UPMC CHAUTAUQUA AT WCA: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: UPMC CHAUTAUQUA AT WCA (EIN 16-0743226)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-16
IRS object ID: 202003219349316725
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-16T15:27:48-06:00	ReturnTs
Tax Period End	2019-12-31	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	2019-01-01	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 PO BOX 840	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	7164870141	PhoneNum
Signature	2020-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	THOMAS DALTON	PreparerPersonNm
PTIN	P00645802	PTIN
Phone	7168472651	PhoneNum
Preparation	2020-11-13	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	104.193.28.34	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-13	IPDt
IP Tm	11:05:27	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	9AD29C551C0D524BD933C6291C484BFCC5F79E48	AtSubmissionCreationDeviceId
At Submission Filing Device Id	382F0CF5B7BC547980A833C446D3B443A23B8F8F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	UPMC CHAUTAUQUA WCA	BusinessNameLine1Txt

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 / PO BOX 840	AddressLine1Txt
City	JAMESTOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	147020840	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$101,996,551	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	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	1120	TotalEmployeeCnt
Total Volunteers	96	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$250	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$461,015	PYContributionsGrantsAmt
CY Contributions Grants	$1,877,074	CYContributionsGrantsAmt
PY Program Service Revenue	$89,963,503	PYProgramServiceRevenueAmt
CY Program Service Revenue	$98,921,434	CYProgramServiceRevenueAmt
PY Investment Income	$5,802,622	PYInvestmentIncomeAmt
CY Investment Income	$24,039	CYInvestmentIncomeAmt
PY Other Revenue	$8,105,988	PYOtherRevenueAmt
CY Other Revenue	$1,174,004	CYOtherRevenueAmt
PY Total Revenue	$104,333,128	PYTotalRevenueAmt
CY Total Revenue	$101,996,551	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	$57,226,558	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$54,926,844	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$47,432,031	PYOtherExpensesAmt
CY Other Expenses	$72,860,431	CYOtherExpensesAmt
PY Total Expenses	$104,658,589	PYTotalExpensesAmt
CY Total Expenses	$127,787,275	CYTotalExpensesAmt
PY Revenues Less Expenses	-$325,461	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$25,790,724	CYRevenuesLessExpensesAmt
Total Assets BOY	$90,491,490	TotalAssetsBOYAmt
Total Assets EOY	$109,284,839	TotalAssetsEOYAmt
Total Liabilities BOY	$66,912,244	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$35,585,126	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$23,579,246	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$73,699,713	NetAssetsOrFundBalancesEOYAmt
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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$92,600,067	ExpenseAmt
Revenue	$99,726,302	RevenueAmt
Desc	OPERATING 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	$92,600,067	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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1120	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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 (20 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
CHAIR	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
VICE CHAIR	40.00	Yes (X)	Yes (X)	$0	$786,390	$83,982
BRADLEY DINGER
TREASURER/CFO	40.00	Yes (X)	Yes (X)	$0	$209,527	$32,940
CRISTIE HERBST
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
CAMELLIA HERISKO
CNO, VP OPS & PATIENT CARE	2.00	Yes (X)		$274,147	$0	$38,974
EDWARD KARLOVICH
BOARD MEMBER	2.00	Yes (X)		$0	$1,213,265	$126,968
MARK RAIMY
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
ANNA DIBBLE
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
WILLIAM GEARY MDPHD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
JAMES DONNELLY
CNO	40.00	Yes (X)	Yes (X)	$0	$289,309	$37,516
BRIAN DURNIOK
PRESIDENT/CEO	40.00		Yes (X)	$0	$444,586	$29,666
CECIL M MILLER III
SECRETARY/VP OF OPERATIONS	40.00		Yes (X)	$198,291	$0	$19,949
LISA MCCHESNEY
CIO	40.00		Yes (X)	$0	$276,477	$40,689
GALO GRIJALVA MD
PHYSICIAN	40.00			$370,238	$0	$42,005	Yes (X)
JONATHAN BLASIUS MD
MEDICAL DIRECTOR-HOSPITALI	40.00			$316,135	$0	$57,525	Yes (X)
SALVATORE J BUONAIUTO MD
HOSPITALIST	40.00			$478,039	$0	$38,478	Yes (X)
PUJAN SHRESTHA MD
PHYSICIAN	40.00			$301,594	$0	$31,164	Yes (X)
SRINIVAS BOMMIREDDIPALLI MD
HOSPITALIST	40.00			$308,337	$0	$23,902	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,246,781	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,219,554	TotReportableCompRltdOrgAmt
Total Other Compensation	$603,758	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	31	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
LECHASE CONSTRUCTION
205 INDIGO CREEK DRIVE	ROCHESTER	NY	14626	CONSTRUCTION SERVICES	$9,273,221
ASSOCIATED CLINICAL LAB
1526 PEACH STREET	ERIE	PA	16501	LAB SERVICES	$1,706,183
PREMIER ANESTHESIA OF NY PC
2655 NORTHWINDS PKWY	ALPHARETTA	GA	30009	ANESTHESIA PHYSICIAN SERVICES	$1,429,530
PERRY CONSTRUCTION GROUP INC
1440 WEST 21ST STREET	ERIE	PA	16502	CONSTRUCTION SERVICES	$426,211
JAMESTOWN AREA PATHOLOGY LLC
207 FOOTE AVENUE	JAMESTOWN	NY	14701	PATHOLOGY	$343,550

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Related Organizations	$962,225	RelatedOrganizationsAmt
All Other Contributions	$914,849	AllOtherContributionsAmt
Total Contributions	$1,877,074	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPITAL REVENUE	621500	$98,183,496	$98,183,496
EQUITY INVESTMENTS REVENUE	621500	$737,938	$737,938

Field	Value	IRS element (for citing)
Total Program Service Revenue	$98,921,434	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,039	TotalRevenueColumnAmt
Exclusion	$24,039	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Personal	$369,136	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	$369,136	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$369,136	TotalRevenueColumnAmt
Exclusion	$369,136	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE	621990	$346,672	$346,672
OTHER MISCELLANEOUS REVENUE	900099	$278,490	$278,490
EDUCATION REVENUE	621990	$109,381	$109,381

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$70,325	TotalRevenueColumnAmt
Related Or Exempt Func Income	$70,325	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$804,868	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$101,996,551	TotalRevenueColumnAmt
Related Or Exempt Func Income	$99,726,302	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$393,175	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$472,438	TotalAmt
Program Services	$472,438	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$40,040,559	TotalAmt
Program Services	$37,825,009	ProgramServicesAmt
Management And General	$2,215,550	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,264,550	TotalAmt
Program Services	$2,398,830	ProgramServicesAmt
Management And General	$8,865,720	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,149,297	TotalAmt
Program Services	$2,977,070	ProgramServicesAmt
Management And General	$172,227	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$263,752	TotalAmt
Management And General	$263,752	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$113,950	TotalAmt
Management And General	$113,950	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$259,031	TotalAmt
Management And General	$259,031	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,402	TotalAmt
Program Services	$1,402	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,673,494	TotalAmt
Program Services	$4,256,224	ProgramServicesAmt
Management And General	$1,417,270	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,124,654	TotalAmt
Program Services	$1,124,654	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
HOSPITAL AND MEDICAL SU	$20,356,901	$20,039,701	$317,200
ENTERPRISE SHARED SERVI	$16,870,663		$16,870,663
PURCHASED SERVICES	$12,611,615	$10,994,606	$1,617,009
PHYSICAN FEES	$9,764,766	$9,643,133	$121,633

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,820,203	TotalAmt
Program Services	$2,867,000	ProgramServicesAmt
Management And General	$2,953,203	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$127,787,275	TotalAmt
Program Services	$92,600,067	ProgramServicesAmt
Management And General	$35,187,208	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,355,672	BOYAmt
EOY	$548,110	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,835,215	BOYAmt
EOY	$16,083,121	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$564,358	BOYAmt
EOY	$651,321	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$777,754	BOYAmt
EOY	$292,396	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$158,543,343	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$89,959,574	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$52,643,704	BOYAmt
EOY	$68,583,769	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,455,621	BOYAmt
EOY	$2,479,318	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,859,166	BOYAmt
EOY	$20,646,804	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$90,491,490	BOYAmt
EOY	$109,284,839	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,894,173	BOYAmt
EOY	$4,329,191	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$12,324,048	BOYAmt
EOY	$26,297,365	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$82,139	BOYAmt
EOY	$592,751	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$50,611,884	BOYAmt
EOY	$4,365,819	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$66,912,244	BOYAmt
EOY	$35,585,126	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	$7,918,899	BOYAmt
EOY	$56,592,491	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,660,347	BOYAmt
EOY	$17,107,222	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$23,579,246	BOYAmt
EOY	$73,699,713	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$90,491,490	BOYAmt
EOY	$109,284,839	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$25,790,724	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$75,911,191	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,142,333	BeginningYearBalanceAmt
Contributions	$96,982	ContributionsAmt
Investment Earnings Or Losses	$2,378,581	InvestmentEarningsOrLossesAmt
Other Expenditures	$644,147	OtherExpendituresAmt
End Year Balance	$14,973,749	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,729,182	BeginningYearBalanceAmt
Contributions	$72,452	ContributionsAmt
Investment Earnings Or Losses	$950,163	InvestmentEarningsOrLossesAmt
Other Expenditures	$609,464	OtherExpendituresAmt
End Year Balance	$13,142,333	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,542,757	BeginningYearBalanceAmt
Contributions	$33,559	ContributionsAmt
Investment Earnings Or Losses	-$336,604	InvestmentEarningsOrLossesAmt
Other Expenditures	$510,530	OtherExpendituresAmt
End Year Balance	$12,729,182	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.71820	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.28180	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	$73,558,924	OtherCostOrOtherBasisAmt
Depreciation	$38,640,917	DepreciationAmt
Book Value	$34,918,007	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,095,812	OtherCostOrOtherBasisAmt
Depreciation	$2,550,094	DepreciationAmt
Book Value	$545,718	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$77,177,728	OtherCostOrOtherBasisAmt
Depreciation	$48,768,563	DepreciationAmt
Book Value	$28,409,165	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,694,824	OtherCostOrOtherBasisAmt
Book Value	$2,694,824	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$68,583,769	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INTEREST IN NET ASSETS OF WCA FOUNDATION	$15,176,778
OTHER LONG TERM RECEIVABLE	$550,000
INVESTMENT IN WCA SERVICES CORPORATION	$1,400,000
OPERATING LEASE RIGHT OF USE ASSETS	$3,520,026

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$20,646,804	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS	$444,080
OTHER LONG TERM LIABILITY	$550,000
DUE TO EXEMPT PARENT	-$148,287
RIGHT OF USE LIABILITY	$3,520,026

Field	Value	IRS element (for citing)
Total Liability	$4,365,819	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
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	0	ExpensesExceedBudgetInd
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	$456,632	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$456,632	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,537,446	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,841,834	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,695,612	NetCommunityBenefitExpnsAmt
Total Expense	0.13850	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,843	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,993	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,850	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,006,921	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,844,827	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,162,094	NetCommunityBenefitExpnsAmt
Total Expense	0.14220	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,994	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$107,994	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$262,740	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$92,840	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$169,900	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,338	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,338	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$391,072	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$92,840	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$298,232	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,397,993	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,937,667	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,460,326	NetCommunityBenefitExpnsAmt
Total Expense	0.14450	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,368,986	BadDebtExpenseAmt
Bad Debt Expense Attributable	$437,968	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$40,250,079	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$65,897,478	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$25,647,399	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 WCA 31 SHERMAN 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	19	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	19	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
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 (5 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, MCKEAN, AND VENANGO COUNTIES IN PA AND CHAUTAUQUA COUNTY, NY HOSPITALS: UPMC HAMOT, UPMC KANE, 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 AND BLAIR COUNTY HOSPITALS: UPMC ALTOONA AND UPMC BEDFORD.LAWRENCE AND MERCER COUNTY HOSPITALS: UPMC JAMESON AND UPMC HORIZON.CLINTON, LYCOMING, NORTHUMBERLAND, POTTER, AND TIOGA COUNTY HOSPITALS: UPMC LOCK HAVEN, UPMC MUNCY, UPMC WILLIAMSPORT, UPMC SUNBURY, UPMC COLE, AND UPMC WELLSBORO.
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 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 (13 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 88% REDUCTION IN THE PATIENT BILL.THE DISCOUNTED CHARITY CARE SCALE IS BASED ON FAMILY HOUSEHOLD SIZE FOR 2019.3. 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 ENTITIES REPORTED WITHIN THE UPMC CHAUTAUQUA AT WCA 990 AND EXCLUDES 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. THE TOTAL EXPENSE PER PART IX LINE 25 DOES NOT INCLUDE BAD DEBT EXPENSE, AND AS SUCH, IS NOT INCLUDED IN THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE. THE TOTAL EXPENSES USED FOR THIS CALCULATION, EXCLUDING BAD DEBT EXPENSE, IS $127,787,275.
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 GROUP'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 GROUP'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:	IN 2019, IN KEEPING WITH IRS 501(R) GUIDELINES, UPMC CHAUTAUQUA COLLABORATED WITH OTHER UPMC HOSPITALS IN THE FOUR-COUNTY REGION THAT INCLUDES CHAUTAUQUA COUNTY IN NEW YORK, AND ERIE, MCKEAN, 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 2019 DOCUMENT BUILDS UPON PRIOR ASSESSMENTS AND IMPLEMENTATION PLANS DEVELOPED IN 2013 AND 2016. 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 2018, 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 2,074 COMMUNITY PARTICIPANTS FROM 22 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. MORE THAN 800 INDIVIDUALS COMPLETED THE SURVEY, AND GREATER THAN 70 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 2019 CHNA REPORTS AND 2019-2022 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 FOUR SIGNIFICANT HEALTH NEEDS. UPMC HOSPITALS LEVERAGE COMMUNITY-BASED PARTNERSHIPS AND SYSTEM-WIDE RESOURCES TO SUPPORT RESIDENTS IN NEED. UPMC CHAUTAUQUA'S 2019-2022 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 HEART DISEASE, CANCER, AND DIABETES. 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 ENSURE RESIDENTS HAVE ACCESS TO INPATIENT BEHAVIORAL HEALTH SERVICES.ADDRESSING ACCESS TO CARE AND NAVIGATING RESOURCES: UPMC CHAUTAUQUA IS COLLABORATING WITH LOCAL COMMUNITY ORGANIZATIONS, AS WELL AS PIONEERING INNOVATIVE CARE MODELS. THE HOSPITAL IS WORKING TO EXTEND ACCESS TO SPECIALTY CARE THROUGH PHYSICIAN RECRUITMENT AND IS EVALUATING TELEHEALTH CAPABILITIES.ADDRESSING PREVENTION AND COMMUNITY-WIDE HEALTHY LIVING: UPMC CHAUTAUQUA IS PARTNERING WITH LOCAL ORGANIZATIONS TO ENHANCE AND DEVELOP PROGRAMS THAT PROMOTE A HEALTHY AND SAFE ENVIRONMENT FOR THE COMMUNITY. EXAMPLES OF TARGETED INITIATIVES INCLUDE PROMOTING PHYSICAL EXERCISE, PRENATAL EDUCATION, AND BREASTFEEDING EDUCATION.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. UPMC CHAUTAUQUA ALSO DEVELOPED NEW PROGRAMS AND SERVICES, WHICH REQUIRED THE CREATION OF OPERATING INFRASTRUCTURE AND ESTABLISHMENT OF GOALS AND ASSESSMENT TOOLS. THE HOSPTAL ALSO DEVELOPED AND ENHANCED PARTNERSHIPS WITH OTHER COMMUNITY ORGANIZATIONS TO BETTER COORDINATE RESOURCES. EXAMPLES OF PROGRESS OVER THE PAST THREE YEARS INCLUDES: ADDRESSING CHRONIC DISEASE MANAGEMENT:UPMC CHAUTAUQUA IS WORKING TO ADDRESS HEART DISEASE, DIABETES, AND CANCER. TO PROMOTE HEART HEALTH AND TO HELP REDUCE THE MORTALITY RATES OF CARDIOVASCULAR DISEASE IN THE COUNTY, UPMC CHAUTAUQUA OFFERS COMMUNITY OUTREACH EDUCATION, INCLUDING HEART ATTACK, STROKE, AND HANDS ONLY CPR PRESENTATIONS. IN ADDITION, THE HOSPITAL'S CARDIAC NURSE NAVIGATOR SUPPORTS CARDIOVASCULAR AND CONGESTIVE HEART FAILURE (CHF) PATIENTS BY EDUCATING THEM ABOUT RISK FACTORS OF READMISSION TO THE HOSPITAL. TO HELP PREVENT AND MANAGE DIABETES, UPMC CHAUTAUQUA CONTINUES TO ENCOURAGE HEALTHY EATING - OFFERING A GRAB AND GO HEALTHY FOOD INITIATIVE, PROMOTING HEALTHY SNACKS, AND MAKING LOCAL, SEASONAL FRESH FRUITS AND VEGETABLES AVAILABLE IN THE CAFETERIA. UPMC CHAUTAUQUA ALSO REMAINS COMMITTED TO CANCER AWARENESS, SUPPORT, AND TREATMENT. TO PROMOTE AWARENESS, THE HOSPITAL HOSTED BREAST CANCER PRESENTATIONS IN OCTOBER 2019 - 375 COMMUNITY MEMBERS PARTICIPATED. TO SUPPORT THOSE NEWLY DIAGNOSED WITH BREAST CANCER, THE HOSPITAL PROVIDES A NURSE NAVIGATOR, WHO HELPS PATIENTS SCHEDULE APPOINTMENTS AND CONNECTS PATIENTS WITH RESOURCES AND SUPPORT GROUPS. TO INCREASE LOCAL ACCESS TO TREATMENT, UPMC CHAUTAUQUA EXPANDED ITS CHEMOTHERAPY INFUSION SERVICES WITH A NEW INFUSION CENTER, WHICH INCREASES PATIENTS' ABILITY TO STAY CLOSE TO HOME FOR CARE. EXPANDING SERVICES TO MEET BEHAVIORAL HEALTH NEEDS:IN 2019, UPMC CHAUTAUQUA ENHANCED ITS ABILITY TO MEET THE COMMUNITY'S BEHAVIORAL HEALTH NEEDS. UPMC CHAUTAUQUA COMPLETED CONSTRUCTION ON NEW ADOLESCENT AND ADULT MENTAL HEALTH INPATIENT UNITS, WHICH PROVIDE RECOVERY-ORIENTED ENVIRONMENTS AND IMMEDIATE ACCESS TO HOSPITAL SERVICES. IN ADDITION, THE HOSPITAL OPENED A RESIDENTIAL SUBSTANCE USE SERVICE, WHICH OFFERS THREE LEVELS OF CARE: STABILIZATION, REHABILITATION, AND COMMUNITY REINTEGRATION.INCREASING ACCESS TO CARE THROUGH PHYSICIAN RECRUITMENT:UPMC CHAUTAUQUA CONTINUES EFFORTS TO RECRUIT NEW PHYSICIANS - HELPING TO INCREASE ACCESS TO SPECIALTY AND PRIMARY CARE PROVIDERS. IN 2019, THE HOSPITAL RECRUITED AN EAR, NOSE, AND THROAT (ENT) SPECIALIST, ONE ORTHOPEDIC SURGEON, AND ONE PRIMARY CARE PROVIDER.CARING FOR NEW MOMS AND INFANTS:UPMC CHAUTAUQUA CONTINUES TO OFFER EXCELLENT MATERNITY CARE TO THE COMMUNITY. IN 2019, THE HOSPITAL EXPANDED ITS WOMENS AND MATERNITY CARE CENTER - ADDING LABOR AND DELIVERY SUITES, TRIAGE ROOMS, AND POSTPARTUM PRIVATE ROOMS. THE HOSPITAL ALSO CONTINUES TO OFFER GREAT BEGINNINGS NY, AN INITIATIVE FOCUSED ON INCREASING THE PROPORTION OF BABIES WHO ARE BREASTFED BY INCREASING EXCLUSIVITY AND IMPROVING RACIAL, ETHNIC, AND ECONOMIC DISPARITIES IN BREASTFEEDING RATES.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
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

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 (13 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
VICE CHAIR	$0	$386,075	$0	$355,000	$0	$45,315	$0	$75,210	$0	$8,772	$0	$870,372	$0	$41,882
BRADLEY DINGER
TREASURER/CFO	$0	$173,958	$0	$34,000	$0	$1,569	$0	$16,860	$0	$16,080	$0	$242,467	$0	$0
CAMELLIA HERISKO
CNO, VP OPS & PATIENT CARE	$167,543	$0	$105,000	$0	$1,604	$0	$17,413	$0	$21,561	$0	$313,121	$0	$0	$0
EDWARD KARLOVICH
BOARD MEMBER	$0	$440,960	$0	$688,000	$0	$84,305	$0	$102,612	$0	$24,356	$0	$1,340,233	$0	$77,600
JAMES DONNELLY
CNO	$0	$187,506	$0	$99,150	$0	$2,653	$0	$17,585	$0	$19,931	$0	$326,825	$0	$0
BRIAN DURNIOK
PRESIDENT/CEO	$0	$264,731	$0	$164,000	$0	$15,855	$0	$22,400	$0	$7,266	$0	$474,252	$0	$13,364
CECIL M MILLER III
SECRETARY/VP OF OPERATIONS	$144,503	$0	$53,120	$0	$668	$0	$13,973	$0	$5,976	$0	$218,240	$0	$0	$0
LISA MCCHESNEY
CIO	$0	$174,852	$0	$100,000	$0	$1,625	$0	$18,560	$0	$22,129	$0	$317,166	$0	$0
GALO GRIJALVA MD
PHYSICIAN	$369,349	$0	$0	$0	$889	$0	$19,600	$0	$22,405	$0	$412,243	$0	$0	$0
JONATHAN BLASIUS MD
MEDICAL DIRECTOR-HOSPITALI	$297,375	$0	$17,643	$0	$1,117	$0	$22,400	$0	$35,125	$0	$373,660	$0	$0	$0
SALVATORE J BUONAIUTO MD
HOSPITALIST	$477,536	$0	$0	$0	$503	$0	$19,600	$0	$18,878	$0	$516,517	$0	$0	$0
PUJAN SHRESTHA MD
PHYSICIAN	$296,156	$0	$5,000	$0	$438	$0	$16,800	$0	$14,364	$0	$332,758	$0	$0	$0
SRINIVAS BOMMIREDDIPALLI MD
HOSPITALIST	$303,620	$0	$4,375	$0	$342	$0	$12,621	$0	$11,281	$0	$332,239	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

ALL PERSONS PARTICIPATING IN A SUPPLEMENTAL NON-QUALIFIED 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 CHAUTAUQUA AT WCA 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 OF 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 RETIREMENTS 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 OF HIS ENTIRE CAREER, HAS NOT AND WILL NOT BE DISTRIBUTED UNTIL THE OFFICER OR KEY EMPLOYEE RETIRES OR SEPARATES FROM SERVICE FROM THE ORGANIZATION. THE SUPPLEMENTAL RETIREMENT PROGRAM PROVIDES FOR THE CURRENT LIABILITY RESULTING FROM THE VESTING CURING 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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	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 WHICH IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	UPMC CHAUTAUQUA SERVICES, INC., THE PARENT ENTITY, ELECTS DIRECTORS OF THE GOVERNING BODY. UPMC HAMOT 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	UPMC CHAUTAUQUA ENGAGES AN INDEPENDENT FIRM TO EVALUATE THE COMPENSATION OF THE CEO AND THE CFO.
FORM 990, PART VI, SECTION C, LINE 19	UPMC (THE PARENT COMPANY OF UPMC CHATAUQUA AT WCA) 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 NO 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:	CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF W.C.A. FOUNDATION 2,254,952. BOOK TO TAX ADJUSTMENT - PARTNERSHIP INTERESTS -495,361. EQUITY TRANSFER FROM EXEMPT RELATED PARTY 74,151,600.
FORM 990, PART XII, LINE 2C:	UPMC CHAUTAUQUA AT WCA'S FINANCIAL STATEMENTS ARE AUDITED ON BOTH A CONSOLIDATED AND SEPARATE BASIS. THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED AUDIT OF UPMC CHAUTAUQUA SERVICES INC. AND SUBSIDIARIES AS WELL AS THE CONSOLIDATED UPMC SYSTEM LEVEL AUDIT WHICH INCLUDES ALL UMPC TAXABLE AND TAX-EXEMPT SUBSIDIARIES OF UPMC. 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 (71 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
WCA GROUP INC
PO BOX 840	JAMESTOWN	NY	147020840	222393582	INACTIVE SUBSIDIARY	NY	501(C)(3)	10	UPMC CHAUTAUQUA AT WCA	0
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
STARFLIGHT INC
PO BOX 840	JAMESTOWN	NY	147020840	161557878	MEDICAL AVIATION SERVICE SUBSIDIARY	NY	501(C)(3)	7	UPMC CHAUTAUQUA AT WCA	0
UPMC SENIOR COMMUNITIES INC
600 GRANT STREET	PITTSBURGH	PA	15219	251574736	SR. LIVING	PA	501(C)(3)	10	UPMC	Yes (1)
PITTSBURGH LIFETIME CARE COMMUNITY
600 GRANT STREET	PITTSBURGH	PA	15219	251335247	CCRC	PA	501(C)(3)	10	UPMC SR COMM	Yes (1)
CANTERBURY PLACE
600 GRANT STREET	PITTSBURGH	PA	15219	250965334	SR. LIVING	PA	501 (C) 3	10	UPMC SR COMM	Yes (1)
SENECA PLACE
600 GRANT STREET	PITTSBURGH	PA	15219	721562844	SR. LIVING	PA	501 (C) 3	10	UPMC SR COMM	Yes (1)
SHADYSIDE HOSPITAL SUPPORTING FOUNDATION
600 GRANT STREET	PITTSBURGH	PA	15219	260303394	FOUNDATION	PA	501 (C) 3	12(A) I	UPMC	Yes (1)
UPMC LEE
600 GRANT STREET	PITTSBURGH	PA	15219	250613830	INACTIVE	PA	501 (C) 3	3	UPMC	Yes (1)
PITTSBURGH CARE PARTNERSHIP INC
600 GRANT STREET	PITTSBURGH	PA	15219	251753852	ADULTDAYCARE	PA	501 (C) 3	10	UPMC	Yes (1)
UPMC CENTER FOR HIGH VALUE HEALTHCARE
600 GRANT STREET	PITTSBURGH	PA	15219	452178782	RESEARCH	PA	501 (C) 3	7	UPMC	Yes (1)
SHADYSIDE HOSPITAL FOUNDATION
532 SOUTH AIKEN AVENUE	PITTSBURGH	PA	15232	251290546	FOUNDATION	PA	501 (C) 3	12 (C) III	UPMC PRESBY	Yes (1)
PASSAVANT HOSPITAL FOUNDATION
9100 BABCOCK BLVD	PITTSBURGH	PA	15237	251407815	FOUNDATION	PA	501 (C) 3	12 (B) II	UPMC PASSAVANT	Yes (1)
NORTHWEST HOSPITAL FOUNDATION
100 FARFIELD DRIVE	SENECA	PA	16346	251483624	FOUNDATION	PA	501 (C) 3	12 (D) III	UPMC NORTHWEST	Yes (1)
ST MARGARET FOUNDATION
600 GRANT STREET	PITTSBURGH	PA	15219	251520340	FOUNDATION	PA	501 (C) 3	7	UPMC ST MARGARET	Yes (1)
CHILDREN'S HOSPITAL OF PITTSBURGH FND
600 GRANT STREET	PITTSBURGH	PA	15219	251865744	FOUNDATION	PA	501 (C) 3	7	UPMC CHP	Yes (1)
MAGEE-WOMEN RES INST AND FOUNDATION
600 GRANT STREET	PITTSBURGH	PA	15219	251462312	FOUNDATION	PA	501 (C) 3	7		0	N/A
WESLEY HILLS
600 GRANT STREET	PITTSBURGH	PA	15219	251507472	INDEPENDENT LIVING	PA	501 (C) 3	N/A	UPMC HAMOT	Yes (1)
GREAT LAKES PHYSICIAN PRACTICE PC
600 GRANT STREET 58TH FLOOR	PITTSBURGH	PA	15219	464186362	PHYSICIANS	NY	501 (C) 3	3	REGNL HEALTH	Yes (1)
HAMOT HEALTH FOUNDATION
302 FRENCH ST	ERIE	PA	16507	251400999	FOUNDATION	PA	501 (C) 3	12 (B) II	UPMC HAMOT	Yes (1)
REGIONAL CANCER CENTER FOUNDATION
2500 WEST 12TH STREET	ERIE	PA	16505	251631855	FOUNDATION	PA	501 (C) 3	12 (A)(I)	REGIONAL CAN	Yes (1)
UPMC
600 GRANT STREET	PITTSBURGH	PA	15219	251423657	SUPPORTING ORG	PA	501 (C) 3	12 (C) III		Yes (1)	N/A
UPMC JAMESON CANCER CENTER
600 GRANT STREET 58TH FLOOR	PITTSBURGH	PA	15219	201459415	ONCOLOGY SVC	PA	501 (C) 3	10	UPMC JAMESON	Yes (1)
JAMESON CARE CENTER INC
1211 WILMINGTON AVE	NEW CASTLE	PA	16105	232871396	HEALTHCARE	PA	501 (C) 3	10	UPMC SR COMM	Yes (1)
UPMC SUSQUEHANNA
700 HIGH STREET	WILLIAMSPORT	PA	17701	232751183	HEALTHCARE	PA	501 (C) 3	3	UPMC	Yes (1)
MUNCY VALLEY HOSPITAL
215 EAST WATER STREET	MUNCY	PA	17756	240806023	HEALTHCARE	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
DIVINE PROVIDENCE HOSPITAL OF THE SISTER
1100 GRAMPAIN BOULEVARD	WILLIAMSPORT	PA	17701	240799343	HEALTHCARE	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
SUSQUEHANNA PHYSICIAN SERVICES
1201 GRAMPAIN BOULEVARD	WILLIAMSPORT	PA	17701	232449454	PHYSICIAN SVC	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
SUSQUEHANNA HEALTH SYSTEM INNOVATION CTR
700 HIGH STREET	WILLIAMSPORT	PA	17701	471600873	FUNDRAISING	PA	501 (C) 3	12(A) I	UPMC SUSQUEH	Yes (1)
SUSQUEHANNA HEALTH FOUNDATION
1100 GRAMPAIN BOULEVARD	WILLIAMSPORT	PA	17701	232743470	FUNDRAISING	PA	501 (C) 3	12(A) I	UPMC SUSQUEH	Yes (1)
THE WILLIAMSPORT HOSPITAL
700 HIGH STREET	WILLIAMSPORT	PA	17701	240795508	HOSPITAL	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
LAUREL REALTY INC
15 MEADE STREET NO U-6	WELLSBORO	PA	16901	231403678	RENTAL REAL E	PA	501 (C) 2	N/A	UPMC SUSQUEH	Yes (1)
LAUREL MANAGEMENT SERVICES INC
22 WALNUT STREET	WELLSBORO	PA	16901	251644910	MANAGEMENT SV	PA	501 (C) 3	12 (B) II	UPMC SUSQUEH	Yes (1)
LAUREL HEALTH SYSTEM
22 WALNUT STREET	WELLSBORO	PA	16901	240795488	HEALTHCARE	PA	501 (C) 3	12 (B) II	UPMC SUSQUEH	Yes (1)
SOLDIERS AND SAILORS MEMORIAL HOSPITAL
32-36 CENTRAL AVENUE	WELLSBORO	PA	16901	232176963	HEALTHCARE	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
THE GREEN HOME
37 CENTRAL AVENUE	WELLSBORO	PA	16901	240804365	ASSISTED LIVING	PA	501 (C) 3	10	UPMC SUSQUEH	Yes (1)
TIOGA HEALTH CARE PROVIDERS
22 WALNUT STREET	WELLSBORO	PA	16901	251765538	HEALTHCARE	PA	501 (C) 3	12 (B) II	UPMC SUSQUEH	Yes (1)
WILLIAMSPORT AREA AMBULANCE SERVICE COOP
700 HIGH STREET	WILLIAMSPORT	PA	17701	232416166	AMBULANCE SVC	PA	501 (C) 3	10	WILLIAM HOSP	Yes (1)
UPMC SUSQUEHANNA LOCK HAVEN
700 HIGH STREET	WILLIAMSPORT	PA	17701	821600494	HOSPITAL	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
UPMC SUSQUEHANNA SUNBURY
700 HIGH STREET	WILLIAMSPORT	PA	17701	821592230	HOSPITAL	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
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	Yes (1)
SOUTH WESTERN ALPHA HOUSING AND HEALTH
745 GREENVILLE ROAD	MERCER	PA	16137	251701700	SKILLED NURSING	PA	501 (C) 3	10	UPMC SR COMM	Yes (1)
KANE COMMUNITY HOSPITAL FOUNDATION
4372 ROUTE 6	KANE	PA	16735	263906925	FOUNDATION	PA	501 (C) 3	7		0	N/A
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
LAUREL HEALTH FOUNDATION
15 MEADE STREET NO U-6	WELLSBORO	PA	16901	251810488	FOUNDATION	PA	501 (C) 3	12 (B) II		0	N/A
VENANGO VNA FOUNDATION
491 ALLEGHENY BOULEVARD	FRANKLIN	PA	16323	251472179	FOUNDATION	PA	501 (C) 3	12 (D) III		0	N/A
CHARLES E COLE MEMORIAL HOSPITAL
1001 EAST SECOND STREET	COUDERSPORT	PA	16915	240802108	HOSPITAL	PA	501 (C) 3	3	UPMC	Yes (1)
COLE FOUNDATION INC
1001 EAST SECOND STREET	COUDERSPORT	PA	16915	455417308	FOUNDATION	PA	501 (C) 3	12 (A)(I)	C COLE MEM H	Yes (1)
COMMUNITY LIFE TEAM INC
409 SOUTH SECOND STREET	HARRISBURG	PA	17104	231890444	MEDICAL TRANSPORT	PA	501 (C) 3	7	UPMC PINNACLE	Yes (1)
HAMOT COLE VENTURES
1001 EAST SECOND STREET	COUDERSPORT	PA	16915	273172100	CLINIC SITES	PA	501 (C) 3	12 (A)(I)	C COLE MEM H	Yes (1)
HANOVER HEALTHCARE PLUS INC
300 HIGHLAND AVENUE	HANOVER	PA	17331	222658574	SUPPORT	PA	501 (C) 3	12 (A)(I)	UPMC PINNACLE	Yes (1)
HENDORN INC
1001 EAST SECOND STREET	COUDERSPORT	PA	16915	231972659	RESIDENTIAL CARE	PA	501 (C) 3	12 (A)(I)	C COLE MEM H	Yes (1)
PINNACLE HEALTH FOUNDATION
409 SOUTH SECOND STREET	HARRISBURG	PA	17104	222691718	FOUNDATION	PA	501 (C) 3	12 (B) II	UPMC PINNACLE	Yes (1)
PINNACLE HEALTH MEDICAL SERVICES
409 SOUTH SECOND STREET	HARRISBURG	PA	17104	251709054	PHYSICIAN SVC	PA	501 (C) 3	3	UPMC PINNACLE	Yes (1)
PINNACLE HEALTH REGIONAL PHYSICIANS
409 SOUTH SECOND STREET	HARRISBURG	PA	17104	820947698	PHYSICIAN SVC	PA	501 (C) 3	3	UPMC PINNACLE	Yes (1)
UPMC PINNACLE
409 SOUTH SECOND STREET	HARRISBURG	PA	17104	251778658	SUPPORT	PA	501 (C) 3	12 (B) II	UPMC	Yes (1)
UPMC PINNACLE CARLISLE
361 ALEXANDER SPRING ROAD	CARLISLE	PA	17105	820880337	HOSPITAL	PA	501 (C) 3	3	UPMC PINNACLE	Yes (1)
UPMC PINNACLE HANOVER
300 HIGHLAND AVENUE	HANOVER	PA	17331	231360851	HOSPITAL	PA	501 (C) 3	3	HANNOVER HEALTH	Yes (1)
UPMC PINNACLE HOSPITALS
409 SOUTH SECOND STREET	HARRISBURG	PA	17104	251778644	HOSPITAL	PA	501 (C) 3	3	UPMC PINNACLE	Yes (1)
UPMC PINNACLE LANCASTER
250 COLLEGE AVENUE	LANCASTER	PA	17603	820896436	HOSPITAL	PA	501 (C) 3	3	UPMC PINNACLE	Yes (1)
UPMC PINNACLE LITITZ
1500 HIGHLANDS AVENUE	LITITZ	PA	17543	820844453	HOSPITAL	PA	501 (C) 3	3	UPMC PINNACLE	Yes (1)
UPMC PINNACLE MEMORIAL
325 SOUTH BELMONT STREET	YORK	PA	17405	820912090	HOSPITAL	PA	501 (C) 3	3	UPMC PINNACLE	Yes (1)
ASBURY FOUNDATION
600 GRANT STREET	PITTSBURGH	PA	15219	251555688	FOUNDATION	PA	501 (C) 3	7	ASBURY HEIGH	Yes (1)
ASBURY HEALTH CENTER
600 GRANT STREET	PITTSBURGH	PA	15219	250969472	CCRC	PA	501 (C) 3	10	ASBURY HEIGH	Yes (1)
ASBURY HEIGHTS OF UPMC
600 GRANT STREET	PITTSBURGH	PA	15219	251555687	SUPPORT	PA	501 (C) 3	12 (B) II	UPMC SR COMM	Yes (1)
ASBURY PLACE
600 GRANT STREET	PITTSBURGH	PA	15219	251729266	PERSONAL CARE	PA	501 (C) 3	10	ASBURY HEIGH	Yes (1)
ASBURY VILLAS
600 GRANT STREET	PITTSBURGH	PA	15219	251819952	PERSONAL CARE	PA	501 (C) 3	10	ASBURY HEIGH	Yes (1)
UPMC SOMERSET
225 SOUTH CENTER AVENUE	SOMERSET	PA	15501	250965570	HOSPITAL	PA	501 (C) 3	3	UPMC	Yes (1)
TWIN LAKES CENTER INC
225 SOUTH CENTER AVENUE	SOMERSET	PA	15501	232910318	DRUG TREATMEN	PA	501 (C) 3	3	UPMC SOMERSE	Yes (1)
SOMERSET COMMUNITY HOSPITAL FOUNDATION
225 SOUTH CENTER AVENUE	SOMERSET	PA	15501	251441863	FOUNDATION	PA	501 (C) 3	12(C)III	UPMC SOMERSE	Yes (1)
SOMERSET HEALTH SERVICES INC
225 SOUTH CENTER AVENUE	SOMERSET	PA	15501	251441920	PHYSICIAN SRV	PA	501 (C) 3	3	UPMC SOMERSE	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	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	UNRELATED	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	UNRELATED	Yes (1)	0	0.37500
SENECA HILLS ASSISTED LIVING LP
600 GRANT STREET	PITTSBURGH	PA	15219	232873106	ASSISTED LIVING	PA		N/A	0	0		N/A
ST MARGARET MEDICAL ARTS ASSOCIATION
600 GRANT STREET	PITTSBURGH	PA	15219	251786655	MED OFFICE BL	PA		N/A	0	0		N/A
CORE NETWORK LLC
600 GRANT STREET	PITTSBURGH	PA	15219	251786209	HEALTHCARE	PA		N/A	0	0		N/A
LIFE HOME CARE LP
600 GRANT STREET	PITTSBURGH	PA	15219	251847839	HOMECARE	PA		N/A	0	0		N/A
SHADYSIDE MEDICAL CENTER ASSOCIATES INC
600 GRANT STREET	PITTSBURGH	PA	15219	251608318	MED OFFICE BL	PA		N/A	0	0		N/A
CHARTWELL PA LP
600 GRANT STREET	PITTSBURGH	PA	15219	251729714	HOME HEALTH S	PA		N/A	0	0		N/A
LIFE CARE HOME SRV OF NW PA 25
1647 SASSAFRAS STREET	ERIE	PA	16501	251536879	HOME HEALTH S	PA		N/A	0	0		N/A
HAMOT-KCH REAL ESTATE VENTURE
300 STATE STREET	ERIE	PA	16507	263691782	MEDICAL OFFICE	PA		N/A	0	0		N/A
HAMOT SURGERY CENTER LLC
200 STATE STREET	ERIE	PA	16507	251863661	AMBULATORY	PA		N/A	0	0		N/A
EPN-HAMOT URGENT CARE LLC
600 GRANT STREET	PITTSBURGH	PA	15219	272147949	URGENT CARE	PA		N/A	0	0		N/A
LAWRENCE COUNTY MRI AND DIAGNOSTIC IMAGING CENTER LLC
2526 WILMINGTON AVENUE	NEW CASTLE	PA	16105	270219891	IMAGING CENTER	PA		N/A	0	0		N/A
COMMUNITY BASKET LLC
1205 GRAMPAIN BOULEVARD	WILLIAMSPORT	PA	17701	201195736	REAL ESTATE RENTAL	PA		N/A	0	0		N/A
HANOVER SURGICENTER REAL ESTATE LP
300 HIGHLAND AVE	HANOVER	PA	17331	352342993	INACTIVE	PA		N/A	0	0		N/A
MEDCARE SUSQUEHANNA VALLEY LLC
409 SOUTH SECOND STREET	HARRISBURG	PA	17104	821673688	DME	PA		N/A	0	0		N/A
OMICELO RE I LP
2525 LIBERITY AVENUE	PITTSBURGH	PA	15222	475603393	REAL ESTATE	DE		N/A	0	0		N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (83 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Foreign PostalForeignAddress/ForeignPostalCd
WCA SERVICES CORPORATION
28 MAPLE STREET	JAMESTOWN	NY	14701	161151438	PATIENT TRANSPORTATION & MEDICAL BILLING; SUBSIDIARY	NY	UPMC CHAUTAUQUA AT WCA	C	1.00000	0
HC PHARMACY CENTRAL INC
600 GRANT STREET	PITTSBURGH	PA	15219	251364192	PHARMACY CO-O	PA		C		0
CHILDREN'S COMMUNITY CARE
600 GRANT STREET	PITTSBURGH	PA	15219	251781887	PEDIATRIC SVC	PA		C		0
UPMC CANCER CENTERS IRELAND LIMITED
					CANCER TREATMENT			C		0	6TH FLOOR BEACON HOSPITAL SANDYFORD	DUBLIN	EI	EI
UPMC PHYSICIAN SERVICES HOLDING COMPANY
600 GRANT STREET	PITTSBURGH	PA	15219	251877017	HOLDINGS CO	PA		C		0
HEMATOLOGY ONCOLOGY ASSOCIATION INC
600 GRANT STREET	PITTSBURGH	PA	15219	421648357	HEALTHCARE	PA		C		0
ONCOLOGY HEMATOLOGY ASSOCIATION INC
600 GRANT STREET	PITTSBURGH	PA	15219	251762980	HEALTHCARE	PA		C		0
TRI-STATE NEUROSURGICAL ASSOCIATES
600 GRANT STREET	PITTSBURGH	PA	15219	251458655	HEALTHCARE	PA		C		0
RENAISSANCE FAMILY PRACTICE - UPMC INC
600 GRANT STREET	PITTSBURGH	PA	15219	262942406	HEALTHCARE	PA		C		0
UPMC HOLDING COMPANY INC
600 GRANT STREET	PITTSBURGH	PA	15219	251777713	HOLDING CORP	PA		C		0
UPMC COVERAGE PRODUCTS INC
600 GRANT STREET	PITTSBURGH	PA	15219	251777710	HOLDING CORP	PA		C		0
FREEDOM INSURANCE COMPANY
600 GRANT STREET	PITTSBURGH	PA	15219	030308944	INSURANCE	VT		C		0
TRI-CENTURY INSURANCE CO
600 GRANT STREET	PITTSBURGH	PA	15219	251500739	INSURANCE	PA		C		0
UPMC DNA INC
600 GRANT STREET	PITTSBURGH	PA	15219	251883237	INSURANCE	PA		C		0
UPMC HEALTH BENEFITS INC
600 GRANT STREET	PITTSBURGH	PA	15219	251844144	HEALTH INSUR	PA		C		0
UPMC HEALTH NETWORK INC
600 GRANT STREET	PITTSBURGH	PA	15219	721527566	HEALTH INSUR	PA		C		0
UPMC HEALTH PLAN INC
600 GRANT STREET	PITTSBURGH	PA	15219	232813536	HEALTH INSUR	PA		C		0
UPMC BENEFIT MANAGEMENT SERVICES INC
600 GRANT STREET	PITTSBURGH	PA	15219	251769564	WORKERS' COMP	PA		C		0
UPMC DIVERSIFIED SERVICES INC
600 GRANT STREET	PITTSBURGH	PA	15219	251778454	HOLDING CORP	PA		C		0
MONROEVILLE SPECIALTY CLINIC
600 GRANT STREET	PITTSBURGH	PA	15219	251666087	HEALTHCARE	PA		C		0
MEDICAL ARCHIVAL SYSTEMS INC
600 GRANT STREET	PITTSBURGH	PA	15219	232912501	SOFTWARE DEVE	DE		C		0
RX PARTNERS INC
600 GRANT STREET	PITTSBURGH	PA	15219	251801966	RETAIL PHARM	PA		C		0
BIOTRONICS INC
600 GRANT STREET	PITTSBURGH	PA	15219	251843500	EQUIP MAINTEN	PA		C		0
MEDICAL CENTER PROPERTIES INC
600 GRANT STREET	PITTSBURGH	PA	15219	251796940	REAL ESTATE	PA		C		0
ASKESIS DEVELOPMENT GROUP INC
600 GRANT STREET	PITTSBURGH	PA	15219	541625585	SOFTWARE DEVE	DE		C		0
PANTHER REINSURANCE COMPANY LTD
				981402742	INSURANCE			C		0	PO BOX 1109	CAYMAN ISLANDS	CJ	CJ
FORBES REINSURANCE COMPANY LTD
				981700710	INSURANCE			C		0	PO BOX 1109	CAYMAN ISLANDS	CJ	CJ
CATHEDRAL (RE) INSUANCE CO
				981400837	INSURANCE			C		0	PO BOX 1109	CAYMAN ISLANDS	CJ	CJ
UPMC IRELAND LIMITED
					HEALTHCARE SU			C		0	6TH FLOOR BEACON HOSPITAL SANDYFORD	DUBLIN	EI	EI
UPMC UNITED KINGDOM LTD
				980571026	SOFTWARE LICE			C		0	C/O NAIRCO 11TH FLOOR	BRISTOL	UK	UK
BAYFRONT REGIONAL DEVELOPMENT CORP
300 STATE STREET	ERIE	PA	16507	251401388	RE HOLDING CO	PA		C		0
BAYSIDE DEVELOPMENT CORP
300 STATE STREET	ERIE	PA	16507	251401386	REAL ESTATE/P	PA		C		0
UPMC WORK ALLIANCE INC
600 GRANT STREET	PITTSBURGH	PA	15219	452825053	INSURANCE	PA		C		0
UPMC CANADA TECHNOLOGIES LIMITED
600 GRANT STREET	PITTSBURGH	PA	15219		SOFTWARE	CA		C		0
UPMC HEALTH COVERAGE INC
600 GRANT STREET	PITTSBURGH	PA	15219	462824537	INSURANCE	PA		C		0
UPMC HEALTH OPTIONS INC
600 GRANT STREET	PITTSBURGH	PA	15219	462824626	INSURANCE	PA		C		0
UPMC COMPLETE CARE INC
5215 CENTRE AVENUE	PITTSBURGH	PA	15232	463605753	HEALTHCARE	PA		C		0
AMERICAN HOME HEALTH SERVICES
868 CORPORATE WAY	WESTLAKE	OH	44145	311521422	HOME HEALTH CARE	OH		C		0
HEALTH FIDELITY INC
210 S B ST	SAN MATEO	CA	94401	452538963	TECHNOLOGY SV	CA		C		0
FLUENCE HEALTH INC
6425 PENN AVENUE	PITTSBURGH	PA	15206	472684174	SOFTWARE	DE		C		0
CURAVI HEALTH INC
6425 PENN AVENUE	PITTSBURGH	PA	15206	811217377	HEALTHCARE	DE		C		0
PENSIAMO INC
600 GRANT STREET	PITTSBURGH	PA	15219	812069236	SUPPLY CHAIN	DE		C		0
ALTOONA FAMILY INC
620 HOWARD AVENUE	ALTOONA	PA	16601	251444935	MGMT SVCS	PA		C		0
LEXINGTON HOLDINGS INC
620 HOWARD AVENUE	ALTOONA	PA	16601	251794386	MEDICAL SVCS	PA		C		0
LEXINGTON ONE INC
620 HOWARD AVENUE	ALTOONA	PA	16601	251468889	RENTAL	PA		C		0
LEXINGTON TWO INC
HOWARD AVENUE AND 7TH STREET	ALTOONA	PA	16601	251555689	RENTAL EQPT	PA		C		0
LEXINGTON FOUR INC
620 HOWARD AVENUE	ALTOONA	PA	16601	251793736	HOLDING CO	DE		C		0
UPMC ALTOONA REGIONAL HEALTH SERVICES
1414 9TH AVENUE	ALTOONA	PA	16602	251219302	MEDICAL SVCS	PA		C		0
LEXINGTON ANESTHESIA ASSOCIATES INC
620 HOWARD AVENUE	ALTOONA	PA	16601	251897765	MEDICAL SVCS	PA		C		0
MEDCPU
100 WALL STREET	NEW YORK	NY	10005	383805381	SOFTWARE DEVE	DE		C		0
UPMC EXCESS PL TRUST
600 GRANT STREET	PITTSBURGH	PA	15219	826254351	TRUST	PA		T		0
RXANTE INC
511 CONGRESS STREET 803	PORTLAND	ME	04101	454040219	MEDICATION MGT	DE		C		0
J HEALTH VENTURES INC
1211 WILIMINGTON AVENUE	NEW CASTLE	PA	16105	251607893	INACTIVE	PA		C		0
SUSQUEHANNA HEALTH SYSTEM INSURANCE NET
					INSURANCE			C		0	PO BOX 1159	CAYMAN ISLANDS	CJ	CJ
SUSQUEHANNA VENTURES INC
1201 GRAMPAIN BOULEVARD	WILLIAMSPORT	PA	17701	232470623	PHARMACY	PA		C		0
TYOGA CARENET
114 EAST AVENUE	WELLSBORO	PA	16901	251810967	INTEGRATE HEALTHC	PA		C		0
ITTCCO I INC
600 GRANT STREET	PITTSBURGH	PA	15219	822590699	INACTIVE	DE		C		0
ITTCCO II INC
600 GRANT STREET	PITTSBURGH	PA	15219	822597388	INACTIVE	DE		C		0
PINNACLE HEALTH CARDIOVASCULAR INSTITUT
409 SOUTH SECOND STREET	HARRISBURG	PA	17104	320321362	PHYSICIAN SERVICES	PA		C		0
HANOVER HEALTH CORPORATION
300 HIGHLAND AVENUE	HANOVER	PA	17331	900498067	HOLDING CO	PA		C		0
HANOVER APOTHECARY INC
310 STOCK STREET SUITE 1	HANOVER	PA	17331	030594526	PHARMACY	PA		C		0
UNITED CENTRAL PA RECIPROCAL RISK RETEN
76 SAINT PAUL STREET SUITE 500	BURLINGTON	VT	05401	134224033	INSURANCE	VT		C		0
PINNACLE HEALTH VENTURES INC
409 SOUTH SECOND STREET	HARRISBURG	PA	17104	611677624	HOLDING CO	PA		C		0
PINNACLE HEALTH IMAGING INC
409 SOUTH SECOND STREET	HARRISBURG	PA	17104	231718571	IMAGING SVC	PA		C		0
COLE CARE INC
1001 EAST 2ND STREET	COUDERSPORT	PA	16915	251497347	DME	PA		C		0
UPMC ITALY HEALTH SERVICES SRL
					HEALTH SVC			C		0	VIA DISCESA DEI GIUDICI 4	PALERMO	IT	IT	90133
UPMC INVESTMENTS LTD
					HOLDING CO			C		0	C/O UPMC WHITFIELD CORK ROAD BUTLER	WATERFORD	EI	EI	X91 DH9W
UPMC PROPERTY LTD
					PROPERTY			C		0	C/O UPMC WHITFIELD CORK ROAD BUTLER	WATERFORD	EI	EI	X91 DH9W
UPMC PROPERTY II LTD
					PROPERTY			C		0	C/O UPMC WHITFIELD CORK ROAD BUTLER	WATERFORD	EI	EI	X91 DH9W
EURO CARE INFRASTRUCTURE LTD
					PROPERTY MGMT			C		0	C/O UPMC WHITFIELD CORK ROAD BUTLER	WATERFORD	EI	EI	X91 DH9W
EURO CARE PROPERTY MANAGEMENT LTD
					PROPERTY MGMT			C		0	C/O UPMC WHITFIELD CORK ROAD BUTLER	WATERFORD	EI	EI	X91 DH9W
EURO CARE HEALTHCARE LTD
					HOLDING CO			C		0	C/O UPMC WHITFIELD CORK ROAD BUTLER	WATERFORD	EI	EI	X91 DH9W
WATERFORD ONCOLOGY ASSOCIATES LTD
					ONCOLOGY SVC			C		0	C/O UPMC WHITFIELD CORK ROAD BUTLER	WATERFORD	EI	EI	X91 DH9W
UNITED HEALTH RISK LTD
					INSURANCE			C		0	PO BOX HM 2450	HAMILTON	BD	BD
BLUESPHERE BIO
6425 PENN AVENUE STE 200	PITTSBURGH	PA	15206	824979766	IMMUNOTHERAPY	PA		C		0
INFECTIOUS DISEASE CONNECT INC
6425 PENN AVENUE STE 200	PITTSBURGH	PA	15206	833311071	TELEMEDICINE	PA		C		0
HUMONIC INC
6425 PENN AVENUE STE 200	PITTSBURGH	PA	15206	834005420	BIOPHARM	PA		C		0
TTMS INC
6425 PENN AVENUE STE 200	PITTSBURGH	PA	15206	825443222	IMMUNOTHERAPY	PA		C		0
UPMC HILLMAN CANCER CENTER - PINNACLE
101 ERFORD ROAD	CAMP HILL	PA	17701	833640945	CANCER TREATM	PA		C		0
SHANGHAI UPMC CO LTD
					HEALTHCARE MGMT			C		0	288 SHIMEN 1ST ROAD JINGAN DISTRIC	SHANGHAI	CH	CH
SALVADOR MUNDI INTERNATIONAL HOSPITAL
					HOSPITAL			C		0	ROMA VIALE DELLE	MURA GIANICOLENSI	IT	IT
SOMERSET ANESTHESIA INC
600 GRANT STREET	PITTSBURGH	PA	15219	455135437	PHYSICIAN SRV	PA		C		0
SOMERSET MANAGEMENT SERVICES INC
600 GRANT STREET	PITTSBURGH	PA	15219	251512960	MOB OWNERSHIP	PA		C		0

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
WCA FOUNDATION INC
C	$962,225
WCA SERVICES CORPORATION
P	$417,401

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990 - SCHEDULE R - PART II THROUGH PART IV	FormAndLineReferenceDesc
Explanation	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, 2019. 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. RELATED ORGANIZATIONS AN UNRELATED PARTNERSHIPS - THERE ARE ORGANIZATIONS INCLUDED IN THE UPMC GROUP FORM 990 TAX RETURN WHICH ARE RELATED TO UPMC CHAUTAUQUA AT WCA (SEE PRIOR NOTE). THESE ORGANIZATIONS ARE NOT REQUIRED TO BE LISTED IN SCHEDULE R.	ExplanationTxt