2023-05-15T12:48:15-05:00 2022-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-07-01 820896436 UPMC PINNACLE LANCASTER UPMC 7172318245 PO BOX 8700 HARRISBURG PA 171058700 GREG MITSTIFER CHIEF FINANCIAL OFFICER 7172318245 2023-05-14 1 GREG MITSTIFER XXX-XX-XXXX KERRI N BOGDA CPA P00760402 7177404863 2023-05-14 X 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z LOUIS BAVERSO PO BOX 8700 HARRISBURG PA 171058700 5394281 0 X WWW.UPMC.COM/CAMPAIGNS/SOUTHCENTRAL-PA X 2017 PA FORMERLY OPERATED A COMMUNITY HOSPITAL; OPERATIONS HAVE BEEN TRANSFERRED TO A SIBLING HOSPITAL. X 14 11 0 11 0 0 0 0 397438 0 -1355825 1017628 9203 297 -949184 1017925 0 0 0 0 826 0 0 0 0 2449689 1457376 2450515 1457376 -3399699 -439451 5252831 1785 647255 5990106 4605576 -5988321 X UPMC LANCASTERS MISSION WHILE IN OPERATION AS A CHARITABLE ORGANIZATION WAS DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH AND QUALITY OF LIFE FOR ALL PERSONS OF THE CENTRAL PENNSYLVANIA AREA. 0 0 681589 0 0 UPMC PINNACLE LANCASTER WAS A FULL-SERVICE ACUTE CARE HOSPITAL WITH 214 LICENSED BEDS OFFERING A RANGE OF SERVICES INCLUDING BEHAVIORAL HEALTH, EMERGENCY CARE, CARDIAC CARE, A CERTIFIED PRIMARY STROKE CENTER, IMAGING SERVICES, AN ORTHOPEDIC AND SPINE PROGRAM, AND SURGERY. THE HOSPITAL SERVED THE GREATER LANCASTER COUNTY AREA AND PROVIDED CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AFTER CAREFUL ASSESSMENT OF HEALTH CARE SERVICES IN AND AROUND LANCASTER COUNTY, A DECISION WAS MADE TO CONSOLIDATE UPMC PINNACLE LANCASTER AND UPMC LITITZ EFFECTIVE 2/28/19. THE HOSPITAL MOVED INPATIENT SERVICES FROM UPMC PINNACLE LANCASTER TO UPMC LITITZ AND COMBINED THE STRENGTHS OF THE OUTSTANDING PATIENT CARE TEAMS FROM BOTH HOSPITALS, UNIFYING EMPLOYEES AND EXPANDING UPMC PINNACLE'S HIGH QUALITY OF INPATIENT CARE AND EFFICIENT OPERATIONS IN THE MOST MODERN FACILITY. AS A RESULT OF THIS MOVE, UPMC PINNACLE LANCASTER HOSPITAL CEASED OPERATIONS ON FEB. 28, 2019. 681589 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X GREG MITSTIFER CHIEF FINANCIAL OFFICER 7172318032 PO BOX 8700 HARRISBURG PA 171058700 MARK SEVCO DIRECTOR 1.00 1.00 X 0 0 0 YVONNE HOLLINS DIRECTOR 1.00 1.00 X 0 0 0 JOHN MANTIONE MD DIRECTOR 1.00 40.00 X 0 24077 1926 EILEEN SIMMONS DIRECTOR 1.00 1.00 X 0 0 0 DOUGLAS NEIDICH BOARD CHAIR 1.00 4.00 X X 0 0 0 JONATHAN VIPOND III ESQ DIRECTOR 1.00 1.00 X 0 0 0 KENNETH OKEN MD DIRECTOR 1.00 40.00 X 0 521984 29596 PAUL SPEARS MD DIRECTOR 1.00 2.00 X 0 0 0 DAVID MARTIN DIRECTOR 1.00 15.00 X 0 0 0 JOHN HICKEY DIRECTOR 1.00 1.00 X 0 0 0 ROBERT MONTLER DIRECTOR 1.00 1.00 X 0 0 0 LESLIE DAVIS DIRECTOR (R 11/21) 1.00 1.00 X 0 0 0 MARK GLESSNER BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 RICHARD HAMILTON DIRECTOR 1.00 1.00 X 0 0 0 PHILIP W GUARNESCHELLI PRESIDENT AND CEO 1.00 40.00 X X 0 1391435 63286 CHRISTINE BIENAIME ASSISTANT SECRETARY (R 4/22) 1.00 40.00 X 0 94857 6013 ALISON BERNHARDT TREASURER/VP & CFO 1.00 40.00 X 0 510631 34755 AMANDA MORGAN ASSISTANT TREASURER 1.00 40.00 X 0 209476 36906 CHRISTINE MILLER ESQ SECRETARY/ASSOC. COUNSEL 1.00 40.00 X 0 268004 64622 CHRISTOPHER P MARKLEY ESQ FMR SEC'Y/SR VP/GENERAL COUNSEL 1.00 40.00 X 0 427104 45399 0 3447568 282503 0 1 1 0 ALLIED BARTON SECURITY SERVICES 1501 REEDSDALE STREET STE 10002 PITTSBURGH PA 15233 SECURITY SERVICES 237930 1 92 92 5393892 4376356 1017536 1017536 1017536 MISC INCOME 900099 297 297 297 1017925 0 0 1017925 42082 42082 134154 115521 18633 118922 118922 -7578 -7578 603728 603728 BAD DEBT 372666 372666 REPAIRS AND MAINTENANCE 184912 184912 MEDICAL SUPPLIES 8490 8490 1457376 681589 775787 0 414546 113 10639 897 52647 775 31071 31071 4774999 0 5252831 1785 626784 598857 20471 5391249 647255 5990106 X 4605576 -5988321 4605576 -5988321 5252831 1785 X -439451 -10154446 X X 0 1 X 1 0 X 31071 31071 0 0 OTHER LONG TERM LIABILITIES 897 DUE TO EXEMPT AFFILIATES 5390352 5391249 X PART X, LINE 2: AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED UPMC SYSTEM LEVEL ONLY, INCLUDING UPMC AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARIES. TAX BENEFITS ARE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. SUCH TAX POSITIONS ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON ULTIMATE SETTLEMENT WITH THE TAX AUTHORITIES ASSUMING FULL KNOWLEDGE OF THE POSITION AND ALL RELEVANT FACTS. AS OF JUNE 30, 2022, UPMC DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS RECORDED. 0 1 0 0 0 0 0 0 0 PHILIP W GUARNESCHELLI PRESIDENT AND CEO 0 939451 0 440572 0 11412 0 23545 0 39741 0 1454721 0 0 KENNETH OKEN MD DIRECTOR 0 458749 0 60500 0 2735 0 23545 0 6051 0 551580 0 0 ALISON BERNHARDT TREASURER/VP & CFO 0 341181 0 160000 0 9450 0 26007 0 8748 0 545386 0 0 CHRISTOPHER P MARKLEY ESQ FMR SEC'Y/SR VP/GENERAL COUNSEL 0 278011 0 143902 0 5191 0 18970 0 26429 0 472503 0 0 CHRISTINE MILLER ESQ SECRETARY/ASSOC. COUNSEL 0 223147 0 43444 0 1413 0 23822 0 40800 0 332626 0 0 AMANDA MORGAN ASSISTANT TREASURER 0 170425 0 38723 0 328 0 12579 0 24327 0 246382 0 0 PART I, LINE 3 UPMC PINNACLE LANCASTER RELIES ON UPMC PINNACLE, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. METHODS USED TO ESTABLISH COMPENSATION BY THE RELATED ORGANIZATION INCLUDE: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD PART I, LINE 4B ALL PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ARE DISCLOSED IN SCHEDULE J WITH CORRESPONDING AMOUNTS DISCLOSED WITHIN THE TOTAL AMOUNT IN SCHEDULE J COLUMN C "RETIREMENT AND OTHER DEFERRED COMPENSATION". DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE ("CODE"), CERTAIN OFFICERS AND KEY EMPLOYEES ARE LIMITED IN THE AMOUNT OF BENEFITS WHICH MAY BE RECEIVED UNDER A TAX QUALIFIED RETIREMENT PROGRAM. LIKE MANY EMPLOYERS, UPMC SUPPLEMENTS ITS RETIREMENT BENEFITS THROUGH A SUPPLEMENTAL RETIREMENT PROGRAM. THE SUPPLEMENTAL RETIREMENT PROGRAM IS SUBJECT TO MULTI YEAR VESTING WHICH PLACES THE OFFICERS AND KEY EMPLOYEES' RETIREMENT BENEFIT AT RISK OF FORFEITURE IF THE VESTING REQUIREMENTS ARE NOT SATISFIED. ONCE VESTED HOWEVER, PROVISIONS OF THE CODE REQUIRE THAT THE VESTED AMOUNTS BE REPORTED ON THE FORM 990 AND THE VESTED OFFICER OR KEY EMPLOYEE INCLUDE IN CURRENT INCOME THE VALUE OF HER OR HIS SUPPLEMENTAL RETIREMENT BENEFIT. NOTWITHSTANDING THE TAX REQUIREMENT TO RECOGNIZE THE VESTED AMOUNT OF THE SUPPLEMENTAL RETIREMENT BENEFIT AS CURRENT INCOME FOR FICA TAXATION AND REPORTING PURPOSES, THIS BENEFIT, WHICH GENERALLY HAS BEEN EARNED OVER HER OR HIS ENTIRE CAREER, HAS NOT AND WILL NOT BE DISTRIBUTED UNTIL THE OFFICER OR KEY EMPLOYEE RETIRES OR SEPARATES FROM SERVICE FROM UPMC AND SATISFIED THE NON-COMPETE PROVISION OF THEIR EMPLOYMENT AGREEMENT AND/OR SATISFY A POST-RETIREMENT SEPARATION AGREEMENT. THE SUPPLEMENTAL RETIREMENT PROGRAM PROVIDES FOR THE CURRENT DISTRIBUTION OF ONLY THE AMOUNT NECESSARY TO SATISFY ANY INCOME TAX LIABILITY RESULTING FROM THE VESTING DURING ACTIVE EMPLOYMENT. FINALLY, IT SHOULD BE NOTED THAT IN ACCORDANCE WITH IRS INSTRUCTIONS, A SUBSTANTIAL PORTION OF THE AMOUNT REPORTED ON THE FORM 990 ATTRIBUTABLE TO SUPPLEMENTAL RETIREMENT PROGRAM VESTING HAS BEEN REPORTED IN PREVIOUSLY FILED FORMS 990. BUILDING 2022-01-28 5390000 APPRAISAL 874263042 COLLEGE AVENUE PROPERTY HOLDING COMPANY LLC 701 CATHEDRAL STREET SUITE 10 BALTIMORE MD 21201 0 0 0 0 FORM 990, PART V, LINE 1: UPMC (EIN 23-1423657), A FEDERALLY TAX EXEMPT ENTITY, THE PARENT OF A LARGE INTEGRATED DELIVERY AND FINANCING SYSTEM AND THE PARENT ENTITY OF UPMC PINNACLE WHO IS THE PARENT OF UPMC PINNACLE LANCASTER ISSUES AND FILES ALL FORM 1099S FOR UPMC PINNACLE LANCASTER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS UPMC PINNACLE, A FEDERALLY TAX EXEMPT, STATE NONPROFIT ENTITY (EIN 25-1778658). IN SEPTEMBER 2017, UPMC PINNACLE AFFILIATED WITH UPMC, A WORLD-RENOWNED INTEGRATED HEALTHCARE DELIVERY AND FINANCING SYSTEM, THAT IS AN INTERNATIONAL LEADER IN PROVIDING CLINICAL CARE, GROUND BREAKING RESEARCH AND TREATMENTS WITH LOCATIONS IN WESTERN AND CENTRAL PENNSYLVANIA, MARYLAND, NEW YORK AND AROUND THE WORLD. FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER OF THE ORGANIZATION, UPMC PINNACLE ELECTS THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION REQUIRE THE APPROVAL OF BOTH THE UPMC PINNACLE BOARD AND THE UPMC BOARD, AS THE SOLE MEMBER OF UPMC PINNACLE. FORM 990, PART VI, SECTION B, LINE 11B THE AUTHORITY AND RESPONSIBILITY FOR REVIEW OF THE FORM 990 FOR UPMC PINNACLE AND SUBSIDIARIES IS DELEGATED TO THE FINANCE COMMITTEE OF THE UPMC PINNACLE BOARD. MEMBERS ARE PROVIDED WITH A COPY OF THE FORM 990 PRIOR TO FILING AND PROVIDED OPPORTUNITY TO REVIEW. FORM 990, PART VI, SECTION B, LINE 12C IN THE PERFORMANCE OF THEIR DUTIES TO UPMC PINNACLE, COVERED PERSONS SHALL SEEK TO ACT IN THE BEST INTERESTS OF UPMC PINNACLE, AND SHALL EXERCISE GOOD FAITH, LOYALTY, DILIGENCE AND HONESTY. A COVERED PERSON IS ANY INDIVIDUAL WHO SERVES IN A FIDUCIARY CAPACITY TO, OR WHO HAS LEGAL AUTHORITY TO REPRESENT OR OBLIGATE, UPMC PINNACLE OR ANY OF ITS AFFILIATED ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO, DIRECTORS, OFFICERS, EMPLOYEES, AND AGENTS. COVERED PERSONS ALSO INCLUDE A) IMMEDIATE FAMILIES (SPOUSES, CHILDREN, SIBLINGS, PARENTS, OR SPOUSE'S PARENTS), B) ANY ORGANIZATION IN WHICH THEY OR THEIR IMMEDIATE FAMILIES DIRECTLY OR INDIRECTLY I) HAVE A MATERIAL FINANCIAL OR BENEFICIAL INTEREST, OR II) SERVE AS A DIRECTOR, OFFICER, EMPLOYEE, AGENT, ATTORNEY OR SIMILAR CAPACITY. A COVERED PERSON SHALL DISCLOSE ANY BUSINESS OR PERSONAL INTERESTS OR RELATIONSHIPS WHICH MAY BE IN CONFLICT WITH THE INTERESTS OF UPMC PINNACLE, INCLUDING, BUT NOT LIMITED TO (A) ENGAGING IN OR SEEKING TO BE ENGAGED IN (I) THE DELIVERY OF HEALTH CARE SERVICES OR (II) THE DELIVERY OF GOODS OR SERVICES TO UPMC PINNACLE, OR (B) ANY TRANSACTION OR ARRANGEMENT WITH UPMC PINNACLE WHICH WOULD RESULT IN BENEFIT TO COVERED PERSONS. IF A POTENTIAL CONFLICT IS IDENTIFIED REGARDING A SPECIFIC UPMC ACTIVITY, THE UPMC CORPORATE COMPLIANCE DEPARTMENT, WITH THE ASSISTANCE OF THE LEGAL DEPARTMENT, EITHER DEVELOPS A WRITTEN PLAN DESIGNED TO PREVENT THE CONFLICT FROM INFLUENCING DECISIONS RELATED TO THAT ACTIVITY, OR REQUIRES THAT THE CONFLICTING RELATIONSHIP BE DIVESTED, AS APPROPRIATE. COVERED PERSONS WITH A DOCUMENTED CONFLICT OF INTEREST SHALL NOT VOTE ON THE MATTER, AND THE UPMC PINNACLE BOARD OR COMMITTEE MUST APPROVE, AUTHORIZE, OR RATIFY THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE NON-INTERESTED DIRECTORS OR COMMITTEE MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM. VIOLATIONS OF THIS STATEMENT OF POLICY MAY SUBJECT COVERED PERSONS TO APPROPRIATE SANCTIONS, INCLUDING REMOVAL FROM THEIR POSITIONS WITH UPMC PINNACLE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION INCLUDES A COPY OF ITS FINANCIAL STATEMENTS WITH THE STATE REGISTRATION FILED WITH THE PENNSYLVANIA DEPARTMENT OF STATE, BUREAU OF CHARITABLE ORGANIZATIONS. THESE DOCUMENTS ARE A MATTER OF PUBLIC RECORD AND CAN BE VIEWED AT THE BUREAU OFFICE. FORM 990, PART XI, LINE 9: TRANSFER TO EXEMPT AFFILIATE -10,154,446. PART XII, LINE 2C: UPMC HAS AN AUDIT COMMITTEE THAT IS ESTABLISHED TO ASSIST THE BOARD OF DIRECTORS IN FULFILLING ITS OVERSIGHT RESPONSIBILITIES BY MONITORING UPMC CONSOLIDATED FINANCIAL REPORTS AND OTHER FINANCIAL INFORMATION PROVIDED BY UPMC TO GOVERNMENTAL BODIES, THE PUBLIC OR OTHER EXTERNAL ENTITIES. THE UPMC'S SYSTEM OF INTERNAL CONTROLS REGARDING FINANCE, ACCOUNTING, LEGAL COMPLIANCE AND ETHICS THAT MANAGEMENT AND THE BOARD HAVE ESTABLISHED AND UPMC'S INTERNAL AUDITING, ACCOUNTING AND FINANCIAL REPORTING PROCESSES ALSO PROVIDED OVERSIGHT. PART XII, LINE 2B: THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PERFORMED BY EY FOR UPMC AND ALL SUBSIDIARIES. THE ENTIRE SYSTEM'S FINANCIAL STATEMENTS, OF WHICH THIS ORGANIZATION IS PART, ARE POSTED ON THE UPMC WEBSITE. (WWW.UPMC.COM) THE FINANCIAL STATEMENT AUDIT DURING THE 990 FILING PERIOD IS FOR THE CALENDAR YEAR ENDED DECEMBER 31,2021. 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HOWEVER, BECAUSE THESE ENTITIES ARE AFFILIATED WITH UPMC AND THE UPMC PARENT ORGANIZATION HOLDS CERTAIN POWERS WITH RESPECT TO SUCH ENTITIES WE ARE ELECTING TO DISCLOSE THE ENTITIES AS RELATED ORGANIZATIONS IN SCHEDULE R IN THE INTEREST OF TRANSPARENCY. FORM 990, SCHEDULE R, PARTS II: THERE ARE ORGANIZATIONS INCLUDED IN THE UPMC GROUP FORM 990 TAX RETURN FOR FY 2022 WHICH ARE RELATED TO UPMC PINNACLE LANCASTER. THESE ORGANIZATIONS ARE NOT REQUIRED TO BE LISTED IN SCHEDULE R.