2021-05-14T13:36:28-05:00 2020-06-30 346565596 Ernst & Young US LLP 2100 One PPG Place Pittsburgh PA 15222 990 2019-07-01 611663540 St Clair Health Corporation Group Return STCL 4129424000 1000 Bower Hill Road Pittsburgh PA 15243 Richard C Chesnos CPA, SVP, CFO, Treasurer 4129424000 2021-05-14 1 James L Ziesche P01264584 4126447800 2019 2022-09-23 18:48:47Z James M Collins 1000 Bower Hill Road Pittsburgh PA 15243 421053858 1 1 5858 X www.stclair.org X St. Clair provides highly valued, service-oriented healthcare to the community. 55 41 2765 343 423693 0 5687551 12866235 359935325 347364971 9757291 9074805 -824397 -746877 374555770 368559134 77241 243920 0 0 168128765 174553584 0 0 394697 165582510 171192960 333788516 345990464 40767254 22568670 613658140 677559728 200120997 244789521 413537143 432770207 X To provide highly valued, service-oriented healthcare to the community. 0 0 274056646 243920 347316713 St Clair Memorial Hospital's primary exempt purpose is to provide healthcare services to the community and operate a 24 hour Emergency Department to meet the medical needs of the community regardless of ability to pay. In the current year,the Hospital provided 62,619 inpatient days of care to the adult and pediatric population of the community, served 14,707 admissions, performed 239,213 occasions of outpatient services and treated 54,881 Emergency room visits. St. Clair has undertaken extensive efforts to respond to the COVID-19 pandemic to ensure the safety and well-being of our employees, our patients and the community. St. Clair established an offsite COVID-19 testing center at one of its' outpatient facilities. Additional efforts include ensuring an ample supply of (Cont. on Schedule O) personal protective equipment (PPE) for staff and patients; segregating COVID-19 patients into separate negative pressure infectious disease units of the Hospital; developing a five phase plan to accommodate patients during coronavirus surges; establishing a COVID-19 workforce triage line and increased employee education; and restricting building access, limiting visitor access and screening all employees and patients to minimize contact and exposure from infected individuals. St. Clair maintained an engaged workforce by implementing job-sharing instead of a reduction in force; providing employees with an additional PTO to assist with the financial burden of reduced hours; enabling employee assistance grants from the Foundation for those experiencing hardships and providing an employee meals program. St. Clair also received a great level of support from the community and dozens of corporations including donations of PPE, contributions to our employee assistance programs and providing meals for the staff.St Clair Memorial Hospital Foundation provides administrative and support functions associated with program services. St. Clair Medical Services, Inc. provides physician and other healthcare services to the community to support, provide assistance, and advance the interests of St. Clair Health Corporation. St. Clair Professional Services, Inc., a non-profit subsidiary of St. Clair Medical Services, Inc., provides physician and other healthcare services to the community, regardless of ability to pay, including, but not limited to, pediatric and certain hospitalists and intensivists services to support, assist, and advance the interests of St. Clair Memorial Hospital(exempt) and other corporations or organizations that are affiliated with St. Clair Health Corporation which are exempt from federal income tax under Sections 501 (c) (3) and public charities exempt under 509 (a) (1) or (2) of the Code. St. Clair Anesthesiology Associates, Inc., a non-profit subsidiary of St. Clair Medical Services, Inc. employs Certified Nurse Anesthetists who provide healthcare services to the community, regardless of ability to pay, including, but not limited to, anesthesia services to support, assist, and advance the interests of St. Clair Memorial Hospital(exempt) and other corporations or organizations that are affiliates with St. Clair Health Corporation which are exempt from federal income tax under Sections 501 (c) (3) and public charities exempt under 509 (a) (1) or (2) of the Code. 274056646 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 0 0 1 X 104 0 1 2765 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 55 41 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X Richard C Chesnos SR VP & CFO 4129421250 1000 Bower Hill Road Pittsburgh PA 15243 James M Collins President/CEO/Asst Secy -SCH 60.00 12.00 X X 1178001 0 187512 Richard C Chesnos Sr VP/CFO/Treasurer-SCH 60.00 12.00 X 932275 0 117079 Andy Kiser MD Physician 60.00 0.00 X 941642 0 22184 Kevin Bordeau MD Board Member-SCMS thru 12/2019 60.00 0.00 X 828976 0 35971 John T Sullivan MD Sr VP/CMO-SCH 60.00 2.00 X 607832 0 111086 Michael J Flanagan Sr VP/COO/Secretary-SCH 60.00 8.00 X 589910 0 110606 Derek Thomas MD Physician 60.00 0.00 X 615589 0 16893 Shaka Walker MD Physician 60.00 0.00 X 539929 0 36591 Maxim Bocharov MD Physician 60.00 0.00 X 537520 0 37226 Richard Mitchell MD Physician 60.00 0.00 X 522717 0 31900 Robert N Shogry MD Board Member-SCF 60.00 0.00 X 494005 0 43651 Barry S Zaiser Sr VP/CSO.-SCH through 1/2020 60.00 10.00 X 441042 0 85726 Andrea L Kalina SrVP Ext Affrs/CHRO-SCH thru 1/2020 60.00 2.00 X 360098 0 85353 Mario J Fatigati MD Board Member-SCMS 45.00 2.00 X 392879 0 39327 Charles J Rakaczky VP Phys Network-SCMS thru 1/2020 60.00 0.00 X 316047 0 115889 Richard J Schaeffer VP & CIO-SCH through 1/2020 60.00 0.00 X 293685 0 79431 Diane L Puccetti RN Adm VP/CNO-SCH through 1/2020 60.00 0.00 X 268487 0 63722 Karl E Bushman MD Board Member-SCMS 60.00 2.00 X 274042 0 41535 Eric Luttringer VP Finance/Asst Treasurer-SCH 60.00 12.00 X 236206 0 70629 Charles V Dibello VP Fac Mgmt & Const.-SCH thru 1/2020 60.00 0.00 X 228609 0 43236 Elizabeth Pittman VP & COO-SCMS thru 1/2020 60.00 0.00 X 206107 0 58963 G Alan Yeasted MD Board Member-SCH 30.00 5.00 X 178208 0 36717 Richard Sieber Exc Dir Mkt/Devl-SCF thru 1/2020 60.00 0.00 X 178080 0 36375 Meredith Borst Exc Dir Strtgc Init-SCH thru 1/2020 60.00 0.00 X 159553 0 15673 Frank Arcuri Esq Board Member-SCMS as of 1/2020 2.00 3.00 X 0 0 0 Frank Arcuri Esq Vice Chairman-SCH 2.00 3.00 X X 0 0 0 Joseph B Banko Board Member-SCH 2.00 3.00 X 0 0 0 Joseph B Banko Board Member-SCMS 2.00 3.00 X 0 0 0 James W Barson Board Member-SCMS 2.00 1.00 X 0 0 0 Susan M Bicket Esq Board Member-SCH 2.00 0.00 X 0 0 0 Michael Blehar Board Member-SCF 2.00 0.00 X 0 0 0 Rachel Brecht Board Member-SCF 2.00 0.00 X 0 0 0 Stephanie Brown MD Board Member-SCH 2.00 0.00 X 0 0 0 Karl E Bushman MD Board Member-SCH 2.00 60.00 X 0 0 0 James M Collins President/CEO-SCMS 2.00 70.00 X X 0 0 0 Mario J Fatigati MD Board Member-SCH 2.00 45.00 X 0 0 0 Laura L Freedman Board Member-SCH 2.00 0.00 X 0 0 0 Gary G Glausser Board Member-SCH 2.00 6.00 X 0 0 0 Gary G Glausser Chairman-SCMS 5.00 3.00 X X 0 0 0 Tricia Hammel Board Member-SCF 2.00 0.00 X 0 0 0 Scott Heeter Board Member-SCF 2.00 2.00 X 0 0 0 Scott Heeter Board Member-SCH 2.00 2.00 X 0 0 0 David R Heilman Board Member-SCH 2.00 3.00 X 0 0 0 David R Heilman Board Member-SCMS 2.00 3.00 X 0 0 0 Bryan Hondru Board Member-SCF 2.00 0.00 X 0 0 0 Christopher D Howard Board Member-SCH as of 10/2019 2.00 0.00 X 0 0 0 Deborah Lee Board Member-SCF 2.00 0.00 X 0 0 0 Dan Long Board Member-SCF 2.00 0.00 X 0 0 0 Vicki McKenna Board Member-SCF 2.00 0.00 X 0 0 0 Thomas M Medwig Board Member-SCF 2.00 7.00 X 0 0 0 Thomas M Medwig Board Member-SCH 2.00 7.00 X 0 0 0 Thomas M Medwig Board Member-SCMS 2.00 7.00 X 0 0 0 John P Meegan Board Member-SCF 2.00 8.00 X 0 0 0 John P Meegan Board Member-SCMS 2.00 8.00 X 0 0 0 John P Meegan Chairman-SCH 5.00 5.00 X X 0 0 0 Edward A Nicholson Board Member-SCF as of 8/2019 2.00 0.00 X 0 0 0 Donald P Orr MD Board Member-SCH 2.00 5.00 X 0 0 0 Donald P Orr MD Board Member-SCMS 2.00 5.00 X 0 0 0 Matthew G Pesacreta MD Board Member-SCH 2.00 0.00 X 0 0 0 Jack B Piatt Board Member-SCF 2.00 0.00 X 0 0 0 Andrew F Rodgers Board Member-SCF thru 9/2019 2.00 0.00 X 0 0 0 Harry E Serene MD Board Member-SCF 2.00 3.00 X 0 0 0 Harry E Serene MD Board Member-SCH 2.00 3.00 X 0 0 0 Douglas E Shaffer Board Member-SCH 2.00 1.00 X 0 0 0 Joseph B Smith Board Member-SCH 2.00 1.00 X 0 0 0 Vaughn Strimlan MD Board Member-SCF 2.00 0.00 X 0 0 0 John T Sullivan MD Board Member-SCMS 2.00 60.00 X 0 0 0 Dena Haritos Tsamitis Board Member-SCF 2.00 0.00 X 0 0 0 Teresa Whalen Board Member-SCH 2.00 0.00 X 0 0 0 Thomas D Wright Jr Esq Board Member-SCF 2.00 2.00 X 0 0 0 Thomas D Wright Jr Esq Board Member-SCH 2.00 2.00 X 0 0 0 G Alan Yeasted MD Co-Chairman-SCF 5.00 30.00 X X 0 0 0 Mark Zacur Board Member-SCH 2.00 1.00 X 0 0 0 Gary J Zentner Board Member-SCH 2.00 6.00 X 0 0 0 Gary J Zentner Co-Chairman-SCF 5.00 3.00 X X 0 0 0 Richard C Chesnos Treasurer-SCF 2.00 70.00 X 0 0 0 Richard C Chesnos Treasurer-SCMS 2.00 70.00 X 0 0 0 James M Collins Asst Secretary-SCF 2.00 70.00 X 0 0 0 Andrea L Kalina SrVP Ext Affrs, Sec-SCF as of 1/2020 2.00 60.00 X 0 0 0 Eric Luttringer Asst Treasurer-SCF 2.00 70.00 X 0 0 0 Eric Luttringer Asst Treasurer-SCMS 2.00 70.00 X 0 0 0 Barry S Zaiser Secretary-SCMS 2.00 68.00 X 0 0 0 11321439 0 1523275 200 0 1 0 PJ DICK 225 N SHORE DR PITTSBURGH PA 15212 CONSTRUCTION 16174302 MASCARO CONSTRUCTION COMPANY LP 1720 METROPOLITIAN ST PITTSBURGH PA 15233 CONSTRUCTION 12950951 ALLSCRIPTS HEALTHCARE LLC PO BOX 8538-133 PHILADELPHIA PA 19171 SOFTWARE SUPPORT 10189500 UPMC PO BOX 223270 PITTSBURGH PA 15251 STAFFING AGENCY 6686096 GE PRECISION HEALTHCARE LLC PO BOX 964830 CHICAGO IL 60693 SERVICE CONTRACTS 2300070 87 220510 7610962 5034763 53286 12866235 Net patient service rev 622110 296416242 294976881 1439361 Program service revenue 621990 47902934 47902934 Cafeteria/Cafe 722514 1660127 1660127 Parking 812930 974340 974340 Lablink 621500 411328 411328 347364971 5674415 5674415 969597 1712779 -743182 -743182 -743182 54004084 50603694 3400390 3400390 3400390 94347 220510 102902 -8555 -8555 116062 75349 40713 40713 Telephone 561000 12365 12365 Clinical/Partnership Activities 561000 -48218 -48218 -35853 368559134 342831597 423693 12437609 21384 21384 222536 222536 9049022 6755717 2190247 103058 135056688 110661019 24332590 63079 5810801 4734421 1071154 5226 14929254 12022283 2897751 9220 9707819 7921538 1778252 8029 1954624 1954624 432632 432632 239895 239895 40636 40636 45400 45400 32480364 18668457 13741696 70211 1941848 73668 1868180 1770048 1190809 536081 43158 9259084 6582631 2664520 11933 6819968 4076503 2743464 1 247691 92791 149546 5354 182201 113474 68590 137 508115 503036 5079 18716199 10291993 8406755 17451 7454797 5897739 1557058 Patient Care Supplies 68679576 68521859 157717 PA Quality Care Assessm 6775728 6775728 Equipment Rental & Main 3100299 2760375 339924 Food Service 2197241 1011459 1185345 437 8346614 5157226 3131985 57403 345990464 274056646 71539121 394697 16424 16425 34603694 60208047 7356724 5660820 41318237 37668017 1853 101 7386809 7661752 6388254 5919936 424293521 220568237 158080287 203725284 266214194 285433319 81108826 50198325 4319528 5078485 1000479 1077941 5862831 14911276 613658140 677559728 38868093 56739490 3604392 3138741 123073346 120026773 34575166 64884517 200120997 244789521 X 382175421 397407543 31361722 35362664 413537143 432770207 613658140 677559728 X 22568670 -3335606 X X 0 1 X 1 1 0 X X 1 St Clair Memorial Hospital 251010303 3 1 0 0 1 0 0 1380441 2161478 3631649 4111052 5201987 16486607 1380441 2161478 3631649 4111052 5201987 16486607 16486607 364451 359123 411677 326525 399259 1861035 18347642 1403231 0.89860 0.62250 X 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Schedule A, Part II Reason for Public Charity Status St Clair Health Corp Group Return is comprised of - St Clair Memorial Hospital EIN# 25-1010303 - #3 - St Clair Memorial Hospital Foundation EIN# 25-1407399 - #7 - St Clair Professional Services, Inc EIN# 25-1691194 - #12 Type II - St Clair Anesthesiology Associates, Inc EIN# 71-0875076 - #12 Type II - St Clair Medical Services, Inc EIN# 25-1876056 - #12 Type II RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 17901 1 22735 0 0 40636 0 Part II-B, Line 1: Form 990, Part IV, Line 4 St. Clair Hospital is engaged in lobbying activities through membership dues paid to the American Hospital Association, The Hospital & Healthsystem Association of Pennsylvania, Healthcare Council of Western PA, and through legal fees paid to Buchanan Ingersoll & Rooney. Additionally, any time spent by paid employees and / or management in lobbying activities are tracked internally and reported. 10063464 3218225 86397 100 531362 12836624 10321464 254312 512312 10063464 10343723 6068 498013 100 526240 10321464 10036805 855742 100 548724 10343723 10776099 6136 -179895 100 565435 10036805 0.07020 0.67910 0.25070 0 0 9810635 9810635 110336700 63608778 46727922 25189744 15586998 9602746 130661949 94146436 36515513 148294493 47226025 101068468 203725284 Series 2018 Rev Bond Project Fund 33625162 F Restricted Assets-Mutual Funds 13356600 F MLHA Debt Service Bond Funds 3216563 C 50198325 Due to Third Parties 4122692 Medicare Advances 22893716 Accrued Retirement Benefits 8805277 Accrued Professional Liability 26117120 Other Liabilities 2945712 64884517 X Part V, Line 4: Endowments are designated by donors and/ or the Board. Part X, Line 2: The Corporation, the Hospital, the Foundation, and SCMS are Pennsylvania nonprofit corporations that are described in Section 501(c)(3) of the Internal Revenue Code and are therefore exempt from federal income tax under Section 501(a) and are not subject to the Pennsylvania Corporate Net Income Tax or Pennsylvania Capital Stock Tax. The Corporation and its subsidiaries have adopted Accounting Standards Codification Subtopic 740-10, Accounting for Uncertainty in Income Taxes - an Interpretation of FASB Statement No. 109 (ASC 740-10). ASC 740-10 addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under ASC 740-10, the Corporation may recognize the tax benefit from an uncertain tax position only if its more likely than not that the tax position will be sustained upon examination by the taxing authorities, based on the technical merits of the position. As of June 30, 2020 and 2019, the Corporation does not have any uncertain tax positions. Central America and Caribbean Investments 13908915 0 0 0 0 0 0 13908915 0 13908915 0 0 1 1 0 0 Part III Accounting Method: Golf Outing and Dinner 314857 220510 94347 24062 5265 70674 2901 None 314857 220510 94347 24062 5265 70674 2901 102902 -8555 1 1 X 1 X 1 X 1 1 1 0 1 1 4524910 4524910 0.01310 28632118 17986587 10645531 0.03080 33157028 17986587 15170441 0.04390 663417 663417 0.00190 505502 505502 0.00150 8845381 8845381 0.02560 314449 314449 0.00090 10328749 10328749 0.02990 43485777 17986587 25499190 0.07380 479094 479094 0.00140 479094 479094 0.00140 1 5517705 136099573 173810455 -37710882 X 1 1 1 1 St Clair Memorial Hospital 1000 Bower Hill Road Pittsburgh PA 15243 X X X St Clair Memorial Hospital 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X https://www.stclair.org/community X 1 18 0 1 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X https://www.stclair.org/billing-insurance/financial-assistance/ X See Part V, Line 16a X See Part V, Line 16a X X X X X X X 1 X 0 1 X 0 0 St Clair Memorial Hospital Part V, Section B, Line 5: In keeping with its commitment to the community, St. Clair initiated a 2019 Community Health Needs Assessment (Tax Year 2018) and thereafter published a comprehensive action plan. Results of the study identified four broad categories of health needs in which St. Clair would develop programs, deploy resources and partner with other local agencies to positively impact the health of those we serve: access to services; chronic diseases and cancer; mental health and substance abuse; healthy environment and conditions Access - When access to care is limited health concerns go untreated; chronic conditions worsen and complications develop, leading to emergencies and preventable hospital admissions. To address the lack of access to care, St. Clair provided 12,526 free van transportation rides to the hospital and its outpatient centers. Coordination of services among providers is essential to ensuring residents' health needs are being met. St. Clair Hospital also made strides to expand access to prenatal education. A Family Birth Center Tour video was added to the Hospital's website and social media. The planning for several other prenatal education videos also took place during this tax year. Chronic Disease and Cancer - Chronic diseases such as heart disease, stroke, diabetes and cancer affect the health of millions of people and drive up the cost of medical care every year. To combat this, St. Clair provides free screening events to the community for prostate, breast, colon and skin cancers. However, due to COVID-19, the only screening that took place was the Free Mammography screening in FY20. The St. Clair Diabetes Center continued to serve as a resource to the community providing much needed education, treatment and support. Additionally, prior to COVID-19 the hospital participated in community health events, both preventative and treatment specific, to provide free health education and health screenings to the community. Particularly, St. Clair Hospital provided free education and screening at local food pantries.Mental Health and Substance Abuse - Substance abuse and addiction have reached epidemic proportions across the nation and St. Clair is not immune from that reality. To address this need, The Hospital offered free community-based mental health support groups in collaboration with other nonprofit mental health providers. In-person support groups were cancelled due to COVID-19, but the hospital still supported patients via outpatient and in-patient services through its Psychiatry and Mental Health Department. A new partnership with Mt. Lebanon Police and Outreach Teen & Family Services was initiated to provide funding for a Hidden in Plain Sight trailer, which educated parents on youth drug and alcohol use and abuse. The Hospital also expanded upon its partnership with Gateway Rehab, adding a second 24/7 Recovery Support Specialists for the Hospital's patients. St. Clair plans to make strides in the future to integrate mental health services in to our primary care physician offices.Healthy Environment and Conditions - St. Clair Hospital meets regularly with local municipalities to discuss how the Hospital can partner to create a healthier environment for our residents. The Hospital also funds community organizations whose work is conducive to creating healthier communities, and providing access to healthful foods. St. Clair Hospital also started a rooftop garden and donated produce to a partnering nonprofit food pantry.In addition to these specific CHNA initiatives, St. Clair also expands its reach to the community in the following ways:-St. Clair regularly contributes to partnering agencies in the form of monetary donations and in-kind contributions.-In the interest of safety and disease prevention, St. Clair has a needle disposal program for those who utilize needles, syringes and other sharp objects in managing conditions such as diabetes. This free service enables people to exchange containers of contaminated needles for empty ones.-St. Clair welcomes students from the region's many training programs and universities seeking to gain clinical experience. Medical students, residents, nursing students and others rotate through St. Clair's clinical departments as they prepare for careers in healthcare, and often times, returning to communities in need. These programs were impacted during the COVID-19 pandemic.St. Clair gathered information through interviews and surveys of dozens of persons who are invested in healthcare in the community. Also, St. Clair Hospital interviews were conducted during 2018 via focus groups, a web-based survey and a paper-based survey. These included external stakeholders - those not affiliated with St. Clair - as well as members of our medical and Hospital staff. These persons shared their perspectives and experience on community health needs and their ideas for interventions and innovative programs to meet those needs. St. Clair Hospital acknowledges the following leaders for their valuable feedback and ideas:ST. CLAIR HOSPITAL COMMUNITY BENEFIT COMMITTEE MEMBERS at 6/30/20:Joseph B. SmithSenior Vice President, Marketing,Dollar Bank Chairman,Community Benefit CommitteeBoard of Directors, St. Clair HospitalFrank Arcuri, Esq.Law Office of Frank ArcuriBoard of Directors, St. Clair HospitalRachel BrechtTiER1 Performance SolutionsBoard of Directors, St. Clair Hospital FoundationKarl E. Bushman, M.D.Mt. Lebanon Internal MedicineBoard of Directors, St. Clair HospitalLaura L. FreedmanUBS Wealth ManagementBoard of Directors, St. Clair HospitalDavid R. HeilmanOmax Health, Inc.Board of Directors, St. ClairAndrea L. KalinaExecutive Liaison,Community Benefit CommitteeSenior Vice President of External Relations and Chief Human Resources Officer,St. Clair HospitalDeborah LeePNC HealthcareBoard of Directors, St. Clair Hospital FoundationDan LongEnscoe Long Insurance Group, LLCBoard of Directors, St. Clair Hospital FoundationThomas M. MedwigChairman, St. Clair Health Corp.Board of Directors, St. Clair HospitalJohn P. MeeganHeffren-Tillotson, Inc.Board of Directors, St. Clair HospitalLindsay MeucciVice President - Marketing,Communications & AdvocacySt. Clair HospitalJohn T. Sullivan, M.D.Senior Vice President & ChiefMedical Officer, St. Clair HospitalBoard of Directors, St. Clair HospitalTeresa WhalenCytoAgentsBoard of Directors, St. Clair HospitalThomas D. Wright, Jr., Esq.Rosetta Capital CorporationBoard of Directors, St. Clair HospitalG. Alan Yeasted, M.D.Sr. Vice President & ChiefMedical Officer Emeritus, St. Clair HospitalBoard of Directors, St. Clair HospitalMark ZacurOwens MinorBoard of Directors, St. Clair HospitalCOMMUNITY LEADERS AND EXPERTS WHO CONTRIBUTED THEIR EXPERTISE:Paul BacharachGateway RehabDebbie BatesChrist United Methodist ChurchMary BirksOutreach Teen & Family ServicesRachael BurdetteGreenbriar Treatment CenterVenard CampbellPre Hospital CoordinatorSt. Clair HospitalScott CaveyScott Township EMSAlaina ConnerAllegheny County Dept. of HealthSusan CoyleChartiers CenterMichael DanielsCanon-McMillan School DistrictJason GagorikWhitehall Borough PoliceSean GormanBethel Park Police Dept.Jim GuffeySouth Hills Interfaith MovementKeith HendersonWhitehall Borough PoliceNora HelfrichTri-CommunityDeanna HessMt. Lebanon School DistrictKacie JankoskiAmerican Cancer SocietyJen KehmCancer Caring CenterJack KobistekBorough of CarnegieShawndel LaughnerDirector, Women & Children's ServicesSt. Clair HospitalAaron LauthMt. Lebanon Police DepartmentJosh McClureWhite Deer Run Treatment NetworkCaitlin McNultyBrookline Teen OutreachMike MillerSalvation Army CarnegieRichard MooreWashington City MissionTerrence O'BrienBaldwin Township PoliceMarianne OlscheskyCommunity Outreach &Marketing SpecialistSt. Clair HospitalDominic PanucciBoys & Girls Club of Western PAMilly PattersonSouth Hills Interfaith MovementDr. Joseph PasquerillaBethel Park School DistrictMonica PhillipsWhite Deer Run Treatment NetworkMary PinchalkCity of Pittsburgh EMSMegan RhoadesNurse ManagerOncologySt. Clair HospitalJesse SiefertMRTSAKyla TuckerSouth Hills Interfaith MovementDenis Valentine Southbridge EMSSister Janice VanderneckCasa San Jose St Clair Memorial Hospital Part V, Section B, Line 11: See Part VI and the CHNA Implementation Strategy (attached). Implementation progress is reported quarterly to the Community Benefit Committee and Board of Directors. St Clair Memorial Hospital Part V, Section B, Line 16j: St. Clair has a service for Limited English Proficiency (LEP) patients where patients can call and have the St. Clair Financial Assistance Policy translated. A simplified PLS for FAP and Collections is provided on the back of every statement and is available on our website https://wwww.stclair.org/billing-insurance/financial-assistance/. This simplified FAP listed on St. Clair website also applies for lines 16C (plain language FAP widely available on the St. Clair Website) as well as for line 16F (Plain language FAP is available upon request and without charge). St Clair Memorial Hospital Part V, Section B, Line 20e: and 20f: St. Clair's Financial Assistance/Charity Care policy includes presumptive charity care as an addition to the regular financial assistance discount process. Patients that do not complete a formal charity care application are screened for presumptive charity care prior to being placed in the regular collection process and qualify for charity care if the patient's credit score is below St. Clair's threshold credit score or their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account. Line 20 is left blank because none of the actions in Line 19 are permitted under St. Clair's policy. Part V, Section B, Line 13 All patients without insurance are billed services at a discount regardless of income. Inpatient and outpatient services are discounted to a level approximating the average of Medicare and all commercial payment rates. In addition to Federal Poverty Guidelines, St. Clair utilizes a presumptive charity care determination process. Patients that do not complete a formal charity care application qualify for presumptive charity care if the patients' credit score is below St. Clair's threshold credit score or their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account. Part V, Section B, Line 10b See attached copy of St. Clair's CHNA Implementation Strategy 39 1 - SCMS So Hills Cardiology Associates 2000 Oxford Drive Suite 305 Bethel Park PA 15102 Physician Office 2 - SCMS So Hills Cardiology Associates 3928 Washington Road Suite 270 McMurray PA 15317 Physician Office 3 - SCMS So Hills Cardiology Associates 1050 Bower Hill Road Suite 204 Pittsburgh PA 15243 Physician Office 4 - SCMS Fatigati Nalin Associates 733 Washington Rd Suite 401 Pittsburgh PA 15228 Physician Office 5 - SCMS Fatigati Nalin Associates 5187 Library Road Bethel Park PA 15102 Physician Office 6 - SCMS Fatigati Nalin Associates 1025 Washington Pike Bridgeville PA 15017 Physician Office 7 - SCMS Fatigati Nalin Associates 5482 Campbells Run Road Pittsburgh PA 15205 Physician Office 8 - SCMS Fatigati Nalin Associates 3928 Washington Road Suite 280 McMurray PA 15317 Physician Office 9 - SCMS St Clair Orthopedic Associates 1050 Bower Hill Road Suite 105 Pittsburgh PA 15243 Physician Office 10 - SCMS St Clair Orthopedic Associates 3928 Washington Road Suite 270 McMurray PA 15317 Physician Office 11 - SCMS Sholder and Bordeau Urologic Asoc 1145 Bower Hill Road Suite 105 Mt Lebanon PA 15243 Physician Office 12 - SCMS Mt Lebanon Internal Medicine 2000 Oxford Drive Suite 420 Bethel Park PA 15102 Physician Office 13 - SCMS Zubritzky & Christy OGGYN 1050 Bower Hill Road POB Suite 205 Pittsburgh PA 15243 Physician Office 14 - SCMS Zubritzky & Christy OGGYN 1767 Pine Hollow Road McKees Rocks PA 15136 Physician Office 15 - SCMS Zubritzky & Christy OGGYN 6000 Steubenville Pike Suite 105 McKees Rocks PA 15136 Physician Office 16 - SCMS Zubritzky & Christy OGGYN 2000 Oxford Drive Suite 415 Bethel Park PA 15102 Physician Office 17 - SCMS Colorectal Surgical Associates 1050 Bower Hill Road Suite 208 Pittsburgh PA 15243 Physician Office 18 - SCMS Urgent Care Center 2000 Oxford Drive Bethel Park PA 15102 Urgent Care Center 19 - SCMS Ripepi Surgical Associates 2000 Oxford Drive Suite 216 Bethel Park PA 15102 Physician Office 20 - SCMS Dobkin & Ricelli Associates 733 Washington Rd Mt Lebanon PA 15228 Physician Office 21 - SCMS Dobkin & Ricelli Associates 5301 Grove Road Pittsburgh PA 15236 Physician Office 22 - SCMS Pittsburgh Chest Physicians 1050 Bower Hill Road POB Suite 306 Pittsburgh PA 15243 Physician Office 23 - SCMS Pittsburgh Chest Physicians 1350 Locust Street Suite G104 Pittsburgh PA 15219 Physician Office 24 - SCMS Budway Surgical Associates 2000 Oxford Drive Suite 301 Bethel Park PA 15102 Physician Office 25 - SCMS Budway Surgical Associates 3928 Washington Road Suite 270 McMurray PA 15317 Physician Office 26 - SCMS DeGiovanni & Montini Associates 717 Washington Road Pittsburgh PA 15228 Physician Office 27 - SCMS Evron Endocrinology Associates 2000 Oxford Drive Suite 302 Bethel Park PA 15102 Physician Office 28 - SCMS St Clair Cardiovascular Surgery As 1050 Bower Hill Road POB Suite 204 Pittsburgh PA 15243 Physician Office 29 - SCMS Plastic Surgery 1050 Bower Hill Road Suite 101 Pittsburgh PA 15243 Physician Office 30 - SCMS Plastic Surgery 3928 Washington Road Suite 270 McMurray PA 15317 Physician Office 31 - SCMS West Hills Medical 27 Heckel Road Suite 212 McKees Rocks PA 15136 Physician Office 32 - SCMS Basheda Pulmonary Associates 1050 Bower Hill Road Suite 304 Pittsburgh PA 15243 Physician Office 33 - SCMS Basheda Pulmonary Associates 3928 Washington Road Suite 270 McMurray PA 15317 Physician Office 34 - SCMS St Clair Family Practice Associate 2000 Oxford Drive Suite 302 Bethel Park PA 15102 Physician Office 35 - SCMS Maley Thoracic Surgery Associates 1050 Bower Hill Road POB Suite 204 Pittsburgh PA 15243 Physician Office 36 - SCMS Maley Thoracic Surgery Associates 3928 Washington Road Suite 270 McMurray PA 15317 Physician Office 37 - SCMS Maley Thoracic Surgery Associates 27 Heckel Road Suite 106 McKees Rocks PA 15136 Physician Office 38 - SCMS Gobao Internal Medicine 1145 Bower Hill Road Suite 206 Pittsburgh PA 15243 Physician Office 39 - SCMS Prabhu Primary Care 1050 Bower Hill Road Suite 301 Pittsburgh PA 15243 Physician Office Part I, Line 3c: In addition to Federal Poverty Guidelines, St. Clair utilizes a presumptive charity care determination process. Patients that do not complete a formal charity care application qualify for presumptive charity care if the patients' credit score is below St. Clair's threshold credit score or their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account. Additionally, all patients without insurance are billed services at a discount regardless of income. Inpatient and outpatient services are discounted to a level approximating the average of Medicare and all commercial payment rates. Part I, Line 7: The Hospital's ratio of cost to charges was applied to the total charges for accounts written off to charity care of $6,002,343 in order to determine a reasonable approximation of the cost of providing services for those patients. Costs were then prorated between payments and charity care write-offs on the accounts to calculate the cost amount disclosed.The cost of Medicaid accounts utilized to calculate the Medicaid Community Benefit expense was derived from St. Clair's internal cost accounting system.During the COVID-19 pandemic, to contain the spread of the virus and for the convenience of the community members, St. Clair established an offsite COVID-19 testing center at one of its' outpatient facilities. Total costs incurred of $245,273 are included on line 7e, Community health improvement services and community benefit operations.St. Clair has undertaken extensive efforts to respond to the COVID-19 pandemic to ensure the safety and well-being of our employees, our patients and the community. In addition to the aforementioned COVID-19 screening clinic for the community, these efforts include ensuring an ample supply of personal protective equipment (PPE) for staff and patients; segregating COVID-19 patients into separate negative pressure infectious disease units of the Hospital; developing a five phase plan to accommodate patients during coronavirus surges; establishing a COVID-19 workforce triage line and increased employee education; and restricting building access, limiting visitor access and screening all employees and patients to minimize contact and exposure from infected individuals. St. Clair maintained an engaged workforce by implementing job-sharing instead of a reduction in force; providing employees with an additional PTO to assist with the financial burden of reduced hours; enabling employee assistance grants from the Foundation for those experiencing hardships and providing an employee meals program. St. Clair also received a great level of support from the community and dozens of corporations including donations of PPE, contributions to our employee assistance programs and providing meals for the staff.Subsidized health services cost includes $493,000 of support for physician psychiatrics losses provided to the Hospital.All other items in Part I, Line 7 represents actual costs. Part I, Ln 7 Col(f): Actual Provision for Bad Debts expense totaling $7,045,048 have been excluded from the denominator in the calculation of percentage of total expense. Part II, Community Building Activities: St. Clair Hospital, St. Clair Medical Services and St. Clair HospitalFoundation are Pennsylvania non-profit corporations, exempt from taxesunder Section 501(c)(3) of the Internal Revenue Code of 1986, as amended(the "Code"), which own and operate an acute care hospital providing acomprehensive range of general and specialized care along with physicianpractices supporting the hospital and surrounding communities and aFoundation, the purpose of which is to support health and welfareinitiatives.St. Clair Hospital is a national leader in quality care, patient safety, patient satisfaction, and value. In 2016, the Hospital became the exclusive Western Pennsylvania member of the Mayo Clinic Care Network. This clinical collaboration provides St. Clair's outstanding physicians with direct access to the world-renowned expertise of Mayo Clinic. Physicians can easily consult directly with Mayo Clinic specialists at no additional cost to the patient. The Hospital recently earned its sixteenth consecutive A grade for Hospital Safety, placing St. Clair in the top 2% in the nation. The Hospital has been honored by IBM Watson (formerly Truven Health Analytics) for excellent culture for the third consecutive year, an award that signifies we deliver higher quality, higher satisfaction and lower cost to patients. St. Clair has also been recognized by independent evaluators as having the highest patient satisfaction in the Pittsburgh region and among the top 10% in the nation.The Hospital is committed to improving the health status of patients in our region without regard to their ability to pay. A comprehensive offering of programs and services is made available on and off campus ( to include partnering with other local healthcare agencies) and encompasses health education and screenings, prenatal education, smoking cessation, psychiatry and mental health services, cancer care, nutrition and weight control, and the management of chronic diseases such as diabetes, congestive heart failure, COPD and asthma. In most cases these programs are provided at no cost to participants, and are generally fully subsidized. Among its other charitable works, St. Clair supports numerous community based programs including a subsidized cardiac rehabilitation program, well-baby programs, CPR training for schools and non-profit organizations, provision of Narcan supplies and training to first responders on usage, flu and pneumonia vaccinations for local EMS workers, a needle disposal program for diabetics and other individuals who self administer medications, and mentoring opportunities for young adults interested in healthcare careers.The Foundation funds the Hospital's courtesy van-service transportation program, a free need-based service available to local residents who require rides to and from the Hospital and its affiliate locations. During the year ended June 30, 2020 the van service provided approximately 13,000 trips to area residents in need. In addition nearly 150 community outreach education programs were sponsored by St. Clair, encompassing nearly every clinical service.St. Clair has established a coordinated program with the nursing schools of surrounding communities and St. Clair's nursing staff serves as preceptors to the nursing students. As many as 314 nursing students were served and more than 4,700 hours were spent on this program in the nurturing of the future healthcare givers of the region. Additionally, St. Clair serves as a clinical site for post-secondary advanced clinical degree programs for medical imaging students in multiple modalities, CRNA students and 5th and 6th year doctoral students in Pharmacy. Its medical school preceptor program hosts between 6 to 8 students for 8 week rotations throughout the year. Job shadowing programs are also coordinated for high-school students.St. Clair is actively involved with the clinical training of over 120 Emergency Medical Technicians and Paramedics. Although lower due to COVID, approximately 1,800 hours of training were devoted for their education in order to strengthen the quality of care given by these professionals. The following is a sample of other ways in which St. Clair supports thecommunity:Since its inception, St. Clair Hospital has remained focused on the needs of the community. St. Clair envisions our community as a place where healthful lifestyles are the norm, where residents of any neighborhood have access to health education, disease prevention, screening and primary care. By engaging in partnerships with established nonprofit agencies and charitable organizations who share our values and goals, St. Clair expands its reach into the community, building on existing strengths and delivering on our promise to be a regional resource. We aim to create a healthier region by providing excellent care and improving the quality of life for our neighbors. In keeping with its commitment to the community, St. Clair initiated a 2019 Community Heath Needs Assessment (Tax Year 2018) and thereafter published a comprehensive action plan. Results of the study identified four broad categories of health needs in which St. Clair would develop programs, deploy resources and partner with other local agencies to positively impact the health of those we serve: access to services; chronic diseases and cancer; mental health and substance abuse; healthy environments and conditions.Access - When access to care is limited health concerns go untreated; chronic conditions worsen and complications develop, leading to emergencies and preventable hospital admissions. To address the lack of access to care, St. Clair will continue to provide free van transportation services to the hospital and its outpatient centers. It will market the van to patients who are without transportation and patients living in areas of high need. Additionally, St. Clair works closely with other nonprofits in the region that provide health and human services. Coordination of services among providers is essential to ensuring residents' health needs are being met.Chronic Disease and Cancer - Chronic diseases such as heart disease, stroke, diabetes and cancer affect the health of millions of people and drive up the cost of medical care every year. To combat this, St. Clair provides free screening events to the community for prostate, breast, colon and skin cancers. The St. Clair Diabetes Center will continue to serve as a resource to the community providing much needed education, treatment and support. The Hospital will continue to participate in community health events, both preventative and treatment specific, to provide free health education and health screenings to the community.Mental Health and Substance Abuse - Substance abuse and addiction have reached epidemic proportions across the nation and St. Clair is not immune from that reality. To address this need, The Hospital will continue to offer free community-based mental health support groups in collaboration with other nonprofit mental health providers and will endeavor to integrate mental health services in to our primary care physician offices. A new partnership with Mt. Lebanon Police and Outreach Teen & Family Services was initiated to provide funding for a Hidden in Plain Sight trailer, which educates parents on youth drug and alcohol use and abuse. The Hospital also established a new partnership with Gateway Rehab to provide 24/7 access to Recovery Support Specialists for the Hospital's patients. Healthy Environment and Conditions - St. Clair meets regularly with local municipalities to discuss how the Hospital can partner to create a healthier environment for our residents. The Hospital also funds community organizations whose work is conducive to creating healthier communities, and providing access to healthful foods.In addition to CHNA initiatives, St. Clair also expands its reach to the community in the following ways: -St. Clair regularly makes donations to partnering agencies in the form of monetary donations and in-kind contributions.-In the interest of safety and disease prevention, St. Clair has a needle disposal program for those who utilize needles, syringes and other sharp objects in managing conditions such as diabetes. This free service enables people to exchange containers of contaminated needles for empty ones.-St. Clair welcomes students from the region's many training programs and universities seeking to gain clinical experience. Medical students, residents, nursing students and others rotate through St. Clair's -St. Clair Hospital regularly sponsors Youth Programs in the community, including those offered by the 14 school districts within our service area. These programs provide opportunities for children and teens to socialize with their peers and participate in arts and sports. Part III, Line 2 The Hospital and St. Clair Medical Services individual ratios of cost to charges was applied to the total charges for accounts written off in order to determine a reasonable approximation of the cost of providing services for those patients. Costs were then prorated between payments and bad debt write-offs on the accounts to calculate the cost amount disclosed in Part III section A. Part III, Line 3 St. Clair's Financial Assistance/Charity Care policy includes presumptive charity care as an addition to the regular financial assistance discount process. Patients that do not complete a formal charity care application are screened for presumptive charity care prior to being placed in the regular collection process and qualify for charity care if the patients' credit score is below St. Clair's threshold credit score or their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account. As such, St. Clair expects the amount of bad debt expense attributable to patients eligible under the financial assistance policy to be negligible. Part III, Line 4: St. Clair's audited financial statements, Note 2, pages 14-17 describe bad debt expense and uncompensated care. Part III, Line 8: The Hospital provides services regardless of the level of reimbursement to be received from the patient or its insurer. Reimbursement from the government-sponsored programs including Medicare and state Medical Assistance and indigent care programs are often less than the cost of providing these services and therefore should be treated as community benefit. The Hospital's ratio of cost to charges was utilized to estimate this shortfall. Part III, Line 9b: St. Clair provides quality medical health care regardless of race, creed, sex, national origin, age, sexual orientation, or the ability to pay. The care includes both inpatient and outpatient services as well as maintaining an emergency department that is available twenty-four (24) hours a day and treats approximately 64,000 (54,000 in FY20 due to COVID) patients annually. St. Clair provides free or discounted care to patients who meet certain criteria under St. Clair's Financial Assistance and Charity Care Program. St. Clair ensures that its financial assistance program is easily accessible to patients in need and the policy is posted in all key public areas, all registration areas and in all ancillary departments. The policy extends free or discounted services to low-income, uninsured or underinsured, patients with extraordinary medical expenses and indigent individuals who do not otherwise have the ability to pay fully for medically necessary health care. All patients without insurance are billed services at a discount regardless of income. Inpatient and outpatient services are discounted to a level approximating the average of Medicare and all commercial payment rates. Once St. Clair determines that a patient has qualified for formal charity care or free care, based on a sliding scale of 200%, 250% or 300% of federal poverty guidelines an additional adjustment of 100%, 30% or 20%, respectively, is applied to all accounts reviewed in the charity care/financial assistance application process. Those patients that do not complete a formal charity care application are screened for presumptive charity care prior to being placed in the regular collection process and qualify for charity care if the patients' credit score is below St. Clair's threshold credit score or if their estimated income is within the policy guidelines. Presumptive charity care is extended to a single account. No further collection efforts are made on those qualifying for the 100% discount. For the patients qualifying for the 20% or 30% discount, the balance due is adjusted by the applicable percentage and the remaining balance continues through the regular collection process. During the year ended June 30, 2020, $10,587,000 of uninsured discounts were provided. Part VI, Line 2: St. Clair completed all phases of its Community Health Needs Assessment (CHNA), publicizing its findings from the most recent assessment in June 2019 (Tax Year 2018). The CHNA process considered and assessed a wide range of primary and secondary data sources including focus groups withpersons who represent the broad interests of the community and those with expertise in public health as well as assessments and studies prepared by other organizations. While the Hospital has made great strides inreaching at-risk populations with underserved health needs, it is well understood that poor health is multifactorial and requires continued intervention. The 2019 CHNA reaffirmed the continued need for a number ofthe 2016 initiatives while identifying new unmet needs within St. Clair's community, inclusive of an opioid dependency warm handoff program. Using the 2019 CHNA as a roadmap, the Board adopted action plan will address the critical health needs in the following areas and, where appropriate, partner with other community agencies to improve care: Access to Services; Chronic Disease and Cancer; Mental Health and Substance Abuse, and Healthy Environment and Conditions. Part VI, Line 3: The Hospital's process for educating patients about the Charity Care/Financial Assistance Policy is as follows:All uninsured patients who are registered through the emergency department are given a handout with information about the Hospital's Charity Care/Financial Assistance Policy. All patients who are admitted as inpatients receive a Patient Handbook and one section of the Handbook describes the Charity Care/Financial Assistance Policy. All self-pay patients are mailed the charity care letter and application.The Hospital's customer service representatives discuss the charity care policy when patients call the customer service line.All Self-pay patients who are admitted are seen by an outside consulting firm for a Medical Assistance qualification screening process. The firm also handles high-dollar outpatient accounts. The Hospital strives to be as helpful as possible in discussing charity care for our scheduled and unscheduled patient population.All patient statements notify patients that the hospital offers financial assistance/charity care, the customer service phone number, and hours of operation for additional information.The hospital's website notifies patients that the hospital offers financial assistance and provides access to the financial assistance/charity care application.Financial assistance notification is posted in all registration and other high volume patient areas. Part VI, Line 4: St. Clair is located in the municipality of Mt. Lebanon, in the southwestsuburban quadrant of metropolitan Pittsburgh, Pennsylvania, approximatelysix miles from the downtown proper. St. Clair considers its service areato include thirty-four zip codes within six regions in southwesternAllegheny and northern Washington County, with a population of nearly 500,000 and 16% of all households having incomes below $25,000. St. Clair also maintains a comprehensive outpatient center located in Bethel Park,approximately three miles from the main hospital, and a second outpatientcenter located in Peters Township, Washington County, approximately tenmiles from the Hospital, as well as two smaller outpatient centers withinsimilar proximity. The Hospital is licensed for 329 beds of which 302were set up and staffed during the year ended June 30, 2020. Part VI, Line 5: St. Clair is the region's leading healthcare provider, excelling in quality, service and value. St. Clair's values are demonstrated through performance, integrity, compassion, pride and innovation. With more than 2,700 employees, St. Clair is the largest employer in southern Allegheny County. St. Clair's board of directors is comprised of members of the local community so that community needs can be properly determined and addressed. Subsidized Health ServicesIn addition to charity care and costs not covered by Medicaid payments, another community benefit provided by St. Clair is subsidized health services. These services yield low or negative margins, but are necessary to serve the community. $8,845,381 of subsidized health services were provided for the year ended June 30, 2020.Healthcare ServicesSt. Clair offers a comprehensive array of inpatient and outpatient services, including: advanced cardiovascular services; specialized care for women, children and infants; diabetes treatment; oncology services; emergency care; general surgery services; primary care; psychiatry and mental health services; and pulmonary care. In addition to the high quality, broad range of clinical services offered, St. Clair is equally committed to capital improvements and purchases of new technology to enhance its services to meet the community's health needs. To that end, the Hospital has invested approximately $181,000,000 over the past five years.Each of these areas is staffed by a team of skilled physicians, nurses and other clinicians. St. Clair considers requests for clinical privileges and medical staff membership based upon the needs of the community and Medical Staff Development Plan.St. Clair provides an array of advanced and highly specialized services. The Hospital is focused on continuously enhancing its services and technologies to ensure that the community's health needs are met. A description of key services follows:Cardiovascular Services - From diagnosis to treatment to rehabilitation and wellness, multidisciplinary teams of caregivers at St. Clair offer a full range of cardiac care services. St. Clair achieves industry-leading treatment times for heart attack victims arriving at our Emergency Department, resulting in best practice outcomes. St. Clair's average time from hospital door to first balloon inflation of 62 minutes is at the 75th percentile mark of 90 minutes for the national standard set by The American College of Cardiology. Additionally, St. Clair was named a Blue Distinction Center for Cardiac Care for its best practices and standards of care. Cardiologists and cardiac surgeons are available 24 hours a day, seven days a week to provide scheduled and emergency cardiac care, seamlessly delivered with a goal of high quality, compassionate, and personalized care. Additionally, St. Clair's cardiovascular program provides comprehensive services including screening, prevention, cardiac rehabilitation and educational programs to the community. St. Clair's Cardiac Rehabilitation program received more than 19,800 annual visits. St. Clair offers a full range of cardiac diagnostic testing, including ECG, holter monitoring, event recording, echocardiogram, cardiac CT angiography, and stress tests at multiple locations.Psychiatry and Mental Health Services - St. Clair provides comprehensive diagnosis, treatment and follow-up care for persons suffering from mental illness though an Inpatient unit, Outpatient Services, Electroconvulsive Therapy, Mental Health Consultation-Liaison, and Community Outreach. The Psychiatry and Mental Health Services program offers a safe compassionate treatment environment where the recovery process begins or continues. The program engages a multi-disciplinary team of caring professionals (physicians, nurses, therapists and social workers) to develop individual treatment plans to meet the specific needs of each patient. St. Clair provides mental health care services to nearly 3,000 patients annually. Orthopedics/Spine - St. Clair's Orthopedics program includes a variety of services focused on the prevention, diagnosis and treatment of disorders of the musculoskeletal system. From diagnostic testing to arthroscopic and minimally invasive surgery to major joint replacement and spinal procedures to rehabilitation, St. Clair provides access to orthopedic care in a compassionate setting. The multidisciplinary team of physicians, therapists, and nurses, including an orthopedic nurse navigator, develop coordinated treatment plans for each patient with personalized attention and comprehensive care with the ultimate goals of better results and fewer complications. St. Clair also offers orthopedic education and prevention programs to the community. St. Clair's rate of complications of care for hip and knee replacement and the 90 day readmission rate for spinal fusion both rank in the top decile nationally. St. Clair has the 4th largest joint replacement program in the Pittsburgh market (IBM Watson Health).Women's and Children's Services - Women's and Children's Services provides a comprehensive continuum of care, spanning from pre-natal, obstetrics, newborn and pediatric services to complete gynecological and urological services. The Family Birth Center includes 11 Labor, Delivery Recovery beds and 21 Post-Partum beds, a Level II neonatal intensive care unit and an 9 bed Pediatric unit. As 3rd busiest obstetric program in the Pittsburgh market (per IBM Watson Health), St. Clair performed 1,432 deliveries during the year ended June 30, 2020. Additionally, it provides education and support programs including a team of certified lactation specialists. A board-certified or board eligible pediatrician is on-site 24 hours a day. There is also a team of perinatologists available for consults, ultrasounds and shared management of high risk patients.Cancer Care - The St. Clair Hospital Cancer Care program provides comprehensive inpatient and outpatient services to patients diagnosed with cancer. The program is accredited by the American College of Surgeons Commission on Cancer. The focus is to treat not only the physical needs of patients but also their emotional, spiritual and psychosocial needs throughout all stages of the cancer care continuum. Additionally the Cancer Center Program provides community cancer screenings, educational programs on cancer prevention and wellness, and cancer support groups. St. Clair operates the 2nd busiest prostate and breast cancer programs in the Pittsburgh market (IBM Watson Health).St. Clair's Sipe Infusion Center is an outpatient clinic located within the hospital. Members of the Infusion Center Team provide skilled nursing care, education and emotional support to patients with various conditions, including those with cancer and benign hematologic disorders, autoimmune disorders (such as Crohn's Disease, Arthritis, and Multiple Sclerosis), and Osteoporosis. The Center provides administration services for intravenous and injectable treatments such as chemotherapies and biologics; immunotherapies; intravenous Immune Globulin (IVIG); antibiotics; hydration; blood products; therapeutic phlebotomy; and vaccinations. The Sipe Infusion Center provides services 7 days/week, 365 days/year.The St. Clair Hospital Radiation Oncology Center, in affiliation with UPMC Hillman Cancer Center, is located on the Hospital's main campus and offers area residents access to convenient, advanced, comprehensive, and high-quality care close to home. The Center provides a full spectrum of radiation treatment services, including Intensity-Modulated Radiation Therapy (IMRT) capabilities. IMRT gives radiation oncologists the ability to more precisely "custom sculpt" the shape of a tumor, delivering the right amount of radiation with more accuracy and helping to preserve healthy tissue around the tumor. Emergency Services - St. Clair has the largest Emergency Department in its total service area, with more than 64,000 annual visits (54,000 in FY20 due to COVID) in the year ended June 30, 2020. The Emergency Department is open 24 hours a day, providing emergency care ranging from minor injuries and illness to life-threatening accidents or illnesses. The Emergency Department's rate for patients-left-without-being-seen of 0.6%, is well below the national average of approximately 3.0%. Door-to-room times averaged three minutes and door-to-doctor times averaged 21 minutes during the year ended June 30, 2020. Patient satisfaction scores from Press Ganey surveys for St. Clair's Emergency Department were in the 88th percentile nationwide for the same year.See Additional Information for other services. Part VI, Line 7, Reports Filed With States PA Additional Information Surgical Services - St. Clair's Surgical Services Department (13 operating rooms in the main suite and two operating rooms located in the Mt. Lebanon Surgical Center on the hospital campus) performs a wide range of operative procedures, including: minimally-invasive laparoscopy surgery; gynecological surgery; ear, nose and throat surgery; orthopedic and spine surgery; pediatric surgery; oral/maxillofacial surgery; podiatry surgery; open chest (heart) surgery; urological surgery; ophthalmologic surgery; pain control services; laser surgery; general surgery; vascular surgery; plastic and reconstructive surgery; lithotripsy; and thoracic surgery. St. Clair provides minimally invasive surgical procedures through the use of the da Vinci Si robotic surgical system.Medical Imaging - St. Clair runs a full-service Medical Imaging Department, offering a variety of diagnostic and interventional studies at the Hospital campus and three outpatient centers using the modalities of general radiology, fluoroscopy, nuclear medicine, ultrasound, obstetrical ultrasound, screening and diagnostic mammography, CT scanning, MRI, PET/CT (a joint venture with UPMC Hillman Cancer Center) and interventional and endovascular services.Laboratory Services - St. Clair's full-service Laboratory operates 24 hours a day, seven days a week to provide quick and accurate test results. The Lab offers comprehensive testing in the specialties of Hematology, Chemistry, Microbiology, Histology, Cytology and Blood Banking. In addition to the main campus, St. Clair provides laboratory services at the two outpatient centers and outreach facilities.Physical and Occupational Therapy - St. Clair's Physical Therapy Department offers comprehensive rehabilitation services to inpatients and outpatients. Licensed Physical Therapists and Physical Therapist Assistants provide exercise, mobility training, thermal and cryo modalities, and tissue mobilization. The health care professionals within St. Clair's Occupational Therapy Department treat patients to improve function in their day-to-day activities, including personal hygiene, mobility, vocational and leisure activities. The outpatient therapy department, located at the Village Square Outpatient Center, ranks in the top decile nationally for patient satisfaction (Press Ganey). 1 St Clair Memorial Hospital 1000 Bower Hill Drive Pittsburgh PA 15243 251010303 501(c)(3) 8196 Yoga classes for mental health patients 1 1 Employee disaster assistance for employees affected by COVID 367 181680 Employee meal program for employees affected by COVID 220 23427 Cost Direct assistance of take home meals provided solely by SCH Employee assistance - expenses 16 23822 Patient assistance 41 16934 Nursing scholarship 1 100 Part I, Line 2: Funds are budgeted and approved by St. Clair Memorial Foundation Board on an annual basis. St. Clair Memorial Hospital Social Service department identifies employees and patients in need, from a care perspective and makes recommendations to senior management. Based on established criteria and need senior management forwards approved recommendations to St. Clair Memorial Foundation for disbursement of approved funding. X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 James M Collins President/CEO/Asst Secy -SCH 678001 0 500000 0 0 0 168762 0 18750 0 1365513 0 0 0 Richard C Chesnos Sr VP/CFO/Treasurer-SCH 386679 0 194250 0 351346 0 95034 0 22045 0 1049354 0 350596 0 Andy Kiser MD Physician 878642 0 63000 0 0 0 5600 0 16584 0 963826 0 0 0 Kevin Bordeau MD Board Member-SCMS thru 12/2019 797807 0 31169 0 0 0 16800 0 19171 0 864947 0 0 0 John T Sullivan MD Sr VP/CMO-SCH 447632 0 160200 0 0 0 93100 0 17986 0 718918 0 0 0 Michael J Flanagan Sr VP/COO/Secretary-SCH 386679 0 194250 0 8981 0 91261 0 19345 0 700516 0 0 0 Derek Thomas MD Physician 590589 0 25000 0 0 0 5600 0 11293 0 632482 0 0 0 Shaka Walker MD Physician 514929 0 25000 0 0 0 16800 0 19791 0 576520 0 0 0 Maxim Bocharov MD Physician 536770 0 0 0 750 0 16800 0 20426 0 574746 0 0 0 Richard Mitchell MD Physician 497717 0 25000 0 0 0 16800 0 15100 0 554617 0 0 0 Robert N Shogry MD Board Member-SCF 246882 0 246373 0 750 0 22400 0 21251 0 537656 0 0 0 Barry S Zaiser Sr VP/CSO.-SCH through 1/2020 330342 0 109950 0 750 0 76588 0 9138 0 526768 0 0 0 Andrea L Kalina SrVP Ext Affrs/CHRO-SCH thru 1/2020 269899 0 90090 0 109 0 66104 0 19249 0 445451 0 0 0 Mario J Fatigati MD Board Member-SCMS 297410 0 95413 0 56 0 22400 0 16927 0 432206 0 0 0 Charles J Rakaczky VP Phys Network-SCMS thru 1/2020 187902 0 30320 0 97825 0 96875 0 19014 0 431936 0 97075 0 Richard J Schaeffer VP & CIO-SCH through 1/2020 221570 0 67500 0 4615 0 57638 0 21793 0 373116 0 0 0 Diane L Puccetti RN Adm VP/CNO-SCH through 1/2020 207333 0 52500 0 8654 0 53335 0 10387 0 332209 0 0 0 Karl E Bushman MD Board Member-SCMS 212085 0 61207 0 750 0 19557 0 21978 0 315577 0 0 0 Eric Luttringer VP Finance/Asst Treasurer-SCH 192206 0 36000 0 8000 0 46032 0 24597 0 306835 0 0 0 Charles V Dibello VP Fac Mgmt & Const.-SCH thru 1/2020 190909 0 37700 0 0 0 43087 0 149 0 271845 0 0 0 Elizabeth Pittman VP & COO-SCMS thru 1/2020 173977 0 32130 0 0 0 38006 0 20957 0 265070 0 0 0 G Alan Yeasted MD Board Member-SCH 147458 0 30000 0 750 0 19155 0 17562 0 214925 0 0 0 Richard Sieber Exc Dir Mkt/Devl-SCF thru 1/2020 172582 0 1997 0 3501 0 14643 0 21732 0 214455 0 0 0 Meredith Borst Exc Dir Strtgc Init-SCH thru 1/2020 129049 0 28600 0 1904 0 8072 0 7601 0 175226 0 0 0 Part I, Line 1a Duquesne Club: Membership dues are paid for James M. Collins at the Duquesne Club. The Duquesne Club is a social club where local leaders meet to conduct business and accepts only individual memberships. The Hospital conducts business meetings at the facility. The accountable plan rules are met. Part I, Line 3 The Compensation Committee is a standing committee of the Board of Directors of the St. Clair Health Corporation, the parent of St. Clair Memorial Hospital, St. Clair Memorial Foundation and St. Clair Medical Services, and is charged annually with evaluating, determining and approving the annual compensation of executives. Salary survey information and 990 comparative evaluations are considered along with the written performance evaluation for each executive. In addition, data provided by an independent compensation consultant is used to validate and support executive compensation. Part I, Line 4b These officers participated in the Hospital's Supplemental Nonqualified Retirement Plan Richard Chesnos $ 72,634 James M. Collins $ 146,362 Michael Flanagan $ 71,661 Andrea Kalina $ 43,704 Charles Dibello $ 27,213 Elizabeth Pittman $ 25,337 Charles J. Rakaczky $ 26,375 Richard Schaeffer $ 35,238 Alan Yeasted $ 4,695 Barry S. Zaiser $ 54,188 John T. Sullivan $ 73,500 Diane L. Puccetti $ 31,638 Eric Luttringer $ 28,394 A Mt Lebanon Hosp Authority 256189519 000000000 2010-12-23 20000000 Finance Capital Improvements 0 0 0 B Mt Lebanon Hosp Authority 256189519 621820CS6 2012-08-22 24746452 2002 Bond Refinancing 0 0 0 C Mt Lebanon Hosp Authority 256189519 000000000 2017-10-04 10000000 2007 Note Refi & Fina Cap Improv 0 0 0 D Mt Lebanon Hosp Authority 256189519 621820DG1 2018-10-16 86043544 Finance Capital Improvements 0 0 0 A 10228000 20139725 29457 20110268 2013 0 0 1 1 B 5995000 24746452 510468 24235984 2013 1 0 1 1 C 1087000 10000000 3750000 6250000 2017 1 0 1 1 D 87906614 1000078 53281185 33625351 0 0 0 1 A 0 1 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 C 0 0 1 1 0 0 0 1 D 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 1 1 0 1 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 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. SH Radiology D Orr Pres SHR Brd Mbr-SCH, SCMS 653376 Interpretation of Radiology Exams 0 Nina Fatigati Daughter of Board Member 159573 Physician Salary 0 Millcraft Development Services Brd Mbr-SCF 1050000 Contract Management 0 Sch L, Part IV Business Transactions involving interested Persons: X 5 53286 Market Value sale date 0 1 0 Form 990, Part V, Line 3a St. Clair Memorial Hospital recorded more than $1,000 in unrelated gross business income. Form 990, Part V, Line 3b St. Clair Memorial Hospital has filed a 990-T to report all unrelated gross business income. Form 990, Part V, Line 7a St. Clair Memorial Hospital Foundation provided goods or services in exchange for a contribution more than $75. The Foundation notified the donor of the value. Form 990, Part VI, Section A, line 2 Board members Gary Zentner and Bryan Hondru each hold greater than 10% of interest in the same non-St Clair related real estate investment partnership. Form 990, Part VI, Section A, line 6 - St. Clair Memorial Hospital, St. Clair Memorial Hospital Foundation, and St. Clair Medical Services do not have members or stockholders. St. Clair Medical Services is the sole member of St. Clair Anesthesiology Associates and St. Clair Professional Services. Form 990, Part VI, Section A, line 7a - According to the governing documents of St. Clair Memorial Hospital, St. Clair Memorial Hospital Foundation, and St. Clair Medical Services, St. Clair Health Corporation, as the parent company, has the power to approve the election or nomination of the board of directors of such organizations. St. Clair Anesthesiology Associates and St. Clair Professional Services are governed by the board of directors of St. Clair Medical Services. Form 990, Part VI, Section A, line 7b According to the governing documents of St. Clair Memorial Hospital and St. Clair Memorial Hospital Foundation, St. Clair Medical Service, St. Clair Health Corporation, as the parent company of such organizations, has the power to make or approve certain decisions of such organizations including approval of the sale or encumberance of a substantial amount of assets, the approval of annual operating and capital budgets, and the approval of strategic plans. St. Clair Anesthesiology Associates and St. Clair Professional Services are governed by the board of directors of St. Clair Medical Services. Form 990, Part VI, Section B, line 11b (b) - This Form 990 is prepared internally, reviewed by management, and reviewed by a third-party accounting firm, Ernst & Young LLP. The draft Form 990 is provided to each board member for review via a secure website prior to filing. Form 990, Part VI, Section B, line 12c Conflicts are monitored through an annual survey completed by Board Members and Officers. Enforcements of the corporations policies are managed by the CEO and Board Members, to whom all conflicts are reported. The Corporate Compliance Officer also manages enforcement of St. Clair Hospital policies. To the extent any conflicts are identified, such Board members or Officers are excluded from participating in the relative decision making process. Form 990, Part VI, Section B, line 15 (a & b) - The Compensation Committee is a standing committee of the Board of Directors of the St. Clair Health Corporation, the parent of St. Clair Memorial Hospital, St. Clair Memorial Foundation and St. Clair Medical Services, and is charged with annually evaluating, determining and approving the annual compensation of executives. Salary survey information and 990 comparative evaluations are considered along with the written performance evaluations for each executive. In addition, data provided by an independent compensation consultant is used to validate and support executive compensation. Form 990, Part VI, Section C, line 19 Governing documents, the conflict of interest policy and financial statements are made available to the public upon request from Chief Financial Officer. Form 990, Part XI, line 9: Change in pension liability -2,745,494. Transfer (to)/from affiliates 0. Investment income 28,338. Contributions 83,494. Grants received Assets released from restriction for operations -10,079. Other increases / (decreases) -691,865. Form 990, Part XII, Line 3b St. Clair Memorial Hospital, St. Clair Medical Services, St. Clair Professional Services Inc., and St. Clair Anesthesiology Associates Inc. each recognized federal funding through the Coronavirus Aid, Relief, and Economic Security (CARES) Act Provider Relief Fund, of $6,244,493, $873,735, $42,482, and $24,517 respectively in FY 2020, requiring a Single Audit. The UG audit will be completed on or before the federal deadline. Form 990, Part IV, Line 2 St. Clair Memorial Hospital and St. Clair Medical Services receives and reports amounts exceeding $5,000 from any one contributor, and St. Clair Memorial Hospital Foundation receives and reports amounts exceeding the 2% special rule threshold from any one contributor. Form 990, Part IV, Line 4 St. Clair Hospital is engaged in lobbying activities and has properly reported the allowable costs on Schedule C. Form 990, Part IV, Line 10 St. Clair Memorial Hospital and St. Clair Memorial Hospital Foundation hold assets in term, permanent, or endowments and have properly reported on Schedule D, Part V. Form 990, Part IV, Line 18 St. Clair Foundation's gross receipts from fundraising events exceeded $15,000 and have been properly included in Schedule G, Part II. Form 990, Part IV, Line 20 St. Clair Memorial Hospital operates one hospital and has properly completed Schedule H. Form 990, Part IV, Line 24a St. Clair Hospital has tax-exempt bond issues exceeding $100,000 issued after December 31, 2002 and have properly reported on Schedule K. Form 990, Part X, Line 25 Included in line 25, 'Other Liabilties' is $22,689,933 and $203,783 in Medicare Accelerated Payments received from CMS for St. Clair Memorial Hospital and St. Clair Medical Services, Inc., respectively. Schedule B, Contributions covered by General or Special Rule The organizations comprising St. Clair Health Corp Group return are covered by both the General Rule and Special Rule. - St. Clair Memorial Hospital - General Rule - St. Clair Professional Services, Inc. - General Rule - St. Clair Anesthesiology Associates, Inc. - General Rule - St. Clair Medical Services, Inc. - General Rule - St. Clair Memorial Hospital Foundation - Special Rule St Clair HospitalUPMC Cancer Center PETCT 1000 Bower Hill Road Pittsburgh PA 15243 202814053 Community Healthcare Provider PA 501(c)(3) 12(A) Type I St Clair Health Corporation 1 St Clair Professional Office Building 1050 Bower Hill Road Pittsburgh PA 15243 251545786 Real Estate PA 0 0 SCNSC Properties 1000 Bower Hill Road Pittsburgh PA 15243 262004682 Real Estate PA N/A C 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 1 St Clair HospitalUPMC Cancer Center PETCT C 1122800 Actual St Clair HospitalUPMC Cancer Center PETCT Q 263190 Actual St Clair Memorial Hospital Foundation O 498052 Actual St Clair Memorial Hospital Foundation Q 585972 Actual St Clair Professional Services Inc O 6227094 Actual St Clair Professional Services Inc Q 546922 Actual St Clair Professional Services Inc S 3748264 Actual St Clair Anesthesiology Associates Inc O 6608716 Actual St Clair Anesthesiology Associates Inc Q 549805 Actual St Clair Anesthesiology Associates Inc S 3861761 Actual St Clair Medical Services Inc O 34651337 Actual St Clair Medical Services Inc Q 7506449 Actual St Clair Medical Services Inc J 1067469 actual