2019-05-15T09:49:44-05:00 2018-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 191037341 990 2017-07-01 820947698 PINNACLE HEALTH REGIONAL PHYSICIANS PINN 7172318245 PO BOX 8700 HARRISBURG PA 171058700 WILLIAM H PUGH EVP-TREASURER/CFO 7172318245 2019-05-13 1 KERRI N BOGDA P00760402 2159720701 96.89.178.186 2019-05-13 18:18:33 ED P BF90B4BE16E9AE312C0D8383967EBAED4A365E8B BF90B4BE16E9AE312C0D8383967EBAED4A365E8B 2017 2019-02-21 02:37:17Z X X WILLIAM H PUGH PO BOX 8700 HARRISBURG PA 171058700 59949539 0 X WWW.UPMCPINNACLE.COM X 2017 PA ENGAGED IN THE PROVISION OF BOTH PRIMARY AND SPECIALTY CARE PHYSICIAN SERVICES. 20 16 612 16 5802 -40 0 47592697 0 12356842 59949539 0 0 77330977 0 0 26467847 103798824 -43849285 15776245 6644515 9131730 X PINNACLE HEALTH REGIONAL PHYSICIANS IS A CHARITABLE ORGANIZATION DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH AND QUALITY OF LIFE FOR ALL THE PEOPLE OF CENTRAL PENNSYLVANIA 0 0 91504170 0 47592697 PINNACLE HEALTH REGIONAL PHYSICIANS (PHRP) IS A TAX EXEMPT ENTITY THAT IS PRIMARILY ENGAGED IN THE PROVISION OF PHYSICIAN SERVICES. THE PHYSICIAN SERVICES PROVIDED WITHIN PHRP SUPPORT AND ENHANCE THE SERVICES OF UPMC PINNACLE HOSPITALS AND THE UPMC PINNACLE SYSTEM. IT PROVIDES FIRST CLASS PREVENTATIVE CARE TO THE COMMUNITY AS WELL AS COLLABORATES WITH ITS AFFILIATES TO IMPROVE THE QUALITY OF HEALTHCARE AND THE PATIENT'S EXPERIENCE.PINNACLE HEALTH REGIONAL PHYSICIANS IS AN AMALGAMATION OF PRIMARY CARE, SPECIALTY CARE, AND CLINIC PHYSICIAN PRACTICES. IN FISCAL YEAR 2018, THERE WERE 32 SPECIALTY PRACTICES THROUGHOUT CENTRAL PENNSYLVANIA WITH VISITS TOTALING 208,293. PH REGIONAL PHYSICIANS INCLUDES THE FOLLOWING SPECIALTY PRACTICES: ARTHRITIS & RHEUMATOLOGY, BEHAVIORAL HEALTH, CANCER CARE (INCLUDING BREAST HEALTH, HEMATOLOGY ONCOLOGY CARE, AND RADIATION THERAPY), CARDIOLOGY, FOOT & ANKLE, SURGICAL (INCLUDING ENT HEAD & NECK, GENERAL SURGERY, ONCOLOGY, ORTHOPEDIC, PLASTIC & AESTHETIC, AND VASCULAR), INFECTIOUS DISEASE, NEUROLOGY , OB GYN, PAIN MANAGEMENT, PULMONARY & SLEEP AND UROLOGY. MANAGEMENT CONSIDERS THE INVESTMENT IN SPECIALTY SERVICES CRITICAL IN MAINTAINING AN INTEGRATED DELIVERY SYSTEM WHICH WILL AID IN THE FUTURE SUCCESS OF THE UPMC PINNACLE SYSTEM. PRIMARY CARE SERVICES ARE CURRENTLY PROVIDED THROUGH 20 FAMILY CARE PRACTICES LOCATED IN SURROUNDING CENTRAL PENNSYLVANIA COMMUNITIES. DURING THE FISCAL YEAR ENDED JUNE 30, 2018 PRIMARY CARE PATIENT VISITS TOTALED 168,659.THERE ARE 2 CLINIC PRACTICES. ONE IS LOCATED IN LANCASTER COUNTY AND THE OTHER IS LOCATED IN YORK COUNTY. DURING THE FISCAL YEAR ENDED JUNE 30, 2018 THE TWO CLINICS HAD VISITS THAT TOTALED 6,434. THE CLINICS MAINLY SERVE AN UN-INSURED, UNDER-INSURED AND LARGE MEDICAL ASSISTANCE COMMUNITY AS IT LIVES OUT ITS MISSION STATEMENT TO BE A CHARITABLE ORGANIZATION DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH AND QUALITY OF LIFE. 91504170 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 X 0 0 612 1 1 1 0 0 0 0 0 0 0 0 0 X 20 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X WILLIAM H PUGH EVP-TREASURERCFO 7172318245 PO BOX 8700 HARRISBURG PA 171058700 PHILIP W GUARNESCHELLI PRESIDENT AND CEO 1.00 39.00 X 0 1197495 35417 MICHAEL FERNANDEZ MD DIRECTOR 0.10 0.40 X 0 33917 0 JOHN HICKEY CHAIRMAN 0.10 0.70 X X 0 0 0 MICHAEL MURCHIE DIRECTOR 0.10 0.30 X 0 0 0 KENNETH OKEN DIRECTOR 0.10 0.70 X 0 100833 0 CYNTHIA TOLSMA DIRECTOR 0.10 0.80 X 0 0 0 CAROLYN KREAMER DIRECTOR 0.10 0.80 X 0 0 0 HAROLD YANG DIRECTOR/TRANSPLANT SURGEON 0.10 40.00 X 0 516675 35103 DOUG NEIDICH VICE CHAIRMAN 0.10 0.80 X X 0 0 0 YVONNE HOLLINS DIRECTOR 0.10 0.40 X 0 0 0 MARK GLESSNER DIRECTOR 0.10 0.20 X 0 0 0 JONATHAN VIPOND III DIRECTOR 0.10 0.20 X 0 0 0 LESLIE DAVIS DIRECTOR 0.10 0.20 X 0 0 0 RICHARD HAMILTON DIRECTOR 0.10 0.20 X 0 0 0 STEVEN SHAPIRO MD DIRECTOR 0.10 0.20 X 0 0 0 EDWARD KARLOVICH DIRECTOR 0.10 0.20 X 0 0 0 DAVID MARTIN DIRECTOR 0.10 0.20 X 0 0 0 ROBERT MONTLER DIRECTOR 0.10 0.20 X 0 0 0 PAUL SPEARS MD DIRECTOR 0.10 0.20 X 0 0 0 JOHN KUNKLE DIRECTOR 0.10 0.20 X 0 0 0 CHRISTOPHER P MARKLEY ESQ SEC'Y/SR VP STAT SVCS/GEN COUNSEL 0.10 39.90 X 0 589542 31098 WILLIAM H PUGH EVP-TREASURER/CFO 0.10 39.90 X 0 847217 24208 WILLIAM PARRISH SURGEON, ORTHO 40.00 X 362105 0 22848 MANU RAJACHANDRAN CARDIOLOGIST 40.00 X 336427 0 20344 KAMLESH ACHARYA PHYSICIAN - PHMG 40.00 X 287302 0 24009 SETH BAUBLITZ SURGEON, ORTHO 40.00 X 274702 0 24647 IRINA SACHELARIE PHYSICIAN, MEDICAL ONCOLOGY 40.00 X 264781 0 17940 MICHAEL YOUNG FORMER PRESIDENT & CEO (RES. 3/17) 1.00 39.00 X 0 1220119 20822 1525317 4505798 256436 92 1 1 0 STAFF CARE INC 8840 CYPRESS WATERS BLVD 300 COPPELL TX 75019 TEMP. PHYSICIAN STAFFING 1135947 WEATHERBY LOCUMS INC 1020 SOUTHHILL DR CARY NC 27513 TEMP. PHYSICIAN STAFFING 1038550 COMPHEALTH 35 NUTMEG DR SUITE 360 TRUMBULL CT 06611 TEMP. PHYSICIAN STAFFING 970959 RIVERSIDE ANESTHESIA ASSOCIATES 1 RUTHERFORD RD HARRISBURG PA 17109 CONTRACTED HEALTH SVCS. 580719 PHYSICAN PRACTICE SUPPORT LLC 4000 MERIDIAN BLVD FRANKLIN TN 37067 CONSULTING SERVICES 498868 13 PATIENT REVENUE, NET 621110 47104731 47104731 REPORTING/QUALITY INCENTIVES 900099 487966 487966 47592697 4274 0 4274 4274 4274 I/C LOSS REIMBURSEMENTS 900099 12305155 12305155 OUTPATIENT PROGRAMS 900099 23520 23520 CARE GAP CLOSURE 900099 10000 10000 13893 5802 8091 12352568 59949539 47104731 5802 12839006 66172533 58231829 7940704 2537142 2232685 304457 4783567 4209539 574028 3837735 3377207 460528 4530074 3805262 724812 6835939 6049008 786931 23721 15893 7828 1695225 1542871 152354 657374 506027 151347 6084247 5293295 790952 58339 42022 16317 284336 267047 17289 2290 2290 1170146 1088236 81910 1432822 1432822 PHARMACY 1946676 1946676 MEDICAL SUPPLIES 1185781 1185781 DUES AND MEMBERSHIPS 193818 175202 18616 PRACTICE ACQUISITION 163194 163194 203865 102768 101097 103798824 91504170 12294654 0 10758 3405261 6423000 758115 642046 5600183 1170241 0 4429942 107123 0 15776245 6600534 0 43981 0 6644515 X 9131730 0 9131730 0 15776245 X -43849285 52981015 X X 0 1 X 1 0 X 1020702 131069 889633 2476792 412457 2064335 2102689 626715 1475974 4429942 DUE TO RELATED PARTIES 43981 43981 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. AS OF DECEMBER 31, 2017, THE COMPANY'S RETURNS FOR THE FISCAL YEARS ENDED JUNE 30, 2014, 2015, AND 2016 ARE OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES. X X X X 1 1 0 0 0 0 0 0 0 PHILIP W GUARNESCHELLI PRESIDENT AND CEO 0 746232 0 249290 0 201973 0 16200 0 19217 0 1232912 0 0 HAROLD YANG DIRECTOR/TRANSPLANT SURGEON 0 241165 0 25000 0 250510 0 16200 0 18903 0 551778 0 0 CHRISTOPHER P MARKLEY ESQ SEC'Y/SR VP STAT SVCS/GEN COUNSEL 0 372245 0 133810 0 83487 0 16200 0 14898 0 620640 0 0 WILLIAM H PUGH EVP-TREASURER/CFO 0 545622 0 202914 0 98681 0 16200 0 8008 0 871425 0 0 WILLIAM PARRISH SURGEON, ORTHO 358976 0 3000 0 129 0 16200 0 6648 0 384953 0 0 0 MANU RAJACHANDRAN CARDIOLOGIST 333159 0 0 0 3268 0 11324 0 9020 0 356771 0 0 0 KAMLESH ACHARYA PHYSICIAN - PHMG 169336 0 112704 0 5262 0 16200 0 7809 0 311311 0 0 0 SETH BAUBLITZ SURGEON, ORTHO 262731 0 10800 0 1171 0 16200 0 8447 0 299349 0 0 0 IRINA SACHELARIE PHYSICIAN, MEDICAL ONCOLOGY 257381 0 0 0 7400 0 9232 0 8708 0 282721 0 0 0 MICHAEL YOUNG FORMER PRESIDENT & CEO (RES. 3/17) 0 308524 0 0 0 911595 0 6423 0 14399 0 1240941 0 0 PART I, LINE 3 PINNACLE HEALTH REGIONAL PHYSICIANS 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 MICHAEL YOUNG, THE FORMER CEO, RECEIVED A SEVERANCE PAYMENT OF $701,954 UPON HIS DEPARTURE. MICHAEL YOUNG PARTICIPATED IN A SPLIT INTEREST LIFE INSURANCE POLICY WHEREBY THE ORGANIZATION PAID THE PREMIUMS AND MR. YOUNG REPORTED THE PREMIUMS AS OTHER REPORTABLE COMPENSATION. UPON MR. YOUNG'S DEATH, THE ORGANIZATION WOULD HAVE RECOVERED ITS PREMIUMS BEFORE ANY PROCEEDS COULD BE RELEASED TO THE BENEFICIARIES. DANIEL PUGH RELATIVE OF OFFICER WILLIAM PUGH 102509 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 58954 MICHAEL HESS IS A RELATIVE OF PHILIP GUARNESCHELLI AND IS COMPENSATED BY UPMC PINNACLE AS AN EMPLOYEE. PHILIP GUARNESCHELLI DOES NOT SUPERVISE MICHAEL NOR DOES HE PARTICIPATE IN DISCUSSIONS ON MICHAEL HESS' COMPENSATION. 0 FORM 990, PART V, LINE 1A: UPMC PINNACLE, THE PARENT ENTITY OF A GROUP COMPRISED OF TAXABLE AND TAX-EXEMPT ORGANIZATIONS, IS THE COMMON REPORTING AGENT FOR THE GROUP AND FILES ALL 1099 FORMS FOR PINNACLE HEALTH REGIONAL PHYSICIANS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS UPMC PINNACLE, A NONPROFIT CORPORATION (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 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 UMPC 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 THE 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 UPON REQUEST. 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 XI, LINE 9: INTERCOMPANY TRANSFERS 52,981,015. PART XII, LINE 2C: UPMC IS AUDITED ON A CONSOLIDATED BASIS. THEREFORE, THERE ARE NO SEPARATE AUDITED FINANCIAL STATEMENTS FOR UPMC PINNACLE AND ITS SUBSIDIARIES. 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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 SERVICES EI N/A C 0 UPMC CANCER CENTERS IRELAND LIMITED 6TH FLOOR BEACON HOSPITAL SANDYFORD EI DUBLIN 18 CANCER TREATMENT 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 SUPPORT 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 GRAND CAYMAN 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 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HOWEVER, THEY ARE DISCLOSED ON SCHEDULE R TO REFLECT THAT THEY ARE A PART OF THE UPMC SYSTEM OF ENTITIES, AS THEY ALL SHARE UPMC AS THEIR ULTIMATE PARENT CORPORATION. THE DISCLOSURE IS IN THE INTEREST OF TRANSPARENCY.