UPMC CHAUTAUQUA AT WCA: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- UPMC CHAUTAUQUA AT WCA (EIN 16-0743226)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-09
- IRS object ID
- 202303139349305225
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-09T15:52:29-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 454051133 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREED MAXICK CPAS PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 424 MAIN STREET SUITE 800 | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 142023508 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743226 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPMC CHAUTAUQUA AT WCA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UPMC | BusinessNameControlTxt |
| Phone | 7164870141 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 FOOTE AVENUE | AddressLine1Txt |
| City | JAMESTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 147020840 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRIAN DURNIOK | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7166648421 | PhoneNum |
| Signature | 2023-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BRIAN | PersonFirstNm |
| Person Last | DURNIOK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY MADONIA | PreparerPersonNm |
| PTIN | P00405803 | PTIN |
| Phone | 7168472651 | PhoneNum |
| Preparation | 2023-11-08 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRIAN DURNIOK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 FOOTE AVENUE | AddressLine1Txt |
| City | JAMESTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 147020840 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $160,954,665 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UPMCCHAUTAUQUAWCA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1885 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE OF CHAUTAUQUA COUNTY AND THE SURROUNDING AREA IN A WAY THAT INCLUDES COMPASSION, DEDICATION, A COMMITMENT TO QUALITY AND PATIENT SAFETY WHILE MAINTAINING ECONOMIC VIABILITY AND A VISION FOR THE 21ST CENTURY, WITHOUT REGARD FOR THE PATIENTS ABILITY TO PAY FOR THESE HEALTH SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 1060 | TotalEmployeeCnt |
| Total Volunteers | 22 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,321,214 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,297,968 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $116,750,072 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $139,094,920 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$13,745 | PYInvestmentIncomeAmt |
| CY Investment Income | $33,447 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,923,282 | PYOtherRevenueAmt |
| CY Other Revenue | $4,528,330 | CYOtherRevenueAmt |
| PY Total Revenue | $124,980,823 | PYTotalRevenueAmt |
| CY Total Revenue | $160,954,665 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $64,267,181 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $70,062,829 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $73,228,579 | PYOtherExpensesAmt |
| CY Other Expenses | $84,477,968 | CYOtherExpensesAmt |
| PY Total Expenses | $137,495,760 | PYTotalExpensesAmt |
| CY Total Expenses | $154,540,797 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$12,514,937 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,413,868 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $106,691,665 | TotalAssetsBOYAmt |
| Total Assets EOY | $113,683,183 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $53,390,010 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $30,962,212 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $53,301,655 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $82,720,971 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE OF CHAUTAUQUA COUNTY AND THE SURROUNDING AREA IN A WAY THAT INCLUDES COMPASSION, DEDICATION, A COMMITMENT TO QUALITY AND PATIENT SAFETY WHILE MAINTAINING ECONOMIC VIABILITY AND A VISION FOR THE 21ST CENTURY, WITHOUT REGARD FOR THE PATIENTS ABILITY TO PAY FOR THESE HEALTH SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $128,134,622 | ExpenseAmt |
| Revenue | $141,597,264 | RevenueAmt |
| Desc | OPERATED A HOSPITAL TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE OF CHAUTAUQUA COUNTY AND THE SURROUNDING AREA. SEE SCHEDULE O FOR ADDITIONAL DETAILS. | Desc |
| Total Program Service Expenses | $128,134,622 | 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 |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 80 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1060 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 | Yes (1) | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRIAN DURNIOK | PersonNm |
| Phone | 7166648300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 FOOTE AVE PO BOX 840 | AddressLine1Txt |
| City | JAMESTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 147020840 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| STEVEN KILBURN | |||||||
| BOARD MEMBER (CHAIR TO 5/16/22) | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRENDA IRELAND | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL SULLIVAN | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID GIBBONS | |||||||
| BOARD MEMBER/VICE CHAIR | 40.00 | Yes (X) | Yes (X) | $0 | $1,067,559 | $114,768 | |
| BRADLEY DINGER | |||||||
| BOARD MEMBER/TREASURER/CFO | 40.00 | Yes (X) | Yes (X) | $0 | $264,161 | $34,576 | |
| CRISTIE HERBST | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CAMELLIA HERISKO | |||||||
| BOARD MEMBER ( TO 5/16/22) | 40.00 | Yes (X) | $0 | $293,906 | $51,432 | ||
| MARK RAIMY | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ANNA DIBBLE | |||||||
| BOARD MEMBER (TO 3/21/22) | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM GEARY MDPHD | |||||||
| BOARD MEMBER/ (CHAIR AS OF 5/16/22) | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAMES DONNELLY | |||||||
| BOARD MEMBER | 40.00 | Yes (X) | $0 | $322,939 | $49,406 | ||
| LYNN RUPP | |||||||
| BOARD MEMBER (AS OF 9/19/22) | 2.00 | Yes (X) | $0 | $373,687 | $38,210 | ||
| BRIAN DURNIOK | |||||||
| PRESIDENT/COO | 40.00 | Yes (X) | $0 | $548,160 | $70,166 | ||
| CECIL M MILLER III | |||||||
| SECRETARY/VP OF OPERATIONS | 40.00 | Yes (X) | $201,194 | $0 | $21,312 | ||
| GALO GRIJALVA MD | |||||||
| PHYSICIAN | 40.00 | $396,257 | $0 | $51,223 | Yes (X) | ||
| BRUCE ROCKWELL MD | |||||||
| PHYSICIAN | 40.00 | $284,000 | $0 | $12,467 | Yes (X) | ||
| ANDREA WALSH MD | |||||||
| PHYSICIAN | 40.00 | $304,401 | $0 | $32,434 | Yes (X) | ||
| SALVATORE J BUONAIUTO MD | |||||||
| HOSPITALIST | 40.00 | $227,015 | $0 | $43,223 | Yes (X) | ||
| AINSLEY MCFADGEN MD | |||||||
| PHYSICIAN | 40.00 | $352,142 | $0 | $24,034 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,765,009 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,870,412 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $543,251 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 94 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PREMIER ANESTHESIA OF NY PC | |||||
| 2655 NORTHWINDS PKWY | ALPHARETTA | GA | 30009 | ANESTHESIA PHYSICIAN SERVICES | $2,884,246 |
| ASSOCIATED CLINICAL LAB | |||||
| 1526 PEACH STREET | ERIE | PA | 16501 | LAB SERVICES | $1,931,628 |
| REHC5 LLC | |||||
| PO BOX 241 435 MAIN ST | DUNKIRK | NY | 14048 | ENVIRONMENTAL RESTORATION | $1,814,390 |
| SOUTHERN TIER SECURITY LLC | |||||
| 125 S UNION ST | OLEAN | NY | 14760 | SECURITY SERVICES | $527,054 |
| LECHASE CONSTRUCTION SERVICES LLC | |||||
| 451 ELMWOOD AVE SUITE 210 | BUFFALO | NY | 14222 | CONSTRUCTION SERVICES | $493,674 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $645,334 | RelatedOrganizationsAmt |
| Government Grants | $16,410,786 | GovernmentGrantsAmt |
| All Other Contributions | $241,848 | AllOtherContributionsAmt |
| Total Contributions | $17,297,968 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621500 | $138,331,271 | $138,331,271 |
| EQUITY INVESTMENTS REVENUE | 621500 | $763,649 | $763,649 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $139,094,920 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,402 | TotalRevenueColumnAmt |
| Exclusion | $25,402 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $2,025,986 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $2,025,986 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,025,986 | TotalRevenueColumnAmt |
| Exclusion | $2,025,986 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,045 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,045 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,045 | TotalRevenueColumnAmt |
| Exclusion | $8,045 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER MISCELLANEOUS REVENUE | 900099 | $2,096,342 | $2,096,342 |
| CAFETERIA REVENUE | 621990 | $245,094 | $245,094 |
| EDUCATION REVENUE | 621990 | $130,607 | $130,607 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,301 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,301 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,502,344 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $160,954,665 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $141,597,264 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,059,433 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,194 | TotalAmt |
| Program Services | $201,194 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,068,290 | TotalAmt |
| Program Services | $54,068,609 | ProgramServicesAmt |
| Management And General | $2,999,681 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,474,193 | TotalAmt |
| Program Services | $8,977,950 | ProgramServicesAmt |
| Management And General | $496,243 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,319,152 | TotalAmt |
| Program Services | $3,145,300 | ProgramServicesAmt |
| Management And General | $173,852 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,507 | TotalAmt |
| Program Services | $8,495 | ProgramServicesAmt |
| Management And General | $140,012 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,250 | TotalAmt |
| Management And General | $3,250 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,526,726 | TotalAmt |
| Program Services | $11,526,726 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,812 | TotalAmt |
| Program Services | $38,812 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $582,015 | TotalAmt |
| Program Services | $509,935 | ProgramServicesAmt |
| Management And General | $72,080 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,245,753 | TotalAmt |
| Program Services | $1,238,618 | ProgramServicesAmt |
| Management And General | $7,135 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,567,215 | TotalAmt |
| Program Services | $2,162,356 | ProgramServicesAmt |
| Management And General | $2,404,859 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,527 | TotalAmt |
| Program Services | $130,821 | ProgramServicesAmt |
| Management And General | $9,706 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,490 | TotalAmt |
| Program Services | $1,490 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,747 | TotalAmt |
| Program Services | $3,747 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,322,522 | TotalAmt |
| Program Services | $6,322,522 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,172,127 | TotalAmt |
| Program Services | $1,033,273 | ProgramServicesAmt |
| Management And General | $138,854 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| ENTERPRISE SHARED SERVI | $18,399,373 | $18,399,373 | |
| HOSPITAL AND MEDICAL SU | $12,118,156 | $12,118,156 | |
| DRUGS | $10,111,806 | $10,111,806 | |
| BAD DEBT EXPENSE | $4,784,174 | $4,784,174 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,311,768 | TotalAmt |
| Program Services | $11,750,638 | ProgramServicesAmt |
| Management And General | $1,561,130 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,540,797 | TotalAmt |
| Program Services | $128,134,622 | ProgramServicesAmt |
| Management And General | $26,406,175 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $510,511 | BOYAmt |
| EOY | $578,121 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,833,713 | BOYAmt |
| EOY | $20,014,024 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,062,506 | BOYAmt |
| EOY | $461,991 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $78,965,001 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,063,827 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,269,927 | BOYAmt |
| EOY | $61,901,174 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,080,454 | BOYAmt |
| EOY | $1,116,274 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,002,897 | BOYAmt |
| EOY | $7,002,897 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,931,657 | BOYAmt |
| EOY | $22,608,702 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,691,665 | BOYAmt |
| EOY | $113,683,183 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,134,637 | BOYAmt |
| EOY | $3,155,290 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,187,346 | BOYAmt |
| EOY | $23,478,247 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $331,074 | BOYAmt |
| EOY | $299,025 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,736,953 | BOYAmt |
| EOY | $4,029,650 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,390,010 | BOYAmt |
| EOY | $30,962,212 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,179,630 | BOYAmt |
| EOY | $65,228,063 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,122,025 | BOYAmt |
| EOY | $17,492,908 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,301,655 | BOYAmt |
| EOY | $82,720,971 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,691,665 | BOYAmt |
| EOY | $113,683,183 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,413,868 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $23,005,448 | 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 | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,122,026 | BeginningYearBalanceAmt |
| Contributions | $136,466 | ContributionsAmt |
| Investment Earnings Or Losses | -$78,147 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,687,437 | OtherExpendituresAmt |
| End Year Balance | $17,492,908 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,972,550 | BeginningYearBalanceAmt |
| Contributions | -$166,856 | ContributionsAmt |
| Investment Earnings Or Losses | $3,316,332 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $21,122,026 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,946,410 | BeginningYearBalanceAmt |
| Contributions | $73,261 | ContributionsAmt |
| Investment Earnings Or Losses | $2,657,988 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $705,109 | OtherExpendituresAmt |
| End Year Balance | $17,972,550 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,649,391 | BeginningYearBalanceAmt |
| Contributions | $77,571 | ContributionsAmt |
| Investment Earnings Or Losses | $2,926,269 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $706,821 | OtherExpendituresAmt |
| End Year Balance | $15,946,410 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,973,749 | BeginningYearBalanceAmt |
| Contributions | $102,059 | ContributionsAmt |
| Investment Earnings Or Losses | -$721,818 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $704,599 | OtherExpendituresAmt |
| End Year Balance | $13,649,391 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.73120 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.26880 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,016,055 | OtherCostOrOtherBasisAmt |
| Book Value | $2,016,055 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,727,383 | OtherCostOrOtherBasisAmt |
| Depreciation | -$20,942,870 | DepreciationAmt |
| Book Value | $44,670,253 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,165,975 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,842,392 | DepreciationAmt |
| Book Value | $323,583 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,181,667 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,164,305 | DepreciationAmt |
| Book Value | $11,017,362 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,873,921 | OtherCostOrOtherBasisAmt |
| Book Value | $3,873,921 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $61,901,174 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN NET ASSETS OF WCA FOUNDATION | $16,962,821 |
| INVESTMENT IN WCA SERVICES CORPORATION | $5,000,000 |
| INVESTMENT IN HCP CENTRAL PHARMACY | $645,881 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $22,608,702 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| EST. THIRD PARTY PAYOR SETTLEMENTS | $2,698,020 |
| AR PAYOR ADVANCES | $1,331,630 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,029,650 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INCOME FROM THE ENDOWMENT FUND IS UNRESTRICTED AND ITS USES ARE DETERMINED BY THE BOARD. |
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE (THE "CODE"), AND ACCORDINGLY, IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH U.S. GAAP, WHICH REQUIRES THE RECOGNITION AND MEASUREMENT OF UNCERTAIN INCOME TAX POSITIONS THAT THE HOSPITAL HAS TAKEN OR EXPECTS TO TAKE IN THE HOSPITAL'S TAX RETURNS. THE HOSPITAL HAS NOT RECORDED ANY AMOUNTS RELATING TO UNCERTAIN TAX POSITIONS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $925,339 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $925,339 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,052,220 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,306,051 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | -$984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $671 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,976,575 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,306,722 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $925,339 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $439,050 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $439,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $308,998 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $126,301 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $182,697 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,660 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $765,708 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $126,301 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $639,407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,742,283 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,433,023 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,564,746 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,964,382 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $255,370 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $47,168,077 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $66,614,805 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$19,446,728 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 31 SHERMAN STREET INVESTORS LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | REAL ESTATE PROJECTS | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.00000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPMC CHAUTAUQUA AT WCA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 FOOTE AVENUE / PO BOX 840 | AddressLine1Txt |
| City | JAMESTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 147020840 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.UPMCCHAUTAUQUAWCA.ORG | WebsiteAddressTxt |
| State License | 10-65-60 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPMC CHAUTAUQUA AT WCA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.UPMC.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.UPMC.COM | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.UPMC.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.UPMC.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.UPMC.COM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| UPMC CHAUTAUQUA AT WCA | PART V, SECTION B, LINE 5: UPMC'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED A PARTNERSHIP WITH EXPERTS AT THE UNIVERSITY OF PITTSBURGH GRADUATE SCHOOL OF PUBLIC HEALTH TO CONDUCT THE CHNA USING A BEST-PRACTICE METHODOLOGY. THE ASSESSMENT BLENDED ANALYSIS OF DOCUMENTED HEALTH AND SOCIOECONOMIC FACTORS WITH A STRUCTURED, COMMUNITY INPUT SURVEY PROCESS. EFFECTIVELY ENGAGING THE COMMUNITY IN A BROAD, SYSTEMATIC WAY, THE SURVEY SOLICITED FEEDBACK FROM COMMUNITY ADVISORY PANELS COMPOSED OF LEADERS OF ORGANIZATIONS THAT REPRESENT PATIENT CONSTITUENCIES, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND CHRONICALLY ILL POPULATIONS WITHIN THE HOSPITAL'S COMMUNITY. APPENDIX C OF EACH HOSPITAL CHNA REPORT INCLUDES A LIST OF COMMUNITY PARTICIPANTS. WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX |
| UPMC CHAUTAUQUA AT WCA | PART V, SECTION B, LINE 6A: UPMC HOSPITALS CONDUCTED JOINT CHNAS AS FOLLOWS:ERIE, LAWRENCE, MCKEAN, MERCER, AND VENANGO COUNTIES IN PA AND CHAUTAUQUA COUNTY, NY HOSPITALS: UPMC HAMOT, UPMC JAMESON, UPMC KANE, UPMC HORIZON, UPMC NORTHWEST, AND UPMC CHAUTAUQUA.ALLEGHENY COUNTY HOSPITALS: UPMC CHILDREN'S HOSPITAL OF PITTSBURGH, UPMC EAST, UPMC MAGEE-WOMENS HOSPITAL, UPMC MCKEESPORT, UPMC MERCY, UPMC PASSAVANT, UPMC PRESBYTERIAN SHADYSIDE, AND UPMC ST. MARGARET.BEDFORD, BLAIR, AND SOMERSET COUNTIES IN PA AND ALLEGANY COUNTY IN MD HOSPITALS : UPMC BEDFORD, UPMC ALTOONA, UPMC SOMERSET, AND UPMC WESTERN MARYLAND.CLINTON, LYCOMING, POTTER, AND TIOGA COUNTY HOSPITALS: UPMC LOCK HAVEN, UPMC MUNCY, UPMC WILLIAMSPORT, UPMC COLE, AND UPMC WELLSBORO.CUMBERLAND, DAUPHIN, LANCASTER, AND YORK COUNTY HOSPITALS: UPMC CARLISLE, UPMC COMMUNITY OSTEOPATHIC, UPMC HARRISBURG, UPMC WEST SHORE, UPMC LITITZ, UPMC HANOVER, AND UPMC MEMORIAL. |
| UPMC CHAUTAUQUA AT WCA | PART V, SECTION B, LINE 11: THROUGH A RIGOROUS CHNA METHODOLOGY, UPMC HOSPITALS IDENTIFIED FOUR MAJOR THEMES REPRESENTING THE SIGNIFICANT HEALTH NEEDS IN THEIR COMMUNITIES: CHRONIC DISEASE MANAGEMENT; BEHAVIORAL HEALTH; ACCESS TO CARE AND NAVIGATING RESOURCES; AND PREVENTION AND COMMUNITY-WIDE HEALTHY LIVING. THE HOSPITALS DEVELOPED STRATEGIC IMPLEMENTATION PLANS TO ADDRESS THESE ISSUES, AS OUTLINED IN THEIR CHNA DOCUMENTS AND COMMUNITY HEALTH STRATEGIC PLANS SEE SECTION IV OF EACH CHNA REPORT. WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX |
| UPMC CHAUTAUQUA AT WCA | PART V, SECTION B, LINE 13B: UPMC CHAUTAUQUA AT WCA RESERVES THE RIGHT TO REVIEW/APPROVE CASES WITH EXCESSIVE MEDICAL EXPENSES WHOSE FAMILY INCOME EXCEED 400% OF THE FPL, ON A CASE BY CASE BASIS. |
| UPMC CHAUTAUQUA AT WCA | PART V, SECTION B, LINE 16J: WWW.UPMC.COM/PATIENTS-VISITORS/PAYING-BILL/SERVICES |
| UPMC CHAUTAUQUA AT WCA | PART V, SECTION B, LINE 20E: UPMC'S POLICIES DO NOT PERMIT HOSPITAL FACILITIES OR ANY OTHER AUTHORIZED PARTIES TO ENGAGE INEXTRAORDINARY COLLECTIONS ACTIONS IN ANY CIRCUMSTANCES. THEREFORE, LINE 20 HAS BEEN LEFT BLANK SINCE IT IS NOT APPLICABLE AND UPMC BELIEVES IT WOULD BE MISLEADING TO CHECK ANY OF THE BOXES. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | FINANCIAL ASSISTANCE OR CHARITY CARE IS AVAILABLE FOR ELIGIBLE INDIVIDUALS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR GOVERNMENT PROGRAMS OR OTHERWISE UNABLE TO PAY FOR THEIR OWN CARE.A PATIENT MAY BE DETERMINED TO HAVE FINANCIAL NEED BASED ON THE FOLLOWING:1. INDIGENCY: IF INCOME FALLS AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES, THE PATIENT WILL HAVE NO FINANCIAL RESPONSIBILITY. THE PATIENT IS APPROVED FOR 100% FREE CARE. 2. LOW INCOME SLIDING SCALE: ASSISTANCE MAY BE A DISCOUNTED OR REDUCED PATIENT LIABILITY DEPENDING ON THE PATIENT'S INCOME: A. IF THE COMBINED FAMILY INCOME IS GREATER THAN 251% AND LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY GUIDELINES AND UNINSURED, THE PATIENT IS ELIGIBLE FOR REDUCED CHARITY CARE. THERE WILL BE AN 89% REDUCTION IN THE PATIENT BILL. THE DISCOUNTED CHARITY CARE SCALE IS BASED ON FAMILY HOUSEHOLD SIZE FOR 2021.3. FINANCIAL HARDSHIP: IF A PATIENT IS APPROVED FOR DISCOUNTED OR REDUCED CHARITY CARE AND CANNOT AFFORD TO PAY THE REMAINING BALANCE, THE PATIENT MAY BE CONSIDERED FOR FINANCIAL HARDSHIP. ASSISTANCE WILL BE PROVIDED IN THE FORM OF AN ADJUSTMENT OF CHARGES TO PREVENT THE PATIENT LIABILITY FROM EXCEEDING THE LESSER OF 15% OF FAMILY INCOME OR THE AGB.4. MEDICAL HARDSHIP/CATASTROPHIC CARE: IF A PATIENT IS DENIED FOR FINANCIAL ASSISTANCE AND CANNOT AFFORD TO PAY THE ACCOUNT BALANCE, THE PATIENT MAY BE CONSIDERED MEDICALLY INDIGENT AND MAY BE CONSIDERED FOR MEDICAL HARDSHIP / CATASTROPHIC CARE. THE PATIENT WILL BE LIABLE TO PAY THE LESSER OF 15% OF THEIR CALCULATED HOUSEHOLD INCOME OR THE AGB TOWARDS THEIR MEDICAL BILL. THIS IS A ONE-TIME FINANCIAL ASSISTANCE ADJUSTMENT FOR EXISTING ACCOUNT BALANCES. THE REMAINING BALANCE WILL BE ADJUSTED TO FREE CARE. |
| PART I, LINE 7: | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN PART I LINE 7 IS A RATIO OF COSTS TO CHARGES METHOD. THE METHOD EMPLOYED FOR DETERMINING THE RATIO OF COST TO CHARGES IS IN LINE WITH THOSE DESCRIBED IN SCHEDULE H, WORKSHEET 2, "RATIO OF PATIENT COSTS TO CHARGES". |
| PART I, LN 7 COL(F): | THE TOTAL EXPENSES REPORTED ON FORM 990 PART IX LINE 25 COLUMN A ARE INCLUSIVE OF ALL EXPENSES OF UPMC CHAUTAUQUA AT WCA AND INCLUDES BAD DEBT EXPENSE FOR THE ENTITY. THE EXPENSE USED TO CALCULATE THE PERCENT OF TOTAL EXPENSE FOR FORM 990 SCHEDULE H PART I LINE 7 COLUMN F ARE THE TOTAL EXPENSES FROM FORM 990 PART IX, LESS BAD DEBT EXPENSE OF $4,784,174. THE TOTAL EXPENSES USED FOR THIS CALCULATION, EXCLUDING BAD DEBT ARE $149,756,623 |
| PART I, LINE 6A | UPMC PREPARES AN ANNUAL COMMUNITY BENEFITS REPORT. THE REPORT ENCOMPASSES INFORMATION FOR THE ENTIRE INTEGRATED DELIVERY AND FINANCING SYSTEM (IDFS) THAT MAKES UP THE UPMC HEALTH SYSTEM. IT IS POSTED AND AVAILABLE TO THE PUBLIC VIA THE UPMC WEBSITE, WWW.UPMC.COM. |
| PART I, LINE 4 | "MEDICALLY INDIGENT" MEANS PERSONS WHO THE ORGANIZATION HAS DETERMINED UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS BECAUSE THEIR MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF THEIR FAMILY HOUSEHOLD'S INCOME. |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE IS PRESENTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL COLLECTIONS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. PATIENT ACCOUNTS RECEIVABLE ARE DUE 30 DAYS AFTER THE DATE OF DISCHARGE. RECEIVABLES PAST DUE MORE THAN 120 DAYS ARE GENERALLY WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT AND OTHER THIRD-PARTY PAYORS. |
| PART III, LINE 9B: | UPMC HAS A DEBT COLLECTION POLICY OUTLINING COLLECTION PRACTICES FOR PATIENTS. IF AT ANY TIME THE PATIENT EXPRESSES AN INABILITY TO PAY, THEY ARE SENT A FINANCIAL ASSISTANCE APPLICATION. INFORMATION REGARDING FINANCIAL ASSISTANCE IS PRINTED ON ALL COLLECTION LETTERS. COLLECTIONS PER POLICY DO NOT APPLY TO ACCOUNT BALANCES KNOWN TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. |
| PART III, LINES 2 & 3 | THE COSTING METHOD USED TO CALCULATE THE AMOUNTS IN SCHEDULE H PART III LINES 2 AND 3 IS A RATIO OF COST TO CHARGES METHOD. DISCOUNTS AND PAYMENTS IN PATIENTS' ACCOUNTS ARE DEDUCTED BEFORE THE COST OF BAD DEBT EXPENSE IS DETERMINED. THE METHOD EMPLOYED IS IN LINE WITH THOSE DESCRIBED IN SCHEDULE H, WORKSHEET 2, "RATIO OF PATIENT COSTS TO CHARGES".THE ORGANIZATION'S BAD DEBT EXPENSE CONSISTS SOLELY OF SELFPAY PATIENTS ACCOUNTS DEEMED UNCOLLECTABLE. IT IS UPMC CHAUTAUQUA'S CONTENTION THAT THE COST OF BAD DEBT SHOULD BE STATED IN PART I LINE 7 OF SCHEDULE H AS THEY REPRESENT THE COSTS FOR PROVISION OF SERVICES TO PATIENTS FOR WHICH THE ENTITY HAS EXHAUSTED ALL RECOURSE FOR REIMBURSEMENT. THE SERVICES PROVIDED TO PATIENTS WHO PRESENT THEMSELVES ARE PROVIDED REGARDLESS OF A PATIENT'S ABILITY TO PAY AND IS IN LINE WITH THE ORGANIZATION'S CHARITABLE MISSION AND SERVICE TO OUR COMMUNITY. THESE EXPENSES ARE INCURRED REGARDLESS OF THE EFFICIENCY OF THE PROVISION OF THE RELATED MEDICAL CARE AND ARE DEEMED TO HAVE BEEN MEDICALLY NECESSARY FOR THE PATIENT. |
| PART III, LINE 3 | PROCESS FOR REALLOCATION FROM BAD DEBT TO CHARITY CARE:UPMC RECLASSIFIES BAD DEBT ACCOUNTS AS CHARITY CARE BY UTILIZING A PREDICTIVE MODEL CALLED PARO (PAYMENT ASSISTANCE RANK ORDER). PARO WAS BUILT AS A SOCIO-ECONOMIC SCORE THAT IDENTIFIES THOSE PATIENTS THAT ARE MOST LIKELY TO BE THE HIGHEST NEED OF FINANCIAL ASSISTANCE. THIS IS ACCOMPLISHED BY ANALYZING CONSUMER DATA AND ACTIVITY, COURT RECORDS, GOVERNMENT RECORDS, PROPERTY FILES, CENSUS DATA AND IRS DATA. PARO PROVIDES A SYSTEMATIC APPROACH TO FINANCIAL ASSISTANCE: " PREDICTIVE MODEL THAT ENCOMPASSES HEALTHCARE ECONOMICS AND CREDIT POLICIES;" UNIFORM ASSESSMENT MEASURE FOR EVERY PATIENT REGARDLESS OF FINANCIAL STANDING; " ACCOUNTS FOR PATIENTS THAT ARE UNRESPONSIVE, ILLITERATE, OR OTHERWISE CHALLENGED TO APPLY; " ELIMINATES BARRIER TO APPLICATION AND MEETS INCREASED PRESSURE TO PROVIDE ADDITIONAL FINANCIAL RESOURCES TO CONSUMERS; " IDENTIFY AND SUPPORT THOSE COMMUNITY NEEDS EFFORTS TO PROVIDE ASSISTANCE TO THOSE CONSUMERS IN NEED." THERE ARE TWO DATA POINTS RETURNED TO UPMC IN ORDER TO MAKE THE DECISION WHETHER THE PATIENT WOULD QUALIFY FOR CHARITY CARE. THE FIRST IS THE ESTIMATED INCOME LEVEL BASED ON THE FEDERAL POVERTY LEVEL GUIDELINES. THE SECOND IS THE PARO SCORE WHICH UTILIZES AN ALGORITHM BASED APPROACH AND RETURNS A SCORE BASED ON PERSONAL ATTRIBUTES OF THE PATIENT. DATA ELEMENTS WERE COMBINED TO CREATE TWO PRIMARY INDICATORS OF NEED, THE PARO SCORE AND THE FEDERAL POVERTY LEVEL. PARO ANALYZED OUR HISTORICAL CHARITY CARE APPROVALS TO DETERMINE OUR PARO THRESHOLD AND THE FPL THRESHOLD FOR THE HISTORICAL APPROVALS. THE APPROVED CHARITY CARE ACCOUNTS WERE COMPARED AGAINST ACCOUNTS THAT WERE IN ACTIVE ACCOUNTS RECEIVABLE. THIS WAS DONE TO DETERMINE IF THE DISTRIBUTIONS WERE SIMILAR OR IF ANY PATTERN EXISTED BASED ON THE APPROVED ACCOUNTS AND THE UNKNOWN ACCOUNTS. IF THE PATIENT'S ESTIMATED INCOME AND PARO SCORE ARE WITHIN THE SCORES IDENTIFIED BY THE CALIBRATION OF UPMC EXISTING CHARITY CARE PATIENTS, THE ACCOUNT IS RECLASSIFIED FROM BAD DEBT TO CHARITY CARE. EVERY PATIENT IS ABLE TO APPLY FOR CHARITY CARE; HOWEVER, THE AUTOMATED STRATEGY FOCUSES ON PATIENTS THAT DO NOT COMPLETE THE APPLICATIONS PROCESS. THE US DEPARTMENT OF EDUCATION ESTIMATES THAT 1 IN 5 CONSUMERS ARE FUNCTIONALLY ILLITERATE. THIS, COUPLED WITH THE LOW LEVELS OF PARTICIPATION IN TRADITIONAL BANKING METHODS, MAKES THE APPLICATION PROCESS VIRTUALLY IMPOSSIBLE FOR SOME CONSUMERS. |
| PART III, LINE 8 | THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE IS A RATIO OF COSTS TO CHARGES METHOD. THE METHOD IS IN LINE WITH THOSE DESCRIBED IN SCHEDULE H, WORKSHEET 2, "RATIO OF PATIENT COSTS TO CHARGES". IT IS UPMC CHAUTAUQUA'S CONTENTION THAT ALL AMOUNTS CALCULATED TO BE SHORTFALLS IN REIMBURSEMENT FOR SERVICES PROVIDED TO MEDICARE PATIENTS ARE TRULY UNCOMPENSATED CARE THAT SHOULD BE STATED IN PART I LINE 7 OF SCHEDULE H OF FORM 990 AS THEY REPRESENT COSTS FOR PROVISION OF SERVICES TO PATIENTS FOR WHICH THE ENTITY IS UNABLE TO COLLECT, REGARDLESS OF THE EFFICIENCY OF PROVISION OF THE RELATED CARE COSTS. |
| PART VI, LINE 3: | UPMC COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ITS PATIENTS BY PLACING SIGNAGE AND DISTRIBUTING BROCHURES ABOUT THE FINANCIAL ASSISTANCE PROGRAM IN ITS PROVIDER REGISTRATION AREAS, ADMISSIONS, EMERGENCY DEPARTMENT AND BUSINESS OFFICE LOCATIONS. IN ADDITION, UPMC INCLUDES INFORMATION REGARDING HOW A PATIENT CAN REQUEST FINANCIAL ASSISTANCE ON THE BILLS, FOLLOW-UP CORRESPONDENCE AND COLLECTION LETTERS. PATIENTS ALSO MAY FIND INFORMATION ABOUT FINANCIAL ASSISTANCE THROUGH ACCESS TO THE UPMC WEB SITE (WWW.UPMC.COM). PATIENTS ARE ENCOURAGED TO CONTACT UPMC'S TRAINED FINANCIAL COUNSELORS SHOULD THEY REQUIRE ASSISTANCE WITH COMPLETING APPLICATIONS. CONTACT TELEPHONE NUMBERS ARE POSTED STRATEGICALLY THROUGHOUT THE HOSPITAL FACILITIES SO THAT PATIENTS HAVE A RESOURCE FOR OBTAINING SUPPORT WITH ANY FINANCIAL ASSISTANCE QUESTIONS THEY MAY HAVE. UPMC HAS CREATED A PLAIN LANGUAGE SUMMARY (PLS) TO EXPLAIN, IN SIMPLIFIED TERMS, OUR FINANCIAL ASSISTANCE POLICY (FAP). THIS SUMMARY IS PRINTED AT ALL SAME DAY SURGERY, ER AND INPATIENT LOCATIONS AND GIVEN TO THE PATIENT UPON DISCHARGE. UPMC HAS ALSO TRANSLATED THE PLS, FAP, COLLECTION AND BILLING POLICY, AND FAP APPLICATION INTO THE FOLLOWING LANGUAGES: ARABIC, CHINESE, FRENCH, ITALIAN, NEPALI, RUSSIAN, SPANISH AND BRAILLE. THE DETERMINATION OF LANGUAGES FOR TRANSLATION OF DOCUMENTS WAS DETERMINED BY A STUDY OF ENGLISH PROFICIENCY IN THE COMMUNITIES SERVED AND REVIEW OF PREDOMINANT NATIVE LANGUAGES IN THOSE COMMUNITIES AS PRESCRIBED IN IRC SECTION 501(R). THE PLS IS AVAILABLE ON THE UPMC WEBSITE.UPMC WILL NOTIFY ALL PATIENTS APPROVED VIA PRESUMPTIVE ELIGIBILITY IF NOT RECEIVING THE HIGHEST LEVEL OF ASSISTANCE. A LETTER INFORMING THE PATIENT THAT THEY MAY QUALIFY FOR A HIGHER LEVEL AND A FINANCIAL ASSISTANCE APPLICATION WILL BE SENT TO THE PATIENT UPON DETERMINATION. UPMC HAS WIDELY PUBLICIZED OUR FINANCIAL ASSISTANCE POLICY. UPMC HAS WORKED WITH HOSPITAL LEADERS AND COMMUNITY LIAISONS TO DETERMINE THE MOST APPROPRIATE NON-HEALTHCARE LOCATIONS TO REACH THE POPULATIONS THAT WILL BENEFIT FROM OUR FINANCIAL ASSISTANCE. UPMC HAS PROACTIVELY REACHED OUT IN THESE COMMUNITIES TO WIDELY PUBLICIZE OUR FINANCIAL ASSISTANCE POLICY. FINALLY, UPMC WILL NOW ONLY INCLUDE PATIENT BALANCES FROM ONE YEAR PRIOR TO THE PATIENT'S FINANCIAL ASSISTANCE APPROVAL DATE. AS A RESULT, UPMC WILL ALSO REFUND ANY PATIENT PAYMENTS MADE WITHIN THAT YEAR OF THE PATIENT'S FINANCIAL ASSISTANCE APPROVAL DATE, APPROVED VIA AN APPLICATION. |
| PART VI, LINE 5: | PART VI SUPPLEMENTAL INFORMATION - LINES 2, 4, AND 5IN 2022, IN KEEPING WITH IRS 501(R) GUIDELINES, UPMC CHAUTAUQUA COLLABORATED WITH OTHER UPMC HOSPITALS IN THE SIX-COUNTY REGION THAT INCLUDES CHAUTAUQUA COUNTY IN NEW YORK, AND ERIE, LAWRENCE, MCKEAN, MERCER AND VENANGO COUNTIES IN PENNSYLVANIA. THROUGH THE ASSESSMENT PROCESS, UPMC'S HOSPITALS IDENTIFIED THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, PRIORITIZED THOSE HEALTH NEEDS, ESTABLISHED ACTION PLANS, AND IDENTIFIED RESOURCES TO ADDRESS THOSE NEEDS. THE 2022 DOCUMENT BUILDS UPON PRIOR ASSESSMENTS AND IMPLEMENTATION PLANS DEVELOPED IN 2013, 2016 AND 2019. UPMC APPROACHED THE CHNA REQUIREMENT AS AN OPPORTUNITY TO EVALUATE AND ASSESS NEEDS THROUGH A FORMALIZED, RIGOROUS, AND STRUCTURED PROCESS TO ENSURE THAT HEALTH IMPROVEMENT EFFORTS AND RESOURCES ARE ALIGNED WITH THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS.UPMC ACTIVELY ENGAGED ITS HOSPITAL BOARDS, COMMUNITY STAKEHOLDERS, AND PUBLIC HEALTH EXPERTS TO IDENTIFY COMMUNITY HEALTH NEEDS AND DETERMINE HOW TO COLLABORATE MOST EFFECTIVELY TO ADDRESS THOSE NEEDS. THE ORGANIZATION SOLICITED AND TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. IN MAY THROUGH JUNE 2021, PITT PUBLIC HEALTH SURVEYED COMMUNITY LEADERS AND STAKEHOLDERS SPECIFIC TO EACH HOSPITAL'S LOCAL COMMUNITY, AS WELL AS A SYSTEM-WIDE PANEL OF REGIONAL STAKEHOLDERS. A TOTAL OF 2,868 COMMUNITY PARTICIPANTS FROM 27 UPMC HOSPITAL COMMUNITIES WERE SURVEYED. PARTICIPANTS INCLUDED: LEADERS OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE; REPRESENTATIVES FROM PUBLIC HEALTH DEPARTMENTS OR GOVERNMENTAL AGENCIES SERVING COMMUNITY HEALTH; MEDICAL STAFF LEADERS WHO HAVE A UNIQUE PERSPECTIVE AND VIEW OF THE COMMUNITY; AND OTHER STAKEHOLDERS IN COMMUNITY HEALTH, SUCH AS CONSUMER ADVOCATES, NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, LOCAL SCHOOL DISTRICTS, GOVERNMENT ORGANIZATIONS, AND HEALTH CARE PROVIDERS. NEARLY 1,000 INDIVIDUALS COMPLETED THE SURVEY, AND GREATER THAN 75 PERCENT OF THOSE PARTICIPANTS SELF-IDENTIFIED AS BEING A REPRESENTATIVE OR MEMBER OF A MEDICALLY UNDERSERVED, MINORITY, OR LOW-INCOME POPULATION.UPMC USED THE COMMUNITY INPUT TO DEVELOP STRATEGIC PLANS FOR EACH OF ITS LICENSED HOSPITALS TO ADDRESS SIGNIFICANT COMMUNITY HEALTH NEEDS. IMPORTANTLY, THESE PLANS ADDRESS LOCAL COMMUNITY NEEDS NOT ONLY AT THE HOSPITAL LEVEL, BUT ALSO INCLUDE EFFORTS UNDERTAKEN IN PARTNERSHIP WITH OTHER UPMC HOSPITALS, EXTERNAL ORGANIZATIONS, AND THE LARGER UPMC SYSTEM. KEY THEMES THAT EMERGED AT UPMC HOSPITALS CAN BE GROUPED INTO FOUR BROAD CATEGORIES CHRONIC DISEASE MANAGEMENT, BEHAVIORAL HEALTH, ACCESS TO CARE AND NAVIGATING RESOURCES, AND PREVENTION AND COMMUNITY-WIDE HEALTHY LIVING. THE 2022 CHNA REPORTS AND 2022-2025 STRATEGIC PLANS FOR EACH UPMC HOSPITAL CAN BE FOUND ON UPMC'S WEBSITE: HTTPS://WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.UPMC HOSPITALS CONTINUE TO BUILD AN EXTENSIVE SUITE OF PROGRAMS AND SERVICES TO ADDRESS THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS. UPMC HOSPITALS LEVERAGE COMMUNITY-BASED PARTNERSHIPS AND SYSTEM-WIDE RESOURCES TO SUPPORT RESIDENTS IN NEED. UPMC CHAUTAUQUA'S 2022-2025 STRATEGIC PLAN TO IMPROVE COMMUNITY HEALTH INCLUDES THE FOLLOWING:ADDRESSING CHRONIC DISEASE MANAGEMENT: UPMC CHAUTAUQUA IS WORKING TO INCREASE AWARENESS, PREVENTION, AND MANAGEMENT OF CHRONIC DISEASES IN THE COMMUNITY THROUGH INTERVENTIONS TARGETING OBESITY AND RESPIRATORY DISEASE. THE HOSPITAL CONTINUES TO PROMOTE COMMUNITY EDUCATION AND OUTREACH AND TO OFFER PROGRAMS THAT SUPPORT AND EMPOWER PATIENTS TO MANAGE THEIR HEALTH CONDITIONS.ADDRESSING BEHAVIORAL HEALTH: UPMC CHAUTAUQUA CONTINUES TO ENHANCE EFFORTS TO ADDRESS BEHAVIORAL HEALTH NEEDS IN THE COMMUNITY THROUGH MULTIPLE CHANNELS AND COMMUNITY-BASED PARTNERSHIPS. THE HOSPITAL IS CREATING PROGRAMS TO ADDRESS OPIOID ADDICTION AND SUBSTANCE ABUSE AND CONTINUING TO HELP ENSURE RESIDENTS HAVE ACCESS TO INPATIENT BEHAVIORAL HEALTH SERVICES.ADDRESSING PREVENTION AND COMMUNITY-WIDE HEALTHY LIVING: UPMC CHAUTAUQUA IS ADDRESSING PREVENTION AND COMMUNITY WIDE HEALTHY LIVING BY BUILDING A ROBUST PLATFORM OF COMMUNITY-BASED EFFORTS TO EDUCATE AND PROMOTE HEALTHY LIFESTYLES, INCLUDING A COMPREHENSIVE APPROACH TO SUPPORT EMPLOYEE WELLNESS AT WORK.THE BOARD OF DIRECTORS AT EACH UPMC HOSPITAL REGULARLY MONITORS THE PROGRESS OF THE COMMUNITY HEALTH IMPROVEMENT PLANS. UPMC CHAUTAUQUA IS MAKING MEASURABLE PROGRESS IN AREAS IDENTIFIED THROUGH THE CHNA PROCESS, INCLUDING IMPROVING AND EXPANDING EXISTING PROGRAMS REACHING OUT AND TARGETING PEOPLE WHO COULD BENEFIT MOST. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
| PART VI, LINE 5 | PART VI, LINE 5 (CONTINUED)BEGINNING IN MARCH 2020, THE COVID-19 PANDEMIC DISRUPTED NEW YORK'S COMMUNITIES, ECONOMY, AND HEALTH CARE ORGANIZATIONS. TO HELP SLOW THE SPREAD OF COVID-19 THROUGHOUT THE REGION, STATE AND LOCAL GOVERNMENTS ISSUED COMMUNITY MITIGATION AND SOCIAL DISTANCING MEASURES, IMPACTING UPMC CHAUTAUQUA'S ABILITY TO IMPLEMENT PLANNED COMMUNITY HEALTH IMPROVEMENT INITIATIVES. AS A RESULT, UPMC CHAUTAUQUA TEMPORARILY SUSPENDED OR MODIFIED IN-PERSON PROGRAMS TO PROMOTE SOCIAL DISTANCING, EDUCATED THE COMMUNITY ABOUT THE HEALTH RISKS OF COVID-19, INCREASED ACCESS TO TELEHEALTH SERVICES, ESTABLISHED COVID-19 TESTING AND VACCINE SITES, AND WORKED WITH STATE AND LOCAL LEADERS TO DELIVER COVID-19 VACCINES. WHILE UPMC CHAUTAUQUA NAVIGATED THE COMPLEXITIES OF THE PANDEMIC, THE HOSPITAL CONTINUED TO ADDRESS IDENTIFIED HEALTH NEEDS BY DEVELOPING INNOVATIVE APPROACHES AND STRATEGIES TO ENGAGE WITH ITS COMMUNITIES. EXAMPLES OF PROGRESS OVER THE PAST THREE YEARS INCLUDES:ADDRESSING CHRONIC DISEASE MANAGEMENT:UPMC CHAUTAUQUA IS WORKING TO ADDRESS CHRONIC DISEASE MANAGEMENT, WITH A FOCUS ON OBESITY AND RESPIRATORY DISEASE. REGARDING OBESITY, THE HOSPITAL'S GOAL IS TO FOSTER THE ACHIEVEMENT AND MAINTENANCE OF A HEALTHY WEIGHT AMONG INDIVIDUALS WHO ARE OVERWEIGHT OR OBESE AND AT HIGH RISK OF CHRONIC DISEASE, SUCH AS DIABETES. UPMC CHAUTAUQUA CONTINUES TO EDUCATE THE COMMUNITY ABOUT THE EFFECTS OBESITY. FOR EXAMPLE, IN COLLABORATION WITH THE SENECA NATION OF INDIANS, UPMC CHAUTAUQUA OFFERS EDUCATION ABOUT RISK FACTORS OF OBESITY, DIABETES, AND CORONARY DISEASE TO RESIDENTS OF THE INDIAN RESERVATION REACHING APPROXIMATELY 150 PEOPLE BETWEEN JUNE 30, 2022 AND DECEMBER 31, 2022. THE HOSPITAL ALSO CONTINUES TO OFFER EDUCATION AND SCREENINGS TO INDIVIDUALS REFERRED FOR BARIATRIC SURGERY AND TO HOST A MONTHLY SUPPORT GROUP FOR PATIENTS POST BARIATRIC SURGERY. UPMC CHAUTAUQUA IS ALSO TARGETING RESPIRATORY DISEASE, INCLUDING CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND LUNG CANCER, AS WELL AS ASSOCIATED CONDITIONS, SUCH AS HEART DISEASE AND CONGESTIVE HEART FAILURE (CHF). UPMC CHAUTAUQUA CONTINUES TO SUPPORT THE EARLY DETECTION AND MANAGEMENT OF RESPIRATORY DISEASE AND LUNG CANCER TO HELP REDUCE HOSPITAL READMISSIONS AND MORTALITY RATES. TO HELP ADDRESS RESPIRATORY DISEASE, UPMC CHAUTAUQUA IMPLEMENTED A NEW PULMONARY REHABILITATION CLINIC, WHICH LAUNCHED IN OCTOBER 2022. THIS NEW CLINIC COMBINES PULMONARY REHABILITATION WITH CARDIAC REHABILITATION, AND, TO OVERSEE THE NEW CLINIC, THE HOSPITAL RECRUITED A NEW PROVIDER CERTIFIED IN PULMONARY MEDICINE, INTERNAL MEDICINE, AND SLEEP MEDICINE, WHO BRINGS ADDITIONAL PULMONARY EXPERTISE TO THE COMMUNITY. IN ADDITION, THE CLINIC OFFERS PATIENTS ACCESS TO TWO NEW EXERCISE PHYSIOLOGISTS AND A RESPIRATORY THERAPIST. THIS RESPIRATORY THERAPIST IS ALSO A CERTIFIED TOBACCO SPECIALIST, WITH THIS CERTIFICATION, UPMC CHAUTAUQUA EXPANDED COMMUNITY OUTREACH AND EDUCATION TO INCLUDE A WEEKLY TOBACCO CESSATION MODULE THROUGH THE PULMONARY CLINIC. TO HELP IMPROVE EARLY DETECTION OF LUNG CANCER, UPMC CHAUTAUQUA CONTINUES TO OFFER LUNG CANCER SCREENINGS; THIS PROGRAM HAS BEEN VERY SUCCESSFUL, ESPECIALLY WITH REGARD TO RECEIVING REFERRALS FROM LOCAL PHYSICIAN PRACTICES FOR PATIENTS IN NEED OF SCREENINGS DUE TO TOBACCO USE. BETWEEN JUNE 30, 2022 AND DECEMBER 31, 2022, 960 PATIENTS PARTICIPATED IN LOW DOSE LUNG CANCER SCREENINGS. TO HELP REDUCE READMISSIONS FOR PATIENTS WITH HEART DISEASE, UPMC CHAUTAUQUA'S CARDIAC NURSE NAVIGATOR COUNSELS CARDIOVASCULAR AND CONGESTIVE HEART FAILURE (CHF) PATIENTS ABOUT RISK FACTORS AND EDUCATES PATIENTS ABOUT SELF-MANAGEMENT OF THEIR DISEASE. IN 2020, THE HOSPITAL BEGAN OFFERING LOW-INCOME PATIENTS WITH UNCONTROLLED HEART DISEASE DIGITAL SCALES AND BLOOD PRESSURE CUFFS. IN 2021, THE HOSPITAL STARTED PROVIDING CHF KITS TO PATIENTS AS NEEDED INCLUDING A BLOOD PRESSURE CUFF, A SCALE, AND A DAILY WEIGHT LOG. BETWEEN JUNE 30, 2022 AND DECEMBER 31, 2022, 108 PATIENTS RECEIVED SUPPORT FROM THE HOSPITAL'S CARDIAC NURSE NAVIGATOR. ADDRESSING ACCESS TO BEHAVIORAL HEALTH SERVICES: UPMC CHAUTAUQUA CONTINUES TO EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES. IN SEPTEMBER 2019, UPMC CHAUTAUQUA FILLED A GAP FOR RESIDENTIAL ADDICTION SERVICES BY OPENING A 20-BED, LONG-TERM RESIDENTIAL ADDICTION SERVICES PROGRAM AT UPMC CHAUTAUQUA'S JONES MEMORIAL HEALTH CENTER CAMPUS. THIS FACILITY IS THE FIRST LONG-TERM RESIDENTIAL ADDICTION SERVICES PROGRAM IN CHAUTAUQUA COUNTY INCREASING LOCAL ACCESS TO BEHAVIORAL HEALTH CARE. THE PROGRAM OFFERS THREE LEVELS OF CARE: STABILIZATION, REHABILITATION, AND COMMUNITY REINTEGRATION. THESE PHASES ALLOW INDIVIDUALS WHO MAY RELAPSE WHILE IN TREATMENT TO REMAIN IN THE RESIDENCE, RATHER THAN CHANGE LOCATIONS. THIS MODEL OF CARE OFFERS THE ABILITY TO ADAPT TREATMENT PLANS AND PROGRAMMING AROUND A PATIENT, INCREASING SUPPORTS AND SERVICES AS NEEDED. IN ADDITION, UPMC CHAUTAUQUA'S ADOLESCENT AND ADULT MENTAL HEALTH INPATIENT UNITS OFFER TEN BEDS DEDICATED FOR CHILDREN AND ADOLESCENTS AND 20 BEDS DEDICATED FOR ADULTS. THESE UNITS PROVIDE A RECOVERY-ORIENTED ENVIRONMENT AND IMMEDIATE ACCESS TO HOSPITAL SERVICES THROUGH A DIRECT CONNECTION TO THE EMERGENCY DEPARTMENT. SINCE JULY 2019, MORE THAN 3,000 PATIENTS WERE SERVED THROUGH THE INPATIENT BEHAVIORAL HEALTH UNITS. IN 2022, UPMC CHAUTAUQUA RE-ENGAGED WITH THE MENTAL HEALTH ASSOCIATION (MHA) TO HELP INCREASE BEHAVIORAL HEALTH SUPPORT FOR PATIENTS. FOR EXAMPLE, PRIOR TO DISCHARGE, RESIDENTIAL BEHAVIORAL HEALTH PATIENTS CAN ATTEND WEEKLY MEETINGS OFFERED BY AN MHA PEER TO LEARN ABOUT AVAILABLE COMMUNITY RESOURCES, INCLUDING SUPPORT GROUPS HOSTED AT THE MHA FACILITY. IN ADDITION, THROUGH ITS PARTNERSHIP WITH MHA, UPMC CHAUTAUQUA NOW EMBEDS A PEER ADVOCATE ON ALL BEHAVIORAL HEALTH UNITS, INCLUDING THE EMERGENCY DEPARTMENT. THESE PEER ADVOCATES ACT AS RECOVERY COACHES BY TAPPING INTO THE STRENGTH OF SOMEONE WHO HAS BEEN IN A SIMILAR SITUATION, THE HOSPITAL CAN BETTER SUPPORT PATIENTS WHO ARE HURTING AND GIVE THEM HOPE THAT THEY, TOO, CAN RECOVER. IN ADDITION, TO CONTINUE TO ADDRESS OPIOID ADDICTION AND SUBSTANCE USE, UPMC CHAUTAUQUA'S INPATIENT AND OUTPATIENT CHEMICAL DEPENDENCY PROGRAMS ARE TRAINING STAFF AND PATIENTS ABOUT THE USE OF NARCAN AND FENTANYL TEST STRIPS TO HELP CURB NEGATIVE OUTCOMES OF OVERDOSES. IN ADDITION, THE OUTPATIENT CHEMICAL DEPENDENCY PROGRAM BEGAN PRESCRIBING SUBLOCADE AS PART OF ITS MEDICATION-ASSISTED TREATMENT SERVICES, WHICH EXPANDS TREATMENT OPTIONS FOR PATIENTS WITH OPIOID USE DISORDER.PROMOTING EMPLOYEE WELLNESS:UPMC CHAUTAUQUA IS ADDRESSING PREVENTION AND COMMUNITY WIDE HEALTHY LIVING BY BUILDING A ROBUST PLATFORM OF COMMUNITY-BASED EFFORTS TO EDUCATE AND PROMOTE HEALTHY LIFESTYLES, INCLUDING A COMPREHENSIVE APPROACH TO SUPPORT EMPLOYEE WELLNESS AT WORK. THE HOSPITAL OFFERS EMPLOYEES THE OPPORTUNITY TO SPEAK WITH A HEALTH COACH FROM UPMC HEALTH PLAN FOR INDIVIDUALIZED HEALTH ADVICE AND SUPPORT. THESE COACHES HELP EMPLOYEES SET GOALS, CREATE WORK OUT PLANS, LEARN ABOUT NUTRITION, DECREASE STRESS, AND MOTIVATE EMPLOYEES TO ADOPT HEALTHY HABITS. TO CONTINUE TO SUPPORT EMPLOYEES DURING THE COVID-19 PANDEMIC, HEALTH COACHES ADAPTED THEIR CONSULTATIONS TO A VIRTUAL PLATFORM. IN 2022, UPMC CHAUTAUQUA CONTINUED TO PROMOTE HEALTHY LIFESTYLES AMONG EMPLOYEES. THE HOSPITAL LAUNCHED THREE NEW PROGRAMS. FIRST, HEALTHY BALANCE CLASSES, WHICH IS A SIX-WEEK WEIGHT LOSS PROGRAM BASED ON NUTRITION, PHYSICAL ACTIVITY, AND STRESS MANAGEMENT. SECOND, A HEALTH COACH AND SNACK CART PROGRAM, WHICH OFFERS MONTHLY VISITS TO DEPARTMENTS TO PROVIDE NUTRITION PRESENTATIONS AND HEALTHY SNACKS. THIRD, THE HOSPITAL LAUNCHED MARKET C, A SELF-SERVE CONVENIENCE STORE. EMPLOYEES ARE ABLE TO PURCHASE HEALTHY MEALS ANY TIME OF THE DAY, WHICH INCREASES ACCESS TO HEALTHY FOOD OPTIONS FOR EMPLOYEES WHO WORK SECOND AND THIRD SHIFTS, SINCE THEY PREVIOUSLY ONLY HAD ACCESS TO VENDING MACHINES. MARKET C OFFERS SOME VENDING FOOD, BUT ALSO SALADS, ENTREES, FRUITS, AND VEGGIES.FOR MORE DETAILED INFORMATION ON UPMC'S COMMUNITY BENEFITS EFFORT, SEE THE ORGANIZATION'S COMMUNITY BENEFITS REPORT, AVAILABLE AT:HTTPS://WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/BENEFITS-REPORT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID GIBBONS | ||||||||||||||
| BOARD MEMBER/VICE CHAIR | $0 | $524,205 | $0 | $475,000 | $0 | $68,354 | $0 | $104,116 | $0 | $10,652 | $0 | $1,182,327 | $0 | $0 |
| BRIAN DURNIOK | ||||||||||||||
| PRESIDENT/COO | $0 | $299,917 | $0 | $220,000 | $0 | $28,243 | $0 | $60,275 | $0 | $9,891 | $0 | $618,326 | $0 | $0 |
| GALO GRIJALVA MD | ||||||||||||||
| PHYSICIAN | $393,445 | $0 | $0 | $0 | $2,812 | $0 | $22,881 | $0 | $28,342 | $0 | $447,480 | $0 | $0 | $0 |
| LYNN RUPP | ||||||||||||||
| BOARD MEMBER (AS OF 9/19/22) | $0 | $230,317 | $0 | $137,000 | $0 | $6,370 | $0 | $27,344 | $0 | $10,866 | $0 | $411,897 | $0 | $0 |
| AINSLEY MCFADGEN MD | ||||||||||||||
| PHYSICIAN | $351,669 | $0 | $0 | $0 | $473 | $0 | $18,424 | $0 | $5,610 | $0 | $376,176 | $0 | $0 | $0 |
| JAMES DONNELLY | ||||||||||||||
| BOARD MEMBER | $0 | $199,663 | $0 | $120,600 | $0 | $2,676 | $0 | $24,176 | $0 | $25,230 | $0 | $372,345 | $0 | $0 |
| CAMELLIA HERISKO | ||||||||||||||
| BOARD MEMBER ( TO 5/16/22) | $0 | $181,003 | $0 | $110,250 | $0 | $2,653 | $0 | $25,191 | $0 | $26,241 | $0 | $345,338 | $0 | $0 |
| ANDREA WALSH MD | ||||||||||||||
| PHYSICIAN | $300,575 | $0 | $0 | $0 | $3,826 | $0 | $18,738 | $0 | $13,696 | $0 | $336,835 | $0 | $0 | $0 |
| BRADLEY DINGER | ||||||||||||||
| BOARD MEMBER/TREASURER/CFO | $0 | $173,253 | $0 | $88,500 | $0 | $2,408 | $0 | $20,542 | $0 | $14,034 | $0 | $298,737 | $0 | $0 |
| BRUCE ROCKWELL MD | ||||||||||||||
| PHYSICIAN | $284,000 | $0 | $0 | $0 | $0 | $0 | $12,467 | $0 | $0 | $0 | $296,467 | $0 | $0 | $0 |
| SALVATORE J BUONAIUTO MD | ||||||||||||||
| HOSPITALIST | $226,511 | $0 | $0 | $0 | $504 | $0 | $22,569 | $0 | $20,654 | $0 | $270,238 | $0 | $0 | $0 |
| CECIL M MILLER III | ||||||||||||||
| SECRETARY/VP OF OPERATIONS | $144,536 | $0 | $55,409 | $0 | $1,249 | $0 | $16,046 | $0 | $5,266 | $0 | $222,506 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | QUESTION 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. |
| PART I, LINE 7 | 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART IV, LINE 12A & 12B | AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED UPMC SYSTEM LEVEL ONLY, WHICH INCLUDES UPMC AND ALL SUBSIDIARIES. |
| FORM 990, PART V, LINE 15 | PART V STATEMENTS REGARDING OTHER IRS FILINGS AND TAX COMPLANCE UPMC ENTITES DO NOT HAVE A SECTION 4960 EXCISE TAX LIABILITY TO REPORT ON FORM 4720 RELATED TO PAYMENTS OF $1 MILLION OR MORE IN REMUNERATION OR EXCESS PARACHUTE PAYMENTS DURING THE TAX YEAR ENDED DECEMBER 31, 2022. REMUNERATION IS NOT TAKEN INTO ACCOUNT FOR THE PURPOSES OF THE EXCISE TAX IF NO DEDUCTION FOR THE REMUNERATION IS ALLOWED BY REASON OF SECTION 162(M). SECTION 162(M)(6) IMPOSES A COMPENSATION DEDUCTION LIMITATION ON CONTROLLED GROUPS, SUCH AS THE UPMC CONTROLLED GROUP, THAT INCLUDE ONE ORE MORE COVERED HEALTH INSURANCE PROVIDERS. |
| FORM 990, PART VI, SECTION A, LINE 1A | ALL BOARD MEMBERS HAVE A VOTE EXCEPT THE PRESIDENT ELECT OF THE MEDICAL STAFF WHO IS A BOARD MEMBER WITHOUT VOTING RIGHTS. |
| FORM 990, PART VI, SECTION A, LINE 6 | UPMC CHAUTAUQUA SERVICES INC. A NY STATE NON-PROFIT, FEDERALLY TAX EXEMPT ENTITY, IS AN ACTIVE PARENT HOLDING COMPANY AND IS THE SOLE MEMBER OF THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | UPMC CHAUTAUQUA SERVICES, INC., THE PARENT ENTITY, ELECTS DIRECTORS OF THE GOVERNING BODY. UPMC HAMOT, A RELATED FEDERALLY TAX-EXEMPT ENTITY, APPOINTS 6 OF THE 12 BOARD MEMBERS FROM AMONG REPRESENTATIVES OF UPMC AND UPMC HAMOT. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS OF THE GOVERNING BODY RELATIVE TO A MAJOR TRANSFER OF ASSETS ARE SUBJECT TO APPROVAL BY THE PARENT ENTITY, UPMC CHAUTAUQUA SERVICES, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THE 990 IS REVIEWED BY MANAGEMENT AND IS MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | UPMC CHAUTAUQUA AT WCA REQUIRES KEY EMPLOYED AND NON-EMPLOYED PERSONNEL TO COMPLY WITH ITS CONFLICT OF INTEREST POLICIES WHEN THEY ENGAGE IN UPMC CHAUTAUQUA AT WCA-RELATED BUSINESS. PERSONS COVERED BY THE POLICIES INCLUDE: - UPMC CHAUTAUQUA AT WCA BOARD MEMBERS, BOARD COMMITTEE MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES - UPMC CHAUTAUQUA AT WCA PHYSICIANS AND NON-PHYSICIAN EMPLOYEES WHO HOLD A POSITION OF INFLUENCE IDENTIFIED NON-EMPLOYED MEMBERS OF THE UPMC CHAUTAUQUA AT WCA MEDICAL STAFF WHO HOLD A POSITION OF INFLUENCE OR TRUST-INDIVIDUALS CONDUCTING CLINICAL RESEARCH AT THE UPMC CHAUTAUQUA AT WCA, WHETHER OR NOT THEY ARE EMPLOYED BY UPMC CHAUTAUQUA AT WCA. THESE PEOPLE ARE REQUIRED TO COMPLETE A QUESTIONNAIRE AT LEAST ANNUALLY, WHICH ALONG WITH OTHER DATA IS USED TO IDENTIFY POSSIBLE INDIVIDUAL AND INSTITUTIONAL CONFLICTS OF INTEREST. IF A POTENTIAL CONFLICT IS IDENTIFIED REGARDING A SPECIFIC UPMC CHAUTAUQUA AT WCA ACTIVITY, THE 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. FOR EMPLOYED PERSONNEL AND NON-BOARD MEMBER, NON-EMPLOYED PERSONNEL, THE CONFLICT OF INTEREST IDENTIFICATION AND MANAGEMENT PROCESS IS ULTIMATELY OVERSEEN BY AN ETHICS AND COMPLIANCE COMMITTEE OF THE UPMC CHAUTAUQUA AT WCA BOARD OF DIRECTORS ON BEHALF OF UPMC CHAUTAUQUA AT WCA AND ALL OF ITS RELATED ENTITES. POTENTIAL CONFLICT OF INTEREST TRANSACTIONS INVOLVING UPMC CHAUTAUQUA AT WCA BOARD MEMBERS AND ENTITIES WITH WHICH THEY ARE AFFILIATED ARE MONITORED AND SUBJECT TO PRE-APPROVAL BY THE GOVERNANCE AND NOMINATING COMMITTEE OF THE UPMC CHAUTAUQUA AT WCA BOARD OF DIRECTORS. IN ADDITION TO THE GENERAL CORPORATE AND BOARD POLICIES DESCRIBED ABOVE, UPMC CHAUTAUQUA AT WCA HAS ALSO DEVELOPED AND IMPLEMENTED A SEPARATE TAX QUESTIONNAIRE DISTRIBUTED TO OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ANNUALLY THAT SPECIFICALLY ADDRESSES DISCLOSURE REQUIREMENTS OF FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 15 | TO SUPPORT UPMC'S AND ITS SUBSIDIARIES MISSION AND AS SET FORTH IN THE UPMC BYLAWS, THE BOARD OF DIRECTORS HAS FORMED AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE") AND DELEGATED TO IT THE RESPONSIBILITY FOR ESTABLISHMENT AND IMPLEMENTATION OF OFFICER AND KEY EMPLOYEE TOTAL COMPENSATION PROGRAMS. AS PART OF THIS RESPONSIBILITY THE COMMITTEE REPORTS REGULARLY TO THE BOARD OF DIRECTORS. WITH BOARD OF DIRECTORS APPROVAL, THE COMMITTEE HAS ADOPTED A FORMAL CHARTER, WHICH INCLUDES THE ESTABLISHMENT OF A COMPENSATION PHILOSOPHY AND RELATED POLICIES WITH RESPECT TO THE TOTAL COMPENSATION PAID BY UPMC TO ITS OFFICERS AND KEY EMPLOYEES. THE UPMC TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES IS PREDICATED UPON AN INCENTIVE COMPENSATION COMPONENT. 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. THE TOTAL COMPENSATION PROGRAM IS INTEGRATED WITH AND REINFORCES THE UPMC BUSINESS PLANNING CYCLE AS WELL AS MANAGEMENT DEVELOPMENT AND SUCCESSION PLANNING PROCESSES. IT IS THE COMMITTEE'S JUDGMENT THAT THE STRUCTURE OF THE TOTAL COMPENSATION PROGRAM IS VITAL TO, AND STRONGLY SUPPORTIVE OF, THE HIGH LEVEL OF ONGOING SUCCESS OF UPMC AND FOSTERS THE RETENTION OF CRITICAL OFFICER AND KEY EMPLOYEE TALENT. THE TOTAL COMPENSATION DETERMINATION PROCESS UTILIZED BY THE COMMITTEE IS INTENDED TO SATISFY THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" AS SET FORTH IN THE REGULATIONS TO SECTION 4958 OF THE INTERNAL REVENUE CODE ("CODE"). THIS MEANS THAT COMPENSATION PROGRAMS AND LEVELS ARE APPROVED IN ADVANCE BY THE COMMITTEE WHICH IS COMPOSED ENTIRELY OF OUTSIDE DIRECTORS WHO DO NOT HAVE A CONFLICT OF INTEREST, AS DEFINED BY THE RELEVANT REGULATIONS, WITH RESPECT TO THE COMPENSATION PROGRAM AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON A BROAD RANGE OF APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATIONS. THE COMMITTEE THEN CONTEMPORANEOUSLY DOCUMENTS, IN FORMAL MEETING MINUTES, THE BASIS AND REASONS FOR ITS DETERMINATIONS. THE TOTAL COMPENSATION PROGRAM IS DESIGNED AND ADMINISTERED IN ACCORDANCE WITH THE UPMC BYLAWS, SOUND BUSINESS PRACTICES, THE TENETS OF COMMON LAW BUSINESS JUDGMENT AND FIDUCIARY RESPONSIBILITY AS WELL AS ADHERENCE TO ALL RELEVANT FEDERAL, STATE AND LOCAL LAWS. IN ADDITION TO CODE SECTION 4958, AS SET FORTH ABOVE, THIS INCLUDES BUT IS NOT LIMITED TO CODE SECTION 501(C)(3) AND THE APPLICABLE REGULATIONS THEREUNDER AS WELL AS ALL LAWS AND REGULATIONS PROHIBITING PRIVATE INUREMENT, PRIVATE BENEFIT TRANSACTIONS AND DISCRIMINATION. FURTHER, THE COMMITTEE HAS IDENTIFIED AND ADOPTED, AS APPROPRIATELY MODIFIED FOR UPMC, COMPENSATION PROGRAM "BEST PRACTICES" FROM THE BUSINESS WORLD (E.G. SARBANES OXLEY, SEC, ETC.). THE COMMITTEE BELIEVES THAT WHILE THESE PRACTICES ARE NOT REQUIRED IN THE TAX-EXEMPT SECTOR, THEY ARE IN THE BEST INTERESTS OF THE ORGANIZATION AND FURTHER SUPPORT UPMC'S NONPROFIT MISSION. IN ACCORDANCE WITH THE ABOVE, DETERMINATION OF TOTAL COMPENSATION FOR THE CEO IS MADE EXCLUSIVELY BY THE COMMITTEE. DETERMINATION OF TOTAL COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS RECOMMENDED BY THE CEO AND SUBJECT TO REVIEW AND APPROVAL BY THE COMMITTEE. THE COMMITTEE, WHICH MEETS AT LEAST FOUR TIMES A YEAR, OBTAINS PROFESSIONAL ADVICE FROM ITS OWN EXPERTS, INCLUDING ACCOUNTANTS, EXECUTIVE COMPENSATION CONSULTANTS AND LEGAL COUNSEL. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPMC (THE ULTIMATE PARENT COMPANY OF ALL UPMC SYSTEM ENTITIES) PUBLIC WEBSITE (WWW.UPMC.COM) MAKES ITS FINANCIAL RESULTS, CONFLICT OF INTEREST PROCESS, AND VARIOUS INFORMATION ABOUT THE GOVERNANCE AND OVERSIGHT AVAILABLE TO THE PUBLIC. ADDITIONAL INFORMATION MAY BE SUPPLIED UPON SPECIFIC REQUEST FOR DATA TO POSTED TO THE WEB SITE. |
| FORM 990, PART VI, SECTION B, LINE 16B: | UPMC CHAUTAUQUA AT WCA HAS A FORMAL WRITTEN POLICY PERTAINING TO JOINT VENTURES BETWEEN UPMC CHAUTAUQUA AT WCA TAX-EXEMPT ENTITIES AND TAXABLE ENTITIES. THE POLICY EMPLOYS AN INTERNAL PROCEDURE FOR REVIEW OF ALL TRANSACTIONS INVOLVING POTENTIAL PARTICIPATION IN JOINT VENTURES AND SIMILAR ARRANGEMENTS TO ENSURE THAT SUCH ENTITIES OPERATE IN ACCORDANCE WITH APPLICABLE IRS POLICIES AND WITHIN UPMC CHAUTAUQUA AT WCA'S CHARITABLE PURPOSES. |
| FORM 990, PART XI, LINE 9: | BOOK TO TAX ADJUSTMENT - PARTNERSHIP INTERESTS -418,122. TRANSFER FROM RELATED EXEMPT ENTITY 23,423,570. |
| FORM 990, PART XII, LINE 2C: | UPMC CHAUTAUQUA AT WCA'S FINANCIAL STATEMENTS ARE AUDITED ON A CONSOLIDATED BASIS ONLY. THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED AUDIT OF UPMC AND SUBSIDIARIES WHICH INCLUDES ALL UMPC TAXABLE AND TAX-EXEMPT SUBSIDIARIES OF THE SYSTEM. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WCA 31 SHERMAN LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4 CENTRE DRIVE | AddressLine1Txt |
| City | ORCHARD PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14127 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454867695 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPMC CHAUTAUQUA AT WCA | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (60 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY LIFE TEAM INC | |||||||||||
| 409 SOUTH SECOND STREET | HARRISBURG | PA | 17104 | 231890444 | MEDICAL TRANSPORT | PA | 501 (C) 3 | 7 | UPMC PINNACLE | 0 | |
| HANOVER HEALTHCARE PLUS INC | |||||||||||
| 300 HIGHLAND AVENUE | HANOVER | PA | 17331 | 222658574 | SUPPORT | PA | 501 (C) 3 | 12 (A)(I) | UPMC PINNACLE | 0 | |
| HANOVER HOSPITAL FOUNDATION | |||||||||||
| 300 HIGHLAND AVENUE | HANOVER | PA | 17331 | 822553293 | FOUNDATION | PA | 501 (C) 3 | 12 (C) III | UPMC PINNACLE | 0 | |
| KANE COMMUNITY HOSPITAL FOUNDATION | |||||||||||
| 4372 ROUTE 6 | KANE | PA | 16735 | 263906925 | FOUNDATION | PA | 501 (C) 3 | 7 | 0 | N/A | |
| LAUREL HEALTH FOUNDATION | |||||||||||
| 32-36 CENTRAL AVENUE | WELLSBORO | PA | 16901 | 251810488 | FOUNDATION | PA | 501 (C) 3 | 12 (B) II | 0 | N/A | |
| LAUREL REALTY INC | |||||||||||
| 32-36 CENTRAL AVENUE | WELLSBORO | PA | 16901 | 231403678 | REAL ESTATE | PA | 501 (C) 2 | N/A | UPMC SUSQUEH | 0 | |
| UPMC PINNACLE FOUNDATION | |||||||||||
| 409 SOUTH SECOND STREET | HARRISBURG | PA | 17104 | 222691718 | FOUNDATION | PA | 501 (C) 3 | 12 (B) II | UPMC PINNACLE | 0 | |
| PINNACLE HEALTH MEDICAL SERVICES | |||||||||||
| 409 SOUTH SECOND STREET | HARRISBURG | PA | 17104 | 251709054 | PHYSICIAN SVC | PA | 501 (C) 3 | 3 | UPMC PINNACLE | 0 | |
| PINNACLE HEALTH REGIONAL PHYSICIANS | |||||||||||
| 409 SOUTH SECOND STREET | HARRISBURG | PA | 17104 | 820947698 | PHYSICIAN SVC | PA | 501 (C) 3 | 3 | UPMC PINNACLE | 0 | |
| STARFLIGHT INC | |||||||||||
| 135 ALLEN STREET | JAMESTOWN | NY | 14701 | 161557878 | MEDICAL AVIATION SERVICE SUBSIDIARY | NY | 501(C)(3) | 7 | UPMC CHAUTAUQUA AT WCA | Yes (1) | |
| THE GREEN HOME | |||||||||||
| 37 CENTRAL AVENUE | WELLSBORO | PA | 16901 | 240804365 | SKILLED NURSING | PA | 501 (C) 3 | 10 | UPMC SUSQUEH | 0 | |
| UPMC CARLISLE | |||||||||||
| 361 ALEXANDER SPRING ROAD | CARLISLE | PA | 17105 | 820880337 | HOSPITAL | PA | 501 (C) 3 | 3 | UPMC PINNACLE | 0 | |
| UPMC HANOVER | |||||||||||
| 300 HIGHLAND AVENUE | HANOVER | PA | 17331 | 231360851 | HOSPITAL | PA | 501 (C) 3 | 3 | HANNOVER HEALTH | 0 | |
| UPMC PINNACLE LANCASTER | |||||||||||
| 250 COLLEGE AVENUE | LANCASTER | PA | 17603 | 820896436 | HOSPITAL | PA | 501 (C) 3 | 3 | UPMC PINNACLE | 0 | |
| UPMC LITITZ | |||||||||||
| 1500 HIGHLANDS AVENUE | LITITZ | PA | 17543 | 820844453 | HOSPITAL | PA | 501 (C) 3 | 3 | UPMC PINNACLE | 0 | |
| UPMC MEMORIAL | |||||||||||
| 325 SOUTH BELMONT STREET | YORK | PA | 17405 | 820912090 | HOSPITAL | PA | 501 (C) 3 | 3 | UPMC PINNACLE | 0 | |
| UPMC PINNACLE | |||||||||||
| 409 SOUTH SECOND STREET | HARRISBURG | PA | 17104 | 251778658 | SUPPORT | PA | 501 (C) 3 | 12 (B) II | UPMC | 0 | |
| UPMC PINNACLE HOSPITALS | |||||||||||
| 409 SOUTH SECOND STREET | HARRISBURG | PA | 17104 | 251778644 | HOSPITAL | PA | 501 (C) 3 | 3 | UPMC PINNACLE | 0 | |
| UPMC WESTERN MARYLAND CORPORATION | |||||||||||
| PO BOX 539 | CUMBERLAND | MD | 21501 | 520591531 | HOSPITAL | MD | 501 (C) 3 | 3 | UPMC | 0 | |
| WCA GROUP INC | |||||||||||
| 207 FOOTE AVENUE | JAMESTOWN | NY | 14701 | 222392582 | HOLDING CO. | NY | 501 (C) 3 | 12 (B) II | UPMC CHAUTAUQUA AT WCA | 0 | |
| WESTERN MARYLAND HEALTH SYSTEM FOUNDATIO | |||||||||||
| PO BOX 539 | CUMBERLAND | MD | 21501 | 352289841 | FOUNDATION | MD | 501 (C) 3 | 12 (C) III | UPMC WESTERN | 0 | |
| WILLIAMSPORT AREA AMBULANCE SERVICE COOP | |||||||||||
| 700 HIGH STREET | WILLIAMSPORT | PA | 17701 | 232416166 | AMBULANCE SVC | PA | 501 (C) 3 | 10 | WILLIAM HOSP | 0 | |
| ASBURY FOUNDATION | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251555688 | FOUNDATION | PA | 501 (C) 3 | 7 | ASBURY HEIGH | 0 | |
| ASBURY HEALTH CENTER | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 250969472 | CCRC | PA | 501 (C) 3 | 10 | ASBURY HEIGH | 0 | |
| ASBURY HEIGHTS OF UPMC | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251555687 | SUPPORT | PA | 501 (C) 3 | 12 (B) II | UPMC SR COMM | 0 | |
| ASBURY PLACE | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251729266 | PERSONAL CARE | PA | 501 (C) 3 | 10 | ASBURY HEIGH | 0 | |
| ASBURY VILLAS | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251819952 | PERSONAL CARE | PA | 501 (C) 3 | 10 | ASBURY HEIGH | 0 | |
| CANTERBURY PLACE | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 250965334 | SR. LIVING | PA | 501 (C) 3 | 10 | UPMC SR COMM | 0 | |
| CHARLES E COLE MEMORIAL HOSPITAL | |||||||||||
| 1001 EAST SECOND STREET | COUDERSPORT | PA | 16915 | 240802108 | HOSPITAL | PA | 501 (C) 3 | 3 | UPMC | 0 | |
| CHILDREN'S HOSPITAL OF PITTSBURGH FND | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251865744 | FOUNDATION | PA | 501 (C) 3 | 7 | UPMC CHP | 0 | |
| COLE FOUNDATION INC | |||||||||||
| 1001 EAST SECOND STREET | COUDERSPORT | PA | 16915 | 455417308 | FOUNDATION | PA | 501 (C) 3 | 12 (A)(I) | C COLE MEM H | 0 | |
| GREAT LAKES PHYSICIAN PRACTICE PC | |||||||||||
| 600 GRANT STREET 58TH FLOOR | PITTSBURGH | PA | 15219 | 464186362 | PHYSICIANS | NY | 501 (C) 3 | 3 | REGNL HEALTH | 0 | |
| HAMOT COLE VENTURES | |||||||||||
| 1001 EAST SECOND STREET | COUDERSPORT | PA | 16915 | 273172100 | CLINIC SITES | PA | 501 (C) 3 | 12 (A)(I) | C COLE MEM H | 0 | |
| HAMOT HEALTH FOUNDATION | |||||||||||
| 302 FRENCH ST | ERIE | PA | 16507 | 251400999 | FOUNDATION | PA | 501 (C) 3 | 12 (B) II | UPMC HAMOT | 0 | |
| HENDORN INC | |||||||||||
| 1001 EAST SECOND STREET | COUDERSPORT | PA | 16915 | 231972659 | RESIDENTIAL CARE | PA | 501 (C) 3 | 12 (A)(I) | C COLE MEM H | 0 | |
| JAMESON CARE CENTER INC | |||||||||||
| 1211 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 232871396 | HEALTHCARE | PA | 501 (C) 3 | 10 | UPMC SR COMM | 0 | |
| JUNIOR GUILD OF THE JAMESON MEMORIAL HOS | |||||||||||
| 1211 WILMINGTON AVENUE | NEW CASTLE | PA | 16105 | 256005313 | SUPPORT | PA | 501 (C) 3 | 12 (D) III | 0 | N/A | |
| MAGEE-WOMEN RES INST AND FOUNDATION | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251462312 | FOUNDATION | PA | 501 (C) 3 | 7 | 0 | N/A | |
| NORTHWEST HOSPITAL FOUNDATION | |||||||||||
| 100 FARFIELD DRIVE | SENECA | PA | 16346 | 251483624 | FOUNDATION | PA | 501 (C) 3 | 12 (D) III | UPMC NORTHWEST | 0 | |
| PASSAVANT HOSPITAL FOUNDATION | |||||||||||
| 9100 BABCOCK BLVD | PITTSBURGH | PA | 15237 | 251407815 | FOUNDATION | PA | 501 (C) 3 | 12 (B) II | UPMC PASSAVANT | 0 | |
| PITTSBURGH CARE PARTNERSHIP INC | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251753852 | SR CARE MGMT | PA | 501 (C) 3 | 10 | UPMC | 0 | |
| PITTSBURGH LIFETIME CARE COMMUNITY | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251335247 | CCRC | PA | 501(C)(3) | 10 | UPMC SR COMM | 0 | |
| SENECA PLACE | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 721562844 | SR. LIVING | PA | 501 (C) 3 | 10 | UPMC SR COMM | 0 | |
| SHADYSIDE HOSPITAL FOUNDATION | |||||||||||
| 532 SOUTH AIKEN AVENUE | PITTSBURGH | PA | 15232 | 251290546 | FOUNDATION | PA | 501 (C) 3 | 12 (C) III | UPMC PRESBY | 0 | |
| SHADYSIDE HOSPITAL SUPPORTING FOUNDATION | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 260303394 | FOUNDATION | PA | 501 (C) 3 | 12(A) I | UPMC | 0 | |
| SOMERSET COMMUNITY HOSPITAL FOUNDATION | |||||||||||
| 225 SOUTH CENTER AVENUE | SOMERSET | PA | 15501 | 251441863 | FOUNDATION | PA | 501 (C) 3 | 12(C)III | UPMC SOMERSET | 0 | |
| SOMERSET HEALTH SERVICES INC | |||||||||||
| 225 SOUTH CENTER AVENUE | SOMERSET | PA | 15501 | 251441920 | PHYSICIAN SRV | PA | 501 (C) 3 | 3 | UPMC SOMERSET | 0 | |
| SOUTH CENTRAL ALPHA HOUSING AND HEALTH | |||||||||||
| 3410 W PITTSBURG ROAD | NEW CASTLE | PA | 16101 | 251701701 | SKILLED NURSING | PA | 501 (C) 3 | 10 | UPMC SR COMM | 0 | |
| SOUTH WESTERN ALPHA HOUSING AND HEALTH | |||||||||||
| 745 GREENVILLE ROAD | MERCER | PA | 16137 | 251701700 | SKILLED NURSING | PA | 501 (C) 3 | 10 | UPMC SR COMM | 0 | |
| ST MARGARET FOUNDATION | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251520340 | FOUNDATION | PA | 501 (C) 3 | 7 | UPMC ST MARGARET | 0 | |
| UPMC | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251423657 | SUPPORTING ORG | PA | 501 (C) 3 | 12 (C) III | 0 | N/A | |
| UPMC CENTER FOR HIGH VALUE HEALTHCARE | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 452178782 | RESEARCH | PA | 501 (C) 3 | 7 | UPMC | 0 | |
| UPMC LEE | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 250613830 | INACTIVE | PA | 501 (C) 3 | 3 | UPMC | 0 | |
| UPMC SENIOR COMMUNITIES INC | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251574736 | SR. LIVING | PA | 501(C)(3) | 10 | UPMC | 0 | |
| UPMC SOMERSET | |||||||||||
| 225 SOUTH CENTER AVENUE | SOMERSET | PA | 15501 | 250965570 | HOSPITAL | PA | 501 (C) 3 | 3 | UPMC | 0 | |
| UPMC JAMESON CANCER CENTER | |||||||||||
| 600 GRANT STREET 58TH FLOOR | PITTSBURGH | PA | 15219 | 201459415 | ONCOLOGY SVC | PA | 501 (C) 3 | 10 | UPMC JAMESON | 0 | |
| VENANGO VNA FOUNDATION | |||||||||||
| 491 ALLEGHENY BOULEVARD | FRANKLIN | PA | 16323 | 251472179 | FOUNDATION | PA | 501 (C) 3 | 12 (D) III | 0 | N/A | |
| WCA FOUNDATION INC | |||||||||||
| PO BOX 214 | JAMESTOWN | NY | 147020214 | 222393584 | PROMOTE/SUPPORT COMMUNITY HEALTH THROUGH SUPPORT OF WCA HOSP & AFFILIATE | NY | 501(C)(3) | 7 | UPMC CHAUTAUQUA AT WCA | 0 | |
| WESLEY HILLS | |||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251507472 | INDEPENDENT LIVING | PA | 501 (C) 3 | N/A | UPMC HAMOT | 0 | |
| RUSH TO CRUSH CANCER | |||||||||||
| 200 LOTHROP STREET | PITTSBURGH | PA | 15213 | 874771624 | FOUNDATION | PA | 501 (C) 3 | 7 | UOFP CANCER | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 31 SHERMAN STREET INVESTORS LLC | ||||||||||||||
| 4 CENTRE DRIVE | ORCHARD PARK | NY | 14127 | 264629631 | REAL ESTATE | NY | 31 SHERMAN STREET LLC | RELATED | $83,440 | $1,193,314 | 0 | Yes (1) | 0.50000 | |
| CHAUTAUQUA INTEGRATED DELIVERY SYSTEM IPA LLC | ||||||||||||||
| 200 HARRISON STREET 2ND FLOOR | JAMESTOWN | NY | 14701 | 161542139 | INTEGRATED DELIVERY SYSTEM | NY | STAND ALONE | RELATED | $154,131 | $1,388,062 | Yes (1) | 0 | 0.33700 | |
| SENECA HILLS ASSISTED LIVING LP | ||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 232873106 | ASSISTED LIVING | PA | 0 | 0 | N/A | |||||
| ST MARGARET MEDICAL ARTS ASSOCIATION | ||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251786655 | MED OFFICE BL | PA | 0 | 0 | N/A | |||||
| SHADYSIDE MEDICAL CENTER ASSOCIATES INC | ||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251608318 | MED OFFICE BL | PA | 0 | 0 | N/A | |||||
| CHARTWELL PA LP | ||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251729714 | HOME HEALTH | PA | 0 | 0 | N/A | |||||
| LIFE CARE HOME SRV OF NW PA | ||||||||||||||
| 1647 SASSAFRAS STREET | ERIE | PA | 16501 | 251536879 | HOME HEALTH | PA | 0 | 0 | N/A | |||||
| HAMOT-KCH REAL ESTATE VENTURE | ||||||||||||||
| 300 STATE STREET | ERIE | PA | 16507 | 263691782 | MEDICAL OFFICE | PA | 0 | 0 | N/A | |||||
| HAMOT SURGERY CENTER LLC | ||||||||||||||
| 200 STATE STREET | ERIE | PA | 16507 | 251863661 | AMBULATORY | PA | 0 | 0 | N/A | |||||
| EPN-HAMOT URGENT CARE LLC | ||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 272147949 | URGENT CARE | PA | 0 | 0 | N/A | |||||
| MEDCARE SUSQUEHANNA VALLEY LLC | ||||||||||||||
| 409 SOUTH SECOND STREET | HARRISBURG | PA | 17104 | 821673688 | DME | PA | 0 | 0 | N/A | |||||
| OMICELO RE I LP | ||||||||||||||
| 2525 LIBERITY AVENUE | PITTSBURGH | PA | 15222 | 475603393 | REAL ESTATE | DE | 0 | 0 | N/A | |||||
| UPMC LEADER SURGERY CENTER LLC | ||||||||||||||
| 1703 INNOVATION DRIVE | YORK | PA | 17408 | 233035083 | SURGERY CENTER | PA | 0 | 0 | N/A | |||||
| BAYFRONT BUILDING PROFESSIONAL LLC | ||||||||||||||
| 3645 WEST LAKE ROAD | ERIE | PA | 16505 | 251480837 | REAL ESTATE | PA | 0 | 0 | N/A | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (85 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Foreign PostalForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WCA SERVICES CORPORATION | ||||||||||||||||||
| 207 FOOTE AVENUE | JAMESTOWN | NY | 14701 | 161151438 | SUPPORT | NY | UPMC CHAUTAUQUA AT WCA | C | $5,993,699 | $4,404,947 | 1.00000 | Yes (1) | ||||||
| HC PHARMACY CENTRAL INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251364192 | PHARMACY CO-O | PA | C | 0 | N/A | |||||||||
| CHILDREN'S COMMUNITY CARE | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251781887 | PEDIATRIC SVC | PA | C | 0 | N/A | |||||||||
| UPMC PHYSICIAN SERVICES HOLDING COMPANY | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251877017 | HOLDINGS CO | PA | C | 0 | N/A | |||||||||
| HEMATOLOGY ONCOLOGY ASSOCIATION INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 421648357 | PHYSICIAN SERVICES | PA | C | 0 | N/A | |||||||||
| ONCOLOGY HEMATOLOGY ASSOCIATION INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251762980 | PHYSICIAN SERVICES | PA | C | 0 | N/A | |||||||||
| TRI-STATE NEUROSURGICAL ASSOCIATES | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251458655 | PHYSICIAN SERVICES | PA | C | 0 | N/A | |||||||||
| RENAISSANCE FAMILY PRACTICE - UPMC INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 262942406 | PHYSICIAN SERVICES | PA | C | 0 | N/A | |||||||||
| UPMC HOLDING COMPANY INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251777713 | HOLDING CORP | PA | C | 0 | N/A | |||||||||
| UPMC COVERAGE PRODUCTS INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251777710 | HOLDING CORP | PA | C | 0 | N/A | |||||||||
| FREEDOM INSURANCE COMPANY | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 030308944 | INSURANCE | VT | C | 0 | N/A | |||||||||
| TRI-CENTURY INSURANCE CO | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251500739 | INSURANCE | PA | C | 0 | N/A | |||||||||
| UPMC DNA INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251883237 | INSURANCE | PA | C | 0 | N/A | |||||||||
| UPMC HEALTH BENEFITS INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251844144 | HEALTH INSUR | PA | C | 0 | N/A | |||||||||
| UPMC HEALTH NETWORK INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 721527566 | HEALTH INSUR | PA | C | 0 | N/A | |||||||||
| UPMC HEALTH PLAN INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 232813536 | HEALTH INSUR | PA | C | 0 | N/A | |||||||||
| UPMC BENEFIT MANAGEMENT SERVICES INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251769564 | WORKERS' COMP | PA | C | 0 | N/A | |||||||||
| UPMC DIVERSIFIED SERVICES INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251778454 | HOLDING CORP | PA | C | 0 | N/A | |||||||||
| MONROEVILLE SPECIALTY CLINIC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251666087 | AMB SURG | PA | C | 0 | N/A | |||||||||
| MEDICAL ARCHIVAL SYSTEMS INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 232912501 | SOFTWARE DEVE | DE | C | 0 | N/A | |||||||||
| RX PARTNERS INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251801966 | RETAIL PHARM | PA | C | 0 | N/A | |||||||||
| BIOTRONICS INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251843500 | EQUIP MAINTEN | PA | C | 0 | N/A | |||||||||
| MEDICAL CENTER PROPERTIES INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251796940 | REAL ESTATE | PA | C | 0 | N/A | |||||||||
| ASKESIS DEVELOPMENT GROUP INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 541625585 | SOFTWARE DEVE | DE | C | 0 | N/A | |||||||||
| PANTHER REINSURANCE COMPANY LTD | ||||||||||||||||||
| 981402742 | INSURANCE | C | 0 | N/A | PO BOX 1109 | CAYMAN ISLANDS | CJ | CJ | ||||||||||
| FORBES REINSURANCE COMPANY LTD | ||||||||||||||||||
| 981700710 | INSURANCE | C | 0 | N/A | PO BOX 1109 | CAYMAN ISLANDS | CJ | CJ | ||||||||||
| CATHEDRAL (RE) INSUANCE CO | ||||||||||||||||||
| 981400837 | INSURANCE | C | 0 | N/A | PO BOX 1109 | CAYMAN ISLANDS | CJ | CJ | ||||||||||
| UPMC IRELAND LIMITED | ||||||||||||||||||
| HEALTHCARE SU | C | 0 | N/A | 6TH FLOOR BEACON HOSPITAL SANDYFORD | DUBLIN | EI | EI | |||||||||||
| BAYFRONT REGIONAL DEVELOPMENT CORP | ||||||||||||||||||
| 300 STATE STREET | ERIE | PA | 16507 | 251401388 | RE HOLDING CO | PA | C | 0 | N/A | |||||||||
| BAYSIDE DEVELOPMENT CORP | ||||||||||||||||||
| 300 STATE STREET | ERIE | PA | 16507 | 251401386 | REAL ESTATE | PA | C | 0 | N/A | |||||||||
| UPMC WORK ALLIANCE INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 452825053 | INSURANCE | PA | C | 0 | N/A | |||||||||
| UPMC CANADA TECHNOLOGIES LIMITED | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | SOFTWARE | C | 0 | N/A | CA | ||||||||||
| UPMC HEALTH COVERAGE INC | ||||||||||||||||||
| 600 GRANT STREET 58TH FLOOR | PITTSBURGH | PA | 15219 | 462824537 | INSURANCE | PA | C | 0 | N/A | |||||||||
| UPMC HEALTH OPTIONS INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 462824626 | INSURANCE | PA | C | 0 | N/A | |||||||||
| UPMC COMPLETE CARE INC | ||||||||||||||||||
| 5215 CENTRE AVENUE | PITTSBURGH | PA | 15232 | 463605753 | PHYSICIAN SERVICES | PA | C | 0 | N/A | |||||||||
| AMERICAN HOME HEALTH SERVICES | ||||||||||||||||||
| 868 CORPORATE WAY | WESTLAKE | OH | 44145 | 311521422 | HOME HEALTH CARE | OH | C | 0 | N/A | |||||||||
| HEALTH FIDELITY INC | ||||||||||||||||||
| 210 S B ST | SAN MATEO | CA | 94401 | 452538963 | TECHNOLOGY SV | CA | C | 0 | N/A | |||||||||
| PENSIAMO INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 812069236 | SUPPLY CHAIN | DE | C | 0 | N/A | |||||||||
| ALTOONA FAMILY INC | ||||||||||||||||||
| 620 HOWARD AVENUE | ALTOONA | PA | 16601 | 251444935 | MGMT SVCS | PA | C | 0 | N/A | |||||||||
| LEXINGTON HOLDINGS INC | ||||||||||||||||||
| 620 HOWARD AVENUE | ALTOONA | PA | 16601 | 251794386 | HOLDING CO | PA | C | 0 | N/A | |||||||||
| LEXINGTON ONE INC | ||||||||||||||||||
| 620 HOWARD AVENUE | ALTOONA | PA | 16601 | 251468889 | RENTAL | PA | C | 0 | N/A | |||||||||
| LEXINGTON TWO INC | ||||||||||||||||||
| HOWARD AVENUE AND 7TH STREET | ALTOONA | PA | 16601 | 251555689 | DME | PA | C | 0 | N/A | |||||||||
| LEXINGTON FOUR INC | ||||||||||||||||||
| 620 HOWARD AVENUE | ALTOONA | PA | 16601 | 251793736 | HOLDING CO | DE | C | 0 | N/A | |||||||||
| UPMC ALTOONA REGIONAL HEALTH SERVICES | ||||||||||||||||||
| 1414 9TH AVENUE | ALTOONA | PA | 16602 | 251219302 | MEDICAL SVCS | PA | C | 0 | N/A | |||||||||
| LEXINGTON ANESTHESIA ASSOCIATES INC | ||||||||||||||||||
| 620 HOWARD AVENUE | ALTOONA | PA | 16601 | 251897765 | MEDICAL SVCS | PA | C | 0 | N/A | |||||||||
| UPMC EXCESS PL TRUST | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 826254351 | TRUST | PA | T | 0 | N/A | |||||||||
| RXANTE INC | ||||||||||||||||||
| 511 CONGRESS STREET 803 | PORTLAND | ME | 04101 | 454040219 | MEDICATION MGT | DE | C | 0 | N/A | |||||||||
| SUSQUEHANNA VENTURES INC | ||||||||||||||||||
| 1201 GRAMPAIN BOULEVARD | WILLIAMSPORT | PA | 17701 | 232470623 | PHARMACY | PA | C | 0 | N/A | |||||||||
| PINNACLE HEALTH CARDIOVASCULAR INSTITUT | ||||||||||||||||||
| 409 SOUTH SECOND STREET | HARRISBURG | PA | 17104 | 320321362 | PHYSICIAN SERVICES | PA | C | 0 | N/A | |||||||||
| HANOVER HEALTH CORPORATION | ||||||||||||||||||
| 300 HIGHLAND AVENUE | HANOVER | PA | 17331 | 900498067 | HOLDING CO | PA | C | 0 | N/A | |||||||||
| HANOVER APOTHECARY INC | ||||||||||||||||||
| 310 STOCK STREET SUITE 1 | HANOVER | PA | 17331 | 030594526 | PHARMACY | PA | C | 0 | N/A | |||||||||
| UNITED CENTRAL PA RECIPROCAL RISK RETEN | ||||||||||||||||||
| 76 SAINT PAUL STREET SUITE 500 | BURLINGTON | VT | 05401 | 134224033 | INSURANCE | VT | C | 0 | N/A | |||||||||
| PINNACLE HEALTH VENTURES INC | ||||||||||||||||||
| 409 SOUTH SECOND STREET | HARRISBURG | PA | 17104 | 611677624 | HOLDING CO | PA | C | 0 | N/A | |||||||||
| PINNACLE HEALTH IMAGING INC | ||||||||||||||||||
| 409 SOUTH SECOND STREET | HARRISBURG | PA | 17104 | 231718571 | IMAGING SVC | PA | C | 0 | N/A | |||||||||
| COLE CARE INC | ||||||||||||||||||
| 1001 EAST 2ND STREET | COUDERSPORT | PA | 16915 | 251497347 | DME | PA | C | 0 | N/A | |||||||||
| UPMC ITALY HEALTH SERVICES SRL | ||||||||||||||||||
| HEALTH SVC | C | 0 | N/A | VIA DISCESA DEI GIUDICI 4 | PALERMO | IT | IT | 90133 | ||||||||||
| UPMC INVESTMENTS LTD | ||||||||||||||||||
| HOLDING CO | C | 0 | N/A | C/O UPMC WHITFIELD CORK ROAD BUTLER | WATERFORD | EI | EI | X91 DH9W | ||||||||||
| UPMC PROPERTY LTD | ||||||||||||||||||
| PROPERTY | C | 0 | N/A | C/O UPMC WHITFIELD CORK ROAD BUTLER | WATERFORD | EI | EI | X91 DH9W | ||||||||||
| EURO CARE INFRASTRUCTURE LTD | ||||||||||||||||||
| PROPERTY MGMT | C | 0 | N/A | C/O UPMC WHITFIELD CORK ROAD BUTLER | WATERFORD | EI | EI | X91 DH9W | ||||||||||
| EURO CARE PROPERTY MANAGEMENT LTD | ||||||||||||||||||
| PROPERTY MGMT | C | 0 | N/A | C/O UPMC WHITFIELD CORK ROAD BUTLER | WATERFORD | EI | EI | X91 DH9W | ||||||||||
| BLUESPHERE BIO | ||||||||||||||||||
| 6425 PENN AVENUE STE 200 | PITTSBURGH | PA | 15206 | 824979766 | IMMUNOTHERAPY | PA | C | 0 | N/A | |||||||||
| INFECTIOUS DISEASE CONNECT INC | ||||||||||||||||||
| 6425 PENN AVENUE STE 200 | PITTSBURGH | PA | 15206 | 833311071 | TELEMEDICINE | PA | C | 0 | N/A | |||||||||
| NOVASENTA INC | ||||||||||||||||||
| 6425 PENN AVENUE STE 200 | PITTSBURGH | PA | 15206 | 825443222 | IMMUNOTHERAPY | PA | C | 0 | N/A | |||||||||
| UPMC HILLMAN CANCER CENTER - PINNACLE | ||||||||||||||||||
| 101 ERFORD ROAD | CAMP HILL | PA | 17701 | 833640945 | CANCER TREATMENT | PA | C | 0 | N/A | |||||||||
| SHANGHAI UPMC CO LTD | ||||||||||||||||||
| HEALTHCARE MGMT | C | 0 | N/A | 288 SHIMEN 1ST ROAD JINGAN DISTRIC | SHANGHAI | CH | CH | |||||||||||
| SALVADOR MUNDI INTERNATIONAL HOSPITAL | ||||||||||||||||||
| HOSPITAL | C | 0 | N/A | ROMA VIALE DELLE | MURA GIANICOLENSI | IT | IT | |||||||||||
| SOMERSET ANESTHESIA INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 455135437 | PHYSICIAN SRV | PA | C | 0 | N/A | |||||||||
| SOMERSET MANAGEMENT SERVICES INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251512960 | MOB OWNERSHIP | PA | C | 0 | N/A | |||||||||
| GENERIAN PHARMACEUTICALS INC | ||||||||||||||||||
| 2425 SIDNEY STREET | PITTSBURGH | PA | 15203 | 833340453 | PHARMACY | DE | C | 0 | N/A | |||||||||
| WORK PARTNERS NATIONAL INC | ||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 843141950 | INSURANCE | PA | C | 0 | N/A | |||||||||
| ASTRATA INC | ||||||||||||||||||
| 6425 PENN AVENUE STE 200 | PITTSBURGH | PA | 15206 | 844804493 | SOFTWARE | DE | C | 0 | N/A | |||||||||
| VEGAVECT | ||||||||||||||||||
| 6425 PENN AVENUE STE 200 | PITTSBURGH | PA | 15206 | 844280784 | GENE THERAPY | DE | C | 0 | N/A | |||||||||
| NOVIMAB | ||||||||||||||||||
| 6425 PENN AVENUE STE 200 | PITTSBURGH | PA | 15206 | 841494905 | CLINICAL RESEARCH | DE | C | 0 | N/A | |||||||||
| HAYSTACK CONSOLIDATED SERVICES INC | ||||||||||||||||||
| 12500 WILLOWBROOK ROAD | CUMBERLAND | MD | 21502 | 521335895 | INACTIVE | PA | C | 0 | N/A | |||||||||
| WESTERN MARYLAND INSURANCE COMPANY LTD | ||||||||||||||||||
| INSURANCE | C | 0 | N/A | PO BOX 10233 | GRAND CAYMAN | CJ | CJ | |||||||||||
| WILLOWBROOK HEALTHCARE CONDO | ||||||||||||||||||
| 12401 WILLOWBROOK ROAD | CUMBERLAND | MA | 21502 | 371538510 | REAL ESTATE | DE | C | 0 | N/A | |||||||||
| UPMC WHITFIELD HOSPITAL LTD | ||||||||||||||||||
| HOSPITAL | C | 0 | N/A | C/O UPMC WHITFIELD CORK ROAD BUTLER | WATERFORD | EI | EI | |||||||||||
| UPMC GLOBAL OPERATIONS CENTER LTD | ||||||||||||||||||
| CANCER TREATMENT | C | 0 | N/A | 6TH FLOOR BEACON HOSPITAL | SANDYFORD | EI | EI | |||||||||||
| REALYZE INTELLEGENCE INC | ||||||||||||||||||
| 6425 PENN AVENUE | PITTSBURGH | PA | 15206 | 850873923 | SOFTWARE | DE | C | 0 | N/A | |||||||||
| GENERIAN PHARMACEUTICALS AUSTRALIA PTY L | ||||||||||||||||||
| PHARMACY | C | 0 | N/A | LEVEL 5 63 PIRIE STREET | ADELAIDE | AU | AU | |||||||||||
| RXANTE PHARMACY SERVICES INC | ||||||||||||||||||
| 511 CONGRESS STREET 803 | PORTLAND | ME | 04101 | 833402761 | PHARMACY | DE | C | 0 | N/A | |||||||||
| CLANE HOSPITAL DEVELOPMENT ASSOCIATES L | ||||||||||||||||||
| MANAGEMENT | C | 0 | N/A | C/O UPMC WHITFIELD CORK ROAD | BUTLERSTOWN NORTH WATERFORD | EI | EI | |||||||||||
| UPMC KILDARE HOSPITAL LTD | ||||||||||||||||||
| HOSPITAL | C | 0 | N/A | PROSPEROUS ROAD | CLANE COUNTY KILDARE | EI | EI | |||||||||||
| UPMC AUT EVEN HOSPITAL LTD | ||||||||||||||||||
| HOSPITAL | C | 0 | N/A | FRESHFORD ROAD | COUNTY KILKENNY | EI | EI | |||||||||||
| AVISTA THERAPEUTICS INC | ||||||||||||||||||
| 6425 PENN AVENUE STE 200 | PITTSBURGH | PA | 15206 | 853454001 | GENE THERAPY | PA | C | 0 | N/A | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WCA FOUNDATION INC | ||
| C | $645,334 | ACCOUNTING RECORDS |
| WCA SERVICES CORPORATION | ||
| P | $294,118 | ACCOUNTING RECORDS |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - SCHEDULE R - PART II THROUGH PART IV | ENTITIES REPORTED IN PARTS I THROUGH IV THAT ARE MARKED WITH AN * ARE NOT TECHNICALLY "RELATED ORGANIZATIONS", AS DEFINED IN THE FORM 990 INSTRUCTIONS AS THE REQUISITE "CONTROL" DID NOT EXIST DURING THE FISCAL YEAR ENDED JUNE 30, 2022. 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. THERE ARE ORGANIZATIONS INCLUDED IN THE UPMC GROUP FORM 990 TAX RETURN FOR FISCAL YEAR 2022 WHICH ARE RELATED TO PINNACLE HEALTH MEDICAL SERVICES. THESE ORGANIZATIONS ARE NOT REQUIRED TO BE LISTED IN SCHEDULE R. |
| FORM 990 - SCHEDULE R - PART V | IN GENERAL, THE CASH MANAGEMENT POLICY OF UPMC IS TO TEMPORARILY TRANSFER ALL EXCESS FUNDS AVAILABLE FROM EXEMPT SUBSIDIARIES TO UPMC, THE PARENT ENTITY. THESE ARE NOT CONSIDERED A TRANSFER OF NET ASSETS FOR WHICH DISCLOSURE IS REQUIRED IF 25% OR MORE OF NET ASSETS ARE TRANSFERRED. |
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