2019-05-14T10:02:33-05:00 2018-06-30 550486667 ARNETT CARBIS TOOTHMAN LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2017-07-01 251701701 SOUTH CENTRAL ALPHA HOUSING AND HEALTHCARE INC SOUT 7246584710 600 GRANT STREET 58TH FLR CORP TAX PITTSBURGH PA 15219 WILLIAM NIGRO TREASURER 7246584710 2019-05-10 1 JEFFREY J PETRELL CPA P00138808 4126356270 2019-05-07 216.12.119.47 2019-05-10 13:12:23 ED P 443B3F4E1143E136BAB69E13490A98083E51D8DE B63641FD917328AACC938A84FA1A6194A206D824 2017 2020-01-14 16:20:31Z AVALON PLACE MARK BONDI 600 GRANT STREET 58TH FLR CORP TAX PITTSBURGH PA 15219 7588153 0 X WWW.UPMC.EDU X 1992 PA TO PROVIDE SKILLED NURSING SERVICES TO THOSE IN NEED 7 2 139 6 0 0 0 0 7275376 7526709 -5031 5252 -368135 56192 6902210 7588153 0 0 0 0 3717675 4059528 0 0 0 4763455 3301776 8481130 7361304 -1578920 226849 4661425 5608956 1094475 1815157 3566950 3793799 X TO PROVIDE SKILLED NURSING SERVICES TO THOSE IN NEED. TO TREAT ALL RESIDENTS WITH HOSPITALITY AND DIGNITY. TO EFFICIENTLY AND EFFECTIVELY USE OUR HUMAN RESOURCES AND MATERIAL RESOURCES TO DELIVER THE HIGHEST STANDARD OF CARE AND SERVICES. TO CREATE A POSITIVE ENVIRONMENT FOR BOTH RESIDENTS AND EMPLOYEES. 0 0 6215840 7582901 TO PROVIDE A SKILLED NURSING FACILITY TO ADDRESS THE NEEDS OF A GROWING ELDERLY POPULATION. THIS FACILITY IS SPECIFICALLY DESIGNED FOR SENIOR RESIDENTS WHO ARE UNABLE TO LIVE ON THEIR OWN TO ALLOW THEM TO AGE IN A COMFORTABLE SAFE ENVIRONMENT. THE FACILITY EMPLOYS NURSES WHO PROVIDE RESIDENTS WITH 24 HOURS OF EMERGENCY SUPPORT WHICH WILL GIVE FAMILIES AND LOVED ONES PEACE OF MIND. IN ADDITION, OTHER PROVIDED SERVICES INCLUDE MEALS, HOUSEKEEPING, RESIDENT ACTIVITIES, WELLNESS ACTIVITIES, AND SOCIAL SERVICES. 6215840 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 12 0 139 1 0 0 0 0 0 0 0 0 0 0 X 7 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X WILLIAM NIGRO 4128643532 200 LOTHROP STREET STE 10097 FORBES PITTSBURGH PA 15213 MARK BONDI PRESIDENT 5.00 40.00 X X 0 279395 40281 DEBORAH BRODINE CHAIRPERSON 5.00 40.00 X X 0 740477 96963 WILLIAM NIGRO TREASURER & CFO 5.00 40.00 X X 0 172442 19381 BRYANT WESLEY SECRETARY 5.00 40.00 X X 0 255630 19211 JOHN SARANDREA CHAIRMAN 5.00 X X 0 0 0 JOHN LECHNER DIRECTOR 1.00 X 0 0 0 DONALD OWREY DIRECTOR 1.00 40.00 X 0 528816 102751 0 1976760 278587 0 0 1 0 ENCORE REHABILITATION SERVICES 33533 W 12 MILE RD FAMINGTON HILLS MI 48331 THERAPY 817584 OMNICARE INC DEPT 781668 DETROIT MI 482781668 PHARMACY 160207 AVALON MANAGEMENT SERVICES LLC 3410 WEST PITTSBURGH ROAD NEW CASTLE PA 16101 MANAGEMENT SERVICES 160000 US FOODS PO BOX 643190 PITTSBURGH PA 152643190 FOOD SERVICES 158515 4 NET RESIDENT REVENUE 623000 7526709 7526709 7526709 5252 5252 OTHER REVENUE 623000 56192 56192 56192 7588153 7582901 0 5252 X 3190776 2856869 333907 74825 1141 73684 494805 494209 596 299122 269860 29262 437535 437535 1185843 1090095 95748 13072 626 12446 657804 632078 25726 22453 22453 251721 223845 27876 2803 505 2298 2737 1988 749 170476 170476 96729 475 96254 FOOD EXPENSE 208811 208811 BAD DEBT 158245 158245 EQUIPMENT RENTAL & MAIN 52855 46665 6190 DUES & SUBSCRIPTIONS 5251 2058 3193 35441 35441 7361304 6215840 1145464 0 831129 2303703 1265071 906730 55173 0 5268138 2918380 2439307 2349758 70745 48765 4661425 5608956 439291 535760 109439 0 545745 1279397 1094475 1815157 X 3566950 3793799 3566950 3793799 4661425 5608956 226849 0 X X 0 1 X 1 0 X 7152535 6829120 7078084 7275376 7526709 35861824 7152535 6829120 7078084 7275376 7526709 35861824 0 0 0 35861824 14846 12138 1838 1509 5252 35583 14846 12138 1838 1509 5252 35583 50645 33889 41568 31865 56192 214159 7218026 6875147 7121490 7308750 7588153 36111566 0.99310 0.99310 0.00100 0.00120 X 41000 41000 3895928 1714497 2181431 1325332 1203344 121988 5878 539 5339 2349758 RESIDENT FUNDS 23765 DUE TO EXEMPT AFFILIATE 1255632 1279397 X 7588153 0 7588153 0 7588153 7361304 0 7361304 0 7361304 PART X, LINE 2: THE ORGANIZATION FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS A RESULT OF THIS GUIDANCE. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2014, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. 0 1 0 0 0 0 0 0 0 MARK BONDI PRESIDENT 0 187346 0 78000 0 14049 0 18720 0 21561 0 319676 0 0 DEBORAH BRODINE CHAIRPERSON 0 306305 0 309000 0 125172 0 76912 0 20051 0 837440 0 123298 WILLIAM NIGRO TREASURER & CFO 0 137231 0 35050 0 161 0 11391 0 7990 0 191823 0 0 BRYANT WESLEY SECRETARY 0 159857 0 95000 0 773 0 13470 0 5741 0 274841 0 0 DONALD OWREY DIRECTOR 0 264036 0 181000 0 83780 0 81998 0 20753 0 631567 0 82470 PART I, LINE 3 UPMC HAS ESTABLISHED A RIGOROUS COMPENSATION REVIEW PROCESS FOR ITS TOP EXECUTIVES WHICH INCLUDES REVIEW BY ITS EXECUTIVE COMPENSATION COMMITTEE IN A PROCESS INTENDED TO SATISFY THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" SET FORTH IN THE REGULATIONS TO SECTIONS 4958 OF THE INTERNAL REVENUE CODE. UPMC GIVES AUTHORITY TO THOSE EXECUTIVES TO ESTABLISH THE COMPENSATION OF EXECUTIVES OF OTHER SUBSIDIARIES AND BUSINESS UNITS, INCLUDING THOSE OF SOUTH CENTRAL ALPHA HOUSING AND HEALTHCARE. PART I, LINE 4B ALL PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ARE DISCLOSED IN SCHEDULE J WITH CORRESPONDING AMOUNTS IN SCHEDULE J COLUMN C "RETIREMENT AND OTHER DEFERRED COMPENSATION." DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE ("CODE"), CERTAIN OFFICERS AND KEY EMPLOYEES ARE LIMITED IN THE AMOUNT OF BENEFITS WHICH MAY BE RECEIVED UNDER A TAX QUALIFIED RETIREMENT PROGRAM. LIKE MANY EMPLOYERS, UPMC SUPPLEMENTS ITS RETIREMENT BENEFITS THROUGH A SUPPLEMENTAL RETIREMENT PROGRAM. THE SUPPLEMENTAL RETIREMENT PROGRAM IS SUBJECT TO MULTIYEAR VESTING WHICH PLACES THE OFFICERS AND KEY EMPLOYEES' RETIREMENT BENEFIT AT RISK OF FORFEITURE IF THE VESTING REQUIREMENTS ARE NOT SATISFIED. ONCE VESTED HOWEVER, PROVISIONS OF THE CODE REQUIRE THAT THE VESTED AMOUNTS BE REPORTED ON FORM 990 AND THE VESTED OFFICER OR KEY EMPLOYEE INCLUDE IN CURRENT INCOME THE VALUE OF HER OR HIS SUPPLEMENTAL RETIREMENT BENEFIT. NOTWITHSTANDING THE TAX REQUIREMENT TO RECOGNIZE THE VESTED AMOUNT OF THE SUPPLEMENTAL RETIREMENT BENEFIT AS INCOME, THIS BENEFIT, WHICH HAS BEEN EARNED OVER HER OR HIS ENTIRE CAREER, HAS NOT AND WILL NOT BE DISTRIBUTED UNTIL THE OFFICER OR KEY EMPLOYEE RETIRES OR SEPARATES FROM SERVICE FROM UPMC. THE SUPPLEMENTAL RETIREMENT PROGRAM PROVIDES FOR THE CURRENT DISTRIBUTION OF ONLY THE AMOUNT NECESSARY TO SATISFY ANY INCOME TAX LIABILITY RESULTING FROM THE VESTING DURING ACTIVE EMPLOYMENT. FINALLY, IT SHOULD BE NOTED THAT IN ACCORDANCE WITH IRS INSTRUCTIONS, A SUBSTANTIAL PORTION OF THE AMOUNT REPORTED ON THE FORM 990 ATTRIBUTABLE TO SUPPLEMENTAL RETIREMENT PROGRAM VESTING HAS BEEN REPORTED IN PREVIOUSLY FILED FORMS 990. AVALON MANAGEMENT SERVICES LLC JOHN HUGHES, FORMER OFFICER OWNS 50% OF AVALON MANAGEMENT SERVICES LLC 160000 MANAGEMENT SERVICES 0 FORM 990, PART VI, SECTION A, LINE 6 SOUTH CENTRAL ALPHA HOUSING AND HEALTHCARE HAS ONE SOLE MEMBER, THE EXEMPT ENTITY UPMC SENIOR COMMUNITIES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE PARENT ENTITY OF SOUTH CENTRAL ALPHA HOUSING AND HEALTHCARE, UPMC SENIOR COMMUNITIES, INC., HAS THE ABILITY TO APPOINT BOARD MEMBERS TO SOUTH CENTRAL ALPHA HOUSING AND HEALTHCARE AS STIPULATED IN THE BY-LAWS OF SOUTH CENTRAL ALPHA HOUSING AND HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 7B THE PARENT ENTITY OF SOUTH CENTRAL ALPHA HOUSING AND HEALTHCARE, UPMC SENIOR COMMUNITIES, INC., HAS THE FOLLOWING RESERVED POWERS: (A) APPROVAL OF A CHANGE IN THE CORPORATE STRUCTURE OF THE CORPORATION, INCLUDING, WITHOUT LIMITATION, A MERGER, CONSOLIDATION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION; (B) APPROVAL OF THE SALE OR OTHER TRANSFER, WHETHER WITHIN THE SYSTEM OR EXTERNAL THERETO, OF SUBSTANTIALLY ALL OF THE ASSETS OR BUSINESS OF THE CORPORATION; (C) APPROVAL OF A DETERMINATION THAT THE CORPORATION OPERATING AS A LICENSED HEALTHCARE PROVIDER NO LONGER BE SO LICENSED OR OPERATED; (D) APPROVAL OF THE ADDITION, CESSATION, RELOCATION, OR SIGNIFICANT MODIFICATION OF ANY MAJOR SERVICE OR PROGRAM OF THE CORPORATION; (E) ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (F) ANY MODIFICATION OF THE COMPOSITION OF THE CORPORATION'S BOARD OR THE RIGHTS ACCORDED TO ANY SUCH BOARD MEMBERS; (G) APPROVAL OF ANY TRANSACTION RELATING TO THE INDEBTEDNESS OF THE CORPORATION, INCLUDING BORROWING MONEY, PREPAYING OBLIGATIONS, REFUNDING, GUARANTY OR DEFEASANCE OF ANY INDEBTEDNESS; AND, (H) APPROVAL OF THE HIRING, DISCHARGE AND TERMS OF EMPLOYMENT OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B SOUTH CENTRAL ALPHA HOUSING HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 TO REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C UPMC REQUIRES ALL OF ITS KEY EMPLOYEES AND NON-EMPLOYED PERSONNEL TO COMPLY WITH ITS CONFLICT OF INTEREST POLICIES WHEN THEY ENGAGE IN UPMC-RELATED BUSINESS. PEOPLE COVERED BY THE POLICIES INCLUDE: -UPMC ENTITY BOARD MEMBERS, BOARD COMMITTEE MEMBERS, AND CORPORATE OFFICERS -UPMC PHYSICIANS AND NON-PHYSICIAN EMPLOYEES WHO HOLD A POSITION OF INFLUENCE -NON-EMPLOYED MEMBERS OF THE UPMC MEDICAL STAFF WHO HOLD A POSITION OF INFLUENCE OF TRUST -INDIVIDUALS CONDUCTING CLINICAL RESEARCH AT UPMC, WHETHER OR NOT THEY ARE EMPLOYED BY UPMC. THESE PEOPLE ARE REQUIRED TO COMPLETE A QUESTIONNAIRE AT LEAST ANNUALLY. AN ELECTRONIC FORM HAS BEEN DEVELOPED TO CAPTURE THE DATA FROM THE QUESTIONNAIRE AND TO MONITOR COMPLETION. THE INFORMATION, ALONG WITH OTHER DATA, IS USED TO CAPTURE INDIVIDUAL AND INSTITUTIONAL RELATIONSHIPS SO THAT POTENTIAL CONFLICTS OF INTEREST CAN BE IDENTIFIED. IF A POTENTIAL CONFLICT IS IDENTIFIED REGARDING A SPECIFIC UPMC ACTIVITY THE CORPORATE COMPLIANCE DEPARTMENT, WITH THE ASSISTANCE OF THE LEGAL DEPARTMENT, EVALUATE THE ACTIVITY IN RELATION TO THE POTENTIAL CONFLICT. IF A PERCEIVED OR ACTUAL CONFLICT IS DETERMINED TO EXIST AND A DECISION IS MADE TO PROCEED WITH THE ACTIVITY, A WRITTEN PLAN DESIGNED TO PREVENT THE CONFLICT FROM INFLUENCING DECISIONS RELATED TO THE ACTIVITY IS DEVELOPED. THE PROCESS IS ULTIMATELY OVERSEEN BY A CONFLICT OF INTEREST COMMITTEE OF THE UPMC BOARD OF DIRECTORS ON BEHALF OF ALL UPMC SUBSIDIARIES, INCLUDING SOUTH CENTRAL ALPHA HOUSING AND HEALTHCARE. FORM 990, PART VI, SECTION B, LINE 15 UPMC HAS ESTABLISHED A RIGOROUS COMPENSATION REVIEW PROCESS FOR ITS TOP EXECUTIVES WHICH INCLUDES REVIEW BY ITS EXECUTIVE COMPENSATION COMMITTEE IN A PROCESS INTENDED TO SATISFY THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" SET FORTH IN THE REGULATIONS TO SECTIONS 4958 OF THE INTERNAL REVENUE CODE. UPMC GIVES AUTHORITY TO THOSE EXECUTIVES TO ESTABLISH THE COMPENSATION OF EXECUTIVES OF OTHER SUBSIDIARIES AND BUSINESS UNITS, INCLUDING THOSE OF SOUTH CENTRAL ALPHA HOUSING AND HEALTHCARE. FORM 990, PART VI, SECTION C, LINE 18 SOUTH CENTRAL ALPHA HOUSING AND HEALTHCARE INC. MAKES ITS FORMS 990 AND 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, MANAGEMENT DETERMINES PUBLIC DISCLOSURE APPLICABILITY. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,090,095. MANAGEMENT AND GENERAL EXPENSES 95,748. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,185,843. FORM 990, PART XII, LINE 2: SOUTH CENTRAL ALPHA HOUSING AND HEALTHCARE, INC. IS INCLUDED IN UPMC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS. FORM 990, PART XI, LINE 2C: THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS. THE PROCESS IS CONSISTENT WITH PRIOR YEARS AND HAS NOT CHANGED. SCHEDULE R - RELATED ORGANIZATIONS AND UNRELATED PARTNERSHIPS THERE ARE ORGANIZATIONS INCLUDED IN THE UPMC GROUP FORM 990 TAX RETURN WHICH ARE RELATED TO SOUTH CENTRAL ALPHA HOUSING AND HEALTHCARE. THESE ORGANIZATIONS ARE NOT REQUIRED TO BE LISTED IN SCHEDULE R. THE RELATED ORGANIZATIONS HAVE DIRECT AND INDIRECT CONTROL. UPMC SENIOR COMMUNITIES INC 600 GRANT STREET PITTSBURGH PA 15219 251574736 SR LIVING PA 501(C)(3) LINE 10 UPMC 0 PITTSBURGH LIFETIME CARE COMMUNITY 600 GRANT STREET PITTSBURGH PA 15219 251335247 CCRC PA 501(C)(3) LINE 10 UPMC SR COMM 0 CANTERBURY PLACE 600 GRANT STREET PITTSBURGH PA 15219 250965334 SR LIVING PA 501(C)(3) LINE 10 UPMC SR COMM 0 SENECA PLACE 600 GRANT STREET PITTSBURGH PA 15219 721562844 SR LIVING PA 501(C)(3) LINE 10 UPMC SR COMM 0 SHADYSIDE HOSPITAL SUPPORTING FOUNDATION 600 GRANT STREET PITTSBURGH PA 15219 260303394 FOUNDATION PA 501(C)(3) LINE 12A, I UPMC 0 UPMC LEE 600 GRANT STREET PITTSBURGH PA 15219 250613830 INACTIVE PA 501(C)(3) LINE 3 UPMC 0 PITTSBURGH CARE PARTNERSHIP INC 600 GRANT STREET PITTSBURGH PA 15219 251753852 SR CARE MGMT PA 501(C)(3) LINE 10 UPMC 0 UPMC CENTER FOR HIGH VALUE HEALTHCARE 600 GRANT STREET PITTSBURGH PA 15219 452178782 RESEARCH PA 501(C)(3) LINE 7 UPMC 0 SHADYSIDE HOSPITAL FOUNDATION 532 SOUTH AIKEN AVENUE PITTSBURGH PA 15232 251290546 FOUNDATION PA 501(C)(3) LINE 12C, III-FI UPMC PRESBY 0 PASSAVANT HOSPITAL FOUNDATION 9100 BABCOCK BLVD PITTSBURGH PA 15237 251407815 FOUNDATION PA 501(C)(3) LINE 12B, II UPMC PASS 0 NORTHWEST HOSPITAL FOUNDATION 100 FAIRFIELD DRIVE SENECA PA 16346 251483624 FOUNDATION PA 501(C)(3) LINE 12D, III-O UPMC NORTHWE 0 ST MARGARET FOUNDATION 600 GRANT STREET PITTSBURGH PA 15219 251520340 FOUNDATION PA 501(C)(3) LINE 7 UPMC ST MARG 0 CHILDREN'S HOSPITAL OF PGH FOUNDATION 600 GRANT STREET PITTSBURGH PA 15219 251865744 FOUNDATION PA 501(C)(3) LINE 7 UPMC CHP 0 MAGEE-WOMEN RESEARCH INST AND FOUNDATION 600 GRANT STREET PITTSBURGH PA 15219 251462312 FOUNDATION PA 501(C)(3) LINE 7 N/A 0 GREAT LAKES PHYSICIAN PRACTICE PC 600 GRANT STREET 58TH FLOOR PITTSBURGH PA 15219 464186362 PHYSICIAN SRV NY 501(C)(3) LINE 3 REGNL HEALTH 0 HAMOT HEALTH FOUNDATION 302 FRENCH ST ERIE PA 16507 251400999 FOUNDATION PA 501(C)(3) LINE 12B, II UPMC HAMOT 0 UPMC JAMESON 1211 WILMINGTON AVENUE NEW CASTLE PA 16105 250965406 HEALTHCARE PA 501(C)(3) LINE 3 UPMC 0 JAMESON HEALTHCARE FOUNDATION 1211 WILMINGTON AVENUE NEW CASTLE PA 16105 251536037 FOUNDATION PA 501(C)(3) LINE 12B, II UPMC JAMESON 0 JAMESON HEALTH SERVICES INC 1211 WILMINGTON AVENUE NEW CASTLE PA 16105 030486993 SUPPORTING ORG PA 501(C)(3) LINE 12B, II UPMC JAMESON 0 CHILDREN'S ADVOCACY CENTER OF LAWRENCE 1107 WILMINGTON AVENUE NEW CASTLE PA 16105 251581304 COORD SRV PA 501(C)(3) LINE 7 UPMC JAMESON 0 UPMCJAMESON CANCER CENTER 600 GRANT STREET 58TH FLOOR PITTSBURGH PA 15219 201459415 ONCOLOGY SERV PA 501(C)(3) LINE 10 UPMC JAMESON 0 JAMESON MEDICAL CARE INC 1211 WILMINGTON AVENUE NEW CASTLE PA 16105 260462696 PHYSICIAN SRV PA 501(C)(3) LINE 10 UPMC JAMESON 0 JAMESON CARE CENTER INC 1211 WILMINGTON AVENUE NEW CASTLE PA 16105 232871396 SR SERVICES PA 501(C)(3) LINE 10 UPMC SR COMM 0 UPMC SUSQUEHANNA 700 HIGH STREET WILLIAMSPORT PA 17701 232751183 MGMT SUPPORT PA 501(C)(3) LINE 3 UPMC 0 MUNCY VALLEY HOSPITAL 215 EAST WATER STREET MUNCY PA 17756 240806023 HOSPITAL PA 501(C)(3) LINE 3 UPMC SUSQUEHANNA 0 DIVINE PROVIDENCE HOSPITAL OF THE SISTER 1100 GRAMPIAN BOULEVARD WILLIAMSPORT PA 17701 240799343 HOLDING CO PA 501(C)(3) LINE 3 UPMC SUSQUEHANNA 0 SUSQUEHANNA PHYSICIAN SERVICES 1201 GRAMPIAN BOULEVARD WILLIAMSPORT PA 17701 232449454 PHYSICIAN SVC PA 501(C)(3) LINE 3 UPMC SUSQUEHANNA 0 SUSQUEHANNA HEALTH SYSTEM INNOVATION CTR 700 HIGH STREET WILLIAMSPORT PA 17701 471600873 SUPPORT SRV PA 501(C)(3) LINE 12A, I UPMC SUSQUEHANNA 0 SUSQUEHANNA HEALTH FOUNDATION 1100 GRAMPIAN BOULEVARD WILLIAMSPORT PA 17701 232743470 FOUNDATION PA 501(C)(3) LINE 12A, I UPMC SUSQUEHANNA 0 THE WILLIAMSPORT HOSPITAL 700 HIGH STREET WILLIAMSPORT PA 17701 240795508 HOSPITAL PA 501(C)(3) LINE 3 UPMC SUSQUEHANNA 0 LAUREL REALTY INC 32-36 CENTRAL AVENUE WELLSBORO PA 16901 231403678 REAL ESTATE PA 501(C)(2) N/A UPMC SUSQUEHANNA 0 LAUREL MANAGEMENT SERVICES INC 32-36 CENTRAL AVENUE WELLSBORO PA 16901 251644910 MANAGEMENT SVC PA 501(C)(3) LINE 12B, II UPMC SUSQUEHANNA 0 LAUREL HEALTH SYSTEM 32-36 CENTRAL AVENUE WELLSBORO PA 16901 240795488 SUPPORT SRV PA 501(C)(3) LINE 12B, II UPMC SUSQUEHANNA 0 SOLDIERS AND SAILORS MEMORIAL HOSPITAL 32-36 CENTRAL AVENUE WELLSBORO PA 16901 232176963 HOSPITAL PA 501(C)(3) LINE 3 UPMC SUSQUEHANNA 0 THE GREEN HOME 37 CENTRAL AVENUE WELLSBORO PA 16901 240804365 SKILLED NURSING PA 501(C)(3) LINE 10 UPMC SUSQUEHANNA 0 TIOGA HEALTH CARE PROVIDERS 1201 GRAMPIAN BOULEVARD WILLIAMSPORT PA 17701 251765538 HEALTHCARE PA 501(C)(3) LINE 12B, II UPMC SUSQUEHANNA 0 WILLIAMSPORT AREA AMBULANCE SERVICE COOP 700 HIGH STREET WILLIAMSPORT PA 17701 232416166 AMBULANCE SVC PA 501(C)(3) LINE 10 WILLIAM HOSPITAL 0 UPMC SUSQUEHANNA LOCK HAVEN 700 HIGH STREET WILLIAMSPORT PA 17701 821600494 HOSPITAL PA 501(C)(3) LINE 3 UPMC SUSQUEHANNA 0 UPMC SUSQUEHANNA SUNBURY 700 HIGH STREET WILLIAMSPORT PA 17701 821592230 HOSPITAL PA 501(C)(3) LINE 3 UPMC SUSQUEHANNA 0 UPMC 600 GRANT STREET PITTSBURGH PA 15219 251423657 SUPPORTING ORG PA 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HOWARD AVENUE ALTOONA PA 16601 251444935 MGMT SVCS PA N/A C 0 LEXINGTON HOLDINGS INC 620 HOWARD AVENUE ALTOONA PA 16601 251794386 HOLDING CO PA N/A C 0 LEXINGTON ONE INC 620 HOWARD AVENUE ALTOONA PA 16601 251468889 RENTAL PA N/A C 0 LEXINGTON TWO INC HOWARD AVENUE 7TH ST ALTOONA PA 16601 251555689 DME PA N/A C 0 LEXINGTON FOUR INC 620 HOWARD AVENUE ALTOONA PA 16601 251793736 HOLDING CO. DE N/A C 0 ALLEGHENY HEALTHCARE STAFFING INC 620 HOWARD AVENUE ALTOONA PA 16601 271657362 INACTIVE PA N/A C 0 UPMC ALTOONA REGIONAL HEALTH SERVICES 1414 9TH AVENUE ALTOONA PA 16602 251219302 PHYSICIAN SVC PA N/A C 0 LEXINGTON ANESTHESIA ASSOCIATES INC 620 HOWARD AVENUE ALTOONA PA 16601 251897765 PHYSICIAN SVC PA N/A C 0 NORTHERN CAMBRIA MEDICAL CENTER INC 620 HOWARD AVENUE ALTOONA PA 16601 251530860 INACTIVE PA N/A C 0 PATTON FAMILY MEDICAL CENTER INC 620 HOWARD AVENUE 5TH FLOOR ALTOONA PA 16601 251793735 INACTIVE PA N/A C 0 MEDCPU 100 WALL STREET SUITE 2202 NEW YORK NY 10005 383805381 SOFTWARE DEVELOPMENT DE N/A C 0 UPMC EXCESS PL TR 600 GRANT STREET PITTSBURGH PA 15219 826254351 TRUST PA N/A T 0 RXANTE INC 511 CONGRESS STREET 803 PORTLAND ME 04101 454040219 MEDICATION MGT DE N/A C 0 VINCENT PAYMENT SOLUTIONS INC BAKERY SQUARE 6425 PENN AVE STE 200 PITTSBURGH PA 15206 821101143 PAYMENT SYSTEM DE N/A C 0 J HEALTH VENTURES INC 1211 WILMINGTON AVENUE NEW CASTLE PA 16105 251607893 INACTIVE PA N/A C 0 JER MEDICAL ASSOCIATES INC 1211 WILMINGTON AVENUE NEW CASTLE PA 16105 251609398 INACTIVE PA N/A C 0 SUSQUEHANNA HEALTH SYSTEM INSURANCE NET PO BOX 1159 CAYMAN ISLANDS CJ INSURANCE CJ N/A C 0 SUSQUEHANNA VENTURES INC 1201 GRAMPIAN BOULEVARD WILLIAMSPORT PA 17701 232470623 PHARMACY PA N/A C 0 TYOGA CARENET 114 EAST AVENUE WELLSBORO PA 16901 251810967 INACTIVE PA N/A C 0 WCA SERVICE CORPORATION INC 207 FOOTE AVENUE JAMESTOWN NY 14701 161151438 SUPPORT NY N/A C 0 ITTCCO I INC 600 GRANT STREET PITTSBURGH PA 15219 822590699 INACTIVE DE N/A C 0 ITTCCO II INC 600 GRANT STREET PITTSBURGH PA 15219 822597388 INACTIVE DE N/A C 0 PINNACLE HEALTH CARDIOVASCULAR INSTITUTE 409 SOUTH SECOND STREET HARRISBURG PA 17104 320321362 PHYISICIAN SVC PA N/A C 0 HANOVER HEALTH CORPORATION 300 HIGHLAND AVENUE HANOVER PA 17331 900498067 HOLDING CO PA N/A C 0 HANOVER APOTHECARY INC 310 STOCK STREET SUITE 1 HANOVER PA 17331 030594526 PHARMACY PA N/A C 0 UNITED CENTRAL PA RECIPROCAL RISK RETENTION 76 SAINT PAUL STREET SUITE 500 BURLINGTON VT 05401 134224033 INSURANCE VT N/A C 0 PINNACLE HEALTH VENTURES INC 409 SOUTH SECOND STREET HARRISBURG PA 17104 611677624 HOLDING CO PA N/A C 0 PINNACLE HEALTH IMAGING INC 409 SOUTH SECOND STREET HARRISBURG PA 17104 231718571 IMAGING SVC PA N/A C 0 COLE CARE INC 1001 EAST 2ND STREET COUDERSPORT PA 16915 251497347 DME PA N/A C 0 UPMC ITALY HEALTH SERVICES SRL VIA DISCESA DEI GIUDICI 4 PALERMO IT HEALTH SVC IT N/A C 0 UPMC INVESTMENTS LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI HOLDING CO EI N/A C 0 UPMC PROPERTY LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI PROPERTY EI N/A C 0 UPMC PROPERTY II LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI PROPERTY EI N/A C 0 EURO CARE INFRASTRUCTURE LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI PROPERTY MGMT EI N/A C 0 EURO CARE PROPERTY MANAGEMENT LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI PROPERTY MGMT EI N/A C 0 EURO CARE HEALTHCARE LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI HOSPITAL EI N/A C 0 WATERFORD ONCOLOGY ASSOCIATES LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI ONCOLOGY SVC EI N/A C 0 UNITED HEALTH RISK LTD PO BOX HM 2450 HAMILTON BD INSURANCE BD N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 FORM 990, SCHEDULE R ENTITIES REPORTED IN PARTS I THROUGH IV THAT ARE MARKED WITH AN * ARE NOT TECHNICALLY "RELATED ORGANIZATIONS", AS DEFINED IN THE FORM 990 INSTRUCTIONS AS THE REQUISITE "CONTROL" DID NOT EXIST DURING THE FISCAL YEAR ENDED JUNE 30, 2018. HOWEVER, BECAUSE THESE ENTITIES ARE AFFILIATED WITH UPMC AND THE UPMC PARENT ORGANIZATION HOLDS CERTAIN POWERS WITH RESPECT TO SUCH ENTITIES WE ARE ELECTING TO DISCLOSE THE ENTITIES AS RELATED ORGANIZATIONS IN SCHEDULE R IN THE INTEREST OF TRANSPARENCY.