2022-05-16T12:46:19-05:00 2021-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2020-07-01 820844453 UPMC LITITZ UPMC 7172318245 PO BOX 8700 HARRISBURG PA 171058700 ALISON BERNHARDT CHIEF FINANCIAL OFFICER 7172318245 2022-05-16 1 ALISON BERNHARDT 999009999 KERRI N BOGDA CPA P00760402 7177404863 X 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z PHILIP GUARNESCHELLI PO BOX 8700 HARRISBURG PA 171058700 120057338 0 X WWW.UPMCPINNACLE.COM X 2017 PA INPATIENT AND OUTPATIENT HEALTHCARE FOR CITIZENS OF THE LOCAL & SURROUNDING COMMUNITIES. 15 13 682 86 28924 0 6664671 8589757 106939695 110159870 4585 -344043 -141111 -2112294 113467840 116293290 2964 170 0 0 61027874 42153733 0 0 0 77556488 77513161 138587326 119667064 -25119486 -3373774 82927293 73222882 13022007 11775615 69905286 61447267 X UPMC LITITZ IS A CHARITABLE ORGANIZATION DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH AND QUALITY OF LIFE FOR ALL THE PEOPLE OF CENTRAL PENNSYLVANIA. 0 0 105888659 170 110130946 UPMC LITITZ IS AN ACUTE CARE HOSPITAL WITH 148 LICENSED BEDS OFFERING A WIDE RANGE OF SERVICES INCLUDING CARDIAC CARE, A CERTIFIED PRIMARY STROKE CENTER, EMERGENCY CARE, IMAGING, ONCOLOGY CARE, OBSTETRICS, ORTHOPEDICS, PLASTIC AND RECONSTRUCTIVE SURGERY, AND GENERAL SURGERY.WE PRIDE OURSELVES ON PROVIDING THE HIGHEST QUALITY CARE IN ALL SERVICE AREAS. OUR INTENSE FOCUS ON CUSTOMER SERVICE AND PATIENT SAFETY HAS CREATED A UNIQUE HEALING ENVIRONMENT. WE ARE AN ACCREDITED STROKE CENTER AND AN ACCREDITED CHEST PAIN AND HEART ATTACK CENTER.WE SERVE THE GREATER LANCASTER COUNTY AREA. IN KEEPING WITH OUR MISSION OF CARING FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, UPMC LITITZ HOSPITAL IS A FORCE FOR STABILITY, STRENGTH, AND RELIABILITY FOR THOSE WE SERVE. IN ADDITION TO FINANCIAL SUPPORT, OUTREACH TO THE COMMUNITY IS CRUCIAL TO ACHIEVING OUR MISSION. THROUGH VOLUNTEERISM AND ENGAGEMENT, WE STRIVE TO BE A FORCE FOR HEALTH AND WELL-BEING. WE HELP THE UNDERSERVED, MENTOR STUDENTS, LEND EXPERTISE TO COMMUNITY ORGANIZATIONS, AND EDUCATE THE COMMUNITY ON DISEASE PREVENTION AND MANAGEMENT.COMMUNITY HEALTH IMPROVEMENT SERVICESTAKING HEALTH CARE BEYOND THE DOORS OF ITS HOSPITALS, CLINICS, AND OFFICES, AND BRINGING IT INTO THE REGION'S TOWNS, SCHOOLS AND WORKPLACES, UPMC LITITZ IS HELPING TO CREATE HEALTHIER COMMUNITIES IN LANCASTER COUNTY. THROUGH ITS CHARITABLE GIVING AND COMMUNITY INITIATIVES, UPMC LITITZ IS MAKING A DIFFERENCE IN THE HEALTH AND WELL-BEING OF ITS NEIGHBORS. FROM PUBLIC HEALTH AND WELLNESS INITIATIVES TO SCHOOL HEALTH SCREENINGS, INSURANCE ENROLLMENT HELP, HOME-VISIT PROGRAMS, CHARITY CARE, AND FREE HEALTH CLASSES, UPMC LITITZ PROVIDES BENEFITS TO THE COMMUNITY. UPMC LITITZ OFFERS A VARIETY OF FREE COMMUNITY PROGRAMS THAT ARE MAKING A DIFFERENCE IN THE LIVES OF CENTRAL PENNSYLVANIANS EVERY DAY, INCLUDING:1) HEALTH EDUCATION SEMINARS WERE HELD IN PERSON THROUGH EARLY MARCH, AND THEN VIRTUALLY FOR THE REST OF THE YEAR. THESE SEMINARS INCLUDED:- BIENNIAL DEACON'S MEETING- INTRODUCTION TO THE EIGHT DIMENSIONS OF WELLNESS- HEART MONTH! COULD I HAVE PERIPHERAL ARTERY DISEASE (PAD)? - HEART MONTH! COULD I HAVE ATRIAL FIBRILLATION (AFIB)?- OH MY ACHING BACK!- THE EIGHT DIMENSIONS OF WELLNESS: THE SPIRITUAL DIMENSION: "WHAT'S MOST IMPORTANT TO YOU AS YOU AGE?"- AM I FORGETTING SOMETHING?- CHRONIC SHOULDER PAIN CAUSES AND SOLUTIONS- BREAKTHROUGH HEART TREATMENTS- TREATMENT OPTIONS FOR CHRONIC HIP AND KNEE PAIN- KEEP THE BEAT: WHAT IS NEW WITH ATRIAL FIBRILLATION DIAGNOSIS AND TREATMENT- FEMALE URINARY INCONTINENCE AND VAGINAL PROLAPSE- GENETIC RISK FACTORS FOR BREAST CANCER- BREAST CANCER AWARENESS "THE BEST BREAST IS A CHECKED BREAST"- IS SPINE PAIN HOLDING YOU BACK?- NONMEDICATION OPTIONS TO DEAL WITH ANXIETY, STRESS, AND DEPRESSION- COLON HEALTH, MYTHS AND FACTS- DIABETES EMPOWER YOURSELF AND KNOW YOUR NUMBERS- SHOULD I WORRY ABOUT MY VARICOSE VEINS?- FEMALE-TO-MALE CHEST MASCULINIZATION (TOP SURGERY)- IMAGINE LIFE WITHOUT REFLUX- COMMON AIRWAY DISEASES: COPD AND EMPHYSEMA- FATTY LIVER DISEASE- CHRONIC KIDNEY DISEASE, NUTRITION, AND TRANSPLANT OPTIONS2) WELLNESS PROGRAMS WERE PROVIDED, SOME VIRTUALLY, INCLUDING:- INFANT DEVELOPMENT SCREENINGS- PREGNANCY AND BIRTHING CLASSES- DRIVE THROUGH FLU SHOT CLINICS- SYMPTOMATIC AND NON-SYMPTOMATIC (PRE-SURGICAL) COVID TESTING SITES- VIDEO VISITS WITH PCPS AND SPECIALISTS, IN LIEU OF IN-PERSON OFFICE VISITS- NEW VIRTUAL PRIMARY CARE PROGRAM 105888659 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 682 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X ALISON BERNHARDT CHIEF FINANCIAL OFFICER 7172318245 PO BOX 8700 HARRISBURG PA 171058700 PHILIP W GUARNESCHELLI PRESIDENT AND CEO 1.00 40.00 X X 0 1397279 40949 MARK GLESSNER VICE CHAIRMAN 1.00 1.00 X X 0 0 0 LESLIE DAVIS DIRECTOR 1.00 1.00 X 0 0 0 ROBERT MONTLER DIRECTOR 1.00 1.00 X 0 0 0 JOHN HICKEY DIRECTOR 1.00 1.00 X 0 0 0 DAVID MARTIN DIRECTOR 1.00 15.00 X 0 0 0 PAUL SPEARS MD DIRECTOR 1.00 2.00 X 0 0 0 JONATHAN VIPOND III ESQ DIRECTOR 1.00 1.00 X 0 0 0 RICHARD HAMILTON DIRECTOR 1.00 1.00 X 0 0 0 MERON YEMANE DIRECTOR 1.00 1.00 X 0 0 0 DOUG NEIDICH CHAIRMAN 1.00 4.00 X X 0 0 0 EILEEN SIMMONS DIRECTOR 1.00 1.00 X 0 0 0 KATHLEEN PAVELKO DIRECTOR 1.00 1.00 X 0 0 0 JOHN MANTIONE MD PRESIDENT OF MEDICAL STAFF 1.00 1.00 X 0 0 0 THOMAS NICHOLSON MD DIRECTOR 1.00 40.00 X 0 643564 41665 CHRISTOPHER P MARKLEY ESQ SEC'Y/SR VP/GENERAL COUNSEL 1.00 40.00 X 0 635513 32995 ALISON BERNHARDT TREASURER/VP & CFO 1.00 40.00 X 0 466254 23626 CHRISTINE MILLER ASSISTANT SECRETARY 1.00 40.00 X 0 248415 28447 AMANDA MORGAN ASSISTANT TREASURER 1.00 40.00 X 0 169549 24204 MICHAEL TURKEL SVP & PRES, LANC DIV (UNTIL 7/20) 40.00 0.00 X 645423 0 25782 JOSEPH OBERHOLZER PHYSICAL THERAPIST 40.00 0.00 X 179722 0 6185 LAURA COPPULA PHARMACIST 40.00 0.00 X 150785 0 25610 JOHN SOKSO PHARMACIST 40.00 0.00 X 151494 0 18592 BARRY MITCHNECK DIRECTOR NURSING 40.00 0.00 X 151024 0 18390 WILLIAM H PUGH FMR. EVP & CFO/TREASURER(RET. 12/19) 0.00 0.00 X 0 928709 16129 1278448 4489283 302574 27 1 1 0 COMMUNITY ANESTHESIA ASSOCIATES 1575 HIGHLANDS DR 200B LITITZ PA 17543 CONTRACT HEALTH SVCS. 2339309 PEDIATRIX MEDICAL GROUP OF PA 111 S FRONT ST HARRISBURG PA 17101 CONTRACT HEALTH SVCS. 945664 ARAMARK 1101 MARKET ST PHILADELPHIA PA 19107 HOUSEKEEPING/DIETARY SVCS. 540603 QUEST DIAGNOSTICS PO BOX 740709 ATLANTA GA 30374 LAB SERVICES 533984 SHARED MEDICAL SERVICES 209 LIMESTONE PASS COTTAGE GROVE WI 53527 CONTRACT HEALTH SVCS. 271499 10 8589757 8589757 PATIENT REVENUE, NET 621500 99939755 99910831 28924 MEDICAL SERVICES 621500 9715961 9715961 QUALITY INCENTIVE INCOME 900099 335603 335603 MEDICAL EDUCATION 900099 168551 168551 110159870 3292 3292 1252641 3386889 -2134248 -2134248 -2134248 29544 376879 -347335 -347335 -347335 7592 280 7312 7312 MEDICAL STAFF SERVICES 900099 11700 11700 MISC. INCOME 900099 2695 2695 MEDICAL RECORDS 900099 247 247 14642 116293290 110130946 28924 -2456337 170 170 35223449 32222411 3001038 1364610 1248345 116265 4464474 4084101 380373 1101200 1007378 93822 6553346 6553346 5477882 4605660 872222 1289 134 1155 1052855 657094 395761 1254108 1030375 223733 1790232 852138 938094 74622 23021 51601 9738 6601 3137 2222 2222 5335660 4901337 434323 PHYSICIAN LOSS TRANSFER 32538995 32538995 MEDICAL SUPPLIES 12543812 12543812 BAD DEBT 5306434 5306434 PHARMACY 2642593 2642593 2929373 2218060 711313 119667064 105888659 13778405 0 725 800 10988023 15029 12401741 9240971 706562 281102 960742 1260473 72964904 19424174 57864410 53540730 5090 8883777 82927293 73222882 12154469 10916405 47756 12359 819782 846851 13022007 11775615 X 69905286 61447267 69905286 61447267 82927293 73222882 X -3373774 -5084245 X X 0 1 X 1 1 1 X 2400000 2400000 45922217 4974736 40947481 794905 420387 374518 23488851 14024068 9464783 358931 4983 353948 53540730 DEPOSITS 4073 DUE FROM EXEMPT AFFILIATES 8879704 8883777 OTHER LONG TERM LIABILITIES 846851 846851 X PART X, LINE 2: AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED UPMC SYSTEM LEVEL ONLY, INCLUDING UPMC AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARIES. TAX BENEFITS ARE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. SUCH TAX POSITIONS ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON ULTIMATE SETTLEMENT WITH THE TAX AUTHORITIES ASSUMING FULL KNOWLEDGE OF THE POSITION AND ALL RELEVANT FACTS. AS OF JUNE 30, 2021, UPMC DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS RECORDED. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 0 531709 531709 0.00440 9685344 4794984 4890360 0.04090 10217053 4794984 5422069 0.04530 31306 31306 0.00030 1605667 1605667 0.01340 8253638 8253638 0.06900 170 170 0.00000 9890781 9890781 0.08270 20107834 4794984 15312850 0.12800 2 2 30543 30543 0.00030 2 2 30543 30543 0.00030 1 1073900 139808 13109838 13401524 -291686 X 1 1 1 1 UPMC LITITZ 1500 HIGHLANDS DRIVE LITITZ PA 17543 WWW.UPMCPINNACLE.COM 380101 UPMC LITITZ 820844453 X X X X UPMC LITITZ 1 0 0 1 X X X X X X X X 18 1 1 0 1 X WWW.UPMCPINNACLE.COM X WWW.LANCASTERGENERALHEALTH.ORG, WWW.WELLSPAN.ORG X X 1 18 1 WWW.UPMCPINNACLE.COM 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.UPMCPINNACLE.COM X WWW.UPMCPINNACLE.COM X WWW.UPMCPINNACLE.COM X X X X X X 1 X 0 X X X X 1 X 0 0 UPMC LITITZ PART V, SECTION B, LINE 5: THIS NEEDS ASSESSMENT USED TWO MECHANISMS TO GATHER COMMUNITY INPUT ABOUT HEALTH NEEDS. PENN MEDICINE LANCASTER GENERAL HEALTH CONDUCTED A SURVEY OF COMMUNITY MEMBERS AT SELECTED COMMUNITY EVENTS DURING SUMMER 2018 TO GATHER INPUT ABOUT PERCEIVED COMMUNITY HEALTH NEEDS AND BARRIERS TO GOOD HEALTH. PENN MEDICINE LANCASTER GENERAL HEALTH COLLECTED A TOTAL OF 258 SURVEY RESPONSES FROM MEMBERS OF THE COALITION TO END HOMELESSNESS AND LIGHTEN UP LANCASTER COUNTY COALITION, STAFF FROM COMMUNITY ACTION PARTNERSHIP AND HEALTHY BEGINNINGS PLUS, THE LANCASTER COUNTY OFFICE OF AGING, AND COMMUNITY MEMBERS WHO TOOK THE SURVEY ONLINE OR AT LANCASTER COUNTY'S PRIDE DAY CELEBRATION. THE GOAL OF THE SURVEY WAS TO SAMPLE FROM SELECTED LOCATIONS, ORGANIZATIONS, AND COALITIONS TO GATHER FEEDBACK FROM TRADITIONALLY MARGINALIZED COMMUNITIES, INCLUDING PEOPLE OF COLOR, PEOPLE OF HISPANIC/LATINO ETHNICITY, AND INDIVIDUALS WHO IDENTIFY AS GAY, LESBIAN, BISEXUAL, AND/OR TRANSGENDER.IN ADDITION TO THE COMMUNITY SURVEY, PENN MEDICINE LANCASTER GENERAL HEALTH, WELLSPAN HEALTH, AND UPMC LITITZ JOINTLY HOSTED A COMMUNITY STAKEHOLDER FORUM ON DECEMBER 17, 2018. THE THREE PRIMARY GOALS OF THE FORUM WERE TO: (1) EXPLAIN THE CHNA PROCESS AND THE ROLE OF COMMUNITY STAKEHOLDERS; (2) PRESENT THE ANALYTIC FRAMEWORK AND PRELIMINARY COMMUNITY HEALTH DATA INCLUDED IN THIS SUMMARY; AND (3) GATHER INPUT FROM COMMUNITY STAKEHOLDERS, PARTICULARLY THOSE WITH PUBLIC HEALTH EXPERTISE AND INDIVIDUALS AND ORGANIZATIONS SERVING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN LANCASTER COUNTY, ABOUT COMMUNITY HEALTH NEEDS AND COMMUNITY RESOURCES. UPMC LITITZ PART V, SECTION B, LINE 6A: PENN MEDICINE LANCASTER GENERAL HOSPITAL, WELLSPAN EPHRATA COMMUNITY HOSPITAL UPMC LITITZ PART V, SECTION B, LINE 7D: COMMUNITY EVENTS UPMC LITITZ PART V, SECTION B, LINE 15E: IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY AND OTHER STATE OR LOCAL ASSISTANCE THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS A VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR. UPMC LITITZ PART V, SECTION B, LINE 20E: ANY INDIVIDUAL WHO CALLS HOSPITAL CUSTOMER SERVICE AND MENTIONS THEY CANNOT AFFORD TO PAY THE AMOUNT BILLED IS ORALLY NOTIFIED OF THE FAP AND THE FAP PROCESS. PART I, LINE 7: THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID COSTS ARE CALCULATED BY THE HOSPITAL'S COST-TO-CHARGE RATIO FOR EACH OF THE INDIVIDUAL SERVICES PROVIDED TO THE PATIENT. IT UTILIZES HOSPITAL EXPENSES FROM THE GENERAL LEDGER AND REVENUE DETAILS FROM THE PATIENT ACCOUNTING SYSTEM. EACH DEPARTMENT WITHIN THE HOSPITAL IS CLASSIFIED AS EITHER INDIRECT (OVERHEAD) OR DIRECT (PATIENT CARE AREAS). EXPENSES ARE CLASSIFIED AS FIXED OR VARIABLE AS THEY RELATE TO PATIENT VOLUME. LOGICAL STATISTICS ARE USED TO ALLOCATE OVERHEAD EXPENSES TO THE PATIENT CARE DEPARTMENTS. USING EITHER A RATIO OF COST-TO-CHARGE OR RVUS (RELATIVE VALUE UNITS), THE DIRECT AND INDIRECT COSTS FOR EACH DEPARTMENT ARE ALLOCATED TO THE SERVICES THEY PROVIDE. PART I, LINE 7G: LOSSES ATTRIBUTED TO PRIMARY CARE AND CLINICS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES. PART III, LINE 2: THE PERCENTAGE OF TOTAL PATIENT CARE EXPENSES TO GROSS REVENUE WAS CALCULATED. THIS PERCENTAGE WAS APPLIED TO THE GROSS BAD DEBTS TO ESTIMATE THE NEW BAD DEBTS EXPENSE. PART III, LINE 3: FOR THE PORTION OF BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE HOSPITAL DETERMINED THE ZIP CODES THAT PRIMARILY INCLUDE PUBLIC HOUSING, LOW INCOME, AND/OR POVERTY. BAD DEBT WRITE-OFFS FOR THE FISCAL YEAR ARE REVIEWED TO DETERMINE THE ACCOUNTS WHERE THE PATIENT ADDRESS WAS LOCATED IN THOSE ZIP CODES. AN OVERALL COST-TO-CHARGE RATIO WAS THEN APPLIED TO THIS AMOUNT TO ARRIVE AT AN EXPENSE FIGURE. THIS METHOD CONTINUES TO BE HONED AS WE FURTHER DEVELOP OUR PRESUMPTIVE CHARITY CARE AND FINANCIAL AID APPROACH. PART III, LINE 4: THE FINANCIAL STATEMENTS DO NOT HAVE A SPECIFIC NOTE ON BAD DEBT EXPENSE; RATHER THE FINANCIAL STATEMENTS EVALUATE BAD DEBTS IN ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE FOOTNOTE RELATED TO THE ALLOWANCE IS SUMMARIZED AS FOLLOWS: ACCOUNTS RECEIVABLE ARE RECORDED AT THEIR ESTIMATED NET REALIZABLE VALUE. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BASED UPON HISTORICAL COLLECTION RATES.THE BAD DEBT EXPENSE ON PART III, LINE 2 WAS CALCULATED BY TAKING THE AMOUNT WRITTEN OFF TO BAD DEBT FOR EACH ACCOUNT AND CONVERTING IT TO CHARGES BY APPROPRIATELY ADJUSTING THE AMOUNT BY THE PAYOR REIMBURSEMENT PERCENTAGE FOR THAT ACCOUNT. THEN, THE COST-TO-CHARGE RATIO METHODOLOGY FOR EACH SPECIFIC ACCOUNT, UTILIZING THE COSTS FROM THE HOSPITAL COST ACCOUNTING SYSTEM (DESCRIBED IN DETAIL ABOVE), WAS APPLIED TO THIS CALCULATED PORTION OF THE TOTAL CHARGES. PART III, LINE 8: THE MEDICARE COSTS WERE DETERMINED BASED ON THE HOSPITAL'S COST-TO-CHARGE RATIO FOR THE SERVICES RENDERED. PART III, LINE 9B: PATIENTS ARE NOTIFIED OF OUR CHARITY CARE POLICY IN A VARIETY OF WAYS. THERE ARE POSTERS INFORMING PATIENTS OF OUR CHARITY CARE POLICY AND A PLAIN LANGUAGE VERSION OF THE POLICY HANDED OUT TO THE UNINSURED AT ALL THE REGISTRATION SITES. ALL OF OUR PATIENT ACCOUNT STATEMENTS CONTAIN LANGUAGE THAT INDICATES THERE IS FINANCIAL AID AVAILABLE FOR QUALIFYING INDIVIDUALS. IN ADDITION, THE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE IN BOTH ENGLISH AND SPANISH. PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE AND PROVIDE ALL THE NECESSARY DOCUMENTATION REQUIREMENTS ARE NOTIFIED WITHIN THIRTY DAYS OF THE HOSPITAL'S DECISION. WHEN THE APPROVAL IS DETERMINED, THE APPROPRIATE DISCOUNT IS POSTED TO THE PATIENT ACCOUNT IMMEDIATELY. THE FINANCIAL ASSISTANCE DISCOUNT WILL BE APPLIED TO SERVICE FOR THE PREVIOUS TWELVE MONTHS AND SUBSEQUENT SIX MONTHS. THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. NO ADDITIONAL COLLECTION EFFORTS ARE MADE. APPLICANTS APPROVED FOR ONLY PARTIAL DISCOUNT WILL BE REQUIRED TO MAKE REASONABLE PAYMENT ARRANGEMENTS ON THEIR BALANCE IN ACCORDANCE WITH THE HOSPITAL'S CREDIT AND COLLECTION POLICY. THIS POLICY DOES PERMIT THE USE OF BOTH INTERNAL COLLECTION STAFF AND EXTERNAL COLLECTION AGENCIES WHO WILL ENGAGE IN STANDARD ACCEPTABLE BUSINESS PRACTICES WHICH INCLUDE PHONE CALLS, MAILING AND THE REPORTING OF UNPAID DEBT TO THE CREDIT REPORTING AGENCIES; BUT UNDER NO CIRCUMSTANCES WILL THE HOSPITALS OR ITS CONTRACTED COLLECTION AGENCY ADOPT "EXTRAORDINARY COLLECTION ACTIONS" THAT ENTAIL ANY LEGAL COURSE OF ACTION OR JUDICIAL PROCESSES SUCH AS LAWSUITS OR LIENS. PART VI, LINE 2: TO IMPROVE THE HEALTH OF THE RESIDENTS OF THE COMMUNITIES IT SERVES UPMC LITITZ PROVIDES EXTENSIVE HEALTH EDUCATION AND WELLNESS OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY BY PROVIDING DIABETES EDUCATION, OPIOID ADDICTION EDUCATION, AND JOINT AND SPINE CARE EDUCATION. TO PROMOTE SENIOR HEALTH, COMMUNITY SEMINARS ARE CONDUCTED ON THE FLU, DEMENTIA, VASCULAR HEALTH, HEARING LOSS, BALANCE AND STABILITY AND FREE HEALTH SCREENINGS. UPMC LITITZ PROVIDES HEALTH EDUCATION SUPPORT TO THE AMERICAN HEART ASSOCIATION, THE LONG HOME, AMERICAN CANCER SOCIETY, THE ALZHEIMER'S ASSOCIATION, BRIGHT SIDE OPPORTUNITIES CENTER, LANCASTER SCHOOL DISTRICT AND THE YWCA OF LANCASTER.UPMC LITITZ PARTICIPATED IN A COMMUNITY HEALTH NEEDS ASSESSMENT IN PARTNERSHIP WITH PENN MEDICINE LANCASTER GENERAL HEALTH AND WELLSPAN HEALTH. THE HEALTH CARE ORGANIZATIONS PROVIDED LEADERSHIP AND OVERSIGHT IN CONDUCTING A COUNTY WIDE ASSESSMENT. THIS COMMUNITY HEALTH NEEDS ASSESSMENT RELIED ON COUNTY-LEVEL DATA AND INPUT FROM INDIVIDUALS AND ORGANIZATIONS TO IDENTIFY THE MOST PRESSING COMMUNITY HEALTH NEEDS. INFORMATION WAS RECEIVED BY THE COMMUNITY ABOUT HEALTH NEEDS. A SURVEY WAS CONDUCTED AT COMMUNITY EVENTS IN THE SUMMER OF 2018; 258 SURVEYS WERE RECEIVED FROM MEMBERS OF THE COALITION TO END HOMELESSNES AND LIGHTEN UP LANCASTER COUNTY COALITION, STAFF FROM COMMUNITY ACTION PARTNERSHIP AND HEALTHY BEGINNINGS PLUS, THE LANCASTER COUNTY OFFICE OF AGING, AND COMMMUNITY MEMBERS WHO TOOK THE SURVEY ONLINE OR AT LANCASTER COUNTY'S PRIDE DAY CELEBRATION. THE GOAL OF THE SURVEY WAS TO SAMPLE FROM SELECTED LOCATIONS, ORGANIZATIONS, AND COALITIONS TO GATHER FEEDBACK FROM TRADITIONALLY MARGINALIZED COMMUNITIES, INCLUDING PEOPLE OF COLOR, PEOPLE OF HISPANIC/LATINO ETHNICTY, AND INDIVIDUALS WHO IDENTIY AS GAY, LESBIAN, BISEXUAL AND/OR TRANSGENDER. IN ADDITION TO THE COMMUNITY SURVEY, UPMC LITITZ, PENN MEDICINE LANCASTER GENERAL HEALTH AND WELLSPAN JOINTLY HOSTED A COMMUNITY FORUM ON DECEMBER 17, 2018. THE THREE PRIMARY GOALS OF THE FORUM WERE TO: 1. EXPLAIN THE CHNA PROCESS AND THE ROLE OF THE COMMUNITY STAKEHOLDERS2. PRESENT THE ANALYTICS FRAMEWORK AND PRELIMINARY COMMUNITY HEALTH DATA3. GATHER INPUT FROM COMMUNITY STAKEHOLDERS, PARTICULARLY THOSE WITH PUBLIC HEALTH EXPERTISE AND INDIVIDUALS AND ORGANIZATIONS SERVING MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS IN LANCASTER COUNTY, ABOUT THE COMMUNITY HEALTH NEEDS AND COMMUNITY RESOURCES. BASED ON THE SCOPE, SEVERITY, AND COMMUNITY PERCEPTIONS OF SEVERITY AND POTENTIAL IMPACT, LANCASTER COUNTY'S MOST SIGNIFICANT NEEDS FOCUS ON TWO SOCIAL DETERMINANTS: BEHAVIORAL HEALTH PRIORITIES: ESTABLISHING AND MAINTAINING THE BASIC CONDITIONS THAT SUPPORT HEALTH, INCLUDING ACCESS TO CARE, FAMILY-SUSTAINING INCOMES, ACCESSIBLE TRANSPORTATION, AFFORDABLE AND QUALITY HOUSING, VIOLENCE REDUCTION, AND REDUCTION IN EXPOSURE TO ADVERSE CHILDHOOD EXPERIENCES. ADVOCATING FOR IMPROVEMENTS IN THE COUNTY'S PHYSICAL ENVIRONMENT: EMPHASIZING IMPROVED AIR AND WATER QUALITY; SUPPORTING IMPROVED MENTAL HEALTH INCLUDING REDUCING AND TREATING SUBSTANCE USE AND SUPPORTING ACTIVE LIVING, HEALTH EATING, AND LESS OBESITY. THESE PRIORITIES WERE ADOPTED BY THE UPMC LITITZ BOARD OF DIRECTORS AND AN INFASTRUCTURE HAS BEEN ESTABLISHED TO DEVELOP AN IMPLEMENTATION PLAN AROUND THESE PRIORITIES IN 2019.THE IMPLEMENTATION PLAN IN LITITZ WILL FOCUS ON THE FOLLOWING ACTIONS TO FURTHER THE PRIORITIES LISTED ABOVE:1. ASSESSING THE VIABILITY OF CREATING PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO ADDRESS FAMILY-SUSTAINING INCOMES BY CREATING A PIPELINE FOR A HEALTH CARE WORKFORCE DEVELOPMENT INITIATIVE. 2. ASSESSING CURRENT MENTAL HEALTH SERVICES AND THE GAPS IN THOSE SERVICES. 3. INCREASING LOCAL UNDERSTANDING OF WHAT IS AVAILABLE IN THE COMMUNITY. - UPMC LITITZ CONDUCTED INTITIAL MEETINGS WITH THE PLAIN COMMUNITY-THE BI-ANNUAL DEACON'S MEETING - WITH DEACONS FROM ACROSS THE REGION TO MAKE LEADERS AWARE OF THE NEW SERVICES OFFERED BY UPMC LITITZ, AND TO DISCUSS DISCOUNTS FOR THEIR COMMUNITY AND TO INCREASE PARTNERSHIPS BETWEEN THE MIDWIVES WHO WERE ALREADY KNOWN AND TRUSTED IN THE PLAIN COMMUNITY AND UPMC LITITZ. OVER 60 INDIVIDUALS PARTICIPATED IN THE MEETING.- WE PROVIDED ONGOING COMMUNICATION REGARDING SERVICES AND OUTREACH AS WELL AS COVID UPDATES VIA OUR UPMC INTERNET. - UPMC LITITZ IS WORKING WITH PATIENTS-R-WAITING, A NONPROFIT ORGANIZATION WHOSE MISSION IS TO ELIMINATE HEALTH DISPARITIES BY INCREASING AN INITIATIVE DEDICATED TO INCREASING DIVERSITY IN MEDICINE. UPMC LITITZ WAS UNABLE TO HOST ACADEMIC MEDICAL STUDENTS THIS YEAR DUE TO COVID RESTRICTIONS. - ASSESSING NUTRITIONAL SERVICES SUCH AS FOOD DESERTS. UPMC LITITIZ WILL ASSESS CURRENT HEALTHY LIVING ACTIVITIES OFFERED BY COMMUNITY PARTNERS AND IDENTIFY FOOD INSECURITIES DUE TO LACK OF RESOURCES AND TRANSPORTATION. THE FAMILY MEDICINE RESIDENCY PROGRAM AND INTERNAL MEDICINE RESIDENCY PROGRAM AT UPMC LITITZ DELIVERED SIGNIFICANT BENEFITS TO THE COMMUNITY BY PROVIDING OVER 5,000 VISITS IN FY2021. THE RESIDENTS SERVE AN URBAN POPULATION AT TWO SITES. THE DEMOGRAPHICS ARE AS FOLLOWS: 9% BLACK, 26% HISPANIC, 58% WHITE, 4% ASIAN. THE UNEMPLOYMENT RATE IS AT 6.5% AND 16% LIVE BELOW THE POVERTY LEVEL. THE MAJORITY OF THE PATIENTS RECIEVE MEDICAL ASSISTANCE. THE RESIDENCY PROGRAM ALSO PROVIDES SERVICES AT THE SPANISH AMERICAN CIVIC ASSOCIATION. THE DEMOGRAPHICS ARE AS FOLLOWS: 9.7% BLACK, 27% HISPANIC, 53.8% WHITE, 2.6% ASIAN. THE UNEMPLOYMENT RATE IS 7.3% AND 20.5% LIVE BELOW THE POVERTY LEVEL. ALSO INTERGRATED INTO THE RESIDENCY PROGRAM IS BEHAVIORAL HEALTH AND ADDICTION MEDICINE. TO PROMOTE LOWER RATES OF ADDICTION IN THE COMMUNITY, UPMC LITITZ OFFERS A MEDICALLY ASSISTED TREATMENT PROGRAM THAT PROVIDES BUPRENORPHINE INJECTIONS. THERE ARE 100-120 PATIENT ENCOUNTERS PER MONTH IN THIS PROGRAM. IN ADDITION TO THEIR OUTPATIENT CLINIC, THE UPMC RESIDENCY PROGRAM OFFERS A SECOND SITE 1/2 DAY A WEEK AT THE SPANISH AMERICAN CIVIC ASSOCIATION. THE PROGRAM PRESENTLY HAS OVER 100 ACTIVE PATIENTS AND PROVIDES A MUCH NEEDED SERVICE TO THE COMMUNITY, ESPECIALLY SINCE NONE OF THESE PATIENTS ARE COMMERCIALLY INSURED AND WOULD FACE LARGE BARRIERS IN RECEIVING MEDICATION ASSISTED TREATMENT ELSEWHERE. PART VI, LINE 3: PATIENTS ARE INFORMED OF AVAILABLE ASSISTANCE IN NUMEROUS WAYS. SIGNAGE IS POSTED AND LITERATURE IS HANDED OUT TO THE UNINSURED AT ALL THE REGISTRATION SITES INDICATING TO THE PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. ALL UNINSURED PATIENTS WHO ARE SCHEDULED FOR HIGH DOLLAR TESTS AND SURGERIES ARE CONTACTED BY ONE OF THE HOSPITAL'S FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO THEM. THE FINANCIAL ASSISTANCE POLICY IS ALSO DISCLOSED ON THE HOSPITAL WEBSITE, ALONG WITH THE APPLICATION, IN BOTH ENGLISH AND SPANISH. IN ADDITION, ALL INPATIENTS WHO ARE RESIDENTS OF PENNSYLVANIA ARE PROVIDED PERSONAL ASSISTANCE IN THE COMPLETION OF THE MEDICAL ASSISTANCE APPLICATION. AS PART OF THE DISCHARGE PROCESS IN THE EMERGENCY DEPARTMENT, ALL UNINSURED PATIENTS ARE SCREENED FOR CHARITY CARE ELIGIBILITY UNDER THE HOSPITAL POLICY, AND IF APPROPRIATE, PROVIDED ASSISTANCE IN APPLYING FOR MEDICAID OR OBTAINING INSURANCE THROUGH HEALTHCARE.GOV. LASTLY, INFORMATION ABOUT FINANCIAL ASSISTANCE IS INCLUDED ON THE PATIENT BILLING STATEMENTS. PROGRAMS DISCUSSED INCLUDE THE PENNSYLVANIA STATE MEDICAID PROGRAM (MEDICAL ASSISTANCE), HOSPITAL CHARITY CARE PROGRAM, AND FUNDS AVAILABLE THROUGH HOSPITAL ENDOWMENT FUNDS.IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY AND OTHER STATE OR LOCAL ASSISTANCE THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS A VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR. PART VI, LINE 4: UPMC LITITZ IS LOCATED IN LANCASTER COUNTY. KEY FINDINGS FROM THE CHNA INDICATE SOCIAL DETERMINANTS INDICATORS REVEAL NOTABLE CONCERNS ABOUT THE COUNTY'S ECONOMIC STABILITY AND COMMUNITY AND SOCIAL CONDITIONS INCLUDING RATES OF EDUCATIONAL ATTAINMENT. THE MAJOR SOCIAL DETERMINANTS ISSUES FACING THE COUNTY INCLUDE:- LARGE NUMBERS OF RENTERS STRUGGLING WITH HOUSING AFFORDABILITY- HIGH RATES OF POVERTY FOR MINORITIES: IN 2016 28.3% OF LATINOS AND 28.8% OF BLACKS COMPARED TO 8% FOR WHITES - LARGE INCOME DISPARITIES BETWEEN WHITES AND NON-WHITES- HOURLY WAGE RATES THAT ARE DECREASING FOR PERSONS ON THE LOWER HALF OF THE EARNINGS SCALE- LOW RATES OF POST-SECONDARY EDUCATIONAL ATTAINMENT- AN AGING POPULATION- POOR AIR QUALITY; LANCASTER IS RANKED 13TH NATIONALLY FOR PEOPLE AT RISK BY SHORT-TERM PARTICLE POLLUTION AND IS RANKED 8TH NATIONALLY FOR PEOPLE AT RISK BY YEAR-ROUND PARTICLE POLLUTION- A POLLUTED PHYSICAL ENVIRONMENT; INDICATORS OF AIR AND WATER QUALITY PLACE LANCASTER'S PHYSICAL ENVIRONMENT 64TH OUT OF THE STATE'S 67 COUNTIES. PART VI, LINE 5: THE ORGANIZATION DEVELOPED AN IMPLEMENTATION PLAN BASED ON THE CHNA PERFORMED IN 2018 WHICH WAS APPROVED BY THE BOARD IN MAY 2019. IMPLEMENTATION AS OUTLINED IN LINE 2 HAS BEGUN. PART VI, LINE 6: UPMC LITITZ IS PART OF UPMC PINNACLE, A FULLY INTEGRATED, AFFILIATED HEALTH CARE SYSTEM. THE SYSTEM IS COMPRISED OF ELEVEN WHOLLY OWNED ENTITIES AS WELL AS A VARIETY OF AFFILIATED JOINT VENTURES. THE ORGANIZATION'S MISSION IS TO MAINTAIN AND IMPROVE THE HEALTH AND QUALITY OF LIFE FOR EVERYONE IN CENTRAL PENNSYLVANIA. UPMC PINNACLE IS ENGAGED IN AND CONDUCTS CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES THROUGH THE SUPPORT AND BENEFIT OF UPMC PINNACLE FOUNDATION, AND PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES TO AFFILIATED ENTITIES. PINNACLE HEALTH MEDICAL SERVICES AND REGIONAL PHYSICIANS ARE PRIMARILY ENGAGED IN THE PROVISION OF PHYSICIAN SERVICES TO SUPPORT AND ENHANCE THE SERVICES WITHIN UPMC PINNACLE. THE UPMC PINNACLE CARDIOVASCULAR INSTITUTE IS ENGAGED IN PROVIDING COMPREHENSIVE CARDIAC CARE, INCLUDING TECHNOLOGICAL ADVANCES IN ORDER TO PROVIDE THE BEST CLINICAL OUTCOMES TO THE COMMUNITY. COMMUNITY LIFE TEAM IS ENGAGED IN PROVIDING COMMUNITY-BASED, EFFICIENT AND COST EFFECTIVE MEDICAL TRANSPORT SERVICES, PRE-HOSPITAL EMERGENCY MEDICAL SERVICES FOR THE RESIDENTS AND COMMUNITIES OF THE CENTRAL PENNSYLVANIA YORK REGIONS.PINNACLE HEALTH VENTURES, INC. WAS FORMED IN 2012 TO CONSOLIDATE VARIOUS ENTITIES THAT FUNCTION IN SUPPORT OF THE UPMC PINNACLE NETWORK. CURRENTLY INCLUDED IN VENTURES ARE PINNACLE HEALTH IMAGING, MEDCARE SUSQUEHANNA VALLEY, PINNACLE HEALTH ALLBETTERCARE, AND MEDICAL ARTS BUILDING. UNITED CENTRAL PENNSYLVANIA RECIPROCAL RISK RETENTION GROUP IS A WHOLLY OWNED, FOR PROFIT, VERMONT CAPTIVE INSURANCE COMPANY OPERATING FOR THE BENEFIT OF UPMC PINNACLE.ADDITIONAL HOSPITALS PROVIDING SERVICES AND SUPPORT IN THE UPMC PINNACLE SYSTEM INCLUDE UPMC PINNACLE HOSPITALS, UPMC MEMORIAL, UPMC HANOVER, AND UPMC CARLISLE.UPMC PINNACLE AND ITS AFFILIATES ARE ACTIVELY INVOLVED IN THE CENTRAL PENNSYLVANIA REGION THROUGH VARIOUS CHARITY AND COMMUNITY BENEFIT ACTIVITIES. PART VI, LINE 7, REPORTS FILED WITH STATES PA 1 0 0 0 0 0 0 0 0 PHILIP W GUARNESCHELLI PRESIDENT AND CEO 0 803155 0 460142 0 133982 0 14250 0 26699 0 1438228 0 0 WILLIAM H PUGH FMR. EVP & CFO/TREASURER(RET. 12/19) 0 14513 0 182031 0 732165 0 5700 0 10429 0 944838 0 0 THOMAS NICHOLSON MD DIRECTOR 0 561517 0 82047 0 0 0 14250 0 27415 0 685229 0 0 MICHAEL TURKEL SVP & PRES, LANC DIV (UNTIL 7/20) 422053 0 0 0 223370 0 0 0 25782 0 671205 0 0 0 CHRISTOPHER P MARKLEY ESQ SEC'Y/SR VP/GENERAL COUNSEL 0 420513 0 167946 0 47054 0 14250 0 18745 0 668508 0 0 ALISON BERNHARDT TREASURER/VP & CFO 0 359754 0 106500 0 0 0 14250 0 9376 0 489880 0 0 CHRISTINE MILLER ASSISTANT SECRETARY 0 206910 0 41505 0 0 0 11331 0 17116 0 276862 0 0 AMANDA MORGAN ASSISTANT TREASURER 0 140673 0 28876 0 0 0 7741 0 16463 0 193753 0 0 JOSEPH OBERHOLZER PHYSICAL THERAPIST 179722 0 0 0 0 0 0 0 6185 0 185907 0 0 0 LAURA COPPULA PHARMACIST 150785 0 0 0 0 0 0 0 25610 0 176395 0 0 0 JOHN SOKSO PHARMACIST 151494 0 0 0 0 0 0 0 18592 0 170086 0 0 0 BARRY MITCHNECK DIRECTOR NURSING 151024 0 0 0 0 0 0 0 18390 0 169414 0 0 0 PART I, LINE 3 UPMC LITITZ RELIES ON UPMC PINNACLE, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION FOR THE ORGANIZATION'S CEO. METHODS USED TO ESTABLISH COMPENSATION BY THE RELATED ORGANIZATION INCLUDE: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD PART I, LINE 4A WILLIAM PUGH, THE FORMER EVP & CFO/TREASURER, RECEIVED A SEVERANCE PAYMENT OF $632,994 DURING THE 2020 CALENDAR YEAR. HIGHLY COMPENSATED EMPLOYEE MICHAEL TURKEL ALSO RECEIVED A SEVERANCE PAYMENT DURING THE YEAR IN THE AMOUNT OF $223,370. FORM 990, PART V, LINE 1: UPMC (EIN 25-1423657), ULTIMATE PARENT ENTITY OF UPMC PINNACLE AND THE PARENT ENTITY OF A GROUP OF TAX-EXEMPT ORGANIZATIONS, IS THE COMMON REPORTING AGENT FOR THE GROUP AND FILES ALL 1099 FORMS FOR UPMC LITITZ. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS UPMC PINNACLE, A FEDERALLY TAX EXEMPT, STATE NONPROFIT ENTITY (EIN 25-1778658). IN SEPTEMBER 2017 UPMC PINNACLE AFFILIATED WITH UPMC, A WORLD-RENOWNED INTEGRATED HEALTHCARE DELIVERY AND FINANCING SYSTEM, THAT IS AN INTERNATIONAL LEADER IN PROVIDING CLINICAL CARE, GROUND BREAKING RESEARCH AND TREATMENTS WITH LOCATIONS IN WESTERN AND CENTRAL PENNSYLVANIA, MARYLAND, NEW YORK AND AROUND THE WORLD. FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER OF THE ORGANIZATION, UPMC PINNACLE SHALL ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION REQUIRE THE APPROVAL OF BOTH THE UPMC PINNACLE BOARD AND THE UPMC BOARD, AS THE SOLE MEMBER OF UPMC PINNACLE. FORM 990, PART VI, SECTION B, LINE 11B THE AUTHORITY AND RESPONSIBILITY FOR REVIEW OF THE FORM 990 FOR UPMC PINNACLE AND SUBSIDIARIES IS DELEGATED TO THE FINANCE COMMITTEE OF THE UPMC PINNACLE BOARD. IN ORDER TO ACCOMPLISH THIS, ALL MEMBERS OF THE FINANCE COMMITTEE ARE PROVIDED WITH A REASONABLE OPPORTUNITY TO REVIEW AND COMMENT TO EXECUTIVE LEADERSHIP ON THE IRS FORMS 990 OF UPMC PINNACLE AND ITS SUBSIDIARIES. IN ADDITION, EACH MEMBER OF EACH RESPECTIVE BOARD OF DIRECTORS WILL BE GIVEN ACCESS TO VIEW THEIR INDIVIDUAL FORM 990 VIA A SHARED, PASSWORD-PROTECTED WEBSITE BEFORE THE RETURNS ARE FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C IN THE PERFORMANCE OF THEIR DUTIES TO UPMC PINNACLE, COVERED PERSONS SHALL SEEK TO ACT IN THE BEST INTERESTS OF UPMC PINNACLE, AND SHALL EXERCISE GOOD FAITH, LOYALTY, DILIGENCE AND HONESTY. A COVERED PERSON IS ANY INDIVIDUAL WHO SERVES IN A FIDUCIARY CAPACITY TO, OR WHO HAS LEGAL AUTHORITY TO REPRESENT OR OBLIGATE, UPMC PINNACLE OR ANY OF ITS AFFILIATED ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO, DIRECTORS, OFFICERS, EMPLOYEES, AND AGENTS. COVERED PERSONS ALSO INCLUDE A) IMMEDIATE FAMILIES (SPOUSES, CHILDREN, SIBLINGS, PARENTS, OR SPOUSE'S PARENTS), B) ANY ORGANIZATION IN WHICH THEY OR THEIR IMMEDIATE FAMILIES DIRECTLY OR INDIRECTLY I) HAVE A MATERIAL FINANCIAL OR BENEFICIAL INTEREST, OR II) SERVE AS A DIRECTOR, OFFICER, EMPLOYEE, AGENT, ATTORNEY OR SIMILAR CAPACITY. A COVERED PERSON SHALL DISCLOSE ANY BUSINESS OR PERSONAL INTERESTS OR RELATIONSHIPS WHICH MAY BE IN CONFLICT WITH THE INTERESTS OF UPMC PINNACLE, INCLUDING, BUT NOT LIMITED TO (A) ENGAGING IN OR SEEKING TO BE ENGAGED IN (I) THE DELIVERY OF HEALTH CARE SERVICES OR (II) THE DELIVERY OF GOODS OR SERVICES TO UPMC PINNACLE, OR (B) ANY TRANSACTION OR ARRANGEMENT WITH UPMC PINNACLE WHICH WOULD RESULT IN BENEFIT TO COVERED PERSONS. IF A POTENTIAL CONFLICT IS IDENTIFIED REGARDING A SPECIFIC UPMC ACTIVITY, THE UPMC CORPORATE COMPLIANCE DEPARTMENT, WITH THE ASSISTANCE OF THE LEGAL DEPARTMENT, EITHER DEVELOPS A WRITTEN PLAN DESIGNED TO PREVENT THE CONFLICT FROM INFLUENCING DECISIONS RELATED TO THAT ACTIVITY, OR REQUIRES THAT THE CONFLICTING RELATIONSHIP BE DIVESTED, AS APPROPRIATE. COVERED PERSONS WITH A DOCUMENTED CONFLICT OF INTEREST SHALL NOT VOTE ON THE MATTER, AND THE UPMC PINNACLE BOARD OR COMMITTEE MUST APPROVE, AUTHORIZE, OR RATIFY THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE NON-INTERESTED DIRECTORS OR COMMITTEE MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM. VIOLATIONS OF THIS STATEMENT OF POLICY MAY SUBJECT COVERED PERSONS TO APPROPRIATE SANCTIONS, INCLUDING REMOVAL FROM THEIR POSITIONS WITH UPMC PINNACLE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE UPMC PINNACLE BOARD HAS THE AUTHORITY TO DEVELOP AND MAINTAIN EXECUTIVE COMPENSATION TO BE APPROVED BY THE UPMC PINNACLE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE WILL FOLLOW A DILIGENT PROCESS THAT MEETS REGULATORY REQUIREMENTS FOR A REBUTTABLE PRESUMPTION OF REASONABLENESS AND PROMOTES EFFECTIVE GOVERNANCE OF EXECUTIVE COMPENSATION, CONSISTENT WITH THE UPMC PINNACLE COMPENSATION PHILOSOPHY. 1. FOLLOW A PROCESS THAT ESTABLISHES AND MAINTAINS A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL EXECUTIVES POTENTIALLY SUBJECT TO INTERMEDIATE SANCTIONS. 2. PREPARE MINUTES FOR EACH MEETING TO RECORD THE TERMS OF THE COMMITTEE'S DECISIONS AND THE PROCESS FOLLOWED IN REACHING THOSE DECISIONS. THESE MINUTES MUST INCLUDE INDICATIONS THAT THE COMMITTEE IS FOLLOWING GOOD PRACTICES IN DEALING WITH CONFLICTS OF INTEREST AND IN OBTAINING AND RELYING ON APPROPRIATE COMPARABILITY DATA ON TOTAL COMPENSATION. 3. SELECT AND DIRECTLY ENGAGE AND SUPERVISE ANY CONSULTANT HIRED BY UPMC PINNACLE TO ADVISE THE COMMITTEE ON EXECUTIVE COMPENSATION. 4. PERIODICALLY EVALUATE THE APPROPRIATENESS OF THIS CHARTER AND THE EFFECTIVENESS OF THE PROCESS THE COMMITTEE USES IN GOVERNING EXECUTIVE COMPENSATION AND REPORT THIS EVALUATION TO THE UPMC PINNACLE BOARD. 5. MONITOR CHANGES IN LAWS AND REGULATIONS PERTAINING TO EXECUTIVE COMPENSATION AND BENEFITS TO SEE THAT UPMC PINNACLE COMPLIES WITH THEM. 6. SEEK OUTSIDE REVIEW OF COMMITTEE OPERATIONS TO ENSURE COMPLIANCE WITH THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS. 7. REVIEW ACTUAL EXECUTIVE COMPENSATION AND BENEFITS PROVIDED TO CONFIRM CONSISTENCY WITH COMPENSATION AND BENEFITS APPROVED BY THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION INCLUDES A COPY OF ITS FINANCIAL STATEMENTS WITH THE STATE REGISTRATION FILED WITH THE PENNSYLVANIA DEPARTMENT OF STATE, BUREAU OF CHARITABLE ORGANIZATIONS. THESE DOCUMENTS ARE A MATTER OF PUBLIC RECORD AND CAN BE VIEWED AT THE BUREAU OFFICE. FORM 990, PART XI, LINE 9: TRANSFERS TO EXEMPT AFFILIATES -5,084,245. PART XII, LINE 2C: UPMC HAS AN AUDIT COMMITTEE THAT IS ESTABLISHED TO ASSIST THE BOARD OF DIRECTORS IN FULFILLING ITS OVERSIGHT RESPONSIBILITIES BY MONITORING UPMC CONSOLIDATED FINANCIAL REPORTS AND OTHER FINANCIAL INFORMATION PROVIDED BY UPMC TO GOVERNMENTAL BODIES, THE PUBLIC OR OTHER EXTERNAL ENTITIES. THE UPMC'S SYSTEM OF INTERNAL CONTROLS REGARDING FINANCE, ACCOUNTING, LEGAL COMPLIANCE AND ETHICS THAT MANAGEMENT AND THE BOARD HAVE ESTABLISHED AND UPMC'S INTERNAL AUDITING, ACCOUNTING AND FINANCIAL REPORTING PROCESSES ALSO PROVIDED OVERSIGHT. PART XII, LINE 2B: THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PERFORMED BY EY FOR UPMC AND ALL SUBSIDIARIES. THE ENTIRE SYSTEM'S FINANCIAL STATEMENTS, OF WHICH THIS ORGANIZATION IS PART, ARE POSTED ON THE UPMC WEBSITE (WWW.UPMC.COM). THE FINANCIAL STATEMENT AUDIT DURING THE 990 FILING PERIOD IS FOR THE CALENDAR YEAR ENDED DECEMBER 31,2020. 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CENTER - PINNACLE 101 ERFORD ROAD CAMP HILL PA 17701 833640945 CANCER TREATM PA N/A C 0 SHANGHAI UPMC CO LTD 288 SHIMEN 1ST ROAD JINGAN DISTRIC SHANGHAI CH HEALTHCARE MG CH N/A C 0 SALVATOR MUNDI INTERNATIONAL HOSPITAL ROMA VIALE DELLE MURA GIANICOLENSI IT HOSPITAL IT N/A C 0 SOMERSET ANESTHESIA INC 600 GRANT STREET PITTSBURGH PA 15219 455135437 PHYSICIAN SRV PA N/A C 0 SOMERSET MANAGEMENT SERVICES INC 600 GRANT STREET PITTSBURGH PA 15219 251512960 MOB OWNERSHIP PA N/A C 0 GENERIAN PHARMACEUTICALS INC 2425 SIDNEY STREET PITTSBURGH PA 15203 821101143 PHARMACY DE N/A C 0 WORK PARTNERS NATIONAL INC 600 GRANT STREET PITTSBURGH PA 15219 843141950 INSURANCE PA N/A C 0 ASTRATA INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 844804493 SOFTWARE DE N/A C 0 VEGAVECT 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 844280784 GENE THERAPY DE N/A C 0 NOVIMAB 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 841494905 CLINICAL RESEARCH DE N/A C 0 REALYZE INTELLEGENCE INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 850873923 SOFTWARE DE N/A C 0 HAYSTACK CONSOLIDATED SERVICES INC 12500 WILLOWBROOK ROAD CUMBERLAND MD 21502 521335895 INACTIVE PA N/A C 0 WESTERN MARYLAND INSURANCE COMPANY LTD PO BOX 10233 GRAND CAYMAN CAYMAN ISLANDS CJ INSURANCE CJ N/A C 0 GENERIAN PHARMACEUTICALS AUSTRALIA PTY L LEVEL 5 63 PIRIE STREET ADELAIDE AU PHARMACY AU N/A C 0 WILLOWBROOK HEALTHCARE CONDO 12401 WILLOWBROOK ROAD CUMBERLAND MD 21502 371538510 REAL ESTATE DE N/A C 0 RXANTE PHARMACY SERVICES INC 511 CONGRESS STREET 803 PORTLAND ME 04101 833402761 PHARMACY DE N/A C 0 CLANE HOSPITAL DEVELOPMENT ASSOCIATES L C/O UPMC WHITFIELD CORK ROAD BUTLERSTOWN NORTH WATERFORD EI MANAGEMENT EI N/A C 0 UPMC KILDARE HOSPITAL LTD PROSPEROUS ROAD CLANE COUNTY KILDARE CLANE EI HOSPITAL EI N/A C 0 UPMC AUT EVEN HOSPITAL LTD FRESHFORD ROAD COUNTY KILKENNY EI HOSPITAL EI N/A C 0 UPMC EXCESS PL TRUST 600 GRANT STREET PITTSBURGH PA 15219 826254351 TRUST PA N/A T 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 FORM 990, SCHEDULE R, PARTS I THROUGH 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, 2021. 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.