UPMC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- UPMC (EIN 25-1317492)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2016-11-14
- IRS object ID
- 201603199349305105
- Schema version
- 2015v2.0
- 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 J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T09:57:54-08:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | K2S PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3910 CAUGHEY RD STE 210 | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 165064098 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251317492 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Safe Harbor Behavioral Health | BusinessNameLine1Txt |
| Business Name Line2 | of UPMC Hamot | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAFE | BusinessNameControlTxt |
| Phone | 8144599300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1330 West 26th Street | AddressLine1Txt |
| City | Erie | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16508 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jonathan Evans | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Signature | 2016-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John H Guelcher | PreparerPersonNm |
| PTIN | P01620168 | PTIN |
| Phone | 8144591445 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Jonathan Evans | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1330 West 26th St | AddressLine1Txt |
| City | Erie | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16508 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,476,165 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.shbh.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | The mission of Safe Harbor Behavioral Health is to provide mental and behavioral health services and support to all clients through care that is compassionate, empathetic and innovative using the highest of professional standards. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 244 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,078,280 | PYContributionsGrantsAmt |
| CY Contributions Grants | $21,040 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,532,321 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,303,921 | CYProgramServiceRevenueAmt |
| PY Investment Income | $344 | PYInvestmentIncomeAmt |
| CY Investment Income | $540 | CYInvestmentIncomeAmt |
| PY Other Revenue | $45,136 | PYOtherRevenueAmt |
| CY Other Revenue | $141,034 | CYOtherRevenueAmt |
| PY Total Revenue | $10,656,081 | PYTotalRevenueAmt |
| CY Total Revenue | $10,466,535 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,390,758 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,795,489 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,895,760 | PYOtherExpensesAmt |
| CY Other Expenses | $2,568,751 | CYOtherExpensesAmt |
| PY Total Expenses | $11,286,518 | PYTotalExpensesAmt |
| CY Total Expenses | $10,364,240 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$630,437 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $102,295 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,479,926 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,869,908 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,333,178 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,497,320 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,146,748 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,372,588 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Safe Harbor Behavioral Health of UPMC Hamot (Safe Harbor) is a Pennsylvania state non-profit, federally tax exempt entity that provides comprehensive outpatient services for the mental, emotional and behavioral health needs of all of those in the Erie County community of Pennsylvania. They are dedicated to providing all of their services with compassion and empathy to all who present, regardless of their ability to pay. The service lines of Safe Harbor Behavioral Health of UPMC Hamot include blended case management, behavioral health rehabilitation services, early intervention programs, parent-child interaction therapy, peer specialist therapy, psychiatric services including psychiatric evaluation and medication management, crisis intervention and one on one therapy. Safe Harbors services, education and support are provided by dedicated professionals using the highest of care standards in the delivery of care. The services include some of the most innovative practices in the areas of c | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,236,724 | ExpenseAmt |
| Revenue | $4,530,384 | RevenueAmt |
| Desc | The Outpatient Clinics provides services to children, adolescents and adults who are returning to the community from state hospitals. The services are provided by doctors, nurses and counselors to clients in Erie County to give them the mental health support needed for them to make a successful return to community life. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,988,193 | ExpenseAmt |
| Revenue | $1,911,767 | RevenueAmt |
| Desc | Through its Behavioral Health Rehabilitation Services (BHRS) Safe Harbor provides short term, intensive mental health interventions for children and teens that have complex emotional and behavioral needs. Services are provided in a variety of settings (home, school, community) in a manner to result in an increase in the clients chances for stabilization and growth in their natural environment. Individualized treatment plans are developed using a team approach by the staff professionals to meet the unique needs of the clients and their families. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,272,242 | ExpenseAmt |
| Revenue | $706,220 | RevenueAmt |
| Desc | Crisis intervention provides emergency short-term counseling for all residents of Erie County, 24 hours a day, 7 days a week. Any person or family with a crisis has a resource through Safe Harbor to be given aid via informational referrals and aiding with hospitalization as may be needed. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $956,215 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $746,233 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $9,453,374 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 244 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jonathan Evans | PersonNm |
| Phone | 8144599300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1330 West 26th Street | AddressLine1Txt |
| City | Erie | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16508 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Timothy Trott | |||||||||
| Vice Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Joseph Schember | |||||||||
| Chairperson | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Carmen N Ferranto | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert E Glowacki | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Lucinda Hendrickson | |||||||||
| Secretary | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Charles Hagerty | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Dr David Kruszewski | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| David Bobrzynski | |||||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $295,685 | $34,287 | ||
| Carrie Ennis | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $100,989 | $23,636 | |||
| Jonathan Evans | |||||||||
| President & CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $133,082 | $0 | $14,983 | ||
| Rebecca Hover | |||||||||
| CFO | 40.00 | 0.00 | $93,886 | $0 | $14,967 | Yes (X) | |||
| Mandy Fauble | |||||||||
| VP of Clinical Operations | 40.00 | 0.00 | $86,745 | $0 | $15,376 | Yes (X) | |||
| Dr Matthew Behan | |||||||||
| Psychiatrist | 40.00 | 0.00 | $107,765 | $0 | $5,139 | Yes (X) | |||
| Dr Antonio Simora | |||||||||
| Psychiatrist | 40.00 | 0.00 | $149,106 | $0 | $13,386 | Yes (X) | |||
| Dr Jamie Fuhrer | |||||||||
| Psychiatrist | 40.00 | 0.00 | $162,118 | $0 | $6,281 | Yes (X) | |||
| Patricia Schwabenbauer | |||||||||
| CRNP | 40.00 | 0.00 | $112,366 | $0 | $4,461 | Yes (X) | |||
| Anne Leali | |||||||||
| CRNP | 40.00 | 0.00 | $108,149 | $0 | $7,839 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $953,217 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $396,674 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $140,355 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Innovatel LLC | |||||
| 900 State St Suite 203B | Erie | PA | 16501 | psychiatry | $561,159 |
| Raymond James | |||||
| 880 Carillon Parkway | St Petersburg | FL | 33716 | financial advisors | $315,091 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $13,919 | FundraisingAmt |
| All Other Contributions | $7,121 | AllOtherContributionsAmt |
| Total Contributions | $21,040 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Erie County HealthChoices | 624100 | $5,963,774 | $5,963,774 |
| MH/ID Fuding | 624100 | $2,409,317 | $2,409,317 |
| Other Patient Revenue-Net | 624100 | $1,930,830 | $1,930,830 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,303,921 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $540 | TotalRevenueColumnAmt |
| Exclusion | $540 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $5,694 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $13,919 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $9,630 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,936 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Contract Crisis Services | 624100 | $56,069 | $56,069 |
| Employee Services Billed | 624100 | $200 | $200 |
| Other Income | 624100 | $88,701 | $88,701 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $144,970 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,466,535 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,448,891 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $540 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $953,217 | TotalAmt |
| Program Services | $639,504 | ProgramServicesAmt |
| Management And General | $313,713 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,289,556 | TotalAmt |
| Program Services | $4,940,429 | ProgramServicesAmt |
| Management And General | $349,127 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,415 | TotalAmt |
| Program Services | $68,899 | ProgramServicesAmt |
| Management And General | $13,516 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,007,231 | TotalAmt |
| Program Services | $903,873 | ProgramServicesAmt |
| Management And General | $103,358 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,070 | TotalAmt |
| Program Services | $413,608 | ProgramServicesAmt |
| Management And General | $49,462 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,382 | TotalAmt |
| Program Services | $10,961 | ProgramServicesAmt |
| Management And General | $4,421 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,895 | TotalAmt |
| Program Services | $46,895 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,296,982 | TotalAmt |
| Program Services | $1,290,411 | ProgramServicesAmt |
| Management And General | $6,571 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,466 | TotalAmt |
| Program Services | $110,180 | ProgramServicesAmt |
| Management And General | $10,286 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,824 | TotalAmt |
| Program Services | $53,967 | ProgramServicesAmt |
| Management And General | $4,857 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,318 | TotalAmt |
| Program Services | $31,939 | ProgramServicesAmt |
| Management And General | $4,379 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,299 | TotalAmt |
| Program Services | $51,703 | ProgramServicesAmt |
| Management And General | $4,596 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,786 | TotalAmt |
| Program Services | $170,786 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,041 | TotalAmt |
| Program Services | $53,708 | ProgramServicesAmt |
| Management And General | $333 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt | $181,579 | $181,579 | |
| Communications | $118,869 | $114,505 | $4,364 |
| Housekeeping | $97,237 | $90,392 | $6,845 |
| Equipment Repair | $92,691 | $88,241 | $4,450 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,382 | TotalAmt |
| Program Services | $191,794 | ProgramServicesAmt |
| Management And General | $30,588 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,364,240 | TotalAmt |
| Program Services | $9,453,374 | ProgramServicesAmt |
| Management And General | $910,866 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $694,845 | BOYAmt |
| EOY | $1,090,727 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,683 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $810,696 | BOYAmt |
| EOY | $852,914 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,343 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,828,622 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,137,340 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,690,933 | BOYAmt |
| EOY | $3,691,282 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,030 | BOYAmt |
| EOY | $17,772 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,396 | BOYAmt |
| EOY | $217,213 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,479,926 | BOYAmt |
| EOY | $5,869,908 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $710,082 | BOYAmt |
| EOY | $839,523 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,822 | BOYAmt |
| EOY | $201,912 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,613,274 | BOYAmt |
| EOY | $2,455,885 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,333,178 | BOYAmt |
| EOY | $3,497,320 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,146,748 | BOYAmt |
| EOY | $2,372,588 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,146,748 | BOYAmt |
| EOY | $2,372,588 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,479,926 | BOYAmt |
| EOY | $5,869,908 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $102,295 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $123,545 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $27,525 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,040 | CurrentTaxYearAmt |
| Total | $48,565 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $10,583,076 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,303,921 | CurrentTaxYearAmt |
| Total | $20,886,997 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $51,616 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $144,970 | CurrentTaxYearAmt |
| Total | $196,586 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $10,662,217 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,469,931 | CurrentTaxYearAmt |
| Total | $21,132,148 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $21,132,148 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $344 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $540 | CurrentTaxYearAmt |
| Total | $884 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $344 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $540 | CurrentTaxYearAmt |
| Total | $884 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $10,662,561 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,470,471 | CurrentTaxYearAmt |
| Total | $21,133,032 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $18,030 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$64 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $194 | AdministrativeExpensesAmt |
| End Year Balance | $17,772 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,265 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$58 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $177 | AdministrativeExpensesAmt |
| End Year Balance | $18,030 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,854 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,573 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $162 | AdministrativeExpensesAmt |
| End Year Balance | $18,265 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,350 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,624 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $120 | AdministrativeExpensesAmt |
| End Year Balance | $15,854 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,708 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$254 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $104 | AdministrativeExpensesAmt |
| End Year Balance | $14,350 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $673,150 | InvestmentCostOrOtherBasisAmt |
| Book Value | $673,150 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,727,236 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,056,670 | DepreciationAmt |
| Book Value | $2,670,566 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $451,938 | OtherCostOrOtherBasisAmt |
| Depreciation | $239,453 | DepreciationAmt |
| Book Value | $212,485 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $929,089 | OtherCostOrOtherBasisAmt |
| Depreciation | $794,008 | DepreciationAmt |
| Book Value | $135,081 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,209 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,209 | DepreciationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,691,282 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Related Party Long-Term Debt | Desc |
| Amt | $2,455,885 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,455,885 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,458,259 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$8,276 | OtherRevenueAmt |
| Revenue Not Reported | -$8,276 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,466,535 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $10,466,535 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,355,964 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$8,276 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$8,276 | ExpensesNotReportedAmt |
| Expenses Subtotal | $10,364,240 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $10,364,240 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X : FIN48 Footnote | FormAndLineReferenceDesc |
| Explanation | Safe Harbor has been determined to be an exempt organization under the provisions of Section 50l(c)(3) of the Internal Revenue Code (Code). The Organization has adopted the accounting standards related to uncertain tax positions and has evaluated its tax positions taken for all open tax years. The statute of limitations on Safe Harbor returns remains open for the year ended June 30, 2012 through the current period. Safe Harbor is not currently under audit, and has not been contacted by any jurisdictions for income tax related matters. Safe Harbor has not been subject to any income tax penalties or interest during the years ended June 30, 2016.Based on the evaluation of the Organization's tax positions and elections, management believes that all tax positions taken and the tax-exempt status of Safe Harbor would be upheld under an examination. Therefore, no provision for the effects of uncertain tax positions has been recorded as of June 30, 2016. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Golf Outing | Event1Nm |
| Gross Receipts Event1 | $19,613 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $13,919 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $5,694 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $400 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $5,183 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $3,883 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $164 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $19,613 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $13,919 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $5,694 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $400 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $5,183 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $3,883 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $164 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $9,630 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$3,936 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| David Bobrzynski | ||||||||||
| Treasurer | $139,878 | $87,000 | $68,807 | $15,180 | $19,107 | $329,972 | ||||
| Dr Antonio Simora | ||||||||||
| Psychiatrist | $149,106 | $4,664 | $8,722 | $162,492 | ||||||
| Dr Jamie Fuhrer | ||||||||||
| Psychiatrist | $162,118 | $5,012 | $1,269 | $168,399 | ||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7: Non-Fixed payments not listed above | FormAndLineReferenceDesc |
| Explanation | UPMC provides incentive compensation as part of its total compensation program for officers and key employees. This component is based upon the accomplishment of predetermined performance goals and objectives which focus on the achievement of multiple annual and three year individual and group performance criteria in the context of appropriate risk taking. These criteria directly support UPMC's mission and include: patient quality and satisfaction, community benefits, operational and financial strength, leadership development, and strategic business initiatives among others. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Jonathan Evans | |||
| Business | $584,379 | Psychiatric Services | false |
| Lucinda Hendrickson | |||
| Business | $584,379 | Psychiatric Services | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Jonathan Evans is the Executive Director of the organization and a minority shareholder in Innovatel. Lucinda Hendrickson is a member of the board of directors of the organization and also a minority shareholder in Innovatel. Employees of Innovatel provide psychiatric services to patients of Safe Harbor. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: Through its Behavioral Health Rehabilitation Services (BHRS) Safe Harbor provides short term, intensive mental health interventions for children and teens that have complex emotional and behavioral needs. Services are provided in a variety of settings (home, school, community) in a manner to result in an increase in the clients chances for stabilization and growth in their natural environment. Individualized treatment plans are developed using a team approach by the staff professionals to meet the unique needs of the clients and their families. |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | BOD member/Officer/Key Employee:Jonathan EvansRelationship: BusinessAssociated Person:Lucinda HendricksonBOD member/Officer/Key Employee:Lucinda HendricksonRelationship: BusinessAssociated Person:Jonathan Evans |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | Safe Harbor Behavioral Health of UPMC Hamot has a sole member, the exempt entity UPMC Hamot. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | The sole member has the right to appoint one third of the total number of Board of Director members. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | The organization makes the 990 and all related filings available to all Board of Directors members prior to the filing with the IRS. The CFO reviews the form with the Finance Committee and at the general Board meeting to inform them of completion and to offer an opportunity for members review and questions. Additionally if requested any members can also request and set up individual time to view/review the 990 at the CFOs office prior to or after the filing. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Safe Harbor Behavioral Health of UPMC Hamot annually monitors and reviews their conflict of interest policy. Also annually, Board of Director members complete a conflict of interest form that is provided by UPMC. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | At the time of employment, compensation for the CEO was determined by a committee of the board members who reviewed comparability data from other agencies in the region. The CEO's wages are reviewed annually by the Board of Directors. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | All governing documents, conflict of interest policy and financial statements are made available to the public on a request basis. Any member of the public may call the CEO's office or the finance office to make the request. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Member Contribution = $123545 |
| Form 990, Part XII, Line 2: Change of Oversight or Selection Process | The process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Seneca Place | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 721562844 | Sr Living | PA | 501(c)(3) | 9 | UPMC Sr Comm | false |
| UPMC | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251423657 | Support Exemp | PA | 501(c)(3) | 11C-III FI | NA | false |
| Pittsburgh Lifetime Care Community | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251335247 | Sr Living | PA | 501(c)(3) | 9 | Sr Comm | false |
| UPMC Lee | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 250613830 | Inactive | PA | 501(c)(3) | 3 | UPMC | false |
| Pittsburgh Care Partnership Inc | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251753852 | Adult Daycare | PA | 501(c)(3) | 9 | UPMC | false |
| Canterbury Place | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 250965334 | Sr Living | PA | 501(c)(3) | 11(a)I | UPMC Sr Comm | false |
| UPMC Center for High Value Healthcare | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 452178782 | Research | PA | 501(c)(3) | 7 | UPMC | false |
| Shadyside Hospital Supporting Foundation | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 260303394 | Foundation | PA | 501(c)(3) | 11(a)I | UPMC | false |
| Shadyside Hospital Foundation | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 211290546 | Foundation | PA | 501(c)(3) | 11(c)III | UPMC Presby | false |
| Passavant Hospital Foundation | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251407815 | Foundation | PA | 501(c)(3) | 11(b)II | UPMC Pass | false |
| UPMC Northwest Foundation | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251483624 | Foundation | PA | 501(c)(3) | 11(d)III | UPMC Northwest | false |
| St Margaret Foundation | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251520340 | Foundation | PA | 501(c)(3) | 7 | UPMC St Margaret | false |
| Childrens Hospital of Pgh Foundation | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251865744 | Foundation | PA | 501(c)(3) | 7 | UPMC CHP | false |
| Magee-Women Research Inst and Foundation | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251462311 | Foundation | PA | 501(c)(3) | 7 | NA | false |
| Kane Community Hospital | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 250998168 | Hospital | PA | 501(c)(3) | 3 | UPMC Hamot | false |
| UPMC Chautauqua Services Inc | ||||||||||
| 54 State Street | Albany | NY | 12207 | 811253242 | Healthcare | NY | 501(c)(3) | UPMC Hamot | false | |
| Great Lakes Physician Practice | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 464186362 | Physicians | NY | 501(c)(3) | 3 | RHS | false |
| Hamot Health Foundation | ||||||||||
| 302 French Street | Erie | PA | 16507 | 251400999 | Foundation | PA | 501(c)(3) | 11(b)II | UPMC Hamot | false |
| UPMC Jameson | ||||||||||
| 1211 Wilmington Avenue | New Castle | PA | 16105 | 250965406 | Healthcare | PA | 501(c)(3) | UPMC | false | |
| Jameson Healthcare Foundation | ||||||||||
| 1211 Wilmington Avenue | New Castle | PA | 16105 | 251536037 | Foundation | PA | 501(c)(3) | UPMC | false | |
| Jameson Health Services Inc | ||||||||||
| 1211 Wilmington Avenue | New Castle | PA | 16105 | 030486993 | Healthcare | PA | 501(c)(3) | UPMC | false | |
| Childrens Advocacy Center of Lawrence | ||||||||||
| 1107 Wilmington Avenue | New Castle | PA | 16105 | 251581304 | Support Sys | PA | 501(c)(3) | UPMC | false | |
| UPMCJameson Cancer Center | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 201459415 | Oncology Svc | PA | 501(c)(3) | UPMC | false | |
| Jameson Medical Care Inc | ||||||||||
| 1211 Wilmington Avenue | New Castle | PA | 16105 | 260462696 | Healthcare | PA | 501(c)(3) | UPMC | false | |
| Jameson Care Center Inc | ||||||||||
| 1211 Wilmington Avenue | New Castle | PA | 16105 | 232871396 | Homecare | PA | 501(c)(3) | UPMC | false | |
| UPMC Senior Communities | ||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251574736 | Sr Living | PA | 501(c)(3) | UPMC | false | |
| UPMC Hamot | ||||||||||
| 201 State Street | Erie | PA | 16550 | 250965387 | Healthcare | PA | 501(c)(3) | NA | false | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Core Network LLC | |||||||||
| 600 Grant Street 58th Floor | Pittsburgh | PA | 15219 | 251786209 | Healthcare | PA | NA | false | false |
| Life Home Care LP | |||||||||
| 600 Grant Street 58th Floor | Pittsburgh | PA | 15219 | 251847839 | Homecare | PA | NA | false | false |
| Shadyside Medical Centers Assoc | |||||||||
| 600 Grant Street 58th Floor | Pittsburgh | PA | 15219 | 251608318 | Med Office Bl | PA | NA | false | false |
| Chartwell PA LP | |||||||||
| 600 Grant Street 58th Floor | Pittsburgh | PA | 15219 | 251729714 | Home Health | PA | NA | false | false |
| EPN-Hamot Urgen Care LLC | |||||||||
| 600 Grant Street 58th Floor | Pittsburgh | PA | 15219 | 272147949 | Urget Care | PA | NA | false | false |
| Life Care Home Srv of W PA | |||||||||
| 1647 Sassafras St | Erie | PA | 16507 | 251536879 | Home Health | OK | NA | false | false |
| Hamot-KCH Real Estate Venture LLC | |||||||||
| 300 State Street | Erie | PA | 16507 | 263691782 | Med Office Bl | PA | NA | false | false |
| Hamot Surgery Center LLC | |||||||||
| 200 State Street | Erie | PA | 16550 | 251863661 | Ambulance Sur | PA | NA | false | false |
| Mountain View Medical Oncology | |||||||||
| 600 Grant Street 58th Floor | Pittsburgh | PA | 15219 | 461449241 | Heathcare | PA | NA | false | false |
| Seneca Hills Assisted Living LP | |||||||||
| 600 Grant Street 58th Floor | Pittsburgh | PA | 15219 | 232873106 | Assisted Living | PA | NA | false | false |
| St Margaret Medical Arts Assoc | |||||||||
| 600 Grant Street 58th Floor | Pittsburgh | PA | 15219 | 251786655 | Med Office Bl | PA | NA | false | false |
| Lawrence County MRI & Diagnostic Imaging | |||||||||
| 2526 Wilmington Avenue | New Castle | PA | 16105 | 270219891 | Imaging Center | PA | NA | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (58 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Foreign PostalForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HC Pharmacy Central Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 231364192 | Pharmacy Co-O | PA | NA | C | false | |||||
| Childrens Community Care | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251781887 | Pediatric Svc | PA | NA | C | false | |||||
| UPMC Physician Services Holding Co Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251877017 | Holding Company | PA | NA | C | false | |||||
| Hematology Oncology Associates | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 421648357 | Healthcare | PA | NA | C | false | |||||
| Oncology Hematology Associates | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251762980 | Healthcare | PA | NA | C | false | |||||
| Tri-State Neurosurgical Associates | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251458655 | Healthcare | PA | NA | C | false | |||||
| Renaissance Family Practice | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 262942406 | Healthcare | PA | NA | C | false | |||||
| UPMC Holding Company Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251777713 | Holding Corp | PA | NA | C | false | |||||
| UPMC Coverage Products Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251777710 | Holding Corp | PA | NA | C | false | |||||
| Freedom Insurance Company | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 030308944 | Insurance | VT | NA | C | false | |||||
| Tri-Century Insurance Company | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251500739 | Insurance | PA | NA | C | false | |||||
| UPMC DNA Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251883237 | Insurance | PA | NA | C | false | |||||
| UPMC Health Benefits Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251844144 | Insurance | PA | NA | C | false | |||||
| UPMC Health Network Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 721527566 | Insurance | PA | NA | C | false | |||||
| UPMC Health Plan Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 232813536 | Insurance | PA | NA | C | false | |||||
| UPMC Benefit Management Service | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251769564 | Workers Comp | PA | NA | C | false | |||||
| UPMC Diversified Services Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251778454 | Holding Corp | PA | NA | C | false | |||||
| Monroeville Specialty Clinic | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251666087 | Healthcare | PA | NA | C | false | |||||
| Medical Archival Systems Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 232912501 | Software Development | DE | NA | C | false | |||||
| Presby Health Resource Mgmt | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251422155 | Healthcare | PA | NA | C | false | |||||
| RX Partners Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251801966 | Pharmacy Services | PA | NA | C | false | |||||
| Biotronics Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251843500 | Equip Maintenance | PA | NA | C | false | |||||
| Medical Center Properties Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251796940 | Real Estate | PA | NA | C | false | |||||
| Askesis Development Group Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 541625585 | Software Development | DE | NA | C | false | |||||
| UPMC International Health Initiatives | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 841706741 | Inactive | PA | NA | C | false | |||||
| UPMC Work Alliance Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 452825053 | Insurance | PA | NA | C | false | |||||
| Bayfront Regional Development Corp | ||||||||||||||
| 300 State Street | Erie | PA | 16507 | 251401388 | RE Holding Co | PA | UPMC Hamot | C | false | |||||
| Bayside Development Corporation | ||||||||||||||
| 300 State Street | Erie | PA | 16507 | 251401386 | Real Estate/P | PA | Bayfront Reg De | C | false | |||||
| UPMC Canada Technologies Limited | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | Software | NA | C | false | |||||||
| Allied Orthopedics Appliances Inc | ||||||||||||||
| 335 East 3rd Street | Jamestown | NY | 14701 | 161092951 | Med appliance | PA | NA | C | false | |||||
| UPMC Health Coverage Inc | ||||||||||||||
| 600 Grant St 58th floor | Pittsburgh | PA | 15219 | 462824537 | Insurance | PA | NA | C | false | |||||
| UPMC Health Options Inc | ||||||||||||||
| 600 Grant Street | Pttsburgh | PA | 15219 | 462824626 | Insurance | PA | NA | C | false | |||||
| VIA Oncology LLC | ||||||||||||||
| 5750 Centre Ave Suite 500 | Pittsburgh | PA | 15206 | 371754667 | Oncology services | PA | NA | C | false | |||||
| UPMC Complete Care Inc | ||||||||||||||
| 5215 Centre Avenue | Pittsburgh | PA | 15232 | 463605753 | Healthcare | PA | NA | C | false | |||||
| American Home Health Services | ||||||||||||||
| 868 Corporate Way | Westlake | OH | 44145 | 311521422 | Home Health Care | OH | NA | C | false | |||||
| Health Fidelity Inc | ||||||||||||||
| 210 S B Street | San Mateo | CA | 94401 | 452538963 | Technology Services | CA | NA | C | false | |||||
| Fluence Health Inc | ||||||||||||||
| 6425 Penn Avenue | Pittsburgh | PA | 15206 | 472684174 | Software | PA | NA | C | false | |||||
| Curavi Health Inc | ||||||||||||||
| 6425 Penn Avenue | Pittsburgh | PA | 15206 | 811217377 | Healthcare | PA | NA | C | false | |||||
| Pensiamo Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 812069236 | Supply chain | PA | NA | C | false | |||||
| Altoona Family Inc | ||||||||||||||
| 620 Howard Avenue | Altoona | PA | 16601 | 251444935 | Management services | PA | NA | C | false | |||||
| Friends of Altoona Regional Health Syste | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 861140504 | Gift shop | PA | NA | C | false | |||||
| Lexington Holdings Inc | ||||||||||||||
| 620 Howard Avenue 5th Floor | Altoona | PA | 16601 | 251794386 | Medical Services | PA | NA | C | false | |||||
| Lexington One Inc | ||||||||||||||
| 620 Howard Avenue | Altoona | PA | 16601 | 251468889 | Rental | PA | NA | C | false | |||||
| Lexington Two Inc | ||||||||||||||
| Howard Avenue 7th Street | Altoona | PA | 16601 | 251555689 | Rental equipment | PA | NA | C | false | |||||
| Lexington Four Inc | ||||||||||||||
| 620 Howard Avenue | Altoona | PA | 16601 | 251793736 | Holding Co. | DE | NA | C | false | |||||
| Allegheny Healthcare Staffing Inc | ||||||||||||||
| 620 Howard Avenue | Altoona | PA | 16601 | 271657362 | Employment Service | PA | NA | C | false | |||||
| UPMC Altoona Regional Health Services | ||||||||||||||
| 1414 9th Avenue | Altoona | PA | 16602 | 251219302 | Medical services | PA | NA | C | false | |||||
| Lexington Anesthesia Associates Inc | ||||||||||||||
| 620 Howard Avenue | Altoona | PA | 16601 | 251897765 | Medical services | PA | NA | C | false | |||||
| Northern Cambria Medical Center Inc | ||||||||||||||
| 620 Howard Avenue | Altoona | PA | 16601 | 251530860 | Medical Services | PA | NA | C | false | |||||
| Patton Family Medical Center Inc | ||||||||||||||
| 620 Howard Avenue 5th Floor | Altoona | PA | 16601 | 251793735 | Medical Services | PA | NA | C | false | |||||
| UPMC Cancer Centers Ireland Limited | ||||||||||||||
| Cancer Treatment | NA | C | false | 6th Floor Beacon Hospital Dublin 18 | Sandyford | EI | EI | |||||||
| Panther Reinsurance Company | ||||||||||||||
| Insurance | NA | C | false | PO Box 1109 | Grand Cayman | CJ | CJ | |||||||
| Forbes Reinsurance Company | ||||||||||||||
| Insurance | NA | C | false | PO Box 1109 | Grand Cayman | CJ | CJ | |||||||
| Cathedral RE Insurance Company | ||||||||||||||
| Insurance | NA | C | false | PO Box 1109 | Grand Cayman | CJ | CJ | |||||||
| UPMC Ireland Limited | ||||||||||||||
| Healthcare SU | NA | C | false | 6th Floor Beacon Hospital | Dublin | EI | EI | |||||||
| UPMC United Kingdom LTD | ||||||||||||||
| 980571026 | Software Licensing | NA | C | false | C/O Nair Co 11th Floor Whitefriar | Lewis | UK | UK | ||||||
| UPMC Cyprus Holdings LTD | ||||||||||||||
| Healthcare SU | NA | C | false | Julia House 3 | Thmistockles | CY | CY | NOCOSI | ||||||
| UPMC Cyprus LTD | ||||||||||||||
| Healthcare SU | NA | C | false | Julia House 3 | Themistocles | CY | CY | NOCOSI | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPMC Hamot | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | c | TransactionTypeTxt |
| Involved | $123,545 | InvolvedAmt |