2022-05-16T10:32:23-05:00 2021-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2020-07-01 820880337 UPMC CARLISLE UPMC 7172318245 PO BOX 8700 HARRISBURG PA 171058700 ALISON BERNHARDT CHIEF FINANCIAL OFFICER 7172318245 2022-05-16 1 ALISON BERNHARDT 999009999 KERRI N BOGDA CPA P00760402 7177404863 X 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z PHILIP GUARNESCHELLI PO BOX 8700 HARRISBURG PA 171058700 154457285 0 X WWW.UPMCPINNACLE.COM X 2017 PA PROVIDING QUALITY SERVICE AND SAFE, COMPASSIONATE MEDICAL CARE. 15 13 732 56 225186 0 2533672 9190911 124836341 145166979 35058 8731 764903 48543 128169974 154415164 0 0 0 0 50530687 48707763 0 0 0 81144089 88611494 131674776 137319257 -3504802 17095907 110457404 103353183 17350888 18083507 93106516 85269676 X WE ARE A COMMUNITY HOSPITAL PROVIDING QUALITY SERVICE AND SAFE, COMPASSIONATE MEDICAL CARE. 0 0 123546862 0 144941793 UPMC CARLISLE IS A 165-BED FACILITY IN THE HEART OF CUMBERLAND COUNTY IN CARLISLE, PA OFFERING A WIDE RANGE OF SERVICES INCLUDING, BUT NOT LIMITED TO, CANCER CARE, EMERGENCY CARE, LABORATORY AND IMAGING SERVICES, A LEVEL I NURSERY, ORTHOPEDICS, REHABILITATION, SURGERY AND A WOMEN'S CENTER.THE UPMC CARLISLE MISSION IS TO SERVE OUR COMMUNITY BY PROVIDING OUTSTANDING PATIENT CARE AND TO SHAPE TOMORROW'S HEALTH SYSTEM THROUGH CLINICAL AND TECHNOLOGICAL INNOVATION, RESEARCH, AND EDUCATION. UPMC WILL LEAD THE TRANSFORMATION OF HEALTH CARE. THE UPMC MODEL IS NATIONALLY RECOGNIZED FOR REDEFINING HEALTH CARE BY:-PUTTING OUR PATIENTS, HEALTH PLAN MEMBERS, EMPLOYEES, AND COMMUNITY AT THE CENTER OF EVERYTHING WE DO AND CREATING A MODEL THAT ENSURES THAT EVERY PATIENT GETS THE RIGHT CARE, IN THE RIGHT WAY, AT THE RIGHT TIME, EVERY TIME.-HARNESSING OUR INTEGRATED CAPABILITIES TO DELIVER BOTH SUPERB STATE-OF-THE-ART CARE TO OUR PATIENTS AND HIGH VALUE TO OUR STAKEHOLDERS.-EMPLOYING OUR PARTNERSHIP WITH THE UNIVERSITY OF PITTSBURGH TO ADVANCE THE UNDERSTANDING OF DISEASE, ITS PREVENTION, TREATMENT, AND CURE.-SERVING THE UNDERSERVED AND DISADVANTAGED, AND ADVANCING EXCELLENCE AND INNOVATION THROUGHOUT HEALTH CARE.-FUELING THE DEVELOPMENT OF NEW BUSINESSES GLOBALLY THAT ARE CONSISTENT WITH OUR MISSION AS AN ONGOING CATALYST AND DRIVER OF ECONOMIC DEVELOPMENT FOR THE BENEFIT OF THE RESIDENTS OF THE REGION.WE SERVE CUMBERLAND AND PERRY COUNTIES. IN KEEPING WITH OUR MISSION OF CARING FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, UPMC CARLISLE IS A FORCE FOR STABILITY, STRENGTH, AND RELIABILITY FOR THOSE WE SERVE. IN ADDITION TO FINANCIAL SUPPORT, ONE OF OUR FUNDAMENTAL VALUES AT UPMC CARLISLE IS OUR COMMITMENT TO OUR LOCAL COMMUNITY. WE MAINTAIN THIS COMMITMENT BOTH COLLECTIVELY AS AN ORGANIZATION AND INDIVIDUALLY IN OUR PERSONAL CONTRIBUTIONS. OUR ASSOCIATES, PHYSICIANS AND HOSPITAL VOLUNTEERS CONTINUOUSLY SEEK WAYS TO PROVIDE THE HIGHEST QUALITY CARE AVAILABLE TO OUR PATIENTS AND TO TAKE IMPORTANT HEALTH EDUCATION AND AWARENESS INFORMATION OUT INTO OUR COMMUNITY. WE ARE COMMITTED TO OFFERING HIGH-QUALITY HEALTH CARE, STATE-OF-THE ART EQUIPMENT, EXPANSIVE SERVICES AND UNIQUE PROGRAMS. COMMUNITY HEALTH IMPROVEMENT SERVICESTAKING HEALTH CARE BEYOND THE DOORS OF ITS HOSPITALS, CLINICS, AND OFFICES, AND BRINGING IT INTO THE REGION'S TOWNS, SCHOOLS, AND WORKPLACES, UPMC CARLISLE IS HELPING CREATE HEALTHIER COMMUNITIES ACROSS CENTRAL PENNSYLVANIA. THROUGH ITS CHARITABLE GIVING AND COMMUNITY INITIATIVES, UPMC CARLISLE IS MAKING A DIFFERENCE IN THE HEALTH AND WELL-BEING OF ITS NEIGHBORS. FROM PUBLIC HEALTH AND WELLNESS INITIATIVES TO SCHOOL HEALTH SCREENINGS, INSURANCE ENROLLMENT HELP, HOME-VISIT PROGRAMS, CHARITY CARE, AND FREE HEALTH CLASSES, UPMC CARLISLE PROVIDES BENEFITS TO THE COMMUNITY. UPMC CARLISLE OFFERS A VARIETY OF FREE COMMUNITY PROGRAMS THAT ARE MAKING A DIFFERENCE IN THE LIVES OF CENTRAL PENNSYLVANIANS EVERY DAY, INCLUDING:HEALTH EDUCATION SEMINARS ARE HELD AT VARIOUS LOCATIONS WITHIN THE COMMUNITY TO EDUCATE PEOPLE ON VARIOUS CONDITIONS. WELLNESS AND SCREENING PROGRAMS ARE PROVIDED INCLUDING:O CHOLESTEROL SCREENINGSO PROSTATE SCREENINGSO INFANT DEVELOPMENT SCREENINGSO SPEECH AND HEARING SCREENINGSO DEPRESSION AND ANXIETY SCREENINGSO BONE DENSITY SCREENINGSO NUTRITION THERAPY EDUCATION PROGRAMSO LEAD POISONING SCREENINGS 123546862 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 732 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X ALISON BERNHARDT CHIEF FINANCIAL O 7172318245 PO BOX 8700 HARRISBURG PA 171058700 PHILIP W GUARNESCHELLI PRESIDENT AND CEO 1.00 40.00 X X 0 1397279 40949 MARK GLESSNER VICE CHAIRMAN 1.00 1.00 X X 0 0 0 LESLIE DAVIS DIRECTOR 1.00 1.00 X 0 0 0 ROBERT MONTLER DIRECTOR 1.00 1.00 X 0 0 0 JOHN HICKEY DIRECTOR 1.00 1.00 X 0 0 0 DAVID MARTIN DIRECTOR 1.00 15.00 X 0 0 0 PAUL SPEARS MD DIRECTOR 1.00 2.00 X 0 0 0 JONATHAN VIPOND III ESQ DIRECTOR 1.00 1.00 X 0 0 0 RICHARD HAMILTON DIRECTOR 1.00 1.00 X 0 0 0 MERON YEMANE DIRECTOR 1.00 1.00 X 0 0 0 DOUG NEIDICH CHAIRMAN 1.00 4.00 X X 0 0 0 EILEEN SIMMONS DIRECTOR 1.00 1.00 X 0 0 0 KATHLEEN PAVELKO DIRECTOR 1.00 1.00 X 0 0 0 JOHN MANTIONE MD PRESIDENT OF MEDICAL STAFF 1.00 1.00 X 0 0 0 THOMAS NICHOLSON MD DIRECTOR 1.00 40.00 X 0 643564 41665 CHRISTOPHER P MARKLEY ESQ SEC'Y/SR VP/GENERAL COUNSEL 1.00 40.00 X 0 635513 32995 ALISON BERNHARDT TREASURER/VP & CFO 1.00 40.00 X 0 466254 23626 CHRISTINE MILLER ASSISTANT SECRETARY 1.00 40.00 X 0 248415 28447 AMANDA MORGAN ASSISTANT TREASURER 1.00 40.00 X 0 169549 24204 LOUIS BAVERSO PRESIDENT, UPMC HARRISBUG, WEST SHORE & COMMUNITY 40.00 1.00 X 515522 0 39126 JOYE GINGRICH CNO VP 40.00 1.00 X 299514 0 27491 SOMMAR DAMITER SUPERVISOR CHIEF PARMACIST 40.00 1.00 X 154445 0 9262 PAUL MAKOKSY PHARMACIST 40.00 1.00 X 133948 0 24281 CLEO TROUTMAN CLINICAL DIRECTOR 40.00 1.00 X 132218 0 24517 WILLIAM H PUGH FMR. EVP & CFO/TREASURER(RET. 12/19) 0.00 0.00 X 0 928709 16129 1235647 4489283 332692 30 1 1 0 BLUE MOUNTAIN ANESTHESIA ASSO PC 361 ALEXANDER SPRING RD CARLISLE PA 17013 CONTRACT HEALTH SVCS. 1825000 QUEST DIAGNOSTICS NICHOLS INSTITUTE INC 12436 COLLECTIONS CENTER DR CHICAGO IL 60693 CONTRACT HEALTH SVCS. 1303653 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 STAFFING SERVICES 841962 ARAMARK 1101 MARKET ST PHILADELPHIA PA 19107 DIETARY AND EVS SERVICES 730308 DAVITA 15271 LAGUNA CANYON RD IRVINE CA 92618 CONTRACT HEALTH SVCS. 385306 15 9171662 19249 9190911 PATIENT REVENUE, NET 621500 145161035 144935849 225186 RADIOLOGY & LAB SERVICE REVENUE 621990 5944 5944 145166979 8394 8394 80327 41477 38850 38850 38850 981 644 337 337 337 MISC. INCOME 900099 9343 9343 QUALITY INCENTIVE INCOME 900099 350 350 9693 154415164 144941793 225186 57274 X 40235103 37418646 2816457 1462786 1360391 102395 5160054 4798850 361204 1849820 1720333 129487 7499282 7499282 20856430 20826777 29653 3680 3680 699716 617842 81874 1515815 1333917 181898 2687620 2096344 591276 16567 11431 5136 3398 3398 246 221 25 5621270 4946718 674552 DRUGS 19303567 19303567 MEDICAL SUPPLIES 13404892 13404892 PURCHASED SERVICES 5849855 5157054 692801 BAD DEBT 4784360 4784360 6364796 5765519 599277 137319257 123546862 13772395 0 175 175 5042785 496570 16262145 15139709 789728 666411 1867584 1752078 108158890 23092326 86494987 85066564 0 231676 110457404 103353183 16638561 17590821 49323 663004 492686 17350888 18083507 X 93106516 85269676 93106516 85269676 110457404 103353183 X 17095907 -24932747 X X 0 1 X 1 1 1 X 4323500 4323500 73793392 7352366 66441026 1325602 385021 940581 26488984 15354939 11134045 2227412 2227412 85066564 OTHER LONG TERM LIABILITIES 492686 492686 X PART X, LINE 2: AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED UPMC SYSTEM LEVEL ONLY, INCLUDING UPMC AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARIES. TAX BENEFITS ARE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. SUCH TAX POSITIONS ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON ULTIMATE SETTLEMENT WITH THE TAX AUTHORITIES ASSUMING FULL KNOWLEDGE OF THE POSITION AND ALL RELEVANT FACTS. AS OF JUNE 30, 2021, UPMC DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS RECORDED. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 779134 779134 0.00570 10641250 5928647 4712603 0.03430 11420384 5928647 5491737 0.04000 11028 11028 0.00010 2555258 2555258 0.01860 400 400 0.00000 2566686 2566686 0.01870 13987070 5928647 8058423 0.05870 11176 11176 0.00010 11176 11176 0.00010 1 1033751 134388 30067830 34216811 -4148981 X 1 1 1 1 UPMC CARLISLE 361 ALEXANDER SPRING ROAD CARLISLE PA 17015 WWW.UPMCPINNACLE.COM 035801 UPMC CARLISLE 820880337 X UPMC CARLISLE 1 0 0 1 X X X X X X X X 18 1 1 0 1 X WWW.UPMCPINNACLE.COM X WWW.UPMC.COM X X 1 18 1 WWW.UPMCPINNACLE.COM 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.UPMCPINNACLE.COM X WWW.UPMCPINNACLE.COM X WWW.UPMCPINNACLE.COM X X X X X X 1 X 0 X X X X 1 X 0 0 UPMC CARLISLE PART V, SECTION B, LINE 5: ORGANIZATIONS AND COMMUNITY LEADERS WITHIN THE FIVE-COUNTY REGION WERE ENGAGED TO IDENTIFY THE NEEDS OF THE COMMUNITY. FAITH-BASED ORGANIZATIONS, COMMUNITY ORGANIZATIONS, GOVERNMENT AGENCIES, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICES ENTITIES WERE ENGAGED THROUGHOUT THE CHNA. THE COMPREHENSIVE PRIMARY DATA COLLECTION PHASE RESULTED IN THE CONTRIBUTION OF OVER 900 COMMUNITY STAKEHOLDERS/LEADERS, ORGANIZATIONS, AND COMMUNITY GROUPS. THE PRIMARY DATA COLLECTION CONSISTED OF SEVERAL PROJECT COMPONENT PIECES. TWENTY-SEVEN COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS WHO REPRESENTED A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED OR C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. OVERALL, 831 PAPER HAND SURVEYS WERE COLLECTED FROM COMMUNITY RESIDENTS. WE WORKED CLOSELY WITH 47 COMMUNITY ORGANIZATIONS TO DISTRIBUTE AND GATHER THE HAND SURVEY FROM COMMUNITY RESIDENTS. FORTY-TWO COMMUNITY LEADERS AND REPRESENTATIVES ATTENDED A COMMUNITY FORUM TO PRIORITIZE HEALTH NEEDS, WHICH WILL ASSIST IN THE IMPLEMENTATION AND PLANNING PHASE. A RESOURCE INVENTORY WAS GENERATED TO HIGHLIGHT AVAILABLE PROGRAMS AND SERVICES WITHIN THE FIVE-COUNTY SERVICE AREA. THE RESOURCE INVENTORY IDENTIFIES AVAILABLE ORGANIZATIONS AND AGENCIES THAT SERVE THE REGION WITHIN EACH OF THE PRIORITY NEEDS.A SIGNIFICANT PROJECT COMPONENT PIECE OF THE CHNA WAS THE COMPILATION OF A REGIONAL PROFILE (SECONDARY DATA ANALYSIS). THE REGIONAL PROFILE WAS COMPOSED UTILIZING LOCAL, STATE, AND FEDERAL FIGURES PROVIDING VALUABLE INFORMATION ON A WIDE ARRAY OF HEALTH AND SOCIAL ISSUES. THE WORKING GROUP EXAMINED AND DISCUSSED DIFFERENT SOCIOECONOMIC ASPECTS, HEALTH OUTCOMES, AND HEALTH FACTORS THAT AFFECT RESIDENTS' BEHAVIORS; SPECIFICALLY, THE INFLUENTIAL FACTORS THAT IMPACT THE HEALTH OF RESIDENTS.AS PART OF THE CHNA PHASE, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS IN THE SERVICE AREA TO UNDERSTAND BETTER THE CHANGING COMMUNITY HEALTH ENVIRONMENT. COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED DURING LATE DECEMBER 2017 THROUGH EARLY FEBRUARY 2018. COMMUNITY STAKEHOLDERS TARGETED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING: 1) PUBLIC HEALTH EXPERTISE; 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA; 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS; 4) GOVERNMENT LEADERS; AND 5) RELIGIOUS LEADERS. IN TOTAL, 27 INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND STAKEHOLDERS. UPMC CARLISLE PART V, SECTION B, LINE 6A: UPMC PINNACLE HOSPITALSPENNSYLVANIA PSYCHIATRIC INSTITUTE UPMC CARLISLE PART V, SECTION B, LINE 7D: COMMUNITY EVENTS UPMC CARLISLE PART V, SECTION B, LINE 15E: IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR. UPMC CARLISLE PART V, SECTION B, LINE 20E: ANY INDIVIDUAL WHO CALLS HOSPITAL CUSTOMER SERVICE AND MENTIONS THEY CANNOT AFFORD TO PAY THE AMOUNT BILLED IS ORALLY NOTIFIED OF THE FAP AND THE FAP PROCESS. PART I, LINE 7: THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID COSTS ARE CALCULATED BY THE HOSPITAL'S COST-TO-CHARGE RATIO FOR EACH OF THE INDIVIDUAL SERVICES PROVIDED TO THE PATIENT. IT UTILIZES HOSPITAL EXPENSES FROM THE GENERAL LEDGER AND REVENUE DETAILS FROM THE PATIENT ACCOUNTING SYSTEM. EACH DEPARTMENT WITHIN THE HOSPITAL IS CLASSIFIED AS EITHER INDIRECT (OVERHEAD) OR DIRECT (PATIENT CARE AREAS). EXPENSES ARE CLASSIFIED AS FIXED OR VARIABLE AS THEY RELATE TO PATIENT VOLUME. LOGICAL STATISTICS ARE USED TO ALLOCATE OVERHEAD EXPENSES TO THE PATIENT CARE DEPARTMENTS. USING EITHER A RATIO OF COST-TO-CHARGE OR RVUS (RELATIVE VALUE UNITS), THE DIRECT AND INDIRECT COSTS FOR EACH DEPARTMENT ARE ALLOCATED TO THE SERVICES THEY PROVIDE. PART I, LINE 7G: LOSSES FROM PRIMARY CARE AND CLINICS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $4,784,360 IS INCLUDED IN NET PATIENT REVENUE ON FORM 990, PART VIII, LINE 2A, AND THEREFORE IS NOT INCLUDED FOR THE PURPOSES OF CALCULATING THE APPLICABLE EXPENSE PERCENTAGES OF SCHEDULE H. PART III, LINE 3: THE PERCENTAGE OF GROSS CHARGES REPRESENTED BY THOSE PATIENTS QUALIFYING FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AS COMPARED TO TOTAL GROSS CHARGES WAS CALCULATED. THIS PERCENTAGE WAS APPLIED TO THE ESTIMATED NET BAD DEBTS AMOUNT TO ESTIMATE THE AMOUNT OF BAD DEBTS ASSOCIATED WITH PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THIS AMOUNT IS BEING REFLECTED AS A COMMUNITY BENEFIT SINCE THIS AMOUNT IS NOT BEING PURSUED UNDER THE HOSPITAL'S BAD DEBT POLICY BUT TO THE QUALIFICATION FOR FINANCIAL ASSISTANCE BY THE PATIENT. PART III, LINE 4: THE FINANCIAL STATEMENTS DO NOT HAVE A SPECIFIC NOTE ON BAD DEBT EXPENSE; RATHER THE FINANCIAL STATEMENTS EVALUATE BAD DEBTS IN ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE FOOTNOTE RELATED TO THE ALLOWANCE IS SUMMARIZED AS FOLLOWS: "ACCOUNTS RECEIVABLE ARE RECORDED AT THEIR ESTIMATED NET REALIZABLE VALUE. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BASED UPON HISTORICAL COLLECTION RATES."THE BAD DEBT EXPENSE ON PART III, LINE 2 WAS CALCULATED BY TAKING THE AMOUNT WRITTEN OFF TO BAD DEBT FOR EACH ACCOUNT AND CONVERTING IT TO CHARGES BY APPROPRIATELY ADJUSTING THE AMOUNT BY THE PAYOR REIMBURSEMENT PERCENTAGE FOR THAT ACCOUNT. THEN, THE COST-TO-CHARGE RATIO METHODOLOGY FOR EACH SPECIFIC ACCOUNT, UTILIZING THE COSTS FROM THE HOSPITAL COST ACCOUNTING SYSTEM (DESCRIBED IN DETAIL ABOVE), WAS APPLIED TO THIS CALCULATED PORTION OF THE TOTAL CHARGES. PART III, LINE 8: THE MEDICARE COSTS WERE DETERMINED BASED ON THE HOSPITAL'S COST-TO-CHARGE RATIO FOR THE SERVICES RENDERED. PART III, LINE 9B: PATIENTS ARE NOTIFIED OF OUR CHARITY CARE POLICY IN A VARIETY OF WAYS. THERE ARE POSTERS INFORMING PATIENTS OF OUR CHARITY CARE POLICY AND A PLAIN LANGUAGE VERSION OF THE POLICY IS HANDED OUT TO THE UNINSURED AT ALL THE REGISTRATION SITES. ALL OF OUR PATIENT ACCOUNT STATEMENTS CONTAIN LANGUAGE THAT INDICATES THERE IS FINANCIAL AID AVAILABLE FOR QUALIFYING INDIVIDUALS. IN ADDITION, THE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE IN BOTH ENGLISH AND SPANISH. PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE AND PROVIDE ALL THE NECESSARY DOCUMENTATION REQUIREMENTS ARE NOTIFIED WITHIN THIRTY DAYS OF THE HOSPITAL'S DECISION. WHEN THE APPROVAL IS DETERMINED, THE APPROPRIATE DISCOUNT IS POSTED TO THE PATIENT ACCOUNT IMMEDIATELY. THE FINANCIAL ASSISTANCE DISCOUNT WILL BE APPLIED TO SERVICES FOR THE PREVIOUS TWELVE MONTHS AND SUBSEQUENT SIX MONTHS. THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. NO ADDITIONAL COLLECTION EFFORTS ARE MADE. APPLICANTS APPROVED FOR ONLY PARTIAL DISCOUNT WILL BE REQUIRED TO MAKE REASONABLE PAYMENT ARRANGEMENTS ON THEIR BALANCE IN ACCORDANCE WITH THE HOSPITAL'S CREDIT AND COLLECTION POLICY. THIS POLICY DOES PERMIT THE USE OF BOTH INTERNAL COLLECTION STAFF AND EXTERNAL COLLECTION AGENCIES WHO WILL ENGAGE IN STANDARD ACCEPTABLE BUSINESS PRACTICES WHICH INCLUDE PHONE CALLS, MAILING AND THE REPORTING OF UNPAID DEBT TO THE CREDIT REPORTING AGENCIES; BUT UNDER NO CIRCUMSTANCES WILL THE HOSPITALS OR ITS CONTRACTED COLLECTION AGENCY ADOPT "EXTRAORDINARY COLLECTION ACTIONS" THAT ENTAIL ANY LEGAL COURSE OF ACTION OR JUDICIAL PROCESSES SUCH AS LAWSUITS OR LIENS. PART VI, LINE 2: TO IMPROVE THE HEALTH OF THE RESIDENTS OF THE COMMUNITIES IT SERVES, UPMC CARLISLE PROVIDES EXTENSIVE HEALTH EDUCATION AND WELLNESS OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY THROUGH NUTRITION EDUCATION, WEIGHT LOSS, DIABETES MANAGEMENT AND SUPPORT GROUPS. UPMC CARLISLE CONDUCTS VARIOUS FREE HEALTH SCREENINGS INCLUDING BLOOD PRESSURE, BONE DENSITY, BODY MASS AND BODY FAT ANALYSIS, SLEEP APNEA SCREENINGS, AND STROKE RISK ASSESSMENTS. UPMC CARLISLE PROVIDES COMMUNITY OUTREACH AND ENGAGEMENT BY ACTIVELY PARTICIPATING IN COMMUNITY EVENTS. IN ACCORDANCE WITH IRS GUIDELINES, UPMC CARLISLE COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT IN FALL 2017. ORGANIZATIONS AND COMMUNITY LEADERS WITHIN THE FIVE-COUNTY REGION WERE ENGAGED TO IDENTIFY THE NEEDS OF THE COMMUNITY. FAITH-BASED ORGANIZATIONS, COMMUNITY ORGANIZATIONS, GOVERNMENT AGENCIES, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICES ENTITIES WERE ENGAGED THROUGHOUT THE CHNA. THE COMPREHENSIVE PRIMARY DATA COLLECTION PHASE RESULTED IN CONTRIBUTIONS FROM OVER 900 COMMUNITY RESIDENTS, LEADERS, ORGANIZATIONS, AND COMMUNITY STAKEHOLDERS. THE PRIMARY DATA COLLECTED CONSISTED OF TWENTY-SEVEN COMMUNITY STAKEHOLDER INTERVIEWS; 831 PAPER HAND SURVEYS WERE COLLECTED FROM COMMUNITY RESIDENTS; 42 COMMUNITY LEADERS ATTENDED A COMMUNITY FORUM. AS A RESULT OF THE EXTENSIVE PRIMARY AND SECONDARY RESEARCH, COMMUNITY MEMBERS, COMMUNITY LEADERS, AND PROJECT LEADERSHIP IDENTIFIED THREE REGIONAL PRIORITIES; ACCESS TO CARE, BEHAVIORAL HEALTH AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. WITH THE COMPLETION OF THE CHNA, UPMC PINNACLE, HAMILTON HEALTH AND PENNSYLVANIA PSYCHIATRIC INSTITUTE DEVELOPED AN IMPLEMENTATION PLAN TO LEVERAGE ORGANIZATIONS' RESOURCES TO BEST ADDRESS COMMUNITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH AND WELL-BEING OF RESIDENTS OF SOUTH CENTRAL PENNSYLVANIA IN 2018.WITH THE COMPLETION OF THE CHNA, UPMC HOSPITALS, UPMC CARLISLE, AND PENNSYLVANIA PSYCHIATRIC INSTITUTE DEVELOPED AN IMPLEMENTATION PLAN TO LEVERAGE THE ORGANIZATION'S RESOURCES TO BEST ADDRESS COMMUNITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH AND WELL-BEING OF RESIDENTS OF SOUTH CENTRAL PENNSYLVANIA IN 2018. IN MAY 2019 THE UPMC PINNACLE BOARD OF DIRECTORS APPROVED A FIVE-COUNTY REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY FOR CUMBERLAND, DAUPHIN, LEBANON, PERRY AND YORK COUNTIES. PRIORITY 1: ACCESS TO CARE- THE GOAL IS TO EXPAND THE HEALTH CARE REACH TO RURAL AND HOMEBOUND POPULATIONS. ANTICIPATED IMPACT IS THAT RURAL AND HOMEBOUND POPULATIONS HAVE INCREASED ACCESS TO HEALTH CARE SERVICES. STRATEGY 1: STRENGTHEN ACCESS TO SPECIALTY PROVIDER-BASED SERVICES AND SUPPORTIVE SERVICES, AND INCREASE UTILIZATION OF HEALTH CARE SERVICES BY COMMUNITY MEMBERS. WE WILL PROVIDE INSURANCE ENROLLMENT SPECIALISTS AND FINANCIAL AID COUNSELORS TO ENROLL UNINSURED ADULTS AND CHILDREN IN APPROPRIATE INSURANCE PLANS. WE WILL OPTIMIZE THE PATIENT-CENTERED MEDICAL HOME BY USING TECHNOLOGY AND CONNECTING WITH OUR COMMUNITY PARTNERS AND COMMUNITY HEALTH CENTERS. WE WILL COLLABORATE WITH COMMUNITY HEALTH CENTER STAFF TO REVIEW CASES OF HIGH UTILIZATION AND ACUITY. WE WILL MAINTAIN A CONTINUED PARTNERSHIP WITH COMMUNITY HEALTH CENTERS AND CLINICS TO COORDINATE CARE TO UNINSURED, UNDERINSURED, AND DIVERSE POPULATIONS. IN FY 2021 WE PARTNERED WITH LOCAL ORGANIZATIONS THAT SUPPORT THE HOMELESS COMMUNITY. WE HAVE SUCCESSFULLY BEEN ABLE TO SHOW A DECREASE IN THE NUMBER OF HOMELESS/UNISURED PERSONS UTILIZING UPMC CARLISLE'S EMERGENCY DEPARTMENT. WE HAVE ALSO BEEN ABLE TO CONNECT MANY OF THESE PEOPLE TO MUCH NEEDED MEDICAL CARE WHILE HELPING THEM OBTAIN AND APPROPRIATELY USE THEIR BENEFITS. OUR SUCCESS INCLUDES 194 REFERRALS AND 71 APPROVALS. WE CONTINUE TO WORK CLOSELY WITH OUR COMMUNITY PARTNERS IN CARLISLE AND HAVE ENSURED WE REMAIN AVAILABLE WHILE WORKING REMOTELY DURING THE COVID PANDEMIC. WITH STATEWIDE LOSS OF JOBS AND BENEFITS, WE HAVE BEEN ABLE TO SUCCESSFULLY HELP KEEP PEOPLE CONNECTED TO THEIR MUCH NEEDED MEDICAL CARE AND FIND ADDITIONAL COVERAGE OPTIONS AVAILABLE TO THEM. STRATEGY 2: STRENGTHEN ACCESS TO DENTAL PROVIDER-BASED SERVICES, SUPPORTIVE SERVICES, AND UTILIZATION OF DENTAL SERVICES BY COMMUNITY MEMBERS. PROMOTE INCREASED UTILIZATION OF THE SMILES PROGRAM TO MINIMIZE DENTAL CARE AS A BARRIER TO OVERALL HEALTH STATUS IMPROVEMENT. COORDINATE CARE OF URGENT DENTAL NEEDS IN THE EMERGENCY DEPARTMENT. WHILE REFERALS TO THE SMILES PROGRAM REMAINED HIGH DURING THE REPORTING PERIOD, NO PATIENTS WERE LINKED TO THE SMILES NETWORK OF VOLUNTEER DENTISTS DUE TO COVID-19. IN THE BEGINNING OF THE PANDEMIC, MANY OFFICES WERE CLOSED. AS PRACTICES REOPENED, DENTISTS WERE UNWILLING TO PROVIDE FREE CARE AS THEY ATTEMPTED TO MAKE UP FOR FINANCIAL LOSSES. THE PROGRAM COORDINATOR WILL CONTINUE WORKING WITH THE NETWORK OF DENTAL PROVIDERS TO ENSURE DENTISTS ARE ABLE TO PROVIDE SERVICES IN THE UPCOMING MONTHS. STRATEGY 3: PROVIDE PATIENT ACCESS TO HEALTH CARE RESOURCES IN THEIR LANGUAGE BY EXPANDING OUR INTERPRETATION SERVICES TO PATIENTS; CARLISLE HOSPITAL UTILIZED 12,606 MINUTES AND 777 CALLS TO OUR INTERPRETERS SERVICES TOTAL LANGUAGES REQUESTED 43-TOP LANGUAGES; SPANISH, ARABIC, NEPALI, BOSNIAN, MANDARIN, VIETNAMESE AND ASL.STRATEGY 4: INCREASE ACCESS TO EVIDENCE-BASED SMOKING CESSATION AND PREVENTION PROGRAMS THROUGH CONTINUED TOBACCO CESSATION AND SMOKING PREVENTION PROGRAMS. LUNCH AND LEARNS WERE PUT ON HOLD DUE TO COVID. STRATEGY 5: INCREASE NUMBER OF PATIENTS RECEIVING CARE COORDINATION SERVICES BY EXPLORING PAYOR OPTIONS FOR PAYMENT PROGRAMS AND EXPLORING CHRONIC CARE. IN FY 2021, WE WERE ABLE TO PROVIDE 130 PATIENTS WITH COORDINATED CARE SERVICES. PRIORITY 2: BEHAVIORAL HEALTH-THE GOAL IS TO IMPROVE BEHAVIORAL HEALTH ILLNESSES BY PROVIDING ACCESS TO QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE PROGRAMS, PROVIDING EDUCATION THAT ADDRESSES THE WHOLE PERSON AND INCREASING OUR PREVENTION, EDUCATION, AND TREATMENT SERVICES. IN FY 21, 345 INDIVIDUALS PARTICIPATED IN MENTAL HEALTH TRAINING ACROSS THE REGION. STRATEGY 1: CONDUCT MENTAL HEALTH SCREENINGS TO REDUCE THE OCCURRENCE OF SUICIDE. UPMC CARLISLE WILL COLLABORATE WITH LOCAL ORGANIZATIONS TO PROVIDE MENTAL HEALTH SCREENING FOR YOUTH IN SCHOOL AND OTHER HIGH-NEED COMMUNITY AREAS. DUE TO COVID THIS PROJECT HAS NOT STARTED.STRATEGY 2: PROVIDE MENTAL HEALTH TRAINING TO LAW ENFORCEMENT OFFICERS. UPMC CARLISLE HAS GIVEN POLICE OFFICERS ACCESS TO MENTAL HEALTH EDUCATION TO DO THEIR JOB SAFELY AND EFFECTIVELY; MENTAL HEALTH INFORMATION HAS BEEN INTEGRATED INTO THE ORIENTATION PROCESS OF LAW ENFORCEMENT OFFICERS TO IDENTIFY SIGNS AND SYMPTOMS. THE TRAINING INCLUDES TECHNIQUES ON HOW TO DE-ESCALATE HIGH RISK SITUATIONS AND INCREASE EMPATHY. DURING THE REPORTING PERIOD, 545 LAW ENFORCEMENT OFFICERS TRAINED ON IDENTIFYING SIGNS AND SYMPTONS OF MENTAL HEALTH PROBLEMS. THIS TRAINING IN NOW PART OF THEIR OFFICIAL ORIENTATION. DUE TO COVID THIS PROJECT WAS PUT ON HOLD.STRATEGY 3: IMPLEMENT AN INTEGRATED CARE MODEL FOR BEHAVIORAL HEALTH AT UPMC PINNACLE HOSPITALS. PINNACLE HEALTH PSYCHOLOGICAL ASSOCIATES HAS IMPLEMENTED COUNSELING SERVICES WITH PINNACLE HEALTH MEDICAL SERVICES. A COLLABORATIVE CARE MODEL HAS BEEN IMBEDDED INTO PRIMARY CARE OFFICES. DURING THIS REPORTING PERIOD, THE OVERALL PROJECT HAD 140 ENCOUNTERS THROUGHOUT OUR REGION.STRATEGY 4: PROVIDE EARLY ENGAGEMENT AND SUPPORT FOR PSYCHOSIS. CAPSTONE IS A PROGRAM DESIGNED TO PROVIDE COMPREHENSIVE TREATMENT AND SUPPORT FOR YOUNG ADULTS AGES 16-30 EXPERIENCING EARLY PSYCHOSIS. CAPSTONE IS THE COLLABORATIVE EFFORT OF THREE AGENICIES: PENNSYLVANIA PSYCHIATRIC INSTITIUTE (PPI), CASE MANAGEMENT UNIT (CMU), AND THE YWCA GREATER HARRISBURG. THIS PROGRAM IS A TEAM APPROACH OFFERING CLINICAL ASSESSMENT, PEER SUPPORT TREATMENT, AND ONGOING SUPPORTED EMPLOYMENT AND EDUCATION TO THE INDIVIDUAL AND THEIR FAMILY. CAPSTONE USES AN EVIDENCE-BASED MODEL CALLED NAVIGATE BASED UPON RESEARCH CONDUCTED BY THE NATIONAL INSTITUTE OF MENTAL HEALTH (NIMH). 53 INDIVIDUALS WERE SERVED. PART VI, LINE 3: PATIENTS ARE INFORMED OF AVAILABLE ASSISTANCE IN NUMEROUS WAYS. SIGNAGE IS POSTED AND LITERATURE IS HANDED OUT TO THE UNINSURED AT ALL THE REGISTRATION SITES INDICATING TO THE PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. ALL UNINSURED PATIENTS WHO ARE SCHEDULED FOR HIGH DOLLAR TESTS AND SURGERIES ARE CONTACTED BY ONE OF THE HOSPITAL'S FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO THEM. THE FINANCIAL ASSISTANCE POLICY IS ALSO DISCLOSED ON THE HOSPITAL WEBSITE, ALONG WITH THE APPLICATION, IN BOTH ENGLISH AND SPANISH. IN ADDITION, ALL INPATIENTS WHO ARE RESIDENTS OF PENNSYLVANIA ARE PROVIDED PERSONAL ASSISTANCE IN THE COMPLETION OF THE MEDICAL ASSISTANCE APPLICATION. AS PART OF THE DISCHARGE PROCESS IN THE EMERGENCY DEPARTMENT, ALL UNINSURED PATIENTS ARE SCREENED FOR CHARITY CARE ELIGIBILITY UNDER THE HOSPITAL POLICY, AND, IF APPROPRIATE, PROVIDED ASSISTANCE IN APPLYING FOR MEDICAID OR OBTAINING INSURANCE THROUGH HEALTHCARE.GOV. LASTLY, INFORMATION ABOUT FINANCIAL ASSISTANCE IS INCLUDED ON THE PATIENT BILLING STATEMENTS. PROGRAMS DISCUSSED INCLUDE THE PENNSYLVANIA STATE MEDICAID PROGRAM (MEDICAL ASSISTANCE), HOSPITAL CHARITY CARE PROGRAM, AND FUNDS AVAILABLE THROUGH HOSPITAL ENDOWMENT FUNDS.IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN, INFANTS, AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY AND OTHER STATE OR LOCAL ASSISTANCE THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS A VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR THE STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/GUARANTOR. PART VI, LINE 4: UPMC CARLISLE IS A 165 BED FACILITY IN THE HEART OF CUMBERLAND COUNTY IN CARLISLE, PA. THE STUDY AREA FOR THE UPMC PINNACLE 2018 CHNA SHOWS THAT THE FIVE COUNTIES ARE PROJECTED TO HAVE A POPULATION GROWTH FROM 2017-2022 OF 2.4%. CUMBERLAND COUNTY, WHERE UPMC CARLISLE IS LOCATED, IS PROJECTED TO HAVE POPULATION GROWTH OF 3.5% WITH ROUGHLY 9.5 THOUSAND NEW RESIDENTS. PART VI, LINE 5: THE ORGANIZATION DEVELOPED AN IMPLEMENTATION PLAN BASED ON THE CHNA PERFORMED IN 2018 WHICH WAS APPROVED BY THE BOARD IN MAY 2019. IMPLEMENTATION AS OUTLINED IN LINE 2 HAS BEGUN.TO IMPROVE THE HEALTH OF THE RESIDENTS OF THE COMMUNITIES IT SERVES UPMC CARLISLE PROVIDES EXTENSIVE HEALTH EDUCATION AND WELLNESS OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY THROUGH NUTRITION EDUCATION, WEIGHT LOSS, DIABETES MANAGEMENT AND SUPPORT GROUPS. UPMC CARLISLE CONDUCTS VARIOUS FREE HEALTH SCREENINGS INCLUDING BLOOD PRESSURE, BONE DENSITY, BODY MASS AND BODY FAT ANALYSIS, SLEEP APNEA SCREENINGS, AND STROKE RISK ASSESSMENTS. UPMC CARLISLE PROVIDES COMMUNITY OUTREACH AND ENGAGEMENT BY ACTIVELY PARTICIPATING IN COMMUNITY EVENTS, HOWEVER DUE TO COVID THESE ACTIVITIES WERE PUT ON HOLD IN ORDER TO HOST COMMUNITY VACCINE CLINICS. IN FY21 UPMC CARLISLE PROVIDED 7100 COMMUNITY MEMBERS WITH COVID VACCINES.ORGANIZATIONS AND COMMUNITY LEADERS WITHIN THE FIVE-COUNTY REGION WERE ENGAGED TO IDENTIFY THE NEEDS OF THE COMMUNITY. FAITH-BASED ORGANIZATIONS, COMMUNITY ORGANIZATIONS, GOVERNMENT AGENCIES, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICES ENTITIES WERE ENGAGED THROUGHOUT THE CHNA. THE COMPREHENSIVE PRIMARY DATA COLLECTION PHASE RESULTED IN CONTRIBUTIONS FROM OVER 900 COMMUNITY RESIDENTS, LEADERS, ORGANIZATIONS, AND COMMUNITY STAKEHOLDERS. THE PRIMARY DATA COLLECTED CONSISTED OF TWENTY-SEVEN COMMUNITY STAKEHOLDER INTERVIEWS; 831 PAPER HAND SURVEYS WERE COLLECTED FROM COMMUNITY RESIDENTS; FORTY-TWO COMMUNITY LEADERS ATTENDED A COMMUNITY FORUM. AS A RESULT OF THE EXTENSIVE PRIMARY AND SECONDARY RESEARCH, COMMUNITY MEMBERS, COMMUNITY LEADERS, AND PROJECT LEADERSHIP IDENTIFIED THREE REGIONAL PRIORITIES; ACCESS TO CARE, BEHAVIORAL HEALTH AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. WITH THE COMPLETION OF THE CHNA, UPMC PINNACLE, HAMILTON HEALTH AND PENNSYLVANIA PSYCHIATRIC INSTITUTE WILL DEVELOP AN IMPLEMENTATION PLAN TO LEVERAGE ORGANIZATIONS' RESOURCES TO BEST ADDRESS COMMUNITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH AND WELL-BEING OF RESIDENTS OF SOUTH CENTRAL PENNSYLVANIA IN 2018 AND FUTURE YEARS.PRIORITY 1: ACCESS TO CARE- THE GOAL IS TO EXPAND THE HEALTH CARE REACH TO RURAL AND HOMEBOUND POPULATIONS. ANTICIPATED IMPACT IS THAT RURAL AND HOMEBOUND POPULATIONS HAVE INCREASED ACCESS TO HEALTH CARE SERVICES. PRIORITY 2: BEHAVIORAL HEALTH-THE GOAL IS TO IMPROVE BEHAVIORAL HEALTH ILLNESSES BY PROVIDING ACCESS TO QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE PROGRAMS, PROVIDING EDUCATION THAT ADDRESSES THE WHOLE PERSON, AND INCREASING OUR PREVENTION, EDUCATION, AND TREATMENT SERVICES. PRIORITY 3: SOCIAL DETERMINANTS OF HEALTH-THE GOAL IS TO INCREASE KNOWLEDGE OF ACCESS AND OPPORTUNITY TO UPMC PINNACLE RESOURCES IN RURAL COMMUNITIES AND UNDERSERVED POPULATIONS.AS UPMC CARLISLE LOOKS TOWARD THE FUTURE, WE ENSURE THAT OUR CORE VALUES OF QUALITY, ACCESS TO CARE, AND COORDINATION OF CARE ARE AT THE CENTER OF ALL OF OUR ORGANIZATIONAL STRATEGIES. WE EMBRACE OUR COMMUNITY PARTNERS AND WORK COLLABORATIVELY WITH THEM TO STRENGTHEN THE SUPPORT SYSTEMS THAT WILL ALLOW US AND OUR PARTNERS TO MAINTAIN POSITIVE HEALTH OUTCOMES. PART VI, LINE 6: UPMC CARLISLE IS PART OF UPMC PINNACLE, A FULLY INTEGRATED, AFFILIATED HEALTH CARE SYSTEM. THE SYSTEM IS COMPRISED OF ELEVEN WHOLLY OWNED ENTITIES AS WELL AS A VARIETY OF AFFILIATED JOINT VENTURES. THE ORGANIZATION'S MISSION IS TO MAINTAIN AND IMPROVE THE HEALTH AND QUALITY OF LIFE FOR EVERYONE IN CENTRAL PENNSYLVANIA. UPMC PINNACLE IS ENGAGED IN AND CONDUCTS CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES THROUGH THE SUPPORT AND BENEFIT OF UPMC PINNACLE FOUNDATION, AND PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES TO AFFILIATED ENTITIES. UPMC PINNACLE MEDICAL SERVICES AND REGIONAL PHYSICIANS ARE PRIMARILY ENGAGED IN THE PROVISION OF PHYSICIAN SERVICES TO SUPPORT AND ENHANCE THE SERVICES WITHIN UPMC PINNACLE. THE UPMC PINNACLE CARDIOVASCULAR INSTITUTE IS ENGAGED IN PROVIDING COMPREHENSIVE CARDIAC CARE, INCLUDING TECHNOLOGICAL ADVANCES IN ORDER TO PROVIDE THE BEST CLINICAL OUTCOMES TO THE COMMUNITY. COMMUNITY LIFE TEAM IS ENGAGED IN PROVIDING COMMUNITY BASED, EFFICIENT AND COST EFFECTIVE MEDICAL TRANSPORT SERVICES, PRE-HOSPITAL EMERGENCY MEDICAL SERVICES FOR THE RESIDENTS AND COMMUNITIES OF THE CENTRAL PENNSYLVANIA YORK REGIONS.PINNACLE HEALTH VENTURES, INC. WAS FORMED IN 2012 TO CONSOLIDATE VARIOUS ENTITIES THAT FUNCTION IN SUPPORT OF THE UPMC PINNACLE NETWORK. CURRENTLY INCLUDED IN VENTURES ARE PINNACLE HEALTH IMAGING, MEDCARE SUSQUEHANNA VALLEY, PINNACLE HEALTH ALLBETTERCARE, AND MEDICAL ARTS BUILDING. UNITED CENTRAL PENNSYLVANIA RECIPROCAL RISK RETENTION GROUP IS A WHOLLY OWNED, FOR PROFIT, VERMONT CAPTIVE INSURANCE COMPANY OPERATING FOR THE BENEFIT OF UPMC PINNACLE.ADDITIONAL HOSPITALS PROVIDING SERVICES AND SUPPORT IN THE UPMC PINNACLE NETWORK INCLUDE UPMC PINNACLE HOSPITALS, UPMC MEMORIAL, UPMC LITITZ, AND UPMC HANOVER.UPMC PINNACLE AND ITS AFFILIATES ARE ACTIVELY INVOLVED IN THE CENTRAL PENNSYLVANIA REGION THROUGH VARIOUS CHARITY AND COMMUNITY BENEFIT ACTIVITIES. PART VI, LINE 7, REPORTS FILED WITH STATES PA 1 0 0 0 0 0 0 0 0 PHILIP W GUARNESCHELLI PRESIDENT AND CEO 0 803155 0 460142 0 133982 0 14250 0 26699 0 1438228 0 0 WILLIAM H PUGH FMR. EVP & CFO/TREASURER(RET. 12/19) 0 14513 0 182031 0 732165 0 5700 0 10429 0 944838 0 0 THOMAS NICHOLSON MD DIRECTOR 0 561517 0 82047 0 0 0 14250 0 27415 0 685229 0 0 CHRISTOPHER P MARKLEY ESQ SEC'Y/SR VP/GENERAL COUNSEL 0 420513 0 167946 0 47054 0 14250 0 18745 0 668508 0 0 LOUIS BAVERSO PRESIDENT, UPMC HARRISBUG, WEST SHOR 272500 0 229000 0 14022 0 13350 0 25776 0 554648 0 0 0 ALISON BERNHARDT TREASURER/VP & CFO 0 359754 0 106500 0 0 0 14250 0 9376 0 489880 0 0 JOYE GINGRICH CNO VP 139439 0 22723 0 137352 0 8432 0 19059 0 327005 0 0 0 CHRISTINE MILLER ASSISTANT SECRETARY 0 206910 0 41505 0 0 0 11331 0 17116 0 276862 0 0 AMANDA MORGAN ASSISTANT TREASURER 0 140673 0 28876 0 0 0 7741 0 16463 0 193753 0 0 SOMMAR DAMITER SUPERVISOR CHIEF PARMACIST 145474 0 8964 0 7 0 7722 0 1540 0 163707 0 0 0 PAUL MAKOKSY PHARMACIST 133948 0 0 0 0 0 6818 0 17463 0 158229 0 0 0 CLEO TROUTMAN CLINICAL DIRECTOR 116568 0 15650 0 0 0 6772 0 17745 0 156735 0 0 0 PART I, LINE 3 UPMC CARLISLE RELIES ON UPMC PINNACLE, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. METHODS USED TO ESTABLISH COMPENSATION BY THE RELATED ORGANIZATION INCLUDE: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD PART I, LINE 4A WILLIAM PUGH, THE FORMER EVP & CFO/TREASURER, RECEIVED A SEVERANCE PAYMENT OF $632,994 DURING THE 2020 CALENDAR YEAR. FORM 990, PART V, LINE 1: UPMC (EIN: 25-1423657), ULTIMATE PARENT OF UPMC PINNACLE AND THE PARENT ENTITY OF A GROUP OF TAX-EXEMPT ORGANIZATIONS, IS THE COMMON REPORTING AGENT FOR THE GROUP AND FILES ALL 1099 FORMS FOR UPMC CARLISLE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS UPMC PINNACLE, A FEDERALLY TAX EXEMPT, STATE NONPROFIT ENTITY (EIN 25-1778658). IN SEPTEMBER 2017 UPMC PINNACLE AFFILIATED WITH UPMC, A WORLD-RENOWNED INTEGRATED HEALTHCARE DELIVERY AND FINANCING SYSTEM, THAT IS AN INTERNATIONAL LEADER IN PROVIDING CLINICAL CARE, GROUND BREAKING RESEARCH AND TREATMENTS WITH LOCATIONS IN WESTERN AND CENTRAL PENNSYLVANIA, MARYLAND, NEW YORK AND AROUND THE WORLD. FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER OF THE ORGANIZATION, UPMC PINNACLE SHALL ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION REQUIRE THE APPROVAL OF BOTH THE UPMC PINNACLE BOARD AND THE UPMC BOARD, AS THE SOLE MEMBER OF UPMC PINNACLE. FORM 990, PART VI, SECTION B, LINE 11B THE AUTHORITY AND RESPONSIBILITY FOR REVIEW OF THE FORM 990 FOR UPMC PINNACLE AND SUBSIDIARIES IS DELEGATED TO THE FINANCE COMMITTEE OF THE UPMC PINNACLE BOARD. IN ORDER TO ACCOMPLISH THIS, ALL MEMBERS OF THE FINANCE COMMITTEE ARE PROVIDED WITH A REASONABLE OPPORTUNITY TO REVIEW AND COMMENT TO EXECUTIVE LEADERSHIP ON THE IRS FORMS 990 OF UPMC PINNACLE AND ITS SUBSIDIARIES. IN ADDITION, EACH MEMBER OF EACH RESPECTIVE BOARD OF DIRECTORS WILL BE GIVEN ACCESS TO VIEW THEIR INDIVIDUAL FORM 990 VIA A SHARED, PASSWORD-PROTECTED WEBSITE BEFORE THE RETURNS ARE FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C IN THE PERFORMANCE OF THEIR DUTIES TO UPMC PINNACLE, COVERED PERSONS SHALL SEEK TO ACT IN THE BEST INTERESTS OF UPMC PINNACLE, AND SHALL EXERCISE GOOD FAITH, LOYALTY, DILIGENCE AND HONESTY. A COVERED PERSON IS ANY INDIVIDUAL WHO SERVES IN A FIDUCIARY CAPACITY TO, OR WHO HAS LEGAL AUTHORITY TO REPRESENT OR OBLIGATE, UPMC PINNACLE OR ANY OF ITS AFFILIATED ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO, DIRECTORS, OFFICERS, EMPLOYEES, AND AGENTS. COVERED PERSONS ALSO INCLUDE A) IMMEDIATE FAMILIES (SPOUSES, CHILDREN, SIBLINGS, PARENTS, OR SPOUSE'S PARENTS), B) ANY ORGANIZATION IN WHICH THEY OR THEIR IMMEDIATE FAMILIES DIRECTLY OR INDIRECTLY I) HAVE A MATERIAL FINANCIAL OR BENEFICIAL INTEREST, OR II) SERVE AS A DIRECTOR, OFFICER, EMPLOYEE, AGENT, ATTORNEY OR SIMILAR CAPACITY. A COVERED PERSON SHALL DISCLOSE ANY BUSINESS OR PERSONAL INTERESTS OR RELATIONSHIPS WHICH MAY BE IN CONFLICT WITH THE INTERESTS OF UPMC PINNACLE, INCLUDING, BUT NOT LIMITED TO (A) ENGAGING IN OR SEEKING TO BE ENGAGED IN (I) THE DELIVERY OF HEALTH CARE SERVICES OR (II) THE DELIVERY OF GOODS OR SERVICES TO UPMC PINNACLE, OR (B) ANY TRANSACTION OR ARRANGEMENT WITH UPMC PINNACLE WHICH WOULD RESULT IN BENEFIT TO COVERED PERSONS. IF A POTENTIAL CONFLICT IS IDENTIFIED REGARDING A SPECIFIC UPMC ACTIVITY, THE UPMC CORPORATE COMPLIANCE DEPARTMENT, WITH THE ASSISTANCE OF THE LEGAL DEPARTMENT, EITHER DEVELOPS A WRITTEN PLAN DESIGNED TO PREVENT THE CONFLICT FROM INFLUENCING DECISIONS RELATED TO THAT ACTIVITY, OR REQUIRES THAT THE CONFLICTING RELATIONSHIP BE DIVESTED, AS APPROPRIATE. COVERED PERSONS WITH A DOCUMENTED CONFLICT OF INTEREST SHALL NOT VOTE ON THE MATTER, AND THE UPMC PINNACLE BOARD OR COMMITTEE MUST APPROVE, AUTHORIZE, OR RATIFY THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE NON-INTERESTED DIRECTORS OR COMMITTEE MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM. VIOLATIONS OF THIS STATEMENT OF POLICY MAY SUBJECT COVERED PERSONS TO APPROPRIATE SANCTIONS, INCLUDING REMOVAL FROM THEIR POSITIONS WITH UPMC PINNACLE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE UPMC PINNACLE BOARD HAS THE AUTHORITY TO DEVELOP AND MAINTAIN EXECUTIVE COMPENSATION TO BE APPROVED BY THE UPMC PINNACLE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE WILL FOLLOW A DILIGENT PROCESS THAT MEETS REGULATORY REQUIREMENTS FOR A REBUTTABLE PRESUMPTION OF REASONABLENESS AND PROMOTES EFFECTIVE GOVERNANCE OF EXECUTIVE COMPENSATION, CONSISTENT WITH THE UPMC PINNACLE COMPENSATION PHILOSOPHY. 1. FOLLOW A PROCESS THAT ESTABLISHES AND MAINTAINS A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL EXECUTIVES POTENTIALLY SUBJECT TO INTERMEDIATE SANCTIONS. 2. PREPARE MINUTES FOR EACH MEETING TO RECORD THE TERMS OF THE COMMITTEE'S DECISIONS AND THE PROCESS FOLLOWED IN REACHING THOSE DECISIONS. THESE MINUTES MUST INCLUDE INDICATIONS THAT THE COMMITTEE IS FOLLOWING GOOD PRACTICES IN DEALING WITH CONFLICTS OF INTEREST AND IN OBTAINING AND RELYING ON APPROPRIATE COMPARABILITY DATA ON TOTAL COMPENSATION. 3. SELECT AND DIRECTLY ENGAGE AND SUPERVISE ANY CONSULTANT HIRED BY UPMC PINNACLE TO ADVISE THE COMMITTEE ON EXECUTIVE COMPENSATION. 4. PERIODICALLY EVALUATE THE APPROPRIATENESS OF THIS CHARTER AND THE EFFECTIVENESS OF THE PROCESS THE COMMITTEE USES IN GOVERNING EXECUTIVE COMPENSATION AND REPORT THIS EVALUATION TO THE UPMC PINNACLE BOARD. 5. MONITOR CHANGES IN LAWS AND REGULATIONS PERTAINING TO EXECUTIVE COMPENSATION AND BENEFITS TO SEE THAT UPMC PINNACLE COMPLIES WITH THEM. 6. SEEK OUTSIDE REVIEW OF COMMITTEE OPERATIONS TO ENSURE COMPLIANCE WITH THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS. 7. REVIEW ACTUAL EXECUTIVE COMPENSATION AND BENEFITS PROVIDED TO CONFIRM CONSISTENCY WITH COMPENSATION AND BENEFITS APPROVED BY THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION INCLUDES A COPY OF ITS FINANCIAL STATEMENTS WITH THE STATE REGISTRATION FILED WITH THE PENNSYLVANIA DEPARTMENT OF STATE, BUREAU OF CHARITABLE ORGANIZATIONS. THESE DOCUMENTS ARE A MATTER OF PUBLIC RECORD AND CAN BE VIEWED AT THE BUREAU OFFICE. FORM 990, PART IX, LINE 11G PURCHASED SALARIES: PROGRAM SERVICE EXPENSES 1,452,997. MANAGEMENT AND GENERAL EXPENSES 29,653. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,482,650. I/C LOSS TRANSFERS: PROGRAM SERVICE EXPENSES 19,373,780. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,373,780. FORM 990, PART XI, LINE 9: TRANSFERS TO EXEMPT AFFILIATES -24,932,747. PART XII, LINE 2C: UPMC HAS AN AUDIT COMMITTEE THAT IS ESTABLISHED TO ASSIST THE BOARD OF DIRECTORS IN FULFILLING ITS OVERSIGHT RESPONSIBILITIES BY MONITORING UPMC CONSOLIDATED FINANCIAL REPORTS AND OTHER FINANCIAL INFORMATION PROVIDED BY UPMC TO GOVERNMENTAL BODIES, THE PUBLIC OR OTHER EXTERNAL ENTITIES. THE UPMC'S SYSTEM OF INTERNAL CONTROLS REGARDING FINANCE, ACCOUNTING, LEGAL COMPLIANCE AND ETHICS THAT MANAGEMENT AND THE BOARD HAVE ESTABLISHED AND UPMC'S INTERNAL AUDITING, ACCOUNTING AND FINANCIAL REPORTING PROCESSES ALSO PROVIDED OVERSIGHT. PART XII, LINE 2B: THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PERFORMED BY EY FOR UPMC AND ALL SUBSIDIARIES. THE ENTIRE SYSTEM'S FINANCIAL STATEMENTS, OF WHICH THIS ORGANIZATION IS PART OF, ARE POSTED ON THE UPMC WEBSITE. (WWW.UPMC.COM) THE FINANCIAL STATEMENT AUDIT DURING THE 990 FILING PERIOD IS FOR THE CALENDAR YEAR ENDED DECEMBER 31,2020. UPMC SENIOR COMMUNITIES INC 600 GRANT STREET PITTSBURGH PA 15219 251574736 SR LIVING PA 501(C)(3) 10 UPMC 0 PITTSBURGH LIFETIME CARE COMMUNITY 600 GRANT STREET PITTSBURGH PA 15219 251335247 CCRC PA 501(C)(3) 10 UPMC SR COMM 0 CANTERBURY PLACE 600 GRANT STREET PITTSBURGH PA 15219 250965334 SR LIVING PA 501(C)(3) 10 UPMC SR COMM 0 SENECA PLACE 600 GRANT STREET PITTSBURGH PA 15219 721562844 SR LIVING PA 501(C)(3) 10 UPMC SR COMM 0 SHADYSIDE HOSPITAL SUPPORTING FOUNDATION 600 GRANT STREET PITTSBURGH PA 15219 260303394 FOUNDATION PA 501(C)(3) 12(A) I UPMC 0 UPMC LEE 600 GRANT STREET PITTSBURGH PA 15219 250613830 INACTIVE PA 501(C)(3) 3 UPMC 0 PITTSBURGH CARE PARTNERSHIP INC 600 GRANT STREET PITTSBURGH PA 15219 251753852 SR CARE MGMT PA 501(C)(3) 10 UPMC 0 UPMC CENTER FOR HIGH VALUE HEALTHCARE 600 GRANT STREET PITTSBURGH PA 15219 452178782 RESEARCH PA 501(C)(3) 7 UPMC 0 SHADYSIDE HOSPITAL FOUNDATION 532 SOUTH AIKEN AVENUE PITTSBURGH PA 15232 251290546 FOUNDATION PA 501(C)(3) 12(C)III UPMC PRESBY 0 PASSAVANT HOSPITAL FOUNDATION 9100 BABCOCK BLVD PITTSBURGH PA 15237 251407815 FOUNDATION PA 501(C)(3) 12(B)II UPMC PASS 0 NORTHWEST HOSPITAL FOUNDATION 100 FARFIELD DRIVE SENECA PA 16346 251483624 FOUNDATION PA 501(C)(3) 12(D)III UPMC NORTHWE 0 ST MARGARET FOUNDATION 600 GRANT STREET PITTSBURGH PA 15219 251520340 FOUNDATION PA 501(C)(3) 7 UPMC ST MARG 0 CHILDREN'S HOSPITAL OF PITTSBURGH FND 600 GRANT STREET PITTSBURGH PA 15219 251865744 FOUNDATION PA 501(C)(3) 7 UPMC CHP 0 MAGEE-WOMEN RES INST AND FOUNDATION 600 GRANT STREET PITTSBURGH PA 15219 251462312 FOUNDATION PA 501(C)(3) 7 N/A 0 GREAT LAKES PHYSICIAN PRACTICE PC 600 GRANT STREET 58TH FLOOR PITTSBURGH PA 15219 464186362 PHYSICIAN SRV NY 501(C)(3) 3 REGNL HEALTH 0 HAMOT HEALTH FOUNDATION 302 FRENCH STREET ERIE PA 16507 251400999 FOUNDATION PA 501(C)(3) 12(B)II UPMC HAMOT 0 UPMCJAMESON CANCER CENTER 600 GRANT STREET 58TH FL PITTSBURGH PA 15219 201459415 ONCOLOGY SVC PA 501(C)(3) 10 UPMC JAMESON 0 JAMESON CARE CENTER INC 1211 WILMINGTON AVE NEW CASTLE PA 16105 232871396 SR SERVICES PA 501(C)(3) 10 UPMC SR COMM 0 LAUREL REALTY INC 32-36 CENTRAL AVENUE WELLSBORO PA 16901 231403678 REAL ESTATE PA 501(C)(2) N/A UPMC SUSQUEH 0 THE GREEN HOME 37 CENTRAL AVENUE WELLSBORO PA 16901 240804365 SKILLED NURSI PA 501(C)(3) 10 UPMC SUSQUEH 0 WILLIAMSPORT AREA AMBULANCE SERVICE COO 700 HIGH STREET WILLIAMSPORT PA 17701 232416166 AMBULANCE SVC PA 501(C)(3) 10 UPMC WILLIAM 0 UPMC CHAUTAUQUA AT WCA 207 FOOTE AVENUE JAMESTOWN NY 14701 160743226 HOSPITAL NY 501(C)(3) 3 UPMC CHAUTAU 0 WCA GROUP INC 207 FOOTE AVENUE JAMESTOWN NY 14701 222392582 HOLDING CO NY 501(C)(3) 12 (B)(II) CHAUT AT WCA 0 STARFLIGHT INC 135 ALLEN STREET JAMESTOWN NY 14701 161557878 AIR AMBULANCE NY 501(C)(3) 7 CHAUT AT WCA 0 SOUTH CENTRAL ALPHA HOUSING & HEALTH 3410 WEST PITTSBURGH ROAD NEW CASTLE PA 16101 251701701 SNF & IL PA 501(C)(3) 10 UPMC SR COMM 0 SOUTH WESTERN ALPHA HOUSING & HEALTH 745 GREENVILLE ROAD MERCER PA 16137 251701700 SNF & IL PA 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FOUNDATION PA 501(C)3 12(C)III UPMC SOMERSE 0 SOMERSET HEALTH SERVICES INC 225 SOUTH CENTER AVENUE SOMERSET PA 15501 251441920 PHYSICIAN SRV PA 501(C)3 3 UPMC SOMERSE 0 UPMC WESTERN MARYLAND CORPORATION PO BOX 539 CUMBERLAND MD 21501 520591531 HOSPITAL MD 501(C)3 3 UPMC 0 WESTERN MARYLAND HEALTH SYSTEM FOUNDATI PO BOX 539 CUMBERLAND MD 21501 352289841 FOUNDATION MD 501(C)3 12(C)III UPMC WESTERN 0 HANOVER HOSPITAL FOUNDATION 300 HIGHLAND AVENUE HANOVER PA 17331 822553293 FOUNDATION PA 501(C)3 12(C)III UPMC PINNACL 0 UPMC 600 GRANT STREET PITTSBURGH PA 15219 251423657 SUPPORTING ORG PA 501(C)(3) 12(C)III N/A 0 CHAUTAUQUA INTEGRATED DELIVERY SYSTEM I 200 HARRISON STREET 2ND FLOOR JAMESTOWN NY 14701 161542139 INTEGRATED DELIVE NY N/A 0 0 HANOVER SURGICENTER REAL ESTATE LP 300 HIGHLAND AVE HANOVER PA 17331 352342993 INACTIVE PA N/A 0 0 MEDCARE SUSQUEHANNA VALLEY LLC 409 SOUTH SECOND STREET HARRISBURG PA 17104 821673688 DME PA N/A 0 0 UPMC LEADER SURGERY CENTER LLC 1703 INNOVATION DRIVE YORK 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600 GRANT STREET PITTSBURGH PA 15219 251778454 HOLDING CO PA N/A C 0 MONROEVILLE SPECIALTY CLINIC 600 GRANT STREET PITTSBURGH PA 15219 251666087 AMB SURG PA N/A C 0 MEDICAL ARCHIVAL SYSTEMS INC 600 GRANT STREET PITTSBURGH PA 15219 232912501 SOFTWARE DEVE DE N/A C 0 RX PARTNERS INC 600 GRANT STREET PITTSBURGH PA 15219 251801966 PHARMACY PA N/A C 0 BIOTRONICS INC 600 GRANT STREET PITTSBURGH PA 15219 251843500 EQUIP MAINTEN PA N/A C 0 MEDICAL CENTER PROPERTIES INC 600 GRANT STREET PITTSBURGH PA 15219 251796940 REAL ESTATE PA N/A C 0 ASKESIS DEVELOPMENT GROUP INC 600 GRANT STREET PITTSBURGH PA 15219 541625585 SOFTWARE DEVE DE N/A C 0 BAYFRONT REGIONAL DEVELOPMENT CORP 300 STATE STREET ERIE PA 16507 251401388 RE HOLDING CO PA N/A C 0 BAYSIDE DEVELOPMENT CORP 300 STATE STREET ERIE PA 16507 251401386 REAL ESTATE PA N/A C 0 UPMC WORK ALLIANCE INC 600 GRANT STREET PITTSBURGH PA 15219 452825053 INSURANCE PA N/A C 0 UPMC HEALTH COVERAGE INC 600 GRANT STREET 58TH FLOOR PITTSBURGH PA 15219 462824537 INSURANCE PA N/A C 0 UPMC HEALTH OPTIONS INC 600 GRANT STREET PITTSBURGH PA 15219 462824626 INSURANCE PA N/A C 0 UPMC COMPLETE CARE INC 5215 CENTRE AVENUE PITTSBURGH PA 15232 463605753 PHYSICIAN SRV PA N/A C 0 AMERICAN HOME HEALTH SERVICES 868 CORPORATE WAY WESTLAKE OH 44145 311521422 HOME HEALTH C OH N/A C 0 HEALTH FIDELITY INC 210 S B STREET SAN MATEO CA 94401 452538963 TECHNOLOGY SV CA N/A C 0 CURAVI HEALTH INC 6425 PENN AVENUE PITTSBURGH PA 15206 811217377 HEALTHCARE DE N/A C 0 PENSIAMO INC 600 GRANT STREET 59TH FL PITTSBURGH PA 15219 812069236 SUPPLY CHAIN DE N/A C 0 ALTOONA FAMILY INC 620 HOWARD AVE ALTOONA PA 16601 251444935 MGMT SVCS PA N/A C 0 LEXINGTON HOLDINGS INC 620 HOWARD AVE ALTOONA PA 16601 251794386 HOLDING CO PA N/A C 0 LEXINGTON ONE INC 620 HOWARD AVE ALTOONA PA 16601 251468889 RENTAL PA N/A C 0 LEXINGTON TWO INC HOWARD AVE 7TH ST ALTOONA PA 16601 251555689 DME PA N/A C 0 LEXINGTON FOUR INC 620 HOWARD AVE ALTOONA PA 16601 251793736 HOLDING CO DE N/A C 0 UPMC ALTOONA REGIONAL HEALTH SERVICES 1414 9TH AVENUE ALTOONA PA 16602 251219302 PHYSICIAN SRV PA N/A C 0 LEXINGTON ANESTHESIA ASSOCIATES INC 620 HOWARD AVE ALTOONA PA 16601 251897765 PHYSICIAN SRV PA N/A C 0 RXANTE INC 511 CONGRESS STREET 803 PORTLAND ME 04101 454040219 MEDICATION MG DE N/A C 0 SUSQUEHANNA VENTURES INC 1201 GRAMPIAN BOULEVARD WILLIAMSPORT PA 17701 232470623 PHARMACY PA N/A C 0 WCA SERVICE CORPORATION INC 207 FOOTE AVENUE JAMESTOWN NY 14701 161151438 SUPPORT NY N/A C 0 PINNACLE HEALTH CARDIOVASCULAR INSTITUT 409 SOUTH SECOND STREET HARRISBURG PA 17104 320321362 PHYSICIAN SRV PA N/A C 0 HANOVER HEALTH CORPORATION 300 HIGHLAND AVENUE HANOVER PA 17331 900498067 HOLDING CO PA N/A C 0 HANOVER APOTHECARY INC 310 STOCK STREET SUITE 1 HANOVER PA 17331 030594526 PHARMACY PA N/A C 0 UNITED CENTRAL PA RECIPROCAL RISK RETEN 76 SAINT PAUL STREET SUITE 500 BURLINGTON VT 05401 134224033 INSURANCE VT N/A C 0 PINNACLE HEALTH VENTURES INC 409 SOUTH SECOND STREET HARRISBURG PA 17104 611677624 HOLDING CO PA N/A C 0 PINNACLE HEALTH IMAGING INC 409 SOUTH SECOND STREET HARRISBURG PA 17104 231718571 IMAGING SVC PA N/A C 0 COLE CARE INC 1001 EAST 2ND STREET COUDERSPORT PA 16915 251497347 DME PA N/A C 0 UPMC ITALY HEALTH SERVICES SRL VIA DISCESA DEI GIUDICI 4 PALERMO IT HEALTH SVC IT N/A C 0 UPMC INVESTMENTS LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI HOLDING CO EI N/A C 0 UPMC PROPERTY LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI PROPERTY EI N/A C 0 EURO CARE INFRASTRUCTURE LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI PROPERTY MGMT EI N/A C 0 EURO CARE PROPERTY MANAGEMENT LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI PROPERTY MGMT EI N/A C 0 UPMC WHITFIELD HOSPITAL LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI HOSPITAL EI N/A C 0 UPMC GLOBAL OPERATIONS CENTER LTD 6TH FLOOR BEACON HOSPITAL SANDYFORD EI CANCER TREATM EI N/A C 0 PANTHER REINSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CAYMAN ISLANDS CJ 981402742 INSURANCE CJ N/A C 0 FORBES REINSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CAYMAN ISLANDS CJ 981400710 INSURANCE CJ N/A C 0 CATHEDRAL (RE) INSURANCE CO PO BOX 1109 GRAND CAYMAN CAYMAN ISLANDS CJ 981400837 INSURANCE CJ N/A C 0 UPMC IRELAND LIMITED 6TH FLOOR BEACON HOSPITAL SANDYFORD EI HEALTHCARE SU EI N/A C 0 UPMC CANADA TECHNOLOGIES LIMITED 600 GRANT STREET PITTSBURGH PA 15219 SOFTWARE CA N/A C 0 SUSQUEHANNA HEALTH SYSTEM INSURANCE NET PO BOX 1159 CAYMAN ISLANDS CJ INSURANCE CJ N/A C 0 UPMC UNITED KINGDOM LTD C/O NAIRCO 11TH FLOOR WHITEFRIARS LEWINS MEAD BRISTOL UK 980571026 SOFTWARE LICE UK N/A C 0 BLUESPHERE BIO 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 824979766 IMMUNOTHERAPY DE N/A C 0 INFECTIOUS DISEASE CONNECT INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 833311071 TELEMEDICINE DE N/A C 0 HUMONIC INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 834005420 BIOPHARM DE N/A C 0 NOVASENTA INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 825443222 IMMUNOTHERAPY DE N/A C 0 UPMC HILLMAN CANCER CENTER - PINNACLE 101 ERFORD ROAD CAMP HILL PA 17701 833640945 CANCER TREATM PA N/A C 0 SHANGHAI UPMC CO LTD 288 SHIMEN 1ST ROAD JINGAN DISTRIC SHANGHAI CH HEALTHCARE MG CH N/A C 0 SALVATOR MUNDI INTERNATIONAL HOSPITAL ROMA VIALE DELLE MURA GIANICOLENSI IT HOSPITAL IT N/A C 0 SOMERSET ANESTHESIA INC 600 GRANT STREET PITTSBURGH PA 15219 455135437 PHYSICIAN SRV PA N/A C 0 SOMERSET MANAGEMENT SERVICES INC 600 GRANT STREET PITTSBURGH PA 15219 251512960 MOB OWNERSHIP PA N/A C 0 GENERIAN PHARMACEUTICALS INC 2425 SIDNEY STREET PITTSBURGH PA 15203 821101143 PHARMACY DE N/A C 0 WORK PARTNERS NATIONAL INC 600 GRANT STREET PITTSBURGH PA 15219 843141950 INSURANCE PA N/A C 0 ASTRATA INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 844804493 SOFTWARE DE N/A C 0 VEGAVECT 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 844280784 GENE THERAPY DE N/A C 0 NOVIMAB 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 841494905 CLINICAL RESEARCH DE N/A C 0 REALYZE INTELLEGENCE INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 850873923 SOFTWARE DE N/A C 0 HAYSTACK CONSOLIDATED SERVICES INC 12500 WILLOWBROOK ROAD CUMBERLAND MD 21502 521335895 INACTIVE PA N/A C 0 WESTERN MARYLAND INSURANCE COMPANY LTD PO BOX 10233 GRAND CAYMAN CAYMAN ISLANDS CJ INSURANCE CJ N/A C 0 GENERIAN PHARMACEUTICALS AUSTRALIA PTY L LEVEL 5 63 PIRIE STREET ADELAIDE AU PHARMACY AU N/A C 0 WILLOWBROOK HEALTHCARE CONDO 12401 WILLOWBROOK ROAD CUMBERLAND MD 21502 371538510 REAL ESTATE DE N/A C 0 RXANTE PHARMACY SERVICES INC 511 CONGRESS STREET 803 PORTLAND ME 04101 833402761 PHARMACY DE N/A C 0 CLANE HOSPITAL DEVELOPMENT ASSOCIATES L C/O UPMC WHITFIELD CORK ROAD BUTLERSTOWN NORTH WATERFORD EI MANAGEMENT EI N/A C 0 UPMC KILDARE HOSPITAL LTD PROSPEROUS ROAD CLANE COUNTY KILDARE CLANE EI HOSPITAL EI N/A C 0 UPMC AUT EVEN HOSPITAL LTD FRESHFORD ROAD COUNTY KILKENNY EI HOSPITAL EI N/A C 0 UPMC EXCESS PL TRUST 600 GRANT STREET PITTSBURGH PA 15219 826254351 TRUST PA N/A T 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 FORM 990, SCHEDULE R, PARTS I THROUGH IV: ENTITIES REPORTED IN PARTS I THROUGH IV THAT ARE MARKED WITH AN * ARE NOT TECHNICALLY "RELATED ORGANIZATIONS", AS DEFINED IN THE FORM 990 INSTRUCTIONS AS THE REQUISITE "CONTROL" DID NOT EXIST DURING THE FISCAL YEAR ENDED JUNE 30, 2021. 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.