UPMC CHAUTAUQUA AT WCA: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: UPMC CHAUTAUQUA AT WCA (EIN 16-0743226)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-14
IRS object ID: 201843189349307419
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-14T14:16:13-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	454051133	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FREED MAXICK CPAS PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	424 MAIN STREET SUITE 800	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	142023508	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	160743226	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	UPMC	BusinessNameControlTxt
Phone	7164870141	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	207 FOOTE AVENUE / PO BOX 840	AddressLine1Txt
City	JAMESTOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	147020840	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BETSY WRIGHT	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	7164870141	PhoneNum
Signature	2018-11-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	THOMAS DALTON	PreparerPersonNm
PTIN	P00645802	PTIN
Phone	7168472651	PhoneNum
Preparation	2018-11-08	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

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

Field	Value	IRS element (for citing)
IP	2018-11-08	IPDt
IP Tm	14:38:28	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	BD9DBF3B709D6FCB55C207649C162E0C5C5ABA33	AtSubmissionCreationDeviceId
At Submission Filing Device Id	3D75A94DCDD9B76759A536468827E1965DE96104	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	BETSY WRIGHT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	207 FOOTE AVENUE / PO BOX 840	AddressLine1Txt
City	JAMESTOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	147020840	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$114,244,131	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UPMCCHAUTAUQUAWCA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1885	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	1249	TotalEmployeeCnt
Total Volunteers	104	TotalVolunteersCnt
Total Gross UBI	-$7,906	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$8,156	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,047,883	PYContributionsGrantsAmt
CY Contributions Grants	$2,179,603	CYContributionsGrantsAmt
PY Program Service Revenue	$82,489,751	PYProgramServiceRevenueAmt
CY Program Service Revenue	$89,105,226	CYProgramServiceRevenueAmt
PY Investment Income	-$429,289	PYInvestmentIncomeAmt
CY Investment Income	$31,734	CYInvestmentIncomeAmt
PY Other Revenue	$10,566,651	PYOtherRevenueAmt
CY Other Revenue	$11,292,655	CYOtherRevenueAmt
PY Total Revenue	$100,674,996	PYTotalRevenueAmt
CY Total Revenue	$102,609,218	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$54,691,914	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$53,541,791	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$140,182	CYTotalFundraisingExpenseAmt
PY Other Expenses	$45,474,868	PYOtherExpensesAmt
CY Other Expenses	$48,265,780	CYOtherExpensesAmt
PY Total Expenses	$100,166,782	PYTotalExpensesAmt
CY Total Expenses	$101,807,571	CYTotalExpensesAmt
PY Revenues Less Expenses	$508,214	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$801,647	CYRevenuesLessExpensesAmt
Total Assets BOY	$78,945,623	TotalAssetsBOYAmt
Total Assets EOY	$91,125,892	TotalAssetsEOYAmt
Total Liabilities BOY	$61,829,107	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$47,714,288	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$17,116,516	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$43,411,604	NetAssetsOrFundBalancesEOYAmt
Mission	TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE OF CHAUTAUQUA COUNTY AND THE SURROUNDING AREA IN A WAY THAT INCLUDES COMPASSION, DEDICATION, A COMMITMENT TO QUALITY AND PATIENT SAFETY WHILE MAINTAINING ECONOMIC VIABILITY AND A VISION FOR THE 21ST CENTURY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$73,720,852	ExpenseAmt
Revenue	$100,398,883	RevenueAmt
Desc	OPERATING A HOSPITAL TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE OF CHAUTAUQUA COUNTY AND THE SURROUNDING AREA. SEE SCHEDULE O FOR ADDITIONAL DETAILS.	Desc
Total Program Service Expenses	$73,720,852	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	156	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1249	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	BETSY WRIGHT	PersonNm
Phone	7166648300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	207 FOOTE AVENUE PO BOX 840	AddressLine1Txt
City	JAMESTOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	147020840	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
STEVEN KILBURN
CHAIR	2.00	Yes (X)	Yes (X)	$0	$0	$0
BRENDA IRELAND
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
MICHAEL SULLIVAN
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
DAVID GIBBONS
VICE CHAIR	40.00	Yes (X)	Yes (X)	$0	$690,305	$56,209
BRADLEY DINGER
TREASURER	40.00	Yes (X)	Yes (X)	$0	$176,766	$25,527
CRISTIE HERBST
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
CAMELIA HERISKO
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
EDWARD KARLOVICH
BOARD MEMBER	2.00	Yes (X)		$0	$1,226,411	$214,077
MARK RAIMY
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
DAVID RUSSELL
BOARD MEMBER	2.00	Yes (X)		$0	$391,130	$54,324
ANNA DIBBLE
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
WILLIAM GEARY MDPHD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
BETSY T WRIGHT
PRESIDENT/CEO	40.00		Yes (X)	$541,326	$0	$47,117
CECIL M MILLER III
SECRETARY/VP OF OPERATIONS	40.00		Yes (X)	$180,363	$0	$9,766
CHARLES NAZZARO
CFO	40.00		Yes (X)	$232,814	$0	$18,066
LORRAINE DIGGS
CNO, VP PATIENT CARE SERVICES	40.00		Yes (X)	$169,705	$0	$14,737
KEITH ROBINSON
COO	40.00		Yes (X)	$125,199	$0	$11,470
SRINIVAS BOMMIREDDIPALLI MD
HOSPITALIST	40.00			$350,346	$0	$10,814	Yes (X)
JONATHAN BLASIUS MD
MEDICAL DIRECTOR-HOSPITALI	40.00			$375,501	$0	$22,203	Yes (X)
GALO GRIJALVA MD
PHYSICIAN	40.00			$378,371	$0	$22,792	Yes (X)
THERESA PAGLIUCA MD
PHYSICIAN	40.00			$364,332	$0	$15,438	Yes (X)
MARK STEEHLER MD
PHYSICIAN	40.00			$422,148	$0	$19,503	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,140,105	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,484,612	TotReportableCompRltdOrgAmt
Total Other Compensation	$542,043	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	27	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDICAL SOLUTIONS
1010 N 102ND ST STE 300	OMAHA	NE	68114	NURSE STAFF SERVICES	$2,087,529
MEDICUS LLC
22 ROULSTON RD UNIT 5	WINDHAM	NH	03087	HOSPITALIST PHYSICAN SERVICES	$1,970,566
PREMIER ANESTHESIA OF NY PC
2655 NORTHWINDS PKWY	ALPHARETTA	GA	30009	ANESTHESIA PHYSICIAN SERVICES	$1,749,844
JAMESTOWN PSYCHIATRIC PC
305 E FAIRMOUNT AVENUE	LAKEWOOD	NY	14750	PSYCHIATRIC PHYSICIAN SERVICES	$1,052,628
LECHASE CONSTRUCTION
205 INDIGO CREEK DRIVE	ROCHESTER	NY	14626	CONSTRUCTION SERVICES	$961,475

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Related Organizations	$638,967	RelatedOrganizationsAmt
Government Grants	$1,276,000	GovernmentGrantsAmt
All Other Contributions	$264,636	AllOtherContributionsAmt
Total Contributions	$2,179,603	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
HOSPITAL REVENUE	621500	$88,639,154	$88,639,154
TRI-STATE REGIONAL ASSOCIATES	621500	$320,335	$320,335
31 SHERMAN INVESTORS	621500	$85,089	$85,089
CHAUTAUQUA INTEGRATED DELIVERY SY	621500	$68,554	$68,554
CHAUTAUQUA REGION ASSOC. MEDICAL	621500	-$7,906		-$7,906

Field	Value	IRS element (for citing)
Total Program Service Revenue	$89,105,226	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,734	TotalRevenueColumnAmt
Exclusion	$31,734	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$304,026	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$297,122	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$6,904	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,904	TotalRevenueColumnAmt
Exclusion	$6,904	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$21,126,868	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$11,337,791	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,789,077	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,789,077	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER MISCELLANEOUS REVENUE	900099	$715,753	$715,753
MEALS ON WHEELS	621990	$624,796	$624,796
TECHNOLOGY SCHOOL REVENUE	621990	$79,762	$79,762

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$76,363	TotalRevenueColumnAmt
Related Or Exempt Func Income	$76,363	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,496,674	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$102,609,218	TotalRevenueColumnAmt
Related Or Exempt Func Income	$100,398,883	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$7,906	UnrelatedBusinessRevenueAmt
Exclusion	$38,638	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,410,841	TotalAmt
Program Services	$1,098,787	ProgramServicesAmt
Management And General	$308,640	ManagementAndGeneralAmt
Fundraising	$3,414	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$43,881,740	TotalAmt
Program Services	$34,192,070	ProgramServicesAmt
Management And General	$9,583,443	ManagementAndGeneralAmt
Fundraising	$106,227	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$357,100	TotalAmt
Program Services	-$278,116	ProgramServicesAmt
Management And General	-$78,120	ManagementAndGeneralAmt
Fundraising	-$864	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,527,295	TotalAmt
Program Services	$4,304,753	ProgramServicesAmt
Management And General	$1,209,168	ManagementAndGeneralAmt
Fundraising	$13,374	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,079,015	TotalAmt
Program Services	$2,397,990	ProgramServicesAmt
Management And General	$673,575	ManagementAndGeneralAmt
Fundraising	$7,450	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$410,065	TotalAmt
Program Services	$55,350	ProgramServicesAmt
Management And General	$354,715	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$257,805	TotalAmt
Management And General	$257,805	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$108,960	TotalAmt
Management And General	$108,960	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,913,587	TotalAmt
Program Services	$3,810,123	ProgramServicesAmt
Management And General	$2,103,464	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$301,752	TotalAmt
Management And General	$294,328	ManagementAndGeneralAmt
Fundraising	$7,424	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,767,546	TotalAmt
Program Services	$3,364,211	ProgramServicesAmt
Management And General	$1,403,038	ManagementAndGeneralAmt
Fundraising	$297	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$588,929	TotalAmt
Management And General	$588,929	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,600,065	TotalAmt
Program Services	$1,915,700	ProgramServicesAmt
Management And General	$684,365	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$236,459	TotalAmt
Program Services	$77,677	ProgramServicesAmt
Management And General	$156,072	ManagementAndGeneralAmt
Fundraising	$2,710	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$654	TotalAmt
Management And General	$654	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,010,484	TotalAmt
Program Services	$2,383,182	ProgramServicesAmt
Management And General	$3,627,302	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$807,169	TotalAmt
Program Services	$807,169	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PHYSICAN FEES	$10,428,499	$10,034,316	$394,183
MEDICAL SUPPLIES	$6,246,129	$5,757,715	$488,414
OTHER	$5,224,441	$194,145	$5,030,146	$150
MAINTENANCE & REPAIRS	$2,137,570	$1,431,504	$706,066

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,225,666	TotalAmt
Program Services	$2,174,276	ProgramServicesAmt
Management And General	$51,390	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$101,807,571	TotalAmt
Program Services	$73,720,852	ProgramServicesAmt
Management And General	$27,946,537	ManagementAndGeneralAmt
Fundraising	$140,182	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,010,098	BOYAmt
EOY	$13,709,937	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,599,269	BOYAmt
EOY	$13,823,525	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,383,604	BOYAmt
EOY	$3,423,629	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,048,699	BOYAmt
EOY	$2,298,160	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$144,608,332	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$109,141,264	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$36,907,829	BOYAmt
EOY	$35,467,068	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,783,270	BOYAmt
EOY	$3,006,844	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$16,212,854	BOYAmt
EOY	$19,396,729	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$78,945,623	BOYAmt
EOY	$91,125,892	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,703,264	BOYAmt
EOY	$9,007,889	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$188,552	BOYAmt
EOY	$154,270	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$44,152	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$50,893,139	BOYAmt
EOY	$38,552,129	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$61,829,107	BOYAmt
EOY	$47,714,288	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,540,110	BOYAmt
EOY	$26,581,817	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,484,326	BOYAmt
EOY	$13,621,900	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,092,080	BOYAmt
EOY	$3,207,887	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$17,116,516	BOYAmt
EOY	$43,411,604	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$78,945,623	BOYAmt
EOY	$91,125,892	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$801,647	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$118,850	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$25,374,591	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,870,802	BeginningYearBalanceAmt
Contributions	$41,169	ContributionsAmt
Investment Earnings Or Losses	$817,403	InvestmentEarningsOrLossesAmt
Other Expenditures	$186,617	OtherExpendituresAmt
End Year Balance	$13,542,757	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,670,769	BeginningYearBalanceAmt
Contributions	$28,522	ContributionsAmt
Investment Earnings Or Losses	$2,378,655	InvestmentEarningsOrLossesAmt
Other Expenditures	$207,144	OtherExpendituresAmt
End Year Balance	$12,870,802	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.78580	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.21420	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,342,941	OtherCostOrOtherBasisAmt
Book Value	$1,342,941	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$53,201,263	OtherCostOrOtherBasisAmt
Depreciation	$36,146,581	DepreciationAmt
Book Value	$17,054,682	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,056,841	OtherCostOrOtherBasisAmt
Depreciation	$2,342,088	DepreciationAmt
Book Value	$714,753	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$84,572,593	OtherCostOrOtherBasisAmt
Depreciation	$70,652,595	DepreciationAmt
Book Value	$13,919,998	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,434,694	OtherCostOrOtherBasisAmt
Book Value	$2,434,694	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$35,467,068	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
CONTRIBUTIONS RECEIVABLE	$6,834
BENEFICIAL INTEREST IN NET ASSETS OF WCA FOUNDATION	$14,471,629
OTHER LONG TERM RECEIVABLE	$2,700,000
ESTIMATED AMOUNTS DUE FROM THIRD PARTY PAYORS	$818,266
INVESTMENT IN WCA SERVICES	$1,400,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$19,396,729	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS	$2,339,319
OTHER LONG TERM LIABILITY	$2,812,142
DUE TO EXEMPT PARENT	$33,400,668

Field	Value	IRS element (for citing)
Total Liability	$38,552,129	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE INCOME FROM THE ENDOWMENT FUND IS UNRESTRICTED AND ITS USES ARE DETERMINED BY THE BOARD.

PART X, LINE 2:

THE HOSPITAL IS A NOT-FOR PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE (THE "CODE"), AND ACCORDINGLY, IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH U.S. GAAP, WHICH REQUIRES THE RECOGNITION AND MEASUREMENT OF UNCERTAIN INCOME TAX POSITIONS THAT THE HOSPITAL HAS TAKEN OR EXPECTS TO TAKE IN THE HOSPITAL'S TAX RETURNS. THE HOSPITAL HAS NOT RECORDED ANY AMOUNTS RELATING TO UNCERTAIN TAX POSITIONS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$154,844	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$804	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$154,040	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,046,422	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,891,312	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,155,110	NetCommunityBenefitExpnsAmt
Total Expense	0.09970	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,201,266	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,892,116	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,309,150	NetCommunityBenefitExpnsAmt
Total Expense	0.10120	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$129,741	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$129,741	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$218,824	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,762	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$139,062	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$348,565	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,762	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$268,803	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,549,831	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,971,878	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,577,953	NetCommunityBenefitExpnsAmt
Total Expense	0.10390	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,324,584	BadDebtExpenseAmt
Bad Debt Expense Attributable	$176,556	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$30,051,755	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$30,527,567	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$475,812	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 WCA 31 SHERMAN LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	REAL ESTATE PROJECTS	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.00000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	207 FOOTE AVENUE / PO BOX 840	AddressLine1Txt
City	JAMESTOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	147020840	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.UPMCCHAUTAUQUAWCA.ORG	WebsiteAddressTxt
State License	10-65-60	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	Yes (1)	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.UPMCCHAUTAUQUAWCA.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.UPMC.COM	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.UPMCCHAUTAUQUAWCA.ORG / WWW.UPMC.COM	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.UPMCCHAUTAUQUAWCA.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.UPMCCHAUTAUQUAWCA.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.UPMCCHAUTAUQUAWCA.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
UPMC CHAUTAUQUA AT WCA	PART V, SECTION B, LINE 5: -CHAUTAUQUA COUNTY HEALTH AND HUMAN SERVICES-P2 OF WESTERN NY-POPULATION HEALTH COLLABORATION OF WNYTHE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY FOR THE ASSESSMENT AND IMPLEMENTATION, ORGANIZATION MEETING FACILITATION, DATA REVIEW AND PLANNING PROCESS, SURVEY DESIGN, DATA COMPILATION, REPORT WRITING, SOLICITED SURVEY RESPONSES, ASSISTED WITH COMMUNITY CONVERSATIONS AND REVIEW AND CRITIQUE OF PLAN.
UPMC CHAUTAUQUA AT WCA	PART V, SECTION B, LINE 6A: BROOKS MEMORIAL HOSPITAL, TLC HEALTH NETWORK, WESTFIELD MEMORIAL
UPMC CHAUTAUQUA AT WCA	PART V, SECTION B, LINE 6B: IMPLEMENTATION PARTNERS, BLACKWELL CHAPEL BABY CAFE, CATHOLIC CHARITIES - WIC, CC DEPT. OF MENTAL HYGIENE, DEPT. OF HEALTH AND HUMAN SERVICES, CHAUT.COUNTY HEALTH NETWORK, CHAUT.COUNTY MENTAL HEALTH ASSOCIATION, OFFICE FOR THE AGING, CCE - EAT SMART NY, CHAUTAUQUA ALCOHOL AND SUBSTANCE ABUSE COUNCIL, CHAUTAUQUA OPPORTUNITIES, INC., CHAUTAUQUA STRIDERS, COMMUNITY PARTNERS OF WNY, CORNELL COOPERATIVE EXTENSION OF CC, CC 2 BOCES, EVERGREEN HEALTH SERVICES, P2 OF WNY, TEENAGE EDUCATION AND MOTHERHOOD (TEAM) PROGRAM, THE CHAUTAUQUA CENTER, THE RESOURCE CENTER, UNITED WAY OF SOUTHERN CC, YWCA OF JAMESTOWN
UPMC CHAUTAUQUA AT WCA	PART V, SECTION B, LINE 2: UPMC CHAUTAUQUA AT WCA (FORMERLY KNOWN AS WOMENS CHRISTIAN ASSOCIATION HOSPITAL OR WCA) WAS ACQUIRED BY UPMC CHAUTAUQUA SERVICES, INC. ON DECEMBER 1, 2016. UPMC CHAUTAUQUA SERVICES, INC. IS A FEDERALLY TAX-EXEMPT ENTITY AND A SUBSIDIARY OF UPMC, A FEDERALLY TAX-EXEMPT ENTITY WHICH IS THE PARENT ENTITY OF A LARGE INTEGRATED HEALTHCARE FINANCING AND DELIVERY SYSTEM. UPMC CHAUTAUQUA AT WCA WAS FORMERLY AND HAS ALWAYS CONTINUED TO BE A FEDERALLY TAX EXEMPT ENTITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS AND IS COMPLIANT WITH ALL NECESSARY PROVISIONS OF THE INTERNAL REVENUE CODE PURSUANT TO ITS TAX-EXEMPT STATUS.
UPMC CHAUTAUQUA AT WCA	PART V, SECTION B, LINE 11: TO INVOLVE THE COMMUNITY IN OUR HEALTH ASSESSMENT AND IMPROVEMENT PLANNING EFFORTS, THE CCCHPT SOLICITED SURVEY RESPONSES FROM 1,353 COUNTY RESIDENTS AND HELD FOUR COMMUNITY CONVERSATIONS THAT ENGAGED APPROXIMATELY 200 INDIVIDUALS. A STAKEHOLDER MEETING, WHICH WAS ATTENDED BY 19 ORGANIZATIONS, WAS HELD TO SHARE OUR PLAN WITH COMMUNITY PARTNERS, AND ASK FOR FEEDBACK.PUBLIC INPUT AND SECONDARY HEALTH DATA FROM THE NYSDOH LED THE CHAUTAUQUA COUNTY COMMUNITY HEALTH PLANNING TEAM (CCCHPT) TO SELECT THE FOLLOWING PRIORITIES, FOCUS AREAS, AND DISPARITIES: THE FOLLOWING EVIDENCE-BASED INTERVENTIONS AND STRATEGIES AND THEIR CORRESPONDING PROCESS MEASURES (PM) WERE SELECTED DUE TO IDENTIFIED NEED AND AVAILABILITY OF RESOURCES. CHRONIC DISEASE PREVENTION -WORK WITH INSTITUTIONS TO IMPROVE NUTRITION STANDARDS FOR HEALTHY FOOD AND BEVERAGE PROCUREMENT. (PM: # OF HOSPITALS PROMOTING CHAUTAUQUA GROWN, # OF INSTITUTIONS ADOPTING OR MAINTAINING HEALTHY BEVERAGE OR VENDING POLICIES, # INSTITUTIONS SIGNED CHQ250 PLEDGES) -INCREASE THE NUMBER OF MUNICIPALITIES THAT HAVE AND IMPLEMENT COMPLETE STREETS POLICIES. (PM: # OF MUNICIPALITIES WITH POLICIES, # OF PEOPLE IMPACTED BY IMPROVEMENTS AND POLICIES) -INCREASE THE NUMBER OF SCHOOLS WITH COMPREHENSIVE AND STRONG LOCAL WELLNESS POLICIES. (PM: # OF SCHOOLS COMPLETING SCHOOL HEALTH INDEX AND ASCD ASSESSMENTS, # POLICIES CHANGED) -PROMOTE THE USE OF EVIDENCE-BASED INTERVENTIONS TO PREVENT OR MANAGE CHRONIC DISEASES. (PM: # OF PEOPLE WHO HAVE COMPLETED LIVING HEALTHY OR NDPP PROGRAMS, # TRAININGS AND # PEOPLE TRAINED IN HANDS-ONLY CPR, # PRACTICES WORKING TO MEET MILLION HEARTS BENCHMARKS) PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN -PROVIDE EVIDENCE-BASED HOME VISITING AND COMMUNITY HEALTH WORKER PROGRAM MODELS TO MOTHERS DURING AND AFTER PREGNANCY. (PM: # OF MOMS/BABIES IN PROGRAMS, # MOMS IN SMOKING CESSATION PROGRAMS) -WORK WITH HOSPITAL, MEDICAL, AND COMMUNITY PARTNERS TO IMPROVE POLICIES AND BREASTFEEDING (BF) SUPPORT FOR BF MOMS. (PM: # HOSPITALS WITH BF POLICIES AND WORKING W/NYS PROGRAM, # MOMS VISITED IN HOSPITAL, # DESIGNATED BF-FRIENDLY PRACTICES, # BF SUPPORT GROUPS) -ENCOURAGE EMPLOYERS TO IMPLEMENT BREASTFEEDING-FRIENDLY POLICIES AND PRACTICES. (PM:# EMPLOYERS TRAINED, # EMPLOYERS THAT MADE IMPROVEMENTS FOR BF MOMS) -WORK WITH COMMUNITY PARTNERS TO INCREASE ACCESS TO SEXUAL HEALTH EDUCATION AND BIRTH CONTROL METHODS. (PM: # HOSPITALS PROVIDING METHODS POST-DELIVERY, # COMMUNITY PARTNERS REFERRING CLIENTS TO OR PROVIDING BIRTH CONTROL METHODS TO HIGH-RISK WOMEN) PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE -WORK WITH CASAC AND CASAC'S HOPE CHAUTAUQUA COALITION TO ADDRESS PREVENTION, PRESCRIBER EDUCATION, AND ADOPT ENVIRONMENTAL STRATEGIES TO PREVENT DRUG USE. (PM: # PROVIDERS EDUCATED, # SCHOOLS USING PREVENTION PROGRAMS, # ENVIRONMENTAL STRATEGIES) -OFFER MENTAL HEALTH FIRST AID GATE KEEPER TRAINING IN COMMUNITY. (PM: # MHFA TRAININGS HELD, # PARTICIPANTS TRAINED) -IMPLEMENT SBIRT PROCESS IN MEDICAL FACILITIES. (PM: # MEDICAL PROVIDERS USING SBIRT)
UPMC CHAUTAUQUA AT WCA	PART V, SECTION B, LINE 13B: UPMC CHAUTAUQUA AT WCA RESERVES THE RIGHT TO REVIEW/APPROVE CASES WITH EXCESSIVE MEDICAL EXPENSES WHOSE FAMILY INCOME EXCEED 300% OF THE FPL, ON A CASE BY CASE BASIS.
UPMC CHAUTAUQUA AT WCA	PART V, SECTION B, LINE 20E: UPMC CHAUTAUQUA AT WCA DISCONTINUED ANY AND ALL ECAS THAT MAY HAVE BEEN FORMERLY IN PLACE.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	UPMC CHAUTAUQUA AT WCA USES A SLIDING FEE SCALE FOR PATIENTS WHO ARE ABOVE 200% OF THE FPL UP TO 300% ABOVE THE FPL. UPMC CHAUTAUQUA AT WCA USES A SLIDING FEE SCALE RANGING FROM 20%, 40%, 60%, 80% UP TO 100% TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. UPMC CHAUTAUQUA AT WCA RESERVES THE RIGHT TO REVIEW/APPROVE CASES WITH EXCESSIVE MEDICAL EXPENSES WHOSE FAMILY INCOME EXCEEDS 300% OF THE FPL, ON A CASE BY CASE BASIS.
PART I, LINE 7:	PATIENT CHARGE AND REIMBURSEMENT INFORMATION WAS OBTAINED FROM THE NYS ICR EXHIBIT 46 WHICH INCORPORATES ALL PATIENT SEGMENTS AND FINANCIAL CLASSES.THE RATIO OF PATIENT CARE COST TO CHARGES RATIO WAS DEVELOPED USING WORKSHEET 2. TOTAL AUDITED OPERATING EXPENSES EXCLUDED BAD DEBT AND WERE OFFSET BY NON-PATIENT CARE ACTIVITY REVENUE AND COMMUNITY BENEFIT EXPENSE. GROSS PATIENT CHARGES WERE OBTAINED FROM NYS ICR EXHIBIT 46.
PART I, LINE 6A	THE COMMUNITY SERVICE BENEFIT REPORT IS PREPARED INTERNALLY BY UPMC CHAUTAUQUA AT WCA. THIS REPORT IS FILED WITH NEW YORK STATE ON A PERIODIC BASIS. IT IS ALSO AVAILABLE ON THE UPMC CHAUTAUQUA AT WCA WEBSITE.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE IS PRESENTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL COLLECTIONS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. PATIENT ACCOUNTS RECEIVABLE ARE DUE 30 DAYS AFTER THE DATE OF DISCHARGE. RECEIVABLES PAST DUE MORE THAN 120 DAYS ARE GENERALLY WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT AND OTHER THIRD-PARTY PAYORS.
PART III, LINE 8:	MEDICARE REVENUE (INCLUDING DSH) WAS OBTAINED FROM THE ORGANIZATION'S MEDICARE PS&R. MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE ORGANIZATION'S MEDICARE COST REPORT. THERE WAS A SHORTFALL REPORTED: $30,051,755 - $30,527,567 = $475,812 SHORTFALL.IT IS UPMC CHAUTAUQUA AT WCA'S CONTENTION THAT ALL AMOUNTS CALCULATED TO BE SHORTFALLS IN REIMBURSEMENT FOR SERVICES PROVIDED TO MEDICARE PATIENTS ARE TRULY UNCOMPENSATED CARE THAT SHOULD BE STATED IN PART I LINE 7 OF SCHEDULE H OF FORM 990 AS THEY REPRESENT COSTS FOR PROVISION OF SERVICES TO PATIENTS FOR WHICH THE ENTITY IS UNABLE TO COLLECT, REGARDLESS OF THE EFFICIENCY OF PROVISION OF THE RELATED CARE COSTS
PART III, LINE 9B:	UPMC CHAUTAUQUA AT WCA HAS A DEBT COLLECTION POLICY OUTLINING COLLECTION PRACTICES FOR PATIENTS. IF AT ANY TIME THE PATIENT EXPRESSES AN INABILITY TO PAY, THEY ARE SENT A FINANCIAL ASSISTANCE APPLICATION. INFORMATION REGARDING FINANCIAL ASSISTANCE IS PRINTED ON ALL COLLECTION LETTERS. COLLECTIONS PER POLICY DO NOT APPLY TO ACCOUNT BALANCES KNOWN TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE.
PART III, LINE 2	THE BAD DEBT EXPENSE (AT COST) WAS CALCULATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES TO THE GROSS BAD DEBT.
PART III, LINE 3	THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS CALCULATED BY DEVELOPING AN AVERAGE COST PER CLAIM AND THEN MULTIPLYING THAT AVERAGE COST BY THE NUMBER OF INCOMPLETE OR DENIED CLAIMS.
PART VI, LINE 3:	COMMUNICATION OF THE CHARITY PROGRAM TO PATIENTS AND WITHIN THE COMMUNITY - THE AVAILABILITY OF CHARITY CARE WILL BE 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 WILL ALSO BE MADE AVAILABLE ON THE UPMC CHAUTAUQUA AT WCA WEBSITE AND AT OTHER WIDELY PUBLICIZED VENUES. UPMC CHAUTAUQUA AT WCA ALSO WILL PUBLISH AND WIDELY PUBLICIZE 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. 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, CATHOLIC HEALTH SYSTEM OF BUFFALO, 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 PEOPLE2. 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 SOURCESTHE 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 2016-2018 PREVENT CHRONIC DISEASE-OBESITY-DIABETES PROMOTE HEALTH AND SAFE ENVIRONMENT PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE PREVENT HIV/STDS, VACCINE-PREVENTABLE DISEASE AND HEALTHCARE ASSOCIATED INFECTIONSEVIDENCE BASED EDUCATION, AWARENESS AND OUTREACH PROGRAMS FOR 2017: NATIONAL DIABETES PREVENTION PROGRAM BABY AND ME TOBACCO FREE PROGRAM NATIONAL CANCER INSTITUTE-MAXIMIZING MAMMOGRAPHY PARTICIPATION AMERICAN CANCER SOCIETY LOOK GOOD FEEL BETTER "RETHINK YOUR DRINK" DECREASE CONSUMPTION OF SUGARY BEVERAGES PATIENT NAVIGATION IN CANCER CARE MILLION HEARTS PROGRAM
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID GIBBONS
VICE CHAIR	$0	$387,805	$0	$277,000	$0	$25,500	$0	$47,970	$0	$8,239	$0	$746,514	$0	$0
BRADLEY DINGER
TREASURER	$0	$158,213	$0	$18,000	$0	$553	$0	$8,432	$0	$17,095	$0	$202,293	$0	$0
EDWARD KARLOVICH
BOARD MEMBER	$0	$444,264	$0	$675,000	$0	$107,147	$0	$191,853	$0	$22,224	$0	$1,440,488	$0	$0
DAVID RUSSELL
BOARD MEMBER	$0	$222,773	$0	$165,000	$0	$3,357	$0	$49,447	$0	$4,877	$0	$445,454	$0	$0
BETSY T WRIGHT
PRESIDENT/CEO	$428,896	$0	$105,048	$0	$7,382	$0	$38,620	$0	$8,497	$0	$588,443	$0	$0	$0
CECIL M MILLER III
SECRETARY/VP OF OPERATIONS	$175,884	$0	$4,145	$0	$334	$0	$6,964	$0	$2,802	$0	$190,129	$0	$0	$0
CHARLES NAZZARO
CFO	$226,082	$0	$5,433	$0	$1,299	$0	$9,127	$0	$8,939	$0	$250,880	$0	$0	$0
LORRAINE DIGGS
CNO, VP PATIENT CARE SERVICES	$165,097	$0	$4,012	$0	$596	$0	$6,740	$0	$7,997	$0	$184,442	$0	$0	$0
SRINIVAS BOMMIREDDIPALLI MD
HOSPITALIST	$350,197	$0	$0	$0	$149	$0	$5,328	$0	$5,486	$0	$361,160	$0	$0	$0
JONATHAN BLASIUS MD
MEDICAL DIRECTOR-HOSPITALI	$374,947	$0	$0	$0	$554	$0	$13,492	$0	$8,711	$0	$397,704	$0	$0	$0
GALO GRIJALVA MD
PHYSICIAN	$377,927	$0	$0	$0	$444	$0	$13,006	$0	$9,786	$0	$401,163	$0	$0	$0
THERESA PAGLIUCA MD
PHYSICIAN	$363,905	$0	$0	$0	$427	$0	$12,530	$0	$2,908	$0	$379,770	$0	$0	$0
MARK STEEHLER MD
PHYSICIAN	$403,793	$0	$0	$0	$18,355	$0	$11,000	$0	$8,503	$0	$441,651	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 7	FormAndLineReferenceDesc
Explanation	UPMC PROVIDES INCENTIVE COMPENSATION AS PART OF ITS TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES. THIS COMPONENT IS BASED UPON THE ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES WHICH FOCUS ON THE ACHIEVEMENT OF MULTIPLE ANNUAL AND THREE YEAR INDIVIDUAL AND GROUP PERFORMANCE CRITERIA IN THE CONTEXT OF APPROPRIATE RISK TAKING. THESE CRITERIA DIRECTLY SUPPORT UPMC'S MISSION AND INCLUDE: PATIENT QUALITY AND SATISFACTION, COMMUNITY BENEFITS, OPERATIONAL AND FINANCIAL STRENGTH, LEADERSHIP DEVELOPMENT, AND STRATEGIC BUSINESS INITIATIVES AMONG OTHERS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	THE MISSION OF UPMC CHAUTAUQUA 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, A COMMITMENT TO QUALITY AND PATIENT SAFETY WHILE MAINTAINING ECONOMIC VIABILITY AND A VISION FOR THE 21ST CENTURY. OUR VISION IS TO BE THE FIRST CHOICE OF ALL STAKEHOLDERS WITH A COMMITMENT TO QUALITY, INDEPENDENCE, FISCAL INTEGRITY, INNOVATION, AND COLLABORATION. UPMC CHAUTAUQUA WCA IS A COMMUNITY HOSPITAL THAT PROVIDES ACUTE CARE SERVICES INCLUDING OBSTETRICS AND GYNECOLOGY, GENERAL SURGERY, ORTHOPEDICS, UROLOGY, PEDIATRICS, INTERNAL MEDICINE, CARDIOLOGY, NEUROLOGY, INTENSIVE CARE, INPATIENT ADULT ADOLESCENT MENTAL HEALTH AND CHEMICAL DEPENDENCY. UPMC CHAUTAUQUA WCA ALSO PROVIDES OUTPATIENT SERVICES INCLUDING LAB, RADIOLOGY, PRE-NATAL CARE, MENTAL HEALTH, CHEMICAL DEPENDENCY, RADIATION ONCOLOGY, DIABETIC EDUCATION AND OTHER SERVICES. UPMC CHAUTAUQUA WCA HAS CERTIFIED BEDS FOR THE FOLLOWING SERVICES AT 207 FOOTE AVENUE: CORONARY CARE, INTENSIVE CARE, MATERNITY, MEDICAL/SURGICAL, PEDIATRICS, PHYSICAL MEDICAL REHABILITATION, AND CHEMICAL DEPENDENCE. WE HAVE CERTIFIED BEDS AT UPMC CHAUTAUQUA WCA AT JONES MEMORIAL HEALTH CENTER FOR: PSYCHIATRIC SERVICES, ADOLESCENT MENTAL HEALTH, AND ADULT MENTAL HEALTH. UPMC CHAUTAUQUA WCA ALSO PROVIDES THE FOLLOWING CERTIFIED SERVICES: AMBULATORY SURGERY, AUDIOLOGY OP, CARDIAC CATHETERIZATION, CLINIC PART TIME SERVICES, MATERNITY, MEDICAL SOCIAL SERVICES, MEDICAL/SURGICAL, NUCLEAR MEDICINE, OUTPATIENT SURGERY, PEDIATRIC, PHARMACEUTICAL SERVICE, PRIMARY MEDICAL CARE OP, RADIOLOGY, OCCUPATIONAL OP, PHYSICAL OP, SPEECH LANGUAGE PATHOLOGY, AND LANGUAGE PATHOLOGY OP. THE MEDICAL STAFF INCLUDES OVER 200 CREDENTIALED PHYSICIANS IN THE FOLLOWING SPECIALTIES: ANESTHESIA, EMERGENCY MEDICINE, FAMILY PRACTICE, MEDICINE, OB/GYN, PEDIATRICS, PATHOLOGY, PSYCHIATRY, RADIOLOGY, RADIATION, SURGERY AND TELE-STROKE. UPMC CHAUTAUQUA WCA EMPLOYS 929 FULL TIME EQUIVALENT EMPLOYEES. UPMC CHAUTAUQUA WCA PROVIDES INPATIENT CARE AND HAS ANNUAL ADMISSIONS OF 7,600 AND 1,300 OBSERVATION CASES AND PROVIDES APPROXIMATELY 296,000 OUTPATIENT VISITS, WHICH INCLUDE APPROXIMATELY 400,000 OUTPATIENT PROCEDURES.
FORM 990, PART VI, SECTION A, LINE 1	ALL BOARD MEMBERS HAVE A VOTE EXCEPT THE PRESIDENT ELECT OF THE MEDICAL STAFF WHO IS A BOARD MEMBER WITHOUT VOTING RIGHTS.
FORM 990, PART VI, SECTION A, LINE 6	UPMC CHAUTAUQUA SERVICES INC. A NY STATE NON-PROFIT, FEDERALLY TAX EXEMPT ENTITY, IS AN ACTIVE PARENT HOLDING COMPANY WHICH IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	UPMC CHAUTAUQUA SERVICES, INC., THE PARENT ENTITY, ELECTS DIRECTORS OF THE GOVERNING BODY. UPMC HAMOT APPOINTS 6 OF THE 12 BOARD MEMBERS FROM AMONG REPRESENTATIVES OF UPMC AND UPMC HAMOT.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS OF THE GOVERNING BODY RELATIVE TO A MAJOR TRANSFER OF ASSETS ARE SUBJECT TO APPROVAL BY THE PARENT ENTITY, UPMC CHAUTAUQUA SERVICES, INC.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THE 990 IS REVIEWED BY MANAGEMENT AND IS MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	UPMC CHAUTAUQUA AT WCA REQUIRES KEY EMPLOYED AND NON-EMPLOYED PERSONNEL TO COMPLY WITH ITS CONFLICT OF INTEREST POLICIES WHEN THEY ENGAGE IN UPMC CHAUTAUQUA AT WCA-RELATED BUSINESS. PERSONS COVERED BY THE POLICIES INCLUDE: - UPMC CHAUTAUQUA AT WCA BOARD MEMBERS, BOARD COMMITTEE MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES - UPMC CHAUTAUQUA AT WCA PHYSICIANS AND NON-PHYSICIAN EMPLOYEES WHO HOLD A POSITION OF INFLUENCE IDENTIFIED NON-EMPLOYED MEMBERS OF THE UPMC CHAUTAUQUA AT WCA MEDICAL STAFF WHO HOLD A POSITION OF INFLUENCE OR TRUST-INDIVIDUALS CONDUCTING CLINICAL RESEARCH AT THE UPMC CHAUTAUQUA AT WCA, WHETHER OR NOT THEY ARE EMPLOYED BY UPMC CHAUTAUQUA AT WCA. THESE PEOPLE ARE REQUIRED TO COMPLETE A QUESTIONNAIRE AT LEAST ANNUALLY, WHICH ALONG WITH OTHER DATA IS USED TO IDENTIFY POSSIBLE INDIVIDUAL AND INSTITUTIONAL CONFLICTS OF INTEREST. IF A POTENTIAL CONFLICT IS IDENTIFIED REGARDING A SPECIFIC UPMC CHAUTAUQUA AT WCA ACTIVITY, THE CORPORATE COMPLIANCE DEPARTMENT, WITH THE ASSISTANCE OF THE LEGAL DEPARTMENT, EITHER DEVELOPS A WRITTEN PLAN DESIGNED TO PREVENT THE CONFLICT FROM INFLUENCING DECISIONS RELATED TO THAT ACTIVITY, OR REQUIRES THAT THE CONFLICTING RELATIONSHIP BE DIVESTED, AS APPROPRIATE. FOR EMPLOYED PERSONNEL AND NON-BOARD MEMBER, NON-EMPLOYED PERSONNEL, THE CONFLICT OF INTEREST IDENTIFICATION AND MANAGEMENT PROCESS IS ULTIMATELY OVERSEEN BY AN ETHICS AND COMPLIANCE COMMITTEE OF THE UPMC CHAUTAUQUA AT WCA BOARD OF DIRECTORS ON BEHALF OF UPMC CHAUTAUQUA AT WCA AND ALL OF ITS RELATED ENTITES. POTENTIAL CONFLICT OF INTEREST TRANSACTIONS INVOLVING UPMC CHAUTAUQUA AT WCA BOARD MEMBERS AND ENTITIES WITH WHICH THEY ARE AFFILIATED ARE MONITORED AND SUBJECT TO PRE-APPROVAL BY THE GOVERNANCE AND NOMINATING COMMITTEE OF THE UPMC CHAUTAUQUA AT WCA BOARD OF DIRECTORS. IN ADDITION TO THE GENERAL CORPORATE AND BOARD POLICIES DESCRIBED ABOVE, UPMC CHAUTAUQUA AT WCA HAS ALSO DEVELOPED AND IMPLEMENTED A SEPARATE TAX QUESTIONNAIRE DISTRIBUTED TO OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ANNUALLY THAT SPECIFICALLY ADDRESSES DISCLOSURE REQUIREMENTS OF FORM 990.
FORM 990, PART VI, SECTION B, LINE 15	UPMC CHAUTAUQUA ENGAGES AN INDEPENDENT FIRM TO EVALUATE THE COMPENSATION OF THE CEO AND THE CFO.
FORM 990, PART VI, SECTION C, LINE 19	THE CONFLICT ON INTEREST POLICY IS MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE PUBLISHED AND MADE AVAILABLE UPON REQUEST. IN ADDITION THE HOSPITAL PUBLISHES AN INFORMATIONAL BOOKLET CONTAINING AUDITED DATA THAT IS DISTRIBUTED THROUGH THE LOCAL NEWSPAPER AND IS AVAILABLE ON THE HOSPITAL WEBSITE.
FORM 990, PART VI, SECTION B, LINE 16B:	UPMC CHAUTAUQUA AT WCA HAS A FORMAL WRITTEN POLICY PERTAINING TO JOINT VENTURES BETWEEN UPMC CHAUTAUQUA AT WCA TAX-EXEMPT ENTITIES AND TAXABLE ENTITIES. THE POLICY EMPLOYS AN INTERNAL PROCEDURE FOR REVIEW OF ALL TRANSACTIONS INVOLVING POTENTIAL PARTICIPATION IN JOINT VENTURES AND SIMILAR ARRANGEMENTS TO ENSURE THAT SUCH ENTITIES OPERATE IN ACCORDANCE WITH APPLICABLE IRS POLICIES AND WITHIN UPMC CHAUTAUQUA AT WCA'S CHARITABLE PURPOSES.
FORM 990, PART XI, LINE 9:	CHANGE IN MINIMUM PENSION LIABILITY 23,417,554. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF W.C.A. FOUNDATION 1,849,944. BOOK TO TAX ADJUSTMENT - PARTNERSHIP INTERESTS 107,093.
FORM 990, PART XII, LINE 2C:	UPMC CHAUTAUQUA AT WCA'S FINANCIAL STATEMENTS ARE AUDITED ON BOTH A CONSOLIDATED AND SEPARATE BASIS. THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED AUDIT OF UPMC CHAUTAUQUA SERVICES INC. AND SUBSIDIARIES AS WELL AS THE CONSOLIDATED UPMC SYSTEM LEVEL AUDIT WHICH INCLUDES ALL UMPC TAXABLE AND TAX-EXEMPT SUBSIDIARIES OF UPMC. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	WCA 31 SHERMAN LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4 CENTRE DRIVE	AddressLine1Txt
City	ORCHARD PARK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14127	ZIPCd

Field	Value	IRS element (for citing)
EIN	454867695	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$814,834	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (52 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
WCA GROUP INC
PO BOX 840	JAMESTOWN	NY	147020840	222393582	INACTIVE SUBSIDIARY	NY	501(C)(3)	10	UPMC CHAUTAUQUA AT WCA	0
WCA FOUNDATION INC
PO BOX 214	JAMESTOWN	NY	147020214	222393584	PROMOTE/SUPPORT COMMUNITY HEALTH THROUGH SUPPORT OF WCA HOSP & AFFILIATE	NY	501(C)(3)	7	UPMC CHAUTAUQUA AT WCA	0
STARFLIGHT INC
PO BOX 840	JAMESTOWN	NY	147020840	161557878	MEDICAL AVIATION SERVICE SUBSIDIARY	NY	501(C)(3)	7	UPMC CHAUTAUQUA AT WCA	0
UPMC CHAUTAUQUA SERVICES INC
PO BOX 840	JAMESTOWN	NY	147020840	811253242	A PARENT HOLDING COMPANY	NY	501(C)(3)	11		0	N/A
UPMC SENIOR COMMUNITIES INC
600 GRANT STREET	PITTSBURGH	PA	15219	251574736	SR. LIVING	PA	501(C)(3)	10	UPMC	Yes (1)
PITTSBURGH LIFETIME CARE COMMUNITY
600 GRANT STREET	PITTSBURGH	PA	15219	251335247	CCRC	PA	501 (C) 3	10	UPMC SR COMM	Yes (1)
CANTERBURY PLACE
600 GRANT STREET	PITTSBURGH	PA	15219	250965334	SR. LIVING	PA	501 (C) 3	10	UPMC SR COMM	Yes (1)
SENECA PLACE
600 GRANT STREET	PITTSBURGH	PA	15219	721562844	SR. LIVING	PA	501 (C) 3	10	UPMC SR COMM	Yes (1)
SHADYSIDE HOSPITAL SUPPORTING FOUNDATION
600 GRANT STREET	PITTSBURGH	PA	15219	260303394	FOUNDATION	PA	501 (C) 3	12(A) I	UPMC	Yes (1)
UPMC LEE
600 GRANT STREET	PITTSBURGH	PA	15219	250613830	INACTIVE	PA	501 (C) 3	3	UPMC	Yes (1)
PITTSBURGH CARE PARTNERSHIP INC
600 GRANT STREET	PITTSBURGH	PA	15219	251753852	ADULTDAYCARE	PA	501 (C) 3	10	UPMC	Yes (1)
UPMC CENTER FOR HIGH VALUE HEALTHCARE
600 GRANT STREET	PITTSBURGH	PA	15219	452178782	RESEARCH	PA	501 (C) 3	7	UPMC	Yes (1)
SHADYSIDE HOSPITAL FOUNDATION
532 SOUTH AIKEN AVENUE	PITTSBURGH	PA	15232	251290546	FOUNDATION	PA	501 (C) 3	12 (C) III	UPMC PRESBY	Yes (1)
PASSAVANT HOSPITAL FOUNDATION
9100 BABCOCK BLVD	PITTSBURGH	PA	15237	251407815	FOUNDATION	PA	501 (C) 3	12 (B) II	UPMC PASSAVANT	Yes (1)
UPMC NORTHWEST FOUNDATION
100 FARFIELD DRIVE	SENECA	PA	16346	251483624	FOUNDATION	PA	501 (C) 3	12 (D) III	UPMC NORTHWEST	Yes (1)
ST MARGARET FOUNDATION
600 GRANT STREET	PITTSBURGH	PA	15219	251520340	FOUNDATION	PA	501 (C) 3	7	UPMC ST MARGARET	Yes (1)
CHILDREN'S HOSPITAL OF PITTSBURGH FND
600 GRANT STREET	PITTSBURGH	PA	15219	251865744	FOUNDATION	PA	501 (C) 3	7	UPMC CHP	Yes (1)
MAGEE-WOMEN RES INST AND FOUNDATION
600 GRANT STREET	PITTSBURGH	PA	15219	251462312	FOUNDATION	PA	501 (C) 3	7		0	N/A
UPMC KANE
4372 ROUTE 6	KANE	PA	16735	250998168	HOSPITAL	PA	501 (C) 3	3	UPMC HAMOT	Yes (1)
GREAT LAKES PHYSICIAN PRACTICE PC
600 GRANT STREET 58TH FLOOR	PITTSBURGH	PA	15219	464186362	PHYSICIANS	NY	501 (C) 3	3	REGNL HEALTH	Yes (1)
HAMOT HEALTH FOUNDATION
302 FRENCH ST	ERIE	PA	16507	251400999	FOUNDATION	PA	501 (C) 3	12 (B) II	UPMC HAMOT	Yes (1)
SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HA
1330 W 26TH ST	ERIE	PA	16508	251317492	BEHAVIORAL	PA	501 (C) 3	7	UPMC HAMOT	Yes (1)
CHILDREN'S ADVOCACY CENTER FOR LAWRENCE
1107 WILMINGTON AVE	NEW CASTLE	PA	16105	251581304	SUPPORT SYS	PA	501 (C) 3	7	UPMC JAMESON	Yes (1)
JAMESON HEALTHCARE FOUNDATION
1211 WILMINGTON AVE	NEW CASTLE	PA	16105	251536037	FOUNDATION	PA	501 (C) 3	12 (B) II	UPMC JAMESON	Yes (1)
JAMESON HEALTH SERVICES INC
1211 WILMINGTON AVE	NEW CASTLE	PA	16105	030486993	HEALTHCARE	PA	501 (C) 3	12 (B) II	UPMC JAMESON	Yes (1)
UPMC
600 GRANT STREET	PITTSBURGH	PA	15219	251423657	SUPPORTING ORG	PA	501 (C) 3	12 (C) III		Yes (1)	N/A
UPMC JAMESON
1211 WILMINGTON AVE	NEW CASTLE	PA	16105	250965406	HEALTHCARE	PA	501 (C) 3	3	UPMC	Yes (1)
UPMC JAMESON CANCER CENTER
600 GRANT STREET 58TH FLOOR	PITTSBURGH	PA	15219	201459415	ONCOLOGY SVC	PA	501 (C) 3	10	UPMC JAMESON	Yes (1)
JAMESON MEDICAL CARE INC
1211 WILMINGTON AVE	NEW CASTLE	PA	16105	260462696	HEALTHCARE	PA	501 (C) 3	10	UPMC JAMESON	Yes (1)
JAMESON CARE CENTER INC
1211 WILMINGTON AVE	NEW CASTLE	PA	16105	232871396	HEALTHCARE	PA	501 (C) 3	10	UPMC SR COMM	Yes (1)
UPMC SUSQUEHANNA
700 HIGH STREET	WILLIAMSPORT	PA	17701	232751183	HEALTHCARE	PA	501 (C) 3	3	UPMC	Yes (1)
MUNCY VALLEY HOSPITAL
215 EAST WATER STREET	MUNCY	PA	17756	240806023	HEALTHCARE	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
DIVINE PROVIDENCE HOSPITAL OF THE SISTER
1100 GRAMPAIN BOULEVARD	WILLIAMSPORT	PA	17701	240799343	HEALTHCARE	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
SUSQUEHANNA PHYSICIAN SERVICES
1201 GRAMPAIN BOULEVARD	WILLIAMSPORT	PA	17701	232449454	PHYSICIAN SVC	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
SUSQUEHANNA HEALTH SYSTEM INNOVATION CTR
700 HIGH STREET	WILLIAMSPORT	PA	17701	471600873	FUNDRAISING	PA	501 (C) 3	12(A) I	UPMC SUSQUEH	Yes (1)
SUSQUEHANNA HEALTH FOUNDATION
1100 GRAMPAIN BOULEVARD	WILLIAMSPORT	PA	17701	232743470	FUNDRAISING	PA	501 (C) 3	12(A) I	UPMC SUSQUEH	Yes (1)
THE WILLIAMSPORT HOSPITAL
700 HIGH STREET	WILLIAMSPORT	PA	17701	240795508	HOSPITAL	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
LAUREL REALTY INC
15 MEADE STREET NO U-6	WELLSBORO	PA	16901	231403678	RENTAL REAL E	PA	501 (C) 2	N/A	UPMC SUSQUEH	Yes (1)
LAUREL MANAGEMENT SERVICES INC
22 WALNUT STREET	WELLSBORO	PA	16901	251644910	MANAGEMENT SV	PA	501 (C) 3	12 (B) II	UPMC SUSQUEH	Yes (1)
LAUREL HEALTH SYSTEM
22 WALNUT STREET	WELLSBORO	PA	16901	240795488	HEALTHCARE	PA	501 (C) 3	12 (B) II	UPMC SUSQUEH	Yes (1)
SOLDIERS AND SAILORS MEMORIAL HOSPITAL
32-36 CENTRAL AVENUE	WELLSBORO	PA	16901	232176963	HEALTHCARE	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
THE GREEN HOME
37 CENTRAL AVENUE	WELLSBORO	PA	16901	240804365	ASSISTED LIVING	PA	501 (C) 3	10	UPMC SUSQUEH	Yes (1)
TIOGA HEALTH CARE PROVIDERS
22 WALNUT STREET	WELLSBORO	PA	16901	251765538	HEALTHCARE	PA	501 (C) 3	12 (B) II	UPMC SUSQUEH	Yes (1)
WILLIAMSPORT AREA AMBULANCE SERVICE COOP
700 HIGH STREET	WILLIAMSPORT	PA	17701	232416166	AMBULANCE SVC	PA	501 (C) 3	10	WILLIAM HOSP	Yes (1)
UPMC SUSQUEHANNA LOCK HAVEN
700 HIGH STREET	WILLIAMSPORT	PA	17701	821600494	HOSPITAL	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
UPMC SUSQUEHANNA SUNBURY
700 HIGH STREET	WILLIAMSPORT	PA	17701	821592230	HOSPITAL	PA	501 (C) 3	3	UPMC SUSQUEH	Yes (1)
SOUTH CENTRAL ALPHA HOUSING AND HEALTH
3410 W PITTSBURG ROAD	NEW CASTLE	PA	16101	251701701	SKILLED NURSING	PA	501 (C) 3	10	UPMC SR COMM	Yes (1)
SOUTH WESTERN ALPHA HOUSING AND HEALTH
745 GREENVILLE ROAD	MERCER	PA	16137	251701700	SKILLED NURSING	PA	501 (C) 3	10	UPMC SR COMM	Yes (1)
KANE COMMUNITY HOSPITAL FOUNDATION
4372 ROUTE 6	KANE	PA	16735	263906925	FOUNDATION	PA	501 (C) 3	7		0	N/A
JUNIOR GUILD OF THE JAMESON MEMORIAL HOS
1211 WILMINGTON AVENUE	NEW CASTLE	PA	16105	256005313	SUPPORT	PA	501 (C) 3	12 (D) III		0	N/A
LAUREL HEALTH FOUNDATION
15 MEADE STREET NO U-6	WELLSBORO	PA	16901	251810488	FOUNDATION	PA	501 (C) 3	12 (B) II		0	N/A
VENANGO VNA FOUNDATION
491 ALLEGHENY BOULEVARD	FRANKLIN	PA	16323	251472179	FOUNDATION	PA	501 (C) 3	12 (D) III		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	UBI Code VUBICodeVAmt	Direct Controlling NADirectControllingNACd
31 SHERMAN STREET INVESTORS LLC
4 CENTRE DRIVE	ORCHARD PARK	NY	14127	264629631	REAL ESTATE	NY	31 SHERMAN STREET LLC	UNRELATED	$97,547	$814,834	0	Yes (1)	0.50000
CHAUTAUQUA INTEGRATED DELIVERY SYSTEM IPA LLC
200 HARRISON STREET 2ND FLOOR	JAMESTOWN	NY	14701	161542139	INTEGRATED DELIVERY SYSTEM	NY	STAND ALONE	UNRELATED	$68,554		Yes (1)	0	0.37500	$1,016
SENECA HILLS ASSISTED LIVING LP
600 GRANT STREET	PITTSBURGH	PA	15219	232873106	ASSISTED LIVING	PA		N/A			0	0			N/A
ST MARGARET MEDICAL ARTS ASSOCIATION
600 GRANT STREET	PITTSBURGH	PA	15219	251786655	MED OFFICE BL	PA		N/A			0	0			N/A
CORE NETWORK LLC
600 GRANT STREET	PITTSBURGH	PA	15219	251786209	HEALTHCARE	PA		N/A			0	0			N/A
LIFE HOME CARE LP
600 GRANT STREET	PITTSBURGH	PA	15219	251847839	HOMECARE	PA		N/A			0	0			N/A
SHADYSIDE MEDICAL CENTER ASSOCIATES INC
600 GRANT STREET	PITTSBURGH	PA	15219	251608318	MED OFFICE BL	PA		N/A			0	0			N/A
CHARTWELL PA LP
600 GRANT STREET	PITTSBURGH	PA	15219	251729714	HOME HEALTH S	PA		N/A			0	0			N/A
LIFE CARE HOME SRV OF NW PA 25
1647 SASSAFRAS STREET	ERIE	PA	16501	251536879	HOME HEALTH S	PA		N/A			0	0			N/A
HAMOT-KCH REAL ESTATE VENTURE
300 STATE STREET	ERIE	PA	16507	263691782	MEDICAL OFFICE	PA		N/A			0	0			N/A
HAMOT SURGERY CENTER LLC
200 STATE STREET	ERIE	PA	16507	251863661	AMBULATORY	PA		N/A			0	0			N/A
EPN-HAMOT URGENT CARE LLC
600 GRANT STREET	PITTSBURGH	PA	15219	272147949	URGENT CARE	PA		N/A			0	0			N/A
MOUNTAIN VIEW MEDICAL ONCOLOGY
600 GRANT STREET	PITTSBURGH	PA	15219	461449241	HEALTHCARE	PA		N/A			0	0			N/A
LAWRENCE COUNTY MRI AND DIAGNOSTIC IMAGING CENTER LLC
2526 WILMINGTON AVENUE	NEW CASTLE	PA	16105	270219891	IMAGING CENTER	PA		N/A			0	0			N/A
COMMUNITY BASKET LLC
1205 GRAMPAIN BOULEVARD	WILLIAMSPORT	PA	17701	201195736	REAL ESTATE RENTAL	PA		N/A			0	0			N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (64 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
WCA SERVICES CORPORATION
28 MAPLE STREET	JAMESTOWN	NY	14701	161151438	PATIENT TRANSPORTATION & MEDICAL BILLING; SUBSIDIARY	NY	UPMC CHAUTAUQUA AT WCA	C	-$545,320	$5,820,750	1.00000	0
HC PHARMACY CENTRAL INC
600 GRANT STREET	PITTSBURGH	PA	15219	251364192	PHARMACY CO-O	PA		C				0
CHILDREN'S COMMUNITY CARE
600 GRANT STREET	PITTSBURGH	PA	15219	251781887	PEDIATRIC SVC	PA		C				0
UPMC CANCER CENTERS IRELAND LIMITED
					CANCER TREATMENT			C				0	6TH FLOOR BEACON HOSPITAL SANDYFORD	DUBLIN	EI	EI
UPMC PHYSICIAN SERVICES HOLDING COMPANY
600 GRANT STREET	PITTSBURGH	PA	15219	251877017	HOLDINGS CO	PA		C				0
HEMATOLODY ONCOLODY ASSOCIATION INC
600 GRANT STREET	PITTSBURGH	PA	15219	421648357	HEALTHCARE	PA		C				0
ONCOLOGY HEMATOLOGY ASSOCIATION INC
600 GRANT STREET	PITTSBURGH	PA	15219	251762980	HEALTHCARE	PA		C				0
TRI-STATE NEUROSURGICAL ASSOCIATES
600 GRANT STREET	PITTSBURGH	PA	15219	251458655	HEALTHCARE	PA		C				0
RENAISSANCE FAMILY PRACTICE - UPMC INC
600 GRANT STREET	PITTSBURGH	PA	15219	262942406	HEALTHCARE	PA		C				0
UPMC HOLDING COMPANY INC
600 GRANT STREET	PITTSBURGH	PA	15219	251777713	HOLDING CORP	PA		C				0
UPMC COVERAGE PRODUCTS INC
600 GRANT STREET	PITTSBURGH	PA	15219	251777710	HOLDING CORP	PA		C				0
FREEDOM INSURANCE COMPANY
600 GRANT STREET	PITTSBURGH	PA	15219	030308944	INSURANCE	VT		C				0
TRI-CENTURY INSURANCE CO
600 GRANT STREET	PITTSBURGH	PA	15219	251500739	INSURANCE	PA		C				0
UPMC DNA INC
600 GRANT STREET	PITTSBURGH	PA	15219	251883237	INSURANCE	PA		C				0
UPMC HEALTH BENEFITS INC
600 GRANT STREET	PITTSBURGH	PA	15219	251844144	HEALTH INSUR	PA		C				0
UPMC HEALTH NETWORK INC
600 GRANT STREET	PITTSBURGH	PA	15219	721527566	HEALTH INSUR	PA		C				0
UPMC HEALTH PLAN INC
600 GRANT STREET	PITTSBURGH	PA	15219	232813536	HEALTH INSUR	PA		C				0
UPMC BENEFIT MANAGEMENT SERVICES INC
600 GRANT STREET	PITTSBURGH	PA	15219	251769564	WORKERS' COMP	PA		C				0
UPMC DIVERSIFIED SERVICES INC
600 GRANT STREET	PITTSBURGH	PA	15219	251778454	HOLDING CORP	PA		C				0
MONROEVILLE SPECIALTY CLINIC
600 GRANT STREET	PITTSBURGH	PA	15219	251666087	HEALTHCARE	PA		C				0
MEDICAL ARCHIVAL SYSTEMS INC
600 GRANT STREET	PITTSBURGH	PA	15219	232912501	SOFTWARE DEVE	DE		C				0
PRESBY HEALTH RESOURCE MGMT
600 GRANT STREET	PITTSBURGH	PA	15219	251422155	HEALTHCARE	PA		C				0
RX PARTNERS INC
600 GRANT STREET	PITTSBURGH	PA	15219	251801966	RETAIL PHARM	PA		C				0
BIOTRONICS INC
600 GRANT STREET	PITTSBURGH	PA	15219	251843500	EQUIP MAINTEN	PA		C				0
MEDICAL CENTER PROPERTIES INC
600 GRANT STREET	PITTSBURGH	PA	15219	251796940	REAL ESTATE	PA		C				0
ASKESIS DEVELOPMENT GROUP INC
600 GRANT STREET	PITTSBURGH	PA	15219	541625585	SOFTWARE DEVE	DE		C				0
PANTHER REINSURANCE COMPANY LTD
				981402742	INSURANCE			C				0	PO BOX 1109	CAYMAN ISLANDS	CJ	CJ
FORBES REINSURANCE COMPANY LTD
				981700710	INSURANCE			C				0	PO BOX 1109	CAYMAN ISLANDS	CJ	CJ
CATHEDRAL (RE) INSUANCE CO
				981400837	INSURANCE			C				0	PO BOX 1109	CAYMAN ISLANDS	CJ	CJ
UPMC INTERNATIONAL HEALTH INITIATIVES
600 GRANT STREET	PITTSBURGH	PA	15219	841706741	INACTIVE	PA		C				0
UPMC IRELAND LIMITED
					HEALTHCARE SU			C				0	6TH FLOOR BEACON HOSPITAL SANDYFORD	DUBLIN	EI	EI
UPMC UNITED KINGDOM LTD
				980571026	SOFTWARE LICE			C				0	C/O NAIRCO 11TH FLOOR	BRISTOL	UK	UK
BAYFRONT REGIONAL DEVELOPMENT CORP
300 STATE STREET	ERIE	PA	16507	251401388	RE HOLDING CO	PA		C				0
BAYSIDE DEVELOPMENT CORP
300 STATE STREET	ERIE	PA	16507	251401386	REAL ESTATE/P	PA		C				0
UPMC WORK ALLIANCE INC
600 GRANT STREET	PITTSBURGH	PA	15219	452825053	INSURANCE	PA		C				0
UPMC CANADA TECHNOLOGIES LIMITED
600 GRANT STREET	PITTSBURGH	PA	15219		SOFTWARE	CA		C				0
ALLIED ORTHOPEDICS APPLIANCES INC
335 E 3RD ST	JAMESTOWN	NY	14701	161092951	MED APPLIANCE	NY		C				0
UPMC HEALTH COVERAGE INC
600 GRANT STREET	PITTSBURGH	PA	15219	462824537	INSURANCE	PA		C				0
UPMC HEALTH OPTIONS INC
600 GRANT STREET	PITTSBURGH	PA	15219	462824626	INSURANCE	PA		C				0
UPMC COMPLETE CARE INC
5215 CENTRE AVENUE	PITTSBURGH	PA	15232	463605753	HEALTHCARE	PA		C				0
AMERICAN HOME HEALTH SERVICES
868 CORPORATE WAY	WESTLAKE	OH	44145	311521422	HOME HEALTH CARE	OH		C				0
HEALTH FIDELITY INC
210 S B ST	SAN MATEO	CA	94401	452538963	TECHNOLOGY SV	CA		C				0
FLUENCE HEALTH INC
6425 PENN AVENUE	PITTSBURGH	PA	15206	472684174	SOFTWARE	DE		C				0
CURAVI HEALTH INC
6425 PENN AVENUE	PITTSBURGH	PA	15206	811217377	HEALTHCARE	DE		C				0
PENSIAMO INC
600 GRANT STREET	PITTSBURGH	PA	15219	812069236	SUPPLY CHAIN	DE		C				0
ALTOONA FAMILY INC
620 HOWARD AVENUE	ALTOONA	PA	16601	251444935	MGMT SVCS	PA		C				0
LEXINGTON HOLDINGS INC
620 HOWARD AVENUE	ALTOONA	PA	16601	251794386	MEDICAL SVCS	PA		C				0
LEXINGTON ONE INC
620 HOWARD AVENUE	ALTOONA	PA	16601	251468889	RENTAL	PA		C				0
LEXINGTON TWO INC
HOWARD AVENUE AND 7TH STREET	ALTOONA	PA	16601	251555689	RENTAL EQPT	PA		C				0
LEXINGTON FOUR INC
620 HOWARD AVENUE	ALTOONA	PA	16601	251793736	HOLDING CO	DE		C				0
ALLEGHENY HEALTHCARE STAFFING INC
620 HOWARD AVENUE	ALTOONA	PA	16601	271657362	EMPLOYMENT SV	PA		C				0
UPMC ALTOONA REGIONAL HEALTH SERVICES
1414 9TH AVENUE	ALTOONA	PA	16602	251219302	MEDICAL SVCS	PA		C				0
LEXINGTON ANESTHESIA ASSOCIATES INC
620 HOWARD AVENUE	ALTOONA	PA	16601	251897765	MEDICAL SVCS	PA		C				0
NOTHERN CAMBRIA MEDICAL CENTER INC
620 HOWARD AVENUE	ALTOONA	PA	16601	251530860	MEDICAL SVCS	PA		C				0
PATTON FAMILY MEDICAL CENTER INC
620 HOWARD AVENUE	ALTOONA	PA	16601	251793735	MEDICAL SVCS	PA		C				0
MEDCPU
100 WALL STREET	NEW YORK	NY	10005	383805381	SOFTWARE DEVE	DE		C				0
UPMC EXCESS PL TRUST
600 GRANT STREET	PITTSBURGH	PA	15219	826254351	TRUST	PA		T				0
RXANTE INC
511 CONGRESS STREET 803	PORTLAND	ME	04101	454040219	MEDICATION MGT	DE		C				0
VINCENT PAYMENT SOLUTIONS INC
BAKERY SQUARE 6425 PENN AVENUE	PITTSBURGH	PA	15206	821101143	PAYMENT SYSTEM	DE		C				0
J HEALTH VENTURES INC
1211 WILIMINGTON AVENUE	NEW CASTLE	PA	16105	251607893	INACTIVE	PA		C				0
JER MEDICAL ASSOCIATES INC
1211 WILIMINGTON AVENUE	NEW CASTLE	PA	16105	251609398	INACTIVE	PA		C				0
SUSQUEHANNA HEALTH SYSTEM INSURANCE NET
					INSURANCE			C				0	PO BOX 1159	CAYMAN ISLANDS	CJ	CJ
SUSQUEHANNA VENTURES INC
1201 GRAMPAIN BOULEVARD	WILLIAMSPORT	PA	17701	232470623	PHARMACY	PA		C				0
TYOGA CARENET
114 EAST AVENUE	WELLSBORO	PA	16901	251810967	INTEGRATE HEALTHC	PA		C				0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
WCA FOUNDATION INC
C	$252,984
WCA SERVICES CORPORATION
O	$1,072
WCA SERVICES CORPORATION
P	$768,631
WCA SERVICES CORPORATION
Q	$26,517
WCA FOUNDATION INC
L	$58,046
WCA SERVICES CORPORATION
C	$10,690
WCA SERVICES CORPORATION
D	$34,510