2020-07-15T10:00:57-05:00 2019-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2018-07-01 820880337 UPMC PINNACLE CARLISLE UPMC 7172318245 PO BOX 8700 HARRISBURG PA 171058700 ALISON BERNHARDT CHIEF FINANCIAL OFFICER 7172318245 2020-07-13 1 KERRI N BOGDA CPA P00760402 7177404863 73.101.37.214 2020-07-13 15:19:21 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F58787FA80410BAE38B710EAF9FCC5760AD3BCDF 2018 2021-01-29 14:40:06Z ALISON BERNHARDT PO BOX 8700 HARRISBURG PA 171058700 129997962 0 X WWW.UPMCPINNACLE.COM X 2017 PA PROVIDING QUALITY SERVICE AND SAFE, COMPASSIONATE MEDICAL CARE. 20 17 714 107 241774 2247 0 0 108998390 129473954 32247 100734 108988 104827 109139625 129679515 0 0 0 0 42300252 41751021 0 0 0 73559181 73762591 115859433 115513612 -6719808 14165903 113052683 112663087 10711649 7896772 102341034 104766315 X WE ARE A COMMUNITY HOSPITAL PROVIDING QUALITY SERVICE AND SAFE, COMPASSIONATE MEDICAL CARE. 0 0 94778094 0 129232180 UPMC PINNACLE CARLISLE IS A 165-BED FACILITY IN THE HEART OF CUMBERLAND COUNTY IN CARLISLE, PA OFFERING A WIDE RANGE OF SERVICES INCLUDING CANCER CARE, EMERGENCY CARE, LABORATORY AND IMAGING SERVICES, A LEVEL I NURSERY, ORTHOPEDICS, REHABILITATION, SURGERY AND A WOMEN'S CENTER.WE SERVE CUMBERLAND AND PERRY COUNTIES. IN KEEPING WITH OUR MISSION OF CARING FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, UPMC PINNACLE CARLISLE HOSPITAL IS A FORCE FOR STABILITY, STRENGTH, AND RELIABILITY FOR THOSE WE SERVE. IN ADDITION TO FINANCIAL SUPPORT, ONE OF OUR FUNDAMENTAL VALUES AT UPMC PINNACLE CARLISLE IS OUR COMMITMENT TO OUR LOCAL COMMUNITY. WE MAINTAIN THIS COMMITMENT BOTH COLLECTIVELY AS AN ORGANIZATION AND INDIVIDUALLY IN OUR PERSONAL CONTRIBUTIONS. OUR ASSOCIATES, PHYSICIANS AND HOSPITAL VOLUNTEERS CONTINUOUSLY SEEK WAYS TO PROVIDE THE HIGHEST QUALITY CARE AVAILABLE TO OUR PATIENTS AND TO TAKE IMPORTANT HEALTH EDUCATION AND AWARENESS INFORMATION OUT INTO OUR COMMUNITY. WE ARE COMMITTED TO OFFERING HIGH-QUALITY HEALTH CARE, STATE-OF-THE ART EQUIPMENT, EXPANSIVE SERVICES AND UNIQUE PROGRAMS. COMMUNITY HEALTH IMPROVEMENT SERVICESTAKING HEALTH CARE BEYOND THE DOORS OF ITS HOSPITALS, CLINICS, AND OFFICES, AND BRINGING IT INTO THE REGION'S TOWNS, SCHOOLS AND WORKPLACES, UPMC PINNACLE CARLISLE IS HELPING CREATE HEALTHIER COMMUNITIES ACROSS CENTRAL PENNSYLVANIA. THROUGH ITS CHARITABLE GIVING AND COMMUNITY INITIATIVES, UPMC PINNACLE CARLISLE IS MAKING A DIFFERENCE IN THE HEALTH AND WELL-BEING OF ITS NEIGHBORS. FROM PUBLIC HEALTH AND WELLNESS INITIATIVES TO SCHOOL HEALTH SCREENINGS, INSURANCE ENROLLMENT HELP, HOME-VISIT PROGRAMS, CHARITY CARE, AND FREE HEALTH CLASSES, UPMC PINNACLE CARLISLE PROVIDES BENEFITS TO THE COMMUNITY. UPMC PINNACLE CARLISLE OFFERS A VARIETY OF FREE COMMUNITY PROGRAMS THAT ARE MAKING A DIFFERENCE IN THE LIVES OF CENTRAL PENNSYLVANIANS EVERY DAY, INCLUDING:1) HEALTH EDUCATION SEMINARS ARE HELD AT VARIOUS LOCATIONS WITHIN THE COMMUNITY TO EDUCATE PEOPLE ON VARIOUS CONDITIONS. 2) WELLNESS AND SCREENING PROGRAMS ARE PROVIDED INCLUDING:- CHOLESTEROL SCREENINGS- PROSTATE SCREENINGS- INFANT DEVELOPMENT SCREENINGS- SPEECH AND HEARING SCREENINGS- DEPRESSION AND ANXIETY SCREENINGS- BONE DENSITY SCREENINGS- NUTRITION THERAPY EDUCATION PROGRAMS- LEAD POISONING SCREENINGS 94778094 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 X 0 0 714 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 20 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X ALISON BERNHARDT CHIEF FINANCIAL O 7172318245 PO BOX 8700 HARRISBURG PA 171058700 PHILIP GUARNESCHELLI PRESIDENT/CEO 1.00 39.00 X X 0 1375741 35711 LESLIE DAVIS DIRECTOR 1.00 1.00 X 0 0 0 RICHARD HAMILTON DIRECTOR 1.00 1.00 X 0 0 0 EDWARD KARLOVICH DIRECTOR 1.00 1.00 X 0 0 0 DAVID MARTIN DIRECTOR 1.00 1.00 X 0 0 0 ROBERT MONTLER DIRECTOR 1.00 1.00 X 0 0 0 STEVEN SHAPIRO MD DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL L FERNANDEZ MD DIRECTOR/MEDICAL DIRECTOR 1.00 1.00 X 0 37583 0 JOHN C HICKEY CHAIR 1.00 1.00 X X 0 0 0 MARK GLESSNER DIRECTOR 1.00 1.00 X 0 0 0 YVONNE HOLLINS DIRECTOR 1.00 1.00 X 0 0 0 CAROLYN KREAMER PHD DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL MURCHIE DIRECTOR 1.00 1.00 X 0 0 0 DOUG NEIDICH VICE CHAIR 1.00 1.00 X X 0 0 0 KENNETH OKEN MD DIRECTOR 1.00 1.00 X 0 119167 0 CYNTHIA TOLSMA DIRECTOR 1.00 1.00 X 0 0 0 JONATHAN VIPOND III DIRECTOR 1.00 1.00 X 0 0 0 PAUL SPEARS MD DIRECTOR 1.00 1.00 X 0 0 0 RONALD KRATZ MD DIRECTOR 1.00 1.00 X 0 0 0 JOHN KUNKLE DIRECTOR 1.00 1.00 X 0 0 0 CHRISTOPHER P MARKLEY ESQ SEC'Y/SR VP STAT SVC/GEN COUNSEL 7.00 33.00 X 0 636796 31392 WILLIAM H PUGH EVP-TREASURER/CFO 7.00 33.00 X 0 912948 24684 ALISON BERNHARDT VP, CORP ACCT&RPT/CFO 1.00 39.00 X 0 379089 12862 CHRISTIAN CAICEDO MD SVP & PRESID., DAUPHIN/SECRETARY 20.00 20.00 X 0 664138 35294 JOHN DELORENZO ASSISTANT SECRETARY 1.00 39.00 X 0 212583 28106 SAPNA PARAMALE PHYSICIST 40.00 X 144567 0 13707 SHAWN HANNOLD CLINICAL STAFF PHARMACIST 40.00 X 136052 0 25499 PAUL MAKOSKY CLINICAL STAFF PHARMACIST 40.00 X 130420 0 26565 ANN SPADE VP & CNO (RES. 2/18) 40.00 X 176015 0 14263 MARK REYNGOUDT VP, FINANCE (RES. 2/18) 40.00 X 154201 0 10842 MICHAEL A YOUNG FORMER PRESIDENT/CEO (RES. 03/17) 0.00 X 0 1035976 9539 DAVID STEITZ FORMER PRES./SEC./VP OPS(RES. 02/18) 0.00 X 254169 0 15475 995424 5374021 283939 40 1 1 0 BLUE MOUNTAIN ANESTHESIA ASSO PC 361 ALEXANDER SPRING RD CARLISLE PA 17013 CONTRACT HEALTH SVCS. 1634167 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 STAFFING SERVICES 1076471 ALLIED RESOURCES MEDICAL STAFFING 135 DOWLIN FORGE RD EXTON PA 19341 STAFFING SERVICES 682879 COMPHEALTH PO BOX 972651 DALLAS TX 75397 STAFFING SERVICES 661165 DIVERSIFIED CLINICAL SERVICES INC 2825 NETWORK PLACE CHICAGO IL 60673 CONTRACT HEALTH SVCS.. 624606 20 PATIENT REVENUE, NET 621500 126652808 126411034 241774 MA MODERNIZATION 621500 2296961 2296961 MISC INPATIENT/OUTPATIENT 621990 456752 456752 COMMUNITY PROGRAM REVENUE 900099 58699 58699 RADIOLOGY & LAB SERVICE REVENUE 621990 6709 6709 2025 2025 129473954 6846 6846 119545 62146 57399 57399 57399 350189 256301 93888 93888 93888 REFUNDS & REBATES 900099 29851 29851 APPLICATION FEES 900099 12852 12852 VENDING MACHINE 900099 3961 3961 764 764 47428 129679515 129232180 241774 205561 X 34510044 32253969 2256075 1290028 1178923 111105 3669591 3365044 304547 2281358 2057559 223799 12158931 12158931 13225941 10633799 2592142 231608 14123 217485 2191773 1972838 218935 965294 849107 116187 6352839 4966748 1386091 82430 57013 25417 36174 27804 8370 40073 36066 4007 6773642 5928780 844862 165000 87646 77354 UBIT TAXES 96015 96015 PHARMACY 15652753 15652753 MEDICAL SUPPLIES 11971145 11971145 MEDICAID MODERNIZATION 2252240 2252240 1566733 1472537 94196 115513612 94778094 20735518 0 915 575 933803 304235 12208457 16698870 4389123 2161853 2338199 1944084 103012069 11894157 93182186 91117912 0 435558 113052683 112663087 9632685 7579647 664210 317125 414754 0 10711649 7896772 X 102341034 104766315 102341034 104766315 113052683 112663087 X 14165903 -11740622 X X 0 1 X 1 0 X 4323500 4323500 73427799 3592939 69834860 1176913 144377 1032536 15642438 5284467 10357971 8441419 2872374 5569045 91117912 X PART X, LINE 2: 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. CERTAIN OF THE COMPANY'S SUBSIDIARIES ARE SUBJECT TO TAXATION IN THE UNITED STATES, VARIOUS STATES AND FOREIGN JURISDICTIONS. THE COMPANY'S RETURN FOR THE FISCAL YEAR ENDED JUNE 30, 2017 IS OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 0 1236299 1236299 0.01070 10908346 5275108 5633238 0.04880 12144645 5275108 6869537 0.05950 576211 576211 0.00500 576211 576211 0.00500 12720856 5275108 7445748 0.06450 1 3292946 0 29494017 34460313 -4966296 X 1 1 1 1 UPMC PINNACLE CARLISLE 361 ALEXANDER SPRING ROAD CARLISLE PA 17015 WWW.UPMCPINNACLE.COM 035801 UPMC PINNACLE CARLISLE 820880337 X UPMC PINNACLE CARLISLE 1 0 1 1 X X X X X X X X 18 1 1 0 1 X WWW.UPMCPINNACLE.COM X WWW.PPIMHS.ORG X X 1 18 1 WWW.UPMCPINNACLE.COM 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.UPMCPINNACLE.COM X WWW.UPMCPINNACLE.COM X WWW.UPMCPINNACLE.COM X X X X X X 1 X 0 X X X X 1 X 0 0 UPMC PINNACLE CARLISLE PART V, SECTION B, LINE 2: EFFECTIVE JULY 1, 2017, UPMC PINNACLE (THEN PINNACLE HEALTH SYSTEM) ACQUIRED CARLISLE REGIONAL MEDICAL CENTER, NOW NAMED UPMC PINNACLE CARLISLE. WITH THIS ACQUISITION, UPMC PINNACLE CARLISLE HAS ADOPTED UPMC PINNACLE'S CHARITY CARE POLICIES AND ASSUMES UPMC PINNACLE'S NON-PROFIT STATUS, AS WELL AS ITS MISSION, VISION AND VALUES. BRINGING THIS HOSPITAL INTO THE UPMC PINNACLE NETWORK IS A SIGNIFICANT OPPORTUNITY TO SERVE MORE COMMUNITIES, ACHIEVE OUR MISSION OF PROVIDING THE HIGHEST QUALITY CARE, AND INCREASE ACCESS TO CARE ACROSS THE REGION. UPMC PINNACLE CARLISLE PART V, SECTION B, LINE 5: ORGANIZATIONS AND COMMUNITY LEADERS WITHIN THE FIVE-COUNTY REGION WERE ENGAGED TO IDENTIFY THE NEEDS OF THE COMMUNITY. FAITH-BASED ORGANIZATIONS, COMMUNITY ORGANIZATIONS, GOVERNMENT AGENCIES, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICES ENTITIES WERE ENGAGED THROUGHOUT THE CHNA. THE COMPREHENSIVE PRIMARY DATA COLLECTION PHASE RESULTED IN THE CONTRIBUTION OF OVER 900 COMMUNITY STAKEHOLDERS/LEADERS, ORGANIZATIONS, AND COMMUNITY GROUPS. THE PRIMARY DATA COLLECTION CONSISTED OF SEVERAL PROJECT COMPONENT PIECES. TWENTY-SEVEN COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS WHO REPRESENTED A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED OR C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. OVERALL, 831 PAPER HAND SURVEYS WERE COLLECTED FROM COMMUNITY RESIDENTS. WE WORKED CLOSELY WITH 47 COMMUNITY ORGANIZATIONS TO DISTRIBUTE AND GATHER THE HAND SURVEY FROM COMMUNITY RESIDENTS. FORTY-TWO COMMUNITY LEADERS AND REPRESENTATIVES ATTENDED A COMMUNITY FORUM TO PRIORITIZE HEALTH NEEDS, WHICH WILL ASSIST IN THE IMPLEMENTATION AND PLANNING PHASE. A RESOURCE INVENTORY WAS GENERATED TO HIGHLIGHT AVAILABLE PROGRAMS AND SERVICES WITHIN THE FIVE-COUNTY SERVICE AREA. THE RESOURCE INVENTORY IDENTIFIES AVAILABLE ORGANIZATIONS AND AGENCIES THAT SERVE THE REGION WITHIN EACH OF THE PRIORITY NEEDS.A SIGNIFICANT PROJECT COMPONENT PIECE OF THE CHNA WAS THE COMPILATION OF A REGIONAL PROFILE (SECONDARY DATA ANALYSIS). THE REGIONAL PROFILE WAS COMPOSED UTILIZING LOCAL, STATE, AND FEDERAL FIGURES PROVIDING VALUABLE INFORMATION ON A WIDE ARRAY OF HEALTH AND SOCIAL ISSUES. THE WORKING GROUP EXAMINED AND DISCUSSED DIFFERENT SOCIOECONOMIC ASPECTS, HEALTH OUTCOMES, AND HEALTH FACTORS THAT AFFECT RESIDENTS' BEHAVIORS; SPECIFICALLY, THE INFLUENTIAL FACTORS THAT IMPACT THE HEALTH OF RESIDENTS.AS PART OF THE CHNA PHASE, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS IN THE SERVICE AREA TO UNDERSTAND BETTER THE CHANGING COMMUNITY HEALTH ENVIRONMENT. COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED DURING LATE DECEMBER 2017 THROUGH EARLY FEBRUARY 2018. COMMUNITY STAKEHOLDERS TARGETED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING: 1) PUBLIC HEALTH EXPERTISE; 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA; 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS; 4) GOVERNMENT LEADERS; AND 5) RELIGIOUS LEADERS. IN TOTAL, 27 INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND STAKEHOLDERS. UPMC PINNACLE CARLISLE PART V, SECTION B, LINE 6A: UPMC PINNACLE HOSPITALSPENNSYLVANIA PSYCHIATRIC INSTITUTE UPMC PINNACLE CARLISLE PART V, SECTION B, LINE 7D: COMMUNITY EVENTS UPMC PINNACLE CARLISLE PART V, SECTION B, LINE 15E: IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR. UPMC PINNACLE CARLISLE PART V, SECTION B, LINE 20E: ANY INDIVIDUAL WHO CALLS HOSPITAL CUSTOMER SERVICE AND MENTIONS THEY CANNOT AFFORD TO PAY THE AMOUNT BILLED IS ORALLY NOTIFIED OF THE FAP AND THE FAP PROCESS. PART I, LINE 7: THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID COSTS ARE CALCULATED BY THE HOSPITAL'S COST-TO-CHARGE RATIO FOR EACH OF THE INDIVIDUAL SERVICES PROVIDED TO THE PATIENT. IT UTILIZES HOSPITAL EXPENSES FROM THE GENERAL LEDGER AND REVENUE DETAILS FROM THE PATIENT ACCOUNTING SYSTEM. EACH DEPARTMENT WITHIN THE HOSPITAL IS CLASSIFIED AS EITHER INDIRECT (OVERHEAD) OR DIRECT (PATIENT CARE AREAS). EXPENSES ARE CLASSIFIED AS FIXED OR VARIABLE AS THEY RELATE TO PATIENT VOLUME. LOGICAL STATISTICS ARE USED TO ALLOCATE OVERHEAD EXPENSES TO THE PATIENT CARE DEPARTMENTS. USING EITHER A RATIO OF COST-TO-CHARGE OR RVUS (RELATIVE VALUE UNITS), THE DIRECT AND INDIRECT COSTS FOR EACH DEPARTMENT ARE ALLOCATED TO THE SERVICES THEY PROVIDE. PART I, LINE 7G: LOSSSES FROM PRIMARY CARE AND CLINICS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $3,292,946 IS INCLUDED IN NET PATIENT REVENUE ON FORM 990, PART VIII, LINE 2A, AND THEREFORE IS NOT INCLUDED FOR THE PURPOSES OF CALCULATING THE APPLICABLE EXPENSE PERCENTAGES OF SCHEDULE H. PART III, LINE 3: THE PERCENTAGE OF GROSS CHARGES REPRESENTED BY THOSE PATIENTS QUALIFYING FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AS COMPARED TO TOTAL GROSS CHARGES WAS CALCULATED. THIS PERCENTAGE WAS APPLIED TO THE ESTIMATED NET BAD DEBTS AMOUNT TO ESTIMATE THE AMOUNT OF BAD DEBTS ASSOCIATED WITH PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THIS AMOUNT IS BEING REFLECTED AS A COMMUNITY BENEFIT SINCE THIS AMOUNT IS NOT BEING PURSUED UNDER THE HOSPITAL'S BAD DEBT POLICY BUT TO THE QUALIFICATION FOR FINANCIAL ASSISTANCE BY THE PATIENT. PART III, LINE 4: THE FINANCIAL STATEMENTS DO NOT HAVE A SPECIFIC NOTE ON BAD DEBT EXPENSE; RATHER THE FINANCIAL STATEMENTS EVALUATE BAD DEBTS IN ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE FOOTNOTE RELATED TO THE ALLOWANCE IS SUMMARIZED AS FOLLOWS: "ACCOUNTS RECEIVABLE ARE RECORDED AT THEIR ESTIMATED NET REALIZABLE VALUE. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BASED UPON HISTORICAL COLLECTION RATES."THE BAD DEBT EXPENSE ON PART III, LINE 2 WAS CALCULATED BY TAKING THE AMOUNT WRITTEN OFF TO BAD DEBT FOR EACH ACCOUNT AND CONVERTING IT TO CHARGES BY APPROPRIATELY ADJUSTING THE AMOUNT BY THE PAYOR REIMBURSEMENT PERCENTAGE FOR THAT ACCOUNT. THEN, THE COST-TO-CHARGE RATIO METHODOLOGY FOR EACH SPECIFIC ACCOUNT, UTILIZING THE COSTS FROM THE HOSPITAL COST ACCOUNTING SYSTEM (DESCRIBED IN DETAIL ABOVE), WAS APPLIED TO THIS CALCULATED PORTION OF THE TOTAL CHARGES. PART III, LINE 8: THE MEDICARE COSTS WERE DETERMINED BASED ON THE HOSPITAL'S COST-TO-CHARGE RATIO FOR THE SERVICES RENDERED. PART III, LINE 9B: PATIENTS ARE NOTIFIED OF OUR CHARITY CARE POLICY IN A VARIETY OF WAYS. THERE ARE POSTERS INFORMING PATIENTS OF OUR CHARITY CARE POLICY AND A PLAIN LANGUAGE VERSION OF THE POLICY IS HANDED OUT TO THE UNINSURED AT ALL THE REGISTRATION SITES. ALL OF OUR PATIENT ACCOUNT STATEMENTS CONTAIN LANGUAGE THAT INDICATES THERE IS FINANCIAL AID AVAILABLE FOR QUALIFYING INDIVIDUALS. IN ADDITION, THE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE IN BOTH ENGLISH AND SPANISH. PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE AND PROVIDE ALL THE NECESSARY DOCUMENTATION REQUIREMENTS ARE NOTIFIED WITHIN THIRTY DAYS OF THE HOSPITAL'S DECISION. WHEN THE APPROVAL IS DETERMINED, THE APPROPRIATE DISCOUNT IS POSTED TO THE PATIENT ACCOUNT IMMEDIATELY. THE FINANCIAL ASSISTANCE DISCOUNT WILL BE APPLIED TO SERVICES FOR THE PREVIOUS TWELVE MONTHS AND SUBSEQUENT SIX MONTHS. THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. NO ADDITIONAL COLLECTION EFFORTS ARE MADE. APPLICANTS APPROVED FOR ONLY PARTIAL DISCOUNT WILL BE REQUIRED TO MAKE REASONABLE PAYMENT ARRANGEMENTS ON THEIR BALANCE IN ACCORDANCE WITH THE HOSPITAL'S CREDIT AND COLLECTION POLICY. THIS POLICY DOES PERMIT THE USE OF BOTH INTERNAL COLLECTION STAFF AND EXTERNAL COLLECTION AGENCIES WHO WILL ENGAGE IN STANDARD ACCEPTABLE BUSINESS PRACTICES WHICH INCLUDE PHONE CALLS, MAILING AND THE REPORTING OF UNPAID DEBT TO THE CREDIT REPORTING AGENCIES; BUT UNDER NO CIRCUMSTANCES WILL THE HOSPITALS OR ITS CONTRACTED COLLECTION AGENCY ADOPT "EXTRAORDINARY COLLECTION ACTIONS" THAT ENTAIL ANY LEGAL COURSE OF ACTION OR JUDICIAL PROCESSES SUCH AS LAWSUITS OR LIENS. PART VI, LINE 2: TO IMPROVE THE HEALTH OF THE RESIDENTS OF THE COMMUNITIES IT SERVES, UPMC PINNACLE CARLISLE PROVIDES EXTENSIVE HEALTH EDUCATION AND WELLNESS OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY THROUGH NUTRITION EDUCATION, WEIGHT LOSS, DIABETES MANAGEMENT AND SUPPORT GROUPS. UPMC PINNACLE CARLISLE CONDUCTS VARIOUS FREE HEALTH SCREENINGS INCLUDING BLOOD PRESSURE, BONE DENSITY, BODY MASS AND BODY FAT ANALYSIS, SLEEP APNEA SCREENINGS, AND STROKE RISK ASSESSMENTS. UPMC PINNACLE CARLISLE PROVIDES COMMUNITY OUTREACH AND ENGAGEMENT BY ACTIVELY PARTICIPATING IN COMMUNITY EVENTS.IN ACCORDANCE WITH THE IRS GUIDELINES, UPMC PINNACLE CARLISLE COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT IN FALL 2017. ORGANIZATIONS AND COMMUNITY LEADERS WITHIN THE FIVE-COUNTY REGION WERE ENGAGED TO IDENTIFY THE NEEDS OF THE COMMUNITY. FAITH-BASED ORGANIZATIONS, COMMUNITY ORGANIZATIONS, GOVERNMENT AGENCIES, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICES ENTITIES WERE ENGAGED THROUGHOUT THE CHNA. THE COMPREHENSIVE PRIMARY DATA COLLECTION PHASE RESULTED IN CONTRIBUTIONS FROM OVER 900 COMMUNITY RESIDENTS, LEADERS, ORGANIZATIONS, AND COMMUNITY STAKEHOLDERS. THE PRIMARY DATA COLLECTED CONSISTED OF TWENTY-SEVEN COMMUNITY STAKEHOLDER INTERVIEWS; 831 PAPER HAND SURVEYS WERE COLLECTED FROM COMMUNITY RESIDENTS; FORTY TWO COMMUNITY LEADERS ATTENDED A COMMUNITY FORUM. AS A RESULT OF THE EXTENSIVE PRIMARY AND SECONDARY RESEARCH, COMMUNITY MEMBERS, COMMUNITY LEADERS, AND PROJECT LEADERSHIP IDENTIFIED THREE REGIONAL PRIORITIES; ACCESS TO CARE, BEHAVIORAL HEALTH AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. WITH THE COMPLETION OF THE CHNA, UPMC PINNACLE CARLISLE, UPMC PINNACLE HOSPITALS, AND PENNSYLVANIA PSYCHIATRIC INSTITUTE WILL DEVELOP AN IMPLEMENTATION PLAN TO LEVERAGE ORGANIZATIONAL RESOURCES TO BEST ADDRESS COMMUNITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH AND WELL-BEING OF RESIDENTS OF SOUTH CENTRAL PENNSYLVANIA IN 2018 AND BEYOND.WITH THE COMPLETION OF THE CHNA, UPMC PINNACLE HOSPITALS, UPMC PINNACLE CARLISLE, AND PENNSYLVANIA PSYCHIATRIC INSTITUTE WILL DEVELOP AN IMPLEMENTATION PLAN TO LEVERAGE THE ORGANIZATION'S RESOURCES TO BEST ADDRESS COMMUNITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH AND WELL-BEING OF RESIDENTS OF SOUTH CENTRAL PENNSYLVANIA IN 2018. IN MAY 2019 THE UPMC PINNACLE BOARD OF DIRECTORS APPROVED A FIVE-COUNTY REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY FOR CUMBERLAND, DAUPHIN, LEBANON, PERRY AND YORK COUNTIES.PRIORITY 1: ACCESS TO CARE- THE GOAL IS TO EXPAND THE HEALTH CARE REACH TO RURAL AND HOMEBOUND POPULATIONS. ANTICIPATED IMPACT IS THAT RURAL AND HOMEBOUND POPULATIONS HAVE INCREASED ACCESS TO HEALTH CARE SERVICES.STRATEGY 1: STRENGTHEN ACCESS TO SPECIALTY PROVIDER-BASED SERVICES AND SUPPORTIVE SERVICES, AND INCREASE UTILIZATION OF HEALTH CARE SERVICES BY COMMUNITY MEMBERS. WE WILL PROVIDE INSURANCE ENROLLMENT SPECIALIST AND FINANCIAL AID COUNSELORS TO ENROLL UNINSURED ADULTS AND CHILDREN IN APPROPRIATE INSURANCE PLANS. WE WILL OPTIMIZE THE PATIENT-CENTERED MEDICAL HOME BY USING TECHNOLOGY AND CONNECTING WITH OUR COMMUNITY PARTNERS AND COMMUNITY HEALTH CENTERS. WE WILL COLLABORATE WITH COMMUNITY HEALTH CENTER STAFF TO REVIEW CASES OF HIGH UTILIZATION AND ACUITY. WE WILL MAINTAIN A CONTINUED PARTNERSHIP WITH COMMUNITY HEALTH CENTERS AND CLINICS TO COORDINATE CARE TO UNINSURED, UNDERINSURED, AND DIVERSE POPULATIONS.STRATEGY 2: STRENGTHEN ACCESS TO DENTAL PROVIDER-BASED SERVICES, SUPPORTIVE SERVICES, AND UTILIZATION OF DENTAL SERVICES BY COMMUNITY MEMBERS. PROMOTE INCREASED UTILIZATION OF THE SMILES PROGRAM TO MINIMIZE DENTAL CARE AS A BARRIER TO OVERALL HEALTH STATUS IMPROVEMENT. COORDINATE CARE OF URGENT DENTAL NEEDS IN THE EMERGENCY DEPARTMENT.STRATEGY 3: PROVIDE PATIENT ACCESS TO HEALTH CARE RESOURCES IN THE RESIDENTS' FIRST LANGUAGE BY EXPANDING OUR INTERPRETATION SERVICES TO PATIENTS; EXPAND TRANSLATION OF MEDICAL DOCUMENTS TO PATIENTS. STRATEGY 4: INCREASE ACCESS TO EVIDENCE-BASED SMOKING CESSATION AND PREVENTION PROGRAMS THROUGH CONTINUED TOBACCO CESSATION AND SMOKING PREVENTION PROGRAMS. STRATEGY 5: INCREASE NUMBER OF PATIENTS RECEIVING CARE COORDINATION SERVICES BY EXPLORING PAYER OPTIONS FOR PAYMENT PROGRAMS AND EXPLORING CHRONIC CARE MANAGEMENT BILLING.PRIORITY 2: BEHAVIORAL HEALTH- THE GOAL IS TO IMPROVE BEHAVIORAL HEALTH ILLNESSES BY PROVIDING ACCESS TO QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE PROGRAMS, PROVIDING EDUCATION THAT ADDRESSES THE WHOLE PERSON, AND INCREASING OUR PREVENTION, EDUCATION, AND TREATMENT SERVICES.STRATEGY 1: CONDUCT MENTAL HEALTH SCREENINGS TO REDUCE THE OCCURRENCE OF SUICIDE.STRATEGY 2: PROVIDE MENTAL HEALTH TRAINING TO LAW ENFORCEMENT OFFICERS.STRATEGY 3: IMPLEMENT AN INTEGRATED CARE MODEL FOR BEHAVIORAL HEALTH AT UPMC PINNACLE HOSPITALS.STRATEGY 4: PROVIDE EARLY ENGAGEMENT AND SUPPORT FOR PSYCHOSIS.STRATEGY 5: IMPLEMENT TRAUMA INFORMED CARE (TIC) TO MEET THE NEEDS OF THE WHOLE PERSON. STRATEGY 6: IMPROVE ACCESS TO HEALTH CARE THROUGH A MEDICAL HOME.STRATEGY 7: PROVIDE DIRECT ACCESS FOR THOSE EXPERIENCING A MENTAL HEALTH CRISIS.STRATEGY 8: IMPROVE ACCESS TO MENTAL HEALTH CARE THROUGH TELE-PSYCHIATRY.STRATEGY 9: IMPROVE BEHAVIORAL HEALTH OF CHILDREN AND ADOLESCENTS.STRATEGY 10: IMPROVE ACCESS TO MEDICATED ASSISTED TREATMENT (MAT).STRATEGY 11: PROVIDE STEPS TO RECOVERY FOR PREGNANT WOMEN FACING ADDICTION. STRATEGY 12: COLLABORATE WITH CENTER FOR ADDICTION RECOVERY ACTIONS TO IMPROVE THE WARM HANDOFF PROCESSES IN THE EMERGENCY DEPARTMENT AND PROVIDE ONGOING X WAIVER TRAINING SESSIONS.PRIORITY 3: SOCIAL DETERMINANTS OF HEALTH- THE GOAL IS TO INCREASE KNOWLEDGE OF ACCESS AND OPPORTUNITY TO UPMC PINNACLE RESOURCES IN RURAL COMMUNITIES AND UNDERSERVED POPULATIONS.STRATEGY 1: ADDRESS INCOME, EDUCATION AND EMPLOYMENT DETERMINANTS OF HEALTH THAT NEGATIVELY IMPACT A HEALTHY AND DIVERSE WORKFORCE AND PREVENTIVE CARE.STRATEGY 2: ADDRESS TRANSPORTATION BARRIERS TO REDUCE MISSED APPOINTMENTS DUE TO UNRELIABLE OR NO TRANSPORTATION WHICH NEGATIVELY IMPACTS PREVENTIVE CARE AND INCREASES ER VISITS.STRATEGY 3: ASSIST HOMELESS RECIPIENTS WITHIN THE UPMC PINNACLE FOOTPRINT WITH MOVING FROM THE STREETS INTO STRUCTURED, LONG-TERM CARE THROUGH COLLABORATION WITH COMMUNITY PARTNERS.STRATEGY 4: IMPROVE LANGUAGE ACCESS GIVEN THROUGH THE DEVELOPMENT AND PROMOTION OF CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES.AS UPMC PINNACLE CARLISLE LOOKS TOWARDS THE FUTURE, WE ENSURE THAT OUR CORE VALUES OF QUALITY, ACCESS TO CARE, AND COORDINATION OF CARE ARE AT THE CENTER OF ALL OF OUR ORGANIZATIONAL STRATEGIES. WE EMBRACE OUR COMMUNITY PARTNERS AND WORK COLLABORATIVELY WITH THEM TO STRENGTHEN THE SUPPORT SYSTEMS THAT WILL ALLOW US AND OUR PARTNERS TO MAINTAIN POSITIVE HEALTH OUTCOMES. PART VI, LINE 3: PATIENTS ARE INFORMED OF AVAILABLE ASSISTANCE IN NUMEROUS WAYS. SIGNAGE IS POSTED AND LITERATURE IS HANDED OUT TO THE UNINSURED AT ALL THE REGISTRATION SITES INDICATING TO THE PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. ALL UNINSURED PATIENTS WHO ARE SCHEDULED FOR HIGH DOLLAR TESTS AND SURGERIES ARE CONTACTED BY ONE OF THE HOSPITAL'S FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO THEM. THE FINANCIAL ASSISTANCE POLICY IS ALSO DISCLOSED ON THE HOSPITAL WEBSITE, ALONG WITH THE APPLICATION, IN BOTH ENGLISH AND SPANISH. IN ADDITION, ALL IN-PATIENTS WHO ARE RESIDENTS OF PENNSYLVANIA ARE PROVIDED PERSONAL ASSISTANCE IN THE COMPLETION OF THE MEDICAL ASSISTANCE APPLICATION. AS PART OF THE DISCHARGE PROCESS IN THE EMERGENCY DEPARTMENT, ALL UNINSURED PATIENTS ARE SCREENED FOR CHARITY CARE ELIGIBILITY UNDER THE HOSPITAL POLICY, AND IF APPROPRIATE PROVIDED ASSISTANCE IN APPLYING FOR MEDICAID OR OBTAINING INSURANCE THROUGH HEALTHCARE.GOV. LASTLY, INFORMATION ABOUT FINANCIAL ASSISTANCE IS INCLUDED ON THE PATIENT BILLING STATEMENTS. PROGRAMS DISCUSSED INCLUDE THE PENNSYLVANIA STATE MEDICAID PROGRAM (MEDICAL ASSISTANCE), HOSPITAL CHARITY CARE PROGRAM, AND FUNDS AVAILABLE THROUGH HOSPITAL ENDOWMENT FUNDS.IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC) FOOD STAMP ELIGIBILITY AND OTHER STATE OR LOCAL ASSISTANCE THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS A VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR. PART VI, LINE 4: UPMC PINNACLE CARLISLE IS A 165 BED FACILITY IN THE HEART OF CUMBERLAND COUNTY IN CARLISLE, PA.THE STUDY AREA FOR THE UPMC PINNACLE 2018 CHNA SHOWS THAT THE FIVE COUNTIES ARE PROJECTED TO HAVE A POPULATION GROWTH FROM 2017-2022 OF 2.4%. CUMBERLAND COUNTY, WHERE UPMC PINNACLE CARLISLE IS LOCATED, IS PROJECTED TO HAVE POPULATION GROWTH OF 3.5% WITH ROUGHLY 9.5 THOUSAND NEW RESIDENTS. PART VI, LINE 5: THE ORGANIZATION DEVELOPED AN IMPLEMENTATION PLAN BASED ON THE CHNA PERFORMED IN 2018 WHICH WAS APPROVED BY THE BOARD IN MAY 2019. IMPLEMENTATION AS OUTLINED IN LINE 2 HAS BEGUN.TO IMPROVE THE HEALTH OF THE RESIDENTS OF THE COMMUNITIES IT SERVES UPMC PINNACLE CARLISLE PROVIDES EXTENSIVE HEALTH EDUCATION AND WELLNESS OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY THROUGH NUTRITION EDUCATION, WEIGHT LOSS, DIABETES MANAGEMENT AND SUPPORT GROUPS. UPMC PINNACLE CARLISLE CONDUCTS VARIOUS FREE HEALTH SCREENINGS INCLUDING BLOOD PRESSURE, BONE DENSITY, BODY MASS AND BODY FAT ANALYSIS, SLEEP APNEA SCREENINGS, AND STROKE RISK ASSESSMENTS. UPMC PINNACLE CARLISLE PROVIDES COMMUNITY OUTREACH AND ENGAGEMENT BY ACTIVELY PARTICIPATING IN COMMUNITY EVENTS. ORGANIZATIONS AND COMMUNITY LEADERS WITHIN THE FIVE-COUNTY REGION WERE ENGAGED TO IDENTIFY THE NEEDS OF THE COMMUNITY. FAITH-BASED ORGANIZATIONS, COMMUNITY ORGANIZATIONS, GOVERNMENT AGENCIES, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICES ENTITIES WERE ENGAGED THROUGHOUT THE CHNA. THE COMPREHENSIVE PRIMARY DATA COLLECTION PHASE RESULTED IN CONTRIBUTIONS FROM OVER 900 COMMUNITY RESIDENTS, LEADERS, ORGANIZATIONS, AND COMMUNITY STAKEHOLDERS. THE PRIMARY DATA COLLECTED CONSISTED OF TWENTY-SEVEN COMMUNITY STAKEHOLDER INTERVIEWS; 831 PAPER HAND SURVEYS WERE COLLECTED FROM COMMUNITY RESIDENTS; FORTY TWO COMMUNITY LEADERS ATTENDED A COMMUNITY FORUM. AS A RESULT OF THE EXTENSIVE PRIMARY AND SECONDARY RESEARCH, COMMUNITY MEMBERS, COMMUNITY LEADERS, AND PROJECT LEADERSHIP IDENTIFIED THREE REGIONAL PRIORITIES; ACCESS TO CARE, BEHAVIORAL HEALTH AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. WITH THE COMPLETION OF THE CHNA, UPMC PINNACLE, UPMC PINNACLE CARLISLE AND PENNSYLVANIA PSYCHIATRIC INSTITUTE WILL DEVELOP AN IMPLEMENTATION PLAN TO LEVERAGE ORGANIZATIONAL RESOURCES TO BEST ADDRESS COMMUNITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH AND WELL-BEING OF RESIDENTS OF SOUTH CENTRAL PENNSYLVANIA IN 2018.PRIORITY 1: ACCESS TO CARE- THE GOAL IS TO EXPAND THE HEALTH CARE REACH TO RURAL AND HOMEBOUND POPULATIONS. ANTICIPATED IMPACT IS THAT RURAL AND HOMEBOUND POPULATIONS HAVE INCREASED ACCESS TO HEALTH CARE SERVICES. PRIORITY 2: BEHAVIORAL HEALTH-THE GOAL IS TO IMPROVE BEHAVIORAL HEALTH ILLNESSES BY PROVIDING ACCESS TO QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE PROGRAMS, PROVIDING EDUCATION THAT ADDRESSES THE WHOLE PERSON, AND INCREASING OUR PREVENTION, EDUCATION, AND TREATMENT SERVICES. PRIORITY 3: SOCIAL DETERMINANTS OF HEALTH-THE GOAL IS TO INCREASE KNOWLEDGE OF ACCESS AND OPPORTUNITY TO UPMC PINNACLE RESOURCES IN RURAL COMMUNITIES AND UNDERSERVED POPULATIONS.AS UPMC PINNACLE CARLISLE LOOKS TOWARDS THE FUTURE, WE ENSURE THAT OUR CORE VALUES OF QUALITY, ACCESS TO CARE, AND COORDINATION OF CARE ARE AT THE CENTER OF ALL OF OUR ORGANIZATIONAL STRATEGIES. WE EMBRACE OUR COMMUNITY PARTNERS AND WORK COLLABORATIVELY WITH THEM TO STRENGTHEN THE SUPPORT SYSTEMS THAT WILL ALLOW US AND OUR PARTNERS TO MAINTAIN POSITIVE HEALTH OUTCOMES. PART VI, LINE 6: UPMC PINNACLE CARLISLE IS PART OF UPMC PINNACLE, A FULLY INTEGRATED, AFFILIATED HEALTH CARE SYSTEM. THE SYSTEM IS COMPRISED OF TEN WHOLLY OWNED ENTITIES AS WELL AS A VARIETY OF AFFILIATED JOINT VENTURES. THE ORGANIZATION'S MISSION IS TO MAINTAIN AND IMPROVE THE HEALTH AND QUALITY OF LIFE FOR EVERYONE IN CENTRAL PENNSYLVANIA. UPMC PINNACLE IS ENGAGED IN AND CONDUCTS CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES THROUGH THE SUPPORT AND BENEFIT OF PINNACLE HEALTH FOUNDATION, AND PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES TO AFFILIATED ENTITIES. UPMC PINNACLE MEDICAL SERVICES AND REGIONAL PHYSICIANS ARE PRIMARILY ENGAGED IN THE PROVISION OF PHYSICIAN SERVICES TO SUPPORT AND ENHANCE THE SERVICES WITHIN UPMC PINNACLE. THE UPMC PINNACLE CARDIOVASCULAR INSTITUTE IS ENGAGED IN PROVIDING COMPREHENSIVE CARDIAC CARE, INCLUDING TECHNOLOGICAL ADVANCES IN ORDER TO PROVIDE THE BEST CLINICAL OUTCOMES TO THE COMMUNITY. COMMUNITY LIFE TEAM IS ENGAGED IN PROVIDING COMMUNITY BASED, EFFICIENT AND COST EFFECTIVE MEDICAL TRANSPORT SERVICES, PRE-HOSPITAL EMERGENCY MEDICAL SERVICES FOR THE RESIDENTS AND COMMUNITIES OF THE CENTRAL PENNSYLVANIA YORK REGIONS.PINNACLE HEALTH VENTURES, INC. WAS FORMED IN 2012 TO CONSOLIDATE VARIOUS ENTITIES THAT FUNCTION IN SUPPORT OF THE UPMC PINNACLE NETWORK. CURRENTLY INCLUDED IN VENTURES ARE PINNACLE HEALTH IMAGING, MEDCARE SUSQUEHANNA VALLEY, PINNACLE HEALTH ALLBETTERCARE, AND MEDICAL ARTS BUILDING. UNITED HEALTH RISK IS A WHOLLY-OWNED, FOR PROFIT, OFFSHORE CAPTIVE INSURANCE COMPANY, AND UNITED CENTRAL PENNSYLVANIA RECIPROCAL RISK RETENTION GROUP IS A WHOLLY OWNED, FOR PROFIT, VERMONT CAPTIVE INSURANCE COMPANY. BOTH INSURANCE ENTITIES OPERATE FOR THE BENEFIT OF UPMC PINNACLE.UPMC PINNACLE AND ITS AFFILIATES ARE ACTIVELY INVOLVED IN THE CENTRAL PENNSYLVANIA REGION THROUGH VARIOUS CHARITY AND COMMUNITY BENEFIT ACTIVITIES. THE SYSTEM PROVIDED $42 MILLION OF CHARITY CARE RECORDED AT CHARGES WITH UPMC PINNACLE CARLISLE PROVIDING $6.9 MILLION. PART VI, LINE 7, REPORTS FILED WITH STATES PA 1 1 0 0 0 0 0 0 0 PHILIP GUARNESCHELLI PRESIDENT/CEO 0 828825 0 348731 0 198185 0 16500 0 19211 0 1411452 0 0 CHRISTOPHER P MARKLEY ESQ SEC'Y/SR VP STAT SVC/GEN COUNSEL 0 416046 0 154502 0 66248 0 16500 0 14892 0 668188 0 0 WILLIAM H PUGH EVP-TREASURER/CFO 0 603418 0 222089 0 87441 0 16500 0 8184 0 937632 0 0 ALISON BERNHARDT VP, CORP ACCT&RPT/CFO 0 258421 0 86065 0 34603 0 4854 0 8008 0 391951 0 0 CHRISTIAN CAICEDO MD SVP & PRESID., DAUPHIN/SECRETARY 0 437562 0 162224 0 64352 0 16500 0 18794 0 699432 0 0 JOHN DELORENZO ASSISTANT SECRETARY 0 173072 0 34707 0 4804 0 10384 0 17722 0 240689 0 0 SAPNA PARAMALE PHYSICIST 144567 0 0 0 0 0 0 0 13707 0 158274 0 0 0 SHAWN HANNOLD CLINICAL STAFF PHARMACIST 133301 0 0 0 2751 0 8026 0 17473 0 161551 0 0 0 PAUL MAKOSKY CLINICAL STAFF PHARMACIST 130420 0 0 0 0 0 8059 0 18506 0 156985 0 0 0 ANN SPADE VP & CNO (RES. 2/18) 21685 0 0 0 154330 0 1207 0 13056 0 190278 0 0 0 MARK REYNGOUDT VP, FINANCE (RES. 2/18) 26869 0 0 0 127332 0 1249 0 9593 0 165043 0 0 0 MICHAEL A YOUNG FORMER PRESIDENT/CEO (RES. 03/17) 0 0 0 0 0 1035976 0 0 0 9539 0 1045515 0 0 DAVID STEITZ FORMER PRES./SEC./VP OPS(RES. 02/18) 35312 0 0 0 218857 0 1644 0 13831 0 269644 0 0 0 PART I, LINE 3 UPMC PINNACLE CARLISLE RELIES ON UPMC PINNACLE, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. METHODS USED TO ESTABLISH COMPENSATION BY THE RELATED ORGANIZATION INCLUDE: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD PART I, LINES 4A-B FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS UPON THEIR DEPARTURE FROM THE ORGANIZATION: - MICHAEL A. YOUNG, THE FORMER CEO, AMOUNT $1,035,976; - DAVID STEITZ, THE FORMER VP OF OPERATIONS, AMOUNT $218,857; - ANN SPADE, THE FORMER VP & CNO, AMOUNT $154,330; - MARK REYNGOUDT, THE FORMER VP OF FINANCE, AMOUNT $127,332. UPMC PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO ITS FORMER CHIEF EXECUTIVE OFFICER (THE "FORMER CEO") THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "LOAN-REGIME SPLIT-DOLLAR" ("LRSD"). ALTHOUGH THE IRS REQUIRES LRSD TO COMPLY WITH THE TAX PRINCIPLES OF A LOAN FOR FEDERAL INCOME TAX PURPOSES (IRC 7872), LRSD IS NOT AN ACTUAL LOANNO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS (SUBJECT TO VESTING REQUIREMENTS AND POLICY INVESTMENT PERFORMANCE), UPMC RECOVERS ALL ITS OUTLAYS PLUS A MARKET RATE OF INTEREST. AS WITH AN EMPLOYER-EMPLOYEE LOAN, AND CONSISTENT WITH THE 2003 FINAL REGULATIONS AND IRC 7872, THE PLAN IS NON-COMPENSATORY TO THE PARTICIPATING EXECUTIVE, AS THE LOAN IS REPAID PLUS INTEREST UPON THE DEATH OF THE EXECUTIVE. UNDER THE REGULATIONS, THERE IS NO COMPENSATION IMPUTED TO THE EXECUTIVE. THE UPMC LRSD PLAN WORKS AS FOLLOWS. UPMC DEPOSITED FUNDS DIRECTLY INTO CASH VALUE LIFE INSURANCE POLICIES ON THE FORMER CEO'S LIFE. DURING LIFE, TO THE EXTENT THE FORMER CEO FULFILLED SERVICE AND VESTING REQUIREMENTS, THE FORMER CEO CAN BORROW AGAINST VALUES IN THE POLICIES TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE FORMER CEO'S BORROWING RIGHTS COULD BE REDUCED TO PROTECT UPMC'S RECOVERY RIGHTS. AT THE FORMER CEO'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY UPMC ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE FORMER CEO'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING NOT ACCESSED DURING LIFE.. CHRISTIAN CAICEDO MD OWNER OF CIS PA, LL 1828113 AS THE OWNER OF CIS PA, LLC, MR. CAICEDO PROVIDES SOFTWARE SUPPORT FOR UPMC PINNACLE ENTITIES. ALL TRANSACTIONS ARE NEGOTIATED AT ARM'S LENGTH RATES. 0 DANIEL PUGH RELATIVE OF OFFICER WILLIAM PUGH 115455 DANIEL PUGH IS A RELATIVE OF WILLIAM PUGH AND IS COMPENSATED BY UPMC PINNACLE AS AN EMPLOYEE. WILLIAM PUGH DOES NOT SUPERVISE DANIEL PUGH NOR DOES HE PARTICIPATE IN DISCUSSIONS ON DANIEL PUGH'S COMPENSATION. 0 MICHAEL HESS RELATIVE OF OFFICER PHILIP GUARNESCHELLI 70071 MICHAEL HESS IS A RELATIVE OF PHILIP GUARNESCHELLI AND IS COMPENSATED BY UPMC PINNACLE AS AN EMPLOYEE. PHILIP GUARNESCHELLI DOES NOT SUPERVISE MICHAEL HESS NOR DOES HE PARTICIPATE IN DISCUSSIONS ON MICHAEL HESS' COMPENSATION. 0 FORM 990, PART V, LINE 1: UPMC PINNACLE, THE PARENT ENTITY OF A GROUP OF TAX-EXEMPT ORGANIZATIONS, IS THE COMMON REPORTING AGENT FOR THE GROUP AND FILES ALL 1099 FORMS FOR UPMC PINNACLE CARLISLE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS UPMC PINNACLE, A FEDERALLY TAX EXEMPT, STATE NONPROFIT ENTITY (EIN 25-1778658). FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER OF THE ORGANIZATION, UPMC PINNACLE SHALL ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION REQUIRE THE APPROVAL OF BOTH THE UPMC PINNACLE BOARD AND THE UPMC BOARD, AS THE SOLE MEMBER OF UPMC PINNACLE. FORM 990, PART VI, SECTION B, LINE 11B THE AUTHORITY AND RESPONSIBILITY FOR REVIEW OF THE FORM 990 FOR UPMC PINNACLE AND SUBSIDIARIES IS DELEGATED TO THE FINANCE COMMITTEE OF THE UPMC PINNACLE BOARD. IN ORDER TO ACCOMPLISH THIS, ALL MEMBERS OF THE FINANCE COMMITTEE ARE PROVIDED WITH A REASONABLE OPPORTUNITY TO REVIEW AND COMMENT TO EXECUTIVE LEADERSHIP ON THE IRS FORMS 990 OF UPMC PINNACLE AND ITS SUBSIDIARIES. IN ADDITION, EACH MEMBER OF EACH RESPECTIVE BOARD OF DIRECTORS WILL BE GIVEN ACCESS TO VIEW THEIR INDIVIDUAL FORM 990 VIA A SHARED, PASSWORD-PROTECTED WEBSITE BEFORE THE RETURNS ARE FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C IN THE PERFORMANCE OF THEIR DUTIES TO UPMC PINNACLE, COVERED PERSONS SHALL SEEK TO ACT IN THE BEST INTERESTS OF UPMC PINNACLE, AND SHALL EXERCISE GOOD FAITH, LOYALTY, DILIGENCE AND HONESTY. A COVERED PERSON IS ANY INDIVIDUAL WHO SERVES IN A FIDUCIARY CAPACITY TO, OR WHO HAS LEGAL AUTHORITY TO REPRESENT OR OBLIGATE, UPMC PINNACLE OR ANY OF ITS AFFILIATED ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO, DIRECTORS, OFFICERS, EMPLOYEES, AND AGENTS. COVERED PERSONS ALSO INCLUDE A) IMMEDIATE FAMILIES (SPOUSES, CHILDREN, SIBLINGS, PARENTS, OR SPOUSE'S PARENTS), B) ANY ORGANIZATION IN WHICH THEY OR THEIR IMMEDIATE FAMILIES DIRECTLY OR INDIRECTLY I) HAVE A MATERIAL FINANCIAL OR BENEFICIAL INTEREST, OR II) SERVE AS A DIRECTOR, OFFICER, EMPLOYEE, AGENT, ATTORNEY OR SIMILAR CAPACITY. A COVERED PERSON SHALL DISCLOSE ANY BUSINESS OR PERSONAL INTERESTS OR RELATIONSHIPS WHICH MAY BE IN CONFLICT WITH THE INTERESTS OF UPMC PINNACLE, INCLUDING, BUT NOT LIMITED TO (A) ENGAGING IN OR SEEKING TO BE ENGAGED IN (I) THE DELIVERY OF HEALTH CARE SERVICES OR (II) THE DELIVERY OF GOODS OR SERVICES TO UPMC PINNACLE, OR (B) ANY TRANSACTION OR ARRANGEMENT WITH UPMC PINNACLE WHICH WOULD RESULT IN BENEFIT TO COVERED PERSONS. THE GOVERNANCE COMMITTEE OF THE UPMC PINNACLE BOARD REVIEWS ALL CONFLICT OF INTEREST STATEMENTS AND DETERMINES WHETHER EACH DIRECTOR ON THE BOARD IS INDEPENDENT. COVERED PERSONS WHO ARE DIRECTORS MUST COMPLY WITH UPMC PINNACLE GUIDELINES FOR DETERMINING DIRECTOR INDEPENDENCE AND APPLYING DIRECTOR INDEPENDENCE REQUIREMENTS. COVERED PERSONS WITH A CONFLICT OF INTEREST SHALL NOT VOTE ON THE MATTER, AND THE UPMC PINNACLE BOARD OR COMMITTEE MUST APPROVE, AUTHORIZE, OR RATIFY THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE NON-INTERESTED DIRECTORS OR COMMITTEE MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM. VIOLATIONS OF THIS STATEMENT OF POLICY MAY SUBJECT COVERED PERSONS TO APPROPRIATE SANCTIONS, INCLUDING REMOVAL FROM THEIR POSITIONS WITH UPMC PINNACLE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE UPMC PINNACLE BOARD OF DIRECTORS HAS THE AUTHORITY TO DEVELOP AND MAINTAIN EXECUTIVE AND PHYSICIAN COMPENSATION TO BE APPROVED BY THE UPMC PINNACLE BOARD. THE COMPENSATION COMMITTEE WILL FOLLOW A DILIGENT PROCESS THAT MEETS REGULATORY REQUIREMENTS FOR A REBUTTABLE PRESUMPTION OF REASONABLENESS AND PROMOTES EFFECTIVE GOVERNANCE OF EXECUTIVE COMPENSATION, CONSISTENT WITH THE UPMC PINNACLE COMPENSATION PHILOSOPHY. 1) FOLLOW A PROCESS THAT ESTABLISHES AND MAINTAINS A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL EXECUTIVES AND PHYSICIANS POTENTIALLY SUBJECT TO INTERMEDIATE SANCTIONS. 2) PREPARE MINUTES FOR EACH MEETING TO RECORD THE TERMS OF THE COMMITTEE'S DECISIONS AND THE PROCESS FOLLOWED IN REACHING THOSE DECISIONS. THESE MINUTES MUST INCLUDE INDICATIONS THAT THE COMMITTEE IS FOLLOWING GOOD PRACTICES IN DEALING WITH CONFLICTS OF INTEREST AND IN OBTAINING AND RELYING ON APPROPRIATE COMPARABILITY DATA ON TOTAL COMPENSATION. 3) SELECT AND DIRECTLY ENGAGE AND SUPERVISE ANY CONSULTANT HIRED BY UPMC PINNACLE TO ADVISE THE COMMITTEE ON EXECUTIVE AND PHYSICIAN COMPENSATION. 4) PERIODICALLY EVALUATE THE APPROPRIATENESS OF THIS CHARTER AND THE EFFECTIVENESS OF THE PROCESS THE COMMITTEE USES IN GOVERNING EXECUTIVE AND PHYSICIAN COMPENSATION AND REPORT THIS EVALUATION TO THE BOARD. 5) PROVIDE THE BOARD WITH AN ANNUAL REPORT ON THE COMMITTEE'S ACTIONS. 6) MONITOR CHANGES IN LAWS AND REGULATIONS PERTAINING TO EXECUTIVE COMPENSATION AND BENEFITS TO SEE THAT UPMC PINNACLE COMPLIES WITH THEM. 7) SEEK OUTSIDE REVIEW OF COMMITTEE OPERATIONS TO ENSURE COMPLIANCE WITH THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS. 8) REVIEW ACTUAL EXECUTIVE COMPENSATION AND BENEFITS PROVIDED TO CONFIRM CONSISTENCY WITH COMPENSATION AND BENEFITS APPROVED BY THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION INCLUDES A COPY OF ITS FINANCIAL STATEMENTS WITH THE STATE REGISTRATION FILED WITH THE PENNSYLVANIA DEPARTMENT OF STATE, BUREAU OF CHARITABLE ORGANIZATIONS. THESE DOCUMENTS ARE A MATTER OF PUBLIC RECORD AND CAN BE VIEWED AT THE BUREAU OFFICE. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 107,509. MANAGEMENT AND GENERAL EXPENSES 52,952. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 160,461. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,836,258. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,836,258. OUTSOURCING: PROGRAM SERVICE EXPENSES 1,141,011. MANAGEMENT AND GENERAL EXPENSES 2,119,021. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,260,032. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 66,163. MANAGEMENT AND GENERAL EXPENSES 17,588. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,751. LAB FEES: PROGRAM SERVICE EXPENSES 1,001,835. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,001,835. I/C LOSS TRANSFERS: PROGRAM SERVICE EXPENSES 5,208,449. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,208,449. CONSULTING: PROGRAM SERVICE EXPENSES 12,892. MANAGEMENT AND GENERAL EXPENSES 3,024. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,916. COLLECTION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 399,359. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 399,359. OTHER FEES: PROGRAM SERVICE EXPENSES 259,682. MANAGEMENT AND GENERAL EXPENSES 198. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 259,880. FORM 990, PART XI, LINE 9: TRANSFERS TO EXEMPT AFFILIATES -11,740,622. UPMC SENIOR COMMUNITIES INC 600 GRANT STREET PITTSBURGH PA 15219 251574736 SR LIVING PA 501(C)(3) LINE 10 UPMC 0 PITTSBURGH LIFETIME CARE COMMUNITY 600 GRANT STREET PITTSBURGH PA 15219 251335247 CCRC PA 501(C)(3) LINE 10 UPMC SR COMM 0 CANTERBURY PLACE 600 GRANT STREET PITTSBURGH PA 15219 250965334 SR LIVING PA 501(C)(3) LINE 10 UPMC SR COMM 0 SENECA PLACE 600 GRANT STREET PITTSBURGH PA 15219 721562844 SR LIVING PA 501(C)(3) LINE 10 UPMC SR COMM 0 SHADYSIDE HOSPITAL SUPPORTING FOUNDATION 600 GRANT STREET PITTSBURGH PA 15219 260303394 FOUNDATION PA 501(C)(3) LINE 12A, I UPMC 0 UPMC LEE 600 GRANT STREET PITTSBURGH PA 15219 250613830 INACTIVE PA 501(C)(3) LINE 3 UPMC 0 PITTSBURGH CARE PARTNERSHIP INC 600 GRANT STREET PITTSBURGH PA 15219 251753852 SR CARE MGMT PA 501(C)(3) LINE 10 UPMC 0 UPMC CENTER FOR HIGH VALUE HEALTHCARE 600 GRANT STREET PITTSBURGH PA 15219 452178782 RESEARCH PA 501(C)(3) LINE 7 UPMC 0 SHADYSIDE HOSPITAL FOUNDATION 532 SOUTH AIKEN AVENUE PITTSBURGH PA 15232 251290546 FOUNDATION PA 501(C)(3) LINE 12C, III-FI UPMC PRESBY 0 PASSAVANT HOSPITAL FOUNDATION 9100 BABCOCK BLVD PITTSBURGH PA 15237 251407815 FOUNDATION PA 501(C)(3) LINE 12B, II UPMC PASS 0 NORTHWEST HOSPITAL FOUNDATION 100 FARFIELD DRIVE SENECA PA 16346 251483624 FOUNDATION PA 501(C)(3) LINE 12D, III-O UPMC NORTHWE 0 ST MARGARET FOUNDATION 600 GRANT STREET PITTSBURGH PA 15219 251520340 FOUNDATION PA 501(C)(3) LINE 7 UPMC ST MARG 0 CHILDREN'S HOSPITAL OF PITTSBURGH FND 600 GRANT STREET PITTSBURGH PA 15219 251865744 FOUNDATION PA 501(C)(3) LINE 7 UPMC CHP 0 MAGEE-WOMEN RES INST AND FOUNDATION 600 GRANT STREET PITTSBURGH PA 15219 251462312 FOUNDATION PA 501(C)(3) LINE 7 N/A 0 GREAT LAKES PHYSICIAN PRACTICE PC 600 GRANT STREET 58TH FLOOR PITTSBURGH PA 15219 464186362 PHYSICIAN SRV NY 501(C)(3) LINE 3 REGNL HEALTH 0 HAMOT HEALTH FOUNDATION 302 FRENCH STREET ERIE PA 16507 251400999 FOUNDATION PA 501(C)(3) LINE 12B, II UPMC HAMOT 0 UPMCJAMESON CANCER CENTER 600 GRANT STREET 58TH FL PITTSBURGH PA 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HIGH STREET WILLIAMSPORT PA 17701 821600494 HOSPITAL PA 501(C)(3) LINE 3 UPMC SUSQUEH 0 UPMC SUSQUEHANNA SUNBURY 700 HIGH STREET WILLIAMSPORT PA 17701 821592230 HOSPITAL PA 501(C)(3) LINE 3 UPMC SUSQUEH 0 UPMC CHAUTAUQUA AT WCA 207 FOOTE AVENUE JAMESTOWN NY 14701 160743226 HOSPITAL NY 501(C)(3) LINE 3 UPMC CHAUTAU 0 WCA GROUP INC 207 FOOTE AVENUE JAMESTOWN NY 14701 222392582 HOLDING CO NY 501(C)(3) LINE 12B, II CHAUT AT WCA 0 STARFLIGHT INC 135 ALLEN STREET JAMESTOWN NY 14701 161557878 AIR AMBULANCE NY 501(C)(3) LINE 7 CHAUT AT WCA 0 SOUTH CENTRAL ALPHA HOUSING & HEALTH 3410 W PITTSBURG ROAD NEW CASTLE PA 16101 251701701 SNF & AL PA 501(C)(3) LINE 10 UPMC SR COMM 0 SOUTH WESTERN ALPHA HOUSING & HEALTH 745 GREENVILLE ROAD MERCER PA 16137 251701700 SNF & IL PA 501(C)(3) LINE 10 UPMC SR COMM 0 KANE COMMUNITY HOSPITAL FOUNDATION 4372 ROUTE 6 KANE PA 16735 263906925 FOUNDATION PA 501(C)(3) LINE 12B, II N/A 0 JUNIOR GUILD OF THE JAMESON MEMORIAL HOS 1211 WILMINGTON AVENUE NEW CASTLE PA 16105 256005313 SUPPORT PA 501(C)(3) LINE 12D, III-O N/A 0 LAUREL HEALTH FOUNDATION 32-36 CENTRAL AVENUE WELLSBORO PA 16901 251810488 FOUNDATION PA 501(C)(3) LINE 12B, II N/A 0 WCA FOUNDATION INC 300 FOOTE AVENUE PO BOX 840 JAMESTOWN NY 14702 222393584 FOUNDATION PA 501(C)(3) LINE 12C, III-FI N/A 0 VENANGO VNA FOUNDATION 491 ALLEGHENY BOULEVARD FRANKLIN PA 16323 251472179 FOUNDATION PA 501(C)(3) LINE 12D, III-O N/A 0 UPMC PINNACLE 409 SOUTH SECOND STREET HARRISBURG PA 17104 251778658 SUPPORTING OR PA 501(C)(3) LINE 12B, II UPMC 0 UPMC PINNACLE LANCASTER 250 COLLEGE AVENUE LANCASTER PA 17603 820896436 HOSPITAL PA 501(C)(3) LINE 3 UPMC PINNACL 0 UPMC PINNACLE LITITZ 1500 HIGHLANDS AVENUE LITITZ PA 17543 820844453 HOSPITAL PA 501(C)(3) LINE 3 UPMC PINNACL 0 UPMC PINNACLE MEMORIAL 325 SOUTH BELMONT STREET YORK PA 17405 820912090 HOSPITAL PA 501(C)(3) LINE 3 UPMC PINNACL 0 PINNACLE HEALTH REGIONAL PHYSICIANS 409 SOUTH SECOND STREET HARRISBURG PA 17104 820947698 PHYSICIAN SRV PA 501(C)(3) LINE 3 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LINE 12A, I C COLE MEM H 0 HAMOT COLE VENTURES 1001 EAST SECOND STREET COUDERSPORT PA 16915 273172100 CLINIC SITES PA 501(C)(3) LINE 12A, I C COLE MEM H 0 HENDORN INC 1001 EAST SECOND STREET COUDERSPORT PA 16915 231972659 RES. CARE PA 501(C)(3) LINE 12A, I C COLE MEM H 0 ASBURY HEIGHTS OF UPMC 600 GRANT STREET PITTSBURGH PA 15219 251555687 SUPPORTING OR PA 501(C)(3) LINE 12B, II UPMC SR COMM 0 ASBURY HEALTH CENTER 600 GRANT STREET PITTSBURGH PA 15219 250969472 CCRC PA 501(C)(3) LINE 10 ASBURY HEIGH 0 ASBURY VILLAS 600 GRANT STREET PITTSBURGH PA 15219 251819952 PERSONAL CARE PA 501(C)(3) LINE 10 ASBURY HEIGH 0 ASBURY PLACE 600 GRANT STREET PITTSBURGH PA 15219 251729266 PERSONAL CARE PA 501(C)(3) LINE 10 ASBURY HEIGH 0 WESLEY HILLS 600 GRANT STREET PITTSBURGH PA 15219 251507472 INDEP LIVING PA 501(C)(3) N/A ASBURY HEIGH 0 ASBURY FOUNDATION 600 GRANT STREET PITTSBURGH PA 15219 251555688 FOUNDATION PA 501(C)(3) LINE 7 ASBURY HEIGH 0 REGIONAL CANCER CENTER FOUNDATION 2500 WEST 12TH STREET ERIE PA 16505 251631855 FOUNDATION PA 501(C)(3) LINE 12A, I REGIONAL CAN 0 UPMC SOMERSET 225 SOUTH CENTER AVENUE SOMERSET PA 15501 250965570 HOSPITAL PA 501(C)(3) LINE 3 UPMC 0 TWIN LAKES CENTER INC 225 SOUTH CENTER AVENUE SOMERSET PA 15501 232910318 DRUG TREATMEN PA 501(C)(3) LINE 3 UPMC SOMERSE 0 SOMERSET COMMUNITY HOSPITAL FOUNDATION 225 SOUTH CENTER AVENUE SOMERSET PA 15501 251441863 FOUNDATION PA 501(C)(3) LINE 12C, III-FI UPMC SOMERSE 0 SOMERSET HEALTH SERVICES INC 225 SOUTH CENTER AVENUE SOMERSET PA 15501 251441920 PHYSICIAN SRV PA 501(C)(3) LINE 3 UPMC SOMERSE 0 JUNIOR GUILD OF THE JAMESON MEMORIAL HO 1211 WILMINGTON AVENUE NEW CASTLE PA 16105 256005313 SUPPORTING OR PA 501(C)(3) LINE 12D, III-O UPMC JAMESON 0 UPMC 600 GRANT STREET PITTSBURGH PA 15219 251423657 SUPPORTING ORG PA 501(C)(3) LINE 12C, III-FI N/A 0 SENECA HILLS ASSISTED LIVING LP 600 GRANT STREET PITTSBURGH PA 15219 232873106 ASSISTED LIVI PA N/A ST MARGARET MEDICAL ARTS ASSOCIATES 600 GRANT STREET PITTSBURGH PA 15219 251786655 MED OFFICE BL PA N/A CORE NETWORK LLC 600 GRANT STREET PITTSBURGH PA 15219 251786209 HEALTHCARE PA N/A LIFE HOME CARE LP 600 GRANT STREET PITTSBURGH PA 15219 251847839 HOMECARE PA N/A SHADYSIDE MEDICAL CENTER ASSOCIATION 600 GRANT STREET PITTSBURGH PA 15219 251608318 MED OFFICE BL PA N/A CHARTWELL PA LP 600 GRANT STREET PITTSBURGH PA 15219 251729714 HOMEHEALTH PA N/A LIFE CARE HOME SRV OF NW PA 1647 SASSAFRAS STREET ERIE PA 16501 251536879 HOME HEALTH S PA N/A HAMOT-KCH REAL ESTATE VENTURE 300 STATE STREET ERIE PA 16507 263691782 MEDICAL OFFIC PA N/A HAMOT SURGERY CENTER LLC 200 STATE STREET ERIE PA 16507 251863661 AMBULATORY SU PA N/A EPN-HAMOT URGENT CARE LLC 600 GRANT STREET PITTSBURGH PA 15219 272147949 URGENT CARE PA N/A LAWRENCE COUNTY MRI & DIAGNOSTIC IMAGING 2526 WILMINGTON AVE NEW CASTLE PA 16105 270219891 IMAGING CENTE PA N/A COMMUNITY BASKET LLC 1205 GRAMPIAN BOULEVARD WILLIAMSPORT PA 17701 201195739 REAL ESTATE R PA N/A HANOVER SURGICENTER REAL ESTATE LP 300 HIGHLAND AVE HANOVER PA 17331 352342993 INACTIVE PA N/A MEDCARE SUSQUEHANNA VALLEY LLC 409 SOUTH SECOND STREET HARRISBURG PA 17104 821673688 DME PA N/A OMICELO RE I LP 2525 LIBERTY AVENUE PITTSBURGH PA 15222 475603393 REAL 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INC 600 GRANT STREET PITTSBURGH PA 15219 251777710 HOLDING CO PA N/A C 0 FREEDOM INSURANCE COMPANY 600 GRANT STREET PITTSBURGH PA 15219 030308944 INSURANCE VT N/A C 0 TRI-CENTURY INSURANCE CO 600 GRANT STREET PITTSBURGH PA 15219 251500739 INSURANCE PA N/A C 0 UPMC DNA INC 600 GRANT STREET PITTSBURGH PA 15219 251883237 INSURANCE PA N/A C 0 UPMC HEALTH BENEFITS INC 600 GRANT STREET PITTSBURGH PA 15219 251844144 HEALTH INSUR PA N/A C 0 UPMC HEALTH NETWORK INC 600 GRANT STREET PITTSBURGH PA 15219 721527566 HEALTH INSUR PA N/A C 0 UPMC HEALTH PLAN INC 600 GRANT STREET PITTSBURGH PA 15219 232813536 HEALTH INSUR PA N/A C 0 UPMC BENEFIT MANAGEMENT SERVICES INC 600 GRANT STREET PITTSBURGH PA 15219 251769564 WORKERS' COMP PA N/A C 0 UPMC DIVERSIFIED SERVICES INC 600 GRANT STREET PITTSBURGH PA 15219 251778454 HOLDING CO PA N/A C 0 MONROEVILLE SPECIALTY CLINIC 600 GRANT STREET PITTSBURGH PA 15219 251666087 AMB SURG PA N/A C 0 MEDICAL ARCHIVAL SYSTEMS INC 600 GRANT STREET PITTSBURGH PA 15219 232912501 SOFTWARE DEVE DE N/A C 0 RX PARTNERS INC 600 GRANT STREET PITTSBURGH PA 15219 251801966 PHARMACY PA N/A C 0 BIOTRONICS INC 600 GRANT STREET PITTSBURGH PA 15219 251843500 EQUIP MAINTEN PA N/A C 0 MEDICAL CENTER PROPERTIES INC 600 GRANT STREET PITTSBURGH PA 15219 251796940 REAL ESTATE PA N/A C 0 ASKESIS DEVELOPMENT GROUP INC 600 GRANT STREET PITTSBURGH PA 15219 541625585 SOFTWARE DEVE DE N/A C 0 BAYFRONT REGIONAL DEVELOPMENT CORP 300 STATE STREET ERIE PA 16507 251401388 RE HOLDING CO PA N/A C 0 BAYSIDE DEVELOPMENT CORP 300 STATE STREET ERIE PA 16507 251401386 REAL ESTATE PA N/A C 0 UPMC WORK ALLIANCE INC 600 GRANT STREET PITTSBURGH PA 15219 452825053 INSURANCE PA N/A C 0 UPMC HEALTH COVERAGE INC 600 GRANT STREET 58TH FLOOR PITTSBURGH PA 15219 462824537 INSURANCE PA N/A C 0 UPMC HEALTH OPTIONS INC 600 GRANT STREET PITTSBURGH PA 15219 462824626 INSURANCE PA N/A C 0 UPMC COMPLETE CARE INC 5215 CENTRE AVENUE PITTSBURGH PA 15232 463605753 PHYSICIAN SRV PA N/A C 0 AMERICAN HOME HEALTH SERVICES 868 CORPORATE WAY WESTLAKE OH 44145 311521422 HOME HEALTH C OH N/A C 0 HEALTH FIDELITY INC 210 S B STREET SAN MATEO CA 94401 452538963 TECHNOLOGY SV CA N/A C 0 FLUENCE HEALTH INC 6425 PENN AVENUE PITTSBURGH PA 15206 472684174 SOFTWARE DE N/A C 0 CURAVI HEALTH INC 6425 PENN AVENUE PITTSBURGH PA 15206 811217377 HEALTHCARE DE N/A C 0 PENSIAMO INC 600 GRANT STREET 59TH FL PITTSBURGH PA 15219 812069236 SUPPLY CHAIN DE N/A C 0 ALTOONA FAMILY INC 620 HOWARD AVE ALTOONA PA 16601 251444935 MGMT SVCS PA N/A C 0 LEXINGTON HOLDINGS INC 620 HOWARD AVE ALTOONA PA 16601 251794386 HOLDING CO PA N/A C 0 LEXINGTON ONE INC 620 HOWARD AVE ALTOONA PA 16601 251468889 RENTAL PA N/A C 0 LEXINGTON TWO INC HOWARD AVE 7TH ST ALTOONA PA 16601 251555689 DME PA N/A C 0 LEXINGTON FOUR INC 620 HOWARD AVE ALTOONA PA 16601 251793736 HOLDING CO DE N/A C 0 UPMC ALTOONA REGIONAL HEALTH SERVICES 1414 9TH AVENUE ALTOONA PA 16602 251219302 PHYSICIAN SRV PA N/A C 0 LEXINGTON ANESTHESIA ASSOCIATES INC 620 HOWARD AVE ALTOONA PA 16601 251897765 PHYSICIAN SRV PA N/A C 0 MEDCPU INC 100 WALL STREET SUITE 2202 NEW YORK NY 10005 383805381 SOFTWARE DEVE DE N/A C 0 UPMC EXCESS PL TRUST 600 GRANT STREET PITTSBURGH PA 15219 826254351 TRUST PA N/A T 0 RXANTE INC 511 CONGRESS STREET 803 PORTLAND ME 04101 454040219 MEDICATION MG DE N/A C 0 J HEALTH VENTURES INC 1211 WILIMINGTON AVENUE NEW CASTLE PA 16105 251607893 INACTIVE PA N/A C 0 SUSQUEHANNA VENTURES INC 1201 GRAMPIAN BOULEVARD WILLIAMSPORT PA 17701 232470623 PHARMACY PA N/A C 0 TYOGA CARENET 114 EAST AVENUE WELLSBORO PA 16901 251810967 INACTIVE PA N/A C 0 WCA SERVICE CORPORATION INC 207 FOOTE AVENUE JAMESTOWN NY 14701 161151438 SUPPORT NY N/A C 0 ITTCCO I INC 600 GRANT STREET PITTSBURGH PA 15219 822590699 INACTIVE DE N/A C 0 ITTCCO II INC 600 GRANT STREET PITTSBURGH PA 15219 822597388 INACTIVE DE N/A C 0 PINNACLE HEALTH CARDIOVASCULAR INSTITUT 409 SOUTH SECOND STREET HARRISBURG PA 17104 320321362 PHYSICIAN SRV PA N/A C 0 HANOVER HEALTH CORPORATION 300 HIGHLAND AVENUE HANOVER PA 17331 900498067 HOLDING CO PA N/A C 0 HANOVER APOTHECARY INC 310 STOCK STREET SUITE 1 HANOVER PA 17331 030594526 PHARMACY PA N/A C 0 UNITED CENTRAL PA RECIPROCAL RISK RETEN 76 SAINT PAUL STREET SUITE 500 BURLINGTON VT 05401 134224033 INSURANCE VT N/A C 0 PINNACLE HEALTH VENTURES INC 409 SOUTH SECOND STREET HARRISBURG PA 17104 611677624 HOLDING CO PA N/A C 0 PINNACLE HEALTH IMAGING INC 409 SOUTH SECOND STREET HARRISBURG PA 17104 231718571 IMAGING SVC PA N/A C 0 COLE CARE INC 1001 EAST 2ND STREET COUDERSPORT PA 16915 251497347 DME PA N/A C 0 UPMC ITALY HEALTH SERVICES SRL VIA DISCESA DEI GIUDICI 4 PALERMO IT 90133 HEALTH SVC IT N/A C 0 UPMC INVESTMENTS LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W HOLDING CO EI N/A C 0 UPMC PROPERTY LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W PROPERTY EI N/A C 0 UPMC PROPERTY II LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W PROPERTY EI N/A C 0 EURO CARE INFRASTRUCTURE LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W PROPERTY MGMT EI N/A C 0 EURO CARE PROPERTY MANAGEMENT LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W PROPERTY MGMT EI N/A C 0 EURO CARE HEALTHCARE LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W HOSPITAL EI N/A C 0 WATERFORD ONCOLOGY ASSOCIATES LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W ONCOLOGY SVC EI N/A C 0 UPMC CANCER CENTERS IRELAND LIMITED 6TH FLOOR BEACON HOSPITAL SANDYFORD EI DUBLIN 18 CANCER TREATM EI N/A C 0 PANTHER REINSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CJ N/A 981402742 INSURANCE CJ N/A C 0 FORBES REINSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CJ N/A 981400710 INSURANCE CJ N/A C 0 CATHEDRAL (RE) INSURANCE CO PO BOX 1109 GRAND CAYMAN CJ N/A 981400837 INSURANCE CJ N/A C 0 UPMC IRELAND LIMITED 6TH FLOOR BEACON HOSPITAL SANDYFORD EI DUBLIN 18 HEALTHCARE SU EI N/A C 0 UPMC CANADA TECHNOLOGIES LIMITED 600 GRANT STREET PITTSBURGH CA 15219 SOFTWARE CA N/A C 0 SUSQUEHANNA HEALTH SYSTEM INSURANCE NET PO BOX 1159 CJ N/A INSURANCE CJ N/A C 0 UNITED HEALTH RISK LTD PO BOX HM 2450 HAMILTON BD N/A INSURANCE BD N/A C 0 UPMC UNITED KINGDOM LTD C/O NAIRCO 11TH FLOOR WHITEFRIARS LEWINS MEAD UK BS1 2NT 980571026 SOFTWARE LICE UK N/A C 0 BLUESPHERE BIO 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 824979766 IMMUNOTHERAPY DE N/A C 0 INFECTIOUS DISEASE CONNECT INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 833311071 TELEMEDICINE DE N/A C 0 HUMONIC INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 834005420 BIOPHARM DE N/A C 0 TTMS INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 825443222 IMMUNOTHERAPY DE N/A C 0 UPMC HILLMAN CANCER CENTER - PINNACLE 101 ERFORD ROAD CAMP HILL PA 17701 833640945 CANCER TREATM PA N/A C 0 SHANGHAI UPMC CO LTD 288 SHIMEN 1ST ROAD JINGAN DISTRIC SHANGHAI CH HEALTHCARE MGMT CH N/A C 0 SALVADOR MUNDI INTERNATIONAL HOSPITAL ROMA VIALE DELLE MURA GIANICOLENSI IT HOSPITAL IT N/A C 0 SOMERSET ANESTHESIA INC 600 GRANT STREET PITTSBURGH PA 15219 455135437 PHYSICIAN SRV PA N/A C 0 SOMERSET MANAGEMENT SERVICES INC 600 GRANT STREET PITTSBURGH PA 15219 251512960 MOB OWNERSHIP PA N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 FORM 990, SCHEDULE R, PARTS I THROUGH IV: ENTITIES REPORTED IN PARTS I THROUGH IV THAT ARE MARKED WITH AN * ARE NOT TECHNICALLY "RELATED ORGANIZATIONS", AS DEFINED IN THE FORM 990 INSTRUCTIONS AS THE REQUISITE "CONTROL" DID NOT EXIST DURING THE FISCAL YEAR ENDED JUNE 30, 2019. HOWEVER, BECAUSE THESE ENTITIES ARE AFFILIATED WITH UPMC AND THE UPMC PARENT ORGANIZATION HOLDS CERTAIN POWERS WITH RESPECT TO SUCH ENTITIES WE ARE ELECTING TO DISCLOSE THE ENTITIES AS RELATED ORGANIZATIONS IN SCHEDULE R IN THE INTEREST OF TRANSPARENCY.