2022-05-16T12:45:46-05:00 2021-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2020-07-01 820912090 UPMC MEMORIAL 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 173397250 0 X WWW.UPMCPINNACLE.COM X 2017 PA PROMOTING, IMPROVING AND ENHANCING THE HEALTH AND WELL-BEING OF THE COMMUNITY WE SERVE. 15 13 1084 84 150990 0 1889728 7480930 127011643 161589765 -23770 33415 472178 280547 129349779 169384657 3000 5200 0 0 63404538 60979827 0 0 0 78921196 97912471 142328734 158897498 -12978955 10487159 282609861 265983515 21804185 16919189 260805676 249064326 X UPMC MEMORIAL IS A CHARITABLE ORGANIZATION DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH AND QUALITY OF LIFE FOR ALL THE PEOPLE OF CENTRAL PENNSYLVANIA. 0 0 139314757 5200 161438775 RELOCATING AND OPENING A NEW HOSPITAL IN 2019, THE STATE-OF-THE-ART UPMC MEMORIAL IN WEST MANCHESTER TOWNSHIP, YORK, FEATURES 98 BEDS AND PRIVATE ROOMS IN A MODERN FIVE-LEVEL DESIGN.UPMC MEMORIAL FEATURES:- WORLD-CLASS CARDIOLOGY AND VASCULAR SERVICES WITH THE UPMC HEART AND VASCULAR INSTITUTE.- A COMPREHENSIVE REFLUX PROGRAM TO TREAT PATIENTS SUFFERING WITH GASTROESOPHAGEAL REFLUX DISEASE (GERD).- THE REGION'S LEADING LABOR AND DELIVERY SERVICES WITH A LEVEL II NEONATAL INTENSIVE CARE UNIT (OPENED IN FEBRUARY 2020).- ACUTE AND EMERGENCY MEDICAL CARE.- SURGICAL SERVICES.NEXT TO THE HOSPITAL IS THE FIVE-LEVEL OUTPATIENT SERVICES BUILDING FEATURING:- UPMC HILLMAN CANCER CENTER- AMBULATORY SURGERY- OUTPATIENT IMAGING- WOMEN'S IMAGING SUITE- SLEEP LAB- INFUSION CENTER- CARDIAC REHABILITATIONUPMC MEMORIAL HOSPITAL SUBSIDIZES THE COST OF TREATING PATIENTS WHO ARE UNINSURED, UNABLE TO PAY, OR HAVE GOVERNMENT SPONSORED HEALTH INSURANCE WHERE REIMBURSEMENT IS LESS THAN THE COST OF PROVIDING THE SERVICE. WE SERVE AS A LEADER IN THE YORK COMMUNITY. OUR ROLE IS TO PROVIDE OUTSTANDING PATIENT CARE; PUTTING OUR PATIENTS, HEALTH PLAN MEMBERS, 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. IN KEEPING WITH OUR MISSION OF SERVING OUR COMMUNITY BY PROVIDING OUTSTANDING PATIENT CARE AND SHAPING TOMORROW'S HEALTH SYSTEM THROUGH CLINICAL AND TECHNOLOGICAL INNOVATION, RESEARCH, AND EDUCATION, UPMC MEMORIAL HOSPITAL IS A FORCE FOR STABILITY, STRENGTH, AND RELIABILITY FOR THOSE WE SERVE. IN ADDITION TO FINANCIAL SUPPORT, OUTREACH TO THE COMMUNITY IS CRUCIAL TO ACHIEVING OUR MISSION. THROUGH VOLUNTEERISM AND ENGAGEMENT, WE STRIVE TO BE A FORCE FOR HEALTH AND WELL-BEING. WE HELP THE UNDERSERVED, MENTOR STUDENTS, LEND EXPERTISE TO COMMUNITY ORGANIZATIONS, AND EDUCATE THE COMMUNITY ON DISEASE PREVENTION AND MANAGEMENT. COMMUNITY HEALTH IMPROVEMENT SERVICES: TAKING HEALTH CARE BEYOND THE DOORS OF ITS HOSPITALS, CLINICS, AND OFFICES, AND BRINGING IT INTO THE REGION'S TOWNS, SCHOOLS AND WORKPLACES, UPMC MEMORIAL IS HELPING CREATE HEALTHIER COMMUNITIES ACROSS CENTRAL PENNSYLVANIA. THROUGH ITS CHARITABLE GIVING AND COMMUNITY INITIATIVES, UPMC MEMORIAL 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 MEMORIAL PROVIDES BENEFITS TO THE COMMUNITY. UPMC MEMORIAL OFFERS A VARIETY OF FREE COMMUNITY PROGRAMS THAT ARE MAKING A DIFFERENCE IN THE LIVES OF CENTRAL PENNSYLVANIANS EVERY DAY, INCLUDING: 1) CHILDREN'S HEALTH FAIR, CONFERENCES AND LECTURES PROVIDE INFORMATION ON HEALTHY LIFESTYLES AND HEALTH CAREER SESSIONS, YOUTH HEALTH SCREENINGS, YOUTH OBESITY PREVENTION, CHILD ABUSE AWARENESS/PREVENTION AND LITERACY PROGRAMS FOR CHILDREN.2) SUPPORT GROUPS ARE OFFERED FREE OF CHARGE TO HELP PEOPLE UNDERSTAND AND COPE WITH PARTICULAR PROBLEMS OR ILLNESSES. THEY INCLUDE DIABETES, BEREAVEMENT, CAREGIVER, TRANSPLANT, AND HEART DISEASE.3) RESIDENT PHYSICIAN TRAINING PROGRAMS FOR ORTHOPEDIC SURGERY, INTERNAL MEDICINE, GENERAL SURGERY, PODIATRY, AND FAMILY PRACTICE. FELLOWSHIP PROGRAMS ARE AVAILABLE FOR SPORTS MEDICINE AND MATERNAL FETAL MEDICINE.4) WELLNESS AND SCREENING PROGRAMS ARE PROVIDED INCLUDING:- CHOLESTEROL SCREENINGS- PROSTATE SCREENINGS- INFANT DEVELOPMENT SCREENINGS- SPEECH AND HEARING SCREENINGS- DEPRESSION AND ANXIETY SCREENINGS- BONE DENSITY SCREENINGS- NUTRITION THERAPY EDUCATION PROGRAMS- LEAD POISONING SCREENINGS 139314757 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 1084 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 1 1 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 15.00 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 VP & CFO/TREASURER 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 REBECCA BRUCE SENIOR DIRECTOR ASC 40.00 0.00 X 193544 0 27751 JOSEPH IANDOLO VP, OPERATIONS 40.00 0.00 X 235824 0 22305 THEODORE VLASSIS PHARMACIST 40.00 0.00 X 170513 0 36079 SARA GERCKE PHARMACIST 40.00 0.00 X 149765 0 18478 CHRISTINE KAHLEY PHARMACIST 40.00 0.00 X 145061 0 15701 WILLIAM H PUGH FMR. EVP & CFO/TREASURER(RET. 12/19) 0.00 0.00 X 0 928709 16129 894707 4489283 328329 28 1 1 0 NORTH AMERICAN PARTNERS IN ANESTHESIA 68 S SERVICE RD MELVILLE NY 11747 CONTRACT HEALTH SVCS. 3845607 QUEST DIAGNOSTICS PO BOX 912502 PASADENA CA 91110 CONTRACT HEALTH SVCS. 1402945 OSS ORTHOPAEDIC HOSPITAL LLC 1861 POWDER MILL RD YORK PA 17402 CONTRACT HEALTH SVCS. 775709 QUANTUM IMAGING & THERAPEUTIC ASSOCIATES 629-D LOWTHER RD LEWISBERRY PA 17339 CONTRACT HEALTH SVCS. 505960 PENN STATE HEALTH COMMUNITY MEDICAL GROU PO BOX 448 EAST PETERSBURG PA 17520 CONTRACT HEALTH SVCS. 180208 9 7478464 2466 7480930 PATIENT REVENUE, NET 621500 156512330 156361340 150990 MEDICAL SERVICES 621500 4638874 4638874 QUALITY INCENTIVE INCOME 900099 258269 258269 MISC INPATIENT/OUTPATIENT 621990 177296 177296 LAB REVENUE 900099 2996 2996 161589765 250824 250824 1676102 2039049 -362947 -362947 -362947 6591 1745626 3240 1966386 3351 -220760 -217409 -217409 37099 3918 33181 33181 CAFETERIA SALES 900099 607883 607883 MEDICAL RECORDS 900099 2430 2430 610313 169384657 161438775 150990 313962 X 5200 5200 51078719 46729577 4349142 1470978 1345651 125327 6700093 6129245 570848 1730037 1582862 147175 10202908 10202908 2446 2446 28322112 27638435 683677 1090 113 977 488962 291897 197065 1492973 1226627 266346 4310656 3529565 781091 47829 14755 33074 705 478 227 14394472 13222762 1171710 MEDICAL SUPPLIES 11531212 11531212 BAD DEBT 10134292 10134292 MEDICAL IMPLANTS 7271869 7271869 PHARMACEUTICALS 5044812 5044812 4666133 3615405 1050728 158897498 139314757 19582741 0 1160 6676169 36207 17692737 18946520 7643782 540800 524099 1581085 2071629 268081274 35759550 249488904 232321724 4266355 3004162 2363811 1434232 282609861 265983515 21141016 15053980 663169 1865209 21804185 16919189 X 260805676 249064326 260805676 249064326 282609861 265983515 X 10487159 -22228509 X X 0 1 X 1 1 1 X 9802440 9802440 189938903 14295240 175643663 231654 133196 98458 66199773 21075249 45124524 1908504 255865 1652639 232321724 OTHER LONG TERM LIABILITIES 795715 DUE TO THIRD PARTY PAYORS 1069494 1865209 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 1234265 1234265 0.00780 16213890 9360475 6853415 0.04310 17448155 9360475 8087680 0.05090 265866 265866 0.00170 5678222 5678222 0.03570 5200 5200 0.00000 5949288 5949288 0.03740 23397443 9360475 14036968 0.08830 41 2788 231877 231877 0.00150 6 7 3210 3210 0.00000 47 2795 235087 235087 0.00150 1 2137900 437628 20925616 26875496 -5949880 X 1 1 1 UPMC LEADER SURGERY CENTER LLC SURGERY CENTER 0.66330 0.00000 0.33660 1 1 UPMC MEMORIAL 1701 INNOVATION DRIVE YORK PA 17408 WWW.UPMCPINNACLE.COM 650601 UPMC MEMORIAL 820912090 X UPMC MEMORIAL 1 0 0 1 X X X X X X X X 18 1 1 0 1 X WWW.UPMCPINNACLE.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 MEMORIAL PART V, SECTION B, LINE 5: THE ORGANIZATION CONDUCTED A RANDOM PHONE SURVEY TO THE COMMUNITY ASKING THEM HEALTH RELATED QUESTIONS TO ESTABLISH THEIR NEEDS. WITHIN THE DEVELOPMENT OF THE 2018 ASSESSMENT, SEVERAL RESOURCES WERE USED AND GIVEN CONSIDERATION TO IDENTIFY SIGNIFICANT ISSUES WITHIN THE COMMUNITY. THE PRIMARY AND SECONDARY DATA SOURCES USED FOR THE CHNA INCLUDE THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS, THE 2015 CHNA SURVEY, AND THE PENNSYLVANIA DEPARTMENT OF HEALTH'S EPI QMS DATA RETRIEVAL SYSTEM. THE REGIONAL CHNA COMMITTEE HIRED STAFF FROM THE FLOYD INSTITUTE FOR PUBLIC POLICY AT FRANKLIN AND MARSHALL COLLEGE TO ASSIST WITH CONDUCTING THE SURVEYING AND DATA COLLECTION. UPMC MEMORIAL PART V, SECTION B, LINE 6A: UPMC HANOVER UPMC MEMORIAL PART V, SECTION B, LINE 7D: COMMUNITY EVENTS UPMC MEMORIAL PART V, SECTION B, LINE 11: THE HOSPITAL CHOSE PHYSICAL HEALTH, BEHAVIORAL HEALTH, AND MATERNAL/CHILD HEALTH AS THE PRIORITIES ON WHICH THEY WILL WORK. PRIORITIES NOT CHOSEN WERE DUE TO THE FACT THAT OTHER AREA PROVIDERS HAD PROGRAMS IN PLACE. THE ONES CHOSEN FELL UNDER OUR UMBRELLA AS A HOSPITAL SYSTEM. UPMC MEMORIAL 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 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, ELIGIBILITY FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR. UPMC MEMORIAL 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 ATTRIBUTED TO PRIMARY CARE AND CLINICS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: TAKING HEALTH CARE BEYOND THE DOORS OF ITS HOSPITALS, CLINICS, AND OFFICES, AND BRINGING IT INTO THE REGION'S TOWNS, SCHOOLS AND WORKPLACES, UPMC MEMORIAL IS HELPING CREATE HEALTHIER COMMUNITIES ACROSS CENTRAL PENNSYLVANIA. THROUGH ITS CHARITABLE GIVING AND COMMUNITY INITIATIVES, UPMC MEMORIAL 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 MEMORIAL PROVIDES BENEFITS TO THE COMMUNITY. UPMC MEMORIAL OFFERS A VARIETY OF FREE COMMUNITY PROGRAMS THAT ARE MAKING A DIFFERENCE IN THE LIVES OF CENTRAL PENNSYLVANIANS EVERY DAY, INCLUDING: 1) CHILDREN'S HEALTH FAIR, CONFERENCES AND LECTURES PROVIDE INFORMATION ON HEALTHY LIFESTYLES AND HEALTH CAREER SESSIONS, YOUTH HEALTH SCREENINGS, YOUTH OBESITY PREVENTION, CHILD ABUSE AWARENESS/PREVENTION AND LITERACY PROGRAMS FOR CHILDREN.2) SUPPORT GROUPS ARE OFFERED FREE OF CHARGE TO HELP PEOPLE UNDERSTAND AND COPE WITH PARTICULAR PROBLEMS OR ILLNESSES. THEY INCLUDE DIABETES, BEREAVEMENT, CAREGIVER, TRANSPLANT, AND HEART DISEASE.3) RESIDENT PHYSICIAN TRAINING PROGRAMS FOR ORTHOPEDIC SURGERY, INTERNAL MEDICINE, GENERAL SURGERY, PODIATRY, AND FAMILY PRACTICE. FELLOWSHIP PROGRAMS FOR SPORTS MEDICINE AND MATERNAL FETAL MEDICINE.4) WELLNESS AND SCREENING PROGRAMS ARE PROVIDED INCLUDING:- CHOLESTEROL SCREENINGS- PROSTATE SCREENINGS- INFANT DEVELOPMENT SCREENINGS- SPEECH AND HEARING SCREENINGS- DEPRESSION AND ANXIETY SCREENINGS- BONE DENSITY SCREENINGS- NUTRITION THERAPY EDUCATION PROGRAMS- LEAD POISONING SCREENINGS PART III, LINE 2: 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 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 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 HANDED OUT TO THE UNINSURED AT ALL THE REGISTRATION SITES. ALL OF OUR PATIENT ACCOUNT STATEMENTS CONTAIN LANGUAGE THAT INDICATES THERE IS FINANCIAL AID AVAILABLE FOR QUALIFYING INDIVIDUALS. IN ADDITION, THE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE IN BOTH ENGLISH AND SPANISH. PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE AND PROVIDE ALL THE NECESSARY DOCUMENTATION REQUIREMENTS ARE NOTIFIED WITHIN THIRTY DAYS OF THE HOSPITAL'S DECISION. WHEN THE APPROVAL IS DETERMINED, THE APPROPRIATE DISCOUNT IS POSTED TO THE PATIENT ACCOUNT IMMEDIATELY. THE FINANCIAL ASSISTANCE DISCOUNT WILL BE APPLIED TO SERVICE FOR THE PREVIOUS TWELVE MONTHS AND SUBSEQUENT SIX MONTHS. THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. NO ADDITIONAL COLLECTION EFFORTS ARE MADE. APPLICANTS APPROVED FOR ONLY A 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. UNDER NO CIRCUMSTANCES WILL THE HOSPITAL 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: A COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN MAY 2018. YORK COUNTY RANKS 19 OUT OF 67 PENNSYLVANIA COUNTIES IN HEALTHY OUTCOMES AND 13 OUT OF 67 IN HEALTH FACTORS. YORK COUNTY SHOWS HIGH RATES OF OBESITY, LOW BIRTH RATE WEIGHT BABIES, TEEN BIRTHS AND LOW RATES OF MENTAL HEALTH PROVIDERS. YORK COUNTY HAS A HIGH RATE OF SEXUALLY TRANSMITTED INFECTIONS AND VIOLENT CRIME. THE COUNTY HEALTH RANKINGS HELP COUNTIES UNDERSTAND WHAT INFLUENCES HOW HEALTHY RESIDENTS ARE AND HOW LONG THEY WILL LIVE. THE RANKINGS LOOK AT HEALTH OUTCOMES (LENGTH OF LIFE AND QUALITY OF LIFE) AND HEALTH FACTORS THAT INCLUDE HEALTH BEHAVIORS (TOBACCO USE, DIET AND EXERCISE, ALCOHOL AND DRUG USE, SEXUAL ACTIVITY), CLINICAL CARE (ACCESS, QUALITY), SOCIAL AND ECONOMIC FACTORS (EDUCATION, EMPLOYMENT, INCOME, FAMILY AND SOCIAL SUPPORT, COMMUNITY SAFETY), AND THE PHYSICAL ENVIRONMENT (AIR AND WATER QUALITY, HOUSING AND TRANSPORTATION). IN THE FALL OF 2017 THROUGH MARCH 2018, UPMC MEMORIAL WAS A PARTNERING HOSPITAL OF THE REGION, COLLABORATING WITH OTHERS TO ASSESS THE COMMUNITY HEALTH NEEDS OF YORK COUNTY. IN JUNE 2018, A COMMUNITY FORUM WAS HELD TO REVIEW AND SHARE THE FULL COMMUNITY HEALTH NEEDS ASSESSMENT AND TO GET INPUT FROM THE COMMUNITY. THE THREE PRIORITIES THAT CAME OUT OF THE ASSESSMENT WERE:1. PHYSICAL HEALTH (IMPROVING TRENDS IN PHYSICAL ACTIVITY AND NUTRITION)2. BEHAVIORAL HEALTH (REDUCE HIGH RATE OF ADULT DEPRESSION)3. MATERNAL/CHILD HEALTH (REDUCE LOW BIRTHWEIGHT BABIES, REDUCE TEEN BIRTH RATE, REDUCE SEXUALLY TRANSMITTED DISEASES AND SEXUALLY TRANSMITTED INFECTIONS). UPMC MEMORIAL HAS DEVELOPED A FRAMEWORK TO IMPROVE THOSE NEEDS. THE UPMC MEMORIAL BOARD OF DIRECTORS ACCEPTED THESE THREE PRIORITIES AND DEVELOPED THE FOLLOWING GOALS AND OBJECTIVES: PRIORITY 1: PHYSICAL HEALTH, PHYSICAL ACTIVITY AND TOBACCOGOALS: PROMOTE HEALTH AND REDUCE CHRONIC DISEASE RISK THROUGH THE CONSUMPTION OF HEALTHFUL DIETS AND ACHIEVEMENT AND MAINTENANCE OF HEALTHY BODY WEIGHTS. DECREASE ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE, VAPING AND SECONDHAND SMOKE EXPOSURE.STRATEGY 1: INCREASE KNOWLEDGE AND ACCESS TO FRESH PRODUCE IN THE REGION BY 2022. WE WILL PROVIDE EDUCATIONAL LEARNING OPPORTUNITIES TO A VARIETY OF AGE GROUPS AND POPULATIONS, OFFER BMI SCREENINGS, CONDUCT COOKING DEMOS, AND PROVIDE $5 PRODUCE VOUCHERS. COMMUNITY OUTREACH WILL ALSO BE INCREASED BY PROVIDING PRODUCE STANDS TO INCREASE ACCESS TO FRESH PRODUCE.STRATEGY 2: IMPROVE HEALTH, FITNESS AND QUALITY OF LIFE THROUGH INCREASED PHYSICAL ACTIVITY. STRATEGY 3: DECREASE ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE/VAPING AND SECOND HAND SMOKE EXPOSURE. WE WILL CONDUCT FREEDOM FROM SMOKING CLASSES AS WELL AS 1-ON-1 TOBACCO CESSATION COUNSELING.PRIORITY 2: BEHAVIORAL HEALTHGOALS: IMPROVE MENTAL HEALTH THROUGH PREVENTION AND BY ENSURING ACCESS TO APPROPRIATE, QUALITY MENTAL HEALTH SERVICES. REDUCE THE HIGH SUICIDE RATE.STRATEGY 1: DECREASE THE NUMBER OF MENTAL HEALTH DAYS PEOPLE EXPERIENCE IN OUR REGION BY 2022. PROVIDE EDUCATIONAL LEARNING OPPORTUNITIES TO A VARIETY OF AGE GROUPS AND POPULATIONS. HOLD MENTAL HEALTH FIRST AID TRAININGS FOR PROFESSIONALS AND THE COMMUNITY AT LARGE. INCREASE COMMUNITY OUTREACH AND ACCESS TO SUPPORT GROUPS.STRATEGY 2: DECREASE THE SUICIDE RATE BY 5% IN THE REGION BY 2022. PROVIDE EDUCATIONAL LEARNING OPPORTUNITIES TO A VARIETY OF AGE GROUPS AND POPULATIONS. PROVIDE QPR TRAININGS FOR PROFESSIONALS AND THE COMMUNITY AT LARGE. INCREASE COMMUNITY OUTREACH AND ACCESS TO SUPPORT GROUPS.PRIORITY 3: MATERNAL/CHILD HEALTHGOALS: IMPROVE THE HEALTH AND WELL-BEING OF WOMEN AND THEIR UNBORN CHILDREN. PROMOTE HEALTHY SEXUAL BEHAVIORS AND INCREASE ACCESS OF QUALITY SERVICES TO PREVENT STD'S/STI'S AND THEIR COMPLICATIONS. REDUCE THE NUMBER OF TEEN PREGNANCIES AND INCREASE ACCESS TO PRENATAL CARE.STRATEGY 1: REDUCE THE NUMBER OF LOW BIRTH WEIGHT BABIES BORN IN THE REGION BY 5% BY 2022 BY PROMOTING AND SUPPORTING LOCAL PRENATAL AND POSTNATAL CARE SUPPORT SERVICES FOR PREGNANT WOMEN AND TEENS AND DISTRIBUTING PRODUCE VOUCHERS FOR PREGNANT MOMS AND NEW PARENTS.STRATEGY 2: REDUCE THE RATE OF TEENS WITH STD'S/STI'S IN THE REGION BY 5% BY 2022. WE WILL PROVIDE AND FUND LOCAL, ESTABLISHED EDUCATIONAL PROGRAMS FOR STD'S/STI'S. STRATEGY 3: DECREASE THE NUMBER OF TEEN PREGNANCIES BY 10% IN OUR REGION BY 2022. WE WILL PROVIDE AND FUND LOCAL, ESTABLISHED PROGRAMS FOR TEEN PREGNANCY PREVENTION. 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. PART VI, LINE 4: UPMC MEMORIAL IS LOCATED IN YORK COUNTY. YORK COUNTY IS 904.2 SQUARE MILES WITH A POPULATION OF 448,273 WHICH EQUATES TO 495.8 PEOPLE PER SQUARE MILE. THE MEDIAN AGE IS 40.9. APPROXIMATELY 8.7% OF RESIDENTS FALL BELOW THE POVERTY LINE WITH 13% COMPRISED OF CHILDREN BELOW 18 AND 4% ARE SENIORS (ABOVE 65).YORK COUNTY RANKS 19 OUT OF 67 COUNTIES IN HEALTH OUTCOMES AND 13 OUT OF 67 COUNTIES IN HEALTH FACTORS. COMPARED TO OTHER COUNTIES IN THE STATE, YORK SHOWS HIGH RATES OF OBESITY, LOW BIRTH WEIGHT BABIES, TEEN BIRTHS, AND LOW RATES OF MENTAL HEALTH PROVIDERS. YORK ALSO HAS RELATIVELY HIGH RATES OF SEXUALLY TRANSMITTED INFECTIONS AND VIOLENT CRIME. YORK COUNTY DOES RELATIVELY WELL ON HAVING LOW RATES OF CHILDREN IN POVERTY AND PREVENTABLE HOSPITAL STAYS. YORK COUNTY'S PHYSICAL ENVIRONMENT SCORES HAVE DECLINED SIGNIFICANTLY OVER TIME RELATIVE TO OTHER COUNTIES IN THE STATE, DUE TO POOR AIR QUALITY AND PROBLEMS RELATED TO HOUSING AND TRANSPORTATION. PART VI, LINE 5: TO IMPROVE THE HEALTH OF THE RESIDENTS OF THE COMMUNITIES IT SERVES, UPMC MEMORIAL PROVIDES HEALTH EDUCATION AND WELLNESS OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY, BY OFFERING THE FOLLOWING HEALTH EDUCATION PROGRAMS: IN FY21, MANY OF THE COMMUNITY EDUCATION PROGRAMS WERE PUT ON HOLD DUE TO COVID19 AND THE FOCUS WAS TO COORDINATE AND PROVIDE THE COVID19 VACCINE. IN FY21, 5,300 PEOPLE RECEIVED THE COVID VACCINE THROUGH UPMC MEMORIAL COMMUNITY VACCINE CLINICS. - 95 PEOPLE PARTICIPATED IN TOBACCO CESSATION PROGRAMMING IN YORK COUNTY UPMC MEMORIAL STAFF PLAY A SIGNIFICANT ROLE IN ADDRESSING COMMUNITY NEEDS BY TAKING AN ACTIVE ROLE IN THE YORK COUNTY BEHAVIORAL HEALTH TASK FORCE, DIABETES COALITION OF YORK COUNTY, FALLS FREE COALITION OF YORK COUNTY, FEELING BLUE, INFORMATION NETWORKING GROUP, THE SENIOR OUTREACH SERVICES COALITION OF YORK COUNTY AND SUICIDE PREVENTION OF YORK.UPMC MEMORIAL STAFF HAVE A LEADERSHIP ROLE IN HEALTHY YORK COUNTY COALITION. THIS COALITION BRINGS TOGETHER COMMUNITY STAKEHOLDERS TO DISCUSS COMMON HEALTH GOALS AND COLLABORATIVE OPPORTUNITIES. THE HEALTHY YORK COUNTY COALITION ASSESSES HEALTH NEEDS, UNITES COMMUNITY PARTNERS AND FACILITATES ACTION TO DRIVE PROGRESS TOWARDS BETTER HEALTHCARE. PART VI, LINE 6: UPMC MEMORIAL 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. PINNACLE HEALTH MEDICAL SERVICES AND REGIONAL PHYSICIANS ARE PRIMARILY ENGAGED IN THE PROVISION OF PHYSICIAN SERVICES TO SUPPORT AND ENHANCE THE SERVICES WITHIN UPMC PINNACLE. THE UPMC PINNACLE CARDIOVASCULAR INSTITUTE IS ENGAGED IN PROVIDING COMPREHENSIVE CARDIAC CARE, INCLUDING TECHNOLOGICAL ADVANCES, TO PROVIDE THE BEST CLINICAL OUTCOMES TO THE COMMUNITY. COMMUNITY LIFE TEAM IS ENGAGED IN PROVIDING COMMUNITY BASED, EFFICIENT AND COST EFFECTIVE MEDICAL TRANSPORT SERVICES, PRE-HOSPITAL EMERGENCY MEDICAL SERVICES FOR THE RESIDENTS AND COMMUNITIES OF THE CENTRAL PENNSYLVANIA YORK REGIONS.PINNACLE HEALTH VENTURES, INC. WAS FORMED 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.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 ALISON BERNHARDT VP & CFO/TREASURER 0 359754 0 106500 0 0 0 14250 0 9376 0 489880 0 0 CHRISTINE MILLER ASSISTANT SECRETARY 0 206910 0 41505 0 0 0 11331 0 17116 0 276862 0 0 JOSEPH IANDOLO VP, OPERATIONS 188281 0 47543 0 0 0 11864 0 10441 0 258129 0 0 0 REBECCA BRUCE SENIOR DIRECTOR ASC 183544 0 10000 0 0 0 9618 0 18133 0 221295 0 0 0 THEODORE VLASSIS PHARMACIST 170513 0 0 0 0 0 8768 0 27311 0 206592 0 0 0 AMANDA MORGAN ASSISTANT TREASURER 0 140673 0 28876 0 0 0 7741 0 16463 0 193753 0 0 SARA GERCKE PHARMACIST 149765 0 0 0 0 0 7552 0 10926 0 168243 0 0 0 CHRISTINE KAHLEY PHARMACIST 145061 0 0 0 0 0 7272 0 8429 0 160762 0 0 0 PART I, LINE 3 UPMC MEMORIAL 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 1A: UPMC (EIN 25-1423657), ULTIMATE PARENT ENTITY 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 MEMORIAL. 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 NON-PHYSICIANS: PROGRAM SERVICE EXPENSES 1,621,292. MANAGEMENT AND GENERAL EXPENSES 341,056. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,962,348. RESPIRATORY THERAPY SERVICES: PROGRAM SERVICE EXPENSES 17,941. MANAGEMENT AND GENERAL EXPENSES 3,774. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,715. LAUNDRY & LINEN SERVICES: PROGRAM SERVICE EXPENSES 753,299. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 753,299. PURCHASED LAB SERVICES: PROGRAM SERVICE EXPENSES 1,874,076. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,874,076. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,018,342. MANAGEMENT AND GENERAL EXPENSES 338,847. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,357,189. OTHER I/C LOSS TRANSFERS: PROGRAM SERVICE EXPENSES 22,353,485. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,353,485. FORM 990, PART XI, LINE 9: TRANSFERS TO EXEMPT AFFILIATES -20,966,316. JOINT VENTURES EQUITY METHOD INCOME -1,262,193. 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 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501(C)(3) 10 UPMC SR COMM 0 KANE COMMUNITY HOSPITAL FOUNDATION 4372 ROUTE 6 KANE PA 16735 263906925 FOUNDATION PA 501(C)(3) 12 (B)(II) N/A 0 JUNIOR GUILD OF THE JAMESON MEMORIAL HOS 1211 WILMINGTON AVENUE NEW CASTLE PA 16105 256005313 SUPPORT PA 501(C)(3) 12(D)III N/A 0 LAUREL HEALTH FOUNDATION 32-36 CENTRAL AVENUE WELLSBORO PA 16901 251810488 FOUNDATION PA 501(C)(3) 12(B)II N/A 0 WCA FOUNDATION INC 300 FOOTE AVENUE PO BOX 840 JAMESTOWN NY 14702 222393584 FOUNDATION PA 501(C)(3) 12(C)III N/A 0 VENANGO VNA FOUNDATION 491 ALLEGHENY BOULEVARD FRANKLIN PA 16323 251472179 FOUNDATION PA 501(C)(3) 12(D) III N/A 0 UPMC PINNACLE 409 SOUTH SECOND STREET HARRISBURG PA 17104 251778658 SUPPORTING OR PA 501(C)(3) 12(B)II UPMC 0 UPMC CARLISLE 361 ALEXANDER SPRING ROAD CARLISLE PA 17105 820880337 HOSPITAL PA 501(C)(3) 3 UPMC PINNACL 0 UPMC LANCASTER 250 COLLEGE AVENUE LANCASTER PA 17603 820896436 HOSPITAL PA 501(C)(3) 3 UPMC PINNACL 0 UPMC LITITZ 1500 HIGHLANDS AVENUE LITITZ PA 17543 820844453 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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 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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 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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 1 0 0 0 0 0 1 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.