UPMC CHAUTAUQUA AT WCA: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- UPMC CHAUTAUQUA AT WCA (EIN 16-0743226)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-13
- IRS object ID
- 201923179349306222
- Schema version
- 2018v3.1
- 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
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-13T15:33:41-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 | 2018-01-01 | 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 | 2019-11-12 | 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 | 2019-11-12 | 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 | 2019-11-12 | IPDt |
| IP Tm | 13:01:44 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | E210C69A99B6B409F535E460B7A96F986BBED713 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 115878043888188F8F7D76596040743C125938FF | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-04-17 16:48:07Z | 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 | $116,471,977 | 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 | 1157 | TotalEmployeeCnt |
| Total Volunteers | 92 | TotalVolunteersCnt |
| Total Gross UBI | -$1,760 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,179,603 | PYContributionsGrantsAmt |
| CY Contributions Grants | $461,015 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $89,105,226 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $89,963,503 | CYProgramServiceRevenueAmt |
| PY Investment Income | $31,734 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,802,622 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,292,655 | PYOtherRevenueAmt |
| CY Other Revenue | $8,105,988 | CYOtherRevenueAmt |
| PY Total Revenue | $102,609,218 | PYTotalRevenueAmt |
| CY Total Revenue | $104,333,128 | 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 | $53,541,791 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $57,226,558 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $48,265,780 | PYOtherExpensesAmt |
| CY Other Expenses | $47,432,031 | CYOtherExpensesAmt |
| PY Total Expenses | $101,807,571 | PYTotalExpensesAmt |
| CY Total Expenses | $104,658,589 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $801,647 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$325,461 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $91,125,892 | TotalAssetsBOYAmt |
| Total Assets EOY | $90,491,490 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $47,714,288 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $66,912,244 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $43,411,604 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $23,579,246 | 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 | $82,302,084 | ExpenseAmt |
| Revenue | $97,994,434 | 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 | $82,302,084 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 94 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1157 | 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 (21 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 | $608,262 | $67,043 | |
| BRADLEY DINGER | |||||||
| TREASURER | 40.00 | Yes (X) | Yes (X) | $0 | $184,121 | $24,538 | |
| CRISTIE HERBST | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CAMELLIA HERISKO | |||||||
| CNO, VP OPS & PATIENT CARE SVCS | 2.00 | Yes (X) | $221,581 | $0 | $36,248 | ||
| EDWARD KARLOVICH | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $868,512 | $103,429 | ||
| 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, VP PATIENT CARE SVCS | 40.00 | Yes (X) | Yes (X) | $0 | $233,689 | $34,984 | |
| BETSY T WRIGHT | |||||||
| PRESIDENT/CEO | 40.00 | Yes (X) | $501,068 | $0 | $41,290 | ||
| CECIL M MILLER III | |||||||
| SECRETARY/VP OF OPERATIONS | 40.00 | Yes (X) | $167,702 | $0 | $18,992 | ||
| CHARLES NAZZARO | |||||||
| CFO | 40.00 | Yes (X) | $215,098 | $0 | $34,648 | ||
| LISA MCCHESNEY | |||||||
| CIO | 40.00 | Yes (X) | $0 | $222,933 | $37,017 | ||
| GALO GRIJALVA MD | |||||||
| PHYSICIAN | 40.00 | $367,043 | $0 | $39,095 | Yes (X) | ||
| JONATHAN BLASIUS MD | |||||||
| MEDICAL DIRECTOR-HOSPITALI | 40.00 | $335,954 | $0 | $46,838 | Yes (X) | ||
| SALVATORE J BUONAIUTO MD | |||||||
| HOSPITALIST | 40.00 | $303,904 | $0 | $32,631 | Yes (X) | ||
| PUJAN SHRESTHA MD | |||||||
| PHYSICIAN | 40.00 | $296,708 | $0 | $9,453 | Yes (X) | ||
| ASHOK B MOVVA MD | |||||||
| HOSPITALIST | 40.00 | $286,902 | $0 | $26,547 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,695,960 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,117,517 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $552,753 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 25 | 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 | $3,091,687 |
| PREMIER ANESTHESIA OF NY PC | |||||
| 2655 NORTHWINDS PKWY | ALPHARETTA | GA | 30009 | ANESTHESIA PHYSICIAN SERVICES | $952,873 |
| MEDICAL SOLUTIONS | |||||
| 1010 N 102ND ST STE 300 | OMAHA | NE | 68114 | NURSE STAFF SERVICES | $726,869 |
| JAMESTOWN PSYCHIATRIC PC | |||||
| 305 E FAIRMOUNT AVENUE | LAKEWOOD | NY | 14750 | PSYCHIATRIC PHYSICIAN SERVICES | $461,498 |
| JAMESTOWN RADIOLOGISTS | |||||
| 333 E FIFTH ST | JAMESTOWN | NY | 14701 | RADIOLOGY SERVICES | $351,621 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $18,640 | RelatedOrganizationsAmt |
| Government Grants | $170,000 | GovernmentGrantsAmt |
| All Other Contributions | $272,375 | AllOtherContributionsAmt |
| Total Contributions | $461,015 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| HOSPITAL REVENUE | 621500 | $89,280,655 | $89,280,655 | |
| TRI-STATE REGIONAL ASSOCIATES | 621500 | $349,014 | $349,014 | |
| CHAUTAUQUA INTEGRATED DELIVERY SY | 621500 | $287,398 | $287,398 | |
| 31 SHERMAN INVESTORS | 621500 | $48,196 | $48,196 | |
| CHAUTAUQUA REGION ASSOC. MEDICAL | 621500 | -$1,760 | -$1,760 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $89,963,503 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $189,682 | TotalRevenueColumnAmt |
| Exclusion | $189,682 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $379,790 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $302,973 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $76,817 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,817 | TotalRevenueColumnAmt |
| Exclusion | $76,817 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,612,940 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,612,940 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,612,940 | TotalRevenueColumnAmt |
| Exclusion | $5,612,940 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $16,080,981 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $11,835,876 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,245,105 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,245,105 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER MISCELLANEOUS REVENUE | 900099 | $3,565,856 | $3,565,856 |
| MEALS ON WHEELS | 621990 | $100,918 | $100,918 |
| EDUCATION REVENUE | 621990 | $96,245 | $96,245 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,047 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,047 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,784,066 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $104,333,128 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $97,994,434 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$1,760 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,879,439 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,236,627 | TotalAmt |
| Program Services | $1,236,627 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,675,073 | TotalAmt |
| Program Services | $37,909,777 | ProgramServicesAmt |
| Management And General | $4,765,296 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,573,704 | TotalAmt |
| Program Services | $1,403,837 | ProgramServicesAmt |
| Management And General | $169,867 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,680,368 | TotalAmt |
| Program Services | $7,743,404 | ProgramServicesAmt |
| Management And General | $936,964 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,060,786 | TotalAmt |
| Program Services | $2,730,403 | ProgramServicesAmt |
| Management And General | $330,383 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $341,015 | TotalAmt |
| Management And General | $341,015 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,284 | TotalAmt |
| Management And General | $202,284 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,899 | TotalAmt |
| Program Services | $207,899 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,347 | TotalAmt |
| Management And General | $84,347 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,221 | TotalAmt |
| Program Services | $441,034 | ProgramServicesAmt |
| Management And General | $12,187 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,997,334 | TotalAmt |
| Program Services | $1,306,754 | ProgramServicesAmt |
| Management And General | $1,690,580 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,391 | TotalAmt |
| Program Services | $91,725 | ProgramServicesAmt |
| Management And General | $118,666 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $809 | TotalAmt |
| Program Services | $809 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,003,129 | TotalAmt |
| Program Services | $2,882,212 | ProgramServicesAmt |
| Management And General | $2,120,917 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,424,077 | TotalAmt |
| Program Services | $1,424,077 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $11,646,241 | $5,386,327 | $6,259,914 |
| PHYSICAN FEES | $9,161,273 | $8,926,502 | $234,771 |
| HOSPITAL AND MEDICAL SU | $7,780,229 | $7,252,736 | $527,493 |
| OTHER | $5,052,739 | $2,031,968 | $3,020,771 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,867,043 | TotalAmt |
| Program Services | $1,325,993 | ProgramServicesAmt |
| Management And General | $1,541,050 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,658,589 | TotalAmt |
| Program Services | $82,302,084 | ProgramServicesAmt |
| Management And General | $22,356,505 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,709,937 | BOYAmt |
| EOY | $1,355,672 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,823,525 | BOYAmt |
| EOY | $15,835,215 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,423,629 | BOYAmt |
| EOY | $564,358 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,298,160 | BOYAmt |
| EOY | $777,754 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $139,112,796 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $86,469,092 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,467,068 | BOYAmt |
| EOY | $52,643,704 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,006,844 | BOYAmt |
| EOY | $3,455,621 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,396,729 | BOYAmt |
| EOY | $15,859,166 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,125,892 | BOYAmt |
| EOY | $90,491,490 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,007,889 | BOYAmt |
| EOY | $3,894,173 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,270 | BOYAmt |
| EOY | $12,324,048 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $82,139 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,552,129 | BOYAmt |
| EOY | $50,611,884 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,714,288 | BOYAmt |
| EOY | $66,912,244 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,581,817 | BOYAmt |
| EOY | $7,918,899 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,621,900 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,207,887 | BOYAmt |
| EOY | $15,660,347 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,411,604 | BOYAmt |
| EOY | $23,579,246 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,125,892 | BOYAmt |
| EOY | $90,491,490 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$325,461 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$455,899 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$19,050,998 | 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,870,802 | BeginningYearBalanceAmt |
| Contributions | $41,169 | ContributionsAmt |
| Investment Earnings Or Losses | $817,403 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $186,617 | OtherExpendituresAmt |
| End Year Balance | $13,542,757 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.71800 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.28200 | 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 | $1,429,411 | OtherCostOrOtherBasisAmt |
| Book Value | $1,429,411 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,496,140 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,981,282 | DepreciationAmt |
| Book Value | $16,514,858 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,844,673 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,437,610 | DepreciationAmt |
| Book Value | $407,063 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,813,930 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,050,200 | DepreciationAmt |
| Book Value | $14,763,730 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,528,642 | OtherCostOrOtherBasisAmt |
| Book Value | $19,528,642 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $52,643,704 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN NET ASSETS OF WCA FOUNDATION | $12,921,826 |
| OTHER LONG TERM RECEIVABLE | $1,488,000 |
| ESTIMATED AMOUNTS DUE FROM THIRD PARTY PAYORS | $49,340 |
| INVESTMENT IN WCA SERVICES CORPORATION | $1,400,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $15,859,166 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $339,088 |
| OTHER LONG TERM LIABILITY | $1,488,000 |
| DUE TO EXEMPT PARENT | $48,784,796 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $50,611,884 | 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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | $198,880 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $650 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $198,230 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,067,897 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,911,366 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,156,531 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11620 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,266,777 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,912,016 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,354,761 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11810 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $126,346 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $126,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $250,122 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $89,456 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $160,666 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $376,468 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $89,456 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $287,012 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,643,245 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,001,472 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,641,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,954,187 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $220,085 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $30,274,223 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $28,663,578 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,610,645 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | 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 |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.UPMCCHAUTAUQUAWCA.ORG | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | WWW.UPMC.COM | OtherWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.UPMCCHAUTAUQUAWCA.ORG / 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| 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.UPMCCHAUTAUQUAWCA.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.UPMCCHAUTAUQUAWCA.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.UPMCCHAUTAUQUAWCA.ORG | 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 |
| None Made | Yes (X) | NoneMadeInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| 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: MAKING A COMPREHENSIVE ASSESSMENT OF COMMUNITY HEALTH NEEDS IN AN AREA AS LARGE AND DIVERSE AS THE EIGHT-COUNTY WESTERN NEW YORK REGION REQUIRED THE INTEGRATION OF A WIDE ARRAY OF INFORMATION AND DATA TYPES, INCLUDING MULTIPLE SOURCES OF COMMUNITY ENGAGEMENT. QUANTITATIVE DATA SOURCES INCLUDED BASIC DEMOGRAPHICS, INDICATORS OF "COMMUNITY STRUCTURE OR SOCIAL DETERMINANTS OF HEALTH NEED, AND DETAILED HEALTH CARE DATA DESCRIBING SYSTEM-WIDE PERFORMANCE, QUALITY OF CARE AND POPULATION HEALTH STATUS. TOGETHER, USING COMPOSITE INDICES, THESE PROVIDE A POWERFUL SET OF MEASURES TO UNDERSTAND IN CONCRETE TERMS THE HEALTH OF THE REGION, HOW HEALTH CARE IS BEING DELIVERED, AND WHAT ARE THE GAPS IN THE HEALTH SYSTEM AND COMMUNITY RESOURCES.THREE COMMUNITY ENGAGEMENT APPROACHES WERE USED TO GATHER EXTENSIVE QUALITATIVE DATA THAT PROVIDED DIMENSION AND HUMAN CONTEXT TO THE NUMBERS, PROVIDING US WITH THE MEANS TO EXPLAIN SOME OF THE DYNAMICS AT PLAY IN OUR HEALTH CARE SYSTEM TODAY: 1. REGIONAL HEALTH NEEDS SURVEY-COMPLETED BY MORE THAN 7,000 PEOPLE 2. FOCUS GROUPS-16 "COMMUNITY CONVERSATIONS" ENGAGING PEOPLE SERVED BY THE SYSTEM TO BETTER UNDERSTAND THOSE PATIENT PERSPECTIVES. 3. KEY INFORMANT PROVIDER INTERVIEWS-A SERIES OF 42 INTERVIEWS WITH PROVIDERS FROM EVERY PART OF THE REGION AND EVERY PHASE OF THE HEALTH CARE SYSTEM. INCLUDING BUT NOT LIMITED TO PHYSICIANS, MEDICAID PROVIDERS AND COUNTY HEALTH COMMISSIONERS. |
| UPMC CHAUTAUQUA AT WCA | PART V, SECTION B, LINE 6A: THE WESTERN NEW YORK COMMUNITY NEEDS ASSESSMENT HAS BEEN JOINTLY CONDUCTED AND LED BY TWO "PERFORMING PROVIDER SYSTEMS"-COMMUNITY PARTNERS OF WNY (WHICH INCLUDES UPMC CHAUTAUQUA AT WCA, BROOKS MEMORIAL HOSPITAL, WESTFIELD HOSPITAL AND MOUNT ST MARY'S HOSPITAL) AND MILLENNIUM COLLABORATIVE CARE (COMPRISING ERIE COUNTY MEDICAL CENTER, KALEIDA HEALTH, NIAGARA FALLS MEMORIAL MEDICAL CENTER, THE MCGUIRE GROUP AND THE SAFETY NET ASSOCIATION OF PRIMARY CARE AFFILIATED PROVIDERS). THEY HAVE COLLABORATED ON THE PRODUCTION OF THIS CHNA TO INFORM THEIR SELECTION OF PROJECTS AND PROVIDE DATA, ANALYSIS AND INSIGHTS NEEDED TO FURTHER DEVELOP PROJECT PLANS. |
| UPMC CHAUTAUQUA AT WCA | PART V, SECTION B, LINE 6B: THE WESTERN NEW YORK COMMUNITY NEEDS ASSESSMENT HAS BEEN JOINTLY CONDUCTED AND LED BY TWO "PERFORMING PROVIDER SYSTEMS"-COMMUNITY PARTNERS OF WNY (WHICH INCLUDES UPMC CHAUTAUQUA AT WCA, BROOKS MEMORIAL HOSPITAL, WESTFIELD HOSPITAL AND MOUNT ST MARY'S HOSPITAL) AND MILLENNIUM COLLABORATIVE CARE (COMPRISING ERIE COUNTY MEDICAL CENTER, KALEIDA HEALTH, NIAGARA FALLS MEMORIAL MEDICAL CENTER, THE MCGUIRE GROUP AND THE SAFETY NET ASSOCIATION OF PRIMARY CARE AFFILIATED PROVIDERS). THEY HAVE COLLABORATED ON THE PRODUCTION OF THIS CHNA TO INFORM THEIR SELECTION OF PROJECTS AND PROVIDE DATA, ANALYSIS AND INSIGHTS NEEDED TO FURTHER DEVELOP PROJECT PLANS. |
| UPMC CHAUTAUQUA AT WCA | PART V, SECTION B, LINE 11: IN ADDITION TO THE EXTENSIVE QUALITATIVE DATA SOURCES LISTED ABOVE, THE FOLLOW QUANTITATIVE DATA SOURCES WERE USED TO CONDUCT THIS COMMUNITY NEEDS ASSESSMENT: DSRIP PERFORMANCE DATA DASHBOARD (ZIP AND COUNTY LEVEL) NEW YORK STATE PREVENTION AGENDA DATA DASHBOARD (COUNTY LEVEL) SPARCS DATA (COUNTY LEVEL) CDC MORTALITY DATA (COUNTY LEVEL) US CENSUS (COUNTY, ZIP AND TRACT LEVEL) STATEWIDE PERINATAL DATA SYSTEM (COUNTY AND ZIP LEVEL)THE TEN PROJECTS IDENTIFIED BY THE CHNA ARE AS FOLLOWS: CREATE INTEGRATED DELIVERY SYSTEMS THAT ARE FOCUSED ON EVIDENCE BASED MEDICINE/POPULATION HEALTH MANAGEMENT. ED TRIAGE FOR AT-RISK PATIENTS. HOSPITAL-HOME CARE COLLABORATION SOLUTIONS. EXPAND USAGE OF TELEMEDICINE IN UNDERSERVED AREAS TO PROVIDE ACCESS TO OTHERWISE SCARCE SERVICES. INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES. CARDIOVASCULAR HEALTH: EVIDENCE BASED STRATEGIES FOR DISEASE MANAGEMENT IN HIGH RISK/AFFECTED POPULATIONS. INCREASE SUPPORT PROGRAMS FOR MATERNAL AND CHILD HEALTH. INTEGRATION OF PALLIATIVE CARE INTO THE PCMH MODEL. PROMOTE MENTAL, EMOTIONAL AND BEHAVIORAL WELL-BEING IN COMMUNITIES. PROMOTE TOBACCO USE CESSATION, ESPECIALLY AMONG LOW SES POPULATIONS AND THOSE WITH POOR MENTAL HEALTH. |
| 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 300% OF THE FPL, ON A CASE BY CASE BASIS. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | UPMC CHAUTAUQUA AT WCA USES A SLIDING FEE SCALE FOR PATIENTS WHO ARE ABOVE 200% OF THE FPL UP TO 300% ABOVE THE FPL. UPMC CHAUTAUQUA AT WCA USES A SLIDING FEE SCALE RANGING FROM 20%, 40%, 60%, 80% UP TO 100% TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. UPMC CHAUTAUQUA AT WCA RESERVES THE RIGHT TO REVIEW/APPROVE CASES WITH EXCESSIVE MEDICAL EXPENSES WHOSE FAMILY INCOME EXCEEDS 300% OF THE FPL, ON A CASE BY CASE BASIS. |
| PART I, LINE 7: | PATIENT CHARGE AND REIMBURSEMENT INFORMATION WAS OBTAINED FROM THE NYS ICR EXHIBIT 46 WHICH INCORPORATES ALL PATIENT SEGMENTS AND FINANCIAL CLASSES.THE RATIO OF PATIENT CARE COST TO CHARGES RATIO WAS DEVELOPED USING WORKSHEET 2. TOTAL AUDITED OPERATING EXPENSES EXCLUDED BAD DEBT AND WERE OFFSET BY NON-PATIENT CARE ACTIVITY REVENUE AND COMMUNITY BENEFIT EXPENSE. GROSS PATIENT CHARGES WERE OBTAINED FROM NYS ICR EXHIBIT 46. |
| PART I, LINE 7G: | THERE WERE NO SUBSIDIZED HEALTH SERVICES REPORTED FOR 2018 REPORTED ON LINE 7G. |
| PART I, LINE 6A | THE COMMUNITY SERVICE BENEFIT REPORT IS PREPARED INTERNALLY BY UPMC CHAUTAUQUA AT WCA. THIS REPORT IS FILED WITH NEW YORK STATE ON A PERIODIC BASIS. IT IS ALSO AVAILABLE ON THE UPMC CHAUTAUQUA AT WCA WEBSITE. |
| 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 8: | MEDICARE REVENUE (INCLUDING DSH) WAS OBTAINED FROM THE ORGANIZATION'S MEDICARE PS&R. MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE ORGANIZATION'S MEDICARE COST REPORT. THERE WAS A SURPLUS REPORTED: $30,274,223 - $28,663,578 = $1,610,645 SURPLUS. |
| PART III, LINE 9B: | UPMC CHAUTAUQUA AT WCA 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, LINE 2 | THE BAD DEBT EXPENSE (AT COST) WAS CALCULATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES TO THE GROSS BAD DEBT. |
| PART III, LINE 3 | THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS CALCULATED BY DEVELOPING AN AVERAGE COST PER CLAIM AND THEN MULTIPLYING THAT AVERAGE COST BY THE NUMBER OF INCOMPLETE OR DENIED CLAIMS. |
| PART VI, LINE 3: | COMMUNICATION OF THE FINANCIAL ASSISTANCE TO PATIENTS AND WITHIN THE COMMUNITY - THE AVAILABILITY OF CHARITY CARE IS MADE KNOWN TO ALL PATIENTS VIA APPLICATIONS AVAILABLE IN ADMISSIONS, THE CASE MANAGEMENT DEPARTMENT, EMERGENCY DEPARTMENT, CUSTOMER SERVICE, WELLNESS/OUTREACH CENTERS, OUTPATIENT REGISTRATION WHERE PATIENTS ACCESS OR INQUIRE ABOUT HOSPITAL SERVICES, PATIENT STATEMENTS, FINANCIAL COUNSELORS, HOSPITAL/PATIENT ACCESS PERSONNEL AND OTHER LOCATIONS DEEMED APPROPRIATE. IN ADDITION, INFORMATION IS ALSO MADE AVAILABLE ON THE UPMC CHAUTAUQUA AT WCA WEBSITE AND AT OTHER PUBLIC PLACES AS UPMC CHAUTAUQUA AT WCA MAY ELECT. UPMC CHAUTAUQUA AT WCA ALSO PUBLISHED AND WIDELY PUBLICIZED A SUMMARY OF THIS CHARITY CARE POLICY ON FACILITY WEBSITES, IN BROCHURES AVAILABLE IN-PATIENT ACCESS SITES AND AT OTHER PLACES WITHIN THE COMMUNITY SERVED BY THE HOSPITAL. 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. SUCH NOTICES AND SUMMARY INFORMATION WILL BE PROVIDED IN THE PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY UPMC CHAUTAUQUA AT WCA. REFERRAL OF PATIENTS FOR CHARITY MAY BE MADE BY ANY MEMBER OF THE UPMC CHAUTAUQUA AT WCA STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS AND CASE MANAGERS. |
| PART VI, LINE 5: | UPMC CHAUTAUQUA AT WCA IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN JAMESTOWN, NY. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES, AND MENTAL HEALTH AND CHEMICAL DEPENDENCY REHABILITATION FOR RESIDENTS OF THE LOCAL GEOGRAPHIC REGION. THE MISSION OF UPMC CHAUTAUQUA AT WCA IS TO IMPROVE THE HEALTH AND WELL BEING OF THE PEOPLE OF CHAUTAUQUA COUNTY AND THE SURROUNDING AREA IN A WAY THAT INCLUDES COMPASSION, DEDICATION, AND A COMMITMENT TO QUALITY, WHILE MAINTAINING ECONOMIC VIABILITY AND A VISION FOR THE FUTURE. NO PATIENT IS DENIED SERVICES BECAUSE HE OR SHE CANNOT AFFORD THEM. UPMC CHAUTAUQUA AT WCA ADMITS AND SERVES PATIENT EQUALLY WITHOUT REGARD TO AGE, RACE, COLOR OR NATIONAL ORIGIN, DISABILITY, SEX, RELIGION OR ABILITY TO PAY.THE WESTERN NEW YORK COMMUNITY NEEDS ASSESSMENT HAS BEEN JOINTLY CONDUCTED AND LED BY TWO "PERFORMING PROVIDER SYSTEMS"- COMMUNITY PARTNERS OF WNY (WHICH INCLUDES UPMC CHAUTAUQUA AT WCA, BROOKS MEMORIAL HOSPITAL, WESTFIELD HOSPITAL AND MOUNT ST MARY'S HOSPITAL) AND MILLENNIUM COLLABORATIVE CARE (COMPRISING ERIE COUNTY MEDICAL CENTER, KALEIDA HEALTH, NIAGARA FALLS MEMORIAL MEDICAL CENTER, THE MCGUIRE GROUP AND THE SAFETY NET ASSOCIATION OF PRIMARY CARE AFFILIATED PROVIDERS). THEY HAVE COLLABORATED ON THE PRODUCTION OF THIS CHNA TO INFORM THEIR SELECTION OF PROJECTS AND PROVIDE DATA, ANALYSIS AND INSIGHTS NEEDED TO FURTHER DEVELOP PROJECT PLANS.MAKING A COMPREHENSIVE ASSESSMENT OF COMMUNITY HEALTH NEEDS IN AN AREA AS LARGE AND DIVERSE AS THE EIGHT-COUNTY WESTERN NEW YORK REGION REQUIRED THE INTEGRATION OF A WIDE ARRAY OF INFORMATION AND DATA TYPES, INCLUDING MULTIPLE SOURCES OF COMMUNITY ENGAGEMENT. QUANTITATIVE DATA SOURCES INCLUDED BASIC DEMOGRAPHICS, INDICATORS OF "COMMUNITY STRUCTURE OR SOCIAL DETERMINANTS OF HEALTH NEED, AND DETAILED HEALTH CARE DATA DESCRIBING SYSTEM-WIDE PERFORMANCE, QUALITY OF CARE AND POPULATION HEALTH STATUS. TOGETHER, USING COMPOSITE INDICES, THESE PROVIDE A POWERFUL SET OF MEASURES TO UNDERSTAND IN CONCRETE TERMS THE HEALTH OF THE REGION, HOW HEALTH CARE IS BEING DELIVERED, AND WHAT ARE THE GAPS IN THE HEALTH SYSTEM AND COMMUNITY RESOURCES.THREE COMMUNITY ENGAGEMENT APPROACHES WERE USED TO GATHER EXTENSIVE QUALITATIVE DATA THAT PROVIDED DIMENSION AND HUMAN CONTEXT TO THE NUMBERS, PROVIDING US WITH THE MEANS TO EXPLAIN SOME OF THE DYNAMICS AT PLAY IN OUR HEALTH CARE SYSTEM TODAY: 1. REGIONAL HEALTH NEEDS SURVEY-COMPLETED BY MORE THAN 7,000 PEOPLE 2. FOCUS GROUPS-16 "COMMUNITY CONVERSATIONS" ENGAGING PEOPLE SERVED BY THE SYSTEM TO BETTER UNDERSTAND THOSE PATIENT PERSPECTIVES. 3. KEY INFORMANT PROVIDER INTERVIEWS-A SERIES OF 42 INTERVIEWS WITH PROVIDERS FROM EVERY PART OF THE REGION AND EVERY PHASE OF THE HEALTH CARE SYSTEM. INCLUDING BUT NOT LIMITED TO PHYSICIANS, MEDICAID PROVIDERS AND COUNTY HEALTH COMMISSIONERS.IN ADDITION TO THE EXTENSIVE QUALITATIVE DATA SOURCES LISTED ABOVE, THE FOLLOWING QUANTITATIVE DATA SOURCES WERE USED TO CONDUCT THIS COMMUNITY NEEDS ASSESSMENT: DSRIP PERFORMANCE DATA DASHBOARD (ZIP AND COUNTY LEVEL) NEW YORK STATE PREVENTION AGENDA DATA DASHBOARD (COUNTY LEVEL) SPARCS DATA (COUNTY LEVEL) CDC MORTALITY DATA (COUNTY LEVEL) US CENSUS (COUNTY, ZIP AND TRACT LEVEL) STATEWIDE PERINATAL DATA SYSTEM (COUNTY AND ZIP LEVEL) NEW YORK STATE EXTENDED BRFFS SURVEY (FOR CHRONIC DISEASE PREVALENCE ESTIMATES, COUNTY LEVEL). MULTIPLE SOURCES FOR PROVIDER AND RESOURCE INVENTORIES (DSRIP, NPO DATABASE, D&B, 211 INFORMATION REFERRAL AND OTHER MISCELLANEOUS SOURCES)THE TEN PROJECTS IDENTIFIED BY THE CHNA ARE AS FOLLOWS: CREATE INTEGRATED DELIVERY SYSTEMS THAT ARE FOCUSED ON EVIDENCE BASED MEDICINE/POPULATION HEALTH MANAGEMENT ED TRIAGE FOR AT-RISK PATIENTS HOSPITAL-HOME CARE COLLABORATION SOLUTIONS. EXPAND USAGE OF TELEMEDICINE IN UNDERSERVED AREAS TO PROVIDE ACCESS TO OTHERWISE SCARCE SERVICES INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES CARDIOVASCULAR HEALTH: EVIDENCE BASED STRATEGIES FOR DISEASE MANAGEMENT IN HIGH RISK AFFECTED POPULATIONS. INCREASE SUPPORT PROGRAMS FOR MATERNAL AND CHILD HEALTH. INTEGRATION OF PALLIATIVE CARE INTO THE PCMH MODEL PROMOTE MENTAL, EMOTIONAL AND BEHAVIORAL WELL-BEING IN COMMUNITIES. PROMOTE TOBACCO USE CESSATION, ESPECIALLY AMONG LOW SES POPULATIONS AND THOSE WITH POOR MENTAL HEALTHTHE PREVENTION AGENDA 2013-17 IS THE BLUEPRINT FOR STATE AND LOCAL ACTION TO IMPROVE THE HEALTH OF NEW YORKERS IN FIVE PRIORITY AREAS AND TO REDUCE HEALTH DISPARITIES FOR RACIAL, ETHNIC, DISABILITY, SOCIOECONOMIC AND OTHER GROUPS WHO EXPERIENCE THEM. COMMUNITY HOSPITAL AND LOCAL HEALTH DEPARTMENTS WORK COLLABORATIVELY TO ASSESS THE NEEDS OF THEIR COMMUNITIES AND TO IMPLEMENT PLANS THAT FOCUS ON IMPROVING POPULATION HEALTH. THERE WERE FIVE ITEMS THAT WERE SELECTED FOR UPMC CHAUTAUQUA AT WCA'S COMMUNITY SERVICE PLAN 2017-2018 PREVENT CHRONIC DISEASE-OBESITY-DIABETES PROMOTE HEALTH AND SAFE ENVIRONMENT PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE PREVENT HIV/STDS, VACCINE-PREVENTABLE DISEASE AND HEALTHCARE ASSOCIATED INFECTIONSEVIDENCE BASED EDUCATION, AWARENESS AND OUTREACH PROGRAMS FOR 2017: NATIONAL DIABETES PREVENTION PROGRAM BABY AND ME TOBACCO FREE PROGRAM NATIONAL CANCER INSTITUTE-MAXIMIZING MAMMOGRAPHY PARTICIPATION AMERICAN CANCER SOCIETY LOOK GOOD FEEL BETTER "RETHINK YOUR DRINK" DECREASE CONSUMPTION OF SUGARY BEVERAGES PATIENT NAVIGATION IN CANCER CARE MILLION HEARTS PROGRAM |
| 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 | 0 | 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 (14 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 | $383,124 | $0 | $173,125 | $0 | $52,013 | $0 | $58,460 | $0 | $8,583 | $0 | $675,305 | $0 | $17,873 |
| BRADLEY DINGER | ||||||||||||||
| TREASURER | $0 | $173,967 | $0 | $9,000 | $0 | $1,154 | $0 | $8,305 | $0 | $16,233 | $0 | $208,659 | $0 | $0 |
| CAMELLIA HERISKO | ||||||||||||||
| CNO, VP OPS & PATIENT CARE SVCS | $167,778 | $0 | $52,250 | $0 | $1,553 | $0 | $16,081 | $0 | $20,167 | $0 | $257,829 | $0 | $0 | $0 |
| EDWARD KARLOVICH | ||||||||||||||
| BOARD MEMBER | $0 | $425,526 | $0 | $337,500 | $0 | $105,486 | $0 | $80,600 | $0 | $22,829 | $0 | $971,941 | $0 | $18,500 |
| JAMES DONNELLY | ||||||||||||||
| CNO, VP PATIENT CARE SVCS | $0 | $183,412 | $0 | $42,624 | $0 | $7,653 | $0 | $16,579 | $0 | $18,405 | $0 | $268,673 | $0 | $0 |
| BETSY T WRIGHT | ||||||||||||||
| PRESIDENT/CEO | $369,233 | $0 | $104,199 | $0 | $27,636 | $0 | $22,000 | $0 | $19,290 | $0 | $542,358 | $0 | $3,458 | $0 |
| CECIL M MILLER III | ||||||||||||||
| SECRETARY/VP OF OPERATIONS | $155,303 | $0 | $11,731 | $0 | $668 | $0 | $12,966 | $0 | $6,026 | $0 | $186,694 | $0 | $0 | $0 |
| CHARLES NAZZARO | ||||||||||||||
| CFO | $198,569 | $0 | $13,931 | $0 | $2,598 | $0 | $16,585 | $0 | $18,063 | $0 | $249,746 | $0 | $0 | $0 |
| LISA MCCHESNEY | ||||||||||||||
| CIO | $0 | $175,018 | $0 | $46,290 | $0 | $1,625 | $0 | $16,411 | $0 | $20,606 | $0 | $259,950 | $0 | $0 |
| GALO GRIJALVA MD | ||||||||||||||
| PHYSICIAN | $366,154 | $0 | $0 | $0 | $889 | $0 | $19,250 | $0 | $19,845 | $0 | $406,138 | $0 | $0 | $0 |
| JONATHAN BLASIUS MD | ||||||||||||||
| MEDICAL DIRECTOR-HOSPITALI | $327,350 | $0 | $7,538 | $0 | $1,066 | $0 | $22,000 | $0 | $24,838 | $0 | $382,792 | $0 | $0 | $0 |
| SALVATORE J BUONAIUTO MD | ||||||||||||||
| HOSPITALIST | $303,569 | $0 | $0 | $0 | $335 | $0 | $15,797 | $0 | $16,834 | $0 | $336,535 | $0 | $0 | $0 |
| PUJAN SHRESTHA MD | ||||||||||||||
| PHYSICIAN | $271,460 | $0 | $25,000 | $0 | $248 | $0 | $0 | $0 | $9,453 | $0 | $306,161 | $0 | $0 | $0 |
| ASHOK B MOVVA MD | ||||||||||||||
| HOSPITALIST | $286,720 | $0 | $0 | $0 | $182 | $0 | $16,320 | $0 | $10,227 | $0 | $313,449 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
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 | THE CONFLICT ON INTEREST POLICY IS MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE PUBLISHED AND MADE AVAILABLE UPON REQUEST. IN ADDITION THE HOSPITAL PUBLISHES AN INFORMATIONAL BOOKLET CONTAINING AUDITED DATA THAT IS DISTRIBUTED THROUGH THE LOCAL NEWSPAPER AND IS AVAILABLE ON THE HOSPITAL WEBSITE. |
| 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 -1,549,803. BOOK TO TAX ADJUSTMENT - PARTNERSHIP INTERESTS -684,052. EQUITY TRANSFER FROM RELATED PARTY -16,817,143. |
| 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 (72 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) | |
| CHILDREN'S ADVOCACY CENTER FOR LAWRENCE | |||||||||||
| 1107 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 251581304 | SUPPORT SYS | PA | 501 (C) 3 | 7 | UPMC JAMESON | Yes (1) | |
| JAMESON HEALTHCARE FOUNDATION | |||||||||||
| 1211 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 251536037 | FOUNDATION | PA | 501 (C) 3 | 12 (B) II | UPMC JAMESON | Yes (1) | |
| JAMESON HEALTH SERVICES INC | |||||||||||
| 1211 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 030486993 | HEALTHCARE | PA | 501 (C) 3 | 12 (B) II | UPMC JAMESON | 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 | |||||||||||
| 1211 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 250965406 | HEALTHCARE | PA | 501 (C) 3 | 3 | UPMC | Yes (1) | |
| 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 MEDICAL CARE INC | |||||||||||
| 1211 WILMINGTON AVE | NEW CASTLE | PA | 16105 | 260462696 | HEALTHCARE | 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) | |
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 | ||
| MOUNTAIN VIEW MEDICAL ONCOLOGY | ||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 461449241 | HEALTHCARE | 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 | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (81 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 | |||||||
| PRESBY HEALTH RESOURCE MGMT | |||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251422155 | HEALTHCARE | PA | 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 INTERNATIONAL HEALTH INITIATIVES | |||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 841706741 | INACTIVE | PA | C | 0 | |||||||
| 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 | ||||||||
| ALLIED ORTHOPEDICS APPLIANCES INC | |||||||||||||||
| 335 E 3RD ST | JAMESTOWN | NY | 14701 | 161092951 | MED APPLIANCE | NY | 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 | |||||||
| ALLEGHENY HEALTHCARE STAFFING INC | |||||||||||||||
| 620 HOWARD AVENUE | ALTOONA | PA | 16601 | 271657362 | EMPLOYMENT SV | PA | 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 | |||||||
| NOTHERN CAMBRIA MEDICAL CENTER INC | |||||||||||||||
| 620 HOWARD AVENUE | ALTOONA | PA | 16601 | 251530860 | MEDICAL SVCS | PA | C | 0 | |||||||
| PATTON FAMILY MEDICAL CENTER INC | |||||||||||||||
| 620 HOWARD AVENUE | ALTOONA | PA | 16601 | 251793735 | 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 | |||||||
| VINCENT PAYMENT SOLUTIONS INC | |||||||||||||||
| BAKERY SQUARE 6425 PENN AVENUE | PITTSBURGH | PA | 15206 | 821101143 | PAYMENT SYSTEM | 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 | |||||||||
| 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| WCA FOUNDATION INC | |
| C | $545,728 |
| WCA SERVICES CORPORATION | |
| O | $1,802 |
| WCA SERVICES CORPORATION | |
| P | $683,705 |
| WCA SERVICES CORPORATION | |
| Q | $6,750 |
| WCA FOUNDATION INC | |
| L | $7,283 |
| WCA SERVICES CORPORATION | |
| C | $10,650 |
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 | THE ENTITIES MARKED WITH AN ASTERISK ARE NOT TECHNICALLY, "RELATED PARTIES", AS DEFINED BY THE IRS FORM 990 INSTRUCTION, 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 THEIR ULTIMATE PARENT CORPORATION. | ExplanationTxt |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | LATE FILED RETURN DUE TO CCH SOFTWARE OUTAGE | ExplanationTxt |
Comments