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        <PersonNm>Jeffrey Conn</PersonNm>
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        <PersonNm>Joel Yuhas</PersonNm>
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        <PersonNm>Kim Orth</PersonNm>
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        <PersonNm>Mary Beth Brown</PersonNm>
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        <PersonNm>Mike Lauderbaugh</PersonNm>
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        <PersonNm>Sarah White DO</PersonNm>
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        <PersonNm>Sheila Stewart</PersonNm>
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        <PersonNm>Traci McDonald-Kemp</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALISA R RUCKER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Six MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN BRAY</PersonNm>
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        <PersonNm>RODNEY LOUK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Anne Roslonski</PersonNm>
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        <PersonNm>Barbara McCullough</PersonNm>
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        <PersonNm>Marcus Magister</PersonNm>
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        <PersonNm>Monica Smith DO</PersonNm>
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        <PersonNm>Sandra Hlipala</PersonNm>
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        <ContractorAddress>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>WTS</BusinessNameLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>Atlanta</CityNm>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>Quest Diagnostics</BusinessNameLine1Txt>
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        <ContractorAddress>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>406447</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>406447</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0016</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>34294884</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>18541245</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>15753639</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0605</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
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      <TotalFinancialAssistanceTyp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>34701331</TotalCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>16160086</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0621</TotalExpensePct>
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      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>1711158</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>318978</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1392180</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0053</TotalExpensePct>
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      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>16467936</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>8688890</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>7779046</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0299</TotalExpensePct>
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        <TotalCommunityBenefitExpnsAmt>97674853</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>72738644</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>24936209</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0958</TotalExpensePct>
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      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
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      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>79797</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>79797</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0003</TotalExpensePct>
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      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>115933744</TotalCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>34187232</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.1313</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>150635075</TotalCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>50347318</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.1934</TotalExpensePct>
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      <PhysicalImprvAndHousingGrp>
        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </PhysicalImprvAndHousingGrp>
      <EconomicDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
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      <CommunitySupportGrp>
        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </CommunitySupportGrp>
      <EnvironmentalImprovementsGrp>
        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
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      <LeadershipDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <CoalitionBuildingGrp>
        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
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      </CoalitionBuildingGrp>
      <HealthImprovementAdvocacyGrp>
        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
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      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>93043</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>93043</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0004</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <OtherCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>90000</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>90000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0003</TotalExpensePct>
      </OtherCommuntityBuildingActyGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>183043</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>183043</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0007</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>7935500</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>28955596</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>36050356</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-7094760</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>WPHO</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>LOCAL HEALTHCARE NETWORK</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.5</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.0063</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.4937</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>UPMC WASHINGTON</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>155 WILSON AVENUE</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15301</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.whs.org</WebsiteAddressTxt>
        <StateLicenseNum>230201</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>UPMC WASHINGTON</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>https://whs.org/patient-guests/quality-and-safety/</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>21</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>https://whs.org/patient-guests/quality-and-safety/</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.0</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>https://whs.org/patient-guests/#_tab-985f3f5e473efded214</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https://whs.org/patient-guests/#_tab-985f3f5e473efded214</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>https://whs.org/patient-guests/#_tab-985f3f5e473efded214</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - UPMC Washington. IN ORDER TO TAKE INTO ACCOUNT INPUT FROM THE COMMUNITY THAT THE HOSPITAL SERVES, THE ASSESSMENT INCLUDED A RANDOM COMMUNITY SURVEY AS WELL AS COMMUNITY FEEDBACK MEETINGS AND SURVEYS WITH THE FOLLOWING COMMUNITY GROUPS: PATIENT AND FAMILY CENTERED CARE COMMITTEE OF UPMC WASHINGTON WASHINGTON PHYSICIAN HOSPITAL ORGANIZATION</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - UPMC Washington. The Community Health Needs Assessment was conducted in conjunction with the following hospitals: UPMC Greene, a hospital located in Waynesburg, PA Penn Highlands Mon Valley Hospital</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - UPMC Washington. THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE REVIEWED AND PRIORITIZED BASED ON MAGNITUDE OF THE NEED, POTENTIAL IMPACT ON THE COMMUNITY HEALTH, COST, ENVIRONMENTAL FACTORS AND PRACTICALITY. AN IMPLEMENTATION PLAN WAS DEVELOPED AND APPROVED BY THE BOARD OF TRUSTEES. THE HOSPITAL WILL FOCUS THE IMPLEMENTATION ON TREATING TWO OF THE TOP NEEDS, REDUCTION OF THE COLORECTAL CANCER DEATH RATE AND REDUCTION OF THE LUNG CANCER DEATH RATE. THE FOLLOWING ARE SOME OF THE HEALTH NEEDS NOT BEING ADDRESSED IN THE INITIAL IMPLEMENTATION STRATEGY: YEARS OF POTENTIAL LIFE LOST DRUG OVERDOSE DEATHS CORONARY HEART DISEASE DEATHS COPD DEATHS BREAST CANCER DEATHS</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>14</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TRI-STATE SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>95 LEONARD AVENUE</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15301</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WILFRED R CAMERON WELLNESS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>240 WELLNESS WAY</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15301</ZIPCd>
          </USAddress>
          <FacilityTxt>WELLNESS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>UPMC WASHINGTON FAMILY MEDICINE CTR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>95 LEONARD AVENUE</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15301</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TWH LAB &amp; RADIOLOGY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67 EAST PIKE STREET</AddressLine1Txt>
            <CityNm>CANONSBURG</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15317</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB STATIONS &amp; OUTPATIENT RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WOUND &amp; SKIN HEALING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>208 WELLNESS WAY</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15301</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>UPMC WASHINGTON FAMILY MEDICINE CTR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67 EAST PIKE STREET</AddressLine1Txt>
            <CityNm>CANONSBURG</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15317</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TWH LAB &amp; RADIOLOGY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3415 MILLERS RUN</AddressLine1Txt>
            <CityNm>CECIL</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15321</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB STATIONS &amp; OUTPATIENT RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S THERAPY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1000 WATERDAM PLAZA DRIVE</AddressLine1Txt>
            <CityNm>MCMURRAY</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15317</ZIPCd>
          </USAddress>
          <FacilityTxt>CHILDREN'S THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DIABETES EDUCATION &amp; MANAGEMENT PROGRAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>95 LEONARD AVENUE</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15301</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDREN'S THERAPY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>289 NORTH AVENUE</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15301</ZIPCd>
          </USAddress>
          <FacilityTxt>CHILDREN'S THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TWH LAB &amp; RADIOLOGY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>343 E ROY FURMAN HIGHWAY</AddressLine1Txt>
            <CityNm>WAYNESBURG</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15370</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB STATIONS &amp; OUTPATIENT RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TWH LAB &amp; RADIOLOGY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4198 WASHINGTON ROAD</AddressLine1Txt>
            <CityNm>MCMURRAY</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15317</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB STATIONS &amp; OUTPATIENT RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>UPMC WASHINGTON FAMILY MEDICINE CTR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3415 MILLERS RUN ROAD</AddressLine1Txt>
            <CityNm>CECIL</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15321</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TWH LAB &amp; RADIOLOGY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>95 LEONARD AVE</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15301</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB STATIONS &amp; OUTPATIENT RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Column F - Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE OF $7,935,500 IS NOT INCLUDED IN THE EXPENSES IN THE LINE 7 PERCENT OF TOTAL EXPENSES CALCULATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20 Indicate efforts made before before any actions</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 20 WAS LEFT BLANK BECAUSE NONE OF THE ACTIONS DESCRIBED IN LINE 19 ARE PERMITTED UNDER OUR POLICY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Explanation of costing methodology used for calculating line 7 table</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S COST-TO-CHARGE RATIOS WERE USED TO CALCULATE ALL AMOUNTS REPORTED ON LINE 7. ALTHOUGH WORKSHEET 2 WAS NOT USED TO CALCULATE THIS RATIO, WE PREPARED A SIMILAR CALCULATION THAT WE FEEL IS MORE DETAILED. SIMILAR TO WORKSHEET 2, WE STARTED WITH OUR OVERALL COST-TO-CHARGE RATIO AND ADJUSTED FOR THE COMMUNITY BENEFITS INCLUDED IN PART I AND THE MEDICAID PROVIDER TAXES WE PAID.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Describe how community building activities promote the health of the community</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES CONSIST OF EMERGENCY PREPAREDNESS PREPARATION AND TRAINING, PHYSICIAN RECRUITMENT IN SPECIALTIES THAT ARE UNDER SERVED IN OUR AREA AND VOLUNTARY PAYMENTS IN LIEU OF TAXES TO THE CITY AND SCHOOL DISTRICT. THE HOSPITAL HAS DEVELOPED POLICIES AND PROCEDURES TO FOLLOW IN THE EVENT OF DIFFERENT COMMUNITY EMERGENCIES AND CONDUCTS REGULAR DRILLS TO HELP ENSURE PREPAREDNESS. THE HOSPITAL ALSO REGULARLY REVIEWS THE TYPES OF PHYSICIANS PRACTICING IN THE AREA AND ACTIVELY RECRUITS PHYSICIANS IN THOSE AREAS THAT ARE UNDER SERVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAMS REPORTED AS SUBSIDIZED HEALTH SERVICES INCLUDE HOSPITAL BASED PROGRAMS WHOSE PURPOSE IS TO SERVE A MEDICAL NEED TO THE COMMUNITY, THE LARGEST BEING AN INPATIENT PSYCHIATRIC UNIT. SERVICES PROVIDED TO MEDICARE RECIPIENTS WHICH ARE NOT REPORTABLE ON THE MEDICARE COST REPORT ARE ALSO INCLUDED IN SUBSIDIZED HEALTH SERVICES. THERE ARE NO PHYSICIAN CLINICS REPORTED AS SUBSIDIZED SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL FOLLOWS AICPA GUIDANCE IN REPORTING BAD DEBT AS A DEDUCTION FROM NET PATIENT SERVICE REVENUE. ACCOUNTS ARE DEEMED TO BE BAD DEBT AFTER ALL REASONABLE COLLECTION EFFORTS ARE APPLIED. THE HOSPITAL HAS A GENEROUS INTEREST-FREE PAYMENT PLAN POLICY AND DOES NOT CLASSIFY ACCOUNTS ON A PAYMENT PLAN AS BAD DEBT. ANY ACCOUNTS THAT ARE DETERMINED TO BE CHARITY CARE ARE EXCLUDED FROM BAD DEBT TOTALS. ANY DISCOUNT OR SETTLEMENTS PROVIDED TO PATIENTS ARE ALSO EXCLUDED FROM BAD DEBT TOTALS. THE AMOUNT DUE FROM A PATIENT IS WRITTEN OFF TO BAD DEBT ONCE THE ACCOUNT IS DEEMED UNCOLLECTABLE. THE HOSPITAL CONVERTS ALL BAD DEBT ACCOUNTS TO GROSS CHARGES AND APPLIES AN OVERALL COST-TO-CHARGE RATIO TO DETERMINE THE COST OF BAD DEBT REPORTED ON PART III, LINE 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>ALTHOUGH WE RECOGNIZE THE POSSIBILITY THAT SOME OF THE BAD DEBT COSTS COULD QUALIFY UNDER OUR CHARITY CARE POLICY, WE HAVE NO REASONABLE WAY TO DETERMINE THOSE AMOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDITED FINANCIAL STATEMENTS OF THE HOSPITAL DESCRIBES BAD DEBT AS FOLLOWS: Generally, patients who are covered by third-party payers are responsible for related deductibles and coinsurance, which vary in amount. The Health System also provides services to uninsured patients and offers those uninsured patients a discount, either by policy or law, from standard charges. The Health System estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts and implicit price concessions based on historical collection experience. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient care service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. FOOTNOTES: FOOTNOTE 3, "PATIENT AND UNINSURED PAYERS" IS FOUND ON PAGE 17 OF THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S SERVICE AREA HAS A VERY HIGH ELDERLY POPULATION. MEDICARE MAKES UP 62% OF THE INPATIENT PATIENT CARE DAYS AND 49% OF THE OUTPATIENT SERVICES PROVIDED BY THE HOSPITAL. AS THE LARGEST HOSPITAL IN THE COUNTY, WE PROVIDE A WIDE ARRAY OF SERVICES TO OUR COMMUNITY. OUR ELDERLY POPULATION DOES NOT HAVE TO TRAVEL TO THE NEAREST LARGE CITY HOSPITAL TO SEEK CARE FOR MOST SERVICES. MEDICARE PATIENTS GENERALLY HAVE MULTIPLE HEALTH CONDITIONS THAT CAN EASILY COMPLICATE THE CARE PROVIDED TO THEM. THE CURRENT INPATIENT PAYMENT SYSTEM PROVIDES PAYMENT FOR THE HEALTH CONDITION THAT PRECIPITATED AN ADMISSION TO THE HOSPITAL - IT DOES NOT NECESSARILY TAKE INTO ACCOUNT ALL OF THE OTHER UNDERLYING ILLNESSES THAT MUST BE TREATED OR ATTENDED TO DURING A PATIENT'S STAY. AS SUCH, TREMENDOUS RESOURCES CAN BE USED TO TREAT A MEDICARE PATIENT WITH MULTIPLE ILLNESSES YET THE HOSPITAL MAY ONLY BE PAID FOR RESOURCES ASSOCIATED WITH THE ADMITTING ILLNESS. THE HOSPITAL STRIVES TO PROVIDE ALL NEEDED CARE TO OUR PATIENTS WITHOUT CONSIDERATION OF PAYMENT SHORTFALLS. AS SUCH, WE FEEL STRONGLY THAT THE MEDICARE SHORTFALLS INCURRED BY THE HOSPITAL ARE A COMMUNITY BENEFIT. THE MEDICARE COSTS ARE CALCULATED USING COST-TO-CHARGE RATIOS THAT HAVE BEEN CALCULATED BASED ON THE DEPARTMENT WHERE THE SERVICES WERE PROVIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS A WRITTEN BAD DEBT POLICY IT FOLLOWS FOR ALL PATIENTS. IF A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THE ACCOUNT IS EXCLUDED FROM THE NORMAL COLLECTION PROCESS. THOSE ACCOUNTS ARE HANDLED UNDER THE SEPARATE CHARITY CARE POLICY. IF AN ACCOUNT IS SET UP ON A PAYMENT PLAN, ONLY THE CURRENT MONTHLY PAYMENT AMOUNT IS PURSUED UNDER THE COLLECTION POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- UPMC WASHINGTON: Line 16a URL: https://whs.org/patient-guests/#_tab-985f3f5e473efded214;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- UPMC WASHINGTON: Line 16b URL: https://whs.org/patient-guests/#_tab-985f3f5e473efded214;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- UPMC WASHINGTON: Line 16c URL: https://whs.org/patient-guests/#_tab-985f3f5e473efded214;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRIMARY METHOD THAT THE HOSPITAL USES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IS THROUGH ASSESSING THE TOTAL NUMBER OF PHYSICIANS PROVIDING MEDICAL SERVICES TO THE AREAS SERVED. THE QUALITATIVE STANDARD DOES NOT FACTOR THE ECONOMIC OR FINANCIAL BENEFITS TO THE HOSPITAL OF ANY RECRUITMENT OF PHYSICIANS IN ADDRESSING THE CONTINUUM OF NEED. THE ASSESSMENT FOCUSES ON COMMUNITY NEED AS A DETERMINING FACTOR IN ASSESSING THE APPROPRIATENESS OF PHYSICIAN RECRUITMENT INITIATIVES. THE APPROACH TO EVALUATING PHYSICIAN NEED IS BASED ON THE FOLLOWING FACTORS: -DEFINING THE DEMOGRAPHIC PROFILE AND PAYOR MIX OF THE HOSPITAL'S SERVICE AREA. -RESEARCHING UNIQUE SERVICE AREA FACTORS THAT MIGHT INFLUENCE THE DEMAND FOR HEALTHCARE SERVICES WITHIN THE AREA. -IDENTIFYING THE TOTAL NUMBER OF PHYSICIANS BY SPECIALTY IN THE DEFINED SERVICE AREA. -DEVELOPING A PROFILE OF THE CURRENT MEDICAL STAFF. -UTILIZING SIX ESTABLISHED PHYSICIAN NEEDS ASSESSMENT MODELS TO IDENTIFY POTENTIAL PHYSICIAN SURPLUSES OR DEFICITS IN EACH MEDICAL SPECIALTY. -EXAMINING RESULTS OF THE MEDICAL STAFF SURVEY AND PHYSICIAN FOCUS INTERVIEWS TO DETERMINE THE PERCEIVED RECRUITMENT NEEDS OF THE HOSPITAL'S EXISTING STAFF PHYSICIANS AND TO IDENTIFY MEDICAL COMMUNITY CONCERNS. -CONDUCT A COMMUNITY SURVEY TO INTEGRATE PERCEIVED SHORTAGES INTO RECOMMENDATIONS. -EVALUATING RESULTS OF THE ABOVE EFFORTS IN THE CONTEXT OF OUR MEDICAL STAFFING AND CONSULTING EXPERIENCE. OTHER WAYS TO ASSESS THE COMMUNITIES' HEALTH NEEDS INCLUDES CONDUCTING VARIOUS HEALTH SCREENINGS, SEMINARS AND EDUCATION SESSIONS HELD FOR THE GENERAL PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ATTEMPTS TO INFORM ALL UNINSURED PATIENTS OF AVAILABLE PROGRAMS TO ASSIST THEM IN OBTAINING HEALTH CARE SERVICES. INPATIENT: ANY PATIENT ADMITTED TO THE HOSPITAL WITHOUT INSURANCE IS PROVIDED ASSISTANCE IN APPLYING FOR THE STATE MEDICAL ASSISTANCE PROGRAM. A HOSPITAL REPRESENTATIVE WILL EXPLAIN THE STATE PROGRAMS TO THE PATIENT AND ASSIST IN THE PREPARATION OF THE APPLICATION AND GATHERING OF INFORMATION, IF APPLICABLE. IF THE PATIENT DOES NOT QUALIFY FOR ASSISTANCE, THE REPRESENTATIVE INFORMS HIM/HER OF THE HOSPITAL'S CHARITY CARE PROGRAM. OUTPATIENT: CERTAIN OUTPATIENT AREAS (EMERGENCY ROOM, REGISTRATION) HAVE SIGNS THAT LET PATIENTS KNOW THE HOSPITAL HAS A CHARITY CARE PROGRAM. SOME AREAS ALSO HAVE MEDICAL ASSISTANCE APPLICATIONS ON HAND TO GIVE TO PATIENTS. CONSISTENT WITH THE HOSPITAL MISSION, ALL PATIENTS REQUIRING IMMEDIATE CARE ARE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY. ALL PATIENTS: FOR PATIENTS THAT ARE UNINSURED OR UNDER INSURED, A HOSPITAL REPRESENTATIVE IS AVAILABLE TO DISCUSS OPTIONS FOR PAYMENT WITH THE PATIENT. WHEN APPROPRIATE, PAYMENT FOR ELECTIVE SERVICES IS DISCUSSED UPFRONT AND IF THE PATIENT IS ABLE TO PAY, IS COLLECTED IN ADVANCE OF SERVICE. EFFORTS ARE MADE TO COLLECT PATIENT LIABILITIES IN CERTAIN AREAS SUCH AS OPSU AND ADMISSIONS. INSURANCE COPAYS ARE ATTEMPTED TO BE COLLECTED IN THE EMERGENCY DEPARTMENT IN ACCORDANCE WITH EMTALA REGULATIONS. WHEN THERE IS A BALANCE DUE (SELF-PAY OR BALANCE AFTER INSURANCE) AND NO COLLECTION WAS MADE IN ADVANCE OF OR AT THE TIME OF SERVICE, A STATEMENT WILL BE SENT TO PATIENTS PROVIDING A PHONE NUMBER FOR THEM TO CALL AND DISCUSS PAYMENT OPTIONS. IF THE PATIENT DOES NOT CALL OR MAKE PAYMENT, A HOSPITAL REPRESENTATIVE WILL CALL HIM/HER TO DISCUSS THE AMOUNT DUE AND TO DETERMINE IF THEY ARE ELIGIBLE FOR ANY PROGRAMS OR INSURANCES OR TO MAKE PAYMENT ARRANGEMENTS THAT CAN HELP THE PATIENT. AT ANY POINT IN THE CONVERSATION, IF THE PATIENT SAYS HE/SHE CANNOT AFFORD TO PAY THE BILL, THE PATIENT IS OFFERED A CHARITY CARE APPLICATION. ONCE THE CHARITY CARE APPLICATION IS COMPLETE, IF THE PATIENT DOES NOT QUALIFY BUT CONTINUES TO EXPRESS CONCERNS ABOUT BEING ABLE TO PAY HIS/HER BILL, THE ACCOUNT IS REVIEWED FOR THE POSSIBILITY OF A DISCOUNT OR AN AFFORDABLE PAYMENT PLAN. THE HOSPITAL STRIVES TO ACCOMMODATE EVERY PATIENT'S FINANCIAL SITUATION IF POSSIBLE. THE HOSPITAL'S CHARITY CARE PROGRAM PROVIDES FOR FREE OR DISCOUNTED CARE BASED ON FEDERAL POVERTY GUIDELINES (FPG). DEPENDING ON INCOME LEVEL, INDIVIDUALS WITHOUT INSURANCE CAN QUALIFY FOR DISCOUNTS RANGING BETWEEN 60-100%. INDIVIDUALS WITH INSURANCE CAN QUALIFY FOR DISCOUNTS RANGING BETWEEN 10-100%. ALL BILLS FOR PATIENTS WITHOUT INSURANCE COVERAGE ARE DISCOUNTED TO THE AVERAGE OF OUR TOP COMMERCIAL PAYORS. DISCOUNTS RANGE FROM 30% TO 60% DEPENDING ON THE TYPE OF SERVICE PROVIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>UPMC WASHINGTON IS A 206 BED ACUTE CARE GENERAL HOSPITAL LOCATED IN WASHINGTON, PENNSYLVANIA. FOUNDED IN 1897, THE HOSPITAL SERVES THE SURROUNDING COMMUNITIES WITH A TOTAL PATIENT DRAW OF OVER 300,000 RESIDENTS LIVING IN 63 ZIP CODES. THE SERVICE AREA EXTENDS TO THE WESTERN AND SOUTHERN BORDERS OF PENNSYLVANIA. THERE ARE THREE OTHER GENERAL ACUTE CARE HOSPITALS THAT SERVE PORTIONS OF TWH'S GEOGRAPHIC AREA, HOWEVER, TWH IS THE LARGEST HOSPITAL PROVIDING THE BROADEST RANGE OF SERVICES TO THE COMMUNITY. TWH IS THE ONLY HOSPITAL THAT OFFERS OBSTETRICAL, CARDIOTHORACIC, ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIAC PROCEDURES, ACUTE REHABILITATION, DIABETES MANAGEMENT, WOUND CARE AND CHILDREN'S THERAPY SERVICES TO THE SERVICE AREA. THE GEOGRAPHIC AREA OF SERVICE IS QUITE LARGE AND HAS A SUBSTANTIAL RURAL COMPONENT. AT LEAST THREE AREAS WITHIN TWH'S SERVICE AREA ARE DESIGNATED AS MEDICALLY UNDESERVED AND/OR AREAS WITH A HEALTH CARE PROFESSIONAL SHORTAGE. APPROXIMATELY 14% OF THE PATIENTS SERVED ARE MEDICAL ASSISTANCE AND ANOTHER 2% ARE UNINSURED. TO FURTHER SUPPORT THE LARGE GEOGRAPHIC AREA, TWH PROVIDES SPACE FOR A MEDICAL HELICOPTER TO BE STATIONED FULL TIME IN THE SERVICE AREA. HOUSEHOLD INCOME/ECONOMIC FACTORS CAN HAVE A SIGNIFICANT IMPACT ON THE GENERAL HEALTH OF A SERVICE AREA. LOWER HOUSEHOLD INCOME MAY REFLECT LOWER PRIMARY CARE UTILIZATION AND HIGHER CRITICAL CARE UTILIZATION. VARIOUS STUDIES AND ARTICLES ALSO SUGGEST GREATER RELIANCE ON HOSPITAL EMERGENCY ROOMS FOR NON-EMERGENCY DIAGNOSIS AND TREATMENT IN LOW-INCOME AREAS. THE HOSPITAL'S SERVICE AREA MAY HAVE SOME HOUSEHOLD INCOME RELATED FACTORS THAT WOULD DRIVE AN ADDITIONAL NEED FOR PHYSICIAN SERVICES WITHIN PORTIONS OF THE COMMUNITY. APPROXIMATELY 10% OF THE HOUSEHOLDS WITHIN THE PRIMARY SERVICE AREA ARE AT OR BELOW THE FEDERAL POVERTY LEVEL. A LACK OF AVAILABLE RESOURCES TO THE INDIGENT MAY INCREASE VOLUMES IN THE EMERGENCY ROOM, AS PATIENTS LACKING PRIMARY CARE ACCESS OFTEN SEEK ROUTINE CARE THROUGH EMERGENCY SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>UPMC WASHINGTON STRIVES TO PROMOTE COMMUNITY HEALTH IN MANY AREAS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF. ALL APPLICANTS WHO MEET THE REQUIREMENTS ARE GRANTED MEDICAL STAFF PRIVILEGES. THE HOSPITAL ACTIVELY RECRUITS PHYSICIANS IN AREAS IDENTIFIED AS HAVING A NEED IN THE COMMUNITY. THE HOSPITAL'S BOARD OF TRUSTEES IS COMPRISED OF COMMUNITY LEADERS WHO RESIDE IN THE COMMUNITIES WE SERVE AND WHOSE INSIGHT AND EXPERIENCE IS INVALUABLE IN PROVIDING DIRECTION TO THE HOSPITAL IN PROMOTING THE COMMUNITY HEALTH. THE HOSPITAL PROVIDES MANY SCREENING AND EDUCATIONAL PROGRAMS IN THE COMMUNITY. THE HOSPITAL PARTICIPATES IN REGIONAL EMERGENCY PREPAREDNESS AND IS ACTIVE IN ENSURING WE CAN RESPOND TO A COMMUNITY EMERGENCY. THE HOSPITAL OPERATES A WELLNESS CENTER TO PROMOTE FITNESS AND A HEALTHY LIFESTYLE. THE HOSPITAL FUNDS A TEEN OUTREACH PROGRAM. THIS PROGRAM PROMOTES ABSTINENCE, PREGNANCY PREVENTION AND EDUCATION TO TEENAGERS IN THE COMMUNITIES THE HOSPITAL SERVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>UPMC Washington is part of the UPMC Health System. The goal of the system is to provide integrated healthcare centered around patients and families. UPMC Washington's role is that of the primary hospital and hub of the system in Washington and Greene counties. UPMC Washington provides a full array of inpatient and outpatient services to the residents of Washington County and the surrounding community.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
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        <CompensationBasedOnRltdOrgsAmt>412023</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>367500</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>19583</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>95393</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>29775</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>924274</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>17150</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Howard Goldberg MD</PersonNm>
        <TitleTxt>Board Member through 05/31/24</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>425984</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>61507</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>30000</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>18073</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>545564</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jared Weiner</PersonNm>
        <TitleTxt>Board Member beginning 06/01/24</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>275721</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>157500</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1945</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>27404</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17433</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>480003</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>1400</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RODNEY LOUK</PersonNm>
        <TitleTxt>Executive VP / COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>434738</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>45220</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>53032</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12145</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>554285</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Six MD</PersonNm>
        <TitleTxt>Executive VP / COO &amp; CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>431710</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>47880</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19764</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>531004</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALISA R RUCKER</PersonNm>
        <TitleTxt>VP FINANCE / CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>396163</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>48178</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>52500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19343</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>525334</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN BRAY</PersonNm>
        <TitleTxt>VP PATIENT CARE SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>235074</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>29760</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>45500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7436</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18268</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>336038</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Monica Smith DO</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>440161</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>37500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16273</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>525584</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Marcus Magister</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>330995</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>89620</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18073</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>470338</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Anne Roslonski</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>377719</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>29667</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8476</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>447512</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Barbara McCullough</PersonNm>
        <TitleTxt>VP Human Resources</TitleTxt>
        <BaseCompensationFilingOrgAmt>313587</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>36213</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>30000</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9049</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18669</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>407518</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sandra Hlipala</PersonNm>
        <TitleTxt>Director of Emergency Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>325834</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3029</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>30000</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4934</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15882</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>379679</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>UPMC provides incentive compensation as part of its total compensation program for officers and key employees. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 2 New program services</FormAndLineReferenceDesc>
        <ExplanationTxt>As part of its June 1, 2024 affiliation with UPMC, Washington Health Care Services, Inc., formerly the sole member of UPMC Washington and the parent company of Washington Health System, was legally merged into UPMC Washington. Therefore, all activities formerly conducted by Washington Health System that have not been assumed by UPMC as part of the affiliation have been assumed by UPMC Washington.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 23,692,001 including grants of $ 36,634)(Revenue $ 50,146,531) OTHER PROGRAM SERVICES INCLUDE A MULTITUDE OF ACTIVITIES PERFORMED BY THE HOSPITAL TO DO BUSINESS IN THE COMMUNITY AND PROVIDE VALUABLE COMMUNITY BENEFITS. ACTIVITIES IN THIS CATEGORY INCLUDE, BUT ARE NOT LIMITED TO, A TEENAGE ABSTINENCE EDUCATION PROGRAM, A FAMILY PRACTICE RESIDENCY PROGRAM, A SCHOOL OF NURSING, A SCHOOL FOR X-RAY TECHNICIANS, HOSPICE SERVICES, CERTAIN EMERGENCY DEPARTMENT SERVICES, OPERATION OF A WELLNESS CENTER, RENTAL ACTIVITIES, AND OPERATION OF AN EMPLOYEE CAFETERIA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 FAMILY OR BUSINESS RELATIONSHIP</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S BOARD OF TRUSTEES IS MADE UP OF HIGHLY RESPECTED LEADERS IN THE COMMUNITY. BOARD MEMBERS ARE SELECTED AND VOTED ON BY THE ENTIRE BOARD. THE HOSPITAL DOES NOT COMPENSATE OR SELECT BOARD MEMBERS. THE HOSPITAL HAS A CONFLICT OF INTEREST POLICY AND QUERIES BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES EACH YEAR ABOUT ANY BUSINESS OR FAMILY RELATIONSHIPS. THERE HAVE BEEN NO FAMILY RELATIONSHIPS REPORTED. ALTHOUGH NOT CLASSIFIED AS BUSINESS RELATIONSHIPS FOR THIS PURPOSE, NORMAL ARMS LENGTH BUSINESS TRANSACTIONS DO EXIST BETWEEN SOME BOARD MEMBERS. THE BUSINESS TRANSACTIONS ARE GENERALLY IRRELEVANT AND IMMATERIAL TO THE OPERATIONS OF THE HOSPITAL. THE HOSPITAL DOES NOT RECEIVE ANY BENEFITS FROM THE RELATIONSHIPS THAT EXIST AMONG BOARD MEMBERS NOR DOES IT INFLUENCE THE RELATIONSHIPS IN ANY WAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>As part of its June 1, 2024 affiliation with UPMC, UPMC Washington's Articles of Incorporation were amended to substitute UPMC, a Section 501(c)(3) organization that servers as the parent organization of a nonprofit academic medical center and integrated healthcare delivery system, as its sole member. See the Amended and Restated Articles of Incorporation attached to this return.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>As UPMC Washington's sole member, UPMC has the power to appoint one-third of UPMC Washington's board of directors and to approve significant decisions of UPMC Washington's board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>As UPMC Washington's sole member, UPMC has the power to appoint one-third of UPMC Washington's board of directors and to approve significant decisions of UPMC Washington's board of directors, including decisions related to (i) operating and capital budgets, (ii) new , or material changes to any existing, affiliations or contractual arrangements, (iii) strategic plans, (iv) new physician contract providing for any exclusive privileges, (v) new, or material changes to existing, joint venture arrangements, (vi) the retention, termination and replacement of the chief executive officer of UPMC Washington, (vii) any management arrangements with an unrelated third-party, (viii) any material changes to programs and services, (ix) changes in corporate and staffing structures, (x) the sale, lease, transfer, license exchange or joint venture or other disposition involving significant product lines, (xi) the determination that UPMC Washington will no longer be licensed or operated as currently licensed or operated, (xii) any amendment of UPMC Washington's articles of incorporation, and (xiii) the sale of any real estate.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>As UPMC Washington's sole member, UPMC has the power to appoint one-third of UPMC Washington's board of directors and to approve significant decisions of UPMC Washington's board of directors, including decisions related to (i) operating and capital budgets, (ii) new , or material changes to any existing, affiliations or contractual arrangements, (iii) strategic plans, (iv) new physician contract providing for any exclusive privileges, (v) new, or material changes to existing, joint venture arrangements, (vi) the retention, termination and replacement of the chief executive officer of UPMC Washington, (vii) any management arrangements with an unrelated third-party, (viii) any material changes to programs and services, (ix) changes in corporate and staffing structures, (x) the sale, lease, transfer, license exchange or joint venture or other disposition involving significant product lines, (xi) the determination that UPMC Washington will no longer be licensed or operated as currently licensed or operated, (xii) any amendment of UPMC Washington's articles of incorporation, and (xiii) the sale of any real estate.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO BEING FILED, THE FORM 990 IS REVIEWED BY THE MEMBERS OF THE FINANCE COMMITTEE AS DESIGNATED BY THE ENTIRE BOARD OF TRUSTEES. THE FINANCE COMMITTEE MEETS WITH HOSPITAL MANAGEMENT AND REVIEWS THE CONTENT OF THE FORM 990. AFTER FILING OF THE FORM 990, THE FINANCE COMMITTEE REPORTS THE REVIEW AND ANY NOTABLE ITEMS FROM THE REVIEW TO THE FULL BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S CONFLICT OF INTEREST POLICY IS MONITORED PRIMARILY BY HOSPITAL MANAGEMENT. EACH YEAR A CONFLICT OF INTEREST STATEMENT MUST BE COMPLETED BY ALL BOARD OF TRUSTEE MEMBERS AS WELL AS CERTAIN KEY MANAGEMENT EMPLOYEES OF THE HOSPITAL. THE QUESTIONNAIRE IS DISTRIBUTED BY HOSPITAL MANAGEMENT AND ALL RESPONSES MUST BE RECEIVED. IF NECESSARY, THE ASSISTANCE OF THE BOARD CHAIRPERSON IS SOUGHT TO OBTAIN ALL RESPONSES. THE RESPONSES ARE INITIALLY REVIEWED BY HOSPITAL MANAGEMENT. ANY EXCEPTIONS OR POTENTIAL CONFLICTS ARE REVIEWED BY THE CEO AND BOARD CHAIRPERSON. ANY NECESSARY ACTION IS DETERMINED BY THE CHAIRPERSON AND ADDRESSED AT THE BOARD LEVEL. GREAT CARE IS TAKEN BY THE BOARD CHAIRPERSON TO ENSURE THAT AN INDEPENDENT BOARD IS IN PLACE. IN THE EVENT THAT A CONFLICT EXISTS, THAT PERSON IS PROHIBITED FROM PARTICIPATING IN ANY RELATED DECISION MAKING ON THAT ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMPENSATION COMMITTEE DETERMINES THE COMPENSATION OF THE EXECUTIVES. AN INDEPENDENT CONSULTANT'S REVIEW OF EXECUTIVE SALARIES IS THE PRIMARY TOOL USED TO MAKE THEIR DETERMINATION (THE MOST RECENT CONSULTING REVIEW WAS IN MAR 2024). THE RESULTS OF MANAGEMENT'S SURVEY AND COMPARISON DATA WILL ALSO BE TAKEN INTO CONSIDERATION. ALL ACTIVITIES OF THE EXECUTIVE COMPENSATION COMMITTEE ARE REPORTED TO THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES ELECTS A PERSONNEL COMMITTEE TO HANDLE COMPENSATION, BENEFITS AND EMPLOYEE RELATED ISSUES RELATED TO THE HOSPITAL. THE GENERAL COMPENSATION PROCESS FOR ALL EMPLOYEES STARTS WITH HOSPITAL MANAGEMENT COMPILING SURVEY AND COMPARISON INFORMATION AND MAKING RECOMMENDATIONS FOR SALARY ADJUSTMENTS TO THE PERSONNEL COMMITTEE. THE PERSONNEL COMMITTEE REVIEWS THAT INFORMATION ANNUALLY, HAS DISCUSSIONS WITH HOSPITAL MANAGEMENT AND ULTIMATELY APPROVES OR DENIES THE RECOMMENDATIONS FOR SALARY ADJUSTMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL MAKES FORM 990 AND 990-T AVAILABLE TO THE PUBLIC BY REQUEST. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT ROUTINELY AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>All Other Revenue - Total Revenue: 709754, Related or Exempt Function Revenue: 598519, Unrelated Business Revenue: 111235, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Miscellaneous - Total Revenue: 277977, Related or Exempt Function Revenue: 197965, Unrelated Business Revenue: 80012, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Information System Fees &amp; Contracts - Total Expense: 7115070, Program Service Expense: 5832223, Management and General Expenses: 1282847, Fundraising Expenses: 0; Wellness Center Fees &amp; Costs - Total Expense: 2521573, Program Service Expense: 2066933, Management and General Expenses: 454640, Fundraising Expenses: 0; Lab Fees &amp; Services - Total Expense: 2246812, Program Service Expense: 2246812, Management and General Expenses: 0, Fundraising Expenses: 0; Anesthesia Fees &amp; Services - Total Expense: 3355432, Program Service Expense: 3355432, Management and General Expenses: 0, Fundraising Expenses: 0; Service Contracts - Total Expense: 7065321, Program Service Expense: 5791444, Management and General Expenses: 1273877, Fundraising Expenses: 0; Other - Total Expense: 11260793, Program Service Expense: 8220387, Management and General Expenses: 3040406, Fundraising Expenses: 0;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfers to Affiliates - -15031979; Net Assets Released From Restriction - -438839; Transfer to UPMC / Foundation - 12826309; Net Restricted Contributions - 1020492; Auxiliary Loss - 28446;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2b Audited Financial Statements</FormAndLineReferenceDesc>
        <ExplanationTxt>DUE TO THE MERGER WITH UPMC, THE AUDITED FINANCIAL STATEMENTS WERE COMPLETED FOR THE 11 MONTHS ENDING 05/31/24 INSTEAD OF THE FULL FISCAL YEAR ENDING 06/30/24.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 20 Tax-exempt bond liabilities</FormAndLineReferenceDesc>
        <ExplanationTxt>As part of its June 1, 2024 affiliation with UPMC, UPMC assumed legal responsibility for UPMC Washington tax-exempt bond issues that were previously reported on the Schedule K included with UPMC Washington's Form 990. As such, these tax-exempt bond issues are reported on the Schedule K included with UPMC's Form 990 filed for the June 30, 2024 tax year rather than on UPMC Washington's.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>Washington Healthcare Services Inc</BusinessNameLine1Txt>
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          <ZIPCd>15219</ZIPCd>
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        <EIN>251335247</EIN>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CANTERBURY PLACE</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SENECA PLACE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>UPMC SR COMM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SHADYSIDE HOSPITAL SUPPORTING FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>UPMC LEE</BusinessNameLine1Txt>
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          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>SHADYSIDE HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <CityNm>PITTSBURGH</CityNm>
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          <ZIPCd>15219</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
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          <AddressLine1Txt>600 Grant Street 58th Floor</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Regnl Health</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Hamot Health Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>302 FRENCH STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16507</ZIPCd>
        </USAddress>
        <EIN>251400999</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC HAMOT</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMCJAMESON CANCER CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>600 GRANT STREET 58TH FL</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
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        <EIN>201459415</EIN>
        <PrimaryActivitiesTxt>ONCOLOGY SVC</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>UPMC Jameson</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>JAMESON CARE CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1211 WILMINGTON AVE</AddressLine1Txt>
          <CityNm>NEW CASTLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16105</ZIPCd>
        </USAddress>
        <EIN>232871396</EIN>
        <PrimaryActivitiesTxt>SR SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC SR COMM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LAUREL REALTY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>32-36 CENTRAL AVENUE</AddressLine1Txt>
          <CityNm>WELLSBORO</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16901</ZIPCd>
        </USAddress>
        <EIN>231403678</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC SUSQUEH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE GREEN HOME</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>37 CENTRAL AVENUE</AddressLine1Txt>
          <CityNm>WELLSBORO</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16901</ZIPCd>
        </USAddress>
        <EIN>240804365</EIN>
        <PrimaryActivitiesTxt>SKILLED NURSI</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC SUSQUEH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WILLIAMSPORT AREA AMB SERVICE COOP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>700 HIGH STREET</AddressLine1Txt>
          <CityNm>WILLIAMSPORT</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17701</ZIPCd>
        </USAddress>
        <EIN>232416166</EIN>
        <PrimaryActivitiesTxt>AMBULANCE SVC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC WILLIAM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC CHAUTAUQUA AT WCA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>207 FOOTE AVENUE</AddressLine1Txt>
          <CityNm>JAMESTOWN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14701</ZIPCd>
        </USAddress>
        <EIN>160743226</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC CHAUTAU</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WCA GROUP INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>207 FOOTE AVENUE</AddressLine1Txt>
          <CityNm>JAMESTOWN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14701</ZIPCd>
        </USAddress>
        <EIN>222392582</EIN>
        <PrimaryActivitiesTxt>HOLDING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHAUT AT WCA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>STARFLIGHT INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>135 ALLEN STREET</AddressLine1Txt>
          <CityNm>JAMESTOWN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14701</ZIPCd>
        </USAddress>
        <EIN>161557878</EIN>
        <PrimaryActivitiesTxt>AIR AMBULANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHAUT AT WCA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOUTH CENTRAL ALPHA HOUSING &amp; HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3410 W PITTSBURG ROAD</AddressLine1Txt>
          <CityNm>NEW CASTLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16101</ZIPCd>
        </USAddress>
        <EIN>251701701</EIN>
        <PrimaryActivitiesTxt>SNF &amp; AL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC SR COMM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOUTH WESTERN ALPHA HOUSING &amp; HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>745 GREENVILLE ROAD</AddressLine1Txt>
          <CityNm>MERCER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16137</ZIPCd>
        </USAddress>
        <EIN>251701700</EIN>
        <PrimaryActivitiesTxt>SNF &amp; IL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC SR COMM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KANE COMMUNITY HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4372 ROUTE 6</AddressLine1Txt>
          <CityNm>KANE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16735</ZIPCd>
        </USAddress>
        <EIN>263906925</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LAUREL HEALTH FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>32-36 CENTRAL AVENUE</AddressLine1Txt>
          <CityNm>WELLSBORO</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16901</ZIPCd>
        </USAddress>
        <EIN>251810488</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WCA FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>300 FOOTE AVENUE PO BOX 840</AddressLine1Txt>
          <CityNm>JAMESTOWN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14702</ZIPCd>
        </USAddress>
        <EIN>222393584</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VENANGO VNA FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>491 ALLEGHENY BOULEVARD</AddressLine1Txt>
          <CityNm>FRANKLIN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16323</ZIPCd>
        </USAddress>
        <EIN>251472179</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-O</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC PINNACLE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>409 SOUTH SECOND STREET</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17104</ZIPCd>
        </USAddress>
        <EIN>251778658</EIN>
        <PrimaryActivitiesTxt>SUPPORTING OR</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC CARLISLE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>361 ALEXANDER SPRING ROAD</AddressLine1Txt>
          <CityNm>CARLISLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17105</ZIPCd>
        </USAddress>
        <EIN>820880337</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC PINNACL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC PINNACLE LANCASTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>250 COLLEGE AVENUE</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17603</ZIPCd>
        </USAddress>
        <EIN>820896436</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC PINNACL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC LITITZ</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1500 HIGHLANDS AVENUE</AddressLine1Txt>
          <CityNm>LITITZ</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17543</ZIPCd>
        </USAddress>
        <EIN>820844453</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC PINNACL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC MEMORIAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>325 SOUTH BELMONT STREET</AddressLine1Txt>
          <CityNm>YORK</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17405</ZIPCd>
        </USAddress>
        <EIN>820912090</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC PINNACL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PINNACLE HEALTH REGIONAL PHYSICIANS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>409 SOUTH SECOND STREET</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17104</ZIPCd>
        </USAddress>
        <EIN>820947698</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN SRV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC PINNACL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC PINNACLE FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>409 SOUTH SECOND STREET</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17104</ZIPCd>
        </USAddress>
        <EIN>222691718</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC PINNACL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY LIFE TEAM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>409 SOUTH SECOND STREET</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17104</ZIPCd>
        </USAddress>
        <EIN>231890444</EIN>
        <PrimaryActivitiesTxt>MED TRANSPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC PINNACL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HANOVER HEALTHCARE PLUS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>300 HIGHLAND AVENUE</AddressLine1Txt>
          <CityNm>HANOVER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17331</ZIPCd>
        </USAddress>
        <EIN>222658574</EIN>
        <PrimaryActivitiesTxt>SUPPORTING OR</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC PINNACL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC HANOVER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>300 HIGHLAND AVENUE</AddressLine1Txt>
          <CityNm>HANOVER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17331</ZIPCd>
        </USAddress>
        <EIN>231360851</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HANNOVER HEA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC PINNACLE HOSPITALS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>409 SOUTH SECOND STREET</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17104</ZIPCd>
        </USAddress>
        <EIN>251778644</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC PINNACL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PINNACLE HEALTH MEDICAL SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>409 SOUTH SECOND STREET</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17104</ZIPCd>
        </USAddress>
        <EIN>251709054</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN SRV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC PINNACL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HENDORN INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1001 EAST SECOND STREET</AddressLine1Txt>
          <CityNm>COUDERSPORT</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16915</ZIPCd>
        </USAddress>
        <EIN>231972659</EIN>
        <PrimaryActivitiesTxt>RES. CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>C COLE MEM H</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASBURY HEIGHTS OF UPMC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>251555687</EIN>
        <PrimaryActivitiesTxt>SUPPORTING OR</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC SR COMM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASBURY HEALTH CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>250969472</EIN>
        <PrimaryActivitiesTxt>CCRC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASBURY HEIGH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASBURY VILLAS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>251819952</EIN>
        <PrimaryActivitiesTxt>PERSONAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASBURY HEIGH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASBURY PLACE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>251729266</EIN>
        <PrimaryActivitiesTxt>PERSONAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASBURY HEIGH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WESLEY HILLS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>251507472</EIN>
        <PrimaryActivitiesTxt>INDEP LIVING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASBURY HEIGH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASBURY FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>251555688</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASBURY HEIGH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC WESTERN MARYLAND CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 539</AddressLine1Txt>
          <CityNm>CUMBERLAND</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21501</ZIPCd>
        </USAddress>
        <EIN>520591531</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WESTERN MARYLAND HEALTH SYSTEM FND</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 539</AddressLine1Txt>
          <CityNm>CUMBERLAND</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21501</ZIPCd>
        </USAddress>
        <EIN>352289841</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC WESTERN</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HANOVER HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>300 HIGHLAND AVENUE</AddressLine1Txt>
          <CityNm>HANOVER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17331</ZIPCd>
        </USAddress>
        <EIN>822553293</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC PINNACL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RUSH TO CRUSH CANCER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>200 LOTHROP STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15213</ZIPCd>
        </USAddress>
        <EIN>874771624</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UOFP CANCER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC WESTERN BEHAVIORAL HEALTH FOUNDATIO</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>200 LOTHROP STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15213</ZIPCd>
        </USAddress>
        <EIN>923568793</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC PRESBY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC AMBULATORY SURGERY CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>992460242</EIN>
        <PrimaryActivitiesTxt>SURGERY CENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC EAST END SURGERY CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5800 CENTRE AVENUE</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15206</ZIPCd>
        </USAddress>
        <EIN>992636583</EIN>
        <PrimaryActivitiesTxt>SURGERY CENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC AMBULAT</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC WEST MIFFLIN GI</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6161 CLAIRTON ROAD</AddressLine1Txt>
          <CityNm>WEST MIFFLIN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15122</ZIPCd>
        </USAddress>
        <EIN>992662946</EIN>
        <PrimaryActivitiesTxt>SURGERY CENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC AMBULAT</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BUILD COMMUNITY DEVELOPMENT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 STATE STREET STW 510</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16507</ZIPCd>
        </USAddress>
        <EIN>990539256</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>5</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HAMOT HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AMBULANCE &amp; CHAIR EMS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>75 BRADEN STREET</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15301</ZIPCd>
        </USAddress>
        <EIN>251272075</EIN>
        <PrimaryActivitiesTxt>MEDICAL TRANS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC GREENE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UPMC GREENE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>350 BONAR AVENUE</AddressLine1Txt>
          <CityNm>WAYNESBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15370</ZIPCd>
        </USAddress>
        <EIN>473884840</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC WASHING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WASHINGTON SENIOR CARE CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>317 WELLNESS WAY</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15301</ZIPCd>
        </USAddress>
        <EIN>251849365</EIN>
        <PrimaryActivitiesTxt>SR LIVING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC WASHING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SENECA HILLS ASSISTED LIVING LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>232873106</EIN>
        <PrimaryActivitiesTxt>ASSISTED LIVI</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ST MARGARET MEDICAL ARTS ASSOCIATES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>251786655</EIN>
        <PrimaryActivitiesTxt>MED OFFICE BL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SHADYSIDE MEDICAL CENTER ASSOCIATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>251608318</EIN>
        <PrimaryActivitiesTxt>MED OFFICE BL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHARTWELL PA LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>251729714</EIN>
        <PrimaryActivitiesTxt>HOMEHEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LIFE Care Home SRV OF NW PA</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1647 SASSAFRAS STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16501</ZIPCd>
        </USAddress>
        <EIN>251536879</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH S</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HAMOT-KCH REAL ESTATE VENTURE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>300 STATE STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16507</ZIPCd>
        </USAddress>
        <EIN>263691782</EIN>
        <PrimaryActivitiesTxt>MEDICAL OFFIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPMC HAMOT SURGERY CENTER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>200 STATE STREET</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16507</ZIPCd>
        </USAddress>
        <EIN>251863661</EIN>
        <PrimaryActivitiesTxt>AMBULATORY SU</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EPN-Hamot Urgent Care LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>600 Grant Street</AddressLine1Txt>
          <CityNm>Pittsburgh</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TRI-STATE SURGERY CENTER LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>80 LANDING DRIVE</AddressLine1Txt>
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        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
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          <AddressLine1Txt>115 EQUITY DRIVE</AddressLine1Txt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
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          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
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          <ZIPCd>15219</ZIPCd>
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        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>ASKESIS DEVELOPMENT GROUP INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
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        <EIN>541625585</EIN>
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          <BusinessNameLine1Txt>BAYSIDE DEVELOPMENT CORP</BusinessNameLine1Txt>
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          <AddressLine1Txt>300 STATE STREET</AddressLine1Txt>
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          <ZIPCd>16507</ZIPCd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>UPMC WORK ALLIANCE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
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          <AddressLine1Txt>600 GRANT STREET 58TH FLOOR</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>UPMC HEALTH OPTIONS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <AddressLine1Txt>868 CORPORATE WAY</AddressLine1Txt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>ALTOONA FAMILY INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>620 HOWARD AVE</AddressLine1Txt>
          <CityNm>ALTOONA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16601</ZIPCd>
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        <EIN>251444935</EIN>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LEXINGTON HOLDINGS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>620 HOWARD AVE</AddressLine1Txt>
          <CityNm>ALTOONA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>LEXINGTON ONE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>620 HOWARD AVE</AddressLine1Txt>
          <CityNm>ALTOONA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16601</ZIPCd>
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        <EIN>251468889</EIN>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPMC ALTOONA REGIONAL HEALTH SERVICES</BusinessNameLine1Txt>
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          <AddressLine1Txt>1414 9TH AVENUE</AddressLine1Txt>
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          <ZIPCd>16602</ZIPCd>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPMC EXCESS PL TRUST</BusinessNameLine1Txt>
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          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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          <AddressLine1Txt>511 CONGRESS STREET 803</AddressLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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        <RelatedOrganizationName>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WCA SERVICE CORPORATION INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>207 FOOTE AVENUE</AddressLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PINNACLE HEALTH CARDIOVASCULAR INSTITUT</BusinessNameLine1Txt>
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          <ZIPCd>17104</ZIPCd>
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        <EIN>320321362</EIN>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HANOVER HEALTH CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>300 HIGHLAND AVENUE</AddressLine1Txt>
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        <EIN>900498067</EIN>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HANOVER APOTHECARY INC</BusinessNameLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
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        <EIN>030594526</EIN>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UNITED CENTRAL PA RECIPROCAL RISK RETEN</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>76 SAINT PAUL STREET SUITE 500</AddressLine1Txt>
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        <EIN>134224033</EIN>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PINNACLE HEALTH VENTURES INC</BusinessNameLine1Txt>
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        <USAddress>
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        <EIN>611677624</EIN>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PINNACLE HEALTH IMAGING INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>409 SOUTH SECOND STREET</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
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        <EIN>231718571</EIN>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COLE CARE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1001 EAST 2ND STREET</AddressLine1Txt>
          <CityNm>COUDERSPORT</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16915</ZIPCd>
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        <EIN>251497347</EIN>
        <PrimaryActivitiesTxt>DME</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPMC ITALY HEALTH SERVICES SRL</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>HEALTH SVC</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>IT</LegalDomicileForeignCountryCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPMC HOSPITALS LTD</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>HOLDING CO</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>UPMC PROPERTY LTD</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>PROPERTY</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EURO CARE INFRASTRUCTURE LTD</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>PROPERTY MGMT</PrimaryActivitiesTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
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        <PrimaryActivitiesTxt>PROPERTY MGMT</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPMC WHITFIELD HOSPITAL LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPMC GLOBAL OPERATIONS CENTER LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>CANCER TREATM</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PANTHER REINSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <EIN>981402742</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FORBES REINSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <EIN>981400710</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CATHEDRAL (RE) INSURANCE CO</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <EIN>981400837</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPMC IRELAND LIMITED</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>HEALTHCARE SU</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BLUESPHERE BIO</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6425 PENN AVENUE STE 200</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15206</ZIPCd>
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        <EIN>824979766</EIN>
        <PrimaryActivitiesTxt>IMMUNOTHERAPY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INFECTIOUS DISEASE CONNECT INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6425 PENN AVENUE STE 200</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15206</ZIPCd>
        </USAddress>
        <EIN>833311071</EIN>
        <PrimaryActivitiesTxt>TELEMEDICINE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NOVASENTA INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6425 PENN AVENUE STE 200</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15206</ZIPCd>
        </USAddress>
        <EIN>825443222</EIN>
        <PrimaryActivitiesTxt>IMMUNOTHERAPY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPMC HILLMAN CANCER CENTER - PINNACLE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>101 ERFORD ROAD</AddressLine1Txt>
          <CityNm>CAMP HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17701</ZIPCd>
        </USAddress>
        <EIN>833640945</EIN>
        <PrimaryActivitiesTxt>CANCER TREATM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SHANGHAI UPMC CO LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>HEALTHCARE MG</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CH</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SALVATOR MUNDI INTERNATIONAL HOSPITAL</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>IT</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SOMERSET MANAGEMENT SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>251512960</EIN>
        <PrimaryActivitiesTxt>MOB OWNERSHIP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GENERIAN PHARMACEUTICALS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2425 SIDNEY STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15203</ZIPCd>
        </USAddress>
        <EIN>833340453</EIN>
        <PrimaryActivitiesTxt>PHARMACY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WORK PARTNERS NATIONAL INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>843141950</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ASTRATA INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6425 PENN AVENUE STE 200</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15206</ZIPCd>
        </USAddress>
        <EIN>844804493</EIN>
        <PrimaryActivitiesTxt>SOFTWARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VEGAVECT</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6425 PENN AVENUE STE 200</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15206</ZIPCd>
        </USAddress>
        <EIN>844280784</EIN>
        <PrimaryActivitiesTxt>GENE THERAPY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NOVIMAB</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6425 PENN AVENUE STE 200</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15206</ZIPCd>
        </USAddress>
        <EIN>851494905</EIN>
        <PrimaryActivitiesTxt>CLINICAL RESE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>REALYZE INTELLEGENCE INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6425 PENN AVENUE STE 200</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15206</ZIPCd>
        </USAddress>
        <EIN>850873923</EIN>
        <PrimaryActivitiesTxt>SOFTWARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HAYSTACK CONSOLIDATED SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>12500 WILLOWBROOK ROAD</AddressLine1Txt>
          <CityNm>CUMBERLAND</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21502</ZIPCd>
        </USAddress>
        <EIN>521335895</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WESTERN MARYLAND INSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WILLOWBROOK HEALTHCARE CONDO</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>12401 WILLOWBROOK ROAD</AddressLine1Txt>
          <CityNm>CUMBERLAND</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21502</ZIPCd>
        </USAddress>
        <EIN>371538510</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RXANTE PHARMACY SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>511 CONGRESS STREET 803</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04101</ZIPCd>
        </USAddress>
        <EIN>833402761</EIN>
        <PrimaryActivitiesTxt>PHARMACY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CLANE HOSPITAL DEVELOPMENT ASSOCIATES L</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPMC KILDARE HOSPITAL LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPMC AUT EVEN HOSPITAL LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AVISTA THERAPEUTICS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6425 PENN AVENUE STE 200</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15206</ZIPCd>
        </USAddress>
        <EIN>853454001</EIN>
        <PrimaryActivitiesTxt>GENE THERAPY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPMC CANCER CENTER ZABOK LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>CANCER CENTER</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>HR</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SWIFT SPRAOI HOLDINGS LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SPORTS SURGERY CLINIC LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>ORTHOPEDIC SERV.</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MACRADI LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MACRADI DEVELOPMENT LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE WASHINGTON PHYSICIAN SERVICE ORG</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>98 WILSON AVENUE</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15301</ZIPCd>
        </USAddress>
        <EIN>251780139</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN SRV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC Washington</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>24783301</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>8220874</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.6666</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTH FUTURES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>155 WILSON AVENUE</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15301</ZIPCd>
        </USAddress>
        <EIN>251533189</EIN>
        <PrimaryActivitiesTxt>URGENT CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC Washington</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PHOENIX-WASHINGTON INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>155 WILSON AVENUE</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15301</ZIPCd>
        </USAddress>
        <EIN>251492829</EIN>
        <PrimaryActivitiesTxt>SUBSTANCE TREATMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UPMC Washington</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>167915</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>758331</ShareOfEOYAssetsAmt>
        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WASHINGTON HEALTH CARE SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>15500000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Amount</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE WASHINGTON HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>1023318</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Amount</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WASHINGTON PHYSICIAN SERVICES ORG</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>1175254</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Amount</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE WASHINGTON HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>595454</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Amount</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part I Related organizations and unrelated partnerships</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2024. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part I Related organizations and unrelated partnerships</FormAndLineReferenceDesc>
        <ExplanationTxt>There are organizations included in the UPMC Group form 990 tax return for fiscal year 2024 which are "related" to FILING ENTITY. These organizations are not required to be listed in Schedule R.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>