STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UPMC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
UPMC (EIN 24-0799343)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-07
IRS object ID
202011899349300866
Schema version
2018v3.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-07T08:49:43-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN240799343EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Divine Providence Hospital of theBusinessNameLine1Txt
Business Name Line2Sisters of Christian CharityBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% CHRISTOPHER STOCKHAUSENInCareOfNm
Business Name ControlDIVIBusinessNameControlTxt
Phone4126472345PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 GRANT ST 58TH FL C/O CORP TAXAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15219ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTOPHER STOCKHAUSENPersonNm
Person TitleCFOPersonTitleTxt
Phone5703213175PhoneNum
Signature2020-06-26SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address128.147.28.67IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id25115620201895000002FederalOriginalSubmissionId
Federal Original Submission Id2020-07-07FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4C58847BF8C7A806600C0F689227D75C8365A029AtSubmissionCreationDeviceId
At Submission Filing Device IdD28FEEE05295FC155D97B10E57002D534C480119AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTOPHER STOCKHAUSENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 GRANT ST 58TH FL C/O CORP TAXAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15219ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$49,732,717GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.upmcsusquehannahealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1947FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionSee Schedule OActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee480TotalEmployeeCnt
Total Volunteers136TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$873,290PYContributionsGrantsAmt
CY Contributions Grants$2,695CYContributionsGrantsAmt
PY Program Service Revenue$113,613,457PYProgramServiceRevenueAmt
CY Program Service Revenue$49,582,671CYProgramServiceRevenueAmt
PY Investment Income$8,819PYInvestmentIncomeAmt
CY Investment Income$5,881CYInvestmentIncomeAmt
PY Other Revenue$122,397PYOtherRevenueAmt
CY Other Revenue$13,322CYOtherRevenueAmt
PY Total Revenue$114,617,963PYTotalRevenueAmt
CY Total Revenue$49,604,569CYTotalRevenueAmt
PY Grants And Similar Paid$9,391,193PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$76,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$31,156,431PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,784,335CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$66,263,632PYOtherExpensesAmt
CY Other Expenses$37,743,273CYOtherExpensesAmt
PY Total Expenses$106,811,256PYTotalExpensesAmt
CY Total Expenses$47,603,608CYTotalExpensesAmt
PY Revenues Less Expenses$7,806,707PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,000,961CYRevenuesLessExpensesAmt
Total Assets BOY$74,828,889TotalAssetsBOYAmt
Total Assets EOY$35,352,125TotalAssetsEOYAmt
Total Liabilities BOY$2,564,750TotalLiabilitiesBOYAmt
Total Liabilities EOY$522,710TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$72,264,139NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$34,829,415NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$35,899,997ExpenseAmt
Grant$76,000GrantAmt
Revenue$49,582,671RevenueAmt
DescSee Schedule ODesc
Total Program Service Expenses$35,899,997TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee480EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHRISTOPHER STOCKHAUSENPersonNm
Phone5703213175PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 HIGH STREETAddressLine1Txt
CityWilliamsportCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17701ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Sister Teresa Ann Jacobs
Board Secretary1.07.0Yes (X)Yes (X)$0$0$0
Philip Johnson
Board Treasurer1.05.0Yes (X)Yes (X)$0$0$0
Steven P Johnson
President/Director (J 1/1/19)1.050.0Yes (X)Yes (X)$0$867,586$119,709
Keith Kuzio
Board Vice Chair1.05.0Yes (X)Yes (X)$0$0$0
Ann S Pepperman
Board Chair1.06.0Yes (X)Yes (X)$0$0$0
Christopher Stockhausen
Director/Int. CFO (J 11/1/19)1.050.0Yes (X)$0$0$0
Jan E Fisher
VP/COO (R 9/14/2018)1.050.0Yes (X)$0$343,614$54,650
Eric Pohjala
CFO (R 10/31/2018)1.050.0Yes (X)$0$442,643$46,688
Rajesh Manoharan
Medical Physicist/Chief40.00.0$223,521$0$12,509Yes (X)
Nava R Paudel
Medical Physicist40.00.0$185,902$0$24,469Yes (X)
Michelle R Gaida
Admin Dir, Cancer Services40.00.0$153,276$0$6,550Yes (X)
Joseph B Lecrone
Oncology Clinical Pharmacist40.00.0$145,439$0$13,266Yes (X)
Colin M Penfield
Pharmacist40.00.0$137,373$0$17,365Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$845,511TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,653,843TotReportableCompRltdOrgAmt
Total Other Compensation$295,206TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Blacktree Healthcare Consulting LL
One Fayette St Suite 425CONSHOHOCKENPA19428Consulting Services$245,497
Delta Health Technologies
400 Lajemont Park BlvdALTOONAPA16602Software Services$153,160
Susquehanna Lithotripsy
100 West 3rd AveCOLUMBUSOH43201Lithotripsy Service$126,650
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,695AllOtherContributionsAmt
Total Contributions$2,695TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621990$46,889,393$46,889,393
OTHER PATIENT REVENUE621990$109,343$109,343
OTHER PROGRAM SERVICE REVENUE621990$2,583,935$2,583,935
FieldValueIRS element (for citing)
Total Program Service Revenue$49,582,671TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,881TotalRevenueColumnAmt
Exclusion$5,881ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$141,470FundraisingGrossIncomeAmt
Fundraising Direct Expenses$128,148FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,322TotalRevenueColumnAmt
Exclusion$13,322ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,604,569TotalRevenueColumnAmt
Related Or Exempt Func Income$49,582,671RelatedOrExemptFuncIncomeAmt
Exclusion$19,203ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$76,000TotalAmt
Program Services$76,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,230,965TotalAmt
Program Services$6,495,428ProgramServicesAmt
Management And General$735,537ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$440,247TotalAmt
Program Services$391,820ProgramServicesAmt
Management And General$48,427ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,544,408TotalAmt
Program Services$1,375,946ProgramServicesAmt
Management And General$168,462ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$568,715TotalAmt
Program Services$506,156ProgramServicesAmt
Management And General$62,559ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$178,992TotalAmt
Program Services$205,127ProgramServicesAmt
Management And General-$26,135ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$920TotalAmt
Program Services$920ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$324,079TotalAmt
Program Services$175,440ProgramServicesAmt
Management And General$148,639ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$546,936TotalAmt
Program Services$533,414ProgramServicesAmt
Management And General$13,522ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,673,408TotalAmt
Program Services$2,877,309ProgramServicesAmt
Management And General$796,099ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$152,470TotalAmt
Program Services$144,267ProgramServicesAmt
Management And General$8,203ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,429TotalAmt
Program Services$1,670ProgramServicesAmt
Management And General$759ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,113,145TotalAmt
Program Services$3,113,145ProgramServicesAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$246,979TotalAmt
Program Services$109,441ProgramServicesAmt
Management And General$137,538ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$1,273,172$1,273,172
DRUGS$14,349,407$14,349,407
MEDICAL/PATIENT SUPPLIES$1,004,980$1,004,980
PURCHASED SERVICES$10,533,952$1,856,809$8,677,143

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,342,404TotalAmt
Program Services$1,409,546ProgramServicesAmt
Management And General$932,858ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$47,603,608TotalAmt
Program Services$35,899,997ProgramServicesAmt
Management And General$11,703,611ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$95,068EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$932,745BOYAmt
EOY$97,693EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,252,635BOYAmt
EOY-$709,813EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$148,917EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,197,343BOYAmt
EOY$1,248,971EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$127,729BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$97,750,284LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$63,278,995LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,336,437BOYAmt
EOY$34,471,289EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$24,982,000BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$74,828,889BOYAmt
EOY$35,352,125EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,707,686BOYAmt
EOY$1,381EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$425,556BOYAmt
EOY$16,000EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$431,508BOYAmt
EOY$505,329EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,564,750BOYAmt
EOY$522,710EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$66,352,894BOYAmt
EOY$28,561,119EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$707,692BOYAmt
EOY$1,064,743EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,203,553BOYAmt
EOY$5,203,553EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$72,264,139BOYAmt
EOY$34,829,415EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,828,889BOYAmt
EOY$35,352,125EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,000,961ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$39,435,685OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,668,794BeginningYearBalanceAmt
Investment Earnings Or Losses$382,728InvestmentEarningsOrLossesAmt
Other Expenditures-$45OtherExpendituresAmt
Administrative Expenses$25,722AdministrativeExpensesAmt
End Year Balance$2,025,845EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,672,590BeginningYearBalanceAmt
Contributions$1,000ContributionsAmt
Other Expenditures$4,795OtherExpendituresAmt
End Year Balance$1,668,795EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,322,366BeginningYearBalanceAmt
Contributions$1,000ContributionsAmt
Investment Earnings Or Losses$360,781InvestmentEarningsOrLossesAmt
Other Expenditures$9,736OtherExpendituresAmt
Administrative Expenses$1,821AdministrativeExpensesAmt
End Year Balance$1,672,590EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,440,549BeginningYearBalanceAmt
Contributions$1,000ContributionsAmt
Investment Earnings Or Losses$63,762InvestmentEarningsOrLossesAmt
Other Expenditures$175,661OtherExpendituresAmt
Administrative Expenses$7,285AdministrativeExpensesAmt
End Year Balance$1,322,365EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,355,947BeginningYearBalanceAmt
Contributions$2,000ContributionsAmt
Investment Earnings Or Losses$90,163InvestmentEarningsOrLossesAmt
Other Expenditures$250OtherExpendituresAmt
Administrative Expenses$7,310AdministrativeExpensesAmt
End Year Balance$1,440,550EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.47650PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.52350TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$205,226OtherCostOrOtherBasisAmt
Book Value$205,226BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$83,363,968OtherCostOrOtherBasisAmt
Depreciation$60,986,190DepreciationAmt
Book Value$22,377,778BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$266,259OtherCostOrOtherBasisAmt
Depreciation$153,441DepreciationAmt
Book Value$112,818BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$831,510OtherCostOrOtherBasisAmt
Depreciation$275,866DepreciationAmt
Book Value$555,644BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,083,321OtherCostOrOtherBasisAmt
Depreciation$1,863,498DepreciationAmt
Book Value$11,219,823BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,471,289TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYORS$127,006
CREDIT BALANCES ACCOUNTS REC$203,323
MALPRACTICE LOSS RSRV IBNR$175,000
FieldValueIRS element (for citing)
Total Liability$505,329TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, line 4:ENDOWMENT FUNDS WILL BE UTILIZED TO CARRY ON THE EXEMPT MISSIONS OF THE HOSPITAL ENTITIES.
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, 2019, 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.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices0OfficesCnt
Employee1EmployeeCnt
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConductedTxt
Specific Services ProvidedCaptive Insurance CompSpecificServicesProvidedTxt
Region Total Expenditures$463,989RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Total Office0TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$463,989SubtotalSpentAmt
Total Spent$463,989TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Vendor SalesEvent1Nm
Gross Receipts Event1$99,818GrossReceiptsEvent1Amt
Gross Revenue Event1$99,818GrossRevenueEvent1Amt
Other Direct Expenses Event1$110,615OtherDirectExpensesEvent1Amt
Event2Fall FestivalEvent2Nm
Gross Receipts Event2$41,652GrossReceiptsEvent2Amt
Gross Revenue Event2$41,652GrossRevenueEvent2Amt
Other Direct Expenses Event2$17,533OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$141,470GrossReceiptsTotalAmt
Gross Revenue Total Events$141,470GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$128,148OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$128,148DirectExpenseSummaryEventsAmt
Net Income Summary$13,322NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$94,014TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$94,014NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,659,906TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,233,404DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,426,502NetCommunityBenefitExpnsAmt
Total Expense0.05220TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,753,920TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,233,404DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,520,516NetCommunityBenefitExpnsAmt
Total Expense0.05420TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$146,695TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$146,695NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$134,316TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$134,316NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$281,011TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$281,011NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,034,931TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,233,404DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,801,527NetCommunityBenefitExpnsAmt
Total Expense0.06030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$341,592BadDebtExpenseAmt
Bad Debt Expense Attributable$44,407BadDebtExpenseAttributableAmt
Reimbursed By Medicare$12,332,497ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$22,813,914CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,481,417MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DIVINE PROVIDENCE HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 GRAMPIAN BOULEVARDAddressLine1Txt
CityWILLIAMSPORTCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17701ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.UPMCSUSUQUEHANNAHEALTH.ORGWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DIVINE PROVIDENCE HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V SUPPLEMENTAL INFORMATIONOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V SUPPLEMENTAL INFORMATIONStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee part VIFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee part VIFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee part VIFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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:ON JANUARY 1, 2019 THE DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY CEASED OPERATIONS AS A LICENSED HOSPITAL. THE CAMPUS BECAME ONE OF UPMC WILLIAMSPORT, A SEPARATE RELATED HOSPITAL ENTITY, AND CONTINUED CLINICAL OPERATIONS UNDER THE UPMC WILLIAMSPORT LICENSE. THE FORMER DIVINE PROVIDENCE HOSPITAL CAMPUS AS OF JANUARY 1, 2019 BECAME KNOW AS UPMC WILLIAMSPORT DIVINE PROVIDENCE CAMPUS. THE FOLLOWING UPMC HOSPITALS CONDUCTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019: UPMC LOCK HAVEN, UPMC MUNCY, UPMC WILLIAMSPORT - INCLUDING THE UPMC WILLIAMSPORT DIVINE PROVIDENCE CAMPUS, 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/billing-i nsurance/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.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 250% 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 88% REDUCTION IN THE PATIENT BILL.THE DISCOUNTED CHARITY CARE SCALE IS LISTED BELOW: F/S= FAMILY SIZE 2019 2019 Family Size Category 1-100% Category 2-88% 1 $31,225 $49,960 2 $42,278 $67,640 3 $53,325 $85,320 4 $64,375 $103,000 5 $75,425 $120,680 6 $86,475 $138,360 7 $97,525 $156,040 8 $108,575 $173,720 Each Additional $11,050 $17,680 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. COPIES ARE ALSO AVAILABLE IN WAITING ROOMS AT UPMC PHYSICIAN OFFICES.
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 bad debt expense, is $1,273,172.
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 Divine'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 UPMC RECLASSIFIES 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 MEDICAREALLOWABLE 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 Divine's 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 AND THE UPMC WILLIAMSPORT DIVINE PROVIDENCE CAMPUS COLLABORATED WITH FIVE OTHER UPMC HOSPITAL FACILITIES IN THE FIVE-COUNTY REGION. WITH 87 PERCENT OF PATIENTS TREATED AT UPMC LOCK HAVEN, UPMC MUNCY (FKA MUNCY VALLEY HOSPITAL), UPMC WILLIAMSPORT, INCLUDING THE DIVINE PROVIDENCE CAMPUS, UPMC SUNBURY, UPMC COLE, OR UPMC WELLSBORO (FKA 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 AND ITS DIVINE PROVIDENCE CAMPUS MADE MEASURABLE PROGRESS ON IMPROVING COMMUNITY HEALTH IN THE PERIOD FROM FISCAL YEARS 2014 THROUGH 2019. THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA THROUGH A RANGE OF PROGRAMS AND INITIATIVES. TO HELP ADDRESS BEHAVIORAL HEALTH NEEDS, THE HOSPITAL HAS IMPLEMENTED AN ADDICTION MEDICINE PROGRAM TO MONITOR OPIOID ADDICTION AND SUBSTANCE ABUSE AND TO TAILOR SERVICES AS NEEDED. THE HOSPITAL IS ALSO WORKING CLOSELY WITH THE LOCAL SINGLE COUNTY AUTHORITY AND CLEANSLATE, INC. TO HELP PROVIDE WARM HAND-OFFS FOR PATIENTS TO ACCESS COMMUNITY TREATMENT; MORE THAN 100 PATIENTS ARE SEEN PER MONTH. 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, THROUGH THE EFFORTS OF DIVINE PROVIDENCE, PEDIATRIC CARE AND FAMILY MEDICINE 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 IMPROVE ACCESS TO SPECIALTY CARE, DIVINE PROVIDENCE LAUNCHED A NEW EFFORT FOCUSED ON ORTHOPEDICS PATIENTS WHO ARE SEEN IN THE EMERGENCY DEPARTMENT. THESE PATIENTS NOW HAVE ACCESS TO NURSE TRIAGE AND CAN SCHEDULE AN ORTHOPEDICS FOLLOW-UP APPOINTMENT BEFORE LEAVING THE EMERGENCY DEPARTMENT, WHICH REDUCES WAIT TIMES AND MAKES SCHEDULING MORE CONVENIENT AND IMMEDIATE. 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 HOST SPIRIT OF WOMEN EVENTS, INCLUDING GIRLS' NIGHT OUT AND DAY OF DANCE; THESE EVENTS HELP MOTIVATE AND INSPIRE WOMEN TO MAKE POSITIVE, HEALTHY CHANGES IN THEIR LIVES. LASTLY, IN PARTNERSHIP WITH THE OTHER UPMC HOSPITALS IN THE REGION, UPMC WILLIAMSPORT IS ADDRESSING INTERPERSONAL SAFETY THROUGH THE STOP THE BLEED PROGRAM. SINCE JULY 1, 2019, THE PROGRAM HAS OFFERED 45 STOP THE BLEED CLASSES, TRAINING A TOTAL OF 1,200 COMMUNITY MEMBERS, INCLUDING EMPLOYEES OF UPMC, TWO SCHOOL DISTRICTS, AND LOCAL BUSINESSES. AFFILIATED HEALTH CARE SYSTEM: - UPMC WILLIAMSPORT AND ITS DIVINE PROVIDENCE CAMPUS ARE 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 3.8 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 APPROXIMATELY $1 BILLION A YEAR IN COMMUNITY BENEFITS - SUCH A 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 MORE THAN $36 BILLION. 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 PARTNERS AND SUPPLIERS OF GOODS AND SERVICES, UPMC'S SUPPLIER DIVERSITY PROGRAM ENCOURAGES DEVELOPMENT OF THESE FIRMS TO MAKE THEM COMPETITIVE IN THE OUTSIDE MARKET. UPMC'S SPEND ON SUPPORTING MINORITY AND WOMEN-OWNED BUS

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Susquehanna Comm Health and Dental ClinicBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1471 HEPBURN STAddressLine1Txt
CityWILLIAMSPORTCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17701ZIPCd
FieldValueIRS element (for citing)
Recipient EIN208979596RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$76,000CashGrantAmt
Purpose Of GrantCHARITABLE CONTRIBUTIONPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART 1 LINE 2FormAndLineReferenceDesc
ExplanationIT 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Steven P Johnson
President/Director (J 1/1/19)$0$694,760$0$138,850$0$33,976$0$91,724$0$27,985$0$987,295$0$0
Jan E Fisher
VP/COO (R 9/14/2018)$0$268,437$0$60,714$0$14,463$0$41,664$0$12,986$0$398,264$0$0
Rajesh Manoharan
Medical Physicist/Chief$223,312$0$0$0$209$0$0$0$12,509$0$236,030$0$0$0
Eric Pohjala
CFO (R 10/31/2018)$0$337,274$0$44,194$0$61,175$0$19,250$0$27,438$0$489,331$0$0
Nava R Paudel
Medical Physicist$185,731$0$0$0$171$0$0$0$24,469$0$210,371$0$0$0
Michelle R Gaida
Admin Dir, Cancer Services$148,200$0$4,962$0$114$0$0$0$6,550$0$159,826$0$0$0
Joseph B Lecrone
Oncology Clinical Pharmacist$145,267$0$0$0$172$0$0$0$13,266$0$158,705$0$0$0
Colin M Penfield
Pharmacist$137,288$0$0$0$85$0$0$0$17,365$0$154,738$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceQUESTION 7:FormAndLineReferenceDesc
ExplanationUPMC PROVIDES INCENTIVE COMPENSATION AS PART OF ITS TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES. THIS COMPONENT IS BASED UPON THE ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES WHICH FOCUS ON THE ACHIEVEMENT OF MULTIPLE ANNUAL AND THREE YEAR INDIVIDUAL AND GROUP PERFORMANCE CRITERIA IN THE CONTEXT OF APPROPRIATE RISK TAKING. THESE CRITERIA DIRECTLY SUPPORT UPMC'S MISSION AND INCLUDE: PATIENT QUALITY AND SATISFACTION, COMMUNITY BENEFITS, OPERATIONAL AND FINANCIAL STRENGTH, LEADERSHIP DEVELOPMENT, AND STRATEGIC BUSINESS INITIATIVES AMONG OTHERS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSIONDivine Providence Hospital of the Sisters of Christian Charity (DPH) is a 31 bed specialty hospital that offers inpatient psychiatric services, home health services and a wide array of outpatient hospital services, primarily serving Lycoming and surrounding counties.
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSIONDivine Providence Hospital of the Sisters of Christian Charity (DPH) is a subsidiary of the exempt entity UPMC Susquehanna. The mission of UPMC Susquehanna and its subsidiaries is to serve our community by providing outstanding patient care and shaping tomorrow's health care through clinical and technological innovation, research, and education. AS OF JANUARY 1, 2019 DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY CEASED OPERATIONS AS A HOSPITAL. IT BECAME A CAMPUS OF THE AFFILIATED ENTITY WILLIAMSPORT HOSPITAL WITH ALL OPERATIONS BEING PERFORMED AS A PART OF WILLIAMSPORT HOSPITAL.
PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSDivine Providence Hospital of the Sisters of Christian Charity (DPH) is a 31 bed specialty hospital that offers inpatient psychiatric services, home health services and a wide array of outpatient hospital services, primarily serving Lycoming and surrounding counties. Divine Providence Hospital of the Sisters of Christian Charity treats all patients without regard to their ability to pay. For the fiscal year ended June 30, 2019, the hospital admitted 307 patients rendering 2,427 patient days and performed approximately 381 surgeries. During the Fiscal Year ended June 30, 2019, Divine Providence Hospital provided charity care and other uncompensated care, including Medicaid and Medicare shortfalls, at a cost of over $13,000,000. Divine Providence Hospital provided community outreach and support programs as well as contributions, research and educational support in fiscal year 2019. The value of these programs funds to the community was approximately $892,000.
PART VI GOVERNANCE, MANAGEMENT, AND DISCLOSUREQuestion 6: DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY HAS ONE SOLE MEMBER, THE EXEMPT ENTITY UPMC SUSQUEHANNA.
PART VI GOVERNANCE, MANAGEMENT, AND DISCLOSURESECTION 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 CUPMC 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 DESIGNED 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 DISCLOSURESECTION 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, INFORMAL 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 DISCLOSURESECTION 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 ASSETSTransfer to Exempt Parent (39,895,279) Other 495,594 Total (39,399,685)
PART XII FINANCIAL STATEMENTS AND REPORTINGQUESTION 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 31,2018.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (71 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
UPMC SENIOR COMMUNITIES INC
600 GRANT STREETPITTSBURGHPA15219251574736SR LIVINGPA501(C)(3)10UPMCYes (true)
PITTSBURGH LIFETIME CARE COMMUNITY
600 GRANT STREETPITTSBURGHPA15219251335247CCRCPA501(C)(3)10UPMC SR COMMYes (true)
CANTERBURY PLACE
600 GRANT STREETPITTSBURGHPA15219250965334SR LIVINGPA501(C)(3)10UPMC SR COMMYes (true)
SENECA PLACE
600 GRANT STREETPITTSBURGHPA15219721562844SR LIVINGPA501(C)(3)10UPMC SR COMMYes (true)
SHADYSIDE HOSPITAL SUPPORTING FOUNDATION
600 GRANT STREETPITTSBURGHPA15219260303394FOUNDATIONPA501(C)(3)12(A) IUPMCYes (true)
UPMC LEE
600 GRANT STREETPITTSBURGHPA15219250613830INACTIVEPA501(C)(3)3UPMCYes (true)
PITTSBURGH CARE PARTNERSHIP INC
600 GRANT STREETPITTSBURGHPA15219251753852SR CARE MGMTPA501(C)(3)10UPMCYes (true)
UPMC CENTER FOR HIGH VALUE HEALTHCARE
600 GRANT STREETPITTSBURGHPA15219452178782RESEARCHPA501(C)(3)7UPMCYes (true)
SHADYSIDE HOSPITAL FOUNDATION
532 SOUTH AIKEN AVENUEPITTSBURGHPA15232251290546FOUNDATIONPA501(C)(3)12(C)IIIUPMC PRESBYYes (true)
PASSAVANT HOSPITAL FOUNDATION
9100 BABCOCK BLVDPITTSBURGHPA15237251407815FOUNDATIONPA501(C)(3)12(B)IIUPMC PASSYes (true)
NORTHWEST HOSPITAL FOUNDATION
100 FARFIELD DRIVESENECAPA16346251483624FOUNDATIONPA501(C)(3)12(D)IIIUPMC NORTHWEYes (true)
ST MARGARET FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251520340FOUNDATIONPA501(C)(3)7UPMC ST MARGYes (true)
CHILDREN'S HOSPITAL OF PITTSBURGH FND
600 GRANT STREETPITTSBURGHPA15219251865744FOUNDATIONPA501(C)(3)7UPMC CHPYes (true)
MAGEE-WOMEN RES INST AND FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251462312FOUNDATIONPA501(C)(3)7NAfalse
Great Lakes Physician Practice PC
600 Grant Street 58th FloorPITTSBURGHPA15219464186362PHYSICIAN SRVNY501(C)(3)3Regnl HealthYes (true)
Hamot Health Foundation
302 FRENCH STREETERIEPA16507251400999FOUNDATIONPA501(C)(3)12(B)IIUPMC HAMOTYes (true)
UPMCJAMESON CANCER CENTER
600 GRANT STREET 58TH FLPITTSBURGHPA15219201459415ONCOLOGY SVCPA501(C)(3)10UPMC JamesonYes (true)
JAMESON CARE CENTER INC
1211 WILMINGTON AVENEW CASTLEPA16105232871396SR SERVICESPA501(C)(3)10UPMC SR COMMYes (true)
UPMC SUSQUEHANNA
700 HIGH STREETWILLIAMSPORTPA17701232751183MGMT SUPPORTPA501(C)(3)3UPMCYes (true)
MUNCY VALLEY HOSPITAL
215 EAST WATER STREETMUNCYPA17756240806023HOSPITALPA501(C)(3)3UPMC SUSQUEHYes (true)
SUSQUEHANNA PHYSICIAN SERVICES
1201 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701232449454PHYSICIAN SRVPA501(C)(3)3UPMC SUSQUEHYes (true)
SUSQUEHANNA HEALTH SYSTEM INNOVATION CT
700 HIGH STREETWILLIAMSPORTPA17701471600873SUPPORT SRVPA501(C)(3)12(a)(I)UPMC SUSQUEHYes (true)
SUSQUEHANNA HEALTH FOUNDATION
1100 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701232743470FOUNDATIONPA501(C)(3)12(A)(I)UPMC SUSQUEHYes (true)
THE WILLIAMSPORT HOSPITAL
700 HIGH STREETWILLIAMSPORTPA17701240795508HOSPITALPA501(C)(3)3UPMC SUSQUEHYes (true)
LAUREL REALTY INC
32-36 CENTRAL AVENUEWELLSBOROPA16901231403678REAL ESTATEPA501(C)(2)N/AUPMC SUSQUEHYes (true)
LAUREL MANAGEMENT SERVICES INC
32-36 CENTRAL AVENUEWELLSBOROPA16901251644910MANAGEMENT SVPA501(C)(3)12(B)(II)UPMC SUSQUEHYes (true)
LAUREL HEALTH SYSTEM
32-36 CENTRAL AVENUEWELLSBOROPA16901240795488SUPPORT SRVPA501(C)(3)12(B)(II)UPMC SUSQUEHYes (true)
SOLDIERS AND SAILORS MEMORIAL HOSPITAL
32-36 CENTRAL AVENUEWELLSBOROPA16901232176963HOSPITALPA501(C)(3)3UPMC SUSQUEHYes (true)
THE GREEN HOME
37 CENTRAL AVENUEWELLSBOROPA16901240804365SKILLED NURSIPA501(C)(3)10UPMC SUSQUEHYes (true)
TIOGA HEALTH CARE PROVIDERS
1201 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701251765538HEALTHCAREPA501(C)(3)12(B)(II)UPMC SUSQUEHYes (true)
WILLIAMSPORT AREA AMBULANCE SERVICE COO
700 HIGH STREETWILLIAMSPORTPA17701232416166AMBULANCE SVCPA501(C)(3)10WILLIAM HOSPYes (true)
UPMC SUSQUEHANNA LOCK HAVEN
700 HIGH STREETWILLIAMSPORTPA17701821600494HOSPITALPA501(C)(3)3UPMC SUSQUEHYes (true)
UPMC SUSQUEHANNA SUNBURY
700 HIGH STREETWILLIAMSPORTPA17701821592230HOSPITALPA501(C)(3)3UPMC SUSQUEHYes (true)
UPMC CHAUTAUQUA AT WCA
207 FOOTE AVENUEJAMESTOWNNY14701160743226HOSPITALNY501(C)(3)3UPMC CHAUTAUYes (true)
WCA GROUP INC
207 FOOTE AVENUEJAMESTOWNNY14701222392582HOLDING CONY501(C)(3)12 (B)(II)CHAUT AT WCAYes (true)
STARFLIGHT INC
135 ALLEN STREETJAMESTOWNNY14701161557878AIR AMBULANCENY501(C)(3)7CHAUT AT WCAYes (true)
SOUTH CENTRAL ALPHA HOUSING & HEALTH
3410 W PITTSBURG ROADNEW CASTLEPA16101251701701SNF & ALPA501(C)(3)10UPMC SR COMMYes (true)
SOUTH WESTERN ALPHA HOUSING & HEALTH
745 GREENVILLE ROADMERCERPA16137251701700SNF & ILPA501(C)(3)10UPMC SR COMMYes (true)
KANE COMMUNITY HOSPITAL FOUNDATION
4372 ROUTE 6KANEPA16735263906925FOUNDATIONPA501(C)(3)12 (B)(II)NAfalse
JUNIOR GUILD OF THE JAMESON MEMORIAL HO
1211 WILMINGTON AVENUENEW CASTLEPA16105256005313SUPPORTPA501(C)(3)12(D)IIINAfalse
LAUREL HEALTH FOUNDATION
32-36 CENTRAL AVENUEWELLSBOROPA16901251810488FOUNDATIONPA501(C)(3)12(B)IINAfalse
WCA FOUNDATION INC
300 FOOTE AVENUE PO BOX 840JAMESTOWNNY14702222393584FOUNDATIONPA501(C)(3)12(C)IIINAfalse
VENANGO VNA FOUNDATION
491 ALLEGHENY BOULEVARDFRANKLINPA16323251472179FOUNDATIONPA501(C)(3)12(D) IIINAfalse
UPMC PINNACLE
409 SOUTH SECOND STREETHARRISBURGPA17104251778658SUPPORTING ORPA501(C)(3)12(B)IIUPMCYes (true)
UPMC PINNACLE CARLISLE
361 ALEXANDER SPRING ROADCARLISLEPA17105820880337HOSPITALPA501(C)(3)3UPMC PINNACLYes (true)
UPMC PINNACLE LANCASTER
250 COLLEGE AVENUELANCASTERPA17603820896436HOSPITALPA501(C)(3)3UPMC PINNACLYes (true)
UPMC PINNACLE LITITZ
1500 HIGHLANDS AVENUELITITZPA17543820844453HOSPITALPA501(C)(3)3UPMC PINNACLYes (true)
UPMC PINNACLE MEMORIAL
325 SOUTH BELMONT STREETYORKPA17405820912090HOSPITALPA501(C)(3)3UPMC PINNACLYes (true)
PINNACLE HEALTH REGIONAL PHYSICIANS
409 SOUTH SECOND STREETHARRISBURGPA17104820947698PHYSICIAN SRVPA501(C)(3)3UPMC PINNACLYes (true)
PINNACLE HEALTH FOUNDATION
409 SOUTH SECOND STREETHARRISBURGPA17104222691718FOUNDATIONPA501(C)(3)12(B)IIUPMC PINNACLYes (true)
COMMUNITY LIFE TEAM INC
409 SOUTH SECOND STREETHARRISBURGPA17104231890444MED TRANSPORTPA501(C)(3)7UPMC PINNACLYes (true)
HANOVER HEALTHCARE PLUS INC
300 HIGHLAND AVENUEHANOVERPA17331222658574SUPPORTING ORPA501(C)(3)12(A)(I)UPMC PINNACLYes (true)
UPMC PINNACLE HANOVER
300 HIGHLAND AVENUEHANOVERPA17331231360851HOSPITALPA501(C)(3)3HANNOVER HEAYes (true)
UPMC PINNACLE HOSPITALS
409 SOUTH SECOND STREETHARRISBURGPA17104251778644HOSPITALPA501(C)(3)3UPMC PINNACLYes (true)
PINNACLE HEALTH MEDICAL SERVICES
409 SOUTH SECOND STREETHARRISBURGPA17104251709054PHYSICIAN SRVPA501(C)(3)3UPMC PINNACLYes (true)
CHARLES E COLE MEMORIAL HOSPITAL
1001 EAST SECOND STREETCOUDERSPORTPA16915240802108HOSPITALPA501(C)(3)3UPMCYes (true)
COLE FOUNDATION INC
1001 EAST SECOND STREETCOUDERSPORTPA16915455417308FOUNDATIONPA501(C)(3)12(A)(I)C COLE MEM HYes (true)
HAMOT COLE VENTURES
1001 EAST SECOND STREETCOUDERSPORTPA16915273172100CLINIC SITESPA501(C)(3)12(A)(I)C COLE MEM HYes (true)
HENDORN INC
1001 EAST SECOND STREETCOUDERSPORTPA16915231972659RES. CAREPA501(C)(3)12(A)(I)C COLE MEM HYes (true)
ASBURY HEIGHTS OF UPMC
600 GRANT STREETPITTSBURGHPA15219251555687SUPPORTING ORPA501(C)(3)12(B)(II)UPMC SR COMMYes (true)
ASBURY HEALTH CENTER
600 GRANT STREETPITTSBURGHPA15219250969472CCRCPA501(C)(3)10ASBURY HEIGHYes (true)
ASBURY VILLAS
600 GRANT STREETPITTSBURGHPA15219251819952PERSONAL CAREPA501(C)(3)10ASBURY HEIGHYes (true)
ASBURY PLACE
600 GRANT STREETPITTSBURGHPA15219251729266PERSONAL CAREPA501(C)(3)10ASBURY HEIGHYes (true)
WESLEY HILLS
600 GRANT STREETPITTSBURGHPA15219251507472INDEP LIVINGPA501(C)(3)N/AASBURY HEIGHYes (true)
ASBURY FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251555688FOUNDATIONPA501(C)(3)7ASBURY HEIGHYes (true)
REGIONAL CANCER CENTER FOUNDATION
2500 WEST 12TH STREETERIEPA16505251631855FOUNDATIONPA501(c)(3)12(A)(I)REGIONAL CANYes (true)
UPMC SOMERSET
225 SOUTH CENTER AVENUESOMERSETPA15501250965570HOSPITALPA501(C)33UPMCYes (true)
TWIN LAKES CENTER INC
225 SOUTH CENTER AVENUESOMERSETPA15501232910318DRUG TREATMENPA501(C)33UPMC SOMERSEYes (true)
SOMERSET COMMUNITY HOSPITAL FOUNDATION
225 SOUTH CENTER AVENUESOMERSETPA15501251441863FOUNDATIONPA501(C)312(C)IIIUPMC SOMERSEYes (true)
SOMERSET HEALTH SERVICES INC
225 SOUTH CENTER AVENUESOMERSETPA15501251441920PHYSICIAN SRVPA501(C)33UPMC SOMERSEYes (true)
UPMC
600 GRANT STREETPITTSBURGHPA15219251423657SUPPORTING ORPA501(c)(3)12(C)IIINAYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ST MARGARET MEDICAL ARTS ASSOCIATES
600 GRANT STREETPITTSBURGHPA15219251786655MED OFFICE BLPANA
CORE NETWORK LLC
600 GRANT STREETPITTSBURGHPA15219251786209HEALTHCAREPANA
LIFE HOME CARE LP
600 GRANT STREETPITTSBURGHPA15219251847839HOMECAREPANA
SHADYSIDE MEDICAL CENTER ASSOCIATION
600 GRANT STREETPITTSBURGHPA15219251608318MED OFFICE BLPANA
CHARTWELL PA LP
600 GRANT STREETPITTSBURGHPA15219251729714HOMEHEALTHPANA
LIFE Care Home SRV OF NW PA
1647 SASSAFRAS STREETERIEPA16501251536879HOME HEALTH SPANA
HAMOT-KCH REAL ESTATE VENTURE
300 STATE STREETERIEPA16507263691782MEDICAL OFFICPANA
HAMOT SURGERY CENTER LLC
200 STATE STREETERIEPA16507251863661AMBULATORY SUPANA
EPN-Hamot Urgent Care LLC
600 Grant StreetPittsburghPA15219272147949Urgent CarePANA
LAWRENCE COUNTY MRI & DIAGNOSTIC IMAGIN
2526 WILMINGTON AVENEW CASTLEPA16105270219891IMAGING CENTEPANA
COMMUNITY BASKET LLC
1205 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701201195739REAL ESTATE RPANA
HANOVER SURGICENTER REAL ESTATE LP
300 HIGHLAND AVEHANOVERPA17331352342993INACTIVEPANA
MEDCARE SUSQUEHANNA VALLEY LLC
409 SOUTH SECOND STREETHARRISBURGPA17104821673688DMEPANA
OMICELO RE I LP
2525 LIBERTY AVENUEPITTSBURGHPA15222475603393REAL ESTATE DDENA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (83 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdProvince Or StateForeignAddress/ProvinceOrStateNm
HCPHARMACY CENTRAL INC
600 GRANT STREETPITTSBURGHPA15219251364192PHARMACY CO-OPANAC
CHILDREN'S COMMUNITY CARE
600 GRANT STREETPITTSBURGHPA15219251781887PHYSICIAN SRVPANAC
UPMC PHYSICIAN SERVICES HOLDING COMPANY
600 GRANT STREETPITTSBURGHPA15219251877017HOLDING COPANAC
HEMATOLOGY ONCOLOGY ASSOCIATION INC
600 GRANT STREETPITTSBURGHPA15219421648357PHYSICIAN SRVPANAC
ONCOLOGY HEMATOLOGY ASSOCATION INC
600 GRANT STREETPITTSBURGHPA15219251762980PHYSICIAN SRVPANAC
TRI-STATE NEUROSURGICAL ASSOCIATES - UP
600 GRANT STREETPITTSBURGHPA15219251458655PHYSICIAN SRVPANAC
RENAISSANCE FAMILY PRACTICE - UPMC INC
600 GRANT STREETPITTSBURGHPA15219262942406PHYSICIAN SRVPANAC
UPMC HOLDING COMPANY INC
600 GRANT STREETPITTSBURGHPA15219251777713HOLDING COPANAC
UPMC COVERAGE PRODUCTS INC
600 GRANT STREETPITTSBURGHPA15219251777710HOLDING COPANAC
FREEDOM INSURANCE COMPANY
600 GRANT STREETPITTSBURGHPA15219030308944INSURANCEVTNAC
TRI-CENTURY INSURANCE CO
600 GRANT STREETPITTSBURGHPA15219251500739INSURANCEPANAC
UPMC DnA INC
600 GRANT STREETPITTSBURGHPA15219251883237INSURANCEPANAC
UPMC HEALTH BENEFITS INC
600 GRANT STREETPITTSBURGHPA15219251844144HEALTH INSURPANAC
UPMC HEALTH NETWORK INC
600 GRANT STREETPITTSBURGHPA15219721527566HEALTH INSURPANAC
UPMC HEALTH PLAN INC
600 GRANT STREETPITTSBURGHPA15219232813536HEALTH INSURPANAC
UPMC BENEFIT MANAGEMENT SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251769564WORKERS' COMPPANAC
UPMC DIVERSIFIED SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251778454HOLDING COPANAC
MONROEVILLE SPECIALTY CLINIC
600 GRANT STREETPITTSBURGHPA15219251666087AMB SURGPANAC
MEDICAL ARCHIVAL SYSTEMS INC
600 GRANT STREETPITTSBURGHPA15219232912501SOFTWARE DEVEDENAC
RX PARTNERS INC
600 GRANT STREETPITTSBURGHPA15219251801966PHARMACYPANAC
BIOTRONICS INC
600 GRANT STREETPITTSBURGHPA15219251843500EQUIP MAINTENPANAC
MEDICAL CENTER PROPERTIES INC
600 GRANT STREETPITTSBURGHPA15219251796940REAL ESTATEPANAC
ASKESIS DEVELOPMENT GROUP INC
600 GRANT STREETPITTSBURGHPA15219541625585SOFTWARE DEVEDENAC
BAYFRONT REGIONAL DEVELOPMENT CORP
300 STATE STREETERIEPA16507251401388RE HOLDING COPANAC
BAYSIDE DEVELOPMENT CORP
300 STATE STREETERIEPA16507251401386REAL ESTATEPANAC
UPMC WORK ALLIANCE INC
600 GRANT STREETPITTSBURGHPA15219452825053INSURANCEPANAC
UPMC HEALTH COVERAGE INC
600 GRANT STREET 58TH FLOORPITTSBURGHPA15219462824537INSURANCEPANAC
UPMC HEALTH OPTIONS INC
600 GRANT STREETPITTSBURGHPA15219462824626INSURANCEPANAC
UPMC COMPLETE CARE INC
5215 CENTRE AVENUEPittsburghPA15232463605753PHYSICIAN SRVPANAC
AMERICAN HOME HEALTH SERVICES
868 CORPORATE WAYWESTLAKEOH44145311521422HOME HEALTH COHNAC
HEALTH FIDELITY INC
210 S B STREETSAN MATEOCA94401452538963TECHNOLOGY SVCANAC
FLUENCE HEALTH INC
6425 PENN AVENUEPITTSBURGHPA15206472684174softwareDENAC
CURAVI HEALTH INC
6425 PENN AVENUEPITTSBURGHPA15206811217377HEALTHCAREDENAC
PENSIAMO INC
600 GRANT STREET 59TH FLPITTSBURGHPA15219812069236SUPPLY CHAINDENAC
ALTOONA FAMILY INC
620 HOWARD AVEALTOONAPA16601251444935MGMT SVCSPANAC
LEXINGTON HOLDINGS INC
620 HOWARD AVEALTOONAPA16601251794386HOLDING COPANAC
LEXINGTON ONE INC
620 HOWARD AVEALTOONAPA16601251468889RENTALPANAC
LEXINGTON TWO INC
HOWARD AVE 7TH STALTOONAPA16601251555689DMEPANAC
LEXINGTON FOUR INC
620 HOWARD AVEALTOONAPA16601251793736HOLDING CODENAC
UPMC ALTOONA REGIONAL HEALTH SERVICES
1414 9TH AVENUEALTOONAPA16602251219302PHYSICIAN SRVPANAC
LEXINGTON ANESTHESIA ASSOCIATES INC
620 HOWARD AVEALTOONAPA16601251897765PHYSICIAN SRVPANAC
MEDCPU INC
100 WALL STREET SUITE 2202NEW YORKNY10005383805381SOFTWARE DEVEDENAC
UPMC EXCESS PL TRUST
600 GRANT STREETPITTSBURGHPA15219826254351TRUSTPANATRUST
RXANTE INC
511 CONGRESS STREET 803PORTLANDME04101454040219MEDICATION MGDENAC
J HEALTH VENTURES INC
1211 WILIMINGTON AVENUENEW CASTLEPA16105251607893INACTIVEPANAC
SUSQUEHANNA VENTURES INC
1201 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701232470623PHARMACYPANAC
TYOGA CARENET
114 EAST AVENUEWELLSBOROPA16901251810967INACTIVEPANAC
WCA SERVICE CORPORATION INC
207 FOOTE AVENUEJAMESTOWNNY14701161151438SUPPORTNYNAC
ITTCCO I INC
600 GRANT STREETPITTSBURGHPA15219822590699INACTIVEDENAC
ITTCCO II INC
600 GRANT STREETPITTSBURGHPA15219822597388INACTIVEDENAC
PINNACLE HEALTH CARDIOVASCULAR INSTITUT
409 SOUTH SECOND STREETHARRISBURGPA17104320321362PHYSICIAN SRVPANAC
HANOVER HEALTH CORPORATION
300 HIGHLAND AVENUEHANOVERPA17331900498067HOLDING COPANAC
HANOVER APOTHECARY INC
310 STOCK STREET SUITE 1HANOVERPA17331030594526PHARMACYPANAC
UNITED CENTRAL PA RECIPROCAL RISK RETEN
76 SAINT PAUL STREET SUITE 500BURLINGTONVT05401134224033INSURANCEVTNAC
PINNACLE HEALTH VENTURES INC
409 SOUTH SECOND STREETHARRISBURGPA17104611677624HOLDING COPANAC
PINNACLE HEALTH IMAGING INC
409 SOUTH SECOND STREETHARRISBURGPA17104231718571IMAGING SVCPANAC
COLE CARE INC
1001 EAST 2ND STREETCOUDERSPORTPA16915251497347DMEPANAC
UPMC ITALY HEALTH SERVICES SRL
HEALTH SVCNACVIA DISCESA DEI GIUDICI 4PALERMOIT90133IT
UPMC INVESTMENTS LTD
HOLDING CONACC/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
UPMC PROPERTY LTD
PROPERTYNACC/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
UPMC PROPERTY II LTD
PROPERTYNACC/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
EURO CARE INFRASTRUCTURE LTD
PROPERTY MGMTNACC/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
EURO CARE PROPERTY MANAGEMENT LTD
PROPERTY MGMTNACC/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
EURO CARE HEALTHCARE LTD
HOSPITALNACC/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
WATERFORD ONCOLOGY ASSOCIATES LTD
ONCOLOGY SVCNACC/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
UPMC CANCER CENTERS IRELAND LIMITED
CANCER TREATMNAC6TH FLOOR BEACON HOSPITALSANDYFORDEIDUBLIN 18EI
PANTHER REINSURANCE COMPANY LTD
981402742INSURANCENACPO BOX 1109GRAND CAYMANCJCJCAYMAN ISLANDS
FORBES REINSURANCE COMPANY LTD
981400710INSURANCENACPO BOX 1109GRAND CAYMANCJCJCAYMAN ISLANDS
CATHEDRAL (RE) INSURANCE CO
981400837INSURANCENACPO BOX 1109GRAND CAYMANCJCJCAYMAN ISLANDS
UPMC IRELAND LIMITED
HEALTHCARE SUNAC6TH FLOOR BEACON HOSPITALSANDYFORDEIDUBLIN 18EI
UPMC CANADA TECHNOLOGIES LIMITED
600 GRANT STREETPITTSBURGHPA15219SOFTWARENACCA
SUSQUEHANNA HEALTH SYSTEM INSURANCE NET
INSURANCENACPO BOX 1159CJCJCAYMAN ISLANDS
UNITED HEALTH RISK LTD
INSURANCENACPO BOX HM 2450HAMILTONBDBD
UPMC UNITED KINGDOM LTD
980571026SOFTWARE LICENACC/O NAIRCO 11TH FLOOR WHITEFRIARSLEWINS MEADUKBS1 2NTUKBRISTOL
BLUESPHERE BIO
6425 PENN AVENUE STE 200PITTSBURGHPA15206824979766IMMUNOTHERAPYDENAC
INFECTIOUS DISEASE CONNECT INC
6425 PENN AVENUE STE 200PITTSBURGHPA15206833311071TELEMEDICINEDENAC
HUMONIC INC
6425 PENN AVENUE STE 200PITTSBURGHPA15206834005420BIOPHARMDENAC
TTMS INC
6425 PENN AVENUE STE 200PITTSBURGHPA15206825443222IMMUNOTHERAPYDENAC
UPMC HILLMAN CANCER CENTER - PINNACLE
101 ERFORD ROADCAMP HILLPA17701833640945CANCER TREATMPANAC
SHANGHAI UPMC CO LTD
HEALTHCARE MGMTNAC288 Shimen 1st Road Jingan DistricShanghaiCH200041CH
SALVADOR MUNDI INTERNATIONAL HOSPITAL
HOSPITALNACROMA VIALE DELLEMURA GIANICOLENSIITCAP 00152IT
SOMERSET ANESTHESIA INC
600 GRANT STREETPITTSBURGHPA15219455135437PHYSICIAN SRVPANAC
SOMERSET MANAGEMENT SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251512960MOB OWNERSHIPPANAC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Susquehanna Physician Services
b$2,091,008Cost
Susquehanna Health Foundation
c$113,686Cost
The Williamsport Hospital
i$3,254,186Cost
Susquehanna Physician Services
j$1,842,309Cost
Susquehanna Ventures Inc
j$98,570Cost
Susquehanna Physician Services
q$4,182,016Cost
UPMC
r$24,873,000Cost

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule R, Part II, III, & IVThe entities marked with an 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 PARTNERSHIPSTHERE ARE ORGANIZATIONS INCLUDED IN THE UPMC GROUP FORM 990 TAX RETURN FOR FISCAL YEAR 2019 WHICH ARE "RELATED" TO DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY (SEE PRIOR NOTE). THESE ORGANIZATIONS ARE NOT REQUIRED TO BE LISTED IN SCHEDULE R.