholic Charities of Pittsburgh Dr. Alan Yeastead Sr. Vice President and CMO, St. Clair Health

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

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2021

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) 2021

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?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(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	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) SCNSC Properties 1000 Bower Hill Road Pittsburgh,PA15243 26-2004682	Real Estate	PA	N/A	C					No

Schedule R (Form 990) 2021

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	1,029,000	Actual
(2) St Clair HospitalUPMC Cancer Center PETCT	Q	256,634	Actual
(3) St Clair Memorial Hospital Foundation	O	389,223	Actual
(4) St Clair Memorial Hospital Foundation	Q	649,411	Actual
(5) St Clair Professional Services Inc	O	6,842,058	Actual
(6) St Clair Professional Services Inc	Q	612,601	Actual
(7) St Clair Professional Services Inc	S	3,998,535	Actual
(8) St Clair Anesthesiology Associates Inc	O	9,607,553	Actual
(9) St Clair Anesthesiology Associates Inc	Q	372,581	Actual
(10) St Clair Anesthesiology Associates Inc	S	5,822,478	Actual
(11) St Clair Medical Services Inc	O	47,244,345	Actual
(12) St Clair Medical Services Inc	Q	11,963,709	Actual
(13) St Clair Medical Services Inc	J	1,534,076	actual

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

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) 2021

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	53
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	38
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	2,816
6	Total number of volunteers (estimate if necessary) .............	6	119
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	500,231
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,122,572	3,902,350
9	Program service revenue (Part VIII, line 2g) .........	392,175,955	438,555,823
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	10,179,161	11,611,048
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,004,338	2,345,279
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	406,482,026	456,414,500
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	126,850	106,931
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)	187,913,232	193,111,129
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 504,958
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	186,034,101	244,852,241
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	374,074,183	438,070,301
19	Revenue less expenses. Subtract line 18 from line 12.......	32,407,843	18,344,199
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	808,105,796	729,469,026
21	Total liabilities (Part X, line 26).............	264,254,988	234,022,748
22	Net assets or fund balances. Subtract line 21 from line 20.....	543,850,808	495,446,278

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 356,989,467 including grants of $ 106,931 ) (Revenue $ 441,344,616 )
	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 70,833 inpatient days of care to the adult and pediatric population of the community, served 14,608 admissions, performed 243,790 occasions of outpatient services and treated 53,960 Emergency room visits.St Clair Memorial Hospital Foundation provides administrative and support functions associated with program services. St. Clair Medical Services, Inc. provides physician and other healthcare services to the community to support, provide assistance, and (Cont. on Schedule O) 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 expenses356,989,467

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	13,809,731	0	1,693,057

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	1,117,603

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,784,747

g	Noncash contributions included in lines 1a - 1f:$		1g	271,058

h Total. Add lines 1a-1f.......		3,902,350

		Business Code
2a	Net patient service rev	622110	377,639,081	375,097,182		2,541,899
b	Program service revenue	621990	58,159,593	58,159,593
c	Cafeteria/Cafe	722514	1,211,838			1,211,838
d	Parking	812930	1,062,712			1,062,712
e	Lablink	621500	482,599		482,599
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		438,555,823

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,246,239			5,246,239
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		945,155	6a
b	Less: rental expenses		1,431,116	6b
c	Rental income or (loss)		-485,961	6c
d	Net rental income or (loss).......			-485,961			-485,961
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	4,620	43,085,314	7a
b	Less: cost or other basis and sales expenses	0	36,725,125	7b
c	Gain or (loss)	4,620	6,360,189	7c
d	Net gain or (loss).........			6,364,809			6,364,809
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
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	44,158
b	Less: cost of goods sold ..		10b	19,343
c	Net income or (loss) from sales of inventory..			24,815			24,815
Business Code			Miscellaneous Revenue
11a	Clinical/Partnership Activities		561000	2,788,793	2,788,793
b	Telephone		561000	17,632		17,632
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,806,425
12	Total revenue. See instructions.....			456,414,500	436,045,568	500,231	15,966,351

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	9,559	9,559
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	97,372	97,372
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 ...........	10,731,109	8,067,932	2,415,218	247,959
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........	146,614,600	120,816,484	25,742,972	55,144
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	7,730,547	6,321,631	1,405,448	3,468
9	Other employee benefits .......	17,640,376	14,251,149	3,383,685	5,542
10	Payroll taxes ...........	10,394,497	8,552,545	1,837,692	4,260
11	Fees for services (non-employees):
a	Management ......	1,129,946		1,129,946
b	Legal .........	505,678		505,678
c	Accounting ...........	259,199		259,199
d	Lobbying ...........	29,989		29,989
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	28,950		28,950
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	56,144,662	40,368,649	15,679,874	96,139
12	Advertising and promotion ....	2,220,461	159,821	2,060,640
13	Office expenses .......	1,478,591	1,287,056	168,398	23,137
14	Information technology ......	10,008,942	7,415,440	2,580,768	12,734
15	Royalties ..
16	Occupancy ...........	8,129,731	4,388,254	3,741,477
17	Travel ............	188,850	79,133	107,526	2,191
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	148,041	112,176	35,461	404
20	Interest ...........	3,603,762	3,596,750	7,012
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	27,126,452	13,364,683	13,745,876	15,893
23	Insurance ...	5,819,543	4,793,598	1,025,945
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	106,974,815	106,731,864	242,951
b	PA Quality Care Assessm	6,778,390	6,778,390
c	Equipment Rental & Main	4,014,403	3,707,701	306,702
d	Food Serivce	2,144,293	1,290,924	853,347	22
e	All other expenses	8,117,543	4,798,356	3,281,122	38,065
25	Total functional expenses. Add lines 1 through 24e	438,070,301	356,989,467	80,575,876	504,958
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 ........			20,474	1	19,681
2	Savings and temporary cash investments .........			55,396,285	2	22,454,991
3	Pledges and grants receivable, net ......			4,184,345	3	2,774,473
4	Accounts receivable, net .............			53,921,339	4	62,944,486
5	Loans and other receivables from 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 ...........				7
8	Inventories for sale or use ............			9,482,637	8	9,664,322
9	Prepaid expenses and deferred charges ......			25,003,617	9	6,589,780
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	501,250,765
b	Less: accumulated depreciation	10b	248,861,716	263,125,848	10c	252,389,049
11	Investments—publicly traded securities .			335,521,548	11	325,801,084
12	Investments—other securities. See Part IV, line 11 .....			25,602,979	12	14,736,927
13	Investments—program-related. See Part IV, line 11 ..			6,023,927	13	4,413,639
14	Intangible assets ...............			1,214,822	14	1,487,234
15	Other assets. See Part IV, line 11 ...........			28,607,975	15	26,193,360
16	Total assets. Add lines 1 through 15 (must equal line 33)...			808,105,796	16	729,469,026

17	Accounts payable and accrued expenses .....	60,915,161	17	56,723,036
18	Grants payable ...		18
19	Deferred revenue .........	10,470,846	19	8,362,333
20	Tax-exempt bond liabilities .........	116,885,554	20	115,001,496
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	75,983,427	25	53,935,883
26	Total liabilities. Add lines 17 through 25..	264,254,988	26	234,022,748

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	523,013,897	27	478,245,475
28	Net assets with donor restrictions ...........	20,836,908	28	17,200,803
	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 ...........	543,850,808	32	495,446,278
33	Total liabilities and net assets/fund balances ........	808,105,796	33	729,469,026

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