UPMC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- UPMC (EIN 23-2751183)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201801359349302200
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T08:26:01-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E St Louis St | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232751183 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPMC Susquehanna | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UPMC | BusinessNameControlTxt |
| Phone | 5703207900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1205 Grampian Blvd 2nd Floor | AddressLine1Txt |
| City | Williamsport | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Eric D Pohjala | PersonNm |
| Person Title | Executive Vice President/CFO | PersonTitleTxt |
| Phone | 5703213171 | PhoneNum |
| Signature | 2018-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brian D Todd CPA | PreparerPersonNm |
| PTIN | P00422601 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Steven P Johnson | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 High Street | AddressLine1Txt |
| City | Williamsport | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $243,344,711 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.susquehannahealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | UPMC Susquehanna provides management services to its exempt healthcare subsidiaries. | ActivityOrMissionDesc |
| Voting Members Governing Body | 25 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 22 | VotingMembersIndependentCnt |
| Total Employee | 4467 | TotalEmployeeCnt |
| Total Volunteers | 22 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $80,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,478 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,175 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,688,550 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,267,776 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$926,068 | PYOtherRevenueAmt |
| CY Other Revenue | -$2,180 | CYOtherRevenueAmt |
| PY Total Revenue | $843,960 | PYTotalRevenueAmt |
| CY Total Revenue | $13,270,771 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,306,852 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $92 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,500,301 | PYOtherExpensesAmt |
| CY Other Expenses | $770,995 | CYOtherExpensesAmt |
| PY Total Expenses | $3,807,245 | PYTotalExpensesAmt |
| CY Total Expenses | $770,995 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,963,285 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,499,776 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $95,201,150 | TotalAssetsBOYAmt |
| Total Assets EOY | $84,820,495 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,241,764 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,186,102 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $86,959,386 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $68,634,393 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of UPMC Susquehanna and affiliates is as follows: Our Mission - to extend God's healing love by providing outstanding patient care and shaping tomorrow's health care through clinical and technological innovation and education. Our Vision - to create an integrated community health system that delivers world class care. Our Values - to carefully place our patients and their families first, share ownership with all caregivers and lead with a servant's heart. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $770,995 | ExpenseAmt |
| Revenue | $2,175 | RevenueAmt |
| Desc | UPMC Susquehanna is organized and operated to coordinate the activities of the exempt 501(c)(3) supported organizations as they pursue their charitable, educational, benevolent, and other purposes related to health care, health education and training, health facilities, and scientific research and health. The Supported Organizations include: The Williamsport Hospital & Medical Center, Divine Providence Hospital of the Sisters of Christian Charity, Muncy Valley Hospital, and Susquehanna Physician Services. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UPMC Susquehanna also is operated to establish, sponsor, and develop, directly or indirectly, facilities and programs for the accommodation, care and treatment of individuals suffering from illness, injury, disease, disability or infirmity, including but not limited to hospitals, nursing homes, residential facilities for the elderly, life care centers, ambulatory medical treatment facilities, clinics, rehabilitation centers, alcoholism treatment centers, home health programs, mental health centers, hospice programs, pharmacies, laboratories, and training and research facilities as are performed and carried out by UPMC Susquehanna's supported organizations. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $770,995 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 665 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4467 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 25 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 22 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eric D Pohjala Executive VPCFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5703207900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 High Street | AddressLine1Txt |
| City | Williamsport | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Ann S Pepperman Esquire | |||||||||
| Chairperson | 2.00 | 12.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Davie Jane Gilmour PhD | |||||||||
| Vice Chairperson | 2.00 | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Sister Teresa Ann Jacobs | |||||||||
| Secretary | 2.00 | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Ronald E DiSimone MD | |||||||||
| Director | 2.00 | 48.00 | Yes (X) | $0 | $1,072,681 | $31,403 | |||
| Daniel A Klingerman | |||||||||
| Director | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| Lynda Livingston | |||||||||
| Director | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| Philip H Johnson | |||||||||
| Treasurer | 2.00 | 12.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Alexander R Nesbitt MD | |||||||||
| Director | 2.00 | 48.00 | Yes (X) | $0 | $241,117 | $31,052 | |||
| Dr J Dennis Murray | |||||||||
| Director | 2.00 | 14.00 | Yes (X) | $0 | $0 | $0 | |||
| Glenn Poirier | |||||||||
| Director | 2.00 | 14.00 | Yes (X) | $0 | $0 | $0 | |||
| Thomas M Owlett Esquire | |||||||||
| Director | 2.00 | 14.00 | Yes (X) | $0 | $0 | $0 | |||
| Jill Burns MD | |||||||||
| Director | 2.00 | 50.00 | Yes (X) | $0 | $259,810 | $33,044 | |||
| Leslie Davis | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Robert DeMichiei | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Durriya Esaa MD | |||||||||
| Director | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| Keith Kuzio | |||||||||
| Director | 2.00 | 12.00 | Yes (X) | $0 | $0 | $0 | |||
| Donald Leathers MD | |||||||||
| Director | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| Sandra McAnallen | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Robert Montler | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Stephen Nimmo ESQ | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Shailesh Patel MD | |||||||||
| Director | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| David Russell | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark Sevco | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Marshall Webster MD | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Patrick Wilson | |||||||||
| Director | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| Steven P Johnson | |||||||||
| President/CEO | 2.00 | 50.00 | Yes (X) | $0 | $960,096 | $33,271 | |||
| Eric D Pohjala | |||||||||
| Exec VP/CFO | 2.00 | 42.00 | Yes (X) | $0 | $430,438 | $32,395 | |||
| Jan E Fisher | |||||||||
| Exec VP/COO | 2.00 | 44.00 | $0 | $551,981 | $31,238 | Yes (X) | |||
| David Lopatofsky MD | |||||||||
| Exec VP/CMO | 2.00 | 40.00 | $0 | $593,514 | $37,048 | Yes (X) | |||
| Ronald J Butler | |||||||||
| Former Exec VP/CBO-Retired 4/15/15 | 0.00 | 40.00 | $0 | $335,670 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,445,307 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $229,451 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kaufman Hall & Associates Inc | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8610 Solution Center | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60677 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Consulting | ServicesDesc |
| Compensation | $103,749 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $3,000 | AllOtherContributionsAmt |
| Total Contributions | $3,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Support allocation income | 900003 | $1,347 | $1,347 |
| Misc other income | 900003 | $828 | $828 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,175 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $754,707 | TotalRevenueColumnAmt |
| Exclusion | $754,707 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $242,587,009 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $230,073,940 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,513,069 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,513,069 | TotalRevenueColumnAmt |
| Exclusion | $12,513,069 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Loss on inv in equity investee | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | -$2,180 | TotalRevenueColumnAmt |
| Exclusion | -$2,180 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$2,180 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,270,771 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,175 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,265,596 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,771 | TotalAmt |
| Program Services | $238,771 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,996 | TotalAmt |
| Program Services | $152,996 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,060 | TotalAmt |
| Program Services | $117,060 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,953 | TotalAmt |
| Program Services | $70,953 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,081 | TotalAmt |
| Program Services | $88,081 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,835 | TotalAmt |
| Program Services | $99,835 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,317 | TotalAmt |
| Program Services | $1,317 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $635 | TotalAmt |
| Program Services | $635 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,347 | TotalAmt |
| Program Services | $1,347 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $770,995 | TotalAmt |
| Program Services | $770,995 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,912 | BOYAmt |
| EOY | $850,613 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $762,929 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $759,562 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,714 | BOYAmt |
| EOY | $3,367 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,208,289 | BOYAmt |
| EOY | $25,926,174 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,675,000 | BOYAmt |
| EOY | $58,040,341 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,201,150 | BOYAmt |
| EOY | $84,820,495 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,679 | BOYAmt |
| EOY | $26,303 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,995,085 | BOYAmt |
| EOY | $16,159,799 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,241,764 | BOYAmt |
| EOY | $16,186,102 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,315,878 | BOYAmt |
| EOY | $64,979,873 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $506,229 | BOYAmt |
| EOY | $517,241 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,137,279 | BOYAmt |
| EOY | $3,137,279 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,959,386 | BOYAmt |
| EOY | $68,634,393 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,201,150 | BOYAmt |
| EOY | $84,820,495 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,499,776 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$10,632,111 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$20,192,658 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 5 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (5 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| The Williamsport Hospital & Medical Center | ||||
| 240795508 | 3 | Yes (1) | $0 | $0 |
| Divine Providence Hospital | ||||
| 240799343 | 3 | Yes (1) | $0 | $0 |
| Muncy Valley Hospital | ||||
| 240806023 | 3 | Yes (1) | $0 | $0 |
| Susquehanna Physician Services | ||||
| 232449454 | 3 | Yes (1) | $0 | $0 |
| Soldiers & Sailors Memorial Hospital | ||||
| 232176963 | 3 | Yes (1) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 5 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (1) | MajorityDirTrstSupportedOrgInd |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $43,445 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $9,012 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $51,457 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $41,841 | BeginningYearBalanceAmt |
| Contributions | $750 | ContributionsAmt |
| Investment Earnings Or Losses | $1,854 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $43,445 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $40,199 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,642 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $41,841 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $38,919 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,280 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $40,199 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $38,043 | BeginningYearBalanceAmt |
| Contributions | $100 | ContributionsAmt |
| Investment Earnings Or Losses | $1,776 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $38,919 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.64630 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.35370 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $762,929 | OtherCostOrOtherBasisAmt |
| Depreciation | $759,562 | DepreciationAmt |
| Book Value | $3,367 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,367 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Cash Value of Life Insurance | $18,629 |
| Interest in Net Affiliate | $37,819,655 |
| Due from exempt affiliates | $11,202,057 |
| Investment in exempt affiliate | $9,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $58,040,341 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Annuity | $5,976 |
| Due to exempt affiliates | $16,153,823 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,159,799 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The Arthur R. Taylor, M.D. Endowment Fund for Continuing Medical Education will provide financial support for continuing medical education programs at UPMC Susquehanna with a focus on primary care. These educational programs will be for the benefit of the physicians of Susquehanna Health and surrounding regions. |
| Form 990, Part X, Line 2 | Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 1 | EmployeeCnt |
| Type Of Activities Conducted | Program services | TypeOfActivitiesConductedTxt |
| Specific Services Provided | Captive insurance company-Total investment | SpecificServicesProvidedTxt |
| Region Total Expenditures | $41,650,240 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 1 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Subtotal Spent | $41,650,240 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $41,650,240 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ronald E DiSimone MD | ||||||||||||||
| Director | $0 | $1,007,081 | $0 | $27,445 | $0 | $38,155 | $0 | $9,950 | $0 | $21,453 | $0 | $1,104,084 | $0 | $0 |
| Alexander R Nesbitt MD | ||||||||||||||
| Director | $0 | $215,177 | $0 | $23,675 | $0 | $2,265 | $0 | $12,965 | $0 | $18,087 | $0 | $272,169 | $0 | $0 |
| Jill Burns MD | ||||||||||||||
| Director | $0 | $224,371 | $0 | $34,600 | $0 | $839 | $0 | $9,950 | $0 | $23,094 | $0 | $292,854 | $0 | $0 |
| Steven P Johnson | ||||||||||||||
| President/CEO | $0 | $703,292 | $0 | $226,453 | $0 | $30,351 | $0 | $13,925 | $0 | $19,346 | $0 | $993,367 | $0 | $0 |
| Eric D Pohjala | ||||||||||||||
| Exec VP/CFO | $0 | $362,196 | $0 | $66,436 | $0 | $1,806 | $0 | $9,950 | $0 | $22,445 | $0 | $462,833 | $0 | $0 |
| Jan E Fisher | ||||||||||||||
| Exec VP/COO | $0 | $401,814 | $0 | $138,186 | $0 | $11,981 | $0 | $9,950 | $0 | $21,288 | $0 | $583,219 | $0 | $0 |
| David Lopatofsky MD | ||||||||||||||
| Exec VP/CMO | $0 | $425,773 | $0 | $141,731 | $0 | $26,010 | $0 | $11,275 | $0 | $25,773 | $0 | $630,562 | $0 | $0 |
| Ronald J Butler | ||||||||||||||
| Former Exec VP/CBO-Retired 4/15/15 | $0 | $0 | $0 | $0 | $0 | $335,670 | $0 | $0 | $0 | $0 | $0 | $335,670 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The Williamsport Hospital EIN #24-0795508, 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 4a | Ronald J. Butler, Former Exec VP/CBO retired on 4/15/15. His entire reportable compensation, $335,670 paid by a related organization, is a severance payment. |
| Part I, Line 6 | In order for the Leadership Team to participate in the annual Variable Compensation Incentive Program (VCIP), a minimum operating margin must be achieved for the most recently completed year on a consolidated system-level basis. Individual goals and objectives related to the VCIP may also include individual entity operating performance. For FY 2017, the minimum threshold was met that would trigger a VCIP payment. In September 2016, President/CEO Steven P. Johnson received a variable compensation award in the amount of $226,453. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Board members Dr. Jill Burns, Dr. Ronald DiSimone, Dr. Durriya Esaa, Davie Jane Gilmour, Philip Johnson, Sister Teresa Ann Jacobs, Daniel Klingerman, Keith Kuzio, Donald Leathers, Lynda Livingston, J. Dennis Murray, Dr. Alexander Nesbitt, Thomas Owlett, Dr. Shailesh Patel, Ann Pepperman, Glenn Poirier, and Patrick Wilson all serve on the board of a related taxable organization. |
| Form 990, Part VI, Section A, line 4 | Effective October 1, 2016 an amendment to the bylaws for UPMC Susquehanna was adopted by the Board of Directors pursuant to an affiliation agreement with UPMC. Article I: The name of the corporation is UPMC Susquehanna. Article II: The physical address of the registered office of the corporation is 700 High Street, Williamsport, Lycoming County, PA 17701. Article VI: There shall be one member of the corporation, which shall be UPMC (the "Member"), a Pennsylvania nonprofit corporation which has been formed exclusively for charitable, scientific and educational purposes within the meaning of Section 501(c)(3) of the Code and has been determined as such by the Internal Revenue Service. Article VII: The business, property and affairs of the corporation shall be managed and controlled by the Board of Directors, subject to the reserved powers of the Member. |
| Form 990, Part VI, Section A, line 6 | UPMC, a federally tax exempt 501(c)(3) nonprofit corporation, is the sole member of UPMC Susquehanna. |
| Form 990, Part VI, Section A, line 7a | Two-thirds (2/3) of the total number of Directors shall be UPMC Susquehanna Directors. One-third (1/3) of the total number of Directors shall be UPMC Designated Directors, who shall be appointed by the sole member - UPMC. One member of the board of directors shall be appointed by the Sisters of Christian Charity Health Care Corporation. This director shall have all of the powers provided to the other directors except they shall not have the power to vote to appoint the President of the Corporation and they shall not participate in the discussions of, or vote on any matters contrary to the Directives. |
| Form 990, Part VI, Section A, line 7b | The affairs of the corporation shall be managed and controlled by its Board of Directors, subject to the reserved powers of the sole member UPMC. During the 5 year integration period commencing on the closing date (October 1, 2016), the following actions will require joint approval of the Board and UPMC: a) Approval of operating and capital budgets of UPMC Susquehanna and UPMC Susquehanna entities. b) Approval of plans for application and use of the Capital Expenitures and Strategic Opportunities Commitment. c) Approval of any existing affiliations or contractual arrangements of UPMC Susquehanna. d) Approval of renewals or amendments to any existing material contract. e) Approval of strategic plans. f) Material changes to existing contractual arrangements with physicians. g) Entering into new or changing existing joint venture arrangements. h) Approval of selection of the President of UPMC Susquehanna. i) Approval of the terms of any management arrangements with an unrelated third party. j) Any material changes to clinincal programs. k) Any change to the corporate structure. l) Any sale, lease, joint venture, acquisition, merger, consolidation, affiliation, membership transfer or other transaction involving UPMC Susquehanna or any UPMC Susquehanna entity. m) Approval of any business plan with respect to the Regional Services Center. n) The determination that any UPMC Susquehanna Entity will no longer be licensed or operated as currently licensed. o) Any amendment of the Articles of Incorporation or the Bylaws, or other applicable governing documents. p) Any consolidation of UPMC Susquehanna's captive insurance company with UPMC's captive insurance program. q) Sale of any real estate of UPMC Susquehanna. r) Any material change to the residency programs at UPMC Susquehanna. s) Any changes to the Articles of Incorporation or the Bylaws of UPMC Susquehanna. |
| Form 990, Part VI, Section B, line 11b | A high-level overview of Forms 990 is presented to the parent Board of Directors (UPMC Susquehanna) before filing and complete drafts of all returns are made available to all Board members through the CEO's and CFO's office. |
| Form 990, Part VI, Section B, line 12c | All members of the Board of Directors are required to submit a statement annually disclosing any conflict of interest that may arise. Requests for the annual form are distributed individually to each Board Member by the Office of the President and CEO. The CEO's executive assistant ensures that she receives a completed form from every Board Member. All Board Members agree to abstain when any issue involving the parties with conflicting interest is called to motion. |
| Form 990, Part VI, Section B, line 15 | All top management is employed by The Williamsport Hospital. The following paragraph describes the process they use. 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 presumptive or reasonableness relative to executive compensation and benefits. The consultant annually provides detailed market information from its annual Executive Compensation Survey for Health Systems. In addition, other regional survey data is provided in order to supply the health system with a "national" picture of compensation. With this process established, the Executive Compensation Committee takes the proper steps to educate the Board of Directors to understand all of the above-mentioned oversight and to appropriately prepare them for community or media inquiry. In addition, the Board is made aware of the Form 990 and its role in the communication of information to the public. |
| Form 990, Part VI, Section C, line 19 | These documents are available to members of the public who request them. |
| Form 990, Part IX, line 11g | Consulting fees: Program service expenses 117,060. Management and general expenses 0. Fundraising expenses 0. Total expenses 117,060. |
| Form 990, Part XI, line 9: | Unrestricted assets transferred to UPMC (parent) -20,192,658. |
| Form 990, Part XII, Line 2c | UPMC, the sole member of UPMC Susquehanna, has assumed the responsibility for oversight of the audited financial statements at a system level for FY 2017. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (51 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UPMC SENIOR COMMUNITIES INC | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251574736 | SR. LIVING | PA | 501(c)(3) | Line 10 | UPMC | Yes (1) | |
| PITTSBURGH LIFETIME CARE COMMUNITY | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251335247 | CCRC | PA | 501(c)(3) | Line 10 | UPMC SR COMM | Yes (1) | |
| CANTERBURY PLACE | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 250965334 | SR. LIVING | PA | 501(c)(3) | Line 10 | UPMC SR COMM | Yes (1) | |
| SENECA PLACE | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 721562844 | SR. LIVING | PA | 501(c)(3) | Line 10 | UPMC SR COMM | Yes (1) | |
| SHADYSIDE HOSPITAL SUPPORTING FOUNDATION | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 260303394 | FOUNDATION | PA | 501(c)(3) | Line 12a, I | UPMC | Yes (1) | |
| UPMC LEE | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 250613830 | INACTIVE | PA | 501(c)(3) | Line 3 | UPMC | Yes (1) | |
| PITTSBURGH CARE PARTNERSHIP INC | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251753852 | ADULTDAYCARE | PA | 501(c)(3) | Line 10 | UPMC | Yes (1) | |
| UPMC CENTER FOR HIGH VALUE HEALTHCARE | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 452178782 | RESEARCH | PA | 501(c)(3) | Line 7 | UPMC | Yes (1) | |
| SHADYSIDE HOSPITAL FOUNDATION | |||||||||||
| 532 SOUTH AIKEN AVE | PITTSBURGH | PA | 15232 | 251290546 | FOUNDATION | PA | 501(c)(3) | Line 12c, III-FI | UPMC PRESBY | Yes (1) | |
| PASSAVANT HOSPITAL FOUNDATION | |||||||||||
| 9100 BABCOCK BLVD | PITTSBURGH | PA | 15237 | 251407815 | FOUNDATION | PA | 501(c)(3) | Line 12b, II | UPMC PASS | Yes (1) | |
| UPMC NORTHWEST FOUNDATION | |||||||||||
| 100 FAIRFIELD DRIVE | SENECA | PA | 16346 | 251483624 | FOUNDATION | PA | 501(c)(3) | Line 12d, III-O | UPMC NORTHWE | Yes (1) | |
| ST MARGARET FOUNDATION | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251520340 | FOUNDATION | PA | 501(c)(3) | Line 7 | UPMC ST MARG | Yes (1) | |
| CHILDREN'S HOSPITAL OF PITTSBURGH FND | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251865744 | FOUNDATION | PA | 501(c)(3) | Line 7 | UPMC CHP | Yes (1) | |
| MAGEE-WOMEN RES INST AND FOUNDATION | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251462311 | FOUNDATION | PA | 501(c)(3) | Line 7 | 0 | N/A | |
| UPMC KANE | |||||||||||
| 4372 ROUTE 6 | KANE | PA | 16735 | 250998168 | HOSPITAL | PA | 501(c)(3) | Line 3 | UPMC HAMOT | 0 | |
| GREAT LAKES PHYSICIAN PRACTICE | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 464186362 | PHYSICIANS | NY | 501(c)(3) | Line 3 | REGNL HEALTH | Yes (1) | |
| HAMOT HEALTH FOUNDATION | |||||||||||
| 302 FRENCH ST | ERIE | PA | 16507 | 251400999 | FOUNDATION | PA | 501(c)(3) | Line 12b, II | UPMC HAMOT | Yes (1) | |
| SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HA | |||||||||||
| 1330 W 26TH ST | ERIE | PA | 16508 | 251317492 | BEHAVIORAL | PA | 501(c)(3) | Line 7 | UPMC HAMOT | Yes (1) | |
| UPMC JAMESON | |||||||||||
| 1211 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 250965406 | HEALTHCARE | PA | 501(c)(3) | Line 3 | UPMC | Yes (1) | |
| JAMESON HEALTHCARE FOUNDATION | |||||||||||
| 1211 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 251536037 | FOUNDATION | PA | 501(c)(3) | Line 12b, II | UPMC JAMESON | Yes (1) | |
| JAMESON HEALTH SERVICES INC | |||||||||||
| 1211 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 030486993 | HEALTHCARE | PA | 501(c)(3) | Line 12b, II | UPMC JAMESON | Yes (1) | |
| CHILDREN'S ADVOCACY CENTER OF LAWRENCE | |||||||||||
| 1107 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 251581304 | SUPPORT SYS | PA | 501(c)(3) | Line 7 | UPMC JAMESON | Yes (1) | |
| UPMCJAMESON CANCER CENTER | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 201459415 | ONCOLOGY SVC | PA | 501(c)(3) | Line 10 | UPMC JAMESON | Yes (1) | |
| JAMESON MEDICAL CARE INC | |||||||||||
| 1211 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 260462696 | HEALTHCARE | PA | 501(c)(3) | Line 10 | UPMC JAMESON | Yes (1) | |
| JAMESON CARE CENTER INC | |||||||||||
| 1211 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 232871396 | HEALTHCARE | PA | 501(c)(3) | Line 10 | UPMC SR COMM | Yes (1) | |
| WILLIAMSPORT AREA AMBULANCE SERVICE COOP | |||||||||||
| 700 HIGH STREET | WILLIAMSPORT | PA | 17701 | 232416166 | AMBULANCE SVC | PA | 501(c)(3) | Line 10 | WILLIAMSPORT HOSPITAL | Yes (1) | |
| VENANGO VNA FOUNDATION | |||||||||||
| 491 ALLEGHENY BLVD | FRANKLIN | PA | 16323 | 251472179 | FOUNDATION | PA | 501(c)(3) | Line 12d, III-O | UPMC VISITIN | Yes (1) | |
| DIVINE PROVIDENCE HOSPITAL OF THE SISTERS | |||||||||||
| 1100 GRAMPIAN BLVD | WILLIAMSPORT | PA | 17701 | 240799343 | HEALTHCARE | PA | 501(c)(3) | Line 3 | UPMC SUSQUEHANNA | Yes (1) | |
| SUSQUEHANNA PHYSICIAN SERVICES | |||||||||||
| 1201 GRAMPIAN BLVD | WILLIAMSPORT | PA | 17701 | 232449454 | PHYSICIANS | PA | 501(c)(3) | Line 3 | UPMC SUSQUEHANNA | Yes (1) | |
| SUSQUEHANNA HEALTH SYSTEM INNOVATION CTR | |||||||||||
| 700 HIGH STREET | WILLIAMSPORT | PA | 17701 | 471600873 | HEALTHCARE | PA | 501(c)(3) | Line 12a, I | UPMC SUSQUEHANNA | Yes (1) | |
| SUSQUEHANNA HEALTH FOUNDATION | |||||||||||
| 1100 GRAMPIAN BLVD | WILLIAMSPORT | PA | 17701 | 232743470 | FUNDRAISING | PA | 501(c)(3) | Line 12a, I | UPMC SUSQUEHANNA | Yes (1) | |
| MUNCY VALLEY HOSPITAL | |||||||||||
| 215 EAST WATER ST | MUNCY | PA | 17756 | 240806023 | HEALTHCARE | PA | 501(c)(3) | Line 3 | UPMC SUSQUEHANNA | Yes (1) | |
| LAUREL REALTY INC | |||||||||||
| 15 MEADE STREET | WELLSBORO | PA | 16901 | 231403678 | RENTAL REAL ESTATE | PA | 501(c)(2) | N/A | UPMC SUSQUEHANNA | Yes (1) | |
| LAUREL MANAGEMENT SERVICES INC | |||||||||||
| 15 MEADE STREET | WELLSBORO | PA | 16901 | 251644910 | MANAGEMENT SVC | PA | 501(c)(3) | Line 12b, II | UPMC SUSQUEHANNA | Yes (1) | |
| LAUREL HEALTH SYSTEM | |||||||||||
| 15 MEADE STREET | WELLSBORO | PA | 16901 | 240795488 | HEALTHCARE | PA | 501(c)(3) | Line 12b, II | UPMC SUSQUEHANNA | Yes (1) | |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL | |||||||||||
| 32-36 CENTRAL AVE | WELLSBORO | PA | 16901 | 232176963 | HEALTHCARE | PA | 501(c)(3) | Line 3 | UPMC SUSQUEHANNA | Yes (1) | |
| THE GREEN HOME | |||||||||||
| 37 CENTRAL AVE | WELLSBORO | PA | 16901 | 240804365 | ASSISTED LIVING | PA | 501(c)(3) | Line 10 | UPMC SUSQUEHANNA | Yes (1) | |
| TIOGA HEALTH CARE PROVIDERS | |||||||||||
| 15 MEADE STREET | WELLSBORO | PA | 16901 | 251765538 | HEALTHCARE | PA | 501(c)(3) | Line 12b, II | UPMC SUSQUEHANNA | Yes (1) | |
| THE WILLIAMSPORT HOSPITAL | |||||||||||
| 700 HIGH STREET | WILLIAMSPORT | PA | 17701 | 240795508 | HOSPITAL | PA | 501(c)(3) | Line 3 | UPMC SUSQUEHANNA | Yes (1) | |
| UPMC SUSQUEHANNA LOCK HAVEN | |||||||||||
| 700 HIGH STREET | WILLIAMSPORT | PA | 17701 | 821600494 | HOSPITAL | PA | 501(c)(3) | Line 3 | UPMC SUSQUEHANNA | Yes (1) | |
| UPMC SUSQUEHANNA SUNBURY | |||||||||||
| 700 HIGH STREET | WILLIAMSPORT | PA | 17701 | 821592230 | HOSPITAL | PA | 501(c)(3) | Line 3 | UPMC SUSQUEHANNA | Yes (1) | |
| UPMC CHAUTAUQUA AT WCA | |||||||||||
| 207 FOOTE AVE | JAMESTOWN | NY | 14701 | 160743226 | HOSPITAL | NY | 501(c)(3) | Line 3 | UPMC CHAUTAU | Yes (1) | |
| WCA GROUP INC | |||||||||||
| 207 FOOTE AVE | JAMESTOWN | NY | 14701 | 222392582 | HOLDING CO | NY | 501(c)(3) | Line 12b, II | UPMC CHAUTAU | Yes (1) | |
| STARFLIGHT INC | |||||||||||
| 135 ALLEN STREET | JAMESTOWN | NY | 14701 | 161557878 | STAT MEDVAC | NY | 501(c)(3) | Line 7 | UPMC CHAUTAU | Yes (1) | |
| SOUTH CENTRAL ALPHA HOUSING AND HEALTH | |||||||||||
| 3410 W PITTSBURGH RD | NEW CASTLE | PA | 16101 | 251701701 | SKILLED NURSING | PA | 501(c)(3) | Line 10 | UPMC SR COMM | Yes (1) | |
| SOUTH WESTERN ALPHA HOUSING AND HEALTH | |||||||||||
| 745 GREENVILLE RD | MERCER | PA | 16137 | 251701700 | SKILLED NURSING | PA | 501(c)(3) | Line 10 | UPMC SR COMM | Yes (1) | |
| KANE COMMUNITY HOSPITAL FOUNDATION | |||||||||||
| 4372 ROUTE 6 | KANE | PA | 16735 | 263906925 | FOUNDATION | PA | 501(c)(3) | Line 7 | UPMC KANE | Yes (1) | |
| JUNIOR GUILD OF THE JAMESON MEMORIAL HOS | |||||||||||
| 1211 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 256005313 | SUPPORT | PA | 501(c)(3) | Line 12d, III-O | UPMC JAMESON | Yes (1) | |
| LAUREL HEALTH FOUNDATION | |||||||||||
| 15 MEADE STREET | WELLSBORO | PA | 16901 | 251810488 | FOUNDATION | PA | 501(c)(3) | Line 12b, II | LAUREL HEALTH SYSTEM | Yes (1) | |
| WCA FOUNDATION INC | |||||||||||
| 300 FOOTE AVE | JAMESTOWN | NY | 14702 | 222393584 | FOUNDATION | PA | 501(c)(3) | Line 12c, III-FI | UPMC CHAUTAU | Yes (1) | |
| UPMC | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251423657 | SUPPORT | PA | 501(c)(3) | Line 12c, III-FI | Yes (1) | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SENECA HILLS ASSISTED LIVING | |||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 232873106 | ASSISTED LIVING | PA | N/A | N/A | 0 | 0 | |||
| ST MARGARET MEDICAL ARTS ASSOC | |||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251786655 | MED OFFICE BL | PA | N/A | N/A | 0 | 0 | |||
| CORE NETWORK LLC | |||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251786209 | HEALTHCARE | PA | N/A | N/A | 0 | 0 | |||
| LIFE HOME CARE LP | |||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251847839 | HOMECARE | PA | N/A | N/A | 0 | 0 | |||
| SHADYSIDE MEDICAL CENTER ASSOC | |||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251608318 | MED OFFICE BL | PA | N/A | N/A | 0 | 0 | |||
| CHARTWELL PA LP | |||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251729714 | HOMEHEALTH | PA | N/A | N/A | 0 | 0 | |||
| LIFE CARE HOME SRV OF NW PA | |||||||||||||
| 1647 SASSAFRAS ST | ERIE | PA | 16507 | 251536879 | HOME HEALTH | PA | N/A | N/A | 0 | 0 | |||
| HAMOT-KCH REAL ESTATE VENTURE | |||||||||||||
| 300 STATE ST | ERIE | PA | 16507 | 263691782 | MEDICAL OFFICE | PA | N/A | N/A | 0 | 0 | |||
| HAMOT SURGERY CENTER LLC | |||||||||||||
| 200 STATE STREET | ERIE | PA | 16507 | 251863661 | AMBULATORY SURG | PA | N/A | N/A | 0 | 0 | |||
| EPN-HAMOT URGENT CARE LLC | |||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 272147949 | URGENT CARE | PA | N/A | N/A | 0 | 0 | |||
| MOUNTAIN VIEW MEDICAL ONCOLOGY | |||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 461449241 | HEALTHCARE | PA | N/A | N/A | 0 | 0 | |||
| LAWRENCE COUNTY MRI & DIAGNOST | |||||||||||||
| 2526 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 270219891 | IMAGING CENTER | PA | N/A | N/A | 0 | 0 | |||
| COMMUNITY BASKET LLC | |||||||||||||
| 1205 GRAMPIAN BLVD | WILLIAMSPORT | PA | 17701 | 201195739 | REAL ESTATE RENTAL | PA | EXCLUDED FROM TAX | 0 | 0 | UPMC SUSQUEHANNA & SUSQUEHANNA HEALTH FOUNDATION | $5,648 | 0.50000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (65 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HC PHARMACY CENTRAL INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251364192 | PHARMACY CO-OP | PA | N/A | C | 0 | |||||||||
| CHILDREN'S COMMUNITY CARE | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251781887 | PEDIATRIC SVC | PA | N/A | C | 0 | |||||||||
| UPMC CANCER CENTERS IRELAND LIMITED | ||||||||||||||||||
| CANCER TREATMENT | N/A | C | 0 | 6TH FLOOR BEACON HOSPITAL | SANDYFORD | DUBLIN | EI | EI | ||||||||||
| UPMC PHYSICIAN SERVICES HOLDING COMPANY | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251877017 | HOLDING CO | PA | N/A | C | 0 | |||||||||
| HEMATOLOGY ONCOLOGY ASSOC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 421648357 | HEALTHCARE | PA | N/A | C | 0 | |||||||||
| ONCOLOGY HEMATOLOGY ASSOC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251762980 | HEALTHCARE | PA | N/A | C | 0 | |||||||||
| TRI-STATE NEUROSURGICAL ASSOC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251458655 | HEALTHCARE | PA | N/A | C | 0 | |||||||||
| RENAISSANCE FAMILY PRACTICE-UPMCINC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 262942406 | HEALTHCARE | PA | N/A | C | 0 | |||||||||
| UPMC HOLDING COMPANY INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251777713 | HOLDING CO | PA | N/A | C | 0 | |||||||||
| UPMC COVERAGE PRODUCTS INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251777710 | HOLDING CO | PA | N/A | C | 0 | |||||||||
| FREEDOM INSURANCE COMPANY | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 030308944 | INSURANCE | VT | N/A | C | 0 | |||||||||
| TRI-CENTURY INSURANCE CO | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251500739 | INSURANCE | PA | N/A | C | 0 | |||||||||
| UPMC DNA INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251883237 | INSURANCE | PA | N/A | C | 0 | |||||||||
| UPMC HEALTH BENEFITS INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251844144 | HEALTH INSURANCE | PA | N/A | C | 0 | |||||||||
| UPMC HEALTH NETWORK INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 721527566 | HEALTH INSURANCE | PA | N/A | C | 0 | |||||||||
| UPMC HEALTH PLAN INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 232813536 | HEALTH INSURANCE | PA | N/A | C | 0 | |||||||||
| UPMC BENEFIT MANAGEMENT SERVICES INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251769564 | WORKER'S COMP | PA | N/A | C | 0 | |||||||||
| UPMC DIVERSIFIED SERVICES INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251778454 | HOLDING CO | PA | N/A | C | 0 | |||||||||
| MONROEVILLE SPECIALTY CLINIC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251666087 | HEALTHCARE | PA | N/A | C | 0 | |||||||||
| MEDICAL ARCHIVAL SYSTEMS INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 232912501 | SOFTWARE DEVE | DE | N/A | C | 0 | |||||||||
| PRESBY HEALTH RESOURCE MGMT | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251422155 | HEALTHCARE | PA | N/A | C | 0 | |||||||||
| RX PARTNERS INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251801966 | RETAIL PHARM | PA | N/A | C | 0 | |||||||||
| BIOTRONICS INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251843500 | EQUIP MAINTEN | PA | N/A | C | 0 | |||||||||
| MEDICAL CENTER PROPERTIES INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251796940 | REAL ESTATE | PA | N/A | C | 0 | |||||||||
| ASKESIS DEVELOPMENT GROUP INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 541625585 | SOFTWARE DEVE | DE | N/A | C | 0 | |||||||||
| PANTHER REINSURANCE COMPANY LTD | ||||||||||||||||||
| INSURANCE | N/A | C | 0 | PO Box 1109 | GRAND CAYMAN | CJ | CJ | |||||||||||
| FORBES REINSURANCE COMPANY LTD | ||||||||||||||||||
| INSURANCE | N/A | C | 0 | PO Box 1109 | GRAND CAYMAN | CJ | CJ | |||||||||||
| CATHEDRAL (RE) INSURANCE CO | ||||||||||||||||||
| INSURANCE | N/A | C | 0 | PO Box 1109 | GRAND CAYMAN | CJ | CJ | |||||||||||
| UPMC INTERNATIONAL HEALTH INITIATIVES | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 841706741 | INACTIVE | PA | N/A | C | 0 | |||||||||
| UPMC IRELAND LIMITED | ||||||||||||||||||
| HEALTHCARE SU | N/A | C | 0 | 6TH FLOOR BEACON HOSPITAL | SANDYFORD | DUBLIN | EI | EI | ||||||||||
| UPMC UNITED KINGDOM LTD | ||||||||||||||||||
| 980571026 | SOFTWARE LICE | N/A | C | 0 | C/O NAIRCO 11TH FLOOR | WHITEFRIARS LEWINS MEAD | BRISTOL | UK | UK | |||||||||
| BAYFRONT REGIONAL DEVELOPMENT CORP | ||||||||||||||||||
| 300 STATE STREET | ERIE | PA | 16507 | 251401388 | RE HOLDING CO | PA | N/A | C | 0 | |||||||||
| BAYSIDE DEVELOPMENT CORP | ||||||||||||||||||
| 300 STATE STREET | ERIE | PA | 16507 | 251401386 | REAL ESTATE | PA | N/A | C | 0 | |||||||||
| UPMC WORK ALLIANCE INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 452825053 | INSURANCE | PA | N/A | C | 0 | |||||||||
| UPMC CANADA TECHNOLOGIES LIMITED | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | SOFTWARE | N/A | C | 0 | CA | ||||||||||
| ALLIED ORTHOPEDICS APPLIANCES INC | ||||||||||||||||||
| 335 E 3RD ST | JAMESTOWN | NY | 14701 | 161092951 | MED APPLIANCE | PA | N/A | C | 0 | |||||||||
| UPMC HEALTH COVERAGE INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 462824537 | INSURANCE | PA | N/A | C | 0 | |||||||||
| UPMC HEALTH OPTIONS INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 462824626 | INSURANCE | PA | N/A | C | 0 | |||||||||
| UPMC COMPLETE CARE INC | ||||||||||||||||||
| 5215 CENTRE AVE | PITTSBURGH | PA | 15232 | 463605753 | HEALTHCARE | PA | N/A | C | 0 | |||||||||
| AMERICAN HOME HEALTH SERVICES | ||||||||||||||||||
| 868 CORPORATE WAY | WESTLAKE | OH | 44145 | 311521422 | HOME HEALTH | OH | N/A | C | 0 | |||||||||
| HEALTH FIDELITY INC | ||||||||||||||||||
| 210 S B ST | SAN MATEO | CA | 94401 | 452538963 | TECHNOLOGY | CA | N/A | C | 0 | |||||||||
| FLUENCE HEALTH INC | ||||||||||||||||||
| 6425 PENN AVE | PITTSBURGH | PA | 15206 | 472684174 | SOFTWARE | DE | N/A | C | 0 | |||||||||
| CURAVI HEALTH INC | ||||||||||||||||||
| 6425 PENN AVE | PITTSBURGH | PA | 15206 | 811217377 | HEALTHCARE | DE | N/A | C | 0 | |||||||||
| PENSIAMO INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 812069236 | SUPPLY CHAIN | DE | N/A | C | 0 | |||||||||
| ALTOONA FAMILY INC | ||||||||||||||||||
| 620 HOWARD AVE | ALTOONA | PA | 16601 | 251444935 | MGMT SVCS | PA | N/A | C | 0 | |||||||||
| LEXINGTON HOLDINGS INC | ||||||||||||||||||
| 620 HOWARD AVE | ALTOONA | PA | 16601 | 251794386 | MEDICAL SVCS | PA | N/A | C | 0 | |||||||||
| LEXINGTON ONE INC | ||||||||||||||||||
| 620 HOWARD AVE | ALTOONA | PA | 16601 | 251468889 | RENTAL | PA | N/A | C | 0 | |||||||||
| LEXINGTON TWO INC | ||||||||||||||||||
| HOWARD AVE 7TH ST | ALTOONA | PA | 16601 | 251555689 | RENTAL EQPT | PA | N/A | C | 0 | |||||||||
| LEXINGTON FOUR INC | ||||||||||||||||||
| 620 HOWARD AVE | ALTOONA | PA | 16601 | 251793736 | HOLDING CO | PA | N/A | C | 0 | |||||||||
| ALLEGHENY HEALTHCARE STAFFING INC | ||||||||||||||||||
| 620 HOWARD AVE | ALTOONA | PA | 16601 | 271657362 | EMPLOYMENT SVC | PA | N/A | C | 0 | |||||||||
| UPMC ALTOONA REGIONAL HEALTH SERVICES | ||||||||||||||||||
| 1414 9TH AVE | ALTOONA | PA | 16602 | 251219302 | MEDICAL SVCS | PA | N/A | C | 0 | |||||||||
| LEXINGTON ANESTHESIA ASSOCIATES INC | ||||||||||||||||||
| 620 HOWARD AVE | ALTOONA | PA | 16601 | 251897765 | MEDICAL SVCS | PA | N/A | C | 0 | |||||||||
| NORTHERN CAMBRIA MEDICAL CENTER INC | ||||||||||||||||||
| 620 HOWARD AVE | ALTOONA | PA | 16601 | 251530860 | MEDICAL SVCS | PA | N/A | C | 0 | |||||||||
| PATTON FAMILY MEDICAL CENTER INC | ||||||||||||||||||
| 620 HOWARD AVE | ALTOONA | PA | 16601 | 251793735 | MEDICAL SVCS | PA | N/A | C | 0 | |||||||||
| MEDCPU | ||||||||||||||||||
| 100 WALL STREET | NEW YORK | NY | 10005 | 383805381 | SOFTWARE DEVE | DE | N/A | C | 0 | |||||||||
| UPMC EXCESS PL TR | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 826254351 | TRUST | PA | N/A | T | 0 | |||||||||
| RXANTE INC | ||||||||||||||||||
| 511 CONGRESS STREET | PORTLAND | ME | 04101 | 454040219 | MEDICATION MGT | DE | N/A | C | 0 | |||||||||
| VINCENT PAYMENT SOLUTIONS INC | ||||||||||||||||||
| 6425 PENN AVE | PITTSBURGH | PA | 15219 | 821101143 | PAYMENT SYSTEM | DE | N/A | C | 0 | |||||||||
| J HEALTH VENTURES INC | ||||||||||||||||||
| 1211 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 251607893 | INACTIVE | PA | N/A | C | 0 | |||||||||
| JER MEDICAL ASSOCIATES INC | ||||||||||||||||||
| 1211 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 251609398 | INACTIVE | PA | N/A | C | 0 | |||||||||
| SUSQUEHANNA HEALTH SYSTEM INSURANCE NETWORK LTD | ||||||||||||||||||
| 980458722 | INSURANCE | C | Yes (1) | PO Box 1159 | CAYMAN ISLANDS | CJ | CJ | UPMC SUSQUEHANNA | $2,864,787 | $41,650,240 | 1.00000 | |||||||
| SUSQUEHANNA VENTURES INC | ||||||||||||||||||
| 1201 GRAMPIAN BLVD | WILLIAMSPORT | PA | 17701 | 232470263 | PHARMACY | PA | C | Yes (1) | UPMC SUSQUEHANNA | $2,686,722 | $2,249,790 | 1.00000 | ||||||
| TYOGA CARENET | ||||||||||||||||||
| 114 EAST AVE | WELLSBORO | PA | 16901 | 251810967 | INTEGRATE HEALTHCARE | PA | C | Yes (1) | UPMC SUSQUEHANNA | $3,561 | 1.00000 | |||||||
| WCA SERVICE CORPORATION INC | ||||||||||||||||||
| 207 FOOTE AVE | JAMESTOWN | NY | 14701 | 161151438 | NY | N/A | C | 0 | ||||||||||
| FRIENDS OF ALTOONA HOSPITAL | ||||||||||||||||||
| 620 HOWARD AVE | ALTOONA | PA | 16601 | 861140504 | FUNDRAISING | PA | N/A | C | 0 | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule R, Part II, III, & IV | FormAndLineReferenceDesc |
| Explanation | All entities marked with an asterisk * are not related parties 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 |