BEFORE THE INSURANCE DEPARTMENT OFTHE COMMOFIWEALTE OF PENNSYLVANIA Statement Regarding the Acquisition of Control of or Merger with Domestic Insurers; Highmark Inc.; First Priority Life Insurance Company; Inc.; Gateway Health Plan, Inc.; Highmark Casualty Insurance Company; Highmark Senior Resources Inc., HM Casualty Insurance Company; HM Health Insurance Company, d,rbla Highmark Health lnsurance Company; HM Life Insurance Company, HMO ofNortheastem Pennsylvania, Inc., d/b/a First Priority Health; Inter-County Health Plan, Inc.; Inter-County Hospitalization Plan, Inc., Keystone Health Plan West, lnc., United Concordia Companies, Inc., United Concordia Dental Plans of Pennsylvania, Inc.; T Tni+azl f-nnnnr,{iD I ifa onrl l{aelth lncrrrqnr-a (-nrnnqnv By UPE a Pennsylvania nonprofit corporation RESPONSE TO PID INFORMATION REQ{JEST 4.4.8.1 FROM THf, PENNSYLVANIA INSURANCE DEPARTMENT REQUEST 4.4.8.1: Describe community benefit programs undertaken by WPAHS and each WPAES A{filiate in the past 4 years. RESPONSE: See aftached. West Penn Allegheny Health System 30 Isabella St., Suite 300 Pittsburgh, PA 15212 wPAHS-000084 Document Divider Th community benefit information is not currently available. This information is requested, reviewed and documented as a component of the IRS Form 990 tax return. The IRS Form 990 tax return for WPAHS and all affiliates is not due until 5-15-2012. As such, at this present time we have no FY 2011. community benefit information to share. wPAHS-000085 Document Divider E t T. L v f/dtrr^un' ' r 7**r,, //'1/Fa J-rj t o WPAHS.OOOOS6 OMB No. 1545.00,17 SCHEOULEO Supplemental Information to Form 990 (Form 990) Complete to provide information for tesponses to sPecific qrtesiions on 2009 Form 990 or to provide any additlonal ifformatlon' Drpartnr€ol of the T€auty InLrnal Rgrsrra Slr,rca > Attach to Form 990. Name Ensloyor idslttifica on nunh€. WEST PENN ALLEGHENY HEA],TH SYSTEM, INC. 25-0969492 STATEMENT OF PROGRAM SERVICE ACCOMPTISHMEN?S FORM 990, PAGE 2, PART III INTRODUCTION TO WEST PENN ALLEGHENY HEALTH SYSTEM, INC. WEST PENN ALLEGHENY HEALTH SYSTEM, TNC, (WPAHS, 'INC, ) ]S PART OF THE !iEST PENN ALLEGHENY HEALTH SYSTEM (WPAHS}. ORGANIZED IN 2OOO, WPAHS (W!'W.WPAHS.ORG) IS COMPR]SED OF !{BST PENN ALIJEGHENY HEALTH SYSTEI"1. INC. (!iPAHS, INC.), ALLE-KISKI MEDICA], CENTER (AI(MC), CANONSBURG GENERA], HOSPITAL (CGH) , ALLEGHENY MEDICA], PRACTICE NETWORK (AMPN}, AILEGHENY SPECIALTY PRACTICE NETWORK (ASPN), AL],EGHENY_S ]NGER RESEARCH INSTITUTE (ASRI), IIEST PENN PHYSICIAN PRACTICE NET!{ORK (WPPPN}, WEST PENN AI,LEGHENY QNCOIQGY NETWORK (WPAON) CANONSBURG GENERAL HOSPTTAL E!4BULANCE SERVICE, INC. (CGH AMBUI,ANCE), ALLE-KISKI MEDICA], CENTER TRUST (AKMC TRUST), FoRBES HEALTH FoUNDATTON (FHF) AND THE [iEsrERN pENNSyLVANTA Hosprrdl FOUNDATION (WPHF). THIS AFFII,IATION ENSURES THAT WPATIS, INC. AREA RESIDENTS HAVE ACCESS TO A COMPLETE CONTINUUM OF HEALTH CARE SERVICES, THROUGH APPROPRIATE INTEGRATION ACROSS THE SYSTEM BOTH CLINICALLY AND OPERATIONAIIY, OUR HOSPITALS ARE ABIE TO REMAIN A HIGH QUALITY, IOW-COST PROVIDER WITH LINKAGES TO THE LATEST MEDICAI, RBSEARCH AND ADVANCED TECHNOLOGY . ,WPAHS WAS CREATED ON JANUARY 1, 2OO8 AS A RESUI,T OF THE MERGER OF WEST PENN ALLEGHENY IIEALTH SYSTEM, INC., EIN: 25-1848306 AND ALLEGHENY GENERAL HOSPITAL, EIN: 25-1322626 wrTH AND IN?O THE WESTERN PENNSYLVANIA gg0. For Privacy Acl and Paperwork Reduction Act Notice, s€e the Instructlons tor Form Schedul6 O {Fotrn 99Ol2OO9 JSA 9E1227 2 0@ 53582Y 633t4 5/5/2071 10:11:40 Al'l v 09-9.3 25-0969492 PAGE 5 WPAH5-000087 Schedule O (Fodn gg0) 2009 Nsme of th€ o(ganEalbfl EtrdoF ldediE€afon numbqr WEST PENN AU,EGHENY HEALTH SYSTEM, lNC. 25-0969492 HoSPITAL, EIN: 25-0969492. IMMEDIATELY FOLLOWING THE I'IERGER TltE WESTERN PENNSYLVANIA HOSPITAL CHANGED ITS NAME TO WEST PENN A],LEGHENY HEAITH SYSTEI,'. INC. IIEST PENN ALLEGHENY HEAITH SYSTEI,I, INC. CONSISTS OF ?HE FOLLOWING TOUR HOSPITAL CA PUSES: ALIEGHENY GENERAL HOSPITAT (WPAHS, INC. - AGC), SUBURBAN GENERAL I]OSPITAL (WPAHS. INC. _SGC), T}IE WESTERN PENNSYLVANIA HOSPITAI, - FORBES REGIONAI, CAMPUS (IIPAHS, INC, _ ERC) AND THE WESTERN PENNSYTVANIA HOSPITAI, (WPAHS. INC- - WPC). BECAUSE EACH HOSPITAI DOES NUMEROUS CHARITABIE ACTIV]TIES FOR THE COI,IMUNITIES WE SERVE, WE FEEL BEST SERVED BY PRESENTING TTE STATEMENT OF PROGRAM SERVICE ACCO!{PLI SHMENTS FOR EACH HOSPITAI SEPARATEIY. FOR THIS DISCLOSURE WE HAVE INCORPORATED THE CHARITABT,E WORK OF THE WPAHS. INC. - SGC INTO THE STATEMENT OF PROGRA!4 SERVICE ACCOMPLISHMENTS FOR IIPAHS, INC. - AGC DUE TO THE CLOSE IIORKING RELATIONSHIP BOTH HOSPITAI, CAMPUSES ENJOY. IN TOTAI,, WE WILL PRESENT THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS EOR WPAIiS, INC. - AGC, WPAHS, INC. - r{PC AND WpAItS, INC. - FRC. PURPOSE AND MISSION !iEST PENN ALLEGHENY HEAI,TH SYSTEM' INC. IS AN ORGANIZATION DEFINED BY OUR TALENTED PEOPLE. WE ARE AN ORGANIZATION CO},IMITTED TO EXCELLENCE,. AN ORGANIZATION IIITH ONE PURPOSE AND ONE MISSION. OUR PURPOSE IS TO IMPROVE THE HEAITH OF THE PEOPLE IN THE WESTERN PENNST],VANIA REGION. OUR MISS]ON IS TO PRACTICE I.IEDICINE, EDUCATE AND CONDUCT RESEARCH AS AN INTEGRATED JS-A Schldute O (Forrn 9OOl 20m sE1228 2.000 53582Y 633N 5/5/20J-r 10:11:4 0 A!'! V 09-9.3 25-0959492 PAGE 6 WPAHS-OOOO88 ErEloyof identitc.don nunber Name of the o.!€'|katFo I'EST PENN ALIEGHENY HEALTH SYSTEM, INC. 25-0969492 TEAM OF PHYSICIANS, NURSES AND SUPPORT PROFESSIONALS WHO ARE COMMITTED TO IMPROVING THE HEALTH OF OUR PATIENTS. SUPPORT OF EDUCATION THE HOSPITALS OF WPAHS, INC., ARE EXTREMELY DEDICATED TO PROVIDING EINANCIAIJ SUPPORT FOR THE EDUCATION OF HEALTHCARE PROFESSIONALS' DURING FISCAT 2010, IN ADDITION TO THE HEALTH PROFESSIONS EDUCATION ACTIVITIES HIGHTIGHTED IATER IN THIS DOCUMENT, $61,625,878 IIAS UNDER}TRITTEN BY WPA}IS, INC. IN SUPPORT OF EDUCATION. AMONG THE ACTIVIT]ES SUPPORTED WERE THE TRAINING OF MEDICAL INTERNS AND RESIDENTS, THE OPERATION OF TWO NURSING SCHOOIS AND TMINING PROGRAMS FOR STUDENTS ENROLLED IN T}IE SCHOOLS OF RESPIRATORY, RADIOLOGY AND PHAR!,IACY. WPAHS, INC. ALSO UPHO],DS AN AFFII,IATION WITH BOTH TEMPI,E UNIVERSI?Y AND THE DREXEL UNIVERSITY COIIEGE OF MEDICINE IN AN EFFORT TO ENSURE THE SOLID EDUCATION OF OUR HEAITHCARE PROFESSIONALS OF lHE FUTURE. UNCOMPENSATED CARE TO ENHANCE THE HEALTH STATUS OF THE COMMUNITY IN WHICH IT OPERATES AND CONSISTENT WITH I?S TAX-EXEMPT STATUS, WPAHS, INC. PROVIDES NEEDED HEATTH CARE SERVICES TO INDIVIDUALS REGARDLESS OF TI]EIR ABILTTY TO PAY FOR ALt OR PART OF THE SERVICES RENDERED. THESE SERV]CES INCLUDE BOTH INPATIENT AND OUTPATIENT SERVICES AS AS AN EMERGENCY ROOM THAT IS AVA]LABLE 24 'iEIL Sched||le O (Fo.rn 9g0l 2009 JSA 9E1228 2.000 53682Y 633M 5 /5 /207L 10:11:40 AM V 09-9.3 2s-0969492 PAGE ? WPAHS-000089 Sch€dub O (Fom 990) at(xl Name of the oEantabo.l E|iploter idlnlific.lton nrrmbGr WEST PENN ALTEGHENY HEALTIT SYSTEM, INC. 25-0969492 HOURS A DAY. CONSISTENT WITH THE FILING OF SCHEDULE UNCOMPENSATED CARE INCLUDE CHARITY CARE AT COST AND UNREIMBURSED MEDICAID. WPAHS, INC. PROVIDED UNCOMPENSATED CARE AT A COS? OF $37,340.].46 IN FISCAI, 2OIO BROKEN DOWN AS FOLTOWS: UNREIMBURSED MEDICAID $34,155,359 . CHARITY CARE 3,184,181 TOTAL $37,340,146 SUBSIDIZED HEALTH SERVICES SUBSIDIZED HEAITH SERVICES REPRESENT THOSE PROGRAMS PROVIDED TO THE CO}4MUNITY BY !iPAIIS, INC. DESPITE THE FACT THE HOSPITALS INCUR A FINANCIAL LOSS TO DO SO. }'PAHS, INC. RECOGNIZES TI]E NEED OF ]TS COMMUNITY AND VOLUNTARITY SUBSIDIZES THESE PROGRAMS ]N SUPPORT OT ITS CHARITABLE MISSION. AIIIONG THE SUBS]DIZED HEATTH SERVICES PROVIDED BY WPAHS, INC. IS THE OPERAT1ON OF THE EMERGENCY DEPARTMENT, LIFEFIIGHT OPERATION AND DRUG AND ALCOHOL ABUSE TREATMENT. CONSISTENT WITH THE FILING OF SCHEDULE H, WPAHS. INC. PROVIDED SUBSIDIZED HEALTH SERVICES AT A COST OF 914.854,454 rN FrscAt 201 0. INTRODUCTION TO ALLEGHENY GENERAL HOSPITAL JSA Schodule O lFolrn 9gol2000 9E1228 2 000 53682Y 6331.1 5/5/201r. 10:11 : 40 AM v 09-9. 3 25-0969492 PAGE 8 WPAHS.OOOO9O Sdredul€ O N.m. of lh€ o{ganizalion Ett|pbtlr ldardtrcaton n$ibea IIEST PENN ALLEGHENY HEA],TH SYSTEM, INC. 25-0969492 !'OUNDED IN 1885 ON PITTSBURGH'S HISTORIC NORTH S]DE, I.IEST PENN ALLEGHENY HEALTH SYSTEM, INC. - ALLEGHENY GENERAT ITOSPITAT CAMPUS (TIPAHS, INC. - AGC) HAS EARNED AN INTERNATIONAL REPUTATION FOR EXCELLENCE AND INNOVATION IN THE CARE OF PATIENTS, MEDICAL EDUCATIQN AND RESEARCH. SERVING PITTSBURGH AND THE SURROUNDING FIVE-STATE AREA, TIIE ]20 BED (COUBINED CAMPUS) ACADEMIC HEAI,TH CENTER OFTERS A WIDE ARRAY OF MEDICAL AND SURGICAL SERV]CES AS WEIT AS AN EMERGENCY ROOM OPEN 24 HOURS A DAY 7 DAYS A WEEK OPEN TO EVERYONE REGARDLESS OF THEIR ABILITY TO PAY. WPAHS, INC - AGC HAS TiI STORICA],].,Y WON AND CONTINUES TO I{IN BOTH NATIONAL AND INTERNATIONAL RECOGNITION AND AWARDS FOR ITS PROGRAMS IN NUMEROUS SPECIATTY AREAS . AS ONE OF THE LARGEST TERTIARY EACILIT]ES IN THE RBGION, THE 661 BED WPAIIS, INC. - AGC MAIN CAMPUS AND ITS 59 BED SUBURBAN CAMPUS IN NEARBY BEl,LEvuE OFFERS THE MosT ADVANCED CARE AVATTABLE IN OTHER sPEcrALTy AREAS AS WEI,],, INCLUDING COLORECTAL SURGERY, DIAGNOSTIC AND INTERVENTIONA1 RADIOLOGY, EMERGENCY MEDICINE, ENDOCRINOLOGY, GASTROENTEROI,OGY, GENERAL SURGERY, ALLERGY/IMMUNOLOGY, ANESTHESIOIOGY/PAIN MEDICINE, INTERNA], MEDICINE, BARIATRIC /WEIGHT IOSS SURGERY, MINIMALTY INVASIVE SURGERY, NEONA?OLOGY, NEPHROLOGY, GYNECOLOGY, CARDIOLOGY, CARDIOTHORACIC SURGERY, OPHTHALMOLOGY, OTORHINOLARYNGOLOGY, PEDIATRICS, PSYCHIATRY, CRITICAL CARE I.IEDICINE, INFECTIOUS DISEASE, ONCOI,OGY, PATHOJ.OGY AND LABORATORY MEDICINE, REPRODUCTIVE MEDICINE AND INFERTTLITY, VASCULAR SURGERY, UROGYNECOI,OGY. MATERNAL AND FETAI, MEDICINE, PULMONARY MEDICINE, RADIATION ONCOLOGY, RHEUMATOLOGY, TRANS PTANT SURGERY, ORAL AND MAXILLOFACIAI JSJ\ Sch.dule O (Fo.m 9901 2009 9€1226 2 0m 53682Y 633vi 5/5/207r 10:11:,10 AM V 09-9.3 25-0969492 PAGE 9 WPAHS-000091 Schedlrle O Ngm€ of thE orga.ealbn Eadoyo.ldaitlicr0 ournbe.