UPMC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- UPMC (EIN 23-2743470)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201831359349301943
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T08:28:21-05:00 | 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 | 232743470 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Susquehanna Health Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SUSQ | BusinessNameControlTxt |
| Phone | 5703207900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 Grampian Boulevard | 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 | $26,553,319 | 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 | 1986 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | Susquehanna Health Foundation (SHF) provides fundraising, investment, and financial support to UPMC Susquehanna and its affiliates. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,373,211 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,618,741 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $562,513 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,096,062 | CYInvestmentIncomeAmt |
| PY Other Revenue | $18,993 | PYOtherRevenueAmt |
| CY Other Revenue | $15,435 | CYOtherRevenueAmt |
| PY Total Revenue | $1,954,717 | PYTotalRevenueAmt |
| CY Total Revenue | $3,730,238 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,639,506 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,692,499 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $579,780 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $646,646 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $466,113 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $441,347 | PYOtherExpensesAmt |
| CY Other Expenses | $465,936 | CYOtherExpensesAmt |
| PY Total Expenses | $4,660,633 | PYTotalExpensesAmt |
| CY Total Expenses | $6,805,081 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,705,916 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,074,843 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,821,133 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,966,243 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $289,698 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $272,594 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,531,435 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,693,649 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Susquehanna Health Foundation (SHF) is a subsidiary of the exempt organization UPMC Susquehanna. SHF is a supporting organization founded to carry out the charitable missions of its supported organizations. The mission of UPMC Susquehanna 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 | $6,072,412 | ExpenseAmt |
| Grant | $5,692,499 | GrantAmt |
| Desc | SHF is organized and operated to carry out the charitable health care mission of its supported organizations which include: The Williamsport Hospital, Divine Providence Hospital of the Sisters of Christian Charity, Muncy Valley Hospital, Soldiers and Sailors Memorial Hospital, The Green Home, and Susquehanna Physician Services. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SHF also is operated to solicit and raise funds and endowments, and to receive by way of gift, purchase, grant, devise, will or otherwise, property, real, personal or mixed, and to hold, use, maintain, lease, donate, pledge, encumber, sell, convey and otherwise dispose of all such property in the futherance of the objectives and purposes of this Corporation. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | On an annual basis SHF devotes a portion of its revenue and assets to community program services. Community Building Activities and other Financial Contributions totaling $22,720 reflects the amount of quantifiable community benefits reported for FY 2017. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,072,412 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | 0 | 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 | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Keith Kuzio | |||||||||
| Director | 2.00 | 12.00 | Yes (X) | $0 | $0 | $0 | |||
| Steven P Johnson | |||||||||
| President/CEO | 2.00 | 50.00 | Yes (X) | $0 | $960,096 | $33,271 | Yes (X) | ||
| Lynda Livingston | |||||||||
| Director | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| Ann Pepperman | |||||||||
| Chairperson | 2.00 | 12.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Davie Jane Gilmour | |||||||||
| Vice Chairperson | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Sister Teresa Ann Jacobs | |||||||||
| Secretary | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Philip Johnson | |||||||||
| Treasurer | 2.00 | 12.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Jill Burns MD | |||||||||
| Director | 2.00 | 50.00 | Yes (X) | $0 | $259,810 | $33,044 | |||
| Ronald DiSimone MD | |||||||||
| Director | 2.00 | 48.00 | Yes (X) | $0 | $1,072,681 | $31,403 | |||
| Durriya Esaa MD | |||||||||
| Director | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| Daniel Klingerman | |||||||||
| Director | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| Donald Leathers MD | |||||||||
| Director | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| J Dennis Murray | |||||||||
| Director | 2.00 | 14.00 | Yes (X) | $0 | $0 | $0 | |||
| Alexander Nesbitt MD | |||||||||
| Director | 2.00 | 48.00 | Yes (X) | $0 | $241,117 | $31,060 | |||
| Thomas Owlett Esq | |||||||||
| Director | 2.00 | 14.00 | Yes (X) | $0 | $0 | $0 | |||
| Shailesh Patel MD | |||||||||
| Director | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| Glenn Poirer | |||||||||
| Director | 2.00 | 14.00 | Yes (X) | $0 | $0 | $0 | |||
| Patrick Wilson | |||||||||
| Director | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| Eric D Pohjala | |||||||||
| Exec VP/CFO | 2.00 | 42.00 | $0 | $430,438 | $32,395 | Yes (X) | |||
| 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) | |||
| Sherry E Watts | |||||||||
| VP Development | 40.00 | $0 | $201,178 | $31,107 | 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 | $4,646,485 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $260,566 | 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 |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $147,534 | FundraisingAmt |
| All Other Contributions | $1,471,207 | AllOtherContributionsAmt |
| Noncash Contributions | $5,612 | NoncashContributionsAmt |
| Total Contributions | $1,618,741 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $364,853 | TotalRevenueColumnAmt |
| Exclusion | $364,853 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $24,501,735 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,770,526 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,731,209 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,731,209 | TotalRevenueColumnAmt |
| Exclusion | $1,731,209 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $67,990 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $147,534 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $52,555 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,435 | TotalRevenueColumnAmt |
| Exclusion | $15,435 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,730,238 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,111,497 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,692,499 | TotalAmt |
| Program Services | $5,692,499 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $557,841 | TotalAmt |
| Program Services | $223,136 | ProgramServicesAmt |
| Fundraising | $334,705 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,794 | TotalAmt |
| Program Services | $7,518 | ProgramServicesAmt |
| Fundraising | $11,276 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,377 | TotalAmt |
| Program Services | $13,351 | ProgramServicesAmt |
| Fundraising | $20,026 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,634 | TotalAmt |
| Program Services | $14,654 | ProgramServicesAmt |
| Fundraising | $21,980 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,397 | TotalAmt |
| Management And General | $110,397 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,603 | TotalAmt |
| Management And General | $51,603 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,976 | TotalAmt |
| Fundraising | $29,976 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,795 | TotalAmt |
| Program Services | $14,318 | ProgramServicesAmt |
| Fundraising | $21,477 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,351 | TotalAmt |
| Management And General | $15,981 | ManagementAndGeneralAmt |
| Fundraising | $25,370 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,333 | TotalAmt |
| Management And General | $81,333 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,317 | TotalAmt |
| Program Services | $1,317 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,171 | TotalAmt |
| Program Services | $868 | ProgramServicesAmt |
| Fundraising | $1,303 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,621 | TotalAmt |
| Program Services | $4,621 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,040 | TotalAmt |
| Program Services | $5,040 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,653 | TotalAmt |
| Program Services | $31,653 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,242 | TotalAmt |
| Management And General | $7,242 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Donor recognition gala | $25,120 | $25,120 |
| Gifts in Kind | $23,035 | $23,035 |
| Miscellaneous expenses | $15,282 | $15,282 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,805,081 | TotalAmt |
| Program Services | $6,072,412 | ProgramServicesAmt |
| Management And General | $266,556 | ManagementAndGeneralAmt |
| Fundraising | $466,113 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $967,264 | BOYAmt |
| EOY | $1,772,026 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,248,199 | BOYAmt |
| EOY | $714,121 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,009 | BOYAmt |
| EOY | $2,485 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,134 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $228,144 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $120,966 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,420 | BOYAmt |
| EOY | $107,178 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,280,674 | BOYAmt |
| EOY | $10,169,985 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,433 | BOYAmt |
| EOY | $200,448 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,821,133 | BOYAmt |
| EOY | $12,966,243 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,114 | BOYAmt |
| EOY | $41,965 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,584 | BOYAmt |
| EOY | $230,629 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,698 | BOYAmt |
| EOY | $272,594 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,982,879 | BOYAmt |
| EOY | $6,169,651 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,543,556 | BOYAmt |
| EOY | $6,518,998 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000 | BOYAmt |
| EOY | $5,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,531,435 | BOYAmt |
| EOY | $12,693,649 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,821,133 | BOYAmt |
| EOY | $12,966,243 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,074,843 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$762,943 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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 Type1 | Yes (X) | SupportingOrgType1Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 6 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (6 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| Divine Providence Hospital of the Sisters of Christian Charity | ||||
| 240799343 | 3 | Yes (1) | $1,664,456 | $0 |
| Muncy Valley Hospital | ||||
| 240806023 | 3 | Yes (1) | $0 | $0 |
| The Williamsport Hospital & Medical Center | ||||
| 240795508 | 3 | Yes (1) | $3,991,249 | $0 |
| Susquehanna Physician Services | ||||
| 232449454 | 3 | Yes (1) | $14,703 | $0 |
| Soldiers & Sailors Memorial Hospital | ||||
| 232176963 | 3 | Yes (1) | $22,091 | $0 |
| The Green Home | ||||
| 240804365 | 3 | Yes (1) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 6 | SupportedOrganizationsTotalCnt |
| Support Sum | $5,692,499 | 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 |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,866 | BeginningYearBalanceAmt |
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | $8,937 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $250 | GrantsOrScholarshipsAmt |
| End Year Balance | $66,553 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,802 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,314 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $250 | GrantsOrScholarshipsAmt |
| End Year Balance | $7,866 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,578 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,474 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $250 | GrantsOrScholarshipsAmt |
| End Year Balance | $6,802 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,170 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $658 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $250 | GrantsOrScholarshipsAmt |
| End Year Balance | $5,578 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,065 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $355 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $250 | GrantsOrScholarshipsAmt |
| End Year Balance | $5,170 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.07510 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.92490 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $228,144 | OtherCostOrOtherBasisAmt |
| Depreciation | $120,966 | DepreciationAmt |
| Book Value | $107,178 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $107,178 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Gift Annuities | $109,385 |
| Due to exempt Affiliates | $121,244 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $230,629 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The Life's Work Award for Nursing Excellence Endowment Fund was created to provide an annual award to a deserving nurse who has been nominated by his/her peers. The Continuing Medical Education Endowment Fund was created to provide financial support for continuing medical education programs at UPMC Susquehanna. |
| 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 G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SH Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $144,750 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $105,125 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $39,625 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $5,850 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $3,200 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $21,664 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $0 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $0 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $3,601 | OtherDirectExpensesEvent1Amt |
| Event2 | Breast Health Golf Tournament | Event2Nm |
| Gross Receipts Event2 | $44,281 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $29,019 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $15,262 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $0 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $0 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $9,920 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $0 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $0 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $609 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $26,493 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $13,390 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $13,103 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $820 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $6,475 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $166 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $0 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $250 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $215,524 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $147,534 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $67,990 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $5,850 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $4,020 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $38,059 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $166 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $4,460 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $52,555 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $15,435 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| Divine Providence Hospital | ||||||||
| 1100 Grampian Blvd | Williamsport | PA | 17701 | 240799343 | 501(c)(3) | $1,664,456 | $0 | Used for general expenses and building renovations of the Divine Providence Hospital including Sports Medicine, Cancer Treatment Center, Gatehouse, and Home Care & Hospice. |
| The Williamsport Hospital | ||||||||
| 700 High Street | Williamsport | PA | 17701 | 240795508 | 501(c)(3) | $3,991,249 | $0 | Used for general expenses and building fund renovations of The Williamsport Hospital. |
| Soldiers & Sailors Memorial Hospital | ||||||||
| 32-36 Central Avenue | Wellsboro | PA | 16901 | 232176963 | 501(c)(3) | $22,091 | $0 | Used for capital equipment for the OB department of Soldiers & Sailors Hospital. |
| Susquehanna Physician Services | ||||||||
| 1201 Grampian Blvd | Williamsport | PA | 17701 | 232449454 | 501(c)(3) | $14,703 | $0 | Used for general expenses and capital equipment of Susquehanna Physician Services. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Grantees are related tax exempt organizations and part of the UPMC Susquehanna system with consistent management oversight ensuring the use of funds for charitable purposes. | ExplanationTxt |
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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Jill Burns MD | ||||||||||||||
| Director | $0 | $224,371 | $0 | $34,600 | $0 | $839 | $0 | $9,950 | $0 | $23,094 | $0 | $292,854 | $0 | $0 |
| Ronald 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 Nesbitt MD | ||||||||||||||
| Director | $0 | $215,177 | $0 | $23,675 | $0 | $2,265 | $0 | $12,965 | $0 | $18,095 | $0 | $272,177 | $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 |
| Sherry E Watts | ||||||||||||||
| VP Development | $0 | $176,285 | $0 | $24,484 | $0 | $409 | $0 | $8,186 | $0 | $22,921 | $0 | $232,285 | $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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | All the foundation Board members serve on the board of a related taxable organization. |
| Form 990, Part VI, Section A, line 6 | UPMC Susquehanna is the sole member of the governing body. |
| Form 990, Part VI, Section A, line 7a | UPMC Susquehanna may elect or remove one or more board members to the governing body. |
| Form 990, Part VI, Section A, line 7b | UPMC Susquehanna, the sole member, shall have exclusive authority to exercise the powers: To appoint and remove the President of the Corporation. To elect and remove, with or without cause, a Director of the Corporation. To determine or change the mission and to monitor and maintain the philosophy, goals and purposes for which the Corporation was formed and exists. To adopt, amend or repeal the Articles of Incorporation. To establish requirements for the approval of new capital debt, any increment to any existing capital debt, and/or any change in capital debt obligations of the Corporation. To establish requirements for the approval of the acquisition, purchase, sale, leasing outside the ordinary course of business, transfer outside the ordinary course of business or encumbrance outside the ordinary course of business of land or buildings and the construction or demolition of buildings owned by the Corporation. To require a certified audit of corporate funds at any time. To approve any guaranty of the indebtedness of any person, the granting of any security interest in or the creation of any encumbrance on any asset of the Corporation outside of the ordinary course of business, or any transfer of any asset of the Corporation outside the ordinary course of business, except transfers between or among affiliated corporations. To approve any merger, consolidation, organization, reorganization, joint venture or other modification of corporate structure or affiliations affecting the autonomy, governance, or operations of the Corporation. To dissolve or terminate the existence of the Corporation and determine the distribution of assets upon such termination or dissolution, as provided in these bylaws. To appoint annually the external fiscal auditor of the Corporation. To approve the nominees for elected officers of the Board of Directors of the Corporation, and to return the list of approved nominees to the Board of Directors for election. To remove any elected officer of the Corporation. To approve the annual capital and operating budget of the Corporation. |
| 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 | The Board of Directors, through the Executive Compensation Committee, retains an independent outside consultant to provide guidance with respect to the annual establishment of the rebuttable presumption or reasonableness relative to executive compensation and benefits. The consultant annually provides detailed market information from its annual Executive Compensation Survey for Health Systems. In addition, other regional survey data is provided in order to supply the health system with a "national" picture of compensation. With this process established, the Executive Compensation Committee takes the proper steps to educate the Board of Directors to understand all of the above-mentioned oversight and to appropriately prepare them for 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 | The organization makes its governing documents, conflict of interest policy, and financial statements available to members of the public who request them. |
| 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) | |
| UPMC SUSQUEHANNA | |||||||||||
| 700 HIGH STREET | WILLIAMSPORT | PA | 17701 | 232751183 | HEALTHCARE | PA | 501(c)(3) | Line 12b, II | UPMC | 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) | |
| WILLIAMSPORT AREA AMBULANCE SERVICE COOP | |||||||||||
| 700 HIGH STREET | WILLIAMSPORT | PA | 17701 | 232416166 | AMBULANCE SVC | PA | 501(c)(3) | Line 10 | WILLIAMSPORT HOSPITAL | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | PO Box 1159 | CAYMAN ISLANDS | CJ | CJ | UPMC SUSQUEHANNA | |||||||
| SUSQUEHANNA VENTURES INC | |||||||||||||||
| 1201 GRAMPIAN BLVD | WILLIAMSPORT | PA | 17701 | 232470263 | PHARMACY | PA | C | 0 | UPMC SUSQUEHANNA | ||||||
| TYOGA CARENET | |||||||||||||||
| 114 EAST AVE | WELLSBORO | PA | 16901 | 251810967 | INTEGRATE HEALTHCARE | PA | C | 0 | UPMC SUSQUEHANNA | ||||||
| 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 | Yes (1) | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | 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 |