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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-13T15:33:41-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN454051133PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FREED MAXICK CPAS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1424 MAIN STREET SUITE 800AddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP142023508ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160743226EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UPMC CHAUTAUQUA AT WCABusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUPMCBusinessNameControlTxt
Phone7164870141PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 FOOTE AVENUE / PO BOX 840AddressLine1Txt
CityJAMESTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP147020840ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN DURNIOKPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7164870141PhoneNum
Signature2019-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS DALTONPreparerPersonNm
PTINP00645802PTIN
Phone7168472651PhoneNum
Preparation2019-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address104.193.28.34IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-12IPDt
IP Tm13:01:44IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE210C69A99B6B409F535E460B7A96F986BBED713AtSubmissionCreationDeviceId
At Submission Filing Device Id115878043888188F8F7D76596040743C125938FFAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1UPMC CHAUTAUQUA WCABusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBRIAN DURNIOKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 FOOTE AVENUE / PO BOX 840AddressLine1Txt
CityJAMESTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP147020840ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$116,471,977GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UPMCCHAUTAUQUAWCA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1885FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee1157TotalEmployeeCnt
Total Volunteers92TotalVolunteersCnt
Total Gross UBI-$1,760TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,179,603PYContributionsGrantsAmt
CY Contributions Grants$461,015CYContributionsGrantsAmt
PY Program Service Revenue$89,105,226PYProgramServiceRevenueAmt
CY Program Service Revenue$89,963,503CYProgramServiceRevenueAmt
PY Investment Income$31,734PYInvestmentIncomeAmt
CY Investment Income$5,802,622CYInvestmentIncomeAmt
PY Other Revenue$11,292,655PYOtherRevenueAmt
CY Other Revenue$8,105,988CYOtherRevenueAmt
PY Total Revenue$102,609,218PYTotalRevenueAmt
CY Total Revenue$104,333,128CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$53,541,791PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$57,226,558CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$48,265,780PYOtherExpensesAmt
CY Other Expenses$47,432,031CYOtherExpensesAmt
PY Total Expenses$101,807,571PYTotalExpensesAmt
CY Total Expenses$104,658,589CYTotalExpensesAmt
PY Revenues Less Expenses$801,647PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$325,461CYRevenuesLessExpensesAmt
Total Assets BOY$91,125,892TotalAssetsBOYAmt
Total Assets EOY$90,491,490TotalAssetsEOYAmt
Total Liabilities BOY$47,714,288TotalLiabilitiesBOYAmt
Total Liabilities EOY$66,912,244TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$43,411,604NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,579,246NetAssetsOrFundBalancesEOYAmt
MissionTO 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$82,302,084ExpenseAmt
Revenue$97,994,434RevenueAmt
DescOPERATING 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$82,302,084TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document94IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1157EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRIAN DURNIOKPersonNm
Phone7166648300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 FOOTE AVE PO BOX 840AddressLine1Txt
CityJAMESTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP147020840ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEVEN KILBURN
CHAIR2.00Yes (X)Yes (X)$0$0$0
BRENDA IRELAND
BOARD MEMBER2.00Yes (X)$0$0$0
MICHAEL SULLIVAN
BOARD MEMBER2.00Yes (X)$0$0$0
DAVID GIBBONS
VICE CHAIR40.00Yes (X)Yes (X)$0$608,262$67,043
BRADLEY DINGER
TREASURER40.00Yes (X)Yes (X)$0$184,121$24,538
CRISTIE HERBST
BOARD MEMBER2.00Yes (X)$0$0$0
CAMELLIA HERISKO
CNO, VP OPS & PATIENT CARE SVCS2.00Yes (X)$221,581$0$36,248
EDWARD KARLOVICH
BOARD MEMBER2.00Yes (X)$0$868,512$103,429
MARK RAIMY
BOARD MEMBER2.00Yes (X)$0$0$0
ANNA DIBBLE
BOARD MEMBER2.00Yes (X)$0$0$0
WILLIAM GEARY MDPHD
BOARD MEMBER2.00Yes (X)$0$0$0
JAMES DONNELLY
CNO, VP PATIENT CARE SVCS40.00Yes (X)Yes (X)$0$233,689$34,984
BETSY T WRIGHT
PRESIDENT/CEO40.00Yes (X)$501,068$0$41,290
CECIL M MILLER III
SECRETARY/VP OF OPERATIONS40.00Yes (X)$167,702$0$18,992
CHARLES NAZZARO
CFO40.00Yes (X)$215,098$0$34,648
LISA MCCHESNEY
CIO40.00Yes (X)$0$222,933$37,017
GALO GRIJALVA MD
PHYSICIAN40.00$367,043$0$39,095Yes (X)
JONATHAN BLASIUS MD
MEDICAL DIRECTOR-HOSPITALI40.00$335,954$0$46,838Yes (X)
SALVATORE J BUONAIUTO MD
HOSPITALIST40.00$303,904$0$32,631Yes (X)
PUJAN SHRESTHA MD
PHYSICIAN40.00$296,708$0$9,453Yes (X)
ASHOK B MOVVA MD
HOSPITALIST40.00$286,902$0$26,547Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,695,960TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,117,517TotReportableCompRltdOrgAmt
Total Other Compensation$552,753TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LECHASE CONSTRUCTION
205 INDIGO CREEK DRIVEROCHESTERNY14626CONSTRUCTION SERVICES$3,091,687
PREMIER ANESTHESIA OF NY PC
2655 NORTHWINDS PKWYALPHARETTAGA30009ANESTHESIA PHYSICIAN SERVICES$952,873
MEDICAL SOLUTIONS
1010 N 102ND ST STE 300OMAHANE68114NURSE STAFF SERVICES$726,869
JAMESTOWN PSYCHIATRIC PC
305 E FAIRMOUNT AVENUELAKEWOODNY14750PSYCHIATRIC PHYSICIAN SERVICES$461,498
JAMESTOWN RADIOLOGISTS
333 E FIFTH STJAMESTOWNNY14701RADIOLOGY SERVICES$351,621
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Related Organizations$18,640RelatedOrganizationsAmt
Government Grants$170,000GovernmentGrantsAmt
All Other Contributions$272,375AllOtherContributionsAmt
Total Contributions$461,015TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
HOSPITAL REVENUE621500$89,280,655$89,280,655
TRI-STATE REGIONAL ASSOCIATES621500$349,014$349,014
CHAUTAUQUA INTEGRATED DELIVERY SY621500$287,398$287,398
31 SHERMAN INVESTORS621500$48,196$48,196
CHAUTAUQUA REGION ASSOC. MEDICAL621500-$1,760-$1,760
FieldValueIRS element (for citing)
Total Program Service Revenue$89,963,503TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$189,682TotalRevenueColumnAmt
Exclusion$189,682ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$379,790RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$302,973RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$76,817RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,817TotalRevenueColumnAmt
Exclusion$76,817ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$5,612,940OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$5,612,940OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,612,940TotalRevenueColumnAmt
Exclusion$5,612,940ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$16,080,981GrossSalesOfInventoryAmt
Cost Of Goods Sold$11,835,876CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,245,105TotalRevenueColumnAmt
Related Or Exempt Func Income$4,245,105RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER MISCELLANEOUS REVENUE900099$3,565,856$3,565,856
MEALS ON WHEELS621990$100,918$100,918
EDUCATION REVENUE621990$96,245$96,245

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,047TotalRevenueColumnAmt
Related Or Exempt Func Income$21,047RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,784,066OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$104,333,128TotalRevenueColumnAmt
Related Or Exempt Func Income$97,994,434RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$1,760UnrelatedBusinessRevenueAmt
Exclusion$5,879,439ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,236,627TotalAmt
Program Services$1,236,627ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$42,675,073TotalAmt
Program Services$37,909,777ProgramServicesAmt
Management And General$4,765,296ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,573,704TotalAmt
Program Services$1,403,837ProgramServicesAmt
Management And General$169,867ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,680,368TotalAmt
Program Services$7,743,404ProgramServicesAmt
Management And General$936,964ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,060,786TotalAmt
Program Services$2,730,403ProgramServicesAmt
Management And General$330,383ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$341,015TotalAmt
Management And General$341,015ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$202,284TotalAmt
Management And General$202,284ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$207,899TotalAmt
Program Services$207,899ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$84,347TotalAmt
Management And General$84,347ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$453,221TotalAmt
Program Services$441,034ProgramServicesAmt
Management And General$12,187ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,997,334TotalAmt
Program Services$1,306,754ProgramServicesAmt
Management And General$1,690,580ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$210,391TotalAmt
Program Services$91,725ProgramServicesAmt
Management And General$118,666ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$809TotalAmt
Program Services$809ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,003,129TotalAmt
Program Services$2,882,212ProgramServicesAmt
Management And General$2,120,917ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,424,077TotalAmt
Program Services$1,424,077ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement 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

FieldValueIRS element (for citing)
Total$2,867,043TotalAmt
Program Services$1,325,993ProgramServicesAmt
Management And General$1,541,050ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$104,658,589TotalAmt
Program Services$82,302,084ProgramServicesAmt
Management And General$22,356,505ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,709,937BOYAmt
EOY$1,355,672EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,823,525BOYAmt
EOY$15,835,215EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,423,629BOYAmt
EOY$564,358EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,298,160BOYAmt
EOY$777,754EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$139,112,796LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$86,469,092LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$35,467,068BOYAmt
EOY$52,643,704EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,006,844BOYAmt
EOY$3,455,621EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,396,729BOYAmt
EOY$15,859,166EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$91,125,892BOYAmt
EOY$90,491,490EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,007,889BOYAmt
EOY$3,894,173EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$154,270BOYAmt
EOY$12,324,048EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$82,139EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,552,129BOYAmt
EOY$50,611,884EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,714,288BOYAmt
EOY$66,912,244EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,581,817BOYAmt
EOY$7,918,899EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,621,900BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,207,887BOYAmt
EOY$15,660,347EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$43,411,604BOYAmt
EOY$23,579,246EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$91,125,892BOYAmt
EOY$90,491,490EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$325,461ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$455,899NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$19,050,998OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,973,749BeginningYearBalanceAmt
Contributions$102,059ContributionsAmt
Investment Earnings Or Losses-$721,818InvestmentEarningsOrLossesAmt
Other Expenditures$704,599OtherExpendituresAmt
End Year Balance$13,649,391EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,870,802BeginningYearBalanceAmt
Contributions$41,169ContributionsAmt
Investment Earnings Or Losses$817,403InvestmentEarningsOrLossesAmt
Other Expenditures$186,617OtherExpendituresAmt
End Year Balance$13,542,757EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.71800BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.28200PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,429,411OtherCostOrOtherBasisAmt
Book Value$1,429,411BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,496,140OtherCostOrOtherBasisAmt
Depreciation$36,981,282DepreciationAmt
Book Value$16,514,858BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,844,673OtherCostOrOtherBasisAmt
Depreciation$2,437,610DepreciationAmt
Book Value$407,063BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,813,930OtherCostOrOtherBasisAmt
Depreciation$47,050,200DepreciationAmt
Book Value$14,763,730BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,528,642OtherCostOrOtherBasisAmt
Book Value$19,528,642BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$52,643,704TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook 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
FieldValueIRS element (for citing)
Total Book Value Other Assets$15,859,166TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$339,088
OTHER LONG TERM LIABILITY$1,488,000
DUE TO EXEMPT PARENT$48,784,796
FieldValueIRS element (for citing)
Total Liability$50,611,884TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$198,880TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$650DirectOffsettingRevenueAmt
Net Community Benefit Expns$198,230NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,067,897TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,911,366DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,156,531NetCommunityBenefitExpnsAmt
Total Expense0.11620TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,266,777TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,912,016DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,354,761NetCommunityBenefitExpnsAmt
Total Expense0.11810TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$126,346TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$126,346NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$250,122TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$89,456DirectOffsettingRevenueAmt
Net Community Benefit Expns$160,666NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$376,468TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$89,456DirectOffsettingRevenueAmt
Net Community Benefit Expns$287,012NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,643,245TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,001,472DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,641,773NetCommunityBenefitExpnsAmt
Total Expense0.12080TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,954,187BadDebtExpenseAmt
Bad Debt Expense Attributable$220,085BadDebtExpenseAttributableAmt
Reimbursed By Medicare$30,274,223ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$28,663,578CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,610,645MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 WCA 31 SHERMAN LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesREAL ESTATE PROJECTSPrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.00000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UPMC CHAUTAUQUA AT WCABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 FOOTE AVENUE / PO BOX 840AddressLine1Txt
CityJAMESTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP147020840ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.UPMCCHAUTAUQUAWCA.ORGWebsiteAddressTxt
State License10-65-60StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UPMC CHAUTAUQUA AT WCABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.UPMCCHAUTAUQUAWCA.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.UPMC.COMOtherWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.UPMCCHAUTAUQUAWCA.ORG / WWW.UPMC.COMStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.UPMCCHAUTAUQUAWCA.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.UPMCCHAUTAUQUAWCA.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.UPMCCHAUTAUQUAWCA.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
UPMC CHAUTAUQUA AT WCAPART 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 WCAPART 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 WCAPART 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 WCAPART 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 WCAPART 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 6ATHE 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 2THE 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 3THE 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 STATESNY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
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

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationUPMC 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ALL 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 6UPMC 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 7AUPMC 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 7BDECISIONS 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 11BTHE 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 12CUPMC 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 15UPMC CHAUTAUQUA ENGAGES AN INDEPENDENT FIRM TO EVALUATE THE COMPENSATION OF THE CEO AND THE CFO.
FORM 990, PART VI, SECTION C, LINE 19THE 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

FieldValueIRS element (for citing)
Business Name Line1WCA 31 SHERMAN LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14 CENTRE DRIVEAddressLine1Txt
CityORCHARD PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14127ZIPCd
FieldValueIRS element (for citing)
EIN454867695EIN
Primary ActivitiesREAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UPMC CHAUTAUQUA AT WCABusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (72 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
WCA GROUP INC
PO BOX 840JAMESTOWNNY147020840222393582INACTIVE SUBSIDIARYNY501(C)(3)10UPMC CHAUTAUQUA AT WCA0
WCA FOUNDATION INC
PO BOX 214JAMESTOWNNY147020214222393584PROMOTE/SUPPORT COMMUNITY HEALTH THROUGH SUPPORT OF WCA HOSP & AFFILIATENY501(C)(3)7UPMC CHAUTAUQUA AT WCA0
STARFLIGHT INC
PO BOX 840JAMESTOWNNY147020840161557878MEDICAL AVIATION SERVICE SUBSIDIARYNY501(C)(3)7UPMC CHAUTAUQUA AT WCA0
UPMC SENIOR COMMUNITIES INC
600 GRANT STREETPITTSBURGHPA15219251574736SR. LIVINGPA501(C)(3)10UPMCYes (1)
PITTSBURGH LIFETIME CARE COMMUNITY
600 GRANT STREETPITTSBURGHPA15219251335247CCRCPA501(C)(3)10UPMC SR COMMYes (1)
CANTERBURY PLACE
600 GRANT STREETPITTSBURGHPA15219250965334SR. LIVINGPA501 (C) 310UPMC SR COMMYes (1)
SENECA PLACE
600 GRANT STREETPITTSBURGHPA15219721562844SR. LIVINGPA501 (C) 310UPMC SR COMMYes (1)
SHADYSIDE HOSPITAL SUPPORTING FOUNDATION
600 GRANT STREETPITTSBURGHPA15219260303394FOUNDATIONPA501 (C) 312(A) IUPMCYes (1)
UPMC LEE
600 GRANT STREETPITTSBURGHPA15219250613830INACTIVEPA501 (C) 33UPMCYes (1)
PITTSBURGH CARE PARTNERSHIP INC
600 GRANT STREETPITTSBURGHPA15219251753852ADULTDAYCAREPA501 (C) 310UPMCYes (1)
UPMC CENTER FOR HIGH VALUE HEALTHCARE
600 GRANT STREETPITTSBURGHPA15219452178782RESEARCHPA501 (C) 37UPMCYes (1)
SHADYSIDE HOSPITAL FOUNDATION
532 SOUTH AIKEN AVENUEPITTSBURGHPA15232251290546FOUNDATIONPA501 (C) 312 (C) IIIUPMC PRESBYYes (1)
PASSAVANT HOSPITAL FOUNDATION
9100 BABCOCK BLVDPITTSBURGHPA15237251407815FOUNDATIONPA501 (C) 312 (B) IIUPMC PASSAVANTYes (1)
NORTHWEST HOSPITAL FOUNDATION
100 FARFIELD DRIVESENECAPA16346251483624FOUNDATIONPA501 (C) 312 (D) IIIUPMC NORTHWESTYes (1)
ST MARGARET FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251520340FOUNDATIONPA501 (C) 37UPMC ST MARGARETYes (1)
CHILDREN'S HOSPITAL OF PITTSBURGH FND
600 GRANT STREETPITTSBURGHPA15219251865744FOUNDATIONPA501 (C) 37UPMC CHPYes (1)
MAGEE-WOMEN RES INST AND FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251462312FOUNDATIONPA501 (C) 370N/A
WESLEY HILLS
600 GRANT STREETPITTSBURGHPA15219251507472INDEPENDENT LIVINGPA501 (C) 3N/AUPMC HAMOTYes (1)
GREAT LAKES PHYSICIAN PRACTICE PC
600 GRANT STREET 58TH FLOORPITTSBURGHPA15219464186362PHYSICIANSNY501 (C) 33REGNL HEALTHYes (1)
HAMOT HEALTH FOUNDATION
302 FRENCH STERIEPA16507251400999FOUNDATIONPA501 (C) 312 (B) IIUPMC HAMOTYes (1)
REGIONAL CANCER CENTER FOUNDATION
2500 WEST 12TH STREETERIEPA16505251631855FOUNDATIONPA501 (C) 312 (A)(I)REGIONAL CANYes (1)
CHILDREN'S ADVOCACY CENTER FOR LAWRENCE
1107 WILMINGTON AVENEW CASTLEPA16105251581304SUPPORT SYSPA501 (C) 37UPMC JAMESONYes (1)
JAMESON HEALTHCARE FOUNDATION
1211 WILMINGTON AVENEW CASTLEPA16105251536037FOUNDATIONPA501 (C) 312 (B) IIUPMC JAMESONYes (1)
JAMESON HEALTH SERVICES INC
1211 WILMINGTON AVENEW CASTLEPA16105030486993HEALTHCAREPA501 (C) 312 (B) IIUPMC JAMESONYes (1)
UPMC
600 GRANT STREETPITTSBURGHPA15219251423657SUPPORTING ORGPA501 (C) 312 (C) IIIYes (1)N/A
UPMC JAMESON
1211 WILMINGTON AVENEW CASTLEPA16105250965406HEALTHCAREPA501 (C) 33UPMCYes (1)
UPMC JAMESON CANCER CENTER
600 GRANT STREET 58TH FLOORPITTSBURGHPA15219201459415ONCOLOGY SVCPA501 (C) 310UPMC JAMESONYes (1)
JAMESON MEDICAL CARE INC
1211 WILMINGTON AVENEW CASTLEPA16105260462696HEALTHCAREPA501 (C) 310UPMC JAMESONYes (1)
JAMESON CARE CENTER INC
1211 WILMINGTON AVENEW CASTLEPA16105232871396HEALTHCAREPA501 (C) 310UPMC SR COMMYes (1)
UPMC SUSQUEHANNA
700 HIGH STREETWILLIAMSPORTPA17701232751183HEALTHCAREPA501 (C) 33UPMCYes (1)
MUNCY VALLEY HOSPITAL
215 EAST WATER STREETMUNCYPA17756240806023HEALTHCAREPA501 (C) 33UPMC SUSQUEHYes (1)
DIVINE PROVIDENCE HOSPITAL OF THE SISTER
1100 GRAMPAIN BOULEVARDWILLIAMSPORTPA17701240799343HEALTHCAREPA501 (C) 33UPMC SUSQUEHYes (1)
SUSQUEHANNA PHYSICIAN SERVICES
1201 GRAMPAIN BOULEVARDWILLIAMSPORTPA17701232449454PHYSICIAN SVCPA501 (C) 33UPMC SUSQUEHYes (1)
SUSQUEHANNA HEALTH SYSTEM INNOVATION CTR
700 HIGH STREETWILLIAMSPORTPA17701471600873FUNDRAISINGPA501 (C) 312(A) IUPMC SUSQUEHYes (1)
SUSQUEHANNA HEALTH FOUNDATION
1100 GRAMPAIN BOULEVARDWILLIAMSPORTPA17701232743470FUNDRAISINGPA501 (C) 312(A) IUPMC SUSQUEHYes (1)
THE WILLIAMSPORT HOSPITAL
700 HIGH STREETWILLIAMSPORTPA17701240795508HOSPITALPA501 (C) 33UPMC SUSQUEHYes (1)
LAUREL REALTY INC
15 MEADE STREET NO U-6WELLSBOROPA16901231403678RENTAL REAL EPA501 (C) 2N/AUPMC SUSQUEHYes (1)
LAUREL MANAGEMENT SERVICES INC
22 WALNUT STREETWELLSBOROPA16901251644910MANAGEMENT SVPA501 (C) 312 (B) IIUPMC SUSQUEHYes (1)
LAUREL HEALTH SYSTEM
22 WALNUT STREETWELLSBOROPA16901240795488HEALTHCAREPA501 (C) 312 (B) IIUPMC SUSQUEHYes (1)
SOLDIERS AND SAILORS MEMORIAL HOSPITAL
32-36 CENTRAL AVENUEWELLSBOROPA16901232176963HEALTHCAREPA501 (C) 33UPMC SUSQUEHYes (1)
THE GREEN HOME
37 CENTRAL AVENUEWELLSBOROPA16901240804365ASSISTED LIVINGPA501 (C) 310UPMC SUSQUEHYes (1)
TIOGA HEALTH CARE PROVIDERS
22 WALNUT STREETWELLSBOROPA16901251765538HEALTHCAREPA501 (C) 312 (B) IIUPMC SUSQUEHYes (1)
WILLIAMSPORT AREA AMBULANCE SERVICE COOP
700 HIGH STREETWILLIAMSPORTPA17701232416166AMBULANCE SVCPA501 (C) 310WILLIAM HOSPYes (1)
UPMC SUSQUEHANNA LOCK HAVEN
700 HIGH STREETWILLIAMSPORTPA17701821600494HOSPITALPA501 (C) 33UPMC SUSQUEHYes (1)
UPMC SUSQUEHANNA SUNBURY
700 HIGH STREETWILLIAMSPORTPA17701821592230HOSPITALPA501 (C) 33UPMC SUSQUEHYes (1)
SOUTH CENTRAL ALPHA HOUSING AND HEALTH
3410 W PITTSBURG ROADNEW CASTLEPA16101251701701SKILLED NURSINGPA501 (C) 310UPMC SR COMMYes (1)
SOUTH WESTERN ALPHA HOUSING AND HEALTH
745 GREENVILLE ROADMERCERPA16137251701700SKILLED NURSINGPA501 (C) 310UPMC SR COMMYes (1)
KANE COMMUNITY HOSPITAL FOUNDATION
4372 ROUTE 6KANEPA16735263906925FOUNDATIONPA501 (C) 370N/A
JUNIOR GUILD OF THE JAMESON MEMORIAL HOS
1211 WILMINGTON AVENUENEW CASTLEPA16105256005313SUPPORTPA501 (C) 312 (D) III0N/A
LAUREL HEALTH FOUNDATION
15 MEADE STREET NO U-6WELLSBOROPA16901251810488FOUNDATIONPA501 (C) 312 (B) II0N/A
VENANGO VNA FOUNDATION
491 ALLEGHENY BOULEVARDFRANKLINPA16323251472179FOUNDATIONPA501 (C) 312 (D) III0N/A
CHARLES E COLE MEMORIAL HOSPITAL
1001 EAST SECOND STREETCOUDERSPORTPA16915240802108HOSPITALPA501 (C) 33UPMCYes (1)
COLE FOUNDATION INC
1001 EAST SECOND STREETCOUDERSPORTPA16915455417308FOUNDATIONPA501 (C) 312 (A)(I)C COLE MEM HYes (1)
COMMUNITY LIFE TEAM INC
409 SOUTH SECOND STREETHARRISBURGPA17104231890444MEDICAL TRANSPORTPA501 (C) 37UPMC PINNACLEYes (1)
HAMOT COLE VENTURES
1001 EAST SECOND STREETCOUDERSPORTPA16915273172100CLINIC SITESPA501 (C) 312 (A)(I)C COLE MEM HYes (1)
HANOVER HEALTHCARE PLUS INC
300 HIGHLAND AVENUEHANOVERPA17331222658574SUPPORTPA501 (C) 312 (A)(I)UPMC PINNACLEYes (1)
HENDORN INC
1001 EAST SECOND STREETCOUDERSPORTPA16915231972659RESIDENTIAL CAREPA501 (C) 312 (A)(I)C COLE MEM HYes (1)
PINNACLE HEALTH FOUNDATION
409 SOUTH SECOND STREETHARRISBURGPA17104222691718FOUNDATIONPA501 (C) 312 (B) IIUPMC PINNACLEYes (1)
PINNACLE HEALTH MEDICAL SERVICES
409 SOUTH SECOND STREETHARRISBURGPA17104251709054PHYSICIAN SVCPA501 (C) 33UPMC PINNACLEYes (1)
PINNACLE HEALTH REGIONAL PHYSICIANS
409 SOUTH SECOND STREETHARRISBURGPA17104820947698PHYSICIAN SVCPA501 (C) 33UPMC PINNACLEYes (1)
UPMC PINNACLE
409 SOUTH SECOND STREETHARRISBURGPA17104251778658SUPPORTPA501 (C) 312 (B) IIUPMCYes (1)
UPMC PINNACLE CARLISLE
361 ALEXANDER SPRING ROADCARLISLEPA17105820880337HOSPITALPA501 (C) 33UPMC PINNACLEYes (1)
UPMC PINNACLE HANOVER
300 HIGHLAND AVENUEHANOVERPA17331231360851HOSPITALPA501 (C) 33HANNOVER HEALTHYes (1)
UPMC PINNACLE HOSPITALS
409 SOUTH SECOND STREETHARRISBURGPA17104251778644HOSPITALPA501 (C) 33UPMC PINNACLEYes (1)
UPMC PINNACLE LANCASTER
250 COLLEGE AVENUELANCASTERPA17603820896436HOSPITALPA501 (C) 33UPMC PINNACLEYes (1)
UPMC PINNACLE LITITZ
1500 HIGHLANDS AVENUELITITZPA17543820844453HOSPITALPA501 (C) 33UPMC PINNACLEYes (1)
UPMC PINNACLE MEMORIAL
325 SOUTH BELMONT STREETYORKPA17405820912090HOSPITALPA501 (C) 33UPMC PINNACLEYes (1)
ASBURY FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251555688FOUNDATIONPA501 (C) 37ASBURY HEIGHYes (1)
ASBURY HEALTH CENTER
600 GRANT STREETPITTSBURGHPA15219250969472CCRCPA501 (C) 310ASBURY HEIGHYes (1)
ASBURY HEIGHTS OF UPMC
600 GRANT STREETPITTSBURGHPA15219251555687SUPPORTPA501 (C) 312 (B) IIUPMC SR COMMYes (1)
ASBURY PLACE
600 GRANT STREETPITTSBURGHPA15219251729266PERSONAL CAREPA501 (C) 310ASBURY HEIGHYes (1)
ASBURY VILLAS
600 GRANT STREETPITTSBURGHPA15219251819952PERSONAL CAREPA501 (C) 310ASBURY HEIGHYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
31 SHERMAN STREET INVESTORS LLC
4 CENTRE DRIVEORCHARD PARKNY14127264629631REAL ESTATENY31 SHERMAN STREET LLCUNRELATED0Yes (1)0.50000
CHAUTAUQUA INTEGRATED DELIVERY SYSTEM IPA LLC
200 HARRISON STREET 2ND FLOORJAMESTOWNNY14701161542139INTEGRATED DELIVERY SYSTEMNYSTAND ALONEUNRELATEDYes (1)00.37500
SENECA HILLS ASSISTED LIVING LP
600 GRANT STREETPITTSBURGHPA15219232873106ASSISTED LIVINGPAN/A00N/A
ST MARGARET MEDICAL ARTS ASSOCIATION
600 GRANT STREETPITTSBURGHPA15219251786655MED OFFICE BLPAN/A00N/A
CORE NETWORK LLC
600 GRANT STREETPITTSBURGHPA15219251786209HEALTHCAREPAN/A00N/A
LIFE HOME CARE LP
600 GRANT STREETPITTSBURGHPA15219251847839HOMECAREPAN/A00N/A
SHADYSIDE MEDICAL CENTER ASSOCIATES INC
600 GRANT STREETPITTSBURGHPA15219251608318MED OFFICE BLPAN/A00N/A
CHARTWELL PA LP
600 GRANT STREETPITTSBURGHPA15219251729714HOME HEALTH SPAN/A00N/A
LIFE CARE HOME SRV OF NW PA 25
1647 SASSAFRAS STREETERIEPA16501251536879HOME HEALTH SPAN/A00N/A
HAMOT-KCH REAL ESTATE VENTURE
300 STATE STREETERIEPA16507263691782MEDICAL OFFICEPAN/A00N/A
HAMOT SURGERY CENTER LLC
200 STATE STREETERIEPA16507251863661AMBULATORYPAN/A00N/A
EPN-HAMOT URGENT CARE LLC
600 GRANT STREETPITTSBURGHPA15219272147949URGENT CAREPAN/A00N/A
MOUNTAIN VIEW MEDICAL ONCOLOGY
600 GRANT STREETPITTSBURGHPA15219461449241HEALTHCAREPAN/A00N/A
LAWRENCE COUNTY MRI AND DIAGNOSTIC IMAGING CENTER LLC
2526 WILMINGTON AVENUENEW CASTLEPA16105270219891IMAGING CENTERPAN/A00N/A
COMMUNITY BASKET LLC
1205 GRAMPAIN BOULEVARDWILLIAMSPORTPA17701201195736REAL ESTATE RENTALPAN/A00N/A
HANOVER SURGICENTER REAL ESTATE LP
300 HIGHLAND AVEHANOVERPA17331352342993INACTIVEPAN/A00N/A
MEDCARE SUSQUEHANNA VALLEY LLC
409 SOUTH SECOND STREETHARRISBURGPA17104821673688DMEPAN/A00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (81 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdForeign PostalForeignAddress/ForeignPostalCd
WCA SERVICES CORPORATION
28 MAPLE STREETJAMESTOWNNY14701161151438PATIENT TRANSPORTATION & MEDICAL BILLING; SUBSIDIARYNYUPMC CHAUTAUQUA AT WCAC1.000000
HC PHARMACY CENTRAL INC
600 GRANT STREETPITTSBURGHPA15219251364192PHARMACY CO-OPAC0
CHILDREN'S COMMUNITY CARE
600 GRANT STREETPITTSBURGHPA15219251781887PEDIATRIC SVCPAC0
UPMC CANCER CENTERS IRELAND LIMITED
CANCER TREATMENTC06TH FLOOR BEACON HOSPITAL SANDYFORDDUBLINEIEI
UPMC PHYSICIAN SERVICES HOLDING COMPANY
600 GRANT STREETPITTSBURGHPA15219251877017HOLDINGS COPAC0
HEMATOLOGY ONCOLOGY ASSOCIATION INC
600 GRANT STREETPITTSBURGHPA15219421648357HEALTHCAREPAC0
ONCOLOGY HEMATOLOGY ASSOCIATION INC
600 GRANT STREETPITTSBURGHPA15219251762980HEALTHCAREPAC0
TRI-STATE NEUROSURGICAL ASSOCIATES
600 GRANT STREETPITTSBURGHPA15219251458655HEALTHCAREPAC0
RENAISSANCE FAMILY PRACTICE - UPMC INC
600 GRANT STREETPITTSBURGHPA15219262942406HEALTHCAREPAC0
UPMC HOLDING COMPANY INC
600 GRANT STREETPITTSBURGHPA15219251777713HOLDING CORPPAC0
UPMC COVERAGE PRODUCTS INC
600 GRANT STREETPITTSBURGHPA15219251777710HOLDING CORPPAC0
FREEDOM INSURANCE COMPANY
600 GRANT STREETPITTSBURGHPA15219030308944INSURANCEVTC0
TRI-CENTURY INSURANCE CO
600 GRANT STREETPITTSBURGHPA15219251500739INSURANCEPAC0
UPMC DNA INC
600 GRANT STREETPITTSBURGHPA15219251883237INSURANCEPAC0
UPMC HEALTH BENEFITS INC
600 GRANT STREETPITTSBURGHPA15219251844144HEALTH INSURPAC0
UPMC HEALTH NETWORK INC
600 GRANT STREETPITTSBURGHPA15219721527566HEALTH INSURPAC0
UPMC HEALTH PLAN INC
600 GRANT STREETPITTSBURGHPA15219232813536HEALTH INSURPAC0
UPMC BENEFIT MANAGEMENT SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251769564WORKERS' COMPPAC0
UPMC DIVERSIFIED SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251778454HOLDING CORPPAC0
MONROEVILLE SPECIALTY CLINIC
600 GRANT STREETPITTSBURGHPA15219251666087HEALTHCAREPAC0
MEDICAL ARCHIVAL SYSTEMS INC
600 GRANT STREETPITTSBURGHPA15219232912501SOFTWARE DEVEDEC0
PRESBY HEALTH RESOURCE MGMT
600 GRANT STREETPITTSBURGHPA15219251422155HEALTHCAREPAC0
RX PARTNERS INC
600 GRANT STREETPITTSBURGHPA15219251801966RETAIL PHARMPAC0
BIOTRONICS INC
600 GRANT STREETPITTSBURGHPA15219251843500EQUIP MAINTENPAC0
MEDICAL CENTER PROPERTIES INC
600 GRANT STREETPITTSBURGHPA15219251796940REAL ESTATEPAC0
ASKESIS DEVELOPMENT GROUP INC
600 GRANT STREETPITTSBURGHPA15219541625585SOFTWARE DEVEDEC0
PANTHER REINSURANCE COMPANY LTD
981402742INSURANCEC0PO BOX 1109CAYMAN ISLANDSCJCJ
FORBES REINSURANCE COMPANY LTD
981700710INSURANCEC0PO BOX 1109CAYMAN ISLANDSCJCJ
CATHEDRAL (RE) INSUANCE CO
981400837INSURANCEC0PO BOX 1109CAYMAN ISLANDSCJCJ
UPMC INTERNATIONAL HEALTH INITIATIVES
600 GRANT STREETPITTSBURGHPA15219841706741INACTIVEPAC0
UPMC IRELAND LIMITED
HEALTHCARE SUC06TH FLOOR BEACON HOSPITAL SANDYFORDDUBLINEIEI
UPMC UNITED KINGDOM LTD
980571026SOFTWARE LICEC0C/O NAIRCO 11TH FLOORBRISTOLUKUK
BAYFRONT REGIONAL DEVELOPMENT CORP
300 STATE STREETERIEPA16507251401388RE HOLDING COPAC0
BAYSIDE DEVELOPMENT CORP
300 STATE STREETERIEPA16507251401386REAL ESTATE/PPAC0
UPMC WORK ALLIANCE INC
600 GRANT STREETPITTSBURGHPA15219452825053INSURANCEPAC0
UPMC CANADA TECHNOLOGIES LIMITED
600 GRANT STREETPITTSBURGHPA15219SOFTWARECAC0
ALLIED ORTHOPEDICS APPLIANCES INC
335 E 3RD STJAMESTOWNNY14701161092951MED APPLIANCENYC0
UPMC HEALTH COVERAGE INC
600 GRANT STREETPITTSBURGHPA15219462824537INSURANCEPAC0
UPMC HEALTH OPTIONS INC
600 GRANT STREETPITTSBURGHPA15219462824626INSURANCEPAC0
UPMC COMPLETE CARE INC
5215 CENTRE AVENUEPITTSBURGHPA15232463605753HEALTHCAREPAC0
AMERICAN HOME HEALTH SERVICES
868 CORPORATE WAYWESTLAKEOH44145311521422HOME HEALTH CAREOHC0
HEALTH FIDELITY INC
210 S B STSAN MATEOCA94401452538963TECHNOLOGY SVCAC0
FLUENCE HEALTH INC
6425 PENN AVENUEPITTSBURGHPA15206472684174SOFTWAREDEC0
CURAVI HEALTH INC
6425 PENN AVENUEPITTSBURGHPA15206811217377HEALTHCAREDEC0
PENSIAMO INC
600 GRANT STREETPITTSBURGHPA15219812069236SUPPLY CHAINDEC0
ALTOONA FAMILY INC
620 HOWARD AVENUEALTOONAPA16601251444935MGMT SVCSPAC0
LEXINGTON HOLDINGS INC
620 HOWARD AVENUEALTOONAPA16601251794386MEDICAL SVCSPAC0
LEXINGTON ONE INC
620 HOWARD AVENUEALTOONAPA16601251468889RENTALPAC0
LEXINGTON TWO INC
HOWARD AVENUE AND 7TH STREETALTOONAPA16601251555689RENTAL EQPTPAC0
LEXINGTON FOUR INC
620 HOWARD AVENUEALTOONAPA16601251793736HOLDING CODEC0
ALLEGHENY HEALTHCARE STAFFING INC
620 HOWARD AVENUEALTOONAPA16601271657362EMPLOYMENT SVPAC0
UPMC ALTOONA REGIONAL HEALTH SERVICES
1414 9TH AVENUEALTOONAPA16602251219302MEDICAL SVCSPAC0
LEXINGTON ANESTHESIA ASSOCIATES INC
620 HOWARD AVENUEALTOONAPA16601251897765MEDICAL SVCSPAC0
NOTHERN CAMBRIA MEDICAL CENTER INC
620 HOWARD AVENUEALTOONAPA16601251530860MEDICAL SVCSPAC0
PATTON FAMILY MEDICAL CENTER INC
620 HOWARD AVENUEALTOONAPA16601251793735MEDICAL SVCSPAC0
MEDCPU
100 WALL STREETNEW YORKNY10005383805381SOFTWARE DEVEDEC0
UPMC EXCESS PL TRUST
600 GRANT STREETPITTSBURGHPA15219826254351TRUSTPAT0
RXANTE INC
511 CONGRESS STREET 803PORTLANDME04101454040219MEDICATION MGTDEC0
VINCENT PAYMENT SOLUTIONS INC
BAKERY SQUARE 6425 PENN AVENUEPITTSBURGHPA15206821101143PAYMENT SYSTEMDEC0
J HEALTH VENTURES INC
1211 WILIMINGTON AVENUENEW CASTLEPA16105251607893INACTIVEPAC0
SUSQUEHANNA HEALTH SYSTEM INSURANCE NET
INSURANCEC0PO BOX 1159CAYMAN ISLANDSCJCJ
SUSQUEHANNA VENTURES INC
1201 GRAMPAIN BOULEVARDWILLIAMSPORTPA17701232470623PHARMACYPAC0
TYOGA CARENET
114 EAST AVENUEWELLSBOROPA16901251810967INTEGRATE HEALTHCPAC0
ITTCCO I INC
600 GRANT STREETPITTSBURGHPA15219822590699INACTIVEDEC0
ITTCCO II INC
600 GRANT STREETPITTSBURGHPA15219822597388INACTIVEDEC0
PINNACLE HEALTH CARDIOVASCULAR INSTITUT
409 SOUTH SECOND STREETHARRISBURGPA17104320321362PHYSICIAN SERVICESPAC0
HANOVER HEALTH CORPORATION
300 HIGHLAND AVENUEHANOVERPA17331900498067HOLDING COPAC0
HANOVER APOTHECARY INC
310 STOCK STREET SUITE 1HANOVERPA17331030594526PHARMACYPAC0
UNITED CENTRAL PA RECIPROCAL RISK RETEN
76 SAINT PAUL STREET SUITE 500BURLINGTONVT05401134224033INSURANCEVTC0
PINNACLE HEALTH VENTURES INC
409 SOUTH SECOND STREETHARRISBURGPA17104611677624HOLDING COPAC0
PINNACLE HEALTH IMAGING INC
409 SOUTH SECOND STREETHARRISBURGPA17104231718571IMAGING SVCPAC0
COLE CARE INC
1001 EAST 2ND STREETCOUDERSPORTPA16915251497347DMEPAC0
UPMC ITALY HEALTH SERVICES SRL
HEALTH SVCC0VIA DISCESA DEI GIUDICI 4PALERMOITIT90133
UPMC INVESTMENTS LTD
HOLDING COC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEIX91 DH9W
UPMC PROPERTY LTD
PROPERTYC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEIX91 DH9W
UPMC PROPERTY II LTD
PROPERTYC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEIX91 DH9W
EURO CARE INFRASTRUCTURE LTD
PROPERTY MGMTC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEIX91 DH9W
EURO CARE PROPERTY MANAGEMENT LTD
PROPERTY MGMTC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEIX91 DH9W
EURO CARE HEALTHCARE LTD
HOLDING COC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEIX91 DH9W
WATERFORD ONCOLOGY ASSOCIATES LTD
ONCOLOGY SVCC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIEIX91 DH9W
UNITED HEALTH RISK LTD
INSURANCEC0PO BOX HM 2450HAMILTONBDBD
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
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

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990 - SCHEDULE R - PART II THROUGH PART IVFormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
ExplanationLATE FILED RETURN DUE TO CCH SOFTWARE OUTAGEExplanationTxt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.