UPMC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
UPMC (EIN 23-2449454)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201841359349302194
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-15T09:03:00-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E St Louis Street Suite 200AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMOStateAbbreviationCd
ZIP65806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN232449454EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Susquehanna Physician ServicesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSUSQBusinessNameControlTxt
Phone5703207900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11705 Grampian Blvd No 302AddressLine1Txt
CityWilliamsportCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEric D PohjalaPersonNm
Person TitleExecutive VP/CFOPersonTitleTxt
Phone5703213171PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian D ToddPreparerPersonNm
PTINP00422601PTIN
Phone4178658701PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address104.209.123.11IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-05-15IPDt
IP Tm09:54:54IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF451C869155939CB896EAC38817E9BE70FE4363FAtSubmissionCreationDeviceId
At Submission Filing Device IdF451C869155939CB896EAC38817E9BE70FE4363FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Susquehanna Health Medical GroupBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSteven P JohnsonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1777 Rural AvenueAddressLine1Txt
CityWilliamsportCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$110,015,587GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.susquehannahealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTo effect a continuum of compassionate care which assures quality for our patients and value for those who provide it.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee353TotalEmployeeCnt
Total Volunteers32TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$28,168,231PYContributionsGrantsAmt
CY Contributions Grants$35,752,717CYContributionsGrantsAmt
PY Program Service Revenue$69,688,184PYProgramServiceRevenueAmt
CY Program Service Revenue$74,262,870CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$97,856,415PYTotalRevenueAmt
CY Total Revenue$110,015,587CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$79,223,951PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$89,169,056CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,524,256PYOtherExpensesAmt
CY Other Expenses$20,690,457CYOtherExpensesAmt
PY Total Expenses$97,748,207PYTotalExpensesAmt
CY Total Expenses$109,859,513CYTotalExpensesAmt
PY Revenues Less Expenses$108,208PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$156,074CYRevenuesLessExpensesAmt
Total Assets BOY$16,774,823TotalAssetsBOYAmt
Total Assets EOY$16,146,766TotalAssetsEOYAmt
Total Liabilities BOY$13,098,983TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,314,852TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,675,840NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,831,914NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSusquehanna Physician Services is a subsidiary of UPMC Susquehanna. The mission of UPMC Susquehanna and 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 of our caregivers and lead with a servant's heart.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$102,997,330ExpenseAmt
Revenue$74,262,870RevenueAmt
DescSusquehanna Physician Services (SPS) is comprised of a groupof primary care and specialty physicians. The services primarily serve Lycoming and surrounding counties. For fiscal year ended June 30, 2017there were approximately 794,253 patient visits for SPS.Desc
Total Program Service Expenses$102,997,330TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee353EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Eric D Pohjala Executive VPCFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5703207900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 High StreetAddressLine1Txt
CityWilliamsportCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17701ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ann S Pepperman Esquire
Chairperson2.0012.00Yes (X)Yes (X)$0$0$0
Davie Jane Gilmour Ph D
Vice Chairperson2.0010.00Yes (X)Yes (X)$0$0$0
Sister Teresa Ann Jacobs
Secretary2.0010.00Yes (X)Yes (X)$0$0$0
Ronald E DiSimone MD
Director40.0010.00Yes (X)$1,072,681$0$31,403
Daniel A Klingerman
Director2.0010.00Yes (X)$0$0$0
Lynda Livingston
Director2.0010.00Yes (X)$0$0$0
Philip H Johnson
Treasurer2.0012.00Yes (X)Yes (X)$0$0$0
Alexander R Nesbitt MD
Director42.008.00Yes (X)$241,117$0$31,052
Dr J Dennis Murray
Director2.0014.00Yes (X)$0$0$0
Glenn Poirier
Director2.0014.00Yes (X)$0$0$0
Thomas M Owlett Esquire
Director2.0014.00Yes (X)$0$0$0
Jill Burns MD
Director2.0050.00Yes (X)$0$259,810$33,044
Keith Kuzio
Director2.0012.00Yes (X)$0$0$0
Shailesh Patel
Director2.0010.00Yes (X)$0$0$0
Patrick Wilson
Director2.0010.00Yes (X)$0$0$0
Steven P Johnson
President/CEO2.0050.00Yes (X)$0$960,096$13,925
Eric D Pohjala
Exec VP/CFO2.0042.00Yes (X)$0$430,438$32,395
Jan E Fisher
Exec VP/COO2.0044.00$0$551,981$31,238Yes (X)
David Lopatofsky MD
Exec VP/CMO40.002.00$593,514$0$37,048Yes (X)
Michael J Lazar MD
Physician40.00$809,443$0$42,384Yes (X)
Sabrina Dowd
Physician40.00$787,272$0$31,473Yes (X)
Donald T Nardone MD
Physician40.00$771,596$0$36,197Yes (X)
John H Bailey MD
Physician40.00$520,919$0$27,650Yes (X)
Michael V Hoffman MD
Physician40.00$503,411$0$25,172Yes (X)
Ronald J Butler
Former Exec VB/CBO Retired0.0040.00$0$335,670$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,299,953TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,537,995TotReportableCompRltdOrgAmt
Total Other Compensation$372,981TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K164IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Weatherby Locums
PO Box 972633DallasTX75397Temporary Employment$3,210,405
Comphealth Medical Staffing
PO Box 972651DallasTX75397Temporary Employment$2,437,899
Locumtenens Com
PO Box 405547AtlantaGA30384Temporary Employment$569,882
Cerner Health Services
PO Box 959167St LouisMO63198Software$448,574
C S Medical Supply
200 Penn AvenueWest ReadingPA19611Medical Supplies$348,129
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Related Organizations$35,752,717RelatedOrganizationsAmt
Total Contributions$35,752,717TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Services621110$62,645,043$62,645,043
Inter-Entity SSA621110$9,166,743$9,166,743
Other Revenue621110$1,838,448$1,838,448
Inter-Entity Revenue621110$593,543$593,543
Capitation Payments621110$19,093$19,093
FieldValueIRS element (for citing)
Total Program Service Revenue$74,262,870TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,015,587TotalRevenueColumnAmt
Related Or Exempt Func Income$74,262,870RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,907,312TotalAmt
Program Services$1,907,312ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$74,468,037TotalAmt
Program Services$71,920,806ProgramServicesAmt
Management And General$2,547,231ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,457,942TotalAmt
Program Services$2,339,732ProgramServicesAmt
Management And General$118,210ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,741,761TotalAmt
Program Services$6,443,991ProgramServicesAmt
Management And General$297,770ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,594,004TotalAmt
Program Services$3,441,071ProgramServicesAmt
Management And General$152,933ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,759,807TotalAmt
Management And General$1,759,807ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$19,655TotalAmt
Management And General$19,655ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$795,377TotalAmt
Program Services$795,377ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$125,577TotalAmt
Program Services$48,453ProgramServicesAmt
Management And General$77,124ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$308,760TotalAmt
Program Services$239,036ProgramServicesAmt
Management And General$69,724ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$830,784TotalAmt
Program Services$529,450ProgramServicesAmt
Management And General$301,334ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,728,641TotalAmt
Program Services$3,518,780ProgramServicesAmt
Management And General$209,861ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$85,802TotalAmt
Program Services$49,893ProgramServicesAmt
Management And General$35,909ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$612,247TotalAmt
Program Services$535,500ProgramServicesAmt
Management And General$76,747ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$179,107TotalAmt
Management And General$179,107ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,614,416TotalAmt
Program Services$1,579,883ProgramServicesAmt
Management And General$34,533ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,268,420TotalAmt
Program Services$2,267,581ProgramServicesAmt
Management And General$839ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$4,078,217$3,981,861$96,356
Provision For Bad Debt$2,365,440$2,365,440
Books Subscriptions Due$389,638$376,546$13,092
Minor Equipment$329,073$297,072$32,001

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,199,496TotalAmt
Program Services$359,546ProgramServicesAmt
Management And General$839,950ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$109,859,513TotalAmt
Program Services$102,997,330ProgramServicesAmt
Management And General$6,862,183ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,647,318BOYAmt
EOY$291,803EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,457,839BOYAmt
EOY$5,773,053EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$121,834BOYAmt
EOY$25,276EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,486,108BOYAmt
EOY$1,675,119EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$407,023BOYAmt
EOY$407,023EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$518,080BOYAmt
EOY$603,033EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$23,622,146LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,713,887LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,624,381BOYAmt
EOY$6,908,259EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$512,240BOYAmt
EOY$463,200EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,774,823BOYAmt
EOY$16,146,766EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,881,972BOYAmt
EOY$5,726,043EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,755,291BOYAmt
EOY$2,507,794EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,461,720BOYAmt
EOY$4,081,015EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,098,983BOYAmt
EOY$12,314,852EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,675,840BOYAmt
EOY$3,831,914EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,675,840BOYAmt
EOY$3,831,914EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,774,823BOYAmt
EOY$16,146,766EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$156,074ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,973OtherCostOrOtherBasisAmt
Book Value$41,973BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,663,628OtherCostOrOtherBasisAmt
Depreciation$1,987,469DepreciationAmt
Book Value$676,159BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,842,936OtherCostOrOtherBasisAmt
Depreciation$12,747,092DepreciationAmt
Book Value$4,095,844BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,073,609OtherCostOrOtherBasisAmt
Depreciation$1,979,326DepreciationAmt
Book Value$2,094,283BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,908,259TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Third Party Payors$533,000
Due To Affiliates$3,548,015
FieldValueIRS element (for citing)
Total Liability$4,081,015TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule DFormAndLineReferenceDesc
ExplanationPart X Line 2- Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral AmericaRegionTxt
Offices1OfficesCnt
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConductedTxt
Specific Services ProvidedCaptive insurance companySpecificServicesProvidedTxt
Region Total Expenditures$2,268,420RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office1TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$2,268,420SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$2,268,420TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ronald E DiSimone MD
Director$1,007,081$0$27,445$0$38,155$0$9,950$0$21,453$0$1,104,084$0$0$0
Alexander R Nesbitt MD
Director$215,177$0$23,675$0$2,265$0$12,965$0$18,087$0$272,169$0$0$0
Jill Burns MD
Director$0$224,371$0$34,600$0$839$0$9,950$0$23,094$0$292,854$0$0
Steven P Johnson
President/CEO$0$703,292$0$226,453$0$30,351$0$19,346$0$0$0$979,442$0$0
Eric D Pohjala
Exec 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
Exec 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
Exec VP/CMO$425,773$0$141,731$0$26,010$0$11,275$0$25,773$0$630,562$0$0$0
Michael J Lazar MD
Physician$680,157$0$91,167$0$38,119$0$9,950$0$32,434$0$851,827$0$0$0
Sabrina Dowd
Physician$732,381$0$53,925$0$966$0$9,950$0$21,523$0$818,745$0$0$0
Donald T Nardone MD
Physician$491,512$0$26,950$0$253,134$0$9,950$0$26,247$0$807,793$0$0$0
John H Bailey MD
Physician$411,478$0$99,800$0$9,641$0$9,950$0$17,700$0$548,569$0$0$0
Michael V Hoffman MD
Physician$502,999$0$0$0$412$0$9,950$0$15,222$0$528,583$0$0$0
Ronald J Butler
Former Exec VB/CBO Retired$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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4aRonald J. Butler, Former Executive VP/CBO, retired on April 15, 2015. His entire reportable compensation $335,670 paid by a related organization, is a serverance package.
Part I, Line 5Part I, Line 3 The Williamsport Hospital EIN#24-0795508, a related organization, uses the following resources to establish the compensation of top management officials: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board.
Part I, Line 6In 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-level 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 a variable compensation award in the amount of $226,453.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1David Lopatofsky MDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgEmployeeRelationshipWithOrgTxt
Loan PurposeEducational AssistanceLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$43,757OriginalPrincipalAmt
Balance Due$25,276BalanceDueAmt
Default0DefaultInd
Board Or Committee Approval0BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$25,276TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part 2, Loans To and From Interested PersonsFormAndLineReferenceDesc
ExplanationName of Person: David Lopatofsky, MDDisqualified Person Code: Key EmployeePurpose of Loan: Educational AssistanceOriginal Amount: $43,757Balance Due: $25,276Loan in Default? = NoApproved by Board or Committee? = NoWritten Agreement? = YesExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6UPMC Susquehanna, EIN #23-2751183, is the sole member of the governing body
Form 990, Part VI, Section A, line 7aUPMC Susquehanna, EIN # 23-2751183, may elect or remove members of the governing body.
Form 990, Part VI, Section A, line 7bAll the business and affairs of the corporation shall be managed and controlled by the Board of Directors, subject to the oversight of the 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 or of any force or effect whatsoever. The sole member shall exercise its power through its Board of Directors. The Member shall have exclusive authority to exercise the following powers: A. To approve the appointment and removal of the President of the corporation. 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 monitor and maintain the philosophy, goals and purposes for which the corporation was formed and exists. D. To adopt, amend or repeal the Articles of Incorporation or the 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 the 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 cause of business or encumbrance outside the normal course of business of land or buildings and the construction of 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 indebtedness of any person, the granting of any security interest in or the creation of any encumbrance on any asset of the corporation outside the ordinary course of business, or any transfer of any asset of the corporation outside the normal course of business, except transfers between or among affiliated corporations. I. To approve any merger, consolidation, organization, reorganization, joint venture or other modification of corporate structure or affiliations affecting to 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 the 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 ay contract or agreement relating thereto.
Form 990, Part VI, Section B, line 11bA high-level overview of Forms 990 is presented to the parent Board of Directors (UPMC Susquehanna, 23-2751183) 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 12cAs required by law, SPS policy states that all members of the Board of 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 System's attorneys.
Form 990, Part VI, Section B, line 15The board of directors, through the Executive Committee, retains an independent outside consultant to provide guidance with respect to the annual establishment of the rebuttable presumption or reasonableness relative to executive compensation and benefits. The consultant annually provides detailed market information from its annual Executive Compensation Survey of 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 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (51 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
UPMC SENIOR COMMUNITIES
600 GRANT STREETPITTSBURGHPA15219251574736SR. LIVINGPA501(c)(3)Line 10UPMCYes (1)
PITTSBURGH LIFETIME CARE COMMUNITY
600 GRANT STREETPITTSBURGHPA15219251335247CCRCPA501(c)(3)Line 10UPMC SR COMMYes (1)
CANTERBURY PLACE
600 GRANT STREETPITTSBURGHPA15219250965334SR. LIVINGPA501(c)(3)Line 10UPMC SR COMMYes (1)
SENECA PARK
600 GRANT STREETPITTSBURGHPA15219721562844SR. LIVINGPA501(c)(3)Line 10UPMC SR COMMYes (1)
SHADYSIDE HOSPITAL SUPPORTING FOUNDATION
600 GRANT STREETPITTSBURGHPA15219260303394FOUNDATIONPA501(c)(3)Line 12a, IUPMCYes (1)
UPMC LEE
600 GRANT STREETPITTSBURGHPA15219250613830INACTIVEPA501(c)(3)Line 3UPMCYes (1)
PITTSBURGH CARE PARTNERSHIP INC
600 GRANT STREETPITTSBURGHPA15219251753852ADULT DAY CAREPA501(c)(3)Line 10UPMCYes (1)
UPMC CENTER FOR HIGH VALUE HEALTHCARE
600 GRANT STREETPITTSBURGHPA15219452178782RESEARCHPA501(c)(3)Line 7UPMCYes (1)
SHADYSIDE HOSPITAL FOUNDATION
532 SOUTH AIKEN AVEPITTSBURGHPA15232251290546FOUNDATIONPA501(c)(3)Line 12c, III-FIUPMC PRESBYYes (1)
PASSAVANT HOSPITAL FOUNDATION
9100 BABCOCK BLVDPITTSBURGHPA15237251407815FOUNDATIONPA501(c)(3)Line 12b, IIUPMC PASSYes (1)
UPMC NORTHWEST FOUNDATION
100 Fairfield DriveSenecaPA16346251483624FOUNDATIONPA501(c)(3)Line 12d, III-OUPMC NORTHWEYes (1)
ST MARGARET FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251520340FOUNDATIONPA501(c)(3)Line 7UPMC ST MARGYes (1)
CHILDREN'S HOSPITAL OF PITTSBURGH FND
600 GRANT STREETPITTSBURGHPA15219251865744FOUNDATIONPA501(c)(3)Line 7UPMC CHPYes (1)
MAGEE-WOMEN RES INST AND FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251462311FOUNDATIONPA501(c)(3)Line 70N/A
UPMC KANE
4372 ROUTE 6KANEPA16735250998168HOSPITALPA501(c)(3)Line 3UPMC HAMOT0
GREAT LAKES PHYSICIAN PRACTICE
600 GRANT STREETPITTSBURGHPA15219464186362PHYSICIANSNY501(c)(3)Line 3REGNL HEALTHYes (1)
HAMOT HEALTH FOUNDATION
302 FRENCH STERIEPA16507251400999FOUNDATIONPA501(c)(3)Line 12b, IIUPMC HAMOTYes (1)
SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HA
1330 W 26TH STERIEPA16508251317492BEHAVIORALPA501(c)(3)Line 7UPMC HAMOTYes (1)
UPMC JAMESON
1211 WILMINGTON AVENEW CASTLEPA16105250965406HEALTHCAREPA501(c)(3)Line 3UPMCYes (1)
JAMESON HEALTHCARE FOUNDATION
1211 WILMINGTON AVENEW CASTLEPA16105251536037FOUNDATIONPA501(c)(3)Line 12b, IIUPMC JAMESONYes (1)
JAMESON HEALTH SERVICES INC
1211 WILMINGTON AVENEW CASTLEPA16105030486993HEALTHCAREPA501(c)(3)Line 12b, IIUPMC JAMESONYes (1)
CHILDREN'S ADVOCACY CENTER OF LAWRENCE
1107 WILMINGTON AVENEW CASTLEPA16105251581304SUPPORT SYSPA501(c)(3)Line 7UPMC JAMESONYes (1)
UPMCJAMESON CANCER CENTER
600 GRANT STREETPITTSBURGHPA15219201459415ONCOLOGY SVCPA501(c)(3)Line 10UPMC JAMESONYes (1)
JAMESON MEDICAL CARE INC
1211 WILMINGTON AVENEW CASTLEPA16105260462696HEALTHCAREPA501(c)(3)Line 10UPMC JAMESONYes (1)
JAMESON CARE CENTER INC
1211 WILMINGTON AVENEW CASTLEPA16105232871396HEALTHCAREPA501(c)(3)Line 10UPMC SR COMMYes (1)
UPMC SUSQUEHANNA
700 HIGH STREETWILLIAMSPORTPA17701232751183HEALTHCAREPA501(c)(3)Line 12b, IIUPMCYes (1)
VENANGO VNA FOUNDATION
491 ALLEGHENY BLVDFRANKLINPA16323251472179FOUNDATIONPA501(c)(3)Line 12d, III-OUPMC VISTINYes (1)
DIVINE PROVIDENCE HOSPITAL OF THE SISTERS
1100 GRAMPIAN BLVDWILLIAMSPORTPA17701240799343HEALTHCAREPA501(c)(3)Line 3UPMC SUSQUEHANNAYes (1)
SUSQUEHANNA HEALTH SYSTEM INNOVATION CTR
700 HIGH STREETWILLIAMSPORTPA17701471600873HEALTHCAREPA501(c)(3)Line 12a, IUPMC SUSQUEHANNAYes (1)
SUSQUEHANNA HEALTH FOUNDATION
1100 GRAMPIAN BLVDWILLIAMSPORTPA17701232743470FUNDRAISINGPA501(c)(3)Line 12a, IUPMC SUSQUEHANNAYes (1)
MUNCY VALLEY HOSPITAL
215 EAST WATER STMUNCYPA17756240806023HEALTHCAREPA501(c)(3)Line 3UPMC SUSQUEHANNAYes (1)
LAUREL REALTY INC
15 MEADE STREETWELLSBOROPA16901231403678RENTAL REAL ESTATEPA501(c)(2)N/AUPMC SUSQUEHANNAYes (1)
LAUREL MANAGEMENT SERVICES INC
32-36 CENTRAL AVEWELLSBOROPA16901251644910MANAGEMENT SVCPA501(c)(3)Line 12b, IIUPMC SUSQUEHANNAYes (1)
LAUREL HEALTH SYSTEM
32-36 CENTRAL AVEWELLSBOROPA16901240795488HEALTHCAREPA501(c)(3)Line 12b, IIUPMC SUSQUEHANNAYes (1)
SOLDIERS AND SAILORS MEMORIAL HOSPITAL
32-36 CENTRAL AVEWELLSBOROPA16901232176963HEALTHCAREPA501(c)(3)Line 3UPMC SUSQUEHANNAYes (1)
THE GREEN HOME
37 CENTRAL AVEWELLSBOROPA16901240804365ASSISTED LIVINGPA501(c)(3)Line 10UPMC SUSQUEHANNAYes (1)
TIOGA HEALTH CARE PROVIDERS
22 WALNUT STREETWELLSBOROPA16901251765538HEALTHCAREPA501(c)(3)Line 12b, IIUPMC SUSQUEHANNAYes (1)
THE WILLIAMSPORT HOSPITAL
700 HIGH STREETWILLIAMSPORTPA17701240795508HOSPITALPA501(c)(3)Line 3UPMC SUSQUEHANNAYes (1)
UPMC SUSQUEHANNA LOCK HAVEN
700 HIGH STREETWILLIAMSPORTPA17701821600494HOSPITALPA501(c)(3)Line 3UPMC SUSQUEHANNAYes (1)
UPMC SUSQUEHANNA SUNBURY
700 HIGH STREETWILLIAMSPORTPA17701821592230HOSPITALPA501(c)(3)Line 3UPMC SUSQUEHANNAYes (1)
UPMC CHATAUQUA AT WCA
207 FOOTE AVEJAMESTOWNNY14701160743226HOSPITALNY501(c)(3)Line 3UPMC CHAUTAUYes (1)
WCA GROUP INC
207 FOOTE AVEJAMESTOWNNY14701222392582HOLDING CONY501(c)(2)Line 12b, IIUPMC CHAUTAUYes (1)
STARFLIGHT INC
135 ALLEN STREETJAMESTOWNNY14701161557878STAT MEDVACNY501(c)(3)Line 7UPMC CHAUTAUYes (1)
SOUTH CENTRAL ALPHA HOUSING AND HEALTH
3410 W PITTSBURGH RDNEW CASTLEPA16101251701701SKILLED NURSINGPA501(c)(3)Line 10UPMC SR COMMYes (1)
SOUTH WESTERN ALPHA HOUSING AND HEALTH
745 GREENVILLE RDMERCERPA16137251701700SKILLED NURSINGPA501(c)(3)Line 10UPMC SR COMMYes (1)
KANE COMMUNITY HOSPITAL FOUNDATION
4372 ROUTE 6KANEPA16735263906925FOUNDATIONPA501(c)(3)Line 7UPMC KANEYes (1)
JUNIOR GUILD OF THE JAMESON MEMORIAL HOSPITAL
1211 WILMINGTON AVENEW CASTLEPA16105256005313SUPPORTPA501(c)(3)Line 12d, III-OUPMC JAMESONYes (1)
LAUREL HEALTH FOUNDATION
15 MEADE STREETWELLSBOROPA16101251810488FOUNDATIONPA501(c)(3)Line 12b, IILAUREL HEALTH SYSTEMYes (1)
WCA FOUNDATION INC
300 FOOTE AVEJAMESTOWNNY14702222393584FOUNDATIONPA501(c)(3)Line 12c, III-FIUPMC CHAUTAUYes (1)
UPMC
600 GRANT STREETPITTSBURGHPA15219251423657SUPPORTPA501(c)(3)Line 12c, III-FI0N/A
WILLIAMSPORT AREA AMBULANCE SERVICE COOP
700 HIGH STREETWILLIAMSPORTPA17701232416166AMBULANCE SVCPA501(c)(3)Line 10WILLIAMSPORT HOSPITALYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
SENECA HILLS ASSISTED LIVING
600 GRANT STREETPITTSBURGHPA15219232873106ASSISTED LIVINGPAN/AN/A00
ST MARGARET MEDICAL ARTS ASSOC
600 GRANT STREETPITTSBURGHPA15219251786655MED OFFICE BLPAN/AN/A00
CORE NETWORK LLC
600 GRANT STREETPITTSBURGHPA15219251786209HEALTHCAREPAN/AN/A00
LIFE HOME CARE LP
600 GRANT STREETPITTSBURGHPA15219251847839HOMECAREPAN/AN/A00
SHADYSIDE MEDICAL CENTER ASSOC
600 GRANT STREETPITTSBURGHPA15219251608318MED OFFICE BLPAN/AN/A00
CHARTWELL PA LP
600 GRANT STREETPITTSBURGHPA15219251729714HOME HEALTHPAN/AN/A00
LIFE CARE HOME SRV OF NW PA
1647 SASSAFRAS STERIEPA16507251536879HOME HEALTHPAN/AN/A00
HAMOT-KCH REAL ESTATE VENTURE
300 STATE STERIEPA16507263691782MEDICAL OFFICEPAN/AN/A00
HAMOT SURGERY CENTER LLC
200 STATE STERIEPA16507251863661AMBULATORY SURGPAN/AN/A00
EPN-HAMOT URGENT CARE LLC
600 GRANT STREETPITTSBURGHPA15219272147949URGENT CAREPAN/AN/A00
MOUNTAIN VIEW MEDICAL ONCOLOGY
600 GRANT STREETPITTSBURGHPA15219461449241HEALTHCAREPAN/AN/A00
LAWRENCE COUNTY MRI & DIAGNOST
2526 WILMINGTON AVENEW CASTLEPA16105270219891IMAGING CENTERPAN/AN/A00
COMMUNITY BASKET LLC
1205 GRAMPIAN BLVDWILLIAMSPORTPA17701201195739REAL ESTATE RENTALPAN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (65 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HC PHARMACY CENTRAL INC
600 GRANT STREETPITTSBURGHPA15219251364192PHARMACY CO-OPPAN/AC0
CHILDREN'S COMMUNITY CARE
600 GRANT STREETPITTSBURGHPA15219251781887PEDIATRIC SVCPAN/AC0
UPMC CANCER CENTERS IRELAND LIMITED
CANCER TREATMENTN/AC06TH FLOOR BEACON HOSPITALSANDYFORDDUBLINEIEI
UPMC PHYSICIAN SERVICES HOLDING COMPANY
600 GRANT STREETPITTSBURGHPA15219251877017HOLDING COPAN/AC0
HEMATOLOGY ONCOLOGY ASSOC
600 GRANT STREETPITTSBURGHPA15219421648357HEALTHCAREPAN/AC0
ONCOLOGY HEMATOLOGY ASSOC
600 GRANT STREETPITTSBURGHPA15219251762980HEALTHCAREPAN/AC0
TRI-STATE NEUROSURGICAL ASSOC
600 GRANT STREETPITTSBURGHPA15219251458655HEALTHCAREPAN/AC0
RENAISSANCE FAMILY PRACTICE-UPMC INC
600 GRANT STREETPITTSBURGHPA15219262942406HEALTHCAREPAN/AC0
UPMC HOLDING COMPANY INC
600 GRANT STREETPITTSBURGHPA15219251777713HOLDING COPAN/AC0
UPMC COVERAGE PRODUCTS INC
600 GRANT STREETPITTSBURGHPA15219251777710HOLDING COPAN/AC0
FREEDOM INSURANCE COMPANY
600 GRANT STREETPITTSBURGHPA15219030308944INSURANCEVTN/AC0
TRI-CENTURY INSURANCE CO
600 GRANT STREETPITTSBURGHPA15219251500739INSURANCEPAN/AC0
UPMC DNA INC
600 GRANT STREETPITTSBURGHPA15219251883237INSURANCEPAN/AC0
UPMC HEALTH BENEFITS INC
600 GRANT STREETPITTSBURGHPA15219251844144HEALTH INSURANCEPAN/AC0
UPMC HEALTH NETWORK INC
600 GRANT STREETPITTSBURGHPA15219721527566HEALTH INSURANCEPAN/AC0
UPMC HEALTH PLAN INC
600 GRANT STREETPITTSBURGHPA15219232813536HEALTH INSURANCEPAN/AC0
UPMC BENEFIT MANAGEMENT SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251769564WORKER'S COMPPAN/AC0
UPMC DIVERSIFIED SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251778454HOLDING COPAN/AC0
MONROEVILLE SPECIALTY CLINIC
600 GRANT STREETPITTSBURGHPA15219251666087HEALTHCAREPAN/AC0
MEDICAL ARCHIVAL SYSTEMS INC
600 GRANT STREETPITTSBURGHPA15219232912501SOFTWARE DEVEDEN/AC0
PRESBY HEALTH RESOURCE MGMT
600 GRANT STREETPITTSBURGHPA15219251422155HEALTHCAREPAN/AC0
RX PARTNERS INC
600 GRANT STREETPITTSBURGHPA15219251801966RETAIL PHARMPAN/AC0
BIOTRONICS
600 GRANT STREETPITTSBURGHPA15219251843500EQUIP MAINTENPAN/AC0
MEDICAL CENTER PROPERTIES INC
600 GRANT STREETPITTSBURGHPA15219251796940REAL ESTATEPAN/AC0
ASKESIS DEVELOPMENT GROUP INC
600 GRANT STREETPITTSBURGHPA15219541625585SOFTWARE DEVEPAN/AC0
PANTHER REINSURANCE COMPANY LTD
INSURANCEN/AC0PO BOX 1109GRAND CAYMANCJCJ
FORBES REINSURANCE COMPANY LTD
INSURANCEN/AC0PO BOX 1109GRAND CAYMANCJCJ
CATHEDRAL (RE) INSURANCE CO
INSURANCEN/AC0PO BOX 1109GRAND CAYMANCJCJ
UPMC INTERNATIONAL HEALTH INITIATIVES
600 GRANT STREETPITTSBURGHPA15219841706741INACTIVEPAN/AC0
UPMC IRELAND LIMITED
HEALTHCARE SUN/AC06TH FLOOR BEACON HOSPITALSANDYFORDDUBLINEIEI
UPMC UNITED KINGDOM LTD
980571026SOFTWARE LICEN/AC0C/O NAIRCO 11TH FLOORWHITEFRIARS LBRISTOLUKUK
BAYFRONT REGIONAL DEVELOPMENT CORP
300 STATE STREETERIEPA16507251401388RE HOLDING COPAN/AC0
BAYSIDE DEVELOPMENT CORP
300 STATE STREETERIEPA16507251401386REAL ESTATEPAN/AC0
UPMC WORK ALLLIANCE INC
600 GRANT STREETPITTSBURGHPA15219452825053INSURANCEPAN/AC0
UPMC CANADA TECHNOLOGIES LIMITED
600 GRANT STREETPITTSBURGHPA15219SOFTWAREN/AC0CA
ALLIED ORTHOPEDICS APPLIANCES INC
33 E 3RD STJAMESTOWNNY14701161092951MED APPLIANCEPAN/AC0
UPMC HEALTH COVERAGE INC
600 GRANT STREETPITTSBURGHPA15219462824537INSURANCEPAN/AC0
UPMC HEALTH OPTIONS INC
600 GRANT STREETPITTSBURGHPA15219462824626INSURANCEPAN/AC0
UPMC COMPLETE CARE INC
5215 CENTRE AVEPITTSBURGHPA15232463605753HEALTHCAREPAN/AC0
AMERICAN HOME HEALTH SERVICES
868 CORPORATE WAYWESTLAKEOH44145311521422HOME HEALTHOHN/AC0
HEALTH FIDELITY INC
210 S B STREETSAN MATEOCA94401452538963TECHNOLOGYCAN/AC0
FLUENCE HEALTH INC
6425 PENN AVEPITTSBURGHPA15206472684174SOFTWAREDEN/AC0
CURAVI HEALTH INC
6425 PENN AVEPITTSBURGHPA15206811217377HEALTHCAREDEN/AC0
PENSIAMO INC
600 GRANT STREETPITTSBURGHPA15219812069236SUPPLY CHAINDEN/AC0
ALTOONA FAMILY INC
620 HOWARD AVEALTOONAPA16601251444935MGMT SVCSPAN/AC0
LEXINGTON HOLDINGS INC
620 HOWARD AVEALTOONAPA16601251794386MEDICAL SVCSPAN/AC0
LEXINGTONE ONE INC
620 HOWARD AVEALTOONAPA16601251468889RENTALPAN/AC0
LEXINTON TWO INC
HOWARD AVE 7TH STALTOONAPA16601251555689RENTAL EQPTPAN/AC0
LEXINGTON FOUR INC
620 HOWARD AVEALTOONAPA16601251793736HOLDING COPAN/AC0
ALLEGHENY HEALTHCARE STAFFING INC
620 HOWARD AVEALTOONAPA16601271657362EMPLOYMENT SVCSPAN/AC0
UPMC ALTOONA REGIONAL HEALTH SERVICES
1414 9TH AVEALTOONAPA16602251219302MEDICAL SVCSPAN/AC0
LEXINGTON ANESTHESIA ASSOCIATES INC
620 HOWARD AVEALTOONAPA16601251897765MEDICAL SVCSPAN/AC0
NORTHERN CAMBRIA MEDICAL CENTER INC
620 HOWARD AVEALTOONAPA16601251530860MEDICAL SVCSPAN/AC0
PATTON FAMILY MEDICAL CENTER INC
620 HOWARD AVEALTOONAPA16601251793735MEDICAL SVCSPAN/AC0
MEDCPU
100 WALL STREETNEW YORKNY10005383805381SOFTWARE DEVEDEN/AC0
UPMC EXCESS PL TR
600 GRANT STREETPITTSBURGHPA15219826254351TRUSTPAN/AT0
RXANTE INC
511 CONGRESS STREETPORTLANDME04101454040219MEDICATION MGTDEN/AC0
VINCENT PAYMENT SOLUTIONS INC
6425 PENN AVEPITTSBURGHPA15219821101143PAYMENT SYSTEMDEN/AC0
J HEALTH VENTURES INC
1211 WILIMINGTON AVENEW CASTLEPA16105251607893INACTIVEPAN/AC0
JER MEDICAL ASSOCIATES INC
1211 WILIMINGTON AVENEW CASTLEPA16105251609398INACTIVEPAN/AC0
SUSQUEHANNA HEALTH SYSTEM INSURANCE NETWORK LTD
980458722INSURANCEC0POBOX 1159CAYMAN ISLANDCJCJUPMC SUSQUEHANNA
SUSQUEHANNA VENTURES INC
1201 GRAMPIAN BLVDWILLIAMSPORTPA17701232470263PHARMACYPAC0UPMC SUSQUEHANNA
TYOGA CARENET
114 EAST AVEWELLESBOROPA16901251810967INTEGRATE HEALTHCAREPAC0UPMC SUSQUEHANNA
WCA SERVICE CORPORATION INC
207 FOOTE AVEJAMESTOWNNY14701161151438NYN/AC0
FRIENDS OF ALTOONA HOSPITAL
620 HOWARD AVEALTOONAPA16601861140504FUNDRAISINGPAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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