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HIGHMARK HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HIGHMARK HEALTH (EIN 25-1838457)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201141339349301014
Schema version
2009v1.7
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)
Timestamp2011-05-13T07:35:21-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

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)
NameDavid KiehnName
TitleWPAHS Chief Financial OfficerTitle
Date Signed2011-05-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGRANT THORNTON LLCName
Phone2155614200Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRoy SantarellaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line130 Isabella StreetAddressLine1
CityPittsburghCity
StatePAState
ZIP Code15212ZIPCode
FieldValueIRS element (for citing)
Gross Receipts53752625GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees857TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year56297920ProgramServiceRevenuePriorYear
Program Service Revenue CY52950624ProgramServiceRevenueCY
Investment Income Prior Year28404InvestmentIncomePriorYear
Investment Income Current Year-1180InvestmentIncomeCurrentYear
Other Revenue Prior Year604354OtherRevenuePriorYear
Other Revenue Current Year798662OtherRevenueCurrentYear
Total Revenue Prior Year56930678TotalRevenuePriorYear
Total Revenue Current Year53748106TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9378GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4135GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year53356470SalariesEtcPriorYear
Salaries Etc Current Year52617681SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18258536OtherExpensePriorYear
Other Expenses Current Year19042296OtherExpensesCurrentYear
Total Expenses Prior Year71624384TotalExpensesPriorYear
Total Expenses Current Year71664112TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-14693706RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-17916006RevenuesLessExpensesCY
Total Assets BOY10402754TotalAssetsBOY
Total Assets EOY7156204TotalAssetsEOY
Total Liabilities BOY21028357TotalLiabilitiesBOY
Total Liabilities EOY21729568TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-10625603NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-14573364NetAssetsOrFundBalancesEOY
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
Expense38109000Expense
Grants0Grants
Revenue32303000Revenue
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 Medicine services to those individuals in need of medical treatment.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense12415000Expense
Grants0Grants
Revenue12409000Revenue
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

Activity3 Activity3

FieldValueIRS element (for citing)
Expense5527000Expense
Grants0Grants
Revenue5526000Revenue
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 pediatric services to those individuals in need of medical treatment.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp4234941TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt4135TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev2712624TotalOfOtherProgramServiceRev
Total Program Service Expense60285941TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096138NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees857NumberOfEmployees
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
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDAVID KIEHNNamePerson
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 (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Michael Devita MD
Director & EVP Medical Affairs10.0XX02566770
Dawn Gideon
Director2.0X08351330
Roy Santarella
Director & Treasurer2.0XX012179220
Alan Cecala
Director & Service Line VP40.0X02432860
Christopher Olivia MD
Health System President & CEO2.0XX018794990
Sanford Kurtz MD
Director & PO President & CEO10.0XX03482670
Thomas Albanesi
Assistant Treasurer2.0X03139760
Judy Hlafcsak
Secretary2.0X06127590
Sharon Loftus
Assistant Secretary2.0X02825520
Deborah Olszewski
Assistant Secretary2.0X02077290
Edward Roeber
AMPN Chief Financial Officer10.004463750X
Jeffrey Bushong
Interim COO & Service Line VP10.005314640X
Michael Pelekanos MD
Physician40.042226600X
Mark Barnhart
AMPN Chief Operating Officer10.0000X
Surinder Bajwa MD
Physician40.070155400X
David Logan MD
Physician40.052163700X
Datar Singh MD
Physician40.048463000X
Robert Baraff MD
Physician40.058900700X
Mark Rubino MD
Physician40.045735400X
Jerry Fedele
Health System President & CEO02521750X
Dawn Javersack
Treasurer01020250X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3176448TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7529839TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K112NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Allscripts LLC
24630 Network PlaceCHICAGOIL60673Software Consulting163697
Cynamed Healthcare
2333 East Carson StreetPITTSBURGHPA15203Staffing Agency301065
Professional Casualty Associates
1012 W 9th AvenueKING OF PRUSSIAPA19406Insurance135286
MD Notes LLC
1615 Blackburn Heights DriveSEWICKLEYPA15143Transcription117240
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column52950624TotalRevenueColumn
Related Or Exempt Function Income52950624RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue52950624TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3339TotalRevenueColumn
Exclusion$3,339ExclusionAmount

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)
Real190874Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real190874Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column190874TotalRevenueColumn
Exclusion$190,874ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other4519Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-4519Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-4519TotalRevenueColumn
Exclusion-$4,519ExclusionAmount

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
STIPENDS621110276300276300
MEDICAL DIRECTOR FEES621110189561189561
MEDICAL RECORDS6211105039850398

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column91529TotalRevenueColumn
Related Or Exempt Function Income91529RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue607788TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column53748106TotalRevenueColumn
Related Or Exempt Function Income53558412RelatedOrExemptFunctionIncome
Exclusion$189,694ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total4135Total
Program Services4135ProgramServices

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)
Total444323Total
Program Services377675ProgramServices
Management And General66648ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total45136649Total
Program Services38328148ProgramServices
Management And General6808501ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1053215Total
Program Services894255ProgramServices
Management And General158960ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3591211Total
Program Services3051522ProgramServices
Management And General539689ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2392283Total
Program Services2250216ProgramServices
Management And General142067ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14994Total
Management And General14994ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14802Total
Management And General14802ManagementAndGeneral

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)
Total20341Total
Management And General20341ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1333052Total
Program Services913018ProgramServices
Management And General420034ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total68872Total
Management And General68872ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total777437Total
Program Services704729ProgramServices
Management And General72708ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4944282Total
Program Services4713946ProgramServices
Management And General230336ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total114008Total
Program Services83705ProgramServices
Management And General30303ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total66962Total
Program Services62094ProgramServices
Management And General4868ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total2629732Total
Program Services157478ProgramServices
Management And General2472254ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total565303Total
Program Services545081ProgramServices
Management And General20222ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2068625Total
Program Services2060892ProgramServices
Management And General7733ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PATIENT CARE MEDICATIONS27117062711706
PATIENT RELATED BAD DEBT11262891126289
TELEPHONE854109831577225320
REPAIR AND MAINTENANCE18923710905880179
DUES AND SUBSCRIPTIONS23971222772611986

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1302833Total
Program Services1132691ProgramServices
Management And General170142ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total71664112Total
Program Services60285941ProgramServices
Management And General11378171ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11558BOY
EOY9252EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1811857BOY
EOY13998EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4336410BOY
EOY4432062EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY295491BOY
EOY156979EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY419649BOY
EOY470745EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5475592LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4141920LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1691453BOY
EOY1333672EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY366409BOY
EOY519273EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY3000BOY
EOY8333EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1466927BOY
EOY211890EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10402754BOY
EOY7156204EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5605744BOY
EOY6968906EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY695076BOY
EOY466019EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14727537BOY
EOY14294643EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21028357BOY
EOY21729568EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-10600603BOY
EOY-14548364EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

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

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-10625603BOY
EOY-14573364EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10402754BOY
EOY7156204EOY
FieldValueIRS element (for citing)
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 Totals13940FilingOrganizationsTotals
Affiliated Group Totals418483AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals13940FilingOrganizationsTotals
Affiliated Group Totals418483AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals71650172FilingOrganizationsTotals
Affiliated Group Totals1648957517AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals71664112FilingOrganizationsTotals
Affiliated Group Totals1649376000AffiliatedGroupTotals

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 Minus3568458CurrentYearMinus3
Current Year Minus2613479CurrentYearMinus2
Current Year Minus1585102CurrentYearMinus1
Current Year418483CurrentYear
Total2185522Total

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 $13,940 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 CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance-25000BeginningOfYearBalance
End Of Year Balance-25000EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2315544OtherCostOrOtherBasis
Depreciation1767113Depreciation
Book Value548431BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3076690OtherCostOrOtherBasis
Depreciation2374807Depreciation
Book Value701883BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis83358OtherCostOrOtherBasis
Book Value83358BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1333672TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENT IN RRGDescription
Book Value519273BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities519273TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COSTS$13,574,773
INSURANCE LIABILITY$597,226
LEASE ESCALATION OBLIGATION$122,644
FieldValueIRS element (for citing)
Total Of Amounts14294643TotalOfAmounts

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 $17,916,006 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 FASB 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 tax 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 (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
Michael Devita MD
02412630150000414023021705954049284800
Dawn Gideon
071000805750006762509800011395085632800
Roy Santarella
0765721032500001272010139650198220125170900
Alan Cecala
02382620005024010424010957026466700
Christopher Olivia MD
01261933050000001175660124350156040190753800
Thomas Albanesi
02723660412500360010725010829033553000
Judy Hlafcsak
0424098014316004550101074406212062971500
Sanford Kurtz MD
020413301000000441340001898035016500
Sharon Loftus
028164300090901300402472029802800
Jerry Fedele
000002521750113300025330800
Dawn Javersack
000001020250000010202500
Edward Roeber
044637500000000044637500
Jeffrey Bushong
053146400000000053146400
Michael Pelekanos MD
36047506123905520108630111940444323000
Surinder Bajwa MD
6999700001584016888039820722424000
David Logan MD
28348102379160240088630106620541162000
Datar Singh MD
48304600015840162620119610512853000
Robert Baraff MD
2883600299109015380154500106900615147000
Mark Rubino MD
4533200348205520112500111150479719000
Deborah Olszewski
0165729041400060001040301666021979800

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierAdditional Compensation DisclosureIdentifier
Return ReferenceForm 990, Schedule J, Line 4aReturnReference
ExplanationThe 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, 2010 fiscal year end: Jerry Fedele $252,175 Dawn Javersack $102,025 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, 2010 along with the dates served: Sanford Kurtz, MD 10-15-2009 - 6-30-2010 Michael DeVita, MD 7-1-2009 - 11-30-2009 Deborah Olszewski 1-28-2010 - 6-30-2010 Sharon Loftus 7-1-2009 - 12-31-2009 Mark Barnhart 1-1-2010 - 6-30-2010Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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 five members who have voting rights on matters pertinent to the organization. Of these five 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 4Allegheny 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 sixty-five 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 157 providers in the Western Pennsylvania community, specializing in internal medicine, family practice, pediatrics, obstetrics and gynecology and neurology.
Statement of Program Service Accomplishments (continued)Form 990, Page 2, Part III, Question 4PURPOSE 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 uncompensated care provided by AMPN consists of charity care measured at cost and MA shortfall. In Fiscal 2010, AMPN provided $6,065,557 of uncompensated care broken down as follows: MA Shortfall $5,899,183 Charity Care 166,374 __________ Total $6,065,557 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 2010 at an estimated cost of $38,050. Medical Lectures/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 and community centers. Health Fairs/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. Care for the Homeless - AMPN Physicians travel to homeless shelters around the community to provide homeless patients free medical care and clinics. 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. Children and Toddlers - AMPN physicians provide guidance and instruction to young children and toddlers. Topics discussed include potty training, how to handle tough toddlers, how to have open communicate between teenagers and their parents and how to handle puberty. 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 2010 at an estimated cost of $446,200. 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. Clinical Clerkship - AMPN participated in a clinical clerkship for the purpose of providing onsite training for a future medical professional . Nursing Education - AMPN provided hands on, on site training for future nurses. The individuals learned as they shadowed physicians and other healthcare professionals. 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. Cost 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 $4,135 including the following: Vincentian Charitable Foundation Greater Pittsburgh Council BSA Light of Life Mission Salvation Army Howard University College of Medicine 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 $52,650 Patient Assistance - AMPN offers assistance to individuals who lack the resources necessary to complete applications for needed programs and resources. We help patients enroll into programs to get all necessary medical and social needs covered by inputting information for those individuals who lack access to a computer. We also research community programs to help individuals with specific needs. 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.
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 including the Chief Financial Officer and Chief Administrative Officer of the Health System. A detailed external review is conducted by Health System external tax advisors, who sign the return as preparer. The Chair of the organization's Board of Directors, or another Board Member otherwise designated by the Chair, along with 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 Committee members, Therapeutic Committee members, all employees of the System's Internal Audit Department as well as the employees 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 three 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. 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.
Health System Tax Exempt Bond IssuanceForm 990, Page 11, Question 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.
Allegheny Medical Practice Network Schedule H RequirementsForm 990, Schedule 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.
Transfers With Affiliated OrganizationsSchedule R, Part V, Line 2Allegheny Medical Practice Network has chosen to complete Schedule R, Part V, line 2 in order to disclose transactions with affiliated organizations. No organization listed in Schedule R, Part V, line 2 is a controlled entity within the meaning of section 512(b)(13).

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 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 OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Alle-Kiski Medical Center
1c1470239
Canonsburg General Hospital
1c1759374
West Penn Allegheny Health System Inc
1c5496741
West Penn Allegheny Health System Inc
1o1284417