2019-05-15T09:49:06-05:00 2018-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 221 W PHILADELPHIA STREET SUITE 200 YORK PA 17401 990 2017-07-01 251709054 PINNACLE HEALTH MEDICAL SERVICES PINN 7172318245 PO BOX 8700 HARRISBURG PA 171058700 WILLIAM H PUGH EVP-TREASURER/CFO 7172318245 2019-05-13 1 KERRI N BOGDA P00760402 7178467000 96.89.178.186 2019-05-13 13:50:57 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 DAF0C676BA5D217E8E98654567F7DD0DDDA97E7C 2017 2019-02-21 02:37:17Z X WILLIAM H PUGH PO BOX 8700 HARRISBURG PA 171058700 110640051 0 X WWW.UPMCPINNACLE.COM X 1993 PA PINNACLE HEALTH MEDICAL SERVICES IS ENGAGED IN THE PROVISION OF PHYSICIAN SERVICES. 20 16 1285 25 0 0 0 0 77783761 96506359 -21026 12345 14462983 13472435 92225718 109991139 6090 15000 0 0 95508265 112741406 0 0 0 34549076 38332936 130063431 151089342 -37837713 -41098203 35942288 51599170 19274887 23385084 16667401 28214086 X PINNACLE HEALTH MEDICAL SERVICES IS A CHARITABLE ORGANIZATION DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH AND QUALITY OF LIFE FOR ALL THE PEOPLE OF CENTRAL PENNSYLVANIA. 0 0 55461442 15000 29560892 PINNACLE HEALTH MEDICAL SERVICES (PHMS) IS A TAX EXEMPT ENTITY THAT IS PRIMARILY ENGAGED IN THE PROVISION OF PHYSICIAN SERVICES. THE PHYSICIAN SERVICES PROVIDED WITHIN PHMS SUPPORT AND ENHANCE THE SERVICES OF UPMC PINNACLE HOSPITALS AND THE UPMC PINNACLE SYSTEM. IT PROVIDES FIRST CLASS PREVENTATIVE CARE TO THE COMMUNITY AS WELL AS COLLABORATES WITH ITS AFFILIATES TO IMPROVE THE QUALITY OF HEALTHCARE, AND THE PATIENT'S EXPERIENCE.PHMS HAD 25 VOLUNTEERS THAT PROVIDED VARIOUS DONATED SERVICES DURING THE YEAR ENDED JUNE 30, 2018, PHMS PROVIDED FREE CARE DURING THE YEAR TO 1,136 PATIENTS IN THE AMOUNT OF $454,670.BASED ON TOTAL EXPENSES, THE THREE LARGEST PHYSICIAN SERVICES INCLUDED WITHIN PHMS ARE:PINNACLE SPECIALTIES PRACTICE - THE SPECIALTIES PRACTICE COMPRISES 44% OF THE TOTAL PROGRAM EXPENSES OF PHMS. THE SPECIALTY PRACTICES CURRENTLY OPERATE 29 SPECIALTY SITES THROUGHOUT CENTRAL PENNSYLVANIA. DURING THE FISCAL YEAR ENDED JUNE 30, 2018, SPECIALTY SITE VISITS TOTALED 236,589. MANAGEMENT CONSIDERS THE INVESTMENT IN SPECIALTY SERVICES CRITICAL IN MAINTAINING AN INTEGRATED DELIVERY SYSTEM AND TO THE FUTURE SUCCESS OF UPMC PINNACLE. THREE NEW SPECIALTY PRACTICES OPENED IN 2018 - UPMC PINNACLE BLADDER AND PELVIC HEALTH, UPMC PINNACLE COLONOSCOPY AND PROCTOLOGY, AND UPMC PINNACLE COLON RECTAL SURGERY. THE TOTAL VISITS IN 2018 FOR THESE NEW PRACTICES WERE 5,257. THE SPECIALTY PHYSICIAN PRACTICES INCLUDE THE FOLLOWING:SURGICAL ASSOCIATES - ON APRIL 1, 2010, PINNACLE HEALTH SURGICAL ASSOCIATES CAME TO FRUITION WHEN THE GENERAL SURGEONS AND STAFF OF CAPITAL AREA SURGICAL ASSOCIATES AND SUSQUEHANNA SURGEONS JOINED THE UPMC PINNACLE NETWORK. EXCELLENT SURGICAL CARE DOESN'T JUST HAPPEN. IT'S THE COMBINATION OF SKILLED SURGEONS, THE LATEST TECHNOLOGY AND EQUIPMENT AND THE EXPERTISE OF THE OPERATING ROOM TEAM WORKING TOGETHER. THE MORE ADVANCED, THE MORE PRECISE, THE BETTER OUTCOME FOR THE PATIENT. PHMS HAS A LONG HISTORY OF PROVIDING THE FINEST SURGICAL CARE IN CENTRAL PENNSYLVANIA, DATING TO THE OPENING OF OUR FIRST OPERATING ROOM IN 1900. TODAY, OUR OUTSTANDING TEAM OF GENERAL SURGEONS AT PINNACLE HEALTH SURGICAL ASSOCIATES CONTINUES THE TRADITION OF EXCELLENCE BY PERFORMING A WIDE RANGE OF OPEN AND MINIMALLY INVASIVE PROCEDURES. THE TEAM INCLUDES BOARD CERTIFIED AND FELLOWSHIP TRAINED PHYSICIANS WHO PROVIDE SUPERIOR SURGICAL SKILL AND CARE.WOUND & HYPERBARIC PROGRAM - THIS PROGRAM OPENED IN JANUARY 2010. IT PROVIDES EXPERT MEDICAL CARE FOR CHRONIC WOUNDS THAT HAVE FAILED PREVIOUS METHODS OF TREATMENT. THE USE OF SPECIALIZED INTENSIVE WOUND THERAPIES AND, IN SPECIFIC CIRCUMSTANCES, THE APPROVED USE OF HYPERBARIC OXYGEN THERAPY ENHANCES THE HEALING PROCESS IN AN ATTEMPT TO RETURN PATIENTS TO THE HIGHEST LEVEL OF DAILY FUNCTIONING AND HEALING. ALSO, THE IMPLEMENTATION OF AN IN-PATIENT CONSULTATION PROGRAM AT BOTH HOSPITALS ALLOWS FOR OPTIMAL PATIENT FOLLOW-UP AND REFERRALS. THE PROGRAM ALSO PROVIDES FOR INCREASED EDUCATIONAL PROGRAMS FOR AREA PHYSICIANS, RESIDENTS AND MEDICAL STUDENTS IN THIS SPECIALTY. RHEUMATOLOGY - OPENING FOR BUSINESS ON MARCH 1, 2010, PHMS' RHEUMATOLOGY OFFICE WAS FOUNDED TO DIAGNOSE AND TREAT THE SURROUNDING COMMUNITY THAT EXPERIENCED CONSTANT PAIN WITH RHEUMATIC DISEASES. WHETHER FACED WITH AN INFLAMMATION OF THE JOINTS, TENDONS OR MUSCLES, OR CONSTANT PAIN, PINNACLE HEALTH'S RHEUMATOLOGY DOCTORS HELP DIAGNOSE THE CONDITION AND FIND THE COURSE OF TREATMENT SUITABLE FOR EACH INDIVIDUAL. MANY TYPES OF RHEUMATIC DISEASES ARE NOT EASILY IDENTIFIED IN THE EARLY STAGES AND BECAUSE SOME ARE MORE COMPLEX THAN OTHERS, MORE THAN ONE VISIT MAY BE NECESSARY. AS SUCH, OUR RHEUMATOLOGISTS WORK CLOSELY WITH PATIENTS TO DESIGN INDIVIDUALIZED TREATMENTS THAT MEET THEIR NEEDS.PINNACLE HEALTH NEUROLOGISTS AND NEUROSURGERY - THIS PROGRAM WAS ESTABLISHED TO MEET THE EMERGENT NEED FOR NEUROLOGISTS IN CENTRAL PA. COVERAGE FOR INPATIENT PHYSICIAN COVERAGE AT UPMC PINNACLE HOSPITALS IS ITS PRIMARY FOCUS, AS WELL AS ESTABLISHING AND GROWING OUTPATIENT SERVICES TO ADDRESS COMMUNITY NEEDS. THIS DEPARTMENT ALSO PROVIDES THE EMERGENT NEED IN CENTRAL PA OF SKILLED NEUROSURGEONS. PENNSYLVANIA NEUROSURGERY AND NEUROSCIENCES INSTITUTE JOINED THIS PRACTICE IN SEPTEMBER 2013 AND PA NEUROLOGICAL ASSOCIATES JOINED IN NOVEMBER 2013.PINNACLE HEALTH ENDOCRINOLOGISTS - THIS PROGRAM WAS ESTABLISHED IN JANUARY 2005 AND PROVIDES BOTH INPATIENT AND OUTPATIENT SERVICES. PINNACLE HEALTH ENDOCRINOLOGY ASSOCIATES PROVIDES COMPREHENSIVE CARE FOR ALL ENDOCRINOLOGY DISORDERS, ESPECIALLY COMPLEX PATIENTS WITH DIABETES. WE SPECIALIZE IN INSULIN PUMPS, CONTINUOUS GLUCOSE MONITORING, THYROID DISORDERS INCLUDING THYROID BIOPSIES, THYROID CANCERS, COMPREHENSIVE CARE FOR OSTEOPOROSIS WITH SPECIALIZED NURSE CARE, AND ALL THE OTHER ENDOCRINE DISORDERS INCLUDING POLYCYSTIC OVARY SYNDROME, ADRENAL, AND PITUITARY DISEASES.PINNACLE HEALTH INFECTIOUS DISEASE ASSOCIATES - THIS PROGRAM WAS ESTABLISHED IN JANUARY 2005. PINNACLE HEALTH INFECTIOUS DISEASE ASSOCIATES SPECIALIZES IN THE TREATMENT OF ANY ORGAN INFECTION AND INFECTIOUS DISEASES INCLUDING, BUT NOT LIMITED TO, OSTEOMYELITIS, LYME DISEASE, MENINGITIS, HIV, AND HEPATITIS C. BOTH INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED, WHICH INCLUDES A TRAVEL CLINIC.PINNACLE HEALTH PALLIATIVE CARE - THE FOCUS OF THIS PROGRAM IS ON THE INPATIENT CARE OF PATIENTS DURING THE FINAL MONTHS OR DAYS OF THEIR LIVES, SEEKING TO IMPROVE BOTH THE BALANCE OF CARE VIA COMFORT AND DIGNITY AND THE QUALITY OF PAIN RELIEF TREATMENT. IN THE ROLE AS THE PAIN TEAM OF THE SYSTEM, THE PALLIATIVE CARE SPECIALIST WILL BE AVAILABLE TO ANY PATIENT WHO IS IN NEED OF SPECIALIZED ASSESSMENT AND TREATMENT OF DIFFICULT OR INTRACTABLE PAIN. THIS DOVETAILS NICELY WITH THE CANCER CENTER PROGRAM. END-OF-LIFE CARE HAS BEEN IDENTIFIED NATIONALLY AS A MOMENT OF TIME WHICH TAKES UP AN INORDINATE AMOUNT OF HEALTH CARE RESOURCES, WITH GREAT VARIATION GEOGRAPHICALLY AND LITTLE IN THE WAY OF DEMONSTRABLE VALUE; DYING WITH DIGNITY IS AN OPTION THAT ALL OF US SHOULD HAVE AT THE END OF LIFE.BREAST CANCER CENTER - THIS PROGRAM HAS BEEN ESTABLISHED TO PROVIDE PATIENTS WITH EAST AND WEST SHORE LOCATIONS FOR THEIR BREAST CARE NEEDS, INCLUDING BREAST HEALTH SURGEONS, BREAST HEALTH NURSE SPECIALISTS, CERTIFIED MAMMOGRAPHERS, RADIOLOGISTS, PATHOLOGISTS AND PHYSICAL THERAPISTS, ALL OF WHOM ARE COMMITTED TO PROVIDING THE MOST UP-TO-DATE TECHNOLOGY AND CARE FOR COMPLETE BREAST HEALTH.THE WOMEN'S CANCER CENTER IS A UNIQUE PRACTICE, SERVING PATIENTS ON BOTH THE EAST AND WEST SHORES, ADDRESSING THE PREVENTIVE, DIAGNOSTIC, SURGICAL, MEDICAL, AND CHEMOTHERAPY NEEDS OF WOMEN WITH GYNECOLOGIC CANCER AND OTHER COMPLICATED CONDITIONS OF THE FEMALE REPRODUCTIVE SYSTEM. RADIATION ONCOLOGY - THIS PRACTICE OPENED IN JUNE OF 2013, GIVING PATIENTS THE MOST ADVANCED TECHNOLOGY IN CENTRAL PA. OUR SUPERIOR TREATMENT CAPABILITIES ALLOW US TO PROVIDE THE PATIENT WITH SHORTER TREATMENT TIMES AND FEWER SIDE EFFECTS WHILE ELIMINATING THEIR CANCER CELLS. WE MAINTAIN A HIGH LEVEL OF SKILL AND EXPERTISE WHILE PAYING CAREFUL ATTENTION TO THE PATIENT'S COMFORT AND CONCERNS.HEMATOLOGY ONCOLOGY - LOCATED IN THE MEDICAL SCIENCES PAVILION ON THE COMMUNITY CAMPUS, THIS PRACTICE SPECIALIZES IN THE USE OF MEDICATIONS, SUCH AS CHEMOTHERAPY, HORMONES, AND PAIN MEDICATIONS IN THE MANAGEMENT OF CANCER. THE PRACTICE HAS ALSO OPENED A SECOND LOCATION ON THE WEST SHORE FOR PATIENT CONVENIENCE.PSYCHOLOGICAL ASSOCIATES - THIS PRACTICE IS STAFFED BY LICENSED, MASTERS LEVEL, PSY.D. AND PH.D. CLINICIANS WHO PROVIDE INDIVIDUAL, FAMILY OR MARITAL EVALUATIONS, THERAPY, AND MEDICATION MANAGEMENT AS NEEDED TO ALL AGES. WE ALSO OFFER GROUP THERAPY SHOULD YOU AND YOUR THERAPIST DETERMINE IT WOULD BE HELPFUL. GROUPS INCLUDE THE ANGER MANAGEMENT GROUP, MOM'S NAVIGATING THROUGH LIFE GROUP, AND ADOLESCENT GROUPS.PINNACLE HEALTH OBSTETRICS AND GYNECOLOGY SPECIALISTS - THIS PRACTICE OPENED IN OCTOBER 2013 AND IS COMMITTED TO PROVIDING EXCEPTIONAL MEDICAL CARE TO WOMEN THROUGHOUT THEIR LIVES. THIS TEAM OF CULTURALLY SENSITIVE PROVIDERS USES THE MOST UP-TO-DATE INFORMATION AND PROCEDURES TO DELIVER THE BEST OBSTETRIC AND GYNECOLOGIC HEALTH CARE TO THEIR PATIENTS. WHETHER A PREGNANCY IS PROGRESSING NORMALLY OR A PATIENT NEEDS SPECIALIZED CARE, PHMS' TEAM OF DOCTORS, NURSES, SPECIALISTS, AND EDUCATORS PROVIDE THE HIGHEST LEVEL OF CARE WHILE ALSO FOCUSING ON MAKING THE BIRTH EXPERIENCE AS POSITIVE AS POSSIBLE. MATERNAL FETAL MEDICINE OF CENTRAL PENNSYLVANIA IS A PRACTICE DEDICATED TO CARING FOR WOMEN WITH HIGH-RISK PREGNANCIES IF THEY AND THEIR BABIES NEED SPECIAL CARE. SERVICES INCLUDE: -PERINATAL/PRECONCEPTION CONSULTATION -FETAL ECHOCARDIOGRAPHY 55343532 0 57785908 FAMILY CARE SERVICES- PRIMARY CARE ALSO COMPRISES 44% OF THE TOTAL PROGRAM EXPENSES OF PINNACLE HEALTH MEDICAL SERVICES. PRIMARY CARE SERVICES ARE CURRENTLY PROVIDED THROUGH 22 FAMILY CARE CENTERS LOCATED IN SURROUNDING CENTRAL PENNSYLVANIA COMMUNITIES. DURING THE FISCAL YEAR ENDED JUNE 30, 2018, PRIMARY CARE PATIENT VISITS TOTALED 391,559.THE STRAWBERRY SQUARE FAMILY PRACTICE OPENED IN FISCAL YEAR 2018 WITH A TOTAL OF 1,663 VISITS. THE ADDITION OF THIS PRIMARY CARE LOCATION SUPPORTS UPMC PINNACLE'S LOCAL FOCUS AND COMMITMENT TO THE COMMUNITY WHILE GIVING PATIENTS INCREASED ACCESS TO THE UPMC PINNACLE FAMILY FOR SPECIALTY CARE AND ADVANCED TECHNOLOGY FOR DIAGNOSIS AND TREATMENT. 15064646 0 9120477 PINNACLE HEALTH CLINICS - THE CLINICS COMPRISE 12% OF THE TOTAL PROGRAM EXPENSES OF PHMS. THERE ARE 6 CLINIC FACILITIES THROUGHOUT CENTRAL PENNSYLVANIA THAT PROVIDE PATIENT CARE TO THE SURROUNDING COMMUNITIES. DURING THE FISCAL YEAR ENDED JUNE 30, 2018, CLINICS HAD VISITS THAT TOTALED 62,274. THE CLINICS MAINLY SERVE AN UN-INSURED, UNDER-INSURED, AND LARGE MEDICAL ASSISTANCE COMMUNITY AS IT LIVES OUT ITS MISSION STATEMENT TO BE A CHARITABLE ORGANIZATION DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH AND QUALITY OF LIFE. THE CLINICS INCLUDE THE FOLLOWING:KLINE HEALTH CENTER - THIS PROGRAM PROVIDES PRIMARY AND SPECIALTY CARE TO A LARGELY URBAN POPULATION. WHILE THE PRACTICE DOES SEE PRIVATE PATIENTS, MUCH OF THE POPULATION SERVED IS OF LOW INCOME AND/OR UNDERINSURED. SINCE MANY OF OUR PATIENTS RELY ON PUBLIC TRANSPORTATION, KLINE IS ABLE TO MEET MANY OF THE PATIENT'S NEEDS AT ONE LOCATION. RESIDENT PHYSICIANS, UNDER THE SUPERVISION OF BOARD CERTIFIED PHYSICIAN FACULTY AS WELL AS SPECIALTY PHYSICIANS, COME TO KLINE TO SEE PATIENTS FOR THEIR ORTHOPEDIC, ENDOCRINE, NEUROLOGICAL, INFECTIOUS DISEASE, AND SURGICAL NEEDS. THE OFFICE IS MANAGED BY A FULL-TIME RN WHO OVERSEES A STAFF OF MEDICAL ASSISTANTS AND OTHER OFFICE SUPPORT STAFF TO MEET THE NEEDS OF THE PATIENTS AND PROVIDERS.CHILDREN'S AND TEEN CENTER - THIS PROGRAM PROVIDES PRIMARY, ACUTE, AND PREVENTATIVE CARE PLUS SOME SPECIALTY SERVICES FOR CHILDREN NEWBORN THROUGH 18 YEARS OF AGE. SPECIALTY SERVICES INCLUDE NEONATAL DEVELOPMENTAL CARE, LEAD POISONING DIAGNOSIS AND FOLLOW-UP, PEDIATRIC NEUROLOGY, AND CARE FOR CHILDREN INFECTED WITH HIV.WOMEN'S INPATIENT SERVICES - THIS PROGRAM PROVIDES COMPREHENSIVE INPATIENT OBSTETRICAL AND GYNECOLOGICAL SERVICES TO A PATIENT POPULATION CONSISTING LARGELY OF A MANAGED CARE MEDICAL ASSISTANCE PATIENT BASE. THIS PROGRAM WAS ESTABLISHED IN 2007. WOMEN'S OUTPATIENT HEALTH CENTER - THIS PROGRAM PROVIDES COMPREHENSIVE OUTPATIENT OBSTETRICAL AND GYNECOLOGICAL SERVICES TO A LARGELY MANAGED CARE MEDICAL ASSISTANCE PATIENT POPULATION.PINNACLE HEALTH RESOURCE EDUCATION AND COMPREHENSIVE CARE FOR HIV (REACCH) - THIS PROGRAM WAS ESTABLISHED TO PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE FOR PEOPLE (INCLUDING PREGNANT WOMEN AND THEIR EXPOSED INFANTS) WHO ARE HIV-POSITIVE AS WELL AS TO PROVIDE SUPPORT SERVICES FOR THESE PATIENTS. ADDITIONAL SERVICES PROVIDED TO THIS PATIENT POPULATION INCLUDE NUTRITIONAL COUNSELING, TRANSPORTATION TO MEDICAL APPOINTMENTS, VISION CARE, ASSISTANCE WITH MEDICATION CO-PAYMENTS, AND ASSISTANCE WITH MENTAL HEALTH COUNSELING AND PSYCHIATRIC CARE. THE PROGRAM IS PARTIALLY GRANT FUNDED AND ALSO PROVIDES REIMBURSEMENT TO UPMC PINNACLE FOR SERVICES RENDERED TO PATIENTS WHO ARE HIV-POSITIVE AND ARE EITHER UNINSURED OR UNDERINSURED.AS PART OF OUR MISSION TO PROVIDE ACCESS TO CARE AND TO ACCOMMODATE THOSE PATIENTS WHO NEED CARE AT TIMES WHEN OUR PRIMARY CARE OFFICES CANNOT ASSIST THEM, PHMS HAS 4 RETAIL CLINICS. WITH ACCESS TO PATIENTS' MEDICAL RECORDS FROM THEIR RECENT PRIMARY CARE VISITS, THE CLINICS PROVIDE SEAMLESS FOLLOW UP CARE. THE RETAIL CLINICS ARE OPEN SEVEN DAYS A WEEK WITH EVENING HOURS AND NO APPOINTMENTS ARE NECESSARY. TOTAL PATIENT VISITS WERE 39,218 IN FISCAL YEAR 2018. 0 0 39082 WEST SHORE SURGERY CENTER (WSSC) - THE WEST SHORE SURGERY CENTER IS A LIMITED PARTNERSHIP IN WHICH PINNACLE HEALTH MEDICAL SERVICES IS THE GENERAL PARTNER WITH A 2% CONTROLLING INTEREST AND UPMC PINNACLE HOSPITALS IS A LIMITED PARTNER WITH A 45% INTEREST. THE REMAINING 53% INTEREST IS HELD BY VARIOUS PHYSICIANS FROM THE AREA. 0 0 39082 125869620 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 X 0 0 1285 1 0 0 0 0 0 0 0 0 0 0 X 20 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA X WILLIAM H PUGH EVP-TREASURERCFO 7172318245 PO BOX 8700 HARRISBURG PA 171058700 MICHAEL FERNANDEZ MD DIRECTOR/MEDICAL DIRECTOR 0.10 0.40 X 0 33917 0 JOHN HICKEY CHAIRMAN 0.10 0.70 X X 0 0 0 MICHAEL MURCHIE DIRECTOR 0.10 0.30 X 0 0 0 KENNETH OKEN DIRECTOR 0.10 0.70 X 0 100833 0 CYNTHIA TOLSMA DIRECTOR 0.10 0.80 X 0 0 0 CAROLYN KREAMER DIRECTOR 0.10 0.80 X 0 0 0 DOUG NEIDICH VICE CHAIRMAN 0.10 0.80 X 0 0 0 HAROLD YANG DIRECTOR/TRANSPLANT SURGEON 0.10 40.00 X 0 516675 35103 PHILIP W GUARNESCHELLI PRESIDENT & CEO 1.00 39.00 X X 0 1197495 35417 YVONNE HOLLINS DIRECTOR 0.10 0.40 X 0 0 0 MARK GLESSNER DIRECTOR 0.10 0.20 X 0 0 0 JONATHAN VIPOND III DIRECTOR 0.10 0.20 X 0 0 0 LESLIE DAVIS DIRECTOR 0.10 0.20 X 0 0 0 RICHARD HAMILTON DIRECTOR 0.10 0.20 X 0 0 0 EDWARD KARLOVICH DIRECTOR 0.10 0.20 X 0 0 0 DAVID MARTIN DIRECTOR 0.10 0.20 X 0 0 0 ROBERT MONTLER DIRECTOR 0.10 0.20 X 0 0 0 STEVEN SHAPIRO MD DIRECTOR 0.10 0.20 X 0 0 0 PAUL SPEARS MD DIRECTOR 0.10 0.20 X 0 0 0 JOHN KUNKLE DIRECTOR 0.10 0.20 X 0 0 0 WILLIAM H PUGH EVP-TREASURER/CFO 3.20 36.80 X 0 847217 24208 CHRISTOPHER P MARKLEY ESQ SEC'Y/SR VP STAT SVCS/GEN COUNSEL 6.00 34.00 X 0 589542 31098 JOHN DELORENZO ASST. SECRETARY/VP DEVELOPMENT 8.00 32.00 X 0 196407 26532 ROBERT NIELSEN PRESIDENT, PHMG 40.00 X 597701 0 31207 DAVID WEKSBERG PHYSICIAN 40.00 X 570677 0 32067 GREGORY WILLIS PHYSICIAN 40.00 X 579948 0 35418 JOSE MISAS PHYSICIAN 40.00 X 612941 0 31099 ED PODCZASKI PHYSICIAN 40.00 X 602734 0 31099 JOELLA WILSON PHYSICIAN 40.00 X 570950 0 29765 MICHAEL YOUNG FORMER PRES. & CEO (RES. 3/17) 1.00 39.00 X 0 1220119 20822 3534951 4702205 363835 201 1 1 0 COMPHEALTH 35 NUTMEG DR SUITE 360 TRUMBULL CT 06611 TEMP. PHYSICIAN STAFFING 1472530 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 TEMP. PHYSICIAN STAFFING 947814 THE MILTON S HERSHEY MEDICAL CENTER PO BOX 853 HERSHEY PA 17033 PHYSICIAN STAFFING 849848 LOCUMTENENSCOM 2655 NORTHWINDS PKWY ALPHARETTA GA 30009 TEMP. PHYSICIAN STAFFING 572891 PEDIATRIX MEDICAL GROUP OF PENNSYLVANIA 111 S FRONT ST HARRISBURG PA 17101 CONTRACTED HEALTH SVCS. 497000 14 PATIENT REVENUE, NET 621110 87338028 87338028 REPORTING/QUALITY INCENTIVES 900099 8798939 8798939 PHYSICIAN SERVICES/COVERAGE 621110 286305 286305 PHPA THERAPISTS 621110 44005 44005 WEST SHORE PARTNERSHIP 621400 39082 39082 96506359 13435 13435 714851 643644 71207 71207 71207 4178 5268 -1090 -1090 -1090 I/C LOSS REIMBURSEMENT 900099 11744890 11744890 OTHER MED. SVS. INCOME 900099 915863 915863 EMPLOYEE COUNSELING 900099 274691 274691 465784 465784 13401228 109991139 87707420 0 22283719 15000 15000 673686 673686 94975385 86053862 8921523 3342170 3024569 317601 8360159 7537829 822330 5390006 4851006 539000 9741000 974100 8766900 532 532 4693654 3708257 985397 240786 192629 48157 942252 726660 215592 34476 27581 6895 9042501 8057774 984727 152597 137337 15260 645422 619225 26197 167535 167535 2099978 1889979 209999 2458399 267400 2190999 PHARMACY 6719277 6719277 MEDICAL SUPPLIES 710769 710769 DUES AND MEMBERSHIPS 237592 237592 LAB SUPPLIES 128987 128987 317179 227379 89800 151089342 125869620 25219722 0 6699 6884 13108547 33347951 3711500 6778220 245864 20316 708513 708513 737414 657878 23039101 13432507 10307048 9606594 15816 15846 7100887 0 456968 35942288 51599170 15448760 19892664 3826127 3492420 19274887 23385084 X 16667401 28214086 16667401 28214086 35942288 51599170 X -41098203 52644888 X X 0 1 X 1 0 X 6569106 3637241 2931865 14410750 8390536 6020214 2059245 1404730 654515 9606594 X PART X, LINE 2: TAX BENEFITS ARE RECOGNIZED WHEN IT IS MORE-LIKELY-THAN-NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. SUCH TAX POSITIONS ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON ULTIMATE SETTLEMENT WITH THE TAX AUTHORITIES ASSUMING FULL KNOWLEDGE OF THE POSITION AND ALL RELEVANT FACTS. CERTAIN OF THE COMPANY'S SUBSIDIARIES ARE SUBJECT TO TAXATION IN THE UNITED STATES, VARIOUS STATES AND FOREIGN JURISDICTIONS. AS OF DECEMBER 31, 2017, THE COMPANY'S RETURNS FOR THE FISCAL YEARS ENDED JUNE 30, 2014, 2015, AND 2016 ARE OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES. 1 PINNACLE HEALTH FOUNDATION PO BOX 8700 HARRISBURG PA 171058700 222691718 501(C)(3) 10000 N/A N/A FUNDRAISING SPONSORSHIP 1 0 PART I, LINE 2: THE ORGANIZATION ONLY PROVIDES GRANTS TO AFFILIATES AND AS SUCH, THE COMMON ACCOUNTING SYSTEM SERVES TO ACCOUNT FOR THE USE OF THE FUNDS. COMMON MANAGEMENT CONTROLS THE GRANTS PROVIDED TO AFFILIATES. X X X X 1 1 0 0 0 0 0 0 0 HAROLD YANG DIRECTOR/TRANSPLANT SURGEON 0 241165 0 25000 0 250510 0 16200 0 18903 0 551778 0 0 PHILIP W GUARNESCHELLI PRESIDENT & CEO 0 746232 0 249290 0 201973 0 16200 0 19217 0 1232912 0 0 WILLIAM H PUGH EVP-TREASURER/CFO 0 545622 0 202914 0 98681 0 16200 0 8008 0 871425 0 0 CHRISTOPHER P MARKLEY ESQ SEC'Y/SR VP STAT SVCS/GEN COUNSEL 0 372245 0 133810 0 83487 0 16200 0 14898 0 620640 0 0 JOHN DELORENZO ASST. SECRETARY/VP DEVELOPMENT 0 160286 0 32136 0 3985 0 8570 0 17962 0 222939 0 0 ROBERT NIELSEN PRESIDENT, PHMG 397901 0 148977 0 50823 0 16000 0 15207 0 628908 0 0 0 DAVID WEKSBERG PHYSICIAN 387254 0 148394 0 35029 0 12975 0 19092 0 602744 0 0 0 GREGORY WILLIS PHYSICIAN 492660 0 62500 0 24788 0 16200 0 19218 0 615366 0 0 0 JOSE MISAS PHYSICIAN 492249 0 29203 0 91489 0 16200 0 14899 0 644040 0 0 0 ED PODCZASKI PHYSICIAN 494899 0 81250 0 26585 0 16200 0 14899 0 633833 0 0 0 JOELLA WILSON PHYSICIAN 393618 0 145703 0 31629 0 13500 0 16265 0 600715 0 0 0 MICHAEL YOUNG FORMER PRES. & CEO (RES. 3/17) 0 308524 0 0 0 911595 0 6423 0 14399 0 1240941 0 0 PART I, LINE 3 PINNACLE HEALTH MEDICAL SERVICES RELIES ON UPMC PINNACLE, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. METHODS USED TO ESTABLISH COMPENSATION BY THE RELATED ORGANIZATION INCLUDE: * COMPENSATION COMMITTEE * INDEPENDENT COMPENSATION CONSULTANT * COMPENSATION SURVEY OR STUDY * APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD PART I, LINES 4A-B MICHAEL YOUNG, THE FORMER CEO, RECEIVED A SEVERANCE PAYMENT OF $701,954 UPON HIS DEPARTURE. MICHAEL YOUNG PARTICIPATED IN A SPLIT INTEREST LIFE INSURANCE POLICY WHEREBY THE ORGANIZATION PAID THE PREMIUMS AND MR. YOUNG REPORTED THE PREMIUMS AS OTHER REPORTABLE COMPENSATION. UPON MR. YOUNG'S DEATH, THE ORGANIZATION WOULD HAVE RECOVERED ITS PREMIUMS BEFORE ANY PROCEEDS COULD BE RELEASED TO THE BENEFICIARIES. FELIX GUTIERREZ, A DIRECTOR AND PINNACLE HEALTH CARDIOVASCULAR INSTITUTE EMPLOYEE, ALSO PARTICIPATES IN A NONQUALIFIED PLAN. PINNACLE HEALTH CONTRIBUTED $13,869 TO THE PLAN DURING THE FISCAL YEAR. DANIEL PUGH RELATIVE OF OFFICER WILLIAM PUGH 102509 DANIEL PUGH IS A RELATIVE OF WILLIAM PUGH AND IS COMPENSATED BY UPMC PINNACLE AS AN EMPLOYEE. WILLIAM PUGH DOES NOT SUPERVISE DANIEL PUGH NOR DOES HE PARTICIPATE IN DISCUSSIONS ON DANIEL PUGH'S COMPENSATION. 0 MICHAEL HESS RELATIVE OF OFFICER PHILIP GUARNESCHELLI 58954 MICHAEL HESS IS A RELATIVE OF PHILIP GUARNESCHELLI AND IS COMPENSATED BY UPMC PINNACLE AS AN EMPLOYEE. PHILIP GUARNESCHELLI DOES NOT SUPERVISE MICHAEL NOR DOES HE PARTICIPATE IN DISCUSSIONS ON MICHAEL HESS' COMPENSATION. 0 FORM 990, PART V, LINE 1A: UPMC PINNACLE, THE PARENT ENTITY OF A GROUP COMPRISED OF TAXABLE AND TAX-EXEMPT ORGANIZATIONS, IS THE COMMON REPORTING AGENT FOR THE GROUP AND FILES ALL 1099 FORMS FOR PINNACLE HEALTH MEDICAL SERVICES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS UPMC PINNACLE, A NONPROFIT CORPORATION (EIN 25-1778658). FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER OF THE ORGANIZATION, UPMC PINNACLE SHALL ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION REQUIRE THE APPROVAL OF BOTH THE UPMC PINNACLE BOARD AND THE UPMC BOARD, AS THE SOLE MEMBER OF UPMC PINNACLE. FORM 990, PART VI, SECTION B, LINE 11B THE AUTHORITY AND RESPONSIBILITY FOR REVIEW OF THE FORM 990 FOR UPMC PINNACLE AND SUBSIDIARIES IS DELEGATED TO THE FINANCE COMMITTEE OF THE UPMC BOARD. IN ORDER TO ACCOMPLISH THIS, ALL MEMBERS OF THE FINANCE COMMITTEE ARE PROVIDED WITH A REASONABLE OPPORTUNITY TO REVIEW AND COMMENT TO EXECUTIVE LEADERSHIP ON THE IRS FORMS 990 OF UPMC PINNACLE AND ITS SUBSIDIARIES. IN ADDITION, EACH MEMBER OF EACH RESPECTIVE BOARD OF DIRECTORS WILL BE GIVEN ACCESS TO VIEW THEIR INDIVIDUAL FORM 990 VIA A SHARED, PASSWORD-PROTECTED WEBSITE BEFORE THE RETURNS ARE FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C IN THE PERFORMANCE OF THEIR DUTIES TO UPMC PINNACLE AND SUBSIDIARIES, COVERED PERSONS SHALL SEEK TO ACT IN THE BEST INTERESTS OF UPMC PINNACLE, AND SHALL EXERCISE GOOD FAITH, LOYALTY, DILIGENCE AND HONESTY. A COVERED PERSON IS ANY INDIVIDUAL WHO SERVES IN A FIDUCIARY CAPACITY TO, OR WHO HAS LEGAL AUTHORITY TO REPRESENT OR OBLIGATE, UPMC PINNACLE OR ANY OF ITS AFFILIATED ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO, DIRECTORS, OFFICERS, EMPLOYEES, AND AGENTS. COVERED PERSONS ALSO INCLUDE A) IMMEDIATE FAMILIES (SPOUSES, CHILDREN, SIBLINGS, PARENTS, OR SPOUSE'S PARENTS), B) ANY ORGANIZATION IN WHICH THEY OR THEIR IMMEDIATE FAMILIES DIRECTLY OR INDIRECTLY I) HAVE A MATERIAL FINANCIAL OR BENEFICIAL INTEREST, OR II) SERVE AS A DIRECTOR, OFFICER, EMPLOYEE, AGENT, ATTORNEY OR SIMILAR CAPACITY. A COVERED PERSON SHALL DISCLOSE ANY BUSINESS OR PERSONAL INTERESTS OR RELATIONSHIPS WHICH MAY BE IN CONFLICT WITH THE INTERESTS OF UPMC PINNACLE, INCLUDING, BUT NOT LIMITED TO (A) ENGAGING IN OR SEEKING TO BE ENGAGED IN (I) THE DELIVERY OF HEALTH CARE SERVICES OR (II) THE DELIVERY OF GOODS OR SERVICES TO UPMC PINNACLE, OR (B) ANY TRANSACTION OR ARRANGEMENT WITH UPMC PINNACLE WHICH WOULD RESULT IN BENEFIT TO COVERED PERSONS. THE GOVERNANCE COMMITTEE OF THE UPMC PINNACLE BOARD REVIEWS ALL CONFLICT OF INTEREST STATEMENTS ANNUALLY AND DETERMINES WHETHER EACH DIRECTOR ON THE BOARD IS INDEPENDENT. COVERED PERSONS WHO ARE DIRECTORS MUST COMPLY WITH THE UPMC PINNACLE GUIDELINES FOR DETERMINING DIRECTOR INDEPENDENCE AND APPLYING DIRECTOR INDEPENDENCE REQUIREMENTS. COVERED PERSONS WITH A CONFLICT OF INTEREST SHALL NOT VOTE ON THE MATTER, AND THE UPMC PINNACLE BOARD OR COMMITTEE MUST APPROVE, AUTHORIZE, OR RATIFY THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE NON-INTERESTED DIRECTORS OR COMMITTEE MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM. VIOLATIONS OF THIS STATEMENT OF POLICY MAY SUBJECT COVERED PERSONS TO APPROPRIATE SANCTIONS, INCLUDING REMOVAL FROM THEIR POSITIONS WITH UPMC PINNACLE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE UPMC PINNACLE BOARD OF DIRECTORS HAS THE AUTHORITY TO DEVELOP AND MAINTAIN EXECUTIVE AND PHYSICIAN COMPENSATION TO BE APPROVED BY THE UPMC PINNACLE BOARD. THE COMPENSATION COMMITTEE WILL FOLLOW A DILIGENT PROCESS THAT MEETS REGULATORY REQUIREMENTS FOR A REBUTTABLE PRESUMPTION OF REASONABLENESS AND PROMOTES EFFECTIVE GOVERNANCE OF EXECUTIVE COMPENSATION, CONSISTENT WITH THE UPMC PINNACLE COMPENSATION PHILOSOPHY. 1. FOLLOW A PROCESS THAT ESTABLISHES AND MAINTAINS A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL EXECUTIVES AND PHYSICIANS POTENTIALLY SUBJECT TO INTERMEDIATE SANCTIONS. 2. PREPARE MINUTES FOR EACH MEETING TO RECORD THE TERMS OF THE COMMITTEE'S DECISIONS AND THE PROCESS FOLLOWED IN REACHING THOSE DECISIONS. THESE MINUTES MUST INCLUDE INDICATIONS THAT THE COMMITTEE IS FOLLOWING GOOD PRACTICES IN DEALING WITH CONFLICTS OF INTEREST AND IN OBTAINING AND RELYING ON APPROPRIATE COMPARABILITY DATA ON TOTAL COMPENSATION. 3. SELECT AND DIRECTLY ENGAGE AND SUPERVISE ANY CONSULTANT HIRED BY UPMC PINNACLE TO ADVISE THE COMMITTEE ON EXECUTIVE AND PHYSICIAN COMPENSATION. 4. PERIODICALLY EVALUATE THE APPROPRIATENESS OF THIS CHARTER AND THE EFFECTIVENESS OF THE PROCESS THE COMMITTEE USES IN GOVERNING EXECUTIVE AND PHYSICIAN COMPENSATION AND REPORT THIS EVALUATION TO THE BOARD. 5. PROVIDE THE BOARD WITH AN ANNUAL REPORT ON THE COMMITTEE'S ACTIONS. 6. MONITOR CHANGES IN LAWS AND REGULATIONS PERTAINING TO EXECUTIVE COMPENSATION AND BENEFITS TO SEE THAT UPMC PINNACLE COMPLIES WITH THEM. 7. SEEK OUTSIDE REVIEW OF COMMITTEE OPERATIONS TO ENSURE COMPLIANCE WITH THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS. 8. REVIEW ACTUAL EXECUTIVE COMPENSATION AND BENEFITS PROVIDED TO CONFIRM CONSISTENCY WITH COMPENSATION AND BENEFITS APPROVED BY THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION INCLUDES A COPY OF ITS FINANCIAL STATEMENTS WITH THE STATE REGISTRATION FILED WITH THE PENNSYLVANIA DEPARTMENT OF STATE, BUREAU OF CHARITABLE ORGANIZATIONS. THESE DOCUMENTS ARE A MATTER OF PUBLIC RECORD AND CAN BE VIEWED AT THE BUREAU OFFICE. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS 58,113,835. TRANSFER FROM HOSPITAL TEMP RESTRICTED 1,613,889. PURCHASE ACCOUNTING ADJUSTMENT TO SEPARATE IDENTIFIABLE INTANGIBLE ASSETS -525,090. PURCHASE ACCOUNTING ADJUSTMENT TO GOODWILL -6,557,746. PART XII, LINE 2C: UPMC IS AUDITED ON A CONSOLIDATED BASIS. THEREFORE, THERE ARE NO SEPARATE AUDITED FINANCIAL STATEMENTS FOR UPMC PINNACLE AND ITS SUBSIDIARIES. 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LEXINGTON TWO INC HOWARD AVE 7TH ST ALTOONA PA 16601 251555689 DME PA N/A C 0 LEXINGTON FOUR INC 620 HOWARD AVE ALTOONA PA 16601 251793736 HOLDING COMPANY DE N/A C 0 ALLEGHENY HEALTHCARE STAFFING INC 620 HOWARD AVE ALTOONA PA 16601 271657362 INACTIVE PA N/A C 0 UPMC ALTOONA REGIONAL HEALTH SERVICES 1414 9TH AVENUE ALTOONA PA 16602 251219302 PHYSICIAN SERVICES PA N/A C 0 LEXINGTON ANESTHESIA ASSOCIATES INC 620 HOWARD AVE ALTOONA PA 16601 251897765 PHYSICIAN SERVICES PA N/A C 0 NORTHERN CAMBRIA MEDICAL CENTER INC 620 HOWARD AVE ALTOONA PA 16601 251530860 INACTIVE PA N/A C 0 PATTON FAMILY MEDICAL CENTER INC 620 HOWARD AVE 5TH FL ALTOONA PA 16601 251793735 INACTIVE PA N/A C 0 MEDCPU INC 100 WALL STREET SUITE 2202 NEW YORK NY 10005 383805381 SOFTWARE DEVELOPMENT DE N/A C 0 RXANTE INC 511 CONGRESS STREET 803 PORTLAND ME 04101 454040219 MEDICATION MANAGEMENT DE N/A C 0 VINCENT PAYMENT SOLUTIONS INC BAKERY SQUARE 6425 PENN AVENUE STE PITTSBURGH PA 15206 821101143 PAYMENT SYSTEM DE N/A C 0 J HEALTH VENTURES INC 1211 WILIMINGTON AVENUE NEW CASTLE PA 16105 251607893 INACTIVE PA N/A C 0 JER MEDICAL ASSOCIATES INC 1211 WILMINGTON AVENUE NEW CASTLE PA 16105 251609398 INACTIVE PA N/A C 0 SUSQUEHANNA VENTURES INC 1201 GRAMPIAN BOULEVARD WILLIAMSPORT PA 17701 232470623 PHARMACY PA N/A C 0 TYOGA CARENET 114 EAST AVENUE WELLSBORO PA 16901 251810967 INACTIVE PA N/A C 0 WCA SERVICE CORPORATION INC 207 FOOTE AVENUE JAMESTOWN NY 14701 161151438 SUPPORT NY N/A C 0 ITTCCO I INC 600 GRANT STREET PITTSBURGH PA 15219 822590699 INACTIVE DE N/A C 0 ITTCCO II INC 600 GRANT STREET PITTSBURGH PA 15219 822597388 INACTIVE DE N/A C 0 PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC 409 SOUTH SECOND STREET HARRISBURG PA 17104 320321362 PHYSICIAN SERVICES PA N/A C 0 HANOVER HEALTH CORPORATION 300 HIGHLAND AVENUE HANOVER PA 17331 900498067 HOLDING COMPANY PA N/A C 0 HANOVER APOTHECARY INC 310 STOCK STREET SUITE 1 HANOVER PA 17331 030594526 PHARMACY PA N/A C 0 UNITED CENTRAL PA RECIPROCAL RISK RETENTION GROUP 76 SAINT PAUL STREET SUITE 500 BURLINGTON VT 05401 134224033 INSURANCE VT N/A C 0 PINNACLE HEALTH VENTURES INC 409 SOUTH SECOND STREET HARRISBURG PA 17104 611677624 HOLDING COMPANY PA N/A C 0 PINNACLE HEALTH IMAGING INC 409 SOUTH SECOND STREET HARRISBURG PA 17104 231718571 IMAGING SERVICES PA N/A C 0 COLE CARE INC 1001 EAST 2ND STREET COUDERSPORT PA 16915 251497347 DME PA N/A C 0 UPMC ITALY HEALTH SERVICES SRL VIA DISCESA DEI GIUDICI 4 PALERMO IT 90133 HEALTH SERVICES IT N/A C 0 UPMC INVESTMENTS LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W HOLDING COMPANY EI N/A C 0 UPMC PROPERTY LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W PROPERTY EI N/A C 0 UPMC PROPERTY II LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W PROPERTY EI N/A C 0 EURO CARE INFRASTRUCTURE LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W PROPERTY MANAGEMENT EI N/A C 0 EURO CARE PROPERTY MANAGEMENT LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W PROPERTY MANAGEMENT EI N/A C 0 EURO CARE HEALTHCARE LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W HOSPITAL EI N/A C 0 WATERFORD ONCOLOGY ASSOCIATES LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W ONCOLOGY SERVICES EI N/A C 0 UPMC CANCER CENTERS IRELAND LIMITED 6TH FLOOR BEACON HOSPITAL SANDYFORD EI DUBLIN 18 CANCER TREATMENT EI N/A C 0 PANTHER REINSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CJ N/A 981402742 INSURANCE CJ N/A C 0 FORBES REINSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CJ N/A 981400710 INSURANCE CJ N/A C 0 CATHEDRAL (RE) INSURANCE CO PO BOX 1109 GRAND CAYMAN CJ N/A 981400837 INSURANCE CJ N/A C 0 UPMC IRELAND LIMITED 6TH FLOOR BEACON HOSPITAL SANDYFORD EI DUBLIN 18 HEALTHCARE SUPPORT EI N/A C 0 UPMC CANADA TECHNOLOGIES LIMITED 600 GRANT STREET PITTSBURGH CA 15219 SOFTWARE CA N/A C 0 SUSQUEHANNA HEALTH SYSTEM INSURANCE NET PO BOX 1159 GRAND CAYMAN CJ N/A INSURANCE CJ N/A C 0 UNITED HEALTH RISK LTD PO BOX HM 2450 HAMILTON BD N/A INSURANCE BD N/A C 0 UPMC UNITED KINGDOM LTD C/O NAIRCO 11TH FLOOR WHITEFRIARS BRISTOL UK UK BS1 2NT 980571026 SOFTWARE LICENSING UK N/A C 0 UPMC EXCESS PL TRUST 600 GRANT STREET PITTSBURGH PA 15219 826254351 N/A PA N/A T 0 0 1 0 1 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 FORM 990, SCHEDULE R PARTS I THROUGH IV: ENTITIES REPORTED IN PARTS I THROUGH IV THAT ARE MARKED WITH AN * ARE NOT TECHNICALLY "RELATED ORGANIZATIONS", AS DEFINED IN THE FORM 990 INSTRUCTIONS. HOWEVER, THEY ARE DISCLOSED ON SCHEDULE R TO REFLECT THAT THEY ARE A PART OF THE UPMC SYSTEM OF ENTITIES, AS THEY ALL SHARE UPMC AS THEIR ULTIMATE PARENT CORPORATION. THE DISCLOSURE IS IN THE INTEREST OF TRANSPARENCY.