UPMC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
UPMC (EIN 25-0965387)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201221369349303902
Schema version
2010v3.7
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)
Timestamp2012-05-15T11:56:48-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN250965387EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UPMC HAMOTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUPMCNameControl
Phone8148776000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 Grant Street 58th FloorAddressLine1
Address Line2C/O Corporate Tax DeptAddressLine2
CityPittsburghCity
StatePAState
ZIP Code15219ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHEN M DANCHName
TitleTREASURER & SRVP/CFOTitle
Date Signed2012-05-15DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonJOHN T MALONENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1201 STATE STREETAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code16550ZIPCode
FieldValueIRS element (for citing)
Gross Receipts460629956GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.upmchamot.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1881YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionUPMC HAMOT IS A PREMIER PROVIDER OF INPATIENT AND OUTPATIENT MEDICAL SERVICES TO RESIDENTS OF WESTERN PENNSYLVANIA, WESTERN NEW YORK AND NORTHEASTERN OHIO. UPMC HAMOT'S GOAL TO SERVE THE RESIDENTS OFActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees3071TotalNbrEmployees
Total Nbr Volunteers139TotalNbrVolunteers
Total Gross UBI289171TotalGrossUBI
Net Unrelated Business Txbl Income-76662NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1579814ContributionsGrantsPriorYear
Contributions Grants Current Year5420233ContributionsGrantsCurrentYear
Program Service Revenue Prior Year316609103ProgramServiceRevenuePriorYear
Program Service Revenue CY349576725ProgramServiceRevenueCY
Investment Income Prior Year2133057InvestmentIncomePriorYear
Investment Income Current Year6419401InvestmentIncomeCurrentYear
Other Revenue Prior Year4018085OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year324340059TotalRevenuePriorYear
Total Revenue Current Year361416359TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year20562936GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year131456189SalariesEtcPriorYear
Salaries Etc Current Year139343889SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year170314133OtherExpensePriorYear
Other Expenses Current Year203215097OtherExpensesCurrentYear
Total Expenses Prior Year322333258TotalExpensesPriorYear
Total Expenses Current Year342558986TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2006801RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18857373RevenuesLessExpensesCY
Total Assets BOY340648399TotalAssetsBOY
Total Assets EOY585209974TotalAssetsEOY
Total Liabilities BOY221436050TotalLiabilitiesBOY
Total Liabilities EOY324012641TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY119212349NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY261197333NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUPMC HAMOT'S MISSION IS TO SERVE OUR PATIENTS AND COMMUNITY IN THE HAMOT TRADITION OF QUALITY, HEALTH, HEALING AND EDUCATION. TO PUT SIMPLY, "TO SERVE."MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense320970783Expense
Revenue346782951Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense320970783TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096400NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3071NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJUDITH L JOHNSONNamePerson
Telephone Number8148773896TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 STATE STREET SUITE 100AddressLine1
CityERIECity
StatePAState
ZIP Code16507ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Scott B Kern
Board Chairman5.0XX000
Desmond J McDonald
Board Vice Chairman5.0X000
Nancy J Anderson
Board Member2.0X000
Gregory S Baldwin Esq
Board Member2.0X000
Jeffrey E Beach CPA
Board Member2.0X000
Mary C Bula
Board Member2.0X000
Elizabeth Concordia
Board Member1.0X000
George M Currie
Board Member2.0X000
Leslie Davis
Board Member1.0X000
Robert DeMichiei
Board Member1.0X000
Robert J Ferraro MD
Board Member2.0X000
Richard E Griffith
Board Member2.0X000
Richard S Hamilton
Board Member1.0X000
C Talbot Heppenstall Jr
Board Member1.0X000
Margaret Joy
Board Member1.0X000
Carolynn Masters PhD
Board Member2.0X000
Philip Garcia
Board Member2.0X000
Linda Myers
Board Member2.0X000
Mark H Raimy
Board Member5.0X000
Nicholas N Scott
Board Member2.0X000
Dennis Scully MD
Board Member2.0X000
Thomas A Tupitza Esq
Board Member2.0X000
Joseph Walton
Board Member1.0X000
Gail Welch
Board Member2.0X000
John T Malone
President50.0X746017092826X
Donald K Inderlied
Board Secretary / Secretary50.0X240986036313
Stephen M Danch
Treasurer/ CFO50.0X381710058016
V James Fiorenzo
Executive Vice President/COO50.0X478352064362
John Lyons MD
Physician40.025957403702X
Richard Long MD
Chief Medical Officer40.0371221060291X
Debbie Burbules
VP Women Services40.0211959033608X
Gary Maras
VP Bus Development40.0240097039114X
Joseph Butler
Chief Information Officer40.0231578029449X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3161494TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation417681TotalOtherCompensation
Number Individuals GT100 K133NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeCompensationCompensation
PERRY CONTRUCTION GROUP
1440 W 21ST STREETERIEPA1651217263297
MEDICOR ASSOCIATES INC
120 EAST 2ND STREETERIEPA1650715313256
CLINICAL PATHOLOGY INSTITUTE
1526 PEACH STREETERIEPA1650111016653
NORTH AMERICAN PARTNERS IN ANESTHES
68 SOUTH SERVICE ROAD SUITE 350MELVILLENY117472442293
SODEXHO
RT 532 GENERAL SULLIVAN ROADWASHINGTON CROSSINGPA189771673723
FieldValueIRS element (for citing)
Number Of Contractors GT100 K46NumberOfContractorsGT100K
All Other Contributions5420233AllOtherContributions
Total Contributions5420233TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
NET PATIENT SERVICE REVENUE621990344796073344796073
RENTAL INCOME6211101044513$1,044,513
JOINT VENTURE REVENUE900099888300888300
TEACHING INCOME611710661235661235
CLINICAL TRIALS RESEARCH900099437343437343

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1749261TotalRevenueColumn
Unrelated Business Revenue289171UnrelatedBusinessRevenue
Exclusion$1,460,090ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue349576725TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5945773TotalRevenueColumn
Exclusion$5,945,773ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities99665922Securities
Other21303Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities99014021Securities
Other199576Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities651901Securities
Other-178273Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column473628TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column361416359TotalRevenueColumn
Related Or Exempt Function Income346782951RelatedOrExemptFunctionIncome
Unrelated Business Revenue289171UnrelatedBusinessRevenue
Exclusion$8,450,376ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2098574Total
Management And General2098574ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total105470854Total
Program Services96396449ProgramServices
Management And General9074405ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5734728Total
Program Services5244145ProgramServices
Management And General490583ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18248154Total
Program Services16525993ProgramServices
Management And General1722161ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7791579Total
Program Services7106699ProgramServices
Management And General684880ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total441887Total
Program Services24613ProgramServices
Management And General417274ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total155490Total
Management And General155490ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total12046Total
Management And General12046ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total267996Total
Program Services267996ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total43694053Total
Program Services40368438ProgramServices
Management And General3325615ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total796741Total
Program Services796741ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4194835Total
Program Services3792127ProgramServices
Management And General402708ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4040462Total
Program Services3232370ProgramServices
Management And General808092ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8821601Total
Program Services7419849ProgramServices
Management And General1401752ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total605912Total
Program Services534596ProgramServices
Management And General71316ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total654023Total
Program Services175867ProgramServices
Management And General478156ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4633402Total
Program Services4633402ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14181694Total
Program Services14181694ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total5555172Total
Program Services5520804ProgramServices
Management And General34368ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL/PATIENT SUPPLIES5187419551874195
PROVISION FOR BAD DEBTS3755562537555625
DRUGS1593728815937288
MA MODERNIZATION ASSESS59382765938276
LAUNDRY & LINEN SERVICE773696773696

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3080703Total
Program Services2669920ProgramServices
Management And General410783ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total342558986Total
Program Services320970783ProgramServices
Management And General21588203ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3039BOY
EOY3239EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY25493660BOY
EOY13169387EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY35964226BOY
EOY35464443EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY114375BOY
EOY79375EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7322470BOY
EOY3333585EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11420274BOY
EOY9343803EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis206213131LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec65422753LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY142160893BOY
EOY140790378EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY89198489BOY
EOY86542573EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9740050BOY
EOY43281062EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY223088806EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY19230923BOY
EOY30113323EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY340648399BOY
EOY585209974EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY35814385BOY
EOY32893765EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY260341BOY
EOY370121EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY102088633BOY
EOY102945653EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY16233754BOY
EOY4995904EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY67038937BOY
EOY182807198EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY221436050BOY
EOY324012641EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY117684531BOY
EOY259625147EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY50774BOY
EOY38279EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1477044BOY
EOY1533907EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY119212349BOY
EOY261197333EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY340648399BOY
EOY585209974EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses18857373ReconcilationRevenueExpenses
Reconcilation Other Changes123127611ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$12,046GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB12046TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-B, LINE 1(I), OTHER LOBBYING ACTIVITIESIdentifier
ExplanationTHE ORGANIZATION PAYS MEMBERSHIP DUES TO THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA ("HAP"). A PORTION OF THE DUES PAID TO HAP ARE USED FOR LOBBYING PURPOSES BY HAP. THIS AMOUNT REPRESENTS THE PORTION OF MEMBERSHIP DUES USED BY HAP FOR LOBBYING PURPOSES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4979701OtherCostOrOtherBasis
Book Value4979701BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis112978203OtherCostOrOtherBasis
Depreciation-9078035Depreciation
Book Value122056238BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis283251OtherCostOrOtherBasis
Depreciation142957Depreciation
Book Value140294BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis100808642OtherCostOrOtherBasis
Depreciation75319308Depreciation
Book Value25489334BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis-12836666OtherCostOrOtherBasis
Depreciation-961477Depreciation
Book Value-11875189BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings140790378TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CASH & CASH EQUIVALENTS26885512C
U.S. GOVERNMENT & AGENCY OBLIG13974348C
GUARANTEED INVESTMENT CONTRACT2155586C
ALTERNATIVE INVESTMENTS265616C
FieldValueIRS element (for citing)
Total Of Book Value Securities43281062TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (11 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
EMERGYCARE, INC.248C
ASSOCIATED CLINICAL LAB, LLP1366378C
HAMOT SURGERY CENTER, LLC3989221C
REGIONAL AMBULATORY SURGERY CT951523C
VHA148000C
BAYFRONT REGIONAL DEVELOPMENT15465000C
CLINICAL PATHOLOGY INSTITUTE512636C
GREAT LAKES HOME HEALTHCARE100C
HAMOT-KCH REAL ESTATE VENTURE35700C
HAMOT COLE VENTURES620000C
UPMC NOTE RECEIVABLE200000000C
FieldValueIRS element (for citing)
Total Of Book Value Program Related223088806TotalOfBookValueProgramRelated

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST IN HHF19659609
INTERCOMPANY RECEIVABLE-14829
COMMUNITY HEALTH ALLIANCE ADV5324354
THIRD PARTY PAYORS SETTLEMENTS3034546
DEFERRED FINANCING COSTS2102143
OTHER ASSETS7500
FieldValueIRS element (for citing)
Total Book Value Other Assets30113323TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY PAYABLES$137,473,796
DEFERRED COMPENSATION$18,728,955
PENSION LIABILITY$11,854,037
ESTIMATED MEDICAL MALPRACTICE RESERVE LIABILITY$14,371,661
OTHER LIABILITY$378,749
FieldValueIRS element (for citing)
Total Of Amounts182807198TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1121654TotalCommunityBenefitExpense
Net Community Benefit Expense1121654NetCommunityBenefitExpense
Percent Of Total Expense0.00360PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense42403762TotalCommunityBenefitExpense
Direct Offsetting Revenue33064323DirectOffsettingRevenue
Net Community Benefit Expense9339439NetCommunityBenefitExpense
Percent Of Total Expense0.02980PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense43525416TotalCommunityBenefitExpense
Direct Offsetting Revenue33064323DirectOffsettingRevenue
Net Community Benefit Expense10461093NetCommunityBenefitExpense
Percent Of Total Expense0.03340PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense190000TotalCommunityBenefitExpense
Net Community Benefit Expense190000NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense5829943TotalCommunityBenefitExpense
Direct Offsetting Revenue2793941DirectOffsettingRevenue
Net Community Benefit Expense3036002NetCommunityBenefitExpense
Percent Of Total Expense0.00970PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1489608TotalCommunityBenefitExpense
Direct Offsetting Revenue17450DirectOffsettingRevenue
Net Community Benefit Expense1472158NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense540992TotalCommunityBenefitExpense
Direct Offsetting Revenue452341DirectOffsettingRevenue
Net Community Benefit Expense88651NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1184731TotalCommunityBenefitExpense
Net Community Benefit Expense1184731NetCommunityBenefitExpense
Percent Of Total Expense0.00380PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense9235274TotalCommunityBenefitExpense
Direct Offsetting Revenue3263732DirectOffsettingRevenue
Net Community Benefit Expense5971542NetCommunityBenefitExpense
Percent Of Total Expense0.01860PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense52760690TotalCommunityBenefitExpense
Direct Offsetting Revenue36328055DirectOffsettingRevenue
Net Community Benefit Expense16432635NetCommunityBenefitExpense
Percent Of Total Expense0.05200PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense413043TotalCommunityBuildingExpense
Net Community Building Expense413043NetCommunityBuildingExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense531861TotalCommunityBuildingExpense
Net Community Building Expense531861NetCommunityBuildingExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense944904TotalCommunityBuildingExpense
Net Community Building Expense944904NetCommunityBuildingExpense
Percent Of Total Expense0.00300PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$7,276,781BadDebtExpenseAmount
Amount Attributable To2647011AmountAttributableTo
Amount Reimbursed By Medicare129746163AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare143531679CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-13785516MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1HAMOT SURGERY CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityOUTPATIENT SURGERY CENTERDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.51000OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.49000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1UPMC HAMOTBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1201 STATE STREETAddressLine1
CityERIECity
StatePAState
ZIP Code16550ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UPMC HAMOTBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COSTLINE 6B, LINE 7, LINE 7G, LINE 7 COLUMN FLINE 6B - THE ORGANIZATIONS COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED BY THE HAMOT HEALTH FOUNDATION. LINE 7 - The costing methodology used to calculate the amounts reported in Part 1 Line 7 is a combination of direct costs as well as indirect costs where obtainable. Where appropriate, to determine cost a ratio of costs to charges method is employed. The method is in line with those described in Schedule H, Worksheet 2, "Ratio of Patient Costs to Charges". LINE 7G - The organization includes as subsidized health services costs attributable to a physician clinic in the amount of $377,158. LINE 7 COLUMN F - The Bad Debt expense of $37,555,625 from line 24(b) of Part IX is subtracted from the total expenses of $346,022,980 per line 25 Column A of Part IX in order to calculate the percentages in part I Line 7 Column f.
PART III BAD DEBT, MEDICARE, & COLLECTION PRACTICESLINE 4, LINE 8 AND LINE 9BLINE 4 - COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED IN PART III LINE 2 AND 3: The costing method used to calculate the amounts in Schedule H Part III lines 2 and 3 is a ratio of cost to charges method. Discounts and payments in patient's accounts are deducted before the cost of bad debt expense is determined. The method employed is in line with those described in Schedule H, Worksheet 2, "Ratio of Patient Costs to Charges". RATIONALE FOR INCLUDING BAD DEBT AMOUNTS IN COMMUNITY BENEFIT: The organization's bad debt expense consists solely of self pay patients accounts deemed uncollectable. It is UPMC Hamot's contention that the cost of bad debt should be stated in Part I Line 7 of Schedule H as they represent the costs for provision of services to patients for which the entity has exhausted all recourse for reimbursement. The services provided to patients who present themselves are provided regardless of a patient's ability to pay is in line with the organizations charitable mission and service to our community. These expenses are incurred regardless of the efficiency of the provision of the related medical care and are deemed to have been medically necessary for the patient. METHOD THE ORGANIZATION USES TO DETERMINE THE ESTIMATED AMOUNT OF THE ORGANIZATIONS BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBILITY UNDER THE ORGANIZATIONS CHARITY CARE POLICY: The method that the organization uses to determine the amount of the cost of bad debts that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy if sufficient information had been available to make a determination of their true eligibility is based on a statistical model applied to a sampling of inpatient accounts. The predictive model takes into consideration consumer activity and data, court records, government records, census data and encompasses healthcare economics, local demographics and credit policies. LINE 8 - COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE AND AS REPORTED IN THE ORGANIZATIONS MEDICARE COST REPORT: The costing methodology used to determine the Medicare allowable costs of care is a ratio of costs to charges method. The method is in line with those described in Schedule H, Worksheet 2, "Ratio of Patient Costs to Charges". It is UPMC Hamot's contention that all amounts calculated to be shortfalls in reimbursement for services provided to Medicare patients are truly uncompensated care that should be stated in Part I Line 7 of Schedule H of Form 990 as they represent costs for provision of services to patients for which the entity has no recourse for reimbursement, regardless of the efficiency of provision of the related care costs. LINE 9B - COLLECTION PRACTICES SET FORTH IN THE ORGANIZATIONS COLLECTION POLICY THAT APPLY TO PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE: If determined at any point prior to or during the patients stay that the patient is medically indigent, credit personnel will assist the patient, patient's family or guarantor in completing an application for state medical assistance and may suspend certain admission and in house payment requirements pending final determination as to medical assistance eligibility. Patients may request charity care post discharge by either calling or visiting the hospital and speaking with the patient accounting office. Personnel in patient accounting are designated to handle charity care applications.
PART VI SUPPLEMENTAL INFORMATIONLINE 2, LINE 3, LINE4, LINE 5, LINE 6 AND LINE 7LINE 2 - Hamot Medical Center assesses the health care needs of the community as part of the regular strategic planning cycle. Periodically a comprehensive assessment is done of the environment, including health care needs of the communities served. The assessment is then updated annually and presented to the strategic planning committee of the Board of Directors for use in the strategic plan. Assessment includes evaluating current environmental, demographic, and economic factors both globally and locally, as well as industry specific factors. Sources we regularly reference are The Pennsylvania Department of Health's Behavioral Risk Factor Survey, Healthy People Statistics, health status indicators, and cancer incidence and mortality reports. These are all available at the county level. We also use consumer surveys regarding health care utilization and access administrated by National Research Corporation. There are also various industry publications we consult. We have also worked actively with partners in our community. We are currently working collaboratively with our local Department of Health, the Erie Community Foundation, as well as other hospital providers in Erie County to develop a more formal community health needs assessment. LINE 3 - The charity care policy is posted throughout the medical center including postings at each registration window. Charity care applications are provided to all uninsured patients. Patients are also given information regarding financial assistance in their information packet and it is reviewed during the admission process. LINE 4 - UPMC Hamot's primary service area is Erie county, Pennsylvania and it secondary service area encompasses Crawford, Warren and McKean counties in Pennsylvania, Ashtabula county in Ohio, and Chautauqua County in New York. Erie County has a population of approximately 280,000 and the secondary service area has a population of approximately 410,000. While Erie County is largely urban and suburban the secondary service area is largely rural. Median household income in Erie County is $42,341 and 15.6% of the residents fall below the federal poverty level with over 22% of the population being Medicaid recipients. Of the 314,000 residents in the Pennsylvania and New York secondary service areas over 65,000 are Medicaid. Median household income in the secondary service area counties ranges between $38,300 and $41,000 and the percent of residents below the federal poverty level ranges from 12.2% in Warren County up to 17.1% in Chautauqua County. Erie County has 13 federally designated Medically Underserved Areas ("MUAS") while Crawford and McKean counties have 25 MUAS together. Chautauqua County has 1 MUA. LINE 5 - Through UPMC Hamot's financial support, organizations and communities can provide health services without otherwise having the means. Without these sponsored programs, the community could not otherwise financially support them. UPMC Hamot supports the community by subsidizing the local emergency transportation entity. Without Hamot's support the transportation entity could not remain financially viable. Though tax exempt, UMC Hamot pays property taxes exceeding $1 million though its PILOT program entered into with local, school district and county taxing authorities. UPMC Hamot has an open medical staff extending privileges to all qualified physicians for all departments. The Board of Directors of UPMC Hamot are made up in the majority of community members who are independent to UPMC Hamot. Surplus funds of UPMC Hamot are all reinvested in the hospital and the surrounding communities to promote the health of all served. LINE 6 - The delivery system of entities affiliated with UPMC Hamot is able to provide patients with all medically necessary services. These services include ambulatory surgery, durable medical equipment, home care services, medical transportation, physicians in all specialties to provide healthcare services, and all types of outpatient and ambulatory diagnostic services. UPMC Hamot's mission is to promote healthcare for the benefit of all its services and to provide the highest quality of patient care in a dignified environment without regard to a patient's ability to pay. LINE 7 - STATES RECEIVING COMMUNITY BENEFIT REPORT Pennsylvania

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Donald K Inderlied
1715450332650361760225170137960277299000
John T Malone
46057301859080995360773130155130838843000
Stephen M Danch
2665720693960457420408440171720439726000
V James Fiorenzo
3218360993100572060496760146860542714000
John Lyons MD
25860000097402259014430263276000
Richard Long MD
310053056930042380458670144240431512000
Debbie Burbules
18088903038006900176400159680245567000
Gary Maras
1717440370140313390222520168620279211000
Joseph Butler
1831620309510174650120840173650261027000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPART I, LINE 4B RETIREMENT PLANIdentifier
ExplanationTHE FOLLOWING OFFICERS, KEY EMPLOYEES, AND 5 HIGHEST PAID EMPLOYEES PARTICIPATED IN THE ORGANIZATION'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, AND HAD THE FOLLOWING AMOUNTS INCLUDED IN THEIR TAXABLE INCOME FOR 2010: JOHN T. MALONE - $62,613 DONALD K. INDERLIED - $11,195 STEPHEN M. DANCH - $26,144 V. JAMES FIORENZO - $34,976 DEBBIE BURBULES - $9,865 GARY MARAS - $10,942 RICHARD LONG MD - $36,067Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
ERIE COUNTY HOSPITAL AUTHORITY
2323020722952005232006-04-0623921150SERIES 2006 SEE SCHEDULE Ofalsefalsefalse
ERIE COUNTY HOSPITAL AUTHORITY
232302072295200TA72007-07-3130141552SERIES 2007 SEE SCHEDULE Ofalsefalsefalse
ERIE COUNTY HOSPITAL AUTHORITY
232302072295200TKS2008-07-018210000SERIES 2008 SEE SCHEDULE Ofalsefalsefalse
ERIE COUNTY HOSPITAL AUTHORITY
2323020722010-05-0635000000SERIES 2010ABC SEE SCHEDULE Otruefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredRefunding EscrowRefundingEscrow
253071182155586277420535160223389512010falsefalsetruetrue
31252910328700500770304234402010falsefalsetruetrue
82100001506562008truefalsetruetrue690000
35000000522137105272552010truetruetruetrue20850009107354

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruefalsetrue0.017000.000000.01700true
falsefalsetruefalsetrue0.041000.000000.04100true
falsefalsetruefalsetrue0.017000.000000.01700true
falsefalsetruefalsetrue0.019000.000000.01900true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
IXIS FUNDING CORP
falsefalsefalsetrue10.truetruefalse
(no name)
falsefalsefalsefalsefalsefalse
(no name)
falsetruefalsefalsefalsefalse
(no name)
falsefalsefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE K PART V SUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceSERIES 2006, 2007, 12/12/2006 FINANC, 7/16/2009 FINANC, 8/31/2010 FINANCIReturnReference
ExplanationSERIES 2006 $1,385,967.79 WAS EARNED IN THE CONSTRUCTION FUND DURING CONSTRUCTION AND SPENT ACCORDING TO THE PURPOSE OF THE BONDS SERIES 2007 $1,111,358.09 WAS EARNED IN THE CONSTRUCTION FUND DURING CONSTRUCTION AND SPENT ACCORDING TO THE PURPOSE OF THE BONDS. 12/12/2006 FINANCING $203,327.61 WAS EARNED IN THE CONSTRUCTION FUND DURING CONSTRUCTION AND SPENT ACCORDING TO THE PURPOSE OF THE BONDS. $688,519.03 WAS USED FOR PRINCIPAL AND INTEREST PAYMENTS. 7/16/2009 FINANCING $879.78 WAS EARNED IN THE CONTRUCTION FUND DURING CONSTRUCTION AND SPENT ACCORDING TO THE PURPOSE OF THE BONDS. 8/31/2010 FINANCING $480.05 WAS EARNED IN THE CONSTRUCTION FUND DURING CONSTRUCTION AND SPENT ACCORDING TO THE PURPOSE OF THE BONDS.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSEE SCHEDULE ONamePerson

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I SUMMARYLINE 1PART I, LINE 1 CONTINUED - WESTERN PENNSYLVANIA, WESTERN NEW YORK AND NORTHEASTERN OHIO. UPMC HAMOT'S GOAL TO SERVE THE COMMUNITY IS ACCOMPLISHED THROUGH A COMMITMENT TO PATIENT-FOCUSED CARE AND OUTCOMES MANAGEMENT, OUTSTANDING CUSTOMER SERVICE, STRONG REGIONAL PARTNERSHIPS, RESEARCH, AND COMMUNITY EDUCATION AND PROGRAMS. UPMC HAMOT IS DEDICATED TO SERVICE ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSLINE 4D OTHER PROGRAM SERVICESINPATIENT SERVICES: UPMC HAMOT IS A 412 BED TERTIARY HOSPITAL WITH MEDICAL SPECIALTIES THAT INCLUDE CARIOLOGY, NEUROSCIENCE, GASTROINTESTINAL CARE, CRITICAL CARE, ORTHPAEDICS AND WOMAN'S HEALTH SERVICES. DURING FISCAL YEAR 2011, UPMC HAMOT'S ADMISSIONS WERE APPROXIMATELY 18,200 AND HAD APPROXIMATELY 86,000 PATIENT DAYS. UPMC HAMOT IS ACCREDITED BY THE JOINT COMMISSION AND ALSO HAS AN ADVANCED CERTIFICATION FROM THEM AS A PRIMARY STROKE CENTER. SOME OF THE OTHER MOST CURRENT ACCOLADES INCLUDE: THOMSON REUTERS "100 TOP HOSPITALS" IN BOTH TOP NATIONAL HOSPITALS AND CARDIOVASCULAR CARE; A THREE YEAR ACCREDITATION (WITH COMMENDATION) FROM THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER CARE; AMERICAN HEART ASSOCIATION "GET WITH THE GUIDELINES"; STROKE GOLD PLUS PERFORMANCE AWARD; JOINT COMMISSION ADVANCED CERTIFICATION IN STROKE CARE AND HEART FAILURE PROGRAM; U.S. NEWS & WORLD REPORT - AMERICA'S BEST HOSPITALS PULMONARY; HIGHMARK BLUE DISTINCTION CENTER FOR CARDIAC, BARIATRIC, KNEE AND HIP REPLACEMENT; NATIONAL RESEARCH CORPORATION CONSUMER CHOICE AWARD; AND THE AMERICAN COLLEGE OF RADIOLOGY BREAST IMAGING CENTER OF EXCELLENCE. UPMC HAMOT ALSO MAINTAINS AN ORTHOPAEDIC CLINIC THAT SERVES PRIMARILY THE INDIGENT OF THE COMMUNITY. OUTPATIENT SERVICES: UPMC HAMOT OUTPATIENT SERVICES INCLUDE OUTPATIENT SURGERY, EMERGENCY ROOM VISITS, HOME HEALTH VISITS, OUTPATIENT CARDIOLOGY PROCEDURES, RADIOLOGY PROCEDURES, ORTHOPAEDIC PROCEDURES, AND PHYSICIAL REHABILITATION. THE TOTAL OUTPATIENT VOLUME WAS APPROXIMATELY 351,000. MEDICAL EDUCATION AND RESEARCH: TO FURTHER UPMC HAMOT'S GOAL TO PROVIDE OUTSTANDING PATIENT CARE, UPMC HAMOT HAS ESTABLISHED THE FOLLOWING GRADUATE PROGRAMS: PHARMACY RESIDENCY, NEUROLOGY RESIDENCY, ORTHOPAEDIC SURGERY RESIDENCY, ORTHOPAEDIC HAND SURGERY FELLOWSHIPS, AND EMERGENCY MEDICINE. THE CONTINUING MEDICAL EDUCATION DEPARTMENT IS ACCREDITED BY THE PENNSYLVANIA MEDICAL SOCIETY AND ENABLES PHYSICIANS OUTSIDE OF HAMOT TO RECEIVE REQUIRED EDUCATIONAL CREDITS. THE DEPARTMENT'S MOST RECENT ANNUAL REPORT SHOWED THAT MORE THAN 3,000 DOCTORS ATTENDED THESE COURSES. UPMC HAMOT HOUSES A SCHOOL OF ANESTHESIA IN CONJUNCTION WITH A LOCAL UNIVERSITY. THE ANESTHESIA PROGRAM IS ACCREDITED BY THE COUNCIL ON ACCREDITATION OF NURSE ANESTHESIA. LAST YEAR, 20 STUDENTS GRADUATED FROM THE PROGRAM. VARIOUS RESEARCH ACTIVITIES SUPPORT MEDICAL EDUCATION AND ADVANCEMENTS IN PATIENT CARE. UPMC HAMOT PARTICIPATES IN CLINICAL TRIALS FOR DRUGS AND DEVICES IN THE FINAL TESTING STAGES AS WELL AS BASIC SCIENCE RESEARCH. COMMUNITY EDUCATION AND SUPPORT PROGRAMS: UPMC HAMOT WORKS IN CLOSE PARTNERSHIP WITH THE COMMUNITY TO PROVIDE SERVICES. UPMC HAMOT PARTICIPATES IN THE "PILOT" (PAYMENT IN LIEU OF TAXES) PROGRAM WHICH WAS APPROXIMATELY $1,173,000 IN FISCAL YEAR 2011, AND SUBSIDIZES THE LOCAL EMERGENCY TRANSPORTATION FOR APPROXIMATELY $400,000 ANNUALLY. IN ADDITION, UPMC HAMOT PROVIDES MANY OTHER EDUCATIONAL AND SUPPORT SERVICES TO THE COMMUNITY INCLUDING SUPPORT TO BUILD UP THE DOWNTOWN DISTRICT WITHIN WHICH UPMC HAMOT'S CAMPUS RESIDES. UPMC HAMOT ALSO CONDUCTS VARIOUS FREE HEALTH SCREENINGS AND EDUCATION SESSIONS AT LOCATIONS THROUGHOUT THE CITY INCLUDING CAR SEAT SAFETY, COMMUNITY VACCINATION PROGRAMS, UPMC HAMOT HEART FOR WOMEN, ATV SAFETY TRAINING, SPEAKERS BUREAU AND LECTURE SERIES, LET ME CALL YOU SWEETHEART, HEART AND SOLES, AND WEAR RED FOR WOMEN.
PART VI GOVERNANCE, MANAGEMENT, AND DISCLOSURESECTION A, LINE 2,4 ; SECTION B, LINE 11; LINE 12C; SECTION C, LINE 19PART VI SECTION A LINE 4 - ON FEBRUARY 1, 2011, UPMC, HAMOT MEDICAL CENTER ('HAMOT') AND THE HAMOT HEALTH FOUNDATION ("FOUNDATION") EXECUTED AN INTEGRATION AND AFFILIATION AGREEMENT (THE "AGREEMENT") PROVIDING FOR AN AFFILIATION BETWEEN UPMC AND HAMOT. ON THE DATE OF THE AFFILIATION, THE ARTICLES OF INCORPORATION AND BYLAWS OF HAMOT WERE AMENDED SUCH THAT UPMC BECAME THE SOLE CORPORATE MEMBER OF HAMOT. AS A RESULT OF THE AFFILIATION, UPMC ACQUIRED $406,664,000 OF TOTAL ASSETS, CONSISTING PRIMARILY OF PROPERTY, PLANT AND EQUIPMENT AND INVESTMENTS, AND ASSUMED $255,631,000 OF HAMOT'S LIABILITIES CONSISTING PRIMARILY OF LONG-TERM DEBT OBLIGATIONS. SECTION B LINE 11 - A COPY OF THE FORM 990 IS POSTED TO A SECURE WEBSITE FOR ALL BOARD MEMBERS TO REVIEW. THE CFO PROVIDES FORM 990 HIGHLIGHTS TO THE AUDIT COMMITTEE OF THE BOARD, AND THE CHAIR OF THE AUDIT COMMITTEE RECEIVES AN ENTIRE COPY OF THE FORMS 990 AND 990-t. ALSO, THE COMPLIANCE OFFICER REVIEWS THE OFFICERS' COMPENSATION WITH THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE CHAIR OF THE COMPENSATION COMMITTEE REVIEWS THE OFFICER AND KEY EXECUTIVE COMPENSATION WITH THE FULL BOARD. THE EXECUTIVE COMPENSATION AND AUDIT COMMITTEE MEMBERSHIPS CONSIST OF ONLY "INDEPENDENT" TRUSTEES AS DEFINED BY THE GOVERNANCE POLICY. LINE 12C - BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND OTHER SENIOR EXECUTIVES ARE REQUIRED TO SUBMIT FORMAL CONFLICT OF INTEREST STATEMENTS ON AT LEAST AN ANNUAL BASIS AND WHENEVER THE PERSON FIRST BECOMES SUBJECT TO THE POLICY OR THERE HAS BEEN ANY MATERIAL CHANGES IN THE PERSON'S RESPONSES TO THE PREVIOUSLY PROVIDED STATEMENT. THE STATEMENTS ARE PROVIDED TO, REVIEWED BY AND MAINTAINED BY THE CORPORATION'S CHIEF GOVERNANCE OFFICER. CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE BOARD OF DIRECTORS OR COMMITTEE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. IN ORDER TO MONITOR CONFLICTS OF INTEREST ARISING OUT OF TRANSACTIONS THAT WOULD NOT IN THE ORDINARY COURSE BE PRESENTED TO THE BOARD OR A COMMITTEE WITH BOARD DELEGATED POWERS, THE CHIEF GOVERNANCE OFFICER REVIEWS THE CONFLICT. QUARTERLY, THE CORPORATIONS'S ACCOUNTS PAYABLE DEPARTMENT WILL PROVIDE A COMPREHENSIVE LIST OF ANY TRANSACTIONS WITH A MEMBER OF THE BOARD, THEIR COMPANY/ORGANIZATION OR IMMEDIATE FAMILY MEMBER. QUARTERLY OR MORE FREQUENTLY IF CURCUMSTANCES WARRANT, THE TRANSACTION LIST WILL BE REVIEWED BY THE GOVERNANCE AND NOMINATING COMMITTEE. LINE 15 - AN INDEPENDENT NATIONAL CONSULTING FIRM IS RETAINED BY THE HAMOT BOARD OF TRUSTEES AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF "INDEPENDENT" TRUSTEES. THE BOARD MONITORS A LIST OF PERFORMANCE METRICS AND EVALUATES THE EXECUTIVE TEAM ANNUALLY BASED ON THE QUALITY OF PATIENT CARE, PATIENT SATISFACTION, FINANCIAL PERFORMANCE, AND COMMUNITY STEWARDSHIP. tHE CONSULTANT'S STUDY INCLUDES: UNDERSTANDING THE TARGET COMPETITIVE MARKET THROUGH DISCUSSION WITH HAMOT EXECUTIVES AND COMPENSATION COMMITTEE, REVIEWING THE DUTIES AND RESPONSIBILITIES FOR EACH POSITION UNDER THE SCOPE OF THE STUDY, SELECTING CREDIBLE PUBLISHED SURVEY SOURCES, ANALYZING MARKET DATA, AND COMPARING HAMOT COMPENSATION LEVELS BY EACH COMPONENT OF THE EXECUTIVE TOTAL COMPENSATION TO THE COMPETITIVE MARKET PRACTICES. AN OFFICIAL OPINION IS RENDERED BY THE CONSULTANT IN ACCORDANCE WITH TREASURY REGULATION SECTION 53.4958-6(2) AND 53.4958-1(D)(4)(III). THEY ALSO CERTIFY THEIR INDEPENDENCE. THE STUDY IS PERFORMED ANNUALLY WITH THE MOST RECENT STUDY CONDUCTED IN 2011. THE SCOPE OF THIS STUDY IS FOR POSITIONS HELD WITH UPMC HAMOT AND REGIONAL HEALTH SERVICES. THE POSITIONS UNDER THE SCOPE OF THIS STUDY ARE: CEO, COO, CFO, CMO, CNO, SVP OF CORP SERVICE/CORPORATE COMPLIANCE, SVP OF BUSINESS DEVELOPMENT, VP OF OUTPATIENT SERVICES, VP OF SUPPORT SERVICES, VP OF STRATEGIC RESOURCES, VP OF PATIENT ACCOUNTING, VP OF GENERAL SERVICES, VP OF HAMOT PHYSICIAN NETWORK, VP OF PHARMACY, AND THE PRESIDEDNT OF REGIONAL HEALTH SERVICES. SECTION C LINE 19 - THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PART X BALANCE SHEETSCHEDULE K TAX EXEMPT BONDS - DESCRIPTION OF PURPOSESERIES 2006 - CONSTRUCTION AND EQUIPPING OF A NEW TWO-STORY GENERATOR BUILDING TO PROVIDE EMERGENCY AND STANDBY ELECTRICAL POWER FOR THE MEDICAL CENTER AND RELATED FACILITIES, EXPANSION AND RENOVATION OF THE FACILITIES HOUSING THE IMAGING CENTER, EXPANSION OF THE RESOURCE CENTER TO HOUSE ADDITIONAL FACILITIES, RENOVATION AND CONSTRUCTION OF THE WOMEN'S AND BABIES INPATIENT SERVICES FACILITIES, AND FINANCING VARIOUS EQUIPMENT AND RENOVATION PROJECTS FOR THE MEDICAL CENTER. SERIES 2007 - CONSTRUCTION AND EQUIPPING OF A NEW HOSPTIAL AND HEALTH CENTER FOCUSED ON WOMEN'S AND BABIES' HEALTH CARE NEEDS. SERIES 2008 - REFUNDED ERIE COUNTY HOSPITAL AUTHORITY'S VARIABLE RATE DEMAND REVENUE SERIES 1998B BONDS ISSUED 6/30/1998. SERIES 2010ABC - REFUNDED ERIE COUNTY HOSPITAL AUTHORITY'S REVENUE SERIES 1998A BONDS ISSUED 6/30/1998; ADVANCE REFUNDED ERIE COUNTY HOSPITAL AUTHORITY'S REVENUE SERIES 2002 BONDS ISSUED 12/5/2002; CONSTRUCTED, RENOVATED, EQUIPPED INPATIENT AND OUTPATIENT HOSPITAL AND HEALTH CARE FACILITIES TO BE OWNED AND OPERATED BY THE MEDICAL CENTER, INCLUDING THE HAMOT WOMEN'S HOSPITAL. 12/12/2006 FINANCING - FINANCE CAPITAL EXPENDITURES OR REIMBURSE FOR PREVIOUSLY INCURRED CAPITAL EXPENDITURES FOR HOSPITAL AND/OR HEALTH CARE FACILITIES. 7/16/2009 FINANCING - FINANCE CAPITAL EXPENDITURES OR REIMBURSE FOR PREVIOUSLY INCURRED CAPITAL EXPENDITURES FOR HOSPITAL AND/OR HEALTH CARE FACILITIES 8/31/2010 FINANCING - FINANCE CAPITAL EXPENDITURES OR REIMBURSE FOR PREVIOUSLY INCURRED CAPITAL EXPENDITURES FOR HOSPITAL AND/OR HEALTH CARE FACILITIES
PART XI RECONCILIATION OF ASSETSLINE 5 RECONCILIATION OF NET ASSETSTRANSFER OF ASSETS FROM HAMOT HEALTH FOUNDATION 26,962,986 ELIMINATION OF INTERCOMPANY DEBT (22,448,725) PLEDGE RECEIVABLE FROM UPMC 200,000,000 CHANGE IN PENSION LIABILITY 6,068,060 CHANGE IN BENEFICIAL INTEREST 19,659,609 WRITE OFF OF KANE A/R (438,511) OPENING BALANCE SHEET ADJUSTMENTS (23,077,842) WRITEOFF OF THE PHYSICIAN & KANE INVESTMENT (869,073) INHERENT CONTRIBUTION FROM HAMOT ACQUISITION (63,201,000) EMERGYCARE INVESTMENT WRITEOFF (1,805,782) COMPLIANCE OF INVENTORY RESERVE POLICY (9,281,000) PPE EQUIPMENT WRITEUP RELATING TO UPMC ACQUISITION (10,000,000) DOL 8/80 LIABILITY (208,000) PENSION DISCOUNT RATE CONFORMITY 1,800,000 OTHER MISCELLANEOUS ADJUSTMENTS (33,111) TOTAL 123,127,611
SCHEDULE L TRANSACTIONS WITH INTERESTED PERSONSPART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSA NAME OF INTERESTED PERSON BALDWIN BROTHERS, INC. B RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION BOARD MEMBER GREGORY S. BALDWIN IS AN OFFICER AND DIRECTOR OF INTERESTED PERSON C AMOUNT OF TRANSACTION 212,205 D DESCRIPTION OF TRANSACTION REAL ESTATE E SHARING OF ORGANIZATIONS REVENUES NO A NAME OF INTERESTED PERSON SCOTTS COURT-PEACH INC B RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION INTERESTED PERSON ENTITY MORE THAN 35% OWNED BY BOARD MEMBER NICHOLAS SCOTT C AMOUNT OF TRANSACTION 111,325 D DESCRIPTION OF TRANSACTION SPACE RENTAL E SHARING OF ORGANIZATIONS REVENUES NO A NAME OF INTERESTED PERSON KNOX MCLAUGHLIN GORNALL & SENNETT PC B RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION BOARD MEMBER THOMAS TUPITZA ESQ. IS A SHAREHOLDER AND DIRECTOR OF INTERESTED PERSON C AMOUNT OF TRANSACTION 332,341 D DESCRIPTION OF TRANSACTION LEGAL SERVICES E SHARING OF ORGANIZATIONS REVENUES NO A NAME OF INTERESTED PERSON GERALD GARCIA M.D. B RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION FAMILY MEMBER OF BOARD MEMBER PHILIP A. GARCIA C AMOUNT OF TRANSACTION 60,000 D DESCRIPTION OF TRANSACTION CONSULTING SERVICES E SHARING OF ORGANIZATIONS REVENUES NO A NAME OF INTERESTED PERSON MEDICOR ASSOCIATES, INC B RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION BOARD MEMBER ROBERT J. FERRARO M.D. IS > 5% OWNER OF INTERESTED PERSON C AMOUNT OF TRANSACTION 20,411,074 D DESCRIPTION OF TRANSACTION CARDIOLOGY SERVICES E SHARING OF ORGANIZATIONS REVENUES NO A NAME OF INTERESTED PERSON MARY JERGE B RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION FAMILY MEMBER OF CFO STEPHEN DANCH C AMOUNT OF TRANSACTION 18,083 D DESCRIPTION OF TRANSACTION COMPENSATION E SHARING OF ORGANIZATIONS REVENUES NO

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KANE COMMUNITY HOSPITAL
4372 ROUTE 6KANEPA16735250998168HOSPITALPA501(C)(3)3UPMC HAMOT
REGIONAL HEALTH SERVICES INC
300 STATE STREET NO 100AERIEPA19103251403958OUTPATIENT SVPA501(C)(3)9UPMC HAMOT
UPMC
600 GRANT STREETPITTSBURGHPA15219251423657HEALTHCAREPA501(C)(3)11 TYPE IIINA

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipDirect Controlling Entity NADirectControllingEntityNA
HAMOT-KCH REAL ESTATE VENTURE LLC
300 STATE STERIEPA16501263691782MEDICAL OFFICE BLPAUPMC HAMOTRELATED
HAMOT SURGERY CENTER LLC
200 STATE STERIEPA16550251863661AMBULATORY SURGERPAUPMC HAMOTRELATED12301493747111false$0false0.50940
LIFE CARE HOME SERVICES OF NW PA
1647 SASSAFRAS STERIEPA16502251536879HOME HEALTH SVCSPANAN/A00$00.00000
HAMOT PROFESSIONAL BUILDING CONDOMINIUM
2950 WEST 12TH STERIEPA16505251761211REAL ESTATEPAINVESTMENT-78099215772false$0true0.93860N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
KANE ANESTHESIA PROFESSIONAL SERVICES
4372 ROUTE 6KANEPA16735050555457ANESTHESIA SVCSPAKANE COMMUNITYC CORP365999988941.00000
BAYFRONT REGIONAL DEVELOPMENT CORP
300 STATE STREET SUITE 100ERIEPA16507251401388RE HOLDINGS COPAUPMC HAMOTC CORP339578253271881.00000
BAYSIDE DEVELOPMENT CORP
300 STATE STREET SUTIE 100ERIEPA16507251401386REAL ESTATE/PHARMPABAYFRONT REG DEC CORP7554023271838831.00000
FieldValueIRS element (for citing)
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (13 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
REGIONAL HEALTH SERVICES INC
B22107465
REGIONAL HEALTH CENTRAL LLC
B341260
KANE COMMUNITY HOSPITAL
C2515845
HAMOT SURGERY CENTER
I113867
REGIONAL HEALTH SERVICES INC
I382677
BAYFRONT REGIONAL DEVELOPMENT
J97284
BAYSIDE DEVELOPMENT CORP
J98702
HAMOT SURGERY CENTER LLC
K339164
REGIONAL HEALTH SERVICES INC
K147112
KANE COMMUNITY HOSPITAL
K536822
REGIONAL HEALTH SERVICES INC
O3378000
HAMOT SURGERY CENTER LLC
R1147373
UPMC
R200000000

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