STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HIGHMARK HEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HIGHMARK HEALTH (EIN 25-1838457)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201211329349302961
Schema version
2010v3.7
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)
Timestamp2012-05-11T14:51:12-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251838457EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Allegheny Medical Practice NetworkBusinessNameLine1
FieldValueIRS element (for citing)
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
Phone4123306005Phone
Date Signed2012-05-04DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2155614200Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts51050602GrossReceipts
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 Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees686TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year52950624ProgramServiceRevenuePriorYear
Program Service Revenue CY50067012ProgramServiceRevenueCY
Investment Income Prior Year-1180InvestmentIncomePriorYear
Investment Income Current Year54397InvestmentIncomeCurrentYear
Other Revenue Prior Year798662OtherRevenuePriorYear
Other Revenue Current Year909770OtherRevenueCurrentYear
Total Revenue Prior Year53748106TotalRevenuePriorYear
Total Revenue Current Year51031179TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4135GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2510GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year52617681SalariesEtcPriorYear
Salaries Etc Current Year45849150SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19042296OtherExpensePriorYear
Other Expenses Current Year20299213OtherExpensesCurrentYear
Total Expenses Prior Year71664112TotalExpensesPriorYear
Total Expenses Current Year66150873TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-17916006RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-15119694RevenuesLessExpensesCY
Total Assets BOY7156204TotalAssetsBOY
Total Assets EOY4900053TotalAssetsEOY
Total Liabilities BOY21729568TotalLiabilitiesBOY
Total Liabilities EOY15562796TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-14573364NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-10662743NetAssetsOrFundBalancesEOY
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
Expense23129000Expense
Grants0Grants
Revenue16228000Revenue
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

Activity2 Activity2

FieldValueIRS element (for citing)
Expense19652000Expense
Grants0Grants
Revenue15757000Revenue
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

Activity3 Activity3

FieldValueIRS element (for citing)
Expense11695000Expense
Grants0Grants
Revenue11132000Revenue
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)
Expense1459401Expense
Grants2510Grants
Revenue6950012Revenue
DescriptionOther Medical Services Provided To PatientsDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1459401TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt2510TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev6950012TotalOfOtherProgramServiceRev
Total Program Service Expense55935401TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
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 With1096130NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees686NumberOfEmployees
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 Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Dawn Gideon
Director1.0X06819420
Roy Santarella
Director & Treasurer1.0X011184800X
Alan Cecala
Director & Service Line VP40.0X02391850
Christopher Olivia MD
Health System President & CEO1.0X019745820X
Sanford Kurtz MD
Director & PO President & CEO10.0X010082520X
Diane Dismukes
Health System President & CEO1.0X000X
Thomas Albanesi
Assistant Treasurer1.003214740X
Judy Hlafcsak
Secretary1.004581020X
Robert Brandfass
Secretary1.0000X
David Kiehn
Assistant Treasurer1.005557060X
Deborah Olszewski
Assistant Secretary1.001886560X
Tony Farah MD
P.O. Interim President and CEO10.005966250X
Susan Manzi MD
Chair, System Dept of Medicine2.003665620X
Edward Roeber
AMPN Chief Financial Officer10.003206250X
Mark Barnhart
AMPN Chief Operating Officer10.004258230X
Michael Pelekanos MD
Physician40.049608400X
Surinder Bajwa MD
Physician40.070151900X
David Logan MD
Physician40.047425500X
Datar Singh MD
Physician40.061069400X
Robert Baraff MD
Physician40.059548300X
Michael Devita MD
Director & EVP Medical Affairs03001830X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2878035TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs8556197TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K124NumberIndividualsGT100K
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 Column50067012TotalRevenueColumn
Related Or Exempt Function Income50067012RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue50067012TotalProgramServiceRevenue

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)
Real299827Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real299827Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column299827TotalRevenueColumn
Exclusion$299,827ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other73820Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other19423Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other54397Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column54397TotalRevenueColumn
Exclusion$54,397ExclusionAmount

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
STIPENDS621110290430290430
MEDICAL DIRECTOR FEES621110192208192208
MEDICAL RECORDS6211102210422104

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column105201TotalRevenueColumn
Related Or Exempt Function Income105201RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue609943TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column51031179TotalRevenueColumn
Related Or Exempt Function Income50676955RelatedOrExemptFunctionIncome
Exclusion$354,224ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2510Total
Program Services2510ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

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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)
Total39339334Total
Program Services37372367ProgramServices
Management And General1966967ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4469060Total
Program Services4245607ProgramServices
Management And General223453ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2040756Total
Program Services1938718ProgramServices
Management And General102038ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total32935Total
Management And General32935ManagementAndGeneral

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)
Total874008Total
Program Services860432ProgramServices
Management And General13576ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total49810Total
Program Services49810ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total493751Total
Program Services469063ProgramServices
Management And General24688ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3948802Total
Program Services3826462ProgramServices
Management And General122340ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total80587Total
Program Services78169ProgramServices
Management And General2418ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total72126Total
Program Services69962ProgramServices
Management And General2164ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total6829125Total
Program Services88204ProgramServices
Management And General6740921ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total401024Total
Program Services388993ProgramServices
Management And General12031ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1674911Total
Program Services1653756ProgramServices
Management And General21155ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIR AND MAINTENANCE1064151032233192
PATIENT CARE MEDICATIONS22090852209085
ORGANIZATIONAL RESTRUCTURING1293976517590776386
BAD DEBT962504962504
TELEPHONE67565164186833783

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total594503Total
Program Services457078ProgramServices
Management And General137425ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total66150873Total
Program Services55935401ProgramServices
Management And General10215472ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9252BOY
EOY7954EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13998BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4432062BOY
EOY3508360EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY156979BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY470745BOY
EOY592515EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3454692LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2739646LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1333672BOY
EOY715046EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY519273BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY8333BOY
EOY3333EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY211890BOY
EOY72845EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7156204BOY
EOY4900053EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6968906BOY
EOY4999422EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY466019BOY
EOY237177EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14294643BOY
EOY10326197EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21729568BOY
EOY15562796EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-14548364BOY
EOY-10637743EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY-25000BOY
EOY-25000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-14573364BOY
EOY-10662743EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7156204BOY
EOY4900053EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-15119694ReconcilationRevenueExpenses
Reconcilation Other Changes19030315ReconcilationOtherChanges
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 Totals13521FilingOrganizationsTotals
Affiliated Group Totals424588AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals13521FilingOrganizationsTotals
Affiliated Group Totals424588AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals66137352FilingOrganizationsTotals
Affiliated Group Totals1647450412AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals66150873FilingOrganizationsTotals
Affiliated Group Totals1647875000AffiliatedGroupTotals

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 Minus3613479CurrentYearMinus3
Current Year Minus2585102CurrentYearMinus2
Current Year Minus1418483CurrentYearMinus1
Current Year424588CurrentYear
Total2041652Total

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 $13,521 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 Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance-25000BeginningOfYearBalance
End Of Year Balance-25000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance-25000BeginningOfYearBalance
End Of Year Balance-25000EndOfYearBalance
FieldValueIRS element (for citing)
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1743720OtherCostOrOtherBasis
Depreciation1455037Depreciation
Book Value288683BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1667628OtherCostOrOtherBasis
Depreciation1284609Depreciation
Book Value383019BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis43344OtherCostOrOtherBasis
Book Value43344BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings715046TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COSTS$9,471,296
INSURANCE LIABILITY$585,050
LEASE ESCALATION OBLIGATION$123,499
DUE FROM AFFILIATED ORGANIZATIONS$146,352
FieldValueIRS element (for citing)
Total Of Amounts10326197TotalOfAmounts

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 $15,119,694 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
Written Employment ContractXWrittenEmploymentContract
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 (19 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
Michael Devita MD
069794000230389000200003021830230217
Dawn Gideon
0520544010139015125905306670160450122865400
Roy Santarella
07458570321000051623014182880165550255332300
Alan Cecala
023865700052809717016482026538400
Christopher Olivia MD
012098790678000086703053965620204950739163900
Thomas Albanesi
027862604248803600293054018346063287400
Judy Hlafcsak
0252637083510197114028724304480074982500
Sanford Kurtz MD
0734648023200004160406842100142520170671400
Tony Farah MD
059607300055209800019726062615100
Susan Manzi MD
0316424050000013800011944037850600
Edward Roeber
032062500000000032062500
David Kiehn
0444122011000001584014700014449058485500
Michael Pelekanos MD
38445101110810552098000177230523607000
Surinder Bajwa MD
6999350001584014700039550720174000
David Logan MD
28246401915510240079630107160492934000
Datar Singh MD
4800340129076015840147000119890637383000
Robert Baraff MD
3580970234338030480147000109820621165000
Deborah Olszewski
017161101607009750943301690019977900
Mark Barnhart
031653409903101025809800025401046102400

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 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, 2011 fiscal year end: Michael Devita, MD $230,217 Judy Hlafcsak $125,276 Dawn Gideon $104,173 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 for the year ended June 30, 2011 along with the dates served: Dawn Gideon 07-01-2010 - 10-31-2010 Christopher Olivia, MD 07-01-2010 - 06-28-2011 Diane Dismukes 06-29-2011 - 06-30-2011 Judy Hlafcsak 07-01-2010 - 09-03-2010 Deborah Olszewski 07-01-2010 - 03-25-2011 Robert Brandfass 03-25-2011 - 06-30-2011 Thomas Albanesi 07-01-2010 - 01-27-2011 David Kiehn 01-27-2011 - 06-30-2011 Edward Roeber 07-01-2010 - 07-31-2010 Tony Farah, MD 06-09-2011 - 06-30-2011
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 Dawn Gideon

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (26 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Subsequent Event - Proposed AffiliationForm 990 - General InformationWest Penn Allegheny Health System, of which Allegheny Medical Practice Network is an affiliate, is pursuing a formal corporate affiliation with UPE, a recently formed tax-exempt organization, and Highmark Inc., a non-profit corporation with substantial health insurance operations throughout Western Pennsylvania. UPE has made filings with the applicable regulatory authorities to acquire control of Highmark. Following the anticipated affiliation, UPE also will assume control of West Penn Allegheny Health System. West Penn Allegheny Health System approved the affiliation in 2011 in order to restore financial viability to the System and ensure its long term survival as a provider of quality healthcare services to the communities it has served for several generations. Among other advantages to the transaction, the affiliation will create a regional integrated health care services delivery and financing system that will better position West Penn Allegheny Health System given the competitive pressures in the Western Pennsylvania market. An affiliation agreement was signed by the parties in October, 2011. As of the date of this filing the regulatory agencies that must approve the transaction have either given their approval or are in the process of undertaking their review. We are optimistic that all approvals will be granted by the end of the 2012 calendar year and possibly sooner.
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 four members who have voting rights on matters pertinent to the organization. Of these four 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), Suburban Health Foundation (SHF) and The Western Pennsylvania Hospital Foundation (WPHF). AMPN owns and operates forty-three 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. Finally, AMPN is affiliated with hospitals that maintain 24 hour emergency rooms open to all persons regardless of their ability to pay for services, and have open medical staffs. Accordingly, AMPN alone and in conjunction with its affiliates, provides a substantial benefit to the community. To carry out the foregoing activities, AMPN employs 112 providers in the Western Pennsylvania community, specializing in internal medicine, family practice, pediatrics, obstetrics and gynecology and neurology. 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 $4,455,523 in Fiscal 2011. 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. Consistent with the filing of Schedule H, AMPN provided the following community health improvement services and community benefit operations during Fiscal 2011 at an estimated cost of $52,440. 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. Periodicals - On multiple occasions during the fiscal year, AMPN physicians authored articles for community periodicals on various health related topics. Health Professions Education AMPN provides health professionals with educational opportunities to advance their careers in healthcare. AMPN provided the following health professions education during Fiscal 2011 at an estimated cost of $629,970. 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 $2,510 including the following: Vincentian Charitable Foundation Canonsburg Volunteer Fire Department Fraternal Order of Police American Veterans The Committee for Missing Children Canonsburg General Hospital Peters Township Volunteer Fire Company CASA for Kids 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 $35,715 Community Health Symposium for African Americans - An AMPN physician in conjunction with the Gateway Medical Society examines issues of disparities among African Americans. The physician helps young children stay clear of the dangers of society by being a mentor and allowing the children to explore the medical field with the hope that a difference can be made that will propel them through a childhood geared toward education and future possibilities. 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. $1,376
Form 990 Review ProcessForm 990, Page 6, Part VI, Section B, Question 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, Question 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 Compliance Executive Committee and finally the Audit & Compliance Committee of the Board. In addition, all WPAHS board members, officers and key employees complete an annual independence disclosure statement which assists the System's Compliance Officer and Internal Audit Department to determine and monitor the levels of independence in each of the System's tax exempt affiliates as well as to determine the level of Form 990, Schedule L reporting.
Process For Determining Executive CompensationForm 990, Page 6, Part VI, Section B, Question 15bWest 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 WPAHS 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 WPAHS 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 also approves 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 periodically retains 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 WPAHS. All decisions of the Compensation Committee regarding executive compensation matters are documented.
Public Availability of Organizational DocumentsForm 990, Page 6, Part VI, Section C, Question 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. The condensed policy is contained in the code of ethics disclosure.
Officer, Director and Key Employee Hour AllocationForm 990, Page 9, Line 6b(i)Allegheny Medical Practice Network allocates hours to officers, directors and key employees employed by Allegheny Medical Practice Network or a related organization on the basis of a 40 hour work week. Allegheny Medical Practice Network is a member of an integrated healthcare delivery system consisting of 13 different organizations. Many individuals are Health System executives who serve prominent roles on various organizations. Every employed individual who serves as an officer, director or key employee of any related organization as well as Allegheny Medical Practice Network will be allocated time served out of the 40 hour work week for each separate related organization. Thus, the cumulative total for each individual spread out between Allegheny Medical Practice Network and the 12 related organizations will equal 40 hours. Directors of Allegheny Medical Practice Network serving on a volunteer basis are allocated one hour of service per week to Allegheny Medical Practice Network. If the director also volunteers time to one of the 12 related organizations in the capacity of a director for that related organization, one hour per week is reflected as devoted to each related organization served. The time and efforts of the volunteer directors of Allegheny Medical Practice Network may vary upon the needs of the organization. The one hour per week reported in Part VII is an estimate of the average time spent per week by the Allegheny Medical Practice Network volunteer directors when viewed on an annual basis.
Rental ExpenseForm 990, Page 9, 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.
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, 2011: Net Transfers From Affiliated Organization $16,318,778 Change in Minimum Pension Liability 2,711,537 ___________ Other Changes in Net Assets $19,030,315
Allegheny Medical Practice Network - Schedule H 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.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Dawn Gideon TITLE:Director HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Roy Santarella TITLE:Director & Treasurer HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Christopher Olivia MD TITLE:Health System President & CEO HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Sanford Kurtz MD TITLE:Director & PO President & CEO HOURS:30
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Diane Dismukes TITLE:Health System President & CEO HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Thomas Albanesi TITLE:Assistant Treasurer HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Judy Hlafcsak TITLE:Secretary HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Robert Brandfass TITLE:Secretary HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:David Kiehn TITLE:Assistant Treasurer HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Deborah Olszewski TITLE:Assistant Secretary HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Tony Farah, MD TITLE:P.O. Interim President and CEO HOURS:30
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Susan Manzi, MD TITLE:Chair, System Dept of Medicine HOURS:38
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Edward Roeber TITLE:AMPN Chief Financial Officer HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mark Barnhart TITLE:AMPN Chief Operating Officer HOURS:30

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/BusinessNameLine1
West Penn Allegheny Health System Inc
4800 Friendship AvenuePittsburghPA15224250969492HealthcarePA501(c)(3)3NA
Allegheny Singer Research Institute
320 East North AvenuePittsburghPA15212251320493Sci ResearchPA501(c)(3)4NA
Canonsburg General Hospital
100 Medical BoulevardCanonsburgPA15317251737079HealthcarePA501(c)(3)3NA
Alle-Kiski Medical Center
1301 Carlisle StreetNatrona HeightsPA15065251875178HealthcarePA501(c)(3)3NA
Allegheny Specialty Practice Network
320 East North AvenuePittsburghPA15212251838458HealthcarePA501(c)(3)3NA
West Penn Allegheny Oncology Network
4800 Friendship AvenuePittsburghPA15224113683376HealthcarePA501(c)(3)11-III FLNA
West Penn Physician Practice Network
4800 Friendship AvenuePittsburghPA15224251494317HealthcarePA501(c)(3)9NA
CGH Ambulance Service Inc
100 Medical BoulevardCanonsburgPA15317232939715Emer ResponsePA501(c)(3)9NA
Alle-Kiski Medical Center Trust
1301 Carlisle StreetNatrona HeightsPA15065205855753FundraisingPA501(c)(3)11 - INA
Forbes Health Foundation
2570 Haymaker RoadMonroevillePA15146251798379FundraisingPA501(c)(3)7NA
Suburban Health Foundation
100 South Jackson AvenuePittsburghPA15202251472073FundraisingPA501(c)(3)11 - INA
Western Pennsylvania Hospital Foundation
4800 Friendship AvenuePittsburghPA15224251470766FundraisingPA501(c)(3)11 - INA
West Alleghney Hospital
100 Medical BoulevardCanonsburgPA15317251054206InactivePA501(c)(3)3NA
Greater Canonsburg Health System
100 Medical BoulevardCanonsburgPA15317251488089InactivePA501(c)(3)11 - INA
Canonsburg HealthHospital Foundation
100 Medical BoulevardCanonsburgPA15317251818505InactivePA501(c)(3)11 - INA

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 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
Liberty Physicians
4800 Friendship AvenuePittsburghPA15224251637318HealthcarePANAC Corporation
Medical Center Clinic
4800 Friendship AvenuePittsburghPA15224232894939HealthcarePANAC Corporation
West Penn Corporate Medical Services Inc
4800 Friendship AvenuePittsburghPA15224251437405HealthcarePANAC Corporation
West Penn Medical Associates
4800 Friendship AvenuePittsburghPA15224251666783HealthcarePANAC Corporation
West Penn Neurosurgery
4800 Friendship AvenuePittsburghPA15224251630719InactivePANAC Corporation
West Penn OBGYN Multispecialists
4800 Friendship AvenuePittsburghPA15224251619226HealthcarePANAC 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 OrgtrueGiftGrantOrCapContrToOtherOrg
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