2021-05-13T12:53:31-05:00 2020-06-30 550486667 ARNETT CARBIS TOOTHMAN LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2019-07-01 251441920 SOMERSET HEALTH SERVICES INC SOME 8144435221 600 GRANT STREET 58TH FLR CORP TAX PITTSBURGH PA 15219 MONICA J KLATT CFO 8144435221 2021-05-10 1 JEFFREY J PETRELL CPA P00138808 4126356270 2021-05-10 2019 2022-09-23 18:48:47Z ANDREW RUSH 600 GRANT STREET 58TH FLR CORP TAX PITTSBURGH PA 15219 11055737 0 X WWW.UPMC.COM X 1983 PA SOMERSET HEALTH SERVICES IS A COMMUNITY HEALTHCARE SERVICE THAT IS COMMITTED TO MANAGING AND OPERATING PRIMARY CARE AND SPECIALTY PHYSICIAN PRACTICES. 6 5 188 6 0 0 909403 166351 11159117 10889386 0 -9828 0 0 12068520 11045909 0 0 0 0 12215672 13461790 0 0 0 5896711 6453959 18112383 19915749 -6043863 -8869840 3843802 6154149 2811303 3236569 1032499 2917580 TO PRESERVE AND TO IMPROVE LIFE BY PROVIDING ACCESS TO QUALITY, CUSTOMER-FRIENDLY HEALTHCARE SERVICES. 0 0 17055360 10889386 SOMERSET HEALTH SERVICES MANAGES AND OPERATES PRIMARY CARE AND SPECIALTY PHYSICIAN PRACTICES. ANNUAL VISITS ARE 89,138. SOMERSET HEALTH SERVICES ALSO MANAGES A SINGLE COUNTY AUTHORITY WHICH PROVIDES FUNDING (RECEIVED BY STATE AND FEDERAL AGENCIES) TO VARIOUS DRUG AND ALCOHOL TREATMENT CENTERS. 17055360 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 20 0 188 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X MONICA J KLATT 8144435221 225 SOUTH CENTER AVENUE SOMERSET PA 15001 SHARON CLAPPER CHAIRMAN 1.00 2.00 X X 0 0 0 BRAD COBER TREASURER 1.00 2.00 X X 0 0 0 BRUCE SHIPLEY SECRETARY 1.00 2.00 X X 0 0 0 TROY MILLER MEMBER 1.00 1.00 X 0 0 0 TED DESKEVICH MEMBER 1.00 1.00 X 0 0 0 KRISTA MATHIAS MEMBER 1.00 1.00 X 0 0 0 ANDREW RUSH CEO 6.00 34.00 X 0 336544 22350 MONICA J KLATT CFO 1.00 39.00 X 0 0 0 MICHAEL SOBOLEWSKI MD PHYSICIAN 40.00 0.00 X 456976 0 10062 JACOB SHIPLEY MD PHYSICIAN 40.00 2.00 X 788524 0 18008 GEORGES BOUSAMRA MD PHYSICIAN 40.00 0.00 X 670915 0 18008 EHAB MORCOS MD PHYSICIAN 40.00 0.00 X 991200 0 0 JAYESH DESAI MD PHYSICIAN 40.00 0.00 X 426864 0 18668 3334479 336544 87096 27 0 1 0 ALLEGHENY CLINIC 30 ISABELLA STREET PITTSBURGH PA 15212 PHYSICIAN SERVICES 653513 VELOSOURCE LLC 20 SOUTH SARAH STREET ST LOUIS MO 63108 RECRUITMENT 220618 2 166351 166351 NET PATIENT REVENUE 621610 10889386 10889386 10889386 9828 -9828 -9828 -9828 11045909 10889386 0 -9828 11750145 9400116 2350029 41960 33568 8392 1070699 856559 214140 598986 479189 119797 28000 28000 1473191 1353962 119229 100312 100312 122900 121246 1654 718845 715692 3153 9505 9468 37 119578 119578 4141 4141 220569 205168 15401 228077 228077 MEDICAL SUPPLIES/DRUGS 1100880 1100880 PHYSICIAN SUPPORT 974870 974870 INTERNAL BILLING COSTS 597454 597454 PROVIDER EXPENSES 573639 573639 181998 181441 557 19915749 17055360 2860389 0 574637 787223 998017 1168416 100507 99641 24478 3646738 1992801 468175 1653937 531507 1702466 1888947 3843802 6154149 1603267 1830384 1208036 1406185 2811303 3236569 X 1032499 2917580 1032499 2917580 3843802 6154149 X -8869840 10754921 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 31869 17972 13897 3614869 1974829 1640040 1653937 HELD BY TRUSTEE - 457B 1406185 INVESTMENT IN SOMERSET MANAGEMENT SERVICES, INC. 482762 1888947 HELD BY TRUSTEE - 457B 1406185 1406185 X 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 CONSOLIDATED UPMC SYSTEM LEVEL ONLY, INCLUDING UPMC AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARIES. 0 1 0 0 0 1 0 0 0 ANDREW RUSH CEO 0 317544 0 0 0 19000 0 5497 0 16853 0 358894 0 0 MICHAEL SOBOLEWSKI MD PHYSICIAN 456976 0 0 0 0 0 0 0 10062 0 467038 0 0 0 JACOB SHIPLEY MD PHYSICIAN 788524 0 0 0 0 0 0 0 18008 0 806532 0 0 0 GEORGES BOUSAMRA MD PHYSICIAN 670915 0 0 0 0 0 0 0 18008 0 688923 0 0 0 EHAB MORCOS MD PHYSICIAN 972200 0 0 0 19000 0 0 0 0 0 991200 0 0 0 JAYESH DESAI MD PHYSICIAN 407864 0 0 0 19000 0 0 0 18668 0 445532 0 0 0 PART I, LINE 3 UPMC HAS ESTABLISHED A RIGOROUS COMPENSATION REVIEW PROCESS FOR ITS TOP EXECUTIVES WHICH INCLUDES REVIEW BY ITS EXECUTIVE COMPENSATION COMMITTEE IN A PROCESS INTENDED TO SATISFY THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" SET FORTH IN THE REGULATIONS TO SECTIONS 4958 OF THE INTERNAL REVENUE CODE. UPMC GIVES AUTHORITY TO THOSE EXECUTIVES TO ESTABLISH THE COMPENSATION OF EXECUTIVES OF OTHER SUBSIDIARIES AND BUSINESS UNITS, INCLUDING THOSE OF SOMERSET HEALTH SERVICES. PART I, LINE 4B ALL PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ARE DISCLOSED IN SCHEDULE J WITH CORRESPONDING AMOUNTS 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 MULTIYEAR 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 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 INCOME, THIS BENEFIT, WHICH 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. PART I, LINE 6 PHYSICIANS MAY BE GRANTED ADDITIONAL COMPENSATION DEPENDENT ON THE ACHIEVING OF CERTAIN INDICATORS BY THE COMPANY FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE CORPORATION SHALL BE UPMC SOMERSET AND UPMC. UPMC SOMERSET SHALL HAVE A TWO-THIRDS (2/3) MEMBERSHIP INTEREST IN THE CORPORATION. UPMC SHALL HAVE A ONE-THIRD (1/3) MEMBERSHIP INTEREST IN THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A INITIALLY, THE BOARD OF DIRECTORS SHALL BE NINE (9) DIRECTORS, WITH UPMC SOMERSET, THROUGH THE SOMERSET DESIGNATED DIRECTORS, ENTITLED TO APPOINT SIX (6) DIRECTORS, AND UPMC ENTITLED TO APPOINT THREE (3) DIRECTORS. SUCH NUMBER MAY BE REVISED AND FIXED FROM TIME TO TIME BY THE MEMBERS BY AMENDING THESE BYLAWS IN ACCORDANCE WITH SECTION 3.2 AND 10.1 HEREOF. EACH DIRECTOR APPOINTED BY A MEMBER SHALL HOLD OFFICE BEGINNING IMMEDIATELY FOLLOWING HIS OR HER APPOINTMENT, AND SHALL SERVE UNTIL REPLACED BY THE APPOINTING MEMBER. FOLLOWING THE INTEGRATION PERIOD, THE COMPOSITION OF THE BOARD OF THE CORPORATION MAY BE CHANGED BY UPMC, SO LONG AS NOT INCONSISTENT HEREWITH OR WITH THE INTEGRATION AGREEMENT. FORM 990, PART VI, SECTION A, LINE 7B DURING THE INTEGRATION PERIOD, THE DECISIONS AND ACTIONS SPECIFIED IN PARAGRAPHS (A) - (I) BELOW SHALL REQUIRE THE APPROVAL OF BOTH UPMC SOMERSET AND UPMC. SUCH DECISIONS AND ACTIONS MAY NOT BE TAKEN BY THE CORPORATION WITHOUT THE SEPARATE CONCURRENCE OF UPMC SOMERSET AND UPMC. UPMC SOMERSET AND UPMC SHALL TOGETHER HAVE THE POWER AND AUTHORITY TO MAKE ANY SUCH DECISIONS AND INITIATE AND IMPLEMENT ANY SUCH ACTIONS (AND THEY MAY, BUT NEED NOT SEEK, THE CONCURRENCE OR APPROVAL OF THE BOARD OF THE CORPORATION). (A) OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (B) MATERIAL CHANGES TO EXISTING CONTRACTUAL ARRANGEMENTS OF THE CORPORATION WITH PHYSICIANS, AND APPROVAL OF ANY NEW PHYSICIAN CONTRACT PROVIDING FOR ANY EXCLUSIVE PRIVILEGES AT UPMC SOMERSET; (C) ENTERING INTO NEW, OR MATERIALLY CHANGING EXISTING JOINT VENTURE ARRANGEMENTS OF THE CORPORATION; (D) APPROVAL OF THE TERMS OF ANY MANAGEMENT ARRANGEMENTS WITH AN UNRELATED THIRD PARTY; (E) ANY CHANGE IN THE CORPORATE STRUCTURE OF THE CORPORATION (INCLUDING BY MERGER, CONSOLIDATION, LIQUIDATION OR CREATION OF PARENT OR SUBSIDIARY ENTITIES); (F) THE SALE, LEASE, TRANSFER, LICENSE, EXCHANGE OR JOINT VENTURE, OR OTHER DISPOSITION, WHETHER WITHIN THE UPMC SYSTEM OR EXTERNAL THERETO, INVOLVING ALL OR SUBSTANTIALLY ALL OF THE ASSETS OR BUSINESS OR SIGNIFICANT PRODUCT LINES OF THE CORPORATION; (G) THE DETERMINATION THAT THE CORPORATION WILL NO LONGER BE LICENSED OR OPERATED AS LICENSED OR OPERATED AS OF THE EFFECTIVE TIME; (H) ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (I) SALE, TRANSFER, EXCHANGE, LEASE OR LICENSE, OUTSIDE THE ORDINARY COURSE, OR OTHER DISPOSITION OF ANY REAL ESTATE OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B SOMERSET HEALTH SERVICES, INC. HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C UPMC REQUIRES ALL OF ITS KEY EMPLOYEES AND NON-EMPLOYED PERSONNEL TO COMPLY WITH ITS CONFLICT OF INTEREST POLICIES WHEN THEY ENGAGE IN UPMC-RELATED BUSINESS. PEOPLE COVERED BY THE POLICIES INCLUDE: -UPMC ENTITY BOARD MEMBERS, BOARD COMMITTEE MEMBERS, AND CORPORATE OFFICERS -UPMC PHYSICIANS AND NON-PHYSICIAN EMPLOYEES WHO HOLD A POSITION OF INFLUENCE -NON-EMPLOYED MEMBERS OF THE UPMC MEDICAL STAFF WHO HOLD A POSITION OF INFLUENCE OF 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. AN ELECTRONIC FORM HAS BEEN DEVELOPED TO CAPTURE THE DATA FROM THE QUESTIONNAIRE AND TO MONITOR COMPLETION. THE INFORMATION, ALONG WITH OTHER DATA, IS USED TO CAPTURE INDIVIDUAL AND INSTITUTIONAL RELATIONSHIPS SO THAT POTENTIAL CONFLICTS OF INTEREST CAN BE IDENTIFIED. IF A POTENTIAL CONFLICT IS IDENTIFIED REGARDING A SPECIFIC UPMC ACTIVITY THE CORPORATE COMPLIANCE DEPARTMENT, WITH THE ASSISTANCE OF THE LEGAL DEPARTMENT, EVALUATE THE ACTIVITY IN RELATION TO THE POTENTIAL CONFLICT. IF A PERCEIVED OR ACTUAL CONFLICT IS DETERMINED TO EXIST AND A DECISION IS MADE TO PROCEED WITH THE ACTIVITY, A WRITTEN PLAN DESIGNED TO PREVENT THE CONFLICT FROM INFLUENCING DECISIONS RELATED TO THE ACTIVITY IS DEVELOPED. THE PROCESS IS ULTIMATELY OVERSEEN BY A CONFLICT OF INTEREST COMMITTEE OF THE UPMC BOARD OF DIRECTORS ON BEHALF OF ALL UPMC SUBSIDIARIES, INCLUDING SOMERSET HEALTH SERVICES. FORM 990, PART VI, SECTION B, LINE 15 UPMC HAS ESTABLISHED A RIGOROUS COMPENSATION REVIEW PROCESS FOR ITS TOP EXECUTIVES WHICH INCLUDES REVIEW BY ITS EXECUTIVE COMPENSATION COMMITTEE IN A PROCESS INTENDED TO SATISFY THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" SET FORTH IN THE REGULATIONS TO SECTIONS 4958 OF THE INTERNAL REVENUE CODE. UPMC GIVES AUTHORITY TO THOSE EXECUTIVES TO ESTABLISH THE COMPENSATION OF EXECUTIVES OF OTHER SUBSIDIARIES AND BUSINESS UNITS, INCLUDING THOSE OF SOMERSET HEALTH SERVICES. FORM 990, PART VI, SECTION C, LINE 19 UPMC'S PUBLIC WEBSITE (WWW.UPMC.COM) MAKES ITS FINANCIAL RESULTS, CONFLICT OF INTEREST PROCESS, AND VARIOUS INFORMATION ABOUT GOVERNANCE AND OVERSIGHT AVAILABLE TO THE PUBLIC. ADDITIONAL INFORMATION MAY BE SUPPLIED UPON SPECIFIC REQUEST FOR DATA NOT POSTED TO THE WEBSITE. FORM 990, PART XI, LINE 9: TRANSFERS FROM EXEMPT AFFILIATES 10,754,921. FORM 990, PART XII, LINE 2: AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED UPMC SYSTEM LEVEL ONLY, INCLUDING UPMC AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARIES. THE ENTIRE SYSTEM'S FINANCIAL STATEMENTS, WHICH INCLUDES ALL SUBORDINATE MEMBERS OF THE UPMC GROUP, 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. 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. 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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ASTERISK ARE NOT TECHNICALLY "RELATED PARTIES", AS DEFINED BY THE IRS FORM 990 INSTRUCTIONS, OF THE FILING ORGANIZATION. 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 SOMERSET HEALTH SERVICES, INC. (SEE PRIOR NOTE). THESE ORGANIZATIONS ARE REQUIRED TO BE LISTED IN SCHEDULE R.