FURP.ORG / PUBLIC DATA EXPLORER

UPMC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
UPMC (EIN 25-0965570)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-14
IRS object ID
202041969349301034
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-14T13:15:16-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN550486667PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ARNETT CARBIS TOOTHMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15700 CORPORATE DRIVE STE 650AddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN250965570EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UPMC SOMERSETBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUPMCBusinessNameControlTxt
Phone8144435221PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 GRANT STREET 58TH FLR CORP TAXAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15219ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW RUSHPersonNm
Person TitleCEOPersonTitleTxt
Phone8144435221PhoneNum
Signature2020-07-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY J PETRELL CPAPreparerPersonNm
PTINP00138808PTIN
Phone4126356270PhoneNum
Preparation2020-07-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.12.119.47IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-13IPDt
IP Tm13:50:45IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDFB9D62A0982D1DBCA0C779E13B8D9A487E805DFAtSubmissionCreationDeviceId
At Submission Filing Device Id0FC7072F847C0EBCE9766DFB519F02B6179509EEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerANDREW RUSHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 GRANT STREET 58TH FLR CORP TAXAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15219ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$95,102,743GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UPMC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1921FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionUPMC SOMERSET IS A NOT-FOR-PROFIT COMMUNITY ASSET COMMITTED: TO PROVIDING CARE TO THE SICK AND INJURED, PRESERVING AND SUSTAINING LIFE, AND PROMOTING HEALTH AND WELL BEING; TO THE PROMOTION AND DEVELOPMENT OF COMPLEMENTARY PROGRAMS AND SERVICES, MANPOWER AND FACILITIES; TO THE CONTINUOUS IMPROVEMENT OF QUALITY, ACCESSIBILITY AND CONTINUITY OF PATIENT CARE; TO THE WELFARE AND LIVELIHOOD OF ITS EMPLOYEES; TO ENSURING THE HOSPITAL'S FINANCIAL VIABILITY NECESSARY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY AND REGION TODAY AND IN THE FUTURE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee913TotalEmployeeCnt
Total Volunteers55TotalVolunteersCnt
Total Gross UBI$45,000TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$31,192NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,628,148PYContributionsGrantsAmt
CY Contributions Grants$1,507,024CYContributionsGrantsAmt
PY Program Service Revenue$69,222,531PYProgramServiceRevenueAmt
CY Program Service Revenue$70,984,739CYProgramServiceRevenueAmt
PY Investment Income$3,242,748PYInvestmentIncomeAmt
CY Investment Income$2,766,335CYInvestmentIncomeAmt
PY Other Revenue$410,267PYOtherRevenueAmt
CY Other Revenue$500,848CYOtherRevenueAmt
PY Total Revenue$74,503,694PYTotalRevenueAmt
CY Total Revenue$75,758,946CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$32,970,289PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$30,822,679CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$34,996,070PYOtherExpensesAmt
CY Other Expenses$37,020,481CYOtherExpensesAmt
PY Total Expenses$67,966,359PYTotalExpensesAmt
CY Total Expenses$67,843,160CYTotalExpensesAmt
PY Revenues Less Expenses$6,537,335PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,915,786CYRevenuesLessExpensesAmt
Total Assets BOY$68,415,098TotalAssetsBOYAmt
Total Assets EOY$43,680,177TotalAssetsEOYAmt
Total Liabilities BOY$44,017,421TotalLiabilitiesBOYAmt
Total Liabilities EOY$23,211,202TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$24,397,677NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,468,975NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION AS AN ORGANIZATION IS TO PRESERVE AND IMPROVE LIFE BY PROVIDING ACCESS TO QUALITY, CUSTOMER-FRIENDLY HEALTHCARE SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$56,742,020ExpenseAmt
Revenue$71,394,069RevenueAmt
DescON FEBRUARY 1, 2019, UPMC SOMERSET AFFILIATED WITH THE UPMC HEALTH SYSTEM TO BECOME UPMC SOMERSET. UPMC'S MISSION IS TO SERVE OUR COMMUNITY BY PROVIDING OUTSTANDING PATIENT CARE AND TO SHAPE TOMORROW'S HEALTH SYSTEM THROUGH CLINICAL AND TECHNOLOGICAL INNOVATION, RESEARCH, AND EDUCATION. UPMC SOMERSET IS A NOT-FOR-PROFIT COMMUNITY ASSET COMMITTED: TO PROVIDING CARE TO THE SICK AND INJURED, PRESERVING AND SUSTAINING LIFE, AND PROMOTING HEALTH AND WELL BEING; TO THE PROMOTION AND DEVELOPMENT OF COMPLEMENTARY PROGRAMS AND SERVICES, MANPOWER AND FACILITIES; TO THE CONTINUOUS IMPROVEMENT OF QUALITY, ACCESSIBILITY AND CONTINUITY OF PATIENT CARE; TO THE WELFARE AND LIVELIHOOD OF ITS EMPLOYEES; TO ENSURING THE HOSPITAL'S FINANCIAL VIABILITY NECESSARY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY AND REGION TODAY AND IN THE FUTURE.UPMC SOMERSET IS A 111-BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL SERVING THE SOMERSET AREA. THE HOSPITAL ALSO PROVIDES CARE FOR MANY PATIENTS NORTH OF SOMERSET TO ROUTE 30 AND SOUTH OF SOMERSET TO THE MARYLAND STATE LINE.UPMC SOMERSET, ONE OF THE TOP FIVE EMPLOYERS IN SOMERSET COUNTY, PROVIDES QUALITY HEALTH CARE IN A COMPASSIONATE MANNER REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR THE PATIENT'S ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF UPMC SOMERSET, THE HOSPITAL, UNDER ITS WRITTEN CHARITY CARE POLICY, IS COMMITTED TO PROVIDING NECESSARY HEALTH CARE SERVICES AT NO CHARGE OR AT A REDUCED CHARGE TO PATIENTS.CHARITY CARE FY 2019FREE CARE $166,368PUBLIC POLICIESTHROUGH SIGNAGE POSTED IN THE HOSPITAL'S INFORMATION CENTER, ADMISSIONS DEPARTMENT, EMERGENCY ROOM AND CREDIT OFFICE, THE PUBLIC IS PROVIDED WITH THE ORGANIZATION'S POLICY OF PROVIDING CARE REGARDLESS OF ABILITY TO PAY. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO LOCATED ON THE UPMC SOMERSET WEBSITE. THIS INFORMATION HAS ALSO BEEN WIDELY AVAILABLE IN THE COMMUNITY. UPMC SOMERSET GENERALLY DESIGNATES SERVICES AS "CHARITY CARE" AFTER BILLING. BASED ON AN INDIVIDUAL'S ABILITY TO PAY, UPMC SOMERSET OFFERS PAYMENT PLANS AND ASSISTS INDIVIDUALS IN APPLYING FOR THE STATE'S MEDICAL ASSISTANCE PROGRAM. SELF-PAY PATIENTS ARE REQUESTED TO PROVIDE PARTIAL PRE-PAYMENT FOR SERVICES RENDERED BY THE HOSPITAL. HOWEVER, SERVICES BY UPMC SOMERSET ARE PROVIDED WITHOUT REGARD TO AN INDIVIDUAL'S ABILITY TO PAY.COMMUNITY SERVICE AND CONTRIBUTIONSDURING THE PAST YEAR, UPMC SOMERSET HAS PROVIDED THE FOLLOWING SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE SERVICES ARE PROVIDED FREE OF CHARGE OR AT A NOMINAL FEE AS INDICATED.COMMUNITY HEALTH EDUCATION (FREE OR MINIMAL FEES CHARGED TO COVER DIRECT COSTS)CPR 87 PARTICIPANTS 60 HOURSHIP AND KNEE PAIN SEMINARS 21 PARTICIPANTS 2 HOURSPAIN MANAGEMENT PROGRAM 20 PARTICIPANTS 2 HOURSGASTROENTEROLOGY PROGRAM 12 PARTICIPANTS 1 HOURGENERAL SURGERY PROGRAM 14 PARTICIPANTS 2 HOURSDIABETES PROGRAM 30/YEAR 10 HOURSTOTAL 174/YEAR 77 HOURSSUPPORT GROUPS (NO CHARGE)HOSPICE BEREAVEMENT 66/YEAR 12 HOURSSLEEP APNEA 80/YEAR 8 HOURSPARKINSON'S (WE PROVIDE SPACE) 40/YEAR 12 HOURSDIABETES SUPPORT GROUP 25/YEAR 4 HOURSTOTAL 201 PEOPLE/YEAR 36 HOURSCOMMUNITY EDUCATION INFORMATION REQUESTS (NO CHARGE)PHONE 120/YEAR 10 HOURSSCHOOL PROGRAMS (NO CHARGE)SECOND GRADE TOURS 225 STUDENTS/YEAR 10 HOURSPOISON PREVENTION PROGRAMS 500/YEAR 8 HOURSSHADOW STUDENTS 30/YEAR 240 HOURS JUNIOR ACHIEVEMENT PROGRAMS 3/YEAR 52 HOURSROCKWOOD STUDENT PRESENTATIONS 16/YEAR 4 HOURSBERLIN BROTHERSVALLEY STUDENT PRESENTATIONS 4/YEAR 4 HOURSCAREER EXPLORATION 14/YEAR 3 HOURSTOTAL 792/YEAR 321 HOURSHEALTH FAIRS OR COMMUNITY EDUCATION PROGRAMS (NO CHARGE TO THE COMMUNITY)HEALTH FAIRS/SCREENINGS 1,200/YEAR 20 HOURSSCHOOL HANDWASHING PROGRAMS 40/YEAR 2 HOURSSENIOR CENTER PROGRAMS 185/YEAR 12 HOURSABI SCREENING 4/YEAR 1 HOURCOLORECTAL SCREENING 25/YEAR 8 HOURSBONE DENSITY SCREENING 22/YEAR 2 HOURSTOTAL 1,476/YEAR 45 HOURSHOSPITAL STAFF CONTRIBUTIONS TO COMMUNITY ORGANIZATIONSSOMERSET ROTARY 8 HOURS/YEARSOMERSET COUNTY CHAMBER OF COMMERCE 24 HOURS/YEARSOMERSET EXCHANGE CLUB 41 HOURS/YEARDRUG-FREE COMMUNITIES 24 HOURS/YEARJUNIOR ACHIEVEMENT BOARD OF DIRECTORS 12 HOURS/YEARAMERICAN HEART ASSOCIATION ELT HEART BALL 8 HOURS/YEAROTHER CONTRIBUTIONS"IN TOUCH" HOSPICETHROUGH THE HOSPITAL'S IN TOUCH HOSPICE CARE DEPARTMENT, TERMINALLY ILL PATIENTS AND THEIR FAMILIES ARE PROVIDED CLINICAL AND EMOTIONAL SUPPORT. THIS SERVICE IS SUPPORTED THROUGH COMMUNITY CONTRIBUTIONS: ANNUAL OPERATING BUDGET: $1,315,634 IN FISCAL YEAR 2019.SOCIAL WORK SERVICESUPMC SOMERSET' SOCIAL WORK SERVICES DEPARTMENT, WITH AN OPERATING BUDGET IN EXCESS OF $147,414 IN FY 2019, IS RESPONSIBLE FOR MEETING BOTH INPATIENT AND OUTPATIENT SOCIAL NEEDS INCLUDING THE PLACEMENT OF PATIENTS IN AN APPROPRIATE COMMUNITY SETTING UPON DISCHARGE. THE STAFF PROVIDES EXPERTISE TO MANY COMMUNITY ORGANIZATIONS.Desc
Total Program Service Expenses$56,742,020TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document97IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee913EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CRAIG SPROCKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8144435221PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 SOUTH CENTER AVENUEAddressLine1Txt
CitySOMERSETCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15501ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
KRISTA MATHIAS
CHAIRMAN2.002.00Yes (X)Yes (X)$0$0$0
MARK BOWER
VICE CHAIR2.002.00Yes (X)Yes (X)$0$0$0
TOM SKELTON
SECRETARY2.002.00Yes (X)Yes (X)$0$0$0
JOHN CUPPS
TREASURER2.002.00Yes (X)Yes (X)$0$0$0
CATHERINE POORBAUGH
SECRETARY (UNTIL 2/1/19)2.002.00Yes (X)Yes (X)$0$0$0
BRAD COBER
TREASURER (UNTIL 2/1/19)2.002.00Yes (X)Yes (X)$0$0$0
JAYESH DESAI MD
DIRECTOR1.0040.00Yes (X)$0$425,296$18,790
MARK YAROS MD
DIRECTOR1.0040.00Yes (X)$0$261,309$17,798
DAVID MARTIN
DIRECTOR1.001.00Yes (X)$0$944,540-$137,282
DAVID RUSSELL
DIRECTOR1.001.00Yes (X)$0$396,940$49,603
DAVID BURWELL MD
DIRECTOR1.001.00Yes (X)$0$302,075$38,545
NATHANIEL BARBERA
DIRECTOR (UNTIL 2/1/19)1.00Yes (X)$0$0$0
AJAY P SINGH MD
DIRECTOR (UNTIL 2/1/19)1.0040.00Yes (X)$0$209,245$16,020
MICHELLE MOON
DIRECTOR (UNTIL 2/1/19)1.00Yes (X)$0$0$0
SHARON CLAPPER
DIRECTOR (UNTIL 2/1/19)1.00Yes (X)$0$0$0
FREDERICK ROSEMEYER
DIRECTOR (UNTIL 2/1/19)1.00Yes (X)$0$0$0
LINDA FETTEROLF
DIRECTOR (UNTIL 2/1/19)1.00Yes (X)$0$0$0
VINCE JACOB
DIRECTOR (UNTIL 2/1/19)1.00Yes (X)$0$0$0
RON ALDOM
DIRECTOR (UNTIL 2/1/19)1.00Yes (X)$0$0$0
SUSAN STURNI
DIRECTOR (UNTIL 2/1/19)1.00Yes (X)$0$0$0
BRUCE SHIPLEY
DIRECTOR (UNTIL 2/1/19)1.00Yes (X)$0$0$0
MATTHEW KOCIOLA
CFO (UNTIL 7/9/2018)29.0011.00Yes (X)$151,126$0$3,496
ANDREW RUSH
CEO29.0011.00Yes (X)$305,647$0$21,321
MONICA J KLATT
CFO20.0020.00Yes (X)$0$72,128$19,531
RENEE YOUNG MD
PHYSICIAN40.00$363,299$0$5,471Yes (X)
MOKBEL MATTA MD
PHYSICIAN40.00$401,417$0$5,943Yes (X)
HAI C TSAO MD
PHYSICIAN40.00$306,791$0$15,871Yes (X)
NEELESH WELLING MD
PHYSICIAN40.00$256,487$0$16,824Yes (X)
MARCO CANTINI MD
MEDICAL DIRECTOR OF ANESTHESIA40.00$462,762$0$15,871Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,247,529TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,611,533TotReportableCompRltdOrgAmt
Total Other Compensation$107,802TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K28IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AHN EMERGENCY GRP OF SOMERSET COUNTY LT
4535 DRESSLER ROADCANTONOH44718PHYSICIAN SERVICES$2,012,662
K & L GATES LLP
PO BOX 844255BOSTONMA022844255LAW FIRM$414,148
PONDER & CO
8498 SOLUTION CENTERCHICAGOIL606678004CONSULTANT$366,087
CHANGE HEALTHCARE
5995 WINDWARD PARKWAYALPHARETTAGA30005SOFTWARE$179,212
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Fundraising$20,000FundraisingAmt
All Other Contributions$1,487,024AllOtherContributionsAmt
Total Contributions$1,507,024TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE900099$69,508,016$69,508,016
PHARMACY SALES900099$1,180,122$1,180,122
MISC PATIENT REVENUE900099$296,473$296,473
MEDICAL RECORDS900099$128$128
FieldValueIRS element (for citing)
Total Program Service Revenue$70,984,739TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$607,212TotalRevenueColumnAmt
Exclusion$607,212ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$417,857RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$392,937RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$24,920RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,920TotalRevenueColumnAmt
Exclusion$24,920ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$21,008,449SecuritiesAmt
Other$73,872OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$18,923,198SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,085,251SecuritiesAmt
Other$73,872OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,159,123TotalRevenueColumnAmt
Exclusion$2,159,123ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$49,260FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$20,000ContriRptFundraisingEventAmt
Fundraising Direct Expenses$27,662FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,598TotalRevenueColumnAmt
Exclusion$21,598ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
GAIN ON INVESTMENTS IN EQUITY INV900099$217,553$217,553
OTHER OPERATING REVENUE900099$191,777$191,777
MANAGEMENT FEE900099$45,000$45,000
FieldValueIRS element (for citing)
Other Revenue Total$454,330OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,758,946TotalRevenueColumnAmt
Related Or Exempt Func Income$71,394,069RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$45,000UnrelatedBusinessRevenueAmt
Exclusion$2,812,853ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$481,590TotalAmt
Management And General$481,590ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$25,376,585TotalAmt
Program Services$20,310,563ProgramServicesAmt
Management And General$5,066,022ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,071,565TotalAmt
Program Services$2,434,421ProgramServicesAmt
Management And General$637,144ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,892,939TotalAmt
Program Services$1,488,256ProgramServicesAmt
Management And General$404,683ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$534,544TotalAmt
Management And General$534,544ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$98,684TotalAmt
Management And General$98,684ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,557,699TotalAmt
Program Services$5,941,973ProgramServicesAmt
Management And General$1,615,726ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$142,972TotalAmt
Program Services$112,407ProgramServicesAmt
Management And General$30,565ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$549,047TotalAmt
Program Services$431,669ProgramServicesAmt
Management And General$117,378ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$927,042TotalAmt
Program Services$728,854ProgramServicesAmt
Management And General$198,188ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$99,698TotalAmt
Program Services$78,384ProgramServicesAmt
Management And General$21,314ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$11,517TotalAmt
Program Services$9,055ProgramServicesAmt
Management And General$2,462ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$391,993TotalAmt
Program Services$308,191ProgramServicesAmt
Management And General$83,802ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,795,359TotalAmt
Program Services$2,983,967ProgramServicesAmt
Management And General$811,392ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,045,296TotalAmt
Program Services$821,827ProgramServicesAmt
Management And General$223,469ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$12,998,475$12,998,475
PHYSICIAN FEES$2,666,550$2,666,550
BAD DEBT$2,580,377$2,580,377
EQUIPMENT RENTAL & MAIN$1,733,247$1,362,704$370,543

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,887,981TotalAmt
Program Services$1,484,347ProgramServicesAmt
Management And General$403,634ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$67,843,160TotalAmt
Program Services$56,742,020ProgramServicesAmt
Management And General$11,101,140ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,953,846BOYAmt
EOY$3,626,270EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$750,000BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,380,453BOYAmt
EOY$7,420,877EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$252,210BOYAmt
EOY$261,915EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,568,944BOYAmt
EOY$1,626,748EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,094,643BOYAmt
EOY$933,081EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$111,283,576LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$82,676,192LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$31,058,438BOYAmt
EOY$28,607,384EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$22,945,654BOYAmt
EOY$379,611EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,410,910BOYAmt
EOY$824,291EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$68,415,098BOYAmt
EOY$43,680,177EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,110,006BOYAmt
EOY$4,373,426EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,625,782BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$396,470BOYAmt
EOY$508,865EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,885,163BOYAmt
EOY$18,328,911EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,017,421BOYAmt
EOY$23,211,202EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,768,229BOYAmt
EOY$19,974,199EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$609,448BOYAmt
EOY$474,776EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt
EOY$20,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,397,677BOYAmt
EOY$20,468,975EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$68,415,098BOYAmt
EOY$43,680,177EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,915,786ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,093,325NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$8,751,163OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$32,217DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$28,434OtherActivitiesAmt
Total Lobbying Expenditures$60,651TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF UPMC SOMERSET'S DUES TO THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP), HEALTHCARE COUNCIL, AND OTHER HEALTHCARE ASSOCIATIONS ARE USED FOR LOBBYING. PART II-B, LINE 1(G), DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: UPMC SOMERSET CONTACTS VARIOUS LEGISLATORS AND GOVERMENT OFFICIALS TO FURTHER HEALTH CARE INITIATIVES IN THE COMMUNITIES IT SERVES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,655,588OtherCostOrOtherBasisAmt
Book Value$2,655,588BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,101,363OtherCostOrOtherBasisAmt
Depreciation$31,386,550DepreciationAmt
Book Value$2,714,813BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,725,995OtherCostOrOtherBasisAmt
Depreciation$51,289,642DepreciationAmt
Book Value$4,436,353BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,800,630OtherCostOrOtherBasisAmt
Book Value$18,800,630BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,607,384TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
SELF INSURANCE$3,323,028
ADVANCES FROM EXEMPT AFFILIATES$15,005,883
FieldValueIRS element (for citing)
Total Liability$18,328,911TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$69,260GrossReceiptsEvent1Amt
Charitable Contri Event1$20,000CharitableContriEvent1Amt
Gross Revenue Event1$49,260GrossRevenueEvent1Amt
Non Cash Prizes Event1$13,328NonCashPrizesEvent1Amt
Rent Facility Costs Event1$12,003RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$2,331OtherDirectExpensesEvent1Amt
Gross Receipts Total$69,260GrossReceiptsTotalAmt
Charitable Contributions Tot$20,000CharitableContributionsTotAmt
Gross Revenue Total Events$49,260GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$13,328NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$12,003RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$2,331OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$27,662DirectExpenseSummaryEventsAmt
Net Income Summary$21,598NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,010,143TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,010,143NetCommunityBenefitExpnsAmt
Total Expense0.01550TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,873,530TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,131,697DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,741,833NetCommunityBenefitExpnsAmt
Total Expense0.02670TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,883,673TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,131,697DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,751,976NetCommunityBenefitExpnsAmt
Total Expense0.04220TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$231,135TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$231,135NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,258,681TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$590,354DirectOffsettingRevenueAmt
Net Community Benefit Expns$668,327NetCommunityBenefitExpnsAmt
Total Expense0.01020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,655TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$59,655NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,549,471TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$590,354DirectOffsettingRevenueAmt
Net Community Benefit Expns$959,117NetCommunityBenefitExpnsAmt
Total Expense0.01460TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,433,144TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,722,051DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,711,093NetCommunityBenefitExpnsAmt
Total Expense0.05680TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$2,580,377BadDebtExpenseAmt
Bad Debt Expense Attributable$166,368BadDebtExpenseAttributableAmt
Reimbursed By Medicare$15,002,382ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$15,788,495CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$786,113MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UPMC SOMERSETBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 SOUTH CENTER AVENUEAddressLine1Txt
CitySOMERSETCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15501ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UPMC SOMERSETBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYYes (1)TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSOMERSETHOSPITAL.COM/PATIENT_INFORMATION/FINANCIAL_ASSISTANCE_POLICY.ASPXFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSOMERSETHOSPITAL.COM/PATIENT_INFORMATION/FINANCIAL_ASSISTANCE_POLICY.ASPXFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSOMERSETHOSPITAL.COM/PATIENT_INFORMATION/FINANCIAL_ASSISTANCE_POLICY.ASPXFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
UPMC SOMERSETPART V, SECTION B, LINE 2: SOMERSET HOSPITAL WAS ACQUIRED BY UPMC FEBRUARY 1, 2019. THE TAX ID AND TAX-EXEMPT STATUS DID NOT CHANGE.
UPMC SOMERSETPART V, SECTION B, LINE 5: UPMC SOMERSET TOOK SEVERAL STEPS TO MAKE SURE THE INTERESTS OF THOSE WHO RESPRESENT THE COMMUNITY WERE TAKEN INTO ACCOUNT. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH JAMES YODER, DIRECTOR OF SOMERSET COUNTY AREA AGENCY ON AGING, AMANDA WEBRECK, HOMELESS ASSISTANCE CASE MANAGER, JOSHUA BOLAND, SOMERSET ECONOMIC DEVELOPMENT COUNCIL, RON ALDOM, SOMERSET COUNTY CHAMBER OF COMMERCE, KIRBY BRUGH, PENNSYLVANIA DEPARTMENT OF HEALTH AND REVERAND J. MATTHEW DEAL, ST. PAUL'S UNITED CHURCH OF CHRIST. THE STEERING COMMITTEE, IN ADDITION TO HOSPITAL EMPLOYEES, INCLUDED DOUGLAS WALTERS, CHILDREN AND YOUTH SERVICES, ERIN HOWSARE, SINGLE COUNTY AUTHORITY, JESPER NIELSEN, CRYOLE-NIELSEN THERAPEUTICS, KIRBY BRUGH, PENNSYLVANIA DEPARTMENT OF HEALTH, KRISTA MATHIAS, SOMERSET AREA SCHOOL DISTRICT, AND RON ALDOM, SOMERSET COUNTY CHAMBER OF COMMERCE. A SURVEY WAS ALSO SENT OUT TO COMMUNITY MEMBERS VIA SURVEY MONKEY AND 678 SURVEYS WERE COLLECTED.
UPMC SOMERSETPART V, SECTION B, LINE 11: UPMC SOMERSET IS ADDRESSING CHRONIC DISEASES (DIABETES, HEART DISEASE, AND CANCER) THROUGH INCREASED COMMUNITY EDUCATION, FOCUSING ON SERVICES SUCH AS INTERVENTIONAL CARDIOLOGY AND PRIMARY STROKE CENTER AND INCREASED COMMUNITY SCREENINGS. BEHAVIORAL HEALTH (DRUG AND ALCOHOL, BEHAVIORAL HEALTH) IS BEING ADDRESSED THROUGH DEVELOPING A COMPREHENSIVE WARM HAND OFF PROGRAM, ADDITIONAL TRAINING FOR PROVIDERS AND HEALTH CARE WORKERS IN BOTH THE RECOGNITION OF DRUG AND ALCOHOL ISSUES, AS WELL AS BEHAVIORAL HEALTH, PREVENTION EDUCATION, RECOVERY TO WORK PROGRAMMING, AND EXPLORING PROGRAMMING FOR TELE-PSYCH. ACCESS TO CARE (BOTH PRIMARY AND SECONDARY CARE) IS BEING ADDRESSED BY RECRUITMENT OF ADDITIONAL PROVIDERS, EXPANDED PRIMARY CARE LOCATIONS AND DEVELOPMENT OF TELEMEDICINE PROGRAMS. OF THE TOP 10 IDENTIFIED HEALTH ISSUES, THE CURRENT IMPLEMENTATION PLAN ADDRESSES EACH OF THESE NEEDS EITHER DIRECTLY OR INDIRECTLY, SUCH AS OBESITY. SPECIFIC NEEDS NOT BEING ADDRESSED INCLUDE TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS, ACCESS TO HEALTHY FOODS, ACCESS TO DENTAL CARE, TEENAGE PREGNANCY, SEXUALLY TRANSMITTED INFECTIONS, MOTOR VEHICLE ACCIDENTS, UNEMPLOYEMENT RATES/POVERTY, CRIME/VIOLENCE, ADOLESCENT CRIME AND ENVIRONMENTAL HEALTH. EACH OF THESE ISSUES WERE RANKED AND RATED IN TERMS OF HOW SERIOUS THE ISSUE IS IN OUR COMMUNITY, THE CAPACITY FOR THE HOSPITAL TO ADDRESS THE NEED AND THE DEGREE TO WHICH THE HOSPITAL IS RESPONSIBLE FOR ADDRESSING THESE NEEDS. MANY OF THESE ISSUES ARE NOT BEING ADDRESS BECAUSE WHILE THEY WERE IDENTIFIED AS BEING AN ISSUE, THE DATA DOES NOT SUPPORT THIS, SUCH AS TEENAGE PREGNANCY, SEXUALLY TRANSMITTED INVECTIONS, AND ENVIRONMENTAL HEALTH, WHERE THE NUMBERS FOR OUR COMMUNITY ARE BETTER THAN THE STATE AVERAGE. OTHER ISSUES SUCH AS CRIME/VIOLENCE, AND POVERTY WERE DETERMINED TO BE OUT OF OUR CAPACITY TO CORRECT.
UPMC SOMERSETPART V, SECTION B, LINE 16J: UNINSURED PATIENTS ARE PROVIDED A PLAIN LANGUAGE SUMMARY AND FAP APPLICATION FORM. BILLING STATEMENTS INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN INFORMATION.
PART V, SECTION B, LINE 2PART V, SECTION B, LINE 2: THE CHNA WAS LAST CONDUCTED DURING THE ORGANIZATION'S 2018 TAX YEAR, WHICH IS EQUVIALENT TO ITS FISCAL YEAR ENDED JUNE 30, 2019. THE IMPLEMENTATION STRATEGY WAS ALSO ADOPTED DURING THAT SAME FISCAL YEAR.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - THE WHEELER CENTER
126 EAST CHURCH STREETSOMERSETPA15501OUTPATIENT REHABILITATION
2 - SOMERSET HOSPICE
1474 NORTH CENTER AVENUESOMERSETPA15501INPATIENT HOSPICE
3 - BERLIN MEDICAL CENTER
426 MAIN STREETBERLINPA15530OUTPATIENT PHYSICAL THERAPY

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART I, LINE 7.
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES INCLUDED IN FISCAL YEAR 2019 WERE OUTPATIENT BEHAVIORAL HEALTH, COUMADIN CLINIC, AND INPATIENT HOSPICE.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE OF 2,580,377 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES.
PART III, LINE 4:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
PART III, LINE 9B:UPMC SOMERSET GENERALLY DESIGNATES SERVICES AS "CHARITY CARE" BASED ON AN INDIVIDUAL'S ABILITY TO PAY. UPMC SOMERSET OFFERS PAYMENT PLANS AND ASSISTS INDIVIDUALS IN APPLYING FOR THE STATE'S MEDICAL ASSISTANCE PROGRAM.
PART VI, LINE 2:DURING FISCAL YEAR 2019, UPMC SOMERSET CONDUCTED A COUNTY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE STUDY WAS CONDUCTED TO IDENTIFY THE MOST IMPORTANT HEALTH ISSUES WHICH NEED TO BE ADDRESSED. THE CHNA LOOKS AT HEALTH STATUS, BARRIERS TO CARE, AND OTHER DEMOGRAPHIC AND SOCIAL ISSUES AFFECTING PEOPLE AND ORGANIZATIONS THROUGHOUT SOMERSET COUNTY. THE REPORT IS AIMED AT ASSISTING SOMERSET HOSPITAL IN MAKING DECISIONS ABOUT THE FUTURE OF HEALTHCARE AND PREVENTION.
PART VI, LINE 3:THE PLAIN LANGUAGE SUMMARY OF THE FAP AND FAP APPLICATION ARE AVAILABLE ON SOMERSET HOSPITAL'S WEBSITE. PAPER COPIES OF THE FAP, PLAIN LANGUAGE SUMMARY OF THE FAP, AND FAP APPLICATION ARE AVAILABLE ON SOMERSET HOSPITAL'S WEBSITE, UPON REQUEST AND COPIES ARE IN THE EMERGENCY ROOM AND ADMISSIONS AREA. THE HOSPITAL HAS SIGNS THAT NOTIFY THE PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE EMERGENCY ROOM AND ADMISSIONS AREA. UNINSURED PATIENTS ARE PROVIDED A PLAIN LANGUAGE SUMMARY AND FAP APPLICATION FORM. BILLING STATEMENTS INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN INFORMATION.
PART VI, LINE 4:UPMC SOMERSET SERVES RESIDENTS IN SOMERSET COUNTY, PENNSYLVANIA. SOMERSET COUNTY IS A RURAL AREA WITH A POPULATION OF APPROXIMATELY 76,000 AND LAND AREA OF 1075 SQUARE MILES. THE COST OF LIVING IS BELOW THE NATIONAL AVERAGE AND THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $44,255 WHICH IS ALSO BELOW THE PENNSYLVANIA AVERAGE. APPROXIMATELY 14% OF SOMERSET RESIDENTS LIVE IN POVERTY.
PART VI, LINE 5:UPMC SOMERSET IS A NOT-FOR-PROFIT COMMUNITY ASSET COMMITTED: TO PROVIDING CARE TO THE SICK AND INJURED, PRESERVING AND SUSTAINING LIFE, AND PROMOTING HEALTH AND WELL BEING; TO THE PROMOTION AND DEVELOPMENT OF COMPLEMENTARY PROGRAMS AND SERVICES, MANPOWER AND FACILITIES; TO THE CONTINUOUS IMPROVEMENT OF QUALITY, ACCESSIBILITY AND CONTINUITY OF PATIENT CARE; TO THE WELFARE AND LIVELIHOOD OF ITS EMPLOYEES; TO ENSURING THE HOSPITAL'S FINANCIAL VIABILITY NECESSARY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY AND REGION TODAY AND IN THE FUTURE. SOMERSET HOSPITAL PROVIDES QUALITY HEALTH CARE IN A COMPASSIONATE MANNER REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR THE PATIENT'S ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SOMERSET HOSPITAL, THE HOSPITAL, UNDER ITS WRITTEN CHARITY CARE POLICY, IS COMMITTED TO PROVIDING NECESSARY HEALTH CARE SERVICES AT NO CHARGE OR AT A REDUCED CHARGE TO PATIENTS. THE HOSPITAL USES ANY EXCESS IN REVENUES OVER EXPENSES TO FUND IMPROVEMENTS IN PATIENT CARE IN ORDER TO PROVIDE THE COMMUNITY WITH STATE OF THE ART EQUIPMENT AND FACILITIES. THE HOSPITAL RECRUITS THE BEST AND THE BRIGHTEST TO PROVIDE SERVICES TO THE COMMUNITY WHERE THERE IS A NEED AND A SHORTAGE OF PHYSICIANS. THE HOSPITAL EXTENDS MEDICAL PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE GOVERNING BODY IS COMPRISED OF LOCAL RESIDENTS WHO HAVE THE BEST INTEREST OF THE COMMUNITY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAYESH DESAI MD
DIRECTOR$0$406,796$0$18,500$0$0$0$0$0$18,790$0$444,086$0$0
MARK YAROS MD
DIRECTOR$0$248,309$0$13,000$0$0$0$0$0$17,798$0$279,107$0$0
DAVID MARTIN
DIRECTOR$0$479,916$0$384,000$0$80,624$0-$163,814$0$26,532$0$807,258$0$70,700
DAVID RUSSELL
DIRECTOR$0$287,680$0$105,310$0$3,950$0$44,042$0$5,561$0$446,543$0$3,068
DAVID BURWELL MD
DIRECTOR$0$282,910$0$0$0$19,165$0$21,177$0$17,368$0$340,620$0$2,219
AJAY P SINGH MD
DIRECTOR (UNTIL 2/1/19)$0$209,245$0$0$0$0$0$0$0$16,020$0$225,265$0$0
MATTHEW KOCIOLA
CFO (UNTIL 7/9/2018)$151,126$0$0$0$0$0$3,025$0$471$0$154,622$0$0$0
ANDREW RUSH
CEO$287,147$0$18,500$0$0$0$5,612$0$15,709$0$326,968$0$0$0
RENEE YOUNG MD
PHYSICIAN$363,299$0$0$0$0$0$0$0$5,471$0$368,770$0$0$0
MOKBEL MATTA MD
PHYSICIAN$382,917$0$18,500$0$0$0$0$0$5,943$0$407,360$0$0$0
HAI C TSAO MD
PHYSICIAN$306,791$0$0$0$0$0$0$0$15,871$0$322,662$0$0$0
NEELESH WELLING MD
PHYSICIAN$256,487$0$0$0$0$0$0$0$16,824$0$273,311$0$0$0
MARCO CANTINI MD
MEDICAL DIRECTOR OF ANESTHESIA$462,762$0$0$0$0$0$0$0$15,871$0$478,633$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3UPMC HAS ESTABLISHED A RIGOROUS COMPENSATION REVIEW PROCESS FOR ITS TOP EXECUTIVES WHICH INCLUDES REVIEW BY ITS EXECUTIVE COMPENSATION COMMITTEE IN A PROCESS INTENDED TO SATISFY THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" SET FORTH IN THE REGULATIONS TO SECTIONS 4958 OF THE INTERNAL REVENUE CODE. UPMC GIVES AUTHORITY TO THOSE EXECUTIVES TO ESTABLISH THE COMPENSATION OF EXECUTIVES OF OTHER SUBSIDIARIES AND BUSINESS UNITS, INCLUDING THOSE OF UPMC SOMERSET.
PART I, LINES 4A-BALL PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ARE DISCLOSED IN SCHEDULE J WITH CORRESPONDING AMOUNTS IN SCHEDULE J COLUMN C "RETIREMENT AND OTHER DEFERRED COMPENSATION." DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE ("CODE"), CERTAIN OFFICERS AND KEY EMPLOYEES ARE LIMITED IN THE AMOUNT OF BENEFITS WHICH MAY BE RECEIVED UNDER A TAX QUALIFIED RETIREMENT PROGRAM. LIKE MANY EMPLOYERS, UPMC SUPPLEMENTS ITS RETIREMENT BENEFITS THROUGH A SUPPLEMENTAL RETIREMENT PROGRAM. THE SUPPLEMENTAL RETIREMENT PROGRAM IS SUBJECT TO MULTIYEAR VESTING WHICH PLACES THE OFFICERS AND KEY EMPLOYEES' RETIREMENT BENEFIT AT RISK OF FORFEITURE IF THE VESTING REQUIREMENTS ARE NOT SATISFIED. ONCE VESTED HOWEVER, PROVISIONS OF THE CODE REQUIRE THAT THE VESTED AMOUNTS BE REPORTED ON FORM 990 AND THE VESTED OFFICER OR KEY EMPLOYEE INCLUDE IN CURRENT INCOME THE VALUE OF HER OR HIS SUPPLEMENTAL RETIREMENT BENEFIT. NOTWITHSTANDING THE TAX REQUIREMENT TO RECOGNIZE THE VESTED AMOUNT OF THE SUPPLEMENTAL RETIREMENT BENEFIT AS INCOME, THIS BENEFIT, WHICH HAS BEEN EARNED OVER HER OR HIS ENTIRE CAREER, HAS NOT AND WILL NOT BE DISTRIBUTED UNTIL THE OFFICER OR KEY EMPLOYEE RETIRES OR SEPARATES FROM SERVICE FROM UPMC. THE SUPPLEMENTAL RETIREMENT PROGRAM PROVIDES FOR THE CURRENT DISTRIBUTION OF ONLY THE AMOUNT NECESSARY TO SATISFY ANY INCOME TAX LIABILITY RESULTING FROM THE VESTING DURING ACTIVE EMPLOYMENT. FINALLY, IT SHOULD BE NOTED THAT IN ACCORDANCE WITH IRS INSTRUCTIONS, A SUBSTANTIAL PORTION OF THE AMOUNT REPORTED ON THE FORM 990 ATTRIBUTABLE TO SUPPLEMENTAL RETIREMENT PROGRAM VESTING HAS BEEN REPORTED IN PREVIOUSLY FILED FORMS 990. CRAIG SAYLOR WAS PAID $135,002 IN SEVERANCE PAY DURING THE YEAR.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ANN COBER
BRAD COBER, DIRECTOR - FAMILY MEMBER$12,399EMPLOYEE OF UPMC SOMERSET0
MIKE PETROSKY
MICHELLE MOON, DIRECTOR - FAMILY MEMBER$90,539EMPLOYEE OF UPMC SOMERSET0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4ON FEBRUARY 1, 2019, UPMC SOMERSET AFFILIATED WITH THE UPMC HEALTH SYSTEM. THE BYLAWS WERE UPDATED TO MAKE UPMC THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER IS THE EXEMPT ENTITY UPMC.
FORM 990, PART VI, SECTION A, LINE 7BDURING THE INTEGRATION PERIOD OR SUCH LONGER PERIOD AS SPECIFICALLY INDICATED BELOW, THE FOLLOWING ACTIONS WILL REQUIRE APPROVAL OF THE SOMERSET BOARD AND UPMC, AND NEITHER UPMC NOR THE SOMERSET BOARD SHALL HAVE THE AUTHORITY INDIVIDUALLY TO UNDERTAKE ANY OF THE FOLLOWING ACTIONS WITHOUT SUCH JOINT APPROVAL: (A) APPROVAL OF OPERATING AND CAPITAL BUDGETS OF SOMERSET AND THE SOMERSET ENTITIES. (B) APPROVAL OF PLANS FOR APPLICATION AND USE OF THE CAPITAL EXPENDITURES AND PROGRAMMATIC ENHANCEMENT COMMITMENT IN ACCORDANCE WITH SECTIONS 3.3.1 THROUGH 3.3.3 OF THE INTEGRATION AGREEMENT. (C) APPROVAL OF STRATEGIC PLANS FOR SOMERSET. (D) ENTERING INTO NEW, OR MATERIALLY CHANGING ANY EXISTING, JOINT VENTURE ARRANGEMENTS SPECIFICALLY OF SOMERSET OR THE SOMERSET ENTITIES. (E) APPROVAL OF SELECTION OF THE SOMERSET PRESIDENT/SENIOR EXECUTIVE, AND APPROVAL OF REMOVAL AND COMPENSATION TERMS. (F) APPROVAL OF THE TERMS OF ANY MANAGEMENT ARRANGEMENTS OF ANY SOMERSET ENTITY WITH AN UNRELATED THIRD PARTY. (G) DURING THE FIVE-YEAR PERIOD FOLLOWING THE CLOSING. ANY MATERIAL CHANGES TO SOMERSETS CLINICAL PROGRAMS. (H) ANY CHANGE IN THE CORPORATE STRUCTURE OF SOMERSET OR ANY SOMERSET ENTITY. (I) THE SALE, LEASE, TRANSFER OR JOINT VENTURE, WHETHER WITHIN THE SYSTEM OR EXTERNAL THERETO, INVOLVING SUBSTANTIALLY ALL OF THE ASSETS OR BUSINESS OR SIGNIFICANT PRODUCT LINES OF SOMERSET OR ANY SOMERSET ENTITY, EXCEPT FOR UPMC SOMERSETS OUTPATIENT REHABILITATION, HOME HEALTH, HOSPICE, AND DURABLE MEDICAL EQUIPMENT LINES OF SERVICE AND BUSINESSES THAT WILL BE INTEGRATED INTO THE UPMC SYSTEMS OPERATIONS AS SET FORTH IN SECTIONS 12.4 THROUGH 12.7 OF THE INTEGRATION AGREEMENT. (J) THE MERGER, CONSOLIDATION, DIVESTITURE OR DISSOLUTION OF SOMERSET OR ANY OF ITS SUBSIDIARIES. (K) DURING THE FIVE-YEAR PERIOD FOLLOWING THE CLOSING, THE DETERMINATION THAT SOMERSET OR ANY SOMERSET ENTITY WILL NO LONGER BE LICENSED OR OPERATED AS CURRENTLY LICENSED OR OPERATED. (L) ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF SOMERSET OR ANY SOMERSET ENTITY. (M) SALE OF ANY REAL ESTATE OF OR BY SOMERSET OR ANY SOMERSET ENTITY.
FORM 990, PART VI, SECTION B, LINE 11BUPMC SOMERSET HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CUPMC REQUIRES ALL OF ITS KEY EMPLOYEES AND NON-EMPLOYED PERSONNEL TO COMPLY WITH ITS CONFLICT OF INTEREST POLICIES WHEN THEY ENGAGE IN UPMC-RELATED BUSINESS. PEOPLE COVERED BY THE POLICIES INCLUDE: -UPMC ENTITY BOARD MEMBERS, BOARD COMMITTEE MEMBERS, AND CORPORATE OFFICERS -UPMC PHYSICIANS AND NON-PHYSICIAN EMPLOYEES WHO HOLD A POSITION OF INFLUENCE -NON-EMPLOYED MEMBERS OF THE UPMC MEDICAL STAFF WHO HOLD A POSITION OF INFLUENCE OF TRUST -INDIVIDUALS CONDUCTING CLINICAL RESEARCH AT UPMC, WHETHER OR NOT THEY ARE EMPLOYED BY UPMC. THESE PEOPLE ARE REQUIRED TO COMPLETE A QUESTIONNAIRE AT LEAST ANNUALLY. AN ELECTRONIC FORM HAS BEEN DEVELOPED TO CAPTURE THE DATA FROM THE QUESTIONNAIRE AND TO MONITOR COMPLETION. THE INFORMATION, ALONG WITH OTHER DATA, IS USED TO CAPTURE INDIVIDUAL AND INSTITUTIONAL RELATIONSHIPS SO THAT POTENTIAL CONFLICTS OF INTEREST CAN BE IDENTIFIED. IF A POTENTIAL CONFLICT IS IDENTIFIED REGARDING A SPECIFIC UPMC ACTIVITY THE CORPORATE COMPLIANCE DEPARTMENT, WITH THE ASSISTANCE OF THE LEGAL DEPARTMENT, EVALUATE THE ACTIVITY IN RELATION TO THE POTENTIAL CONFLICT. IF A PERCEIVED OR ACTUAL CONFLICT IS DETERMINED TO EXIST AND A DECISION IS MADE TO PROCEED WITH THE ACTIVITY, A WRITTEN PLAN DESIGNED TO PREVENT THE CONFLICT FROM INFLUENCING DECISIONS RELATED TO THE ACTIVITY IS DEVELOPED. THE PROCESS IS ULTIMATELY OVERSEEN BY A CONFLICT OF INTEREST COMMITTEE OF THE UPMC BOARD OF DIRECTORS ON BEHALF OF ALL UPMC SUBSIDIARIES, INCLUDING UPMC SOMERSET.
FORM 990, PART VI, SECTION B, LINE 15UPMC HAS ESTABLISHED A RIGOROUS COMPENSATION REVIEW PROCESS FOR ITS TOP EXECUTIVES WHICH INCLUDES REVIEW BY ITS EXECUTIVE COMPENSATION COMMITTEE IN A PROCESS INTENDED TO SATISFY THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" SET FORTH IN THE REGULATIONS TO SECTIONS 4958 OF THE INTERNAL REVENUE CODE. UPMC GIVES AUTHORITY TO THOSE EXECUTIVES TO ESTABLISH THE COMPENSATION OF EXECUTIVES OF OTHER SUBSIDIARIES AND BUSINESS UNITS, INCLUDING THOSE OF UPMC SOMERSET.
FORM 990, PART VI, SECTION C, LINE 18UPMC SOMERSET MAKES ITS FORM 990 AND CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART VI, SECTION C, LINE 19AT THIS TIME, UPMC SOMERSET DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 5,941,973. MANAGEMENT AND GENERAL EXPENSES 1,615,726. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,557,699.
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -118,347. CHANGE IN DEFINED BENEFIT PENSION COSTS -1,021,089. TRANSFERS TO EXEMPT AFFILIATES -7,655,469. CHANGE IN INTEREST OF TEMP RESTRICTED NET ASSETS OF FOUNDATION -134,672. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING -178,386. NET ASSETS RELEASED FROM RESTRICTION 356,800.
FORM 990, PART XII, LINE 2:THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PERFORMED BY EY FOR UPMC AND ALL SUBSIDIARIES. THE ENTIRE SYSTEM'S FINANCIAL STATEMENTS, OF WHICH THIS ORGANIZATIONS IS PART OF, ARE POSTED ON THE UPMC WEBSITE. (WWW.UPMC.COM) THE FINANCIAL STATEMENT AUDIT DURING THE 990 FILING PERIOD IS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2018.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (72 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
TWIN LAKES CENTER INC
225 SOUTH CENTER AVENUESOMERSETPA15501232910318HEALTH CAREPA501(C)(3)509(A)(1)UPMC SOMERSETYes (1)
SOMERSET COMMUNITY HOSPITAL FOUNDATION
225 SOUTH CENTER AVENUESOMERSETPA15501251441863HEALTH CAREPA501(C)(3)509(A)(3)UPMC SOMERSETYes (1)
SOMERSET HEALTH SERVICESINC
225 SOUTH CENTER AVENUESOMERSETPA15501251441920HEALTH CAREPA501(C)(3)509(A)(1)UPMC SOMERSETYes (1)
UPMC SENIOR COMMUNITIES INC
600 GRANT STREETPITTSBURGHPA15219251574736SR LIVINGPA501(C)(3)10UPMC0
PITTSBURGH LIFETIME CARE COMMUNITY
600 GRANT STREETPITTSBURGHPA15219251335247CCRCPA501(C)(3)10UPMC SR COMM0
CANTERBURY PLACE
600 GRANT STREETPITTSBURGHPA15219250965334SR LIVINGPA501(C)(3)10UPMC SR COMM0
SENECA PLACE
600 GRANT STREETPITTSBURGHPA15219721562844SR LIVINGPA501(C)(3)10UPMC SR COMM0
SHADYSIDE HOSPITAL SUPPORTING FOUNDATION
600 GRANT STREETPITTSBURGHPA15219260303394FOUNDATIONPA501(C)(3)12(A) IUPMC0
UPMC LEE
600 GRANT STREETPITTSBURGHPA15219250613830INACTIVEPA501(C)(3)3UPMC0
PITTSBURGH CARE PARTNERSHIP INC
600 GRANT STREETPITTSBURGHPA15219251753852SR CARE MGMTPA501(C)(3)10UPMC0
UPMC CENTER FOR HIGH VALUE HEALTHCARE
600 GRANT STREETPITTSBURGHPA15219452178782RESEARCHPA501(C)(3)7UPMC0
SHADYSIDE HOSPITAL FOUNDATION
532 SOUTH AIKEN AVENUEPITTSBURGHPA15232251290546FOUNDATIONPA501(C)(3)12(C)IIIUPMC PRESBY0
PASSAVANT HOSPITAL FOUNDATION
9100 BABCOCK BLVDPITTSBURGHPA15237251407815FOUNDATIONPA501(C)(3)12(B)IIUPMC PASS0
NORTHWEST HOSPITAL FOUNDATION
100 FARFIELD DRIVESENECAPA16346251483624FOUNDATIONPA501(C)(3)12(D)IIIUPMC NORTHWEST0
ST MARGARET FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251520340FOUNDATIONPA501(C)(3)7UPMC ST MARG0
CHILDREN'S HOSPITAL OF PITTSBURGH FND
600 GRANT STREETPITTSBURGHPA15219251865744FOUNDATIONPA501(C)(3)7UPMC CHP0
MAGEE-WOMEN RES INST AND FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251462312FOUNDATIONPA501(C)(3)70N/A
GREAT LAKES PHYSICIAN PRACTICE PC
600 GRANT STREET 58TH FLOORPITTSBURGHPA15219464186362PHYSICIAN SRVNY501(C)(3)3REGNL HEALTH0
HAMOT HEALTH FOUNDATION
302 FRENCH STREETERIEPA16507251400999FOUNDATIONPA501(C)(3)12(B)IIUPMC HAMOT0
UPMCJAMESON CANCER CENTER
600 GRANT STREET 58TH FLPITTSBURGHPA15219201459415ONCOLOGY SVCPA501(C)(3)10UPMC JAMESON0
JAMESON CARE CENTER INC
1211 WILMINGTON AVENEW CASTLEPA16105232871396SR SERVICESPA501(C)(3)10UPMC SR COMM0
UPMC SUSQUEHANNA
700 HIGH STREETWILLIAMSPORTPA17701232751183MGMT SUPPORTPA501(C)(3)3UPMC0
MUNCY VALLEY HOSPITAL
215 EAST WATER STREETMUNCYPA17756240806023HOSPITALPA501(C)(3)3UPMC SUSQUEHANNA0
DIVINE PROVIDENCE HOSPITAL OF THE SISTE
1100 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701240799343HOSPITALPA501(C)(3)3UPMC SUSQUEHANNA0
SUSQUEHANNA PHYSICIAN SERVICES
1201 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701232449454PHYSICIAN SRVPA501(C)(3)3UPMC SUSQUEHANNA0
SUSQUEHANNA HEALTH SYSTEM INNOVATION CT
700 HIGH STREETWILLIAMSPORTPA17701471600873SUPPORT SRVPA501(C)(3)12(A)(I)UPMC SUSQUEHANNA0
SUSQUEHANNA HEALTH FOUNDATION
1100 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701232743470FOUNDATIONPA501(C)(3)12(A)(I)UPMC SUSQUEHANNA0
THE WILLIAMSPORT HOSPITAL
700 HIGH STREETWILLIAMSPORTPA17701240795508HOSPITALPA501(C)(3)3UPMC SUSQUEHANNA0
LAUREL REALTY INC
32-36 CENTRAL AVENUEWELLSBOROPA16901231403678REAL ESTATEPA501(C)(2)UPMC SUSQUEHANNA0
LAUREL MANAGEMENT SERVICES INC
32-36 CENTRAL AVENUEWELLSBOROPA16901251644910MANAGEMENT SVPA501(C)(3)12(B)(II)UPMC SUSQUEHANNA0
LAUREL HEALTH SYSTEM
32-36 CENTRAL AVENUEWELLSBOROPA16901240795488SUPPORT SRVPA501(C)(3)12(B)(II)UPMC SUSQUEHANNA0
SOLDIERS AND SAILORS MEMORIAL HOSPITAL
32-36 CENTRAL AVENUEWELLSBOROPA16901232176963HOSPITALPA501(C)(3)3UPMC SUSQUEHANNA0
THE GREEN HOME
37 CENTRAL AVENUEWELLSBOROPA16901240804365SKILLED NURSIPA501(C)(3)10UPMC SUSQUEHANNA0
TIOGA HEALTH CARE PROVIDERS
1201 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701251765538HEALTHCAREPA501(C)(3)12(B)(II)UPMC SUSQUEHANNA0
WILLIAMSPORT AREA AMBULANCE SERVICE COO
700 HIGH STREETWILLIAMSPORTPA17701232416166AMBULANCE SVCPA501(C)(3)10WILLIAMSPORT HOSP0
UPMC SUSQUEHANNA LOCK HAVEN
700 HIGH STREETWILLIAMSPORTPA17701821600494HOSPITALPA501(C)(3)3UPMC SUSQUEHANNA0
UPMC SUSQUEHANNA SUNBURY
700 HIGH STREETWILLIAMSPORTPA17701821592230HOSPITALPA501(C)(3)3UPMC SUSQUEHANNA0
UPMC CHAUTAUQUA AT WCA
207 FOOTE AVENUEJAMESTOWNNY14701160743226HOSPITALNY501(C)(3)3UPMC CHAUTAUQUA0
WCA GROUP INC
207 FOOTE AVENUEJAMESTOWNNY14701222392582HOLDING CONY501(C)(3)12 (B)(II)CHAUT AT WCA0
STARFLIGHT INC
135 ALLEN STREETJAMESTOWNNY14701161557878AIR AMBULANCENY501(C)(3)7CHAUT AT WCA0
SOUTH CENTRAL ALPHA HOUSING & HEALTH
3410 WEST PITTSBURGH ROADNEW CASTLEPA16101251701701SNF & ILPA501(C)(3)10UPMC SR COMM0
SOUTH WESTERN ALPHA HOUSING & HEALTH
745 GREENVILLE ROADMERCERPA16137251701700SNF & ILPA501(C)(3)10UPMC SR COMM0
KANE COMMUNITY HOSPITAL FOUNDATION
4372 ROUTE 6KANEPA16735263906925FOUNDATIONPA501(C)(3)12 (B)(II)0N/A
JUNIOR GUILD OF THE JAMESON MEMORIAL HOS
1211 WILMINGTON AVENUENEW CASTLEPA16105256005313SUPPORTPA501(C)(3)12(D)III0N/A
LAUREL HEALTH FOUNDATION
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WCA FOUNDATION INC
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VENANGO VNA FOUNDATION
491 ALLEGHENY BOULEVARDFRANKLINPA16323251472179FOUNDATIONPA501(C)(3)12(D) III0N/A
UPMC PINNACLE
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UPMC PINNACLE CARLISLE
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UPMC PINNACLE LANCASTER
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UPMC PINNACLE LITITZ
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UPMC PINNACLE MEMORIAL
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PINNACLE HEALTH REGIONAL PHYSICIANS
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PINNACLE HEALTH FOUNDATION
409 SOUTH SECOND STREETHARRISBURGPA17104222691718FOUNDATIONPA501(C)(3)12(B)IIUPMC PINNACLE0
COMMUNITY LIFE TEAM INC
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HANOVER HEALTHCARE PLUS INC
300 HIGHLAND AVENUEHANOVERPA17331222658574SUPPORTING ORPA501(C)(3)12(A)(I)UPMC PINNACLE0
UPMC PINNACLE HANOVER
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UPMC PINNACLE HOSPITALS
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PINNACLE HEALTH MEDICAL SERVICES
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CHARLES E COLE MEMORIAL HOSPITAL
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COLE FOUNDATION INC
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HAMOT COLE VENTURES
1001 EAST SECOND STREETCOUDERSPORTPA16915273172100CLINIC SITESPA501(C)(3)12(A)(I)C COLE MEM H0
HENDORN INC
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ASBURY HEIGHTS OF UPMC
600 GRANT STREETPITTSBURGHPA15219251555687SUPPORTING ORPA501(C)(3)12(B)(II)UPMC SR COMM0
ASBURY HEALTH CENTER
600 GRANT STREETPITTSBURGHPA15219250969472CCRCPA501(C)(3)10ASBURY HEIGHTS0
ASBURY VILLAS
600 GRANT STREETPITTSBURGHPA15219251819952PERSONAL CAREPA501(C)(3)10ASBURY HEIGHTS0
ASBURY PLACE
600 GRANT STREETPITTSBURGHPA15219251729266PERSONAL CAREPA501(C)(3)10ASBURY HEIGHTS0
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Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)

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SENECA HILLS ASSISTED LIVING LP
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ST MARGARET MEDICAL ARTS ASSOCIATES
600 GRANT STREETPITTSBURGHPA15219251786655MED OFFICE BLPAN/A
CORE NETWORK LLC
600 GRANT STREETPITTSBURGHPA15219251786209HEALTHCAREPAN/A
LIFE HOME CARE LP
600 GRANT STREETPITTSBURGHPA15219251847839HOMECAREPAN/A
SHADYSIDE MEDICAL CENTER ASSOCIATION
600 GRANT STREETPITTSBURGHPA15219251608318MED OFFICE BLPAN/A
CHARTWELL PA LP
600 GRANT STREETPITTSBURGHPA15219251729714HOMEHEALTHPAN/A
LIFE CARE HOME SRV OF NW PA
1647 SASSAFRAS STREETERIEPA16501251536879HOME HEALTH SPAN/A
HAMOT-KCH REAL ESTATE VENTURE
300 STATE STREETERIEPA16507263691782MEDICAL OFFICPAN/A
HAMOT SURGERY CENTER LLC
200 STATE STREETERIEPA16507251863661AMBULATORY SUPAN/A
EPN-HAMOT URGENT CARE LLC
600 GRANT STREETPITTSBURGHPA15219272147949URGENT CAREPAN/A
LAWRENCE COUNTY MRI & DIAGNOSTIC IMAGING
2526 WILMINGTON AVENEW CASTLEPA16105270219891IMAGING CENTEPAN/A
COMMUNITY BASKET LLC
1205 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701201195739REAL ESTATE RPAN/A
HANOVER SURGICENTER REAL ESTATE LP
300 HIGHLAND AVEHANOVERPA17331352342993INACTIVEPAN/A
MEDCARE SUSQUEHANNA VALLEY LLC
409 SOUTH SECOND STREETHARRISBURGPA17104821673688DMEPAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (83 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdProvince Or StateForeignAddress/ProvinceOrStateNm
SOMERSET MANAGEMENT SERVICES INC
225 SOUTH CENTER AVENUESOMERSETPA15501251512960REAL ESTATE HOLDINGPAN/AC0
SOMERSET ANESTHESIA INC
225 SOUTH CENTER AVENUESOMERSETPA15501455135437ANESTHESIA SERVICESPACYes (1)SOMERSET COMMUNITY HOSPITAL-$1,502,430$329,3951.00000
HCPHARMACY CENTRAL INC
600 GRANT STREETPITTSBURGHPA15219251364192PHARMACY CO-OPAN/AC0
CHILDREN'S COMMUNITY CARE
600 GRANT STREETPITTSBURGHPA15219251781887PHYSICIAN SRVPAN/AC0
UPMC PHYSICIAN SERVICES HOLDING COMPANY
600 GRANT STREETPITTSBURGHPA15219251877017HOLDING COPAN/AC0
HEMATOLOGY ONCOLOGY ASSOCIATION INC
600 GRANT STREETPITTSBURGHPA15219421648357PHYSICIAN SRVPAN/AC0
ONCOLOGY HEMATOLOGY ASSOCATION INC
600 GRANT STREETPITTSBURGHPA15219251762980PHYSICIAN SRVPAN/AC0
TRI-STATE NEUROSURGICAL ASSOCIATES - UPM
600 GRANT STREETPITTSBURGHPA15219251458655PHYSICIAN SRVPAN/AC0
RENAISSANCE FAMILY PRACTICE - UPMC INC
600 GRANT STREETPITTSBURGHPA15219262942406PHYSICIAN SRVPAN/AC0
UPMC HOLDING COMPANY INC
600 GRANT STREETPITTSBURGHPA15219251777713HOLDING COPAN/AC0
UPMC COVERAGE PRODUCTS INC
600 GRANT STREETPITTSBURGHPA15219251777710HOLDING COPAN/AC0
FREEDOM INSURANCE COMPANY
600 GRANT STREETPITTSBURGHPA15219030308944INSURANCEVTN/AC0
TRI-CENTURY INSURANCE CO
600 GRANT STREETPITTSBURGHPA15219251500739INSURANCEPAN/AC0
UPMC DNA INC
600 GRANT STREETPITTSBURGHPA15219251883237INSURANCEPAN/AC0
UPMC HEALTH BENEFITS INC
600 GRANT STREETPITTSBURGHPA15219251844144HEALTH INSURPAN/AC0
UPMC HEALTH NETWORK INC
600 GRANT STREETPITTSBURGHPA15219721527566HEALTH INSURPAN/AC0
UPMC HEALTH PLAN INC
600 GRANT STREETPITTSBURGHPA15219232813536HEALTH INSURPAN/AC0
UPMC BENEFIT MANAGEMENT SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251769564WORKERS' COMPPAN/AC0
UPMC DIVERSIFIED SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251778454HOLDING COPAN/AC0
MONROEVILLE SPECIALTY CLINIC
600 GRANT STREETPITTSBURGHPA15219251666087AMB SURGPAN/AC0
MEDICAL ARCHIVAL SYSTEMS INC
600 GRANT STREETPITTSBURGHPA15219232912501SOFTWARE DEVEDEN/AC0
RX PARTNERS INC
600 GRANT STREETPITTSBURGHPA15219251801966PHARMACYPAN/AC0
BIOTRONICS INC
600 GRANT STREETPITTSBURGHPA15219251843500EQUIP MAINTENPAN/AC0
MEDICAL CENTER PROPERTIES INC
600 GRANT STREETPITTSBURGHPA15219251796940REAL ESTATEPAN/AC0
ASKESIS DEVELOPMENT GROUP INC
600 GRANT STREETPITTSBURGHPA15219541625585SOFTWARE DEVEDEN/AC0
BAYFRONT REGIONAL DEVELOPMENT CORP
300 STATE STREETERIEPA16507251401388RE HOLDING COPAN/AC0
BAYSIDE DEVELOPMENT CORP
300 STATE STREETERIEPA16507251401386REAL ESTATEPAN/AC0
UPMC WORK ALLIANCE INC
600 GRANT STREETPITTSBURGHPA15219452825053INSURANCEPAN/AC0
UPMC HEALTH COVERAGE INC
600 GRANT STREET 58TH FLOORPITTSBURGHPA15219462824537INSURANCEPAN/AC0
UPMC HEALTH OPTIONS INC
600 GRANT STREETPITTSBURGHPA15219462824626INSURANCEPAN/AC0
UPMC COMPLETE CARE INC
5215 CENTRE AVENUEPITTSBURGHPA15232463605753PHYSICIAN SRVPAN/AC0
AMERICAN HOME HEALTH SERVICES
868 CORPORATE WAYWESTLAKEOH44145311521422HOME HEALTH COHN/AC0
HEALTH FIDELITY INC
210 S B STREETSAN MATEOCA94401452538963TECHNOLOGY SVCAN/AC0
FLUENCE HEALTH INC
6425 PENN AVENUEPITTSBURGHPA15206472684174SOFTWAREDEN/AC0
CURAVI HEALTH INC
6425 PENN AVENUEPITTSBURGHPA15206811217377HEALTHCAREDEN/AC0
PENSIAMO INC
600 GRANT STREET 59TH FLPITTSBURGHPA15219812069236SUPPLY CHAINDEN/AC0
ALTOONA FAMILY INC
620 HOWARD AVEALTOONAPA16601251444935MGMT SVCSPAN/AC0
LEXINGTON HOLDINGS INC
620 HOWARD AVEALTOONAPA16601251794386HOLDING COPAN/AC0
LEXINGTON ONE INC
620 HOWARD AVEALTOONAPA16601251468889RENTALPAN/AC0
LEXINGTON TWO INC
HOWARD AVE 7TH STALTOONAPA16601251555689DMEPAN/AC0
LEXINGTON FOUR INC
620 HOWARD AVEALTOONAPA16601251793736HOLDING CODEN/AC0
UPMC ALTOONA REGIONAL HEALTH SERVICES
1414 9TH AVENUEALTOONAPA16602251219302PHYSICIAN SRVPAN/AC0
LEXINGTON ANESTHESIA ASSOCIATES INC
620 HOWARD AVEALTOONAPA16601251897765PHYSICIAN SRVPAN/AC0
MEDCPU INC
100 WALL STREET SUITE 2202NEW YORKNY10005383805381SOFTWARE DEVEDEN/AC0
UPMC EXCESS PL TRUST
600 GRANT STREETPITTSBURGHPA15219826254351TRUSTPAN/AT0
RXANTE INC
511 CONGRESS STREET 803PORTLANDME04101454040219MEDICATION MGDEN/AC0
J HEALTH VENTURES INC
1211 WILIMINGTON AVENUENEW CASTLEPA16105251607893INACTIVEPAN/AC0
SUSQUEHANNA VENTURES INC
1201 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701232470623PHARMACYPAN/AC0
TYOGA CARENET
114 EAST AVENUEWELLSBOROPA16901251810967INACTIVEPAN/AC0
WCA SERVICE CORPORATION INC
207 FOOTE AVENUEJAMESTOWNNY14701161151438SUPPORTNYN/AC0
ITTCCO I INC
600 GRANT STREETPITTSBURGHPA15219822590699INACTIVEDEN/AC0
ITTCCO II INC
600 GRANT STREETPITTSBURGHPA15219822597388INACTIVEDEN/AC0
PINNACLE HEALTH CARDIOVASCULAR INSTITUT
409 SOUTH SECOND STREETHARRISBURGPA17104320321362PHYSICIAN SRVPAN/AC0
HANOVER HEALTH CORPORATION
300 HIGHLAND AVENUEHANOVERPA17331900498067HOLDING COPAN/AC0
HANOVER APOTHECARY INC
310 STOCK STREET SUITE 1HANOVERPA17331030594526PHARMACYPAN/AC0
UNITED CENTRAL PA RECIPROCAL RISK RETEN
76 SAINT PAUL STREET SUITE 500BURLINGTONVT05401134224033INSURANCEVTN/AC0
PINNACLE HEALTH VENTURES INC
409 SOUTH SECOND STREETHARRISBURGPA17104611677624HOLDING COPAN/AC0
PINNACLE HEALTH IMAGING INC
409 SOUTH SECOND STREETHARRISBURGPA17104231718571IMAGING SVCPAN/AC0
COLE CARE INC
1001 EAST 2ND STREETCOUDERSPORTPA16915251497347DMEPAN/AC0
UPMC ITALY HEALTH SERVICES SRL
HEALTH SVCN/AC0VIA DISCESA DEI GIUDICI 4PALERMOITIT
UPMC INVESTMENTS LTD
HOLDING CON/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
UPMC PROPERTY LTD
PROPERTYN/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
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PROPERTYN/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
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PROPERTY MGMTN/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
EURO CARE PROPERTY MANAGEMENT LTD
PROPERTY MGMTN/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
EURO CARE HEALTHCARE LTD
HOSPITALN/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
WATERFORD ONCOLOGY ASSOCIATES LTD
ONCOLOGY SVCN/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEI
UPMC CANCER CENTERS IRELAND LIMITED
CANCER TREATMN/AC06TH FLOOR BEACON HOSPITALSANDYFORDEIEI
PANTHER REINSURANCE COMPANY LTD
981402742INSURANCEN/AC0PO BOX 1109GRAND CAYMANCJCJCAYMAN ISLANDS
FORBES REINSURANCE COMPANY LTD
981400710INSURANCEN/AC0PO BOX 1109GRAND CAYMANCJCJCAYMAN ISLANDS
CATHEDRAL (RE) INSURANCE CO
981400837INSURANCEN/AC0PO BOX 1109GRAND CAYMANCJCJCAYMAN ISLANDS
UPMC IRELAND LIMITED
HEALTHCARE SUN/AC06TH FLOOR BEACON HOSPITALSANDYFORDEIEI
UPMC CANADA TECHNOLOGIES LIMITED
600 GRANT STREETPITTSBURGHPA15219SOFTWAREN/AC0CA
SUSQUEHANNA HEALTH SYSTEM INSURANCE NET
INSURANCEN/AC0PO BOX 1159CJCJCAYMAN ISLANDS
UNITED HEALTH RISK LTD
INSURANCEN/AC0PO BOX HM 2450HAMILTONBDBD
UPMC UNITED KINGDOM LTD
980571026SOFTWARE LICEN/AC0C/O NAIRCO 11TH FLOOR WHITEFRIARSLEWINS MEADUKUKBRISTOL
BLUESPHERE BIO
6425 PENN AVENUE STE 200PITTSBURGHPA15206824979766IMMUNOTHERAPYDEN/AC0
INFECTIOUS DISEASE CONNECT INC
6425 PENN AVENUE STE 200PITTSBURGHPA15206833311071TELEMEDICINEDEN/AC0
HUMONIC INC
6425 PENN AVENUE STE 200PITTSBURGHPA15206834005420BIOPHARMDEN/AC0
TTMS INC
6425 PENN AVENUE STE 200PITTSBURGHPA15206825443222IMMUNOTHERAPYDEN/AC0
UPMC HILLMAN CANCER CENTER - PINNACLE
101 ERFORD ROADCAMP HILLPA17701833640945CANCER TREATMPAN/AC0
SHANGHAI UPMC CO LTD
HEALTHCARE MGMTN/AC0288 SHIMEN 1ST ROAD JINGAN DISTRICSHANGHAICHCH
SALVADOR MUNDI INTERNATIONAL HOSPITAL
HOSPITALN/AC0ROMA VIALE DELLEMURA GIANICOLENSIITIT
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SOMERSET ANESTHESIA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt
Involved$1,502,430InvolvedAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE RFormAndLineReferenceDesc
ExplanationTHE ENTITIES MARKED WITH AN ASTERISK ARE NOT TECHNICALLY "RELATED PARTIES", AS DEFINED BY THE IRS FORM 990 INSTRUCTIONS, OF THE FILING ORGANIZATION. HOWEVER, THEY ARE LISTED ON SCHEDULE R TO REFLECT THAT THEY ARE PART OF THE UPMC SYSTEM OF ENTITIES, AS THEY ALL SHARE UPMC AS THE ULTIMATE PARENT. SCHEDULE R - RELATED ORGANIZATIONS AND UNRELATED PARTNERSHIPS THERE ARE ORGANIZATIONS INCLUDED IN THE UPMC GROUP FORM 990 TAX RETURN FOR FISCAL YEAR 2019 WHICH ARE RELATED TO UPMC SOMERSET (SEE PRIOR NOTE). THESE ORGANIZATIONS ARE REQUIRED TO BE LISTED IN SCHEDULE R.ExplanationTxt