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UPMC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
UPMC (EIN 23-2176963)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-15
IRS object ID
201911359349302066
Schema version
2017v2.3
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)
Return2019-05-15T07:56:18-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

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 Street Suite 200AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMOStateAbbreviationCd
ZIP65806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN232176963EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Soldiers and Sailors Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOLDBusinessNameControlTxt
Phone5707230605PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line132-36 Central Avenue No AcctgAddressLine1Txt
CityWellsboroCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonChris StockhausenPersonNm
Person TitleInterim CFOPersonTitleTxt
Phone4125789592PhoneNum
Signature2019-05-15SignatureDt
Discuss With Paid PreparerYes (1)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 Address50.202.239.68IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-15IPDt
IP Tm08:55:47IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1BA4CE2121576A7D46F0E86313F165324A79D8C6AtSubmissionCreationDeviceId
At Submission Filing Device IdCF77422DD73D8D63E416D3D1138E47F9157013E9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSteven P JohnsonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 High StreetAddressLine1Txt
CityWilliamsportCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$78,830,169GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressupmcsusquehanna.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1919FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionSoldiers & Sailors Memorial Hospital (SSMH) is a 50 bed, critical access hospital, primarily serving Tioga and surrounding counties. SSMH provides a full range of outpatient, inpatient and emergency services.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers91TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,166NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$26,046PYContributionsGrantsAmt
CY Contributions Grants$6,700CYContributionsGrantsAmt
PY Program Service Revenue$71,932,539PYProgramServiceRevenueAmt
CY Program Service Revenue$77,632,614CYProgramServiceRevenueAmt
PY Investment Income$117,624PYInvestmentIncomeAmt
CY Investment Income$165,238CYInvestmentIncomeAmt
PY Other Revenue$552,462PYOtherRevenueAmt
CY Other Revenue$698,851CYOtherRevenueAmt
PY Total Revenue$72,628,671PYTotalRevenueAmt
CY Total Revenue$78,503,403CYTotalRevenueAmt
PY Grants And Similar Paid$7,675PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$686,928CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$26,207,312PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,679,469CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$35,013,948PYOtherExpensesAmt
CY Other Expenses$37,835,804CYOtherExpensesAmt
PY Total Expenses$61,228,935PYTotalExpensesAmt
CY Total Expenses$63,202,201CYTotalExpensesAmt
PY Revenues Less Expenses$11,399,736PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,301,202CYRevenuesLessExpensesAmt
Total Assets BOY$85,842,590TotalAssetsBOYAmt
Total Assets EOY$97,443,370TotalAssetsEOYAmt
Total Liabilities BOY$13,713,473TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,489,947TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$72,129,117NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$89,953,423NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSoldiers & Sailors Memorial Hospital ("SSMH") is a subsidiary of the exempt organization UPMC Susquehanna. The mission of UPMC Susquehanna and its affiliates is as follows: To extend God's healing love by improving the health of those we serve. Our Vision is to create an integrated community health system that delivers world class care. Our values are to carefully place our patients and their families first, share ownership with all our caregivers and lead with a servant's heart.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$58,342,208ExpenseAmt
Grant$686,928GrantAmt
Revenue$77,632,614RevenueAmt
DescThe hospital is an 50 bed critical access hospital, which provides care to patients who meet certain criteria without charge or at amounts less than its established rates. The hospital does not pursue collection of amounts determined to qualify as charity care, nor are such amounts reported as revenue. The charity care charges foregone amounted to $1,264,200 in 2018. The following is a summary of the services provided to patients in 2018;Inpatient admissions 1,707Outpatient visits 94,776Newborn deliveries 206Emergency department visits 15,677Surgeries performed 5,842Laboratory tests 256,094CAT Scans 7,357Ultrasound tests 6,598Radiology tests 17,670MRI tests 1,822Nuclear Medicine tests 742Rehab 11,186Oncology Procedures 2,420Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescSSMH treats all patients without regard to their ability to pay. In addition, the Hospital treats Medicare and Medical Assistance patients and maintains a Medicare/Medical Assistance policy that provides patients enrolled in such programs with access to all covered inpatient, outpatient and diagnostic services that are available to non-Medicare/Medical Assistance patients.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescOn an annual basis, SSMH devotes a portion of its revenue and assets to community program services. The following reflects the breakout of $13,738,000 in quantifiable community benefits reported for FY 2018. Charity care (at cost) $315,000; Bad Debt (at cost) 5,619,000; Government-sponsored health care (unpaid cost of Medicare, Medicaid, indigent care programs, and other safety net programs) $7,129,000. In addition, various other programs such as Community Building, Community Wellness and recreation, Financial and InKind Contributions and Community Benefit Operations totaling $675,000.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$58,342,208TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGretchen ReginaPersonNm
Phone5707230605PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line132-36 Central AvenueAddressLine1Txt
CityWellsboroCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16901ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Lisa V Feil Psy D
Director1.001.00Yes (X)$0$0$0
Robert PFitzgerald
Director1.001.00Yes (X)$0$0$0
Harold F Hoose III
Treasurer1.001.00Yes (X)$0$0$0Yes (X)
Michael W Lichty
Director1.001.00Yes (X)$0$0$0
JDennis Murray PhD
Director1.001.00Yes (X)$0$0$0
Thomas M Owlett Esq
Chairman1.001.00Yes (X)$0$0$0Yes (X)
Glenn BPoirier
Vice Chairman1.001.00Yes (X)$0$0$0Yes (X)
Wendy SSwartz CPA
Director1.001.00Yes (X)$0$0$0
Donna R Wilson
Director1.001.00Yes (X)$0$0$0
Kathy J Wright PhD
Secretary1.001.00Yes (X)$0$0$0Yes (X)
Jill ABurns MD
Director1.0041.00Yes (X)$0$249,542$29,207
Walter J Laibinis DO
Director1.0041.00Yes (X)$0$361,408$29,999
Steven P Johnson
President/CEO1.0051.00Yes (X)$0$1,434,188$33,810Yes (X)
Janie M Hilfiger
VP/President40.002.00$188,935$0$18,092Yes (X)
Eric Pohjala
Executive VP/CFO0.0052.00$0$434,880$31,749Yes (X)
Jan E Fisher
Executive VP/COO1.0041.00$0$480,809$28,165Yes (X)
David Lopatofsky MD
Executive VP/CMO1.0041.00$0$552,898$35,625Yes (X)
Enrico Doganiero
Physician40.00$527,891$0$35,866Yes (X)
Candy Klotz
Pharmacist40.00$141,877$0$6,773Yes (X)
Stephen Bortz
Supervisor Chief Pharmaci40.00$147,670$0$13,913Yes (X)
Toni Burch
RN Supervisor40.00$146,670$0$14,442Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,153,043TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,513,725TotReportableCompRltdOrgAmt
Total Other Compensation$277,641TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Aramark Healthcare
24863 Network PlaceChicagoIL60673Management Services/Environment$6,086,909
Oracle (People Soft)
500 Oracle ParkwayRedwood ShoresCA94065Software support$1,931,084
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$6,700AllOtherContributionsAmt
Total Contributions$6,700TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient service revenue621990$75,558,570$75,558,570
Employee Pharmacy revenue446110$830,040$830,040
Paramedic revenue621910$541,618$541,618
Other Miscellaneous income621990$469,123$469,123
Cafeteria revenue722210$216,943$216,943

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,320TotalRevenueColumnAmt
Related Or Exempt Func Income$16,320RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$77,632,614TotalProgramServiceRevenueAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,395TotalRevenueColumnAmt
Exclusion$7,395ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$698,851RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$698,851RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$698,851TotalRevenueColumnAmt
Exclusion$698,851ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$484,609OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$326,766OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$157,843OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$157,843TotalRevenueColumnAmt
Exclusion$157,843ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,503,403TotalRevenueColumnAmt
Related Or Exempt Func Income$77,632,614RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$864,089ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$686,928TotalAmt
Program Services$686,928ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,153,043TotalAmt
Program Services$964,108ProgramServicesAmt
Management And General$188,935ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,805,107TotalAmt
Program Services$17,064,119ProgramServicesAmt
Management And General$1,740,988ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$75,013TotalAmt
Program Services$67,512ProgramServicesAmt
Management And General$7,501ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,234,989TotalAmt
Program Services$2,911,490ProgramServicesAmt
Management And General$323,499ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,411,317TotalAmt
Program Services$1,270,185ProgramServicesAmt
Management And General$141,132ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,548,232TotalAmt
Management And General$1,548,232ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,073TotalAmt
Management And General$1,073ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,885TotalAmt
Management And General$3,885ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,327,263TotalAmt
Program Services$10,689,505ProgramServicesAmt
Management And General$637,758ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$194TotalAmt
Program Services$194ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$574,566TotalAmt
Program Services$506,729ProgramServicesAmt
Management And General$67,837ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$884,739TotalAmt
Program Services$860,236ProgramServicesAmt
Management And General$24,503ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$120,845TotalAmt
Program Services$120,845ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$34,566TotalAmt
Program Services$34,566ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$603,478TotalAmt
Program Services$603,478ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,777,208TotalAmt
Program Services$3,777,208ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$498,698TotalAmt
Program Services$498,698ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies and Dr$9,597,398$9,588,825$8,573
Bad Debt Expenses$5,618,536$5,618,536
Repairs and Maintenance$2,240,310$2,233,232$7,078
Laundry and Linen$216,172$216,172

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$788,641TotalAmt
Program Services$629,642ProgramServicesAmt
Management And General$158,999ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$63,202,201TotalAmt
Program Services$58,342,208ProgramServicesAmt
Management And General$4,859,993ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,393,504BOYAmt
EOY$210,423EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$34,558BOYAmt
EOY$24,622EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,621,953BOYAmt
EOY$9,121,333EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$867,555BOYAmt
EOY$3,191,543EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$684,327BOYAmt
EOY$368,486EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$171,922BOYAmt
EOY$28,050EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$82,929,499LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$42,094,944LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$42,107,777BOYAmt
EOY$40,834,555EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$27,960,994BOYAmt
EOY$43,664,358EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$85,842,590BOYAmt
EOY$97,443,370EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,446,129BOYAmt
EOY$3,547,740EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$257,624BOYAmt
EOY$173,952EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$2,349,399BOYAmt
EOY$2,231,753EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$660,321BOYAmt
EOY$1,536,502EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,713,473BOYAmt
EOY$7,489,947EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$71,903,101BOYAmt
EOY$89,708,581EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$226,016BOYAmt
EOY$244,842EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$72,129,117BOYAmt
EOY$89,953,423EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$85,842,590BOYAmt
EOY$97,443,370EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$15,301,202ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$2,523,104OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$4,221GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$4,221TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe Hospital holds a membership in the American Hospital Association (AHA) which engages in lobbying as part of their mission to represent the interests of hospitals at both the Federal and State levels. For the year ended June 30, 2018, the amount of dues paid to AHA totaled $18,370, of which 22.98% or $4,221, was used for lobbying purposes.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,340,122OtherCostOrOtherBasisAmt
Book Value$1,340,122BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,519,034OtherCostOrOtherBasisAmt
Depreciation$22,502,147DepreciationAmt
Book Value$30,016,887BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$116,316OtherCostOrOtherBasisAmt
Depreciation$115,890DepreciationAmt
Book Value$426BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,511,639OtherCostOrOtherBasisAmt
Depreciation$17,596,665DepreciationAmt
Book Value$7,914,974BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,442,388OtherCostOrOtherBasisAmt
Depreciation$1,880,242DepreciationAmt
Book Value$1,562,146BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$40,834,555TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDue from Exempt AffiliatesDesc
Book Value$43,664,358BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$43,664,358TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEstimated amounts due to third-party payersDesc
Amt$1,536,502Amt
FieldValueIRS element (for citing)
Total Liability$1,536,502TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationUPMC has no uncertain tax positions recorded. Tax benefits are recognized when it is more likely than not that a tax position will be sustained upon examination by the tax authorities based on the technical merits of the position. Such tax positions are measured as the largest amount of tax benefit that is greater than 50% likely to be realized upon ultimate settlement with the tax authorities assuming full knowledge of the position and all relevant facts. As of June 30, 2018, 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.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral AmericaRegionTxt
Offices0OfficesCnt
Employee1EmployeeCnt
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConductedTxt
Specific Services ProvidedCaptive Insurance CompanySpecificServicesProvidedTxt
Region Total Expenditures$441,976RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$441,976SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$441,976TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$312,257TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$312,257NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,254,784TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,913,112DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,341,672NetCommunityBenefitExpnsAmt
Total Expense0.02120TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,567,041TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,913,112DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,653,929NetCommunityBenefitExpnsAmt
Total Expense0.02610TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,153TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,153NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,006,992TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,006,992NetCommunityBenefitExpnsAmt
Total Expense0.01590TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,013,145TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,013,145NetCommunityBenefitExpnsAmt
Total Expense0.01600TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,580,186TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,913,112DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,667,074NetCommunityBenefitExpnsAmt
Total Expense0.04210TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,618,536BadDebtExpenseAmt
Bad Debt Expense Attributable$280,927BadDebtExpenseAttributableAmt
Reimbursed By Medicare$6,969,670ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,265,879CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,296,209MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Soldiers & Sailors Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line132-36 Central AvenueAddressLine1Txt
CityWellsboroCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16901ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.upmcsusquehannahealth.orgWebsiteAddressTxt
State License390043StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Soldiers & Sailors Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Page 7OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Page 7StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW/UPMC.com/patients-visitors/paying-bill/servicesFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW/UPMC.com/patients-visitors/paying-bill/servicesFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW/UPMC.com/patients-visitors/paying-bill/servicesFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Soldiers & Sailors Memorial HospitalPart V, Section B, Line 5: In conducting its CHNA, the hospital took into account input from representatives of the community served, including those with special knowledge of or expertise in public health. This was accomplished by conducting 9 Key Informant interviews with 55 people answering the key informant interview. A web-based tool was utilized to conduct the key informant interviews; however, paper questionnaires identical to the electronic version were distributed to populations who may not have had access to the internet or generally are more likely to complete a paper questionnaire. For more details concerning the Key Informant Interview Process or the Community Health Input Questionnaire process, including a list of those individuals interviewed, a copy of the Community Health Input Questionnaire, and results gathered you may view the CHNA and related Implementation Plan at www.upmcsusquehanna.org/community health.
Soldiers & Sailors Memorial HospitalPart V, Section B, Line 6a: Soldiers and Sailors Memorial Hospital; located in Wellsboro, PA is one of six hospitals that comprise UPMC Susquehanna based in Williamsport, Pennsylvania. For purposes of conducting CHNA's, three of these hospitals, The Williamsport Hospital (DBA:Williamsport Regional Medical Center), Divine Providence Hospital, and Muncy Hospital, share the same definition of community served, which is Lycoming County, PA. The fourth hospital that is part of UPMC Susquehanna is Soldiers and Sailors Memorial Hospital located in Wellsboro, PA and their defined community is Tioga County, PA. Additionally there are two recently acquired hospital entities, Lock Haven Hospital and Sunbury Hospital,whose community health needs are being evaluated. The health systems' approach to providing community benefits is to leverage the assets and expertise of all six hospitals to meet the needs and improve the health status of those who reside in the communities located in Lycoming and Tioga counties. Accordingly, a certain amount of collaboration between these related hospitals occurred in the development of their CHNA's and related Implementation Plans. For more details concerning these four hospitals, as well as their definition of community served you may view the CHNA and related Implementation Plans at www.upmcsusquehanna.org/community health.
Soldiers & Sailors Memorial HospitalPart V, Section B, Line 11: Health needs were identified based on information gathered and analyzed through the 2016 CHNA conducted by the Health System. For the health needs prioritization process, the Health System engaged a hospital leadership team to review the most significant health needs reported in the CHNA using the following criteria, 1) Current area of hospital focus. 2) Established relationships with community partners to address the health need. 3) Organizational capacity and existing infrastructure to address the health need. Based on the criteria outlined above, the leadership team ranked each of the health needs. As a result of the priority process, the identified priority areas that will be addressed through the Health System's Implementation Strategy for fiscal years 2017 through 2019 will be: Priority 1:Improve access to primary and specialty services.Goal 1: Work with Tioga County Partnership for Community Health on Improvement of transportation for healthcare services. Update as of 7/7/2017: Tioga County Partnership for Community Health received a block grant for transportation which SSMH is using for patients discharged from the Emergency Department and inpatient units, to transport to home at no cost to the patient.Goal 2: Explore non-traditional strategies to provide access to care. Update as of 7/7/2017: Susquehanna Health Internal Medicine office has opened same day appointments to accommodate urgent needs. Laurel Health Center administration is exploring urgent care concept at the Mansfield Laurel Health Center. Visiting specialists from Lycoming provide Cardiology and ENT at Wellsboro and Cardiology, Sports Medicine and Rheumatology at Mansfield.Goal 3: Explore telehealth opportunities and innovative ways to deliver care. Update as of 7/7/2017: the following at now available at SSMH: teleburn, telestroke, telepsychiatry, and teleneurology. A UPMC Susquehanna telehealth committee has been formed.Priority 2: Bring in addiction services and/or task forces to Tioga County.Goal 1: Authorize Implementation of prescription drug monitoring program system wide. Goal 2: Collaborate with Tioga County to share best practices. Update as of 7/7/2017:SSMH actions-Review and reduce Rx when feasible, standardize narcotic formulations, OB task force setup and add ER case managers. Physician offices- monitor of prescribing patterns. County Wide-Project Bald Eagle/Tioga Coalition first mtg 4/27/17, drug drop boxes, National Guard education programs.Priority 3: Collaborate with community organizations on health and wellness initiatives. Goal 1: Promote routine cancer screenings for breast, colon and cervical cancer. Update as of 7/7/2017: Susan G Komen grant received to cover mammograms for the uninsured. Free screening for melanoma provided by Susquehanna Surgical at Wellsboro in May and September. Expansion of mammography to the Mansfield Medical Plaza. Implementation of breast health nurse navigator program in Wellsboro.Goal 2: Collaborate with the PA Department of Health and Tioga County Partnership for Community Health to establish more health screeeings and community events. Update as of 7/7/2017: Community health programs offered throughout the year to include newborn immunization program through SSMH and Tioga Partnership.Goal 3: Continue to partner with River Valley Regional YMCA and Wellsboro Parks and Recreation Department to support health and wellness programs for both children and adults. Update as of 7/7/2017: YMCA offers a variety of programs for youth. The UPMC Wellness program provides a multitude of activities to promote a healthy lifestyle.Goal 4: Continue to grow and expand Spirit of Women program. Update as of 7/7/2017: Multiple programs provided throughout the year by the Spirit of Women program.Priority 4: Support mental health serviceGoal 1: Increase access to behavorial health specialists. Update as of 7/7/2017: Telehealth available at SSMH and pediatric behavorial health through the Penn State telehealth program available at Wellsboro Behavorial Health Office.Priority 5: Support transportation options to healthcare for rural areas.Goal 1: Work with Tioga County Partnership for Community Health on improvement of transportation for healthcare services. Update as of 7/7/2017: Tioga County Partnership received a grant for transportaion which SSMH is using for patients discharged from the ER and inpatient units, to transport to home at no cost to the patient.Goal 2 : Bring routine wellness screenings and programs to rural Tioga areas. Update as of 7/7/2017: PA Department of health no longer employs an RN to assist with programs. UPMC SSMH and Tioga Partnership continue to offer routine Wellness screenings and programs, such as CMBA (community multi-phasic blood analysis).
Soldiers & Sailors Memorial HospitalPart V, Section B, Line 20e: UPMC Soldiers and Sailors Memorial Hospital engages in no extraordinary collection actions.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:Financial Assistance or Charity care is available for eligible individuals who have health care needs and are uninsured, underinsured, inelgible for government programs or otherwise unable to pay for their own care.A patient may be determined to have financial needs based on the following:1. Indigency: if income falls at or below 250% of the Federal Poverty guidelines, the patient will have no financial responsibilty. The patient is approved for 100% free care. 2. Low income sliding scale: Assistance may be a discounted or reduced patient liability depending on the patient's income:A. If the combined family income is greater than 251% and less than or equal to 400% of the Federal poverty guidelines and uninsured, the patient is eligible for reduced charity care.There will be an 87% reduction in the patient bill. The discounted charity care scale is listed below:F/S=Family Size 2018Family Size Category 1-100% Category 2-87%1 $30,350 $48,5602 $41,150 $65,8403 $51,950 $83,1204 $62,750 $100,4005 $73,550 $117,6806 $84,350 $134,9607 $95,150 $152,2408 $105,950 $169,520Each Additional $10,800 $17,2803. Financial hardship: If a patient is approved for discounted or reduced charity care and cannot afford to pay the remaining balance, the patient may be considered for financial hardship. Assistance will be provided in the form of an adjustment of charges to prevent the patient liability from exceeding the lesser of 15% of family income or the AGB. 4. Medical Hardship/catastrophic care: If a patient is denied financial assistance and cannot afford to pay the account balance, the patient may be considered medically indigent and may be considered for medical hardship/catastrophic care. The patient will be liable to pay the lesser of 15% of their calculated household income or the AGB towards their medical bill. This is a one time financial assistance adjustment for existing account balances. The remaining balance will be adjusted to free care.Part 1 Line 4"Medically indigent" means persons who the organization has determined unable to pay some or all of their medical bills because their medical bills exceed a certain percntage of their family household's income.
Part I, Line 6a:The community benefit report is prepared on a system wide basis under UPMC Susquehanna.
Part I, Line 7:Part I Line 7 Column (F): The Bad Debt expense included on Form 990, Part IX, Line 25 (A) but subtracted for purposes of calculating the percentage in this column is $5,618,536.
Part II, Community Building Activities:Soldiers & Sailors Memorial Hospital participates in community building through various means such as making parts of the building (conference rooms cafeteria, etc) available for public meetings, blood drives, CPR classes, expectant parent classes, and EMS education among others. The hospital has a large group of volunteers from the community who donate time to assist the organization providing care and well being to the community it serves. For fiscal year 2018, SSMH had 91 volunteers donate approximately 6,865 hours of their time.
Part III, Line 2:Bad Debt expense consists of the actual bad debts written off, plus a reserve calculation based on a progressive percentage for self pay and other non-contract accounts receivable aging categories. This figure is the amount of bad debt in the audited financial statements.
Part III, Line 3:Process for reallocation from Bad Debt to Charity Care UPMC reclassifies bad debt accounts as charity care by utilizing a predictive model called PARO (Payment Assistance Rank Order). PARO was built as a socio-economic score that identified those patients that are most likely to be the highest need of financial assistance. This is accomplished by analyzing comsumer data and IRS data. PARO provides a systematic approach to financial assistance: "Predictive model that encompasses health care economics and credit policies; Uniform assessment measure for every patient regardless of financial standing. "Accounts for patients that are unresponsive, illiterate, or otherwise challenged to apply, "Eliminates barrier to application and meets increased pressure to provide additional financial resources to consumers; "Identify and support those community needs efforts to provide assistance to those consumers in need." There are two data points returned to UPMC in order to make the decision whether the patient would qualify for charity care. The first is the estimated income level based on the Federal poverty level guidelines. The second is the PARO score which utilizes an algorithm based approach and returns a score based on personal attributes of the patient. Data elements were combined to create two primary indicators of need, the PARO score and the Federal poverty level. PARO analyzed our historical charity care approvals to determine our PARO threshold and the FPL threshold for historical approvals. The approved charity care accounts were compared against accounts that were inactive accounts receivable. This was done to determine if the distributions were similar or if any pattern existed based on the approved accounts and the unknown accounts. If the patient's estimated income and PARO score are within the scores identified by the calibration of UPMC exisitng charity care patients, the account is reclassified from bad debt to charity care, however, the automated strategy focuses on patients that do not complete the application process. The US Department of Education estimates that 1 in 5 consumers are functionally illiterate. This, coupled with the low levels of participation in traditional banking methods, makes the appliation process virtually impossible for consumers.
Part III, Line 4:The System reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The System provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the System bills third-party payers directly and bills the patient when the patient's liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account.
Part III, Line 8:The Medicare cost report uses a cost per day for the routine service costs times the number of Medicare days. Ancillary costs are calculated based on the cost to charge ratio by department. The Medicare cost report does not capture all charges and reimbursements provided to the facility under Medicare. For the fiscal year ended June 30, 2018, the facility had approximately $7 million in Medicare charges provided at a cost of approximately $8 million. This resulted in a $1 million shortfall for the fiscal year.Serving patients with government health benefits, such as Medicare, is a component of the community benefit standard that tax-exempt hospitals are held to. This implies that serving Medicare patients is a community benefit and that the hospital operates to promote the health of the community.
Part III, Line 9b:UPMC has a debt collection policy outlining collection practices for patients. If at any time the patient expresses an inability to pay, they are sent a financial assistance application. Information regarding financial assistance is printed on all collection letters. Collections per policy do not apply to account balances known to be eligible for financial assistance.
Part VI, Line 2:The Health System engaged BKD, LLP to conduct a formal CHNA. BKD, LLP is one of the largest CPA and advisory firms in the United States, with approximately 2,000 partners and employees in 34 offices. BKD serves more than 900 hospitals and health care systems across the country. The CHNA was conducted from February 2016 to June 2016.The following steps were conducted as part of the Health System's CHNA 1) An evaluation of the impact of actions taken to address the significant health needs identified in the tax year 2012 CHNA was completed to understand the effectiveness of the Health System's current strategies and programs. 2) The "community" served by the Health System was defined by utilizing inpatient data regarding patient origin. This process is further described in the Community Served by the Health System. 3) Population demographics and socioeconomic characteristics of the community were gathered and reported utilizing various third parties. The health status of the community was then reviewed. Information on the leading causes of death and morbidity information was analyzed in conjunction with health outcomes and factors reported for the community by the Center for Disease Control and Prevention (Community Health Status Indicators). Health factors with significant opportunity for improvement were noted. 4) Community input was provided through nine key stakeholder meetings and a community health survey. Results and findings are described in the Community Input Key Stakeholder Interviews and Survey section of the CHNA at www.upmcsusquehanna.org/community health. 5) Information gathered in the above steps was analyzed and reviewed to identify health issues of uninsured persons, low income persons and minority groups and the community as a whole. Health needs were ranked utilizing a weighing method that weighs the size of the problem, the seriousness of the problem, the impact of the issues on vulnerable populations, the prevalence of common themes, how important the issue is to the community, and how the issue aligns with the Hospital's strategic plan. 6) An inventory of health care facilities and other community resources potentially available to address the significant health needs identified through the CHNA was prepared and collaborative efforts were identified. Health needs were then prioritized taking into account the perceived degree of influence the Health System has to impact the need and the health needs impact on overall health for the community.To help see the implementation plan come to fruition an implementation team has been formed which is comprised of various individuals from community organizations throughout Lycoming and Tioga counties. Such partnered organizations include Lycoming County Health Improvement Coalition, Tioga County Partnership for Community Health, River Valley YMCA, Project Bald Eagle, STEP, YWCA, PA Department of Health , just to name a few.
Part VI, Line 3:UPMC communicates the availability of financial assistance to its patients by placing signage and distributing brochures about the financial assistance program in its provider registration areas, admissions, emergency department and business office locations. In addition, UPMC includes information regarding how a patient can request financial assistance on the bills, follow-up correspondence and collection letters.Patients may also find information about financiai assistance through access to the UPMC website (WWW.UPMC.COM).Patients are encouraged to contact UPMC's trained financial counselors should they require assistance with completing applications. Contact telephone numbers are posted strategically throughout the hospital facilities so that patients have a resource for obtaining support with any financial assistance questions they may have. UPMC has created a plain language summary (PLS) to explain, in simplified terms, our financial assistance policy (FAP). This summary is printed at all same day surgery, ER and inpatient locations and given to the patient upon discharge. UPMC has also translated the PLS, FAP, collection and billing policy, and FAP application into the following languages; Arabic, Chinese, French, Italian, Nepali, Russian, Spanish, and Braille. The determination of languages for translation of documents was determined by a study of English proficiency in the communities served and review of predominant native languages in those communities as prescribed in IRC Section 501 (R). The PLS is available on the UPMC website.UPMC will notify all patients approved via presumptive eligibility if not receiving the highest level of assistance. A letter informing the patient that they may qualify for a higher level and a financial assitance application will be sent to the patient upon determination. UPMC has widely publicized our financial assistance policy. UPMC has worked with hospital leaders and community liasons to determine the most appropriate non-healthcare locations to reach the populations that will benefit from our financial assistance. UPMC has proactively reached out in these communities to widely publicize our financial assistance policy. Finally, UPMC will now only include patient balances from one year prior to the patient's financial assistance approval date. As a result, UPMC will also refund any patient payments made within that year of the patient's financial assistance approval date, approved via an application.
Part VI, Line 4:The hospitals that comprise UPMC Susquehanna Lycoming county operations are: The Williamsport Hospital (TWH), Divine Providence Hospital (DPH) and Muncy Valley Hospital (MVH). The county is in the north central region of the state, about three and half hours northeast of Pittsburgh and the same distance northwest of Philadelphia. Lycoming County is designated as rural and has small towns nestled within a stunning natural landscape. The City of Williamsport, with the majestic Susquehanna River running through it, is designated as urban, and is home of the Little League World Series. Unfortunately, the City of Williamsport and the surrounding rural area are also home for many individuals and families who cannot afford the primary health and dental care services provided in the county. In addition, Soldiers and Sailors Memorial Hospital (SSMH)located in Wellsboro, PA, Tioga County, is also part of UPMC Susquehanna. Tioga County is located in rural North Central Pennsylvania and has a population of approximately 42,000 as of the 2010 census. The median household income was $44,000 with 15.3% of the residents below two times the Federal Poverty level. Also part of UPMC Susquehanna are Lock Haven Hospital (LHH) located in Clinton County and Sunbury Community Hospital located in Northumberland County. For a more detailed discussion regarding the community served, as well as associate socio-economic characteristics, you may view the CHNA and related Implementation plan at www.upmcsusquehannahealth.org.
Part VI, Line 5:The hospitals of UPMC Susquehanna all have entity specific boards that are composed of persons who reside in Lycoming and Tioga Counties.In addition to this UPMC Susquehanna extends medical staff privileges to all qualified physicians in the county in all areas of primary and specialty care according to the UPMC Susquehanna Medical Staff Bylaws. Bylaws excerpts pertaining to this area are as follows:3.1) Nature of Membership - Medical Staff membership is available to qualified physicians, dentists, maxillofacial/oral surgeons, and podiatrists and confers both responsibilities and prerogatives, but only as provided in these Bylaws. No physician, dentist, or podiatrist, including those employed by or otherwise under contract with the Hospital(s), may admit a patient or independently provide patient care services in the Hospital(s) unless he is a Medical Staff member with applicable clinical privileges pursuant to these Bylaws. A member shall have only those clinical privileges, including admitting privileges, as have been granted in accordance with these Bylaws.3.2) Qualifications - No individual shall be considered eligible for appointment or reappointment to the Medical Staff unless he meets each of the following required qualifications/criteria. If any change in personal or professional status occurs which would inhibit practitioner's ability to effectively meet the obligations for patient care and Medical Staff membership under these Bylaws, the practitioner shall immediately notify the Medical Director.3.2-1) Professional Licensure Qualification - A member must be a physician, dentist, or podiatrist and must be duly licensed to practice in the Commonwealth of Pennsylvania.3.2-2) Clinical Privileges Qualification - A Member of the Medical Staff must have clinical privileges(or in the case of a new applicant, is granted privileges at the time of the appointment), except those appointed to the Emeritus Staff or as otherwise specified in these Bylaws. 3.2-3) Professional Competence - A member must demonstrate sufficient professional education, training, experience, competence, and good judgement to perform Medical Staff responsibilities and clinical privileges requested.3.2-4) Health Status - A member must have sufficient physical and mental health to perform Medical Staff responsibilities and exercise clinical privileges requested.3.2-5) Basic Responsibilities - A member must discharge the basic responsibilities of Medical Staff membership noted in 3.3-2.3.2-6) Board Certification Requirement - All practitioners who are current staff members at UPMC Susquehanna as of 7/1/10 and who have met prior qualifications for membership shall be exempt from board certification requirements.3.2-7) Standing with Federal Payors - A member must not be excluded from participation in federally funded programs such as Medicare and Medicaid.3.2-8) Waiver - The Board Certification requirement described in 3.2-6 may be waived under very special circumstances in which an applicant for Medical Staff membership is capable of providing specific unique expertise presently not available or insufficiently available on the Medical Staff which will fulfill an unmet medical need in the community. Such waiver may be granted by the Board(s) only upon recommendation of the Department Chairman, Credentials Committee, and the Medical Executive Committee (MEC).3.2-9) Prohibited Criteria - Medical Staff membership or assignment to a Medical Staff category shall not be denied, terminated, revoked, suspended, modified or otherwise restricted based upon:(a) Gender, race, creed, color, national origin, handicap, or disability, if the individual is otherwise qualified under these Bylaws, or(b) Economic considerations as the sole or primary criterion, or (c) Any criterion not set forth as a required qualification in these Bylaws, or(d) Any other criterion lacking professional or ethical justification.3.2-10) Effect of Other Affiliations - No individual shall be granted Medical Staff membership or be assigned to any Medical Staff category merely because he:(a) Holds a certain degree,(b) Is licensed to practice in the Commonwealth of Pennsylvania or any other state,(c) Is a member of any professional organization,(d) Is certified by any Clinical Board,(e) Had, or presently has, Medical Staff membership or clinical privileges at another health care facility,(f) Is employed by or is otherwise under contract with the Hospital(s) or,(g) Is employed by or otherwise practices with a group composed of one or more Medical Staff members.The volunteer program at UPMC Susquehanna supports the services at our 6 campuses, SSMH, MVH, DPH, TWH, LHH and SCH as well as our Life Center located within the River Valley Regional YMCA in Williamsport, PA. Volunteers ranging in age from 14, assist staff and patients in almost every department. The volunteers come from Tioga and surrounding counties to support our services. They provide over 65,000 hours of service in both office, customer service and patient care areas to support our service partners. They become ambassadors for the hospital, make new friends, financially support the hospital, become involved in the auxiliary, remain active members of society, often stay healthier longer, enjoy the camaraderie with staff and other volunteers, serve on hospital committees, recruit other volunteers, increase their volunteer hours and offer constructive suggestions for improvement. Volunteers are recruited through fairs, internet information and on-line applications, volunteer referrals and presentations to groups. They are a highly regarded, integral part of our operational support system.
Part VI, Line 6:Soldiers and Sailors Memorial Hospital (SSMH) is one of six hospitals which are part of UPMC Susquehanna. The mission of UPMC Susquehanna is to promote health by acting as the parent of a nonprofit health system in North Central Pennsylvania and by raising funds and otherwise supporting the system.SSMH is a critical access hospital providing diagnostic and treatment facilities, educational and training programs and a rehabilitation facility.Divine Providence Hospital (DVH) is a specialty hospital that offers inpatient psychiatric services and a wide array of outpatient hospital services, as well as, home health and hospice services.Muncy Valley Hospital (MVH) is a critical access hospital, primarily serving Lycoming and surrounding counties. MVH also provides a full range of outpatient and emergency services, as well as, operates a long-term care facility. The Williamsport Hosital (TWH)is an acute care community hospital providing diagnostic and treatment facilities, educational and training programs, and a rehabilitation facility.Sunbury (SCH) is an acute care community hospital as well as offers inpatient psychiatric services.Lock Haven (LHH)is an acute care community hospital providing diagnostic and treatment facilities. LHH also operates a long-term care facility.The hospitals treat Medicare and Medical Assistance patients and maintains a Medicare/Medical Assistance policy that provides patients enrolled in such programs with access to all covered inpatient, outpatient and diagnostic services that are available to non-Medicare/Medical Assistance patients.The community benefit report is prepared on a system-wide basis under UPMC Susquehanna. On an annual basis, UPMC Susquehanna devotes a portion of its revenue and assets to community program services. The following reflects the breakout of $108,814,429 in quantifiable community benefits reported for FY 2018: Charity Care (at cost) $1,975,767; Bad Debts (at cost) $10,179,193; Government sponsored health care (unpaid cost of Medicare, Medicaid, indigent care programs, SCHIP and other safety net programs)$90,988,959. In addition, various other programs such as Research, Health Professions Education, Community Building, Financial and In-Kind contributions, and Community Benefit Operations totaling $5,670,510.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Penn College of TechnologyBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 College AvenueAddressLine1Txt
CityWilliamsportCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17701ZIPCd
FieldValueIRS element (for citing)
Recipient EIN111111111RecipientEIN
IRC SectionGovernmentIRCSectionDesc
Non Cash Assistance$670,000NonCashAssistanceAmt
Valuation Method UsedAppraisalValuationMethodUsedDesc
Non Cash AssistanceDonation of BuildingNonCashAssistanceDesc
Purpose Of GrantDonated a building to be used for educational purposes by expanding its nursing program in Wellsboro Pa.PurposeOfGrantTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
Jill ABurns MD
Director$0$225,123$0$23,580$0$839$0$9,668$0$19,539$0$278,749$0$0
Walter J Laibinis DO
Director$0$228,709$0$103,398$0$29,301$0$10,100$0$19,899$0$391,407$0$0
Steven P Johnson
President/CEO$0$727,745$0$665,835$0$40,608$0$14,150$0$19,660$0$1,467,998$0$0
Janie M Hilfiger
VP/President$163,771$0$15,107$0$10,057$0$7,651$0$10,441$0$207,027$0$0$0
Eric Pohjala
Executive VP/CFO$0$375,558$0$46,874$0$12,448$0$10,100$0$21,649$0$466,629$0$0
Jan E Fisher
Executive VP/COO$0$410,810$0$54,316$0$15,683$0$10,100$0$18,065$0$508,974$0$0
David Lopatofsky MD
Executive VP/CMO$0$440,444$0$75,201$0$37,253$0$11,450$0$24,175$0$588,523$0$0
Enrico Doganiero
Physician$515,989$0$0$0$11,902$0$10,100$0$25,766$0$563,757$0$0$0
Stephen Bortz
Supervisor Chief Pharmaci$142,383$0$5,181$0$106$0$6,462$0$7,451$0$161,583$0$0$0
Toni Burch
RN Supervisor$143,859$0$2,468$0$343$0$6,437$0$8,005$0$161,112$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3UPMC Susquehanna EIN# 23-2751183, a related organization, uses the following resources to establish the compensation of the top management officials: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board.
Part I, Line 7In 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-wide basis. Individual goals and objectives related to the VCIP may also include individual entity operating performance. For FY 2018, the minimum threshold was met that would trigger a VCIP payment. In October 2017, CEO Steven P Johnson received a variable compensation award in the amount of $665,835.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6UPMC Susquehanna, EIN #23-2751183, is the sole member of the governing body.
Form 990, Part VI, Section A, line 7aUPMC Susquehanna may elect or remove members of the governing body.
Form 990, Part VI, Section A, line 7bAll the business and affairs of the corporation shall be managed and controlled by the Board of Directors, subject to the oversight of the sole Member of the management and operation of the corporation, except that the following powers are reserved exclusively to the sole Member of the corporation, and no attempted exercise of any such powers by anyone other than the sole Member shall be valid of any force or effort whatsoever. The sole Member shall exercise its power through its Board of Directors. The sole Member shall have the exclusive authority to exercise the following powers: A.)To approve the appointment and removal of the President of the corporation subject to all applicable provisions of the Creation agreement. B.) To elect and remove, with or without cause, a Director of the corporation. C.) To establish the overall policy and long range plans of the corporation, determine or change the mission of the corporation, approve the programs and services of the corporation and the termination of any programs or services of the corporation, monitor and maintain the philosophy, goals and purposes for which the corporation was formed and exists, subject to and in accordance with the provisions of the Creation agreement. D.) To adopt, amend or repeal the Articles of Incorporation or these Bylaws. E.) To establish requirements for a unified budget, the approval of new capital debt, any increment to any existing capital debt, and/or any change in capital debt obligations of the corporation. F.) To establish requirements for the approval of the acquisition, purchase, sale, leasing outside the ordinary course of business, transfer outside the ordinary course of business or encumbrance outside the ordinary course of business of land or buildings and the construction or demolition of buildings owned by the corporation. G.) To require a certified audit of corporate funds at any time. H.) To approve any guaranty of the indebtedness of any person, the granting of any security interest in or the creation of any encumbrance on any assets of the corporation outside the ordinary course of business, or any transfers of any assets of the corporation outside the ordinary course of business, except transfers between or among corporations. I.) To approve any merger, consolidation, organization, reorganization, joint venture or other modification of corporate structure or affiliations affecting the autonomy, governance, or operations of the corporation. J.) To dissolve or terminate the existence of the corporation and determine the distribution of assets upon such termination or dissolution, as provided in these Bylaws. K.) To appoint annually the external fiscal auditor of the corporation. L.) To approve the nominees for elected officers of the Board of Directors of the corporation, and to return the list of approved nominees to the Board of Directors for election. M.) To remove any elected officer of the corporation. N.) To approve the annual capital and operating budget of the corporation. O.) To coordinate managed care plans, including decisions concerning entry into or renewal of any contract or agreement relating thereto.
Form 990, Part VI, Section B, line 11bA copy of the full IRS Form 990 is available for all board members to review prior to filing.
Form 990, Part VI, Section B, line 12cUPMC, 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 members, non-employed personnel, the conflict of interest identification and management process is ultimately overseen by an ethics and compliance committee of the UPMC Board of Directors on behalf of UPMC and all of its subsidiaries. Potential 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, line 15All 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 the 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 19The organization makes its governing documents, conflict of interest policies and financial statements available upon request from the person listed as possessor of the information on line 20.
Form 990, Part IX, line 11gOther Purchased Services: Program service expenses 5,699,844. Management and general expenses 637,758. Fundraising expenses 0. Total expenses 6,337,602. Housekeeping: Program service expenses 3,353,558. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,353,558. Physician Services: Program service expenses 920,404. Management and general expenses 0. Fundraising expenses 0. Total expenses 920,404. Catering and Food Services: Program service expenses 83,584. Management and general expenses 0. Fundraising expenses 0. Total expenses 83,584. Contracted Medical: Program service expenses 632,115. Management and general expenses 0. Fundraising expenses 0. Total expenses 632,115.
Form 990, Part XI, line 9:Transfers between related entities 2,523,104.
Form 990 Part XII Line 2cUPMC, the sole member of UPMC Susquehanna, has assumed the responsibility for oversite of the audited financials at a system-wide level for FY 2018.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (73 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Laurel Health System
32-36 Central AveWellsboroPA16901240795488HealthcarePA501(c)(3)Line 12b, IIUPMC SusquehannaYes (1)
Laurel Realty
32-36 Central AveWellsboroPA16901231403678Rental Real EstatePA501(c)(2)NAUPMC SusquehannaYes (1)
Laurel Management Services
32-36 Central AveWellsboroPA16901251644910InactivePA501(c)(3)Line 12b, IIUPMC SusquehannaYes (1)
The Green Home
37 Central AvenueWellsboroPA16901240804365Skilled nursingPA501(c)(3)Line 10UPMC SusquehannaYes (1)
Tioga Health Care Providers
1201 Grampian BlvdWilliamsportPA17701251765538Physician ServicesPA501(c)(3)Line 12b, IIUPMC SusquehannaYes (1)
Divine Providence Hospital of the Sister
1100 Grampian BlvdWilliamsportPA17701240799343HospitalPA501(c)(3)Line 3UPMC SusquehannaYes (1)
Muncy Valley Hospital
215 East Water StreetMuncyPA17756240806023HospitalPA501(c)(3)Line 3UPMC SusquehannaYes (1)
The Williamsport Hospital
700 High StreetWilliamsportPA17701240795508HospitalPA501(c)(3)Line 3UPMC SusquehannaYes (1)
Susquehanna Health Foundation
1100 Grampian BlvdWilliamsportPA17701232743470FundraisingPA501(c)(3)Line 12a, IUPMC SusquehannaYes (1)
Susquehanna Physician Services
1201 Grampian BlvdWilliamsportPA17701232449454Physician ServicesPA501(c)(3)Line 3UPMC SusquehannaYes (1)
Williamsport Area Ambulance Services
700 High StreetWilliamsportPA17701232416166Ambulance transportPA501(c)(3)Line 10Williamsport HospitalYes (1)
Laurel Health Foundation
32-36 Central AveWellsboroPA16901251810488FoundationPA501(c)(3)Line 12b, IILaurel Health System0
Susquehanna Health Innovation Center Inc
700 High StreetWilliamsportPA17701471600873FundraisingPA501(c)(3)Line 12a, IUPMC SusquehannaYes (1)
UPMC Susquehanna
1205 Grampian BlvdWilliamsportPA17701232751183management ServicesPA501(c)(3)Line 3UPMCYes (1)
UPMC Senior Communities Inc
600 Grant StreetPittsburghPA15219251574736Senior LivingPA501(c)(3)Line 10UPMCYes (1)
Pittsburgh Lifetime Care Community
600 Grant StreetPittsburghPA15219251335247CCRCPA501(c)(3)Line 10UPMC SR CommYes (1)
Canterbury Place
600 Grant StreetPittsburghPA15219250965334Senior LivingPA501(c)(3)Line 10UPMC SR CommYes (1)
Seneca Place
600 Grant StreetPittsburghPA15219721562844Senior LivingPA501(c)(3)Line 10UPMC SR CommYes (1)
Shadyside Hospital Supporting Foundation
600 Grant StreetPittsburghPA15219260303394FoundationPA501(c)(3)Line 12a, IUPMCYes (1)
UPMC Lee
600 Grant StreetPittsburghPA15219250613830InactivePA501(c)(3)Line 3UPMCYes (1)
Pittsburgh Care Partnership Inc
600 Grant StreetPittsburghPA15219251753852Adult DaycarePA501(c)(3)Line 10UPMCYes (1)
UPMC Center for High Value Healthcare
600 Grant StreetPittsburghPA15219452178782ResearchPA501(c)(3)Line 7UPMCYes (1)
Shadyside Hospital Foundation
532 South Aiken AvenuePittsburghPA15232251290546FoundationPA501(c)(3)Line 12c, III-FIUPMC PresbyYes (1)
Passavant Hospital Foundation
9100 Babcock BlvdPittsburghPA15237251407815FoundationPA501(c)(3)Line 12b, IIUPMC PassYes (1)
UPMC Northwest Foundation
100 Farfield DriveSenecaPA16346251483624FoundationPA501(c)(3)Line 12d, III-OUPMC NorthweYes (1)
St Margaret Foundation
600 Grant StreetPittsburghPA15219251520340FoundationPA501(c)(3)Line 7UPMC St MargYes (1)
Children's Hospital of Pittburgh Fnd
600 Grant StreetPittsburghPA15219251865744FoundationPA501(c)(3)Line 7UPMC CHPYes (1)
Magee-Women Res Inst and Foundation
600 Grant StreetPittsburghPA15219251462312FoundationPA501(c)(3)Line 70N/A
Great Lakes Physician Practice
600 Grant Street 58th FloorPittsburghPA15219464186362Physician ServicesNY501(c)(3)Line 3Regnl HealthYes (1)
HAMOT Health Foundation
302 French StreetEriePA16507251400999FoundationPA501(c)(3)Line 12b, IIUPMC HAMOTYes (1)
Safe Harbor Behavorial Health of UPMC HA
1330 W 26TH StreetEriePA16508251317492BehavorialPA501(c)(3)Line 7UPMC HAMOTYes (1)
UPMC Jameson
1211 Wilmington AvenueNew CastlePA16105250965406HealthcarePA501(c)(3)Line 3UPMCYes (1)
Jameson Healthcare Foundation
1211 Wilmington AvenueNew CastlePA16105251536037FoundationPA501(c)(3)Line 12b, IIUPMC JamesonYes (1)
Jameson Health Services Inc
1211 Wilmington AvenueNew CastlePA16105030486993Supporting OrganizationPA501(c)(3)Line 12b, IIUPMC JamesonYes (1)
Children's Advocacy Center of Lawrence
1107 Wilmington AvenueNew CastlePA16105251581304Support SysPA501(c)(3)Line 7UPMC JamesonYes (1)
UPMCJameson Cancer Center
600 Grant Street 58th FloorPittsburghPA15219201459415Oncology SvcPA501(c)(3)Line 10UPMC JamesonYes (1)
Jameson Medical Care Inc
1211 Wilmington AvenueNew CastlePA16105260462696HealthcarePA501(c)(3)Line 10UPMC JamesonYes (1)
Jameson Care Center Inc
1211 Wilmington AvenueNew CastlePA16105232871396HealthcarePA501(c)(3)Line 10UPMC SR CommYes (1)
Venango VNA Foundation
491 Alleghany BoulevardFranklinPA16323251472179FoundationPA501(c)(3)Line 12d, III-O0N/A
UPMC Susquehanna Lock Haven
700 High StreetWilliamsportPA17701821600494HospitalPA501(c)(3)Line 3UPMC SusquehannaYes (1)
UPMC Susquehanna Sunbury
700 High StreetWilliamsportPA17701821592230HospitalPA501(c)(3)Line 3UPMC SusquehannaYes (1)
UPMC Chautauqua at WCA
207 Foote AvenueJamestownNY14701160743226HospitalNY501(c)(3)Line 3UPMC ChautauYes (1)
WCA Group Inc
207 Foote AvenueJamestownNY14701222392582Holding CompanyNY501(c)(3)Line 12b, IIUPMC ChautauYes (1)
Starflight Inc
135 Allen StreetJamestownNY14701161557878Air AmbulanceNY501(c)(3)Line 7UPMC ChautauYes (1)
South Central Alpha Housing and Healthcare
3410 West Pittsburg RoadNew CastlePA16101251701701Skilled NursingPA501(c)(3)Line 10UPMC Sr CommYes (1)
South Western Alpha Housing and Health Care
745 Greenville RoadMercerPA16137251701700Skilled NursingPA501(c)(3)Line 10UPMC Sr CommYes (1)
Kane Community Hospital Foundation
4372 Route 6KanePA16735263906925FoundationPA501(c)(3)Line 12b, II0N/A
Junior Guild of the Jameson Memorial Hospital
1211 Wilmington AvenueNew CastlePA16105256005313Support SysPA501(c)(3)Line 12d, III-O0N/A
WCA Foundation Inc
300 Foote Avenue PO Box 840JamestownNY14702222393584FoundationPA501(c)(3)Line 12c, III-FI0N/A
UPMC
600 Grant StreetPittsburghPA15219251423657Supporting OrganizationPA501(c)(3)Line 12c, III-FI0N/A
UPMC Pinnacle
409 South Second StreetHarrisburgPA17104251778658Supporting OrganizationPA501(c)(3)Line 12b, IIUPMCYes (1)
UPMC Pinnacle Carlisle
361 Alexander Spring RoadCarlislePA17105820880337hospitalPA501(c)(3)Line 3UPMC PinnacleYes (1)
UPMC Pinnacle Lancaster
250 College AvenueLancasterPA17603820896436hospitalPA501(c)(3)Line 3UPMC PinnacleYes (1)
UPMC Pinnacle Lititz
1500 Highlands AvenueLititzPA17543820844453hospitalPA501(c)(3)Line 3UPMC PinnacleYes (1)
UPMC Pinnacle Memorial
325 South Belmont StreetYorkPA17405820912090hospitalPA501(c)(3)Line 3UPMC PinnacleYes (1)
Pinnacle Health Regional Physicians
409 South Second StreetHarrisburgPA17104820947698Physician ServicesPA501(c)(3)Line 3UPMC PinnacleYes (1)
Pinnacle Health Foundation
409 South Second StreetHarrisburgPA17104222691718FoundationPA501(c)(3)Line 12b, IIUPMC PinnacleYes (1)
Community Life Team Inc
409 South Second StreetHarrisburgPA17104231890444Ambulance transportPA501(c)(3)Line 7UPMC PinnacleYes (1)
Hanover Healthcare Plus Inc
300 Highland AvenueHanoverPA17331222658574supporting OrganizationPA501(c)(3)Line 12a, IUPMC PInnacleYes (1)
UPMC Pinnacle Hanover
300 Highland AvenueHanoverPA17331231360851hospitalPA501(c)(3)Line 3Hanover HealthYes (1)
UPMC Pinnacle Hospitals
409 South Second StreetHarrisburgPA17104251778644hospitalPA501(c)(3)Line 3UPMC PinnacleYes (1)
Pinnacle Health Medical Services
409 South Second StreetHArrisburgPA17104251709054Physician ServicesPA501(c)(3)Line 3UPMC PinnacleYes (1)
Charles E Cole Memorial Hospital
1001 East Second StreetCoudersportPA16915240802108hospitalPA501(c)(3)Line 3UPMCYes (1)
Cole Foundation Inc
1001 East Second StreetCoudersportPA16915455417308foundationPA501(c)(3)Line 12a, ICharles Cole Memorial HospitalYes (1)
Hamot Cole Ventures
1001 East Second StreetCoudersportPA16915273172100offsite ClinicsPA501(c)(3)Line 12a, ICharles Cole Memorial HospitalYes (1)
Hendorn Inc
1001 East Second StreetCoudersportPA16915231972659Respite CarePA501(c)(3)Line 12a, ICharles Cole Memorial HospitalYes (1)
Asbury Heights of UPMC
600 Grant StreetPittsburghPA15219251555687Supporting OrganizationPA501(c)(3)Line 12b, IIUPMC Sr CommYes (1)
Asbury Health Center
600 Grant StreetPittsburghPA15219250969472CCRCPA501(c)(3)Line 10Asbury HeightsYes (1)
Asbury Villas
600 Grant StreetPittsburghPA15219251819952Personal CarePA501(c)(3)Line 10Asbury HeightsYes (1)
Asbury Place
600 Grant StreetPittsburghPA15219251729266Personal CarePA501(c)(3)Line 10Asbury HeightsYes (1)
Wesley Hills
600 Grant StreetPittsburghPA15219251507472Independent LivingPA501(c)(1)PFAsbury HeightsYes (1)
Asbury Foundation
600 Grant StreetPittsburghPA15219251555688FoundationPA501(c)(3)Line 7Asbury HeightsYes (1)
UPMC Home Care Management Services
600 Grant StreetPittsburghPA15219830857507Home HealthPA501(c)(3)Line 10UPMC Comm ProvYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Community Basket LLC
1205 Grampian BlvdWilliamsportPA17701201195739Rents real estatePAN/AN/A00
Seneca Hills Assisted Living
600 Grant StreetPittsburghPA15219232873106Assisted LivingPAN/AN/A00
St Margaret Medical Arts Association
600 Grant StreetPittsburghPA15219251786655Med Office BLPAN/AN/A00
Core Network LLC
600 Grant StreetPittsburghPA15219251786209HealthcarePAN/AN/A00
Life Home Care LP
600 Grant StreetPittsburghPA15219251847839HomecarePAN/AN/A00
Shadyside Medical Center Association
600 Grant StreetPittsburghPA15219251608318Med Office BLPAN/AN/A00
Chartwell PA LP
600 Grant StreetPittsburghPA15219251729714HomehealthPAN/AN/A00
Life Care Home Srv of NW PA
1647 Sassafras StreetEriePA16507251536879HomehealthPAN/AN/A00
HAMOT-KCH Real Estate Venture
300 State StreetEriePA16507263691782Med Office BLPAN/AN/A00
HAMOT Surgery Center LLC
200 State StreetEriePA16507251863661Ambulatory SrvPAN/AN/A00
EPN-HAMOT Urgent Care LLC
600 Grant StreetPittsburghPA15219272147949Urgent CarePAN/AN/A00
Mountain View Medical Oncology
600 Grant Street 58th FloorPittsburghPA15219461449241HealthcarePAN/AN/A00
Lawrence County MRI & Diagnostic
2526 Wilmington AvenueNew CastlePA16105270219891Imaging CenterPAN/AN/A00
Hanover Surgicenter Real Estate LP
300 Highland AvenueHanoverPA17331352342993InactivePAN/AN/A00
Medcare Susquehanna Valley LLC
409 South Second StreetHarrisburgPA17104821673688DMEPAN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (82 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdCityForeignAddress/CityNm
Tyoga Carenet
32-36 Central AvenueWellsboroPA16901251810967InactivePAN/AC0
Susquehanna Ventures Inc
1201 Grampian BlvdWilliamsportPA17701232470263PharmacyPAN/AC0
Susquehanna Health System Insurance Network LTD
InsuranceN/AC0PO Box 1159Grand CaymansCJCJ
HC Pharmacy Central Inc
600 Grant StreetPittsburghPA15219251364192Pharmacy co-opPAN/AC0
Children's Community Care
600 Grant StreetPittsburghPA15219251781887Pediatric SvcPAN/AC0
UPMC Cancer Centers Ireland Limited
Cancer TreatmentN/AC06th Floor Beacon HospitalDublinEIEISandyford
UPMC Physician Services Holding Company
600 Grant StreetPittsburghPA15219251877017Holding CompanyPAN/AC0
Hematology Oncology Associates
600 Grant StreetPittsburghPA15219421648357Physician ServicesPAN/AC0
Oncology Hematology Associates
600 Grant StreetPittsburghPA15219251762980Physician ServicesPAN/AC0
Tri-State Neurosurgical Associates
600 Grant StreetPittsburghPA15219251458655Physician ServicesPAN/AC0
Renaissance Family Practice - UPMC Inc
600 Grant StreetPittsburghPA15219262942406Physician ServicesPAN/AC0
UPMC Holding Company Inc
600 Grant StreetPittsburghPA15219251777713Holding CompanyPAN/AC0
UPMC Coverage Products Inc
600 Grant StreetPittsburghPA15219251777710Holding CompanyPAN/AC0
Freedom Insurance Company
600 Grant StreetPittsburghPA15219030308944InsuranceVTN/AC0
Tri-Century Insurance Comp
600 Grant StreetPittsburghPA15219251500739InsurancePAN/AC0
UPMC DNA Inc
600 Grant StreetPittsburghPA15219251883237InsurancePAN/AC0
UPMC Health Benefits Inc
600 Grant StreetPittsburghPA15219251844144Health InsurancePAN/AC0
UPMC Health Network Inc
600 Grant StreetPittsburghPA15219721527566Health InsurancePAN/AC0
UPMC Health Plan Inc
600 Grant StreetPittsburghPA15219232813536Health InsurancePAN/AC0
UPMC Benefit Management Services Inc
600 Grant StreetPittsburghPA15219251769564Worker's CompPAN/AC0
UPMC Diversified Services Inc
600 Grant StreetPittsburghPA15219251778454Holding CompanyPAN/AC0
Monroeville Specialty Clinic
600 Grant StreetPittsburghPA15219251666087Amb SurgeryPAN/AC0
Medical Archival Systems Inc
600 Grant StreetPittsburghPA15219232912501Software DevDEN/AC0
Presby Health Resource Mgnt
600 Grant StreetPittsburghPA15219251422155InactivePAN/AC0
RX Partners Inc
600 Grant StreetPittsburghPA15219251801966Retail PharmacyPAN/AC0
Biotronics Inc
600 Grant StreetPittsburghPA15219251843500Equip MaintPAN/AC0
Medical Center Properties Inc
600 Grant StreetPittsburghPA15219251796940Real EstatePAN/AC0
Askesis Development Group Inc
600 Grant StreetPittsburghPA15219541625585Software DevDEN/AC0
Panther Reinsurance Company Inc
981402742InsuranceN/AC0PO Box 1109Cayman IslandsCJCJGrand Cayman
Forbes Reinsurance Compnay LTD
981400710InsuranceN/AC0PO Box 1109Cayman IslandsCJCJGrand Cayman
Cathedral (RE) Insurance Co
981400837InsuranceN/AC0PO Box 1109Cayman IslandsCJCJGrand Cayman
UPMC International Health Initiatives
600 Grant StreetPittsburghPA15219841706741InactivePAN/AC0
UPMC Ireland Limited
Healthcare SrvN/AC06th Floor Beacon HospitalDublinEIEISandyford
UPMC United Kingdom LTD
980571026Software LICEN/AC0C/O Nair Co 11th Floor WhitefriarBristolUKUKLewins Mead
Bayfront Regional Development Corp
300 State StreetEriePA16507251401388Holding CompanyPAN/AC0
Bayside Development Corp
300 State StreetEriePA16507251401386Real EstatePAN/AC0
UPMC Work Alliance Inc
600 Grant StreetPittsburghPA15219452825053InsurancePAN/AC0
UPMC Canada Technologies Limited
600 Grant StreetPittsburghPA15219SoftwareN/AC0CA
Allied Orthopedics Appliances Inc
335 East 3rd StreetJamestownNY14701161092951InactivePAN/AC0
UPMC Health Coverage Inc
600 Grant StreetPittsburghPA15219462824537InsurancePAN/AC0
UPMC Health Options Inc
600 Grant StreetPittsburghPA15219462824626InsurancePAN/AC0
UPMC Complete Care Inc
5215 Centre AvenuePittsburghPA15232463605753Physician ServicesPAN/AC0
American Home Health Services
868 Corporate WayWestlakeOH44145311521422Home Health COHN/AC0
Health Fidelity Inc
210 South B StreetSan MateoCA94401452538963Technology SvCAN/AC0
Fluence Health Inc
6425 Penn AvenuePittsburghPA15206472684174SoftwareDEN/AC0
Curavi Health Inc
6425 Penn AvenuePittsburghPA15206811217377HealthcareDEN/AC0
Pensiamo Inc
600 Grant Street 59th FloorPittsburghPA15219812069236Supply ChainDEN/AC0
Altoona Family Inc
620 Howard AvenueAltoonaPA16601251444935Mgmt ServPAN/AC0
Lexington Holdings Inc
620 Howard AvenueAltoonaPA16601251794386Holding CompanyPAN/AC0
Lexington One Inc
620 Howard AvenueAltoonaPA16601251468889RentalPAN/AC0
Lexington Two Inc
Howard Avenue 7th StreetAltoonaPA16601251555689DMEPAN/AC0
Lexington Four Inc
620 Howard AvenueAltoonaPA16601251793736Holding CompanyDEN/AC0
Allegheny Healthcare Staffing Inc
620 Howard AvenueAltoonaPA16601271657362InactivePAN/AC0
UPMC Altoona Regional Health Services
1414 9th AvenueAltoonaPA16602251219302Physician ServicesPAN/AC0
Lexington Anesthesia Associates Inc
620 Howard AvenueAltoonaPA16601251897765Physician ServicesPAN/AC0
Northern Cambria Medical Center Inc
620 Howard AvenueAltoonaPA16601251530860InactivePAN/AC0
Patton Family Medical Center Inc
620 Howard AvenueAltoonaPA16601251793735InactivePAN/AC0
MEDCPU
100 Wall Street Suite 2202New YorkNY10005383805381Software DevDEN/AC0
UPMC Excess PL TR
600 Grant StreetPittsburghPA15219826254351TrustPAN/AT0
RXANTE Inc
511 Congress Street 803PortlandME04101454040219Medication MgntDEN/AC0
Vincent Payment Solutions Inc
Bakery Square 6425 Penn Avenue SuitpittsburghPA15219821101143Payment SystemDEN/AC0
J Health Ventures Inc
1211 Wilmington AvenueNew CastlePA16105251607893InactivePAN/AC0
JER Medical Associates Inc
1211 Wilmington AvenueNew CastlePA16105251609398InactivePAN/AC0
WCA Service Corporation Inc
207 Foote AvenueJamestownNY14701161151438Support ServicesNYN/AC0
ITTCCO I Inc
600 Grant StreetPittsburghPA15219822590699InactiveDEN/AC0
ITTCCO II Inc
600 Grant StreetPittsburghPA15219822597388InactiveDEN/AC0
Pinnacle Health Cardiovascular Institute Inc
409 South Second StreetHarrisburgPA17104320321362Physician ServicesPAN/AC0
Hanover Health Corporation
300 Highland AvenueHanoverPA17331900498067Holding CompanyPAN/AC0
Hanover Apothecary Inc
310 Stock Street Suite 1HanoverPA17331900498067PharmacyPAN/AC0
United Central PA Reciprocal Risk Retention Group
76 Saint Paul Street Suite 500BurlingtonVT05401134224033InsuranceVTN/AC0
Pinnacle Health Ventures Inc
409 South Second StreetHarrisburgPA17104611677624Holding CompanyPAN/AC0
Pinnacle Health Imaging Inc
409 South Second StreetHarrisburgPA17104231718571Imaging ServicesPAN/AC0
Cole Care Inc
1001 East 2nd StreetCoudersportPA16915251497347DMEPAN/AC0
UPMC Italy Health Services SR L
Health ServicesN/AC0VIA Discesa DEI Giudici 4PalermoITIT
UPMC Investments LTD
Holding CompanyN/AC0C/O UPMC Whitfield Cork Road ButlerWaterfordEIEI
UPMC Property LTD
PropertyN/AC0C/O UPMC Whitfield Cork Road ButlerWaterfordEIEI
UPMC Property II LTD
PropertyN/AC0C/O UPMC Whitfield Cork Road ButlerWaterfordEIEI
Euro Care Infrastructure LTD
Property ManagementN/AC0C/O UPMC Whitfield Cork Road ButlerWaterfordEIEI
Euro Care Property Managment LTD
Property ManagementN/AC0C/O UPMC Whitfield Cork Road ButlerWaterfordEIEI
Euro Care Healthcare LTD
HospitalN/AC0C/O UPMC Whitfield Cork Road ButlerWaterfordEIEI
Waterford Oncology Associates LTD
Oncology ServicesN/AC0C/O UPMC Whitfield Cork Road ButlerWaterfordEIEI
United Health Risk LTD
InsuranceN/AC0PO Box HM 2450HamiltonBDBD
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990 Schedule R Part II to Part IVFormAndLineReferenceDesc
ExplanationThe entities marked with an asterick 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.ExplanationTxt