2023-05-15T18:12:47-05:00 2022-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-07-01 251778644 UPMC PINNACLE HOSPITALS UPMC 7172318245 PO BOX 8700 HARRISBURG PA 171058700 GREG MITSTIFER CHIEF FINANCIAL OFFICER 7172318245 2023-05-15 1 GREG MITSTIFER XXX-XX-XXXX KERRI N BOGDA CPA P00760402 7177404863 2023-05-15 X 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z LOUIS BAVERSO PO BOX 8700 HARRISBURG PA 171058700 1548332220 0 X WWW.UPMCPINNACLE.COM X 1996 PA INPATIENT AND OUTPATIENT HEALTHCARE FOR CITIZENS OF THE LOCAL & SURROUNDING COMMUNITIES. 14 9 5984 159 3298744 2001506 72633755 33348750 1224075479 1290878275 44131042 17463183 14467159 18695437 1355307435 1360385645 245396 881434 0 0 488365415 558814093 0 0 0 690255499 756793052 1178866310 1316488579 176441125 43897066 998723335 942873280 267669385 1274166186 731053950 -331292906 X UPMC PINNACLE HOSPITALS MISSION AS A CHARITABLE ORGANIZATION IS DEDICATIED TO MAINTAINING AND IMPROVING THE HEALTH AND QUALITY OF LIFE FOR ALL PERSONS OF THE CENTRAL PENNSYLVANIA AREA. 0 0 1117855532 881434 1261834616 UPMC PINNACLE HOSPITALSUPMC PINNACLE HOSPITALS OPERATES THREE HOSPITAL FACILITIES IN THE GREATER HARRISBURG AREA. UPMC PINNACLE HARRISBURG, LOCATED IN DOWNTOWN HARRISBURG, IS A FULL-SERVICE ACUTE CARE HOSPITAL WITH 422 BEDS. THE HOSPITAL SERVES AS THE HUB FOR THE UPMC PINNACLE NETWORK, PROVIDING THE MOST ADVANCED CARE TO THE RESIDENTS THROUGHOUT SOUTHCENTRAL PENNSYLVANIA.UPMC PINNACLE HARRISBURG FEATURES:- A STATE-OF-THE-ART LABOR AND DELIVERY AREA WITH A LEVEL III NEONATAL INTENSIVE CARE UNIT.- WORLD-CLASS CARDIOLOGY CARE THROUGH UPMC HEART AND VASCULAR INSTITUTE.- THE REGION'S PREMIER KIDNEY TRANSPLANT CENTER.- ADVANCED PEDIATRIC CARE WITH UPMC CHILDREN'S HARRISBURG IN PARTNERSHIP WITH NATIONALLY RECOGNIZED UPMC CHILDREN'S HOSPITAL OF PITTSBURGH.- LEADING-EDGE CARE IN NEUROSCIENCES, WOMEN'S CARE, COMPREHENSIVE STROKE CARE, AND MORE.THIS CAMPUS IS ALSO HOME TO THE ALEX GRASS MEDICAL SCIENCES BUILDING, WHICH INCLUDES:- BONE, JOINT, AND SPINE INSTITUTES- LABORATORY SERVICES- MATERNAL FETAL MEDICINE- SELECT MEDICAL REHAB SERVICESUPMC PINNACLE HARRISBURG HAS EARNED THE MAGNET DESIGNATION.RECEIVING MAGNET RECOGNITION IS ONE OF THE HIGHEST ACHIEVEMENTS A HOSPITAL CAN OBTAIN IN PROFESSIONAL NURSING.UPMC COMMUNITY OSTEOPATHIC, LOCATED IN SUBURBAN HARRISBURG, IS AN ACUTE CARE HOSPITAL LICENSED FOR 177 BEDS.UPMC COMMUNITY OSTEOPATHIC FEATURES:WORLD-CLASS CANCER CARE FROM UPMC HILLMAN CANCER CENTER HOUSED IN THE MEDICAL SCIENCES PAVILION.THE REGION'S PREMIERE ORTHOPAEDIC, BARIATRIC, AND UROLOGY CARE.UPMC COMMUNITY OSTEOPATHIC HAS ACHIEVED ITS FOURTH CONSECUTIVE MAGNET DESIGNATION FROM THE ANCC MAGNET RECOGNITION PROGRAM IN 2021.BUILT IN 2014, UPMC WEST SHORE IS A FIVE-STORY, 166-BED ACUTE-CARE HOSPITAL WITH ALL PRIVATE ROOMS LOCATED IN HAMPDEN TOWNSHIP.THE HOSPITAL FEATURES:WORLD-CLASS CANCER CARE AT THE UPMC HILLMAN CANCER CENTER.PREMIER ORTHOPAEDIC AND SPINE CARE AT UPMC ORTHOPAEDIC CARE LOCATIONS IN CENTRAL PA.THE REGION'S LEADING THORACIC CARE.A MULTI-SPECIALTY OUTPATIENT CENTER THAT INCLUDES A VARIETY OF OUTPATIENT PRACTICES.UPMC WEST SHORE HAS ACHIEVED ITS SECOND CONSECUTIVE MAGNET DESIGNATION FROM THE ANCC MAGNET RECOGNITION PROGRAM IN 2021. THE ORGANIZATION'S MISSION IS TO SERVE OUR COMMUNITY BY PROVIDING OUTSTANDING PATIENT CARE AND TO SHAPE TOMORROW'S HEALTH SYSTEM THROUGH CLINICAL AND TECHNOLOGICAL INNOVATION, RESEARCH, AND EDUCATION. UPMC WILL LEAD THE TRANSFORMATION OF HEALTH CARE. THE UPMC MODEL WILL BE NATIONALLY RECOGNIZED FOR REDEFINING HEALTH CARE BY:- PUTTING OUR PATIENTS, HEALTH PLAN MEMBERS, EMPLOYEES, AND COMMUNITY AT THE CENTER OF EVERYTHING WE DO AND CREATING A MODEL THAT ENSURES THAT EVERY PATIENT GETS THE RIGHT CARE, IN THE RIGHT WAY, AT THE RIGHT TIME, EVERY TIME.- HARNESSING OUR INTEGRATED CAPABILITIES TO DELIVER BOTH SUPERB STATE-OF-THE-ART CARE TO OUR PATIENTS AND HIGH VALUE TO OUR STAKEHOLDERS.- EMPLOYING OUR PARTNERSHIP WITH THE UNIVERSITY OF PITTSBURGH TO ADVANCE THE UNDERSTANDING OF DISEASE, ITS PREVENTION, TREATMENT AND CURE.- SERVING THE UNDERSERVED AND DISADVANTAGED, AND ADVANCING EXCELLENCE AND INNOVATION THROUGHOUT HEALTH CARE.- FUELING THE DEVELOPMENT OF NEW BUSINESSES GLOBALLY THAT ARE CONSISTENT WITH OUR MISSION AS AN ONGOING CATALYST AND DRIVER OF ECONOMIC DEVELOPMENT FOR THE BENEFIT OF THE RESIDENTS OF THE REGION.COMMUNITY HEALTH IMPROVEMENT SERVICESTAKING HEALTH CARE BEYOND THE DOORS OF ITS HOSPITALS, CLINICS, AND OFFICES, AND BRINGING IT INTO THE REGION'S TOWNS, SCHOOLS AND WORKPLACES, UPMC PINNACLE IS HELPING CREATE HEALTHIER COMMUNITIES ACROSS CENTRAL PENNSYLVANIA. THROUGH ITS CHARITABLE GIVING AND COMMUNITY INITIATIVES, UPMC PINNACLE IS MAKING A DIFFERENCE IN THE HEALTH AND WELL-BEING OF ITS NEIGHBORS. FROM PUBLIC HEALTH AND WELLNESS INITIATIVES TO SCHOOL HEALTH SCREENINGS, INSURANCE ENROLLMENT HELP, HOME-VISIT PROGRAMS, CHARITY CARE, AND FREE HEALTH CLASSES, UPMC PINNACLE PROVIDES BENEFITS TO THE COMMUNITY. - UPMC PINNACLE OFFERS A VARIETY OF FREE COMMUNITY PROGRAMS THAT ARE MAKING A DIFFERENCE IN THE LIVES OF CENTRAL PENNSYLVANIANS EVERY DAY, INCLUDING:- MAMMOGRAM VOUCHER PROGRAM (MVP) - UPMC PINNACLE PROVIDES WOMEN IN OUR COMMUNITY WHO ARE UNINSURED OR UNDERINSURED ACCESS TO FREE, POTENTIALLY LIFE-SAVING MAMMOGRAMS.- EAT SMART PLAY SMART (ESPS) - THIS IS A FUN-FILLED EIGHT-WEEK WELLNESS PROGRAM THAT TEACHES YOUTH AGES 3-19 YEARS OLD ABOUT FITNESS, NUTRITION, AND MENTAL HEALTH TOPICS.- THE ENERGY PACK PROGRAM - THIS PROGRAM HELPS CHILDREN IN LOW-INCOME FAMILIES MEET THEIR NUTRITIONAL NEEDS DURING WEEKENDS AND HOLIDAY BREAKS. EACH WEEKEND OR HOLIDAY, PARTICIPATING CHILDREN RECEIVE A BACKPACK FILLED WITH NUTRITIOUS FOODS TO HELP THEM AVOID HUNGER AND STAY HEALTHY.- CENTER FOR ADDICTION RECOVERY - HELPING INDIVIDUALS WHO SUFFER FROM OPIOID OR ALCOHOL ADDICTION, UPMC PINNACLE OFFERS A PLACE TO GO FOR ASSISTANCE, SUPPORT AND MEDICAL TREATMENT.- SMILES - WORKING IN PARTNERSHIP WITH THE HARRISBURG AREA DENTAL SOCIETY, UPMC PINNACLE PROVIDES ACCESS TO URGENT DENTAL CARE FOR UNDERINSURED OR UNINSURED PATIENTS.- NURSE-FAMILY PARTNERSHIP (NFP) - THIS PROGRAM PROVIDES CRITICAL MEDICAL AND SOCIAL SUPPORT TO LOW-INCOME, FIRST-TIME MOTHERS DURING THEIR PREGNANCIES AND THE FIRST YEARS OF THEIR CHILD'S LIFE.- CHILDREN'S RESOURCE CENTER (CRC) - PROVIDING A SAFE, CHILD-FRIENDLY ENVIRONMENT FOR CHILDREN SUSPECTED OF HAVING BEEN ABUSED OR NEGLECTED, THE CRC IS A CHILD ADVOCACY CENTER DEDICATED TO REDUCING THE TRAUMA AND AFTERMATH OF ABUSE FOR CHILDREN AND THEIR FAMILIES.- REACCH PROGRAM - THE RESOURCES, EDUCATION, AND COMPREHENSIVE CARE FOR HIV PROGRAM OFFERS FREE AND CONFIDENTIAL HIV TESTING AS WELL AS PRIMARY HIV CARE FOR MEN, WOMEN, AND ADOLESCENTS. ITS ADDITIONAL RESOURCES INCLUDE MEDICAL, DENTAL, NUTRITIONAL, MENTAL HEALTH, AND SOCIAL SERVICES, AND ARE AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY OR INSURANCE STATUS.- DIABETES EDUCATION FOR DISPARATE POPULATIONS: TO PROVIDE CULTURALLY AND ECONOMICALLY APPROPRIATE EDUCATION THAT ENABLES PERSONS WITH DIABETES TO BETTER MANAGE THEIR DISEASE.- SUPPORT GROUPS ARE OFFERED FREE OF CHARGE TO HELP PEOPLE UNDERSTAND AND COPE WITH PARTICULAR PROBLEMS OR ILLNESSES. THEY INCLUDE DIABETES, BEREAVEMENT, CAREGIVER, TRANSPLANT, AND HEART DISEASE.- CHILDREN'S HEALTH FAIR, CONFERENCES AND LECTURES PROVIDE INFORMATION ON HEALTHY LIFESTYLES AND HEALTH CAREER SESSIONS, YOUTH HEALTH SCREENINGS, YOUTH OBESITY PREVENTION, CHILD ABUSE AWARENESS/PREVENTION AND LITERACY PROGRAMS FOR CHILDREN.COMMUNITY HEALTH EDUCATION AND SUPPORTAS ONE OF THE LARGEST PROVIDERS OF HEALTHCARE SERVICES IN THE STATE OF PENNSYLVANIA, UPMC PINNACLE HOSPITALS OFFER A VARIETY OF CLINICAL, EDUCATIONAL AND SUPPORT SERVICES FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. INCLUDED IN THESE PROGRAMS ARE:- COMMUNITY LECTURES ON A VARIETY OF TOPICS, INCLUDING CARDIOVASCULAR HEALTH, HIV/AIDS, SPORTS MEDICINE, ETHICS, AND END-OF-LIFE PLANNING.- TOBACCO CESSATION EDUCATION IN CLINICS AND THROUGHOUT THE COMMUNITY.- HEALTH EDUCATION STORIES IN THE NEWSPAPER, ON TELEVISION, ON RADIO AND HOSPITAL NEWSLETTER.- CLERGY ARE AVAILABLE TO PATIENTS AND FAMILY MEMBERS TWENTY-FOUR HOURS A DAY. VOLUNTEER CHAPLAINS PROVIDE BASIC SPIRITUAL SUPPORT, I.E., PRAY WITH PATIENT, READ SCRIPTURE AND PROVIDE SPIRITUAL RESOURCES, SUCH AS ROSARIES, CROSSES AND RELIGIOUS BOOKS. STAFF CHAPLAINS VISIT WITH PATIENTS AND FAMILIES WHEN THERE IS A CRISIS SITUATION, WHEN THERE ARE ETHICAL/MORAL DILEMMAS, AND WHEN THE PATIENT IS EXPERIENCING GRIEF, ANXIETY, DEPRESSION, LONELINESS OR PERSONAL ISSUES.- UPMC PINNACLE CANCER CENTER'S BOARD-CERTIFIED SURGEONS AND MEDICAL ONCOLOGISTS ATTACK ALL TYPES OF CANCER, SUPPORTED BY A TEAM OF PHARMACISTS, SOCIAL WORKERS, REHABILITATION AND PAIN MANAGEMENT SPECIALISTS, EACH WITH A UNIQUE AWARENESS OF PATIENT NEEDS.- THE HEART FAILURE CENTER WAS DEVELOPED IN AN EFFORT TO PROVIDE PATIENTS SUFFERING FROM HEART FAILURE WITH AN ALTERNATIVE TO FREQUENT HOSPITALIZATIONS. OUR TEAM OF EXPERIENCED HEALTHCARE PROFESSIONALS ASSISTS PATIENTS IN LEARNING THE SKILLS NEEDED TO HELP SELF-MANAGE THEIR CHRONIC ILLNESS.- THE SPINE INSTITUTE COMBINES THE EXPERTISE OF NEUROSURGEONS, ORTHOPEDIC SURGEONS, PSYCHIATRISTS, NEUROLOGISTS, PAIN MANAGEMENT SPECIALISTS, NURSES, IMAGING SERVICES AND REHABILITATION SERVICES TO TARGET EVERY PATIENT'S PARTICULAR PROBLEM AND PROVIDE OPTIMAL TREATMENT.- BUS PASSES OR TAXI FEES ARE PROVIDED TO PATIENTS AND FAMILIES MEETING THE ORGANIZATION'S FINANCIAL ASSISTANCE GUIDELINES TO ENHANCE PATIENT ACCESS TO CARE.- RESIDENT PHYSICIAN TRAINING PROGRAMS FOR ORTHOPEDIC SURGERY, INTERNAL MEDICINE, GENERAL SURGERY, PODIATRY, AND FAMILY PRACTICE. FELLOWSHIP PROGRAMS FOR SPORTS MEDICINE AND MATERNAL FETAL MEDICINE. 27818880 0 27747421 UPMC PINNACLE EMERGENCY DEPARTMENTPINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES, LLC IS A TAX EXEMPT, NON-PROFIT CORPORATION ENGAGED IN PROVIDING PROFESSIONAL SERVICES IN EMERGENCY MEDICINE.EMERGENCY SERVICESTWENTY-FOUR HOUR MEDICAL EMERGENCY SERVICE IS PROVIDED IN THREE EMERGENCY DEPARTMENTS, (HARRISBURG HOSPITAL, COMMUNITY GENERAL HOSPITAL, AND WEST SHORE HOSPITAL) STAFFED BY PHYSICIANS AND NURSES SPECIALIZING IN EMERGENCY MEDICINE AND SUPPORT PERSONNEL. SERVICES ARE OPEN TO ALL PERSONS WITHOUT REGARD TO AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, HANDICAP OR ABILITY TO PAY. MEDICAL COVERAGE IS GIVEN FOR COMMUNITY SPORTING EVENTS. CPR TRAINING PROGRAMS ARE OFFERED TO COMMUNITY GROUPS AND ORGANIZATIONS. TWENTY-FOUR HOUR EMERGENCY MEDICAL COMMAND IS PROVIDED FOR THE TRI-COUNTY AREA.DURING FISCAL YEAR 2022, UPMC PINNACLE HOSPITALS PROVIDED EMERGENCY CARE TO OVER 122,000 PATIENTS IN ITS THREE EMERGENCY DEPARTMENTS. 1145674412 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 X 0 0 5984 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X GREG MITSTIFER CHIEF FINANCIAL OFF 7172318032 PO BOX 8700 HARRISBURG PA 171058700 DOUGLAS NEIDICH BOARD CHAIR 1.00 4.00 X X 0 0 0 MARK GLESSNER BOARD VICE CHAIR 1.00 4.00 X X 0 0 0 YVONNE HOLLINS DIRECTOR 1.00 1.00 X 0 0 0 CAROLYN KREAMER PHD DIRECTOR 1.00 1.00 X 0 0 0 THOMAS NICHOLSON MD DIRECTOR/SURGEON 1.00 40.00 X 0 688193 30554 KENNETH OKEN MD DIRECTOR/PHYSICIAN - OB/GYN 1.00 40.00 X 0 521984 29596 SENGHOR MANNS DIRECTOR 1.00 1.00 X 0 0 0 KATHLEEN PAVELKO DIRECTOR 1.00 1.00 X 0 0 0 BARRY SCHOCH DIRECTOR 1.00 1.00 X 0 0 0 JONATHAN VIPOND III ESQ DIRECTOR 1.00 1.00 X 0 0 0 PHILIP GUARNESCHELLI PRESIDENT AND CEO 10.00 31.00 X X 0 1391435 63286 WILLIAM BACHINSKY MD DIRECTOR 1.00 40.00 X 0 730784 27352 JOHN MANTIONE MD DIRECTOR 1.00 40.00 X X 0 24077 1926 JULIE TROGNER DIRECTOR 1.00 1.00 X 0 0 0 ALISON BERNHARDT VP & CFO/TREASURER 5.00 36.00 X 0 510631 34755 AMANDA MORGAN ASSISTANT TREASURER 10.00 31.00 X 0 209476 36906 CHRISTINE MILLER ESQ SECRETARY/ASSOC. COUNSEL 10.00 31.00 X 0 268004 64622 CHRISTINE BIENAIME ASSISTANT SECRETARY (R 4/22) 10.00 31.00 X 0 94857 6013 SUNIL PATEL MD PEDIATRIC CARDIOLOGIST 40.00 0.00 X 726705 0 51126 HAROLD YANG MD TRANSPLANT SURGEON 40.00 0.00 X 558155 0 54495 VIJAY MENON MD TRANSPLANT SURGEON 40.00 0.00 X 510878 0 14902 DANIELLE LADIE MD TRANSPLANT SURGEON 40.00 0.00 X 484337 0 32452 SUSAN COMP CHIEF NURSING OFFICER, UPMC PINNACLE 40.00 0.00 X 463000 0 25353 CHRISTOPHER P MARKLEY ESQ FMR SEC'Y/SR VP/GENERAL COUNSEL 5.00 36.00 X 0 427104 45399 2743075 4866545 518737 446 1 1 0 RIVERSIDE ANESTHESIA ASSOCIATES LTD 1 RUTHERFORD ROAD STE 101 HARRISBURG PA 17109 PHYS. ANESTH. SVCS. 16130238 ARAMARK SERVICES INC 1101 MARKET ST PHILADELPHIA PA 19107 FOOD AND EVS SERVICES 11524243 QUEST DIAGNOSTICS VENTURE LLC 12436 COLLECTIONS CENTER DR CHICAGO IL 60693 LAB SERVICES 8717299 QUANTUM IMAGING AND THERAPEUTIC ASSOCIAT 629 D LOWTHER RD LEWISBERRY PA 17339 IMAGING SERVICES 4293859 VELOSOURCE LLC 20 S SARAH ST SAINT LEWIS MO 63108 MEDICAL STAFFING SERVICES 3734612 30 2913664 19506362 10928724 33348750 PATIENT REVENUE, NET 621500 1280161296 1278865058 1296238 QUALITY PMT - CJR 900099 4817176 4817176 CONTRACTED MEDICAL SERVICES 621990 2951672 2951672 RETAIL PHARMACY 900099 2948131 2948131 1290878275 3937129 2002506 1934623 17838272 11989461 5848811 5848811 5848811 189446612 36556 175950767 6347 13495845 30209 13526054 13526054 QUALITY INCENTIVE INCOME 900099 8754497 8754497 CAFETERIA SALES 900099 1532272 1532272 MEDICAL EDUCATION 900099 868818 868818 1691039 1691039 12846626 1360385645 1289582037 3298744 34156114 X 881434 881434 463058392 430644305 32414087 14279631 13280057 999574 54377298 50570887 3806411 27098772 25201858 1896914 82904804 7536 82897268 1359608 693400 666208 1391322 1391322 238483696 222693741 15789955 58096 48801 9295 1306856 940936 365920 25628697 17940088 7688609 42814641 31254688 11559953 795193 580491 214702 147898 134587 13311 1061891 796418 265473 33979286 29222186 4757100 40811 38362 2449 MEDICAL SUPPLIES 137201431 137201431 PHARMACY 106228613 106228613 BAD DEBT EXPENSE 35021587 35021587 PREMIUM TAX 20929078 17999007 2930071 27439544 24293999 3145545 1316488579 1145674412 170814167 0 2700 8050 3531784 539933 120722322 105150642 990283 1076683 7642982 9735928 32844565 16587650 787530025 253867894 494730517 533662131 318552061 256794582 19697664 19309224 8457 8457 998723335 942873280 123437249 57041280 4117144 27302743 26697266 116929393 1186310496 267669385 1274166186 X 687381550 -374071263 43672400 42778357 731053950 -331292906 998723335 942873280 X 43897066 -30861429 -1075382493 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6098976 420293 382267 117185 6019817 6410839 133000 353468 91395 6098976 7949635 64719 1508593 94922 6410839 7683993 583601 -317959 7949635 7488199 195794 7683993 0.00000 1.00000 0.00000 0 0 41017138 41017138 408708849 84712585 323996264 10363757 6892027 3471730 261986950 162263282 99723668 65453331 65453331 533662131 OTHER LONG TERM LIABILITIES 40157153 DUE TO EXEMPT AFFILIATES 1142809694 MALPRACTICE LOSS RESERVE 3343649 1186310496 X PART V, LINE 4: "UPMC PINNACLE'S ENDOWMENT FUND IS COMPRISED OF INVESTMENTS HELD IN TRUST THAT HAVE BEEN EITHER DONATED OR RECEIVED AS A TESTAMENTARY TRUST FROM A GRANTOR'S WILL, WHERE THE HOSPITAL IS THE BENEFICIARY OF THE TRUST INSTRUMENT. THE UNDERLYING SECURITIES IN EACH TRUST ARE TYPICALLY INDIVIDUALLY OWNED FIXED INCOME OR EQUITY SECURITIES OR MUTUAL FUNDS WHICH ARE INVESTED IN FIXED INCOME OR EQUITY SECURITIES. THE TRUSTEE OF EACH TRUST IS RESPONSIBLE FOR MANAGING AND INVESTING THE ASSETS IN ACCORDANCE WITH THE TRUST ARRANGEMENT." PART X, LINE 2: AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED UPMC SYSTEM LEVEL ONLY, INCLUDING UPMC AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARIES. TAX BENEFITS ARE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. SUCH TAX POSITIONS ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON ULTIMATE SETTLEMENT WITH THE TAX AUTHORITIES ASSUMING FULL KNOWLEDGE OF THE POSITION AND ALL RELEVANT FACTS. AS OF JUNE 30, 2022, UPMC DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS RECORDED. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 9815563 9815563 0.00770 180106125 113577874 66528251 0.05190 189921688 113577874 76343814 0.05960 13490606 5482570 8008036 0.00620 59291 59291 0.00000 1123434 1123434 0.00090 14673331 5482570 9190761 0.00710 204595019 119060444 85534575 0.06670 1 9136433 1187736 391632880 590864946 -199232066 X 1 1 1 WEST SHORE SURGERY CENTER LTD SURGICAL CARE - MEDICAL SERVICES 0.45000 0.00000 0.53000 2 SUSQUEHANNA VALLEY SURGERY CENTER SURGICAL CARE - MEDICAL SERVICES 0.50000 0.00000 0.50000 3 1 UPMC PINNACLE HARRISBURG 111 SOUTH FRONT STREET HARRISBURG PA 17101 HTTPS://WWW.UPMC.COM/CAMPAIGNS/SOUTHCE 340601 X X X X X 2 UPMC PINNACLE COMMUNITY GENERAL OSTEOPATHIC 4300 LONDONDERRY ROAD HARRISBURG PA 17109 HTTPS://WWW.UPMC.COM/CAMPAIGNS/SOUTHCE 340601 X X X X X 3 UPMC PINNACLE WEST SHORE 1995 TECHNOLOGY PARKWAY MECHANICSBURG PA 17050 HTTPS://WWW.UPMC.COM/CAMPAIGNS/SOUTHCE 340601 X X X X X UPMC PINNACLE HARRISBURG 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE PART V SUPPLEMENTAL INFORMATION X 1 21 1 SEE PART V SUPPLEMENTAL INFORMATION 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X WWW.UPMC.COM X WWW.UPMC.COM X WWW.UPMC.COM X X X X X X 1 X 0 1 X 0 0 UPMC PINNACLE COMMUNITY GENERAL OSTEOPAT 2 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE PART V SUPPLEMENTAL INFORMATION X 1 21 1 SEE PART V SUPPLEMENTAL INFORMATION 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X WWW.UPMC.COM X WWW.UPMC.COM X WWW.UPMC.COM X X X X X X 1 X 0 1 X 0 0 UPMC PINNACLE WEST SHORE 3 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE PART V SUPPLEMENTAL INFORMATION X 1 21 1 SEE PART V SUPPLEMENTAL INFORMATION 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X WWW.UPMC.COM X WWW.UPMC.COM X WWW.UPMC.COM X X X X X X 1 X 0 1 X 0 0 UPMC PINNACLE HARRISBURG PART V, SECTION B, LINE 5: UPMC'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED A PARTNERSHIP WITH EXPERTS AT THE UNIVERSITY OF PITTSBURGH SCHOOL OF PUBLIC HEALTH TO CONDUCT THE CHNA USING A BEST-PRACTICE METHODOLOGY. THE ASSESSMENT BLENDED ANALYSIS OF DOCUMENTED HEALTH AND SOCIOECONOMIC FACTORS WITH A STRUCTURED, COMMUNITY INPUT SURVEY PROCESS. EFFECTIVELY ENGAGING THE COMMUNITY IN A BROAD, SYSTEMATIC WAY, THE SURVEY SOLICITED FEEDBACK FROM COMMUNITY ADVISORY PANELS COMPOSED OF LEADERS OF ORGANIZATIONS THAT REPRESENT PATIENT CONSTITUENCIES, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND CHRONICALLY ILL POPULATIONS WITHIN THE HOSPITAL'S COMMUNITY. UPMC INVITED NEARLY 3,000 STAKEHOLDERS TO HELP IDENTIFY THEIR COMMUNITY'S MOST PRESSING HEALTH NEEDS. APPENDIX C OF EACH HOSPITAL CHNA REPORT INCLUDES A LIST OF COMMUNITY PARTICIPANTS. UPMC PINNACLE COMMUNITY GENERAL OSTEOPATHIC PART V, SECTION B, LINE 5: UPMC'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED A PARTNERSHIP WITH EXPERTS AT THE UNIVERSITY OF PITTSBURGH SCHOOL OF PUBLIC HEALTH TO CONDUCT THE CHNA USING A BEST-PRACTICE METHODOLOGY. THE ASSESSMENT BLENDED ANALYSIS OF DOCUMENTED HEALTH AND SOCIOECONOMIC FACTORS WITH A STRUCTURED, COMMUNITY INPUT SURVEY PROCESS. EFFECTIVELY ENGAGING THE COMMUNITY IN A BROAD, SYSTEMATIC WAY, THE SURVEY SOLICITED FEEDBACK FROM COMMUNITY ADVISORY PANELS COMPOSED OF LEADERS OF ORGANIZATIONS THAT REPRESENT PATIENT CONSTITUENCIES, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND CHRONICALLY ILL POPULATIONS WITHIN THE HOSPITAL'S COMMUNITY. UPMC INVITED NEARLY 3,000 STAKEHOLDERS TO HELP IDENTIFY THEIR COMMUNITY'S MOST PRESSING HEALTH NEEDS. APPENDIX C OF EACH HOSPITAL CHNA REPORT INCLUDES A LIST OF COMMUNITY PARTICIPANTS. UPMC PINNACLE WEST SHORE PART V, SECTION B, LINE 5: UPMC'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED A PARTNERSHIP WITH EXPERTS AT THE UNIVERSITY OF PITTSBURGH SCHOOL OF PUBLIC HEALTH TO CONDUCT THE CHNA USING A BEST-PRACTICE METHODOLOGY. THE ASSESSMENT BLENDED ANALYSIS OF DOCUMENTED HEALTH AND SOCIOECONOMIC FACTORS WITH A STRUCTURED, COMMUNITY INPUT SURVEY PROCESS. EFFECTIVELY ENGAGING THE COMMUNITY IN A BROAD, SYSTEMATIC WAY, THE SURVEY SOLICITED FEEDBACK FROM COMMUNITY ADVISORY PANELS COMPOSED OF LEADERS OF ORGANIZATIONS THAT REPRESENT PATIENT CONSTITUENCIES, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND CHRONICALLY ILL POPULATIONS WITHIN THE HOSPITAL'S COMMUNITY. UPMC INVITED NEARLY 3,000 STAKEHOLDERS TO HELP IDENTIFY THEIR COMMUNITY'S MOST PRESSING HEALTH NEEDS. APPENDIX C OF EACH HOSPITAL CHNA REPORT INCLUDES A LIST OF COMMUNITY PARTICIPANTS. UPMC PINNACLE HARRISBURG PART V, SECTION B, LINE 6A: IN JUNE 2022, THE HOSPITAL FACILITY COMPLETED JOINT CHNAS AS FOLLOWS:CUMBERLAND, DAUPHIN, LANCASTER, AND YORK COUNTY HOSPITALS: UPMC CARLISLE, UPMC HANOVER, UPMC MEMORIAL, UPMC LITITZ, AND UPMC PINNACLE HOSPITALS: INCLUDING UPMC COMMUNITY OSTEOPATHIC, UPMC HARRISBURG, AND UPMC WEST SHORE. UPMC PINNACLE COMMUNITY GENERAL OSTEOPATHIC PART V, SECTION B, LINE 6A: IN JUNE 2022, THE HOSPITAL FACILITY COMPLETED JOINT CHNAS AS FOLLOWS:CUMBERLAND, DAUPHIN, LANCASTER, AND YORK COUNTY HOSPITALS: UPMC CARLISLE, UPMC HANOVER, UPMC MEMORIAL, UPMC LITITZ, AND UPMC PINNACLE HOSPITALS: INCLUDING UPMC COMMUNITY OSTEOPATHIC, UPMC HARRISBURG, AND UPMC WEST SHORE. UPMC PINNACLE WEST SHORE PART V, SECTION B, LINE 6A: IN JUNE 2022, THE HOSPITAL FACILITY COMPLETED JOINT CHNAS AS FOLLOWS:CUMBERLAND, DAUPHIN, LANCASTER, AND YORK COUNTY HOSPITALS: UPMC CARLISLE, UPMC HANOVER, UPMC MEMORIAL, UPMC LITITZ, AND UPMC PINNACLE HOSPITALS: INCLUDING UPMC COMMUNITY OSTEOPATHIC, UPMC HARRISBURG, AND UPMC WEST SHORE. UPMC PINNACLE HARRISBURG PART V, SECTION B, LINE 11: THROUGH A RIGOROUS CHNA METHODOLOGY, UPMC HOSPITALS IN CENTRAL PENNSYLVANIA IDENTIFIED THREE MAJOR THEMES REPRESENTING THE SIGNIFICANT HEALTH NEEDS IN THEIR COMMUNITIES: BEHAVIORAL HEALTH, ACCESS TO CARE AND NAVIGATING RESOURCES, AND PREVENTION AND COMMUNITY-WIDE HEALTHY LIVING. THE HOSPITALS DEVELOPED STRATEGIC IMPLEMENTATION PLANS TO ADDRESS THESE ISSUES, AS OUTLINED IN THEIR CHNA DOCUMENTS AND COMMUNITY HEALTH STRATEGIC PLANS-SEE SECTION IV OF EACH CHNA REPORT.WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/PAGES/COMMUNITY-HEALTH-NEEDS ASSESSMENT.ASPX UPMC PINNACLE COMMUNITY GENERAL OSTEOPATHIC PART V, SECTION B, LINE 11: THROUGH A RIGOROUS CHNA METHODOLOGY, UPMC HOSPITALS IN CENTRAL PENNSYLVANIA IDENTIFIED THREE MAJOR THEMES REPRESENTING THE SIGNIFICANT HEALTH NEEDS IN THEIR COMMUNITIES: BEHAVIORAL HEALTH, ACCESS TO CARE AND NAVIGATING RESOURCES, AND PREVENTION AND COMMUNITY-WIDE HEALTHY LIVING. THE HOSPITALS DEVELOPED STRATEGIC IMPLEMENTATION PLANS TO ADDRESS THESE ISSUES, AS OUTLINED IN THEIR CHNA DOCUMENTS AND COMMUNITY HEALTH STRATEGIC PLANS-SEE SECTION IV OF EACH CHNA REPORT.WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/PAGES/COMMUNITY-HEALTH-NEEDS ASSESSMENT.ASPX UPMC PINNACLE WEST SHORE PART V, SECTION B, LINE 11: THROUGH A RIGOROUS CHNA METHODOLOGY, UPMC HOSPITALS IN CENTRAL PENNSYLVANIA IDENTIFIED THREE MAJOR THEMES REPRESENTING THE SIGNIFICANT HEALTH NEEDS IN THEIR COMMUNITIES: BEHAVIORAL HEALTH, ACCESS TO CARE AND NAVIGATING RESOURCES, AND PREVENTION AND COMMUNITY-WIDE HEALTHY LIVING. THE HOSPITALS DEVELOPED STRATEGIC IMPLEMENTATION PLANS TO ADDRESS THESE ISSUES, AS OUTLINED IN THEIR CHNA DOCUMENTS AND COMMUNITY HEALTH STRATEGIC PLANS-SEE SECTION IV OF EACH CHNA REPORT.WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/PAGES/COMMUNITY-HEALTH-NEEDS ASSESSMENT.ASPX UPMC PINNACLE HARRISBURG PART V, SECTION B, LINE 15E: IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO: HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR. UPMC PINNACLE COMMUNITY GENERAL OSTEOPATHIC PART V, SECTION B, LINE 15E: IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO: HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR. UPMC PINNACLE WEST SHORE PART V, SECTION B, LINE 15E: IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO: HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR. PART V, SECTION B, LINE 7A: HTTP://WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/PAGES/COMMUNITY-HEALTH NEEDSASSESSMENT.ASPX PART V, SECTION B, LINE 10A: HTTP://WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/PAGES/COMMUNITY-HEALTH-NEEDSASSESSMENT.ASPX PART V, SECTION B, LINES 19 & 20: UPMC'S POLICIES DO NOT PERMIT HOSPITAL FACILITIES OR ANY OTHER AUTHORIZED PARTIES TO ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS UNDER ANY CIRCUMSTANCES. THEREFORE, LINE 20 HAS BEEN LEFT BLANK SINCE IT IS NOT APPLICABLE AND UPMC BELIEVES IT WOULD BE MISLEADING TO CHECK ANY OF THE BOXES. 3 1 - PINNACLE HEALTH EMERGENCY DEPARTMENT 111 SOUTH FRONT STREET HARRISBURG PA 17101 EMERGENCY MEDICAL SERVICES 2 - SUSQUEHANNA VALLEY SURGERY CENTER LLC 4310 LONDONDERRY ROAD SUITE 1 HARRISBURG PA 17109 SURGICAL CARE - MEDICAL SERVICES 3 - WEST SHORE SURGERY CENTER LTD 2015 TECHNOLOGY PARKWAY MECHANICSBURG PA 17050 SURGICAL CARE - MEDICAL SERVICES PART I, LINE 6A: UPMC HARRISBURG HOSPITALS PREPARES AN ANNUAL COMMUNITY BENEFITS REPORT; THE REPORT ENCOMPASSES INFORMATION FOR THE ENTIRE INTEGRATED DELIVERY AND FINANCING SYSTEMS (IDFS) THAT MAKES UP THE UPMC HEALTH SYSTEM. IT IS POSTED AND AVAILABLE TO THE PUBLIC VIA THE UPMC WEBSITE, WWW.UPMC.COM PART I, LINE 7: THE COSTING METHODOLOGY USED TO CALCULATE AMOUNTS REPORTED IN PART I LINE 7 IS A RATIO OF COST TO CHARGES METHOD. THE METHOD EMPLOYED FOR DETERMINING THE RATIO OF COST TO CHARGES IS IN LINE WITH THOSE DESCRIBED IN SCHEDULE H, WORKSHEET 2 "RATIO OF PATIENT COSTS TO CHARGES". PART I, LN 7 COL(F): THE TOTAL EXPENSES REPORTED ON FORM 990 PART IX LINE 25 COLUMN A INCLUDES BAD DEBT EXPENSE. THE EXPENSE USED TO CALCULATE THE PERCENT OF TOTAL EXPENSE FOR FORM 990 SCHEDULE H PART I LINE 7 COLUMN F ARE THE TOTAL EXPENSES FROM FORM 990 PART IX NET OF BAD DEBT EXPENSE.THE TOTAL EXPENSES USED FOR THIS CALCULATION NET OF BAD DEBT EXPENSE IS $1,281,466,992. PART II, COMMUNITY BUILDING ACTIVITIES: SEE EXPLANATION AT THE END OF PART VI. PART III, LINE 2: COSTING METHODOLOGY USED TO DETERMINE THE AMTS REPORTED IN PT III LINE 2 & 3:THE COSTING METHOD USED TO CALCULATE THE AMOUNTS IN SCHEDULE H PART III LINES 2 AND 3 IS A RATIO OF COST TO CHARGES METHOD. DISCOUNTS AND PAYMENTS IN PATIENTS' ACCOUNTS ARE DEDUCTED BEFORE THE COST OF BAD DEBT EXPENSE IS DETERMINED. THE METHOD EMPLOYED IS IN LINE WITH THOSEDESCRIBED IN SCHEDULE H, WORKSHEET 2, "RATIO OF PATIENT COSTS TO CHARGES". PART III, LINE 3: RATIONALE FOR INCLUDING BAD DEBT AMOUNTS IN COMMUNITY BENEFITTHE ORGANIZATION'S BAD DEBT EXPENSE CONSISTS SOLELY OF SELF-PAY PATIENTS ACCOUNTS DEEMED UNCOLLECTABLE. IT IS UPMC GROUP'S CONTENTION THAT THE COST OF BAD DEBT SHOULD BE STATED IN PART I LINE 7 OF SCHEDULE H AS THEY REPRESENT THE COSTS FOR PROVISION OF SERVICES TO PATIENTS FOR WHICH THE ENTITY HAS EXHAUSTED ALL RECOURSE FOR REIMBURSEMENT. THE SERVICES PROVIDED TO PATIENTS WHO PRESENT THEMSELVES ARE PROVIDED REGARDLESS OF A PATIENT'S ABILITY TO PAY AND IS IN LINE WITH THE ORGANIZATION'S CHARITABLE MISSION AND SERVICE TO OUR COMMUNITY. THESE EXPENSES ARE INCURRED REGARDLESS OF THE EFFICIENCY OF THE PROVISION OF THE RELATED MEDICAL CARE AND ARE DEEMED TO HAVE BEEN MEDICALLY NECESSARY FOR THE PATIENT. PART III, LINE 4: THE FINANCIAL STATEMENTS DO NOT HAVE A SPECIFIC NOTE ON BAD DEBT EXPENSE; RATHER THE FINANCIAL STATEMENTS EVALUATE BAD DEBTS ON ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARETHE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE IS A RATIO OF COSTS TO CHARGES METHOD. THE METHOD IS IN LINE WITH THOSE DESCRIBED IN SCHEDULE H, WORKSHEET 2, "RATIO OF PATIENT COSTS TO CHARGES". IT IS UPMC CARLISLE'S CONTENTION THAT ALL AMOUNTS CALCULATED TO BE SHORTFALLS IN REIMBURSEMENT FOR SERVICES PROVIDED TO MEDICARE PATIENTSARE TRULY UNCOMPENSATED CARE THAT SHOULD BE STATED IN PART I LINE 7 OF TO PATIENTS FOR WHICH THE ENTITY IS UNABLE TO COLLECT, REGARDLESS OF THE EFFICIENCY OF PROVISION OF THE RELATED CARE COSTS. PART III, LINE 9B: PATIENTS ARE NOTIFIED OF OUR CHARITY CARE POLICY IN A VARIETY OF WAYS. THERE ARE POSTERS INFORMING PATIENTS OF OUR CHARITY CARE POLICY AND A PLAIN LANGUAGE VERSION OF THE POLICY HANDED OUT TO THE UNINSURED AT ALL THE REGISTRATION SITES. ALL OF OUR PATIENT ACCOUNT STATEMENTS CONTAIN LANGUAGE THAT INDICATES THERE IS FINANCIAL AID AVAILABLE FOR QUALIFYING INDIVIDUALS. IN ADDITION, THE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE IN BOTH ENGLISH AND SPANISH. PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE AND PROVIDE ALL THE NECESSARY DOCUMENTATION REQUIREMENTS ARE NOTIFIED WITHIN THIRTY DAYS OF THE HOSPITAL'S DECISION. WHEN THE APPROVAL IS DETERMINED, THE APPROPRIATE DISCOUNT IS POSTED TO THE PATIENT ACCOUNT IMMEDIATELY. THE FINANCIAL ASSISTANCE DISCOUNT WILL BE APPLIED TO SERVICE FOR THE PREVIOUS TWELVE MONTHS AND SUBSEQUENT SIX MONTHS. THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. NO ADDITIONAL COLLECTION EFFORTS ARE MADE. APPLICANTS APPROVED FOR ONLY PARTIAL DISCOUNT WILL BE REQUIRED TO MAKE REASONABLE PAYMENT ARRANGEMENTS ON THEIR BALANCE IN ACCORDANCE WITH THE HOSPITAL'S CREDIT AND COLLECTION POLICY. THIS POLICY DOES PERMIT THE USE OF BOTH INTERNAL COLLECTION STAFF AND EXTERNAL COLLECTION AGENCIES WHO WILL ENGAGE IN STANDARD ACCEPTABLE BUSINESS PRACTICES WHICH INCLUDE PHONE CALLS, MAILING AND THE REPORTING OF UNPAID DEBT TO THE CREDIT REPORTING AGENCIES; BUT UNDER NO CIRCUMSTANCES WILL THE HOSPITALS OR ITS CONTRACTED COLLECTION AGENCY ADOPT "EXTRAORDINARY COLLECTION ACTIONS" THAT ENTAIL ANY LEGAL COURSE OF ACTION OR JUDICIAL PROCESSES SUCH AS LAWSUITS OR LIENS. PART VI, LINE 2: SEE EXPLANATION AT THE END OF PART VI. PART VI, LINE 3: PATIENTS ARE INFORMED OF AVAILABLE ASSISTANCE IN NUMEROUS WAYS. SIGNAGE IS POSTED AND LITERATURE IS HANDED OUT TO THE UNINSURED AT ALL THE REGISTRATION SITES INDICATING TO THE PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. ALL UNINSURED PATIENTS WHO ARE SCHEDULED FOR HIGH DOLLAR TESTS AND SURGERIES ARE CONTACTED BY ONE OF THE HOSPITAL'S FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO THEM. THE FINANCIAL ASSISTANCE POLICY IS ALSO DISCLOSED ON THE HOSPITAL WEBSITE, ALONG WITH THE APPLICATION, IN BOTH ENGLISH AND SPANISH. IN ADDITION, ALL PATIENTS WHO ARE RESIDENTS OF PENNSYLVANIA ARE PROVIDED PERSONAL ASSISTANCE IN THE COMPLETION OF THE MEDICAL ASSISTANCE APPLICATION. AS PART OF THE DISCHARGE PROCESS IN THE EMERGENCY DEPARTMENT, ALL UNINSURED PATIENTS ARE SCREENED FOR CHARITY CARE ELIGIBILITY UNDER THE HOSPITAL POLICY, AND IF APPROPRIATE, PROVIDED ASSISTANCE IN APPLYING FOR MEDICAID OR OBTAINING INSURANCE THROUGH HEALTHCARE.GOV. LASTLY, INFORMATION ABOUT FINANCIAL ASSISTANCE IS INCLUDED ON THE PATIENT BILLING STATEMENTS. PROGRAMS DISCUSSED INCLUDE THE PENNSYLVANIA STATE MEDICAID PROGRAM (MEDICAL ASSISTANCE), HOSPITAL CHARITY CARE PROGRAM, AND FUNDS AVAILABLE THROUGH HOSPITAL ENDOWMENT FUNDS.IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO: HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY AND OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS A VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR. PART VI, LINE 4: SEE EXPLANATION AT THE END OF PART VI. PART VI, LINE 5: SEE EXPLANATION AT THE END OF PART VI. PART VI, LINE 6: UPMC PINNACLE IS A FULLY INTEGRATED, AFFILIATED HEALTH CARE SYSTEM. THE SYSTEM IS COMPRISED OF ELEVEN WHOLLY OWNED EXEMPT ENTITIES AS WELL AS A VARIETY OF AFFILIATED JOINT VENTURES. THE ORGANIZATION'S MISSION IS TO MAINTAIN AND IMPROVE THE HEALTH AND QUALITY OF LIFE FOR EVERYONE IN CENTRAL PENNSYLVANIA. UPMC PINNACLE IS ENGAGED IN AND CONDUCTS CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES THROUGH THE SUPPORT AND BENEFIT OF UPMC PINNACLE FOUNDATION AND PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES TO AFFILIATED ENTITIES. UPMC PINNACLE MEDICAL SERVICES AND REGIONAL PHYSICIANS ARE PRIMARILY ENGAGED IN THE PROVISION OF PHYSICIAN SERVICES TO SUPPORT AND ENHANCE THE SERVICES WITHIN UPMC PINNACLE. THE UPMC PINNACLE CARDIOVASCULAR INSTITUTE IS ENGAGED IN PROVIDING COMPREHENSIVE CARDIAC CARE, INCLUDING TECHNOLOGICAL ADVANCES, TO PROVIDE THE BEST CLINICAL OUTCOMES TO THE COMMUNITY. COMMUNITY LIFE TEAM IS ENGAGED IN PROVIDING COMMUNITY BASED, EFFICIENT AND COST-EFFECTIVE MEDICAL TRANSPORT SERVICES, PRE-HOSPITAL EMERGENCY MEDICAL SERVICES FOR THE RESIDENTS AND COMMUNITIES OF THE CENTRAL PENNSYLVANIA YORK REGIONS.PINNACLE HEALTH VENTURES, INC. WAS FORMED AS A RESULT OF THE ACQUISITION OF 100% OF THE STOCK OF TRISTAN ASSOCIATES ON MARCH 1, 2012, AND IS THE SOLE SHAREHOLDER OF PINNACLE HEALTH IMAGING (PHI). PHI LEASES EQUIPMENT AND SERVICES TO UPMC PINNACLE HOSPITALS. UNITED CENTRAL PENNSYLVANIA RECIPROCAL RISK RETENTION GROUP IS A WHOLLY OWNED, FOR-PROFIT, VERMONT CAPTIVE INSURANCE COMPANY OPERATING FOR THE BENEFIT OF UPMC PINNACLE. PART VI, LINE 7, REPORTS FILED WITH STATES PA PART VI, LINE 2, 4, AND 5: UPMC SUPPORTS NUMEROUS COMMUNITY-BUILDING ACTIVITIES THROUGH ALL OF ITS SYSTEM ENTITIES, NOT JUST UPMC PINNACLE HOSPITALS. AS THE LARGEST NONGOVERNMENTAL EMPLOYER IN PENNSYLVANIA, UPMC'S SYSTEM-WIDE OPERATIONS GENERATED A TOTAL ANNUAL ECONOMIC IMPACT OF $49 BILLION. UPMC ALSO SUPPORTS MUNICIPALITIES, COUNTIES, AND THE COMMONWEALTH THROUGH APPROXIMATELY $467 MILLION IN TAXES.OVER THE PAST DECADE, UPMC HAS PROVIDED A WIDE VARIETY OF BENEFITS TO THE COMMUNITIES IT SERVES. WORKING IN WAYS BOTH LARGE AND SMALL, UPMC HAS IMPLEMENTED INITIATIVES THAT CONTINUE TO ENHANCE THE HEALTH OF COMMUNITIES THROUGHOUT PENNSYLVANIA AND BEYOND.AS AN INTEGRATED DELIVERY AND FINANCING SYSTEM (IDFS), UPMC CONTINUES TO APPLY THE EXPERTISE THAT EXISTS WITHIN ITS ORGANIZATION TO IMPROVE THE DELIVERY OF HEALTH CARE. UPMC LEVERAGES ITS IDFS STRUCTURE - WHICH EMBRACES ITS HOSPITALS, ITS INSURANCE INFRASTRUCTURE, AND ITS COMMUNITY PROVIDERS - TO ALIGN INCENTIVES AND IMPROVE MEDICAL PRACTICE THROUGHOUT THE REGION. THE RESULT IS AN EXCEPTIONAL SYNERGY BETWEEN INSURANCE, HEALTH CARE PROVIDERS, PATIENTS, AND LOCAL COMMUNITIES.MANY OF UPMC'S COMMUNITY BENEFIT ACTIVITIES ARE DIFFICULT TO QUANTIFY OR REPORT WITHIN THE VARIOUS COMMUNITY BENEFIT CATEGORIES OF SCHEDULE H, AS THEY OCCUR SYSTEM-WIDE THROUGH UPMC AND ARE NOT CAPTURED AT THE INDIVIDUAL HOSPITAL ENTITY LEVEL. NONETHELESS, THEY ARE IMPORTANT COMPONENTS IN UPMC'S COMMITMENT TO THE COMMUNITY. SOME OF THESE INITIATIVES INCLUDE:ECONOMIC DEVELOPMENT - UPMC STIMULATES THE ECONOMY THROUGH DIRECT HIRING AND BY BRINGING OUTSIDE DOLLARS INTO THE REGION; THE ORGANIZATION'S CAPITAL SPENDING CREATES CONSTRUCTION JOBS DOWNSTREAM. IN ADDITION, UPMC HAS A NUMBER OF PROGRAMS AND INITIATIVES DESIGNED TO FOSTER A PRODUCTIVE AND EQUITABLE ECONOMY. A KEY COMPONENT IN THE ORGANIZATION'S ECONOMIC DEVELOPMENT STRATEGY IS SUPPLIER DIVERSITY, WHICH IS AN INTEGRAL PART OF UPMC'S OVERALL SUPPLY CHAIN MANAGEMENT STRATEGY. DESIGNED TO ENSURE THAT CERTIFIED MINORITY, WOMEN-OWNED, OR DISADVANTAGED BUSINESS ENTERPRISES ARE PROVIDED WITH MAXIMUM OPPORTUNITIES TO PARTICIPATE AS PARTNERS AND SUPPLIERS OF GOODS AND SERVICES, UPMC'S SUPPLIER DIVERSITY PROGRAM FOSTERS DEVELOPMENT OF THESE FIRMS TO ENHANCE THEIR COMPETITIVENESS AND SUSTAINABILITY. UPMC'S SYSTEM-WIDE SPEND ON SUPPORTING MINORITY AND WOMEN-OWNED BUSINESSES WAS $318 MILLION IN 2022.ENVIRONMENTAL IMPROVEMENTS - UPMC PURSUES A POLICY OF ENVIRONMENTAL RESPONSIBILITY THAT REDUCES ITS ENVIRONMENTAL FOOTPRINT, WHILE SUPPORTING THE GROWTH AND DEVELOPMENT OF THE ORGANIZATION AND ITS SURROUNDING COMMUNITIES. THE PANDEMIC CHALLENGED, BUT DID NOT STOP, UPMC'S COMMITMENT TO INTEGRATING AND PROMOTING ENVIRONMENTAL SUSTAINABILITY IN 2022. MANY OF UPMC'S FACILITIES INCLUDE HEALING GARDENS FOR PATIENTS, FAMILIES, AND EMPLOYEES; THESE SPACES HELP TO ENHANCE THE PATIENT EXPERIENCE. AT SEVERAL UPMC HOSPITALS, HEALING GARDENS ARE TRANSFORMING TO INCORPORATE PRACTICAL PRODUCTIVITY BY GROWING VEGETABLES AND HERBS ONSITE AND USING THEM IN FOOD PREPARATION. UPMC ALSO PROVIDED EDUCATION ON HEALTHY FOODS AND NUTRITION TO FAMILIES, WITH A FOCUS ON LOW-INCOME AND MINORITY COMMUNITIES USING VEGETABLES AND HERBS GROWN IN ON-CAMPUS GARDENS. TO EARN HIGHER LEVELS OF SUSTAINABLE RESTAURANT PERFORMANCE CERTIFICATION, UPMC CAFETERIAS CONTINUED PROCESS IMPROVEMENT INITIATIVES THAT FOCUSED ON FOOD WASTE REDUCTION, LOCALIZED PURCHASING, COMPOSTING, RECYCLING, AND ENERGY AND WATER CONSERVATION.LEADERSHIP AND WORKFORCE DEVELOPMENT - IN FISCAL YEAR 2022, UPMC SUPPORTED NUMEROUS PROJECTS TO DEVELOP THE REGIONAL WORKFORCE AND ASSIST INDIVIDUALS IN OBTAINING AND RETAINING QUALITY EMPLOYMENT. UPMC HAS UNDERTAKEN SEVERAL PROGRAMS TO HELP TRAIN INDIVIDUALS FROM POPULATIONS WITH SIGNIFICANT BARRIERS TO EMPLOYMENT TO GAIN AND KEEP JOBS IN THE HEALTH CARE SECTOR.UPMC IMPLEMENTED A MULTI-YEAR MILITARY AND VETERAN RECRUITMENT, RETENTION, ENGAGEMENT, AND COMMUNITY PARTNERSHIP STRATEGY THAT WILL ENABLE RECRUITERS TO CONNECT WITH VETERANS WHO ARE SEEKING NEW OPPORTUNITIES AND SUPPORT THEM IN THE HIRING PROCESS. UPMC IS COMMITED TO ENSURING THE VETERAN POPULATION FINDS MEANINGFUL EMPLOYMENT. DURING THE LAST YEAR, UPMC PARTICIPATED IN EMPLOYER SUMMITS, HOSTED VETERAN TRANSITION SEMINARS FOR THE DEPARTMENT OF LABOR, HOSTED THREE VETERAN SPECIFIC CAREER FAIRS, PARTNERED WITH THE U.S. ARMY FOR PLACEMENT INITIATIVES, AND BECAME A DEPARTMENT OF DEFENSE SKILLBRIDGE PROVIDER.IN FISCAL YEAR 2022, UPMC PINNACLE HOSPITALS CONDUCTED ITS FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BUILDING ON THE PREVIOUS CHNAS CONDUCTED IN FISCAL YEARS, 2016 AND 2019, THE FISCAL YEAR 2022 CHNA PROVIDED AN OPPORTUNITY FOR UPMC PINNACLE HOSPITALS TO RE-ENGAGE WITH COMMUNITY STAKEHOLDERS IN A RIGOROUS, STRUCTURED PROCESS GUIDED BY PUBLIC HEALTH EXPERTS. AN ONGOING OBJECTIVE OF THE CHNA EFFORT IS TO HELP ALIGN COMMUNITY BENEFIT PROGRAMS AND RESOURCES WITH COMMUNITY HEALTH NEEDS.UPMC HOSPITALS IN CENTRAL PA. JOINED THE UPMC SYSTEM-WIDE PROCESS FOR THE FIRST TIME IN 2022. UPMC ACTIVELY ENGAGED ITS HOSPITALS, BOARDS, COMMUNITY STAKEHOLDERS, AND PUBLIC HEALTH EXPERTS TO IDENTITY COMMUNITY HEALTH NEEDS AND DETERMINE HOW TO COLLABORATE MOST EFFECTIVELY TO ADDRESS THOSE NEEDS. THE ORGANIZATION SOLICITED AND TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. IN MAY THROUGH JUNE 2021, UNIVERSITY OF PITTSBURGH GRADUATE SCHOOL OF PUBLIC HEALTH (PITT PUBLIC HEALTH) SURVEYED COMMUNITY LEADERS AND STAKEHOLDERS SPECIFIC TO EACH HOSPITAL'S LOCAL COMMUNITY, AS WELL AS A SYSTEM-WIDE PANEL OF REGIONAL STAKEHOLDERS. IN PARTNERSHIP WITH PITT PUBLIC HEALTH, UPMC REFINED THE COMMUNITY SURVEY TO INCORPORATE EMERGING AREAS OF EXPLORATION WITHIN THE PUBLIC HEALTH FIELD (E.G., SHORT-AND LONG-TERM EFFECTS OF COVID-19 AND HEALTH DISPARITIES). THE SURVEY WAS EXTENDED TO 2,868 COMMUNITY PARTICIPANTS FROM 28 HOSPITAL COMMUNITIES. MORE THAN 1,100 INDIVIDUALS PARTICIPATED IN THE SURVEY. PARTICIPANTS INCLUDED: LEADERS OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE; REPRESENTATIVES FROM PUBLIC HEALTH DEPARTMENTS, GOVERNMENTAL AGENCIES SERVING COMMUNITY HEALTH MEDICAL STAFF LEADERS WHO HAVE UNIQUE PERSPECTIVES AND VIEWS OF THE COMMUNITY; AND OTHER STAKEHOLDERS IN COMMUNITY HEALTH, SUCH AS CONSUMER ADVOCATES, NONPROFIT AND COMMUNITY BASED ORGANIZATIONS, LOCAL SCHOOL DISTRICTS, GOVERNMENT ORGANIZATIONS, AND HEALTH CARE PROVIDERS. THREE-QUARTERS OF INDIVIDUALS WHO COMPLETED THE SURVEY SELF-IDENTIFIED AS BEING A REPRESENTATIVE OR MEMBER OF A MEDICALLY UNDERSERVED, MINORITY OR LOW-INCOME POPULATIONS.UPMC USED THE COMMUNITY INPUT TO DEVELOP STRATEGIC PLANS FOR EACH OF ITS LICENSED HOSPITALS TO ADDRESS SIGNIFICANT COMMUNITY HEALTH NEEDS. IMPORTANTLY, THESE PLANS ADDRESS LOCAL COMMUNITY NEEDS NOT ONLY AT THE HOSPITAL LEVEL, BUT ALSO INCLUDE EFFORTS UNDERTAKEN IN PARTNERSHIP WITH OTHER UPMC HOSPITALS, EXTERNAL ORGANIZATIONS, AND THE LARGER UPMC SYSTEM. KEY THEMES THAT EMERGED AT UPMC HOSPITALS CAN BE GROUPED INTO THREE BROAD CATEGORIES- BEHAVIORAL HEALTH, ACCESS TO CARE AND NAVIGATING RESOURCES, AND PREVENTION AND COMMUNITY-WIDE HEALTHY LIVING. THE 2022-2025 IMPLEMENTATION PLANS INCLUDE HEALTH EQUITY-PROMOTING PROGRAMS AND INITIATIVES, WHICH HELP ADDRESS SOCIOECONOMIC AND OTHER FACTORS THAT MAY CONTRIBUTE TO HEALTH DISPARITIES. THE 2022 CHNA REPORTS AND 2022-2025 STRATEGIC PLANS FOR EACH UPMC HOSPITAL CAN BE FOUND ON UPMC'S WEBSITE: HTTPS:/WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDSASSESSESSMENT. PART VI, LINE 2, 4, AND 5 CONT'D: UPMC MADE MEASURABLE PROGRESS ON IMPROVING COMMUNITY HEALTH IN THE PERIOD FROM FISCAL YEARS 2019 THROUGH 2022. PROGRAMS AND INITIATIVES FOCUSED ON THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE JUNE 30, 2019 CHNA, WHICH INCLUDED: ACCESS TO CARE-HEALTH INSURANCE COVERAGE, LACK OF ACCESS TO SPECIALISTS, LANGUAGE ACCESS, HEALTH EDUCATION, LACK OF CARE COORDINATION; BEHAVIORAL HEALTH-PREVENTIVE SERVICES, SUBSTANCE ABUSE, COMPLIANCE ENGAGEMENT AND ACCESS; SOCIAL DETERMINANTS OF HEALTH-INCOME/EDUCATION/EMPLOYMENT, TRANSPORTATION, HOMELESSNESS/HOUSING, AND PALLIATIVE AND END-OF-LIFE CARE. IMPLEMENTATION PLANS FOR COMMUNITY PREVENTION AND WELLNESS INITIATIVES AS DEVELOPED BY UPMC HOSPITALS DRAW SUPPORT FROM AN ARRAY OF ACTIVE AND ENGAGED COMMUNITY PARTNERS, AS WELL AS FROM THE LARGER UPMC SYSTEM, AND INCLUDE HUNDREDS OF INITIATIVES, UTILIZING BOTH EVIDENCE-BASED NATIONALLY RECOGNIZED PROGRAMS AND INTERNALLY DESIGNED PILOT PROGRAMS. EXAMPLES OF UPMC HOSPITALS' PROGRESS DURING FISCAL YEARS 2014 THROUGH 2022 INCLUDE:UPMC PINNACLE HOSPITALS COMMITTED TO MAKING HEALTH CARE MORE ACCESSIBLE FOR THE PATIENTS SERVED BY OFFERING COMMUNITY RESOURCES TO THOSE WHO HAVE BARRIERS TO HEALTH INSURANCE COVERAGE. FROM FY 2020 FY 2022, UPMC PINNACLE HOSPITALS MADE 2,529 REFERRALS AND HELPED 1,018 ENROLL IN INSURANCE PROGRAMS. OUR INSURANCE ENROLLMENT TEAM ASSISTED IN EDUCATION AND OTHER TASKS SUCH AS OBTAINING NEW CARDS AND UPDATING ADDRESSES.IN ADDITION, 643 PATIENTS WERE REFERRED TO THE SMILES PROGRAM, WHICH PROVIDES FREE DENTAL CARE TO UNINSURED LOW-INCOME PATIENTS WHO NEED URGENT DENTAL TREATMENT. A NETWORK OF VOLUNTEER DENTISTS PROVIDE TREATMENT SERVING DAUPHIN, CUMBERLAND AND PERRY COUNTIES.ACCESS TO CARE AND NAVIGATING RESOURCES-LACK OF SPECIALISTS-UPMC PINNACLE HOSPITALS CONTINUES TO ADDRESS ITS COMMUNITY'S LACK OF SPECIALISTS BY ASSESSING NEEDS AND IMPROVING ACCESS TO SPECIALTY CARE BY EXPANDING SERVICES AT ALL THREE FACILITIES AND INCREASING TELEHEALTH CAPABILITIES. IN FY 2022, KLINE HEALTH CENTER INCORPORATED BEHAVIORAL HEALTH SERVICES, NEPHROLOGY SPECIALTY CARE, ORTHOPEDIC SPECIALTY CARE, PODIATRY SPECIALTY CARE, ENDOCRINOLOGY SPECIALTY CARE, AND CARDIOLOGY. KLINE HEALTH CENTER SAW 16,010 PATIENT VISITS, WITH A TOTAL PATIENT PANEL OF 6,519.LEVERAGING TELEHEALTH TO INCREASE ACCESS TO SPECIALTY CARE, UPMC PINNACLE HOSPITALS IS COMMITTED TO MAKING HEALTHCARE MORE ACCESSIBLE FOR ITS PATIENTS BY INCREASING ACCESS TO PROVIDING HEALTHCARE RESOURCES IN THEIR LANGUAGE. IN FY 2022, 789,597 MINUTES AND 58,268 CALLS WERE MADE TO CYRACOM INTERPRETING SERVICES. THE TOP LANGUAGES UTILIZED INCLUDE: SPANISH, NEPALI, VIETNAMESE, ARABIC, FRENCH, HAITIAN, CREO, AND AMERICAN SIGN LANGUAGE. THE TOTAL NUMBER OF LANGUAGES REQUESTED WAS 179. TO CONTINUE TO MEET THE CULTURAL AND LINGUISTIC NEEDS OF PATIENTS, UPMC PINNACLE HOSPITALS OFFERS BRIDGING THE GAP MEDICAL INTERPRETER TRAINING TO BILINGUAL STAFF AND TO THE COMMUNITY, A 64-HOUR TRAINING IN THE FIELD OF MEDICAL INTERPRETING. IN FY 2022, TRAINING WAS PROVIDED TO 40 UPMC PINNACLE HOSPITALS EMPLOYEES AND 10 COMMUNITY MEMBERS. FROM PROGRAM INCEPTION TO DATE WE HAVE TRAINED 181 EMPLOYEES AND 63 COMMUNITY MEMBERS.ACCESS TO CARE AND NAVIGATING RESOURCES-LACK OF CARE COORDINATION: UPMC PINNACLE HOSPITALS IS COMMITTED TO MAKING HEALTH CARE MORE ACCESSIBLE FOR THE PATIENTS IT SERVES BY LEVERAGING PARTNERSHIPS WITH COMMUNITY HEALTH CENTERS AND OPTIMIZING THE PATIENT-CENTERED MEDICAL HOME. UPMC PINNACLE CREATED PARTNERSHIPS AND NETWORKS WITH LOCAL COMMUNITY HEALTH CENTERS TO ADDRESS HIGH-UTILIZERS OF THE EMERGENCY DEPARTMENT AND ESTABLISH A MEDICAL HOME. IN FY 2022, 553 CARE PLANS WERE PREPARED FOR HIGH-UTILIZERS OF THE EMERGENCY DEPARTMENT WITH CONTINUING OUTREACH TO CONNECT THE UNDERSERVED, UNDERREPRESENTED AND UNINSURED TO SERVICES. IN FY 2022, THE PROGRAM YIELDED 1,533 TOTAL ENCOUNTERS WITH 571 UNIQUE PATIENTS. OUR STREET MEDICINE DELIVERS HEALTH CARE TO PEOPLE WHO ARE EXPERIENCING HOMELESSNESS IN THE SETTING WHERE THEY FEEL MOST COMFORTABLE-IN SHELTERS, ENCAMPMENTS, AND SOUP KITCHENS, UNDER BRIDGES AND IN THE WOODS. IN FY 2022, THERE WERE 290 PARTICIPANTS OF OUR STREET MEDICINE PROGRAM. THIS PROGRAM IS BUILT ON COMMUNITY PARTNERSHIPS AND TRUST BETWEEN HOMELESS PEOPLE AND HEALTH CARE TEAMS. THE SERVICES INCLUDE: PHYSICALS AND BEHAVIORAL ASSESSMENTS, PREVENTATIVE AND URGENT MEDICAL CARE, CHRONIC DISEASE MANAGEMENT (HEART DISEASE, DIABETES, CANCER, KIDNEY DISEASE), CONNECTION TO MEDICAL HOMES (PRIMARY CARE PROVIDER) TO COORDINATE CARE, SUPPORTIVE SERVICES, SUCH AS HEALTH INSURANCE AND TRANSPORTATION, AND RESOURCE REFERRALS TO SERVICES THAT HELP WITH THE DAILY NEEDS THAT WOULD ALLOW A PERSON TO LIVE INDEPENDENTLY. OUR COMMUNITY PARAMEDICINE COMPLETES HOME VISITS TO HELP BRIDGE THE GAP BETWEEN A PATIENT'S DISCHARGE FROM THE HOSPITAL AND FOLLOW-UP APPOINTMENTS WITH THEIR DOCTOR. PARAMEDICINE PERFORMS A PHYSICAL ASSESSMENT, COLLECTS VITALS MAKE SURE PATIENTS ARE TAKING THEIR CORRECT MEDICATIONS, COMPLETES A HOME SAFETY CHECK AND TEACHES ABOUT LONG-TERM ILLNESSES AND DISEASES. THE PARAMEDICS CAN ACT AS A LINK AND ADVOCATE BETWEEN THE PATIENT AND THEIR DOCTOR. IN FY 2022, 2,508 HOME VISITS WERE CONDUCTED REPRESENTING 2,840 PATIENT ENCOUNTERS.BEHAVIORAL HEALTH: HEALTH EDUCATION AND PREVENTATIVE SERVICES-CENTER FOR ADDICTION RECOVERY (CAR) OFFERS CONFIDENTIAL AND COMPREHENSIVE EVALUATIONS, AS WELL AS MEDICATION ASSISTED THERAPY (MAT). MAT IS THE USE OF FDA-APPROVED MEDICATIONS TO TREAT OPIOID AND ALCOHOL USE DISORDERS. THE LENGTH OF TREATMENT IS PATIENT-SPECIFIC AND DETERMINED BY THE PATIENT AND PHYSICIAN. OUTPATIENT OFFICE-BASED ENCOUNTERS WERE 4,652, MOBILE UNIT ENCOUNTERS WERE 1,003, AND INPATIENT CONSULTS ENCOUNTERS WERE 81. A UPMC-WAIVERED PROVIDER AND A MEDICAL ASSISTANT TRAVEL IN THE MOBILE UNIT TO ADMINISTER MAT TO PATIENTS WITH OPIOID USE DISORDER IN DESIGNATED AREAS RURAL AREAS IN CUMBERLAND, NORTHERN DAUPHIN, PERRY, AND YORK COUNTIES.PREVENTION AND COMMUNITY-WIDE HEALTHY LIVING-SOCIAL DETERMINANTS OF HEALTH-INCOME/EDUCATION/EMPLOYMENT: UPMC PINNACLE HOSPITALS CONTINUES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THROUGH COLLABORATIONS WITH LOCAL BUSINESSES, INSTITUTIONS OF HIGHER EDUCATION AND AREA SCHOOLS DISTRICTS TO INCREASE KNOWLEDGE OF ACCESS AND OPPORTUNITY TO RESOURCES IN RURAL COMMUNITIES AND UNDERSERVED POPULATIONS. PASSPORT TO SUCCESS, AN ADULT READINESS EMPLOYMENT PROGRAM, IS A PRE-ONBOARDING ENRICHMENT PROGRAM CONSTRUCTED TO DEVELOP POTENTIAL EMPLOYEE TALENT PRIOR TO INTERVIEWING AND ORIENTATION WITH UPMC PINNACLE HOSPITALS. 16 STUDENTS PARTICIPATED IN THE PILOT IN 2022. CAREER EXPLORATION- 6,322 STUDENT FROM THE HARRISBURG SCHOOL DISTRICT PARTICIPATED IN VIRTUAL PRESENTATIONS. HEALTHY HARRISBURG ADDRESSES HEALTH DISPARITIES IN CENTRAL PA BY OFFERING EIGHT-WEEK TRAINING CYCLES WITH CERTIFIED DIVERSE FITNESS AND HEALTH EDUCATION INSTRUCTORS. THERE WERE 192 CLASS PARTICIPANTS, AND 773 REGISTRATIONS FOCUSING ON POPULATIONS AFFECTED BY CHRONIC DISEASES, 541 ASSESSMENTS AND 1,000 CHECK-INS WITH PARTICIPANTS.FOR DETAILED INFORMATION ON UPMC'S COMMUNITY BENEFITS EFFORTS, SEE THE ORGANIZATION'S COMMUNITY BENEFITS REPORT, AVAILABLE AT:HTTPS://WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/BENEFITS-REPORT 1 AMERICAN CANCER SOCIETY INC FLORIDA DIV OAKMONT FL 15139 131788491 501(C)(3) 39700 0 DONATION CAPITAL AREA GIRLS ON THE RUN 525 N 12TH STREET SUITE 205 LEMONYNE PA 17043 275095044 501(C)(3) 25000 0 SPONSORSHIP CASA CHARTER SCHOOL FOUNDATION 150 STRAWBERRY SQUARE HARRISBURG PA 17101 460965714 501(C)(3) 60000 0 SPONSORSHIP CITY OF HARRISBURG 10 NORTH SECOND STREET HARRISBURG PA 17101 236002010 GOVERNMENT 10000 0 THE COMMUNITY CHECK-UP CENTER: HEALTH CARE WITHIN OUR BOARDERS DAUPHIN COUNTY ECONOMIC DEVELOPMENT CORP 3211 NORTH FRONT STREET HARRISBURG PA 17110 251607082 501(C)(3) 15000 0 SPONSORSHIP HAMILTON HEALTH CENTER INC PO BOX 5098 1650 WALNUT ST HARRISBURG PA 17110 231858363 501(C)(3) 6000 0 SPONSORSHIP HARRISBURG AREA YMCA 701 N FRONT ST HARRISBURG PA 17101 231665437 501(C)(3) 7500 0 VISION RESOURCES: 100TH ANNIVERSARY CELEBRATION HARRISBURG DOWNTOWN IMPROVEMENT DISTRICT 22 N 2ND STREET SUITE A HARRISBURG PA 17101 300272951 501(C)(3) 25000 0 SPONSORSHIP HARRISBURG SYMPHONY ASSOCIATION INC 800 CORPORATE CIRCLE STE 101 HARRISBURG PA 17110 231355180 501(C)(3) 20000 0 SPONSORSHIP HERSHEY SYMPHONY ORCHESTRA PO BOX 93 HERSHEY PA 17033 232056048 501(C)(3) 10000 0 VICKIE'S ANGEL FOUNDATION: VAF HARVEST SWEETHEART DANCE HOME FOR THE FRIENDLESS 2300 VARTAN WAY HARRISBURG PA 17110 231365148 501(C)(3) 25000 0 SPONSORSHIP HOSPICE OF CENTRAL PA 1320 LINGLESTOWN ROAD HARRISBURG PA 17110 232106895 501(C)(3) 10000 0 DAUPHIN COUNTY CASA: SUPERHERO 5K/FAMILY FUN RUN JEWISH FAMILY SERVICE OF GREATER HARRISB 3333 NORTH FRONT STREET HARRISBURG PA 17110 232894802 501(C)(3) 15000 0 SPONSORSHIP KIDNEY FOUNDATION OF CENTRAL PENNSYLVANI 900 SOUTH ARLINGTON AVENUE SUITE 134A HARRISBURG PA 17109 232113424 501(C)(3) 7000 0 SPONSORSHIP LEUKEMIA AND LYMPHOMA SOCIETY INC 333 E CARSON ST STE 441 PITTSBURGH PA 15219 135644916 501(C)(3) 10000 0 SPONSORSHIP PERRY COUNTY COMMUNITY FAIR ASSOC INC 248 FAIRGROUND RD PO BOX 251 NEWPORT PA 17074 232302857 501(C)(3) 12000 0 SPONSORSHIP PINK POWER 10 BENTZEL MILL ROAD YORK PA 17404 822668598 501(C)(3) 10000 0 BRETHREN HOUSING ASSOCIATION: ANNUAL CELEBRATION SCHREIBER CENTER FOR PEDIATRIC DEVELOPME 625 COMMUNITY WAY LANCASTER PA 17603 231365369 501(C)(3) 25000 0 SPONSORSHIP UNITED WAY OF THE CAPITAL REGION 2235 MILLENNIUM WAY ENOLA PA 17025 231352095 501(C)(3) 10000 0 SPONSORSHIP VICKIES ANGEL FOUNDATION INC 511 BRIDGE STREET NEW CUMBERLAND PA 17070 208755452 501(C)(3) 6000 0 SPONSORSHIP WHITAKER CENTER FOR SCIENCE AND ARTS 222 MARKET STREET HARRISBURG PA 17101 251724566 501(C)(3) 50000 0 WHITAKER ON WHEELS YORK FRESH FOOD FARMS 150 WILLIS ROAD YORK PA 17404 475548242 501(C)(3) 12500 0 FRESH FOOD REVOLUTION ZERO THE END OF PROSTATE CANCER PO BOX 320782 ALEXANDRIA VA 22320 593400922 501(C)(3) 10000 0 SPONSORSHIP 22 1 PART I, LINE 2: THE ORGANIZATION SUPPORTS COMMUNITY-BASED PROGRAMS THAT SUPPORT THE MISSION OF UPMC PINNACLE. CONTRIBUTIONS ARE GIVEN FREELY AND USE OF FUNDS IS NOT MONITORED ONCE THE MONIES ARE DISBURSED. 0 1 0 0 0 0 0 0 0 PHILIP GUARNESCHELLI PRESIDENT AND CEO 0 939451 0 440572 0 11412 0 23545 0 39741 0 1454721 0 0 SUNIL PATEL MD PEDIATRIC CARDIOLOGIST 345577 0 380324 0 804 0 17607 0 33519 0 777831 0 0 0 WILLIAM BACHINSKY MD DIRECTOR 0 570724 0 149094 0 10966 0 23545 0 3807 0 758136 0 5300 THOMAS NICHOLSON MD DIRECTOR/SURGEON 0 612917 0 72654 0 2622 0 20576 0 9978 0 718747 0 0 HAROLD YANG MD TRANSPLANT SURGEON 544899 0 500 0 12756 0 23545 0 30950 0 612650 0 0 0 KENNETH OKEN MD DIRECTOR/PHYSICIAN - OB/GYN 0 458749 0 60500 0 2735 0 23545 0 6051 0 551580 0 0 ALISON BERNHARDT VP & CFO/TREASURER 0 341181 0 160000 0 9450 0 26007 0 8748 0 545386 0 0 VIJAY MENON MD TRANSPLANT SURGEON 451085 0 58833 0 960 0 7600 0 7302 0 525780 0 0 0 DANIELLE LADIE MD TRANSPLANT SURGEON 482948 0 500 0 889 0 20576 0 11876 0 516789 0 0 0 SUSAN COMP CHIEF NURSING OFFICER, UPMC PINNACLE 341521 0 119177 0 2302 0 23545 0 1808 0 488353 0 19500 0 CHRISTOPHER P MARKLEY ESQ FMR SEC'Y/SR VP/GENERAL COUNSEL 0 278011 0 143902 0 5191 0 18970 0 26429 0 472503 0 0 CHRISTINE MILLER ESQ SECRETARY/ASSOC. COUNSEL 0 223147 0 43444 0 1413 0 23822 0 40800 0 332626 0 0 AMANDA MORGAN ASSISTANT TREASURER 0 170425 0 38723 0 328 0 12579 0 24327 0 246382 0 0 PART I, LINE 3 UPMC PINNACLE HOSPITALS RELIES ON UPMC PINNACLE, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. METHODS USED TO ESTABLISH COMPENSATION BY THE RELATED ORGANIZATION INCLUDE: * COMPENSATION COMMITTEE * INDEPENDENT COMPENSATION CONSULTANT * COMPENSATION SURVEY OR STUDY * APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD PART I, LINE 4B ALL PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ARE DISCLOSED IN SCHEDULE J WITH CORRESPONDING AMOUNTS DISCLOSED WITHIN THE TOTAL AMOUNT IN SCHEDULE J COLUMN C "RETIREMENT AND OTHER DEFERRED COMPENSATION". DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE ("CODE"), CERTAIN OFFICERS AND KEY EMPLOYEES ARE LIMITED IN THE AMOUNT OF BENEFITS WHICH MAY BE RECEIVED UNDER A TAX QUALIFIED RETIREMENT PROGRAM. LIKE MANY EMPLOYERS, UPMC SUPPLEMENTS ITS RETIREMENT BENEFITS THROUGH A SUPPLEMENTAL RETIREMENT PROGRAM. THE SUPPLEMENTAL RETIREMENT PROGRAM IS SUBJECT TO MULTI YEAR VESTING WHICH PLACES THE OFFICERS AND KEY EMPLOYEES' RETIREMENT BENEFIT AT RISK OF FORFEITURE IF THE VESTING REQUIREMENTS ARE NOT SATISFIED. ONCE VESTED HOWEVER, PROVISIONS OF THE CODE REQUIRE THAT THE VESTED AMOUNTS BE REPORTED ON THE FORM 990 AND THE VESTED OFFICER OR KEY EMPLOYEE INCLUDE IN CURRENT INCOME THE VALUE OF HER OR HIS SUPPLEMENTAL RETIREMENT BENEFIT. NOTWITHSTANDING THE TAX REQUIREMENT TO RECOGNIZE THE VESTED AMOUNT OF THE SUPPLEMENTAL RETIREMENT BENEFIT AS CURRENT INCOME FOR FICA TAXATION AND REPORTING PURPOSES, THIS BENEFIT, WHICH GENERALLY HAS BEEN EARNED OVER HER OR HIS ENTIRE CAREER, HAS NOT AND WILL NOT BE DISTRIBUTED UNTIL THE OFFICER OR KEY EMPLOYEE RETIRES OR SEPARATES FROM SERVICE FROM UPMC AND SATISFIED THE NON-COMPETE PROVISION OF THEIR EMPLOYMENT AGREEMENT AND/OR SATISFY A POST-RETIREMENT SEPARATION AGREEMENT. THE SUPPLEMENTAL RETIREMENT PROGRAM PROVIDES FOR THE CURRENT DISTRIBUTION OF ONLY THE AMOUNT NECESSARY TO SATISFY ANY INCOME TAX LIABILITY RESULTING FROM THE VESTING DURING ACTIVE EMPLOYMENT. FINALLY, IT SHOULD BE NOTED THAT IN ACCORDANCE WITH IRS INSTRUCTIONS, A SUBSTANTIAL PORTION OF THE AMOUNT REPORTED ON THE FORM 990 ATTRIBUTABLE TO SUPPLEMENTAL RETIREMENT PROGRAM VESTING HAS BEEN REPORTED IN PREVIOUSLY FILED FORMS 990. RIVERSIDE ANESTHESIA ASSOCIATES FORMER BOARD MEMBER RONALD KRATZ, M.D. IS A PARTNER OF INTERESTED PERSON. 16130238 ANESTHESIA SERVICES 0 FORM 990, PART III, LINE 4A CONTINUED: - CONTINUING EDUCATION FOR NURSES AND PHYSICIAN OFFICE STAFF AND FOR LOCAL COMMUNITY PROFESSIONALS SUCH AS SCHOOL NURSES. - BAILEY HOUSE IS A HOME AWAY FROM HOME. IT PROVIDES FREE OVERNIGHT LODGING AND A COMFORTABLE, SUPPORTIVE, AND NURTURING ENVIRONMENT FOR FAMILIES FROM OUTSIDE THE HARRISBURG AREA. WELLNESS AND SCREENING PROGRAMS ARE PROVIDED INCLUDING: - CHOLESTEROL SCREENINGS - PROSTATE SCREENINGS - INFANT DEVELOPMENT SCREENINGS - SPEECH AND HEARING SCREENINGS - DEPRESSION AND ANXIETY SCREENINGS - BONE DENSITY SCREENINGS - NUTRITION THERAPY EDUCATION PROGRAMS - LEAD POISONING SCREENINGS FORM 990, PART V, LINE 1: UPMC (EIN 23-1423657), A FEDERALLY TAX EXMEPT ENTITY, THE PARENT OF A LARGE INTEGRATED DELIVERY AND FINANCING SYSTEM AND THE PARENT ENTITY OF UPMC PINNACLE WHO IS THE PARENT OF UPMC PINNACLE HOSPITALS ISSUES AND FILES ALL FORM 1099S FOR UPMC PINNACLE HOSPITALS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS UPMC PINNACLE, A FEDERALLY TAX EXEMPT, STATE NONPROFIT ENTITY (EIN 25-1778658). IN SEPTEMBER 2017 UPMC PINNACLE AFFILIATED WITH UPMC, A WORLD-RENOWNED INTEGRATED HEALTHCARE DELIVERY AND FINANCING SYSTEM, THAT IS AN INTERNATIONAL LEADER IN PROVIDING CLINICAL CARE, GROUND BREAKING RESEARCH AND TREATMENTS WITH LOCATIONS IN WESTERN AND CENTRAL PENNSYLVANIA, MARYLAND, NEW YORK AND AROUND THE WORLD. FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER OF THE ORGANIZATION, UPMC PINNACLE ELECTS THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION REQUIRE THE APPROVAL OF BOTH THE UPMC PINNACLE BOARD AND THE UPMC BOARD, AS THE SOLE MEMBER OF UPMC PINNACLE. FORM 990, PART VI, SECTION B, LINE 11B THE AUTHORITY AND RESPONSIBILITY FOR REVIEW OF THE FORM 990 FOR UPMC PINNACLE AND SUBSIDIARIES IS DELEGATED TO THE FINANCE COMMITTEE OF THE UPMC PINNACLE BOARD. MEMBERS ARE PROVIDED WITH A COPY OF THE FORM 990 PRIOR TO FILING AND PROVIDED OPPORTUNITY TO REVIEW. FORM 990, PART VI, SECTION B, LINE 12C IN THE PERFORMANCE OF THEIR DUTIES TO UPMC PINNACLE, COVERED PERSONS SHALL SEEK TO ACT IN THE BEST INTERESTS OF UPMC PINNACLE, AND SHALL EXERCISE GOOD FAITH, LOYALTY, DILIGENCE AND HONESTY. A COVERED PERSON IS ANY INDIVIDUAL WHO SERVES IN A FIDUCIARY CAPACITY TO, OR WHO HAS LEGAL AUTHORITY TO REPRESENT OR OBLIGATE, UPMC PINNACLE OR ANY OF ITS AFFILIATED ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO, DIRECTORS, OFFICERS, EMPLOYEES, AND AGENTS. COVERED PERSONS ALSO INCLUDE A) IMMEDIATE FAMILIES (SPOUSES, CHILDREN, SIBLINGS, PARENTS, OR SPOUSE'S PARENTS), B) ANY ORGANIZATION IN WHICH THEY OR THEIR IMMEDIATE FAMILIES DIRECTLY OR INDIRECTLY I) HAVE A MATERIAL FINANCIAL OR BENEFICIAL INTEREST, OR II) SERVE AS A DIRECTOR, OFFICER, EMPLOYEE, AGENT, ATTORNEY OR SIMILAR CAPACITY. A COVERED PERSON SHALL DISCLOSE ANY BUSINESS OR PERSONAL INTERESTS OR RELATIONSHIPS WHICH MAY BE IN CONFLICT WITH THE INTERESTS OF UPMC PINNACLE, INCLUDING, BUT NOT LIMITED TO (A) ENGAGING IN OR SEEKING TO BE ENGAGED IN (I) THE DELIVERY OF HEALTH CARE SERVICES OR (II) THE DELIVERY OF GOODS OR SERVICES TO UPMC PINNACLE, OR (B) ANY TRANSACTION OR ARRANGEMENT WITH UPMC PINNACLE WHICH WOULD RESULT IN BENEFIT TO COVERED PERSONS. IF A POTENTIAL CONFLICT IS IDENTIFIED REGARDING A SPECIFIC UPMC ACTIVITY, THE UPMC CORPORATE COMPLIANCE DEPARTMENT, WITH THE ASSISTANCE OF THE LEGAL DEPARTMENT, EITHER DEVELOPS A WRITTEN PLAN DESIGNED TO PREVENT THE CONFLICT FROM INFLUENCING DECISIONS RELATED TO THAT ACTIVITY, OR REQUIRES THAT THE CONFLICTING RELATIONSHIP BE DIVESTED, AS APPROPRIATE. COVERED PERSONS WITH A DOCUMENTED CONFLICT OF INTEREST SHALL NOT VOTE ON THE MATTER, AND THE UPMC PINNACLE BOARD OR COMMITTEE MUST APPROVE, AUTHORIZE, OR RATIFY THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE NON-INTERESTED DIRECTORS OR COMMITTEE MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM. VIOLATIONS OF THIS STATEMENT OF POLICY MAY SUBJECT COVERED PERSONS TO APPROPRIATE SANCTIONS, INCLUDING REMOVAL FROM THEIR POSITIONS WITH UPMC PINNACLE. FORM 990, PART VI, SECTION B, LINE 15 15A: THE COMPENSATION COMMITTEE OF THE UPMC PINNACLE BOARD HAS THE AUTHORITY TO DEVELOP AND MAINTAIN EXECUTIVE COMPENSATION TO BE APPROVED BY THE UPMC PINNACLE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE WILL FOLLOW A DILIGENT PROCESS THAT MEETS REGULATORY REQUIREMENTS FOR A REBUTTABLE PRESUMPTION OF REASONABLENESS AND PROMOTES EFFECTIVE GOVERNANCE OF EXECUTIVE COMPENSATION, CONSISTENT WITH THE UPMC PINNACLE COMPENSATION PHILOSOPHY. 1. FOLLOW A PROCESS THAT ESTABLISHES AND MAINTAINS A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL EXECUTIVES POTENTIALLY SUBJECT TO INTERMEDIATE SANCTIONS. 2. PREPARE MINUTES FOR EACH MEETING TO RECORD THE TERMS OF THE COMMITTEE'S DECISIONS AND THE PROCESS FOLLOWED IN REACHING THOSE DECISIONS. THESE MINUTES MUST INCLUDE INDICATIONS THAT THE COMMITTEE IS FOLLOWING GOOD PRACTICES IN DEALING WITH CONFLICTS OF INTEREST AND IN OBTAINING AND RELYING ON APPROPRIATE COMPARABILITY DATA ON TOTAL COMPENSATION. 3. SELECT AND DIRECTLY ENGAGE AND SUPERVISE ANY CONSULTANT HIRED BY UPMC PINNACLE TO ADVISE THE COMMITTEE ON EXECUTIVE COMPENSATION. 4. PERIODICALLY EVALUATE THE APPROPRIATENESS OF THIS CHARTER AND THE EFFECTIVENESS OF THE PROCESS THE COMMITTEE USES IN GOVERNING EXECUTIVE COMPENSATION AND REPORT THIS EVALUATION TO THE UPMC PINNACLE BOARD. 5. MONITOR CHANGES IN LAWS AND REGULATIONS PERTAINING TO EXECUTIVE COMPENSATION AND BENEFITS TO SEE THAT UPMC PINNACLE COMPLIES WITH THEM. 6. SEEK OUTSIDE REVIEW OF COMMITTEE OPERATIONS TO ENSURE COMPLIANCE WITH THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS. 7. REVIEW ACTUAL EXECUTIVE COMPENSATION AND BENEFITS PROVIDED TO CONFIRM CONSISTENCY WITH COMPENSATION AND BENEFITS APPROVED BY THE COMMITTEE. 15B: TO SUPPORT UPMC'S MISSION AND AS SET FORTH IN THE UPMC BYLAWS, THE BOARD OF DIRECTORS HAS FORMED AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE") AND DELEGATED TO IT THE RESPONSIBILITY FOR ESTABLISHMENT AND IMPLEMENTATION OF OFFICER AND KEY EMPLOYEE TOTAL COMPENSATION PROGRAMS. AS PART OF THIS RESPONSIBILITY THE COMMITTEE REPORTS REGULARLY TO THE BOARD OF DIRECTORS. WITH BOARD OF DIRECTORS APPROVAL, THE COMMITTEE HAS ADOPTED A FORMAL CHARTER, WHICH INCLUDES THE ESTABLISHMENT OF A COMPENSATION PHILOSOPHY AND RELATED POLICIES WITH RESPECT TO THE TOTAL COMPENSATION PAID BY UPMC TO ITS OFFICERS AND KEY EMPLOYEES. THE UPMC TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES IS PREDICATED UPON AN INCENTIVE COMPENSATION COMPONENT. THIS COMPONENT IS BASED UPON THE ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES WHICH FOCUS ON THE ACHIEVEMENT OF MULTIPLE ANNUAL AND THREE-YEAR INDIVIDUAL AND GROUP PERFORMANCE CRITERIA IN THE CONTEXT OF APPROPRIATE RISK TAKING. THESE CRITERIA DIRECTLY SUPPORT UPMC'S MISSION AND INCLUDE: PATIENT QUALITY AND SATISFACTION, COMMUNITY BENEFITS, OPERATIONAL AND FINANCIAL STRENGTH, LEADERSHIP DEVELOPMENT, AND STRATEGIC BUSINESS INITIATIVES AMONG OTHERS. THE TOTAL COMPENSATION PROGRAM IS INTEGRATED WITH AND REINFORCES THE UPMC BUSINESS PLANNING CYCLE AS WELL AS MANAGEMENT DEVELOPMENT AND SUCCESSION PLANNING PROCESSES. IT IS THE COMMITTEE'S JUDGMENT THAT THE STRUCTURE OF THE TOTAL COMPENSATION PROGRAM IS VITAL TO, AND STRONGLY SUPPORTIVE OF, THE HIGH LEVEL OF ONGOING SUCCESS OF UPMC AND FOSTERS THE RETENTION OF CRITICAL OFFICER AND KEY EMPLOYEE TALENT. THE TOTAL COMPENSATION DETERMINATION PROCESS UTILIZED BY THE COMMITTEE IS INTENDED TO SATISFY THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" AS SET FORTH IN THE REGULATIONS TO SECTION 4958 OF THE INTERNAL REVENUE CODE ("CODE"). THIS MEANS THAT COMPENSATION PROGRAMS AND LEVELS ARE APPROVED IN ADVANCE BY THE COMMITTEE WHICH IS COMPOSED ENTIRELY OF OUTSIDE DIRECTORS WHO DO NOT HAVE A CONFLICT OF INTEREST, AS DEFINED BY THE RELEVANT REGULATIONS, WITH RESPECT TO THE COMPENSATION PROGRAM AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON A BROAD RANGE OF APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATIONS. THE COMMITTEE THEN CONTEMPORANEOUSLY DOCUMENTS, IN FORMAL MEETING MINUTES, THE BASIS AND REASONS FOR ITS DETERMINATIONS. THE TOTAL COMPENSATION PROGRAM IS DESIGNED AND ADMINISTERED IN ACCORDANCE WITH THE UPMC BYLAWS, SOUND BUSINESS PRACTICES, THE TENETS OF COMMON LAW BUSINESS JUDGMENT AND FIDUCIARY RESPONSIBILITY AS WELL AS ADHERENCE TO ALL RELEVANT FEDERAL, STATE AND LOCAL LAWS. IN ADDITION TO CODE SECTION 4958, AS SET FORTH ABOVE, THIS INCLUDES BUT IS NOT LIMITED TO CODE SECTION 501(C)(3) AND THE APPLICABLE REGULATIONS THEREUNDER AS WELL AS ALL LAWS AND REGULATIONS PROHIBITING PRIVATE INUREMENT, PRIVATE BENEFIT TRANSACTIONS AND DISCRIMINATION. FURTHER, THE COMMITTEE HAS IDENTIFIED AND ADOPTED, AS APPROPRIATELY MODIFIED FOR UPMC, COMPENSATION PROGRAM "BEST PRACTICES" FROM THE BUSINESS WORLD (E.G. SARBANES OXLEY, SEC, ETC.). THE COMMITTEE BELIEVES THAT WHILE THESE PRACTICES ARE NOT REQUIRED IN THE TAX-EXEMPT SECTOR, THEY ARE IN THE BEST INTERESTS OF THE ORGANIZATION AND FURTHER SUPPORT UPMC'S NONPROFIT MISSION. IN ACCORDANCE WITH THE ABOVE, DETERMINATION OF TOTAL COMPENSATION FOR THE CEO IS MADE EXCLUSIVELY BY THE COMMITTEE. DETERMINATION OF TOTAL COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS RECOMMENDED BY THE CEO AND SUBJECT TO REVIEW AND APPROVAL BY THE COMMITTEE. THE COMMITTEE, WHICH MEETS AT LEAST FOUR TIMES A YEAR, OBTAINS PROFESSIONAL ADVICE FROM ITS OWN EXPERTS, INCLUDING ACCOUNTANTS, EXECUTIVE COMPENSATION CONSULTANTS AND LEGAL COUNSEL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION INCLUDES A COPY OF ITS FINANCIAL STATEMENTS WITH THE STATE REGISTRATION FILED WITH THE PENNSYLVANIA DEPARTMENT OF STATE, BUREAU OF CHARITABLE ORGANIZATIONS. THESE DOCUMENTS ARE A MATTER OF PUBLIC RECORD AND CAN BE VIEWED AT THE BUREAU OFFICE. FORM 990, PART IX, LINE 11G ADMINISTRATIVE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 274,996. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 274,996. CONSULTING FEES: PROGRAM SERVICE EXPENSES 12,200,768. MANAGEMENT AND GENERAL EXPENSES 1,986,172. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,186,940. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 173,504,942. MANAGEMENT AND GENERAL EXPENSES 8,884,860. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 182,389,802. PURCHASED LAB SERVICES: PROGRAM SERVICE EXPENSES 8,461,048. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,461,048. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 28,526,983. MANAGEMENT AND GENERAL EXPENSES 4,643,927. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,170,910. FORM 990, PART XI, LINE 9: TRANSFERS TO EXEMPT AFFILIATES -1,072,402,684. CHANGES IN TEMPORARY AND PERMANENTLY RESTRICTED NET ASSETS -443,676. JOINT VENTURE EQUITY EARNINGS -2,536,133. PART XII, LINE 2C: UPMC HAS AN AUDIT COMMITTEE THAT IS ESTABLISHED TO ASSIST THE BOARD OF DIRECTORS IN FULFILLING ITS OVERSIGHT RESPONSIBILITIES BY MONITORING UPMC CONSOLIDATED FINANCIAL REPORTS AND OTHER FINANCIAL INFORMATION PROVIDED BY UPMC TO GOVERNMENTAL BODIES, THE PUBLIC OR OTHER EXTERNAL ENTITIES. THE UPMC'S SYSTEM OF INTERNAL CONTROLS REGARDING FINANCE, ACCOUNTING, LEGAL COMPLIANCE AND ETHICS THAT MANAGEMENT AND THE BOARD HAVE ESTABLISHED AND UPMC'S INTERNAL AUDITING, ACCOUNTING AND FINANCIAL REPORTING PROCESSES ALSO PROVIDED OVERSIGHT. PART XII, LINE 2B: THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PERFORMED BY EY FOR UPMC AND ALL SUBSIDIARIES. THE ENTIRE SYSTEM'S FINANCIAL STATEMENTS, OF WHICH THIS ORGANIZATION IS PART, ARE POSTED ON THE UPMC WEBSITE (WWW.UPMC.COM). THE FINANCIAL STATEMENT AUDIT DURING THE 990 FILING PERIOD IS FOR THE CALENDAR YEAR ENDED DECEMBER 31,2021. 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N/A C 0 COLE CARE INC 1001 EAST 2ND STREET COUDERSPORT PA 16915 251497347 DME PA N/A C 0 UPMC ITALY HEALTH SERVICES SRL VIA DISCESA DEI GIUDICI 4 PALERMO IT HEALTH SVC IT N/A C 0 UPMC INVESTMENTS LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI HOLDING CO EI N/A C 0 UPMC PROPERTY LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI PROPERTY EI N/A C 0 EURO CARE INFRASTRUCTURE LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI PROPERTY MGMT EI N/A C 0 EURO CARE PROPERTY MANAGEMENT LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI PROPERTY MGMT EI N/A C 0 UPMC WHITFIELD HOSPITAL LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI HOSPITAL EI N/A C 0 UPMC GLOBAL OPERATIONS CENTER LTD 6TH FLOOR BEACON HOSPITAL SANDYFORD EI CANCER TREATM EI N/A C 0 PANTHER REINSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CAYMAN ISLANDS CJ 981402742 INSURANCE CJ N/A C 0 FORBES REINSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CAYMAN ISLANDS CJ 981400710 INSURANCE CJ N/A C 0 CATHEDRAL (RE) INSURANCE CO PO BOX 1109 GRAND CAYMAN CAYMAN ISLANDS CJ 981400837 INSURANCE CJ N/A C 0 UPMC IRELAND LIMITED 6TH FLOOR BEACON HOSPITAL SANDYFORD EI HEALTHCARE SU EI N/A C 0 UPMC CANADA TECHNOLOGIES LIMITED 600 GRANT STREET PITTSBURGH PA 15219 SOFTWARE CA N/A C 0 BLUESPHERE BIO 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 824979766 IMMUNOTHERAPY DE N/A C 0 INFECTIOUS DISEASE CONNECT INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 833311071 TELEMEDICINE DE N/A C 0 NOVASENTA INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 825443222 IMMUNOTHERAPY DE N/A C 0 UPMC HILLMAN CANCER CENTER - PINNACLE 101 ERFORD ROAD CAMP HILL PA 17701 833640945 CANCER TREATM PA N/A C 0 SHANGHAI UPMC CO LTD 288 SHIMEN 1ST ROAD JINGAN DISTRIC SHANGHAI CH HEALTHCARE MG CH N/A C 0 SALVATOR MUNDI INTERNATIONAL HOSPITAL ROMA VIALE DELLE MURA GIANICOLENSI IT HOSPITAL IT N/A C 0 SOMERSET ANESTHESIA INC 600 GRANT STREET PITTSBURGH PA 15219 455135437 PHYSICIAN SRV PA N/A C 0 SOMERSET MANAGEMENT SERVICES INC 600 GRANT STREET PITTSBURGH PA 15219 251512960 MOB OWNERSHIP PA N/A C 0 GENERIAN PHARMACEUTICALS INC 2425 SIDNEY STREET PITTSBURGH PA 15203 821101143 PHARMACY DE N/A C 0 WORK PARTNERS NATIONAL INC 600 GRANT STREET PITTSBURGH PA 15219 843141950 INSURANCE PA N/A C 0 ASTRATA INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 844804493 SOFTWARE DE N/A C 0 VEGAVECT 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 844280784 GENE THERAPY DE N/A C 0 NOVIMAB 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 841494905 CLINICAL RESEARCH DE N/A C 0 REALYZE INTELLEGENCE INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 850873923 SOFTWARE DE N/A C 0 HAYSTACK CONSOLIDATED SERVICES INC 12500 WILLOWBROOK ROAD CUMBERLAND MD 21502 521335895 INACTIVE PA N/A C 0 WESTERN MARYLAND INSURANCE COMPANY LTD PO BOX 10233 GRAND CAYMAN CAYMAN ISLANDS CJ INSURANCE CJ N/A C 0 GENERIAN PHARMACEUTICALS AUSTRALIA PTY L LEVEL 5 63 PIRIE STREET ADELAIDE AU PHARMACY AU N/A C 0 WILLOWBROOK HEALTHCARE CONDO 12401 WILLOWBROOK ROAD CUMBERLAND MD 21502 371538510 REAL ESTATE DE N/A C 0 RXANTE PHARMACY SERVICES INC 511 CONGRESS STREET 803 PORTLAND ME 04101 833402761 PHARMACY DE N/A C 0 CLANE HOSPITAL DEVELOPMENT ASSOCIATES L C/O UPMC WHITFIELD CORK ROAD BUTLERSTOWN NORTH WATERFORD EI MANAGEMENT EI N/A C 0 UPMC KILDARE HOSPITAL LTD PROSPEROUS ROAD CLANE COUNTY KILDARE CLANE EI HOSPITAL EI N/A C 0 UPMC AUT EVEN HOSPITAL LTD FRESHFORD ROAD COUNTY KILKENNY EI HOSPITAL EI N/A C 0 UPMC EXCESS PL TRUST 600 GRANT STREET PITTSBURGH PA 15219 826254351 TRUST PA N/A T 0 AVISTA THERAPEUTICS INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 853454001 GENE THERAPY PA N/A C 0 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 1 WEST SHORE SURGERY CENTER LTD A 562968 COST ADJ. ANNUALLY FOR CPI WEST SHORE SURGERY CENTER LTD R 935900 COST ADJ. ANNUALLY FOR CPI FORM 990, SCHEDULE R, PARTS I THROUGH IV: ENTITIES REPORTED IN PARTS I THROUGH IV THAT ARE MARKED WITH AN * ARE NOT TECHNICALLY "RELATED ORGANIZATIONS", AS DEFINED IN THE FORM 990 INSTRUCTIONS AS THE REQUISITE "CONTROL" DID NOT EXIST DURING THE FISCAL YEAR ENDED JUNE 30, 2022. HOWEVER, BECAUSE THESE ENTITIES ARE AFFILIATED WITH UPMC AND THE UPMC PARENT ORGANIZATION HOLDS CERTAIN POWERS WITH RESPECT TO SUCH ENTITIES WE ARE ELECTING TO DISCLOSE THE ENTITIES AS RELATED ORGANIZATIONS IN SCHEDULE R IN THE INTEREST OF TRANSPARENCY. FORM 990, SCHEDULE R, PART III WEST SHORE SURGERY CENTER IS OWNED BY THE FOLLOWING RELATED ENTITIES: UPMC PINNACLE HOSPITALS - 45% PINNACLE HEALTH MEDICAL SERVICES - 2% THE REMAINING 53% IS OWNED BY A NUMBER OF INDIVIDUAL PHYSICIANS. FORM 990, SCHEDULE R, PARTS II: THERE ARE ORGANIZATIONS INCLUDED IN THE UPMC GROUP FORM 990 TAX RETURN FOR FY 2022 WHICH ARE RELATED TO UPMC PINNACLE HOSPITALS. THESE ORGANIZATIONS ARE NOT REQUIRED TO BE LISTED IN SCHEDULE R.