Kane Community Hospital

“SECTION B LINE 11 A FULL AND COMPLETE COPY OF THE 990 WAS PROVIDED TO ALL BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE IRS. LINE 12C KANE COMMUNITY HOSPITAL REQUIRES KEY EMPLOYED AND NON-EMPLOYED PERSONNEL TO COMPLY WITH ITS CONFLICT OF INTEREST POLICY WHEN THEY ENGAGE IN KANE-RELATED BUSINESS. PERSONS COVERED BY THE POLICY INCLUDE: KANE BOARD MEMBERS, BOARD COMMITTEE MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES. THESE PEOPLE ARE REQUIRED TO COMPLETE A QUESTIONNAIRE AT LEAST ANNUALLY, WHICH ALONG WITH OTHER DATA IS USED TO IDENTIFY POSSIBLE INDIVIDUAL AND INSTITUTIONAL CONFLICTS OF INTEREST. KANE DISTRIBUTES A SEPARATE TAX QUESTIONNAIRE TO OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ANNUALLY THAT SPECIFICALLY ADDRESSES DISCLOSURE REQUIREMENTS OF FORM 990. LINE 15 Through the use of UPMC's compensation practices, Kane Community Hospital has established a rigorous compensation review process for its top executives which includes review by its executive compensation committee in a process intended to satisfy the "rebuttable presumption of reasonableness" set forth in the regulations to section 4958 of the Internal Revenue Code. UPMC gives authority to those executives to establish the compensation of executives of other subsidiaries and related entities, including those of Kane Community Hospital. SECTION C LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.”

“Part iii statement of program service accomplishments kane community hospital (kch) is a 31-bed acute care hospital with icu licensed by the commonwealth of pennsylvania. Kch's active and consulting medical staff and care providers offer a broad base of primary and specialty care and services including: family and internal medicine, women's health, surgical services, 24 hour emergency room (staffed by upmc hamot physicians), center for ortho, rehab, pain with complete orthopedics, the full range of rehabilitation services (physical, occupational, and speech therapies) and pain management in one location; kch cardiac rehab, kch sleep center, upmc hamot cardiology and gastroenterology (digestive health) clinics; urology clinic; eye (cataract surgery), ent surgery, and chemotherapy at kch. Kch offers state-of-the-art diagnostic and lab services with all-digital diagnostic imaging and breast health centers. Surgical services offer a wide range of general and specialty surgical procedures, most same day. Patients requiring extended stays for skilled care such as strengthening or extensive rehabilitation may be kept as swing bed patients. The swing bed program was designed to provide the additional days of care required beyond the acute care stage of recovery, allowing patients to received skilled care at a substantial cost reduction. The kch health network is augmented by kch rehabilitation services (pt/ot/st), and kch home health care (skilled nursing, therapies, counseling, home aides, plus telehealth). Primary and specialty care and services are delivered at the hospital, at community-based clinics in kane, mt. Jewett, bradford, johnsonburg, ridgway, and sheffield, and in a three county region including mckean, elk, and warren counties. Kch is a strong partner in the communities it serves. The hospital partners with local rotary clubs for multiphasic blood screenings in kane, mt. Jewett, sheffield, and johnsonburg, and with helpmates, inc. In ridgway each year. Kch diagnostic imaging offers a wellness screens program throughout the year including cardiac scoring, vascular screening, bone density screens, mammography, lung screening, on a self-pay basis. Kch hosts hundreds of free blood pressure clinics each year in all communities served, holds flu shot clinics, hosts community fairs/expos, supports 12 community blood bank drives annually (six at the hospital and six in the community), and an annual ladies night out event with focus on women's health leading up to breast cancer awareness month. Kch's cardiac rehab & wellness center offers patients and the community a comprehensive, supervised recovery from heart events and multiple fitness and exercise options respectively. Kch has an occupational medicine program serving the corporate health needs of business and industry in the region. During fiscal year 2014 kane had 741 inpatient admissions which contributed to 3,219 inpatient days. There were 7,128 emergency department visits and kane performed 1,363 surgeries. Kane had a total of 72,514 outpatient visits during fiscal year 2014. Of the patients that kane serves over 60% are participants in the federal medicare and state medicaid programs. Kane provided more than $1.4 million in uncompensated care during fiscal year 2014. They also provided community benefit programs and services worth over $139,000 which directly benefited the communities they serve.”

“Question 7a: UPMC Hamot has the right to appoint a member to the Board of Directors of Kane Community Hospital. UPMC Hamot also has the right to approve any board member appointmnet to the Kane Community Hospital board of directors.”

“Change in Pension Liability 537,910 Merger of Subsidiary (2,816,957) Total Changes in Fund Balance (2,279,047)”

“Questions 2c: Kane Community Hospital's financials are included in the audited financials of UPMC.”