UPMC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: UPMC (EIN 23-2176963)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-15
IRS object ID: 201821359349302967
Schema version: 2016v3.0
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-15T10:11:43-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E St Louis Street Suite 200	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	232176963	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Soldiers and Sailors Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SOLD	BusinessNameControlTxt
Phone	5707230605	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	32-36 Central Avenue No Acctg	AddressLine1Txt
City	Wellsboro	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16901	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Eric D Pohjala	PersonNm
Person Title	Executive Vice President / CFO	PersonTitleTxt
Phone	5703213175	PhoneNum
Signature	2018-05-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian D Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Steven P Johnson	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 High Street	AddressLine1Txt
City	Williamsport	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16901	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$73,215,758	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	upmcsusquehanna.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1919	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	Soldiers & Sailors Memorial Hospital (SSMH) is a 50 bed, critical access hospital, primarily serving Tioga and surrounding counties. SSMH provides a full range of outpatient, inpatient and emergency services.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	535	TotalEmployeeCnt
Total Volunteers	65	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$175,809	PYContributionsGrantsAmt
CY Contributions Grants	$26,046	CYContributionsGrantsAmt
PY Program Service Revenue	$66,821,206	PYProgramServiceRevenueAmt
CY Program Service Revenue	$71,932,539	CYProgramServiceRevenueAmt
PY Investment Income	$185,871	PYInvestmentIncomeAmt
CY Investment Income	$117,624	CYInvestmentIncomeAmt
PY Other Revenue	$359,362	PYOtherRevenueAmt
CY Other Revenue	$552,462	CYOtherRevenueAmt
PY Total Revenue	$67,542,248	PYTotalRevenueAmt
CY Total Revenue	$72,628,671	CYTotalRevenueAmt
PY Grants And Similar Paid	$14,845	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,675	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$29,994,636	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$26,207,312	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$32,494,822	PYOtherExpensesAmt
CY Other Expenses	$35,013,948	CYOtherExpensesAmt
PY Total Expenses	$62,504,303	PYTotalExpensesAmt
CY Total Expenses	$61,228,935	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,037,945	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$11,399,736	CYRevenuesLessExpensesAmt
Total Assets BOY	$164,178,815	TotalAssetsBOYAmt
Total Assets EOY	$221,856,558	TotalAssetsEOYAmt
Total Liabilities BOY	$117,731,570	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$149,727,441	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$46,447,245	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$72,129,117	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Soldiers & Sailors Memorial Hospital is a subsidiary of UPMC Susquehanna. The mission of UPMC Susquehanna and its affiliates is as follows: To extend God's healing love by improving the health of those we serve. Our Vision is to create an integrated community health system that delivers world class care. Our values are to carefully place our patients and their families first, share ownership with all our caregivers and lead with a servant's heart.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$53,426,906	ExpenseAmt
Grant	$7,675	GrantAmt
Revenue	$71,934,116	RevenueAmt
Desc	The hospital is an 50 bed critical access hospital, which provides care to patients who meet certain criteria without charge or at amounts less than its established rates. The hospital does not pursue collection of amounts determined to qualify as charity care, nor are such amounts reported as revenue. The charity care charges foregone amounted to $964,555 in 2017. The following is a summary of the services provided to patients in 2017;Inpatient admissions 1,760Outpatient visits 98,431Newborn deliveries 215Emergency department visits 16,787Surgeries performed 7,667Laboratory tests 244,606CAT Scans 6,548Ultrasound tests 7,388Radiology tests 20,041MRI tests 1,825Nuclear Medicine tests 838Rehab 27,375Oncology Procedures 2,381During 2017 Medicare and Medical Assistance charges accounted for 68% of the hospital's total charges.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	SSMH treats all patients without regard to their ability to pay. In addition, the Hospital treats Medicare and Medical Assistance patients and maintains a Medicare/Medical Assistance policy that provides patients enrolled in such programs with access to all covered inpatient, outpatient and diagnostic services that are available to non-Medicare/Medical Assistance patients.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	On an annual basis, SSMH devotes a portion of its revenue and assets to community program services. The following reflects the breakout of $16,296,000 in quantifiable community benefits reported for FY 2017. Charity care (at cost) $269,000; Bad Debt (at cost) $4,736,000; Government-sponsored health care (unpaid cost of Medicare, Medicaid, indigent care programs, and other safety net programs) $10,726,000. In addition, various other programs such as Community Building, Community Wellness and recreation, Financial and InKind Contributions and Community Benefit Operations totaling $565,000.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$53,426,906	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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	0	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	0	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	0	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	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	535	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Eric Pohjala	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5703213175	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 High Street	AddressLine1Txt
City	Williamsport	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17701	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Lisa V Feil Psy D
Director	0.33	1.67	Yes (X)	$0	$0	$0
Robert PFitzgerald
Director	0.33	1.67	Yes (X)	$0	$0	$0
Harold F Hoose III
Director	0.33	1.67	Yes (X)	$0	$0	$0
Michael W Lichty
Director	0.33	1.67	Yes (X)	$0	$0	$0
JDennis Murray PhD
Director	0.33	13.67	Yes (X)	$0	$0	$0
Thomas M Owlett Esq
Chairman	0.33	13.67	Yes (X)	$0	$0	$0	Yes (X)
Glenn BPoirier
Vice Chairman	0.33	13.67	Yes (X)	$0	$0	$0	Yes (X)
Wendy SSwartz CPA
Director	0.33	1.67	Yes (X)	$0	$0	$0
Aneurin J Williams Jr
Director	0.33	1.67	Yes (X)	$0	$0	$0
Donna R Wilson
Director	0.33	1.67	Yes (X)	$0	$0	$0
Kathy J Wright PhD
Secretary	0.33	3.67	Yes (X)	$0	$0	$0	Yes (X)
Jill ABurns MD
Director	0.33	49.67	Yes (X)	$0	$259,810	$33,044
Walter J Laibinis DO
Director	0.33	43.67	Yes (X)	$0	$414,730	$30,151
Steven P Johnson
President/CEO	0.33	49.67	Yes (X)	$0	$960,096	$33,271	Yes (X)
Janie M Hilfiger
VP/President	40.00	2.00		$186,187	$0	$18,391	Yes (X)
Eric Pohjala
Executive VP/CFO	2.00	42.00		$0	$430,438	$32,395	Yes (X)
Jan E Fisher
Executive VP/COO	0.33	43.67		$0	$551,981	$31,238		Yes (X)
David Lopatofsky MD
Executive VP/CMO	2.00	40.00		$0	$593,514	$37,048		Yes (X)
Enrico Doganiero
Physician	40.00	0.00		$494,371	$0	$36,494			Yes (X)
Leonard Dale
Physician	40.00	0.00		$150,581	$0	$12,674			Yes (X)
Craig Konzen
Pharmacist	40.00	0.00		$137,864	$0	$28,849			Yes (X)
Candy Klotz
Pharmacist	40.00	0.00		$142,476	$0	$6,760			Yes (X)
Stephen Bortz
Supervisor Chief Pharmacist	40.00	0.00		$141,307	$0	$13,937			Yes (X)
Ronald J Butler
Former Exec VP/CBO (retire	0.00	0.00		$0	$335,670	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,252,786	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,546,239	TotReportableCompRltdOrgAmt
Total Other Compensation	$314,252	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	20	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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
The Williamsport Hospital
700 High Street	Williamsport	PA	17701	Management Services	$3,771,449
Aramark Healthcare
24863 Network Place	Chicago	IL	60673	Management Services/Environmental	$3,148,043
Nightrays PA
PO Box 204367	Dallas	TX	75320	Interpretation services	$261,154
Laboratory Corp of America
PO Box 12140	Burlington	NC	27216	Lab testing	$168,557
Williamsport Pathology Associates
700 High Street	Williamsport	PA	17701	Medical Director services	$147,343

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Government Grants	$19,944	GovernmentGrantsAmt
All Other Contributions	$6,102	AllOtherContributionsAmt
Total Contributions	$26,046	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient service revenue	621990	$69,714,252	$69,714,252
Employee Pharmacy revenue	446110	$790,331	$790,331
Paramedic revenue	621910	$554,929	$554,929
Electronic Health Incentives	621990	$330,066	$330,066
Other Miscellaneous income	621990	$297,390	$297,390

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$245,571	TotalRevenueColumnAmt
Related Or Exempt Func Income	$245,571	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$71,932,539	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$50,901	TotalRevenueColumnAmt
Exclusion	$50,901	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$550,885	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$550,885	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$550,885	TotalRevenueColumnAmt
Exclusion	$550,885	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$646,241	SecuritiesAmt
Other	$7,569	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$581,511	SecuritiesAmt
Other	$5,576	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$64,730	SecuritiesAmt
Other	$1,993	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,723	TotalRevenueColumnAmt
Exclusion	$66,723	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	990T refund FY2014	Desc
Business	900099	BusinessCd
Total Revenue Column	$1,577	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,577	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,577	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,628,671	TotalRevenueColumnAmt
Related Or Exempt Func Income	$71,934,116	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$668,509	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$7,675	TotalAmt
Program Services	$7,675	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,252,786	TotalAmt
Program Services	$1,066,599	ProgramServicesAmt
Management And General	$186,187	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$19,185,795	TotalAmt
Program Services	$16,564,762	ProgramServicesAmt
Management And General	$2,621,033	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$527,737	TotalAmt
Program Services	$453,854	ProgramServicesAmt
Management And General	$73,883	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,781,695	TotalAmt
Program Services	$3,252,258	ProgramServicesAmt
Management And General	$529,437	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,459,299	TotalAmt
Program Services	$1,254,997	ProgramServicesAmt
Management And General	$204,302	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,771,449	TotalAmt
Management And General	$3,771,449	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,634	TotalAmt
Management And General	$2,634	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,850	TotalAmt
Management And General	$1,850	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,813	TotalAmt
Management And General	$3,813	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,386,908	TotalAmt
Program Services	$7,260,739	ProgramServicesAmt
Management And General	$126,169	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$75,922	TotalAmt
Program Services	$50,462	ProgramServicesAmt
Management And General	$25,460	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,357,639	TotalAmt
Program Services	$1,324,428	ProgramServicesAmt
Management And General	$33,211	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$87,608	TotalAmt
Program Services	$87,608	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$804,047	TotalAmt
Program Services	$800,682	ProgramServicesAmt
Management And General	$3,365	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$156,823	TotalAmt
Program Services	$151,906	ProgramServicesAmt
Management And General	$4,917	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$81,625	TotalAmt
Program Services	$76,774	ProgramServicesAmt
Management And General	$4,851	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$701,688	TotalAmt
Program Services	$701,687	ProgramServicesAmt
Management And General	$1	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,991,453	TotalAmt
Program Services	$3,991,453	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$539,551	TotalAmt
Program Services	$539,551	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies and Dr	$7,800,216	$7,800,216
Bad Debt Expenses	$4,736,112	$4,736,112
Repairs and Maintenance	$1,712,225	$1,675,843	$36,382
Food services	$527,586	$437,739	$89,847

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,274,799	TotalAmt
Program Services	$1,191,561	ProgramServicesAmt
Management And General	$83,238	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$61,228,935	TotalAmt
Program Services	$53,426,906	ProgramServicesAmt
Management And General	$7,802,029	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,284,889	BOYAmt
EOY	$6,393,504	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$53,478	BOYAmt
EOY	$34,558	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,072,693	BOYAmt
EOY	$7,621,953	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$623,862	BOYAmt
EOY	$867,555	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,104,901	BOYAmt
EOY	$684,327	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$384,786	BOYAmt
EOY	$171,922	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$95,002,774	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$52,894,997	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$43,688,287	BOYAmt
EOY	$42,107,777	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$71,100	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$110,894,819	BOYAmt
EOY	$163,974,962	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$164,178,815	BOYAmt
EOY	$221,856,558	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,845,740	BOYAmt
EOY	$10,446,129	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,347,079	BOYAmt
EOY	$2,349,399	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$348,656	BOYAmt
EOY	$257,624	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$84,190,095	BOYAmt
EOY	$136,674,289	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$117,731,570	BOYAmt
EOY	$149,727,441	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$46,262,929	BOYAmt
EOY	$71,903,101	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$184,316	BOYAmt
EOY	$226,016	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$46,447,245	BOYAmt
EOY	$72,129,117	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$164,178,815	BOYAmt
EOY	$221,856,558	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$11,399,736	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$89,641	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$14,192,495	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$4,448	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$4,448	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1 Lobbying Activities:	FormAndLineReferenceDesc
Explanation	Line 1 f: The Hospital holds a membership in the American Hospital Association (AHA) which engages in lobbying as part of their mission to represent the interests of hospitals at both the Federal and State levels. For the year ended June 30, 2017,the amount of dues paid to AHA totaled $20,422, of which 21.78% or $4,448, was used for lobbying purposes.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,331,789	OtherCostOrOtherBasisAmt
Book Value	$1,331,789	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$50,263,047	OtherCostOrOtherBasisAmt
Depreciation	$18,914,270	DepreciationAmt
Book Value	$31,348,777	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$113,336	OtherCostOrOtherBasisAmt
Depreciation	$104,114	DepreciationAmt
Book Value	$9,222	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,137,860	OtherCostOrOtherBasisAmt
Depreciation	$32,353,290	DepreciationAmt
Book Value	$7,784,570	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,156,742	OtherCostOrOtherBasisAmt
Depreciation	$1,523,323	DepreciationAmt
Book Value	$1,633,419	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$42,107,777	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	Due from Affiliates	Desc
Book Value	$163,974,962	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$163,974,962	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Due to Other Affiliates	$136,013,968
Estimated amounts due to third-party payers	$660,321

Field	Value	IRS element (for citing)
Total Liability	$136,674,289	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2:	FormAndLineReferenceDesc
Explanation	UPMC has no uncertain tax positions recorded. Tax benefits are recognized when it is more likely than not that a tax position will be sustained upon examination by the tax authorities based on the technical merits of the position. Such tax positions are measured as the largest amount of tax benefit that is greater than 50% likely to be realized upon ultimate settlement with the tax authorities assuming full knowledge of the position and all relevant facts. As of June 30, 2017, UPMC does not have any unrecorded tax benefits. An external audit is completed at a consolidated UPMC system level only, including UPMC and all taxable and tax-exempt subsidiaries.	ExplanationTxt

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
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$263,324	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$263,324	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,415,985	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,098,674	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,317,311	NetCommunityBenefitExpnsAmt
Total Expense	0.05870	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,679,309	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,098,674	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,580,635	NetCommunityBenefitExpnsAmt
Total Expense	0.06340	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,679,309	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,098,674	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,580,635	NetCommunityBenefitExpnsAmt
Total Expense	0.06340	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,930	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,930	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$533,898	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$533,898	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$564,828	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$564,828	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,736,112	BadDebtExpenseAmt
Bad Debt Expense Attributable	$236,806	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$5,032,094	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$5,662,056	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$629,962	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
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	Soldiers & Sailors Memorial Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	32-36 Central Avenue	AddressLine1Txt
City	Wellsboro	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16901	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.upmcsusquehannahealth.org	WebsiteAddressTxt
State License	390043	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Soldiers & Sailors Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Page 7	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Page 7	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	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Page 7	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Page 7	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Page 7	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
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Soldiers & Sailors Memorial Hospital	Part V, Section B, Line 5: In conducting its CHNA, the hospital took into account input from representatives of the community served, including those with special knowledge of or expertise in public health. This was accomplished by conducting 9 Key Informant interviews with 55 people answering the key informant interview. A web-based tool was utilized to conduct the key informant interviews; however, paper questionnaires identical to the electronic version were distributed to populations who may not have had access to the internet or generally are more likely to complete a paper questionnaire. For more details concerning the Key Informant Interview Process or the Community Health Input Questionnaire process, including a list of those individuals interviewed, a copy of the Community Health Input Questionnaire, and results gathered you may view the CHNA and related Implementation Plan at www.upmcsusquehanna.org/community health.
Soldiers & Sailors Memorial Hospital	Part V, Section B, Line 6a: Soldiers and Sailors Memorial Hospital; located in Wellsboro, PA is one of four hospitals that comprise UPMC Susquehanna based in Williamsport, Pennsylvania. For purposes of conducting CHNA's, three of these hospitals, The Williamsport Hospital (DBA:Williamsport Regional Medical Center), Divine Providence Hospital, and Muncy Hospital, share the same definition of community served, which is Lycoming County, PA. The fourth hospital that is part of UPMC Susquehanna is Soldiers and Sailors Memorial Hospital located in Wellsboro, PA and their defined community is Tioga County, PA. The health systems' approach to providing community benefits is to leverage the assets and expertise of all four hospitals to meet the needs and improve the health status of those who reside in the communities located in Lycoming and Tioga counties. Accordingly, a certain amount of collaboration between these related hospitals occurred in the development of their CHNA's and related Implementation Plans. For more details concerning these four hospitals, as well as their definition of community served you may view the CHNA and related Implementation Plans at www.upmcsusquehanna.org/community health.
Soldiers & Sailors Memorial Hospital	Part V, Section B, Line 11: Health needs were identified based on information gathered and analyzed through the 2016 CHNA conducted by the Health System. For the health needs prioritization process, the Health System engaged a hospital leadership team to review the most significant health needs reported in the CHNA using the following criteria, 1) Current area of hospital focus. 2) Established relationships with community partners to address the health need. 3) Organizational capacity and existing infrastructure to address the health need. Based on the criteria outlined above, the leadership team ranked each of the health needs. As a result of the priority process, the identified priority areas that will be addressed through the Health System's Implementation Strategy for fiscal years 2017 through 2019 will be: Priority 1:Improve access to primary and specialty services.Goal 1: Work with Tioga County Partnership for Community Health on Improvement of transportation for healthcare services. Update as of 7/7/2017: Tioga County Partnership for Community Health received a block grant for transportation which SSMH is using for patients discharged from the Emergency Department and inpatient units, to transport to home at no cost to the patient.Goal 2: Explore non-traditional strategies to provide access to care. Update as of 7/7/2017: Susquehanna Health Internal Medicine office has opened same day appointments to accommodate urgent needs. Laurel Health Center administration is exploring urgent care concept at the Mansfield Laurel Health Center. Visiting specialists from Lycoming provide Cardiology and ENT at Wellsboro and Cardiology, Sports Medicine and Rheumatology at Mansfield.Goal 3: Explore telehealth opportunities and innovative ways to deliver care. Update as of 7/7/2017: the following at now available at SSMH: teleburn, telestroke, telepsychiatry, and teleneurology. A UPMC Susquehanna telehealth committee has been formed.Priority 2: Bring in addiction services and/or task forces to Tioga County.Goal 1: Authorize Implementation of prescription drug monitoring program system wide. Goal 2: Collaborate with Tioga County to share best practices. Update as of 7/7/2017:SSMH actions-Review and reduce Rx when feasible, standardize narcotic formulations, OB task force setup and add ER case managers. Physician offices- monitor of prescribing patterns. County Wide-Project Bald Eagle/Tioga Coalition first mtg 4/27/17, drug drop boxes, National Guard education programs.Priority 3: Collaborate with community organizations on health and wellness initiatives. Goal 1: Promote routine cancer screenings for breast, colon and cervical cancer. Update as of 7/7/2017: Susan G Komen grant received to cover mammograms for the uninsured. Free screening for melanoma provided by Susquehanna Surgical at Wellsboro in May and September. Expansion of mammography to the Mansfield Medical Plaza. Implementation of breast health nurse navigator program in Wellsboro.Goal 2: Collaborate with the PA Department of Health and Tioga County Partnership for Community Health to establish more health screeeings and community events. Update as of 7/7/2017: Community health programs offered throughout the year to include newborn immunization program through SSMH and Tioga Partnership.Goal 3: Continue to partner with River Valley Regional YMCA and Wellsboro Parks and Recreation Department to support health and wellness programs for both children and adults. Update as of 7/7/2017: YMCA offers a variety of programs for youth. The UPMC Wellness program provides a multitude of activities to promote a healthy lifestyle.Goal 4: Continue to grow and expand Spirit of Women program. Update as of 7/7/2017: Multiple programs provided throughout the year by the Spirit of Women program.Priority 4: Support mental health serviceGoal 1: Increase access to behavorial health specialists. Update as of 7/7/2017: Telehealth available at SSMH and pediatric behavorial health through the Penn State telehealth program available at Wellsboro Behavorial Health Office.Priority 5: Support transportation options to healthcare for rural areas.Goal 1: Work with Tioga County Partnership for Community Health on improvement of transportation for healthcare services. Update as of 7/7/2017: Tioga County Partnership received a grant for transportaion which SSMH is using for patients discharged from the ER and inpatient units, to transport to home at no cost to the patient.Goal 2 : Bring routine wellness screenings and programs to rural Tioga areas. Update as of 7/7/2017: PA Department of health no longer employs an RN to assist with programs. UPMC SSMH and Tioga Partnership continue to offer routine Wellness screenings and programs, such as CMBA (community multi-phasic blood analysis).
Soldiers & Sailors Memorial Hospital	Part V, Section B, Line 16j: Other Method Brochure
Part V, Line 7a	https://www.susquehannahealth.org/in-the-community/community-health-nee ds- assessments
Part V, line 10a	https://www.susquehannahealth.org/in-the-community/community-health-nee ds- assessments
Part V, line 16a FAP website	https://www.susquehannahealth.org/patients-visitors/for-patients/billin g- insurance/financial-assistance-program
Part V, Line 16B, FAP application website	https://www.susquehannahealth.org/patients-visitors/for-patients/billin g- insurance/financial-assistance-program.
Part V, line 16c, FAP plain language summary website	https://www.susquehannahealth.org/patients-visitors/for-patients/billin g- insurance/financial-assistance-program.
Part V, line 16i	There are no groups with limited English proficiency that exceed IRC Section 501(r) thresholds. However, language translations of the financial assistance policy and related documents are available by request at the financial counseling department of the hospital.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a:	The community benefit report is prepared on a system wide basis under UPMC Susquehanna.
Part I, Line 7:	Part I Line 7 Column (F): The Bad Debt expense included on Form 990, Part IX, Line 25 (A) but subtracted for purposes of calculating the percentage in this column is $4,736,112.
Part I, Line 7g:	Soldiers & Sailors Memorial Hospital has various subsidized services which are included within the Medicare and Medical Assistance unreimbursed costs.
Part II, Community Building Activities:	Soldiers & Sailors Memorial Hospital participates in community building through various means such as making parts of the building (conference rooms cafeteria, etc) available for public meetings, blood drives, CPR classes, expectant parent classes, and EMS education among others. The hospital has a large group of volunteers from the community who donate time to assist the organization providing care and well being to the community it serves. For fiscal year 2017, SSMH had 65 volunteers donate approximately 7841 hours of their time.
Part III, Line 2:	Bad Debt expense consists of the actual bad debts written off, plus a reserve calculation based on a progressive percentage for self pay and other non-contract accounts receivable aging categories. This figure is the amount of bad debt in the audited financial statements.
Part III, Line 3:	An estimate of 5% is used based on looking at patients that were in bad debt status and eventually through the annual bad debt sale, determined they did not have the resources to pay and were really charity care costs.
Part III, Line 4:	The System reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The System provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the System bills third-party payers directly and bills the patient when the patient's liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account.
Part III, Line 8:	The Medicare cost report uses a cost per day for the routine service costs times the number of Medicare days. Ancillary costs are calculated based on the cost to charge ratio by department. The Medicare cost report does not capture all charges and reimbursements provided to the facility under Medicare. For the fiscal year ended June 30, 2017, the facility had approximately $5 million in Medicare charges provided at a cost of approximately $6 million. This resulted in a $1 million shortfall for the fiscal year.Serving patients with government health benefits, such as Medicare, is a component of the community benefit standard that tax-exempt hospitals are held to. This implies that serving Medicare patients is a community benefit and that the hospital operates to promote the health of the community.
Part III, Line 9b:	UPMC Susquehanna will provide financial assistance under the Financial Assistance Program for patients that require medically necessary services during the period in which family income and financial resources meets the defined guidelines, and after all other payment resources have been exhausted. The UPMC Susquehanna Financial Assistance Program is always the coverage of the last resort.Eligible services include inpatient and outpatient hospital services which are medically necessary and are provided directly by UPMC Susquehanna (Hospitals and Susquehanna Physician Services) or by employees of UPMC Susquehanna for the treatment of an illness or injury.All payer resources must be exhausted. Pennsylvania Medical Assistance screening must be completed for all considered individuals. All other payment arrangements must be explored. The income guidelines source is the annual poverty income published in the Federal Register by the Department of Health and Human Services. The federal poverty guidelines are used to determine three tiers of UPMC Susquehanna Financial Assistance Program eligibility. Income guidelines are updated annually according to federal poverty guideline updates. Family income must be at or below the eligibility guidelines for program consideration.It is the responsibility for the patient or guarantor to initiate the UPMC Susquehanna Financial Assistance Program by applying.
Part VI, Line 2:	The Health System engaged BKD, LLP to conduct a formal CHNA. BKD, LLP is one of the largest CPA and advisory firms in the United States, with approximately 2,000 partners and employees in 34 offices. BKD serves more than 900 hospitals and health care systems across the country. The CHNA was conducted from February 2016 to June 2016.The following steps were conducted as part of the Health System's CHNA 1) An evaluation of the impact of actions taken to address the significant health needs identified in the tax year 2012 CHNA was completed to understand the effectiveness of the Health System's current strategies and programs. 2) The "community" served by the Health System was defined by utilizing inpatient data regarding patient origin. This process is further described in the Community Served by the Health System. 3) Population demographics and socioeconomic characteristics of the community were gathered and reported utilizing various third parties. The health status of the community was then reviewed. Information on the leading causes of death and morbidity information was analyzed in conjunction with health outcomes and factors reported for the community by the Center for Disease Control and Prevention (Community Health Status Indicators). Health factors with significant opportunity for improvement were noted. 4) Community input was provided through nine key stakeholder meetings and a community health survey. Results and findings are described in the Community Input Key Stakeholder Interviews and Survey section of the CHNA at www.upmcsusquehanna.org/community health. 5) Information gathered in the above steps was analyzed and reviewed to identify health issues of uninsured persons, low income persons and minority groups and the community as a whole. Health needs were ranked utilizing a weighing method that weighs the size of the problem, the seriousness of the problem, the impact of the issues on vulnerable populations, the prevalence of common themes, how important the issue is to the community, and how the issue aligns with the Hospital's strategic plan. 6) An inventory of health care facilities and other community resources potentially available to address the significant health needs identified through the CHNA was prepared and collaborative efforts were identified. Health needs were then prioritized taking into account the perceived degree of influence the Health System has to impact the need and the health needs impact on overall health for the community.To help see the implementation plan come to fruition an implementation team has been formed which is comprised of various individuals from community organizations throughout Lycoming and Tioga counties. Such partnered organizations include Lycoming County Health Improvement Coalition, Tioga County Partnership for Community Health, River Valley YMCA, Project Bald Eagle, STEP, YWCA, PA Department of Health , just to name a few.
Part VI, Line 3:	UPMC Susquehanna will provide financial assistance under the Financial Assistance Program for patients that require medically necessary services during the period in which family income and financial resources meets the defined guidelines, and after all other payment resources have been exhausted. The UPMC Susquehanna Financial Assistance Program is always the coverage of last resort.The UPMC Susquehanna Financial Assistance Program is an income/assets based package designed to meet the healthcare financial needs of eligible individuals and households who receive medically necessary inpatient or outpatient services from TWH, DPH, MVH, or SSMH. The first hospital claim sent to guarantors of uninsured accounts will include a statement briefly explaining the availability and contacts for referral to the Financial Assistance program. Subsequent guarantor billings also reference the availability of the Financial Assistance program.It is the responsibility for the patient or guarantor to initiate the UPMC Susquehanna Financial Assistance Program by applying. It is the responsibility of the UPMC Susquehanna Finance personnel to administrate the program according to the policy.
Part VI, Line 4:	The organization serves Tioga County and surrounding areas. Tioga County is located in rural North Central Pennsylvania and has a population 41,981 as of the 2010 census. The median household income was $44,187 with 15.3 percent of the residents below two times the Federal Poverty level.
Part VI, Line 5:	The hospitals of UPMC Susquehanna all have entity specific boards that are composed of persons who reside in Lycoming and Tioga Counties.In addition to this UPMC Susquehanna extends medical staff privileges to all qualified physicians in the county in all areas of primary and specialty care according to the UPMC Susquehanna Medical Staff Bylaws. Bylaws excerpts pertaining to this area are as follows:3.1) Nature of Membership - Medical Staff membership is available to qualified physicians, dentists, maxillofacial/oral surgeons, and podiatrists and confers both responsibilities and prerogatives, but only as provided in these Bylaws. No physician, dentist, or podiatrist, including those employed by or otherwise under contract with the Hospital(s), may admit a patient or independently provide patient care services in the Hospital(s) unless he is a Medical Staff member with applicable clinical privileges pursuant to these Bylaws. A member shall have only those clinical privileges, including admitting privileges, as have been granted in accordance with these Bylaws.3.2) Qualifications - No individual shall be considered eligible for appointment or reappointment to the Medical Staff unless he meets each of the following required qualifications/criteria. If any change in personal or professional status occurs which would inhibit practitioner's ability to effectively meet the obligations for patient care and Medical Staff membership under these Bylaws, the practitioner shall immediately notify the Medical Director.3.2-1) Professional Licensure Qualification - A member must be a physician, dentist, or podiatrist and must be duly licensed to practice in the Commonwealth of Pennsylvania.3.2-2) Clinical Privileges Qualification - A Member of the Medical Staff must have clinical privileges(or in the case of a new applicant, is granted privileges at the time of the appointment), except those appointed to the Emeritus Staff or as otherwise specified in these Bylaws. 3.2-3) Professional Competence - A member must demonstrate sufficient professional education, training, experience, competence, and good judgement to perform Medical Staff responsibilities and clinical privileges requested.3.2-4) Health Status - A member must have sufficient physical and mental health to perform Medical Staff responsibilities and exercise clinical privileges requested.3.2-5) Basic Responsibilities - A member must discharge the basic responsibilities of Medical Staff membership noted in 3.3-2.3.2-6) Board Certification Requirement - All practitioners who are current staff members at UPMC Susquehanna as of 7/1/10 and who have met prior qualifications for membership shall be exempt from board certification requirements.3.2-7) Standing with Federal Payors - A member must not be excluded from participation in federally funded programs such as Medicare and Medicaid.3.2-8) Waiver - The Board Certification requirement described in 3.2-6 may be waived under very special circumstances in which an applicant for Medical Staff membership is capable of providing specific unique expertise presently not available or insufficiently available on the Medical Staff which will fulfill an unmet medical need in the community. Such waiver may be granted by the Board(s) only upon recommendation of the Department Chairman, Credentials Committee, and the Medical Executive Committee (MEC).3.2-9) Prohibited Criteria - Medical Staff membership or assignment to a Medical Staff category shall not be denied, terminated, revoked, suspended, modified or otherwise restricted based upon:(a) Gender, race, creed, color, national origin, handicap, or disability, if the individual is otherwise qualified under these Bylaws, or(b) Economic considerations as the sole or primary criterion, or (c) Any criterion not set forth as a required qualification in these Bylaws, or(d) Any other criterion lacking professional or ethical justification.3.2-10) Effect of Other Affiliations - No individual shall be granted Medical Staff membership or be assigned to any Medical Staff category merely because he:(a) Holds a certain degree,(b) Is licensed to practice in the Commonwealth of Pennsylvania or any other state,(c) Is a member of any professional organization,(d) Is certified by any Clinical Board,(e) Had, or presently has, Medical Staff membership or clinical privileges at another health care facility,(f) Is employed by or is otherwise under contract with the Hospital(s) or,(g) Is employed by or otherwise practices with a group composed of one or more Medical Staff members.The volunteer program at UPMC Susquehanna supports the services at our 4 campuses, SSMH, MVH, DPH and TWH as well as our Life Center located within the River Valley Regional YMCA in Williamsport, PA. Volunteers ranging in age from 14, assist staff and patients in almost every department. The volunteers come from Tioga and surrounding counties to support our services. They provide over 65,000 hours of service in both office, customer service and patient care areas to support our service partners. They become ambassadors for the hospital, make new friends, financially support the hospital, become involved in the auxiliary, remain active members of society, often stay healthier longer, enjoy the camaraderie with staff and other volunteers, serve on hospital committees, recruit other volunteers, increase their volunteer hours and offer constructive suggestions for improvement. Volunteers are recruited through fairs, internet information and on-line applications, volunteer referrals and presentations to groups. They are a highly regarded, integral part of our operational support system.
Part VI, Line 6:	Soldiers and Sailors Memorial Hospital (SSMH) is one of four hospitals which are part of UPMC Susquehanna. The mission of UPMC Susquehanna is to promote health by acting as the parent of a nonprofit health system in North Central Pennsylvania and by raising funds and otherwise supporting the system.SSMH is a critical access hospital providing diagnostic and treatment facilities, educational and training programs and a rehabilitation facility.Divine Providence Hospital (DVH) is a specialty hospital that offers inpatient psychiatric services and a wide array of outpatient hospital services, as well as, home health and hospice services.Muncy Valley Hospital (MVH) is a critical access hospital, primarily serving Lycoming and surrounding counties. MVH also provides a full range of outpatient and emergency services, as well as, operates a long-term care facility. The Williamsport Hosital (TWH)is an acute care community hospital providing diagnostic and treatment facilities, educational and training programs, and a rehabilitation facility.The hospitals treat Medicare and Medical Assistance patients and maintains a Medicare/Medical Assistance policy that provides patients enrolled in such programs with access to all covered inpatient, outpatient and diagnostic services that are available to non-Medicare/Medical Assistance patients.The community benefit report is prepared on a system-wide basis under UPMC Susquehanna. On an annual basis, UPMC Susquehanna devotes a portion of its revenue and assets to community program services. The following reflects the breakout of $98,755,622 in quantifiable community benefits reported for FY 2017: Charity Care (at cost) $1,629,207; Bad Debts (at cost) $7,909,280; Government sponsored health care (unpaid cost of Medicare, Medicaid, indigent care programs, SCHIP and other safety net programs)$81,482,454. In addition, various other programs such as Research, Health Professions Education, Community Building, Financial and In-Kind contributions, and Community Benefit Operations totaling $7,734,681.
Part VI, Line 7, Reports Filed With States	PA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990 Part IV	FormAndLineReferenceDesc
Explanation	There were no grants of $5,000 or more to any domestic organization or domestic government reported on Part IX Line 1.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (1)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	Yes (1)	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	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
Jill ABurns MD
Director	$0	$224,371	$0	$34,600	$0	$839	$0	$9,950	$0	$23,094	$0	$292,854	$0	$0
Walter J Laibinis DO
Director	$0	$229,365	$0	$173,818	$0	$11,547	$0	$9,950	$0	$20,201	$0	$444,881	$0	$0
Steven P Johnson
President/CEO	$0	$703,292	$0	$226,453	$0	$30,351	$0	$13,925	$0	$19,346	$0	$993,367	$0	$0
Janie M Hilfiger
VP/President	$160,329	$0	$21,609	$0	$4,249	$0	$7,416	$0	$10,975	$0	$204,578	$0	$0	$0
Eric Pohjala
Executive VP/CFO	$0	$362,196	$0	$66,436	$0	$1,806	$0	$9,950	$0	$22,445	$0	$462,833	$0	$0
Jan E Fisher
Executive VP/COO	$0	$401,814	$0	$138,186	$0	$11,981	$0	$9,950	$0	$21,288	$0	$583,219	$0	$0
David Lopatofsky MD
Executive VP/CMO	$0	$425,773	$0	$141,731	$0	$26,010	$0	$11,275	$0	$25,773	$0	$630,562	$0	$0
Enrico Doganiero
Physician	$492,565	$0	$0	$0	$1,806	$0	$9,950	$0	$26,544	$0	$530,865	$0	$0	$0
Leonard Dale
Physician	$150,581	$0	$0	$0	$0	$0	$6,517	$0	$6,157	$0	$163,255	$0	$0	$0
Craig Konzen
Pharmacist	$135,097	$0	$692	$0	$2,075	$0	$6,224	$0	$22,625	$0	$166,713	$0	$0	$0
Candy Klotz
Pharmacist	$141,858	$0	$555	$0	$63	$0	$6,272	$0	$488	$0	$149,236	$0	$0	$0
Stephen Bortz
Supervisor Chief Pharmacist	$140,728	$0	$475	$0	$104	$0	$6,267	$0	$7,670	$0	$155,244	$0	$0	$0
Ronald J Butler
Former Exec VP/CBO (retire	$0	$0	$0	$0	$0	$335,670	$0	$0	$0	$0	$0	$335,670	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 4a	Ronald J. Butler, Former Executive VP/CBO retired on 4/15/15. His entire reportable compensation, $335,670 paid by a related organization, is a severance payment.
Form 990 Part 1 Line 3	Explanation: The Williamsport Hospital EIN# 24-0795508, a related organization, uses the following resources to establish the compensation of the top management officials; compensation committee, independent compensation consultant, written employment contract, compensation survey or study and approval by the Board.
Form 990 Part 1 Line 7	In order for the Leadership Team to participate in the annual Variable Compensation Incentive Program (VCIP) a minimum operating margin must be achieved for the most recently completed year on a consolidated system-wide basis. Individual goals and objectives related to the VCIP may also include individual entity operating performance. For FY 2017, the minimum threshold was met that would trigger a VCIP payment. In September 2016, President/CEO Steven P Johnson received variable compensation award in the amount of $226,453.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, line 3	On November 10, 2016, Soldiers & Sailors Memorial Hospital changed its status from a Acute Care Hospital to a Critical Access Hospital.
Form 990, Part VI, Section A, line 6	UPMC Susquehanna is the sole member of the governing body.
Form 990, Part VI, Section A, line 7a	UPMC Susquehanna may elect or remove members of the governing body.
Form 990, Part VI, Section A, line 7b	All the business and affairs of the corporation shall be managed and controlled by the Board of Directors, subject to the oversight of the sole Member of the management and operation of the corporation, except that the following powers are reserved exclusively to the sole Member of the corporation, and no attempted exercise of any such powers by anyone other than the sole Member shall be valid of any force or effort whatsoever. The sole Member shall exercise its power through its Board of Directors. The sole Member shall have the exclusive authority to exercise the following powers: A.)To approve the appointment and removal of the President of the corporation subject to all applicable provisions of the Creation agreement. B.) To elect and remove, with or without cause, a Director of the corporation. C.) To establish the overall policy and long range plans of the corporation, determine or change the mission of the corporation, approve the programs and services of the corporation and the termination of any programs or services of the corporation, monitor and maintain the philosophy, goals and purposes for which the corporation was formed and exists, subject to and in accordance with the provisions of the Creation agreement. D.) To adopt, amend or repeal the Articles of Incorporation or these Bylaws. E.) To establish requirements for a unified budget, the approval of new capital debt, any increment to any existing capital debt, and/or any change in capital debt obligations of the corporation. F.) To establish requirements for the approval of the acquisition, purchase, sale, leasing outside the ordinary course of business, transfer outside the ordinary course of business or encumbrance outside the ordinary course of business of land or buildings and the construction or demolition of buildings owned by the corporation. G.) To require a certified audit of corporate funds at any time. H.) To approve any guaranty of the indebtedness of any person, the granting of any security interest in or the creation of any encumbrance on any assets of the corporation outside the ordinary course of business, or any transfers of any assets of the corporation outside the ordinary course of business, except transfers between or among corporations. I.) To approve any merger, consolidation, organization, reorganization, joint venture or other modification of corporate structure or affiliations affecting the autonomy, governance, or operations of the corporation. J.) To dissolve or terminate the existence of the corporation and determine the distribution of assets upon such termination or dissolution, as provided in these Bylaws. K.) To appoint annually the external fiscal auditor of the corporation. L.) To approve the nominees for elected officers of the Board of Directors of the corporation, and to return the list of approved nominees to the Board of Directors for election. M.) To remove any elected officer of the corporation. N.) To approve the annual capital and operating budget of the corporation. O.) To coordinate managed care plans, including decisions concerning entry into or renewal of any contract or agreement relating thereto.
Form 990, Part VI, Section B, line 11b	A high-level overview of Form 990 is presented to the parent Board of Directors before filing and complete drafts of all returns are made available to all Board members through the CEO's and CFO's office.
Form 990, Part VI, Section B, line 12c	As required by law, Hospital policy states that all members of the Board of Directors and Managers must sign a statement each year disclosing any conflict of interest that may arise and agree to abstain when issues involving those parties with conflicting interests are called to motion. Any conflicts of interest are reviewed by the Hospital's attorneys.
Form 990, Part VI, Section B, line 15	Form 990, Part VI, Lines 15a and 15b: All top management officials are paid by The Williamsport Hospital, EIN# 24-0795508. The Board of Directors, through the Executive Compensation Committee, retains an independent outside consultant to provide guidance with respect to the annual establishment of the rebuttable presumption of reasonableness relative to executive compensation and benefits. The consultant annually provides detailed market information from its annual Executive Compensation Survey for the Health Systems. In addition, other regional survey data is provided in order to supply the health system with a "national" picture of compensation. With this process established, the Executive Compensation Committee takes the proper steps to educate the Board of Directors to understand all of the above-mentioned oversight and to appropriately prepare them for community or media inquiry. In addition, the Board is made aware of the Form 990 and its role in the communication of information to the public.
Form 990, Part VI, Section C, line 19	The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Form 990, Part IX, line 11g	Other Purchased Services: Program service expenses 2,505,995. Management and general expenses 126,169. Fundraising expenses 0. Total expenses 2,632,164. Other Contracted Services: Program service expenses 3,149,062. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,149,062. Physician Services: Program service expenses 1,605,682. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,605,682.
Form 990, Part XI, line 9:	Pension Liability Adjustment 376,545. Postretirement benefit liability adjustment 1,162,355. Transfers from other affiliates 15,837,052. Transfers to other affiliates -3,325,776. TRNA 142,319.
Form 990 Part XII Line 2c	UPMC, the sole member of UPMC Susquehanna, has assumed the responsibility for oversite of the audited financial statements at a system level for FY 2017.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (51 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
Laurel Health System
32-36 Central Ave	Wellsboro	PA	16901	240795488	Healthcare	PA	501(c)(3)	Line 12b, II	UPMC Susquehanna	Yes (1)
Laurel Realty
32-36 Central Ave	Wellsboro	PA	16901	231403678	Rental Real Estate	PA	501(c)(2)	NA	UPMC Susquehanna	Yes (1)
Laurel Management Services
32-36 Central Ave	Wellsboro	PA	16901	251644910	Management Services	PA	501(c)(3)	Line 12b, II	UPMC Susquehanna	Yes (1)
The Green Home
37 Central Avenue	Wellsboro	PA	16901	240804365	Skilled nursing	PA	501(c)(3)	Line 10	UPMC Susquehanna	Yes (1)
Tioga Health Care Providers
1201 Grampian Blvd	Williamsport	PA	17701	251765538	Physician Services	PA	501(c)(3)	Line 12b, II	UPMC Susquehanna	Yes (1)
Divine Providence Hospital of the Sister
1100 Grampian Blvd	Williamsport	PA	17701	240799343	Hospital	PA	501(c)(3)	Line 3	UPMC Susquehanna	Yes (1)
Muncy Valley Hospital
215 East Water Street	Muncy	PA	17756	240806023	Hospital	PA	501(c)(3)	Line 3	UPMC Susquehanna	Yes (1)
The Williamsport Hospital
700 High Street	Williamsport	PA	17701	240795508	Hospital	PA	501(c)(3)	Line 3	UPMC Susquehanna	Yes (1)
Susquehanna Health Foundation
1100 Grampian Blvd	Williamsport	PA	17701	232743470	Fundraising	PA	501(c)(3)	Line 12a, I	UPMC Susquehanna	Yes (1)
Susquehanna Physician Services
1201 Grampian Blvd	Williamsport	PA	17701	232449454	Physician Services	PA	501(c)(3)	Line 3	UPMC Susquehanna	Yes (1)
Williamsport Area Ambulance Services
700 High Street	Williamsport	PA	17701	232416166	Ambulance transport	PA	501(c)(3)	Line 10	Williamsport Hospital	Yes (1)
Laurel Health Foundation
32-36 Central Ave	Wellsboro	PA	16901	251810488	Foundation	PA	501(c)(3)	Line 12b, II	UPMC Susquehanna	0
Susquehanna Health Innovation Center Inc
700 High Street	Williamsport	PA	17701	471600873	Fundraising	PA	501(c)(3)	Line 12a, I	UPMC Susquehanna	Yes (1)
UPMC Susquehanna
1205 Grampian Blvd	Williamsport	PA	17701	232751183	Healthcare	PA	501(c)(3)	Line 12b, II	UPMC	Yes (1)
UPMC Senior Communities Inc
600 Grant Street	Pittsburgh	PA	15219	251574736	Senior Living	PA	501(c)(3)	Line 10	UPMC	Yes (1)
Pittsburgh Lifetime Care Community
600 Grant Street	Pittsburgh	PA	15219	251335247	CCRC	PA	501(c)(3)	Line 10	UPMC SR Comm	Yes (1)
Canterbury Place
600 Grant Street	Pittsburgh	PA	15219	250965334	Senior Living	PA	501(c)(3)	Line 10	UPMC SR Comm	Yes (1)
Seneca Place
600 Grant Street	Pittsburgh	PA	15219	721562844	Senior Living	PA	501(c)(3)	Line 10	UPMC SR Comm	Yes (1)
Shadyside Hospital Supporting Foundation
600 Grant Street	Pittsburgh	PA	15219	260303394	Foundation	PA	501(c)(3)	Line 12a, I	UPMC	Yes (1)
UPMC Lee
600 Grant Street	Pittsburgh	PA	15219	250613830	Inactive	PA	501(c)(3)	Line 3	UPMC	Yes (1)
Pittsburgh Care Partnership Inc
600 Grant Street	Pittsburgh	PA	15219	251753852	Adult Daycare	PA	501(c)(3)	Line 10	UPMC	Yes (1)
UPMC Center for High Value Healthcare
600 Grant Street	Pittsburgh	PA	15219	452178782	Research	PA	501(c)(3)	Line 7	UPMC	Yes (1)
Shadyside Hospital Foundation
532 South Aiken Avenue	Pittsburgh	PA	15232	251290546	Foundation	PA	501(c)(3)	Line 12c, III-FI	UPMC Presby	Yes (1)
Passavant Hospital Foundation
9100 Babcock Blvd	Pittsburgh	PA	15237	251407815	Foundation	PA	501(c)(3)	Line 12b, II	UPMC Pass	Yes (1)
UPMC Northwest Foundation
100 Farfield Drive	Seneca	PA	16346	251483624	Foundation	PA	501(c)(3)	Line 12d, III-O	UPMC Northwe	Yes (1)
St Margaret Foundation
600 Grant Street	Pittsburgh	PA	15219	251520340	Foundation	PA	501(c)(3)	Line 7	UPMC St Marg	Yes (1)
Children's Hospital of Pittburgh Fnd
600 Grant Street	Pittsburgh	PA	15219	251865744	Foundation	PA	501(c)(3)	Line 7	UPMC CHP	Yes (1)
Magee-Women Res Inst and Foundation
600 Grant Street	Pittsburgh	PA	15219	251462311	Foundation	PA	501(c)(3)	Line 7		0	N/A
UPMC Kane
4372 Route 6	Kane	PA	16735	250998168	Hospital	PA	501(c)(3)	Line 3	UPMC HAMOT	0
Great Lakes Physician Practice
600 Grant Street 58th Floor	Pittsburgh	PA	15219	464186362	Physician Services	NY	501(c)(3)	Line 3	Regnl Health	Yes (1)
HAMOT Health Foundation
302 French Street	Erie	PA	16507	251400999	Foundation	PA	501(c)(3)	Line 12b, II	UPMC HAMOT	Yes (1)
Safe Harbor Behavorial Health of UPMC HA
1330 W 26TH Street	Erie	PA	16508	251317492	Behavorial	PA	501(c)(3)	Line 7	UPMC HAMOT	Yes (1)
UPMC Jameson
1211 Wilmington Avenue	New Castle	PA	16105	250965406	Healthcare	PA	501(c)(3)	Line 3	UPMC	Yes (1)
Jameson Healthcare Foundation
1211 Wilmington Avenue	New Castle	PA	16105	251536037	Foundation	PA	501(c)(3)	Line 12b, II	UPMC Jameson	Yes (1)
Jameson Health Services Inc
1211 Wilmington Avenue	New Castle	PA	16105	030486993	Healthcare	PA	501(c)(3)	Line 12b, II	UPMC Jameson	Yes (1)
Children's Advocacy Center of Lawrence
1107 Wilmington Avenue	New Castle	PA	16105	251581304	Support Sys	PA	501(c)(3)	Line 7	UPMC Jameson	Yes (1)
UPMCJameson Cancer Center
600 Grant Street 58th Floor	Pittsburgh	PA	15219	201459415	Oncology Svc	PA	501(c)(3)	Line 10	UPMC Jameson	Yes (1)
Jameson Medical Care Inc
1211 Wilmington Avenue	New Castle	PA	16105	260462696	Healthcare	PA	501(c)(3)	Line 10	UPMC Jameson	Yes (1)
Jameson Care Center Inc
1211 Wilmington Avenue	New Castle	PA	16105	232871396	Healthcare	PA	501(c)(3)	Line 10	UPMC SR Comm	Yes (1)
Venango VNA Foundation
491 Alleghany Boulevard	Franklin	PA	16323	251472179	Foundation	PA	501(c)(3)	Line 12d, III-O	UPMC Visitin	Yes (1)
UPMC Susquehanna Lock Haven
700 High Street	Williamsport	PA	17701	821600494	Hospital	PA	501(c)(3)	Line 3	UPMC Susquehanna	Yes (1)
UPMC Susquehanna Sunbury
700 High Street	Williamsport	PA	17701	821592230	Hospital	PA	501(c)(3)	Line 3	UPMC Susquehanna	Yes (1)
UPMC Chautauqua at WCA
207 Foote Avenue	Jamestown	NY	14701	160743226	Hospital	NY	501(c)(3)	Line 3	UPMC Chautau	Yes (1)
WCA Group Inc
207 Foote Avenue	Jamestown	NY	14701	222392582	Holding Company	NY	501(c)(3)	Line 12b, II	UPMC Chautau	Yes (1)
Starflight Inc
135 Allen Street	Jamestown	NY	14701	161557878	Stat Medvac	NY	501(c)(3)	Line 7	UPMC Chautau	Yes (1)
South Central Alpha Housing and Healthcare
3410 West Pittsburg Road	New Castle	PA	16101	251701701	Skilled Nursing	PA	501(c)(3)	Line 10	UPMC Sr Comm	Yes (1)
South Western Alpha Housing and Health Care
745 Greenville Road	Mercer	PA	16137	251701700	Skilled Nursing	PA	501(c)(3)	Line 10	UPMC Sr Comm	Yes (1)
Kane Community Hospital Foundation
4372 Route 6	Kane	PA	16735	263906925	Foundation	PA	501(c)(3)	Line 7	UPMC Kane	Yes (1)
Junior Guild of the Jameson Memorial Hospital
1211 Wilmington Avenue	New Castle	PA	16105	256005313	Support Sys	PA	501(c)(3)	Line 12d, III-O	UPMC Jameson	Yes (1)
WCA Foundation Inc
300 Foote Avenue PO Box 840	Jamestown	NY	14702	222393584	Foundation	PA	501(c)(3)	Line 12c, III-FI	UPMC Chautau	Yes (1)
UPMC
600 Grant Street	Pittsburgh	PA	15219	251423657	Supporting Organization	PA	501(c)(3)	Line 12c, III-FI		Yes (1)	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Community Basket LLC
1205 Grampian Blvd	Williamsport	PA	17701	201195739	Rents real estate	PA	N/A	N/A	0	0
Seneca Hills Assisted Living
600 Grant Street	Pittsburgh	PA	15219	232873106	Assisted Living	PA	N/A	N/A	0	0
St Margaret Medical Arts Association
600 Grant Street	Pittsburgh	PA	15219	251786655	Med Office BL	PA	N/A	N/A	0	0
Core Network LLC
600 Grant Street	Pittsburgh	PA	15219	251786209	Healthcare	PA	N/A	N/A	0	0
Life Home Care LP
600 Grant Street	Pittsburgh	PA	15219	251847839	Homecare	PA	N/A	N/A	0	0
Shadyside Medical Center Association
600 Grant Street	Pittsburgh	PA	15219	251608318	Med Office BL	PA	N/A	N/A	0	0
Chartwell PA LP
600 Grant Street	Pittsburgh	PA	15219	251729714	Homehealth	PA	N/A	N/A	0	0
Life Care Home Srv of NW PA
1647 Sassafras Street	Erie	PA	16507	251536879	Homehealth	PA	N/A	N/A	0	0
HAMOT-KCH Real Estate Venture
300 State Street	Erie	PA	16507	263691782	Med Office BL	PA	N/A	N/A	0	0
HAMOT Surgery Center LLC
200 State Street	Erie	PA	16507	251863661	Ambulatory Srv	PA	N/A	N/A	0	0
EPN-HAMOT Urgent Care LLC
600 Grant Street	Pittsburgh	PA	15219	272147949	Urgent Care	PA	N/A	N/A	0	0
Mountain View Medical Oncology
600 Grant Street 58th Floor	Pittsburgh	PA	15219	461449241	Healthcare	PA	N/A	N/A	0	0
Lawrence County MRI & Diagnostic
2526 Wilmington Avenue	New Castle	PA	16105	270219891	Imaging Center	PA	N/A	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (65 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	CityForeignAddress/CityNm
Tyoga Carenet
32-36 Central Avenue	Wellsboro	PA	16901	251810967	Integrate Healthcare Regionally	PA	N/A	C	0
Susquehanna Ventures Inc
1201 Grampian Blvd	Williamsport	PA	17701	232470263	Pharmacy	PA	N/A	C	0
Susquehanna Health System Insurance Network LTD
				980458722	Insurance		N/A		0	PO Box 1159	Grand Caymans	CJ	CJ
HC Pharmacy Central Inc
600 Grant Street	Pittsburgh	PA	15219	251364192	Pharmacy co-op	PA	N/A	C	0
Children's Community Care
600 Grant Street	Pittsburgh	PA	15219	251781887	Pediatric Svc	PA	N/A	C	0
UPMC Cancer Centers Ireland Limited
					Cancer Treatment		N/A	C	0	6th Floor Beacon Hospital	Dublin	EI	EI	Sandyford
UPMC Physician Services Holding Company
600 Grant Street	Pittsburgh	PA	15219	251877017	Holding Company	PA	N/A	C	0
Hematology Oncology Association
600 Grant Street	Pittsburgh	PA	15219	421648357	Healthcare	PA	N/A	C	0
Oncology Hematology Association
600 Grant Street	Pittsburgh	PA	15219	251762980	Healthcare	PA	N/A	C	0
Tri-State Neurosurgical Associates
600 Grant Street	Pittsburgh	PA	15219	251458655	Healthcare	PA	N/A	C	0
Renaissance Family Practice - UPMC Inc
600 Grant Street	Pittsburgh	PA	15219	262942406	Healthcare	PA	N/A	C	0
UPMC Holding Company Inc
600 Grant Street	Pittsburgh	PA	15219	251777713	Holding Company	PA	N/A	C	0
UPMC Coverage Products Inc
600 Grant Street	Pittsburgh	PA	15219	251777710	Holding Company	PA	N/A	C	0
Freedom Insurance Company
600 Grant Street	Pittsburgh	PA	15219	030308944	Insurance	VT	N/A	C	0
Tri-Century Insurance Comp
600 Grant Street	Pittsburgh	PA	15219	251500739	Insurance	PA	N/A	C	0
UPMC DNA Inc
600 Grant Street	Pittsburgh	PA	15219	251883237	Insurance	PA	N/A	C	0
UPMC Health Benefits Inc
600 Grant Street	Pittsburgh	PA	15219	251844144	Health Insurance	PA	N/A	C	0
UPMC Health Network Inc
600 Grant Street	Pittsburgh	PA	15219	721527566	Health Insurance	PA	N/A	C	0
UPMC Health Plan Inc
600 Grant Street	Pittsburgh	PA	15219	232813536	Health Insurance	PA	N/A	C	0
UPMC Benefit Management Services Inc
600 Grant Street	Pittsburgh	PA	15219	251769564	Worker's Comp	PA	N/A	C	0
UPMC Diversified Services Inc
600 Grant Street	Pittsburgh	PA	15219	251778454	Holding Company	PA	N/A	C	0
Monroeville Specialty Clinic
600 Grant Street	Pittsburgh	PA	15219	251666087	Healthcare	PA	N/A	C	0
Medical Archival Systems Inc
600 Grant Street	Pittsburgh	PA	15219	232912501	Software Dev	DE	N/A	C	0
Presby Health Resource Mgnt
600 Grant Street	Pittsburgh	PA	15219	251422155	Healthcare	PA	N/A	C	0
RX Partners Inc
600 Grant Street	Pittsburgh	PA	15219	251801966	Retail Pharmacy	PA	N/A	C	0
Biotronics Inc
600 Grant Street	Pittsburgh	PA	15219	251843500	Equip Maint	PA	N/A	C	0
Medical Center Properties Inc
600 Grant Street	Pittsburgh	PA	15219	251796940	Real Estate	PA	N/A	C	0
Askesis Development Group Inc
600 Grant Street	Pittsburgh	PA	15219	541625585	Software Dev	DE	N/A	C	0
Panther Reinsurance Company Inc
					Insurance		N/A	C	0	PO Box 1109	Cayman Islands	CJ	CJ	Grand Cayman
Forbes Reinsurance Compnay LTD
					Insurance		N/A	C	0	PO Box 1109	Cayman Islands	CJ	CJ	Grand Cayman
Cathedral (RE) Insurance Co
					Insurance		N/A	C	0	PO Box 1109	Cayman Islands	CJ	CJ	Grand Cayman
UPMC International Health Initiatives
600 Grant Street	Pittsburgh	PA	15219	841706741	Inactive	PA	N/A	C	0
UPMC Ireland Limited
					Healthcare Srv		N/A	C	0	6th Floor Beacon Hospital	Dublin	EI	EI	Sandyford
UPMC United Kingdom LTD
				980571026	Software LICE		N/A	C	0	C/O Nair Co 11th Floor Whitefriar	Bristol	UK	UK	Lewins Mead
Bayfront Regional Development Corp
300 State Street	Erie	PA	16507	251401388	Holding Company	PA	N/A	C	0
Bayside Development Corp
300 State Street	Erie	PA	16507	251401386	Real Estate	PA	N/A	C	0
UPMC Work Alliance Inc
600 Grant Street	Pittsburgh	PA	15219	452825053	Insurance	PA	N/A	C	0
UPMC Canada Technologies Limited
600 Grant Street	Pittsburgh	PA	15219		Software		N/A	C	0				CA
Allied Orthopedics Appliances Inc
335 East 3rd Street	Jamestown	NY	14701	161092951	Med Appliance	PA	N/A	C	0
UPMC Health Coverage Inc
600 Grant Street	Pittsburgh	PA	15219	462824537	Insurance	PA	N/A	C	0
UPMC Health Options Inc
600 Grant Street	Pittsburgh	PA	15219	462824626	Insurance	PA	N/A	C	0
UPMC Complete Care Inc
5215 Centre Avenue	Pittsburgh	PA	15232	463605753	Healthcare	PA	N/A	C	0
American Home Health Services
868 Corporate Way	Westlake	OH	44145	311521422	Home Health C	OH	N/A	C	0
Health Fidelity Inc
210 South B Street	San Mateo	CA	94401	452538963	Technology Sv	CA	N/A	C	0
Fluence Health Inc
6425 Penn Avenue	Pittsburgh	PA	15206	472684174	Software	DE	N/A	C	0
Curavi Health Inc
6425 Penn Avenue	Pittsburgh	PA	15206	811217377	Healthcare	DE	N/A	C	0
Pensiamo Inc
600 Grant Street 59th Floor	Pittsburgh	PA	15219	812069236	Supply Chain	DE	N/A	C	0
Altoona Family Inc
620 Howard Avenue	Altoona	PA	16601	251444935	Mgmt Serv	PA	N/A	C	0
Lexington Holdings Inc
620 Howard Avenue	Altoona	PA	16601	251794386	Medical Srvs	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 Street	Altoona	PA	16601	251555689	Rental Equip	PA	N/A	C	0
Lexington Four Inc
620 Howard Avenue	Altoona	PA	16601	251793736	Holding Company	PA	N/A	C	0
Allegheny Healthcare Staffing Inc
620 Howard Avenue	Altoona	PA	16601	271657362	Employment Sv	PA	N/A	C	0
UPMC Altoona Regional Health Services
1414 9th Avenue	Altoona	PA	16602	251219302	Medical Srvs	PA	N/A	C	0
Lexington Anesthesia Associates Inc
620 Howard Avenue	Altoona	PA	16601	251897765	Medical Srvs	PA	N/A	C	0
Northern Cambria Medical Center Inc
620 Howard Avenue	Altoona	PA	16601	251530860	Medical Srvs	PA	N/A	C	0
Patton Family Medical Center Inc
620 Howard Avenue	Altoona	PA	16601	251793735	Medical Srvs	PA	N/A	C	0
MEDCPU
100 Wall Street Suite 2202	New York	NY	10005	383805381	Software Dev	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 Mgnt	DE	N/A	C	0
Vincent Payment Solutions Inc
Bakery Square 6425 Penn Avenue Suit	pittsburgh	PA	15219	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
WCA Service Corporation Inc
207 Foote Avenue	Jamestown	NY	14701	161151438		NY	N/A	C	0
Friends of Altoona Hospital
620 Howard Avenue	Altoona	PA	16601	861140504	Fundraising	PA	N/A	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	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule R Part II to IV

The entities marked with an asterick are not technically "related parties", as defined by the IRS Form 990 instructions, of the filing organization. However, they are listed on Schedule R to reflect that they are part of the UPMC system of entities, as they all share UPMC as their ultimate parent corporation.

Form 990 Part IV

Susquehanna Health System Insurance Network, LTD (SHSIN) EIN# 98-0458722, is a foreign corporation, incorporated under the laws of the Cayman Islands. There are no income, capital, or premium taxes levied in the Cayman Islands and SHSIN has been granted an exemption until September 2022 for any such taxes that might be introduced. SHSIN's sole shareholder is Susquehanna Health System EIN#23-2751183, is a 501 (c) (3) organization exempt from Federal Income Taxes. SHSIN conducts no business in the United States. It files an 1120F protective filing which implies that its income is not subject to US Federal income taxes.