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LAUREL HEALTH FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
LAUREL HEALTH FOUNDATION (EIN 25-1810488)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-10
IRS object ID
202011929349300911
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)
Return2020-07-10T08:15:01-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251810488EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAUREL HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% GRETCHEN REGINA CFOInCareOfNm
Business Name ControlLAURBusinessNameControlTxt
Phone5707230605PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line132-36 CENTRAL AVE Suite ACCTGAddressLine1Txt
CityWELLSBOROCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGRETCHEN E REGINAPersonNm
Person TitleCFOPersonTitleTxt
Signature2020-03-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian D ToddPreparerPersonNm
PTINP00422601PTIN
Phone4178658701PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id43032920201925000037FederalOriginalSubmissionId
Federal Original Submission Id2020-07-10FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDC217978BA4E90A39731850ED9CC10A93A8E606FAtSubmissionCreationDeviceId
At Submission Filing Device Id9ED1AFD43ECA266599EA2022F4AABFE45DA09571AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRONALD BUTLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line132-36 CENTRAL AVE ACCTGAddressLine1Txt
CityWELLSBOROCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$851,301GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SUSQUEHANNAHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionLAUREL HEALTH FOUNDATION IS AN AFFILIATE OF UPMC SUSQUEHANNA. ITS MISSION IS AS FOLLOWS: TO EXTEND GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THOSE WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$412,527PYInvestmentIncomeAmt
CY Investment Income$721,944CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$412,527PYTotalRevenueAmt
CY Total Revenue$721,944CYTotalRevenueAmt
PY Grants And Similar Paid$653,636PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$597,522CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$93,517PYOtherExpensesAmt
CY Other Expenses$77,621CYOtherExpensesAmt
PY Total Expenses$747,153PYTotalExpensesAmt
CY Total Expenses$675,143CYTotalExpensesAmt
PY Revenues Less Expenses-$334,626PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$46,801CYRevenuesLessExpensesAmt
Total Assets BOY$22,823,815TotalAssetsBOYAmt
Total Assets EOY$23,252,268TotalAssetsEOYAmt
Total Liabilities BOY$75,001TotalLiabilitiesBOYAmt
Total Liabilities EOY$81,986TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$22,748,814NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,170,282NetAssetsOrFundBalancesEOYAmt
MissionTHE SPECIFIC PURPOSES OF THE LAUREL HEALTH FOUNDATION ARE TO SUPPORT, PROMOTE, ADVANCE AND STRENGTHEN THE SOLDIERS AND SAILORS MEMORIAL HOSPITAL, THE GREEN HOME, NORTH PENN COMPREHENSIVE HEALTH SERVICES AND THE WELLSBORO COMMUNITY FOUNDATION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$666,363ExpenseAmt
Grant$597,522GrantAmt
DescLAUREL HEALTH FOUNDATION PROVIDES FINANCIAL SUPPORT FOR ITS RELATED TAX-EXEMPT SUPPORTED ORGANIZATIONS, SOLDIERS AND SAILORS MEMORIAL HOSPITAL, THE GREEN HOME, NORTH PENN COMPREHENSIVE HEALTH SERVICES, AND THE WELLSBORO COMMUNITY FOUNDATION.Desc
Total Program Service Expenses$666,363TotalProgramServiceExpensesAmt
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 EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
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
Employee0EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGRETCHEN REGINA CFOPersonNm
Phone5707230605PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line132-36 CENTRAL AVEAddressLine1Txt
CityWELLSBOROCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16901ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BRENDA FREEMAN PHD
DIRECTOR1.00.0Yes (X)$0$0$0
GLENN B POIRIER
CHAIRMAN1.06.0Yes (X)$0$0$0Yes (X)
J DENNIS MURRAY PHD
DIRECTOR1.06.0Yes (X)$0$0$0
JAN E FISHER
EXECUTIVE VP ENDING 01/20191.051.0Yes (X)$0$329,151$54,650
JANIE M HILFIGER
DIRECTOR1.043.0Yes (X)$0$186,752$19,771
JILL NICKERSON
DIRECTOR1.00.0Yes (X)$0$0$0
KAREN CHAMBERS
DIRECTOR1.00.0Yes (X)$0$0$0
KATHY J WRIGHT PHD
TREASURER1.03.0Yes (X)$0$0$0Yes (X)
R ROBERT DECAMP
SECRETARY1.02.0Yes (X)$0$0$0Yes (X)
ROBERT FITZGERALD
DIRECTOR1.03.0Yes (X)$0$0$0
ROBERT MORRIS
DIRECTOR1.00.0Yes (X)$0$0$0
RONALD J BUTLER
PRESIDENT1.00.0Yes (X)$0$0$0Yes (X)
SAMANTHA WILCOX ESQ
DIRECTOR1.00.0Yes (X)$0$0$0
GRETCHEN E REGINA
VP/CFO1.040.0$0$111,311$10,372Yes (X)
STEVEN P JOHNSON
PRESIDENT/CEO1.051.0$0$833,610$119,709Yes (X)
RONALD M GILBERT
FORMER VP/CFO ENDING 04/20150.00.0$0$107,491$10,987Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,568,315TotReportableCompRltdOrgAmt
Total Other Compensation$215,489TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$486,965TotalRevenueColumnAmt
Exclusion$486,965ExclusionAmt

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$364,336SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$129,357SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$234,979SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$234,979TotalRevenueColumnAmt
Exclusion$234,979ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
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$721,944TotalRevenueColumnAmt
Exclusion$721,944ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$587,461TotalAmt
Program Services$587,461ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$10,061TotalAmt
Program Services$10,061ProgramServicesAmt

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$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$68,841TotalAmt
Program Services$68,841ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$377TotalAmt
Management And General$377ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,403TotalAmt
Management And General$8,403ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$675,143TotalAmt
Program Services$666,363ProgramServicesAmt
Management And General$8,780ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$895,981BOYAmt
EOY$934,582EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

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

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$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

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

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$19,696,081BOYAmt
EOY$20,207,764EOYAmt

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$2,231,753BOYAmt
EOY$2,109,922EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,823,815BOYAmt
EOY$23,252,268EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,551BOYAmt
EOY$4,511EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

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$68,450BOYAmt
EOY$77,475EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,001BOYAmt
EOY$81,986EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,481,157BOYAmt
EOY$2,890,864EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,267,657BOYAmt
EOY$20,279,418EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,748,814BOYAmt
EOY$23,170,282EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,823,815BOYAmt
EOY$23,252,268EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$46,801ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$374,667NetUnrlzdGainsLossesInvstAmt
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)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations4SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
SSMH
2321769633Yes (true)$389,420$0
GREEN HOME
24080436510Yes (true)$10,791$0
NORTH PENN
2318897243Yes (true)$169,750$0
WELLSBORO C F
2026803217Yes (true)$17,500$0
FieldValueIRS element (for citing)
Supported Organizations Total4SupportedOrganizationsTotalCnt
Support Sum$587,461SupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (true)MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART I, LINE 12GFormAndLineReferenceDesc
ExplanationORGANIZATIONS SUPPORTED: THE COMPLETE NAMES OF THE ORGANIZATIONS SUPPORTED ARE AS FOLLOWS: (A) SOLDIERS & SAILORS MEMORIAL HOSPITAL (B) THE GREEN HOME (C) NORTH PENN COMPREHENSIVE HEALTH SERVICES (D) WELLSBORO COMMUNITY FOUNDATIONExplanationTxt

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$15,636,751BeginningYearBalanceAmt
Contributions$121,831ContributionsAmt
Investment Earnings Or Losses$762,572InvestmentEarningsOrLossesAmt
Grants Or Scholarships$587,461GrantsOrScholarshipsAmt
Administrative Expenses$48,073AdministrativeExpensesAmt
End Year Balance$15,885,620EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,577,552BeginningYearBalanceAmt
Contributions$117,646ContributionsAmt
Investment Earnings Or Losses$1,646,601InvestmentEarningsOrLossesAmt
Grants Or Scholarships$653,636GrantsOrScholarshipsAmt
Administrative Expenses$51,412AdministrativeExpensesAmt
End Year Balance$15,636,751EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,780,921BeginningYearBalanceAmt
Contributions$113,606ContributionsAmt
Investment Earnings Or Losses$2,101,133InvestmentEarningsOrLossesAmt
Grants Or Scholarships$380,348GrantsOrScholarshipsAmt
Administrative Expenses$37,760AdministrativeExpensesAmt
End Year Balance$14,577,552EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,744,999BeginningYearBalanceAmt
Investment Earnings Or Losses-$380,234InvestmentEarningsOrLossesAmt
Grants Or Scholarships$710,126GrantsOrScholarshipsAmt
Other Expenditures$1,832,173OtherExpendituresAmt
Administrative Expenses$41,545AdministrativeExpensesAmt
End Year Balance$12,780,921EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,284,168BeginningYearBalanceAmt
Investment Earnings Or Losses$271,234InvestmentEarningsOrLossesAmt
Grants Or Scholarships$776,184GrantsOrScholarshipsAmt
Administrative Expenses$34,219AdministrativeExpensesAmt
End Year Balance$15,744,999EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM EXEMPT AFFILIATESDesc
Book Value$2,109,922BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,109,922TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO EXEMPT AFFILIATESDesc
Amt$77,475Amt
FieldValueIRS element (for citing)
Total Liability$77,475TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS: THE ENDOWMENT FUNDS ARE USED TO FUND THE MISSION OF THE ORGANIZATION.
SCHEDULE D, PART X, LINE 2UNCERTAIN TAX POSITIONS: UPMC HAS NO UNCERTAIN TAX POSITIONS RECORDED. TAX BENEFITS ARE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITIONS. 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 I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
SOLDIERS SAILORS MEMORIAL HOSPITAL
32-36 CENTRAL AVEWELLSBOROPA16901232176963501(C)(3)$389,420SUPPORT
WELLSBORO COMMUNITY FOUNDATION
PO BOX 243WELLSBOROPA16901202680321501(C)(3)$17,500SUPPORT
THE GREEN HOME
32-36 CENTRAL AVEWELLSBOROPA16901240804365501(C)(3)$10,791SUPPORT
NORTH PENN COPREHENSIVE HEALTH SERVICES
40 W WELLSBOROMANSFIELDPA16933231889724501(C)(3)$169,750SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSOLDIERS + SAILORS MEMORIAL HOSPITAL EMPLOYEESGrantTypeTxt
Recipient2RecipientCnt
Cash Grant$10,061CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationGRANT MONITORING PROCESS: ALL GRANTEES ARE REQUIRED TO COMPLETE A GRANT COMPLIANCE REPORT AT THE COMPLETION OF THEIR PROJECT. ADDITIONALLY, ALL GRANTEE ORGANIZATIONS ARE SUPPORTED TAX-EXEMPT ORGANIZATIONS AND, THEREFORE, SHARE COMMON MANAGEMENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
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 PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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
JAN E FISHER
EXECUTIVE VP ENDING 01/2019$0$253,974$0$60,714$0$14,463$0$41,664$0$12,986$0$383,801$0$0
JANIE M HILFIGER
DIRECTOR$0$165,261$0$19,606$0$1,885$0$13,285$0$6,486$0$206,523$0$0
RONALD M GILBERT
FORMER VP/CFO ENDING 04/2015$0$90,960$0$16,103$0$428$0$6,708$0$4,279$0$118,478$0$0
STEVEN P JOHNSON
PRESIDENT/CEO$0$660,784$0$138,850$0$33,976$0$91,724$0$27,985$0$953,319$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4BEQUITY BASED COMPENSATION ARRANGEMENT: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH A RELATED ENTITY. $22,949 JAN E. FISHER $50,724 STEVEN P. JOHNSON
SCHEDULE J, PART I, LINE 6EXECUTIVE COMPENSATION: IN ORDER FOR THE LEADERSHIP TEAM TO PARTICIPATE IN THE ANNUAL VARIABLE COMPENSATION INCENTIVE PROGRAM (VCIP) A MINIMUM OPERATING MARGIN MUST BE ACHIEVED FOR THE MOST RECENTLY COMPLETED YEAR ON A CONSOLIDATED SYSTEM LEVEL BASIS. INDIVIDUAL GOALS AND OBJECTIVES RELATED TO THE VCIP MAY ALSO INCLUDE INDIVIDUAL ENTITY OPERATING PERFORMANCE. FOR THE FY 2019, THE MINIMUM THRESHOLD WAS MET THAT WOULD TRIGGER VCIP PAYMENT. IN OCTOBER 2019, PRESIDENT/CEO STEVEN P JOHNSON RECEIVED VARIABLE COMPENSATION AWARD IN THE AMOUNT OF $138,850.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2FAMILY RELATIONSHIP: ROBERT DECAMP AND KAREN CHAMBERS, VOTING DIRECTORS, HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 7AELECTING MEMBERS OF THE GOVERNING BODY: AT LEAST 50% OF THE BOARD OF DIRECTORS MUST CONSIST OF INDIVIDUALS SERVING AS BOARD MEMBERS OF THE LAUREL SYSTEM ENTITIES AS SYSTEM REPRESENTATIVES. WITH RESPECT TO THE SYSTEM REPRESENTATIVE POSITIONS, UPMC SUSQUEHANNA SUBMITS A LIST OF ITS RECOMMENDED SYSTEM REPRESENTATIVE CANDIDATES TO THE NOMINATING COMMITTEE, WHO REVIEWS THE LIST AND UPON APPROVAL, NOMINATES APPROVED REPRESENTATIVES TO THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS SUBJECT TO APPROVAL BY MEMBERS: THE BYLAWS REQUIRE PRIOR WRITTEN APPROVAL OF UPMC SUSQUEHANNA ON ANY BYLAW AMENDMENT RELATING TO THE FOLLOWING MATTERS: -ELECTION OR REMOVAL OF DIRECTORS OR OFFICERS -CORPORATE MEMBERS OR MEMBERSHIP OF THE CORPORATION -NUMBER, COMPOSITION, ATTENDANCE, COMPENSATION, VOTING, QUORUM, POWERS, DUTIES, RESPONSIBILITIES OR MANNER OF ACTING OF THE BOARD OF DIRECTORS, OFFICERS OR COMMITTEES -TERMS, QUALIFICATIONS OR DUTIES OF, OR NOTICE TO, DIRECTORS AND/OR OFFICERS -USE OF THE CORPORATION'S FUNDS -CORPORATE PURPOSES, POWERS OR LIMITATIONS -COMPLIANCE WITH SECTION 501(C)(3) OF THE CODE AND/OR ANY OTHER LAW -CONFLICT OF INTEREST POLICIES OR PROCEDURES -INDEMNIFICATION RIGHTS OR OBLIGATIONS -AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OR ENGAGEMENT IN ANY FUNDAMENTAL TRANSACTIONS -MATERIAL RIGHTS OR OBLIGATIONS OF UPMC SUSQUEHANNA AND/OR ITS AFFILIATES
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW THE FORM 990: A COPY OF THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CMONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: UPMC, AS A SYSTEM-WIDE PRACTICE, REQUIRES KEY EMPLOYED AND NON-EMPLOYED PERSONNEL TO COMPLY WITH ITS CONFLICT OF INTEREST POLICIES WHEN THEY ENGAGE IN UPMC-RELATED BUSINESS. INDIVIDUALS COVERED BY THE POLICIES INCLUDE: UPMC BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES, UPMC PHYSICIANS AND NON-PHYSICIAN EMPLOYEES WHO HOLD A POSITION OF INFLUENCE, IDENTIFIED NON-EMPLOYED MEMBERS OF THE UPMC MEDICAL STAFF WHO HOLD A POSITION OF INFLUENCE, AND INDIVIDUALS CONDUCTING CLINICAL RESEARCH AT UPMC, WHETHER OR NOT THEY ARE EMPLOYED BY UPMC. THESE INDIVIDUALS 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 MEMBER, 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 CONFLICTS OF INTEREST TRANSACTIONS INVOLVING UPMC ENTITY 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.
FORM 990, PART VI, SECTION B, LINES 15A & 15BCOMPENSATION REVIEW: ALL TOP MANAGEMENT OFFICIALS ARE PAID BY UPMC SUSQUEHANNA, EIN #23-2751183. THE BOARD OF DIRECTORS, THROUGH THE EXECUTIVE COMPENSATION COMMITTEE, RETAINS AN INDEPENDENT OUTSIDE CONSULTANT TO PROVIDE GUIDANCE WITH RESPECT TO THE ANNUAL ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OR REASONABLENESS RELATIVE TO EXECUTIVE COMPENSATION AND BENEFITS. THE CONSULTANT ANNUALLY PROVIDES DETAILED MARKET INFORMATION FROM ITS ANNUAL EXECUTIVE COMPENSATION SURVEY FOR HEALTH SYSTEMS. IN ADDITION, OTHER REGIONAL SURVEY DATA IS PROVIDED IN ORDER TO SUPPLY THE HEALTH SYSTEM WITH A "NATIONAL" PICTURE OF COMPENSATION. WITH THIS PROCESS ESTABLISHED, THE EXECUTIVE COMPENSATION COMMITTEE TAKES THE PROPER STEPS TO EDUCATE THE BOARD OF DIRECTORS TO UNDERSTAND ALL OF THE ABOVE-MENTIONED OVERSIGHT AND TO APPROPRIATELY PREPARE THEM FOR COMMUNITY OR MEDIA INQUIRY. IN ADDITION, THE BOARD IS MADE AWARE OF THE FORM 990 AND ITS ROLE IN THE COMMUNICATION OF INFORMATION TO THE PUBLIC.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENT DISCLOSURE: GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, LINE 1ABOARD MEMBER COMPENSATION: NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS. JANIE M. HILFIGER AND JAN FISHER ARE COMPENSATED BY RELATED EXEMPT ORGANIZATIONS FOR THEIR MANAGEMENT POSITIONS. RONALD BUTLER RETIRED FROM A RELATED EXEMPT ORGANIZATION APRIL 2015. HIS COMPENSATION IS SEVERANCE FROM THAT RELATED EXEMPT ORGANIZATION. SEE SCHEDULE J FOR ADDITIONAL INFORMATION.
FORM 990, PART XII, LINE 2BFINANCIAL STATEMENT AND REPORTING: THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PERFORMED BY EY FOR UPMC AND ALL SUBSIDIARIES. THE ENTIRE SYSTEM'S FINANCIAL STATEMENTS, OF WHICH THIS ORGANIZATION IS PART OF, ARE POSTED ON THE UPMC WEBSITE (WWW.UPMC.COM). THE FINANCIAL STATEMENT AUDIT DURING THE 990 FILING PERIOD IS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2018.
FORM 990, PART XII, LINE 2COVERSIGHT & SELECTION OF INDEPENDENT ACCOUNTANT: UPMC, THE SOLE MEMBER OF UPMC SUSQUEHANNA, HAS ASSUMED THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDITED FINANCIAL STATEMENTS AT A SYSTEM LEVEL FOR FY 2019.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (70 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
LAUREL REALTY INC
32-36 CENTRAL AVEWELLSBOROPA16901231403678REAL ESTATEPA501(C)(2)N/AUPMC SUSQYes (true)
LAUREL MANAGEMENT SERVICES INC
32-36 CENTRAL AVEWELLSBOROPA16901251644910MANAGEMENT SVPA501(C)(3)12B IIUPMC SUSQYes (true)
THE GREEN HOME
37 CENTRAL AVENUEWELLSBOROPA16901240804365SKILLED NURSEPA501(C)(3)10UPMC SUSQYes (true)
SOLDIERS AND SAILORS MEMORIAL HOSPITAL
32-36 CENTRAL AVENUEWELLSBOROPA16901232176963HOSPITALPA501(C)(3)3UPMC SUSQYes (true)
TIOGA HEALTH CARE PROVIDERS
1201 GRAMPIAN BLVDWILLIAMSPORTPA17701251765538HEALTHCAREPA501(C)(3)12B IIUPMC SUSQYes (true)
UPMC SUSQUEHANNA
700 HIGH STREETWILLIAMSPORTPA17701232751183MGMT SUPPORTPA501(C)(3)3UPMCYes (true)
DIVINE PROVIDENCE HOSPITAL OF THE SISTER
1100 GRAMPIAN BLVDWILLIAMSPORTPA17701240799343HOSPITALPA501(C)(3)3UPMC SUSQYes (true)
MUNCY VALLEY HOSPITAL
215 E WATER STMUNCYPA17756240806023HOSPITALPA501(C)(3)3UPMC SUSQYes (true)
THE WILLIAMSPORT HOSPITAL
700 HIGH STWILLIAMSPORTPA17701240795508HOSPITALPA501(C)(3)3UPMC SUSQYes (true)
SUSQUEHANNA HEALTH FOUNDATION
1100 GRAMPIAN BLVDWILLIAMSPORTPA17701232743470FOUNDATIONPA501(C)(3)12A IUPMC SUSQYes (true)
SUSQUEHANNA PHYSICIAN SERVICES
1201 GRAMPIAN BLVDWILLIAMSPORTPA17701232449454PHYSICIAN SRVPA501(C)(3)3UPMC SUSQYes (true)
WILLIAMSPORT AREA AMBULANCE SERVICES
700 HIGH STWILLIAMSPORTPA17701232416166AMBULANCE SVCPA501(C)(3)10WILLIAM HOSPYes (true)
LAUREL HEALTH SYSTEM
32-36 CENTRAL AVEWELLSBOROPA16901240795488SUPPORT SRVPA501(C)(3)12B IIUPMC SUSQYes (true)
SUSQUEHANNA HEALTH SYSTEM INNOVATION CTR
700 HIGH STREETWILLIAMSPORTPA17701471600873SUPPORT SRVPA501(C)(3)12A IUPMC SUSQYes (true)
UPMC
600 GRANT STREETPITTSBURGHPA15219251423657SUPPORT ORGPA501(C)(3)12C IIINAfalse
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)
SHADYSIDE HOSPITAL SUPPORTING FND
600 GRANT STREETPITTSBURGHPA15219260303394FOUNDATIONPA501(C)(3)12A 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 AVEPITTSBURGHPA15232251290546FOUNDATIONPA501(C)(3)12C IIIUPMC PRESBYYes (true)
PASSAVANT HOSPITAL FOUNDATION
9100 BABCOCK BLVDPITTSBURGHPA15237251407815FOUNDATIONPA501(C)(3)12B IIUPMC PASSYes (true)
NORTHWEST HOSPITAL FOUNDATION
100 FAIRFIELD DRIVESENECAPA16346251483624FOUNDATIONPA501(C)(3)12D IIIUPMC NORTHWYes (true)
ST MARGARET FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251520340FOUNDATIONPA501(C)(3)7UPMC ST MARGYes (true)
MAGEE-WOMEN RES INST AND FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251462312FOUNDATIONPA501(C)(3)7NAfalse
GREAT LAKES PHYSICIAN PRACTICE
600 GRANT STREET 58TH FLOORPITTSBURGHPA15219464186362PHYSICIAN SRVNY501(C)(3)3REGNL HEALTHYes (true)
CHILDREN'S HOSPITAL OF PITTSBURGH FND
600 GRANT STREETPITTSBURGHPA15219251865744FOUNDATIONPA501(C)(3)7UPMC CHPYes (true)
HAMOT HEALTH FOUNDATION
302 FRENCH STREETERIEPA16507251400999FOUNDATIONPA501(C)(3)12B IIUPMC HAMOTYes (true)
UPMC JAMESON CANCER CENTER
600 GRANT STPITTSBURGHPA15219201459415ONCOLOGY SVCPA501(C)(3)10UPMC JAMESONYes (true)
JAMESON CARE CENTER INC
1211 WILMINGTON AVENEW CASTLEPA16105232871396SR SERVICESPA501(C)(3)10UPMC SR COMMYes (true)
VENANGO VNA FOUNDATION
491 ALLEGHENY BLVDFRANKLINPA16323251472179FOUNDATIONPA501(C)(3)12D IIINAfalse
UPMC CHAUTAUQUA AT WCA
207 FOOTE AVEJAMESTOWNNY14701160743226HOSPITALNY501(C)(3)3UPMC CHAUTAUYes (true)
WCA GROUP INC
207 FOOTE AVEJAMESTONNY14701222392582HOLDING CONY501(C)(3)12B IIUPMC CHAUTAUYes (true)
STARFLIGHT INC
135 ALLEN STREETJAMESTOWNNY14701161557878AIR AMBULANCENY501(C)(3)7UPMC CHATAUYes (true)
SOUTH CENTRAL ALPHA HOUSING AND HEALTH
3410 W PITTSBURGH RDNEW CASTLEPA16101251701701SNF & ALPA501(C)(3)10UPMC SR COMMYes (true)
SOUTH WESTERN ALPHA HOUSING AND HEALTH
745 GREENVILLE RDMERCERPA16137251701700SNF & ILPA501(C)(3)10UPMC SR COMMYes (true)
KANE COMMUNITY HOSPITAL FOUNDATION
4372 ROUTE 6KANEPA16735263906925FOUNDATIONPA501(C)(3)12B IINAfalse
JUNIOR GUILD OF JAMESON MEMORIAL HOS
1211 WILMINGTON AVENEW CASTLEPA16105256005313SUPPORTPA501(C)(3)12D IIINAfalse
WCA FOUNDATION INC
300 FOOTE AVE PO BOX 540JAMESTOWNNY14702222393584FOUNDATIONPA501(C)(3)12C IIINAfalse
HENDORN INC
1001 EAST SECOND STREETCOUDERSPORTPA16915231972659RESIDENT CAREPA501(C)(3)12A IC COLE MEM HYes (true)
HAMOTCOLE VENTURES INC
1001 EAST SECOND STREETCOUDERSPORTPA16915273172100CLINIC SITESPA501(C)(3)12A IC COLE MEM HYes (true)
COLE FOUNDATION
1001 EAST SECOND STREETCOUDERSPORTPA16915455417308FOUNDATIONPA501(C)(3)12A IC COLE MEM HYes (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 PINNACLE
409 SOUTH SECOND STREETHARRISBURGPA17104251778658SUPPORT ORGPA501(C)(3)12B 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)
PINNANCLE HEALTH REGIONAL PHYSICIANS
409 SOUTH SECOND STREETHARRISBURGPA17104820947698PHYSICIAN SRVPA501(C)(3)3UPMC PINNACLYes (true)
PINNACLE HEALTH FOUNDATION
409 SOUTH SECOND STREETHARRISBURGPA17104222691718FOUNDATIONPA501(C)(3)12B 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)12A IUPMC PINNACLYes (true)
UPMC PINNACLE HANOVER
300 HIGHLAND AVENUEHANOVERPA17331231360851HOSPITALPA501(C)(3)3HANOVER HLTHYes (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)
ASBURY HEIGHTS OF UPMC
600 GRANT STREETPITTSBURGHPA15219251555687SUPPORT ORGPA501(C)(3)12B IIUPMC SR COMMYes (true)
ASBURY HEALTH CENTER
600 GRANT STREETPITTSBURGHPA15219250969472CCRCPA501(C)(3)10ASBURY HGHTSYes (true)
ASBURY VILLAS
600 GRANT STREETPITTSBURGHPA15219251819952PERSONAL CAREPA501(C)(3)10ASBURY HGHTSYes (true)
ASBURY PLACE
600 GRANT STREETPITTSBURGHPA15219251729266PERSONAL CAREPA501(C)(3)10ASBURY HGHTSYes (true)
ASBURY FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251555688FOUNDATIONPA501(C)(3)7ASBURY HGHTSYes (true)
WESLEY HILLS
600 GRANT STREETPITTSBURGHPA15219251507472INDEP LIVINGPA501(C)(3)PFASBURY HGHTSYes (true)
REGIONAL CANCER CENTER FOUNDATION
2500 WEST 12TH STREETERIEPA16505251631855FOUNDATIONPA501(C)(3)12A 1REGIONAL CANYes (true)
UPMC SOMERSET
225 SOUTH CENTER AVENUEPITTSBURGHPA15501250965570HOSPITALPA501(C)(3)3UPMCYes (true)
TWIN LAKES CENTER INC
225 SOUTH CENTER AVENUESOMERSETPA15501232910318DRUG TREATMENPA501(C)(3)3UPMC SOMERSEYes (true)
SOMERSET COMMUNITY HOSPITAL FOUNDATION
225 SOUTH CENTER AVENUESOMERSETPA15501251441863FOUNDATIONPA501(C)(3)12C IIIUPMC SOMERSEYes (true)
SOMERSET HEALTH SERVICES INC
225 SOUTH CENTER AVENUESOMERSETPA15501251441920PHYSICIAN SRVPA501(C)(3)3UPMC SOMERSEYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
COMMUNITY BASKET
1205 GRAMPIANWILLIAMSPORTPA17701201195739REAL ESTATEPANAfalsefalse
ST MARGARET MEDICAL ARTS ASSO
600 GRANT STPITTSBURGHPA15219251786655MED OFFICE BLPANAfalsefalse
CORE NETWORK LLC
600 GRANT STPITTSBURGHPA15219251786209HEALTHCAREPANAfalsefalse
LIFE HOME CARE LP
600 GRANT STPITTSBURGHPA15219251847839HOMECAREPANAfalsefalse
SHADYSIDE MED CENTER ASSOC
600 GRANT STPITTSBURGHPA15219251608318MED OFFICE BLPANAfalsefalse
CHARTWELL PA LP
600 GRANT STPITTSBURGHPA15219251729714HOME HEALTHPANAfalsefalse
LIFE CARE HOME SRV OF NW PA
1647 SASSAFRAS STERIEPA16507251536879HOME HEALTHPANAfalsefalse
HAMOT-KCH REAL ESTATE VENTURE
300 STATE STERIEPA16507263691782MEDICAL OFFICPANAfalsefalse
HAMOT SURGERY CENTER LLC
200 STATE STREETERIEPA16507251863661AMBULATORY SUPANAfalsefalse
EPN-HAMOT URGENT CARE LLC
600 GRANT STREETPITTSBURGHPA15219272147949URGENT CAREPANAfalsefalse
LAWRENCE CO MRI & DIAGNOST
2526 WILMINGTON AVENEW CASTLEPA16105270219891IMAGING CENTEPANAfalsefalse
HANOVER SURGICNTR REAL ESTATE LP
300 HIGHLAND AVEHANOVERPA17331352342993INACTIVEPANAfalsefalse
MEDCARE SUSQUEHANNA VALLEY LLC
409 SOUTH SECOND STREETHARRISBURGPA17104821673688DMEPANAfalsefalse
OMICELO RE I LP
2525 LIBERTY AVENUEPITTSBURGHPA15219475603393REAL ESTATEDENAfalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (83 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdForeign PostalForeignAddress/ForeignPostalCd
TYOGA CARENET
114 EAST AVEWELLSBOROPA16901251810967INACTIVEPANAC CORPfalse
SUSQUEHANNA VENTURES INC
1201 GRAMPIAN BLVDWILLIAMSPORTPA17701232470623PHARMACYPANAC CORPfalse
SUSQUEHANNA HEALTH SYS INSUR NETWORK LTD
980458722CAPTIVE INSURNAC CORPfalsePO BOX 1159 KY1-1102GRAND CAYMANSCAYMAN ISLANDSCJCJ
HC PHARMACY CENTRAL INC
600 GRANT STREETPITTSBURGHPA15219251364192PHARMACY CO-OPANAC CORPfalse
CHILDREN'S COMMUNITY CARE
600 GRANT STREETPITTSBURGHPA15219251781887PHYSICIAN SRVPANAC CORPfalse
UPMC CANCER CENTERS IRELAND LIMITED
CANCER TREATMNAC CORPfalse6TH FLOOR BEACON HOSPITALSANDYFORDDUBLINEIEI
UPMC PHYSICIAN SERVICES HOLDING COMPANY
600 GRANT STREETPITTSBURGHPA15219251877017HOLDING COPANAC CORPfalse
ONCOLOGY HEMATOLOGY ASSOC
600 GRANT STREETPITTSBURGHPA15219251762980PHYSICIAN SERVICEPANAC CORPfalse
TRI-STATE NEUROSURGICAL ASSOC
600 GRANT STREETPITTSBURGHPA15219251458655PHYSICIAN SERVICEPANAC CORPfalse
RENAISSANCE FAMILY PRACTICE-UPMC INC
600 GRANT STREETPITTSBURGHPA15219262942406PHYSICIAN SERVICEPANAC CORPfalse
UPMC HOLDING COMPANY INC
600 GRANT STREETPITTSBURGHPA15219251777713HOLDING COPANAC CORPfalse
UPMC COVERAGE PRODUCTS INC
600 GRANT STREETPITTSBURGHPA15219251777710HOLDING COPANAC CORPfalse
FREEDOM INSURANCE COMPANY
600 GRANT STREETPITTSBURGHPA15219030308944INSURANCEVTNAC CORPfalse
TRI-CENTURY INSURANCE CO
600 GRANT STREETPITTSBURGHPA15219251500739INSURANCEPANAC CORPfalse
UPMC DNA INC
600 GRANT STREETPITTSBURGHPA15219251883237INSURANCEPANAC CORPfalse
UPMC HEALTH BENEFITS INC
600 GRANT STREETPITTSBURGHPA15219251844144HEALTH INSURAPANAC CORPfalse
UPMC HEALTH NETWORK INC
600 GRANT STREETPITTSBURGHPA15219721527566HEALTH INSURAPANAC CORPfalse
UPMC HEALTH PLAN INC
600 GRANT STREETPITTSBURGHPA15219232813536HEALTH INSURAPANAC CORPfalse
UPMC BENEFIT MANAGEMENT SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251769564WORKERS' COMPPANAC CORPfalse
UPMC DIVERSIFIED SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251778454HOLDING COPANAC CORPfalse
MONROEVILLE SPECIALTY CLINIC
600 GRANT STREETPITTSBURGHPA15219251666087AMB SURGPANAC CORPfalse
MEDICAL ARCHIVAL SYSTEMS INC
600 GRANT STREETPITTSBURGHPA15219232912501SOFTWARE DEVEDENAC CORPfalse
RX PARTNERS INC
600 GRANT STREETPITTSBURGHPA15219251801966PHARMACYPANAC CORPfalse
BIOTRONICS INC
600 GRANT STREETPITTSBURGHPA15219251843500EQUIP MAINENPANAC CORPfalse
MEDICAL CENTER PROPERTIES INC
600 GRANT STREETPITTSBURGHPA15219251796940REAL ESTATEPANAC CORPfalse
ASKESIS DEVELOPMENT GROUP INC
600 GRANT STREETPITTSBURGHPA15219541625585SOFTWARE DEVEDENAC CORPfalse
PANTHER REINSURANCE COMPANY LTD
981402742INSURANCENAC CORPfalsePO BOX 1109GRAND CAYMANCJCJ
FORBES REINSURANCE COMPANY LTD
981400710INSURANCENAC CORPfalsePO BOX 1109GRAND CAYMANCJCJ
CATHEDRAL (RE) INSURANCE CO
981400837INSURANCENAC CORPfalsePO BOX 1109GRAND CAYMANCJCJ
UPMC IRELAND LIMITED
HEALTHCARE SUNAC CORPfalse6TH FLOOR BEACON HOSPITALSANDYFORDDUBLINEIEI
UPMC UNITED KINGDOM LTD
980571026SOFTWARE LICENAC CORPfalseC/O NAIRCO 11TH FLOORWHITEFRIARS LEWINS MEADBRISTOLUKUK
BAYFRONT REGIONAL DEVELOPMENT CORP
300 STATE STREETERIEPA16507251401388RE HOLDING COPANAC CORPfalse
BAYSIDE DEVELOPMENT CORP
300 STATE STREETERIEPA16507251401386REAL ESTATEPANAC CORPfalse
UPMC WORK ALLIANCE INC
600 GRANT STREETPITTSBURGHPA15219452825053INSURANCEPANAC CORPfalse
UPMC CANADA TECHNOLOGIES LIMITED
600 GRANT STREETPITTSBURGHPA15219SOFTWARECANAC CORPfalse
UPMC HEALTH COVERAGE INC
600 GRANT STREETPITTSBURGHPA15219462824537INSURANCEPANAC CORPfalse
UPMC COMPLETE CARE INC
5215 CENTRE AVEPITTSBURGHPA15232463605753PHYSICIAN SERVICEPANAC CORPfalse
AMERICAN HOME HEALTH SERVICES
868 CORPORATE WAYWESTLAKEOH44145311521422HOME HEALTHOHNAC CORPfalse
HEALTH FIDELITY INC
210 S B STREETSAN MATEOCA94401452538963TECHNOLOGYCANAC CORPfalse
FLUENCE HEALTH INC
6425 PENN AVEPITTSBURGHPA15206472684174SOFTWAREDENAC CORPfalse
CURAVI HEALTH INC
6425 PENN AVEPITTSBURGHPA15206811217377HEALTHCAREDENAC CORPfalse
PENSIAMO INC
600 GRANT STREETPITTSBURGHPA15219812069236SUPPLY CHAINDENAC CORPfalse
ALTOONA FAMILY INC
620 HOWARD AVEALTOONAPA16601251444935MGMT SVCSPANAC CORPfalse
LEXINGTON HOLDINGS INC
620 HOWARD AVEALTOONAPA16601251794386HOLDING COPANAC CORPfalse
LEXINGTON ONE INC
620 HOWARD AVEALTOONAPA16601251468889RENTALPANAC CORPfalse
LEXINGTON TWO INC
HOWARD AVE 7TH STALTOONAPA16601251555689DMEPANAC CORPfalse
LEXINGTON FOUR INC
620 HOWARD AVEALTOONAPA16601251793736HOLDING CODENAC CORPfalse
UPMC ALTOONA REGIONAL HEALTH SERVICES
1414 9TH AVEALTOONAPA16602251219302PHYSICIAN SERVICEPANAC CORPfalse
LEXINGTON ANESTHESIA ASSOCIATES INC
620 HOWARD AVEALTOONAPA16601251897765PHYSICIAN SERVICEPANAC CORPfalse
MEDCPU
100 WALL STREETNEW YORKNY10005383805381SOFTWARE DEVDENAC CORPfalse
UPMC EXCESS PL TRUST
600 GRANT STREETPITTSBURGHPA15219826254351TRUSTPANATRUSTfalse
RXANTE INC
511 CONGRESS STREETPORTLANDME04101454040219MEDICATION MGDENAC CORPfalse
J HEALTH VENTURES INC
1211 WILMINGTON AVENEW CASTLEPA16105251607893INACTIVEPANAC CORPfalse
WCA SERVICE CORPORATION INC
207 FOOTE AVEJAMESTOWNNY14701161151438SUPPORTNYNAC CORPfalse
HEMATOLOGY ONCOLOGY ASSOC
600 GRANT STREETPITTSBURGHPA15219421648357PHYSICIAN SERVICEPANAC CORPfalse
UPMC HEALTH OPTIONS INC
600 GRANT STREETPITTSBURGHPA15219462824626INSURANCEPANAC CORPfalse
ITTCCO I INC
600 GRANT STREETPITTSBURGHPA15219822590699INACTIVEDENAC CORPfalse
ITTCCO II INC
600 GRANT STREETPITTSBURGHPA15219822597388INACTIVEDENAC CORPfalse
PINNACLE HEALTH CARDIOVASCULAR INST
409 SOUTH SECOND STREETHARRISBURGPA17104320321362PHYSICIAN SERVICEPANAC CORPfalse
HANOVER HEALTH CORPORATION
300 HIGHLAND AVENUEHANOVERPA17331900498067HOLDING COPANAC CORPfalse
HANOVER APOTHECARY INC
310 STOCK STREET SUITE 1HANOVERPA17331030594526PHARMACYPANAC CORPfalse
UNTD CTRL PA RECIPROCAL RISK RETENTION
76 SAINT PAUL STREET SUITE 500BURLINGTONVT05401134224033INSURANCEVTNAC CORPfalse
PINNACLE HEALTH VENTURES INC
409 SOUTH SECOND STREETHARRISBURGPA17104611677624HOLDING COPANAC CORPfalse
PINNACLE HEALTH IMAGING INC
409 SOUTH SECOND STREETHARRISBURGPA17104231718571IMAGING SERVICESPANAC CORPfalse
COLE CARE INC
1001 EAST 2ND STREETCOUDERSPORTPA16915251497347DMEPANAC CORPfalse
UPMC ITALY HEALTH SERVICES SRL
HEALTH SERVICESNAC CORPfalseVIA DISCESA DEI GIUDICI 4PALERMOITIT90133
UPMC INVESTMENTS LTD
HOLDING CONAC CORPfalseC/O UPMC WHITFIELD CORK ROADWATERFORDBUTLERSTOWN NORTHEIEIX91 DH9W
UPMC PROPERTY LTD
PROPERTYNAC CORPfalseC/O UPMC WHITFIELD CORK ROADWATERFORDBUTLERSTOWN NORTHEIEIX91 DH9W
UPMC PROPERTY II LTD
PROPERTYNAC CORPfalseC/O UPMC WHITFIELD CORK ROADWATERFORDBUTLERSTOWN NORTHEIEIX91 DH9W
EURO CARE INFRASTRUCTURE LTD
PROPERTY MGMTNAC CORPfalseC/O UPMC WHITFIELD CORK ROADWATERFORDBUTLERSTOWN NORTHEIEIX91 DH9W
EURO CARE PROPERTY MANAGEMENT LTD
PROPERTY MGMTNAC CORPfalseC/O UPMC WHITFIELD CORK ROADWATERFORDBUTLERSTOWN NORTHEIEIX91 DH9W
EURO CARE HEALTHCARE LTD
HOSPITALNAC CORPfalseC/O UPMC WHITFIELD CORK ROADWATERFORDBUTLERSTOWN NORTHEIEIX91 DH9W
WATERFORD ONCOLOGY ASSOCIATES LTD
ONCOLOGY SERVICESNAC CORPfalseC/O UPMC WHITFIELD CORK ROADWATERFORDBUTLERSTOWN NORTHEIEI
UNITED HEALTH RISK LTD
INSURANCENAC CORPfalsePO BOX HM 2450HAMILTONBDBDN/A
BLUESPHERE BIO
6425 PENN AVENUE STE 200PITTSBURGHPA15206824979766IMMUNOTHERAPYDENAC CORPfalse
INFECTIOUS DISEASE CONNECT INC
6425 PENN AVENUE STE 200PITTSBURGHPA15206833311071TELEMEDICINEDENAC CORPfalse
HUMONIC INC
6425 PENN AVENUE STE 200PITTSBURGHPA15206834005420BIOPHARMDENAC CORPfalse
TTMS INC
6425 PENN AVENUE STE 200PITTSBURGHPA15206825443222IMMUNOTHERAPYDENAC CORPfalse
UPMC HILLMAN CANCER CENTER - PINNACLE
101 ERFORD ROADCAMP HILLPA17701833640945CANCER TREATMPANAC CORPfalse
SHANGHAI UPMC CO LTD
HEALTHCARE MGMTNAC CORPfalse288 SHIMEN 1ST ROADJINGAN DISTRICTSHANGHAICHCH200041
SALVADOR MUNDI INTERNATIONAL HOSPITAL
HOSPITALNAC CORPfalseVIALE DELLE MURA GIANICOLENSIROMA RMIT CAPITIT
SOMERSET ANESTHESIA INC
600 GRANT STREETPITTSBURGHPA15219455135437PHYSICIAN SERVICEPANAC CORPfalse
SOMERSET MANAGEMENT SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251512960MOB OWNERSHIPPANAC CORPfalse
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 OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE R, PARTS II, III, AND IVUPMC SYSTEM ENTITIES: THE 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 THEIR ULTIMATE PARENT CORPORATION.
SCHEDULE R, PARTS II, III, AND IVRELATED ORGANIZATIONS AND UNRELATED PARTNERSHIPS: THERE ARE ORGANIZATIONS INCLUDED IN THE UPMC GROUP FORM 990 TAX RETURN FOR FISCAL YEAR 2019 WHICH ARE RELATED TO SOLDIERS AND SAILORS MEMORIAL HOSPITAL (SEE PRIOR NOTE). THESE ORGANIZATIONS ARE NOT REQUIRED TO BE LISTED IN SCHEDULE R.