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HIGHMARK HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HIGHMARK HEALTH (EIN 25-1838457)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201331349349300723
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T07:58:37-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET STREET SUITE 3100AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251838457EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Allegheny Medical Practice NetworkBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MATTHEW PETERSONInCareOfName
Name ControlALLENameControl
Phone4123306022Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O Tax Dept Two Allegheny CenterAddressLine1
CityPittsburghCity
StatePAState
ZIP Code15212ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namematthew petersonName
TitleTreasurerTitle
Date Signed2013-05-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2155614200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMatthew PetersonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1Two Allegheny Center 11th FlAddressLine1
CityPittsburghCity
StatePAState
ZIP Code15212ZIPCode
FieldValueIRS element (for citing)
Gross Receipts40900609GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.wpahs.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionSee Form 990, Page 2, Part IIIActivityOrMissionDescription
Nbr Voting Members Governing Body2NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees589TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year50067012ProgramServiceRevenuePriorYear
Program Service Revenue CY39602386ProgramServiceRevenueCY
Investment Income Prior Year54397InvestmentIncomePriorYear
Investment Income Current Year9260InvestmentIncomeCurrentYear
Other Revenue Prior Year909770OtherRevenuePriorYear
Other Revenue Current Year1288963OtherRevenueCurrentYear
Total Revenue Prior Year51031179TotalRevenuePriorYear
Total Revenue Current Year40900609TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2510GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3150GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year45849150SalariesEtcPriorYear
Salaries Etc Current Year39239659SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year20299213OtherExpensePriorYear
Other Expenses Current Year17568037OtherExpensesCurrentYear
Total Expenses Prior Year66150873TotalExpensesPriorYear
Total Expenses Current Year56810846TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-15119694RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-15910237RevenuesLessExpensesCY
Total Assets BOY4900053TotalAssetsBOY
Total Assets EOY3006497TotalAssetsEOY
Total Liabilities BOY15562796TotalLiabilitiesBOY
Total Liabilities EOY16204059TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-10662743NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-13197562NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionALLEGHENY MEDICAL PRACTICE NETWORK IS AN ORGANIZATION DEFINED BY OUR TALENTED PEOPLE. AN ORGANIZATION COMMITTED TO EXCELLENCE; AN ORGANIZATION WITH ONE PURPOSE AND ONE MISSION. OUR ONE PURPOSE IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE WESTERN PENNSYLVANIA REGION. OUR ONE MISSION IS TO PRACTICE MEDICINE, EDUCATE AND CONDUCT RESEARCH AS AN INTEGRATED TEAM OF PHYSICIANS, NURSES AND SUPPORT PROFESSIONALS WHO ARE COMMITTED TO IMPROVING THE HEALTH OF OUR PATIENTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense18428358Expense
Grants0Grants
Revenue15424529Revenue
DescriptionThe purpose of Allegheny Medical Practice Network is to improve the health of the people in Western Pennsylvania. In order to accomplish this mission, Allegheny Medical Practice Network provides Family Practice services to those individuals in need of medical treatment.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17475149Expense
Grants0Grants
Revenue12539826Revenue
DescriptionThe purpose of Allegheny Medical Practice Network is to improve the health of the people in Western Pennsylvania. In order to accomplish this mission, Allegheny Medical Practice Network provides Internal Medicine services to those individuals in need of medical treatment.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense9964078Expense
Grants0Grants
Revenue10697069Revenue
DescriptionThe purpose of Allegheny Medical Practice Network is to improve the health of the people in Western Pennsylvania. In order to accomplish this mission, Allegheny Medical Practice Network provides Obstetrical and Gynecological services to those individuals in need of medical treatment.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense4693849Expense
Grants3150Grants
Revenue940962Revenue
DescriptionOther Medical Services Provided To PatientsDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp4693849TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt3150TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev940962TotalOfOtherProgramServiceRev
Total Program Service Expense50561434TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096162NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees589NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members2NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMATTHEW PETERSONNamePerson
Telephone Number4123306005TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1TWO ALLEGHENY CENTER 11TH FLOORAddressLine1
CityPittsburghCity
StatePAState
ZIP Code15212ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Matthew Peterson
Director & Treasurer1.0XX01779700
Roy Santarella
Director & Treasurer1.0XX09718900
Alan Cecala
Director & Service Line VP40.0X02803440
Tony Farah MD
Director & PO President1.0XX05919130
Diane Dismukes
Health System President & CEO1.0XX07396380
Robert Brandfass
Secretary1.0X04365680
David Kiehn
Assistant Treasurer1.0X05432180
Deborah Olszewski
Assistant Secretary1.0X02366080
Susan Manzi MD
Chair, System Dept of Medicine1.004860140X
Mark Barnhart
PO Chief Operating Officer1.003625080X
Danny Palmieri MD
Physician40.051339800X
Surinder Bajwa MD
Physician40.070298300X
David Logan MD
Physician40.052390000X
Datar Singh MD
Physician40.052255500X
Mark Rubino MD
Physician40.046503500X
Dawn Gideon
Director05208670X
Christopher Olivia MD
Health System President & CEO041079610X
Sanford Kurtz MD
Director & PO President06824750X
Thomas Albanesi
Assistant Treasurer03175800X
Judy Hlafcsak
Secretary02589180X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2727871TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs10714472TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K98NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Cynamed Healthcare
2333 East Carson StreetPITTSBURGHPA15203Staffing Agency166805
Allegheny Radiology Associates Ltd
320 East North AvenuePITTSBURGHPA15212Radiology Services128835
MD Notes LLC
1615 Blackburn Heights DriveSEWICKLEYPA15143Transcription246466
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column39602386TotalRevenueColumn
Related Or Exempt Function Income39602386RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue39602386TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real205762Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real205762Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column205762TotalRevenueColumn
Exclusion$205,762ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other9260Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other9260Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column9260TotalRevenueColumn
Exclusion$9,260ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
AS&T REIMBURSEMENT621110465917465917
STIPENDS621110336471336471
MEDICAL DIRECTOR FEES621110137032137032

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column143781TotalRevenueColumn
Related Or Exempt Function Income143781RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1083201TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column40900609TotalRevenueColumn
Related Or Exempt Function Income40685587RelatedOrExemptFunctionIncome
Exclusion$215,022ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3150Total
Program Services3150ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total33368682Total
Program Services33368682ProgramServices
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4125154Total
Program Services4125154ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1745823Total
Program Services1745823ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total248110Total
Management And General248110ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5204Total
Program Services5204ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total864822Total
Program Services864822ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total28743Total
Program Services28743ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total427149Total
Program Services427149ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3525413Total
Program Services3525413ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total58632Total
Program Services58632ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total51316Total
Program Services51316ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total6105274Total
Program Services103972ProgramServices
Management And General6001302ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total308771Total
Program Services308771ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1284798Total
Program Services1284798ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PATIENT CARE SUPPLIES17031791703179
BAD DEBT15485811548581
TELEPHONE589929589929
ORGANIZATIONAL RESTRUCTURING250960250960

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total567156Total
Program Services567156ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total56810846Total
Program Services50561434ProgramServices
Management And General6249412ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7954BOY
EOY9111EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY9528EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3508360BOY
EOY2125593EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY592515BOY
EOY354201EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3381172LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2990430LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY715046BOY
EOY390742EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY3333BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY72845BOY
EOY117322EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4900053BOY
EOY3006497EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4999422BOY
EOY2614196EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY237177BOY
EOY118561EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10326197BOY
EOY13471302EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15562796BOY
EOY16204059EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-10637743BOY
EOY-13197562EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY-25000BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-10662743BOY
EOY-13197562EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4900053BOY
EOY3006497EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-15910237ReconcilationRevenueExpenses
Reconcilation Other Changes13375418ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals6163FilingOrganizationsTotals
Affiliated Group Totals225684AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals6163FilingOrganizationsTotals
Affiliated Group Totals225684AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals56804683FilingOrganizationsTotals
Affiliated Group Totals1698163316AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals56810846FilingOrganizationsTotals
Affiliated Group Totals1698389000AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3585102CurrentYearMinus3
Current Year Minus2418483CurrentYearMinus2
Current Year Minus1424588CurrentYearMinus1
Current Year225684CurrentYear
Total1653857Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus30CurrentYearMinus3
Current Year Minus20CurrentYearMinus2
Current Year Minus10CurrentYearMinus1
Current Year0CurrentYear
Total0Total

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLobbying ExpendituresIdentifier
Return ReferenceForm 990, Schedule C, Page 2, Part II-A, Line 1b, Column (a)ReturnReference
ExplanationAllegheny Medical Practice Network (AMPN) has made the IRC Section 501(h) election. AMPN is a member of the West Penn Allegheny Health System (WPAHS). WPAHS employs an Executive Vice President of External Affairs to lobby issues of importance to WPAHS and all of its members. WPAHS also elected to engage the services of outside consultants to assist us in lobbying issues of importance. The lobbying expenditures of $6,163 attributed to AMPN on Schedule C, Page 2, Part II-A reflect expenditures allocated to AMPN from WPAHS and do not reflect direct expenditures made by AMPN.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1753705OtherCostOrOtherBasis
Depreciation1570430Depreciation
Book Value183275BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1627467OtherCostOrOtherBasis
Depreciation1420000Depreciation
Book Value207467BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings390742TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COSTS$12,879,799
INSURANCE LIABILITY$536,135
LEASE ESCALATION OBLIGATION$55,368
FieldValueIRS element (for citing)
Total Of Amounts13471302TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierAMPN Inclusion in the consolidated audit of WPAHSIdentifier
Return ReferenceForm 990, Schedule D, Part X - Question 2, Part XII and XIIIReturnReference
ExplanationAllegheny Medical Practice Network (AMPN) does not issue independent audited financial statements. AMPN is a member of a regional healthcare system named West Penn Allegheny Health System. The West Penn Allegheny Health System receives a consolidated audit which includes the operations of AMPN. The net loss of $15,910,237 reflected on Form 990 page 1, line 19 agrees to the net loss reflected on the financial statements. No reclassifications to financial statement net income were made on Form 990. The following is the footnote to the audited consolidated financial statements of the West Penn Allegheny Health System for FASB ASC 740: WPAHS adopted Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740, Income Taxes, which clarifies the accounting for uncertainty in income taxes recognized in an enterprise's financial statements. FASB ASC 740 prescribes a more-likely than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under FASB ASC 740, tax positions will be evaluated for recognition, derecognition, and measurement using consistent criteria and will provide more information about the uncertainty in income tax assets and liabilities. Based on an analysis prepared by WPAHS, it was determined that the application of FASB ASC 740 had no material effect on the recorded assets and liabilities of WPAHS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Matthew Peterson
01650510128620570774805141019085900
Dawn Gideon
00000520867000005208670520867
Roy Santarella
06057270171437019472601301114011650022846540117174
Alan Cecala
0155891000124453010195007750039004400
Christopher Olivia MD
0677905025000000930056018848000105530600331403507618
Thomas Albanesi
0509740002666060435780644503676030239282
Judy Hlafcsak
00000258918017210024002763680258918
Sanford Kurtz MD
0329283000353192034946809468010414110334768
Tony Farah MD
0586897000501609800012570061428300
Susan Manzi MD
0421712063750055209800011065050687900
Robert Brandfass
036431106076401149309800019628046599600
David Kiehn
04515440900900158405791190121450113448200
Danny Palmieri MD
3126540200384036007963093300530691000
Surinder Bajwa MD
6999350003048014700036890721372000
David Logan MD
3379260185734024007963097580541621000
Datar Singh MD
493925027046015840147000109200548175000
Mark Rubino MD
4139040505790552098000103780485213000
Diane Dismukes
04139210100000022571708333670109670158397200
Deborah Olszewski
01768690587230101601419501658025246100
Mark Barnhart
02073270196190135562020923007482057922000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Additional Compensation DisclosureForm 990, Schedule J, Line 4aThe following represents additional disclosure for Schedule J, line 4a pertaining to directors, officers and key employees listed in Form 990, Part VII, Section A, Line 1a receiving severance pay during the calendar year ending within the June 30, 2012 fiscal year end: Alan Cecala $112,145 Judy Hlafcsak $259,157 Dawn Gideon $520,867 Christopher Olivia, MD $625,000 Diane Dismukes $166,673 Roy Santarella $117,174 Sanford Kurtz, MD $334,768 Mark Barnhart $125,538 Thomas Albanesi $228,782 The following list represents Officers, Directors or Key Employees of Allegheny Medical Practice Network listed on Form 990, Part VII who did not serve a full consecutive twelve month tenure during the year ended June 30, 2012 along with the dates served: Alan Cecala 07-01-2011 - 07-05-2011 Mark Barnhart 07-01-2011 - 08-12-2011 Diane Dismukes 07-01-2011 - 10-31-2011 Roy Santarella 07-01-2011 - 11-01-2011 David Kiehn 07-01-2011 - 12-30-2011 Deborah Olszewski 01-31-2012 - 06-30-2012 Matthew Peterson 01-31-2012 - 06-30-2012
Deferred CompensationSchedule J, Page 2, Column CRetirement and other deferred compensation reflect amounts accrued to the benefit of the applicable individuals related to qualified pension and severance plans. In this regard, the following individuals have amounts accrued related to future severance payments to be made: Christopher Olivia, MD Roy Santarella Judy Hlafcsak Thomas Albanesi Sanford Kurtz, MD David Kiehn Mark Barnhart Alan Cecala Diane Dismukes

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Subsequent Event - Corporate AffiliationForm 990 - General InformationWest Penn Allegheny Health System, Inc., the sole member of Allegheny Medical Practice Network has consummated a formal affiliation on April 29, 2013 to establish a regional integrated health care services delivery system. The details of the affiliation are documented in the footnotes to the Audited Financial Statements attached to the IRS Form 990 of West Penn Allegheny Health System, Inc., EIN: 25-0969492. Please refer to the Audited Financial Statements for additional details.
Allegheny Medical Practice Network - Board of Director IndependenceForm 990, Page 1, Part I, Question 4The appointment of the Allegheny Medical Practice Network Board of Directors is made by the sole member of the organization, West Penn Allegheny Health System, Inc. The Bylaws of Allegheny Medical Practice Network provides that the sole member has the exclusive power to fix the number of, and elect, appoint, fill vacancies in and remove, with or without cause, the Directors; and elect and remove, with or without cause, the Chair and Vice Chair of the Board of Directors of the Corporation, and the Secretary and Treasurer of the Corporation. The Board of Directors of the sole member of Allegheny Medical Practice Network is comprised of a majority of independent Board Members. The Board of Directors of Allegheny Medical Practice Network consists of two members who have voting rights on matters pertinent to the organization. Of these two members, none are deemed to be independent to the organization. Because of the independence of the Board of Directors of the sole member, and the rights and powers of the sole member to appoint and fix the Board of Directors of Allegheny Medical Practice Network, we deem that the Board of Directors of Allegheny Medical Practice Network is in fact controlled by a majority of independent Board Members.
Statement of Program Service AccomplishmentsForm 990, Page 2, Part III, Question 4INTRODUCTION TO ALLEGHENY MEDICAL PRACTICE NETWORK (AMPN) Allegheny Medical Practice Network (AMPN) is a Pennsylvania not-for-profit corporation that was incorporated on June 16, 1999 to provide community-based primary and specialty care services to individuals in Southwest Pennsylvania. In doing so, AMPN furthers its charitable purpose by promoting and delivering high-quality, cost-efficient health care in the community. This activity supplements the acute care and other inpatient and outpatient services provided by the supported organization of the West Penn Allegheny Health System. AMPN is part of the West Penn Allegheny Health System (WPAHS). Organized in 2000, WPAHS (www.wpahs.org) is comprised of West Penn Allegheny Health System, Inc. (WPAHS, Inc.), Alle-Kiski Medical Center (AKMC), Canonsburg General Hospital (CGH), Allegheny Specialty Practice Network (ASPN), Allegheny-Singer Research Institute (ASRI), West Penn Physician Practice Network (WPPPN), West Penn Allegheny Oncology Network (WPAON), Canonsburg General Hospital Ambulance Service, Inc. (CGH Ambulance), Alle-Kiski Medical Center Trust (AKMC Trust), Forbes Health Foundation (FHF) and The Western Pennsylvania Hospital Foundation (WPHF). AMPN owns and operates forty-four primary care and specialty medical practice sites. These primary and specialty care practices benefit the communities served by expanding and enhancing public access to primary care medical services. We provide high quality cost-efficient health care services to the public regardless of their ability to pay. As part of a large academic health care system, AMPN's many community-based practice sites provide new and expanded opportunities for clinical research in a variety of settings, as well as enriched medical education opportunities for the System's students, the physicians, and the communities served by the System. The addition of a range of primary practice sites is particularly beneficial in expanding opportunities for medical students, residents, and the students of the other health profession programs offered by the System. To be exposed broadly during their training to primary care practice and to the challenges of coordinating a spectrum of care for individual patients is particularly significant to students in view of the current national emphasis on encouraging more young physicians to select primary care as their professional specialty. AMPN maintains a fee schedule for its services, and the fee structure reflects the local community's ability to pay for such services, so that reasonable access to the AMPN services is available in the community. In addition, AMPN maintains a charity care policy which was established to assure that all persons seeking treatment receive needed health care services regardless of their ability to pay. This policy provides that persons who lack the means to pay for all or a portion of their needed health care services receive financial assistance in the form of partial or total charge reductions. To carry out the foregoing activities, AMPN employs 112 providers in the Western Pennsylvania community, specializing in internal medicine, family practice, and obstetrics and gynecology. PURPOSE AND MISSION Allegheny Medical Practice Network is an organization defined by our talented people. We are an organization committed to excellence; an organization with one purpose and one mission. Our purpose is to improve the health of the people in the Western Pennsylvania region. Our mission is to practice medicine, educate and conduct research as an integrated team of physicians, nurses and support professionals who are committed to improving the health of our patients. UNCOMPENSATED CARE To enhance the health status of the community in which it operates and consistent with its tax-exempt status, AMPN provides needed health care services to individuals regardless of their ability to pay for all or part of the services rendered. These services include both inpatient and outpatient services as well as access to an emergency room that is available 24 hours a day. The components of uncompensated care include charity care and unreimbursed costs of Medicaid. AMPN provided uncompensated care at a cost of $4,467,457 in Fiscal 2012. COMMUNITY ASSESSMENT Community Health Improvement Services and Community Benefit Operations - Community health improvement services and community benefit operations include activities intended to improve community health. They extend beyond patient care activities and are subsidized by AMPN. The programs ranged from community health education to free clinics and screenings. AMPN provided the following community health improvement services and community benefit operations during Fiscal 2012 at an estimated cost of $298,244. Medical Lectures and Presentations - AMPN physicians presented on various health topics and then conducted question & answer sessions in various public forum. Lectures and presentations were given on local cable TV, local radio, at senior living quarters, libraries, schools and community centers. Health Fairs and Screenings - the AMPN medical staff provided free blood pressure screenings, preventative gynecological exams, heart health monitoring tips and answered various health related questions at different community centers throughout the fiscal year. Women's Health - AMPN physicians participated in a panel discussion surrounding women's health. The panel gathered questions from the audience and addressed the questions and concerns. Health Professions Education - AMPN provides health professionals with educational opportunities to advance their careers in healthcare. Consistent with the filing of Schedule H, AMPN provided the following health professions education during Fiscal 2012 at an estimated cost of $410,537. Training in Primary Care - Physicians teach residents and medical students at free clinics and internal medicine primary care settings. These students are able to interact with the AMPN physicians and they experience valuable lessons in healthcare field. Medical Externships - AMPN physician offices provide externships for Medical Assistants and Medical Receptionists from local colleges and business schools. Other Health Professions Education - AMPN participated in various other health professions education activities devoted to furthering the advancement of our communities healthcare providers. Education focused on the development of clinical skills in the primary care environment. Financial Contributions - AMPN supports the community through cash contributions made at the discretion of AMPN and its directors, benefiting not only the non-profit recipient but ultimately the community as a whole. AMPN made cash contributions totaling $3,150 including the following: Vincentian Charitable Foundation Canonsburg Volunteer Fire Department Leukemia and Lymphoma Society Canonsburg General Hospital Jefferson Regional Medical Center Foundation Butler County Humane Society Community-Building Activities- Community building activities include activities engaged in for the purpose of improving or protecting the health, future and wellbeing of the community. AMPN participated in the following community building activities during the fiscal year at an estimated cost of $41,725 Our Lady of the Most Blessed Sacrament School - An AMPN physician participated in several community activities with this school located in Natrona Heights including helping with fund raising and set-up of a playground and helping a family rebound from a fire. Board and Committee Membership - Several AMPN physicians sit on community advisory boards and councils. These include a chamber of commerce and medical assistant advisory boards.
Operational Oversight by Third Party Management CompanyForm 990, Page 6, Part VI, Section A, Line 3Allegheny Medical Practice Network (AMPN) is a member of the West Penn Allegheny Health System (System). The System consists of thirteen operational IRC Section 501(c)(3) organizations. The parent organization for AMPN and the other eleven operational IRC Section 501(c)(3) organizations is West Penn Allegheny Health System, Inc. (WPAHS, Inc.). The board of directors of WPAHS, Inc. is comprised of a majority of independent members. Effective September 1, 2011, the board of directors of WPAHS, Inc. engaged Alvarez & Marsal Healthcare Industry Group, LLC (A&M); a healthcare advisory group with extensive expertise in operational and financial turnarounds as well as performance improvement. The engagement assigned an interim Chief Operating Officer and interim Chief Financial Officer under the employment of A&M to oversee the daily operational of financial decisions of AMPN. Effective November 7, 2011 (Effective Date), the board of directors of WPAHS, Inc. further engaged A&M to assign an Interim Chief Executive Officer of the System, Interim Chief Operating Officer of the System and Interim Chief Financial Officer of the System. All individuals appointed to their respective positions are under the employment of A&M and have daily oversight of all matters pertinent to the operation of the System as a whole and all organizations on an independent basis. All interim management personnel under the employment of A&M are responsible to and report to the WPAHS, Inc. board of directors. The term of the engagement is to last one year from the effective date with the option to renew the engagement beyond the initial one year term. During the course of the engagement, the WPAHS, Inc. board of directors upon written notice may cause any individual employed by A&M to be removed from their respective position and replaced by another similarly qualified individual. As of the date of the filing of this tax return, A&M continues to provide management oversight to WPAON and the System under the supervision of the WPAHS, Inc. board of directors.
Form 990 Review ProcessForm 990, Page 6, Part VI, Section B, Line 11AForm 990 is prepared internally by an employee of the West Penn Allegheny Health System, Inc. (Health System) Tax Department who is a certified public accountant. The document is then reviewed internally by top management officials of the Health System. A detailed external review is conducted by Health System external tax advisors, who sign the return as preparer. Members of the Audit and Compliance committee of the Health System Board review the Form 990 and recommend changes or accept the document as presented. A copy of the Form 990 is made available to every board member for review prior to filing the document with the Internal Revenue Service.
Monitoring and Enforcement of the Conflict of Interest PolicyForm 990, Page 6, Part VI, Section B, Line 12cAllegheny Medical Practice Network is a member of the West Penn Allegheny Health System (WPAHS). WPAHS has a corporate compliance department that monitors and oversees compliance with the conflict of interest policy of all organizations in the health system. The following describes the manner in which the corporate compliance department monitors and oversees compliance with the conflict of interest policy for Allegheny Medical Practice Network as well as the other WPAHS affiliates: Conflict of Interest disclosure forms are completed on an annual basis by all board members, officers, employees who have a title of Manager and above, physicians in leadership roles, Pharmacy and Therapeutic Committee members, all employees of the System's Compliance and Internal Audit Departments as well as personnel involved with contracting in the Corporate Purchasing Department. Upon completion of the above disclosure statement by all applicable individuals, a report is generated listing all individuals that have reported a conflict. The System Compliance Officer and General Counsel review the conflicts disclosed. Those that require additional information or clarification receive a letter from the Compliance Officer requesting such. Once received, all additional information is added to the report and again reviewed by the Compliance Officer and General Counsel. Those conflicts that require a mitigation plan are sent to the respective organization's senior management for development of the mitigation plan. The organization's senior management is responsible to discuss the mitigation plan with the individual as needed and monitor compliance with the mitigation plan. Once mitigation is received, a final report is reviewed with the System Executive Compliance Council and finally the Audit & Compliance Committee of the Board.
Process For Determining Executive CompensationForm 990, Page 6, Part VI, Section B, Line 15bThe West Penn Allegheny Health Systems (WPAHS) process for determining compensation for executive positions (including officers, key employees and other management positions) within Allegheny Medical Practice Network is covered by the WPAHS Executive Compensation Policy. This policy was approved by the West Penn Allegheny Health System, Inc. Board of Directors. It is the policy of WPAHS and its Board of Directors to compensate its executives in accordance with the market and in relation to the experience, service and accomplishments of the individual both prior to and during their service with WPAHS. The Compensation Committee of the West Penn Allegheny Health System, Inc. Board of Directors approves the compensation for WPAHS senior executives. The Compensation Committee approves the initial compensation for newly hired senior executives, which shall include all compensation components, including without limitation, base compensation, incentive compensation, deferred compensation, fringe and other benefits, as well as the total compensation. It shall also approve all base compensation adjustments and all incentive compensation awards, as well as material changes to deferred compensation, fringe, or other benefits. The Compensation Committee uses comparability data provided by the System Human Resources Department, which may include industry surveys, expert compensation studies, documented compensation of persons holding similar positions, or other comparable data in approving any executive compensation. The Compensation Committee shall periodically retain the services of an independent compensation consultant to provide an expert opinion report as to the reasonableness of total compensation of Allegheny Medical Practice Network officers and key employees. Each Compensation Committee member voting on a senior executive's compensation arrangement ensures that he or she has no conflict of interest, including that he or she (a) does not economically benefit from the proposed employment; (b) does not receive compensation subject to the approval of the proposed employee; and (c) has no material financial interest affected by the transaction. The Compensation Committee consists of five independent Board Members of West Penn Allegheny Health System, Inc. All decisions of the Compensation Committee regarding executive compensation matters are documented.
Public Availability of Organizational DocumentsForm 990, Page 6, Part VI, Section C, Line 19Allegheny Medical Practice Network (AMPN) does not make its governing documents available to the public. AMPN is a member of the West Penn Allegheny Health System (WPAHS). The WPAHS makes available their annual and quarterly financial statements through the use of a dissemination agent. These financial statements are on a consolidated basis with AMPN being one of the consolidated entities. In addition, the WPAHS annual report and quarterly financial results are available on the WPAHS website. WPAHS has adopted a conflict of interest policy that is uniformly applied to all organizations of the health system, including AMPN. A condensed version of this conflict of interest policy is available on the WPAHS website.
Officer, Director and Key Employee Hour AllocationForm 990, Page 7, Part VII, Section A, Line 1a, Column BAllegheny Medical Practice Network (AMPN) is part of an integrated healthcare delivery system named West Penn Allegheny Health System. Individuals employed by one organization may be assigned to provide management for an affiliated organization. As such, many individuals play key roles or serve as officers or directors on multiple affiliated organizations. Each individual will be assigned forty hours to the organization of their actual employment. If the individual is employed by one organization and appointed as an officer, director or key employee of affiliated organizations the hour allocation on Form 990, Part VII, Page 7, Column (B) takes various factors into account when attempting to assign hours in a reasonable manner. Thus, it is possible for a single individual to have hours assigned in excess of forty hours per week if all affiliated organization IRS Forms 990 is taken into account. The actual time served for all individuals disclosed in IRS Form 990 can vary based upon the need of the organization.
Rental ExpenseForm 990, Page 19, Part VIII, Line 6bAllegheny Medical Practice Network does not account for rental expenses in a manner that would allow us to reflect the expense as a direct offset to rental income. The components of rental expense are captured on Form 990, Page 10 - Statement of Functional Expense.
Statement of Functional Expense - Allocation to Management and GeneralForm 990, Page 10, Part IX, Column CAllegheny Medical Practice Network (AMPN) has changed the manner in which they allocate Management and General Expense to the Statement of Functional Expense. In practice, the management function of AMPN is performed by a related IRC 501(c)(3) organization named Allegheny Specialty Practice Network (ASPN), EIN: 25-1838458. In past years, an allocation from AMPN to ASPN as reimbursement for these expenditures would be specifically made to costs associated with the managment of AMPN. These allocations were then captured as Management and General on the Statement of Functional Expense. In Fiscal 2012, allocations no longer were made to specific line items but instead to a corporate allocation account. The Fiscal 2012 Statement of Functional Expense reflects management services as a lump sum reimbursement to ASPN on line 21 - payments to affiliates. We have also allocated the management service fee separately in regard to Third Party Management Oversight - See Form 990, Page 6, Part VI, Line 3.
Health System Tax Exempt Bond IssuanceForm 990, Page 11, Part X, Line 20Allegheny Medical Practice Network is a member of the West Penn Allegheny Health System obligated group in regards to 2007 Allegheny County Hospital Development Authority tax-exempt bonds. The purpose of the issue of the Allegheny County Hospital Development Authority (ACHDA) Hospital Revenue Bonds, Series 2007 A is to refund the outstanding ACHDA Series 2000A and B Bond Issues, refund the Dauphin County General Authority (DCGA) Series 1992A and B Hospital Bonds, the Pennsylvania Higher Education Facility Authority (PHEFA) Series 1991A Revenue Bonds, the Monroeville Hospital Authority (MHA) Series 1992 and 1995 Revenue Bonds, the funding of a project fund for certain prior and future capital expenditures and to pay the cost of issuing Series 2007A Debt. No internal allocation of debt has been made to Allegheny Medical Practice Network, however, the organization's assets are security for purposes of this bond issue.
Other Changes In Net AssetsForm 990, Page 12, Part XI, Line 5The following is a reconciliation of the Other Changes in Net Assets of Allegheny Medical Practice Network for the year ended June 30, 2012: Net Transfers From Affiliated Organization $16,537,960 Change in Minimum Pension Liability (3,162,542) ___________ Other Changes in Net Assets $13,375,418
Allegheny Medical Practice Network - Schedule A Filing RequirementsSchedule A, Part I, Line 3Internal Revenue Service Form 990, Schedule H is required to be completed by all organizations that meet the IRS definition of a Hospital and in addition, is required to be licensed, registered or similarly recognized by a state as a Hospital. Allegheny Medical Practice Network is classified by the Internal Revenue Service as a Hospital under IRC section 170(b)(1)(A)(iii). Allegheny Medical Practice Network is not required to be licensed, registered or similarly recognized as a Hospital by the State of Pennsylvania. Accordingly, Internal Revenue Service Form 990, Schedule H is not completed by Allegheny Medical Practice Network.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
West Penn Allegheny Health System Inc
4800 Friendship AvenuePittsburghPA15224250969492HealthcarePA501(c)(3)3NAfalse
Allegheny Singer Research Institute
320 East North AvenuePittsburghPA15212251320493Sci ResearchPA501(c)(3)4NAfalse
Canonsburg General Hospital
100 Medical BoulevardCanonsburgPA15317251737079HealthcarePA501(c)(3)3NAfalse
Alle-Kiski Medical Center
1301 Carlisle StreetNatrona HeightsPA15065251875178HealthcarePA501(c)(3)3NAfalse
Allegheny Specialty Practice Network
320 East North AvenuePittsburghPA15212251838458HealthcarePA501(c)(3)3NAfalse
West Penn Allegheny Oncology Network
4800 Friendship AvenuePittsburghPA15224113683376HealthcarePA501(c)(3)11-III FLNAfalse
West Penn Physician Practice Network
4800 Friendship AvenuePittsburghPA15224251494317HealthcarePA501(c)(3)9NAfalse
CGH Ambulance Service Inc
100 Medical BoulevardCanonsburgPA15317232939715Emer ResponsePA501(c)(3)9NAfalse
Alle-Kiski Medical Center Trust
1301 Carlisle StreetNatrona HeightsPA15065205855753FundraisingPA501(c)(3)11 - INAfalse
Forbes Health Foundation
2570 Haymaker RoadMonroevillePA15146251798379FundraisingPA501(c)(3)7NAfalse
Suburban Health Foundation
100 South Jackson AvenuePittsburghPA15202251472073FundraisingPA501(c)(3)11 - INAfalse
Western Pennsylvania Hospital Foundation
4800 Friendship AvenuePittsburghPA15224251470766FundraisingPA501(c)(3)11 - INAfalse
West Alleghney Hospital
100 Medical BoulevardCanonsburgPA15317251054206InactivePA501(c)(3)3NAfalse
Greater Canonsburg Health System
100 Medical BoulevardCanonsburgPA15317251488089InactivePA501(c)(3)11 - INAfalse
Canonsburg HealthHospital Foundation
100 Medical BoulevardCanonsburgPA15317251818505InactivePA501(c)(3)11 - INAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
Burn Care Associates
4800 Friendship AvenuePittsburghPA15224232899534HealthcarePANAC Corporation
Medical Center Clinic
4800 Friendship AvenuePittsburghPA15224232894939HealthcarePANAC Corporation
West Penn Corporate Medical Services Inc
4800 Friendship AvenuePittsburghPA15224251437405HealthcarePANAC Corporation
West Penn Neurosurgery
4800 Friendship AvenuePittsburghPA15224251630719InactivePANAC Corporation
Friendship Insurance Company
980116952InsuranceNAC CorporationBarclays House Shedden RoadGrand CaymanGrand CaymanCJPO Box 1051CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierTransactions With Affiliated OrganizationsIdentifier
Return ReferenceSchedule R, Part V, Line 2ReturnReference
ExplanationAllegheny Medical Practice Network has chosen not to complete Schedule R, Part V, line 2. The disclosure of this information is only required for organizations listed in Schedule R, Part V, line 2 that are controlled entities within the meaning of section 512(b)(13). No organization listed in Schedule R, Part V, line 2 is a controlled entity within the meaning of section 512(b)(13) for Allegheny Medical Practice Network.Explanation