2021-05-12T13:53:11-05:00 2020-06-30 990 2019-07-01 240795508 UPMC Williamsport % CHRISTOPHER STOCKHAUSEN UPMC 4126472345 600 GRANT ST 58TH FL C/O CORP TAX PITTSBURGH PA 15219 CHRISTOPHER STOCKHAUSEN CFO 5703213175 2021-05-12 2019 2022-09-23 18:48:47Z STEVEN JOHNSON 600 GRANT ST PITTSBURGH PA 15219 417811475 false X www.upmcsusquehannahealth.org X 1873 PA SEE SCHEDULE O 13 5 2237 201 181842 3150 863742 7757509 415391404 410013319 65493 40647 0 0 416320639 417811475 369848 472229 0 0 153747500 156321854 0 0 0 220832013 203413614 374949361 360207697 41371278 57603778 311048523 289908890 14762952 53837874 296285571 236071016 X SEE SCHEDULE O false false 309402689 417811475 SEE SCHEDULE O 309402689 true true false false false false false false false true false false false true false false false false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false 0 0 true 2237 false false false false false false false false false false false false X 13 5 false false false false true true true true true false false true true true true true true false false false PA X CHRISTOPHER STOCKHAUSEN 5703213175 700 HIGH STREET WELLSBORO PA 17701 Ronald E DiSimone MD Director 1.0 40.0 X 0 1100612 53182 Steven Johnson Director/Regional President 10.0 40.0 X X 996352 0 132719 Kevin Kist DO Director 1.0 40.0 X 0 461594 58915 Susan Branton MD Director 1.0 40.0 X 0 464464 42379 Kenneth Young ESQ VP, Legal 20.0 20.0 X 381734 0 20830 Daniel Glunk VP & Chief Quality Officer 40.0 0.0 X 364780 0 31692 Eric Pohjala Former CFO (R 10/31/2018) 0.0 0.0 X 366050 0 2230 Susan Duchman VP, Chief Transition Officer 40.0 0.0 X 276182 0 35225 Dung Vu CRNA 40.0 0.0 X 265945 0 39418 Robert Kane Regional President 40.0 0.0 X 264313 0 36478 Alexander Nesbitt MD Director 1.0 40.0 X 0 249762 46379 Durriya Essa MD Director 1.0 1.0 X 0 0 0 Davie Jane Gilmour Board Vice Chair 1.0 4.0 X X 0 0 0 Sister Teresa Ann Jacobs Board Secretary 1.0 7.0 X X 0 0 0 Philip Johnson Board Treasurer 1.0 4.0 X X 0 0 0 Daniel A Klingerman Director 1.0 3.0 X 0 0 0 Shailesh Patel MD Director 1.0 2.0 X 0 0 0 Ann S Pepperman Board Chair 1.0 6.0 X X 0 0 0 Patrick Wilson Director 1.0 1.0 X 0 0 0 Christopher Stockhausen CFO 1.0 50.0 X 0 0 0 Donald Owrey President/COO (J 9/1/2019) 1.0 50.0 X 0 0 0 2915356 2276432 499447 7 true true false HEALTH CAROUSEL LLC 3805 Edwards Rd Ste 700 CINCINNATI OH 45209 EMPLOYMENT SERVICES 6680269 MCCORMICK LAW FIRM 835 W 4th St WILLIAMSPORT PA 17701 LEGAL SERVICES 1020623 SUSQUEHANNA LITHOTRIPSY 4310 Londonderry Rd Suite 1 HARRISBURG PA 17109 MEDICAL SERVICES 592450 ENGINUITY LLC 203 Lynndale Ct MECHANICSBURG PA 17050 EQUIP. MAINTANENCE 521593 BIOFIRE DIAGNOSTICS LLC 515 S COLOROW DR SALT LAKE CITY UT 84108 LAB SERVICES 499684 12 173494 7219407 364608 7757509 NET PATIENT REVENUE 621990 400143674 400143674 OTHER PATIENT SERVICE REVENUE 621990 1066430 928072 138358 OTHER PROGRAM SERVICE REVENUE 621990 8803215 8759731 43484 410013319 40647 40647 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 417811475 409831477 181842 40647 472229 472229 0 0 0 1497351 1497351 0 120451698 109481313 10970385 0 26004503 23345874 2658629 8368302 7512750 855552 -10794 -29578 18784 50366 50366 0 0 0 0 3879826 1309205 2570621 2719346 2719346 3035924 1745522 1290402 5451984 4855515 596469 0 21882019 20182157 1699862 720299 517570 202729 0 30399 26849 3550 3075 3075 0 23978672 23978672 3267255 1582452 1684803 DRUGS 40295144 40295144 ALLOCATION TO/FR SUBS/PARENT 31100314 31100314 MEDICAL/PATIENT SUPPLIES 28345759 28345759 MEDICAL IMPLANTS 18401014 18401014 20263012 -6442493 26705505 360207697 309402689 50805008 0 6138 7698 3292976 679614 0 0 52239396 48263501 0 0 0 0 12852211 12730237 1975324 2059438 445003 -473956 503194276 277159477 239379835 226034799 0 0 0 0 0 0 0 0 857640 607559 311048523 289908890 7909902 48350667 0 0 1056400 1929536 0 0 0 0 0 0 0 0 0 0 5796650 3557671 14762952 53837874 X 291420548 231191940 4865023 4879076 296285571 236071016 311048523 289908890 X 57603778 -117818333 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22329804 22329804 335204989 177870846 157334143 123802941 93668507 30134434 21856541 5620123 16236418 226034799 0 CREDIT BALANCES ACCOUNTS REC 2086957 DUE TO THIRD PARTY PAYORS -49107 MALPRACTICE LOSS RSRV IBNR 1210000 OTHER LIABILITIES 309821 3557671 Part X, Line 2: UPMC has no uncertain tax positions recorded. 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, 2020, UPMC does not have any unrecorded tax benefits. An external audit is completed at a consolidated UPMC System level only, including UPMC and all taxable and tax-exempt subsidiaries. true true X true X 250. true X true true true false true true 2643339 2643339 0.00760 53866993 36071031 17795962 0.05080 56510332 36071031 20439301 0.05840 1719988 1719988 0.00490 4040528 1391767 2648762 0.00760 422229 422229 0.00120 6182745 1391767 4790979 0.01370 62693077 37462798 25230280 0.07210 true 2185480 163911 136511509 177426416 -40914907 X true true 1 1 UPMC Williamsport 700 High Street Williamsport PA 17701 www.susquehannahealth.org X X X UPMC Williamsport 1 false false true X X X X X X X X X 18 true true false true SEE PART V SUPPLEMENTAL INFORMATION X true 18 true SAME AS 7A ABOVE false true X 250. 400. X X X true true X X X true X See part VI X See Part VI X See Part VI X X X X X X true X false true X false false PART V SECTION B LINE 5 UPMC'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED A PARTNERSHIP WITH EXPERTS AT THE UNIVERSITY OF PITTSBURGH GRADUATE SCHOOL OF PUBLIC HEALTH TO CONDUCT THE CHNA USING A BEST-PRACTICE METHODOLOGY. THE ASSESSMENT BLENDED ANALYSIS OF DOCUMENTED HEALTH AND SOCIOECONOMIC FACTORS WITH A STRUCTURED, COMMUNITY INPUT SURVEY PROCESS. EFFECTIVELY ENGAGING THE COMMUNITY IN A BROAD, SYSTEMATIC WAY, THE SURVEY SOLICITED FEEDBACK FROM COMMUNITY ADVISORY PANELS COMPOSED OF LEADERS OF ORGANIZATIONS THAT REPRESENT PATIENT CONSTITUENCIES, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND CHRONICALLY ILL POPULATIONS WITHIN THE HOSPITAL'S COMMUNITY. APPENDIX C OF EACH HOSPITAL CHNA REPORT INCLUDES A LIST OF COMMUNITY PARTICIPANTS. WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/PAGES/COMMUNITY-HEALTH-NEEDS-ASSES SMENT.ASPX PART V SECTION B LINE 6A THE FOLLOWING UPMC HOSPITALS CONDUCTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019: UPMC LOCK HAVEN, UPMC MUNCY, UPMC WILLIAMSPORT, UPMC WELLSBORO, UPMC COLE, AND UPMC SUNBURY. PART V SECTION B LINE 7A AND 10A WEBSITE FOR CHNA HTTP://WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/PAGES/COMMUNITY-HEALTH-NEED S-ASSESSMENT.ASPX PART V SECTION B LINE 11 THROUGH A RIGOROUS CHNA METHODOLOGY, UPMC HOSPITALS IDENTIFIED FOUR MAJOR THEMES REPRESENTING THE SIGNIFICANT HEALTH NEEDS IN THEIR COMMUNITIES: CHRONIC DISEASE MANAGEMENT; BEHAVIORAL HEALTH; ACCESS TO CARE AND NAVIGATING RESOURCES; AND PREVENTION AND COMMUNITY-WIDE HEALTHY LIVING. THE HOSPITALS DEVELOPED STRATEGIC IMPLEMENTATION PLANS TO ADDRESS THESE ISSUES AS OUTLINED IN THEIR CHNA DOCUMENT AND COMMUNITY HEALTH STRATEGIC PLAN - SEE SECTION IV OF EACH HOSPITAL CHNA REPORT. WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/PAGES/COMMUNITY-HEALTH-NEEDS-ASSES SMENT.ASPX PART V SECTION B LINE 16: https://www.susquehannahealth.org/patients-visitors/for-patients/financial -assistance-program PART V SECTION B LINES 19 & 20: UPMC's policies do not permit hospital facilities or any other authorized parties to engage in extraordinary collections actions in any circumstances. Therefore, line 20 has been left blank since in is not applicable and UPMC believes it would be misleading to check any of the boxes. PART I LINE 3C: FINANCIAL ASSISTANCE OR CHARITY CARE IS AVAILABLE FOR ELIGIBLE INDIVIDUALS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR GOVERNMENT PROGRAMS OR OTHERWISE UNABLE TO PAY FOR THEIR OWN CARE. A PATIENT MAY BE DETERMINED TO HAVE FINANCIAL NEED BASED ON THE FOLLOWING: 1. INDIGENCY: IF INCOME FALLS AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES, THE PATIENT WILL HAVE NO FINANCIAL RESPONSIBILITY. THE PATIENT IS APPROVED FOR 100% FREE CARE. 2. LOW INCOME SLIDING SCALE: ASSISTANCE MAY BE A DISCOUNTED OR REDUCED PATIENT LIABILITY DEPENDING ON THE PATIENT'S INCOME: A. IF THE COMBINED FAMILY INCOME IS GREATER THAN 251% AND LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY GUIDELINES AND UNINSURED, THE PATIENT IS ELIGIBLE FOR REDUCED CHARITY CARE. THERE WILL BE AN 89% REDUCTION IN THE PATIENT BILL.THE DISCOUNTED CHARITY CARE SCALE IS LISTED BELOW: F/S= FAMILY SIZE 2020 2020 Family Size Category 1 (250% FPL) Category 2 (400% FPL) 1 $31,900 $51,040 2 $43,100 $68,960 3 $54,300 $86,880 4 $65,500 $104,800 5 $76,700 $122,720 6 $87,000 $140,640 7 $99,100 $158,560 8 $110,300 $176,480 Each Additional $11,200 $17,920 3. FINANCIAL HARDSHIP: IF A PATIENT IS APPROVED FOR DISCOUNTED OR REDUCED CHARITY CARE AND CANNOT AFFORD TO PAY THE REMAINING BALANCE, THE PATIENT MAY BE CONSIDERED FOR FINANCIAL HARDSHIP. ASSISTANCE WILL BE PROVIDED IN THE FORM OF AN ADJUSTMENT OF CHARGES TO PREVENT THE PATIENT LIABILITY FROM EXCEEDING THE LESSER OF 15% OF FAMILY INCOME OR THE AGB. 4. MEDICAL HARDSHIP/CATASTROPHIC CARE: IF A PATIENT IS DENIED FOR FINANCIAL ASSISTANCE AND CANNOT AFFORD TO PAY THE ACCOUNT BALANCE, THE PATIENT MAY BE CONSIDERED MEDICALLY INDIGENT AND MAY BE CONSIDERED FOR MEDICAL HARDSHIP/CATASTROPHIC CARE. THE PATIENT WILL BE LIABLE TO PAY THE LESSER OF 15% OF THEIR CALCULATED HOUSEHOLD INCOME OR THE AGB TOWARDS THEIR MEDICAL BILL. THIS IS A ONE-TIME FINANCIAL ASSISTANCE ADJUSTMENT FOR EXISTING ACCOUNT BALANCES. THE REMAINING BALANCE WILL BE ADJUSTED TO FREE CARE. PART I LINE 4 "MEDICALLY INDIGENT" MEANS PERSONS WHO THE ORGANIZATION HAS DETERMINED UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS BECAUSE THEIR MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF THEIR FAMILY HOUSEHOLD'S INCOME. PART I, LINE 6A AND B UPMC PREPARES AN ANNUAL COMMUNITY BENEFITS REPORT. THE REPORT ENCOMPASSES INFORMATION FOR THE ENTIRE INTEGRATED DELIVERY AND FINANCING SYSTEM THAT MAKES UP THE UPMC HEALTH SYSTEM. IT IS POSTED AND AVAILABLE TO THE PUBLIC VIA THE UPMC WEBSITE, WWW.UPMC.COM. PART I LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMTS REPORTED IN PART I LINE 7 The costing methodology used to calculate the amounts reported in Part I Line 7 is a ratio of costs to charges method. The method employed for determining the ratio of cost to charges is in line with those described in Schedule H, Worksheet 2, "Ratio of Patient Costs to Charges". PART I LINE 7, Column F The total expenses reported on Form 990 Part IX Line 25 Column A are inclusive of bad debt expense. The total expenses used for this calculation, net of bad debt expense, is $350,103,770. PART III LINES 2 & 3 COSTING METHODOLOGY USED TO DETERMINE THE AMTS REPORTED IN PT III LINE 2 & 3 The costing method used to calculate the amounts in Schedule H Part III lines 2 and 3 is a ratio of cost to charges method. Discounts and payments in patients' accounts are deducted before the cost of bad debt expense is determined. The method employed is in line with those described in Schedule H, Worksheet 2, "Ratio of Patient Costs to Charges". PART III LINE 3 RATIONALE FOR INCLUDING BAD DEBT AMOUNTS IN COMMUNITY BENEFIT The organization's bad debt expense consists solely of self-pay patients accounts deemed uncollectable. It is UPMC Williamsport's contention that the cost of bad debt should be stated in Part I Line 7 of Schedule H as they represent the costs for provision of services to patients for which the entity has exhausted all recourse for reimbursement. The services provided to patients who present themselves are provided regardless of a patient's ability to pay AND IS IN line with the organization's charitable mission and service to our community. These expenses are incurred regardless of the efficiency of the provision of the related medical care and are deemed to have been medically necessary for the patient. PART III LINE 3 PROCESS FOR REALLOCATION FROM BAD DEBT TO CHARITY CARE BAD DEBT ACCOUNTS AS CHARITY CARE BY UTILIZING A PREDICTIVE MODEL CALLED PARO (PAYMENT ASSISTANCE RANK ORDER). PARO WAS BUILT AS A SOCIO-ECONOMIC SCORE THAT IDENTIFIES THOSE PATIENTS THAT ARE MOST LIKELY TO BE THE HIGHEST NEED OF FINANCIAL ASSISTANCE. THIS IS ACCOMPLISHED BY ANALYZING CONSUMER DATA AND ACTIVITY, COURT RECORDS, GOVERNMENT RECORDS, PROPERTY FILES, CENSUS DATA AND IRS DATA. PARO PROVIDES A SYSTEMATIC APPROACH TO FINANCIAL ASSISTANCE: " PREDICTIVE MODEL THAT ENCOMPASSES HEALTHCARE ECONOMICS AND CREDIT POLICIES;" UNIFORM ASSESSMENT MEASURE FOR EVERY PATIENT REGARDLESS OF FINANCIAL STANDING; " ACCOUNTS FOR PATIENTS THAT ARE UNRESPONSIVE, ILLITERATE, OR OTHERWISE CHALLENGED TO APPLY; " ELIMINATES BARRIER TO APPLICATION AND MEETS INCREASED PRESSURE TO PROVIDE ADDITIONAL FINANCIAL RESOURCES TO CONSUMERS; " IDENTIFY AND SUPPORT THOSE COMMUNITY NEEDS EFFORTS TO PROVIDE ASSISTANCE TO THOSE CONSUMERS IN NEED." THERE ARE TWO DATA POINTS RETURNED TO UPMC IN ORDER TO MAKE THE DECISION WHETHER THE PATIENT WOULD QUALIFY FOR CHARITY CARE. THE FIRST IS THE ESTIMATED INCOME LEVEL BASED ON THE FEDERAL POVERTY LEVEL GUIDELINES. THE SECOND IS THE PARO SCORE WHICH UTILIZES AN ALGORITHM BASED APPROACH AND RETURNS A SCORE BASED ON PERSONAL ATTRIBUTES OF THE PATIENT. DATA ELEMENTS WERE COMBINED TO CREATE TWO PRIMARY INDICATORS OF NEED, THE PARO SCORE AND THE FEDERAL POVERTY LEVEL. PARO ANALYZED OUR HISTORICAL CHARITY CARE APPROVALS TO DETERMINE OUR PARO THRESHOLD AND THE FPL THRESHOLD FOR THE HISTORICAL APPROVALS. THE APPROVED CHARITY CARE ACCOUNTS WERE COMPARED AGAINST ACCOUNTS THAT WERE IN ACTIVE ACCOUNTS RECEIVABLE. THIS WAS DONE TO DETERMINE IF THE DISTRIBUTIONS WERE SIMILAR OR IF ANY PATTERN EXISTED BASED ON THE APPROVED ACCOUNTS AND THE UNKNOWN ACCOUNTS. IF THE PATIENT'S ESTIMATED INCOME AND PARO SCORE ARE WITHIN THE SCORES IDENTIFIED BY THE CALIBRATION OF UPMC EXISTING CHARITY CARE PATIENTS, THE ACCOUNT IS RECLASSIFIED FROM BAD DEBT TO CHARITY CARE. EVERY PATIENT IS ABLE TO APPLY FOR CHARITY CARE; HOWEVER, THE AUTOMATED STRATEGY FOCUSES ON PATIENTS THAT DO NOT COMPLETE THE APPLICATIONS PROCESS. THE US DEPARTMENT OF EDUCATION ESTIMATES THAT 1 IN 5 CONSUMERS ARE FUNCTIONALLY ILLITERATE. THIS, COUPLED WITH THE LOW LEVELS OF PARTICIPATION IN TRADITIONAL BANKING METHODS, MAKES THE APPLICATION PROCESS VIRTUALLY IMPOSSIBLE FOR SOME CONSUMERS. PART III LINE 8: COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE AND AS REPORTED IN THE ORGS MEDICARE COST REPORT The costing methodology used to determine the Medicare allowable costs of care is a ratio of costs to charges method. The method is in line with those described in Schedule H, Worksheet 2, "Ratio of Patient Costs to Charges". It is UPMC Williamsport contention that all amounts calculated to be shortfalls in reimbursement for services provided to Medicare patients are truly uncompensated care that should be stated in Part I Line 7 of Schedule H of Form 990 as they represent costs for provision of services to patients for which the entity is unable to collect, regardless of the efficiency of provision of the related care costs. PART III LINE 9A AND B UPMC HAS A DEBT COLLECTION POLICY OUTLINING COLLECTION PRACTICES FOR PATIENTS. IF AT ANY TIME THE PATIENT EXPRESSES AN INABILITY TO PAY, THEY ARE SENT A FINANCIAL ASSISTANCE APPLICATION. INFORMATION REGARDING FINANCIAL ASSISTANCE IS PRINTED ON ALL COLLECTION LETTERS. COLLECTIONS PER POLICY DO NOT APPLY TO ACCOUNT BALANCES KNOWN TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI LINE 3 COMMUNICATION OF FINANCIAL ASSISTANCE UPMC COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ITS PATIENTS BY PLACING SIGNAGE AND DISTRIBUTING BROCHURES ABOUT THE FINANCIAL ASSISTANCE PROGRAM IN ITS PROVIDER REGISTRATION AREAS, ADMISSIONS, EMERGENCY DEPARTMENT AND BUSINESS OFFICE LOCATIONS. IN ADDITION, UPMC INCLUDES INFORMATION REGARDING HOW A PATIENT CAN REQUEST FINANCIAL ASSISTANCE ON THE BILLS, FOLLOW-UP CORRESPONDENCE AND COLLECTION LETTERS. PATIENTS ALSO MAY FIND INFORMATION ABOUT FINANCIAL ASSISTANCE THROUGH ACCESS TO THE UPMC WEB SITE (WWW.UPMC.COM). PATIENTS ARE ENCOURAGED TO CONTACT UPMC'S TRAINED FINANCIAL COUNSELORS SHOULD THEY REQUIRE ASSISTANCE WITH COMPLETING APPLICATIONS. CONTACT TELEPHONE NUMBERS ARE POSTED STRATEGICALLY THROUGHOUT THE HOSPITAL FACILITIES SO THAT PATIENTS HAVE A RESOURCE FOR OBTAINING SUPPORT WITH ANY FINANCIAL ASSISTANCE QUESTIONS THEY MAY HAVE. UPMC HAS CREATED A PLAIN LANGUAGE SUMMARY (PLS) TO EXPLAIN, IN SIMPLIFIED TERMS, OUR FINANCIAL ASSISTANCE POLICY (FAP). THIS SUMMARY IS PRINTED AT ALL SAME DAY SURGERY, ER AND INPATIENT LOCATIONS AND GIVEN TO THE PATIENT UPON DISCHARGE. UPMC HAS ALSO TRANSLATED THE PLS, FAP, COLLECTION AND BILLING POLICY, AND FAP APPLICATION INTO THE FOLLOWING LANGUAGES: ARABIC, CHINESE, FRENCH, ITALIAN, NEPALI, RUSSIAN, SPANISH AND BRAILLE. THE DETERMINATION OF LANGUAGES FOR TRANSLATION OF DOCUMENTS WAS DETERMINED BY A STUDY OF ENGLISH PROFICIENCY IN THE COMMUNITIES SERVED AND REVIEW OF PREDOMINANT NATIVE LANGUAGES IN THOSE COMMUNITIES AS PRESCRIBED IN IRC SECTION 501(R). THE PLS IS AVAILABLE ON THE UPMC WEBSITE. UPMC WILL NOTIFY ALL PATIENTS APPROVED VIA PRESUMPTIVE ELIGIBILITY IF NOT RECEIVING THE HIGHEST LEVEL OF ASSISTANCE. A LETTER INFORMING THE PATIENT THAT THEY MAY QUALIFY FOR A HIGHER LEVEL AND A FINANCIAL ASSISTANCE APPLICATION WILL BE SENT TO THE PATIENT UPON DETERMINATION. UPMC HAS WIDELY PUBLICIZED OUR FINANCIAL ASSISTANCE POLICY. UPMC HAS WORKED WITH HOSPITAL LEADERS AND COMMUNITY LIAISONS TO DETERMINE THE MOST APPROPRIATE NON-HEALTHCARE LOCATIONS TO REACH THE POPULATIONS THAT WILL BENEFIT FROM OUR FINANCIAL ASSISTANCE. UPMC HAS PROACTIVELY REACHED OUT IN THESE COMMUNITIES TO WIDELY PUBLICIZE OUR FINANCIAL ASSISTANCE POLICY. FINALLY, UPMC WILL NOW ONLY INCLUDE PATIENT BALANCES FROM ONE YEAR PRIOR TO THE PATIENT'S FINANCIAL ASSISTANCE APPROVAL DATE. AS A RESULT, UPMC WILL ALSO REFUND ANY PATIENT PAYMENTS MADE WITHIN THAT YEAR OF THE PATIENT'S FINANCIAL ASSISTANCE APPROVAL DATE, APPROVED VIA AN APPLICATION. PART VI Lines 2, 4, 5, and 6 COMMUNITY INFORMATION: TO CONDUCT THE 2019 CHNA, UPMC WILLIAMSPORT COLLABORATED WITH FIVE OTHER UPMC HOSPITAL FACILITIES IN THE FIVE-COUNTY REGION. WITH 87 PERCENT OF PATIENTS TREATED AT UPMC LOCK HAVEN, UPMC MUNCY, UPMC WILLIAMSPORT, UPMC SUNBURY, UPMC COLE, OR UPMC WELLSBORO (PREVIOUSLY UPMC SUSQUEHANNA SOLDIERS & SAILORS) RESIDING IN CLINTON, LYCOMING, NORTHUMBERLAND, POTTER, OR TIOGA COUNTIES, THESE SIX HOSPITALS PRIMARILY SERVE RESIDENTS OF THIS GEOGRAPHIC REGION. BY CONCENTRATING ON CLINTON, LYCOMING, NORTHUMBERLAND, POTTER, AND TIOGA COUNTIES, UPMC CONSIDERED THE NEEDS OF THE GREAT MAJORITY OF ITS PATIENTS AND DOES SO IN A WAY THAT ALLOWS ACCURATE MEASUREMENT USING AVAILABLE SECONDARY DATA SOURCES. WHILE THE FIVE-COUNTY REGION REPRESENTS THE BASIC GEOGRAPHIC DEFINITION OF EACH OF THESE HOSPITALS, THE CHNA ALSO CONSIDERED CHARACTERISTICS OF THE BROADER AREA, SUCH AS STATE DATA, AS WELL AS SPECIFIC POPULATIONS WITHIN THE DEFINED COMMUNITY - SUCH AS MINORITIES, LOW-INCOME INDIVIDUALS, AND THOSE WITH DISTINCT HEALTH NEEDS. BY COMBINING EFFORTS AND RESOURCES, THE UPMC HOSPITALS IN THE FIVE-COUNTY REGION ARE FOCUSING ON IMPORTANT LOCAL HEALTH ISSUES, WHILE SUPPORTING A COORDINATED COMMUNITY HEALTH STRATEGY ACROSS THE REGION AND SYSTEM-WIDE. NEEDS ASSESSMENT AND PROMOTION OF COMMUNITY HEALTH: BUILDING ON THE INITIAL CHNAS CONDUCTED IN FISCAL YEARS 2013 AND 2016, THE FISCAL YEAR 2019 CHNA PROVIDED AN OPPORTUNITY FOR UPMC TO RE-ENGAGE WITH COMMUNITY STAKEHOLDERS IN A RIGOROUS, STRUCTURED PROCESS GUIDED BY PUBLIC HEALTH EXPERTS. AN ONGOING OBJECTIVE OF THE CHNA EFFORT IS TO HELP ALIGN COMMUNITY BENEFIT PROGRAMS AND RESOURCES WITH COMMUNITY HEALTH NEEDS. UPMC ACTIVELY ENGAGED ITS HOSPITAL BOARDS, COMMUNITY STAKEHOLDERS, AND PUBLIC HEALTH EXPERTS TO IDENTIFY COMMUNITY HEALTH NEEDS AND DETERMINE HOW TO COLLABORATE MOST EFFECTIVELY TO ADDRESS THOSE NEEDS. THE ORGANIZATION SOLICITED AND TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. IN MAY THROUGH JUNE 2018, PITT PUBLIC HEALTH SURVEYED COMMUNITY LEADERS AND STAKEHOLDERS SPECIFIC TO EACH HOSPITAL'S LOCAL COMMUNITY, AS WELL AS A SYSTEM-WIDE PANEL OF REGIONAL STAKEHOLDERS. A TOTAL OF 2,074 COMMUNITY PARTICIPANTS FROM 22 UPMC HOSPITAL COMMUNITIES WERE SURVEYED. PARTICIPANTS INCLUDED: LEADERS OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE; REPRESENTATIVES FROM PUBLIC HEALTH DEPARTMENTS OR GOVERNMENTAL AGENCIES SERVING COMMUNITY HEALTH; MEDICAL STAFF LEADERS WHO HAVE A UNIQUE PERSPECTIVE AND VIEW OF THE COMMUNITY; AND OTHER STAKEHOLDERS IN COMMUNITY HEALTH, SUCH AS CONSUMER ADVOCATES, NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, LOCAL SCHOOL DISTRICTS, GOVERNMENT ORGANIZATIONS, AND HEALTH CARE PROVIDERS. MORE THAN 800 INDIVIDUALS COMPLETED THE SURVEY, AND GREATER THAN 70 PERCENT OF THOSE PARTICIPANTS SELF-IDENTIFIED AS BEING A REPRESENTATIVE OR MEMBER OF A MEDICALLY UNDERSERVED, MINORITY, OR LOW-INCOME POPULATION. UPMC USED THE COMMUNITY INPUT TO DEVELOP STRATEGIC PLANS FOR EACH OF ITS LICENSED HOSPITALS TO ADDRESS SIGNIFICANT COMMUNITY HEALTH NEEDS. IMPORTANTLY, THESE PLANS ADDRESS LOCAL COMMUNITY NEEDS NOT ONLY AT THE HOSPITAL LEVEL, BUT ALSO INCLUDE EFFORTS UNDERTAKEN IN PARTNERSHIP WITH OTHER UPMC HOSPITALS, EXTERNAL ORGANIZATIONS, AND THE LARGER UPMC SYSTEM. KEY THEMES THAT EMERGED AT UPMC HOSPITALS THROUGHOUT PENNSYLVANIA CAN BE GROUPED INTO FOUR BROAD CATEGORIES - CHRONIC DISEASE MANAGEMENT, BEHAVIORAL HEALTH, ACCESS TO CARE AND NAVIGATING RESOURCES, AND PREVENTION AND COMMUNITY-WIDE HEALTHY LIVING. THE 2019 CHNA REPORTS AND 2019-2022 STRATEGIC PLANS FOR EACH UPMC HOSPITAL CAN BE FOUND ON UPMC'S WEBSITE: HTTPS://WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASS ESSMENT. UPMC WILLIAMSPORT MADE MEASURABLE PROGRESS ON IMPROVING COMMUNITY HEALTH IN THE PERIOD FROM FISCAL YEARS 2014 THROUGH 2020. THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA THROUGH A RANGE OF PROGRAMS AND INITIATIVES. IN COLLABORATION WITH THE OTHER UPMC HOSPITALS IN THE REGION, UPMC WILLIAMSPORT IS HELPING TO ADDRESS BEHAVIORAL HEALTH NEEDS BY IMPLEMENTING AN ADDICTION MEDICINE PROGRAM TO MONITOR OPIOID ADDICTION AND SUBSTANCE ABUSE AND TO TAILOR SERVICES AS NEEDED. IN 2020, THE ADDICTION MEDICINE PROGRAM WAS TRANSITIONED TO A CENTRALIZED BEHAVIORAL HEALTH DEPARTMENT FOR THE SUSQUEHANNA REGION SO THAT EFFORTS CAN LEVERAGE UPMC WESTERN PSYCHIATRIC HOSPITAL'S BEHAVIORAL HEALTH EXPERTISE. THE HOSPITAL IS ALSO WORKING CLOSELY WITH THE DEPARTMENT OF HEALTH OF LYCOMING COUNTY AND WEST BRANCH DRUG AND ALCOHOL TO HELP PROVIDE WARM HAND-OFFS FOR PATIENTS TO ACCESS COMMUNITY TREATMENT; MORE THAN 500 PATIENTS WERE REFERRED FOR WARM HAND-OFFS BETWEEN MAY AND DECEMBER 2020. IN ADDITION, THE HOSPITAL IS WORKING TO RECRUIT PROVIDERS FOR ITS OUTPATIENT BEHAVIORAL HEALTH SERVICE LINE. IN 2020, THE HOSPITAL SUCCESSFULLY RECRUITED THREE BEHAVIORAL HEALTH THERAPISTS AND ONE PSYCHIATRY CLINIC NURSE. TO HELP ADDRESS ACCESS TO CARE AND NAVIGATING RESOURCES, THE HOSPITAL IS ACTIVELY RECRUITING PRIMARY CARE PROVIDERS - SUCCESSFULLY FILLING PEDIATRICS AND FAMILY MEDICINE POSITIONS AT OFFICES IN MONTOURSVILLE, WILLIAMSPORT, LOYALSOCK, AND DUBOISTOWN. IN ADDITION, PRIMARY CARE OFFICES ARE NOW FULLY OPERATIONAL FOR SAME-DAY AND WALK-IN APPOINTMENTS; BY EXPANDING THE OFFICE APPOINTMENT AVAILABILITY TO NON-TRADITIONAL OFFICE HOURS THAT START IN THE EARLY MORNING, EVENING, AND ON WEEKENDS, PATIENTS NOW HAVE INCREASED ACCESS TO CARE, WHICH ALSO DECREASES THE NUMBER OF PATIENTS VISITING THE EMERGENCY DEPARTMENT FOR TREATMENT. TO HELP ADDRESS PREVENTION AND COMMUNITY-WIDE HEALTH LIVING, THE HOSPITAL CONTINUES TO ENCOURAGE COMMUNITY MEMBERS TO PARTICIPATE IN ROUTINE CHECK-UPS AND HEALTH SCREENINGS - OFFERING EDUCATION AND SCREENINGS FOR BREAST, COLON, AND LUNG CANCER. IN COLLABORATION WITH THE OTHER UPMC HOSPITALS IN THE REGION, UPMC WILLIAMSPORT CONTINUES TO CONNECT WITH SPIRIT OF WOMEN MEMBERS. DUE TO THE PANDEMIC, THE HOSPITAL CANCELLED IN-PERSON SPIRIT OF WOMEN EVENTS; HOWEVER, THE HOSPITAL HELPED DISTRIBUTE A NEWSLETTER IN APRIL AND MAY 2020 THAT PROVIDED IMPORTANT HEALTH INFORMATION ABOUT COVID-19 TO 3,800 SPIRIT OF WOMEN MEMBERS. LASTLY, IN PARTNERSHIP WITH THE OTHER UPMC HOSPITALS IN THE REGION, UPMC WILLIAMSPORT IS ADDRESSING INTERPERSONAL SAFETY THROUGH THE STOP THE BLEED PROGRAM. FROM NOVEMBER 2019 TO MARCH 2020, THE PROGRAM OFFERED 34 STOP THE BLEED CLASSES, TRAINING MORE THAN 540 COMMUNITY MEMBERS, INCLUDING UPMC EMPLOYEES, LOCAL HIGH SCHOOL AND UNIVERSITY STUDENTS, AND TWO LOCAL BUSINESSES. AFFILIATED HEALTH CARE SYSTEM: - UPMC WILLIAMSPORT IS PART OF THE UPMC INTEGRATED DELIVERY AND FINANCING SYSTEM (IDFS), WHICH COMBINES A MAJOR HEALTH SERVICES DIVISION WITH 40 HOSPITALS AND MORE THAN 700 CLINICAL LOCATIONS, WITH A 4 MILLION-MEMBER INSURANCE SERVICES DIVISION. ONE OF THE LARGEST NONPROFIT HEALTH SYSTEMS IN THE UNITED STATES, UPMC SERVES PATIENTS SEEKING HIGHLY SPECIALIZED MEDICAL CARE PRIMARILY FROM COMMUNITIES ACROSS PENNSYLVANIA, AS WELL AS THROUGHOUT THE NATION AND AROUND THE WORLD. UPMC IS ALSO ONE OF THE LARGEST MEDICAL INSURERS IN THE STATE - PROVIDING MEDICAL ASSISTANCE, MEDICARE ADVANTAGE, CHILDREN'S HEALTH INSURANCE, AND BEHAVIORAL HEALTH PRODUCTS. UPMC CONTINUES TO APPLY THE EXPERTISE THAT EXISTS WITHIN ITS ORGANIZATION TO IMPROVE THE DELIVERY OF HEALTH CARE - TO ALIGN INCENTIVES AND IMPROVE MEDICAL PRACTICE THROUGHOUT THE REGION. THE RESULT IS AN EXCEPTIONAL SYNERGY BETWEEN INSURANCE, HEALTH CARE PROVIDERS, PATIENTS, AND LOCAL COMMUNITIES. OVER THE PAST DECADE, UPMC HAS PROVIDED A WIDE VARIETY OF BENEFITS TO THE COMMUNITIES IT SERVES. WORKING IN WAYS BOTH LARGE AND SMALL, UPMC HAS IMPLEMENTED INTITIATIVES THAT CONTINUE TO ENHANCE THE HEALTH OF COMMUNITIES THROUGHOUT PENNSYLVANIA AND BEYOND. COMMITTED TO ITS MISSION OF SERVICE, UPMC PROVIDES MORE THAN $1 BILLION A YEAR IN COMMUNITY BENEFITS - SUCH AS MEDICAL EDUCATION, RESEARCH, AND FREE COMMUNITY HEALTH PROGRAMS; AND UPMC DELIVERS MORE CARE TO THE REGION'S POOR AND UNDERSERVED THAN ANY OTHER HEALTH SYSTEM IN THE STATE. UPMC'S SYSTEMWIDE OPERATIONS GENERATED A TOTAL ECONOMIC IMPACT OF $42 BILLION. UPMC ALSO SUPPORTS MUNICIPALITIES, COUNTIES, AND THE COMMONWEALTH THROUGH APPROXIMATELY $418,565,679 IN ANNUAL TAXES. UPMC STIMULATES THE ECONOMY THROUGH DIRECT HIRING AND BY BRINGING OUTSIDE DOLLARS INTO THE REGION; THE ORGANIZATION'S CAPITAL SPENDING CREATES CONSTRUCTION JOBS DOWNSTREAM. IN ADDITION, UPMC HAS A NUMBER OF PROGRAMS AND INITIATIVES DESIGNED TO FOSTER A PRODUCTIVE AND EQUITABLE ECONOMY. A KEY COMPONENT IN THE ORGANIZATION'S ECONOMIC DEVELOPMENT STRATEGY IS SUPPLIER DIVERSITY, WHICH IS AN INTEGRAL PART OF UPMC'S OVERALL SUPPLY CHAIN MANAGEMENT STRATEGY. DESIGNED TO ENSURE THAT CERTIFIED MINORITY, WOMEN-OWNED, OR DISADVANTAGED BUSINESS ENTERPRISES ARE PROVIDED WITH MAXIMUM OPPORTUNITIES TO PARTICIPATE AS PART true River Valley Health and Dental Clinic 471 HEPBURN ST Williamsport PA 17701 208979596 501(c)(3) 412229 CHARITABLE DONATION HOPE ENTERPRISES 2401 REACH ROAD WILLIAMSPORT PA 17701 231914215 501(c)(3) 60000 CHARITABLE DONATION 2 0 SCHEDULE I, Part 1, Line 2 IT IS THE POLICY OF UPMC TO CONTRIBUTE FINANCIAL SUPPORT TO TAX EXEMPT ORGANIZATIONS AND AGENCIES THAT SUPPORT THE UPMC MISSION AND STRENGTHEN THE HEALTH AND QUALITY OF LIFE OF THOSE WHO LIVE AND WORK IN THE COMMUNITIES WE SERVE. X false true false false false true false Susan Branton MD Director 0 441270 0 21000 0 2194 0 19922 0 22457 0 506843 0 0 Ronald E DiSimone MD Director 0 1048028 0 37100 0 15484 0 22803 0 30379 0 1153794 0 0 Kevin Kist DO Director 0 439530 0 16362 0 5702 0 22803 0 36112 0 520509 0 0 Alexander Nesbitt MD Director 0 234678 0 11750 0 3334 0 20944 0 25435 0 296141 0 0 Steven Johnson Director/Regional President 540704 0 368850 0 86798 0 0 0 0 0 996352 0 73123 0 Eric Pohjala Former CFO (R 10/31/2018) 289436 0 76614 0 0 0 0 0 2230 0 368280 0 0 0 Daniel Glunk VP & Chief Quality Officer 236049 0 108634 0 20097 0 21930 0 9762 0 396472 0 0 0 Kenneth Young ESQ VP, Legal 255000 0 125464 0 1270 0 19922 0 908 0 402564 0 0 0 Susan Duchman VP, Chief Transition Officer 176137 0 97566 0 2479 0 18715 0 16510 0 311407 0 0 0 Dung Vu CRNA 259783 0 6000 0 162 0 16271 0 23147 0 305363 0 0 0 Robert Kane Regional President 177449 0 84417 0 2447 0 18002 0 18476 0 300791 0 0 0 QUESTION 4B: ALL PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ARE DISCLOSED IN SCHEDULE J WITH CORRESPONDING AMOUNTS DISCLOSED WITHIN THE TOTAL AMOUNT IN SCHEDULE J COLUMN C "RETIREMENT AND OTHER DEFERRED COMPENSATION". DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE ("CODE"), CERTAIN OFFICERS AND KEY EMPLOYEES ARE LIMITED IN THE AMOUNT OF BENEFITS WHICH MAY BE RECEIVED UNDER A TAX QUALIFIED RETIREMENT PROGRAM. LIKE MANY EMPLOYERS, UPMC SUPPLEMENTS ITS RETIREMENT BENEFITS THROUGH A SUPPLEMENTAL RETIREMENT PROGRAM. THE SUPPLEMENTAL RETIREMENT PROGRAM IS SUBJECT TO MULTI YEAR VESTING WHICH PLACES THE OFFICERS AND KEY EMPLOYEES' RETIREMENT BENEFIT AT RISK OF FORFEITURE IF THE VESTING REQUIREMENTS ARE NOT SATISFIED. ONCE VESTED HOWEVER, PROVISIONS OF THE CODE REQUIRE THAT THE VESTED AMOUNTS BE REPORTED ON THE FORM 990 AND THE VESTED OFFICER OR KEY EMPLOYEE INCLUDE IN CURRENT INCOME THE VALUE OF HER OR HIS SUPPLEMENTAL RETIREMENT BENEFIT. NOTWITHSTANDING THE TAX REQUIREMENT TO RECOGNIZE THE VESTED AMOUNT OF THE SUPPLEMENTAL RETIREMENT BENEFIT AS CURRENT INCOME FOR FICA TAXATION AND REPORTING PURPOSES, THIS BENEFIT, WHICH GENERALLY HAS BEEN EARNED OVER HER OR HIS ENTIRE CAREER, HAS NOT AND WILL NOT BE DISTRIBUTED UNTIL THE OFFICER OR KEY EMPLOYEE RETIRES OR SEPARATES FROM SERVICE FROM UPMC. THE SUPPLEMENTAL RETIREMENT PROGRAM PROVIDES FOR THE CURRENT DISTRIBUTION OF ONLY THE AMOUNT NECESSARY TO SATISFY ANY INCOME TAX LIABILITY RESULTING FROM THE VESTING DURING ACTIVE EMPLOYMENT. FINALLY, IT SHOULD BE NOTED THAT IN ACCORDANCE WITH IRS INSTRUCTIONS, A SUBSTANTIAL PORTION OF THE AMOUNT REPORTED ON THE FORM 990 ATTRIBUTABLE TO SUPPLEMENTAL RETIREMENT PROGRAM VESTING HAS BEEN REPORTED IN PREVIOUSLY FILED FORMS 990. QUESTION 7: UPMC PROVIDES INCENTIVE COMPENSATION AS PART OF ITS TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES. THIS COMPONENT IS BASED UPON THE ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES WHICH FOCUS ON THE ACHIEVEMENT OF MULTIPLE ANNUAL AND THREE YEAR INDIVIDUAL AND GROUP PERFORMANCE CRITERIA IN THE CONTEXT OF APPROPRIATE RISK TAKING. THESE CRITERIA DIRECTLY SUPPORT UPMC'S MISSION AND INCLUDE: PATIENT QUALITY AND SATISFACTION, COMMUNITY BENEFITS, OPERATIONAL AND FINANCIAL STRENGTH, LEADERSHIP DEVELOPMENT, AND STRATEGIC BUSINESS INITIATIVES AMONG OTHERS. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION UPMC Williamsport (TWH) is a 224 bed acute care community hospital primarily serving Lycoming and surrounding counties. Services provided include, but are not limited to, Acute and Intensive Care, Surgical Services, Heart and Lung Services, Rehabilitation Services, Dialysis, Laboratory, Radiology, Psychology and Emergency Room Services. FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION UPMC Williamsport is a subsidiary of UPMC Susquehanna. The mission of UPMC Susquehanna and its subsidiaries is to serve the community by providing outstanding patient care and shaping tomorrow's health care through clinical and technological innovation, research, and education. PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS THE WILLIAMSPORT HOSPITAL EIN: 24-0795508 FORM 990 FOR TAX YEAR ENDING JUNE 30, 2020 Part III, Statement of Program Service Accomplishments UPMC Williamsport (TWH) is a 255-bed acute care community hospital primarily serving Lycoming and surrounding counties. Services provided include, but are not limited to, acute and intensive care, surgical services, heart and lung services, rehabilitation services, dialysis, laboratory, radiology, psychology and emergency room services. UPMC Williamsport hospital treats all patients without regard to their ability to pay. For fiscal year ended June 30, 2020, the hospital admitted 10,855 patients rendering 54,513 patient days. The Williamsport hospital had 37,473 emergency room visits and performed 9,607 surgeries. During the fiscal year ended June 30, 2020, UPMC Williamsport hospital provided charity care and other uncompensated care, including Medicaid And Medicare shortfalls, at a cost of over $63,500,000. The Williamsport hospital provided community outreach and support programs as well as contributions and educational support in fiscal year 2020. The value of these programs funds to the community was approximately $5,089,606. PART VI GOVERNANCE, MANAGEMENT, AND DISCLOSURE SECTION A: GOVERNING BODY AND MANAGEMENT QUESTION 6: UPMC WILLIAMSPORT HAS ONE SOLE MEMBER, THE EXEMPT ENTITY UPMC SUSQUEHANNA. PART VI GOVERNANCE, MANAGEMENT, AND DISCLOSURE SECTION B: POLICIES QUESTION 11 B - THE BOARD OF DIRECTORS MEMBERS OF THE FILING ENTITY HAVE BEEN PROVIDED A COPY OF THE FORM 990 PRIOR TO FILING. QUESTION 12 C UPMC REQUIRES KEY EMPLOYED AND NON-EMPLOYED PERSONNEL TO COMPLY WITH ITS CONFLICT OF INTEREST POLICIES WHEN THEY ENGAGE IN UPMC RELATED BUSINESS. PERSONS COVERED BY THE POLICIES INCLUDED UPMC BOARD MEMBERS, BOARD COMMITTEE MEMBERS, CORPORATE OFFICERS, KEY EMPLOYEES, UPMC PHYSICIANS AND NON PHYSICIANS EMPLOYEES WHO HOLD A POSITION OF INFLUENCE,NON EMPLOYED MEMBERS OF THE UPMC MEDICAL STAFF WHO HOLD A POSITION OF INFLUENCE OR TRUST, INDIVIDUALS CONDUCTING CLINICAL RESEARCH AT UPMC WHETHER OR NOT THEY ARE EMPLOYED BY UPMC. THESE PEOPLE ARE REQUIRED TO COMPLETE A QUESTIONNAIRE AT LEAST ANNUALLY, WHICH ALONG WITH OTHER DATA IS USED TO IDENTIFY POSSIBLE INDIVIDUAL AND INSTITUTIONAL CONFLICTS OF INTEREST. IF A POTENTIAL CONFLICT IS IDENTIFIED REGARDING A SPECIFIC UPMC ACTIVITY, THE CORPORATE COMPLIANCE DEPARTMENT, WITH THE ASSISTANCE OF THE LEGAL DEPARTMENT, EITHER DEVELOPS A WRITTEN PLAN TO PREVENT THE CONFLICT FROM INFLUENCING DECISIONS RELATED TO THAT ACTIVITY, OR REQUIRES THAT THE CONFLICTING RELATIONSHIP BE DIVESTED, AS APPROPRIATE. FOR EMPLOYED PERSONNEL AND NON BOARD MEMBERS, NON EMPLOYED PERSONNEL, THE CONFLICT OF INTEREST IDENTIFICATION AND MANAGEMENT PROCESS IS ULTIMATELY OVERSEEN BY AN ETHICS AND COMPLIANCE COMMITTEE OF THE UPMC BOARD OF DIRECTORS ON BEHALF OF UPMC AND ALL OF ITS SUBSIDIARIES. POTENTIAL CONFLICT OF INTEREST TRANSACTIONS INVOLVING UPMC BOARD MEMBERS AND ENTITIES WITH WHICH THEY ARE AFFILIATED ARE MONITORED AND SUBJECT TO PRE-APPROVAL BY THE GOVERNANCE AND NOMINATING COMMITTEE OF THE UPMC BOARD OF DIRECTORS. IN ADDITION TO THE GENERAL CORPORATE AND BOARD POLICIES DESCRIBED ABOVE, UPMC HAS ALSO DEVELOPED AND IMPLEMENTED A SEPARATE TAX QUESTIONNAIRE DISTRIBUTED TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ANNUALLY THAT SPECIFICALLY ADDRESSES DISCLOSURE REQUIREMENTS OF FORM 990. PART VI GOVERNANCE, MANAGEMENT, AND DISCLOSURE SECTION B: POLICIES QUESTION 15 - TO SUPPORT UPMC'S MISSION AS SET FORTH IN THE UPMC BYLAWS, THE BOARD OF DIRECTORS HAS FORMED AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE") AND DELEGATED TO IT THE RESPONSIBILITY FOR ESTABLISHMENT AND IMPLEMENTATION OF OFFICER AND KEY EMPLOYEE TOTAL COMPENSATION PROGRAMS. AS PART OF THIS RESPONSIBILITY THE COMMITTEE REPORTS REGULARLY TO THE BOARD OF DIRECTORS. WITH BOARD OF DIRECTORS APPROVAL, THE COMMITTEE HAS ADOPTED A FORMAL CHARTER, WHICH INCLUDES THE ESTABLISHMENT OF A COMPENSATION PHILOSOPHY AND RELATED POLICIES WITH RESPECT TO THE TOTAL COMPENSATION PAID BY UPMC TO ITS OFFICERS AND KEY EMPLOYEES. THE UPMC TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES IS PREDICATED UPON AN INCENTIVE COMPENSATION COMPONENT. THIS COMPONENT IS BASED UPON THE ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES WHICH FOCUS ON THE ACHIEVEMENT OF MULTIPLE ANNUAL AND THREE YEAR INDIVIDUAL AND GROUP PERFORMANCE CRITERIA IN THE CONTEXT OF APPROPRIATE RISK TAKING. THESE CRITERIA DIRECTLY SUPPORT UPMC'S MISSION AND INCLUDE PATIENT QUALITY AND SATISFACTION, COMMUNITY BENEFITS, OPERATIONAL AND FINANCIAL STRENGTH, LEADERSHIP DEVELOPMENT, AND STRATEGIC BUSINESS INITIATIVES AMONG OTHERS. THE TOTAL COMPENSATION PROGRAM IS INTEGRATED WITH AND REINFORCES THE UPMC BUSINESS PLANNING CYCLE AS WELL AS MANAGEMENT DEVELOPMENT AND SUCCESSION PLANNING PROCESSES. IT IS THE COMMITTEE'S JUDGMENT THAT THE STRUCTURE OF THE TOTAL COMPENSATION PROGRAM IS VITAL TO, AND STRONGLY SUPPORTIVE OF, THE HIGH LEVEL OF ONGOING SUCCESS OF UPMC AND FOSTERS THE RETENTION OF CRITICAL OFFICER AND KEY EMPLOYMENT TALENT. THE TOTAL COMPENSATION DETERMINATION PROCESS UTILIZED BY THE COMMITTEE IS INTENDED TO SATISFY THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" AS SET FORTH IN THE REGULATIONS TO SECTION 4958 OF THE INTERNAL REVENUE CODE ("CODE").THIS MEANS THAT COMPENSATION PROGRAMS AND LEVELS ARE APPROVED IN ADVANCE BY THE COMMITTEE WHICH IS COMPOSED ENTIRELY OF OUTSIDE DIRECTORS WHO DO NOT HAVE A CONFLICT OF INTEREST, AS DEFINED BY THE RELEVANT REGULATIONS, WITH RESPECT TO THE COMPENSATION PROGRAM AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON A BROAD RANGE OF APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATIONS. THE COMMITTEE THEN CONTEMPORANEOUSLY DOCUMENTS, IN FORMAL MEETING MINUTES, THE BASIS AND REASONS FOR ITS DETERMINATIONS. THE TOTAL COMPENSATION PROGRAM IS DESIGNED AND ADMINISTERED IN ACCORDANCE WITH THE UPMC BYLAWS, SOUND BUSINESS PRACTICES, THE TENETS OF COMMON LAW BUSINESS JUDGMENT AND FIDUCIARY RESPONSIBILITY AS WELL AS ADHERENCE TO ALL RELEVANT FEDERAL, STATE AND LOCAL LAWS. IN ADDITION TO CODE SECTION 4958, AS SET FORTH ABOVE, THIS INCLUDES BUT IS NOT LIMITED TO CODE SECTION 501(C)(3) AND THE APPLICABLE REGULATIONS THEREUNDER AS WELL AS ALL LAWS AND REGULATIONS PROHIBITING PRIVATE INUREMENT, PRIVATE BENEFIT TRANSACTIONS AND DISCRIMINATION. FURTHER, THE COMMITTEE HAS IDENTIFIED AND ADOPTED AS APPROPRIATELY MODIFIED FOR UPMC, COMPENSATION PROGRAM "BEST PRACTICES" FROM THE BUSINESS WORLD (E.G. SARBANES OXLEY, SEC,ETC.). THE COMMITTEE BELIEVES THAT WHILE THESE PRACTICES ARE NOT REQUIRED IN THE TAX EXEMPT SECTOR, THEY ARE IN THE BEST INTERESTS OF THE ORGANIZATION AND FURTHER SUPPORT UPMC'S NONPROFIT MISSION. IN ACCORDANCE WITH THE ABOVE, DETERMINATION OF TOTAL COMPENSATION FOR THE CEO IS MADE EXCLUSIVELY BY THE COMMITTEE. DETERMINATION OF TOTAL COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS RECOMMENDED BY THE CEO AND SUBJECT TO REVIEW AND APPROVAL BY THE COMMITTEE. THE COMMITTEE, WHICH MEETS AT LEAST FOUR TIMES A YEAR, OBTAINS PROFESSIONAL ADVICE FROM ITS OWN EXPERTS, INCLUDING ACCOUNTANTS, EXECUTIVE COMPENSATION CONSULTANTS AND LEGAL COUNSEL. PART VI GOVERNANCE, MANAGEMENT, AND DISCLOSURE SECTION C: DISCLOSURE QUESTION 19 FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS MAY BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. PART XI RECONCILIATION OF NET ASSETS Transfer to exempt parent (137,952,096) Transfer to exempt affiliate 20,000,000 Other 133,762 Total (117,818,334) PART XII FINANCIAL STATEMENTS AND REPORTING QUESTION 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 ORGANIZATIONS 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 31,2019. QUESTION 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. 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HOWEVER, THEY ARE LISTED ON SCHEDULE R TO REFLECT THAT THEY ARE PART OF THE UPMC SYSTEM OF ENTITIES, AS THEY ALL SHARE UPMC AS THE ULTIMATE PARENT. SCHEDULE R - RELATED ORGANIZATIONS AND UNRELATED PARTNERSHIPS THERE ARE ORGANIZATIONS INCLUDED IN THE UPMC GROUP FORM 990 TAX RETURN FOR FISCAL YEAR 2020 WHICH ARE "RELATED" TO UPMC WILLIAMSPORT (SEE PRIOR NOTE). THESE ORGANIZATIONS ARE NOT REQUIRED TO BE LISTED IN SCHEDULE R.