2024-05-15T17:00:55-05:00 2023-06-30 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2022-07-01 520591531 UPMC WESTERN MARYLAND CORPORATION UPMC 2409648002 PO BOX 539 CUMBERLAND MD 215010539 AMBER RUBLE CFO 2409648032 2024-05-15 1 AMBER RUBLE 999009999 1 BRIAN KEARNS P02061479 7032868000 2024-05-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z AMBER RUBLE PO BOX 539 CUMBERLAND MD 215010539 399368244 0 X WWW.WMHS.COM X 1905 MD SEE SCHEDULE OUPMC WESTERN MARYLAND IS DEDICATED TO PROVIDING PATIENT CENTERED CARE AND IMPROVING THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE. PLEASE SEE PART III, LINE 1 FOR DETAILS. 12 12 2454 268 468645 22158 1745934 1906543 362943847 378008547 5580430 14785147 2897000 4217874 373167211 398918111 0 0 0 0 193548793 185639354 0 0 0 159278531 172180488 352827324 357819842 20339887 41098269 429073665 389832576 57957990 22039012 371115675 367793564 X THE MISSION OF UPMC WESTERN MARYLAND IS TO SERVE OUR COMMUNITY BY PROVIDING OUTSTANDING PATIENT CARE AND TO SHAPE TOMORROW'S HEALTH SYSTEM THROUGH CLINICAL & TECHNOLOGICAL INNOVATION, RESEARCH AND EDUCATION. 0 0 187837752 266060593 ANCILLARY CARE - REGULATEDUPMC WESTERN MARYLAND OFFERS A COMPREHENSIVE RANGE OF GENERAL AND SPECIALTY SERVICES FOR PATIENTS. SURGICAL, LABORATORY, RADIOLOGY, CARDIOLOGY, CANCER, RESPIRATORY AND PULMONARY ARE THE LARGER SERVICES PROVIDED AT THE HOSPITAL. 60954760 52718718 INPATIENT ROUTINE CARE - REGULATEDUPMC WESTERN MARYLAND IS A FULL-SERVICE COMMUNITY HOSPITAL LICENSED FOR 223 BEDS INCLUDING MEDICAL-SURGICAL INTENSIVE CARE, HIGH LEVEL CARE, OBSTETRIC, PEDIATRIC, PSYCHIATRIC, REHABILITATION, AND NURSERY. FOR THE YEAR, 9,025 PATIENTS WERE ADMITTED TO THE HOSPITAL. UPMC WESTERN MARYLAND ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THOSE PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE CHARITY CARE POLICIES RECEIVE SERVICES AT NO CHARGE OR AT AN AMOUNT LESS THAN FULL CHARGES. 63711842 40952484 PHYSICIAN PRACTICES, CLINICS, AND HOME CAREUPMC WESTERN MARYLAND (WMHS) OPERATES 24 PHYSICIAN PRACTICES, 3 URGENT CARE CLINICS, AND A HOME CARE PRACTICE. THE PHYSICIAN PRACTICES HAD 165,655 ENCOUNTERS; THE URGENT CARE CLINICS HAD 56,989 ENCOUNTERS AND HOME CARE HAD 30,225 VISITS FOR THE YEAR. 19963931 21602543 EMERGENCY CARE - REGULATEDUPMC WESTERN MARYLAND (UPMCWM) OPERATES A 24-HOUR/7-DAY-A-WEEK EMERGENCY ROOM WHICH SERVES AS THE DESIGNATED AREA-WIDE TRAUMA CENTER. 34,867 VISITS WERE REGISTERED IN THE EMERGENCY ROOM FOR THE YEAR ENDING JUNE 30, 2023. 19963931 21602543 332468285 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 1 0 1 2454 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MD X AMBER RUBLE 2409648002 PO BOX 539 CUMBERLAND MD 215010539 MARY ANN JENKINS BOARD CHAIR 4.00 0.00 X X 0 0 0 JONATHAN HUTCHERSON BOARD VICE CHAIR 4.00 0.00 X X 0 0 0 KEITH L FUNKHOUSER BOARD TREASURER 4.00 0.00 X X 0 0 0 DAVID T MARTIN BOARD SECRETARY 4.00 0.00 X X 0 0 0 DAVID BURWELL MD BOARD MEMBER 3.00 0.00 X 0 0 0 ROLF K HAARSTAD AIA BOARD MEMBER 3.00 0.00 X 0 0 0 DAVID C RUSSELL BOARD MEMBER 3.00 0.00 X 0 0 0 EILEEN SIMMONS BOARD MEMBER 3.00 0.00 X 0 0 0 CARISSA RODEHEAVER BOARD MEMBER 3.00 0.00 X 0 0 0 KIM B LEONARD BOARD MEMBER 3.00 0.00 X 0 0 0 JOHN N PAPPAS MD BOARD MEMBER 3.00 0.00 X 0 0 0 COURTNEY A THOMAS-WINTERBERG BOARD MEMBER 3.00 0.00 X 0 0 0 RICK WADAS MD BOARD MEMBER 3.00 0.00 X 0 0 0 MICHELE R MARTZ PRESIDENT 40.00 0.00 X 632704 0 148474 AMBER RUBLE CFO 40.00 0.00 X 200850 0 44573 KEVIN R TURLEY VP, OPERATIONS 40.00 0.00 X 350635 0 112584 JAMES KARSTETTER VP, CNO 40.00 0.00 X 341927 0 59044 MATTHEW SIMMONS MD VP, MEDICAL AFFAIRS 40.00 0.00 X 449447 0 43999 EMME CHAPMAN-JACKSON MD MEDICAL STAFF PRESIDENT 40.00 0.00 X 616065 0 26786 OR COHEN-INBAR MD NEUROSURGEON 40.00 0.00 X 1802436 0 40173 RICHARD STRAUSS MD NEUROSURGEON 40.00 0.00 X 984457 0 33779 BLANCHE MAVROMATIS MD ONCOLOGIST 40.00 0.00 X 821637 0 49643 CHRISTOPHER HAAS MD CARDIOLOGIST 40.00 0.00 X 808715 0 60633 MARK G NELSON MD CARDIOTHORACIC SURGEON 40.00 0.00 X 766433 0 86721 7775306 0 706409 441 0 1 0 USACS INTEGRATED ACUTE CARE 4535 DRESSLER ROAD NW CANTON OH 44718 PHYSICIAN STAFFING 10135095 NORTH AMERICAN PARTNERS IN ANESTHESIA 68 SOUTH SERVICE ROAD STE 350 MELVILLE NY 11747 ANESTHESIA SERVICES 5263663 MSP SYNCHRONIZED SOLUTIONS LLC 6 CONCOURSE PARKWAY SUITE 2250 ATLANTA GA 30328 PHYSICIAN STAFFING 2380854 HAYSTACK IMAGING SERVICES PO BOX 539 CUMBERLAND MD 215010539 DIAGNOSTIC IMAGING 2093265 ECLINICALWORKS LLC TWO TECHNOLOGY DRIVE WESTBOROUGH MA 01581 IT SUPPORT SERVICES 1804068 26 523217 1262242 121084 1906543 ANCILLARY CARE 621990 266151877 265918840 233037 INPATIENT ROUTINE CARE 621990 52672647 52672647 CLINICS, HH, & HOSPICE 621990 40904329 40904329 EMERGENCY CARE 621990 18279694 18279694 378008547 14782647 14782647 1100644 450133 650511 650511 650511 2500 0 2500 2500 2500 CARES ACT FUNDING 900099 3124331 3124331 CONDO REVENUES 531310 235608 235608 REIMBURSEMENT OF EXPEN 900099 201460 201460 5964 5964 3567363 398918111 381101301 468645 15441622 7586383 7055336 531047 142498759 132523846 9974913 -199903 -185910 -13993 26348245 24503868 1844377 9405870 8747459 658411 579226 579226 59785 59785 26409855 24561165 1848690 606155 563724 42431 561296 522005 39291 3924142 3649452 274690 7931698 7376479 555219 467679 434941 32738 42516 39540 2976 8516945 7920759 596186 22919117 21314779 1604338 1638039 1523376 114663 SUPPLIES 64912571 60368690 4543881 MEDICAL PROF. FEES 21791365 20265969 1525396 BAD DEBT 4139352 4139352 0 7680747 7143455 537292 357819842 332468285 25351557 0 24097135 23730805 72115562 61946601 2666296 2666421 1247408 200356 260643292 70339003 204486230 190304289 6850741 6048730 50743006 62352707 66867287 42582667 429073665 389832576 8710623 6233756 3335479 4921562 2389537 40990326 13415719 57957990 22039012 X 370222739 367033544 892936 760020 371115675 367793564 429073665 389832576 X 41098269 306220 -44726600 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7388737 -432555 6956182 8214248 295541 -1036723 84329 7388737 7835269 221846 503718 346585 8214248 8453886 3734675 268104 4621396 7835269 10988945 459723 178047 3172829 8453886 0.89670 0.10330 1 0 7694809 7694809 197781168 45307473 152473695 2130511 519707 1610804 43993001 20232509 23760492 9043803 4279314 4764489 190304289 INVESTMENT - MARYLAND CARE 58952707 C INVESTMENT - ASC 3400000 C 62352707 NOTE REC INTERNAL 54083143 NONQUALIFIED PENSION 1276258 INVEST IN CONSOL SUBSIDIARIES 20655 INTERCOMPANY ASSETS -12797389 42582667 PAYABLE TO 3RD PARTY 12864243 LEASE LIABILITY - LONG TERM 453266 AR PAYOR ADVANCES 38530 REFUNDS DUE 59680 13415719 X PART V, LINE 4: ENDOWMENT FUNDS INTENDED USES OF THE INCOME FROM THE PUGH ENDOWMENT FUND ARE TO PROVIDE FREE BEDS AND FREE SERVICE TO THOSE WHO MAY BECOME PATIENTS AND WHO THROUGH FINANCIAL INABILITY MAY BE UNABLE TO MAKE PROVISIONS FOR THEIR OWN MEDICAL AND/OR SURGICAL RELIEF. PART X, LINE 2: AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED UPMC SYSTEM LEVEL ONLY, INCLUDING UPMC AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARIES. TAX BENEFITS ARE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. SUCH TAX POSITIONS ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON ULTIMATE SETTLEMENT WITH THE TAX AUTHORITIES ASSUMING FULL KNOWLEDGE OF THE POSITION AND ALL RELEVANT FACTS. AS OF JUNE 30, 2023, UPMC DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS RECORDED. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 22180002 0 0 0 0 0 0 22180002 0 22180002 1 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 1 1 X 1 X 1 1 1 0 1 1 14905333 0 14905333 0.04170 5579848 4510988 1068860 0.00300 20485181 4510988 15974193 0.04470 790590 0 790590 0.00220 893705 0 893705 0.00250 103990266 45525798 58464468 0.16340 118625 0 118625 0.00030 105793186 45525798 60267388 0.16840 126278367 50036786 76241581 0.21310 19429 0 19429 0.00010 586376 0 586376 0.00170 605805 605805 0.00180 1 4139352 129722408 105147769 24574639 X 1 1 1 HAYSTACK IMAGING HEALTH CARE 0.50000 0.50000 2 SURGCENTER OF WM HEALTH CARE 0.45160 0.54840 1 1 UPMC WESTERN MARYLAND CORPORATION 12500 WILLOWBROOK ROAD CUMBERLAND MD 21502 WWW.WMHS.COM X X X UPMC WESTERN MARYLAND CORPORATION 1 0 0 1 X X X X X X X X X X 21 1 1 0 1 X SEE PART V SUPPLEMENTAL INFORMATION X 1 21 1 SEE PART V SUPPLEMENTAL INFORMATION 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.WMHS.COM X WWW.WMHS.COM X WWW.WMHS.COM X X X X X 1 X 0 X X X 1 X 0 1 UPMC WESTERN MARYLAND CORPORATION PART V, SECTION B, LINE 5: UPMC'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED A PARTNERSHIP WITH EXPERTS AT THE UNIVERSITY OF PITTSBURGH SCHOOL OF PUBLIC HEALTH TO CONDUCT THE CHNA USING A BEST-PRACTICE METHODOLOGY. THE ASSESSMENT BLENDED ANALYSIS OF DOCUMENTED HEALTH AND SOCIOECONOMIC FACTORS WITH A STRUCTURED, COMMUNITY INPUT SURVEY PROCESS. EFFECTIVELY ENGAGING THE COMMUNITY IN A BROAD, SYSTEMATIC WAY, THE SURVEY SOLICITED FEEDBACK FROM COMMUNITY ADVISORY PANELS COMPOSED OF LEADERS OF ORGANIZATIONS THAT REPRESENT PATIENT CONSTITUENCIES, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND CHRONICALLY ILL POPULATIONS WITHIN THE HOSPITAL'S COMMUNITY. UPMC INVITED NEARLY 3,000 STAKEHOLDERS TO HELP IDENTIFY THEIR COMMUNITY'S MOST PRESSING HEALTH NEEDS. APPENDIX C OF EACH HOSPITAL CHNA REPORT INCLUDES A LIST OF COMMUNITY PARTICIPANTS. WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX UPMC WESTERN MARYLAND CORPORATION PART V, SECTION B, LINE 6A: IN JUNE 2022 UPMC HOSPITALS COMPLETED JOINT CHNAS AS FOLLOWS:BEDFORD, BLAIR, AND SOMERSET COUNTY HOSPITALS IN PENNSYLVANIA, AND ALLEGANY COUNTY HOSPITAL IN MARYLAND: UPMC ALTOONA, UPMC BEDFORD, UPMC SOMERSET, AND UPMC WESTERN MARYLANDALLEGHENY COUNTY HOSPITALS: UPMC CHILDREN'S HOSPITAL OF PITTSBURGH, UPMC EAST, UPMC MAGEE-WOMENS HOSPITAL, UPMC MCKEESPORT, UPMC MERCY, UPMC PASSAVANT, UPMC PRESBYTERIAN SHADYSIDE, AND UPMC ST. MARGARETERIE, LAWRENCE, MCKEAN, MERCER, AND VENANGO COUNTIES IN PENNSYLVANIA AND CHAUTAUQUA COUNTY, NEW YORK HOSPITALS: UPMC HAMOT, UPMC JAMESON, UPMC KANE, UPMC HORIZON, UPMC NORTHWEST, AND UPMC CHAUTAUQUACLINTON, LYCOMING, POTTER, AND TIOGA COUNTY HOSPITALS: UPMC LOCK HAVEN, UPMC MUNCY, UPMC WILLIAMSPORT, UPMC COLE, AND UPMC WELLSBOROCUMBERLAND, DAUPHIN, LANCASTER, AND YORK COUNTY HOSPITALS: UPMC CARLISLE, UPMC HANOVER, UPMC MEMORIAL, UPMC LITITZ, AND UPMC PINNACLE HOSPITALS: INCLUDING UPMC COMMUNITY OSTEOPATHIC, UPMC HARRISBURG, AND UPMC WEST SHORE UPMC WESTERN MARYLAND CORPORATION PART V, SECTION B, LINE 11: THROUGH A RIGOROUS CHNA METHODOLOGY, UPMC HOSPITALS IDENTIFIED FOUR MAJOR THEMES REPRESENTING THE SIGNIFICANT HEALTH NEEDS IN THEIR COMMUNITIES: CHRONIC DISEASE MANAGEMENT; BEHAVIORAL HEALTH; ACCESS TO CARE AND NAVIGATING RESOURCES; AND PREVENTION AND COMMUNITY-WIDE HEALTHY LIVING. THE HOSPITALS DEVELOPED STRATEGIC IMPLEMENTATION PLANS TO ADDRESS THESE ISSUES, AS OUTLINED IN THEIR CHNA DOCUMENTS AND COMMUNITY HEALTH STRATEGIC PLANS SEE SECTION IV OF EACH CHNA REPORT. WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX UPMC WESTERN MARYLAND CORPORATION PART V, SECTION B, LINE 24: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENT PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. IN ACCORDANCE WITH MARYLAND LAW, UPMC WESTERN MARYLAND HAS A FINANCIAL ASSISTANCE POLICY AND PATIENTS MAY BE ENTITLED TO RECEIVE FINANCIAL ASSISTANCE WITH THE COST OF MEDICALLY NECESSARY HOSPITAL SERVICES IF THEY HAVE A LOW INCOME, DO NOT HAVE INSURANCE, OR THEIR INSURANCE DOES NOT COVER MEDICALLY-NECESSARY HOSPITAL CARE. UPMC WESTERN MARYLAND ALSO CONSIDERS PERSONS WHO DO NOT MEET THE FAP INCOME GUIDELINES UNDER EXPANSION OF THE FAP POLICY FOR FINANCIAL HARDSHIP THAT WOULD LIMIT THE AMOUNT EXPECTED TO BE PAID BASED ON PERCENTAGE OF INCOME. PART V, SECTION B, LINES 3 AND 5: BUILDING ON PREVIOUSLY CONDUCTED CHNAS, THE FISCAL YEAR 2022 CHNA PROVIDED AN OPPORTUNITY FOR UPMC TO RE-ENGAGE WITH COMMUNITY STAKEHOLDERS IN A RIGOROUS, STRUCTURED PROCESS GUIDED BY PUBLIC HEALTH EXPERTS. AN ONGOING OBJECTIVE OF THE CHNA EFFORT IS TO HELP ALIGN COMMUNITY BENEFIT PROGRAMS AND RESOURCES WITH COMMUNITY HEALTH NEEDS.UPMC ACTIVELY ENGAGED ITS HOSPITAL BOARDS, COMMUNITY STAKEHOLDERS, AND PUBLIC HEALTH EXPERTS TO IDENTIFY COMMUNITY HEALTH NEEDS AND DETERMINE HOW TO COLLABORATE MOST EFFECTIVELY TO ADDRESS THOSE NEEDS. THE ORGANIZATION SOLICITED AND TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. IN MAY THROUGH JUNE 2021, PITT PUBLIC HEALTH SURVEYED COMMUNITY LEADERS AND STAKEHOLDERS SPECIFIC TO EACH HOSPITAL'S LOCAL COMMUNITY, AS WELL AS A SYSTEM-WIDE PANEL OF REGIONAL STAKEHOLDERS. IN PARTNERSHIP WITH PITT PUBLIC HEALTH, UPMC REFINED THE COMMUNITY SURVEY TO INCORPORATE EMERGING AREAS OF EXPLORATION WITHIN THE PUBLIC HEALTH FIELD (E.G., SHORT- AND LONG-TERM EFFECTS OF COVID-19 AND HEALTH DISPARITIES). THE SURVEY WAS EXTENDED TO A TOTAL OF 2,868 COMMUNITY PARTICIPANTS FROM 28 UPMC HOSPITAL COMMUNITIES. MORE THAN 1,100 INDIVIDUALS PARTICIPATED IN THE SURVEY. PARTICIPANTS INCLUDED: LEADERS OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE; REPRESENTATIVES FROM PUBLIC HEALTH DEPARTMENTS OR GOVERNMENTAL AGENCIES SERVING COMMUNITY HEALTH; MEDICAL STAFF LEADERS WHO HAVE A UNIQUE PERSPECTIVE AND VIEW OF THE COMMUNITY; AND OTHER STAKEHOLDERS IN COMMUNITY HEALTH, SUCH AS CONSUMER ADVOCATES, NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, LOCAL SCHOOL DISTRICTS, GOVERNMENT ORGANIZATIONS, AND HEALTH CARE PROVIDERS. THREE-QUARTERS OF INDIVIDUALS WHO COMPLETED THE SURVEY SELF-IDENTIFIED AS BEING A REPRESENTATIVE OR MEMBER OF A MEDICALLY UNDERSERVED, MINORITY, OR LOW-INCOME POPULATION.UPMC USED THE COMMUNITY INPUT TO DEVELOP STRATEGIC PLANS FOR EACH OF ITS LICENSED HOSPITALS TO ADDRESS SIGNIFICANT COMMUNITY HEALTH NEEDS. IMPORTANTLY, THESE PLANS ADDRESS LOCAL COMMUNITY NEEDS NOT ONLY AT THE HOSPITAL LEVEL, BUT ALSO INCLUDE EFFORTS UNDERTAKEN IN PARTNERSHIP WITH OTHER UPMC HOSPITALS, EXTERNAL ORGANIZATIONS, AND THE LARGER UPMC SYSTEM. KEY THEMES THAT EMERGED AT UPMC HOSPITALS CAN BE GROUPED INTO FOUR BROAD CATEGORIES CHRONIC DISEASE MANAGEMENT, BEHAVIORAL HEALTH, ACCESS TO CARE AND NAVIGATING RESOURCES, AND PREVENTION AND COMMUNITY-WIDE HEALTHY LIVING. THE 2022-2025 IMPLEMENTATION PLANS INCLUDE HEALTH EQUITY-PROMOTING PROGRAMS AND INITIATIVES, WHICH AIM TO HELP ADDRESS SOCIOECONOMIC AND OTHER FACTORS THAT MAY CONTRIBUTE TO HEALTH DISPARITIES. THE 2022 CHNA REPORTS AND 2022-2025 STRATEGIC PLANS FOR EACH UPMC HOSPITAL CAN BE FOUND ON UPMC'S WEBSITE: HTTPS://WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.IMPLEMENTATION PLANS DEVELOPED BY UPMC HOSPITALS DRAW SUPPORT FROM AN ARRAY OF ACTIVE AND ENGAGED COMMUNITY PARTNERS, AS WELL AS FROM THE LARGER UPMC SYSTEM, AND INCLUDE HUNDREDS OF INITIATIVES, UTILIZING BOTH EVIDENCE-BASED NATIONALLY RECOGNIZED PROGRAMS AND INTERNALLY-DESIGNED PILOT PROGRAMS.THE BOARD OF DIRECTORS AT EACH UPMC HOSPITAL REGULARLY MONITORS THE PROGRESS OF THE COMMUNITY HEALTH IMPROVEMENT PLANS. UPMC HOSPITALS MADE MEASURABLE PROGRESS IN ALL AREAS IDENTIFIED THROUGH THE CHNA PROCESS. IN SOME CASES, UPMC HOSPITALS IMPROVED AND EXPANDED EXISTING PROGRAMS REACHING OUT NOT ONLY TO MORE PEOPLE, BUT ALSO TARGETING PEOPLE WHO COULD BENEFIT MOST. UPMC ALSO DEVELOPED NEW PROGRAMS AND INITIATIVES, WHICH REQUIRED CREATING OPERATING INFRASTRUCTURE, AND ESTABLISHING GOALS AND ASSESSMENT TOOLS. PARTNERSHIPS WITH OTHER COMMUNITY ORGANIZATIONS WERE DEVELOPED AND ENHANCED TO BETTER COORDINATE RESOURCES. ON MARCH 24, 2022, UPMC WESTERN MARYLAND'S GOVERNING BODY ADOPTED AN IMPLEMENTATION PLAN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA: BEHAVIORAL HEALTH INCLUDING ACCESS TO CARE AND OPIOID ADDICTION/SUBSTANCE ABUSE, AND CHRONIC DISEASE MANAGEMENT INCLUDING OBESITY, DIABETES, AND HEART DISEASE/STROKE. THE HOSPITAL IS SUPPORTING THE PRIORITY AREAS WITH INTERNAL RESOURCES AND BY STRENGTHENING COLLABORATIONS WITH COMMUNITY PARTNERS. UPMC WESTERN MARYLAND'S 2022-2025 IMPLEMENTATION PLANS INCLUDE HEALTH EQUITY-PROMOTING PROGRAMS AND INITIATIVES, WHICH AIM TO HELP ADDRESS SOCIOECONOMIC AND OTHER FACTORS THAT MAY CONTRIBUTE TO HEALTH DISPARITIES. EFFORTS INCLUDE: ENHANCING ACCESS TO BEHAVIORAL HEALTH PROGRAMS FOR VULNERABLE POPULATIONS IN RURAL COMMUNITIES, INCLUDING EMBEDDING BEHAVIORAL HEALTH SPECIALISTS IN PRIMARY CARE OFFICES AND OFFERING LOCAL ACCESS TO A RESIDENTIAL CRISIS SERVICE FACILITY.EXAMPLES OF UPMC WESTERN MARYLAND'S PROGRESS THROUGH FISCAL YEAR 2023 INCLUDE: ADDRESSING OBESITY: UPMC WESTERN MARYLAND IS TAKING A COMMUNITY-BASED APPROACH TO ADDRESS OBESITY BY PROVIDING A RANGE OF COMMUNITY HEALTH IMPROVEMENT PROGRAMS THAT SUPPORT AT-RISK POPULATIONS AND PROMOTE HEALTHY BEHAVIORS. DURING THE 2019-2022 CHNA CYCLE, UPMC WESTERN MARYLAND WORKED TO HELP IMPROVE ACCESS TO HEALTHY FOODS. THE HOSPITAL PARTNERED WITH LOCAL FARMERS TO PROVIDE ACCESS TO FRESH, LOCAL FOOD WITHIN FOOD DESERTS AND ADDRESS CHRONIC DISEASE AND OBESITY ASSOCIATED WITH LACK OF ACCESS TO FRESH FOOD. DURING THE CURRENT 2022-2025 CHNA CYCLE, UPMC WESTERN MARYLAND IS LEVERAGING THE REACH OF ITS NUTRITION SERVICES TEAM TO PROVIDE NUTRITION EDUCATION AND CONNECT INPATIENTS WITH APPROPRIATE OUTPATIENT RESOURCES BEFORE DISCHARGE. IN ADDITION, THE HOSPITAL'S OUTPATIENT TEAM PROVIDES MEDICAL NUTRITION THERAPY FOR OBESITY AND RELATED DIAGNOSES, AS WELL AS COMMUNITY OFFERINGS, SUCH AS GROCERY STORE TOURS, WEIGHT MANAGEMENT CLASSES, AND SUPPORT GROUPS. COMMUNITY HEALTH & WELLNESS COACHES OFFER WEIGHT MANAGEMENT AND HEALTHY EATING EDUCATION. COACHES ALSO TEACH COMMUNITY EXERCISE CLASSES AIMED AT INCREASING STRENGTH, MOBILITY, AND REDUCING FALLS. THE HEALTH COACH ALSO COLLABORATES WITH A DIETITIAN TO HELP CLIENTS REACH INDIVIDUALIZED NUTRITION GOALS. IN ADDITION, THE HOSPITAL CONTINUES TO COLLABORATE WITH LOCAL ORGANIZATIONS, INCLUDING WESTERN MARYLAND FOOD BANK, THE ALLEGANY COUNTY LIBRARY SYSTEM, THE CUMBERLAND YMCA, AREA GROCERY STORES, LOCAL SENIOR CENTERS, AND HOUSING AUTHORITIES TO OFFER HEALTHY EATING EDUCATION AND RESOURCES THAT ENCOURAGE HEATHY EATING AND PHYSICAL ACTIVITY. IN 2022, UPMC WESTERN MARYLAND RECEIVED 75 REFERRALS FOR HEALTH COACHING AND REACHED NEARLY 1,200 INDIVIDUALS THROUGH COMMUNITY FITNESS CLASSES OFFERED IN PARTNERSHIP WITH ALLEGANY COUNTY LIBRARY. FOCUSING ON HEART DISEASE AND STROKE: UPMC WESTERN MARYLAND IS ADDRESSING HEART DISEASE AND STROKE THROUGH PREVENTION, EDUCATION, AWARENESS, AND MANAGEMENT PROGRAMS. FOR EXAMPLE, UPMC'S HEART AND VASCULAR INSTITUTE (HVI) CONTINUES TO PROVIDE HIGH-QUALITY CARDIOVASCULAR CARE TO COMMUNITY MEMBERS. IN ADDITION, THE HOSPITAL OFFERS LOCAL ACCESS TO A HEART FAILURE CLINIC, NUTRITION CLASSES FOR HEART HEALTH AND HEART FAILURE, A MEDICAL NUTRITION THERAPY PROGRAM, A CARDIAC REHABILITATION PROGRAM, A MONTHLY STROKE SUPPORT GROUP, AND FREE SCREENINGS FOR CARDIOVASCULAR HEALTH.EXPANDING DIABETES AWARENESS: UPMC WESTERN MARYLAND CONTINUES TO OFFER ITS DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMT) PROGRAM, AS WELL AS ITS DIABETES PREVENTION PROGRAM (DPP). THESE PROGRAMS ARE SUPPORTED BY THE FOOD FARMACY PROGRAM FOR THOSE WITH UNCONTROLLED DIABETES, TYPE 1 AND TYPE 2 DIABETES SUPPORT GROUPS, THE MEDICAL NUTRITION THERAPY PROGRAM, COMMUNITY EXERCISE CLASSES, COMMUNITY EDUCATIONAL OPPORTUNITIES, AND PROVIDER EDUCATION. IN 2022, UPMC WESTERN MARYLAND PARTNERED WITH EIGHT PHARMACIES TO OFFER DIABETES RISK TESTS AND TO DISTRIBUTE DIABETES EDUCATION FLIERS, REACHING NEARLY 1400 COMMUNITY MEMBERS. IN 2022, THE HOSPITAL ALSO HOSTED 24 DIABETES RISK SCREENING COMMUNITY EVENTS, COMPLETING MORE THAN 300 RISK SCREENING TESTS. PART V, SECTION B, LINES 3 AND 5 (CONTINUED): ADDRESSING BEHAVIORAL HEALTH NEEDS: UPMC WESTERN MARYLAND CONTINUES TO IMPROVE ACCESS AND CARE COORDINATION FOR BEHAVIORAL HEALTH SERVICES. DURING THE 2019-2022 CHNA CYCLE, UPMC WESTERN MARYLAND WORKED WITH LOCAL ORGANIZATIONS AND MORE THAN 20 SCHOOL DISTRICTS TO PROVIDE HEALTH EDUCATION BY CERTIFIED TRAINERS. TO HELP ADDRESS SUBSTANCE USE IN YOUTH, UPMC WESTERN MARYLAND PARTICIPATED IN A VAPING PREVENTION PROGRAM, WHICH TOOK A COMMUNITY-BASED APPROACH TO DECREASE THE NUMBER OF ALLEGANY COUNTY YOUTH WHO ENGAGE IN VAPING OR TOBACCO USE BY HELPING TO EDUCATE ELEMENTARY AGED YOUTH AND THEIR GUARDIANS ABOUT THE HEALTH RISKS ASSOCIATED WITH VAPING. IN ADDITION, THE HOSPITAL HELPED PROVIDE WELLNESS PROGRAMS AND ACTIVITIES ABOUT THE MIND AND THE BODY TO LOCAL YOUTH THROUGH ALLEGANY COUNTY SCHOOLS. TO HELP MEET THE COMMUNITY'S NEED FOR OPIOID ADDICTION AND SUBSTANCE ABUSE, THE CENTER FOR HOPE AND HEALING SERVES AS A 24-HOUR RESIDENTIAL TREATMENT FACILITY THAT PROVIDES SUPPORT FOR ADULTS WITH MENTAL HEALTH ILLNESSES AND ADDICTIONS. THE CENTER HELPS TO REDUCE HOSPITAL ADMISSIONS AND CONNECTS PATIENTS WITH COMMUNITY RESOURCES, REHABILITATION TREATMENT CENTERS, AND PRIMARY CARE PROVIDERS. IN 2022, THERE WERE MORE THAN 100 REFERRALS TO THE CENTER FOR HOPE AND HEALING. TO HELP CONNECT PATIENTS WITH CARE, UPMC WESTERN MARYLAND OFFERS TELEHEALTH SERVICES FOR BEHAVIORAL HEALTH CARE, COVERING MEDICATION MANAGEMENT, THERAPY SERVICES AND PEER SUPPORT COMPLETING MORE THAN 1,200 VIRTUAL APPOINTMENTS IN 2022. IN ADDITION, THE HOSPITAL CONTINUES TO PROVIDE GROUP AND PRIVATE ONLINE COUNSELING SERVICES FOR ADDICTION AND RECOVERY. LASTLY, UPMC WESTERN MARYLAND CONTINUES TO COLLABORATE WITH THE ALLEGANY COUNTY HEALTH DEPARTMENT AND COMMUNITY PARTNERS THROUGH THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), WHICH HAS IDENTIFIED RELEVANT WORK BEING ACCOMPLISHED BY AHEC WEST: NALOXONE VENDING MACHINES ARE NOW LOCATED IN SEVERAL LOCATIONS THROUGHOUT THE COUNTY, AND NALOXONE TRAINING AND YOUTH PROGRAMMING ARE OFFERED WITHIN THE SCHOOL SYSTEM.IMPROVING ACCESS TO CARE WITH TRANSPORTATION ASSISTANCE: SINCE 2012, UPMC WESTERN MARYLAND HAS WORKED TO IMPROVE ACCESS TO CARE BY HELPING TO COORDINATE RIDES TO HEALTH AND HUMAN SERVICES APPOINTMENTS FOR UNDERSERVED RESIDENTS. BY INCREASING ACCESS TO NEEDED CARE, THE HOSPITAL AIMED TO REDUCE MEDICALLY UNNECESSARY VISITS TO THE EMERGENCY DEPARTMENT AND READMISSIONS. BY HELPING TO PROVIDE APPROPRIATE TRANSPORTATION TO PREVENTIVE CARE AND SERVICES, THE HOSPITAL HELPED PATIENTS RECEIVE MORE TIMELY CARE, IDENTIFYING HEALTH ISSUES EARLIER AND REDUCING THE POTENTIAL NEED FOR HIGH LEVELS OF CARE. BETWEEN 2019 AND 2022, UPMC WESTERN MARYLAND COLLABORATED WITH SEVERAL COMMUNITY AGENCIES, INCLUDING ALLEGANY COUNTY HUMAN RESOURCES DEVELOPMENT COMMISSION (HRDC) TO HELP COORDINATE TRANSPORTATION FOR PATIENTS. HOSPITAL STAFF WERE TRAINED TO ASSESS A PATIENT'S NEED FOR TRANSPORTATION WHEN SCHEDULING A PATIENT'S APPOINTMENT OR DISCHARGING A PATIENT FROM THE HOSPITAL. WHEN TRANSPORTATION ASSISTANCE WAS NEEDED, HOSPITAL STAFF ENTERED A REQUEST INTO THE TRIP MASTER PORTAL MONITORED BY ALLEGANY COUNTY HUMAN RESOURCES DEVELOPMENT COMMISSION (HRDC). HRDC DETERMINED THE MOST APPROPRIATE MODE OF TRANSPORTATION BASED ON THE REQUEST. WHEN HRDC COULD NOT PROVIDE A RIDE, UPMC WESTERN MARYLAND USED TAXI VOUCHERS. BETWEEN JANUARY 2020 AND APRIL 2021, THE HOSPITAL HELPED PROVIDE 14,466 TOTAL RIDES. OF ALL RIDES, ABOUT 27 PERCENT REQUIRED WHEELCHAIR TRANSPORTATION. FOR MORE DETAILED INFORMATION ON UPMC'S COMMUNITY BENEFITS EFFORT, SEE THE ORGANIZATION'S COMMUNITY BENEFITS REPORT, AVAILABLE AT:HTTPS://WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/BENEFITS-REPORT PART V, SECTION B, LINES 7A AND 10A: WEBSITE FOR CHNA:HTTP://WWW.UPMC.COM/ABOUT/COMMUNITY-COMMITMENT/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX PART V, SECTION B, LINE 13B: PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:A. ACTIVE MEDICAL ASSISTANCE PHARMACY COVERAGE;B. QUALIFIED MEDICARE BENEFICIARY ("QMB") COVERAGE (COVERS MEDICARE DEDUCTIBLES) AND SPECIAL LOW-INCOME MEDICARE BENEFICIARY ("SLMB") COVERAGE (COVERS MEDICARE PART B PREMIUMS);C. HOMELESSNESS;D. MARYLAND PUBLIC HEALTH SYSTEM EMERGENCY PETITION PATIENTS;E. PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS ("WIC");F. FOOD STAMP ELIGIBILITY;G. ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS;H. PATIENT IS DECEASED WITH NO KNOWN ESTATE; ANDI. PATIENTS THAT ARE DETERMINED TO MEET ELIGIBILITY CRITERIA ESTABLISHED UNDER FORMER STATE ONLY MEDICAL ASSISTANCE PROGRAM. PART V, SECTION B, LINE 22: FINANCIAL ASSISTANCE POLICYUPMCWM DETERMINES THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO THE FINANCIAL ASSISTANCE POLICY ("FAP") ELIGIBLE INDIVIDUALS BY USING HSCRC RATE ORDER AND REGULATIONS. PART V, SECTION B, LINES 19 & 20: UPMC'S POLICIES DO NOT PERMIT HOSPITAL FACILITIES OR ANY OTHER AUTHORIZED PARTIES TO ENGAGE IN EXTRAORDINARY COLLECTIONS ACTIONS IN ANY CIRCUMSTANCE. THEREFORE, LINE 20 HAS BEEN LEFT BLANK SINCE IT IS NOT APPLICABLE AND UPMC BELIEVES IT WOULD BE MISLEADING TO CHECK ANY OF THE BOXES. PART I, LINES 6A AND 6B: UPMC PREPARES AN ANNUAL COMMUNITY BENEFITS REPORT. THE REPORT ENCOMPASSES INFORMATION FOR THE ENTIRE INTEGRATED DELIVERY AND FINANCING SYSTEM (IDFS) THAT MAKES UP THE UPMC HEALTH SYSTEM. IT IS POSTED AND AVAILABLE TO THE PUBLIC VIA THE UPMC WEBSITE, WWW.UPMC.COM. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY SUPPORT - UPMC WESTERN MARYLAND HAS IN PLACE A DISASTER READINESS PROGRAM. AS THE LARGEST HOSPITAL IN THE AREA AND THE LARGEST EMPLOYER, UPMC WESTERN MARYLAND HAS INCURRED COSTS TO BE ABLE TO DEAL WITH A DISASTER IF THE NEED ARISES.COALITION BUILDING - UPMC WESTERN MARYLAND WORKS WITH COMMUNITY PARTNERS TO IMPROVE THE HEALTH IN THE COMMUNITY. EDUCATION PROGRAMS, SCREENINGS, AND VARIOUS OTHER EVENTS ARE CONDUCTED BY UPMC WESTERN MARYLAND.WORKFORCE DEVELOPMENT - UPMC WESTERN MARYLAND IS ACTIVELY INVOLVED IN THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS FOR THE FEDERALLY MEDICAL UNDERSERVED AREA THROUGH A COLLABORATION WITH REGIONAL PARTNERS. PART III, LINE 8: MEDICAREMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COURT REVIEW COMMISSION ("HSCRC") DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.METHOD USED: OTHER PART III, LINE 9B: COLLECTION PRACTICES- UPMC WESTERN MARYLAND PROVIDES CARE TO ALL PATIENTS SEEKING CARE, REGARDLESS OF THEIR ABILITY TO PAY. AN ABILITY TO PAY IS BASED ON A REVIEW WHICH IS DONE BY A MEMBER OF THE HEALTH SYSTEM'S BUSINESS OFFICE. THIS REVIEW ASSURES THAT ALL PATIENTS WHO SEEK EMERGENCY OR URGENT CARE RECEIVE THOSE SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY.- IN ACCORDANCE WITH MARYLAND LAW, UPMC WESTERN MARYLAND HAS A FINANCIAL ASSISTANCE POLICY AND PATIENTS MAY BE ENTITLED TO RECEIVE FINANCIAL ASSISTANCE WITH THE COST OF MEDICALLY NECESSARY HOSPITAL SERVICES IF THEY HAVE A LOW INCOME, DO NOT HAVE INSURANCE, OR THEIR INSURANCE DOES NOT COVER MEDICALLY-NECESSARY HOSPITAL CARE.- UPMC WESTERN MARYLAND MEETS OR EXCEEDS THE STATE'S LEGAL REQUIREMENT BY PROVIDING FINANCIAL ASSISTANCE BASED ON INCOME ESTABLISHED BY AND PUBLISHED BY THE FEDERAL GOVERNMENT EACH YEAR.- THOSE PATIENTS THAT MEET THE FINANCIAL ASSISTANCE POLICY CRITERIA DESCRIBED ABOVE MAY RECEIVE ASSISTANCE FROM THE HEALTH SYSTEM IN PAYING THEIR BILL. IF A PATIENT BELIEVES HE HAS WRONGLY BEEN REFERRED TO A COLLECTION AGENCY, HE HAS THE RIGHT TO CONTACT THE HOSPITAL TO REQUEST ASSISTANCE.- UPMC WESTERN MARYLAND POLICIES MEET ALL 501R REQUIREMENTS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEUPMC WESTERN MARYLAND IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL SITUATION. A PATIENT CAN QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH LACK OF SUFFICIENT INSURANCE OR FINANCIAL HARDSHIP.UPMC WESTERN MARYLAND IS COMMITTED TO PROVIDING QUALITY HEALTH CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND WITHOUT DISCRIMINATION ON THE GROUNDS OF RACE, COLOR, NATIONAL ORIGIN OR CREED.NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE:A. UPMCWM MAKES AVAILABLE BROCHURES INFORMING THE PUBLIC OF ITS FINANCIAL ASSISTANCE POLICY. SUCH BROCHURES WILL BE AVAILABLE AT UPMCWM' LOCATIONS.B. NOTICES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE POSTED AT APPROPRIATE ADMISSION AREAS, THE BILLING OFFICE, WEBSITE, AND OTHER KEY PATIENT ACCESS AREAS.C. A STATEMENT ON THE AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE INCLUDED ON PATIENT BILLING STATEMENTS.D. A PLAIN LANGUAGE SUMMARY OF UPMCWM'S FINANCIAL ASSISTANCE POLICY WILL BE PROVIDED TO PATIENTS RECEIVING INPATIENT SERVICES WITH THEIR SUMMARY BILL AND WILL BE MADE AVAILABLE TO ALL PATIENTS UPON REQUEST.E. UPMCWM'S FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE TO PATIENTS UPON REQUEST AT UPMCWM OR VIA MAIL AS WELL AS ON UPMCWM'S WEBSITE AT HTTPS://WWW.WMHS.COM/PATIENTS-AND-VISITORS/PATIENTS/FINANCIAL-ASSISTANCEF. UPMCWM'S FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE IN A DIFFERENT LANGUAGE UPON REQUEST. PART VI, LINE 4: COMMUNITY INFORMATION UPMC WESTERN MARYLAND PROVIDES HEALTHCARE SERVICES FOR RESIDENTS IN ALLEGANY AND GARRETT COUNTIES IN MARYLAND AND SURROUNDING COUNTIES IN WEST VIRGINIA AND PENNSYLVANIA. ALLEGANY COUNTY, MARYLAND, IS CONSIDERED UPMC WESTERN MARYLAND'S COMMUNITY BENEFIT SERVICE AREA. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM- WMHS FOUNDATION (EIN: 35-2289841), TAX EXEMPT UNDER 501(C)(3), PUBLIC CHARITY STATUS 12 TYPE III, FUNDRAISING- UPMC (EIN: 25-1423657), C CORPORATION, TAX EXEMPT UNDER 501(C)(3) HEALTHCARE, EDUCATION, AND RESEARCH- WILLOWBROOK HC CONDO (37-1538510), C CORPORATION, CONDO MANAGEMENT- HAYSTACK CONSOLIDATED (52-1335895), C CORPORATION, MEDICAL SERVICES PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORTUPMCWM FILES A COMMUNITY BENEFIT REPORT WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). X X X X 0 0 X X X X X X 0 1 0 0 0 0 0 1 0 OR COHEN-INBAR MD NEUROSURGEON 1029351 0 770745 0 2340 0 18541 0 21632 0 1842609 0 0 0 RICHARD STRAUSS MD NEUROSURGEON 920300 0 50000 0 14157 0 21350 0 12429 0 1018236 0 0 0 BLANCHE MAVROMATIS MD ONCOLOGIST 558366 0 260433 0 2838 0 28545 0 21098 0 871280 0 0 0 CHRISTOPHER HAAS MD CARDIOLOGIST 676090 0 129366 0 3259 0 29532 0 31101 0 869348 0 0 0 MARK G NELSON MD CARDIOTHORACIC SURGEON 720421 0 34916 0 11096 0 55289 0 31432 0 853154 0 0 0 MICHELE R MARTZ PRESIDENT 330998 0 288000 0 13706 0 119463 0 29011 0 781178 0 0 0 EMME CHAPMAN-JACKSON MD MEDICAL STAFF PRESIDENT 469004 0 145980 0 1081 0 18541 0 8245 0 642851 0 0 0 MATTHEW SIMMONS MD VP, MEDICAL AFFAIRS 333318 0 103700 0 12429 0 26461 0 17538 0 493446 0 0 0 KEVIN R TURLEY VP, OPERATIONS 242665 0 102090 0 5880 0 87374 0 25210 0 463219 0 0 0 JAMES KARSTETTER VP, CNO 243889 0 95650 0 2388 0 35964 0 23080 0 400971 0 0 0 AMBER RUBLE CFO 162078 0 38250 0 522 0 21284 0 23289 0 245423 0 0 0 PART I, LINE 1A UPMC MAY PROVIDE THE FOLLOWING BENEFITS TO CERTAIN EXECUTIVES WHEN THEY ARE NECESSARY TO ACHIEVE UPMC'S CHARITABLE MISSION OBJECTIVES: FIRST-CLASS OR CHARTER TRAVEL; TRAVEL FOR COMPANIONS; TAX INDEMNIFICATION OR GROSS UP PAYMENTS; AND/OR BUSINESS CLUB DUES OR INITIATION FEES. PROVISION OF ANY SUCH BENEFITS IS PREDICATED ON COMPLIANCE WITH THE ORGANIZATION'S POLICIES, IS SUBJECT TO REVIEW AND APPROVAL PROCESSES, AND IS TREATED AS TAXABLE INCOME TO THE EXECUTIVES WHERE REQUIRED UNDER THE INTERNAL REVENUE CODE. PART I, LINE 4B ALL PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ARE DISCLOSED IN SCHEDULE J WITH CORRESPONDING AMOUNTS DISCLOSED WITHIN THE TOTAL AMOUNT IN SCHEDULE J COLUMN C "RETIREMENT AND OTHER DEFERRED COMPENSATION". DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE ("CODE"), CERTAIN OFFICERS AND KEY EMPLOYEES ARE LIMITED IN THE AMOUNT OF BENEFITS WHICH MAY BE RECEIVED UNDER A TAX QUALIFIED RETIREMENT PROGRAM. LIKE MANY EMPLOYERS, UPMC SUPPLEMENTS ITS RETIREMENT BENEFITS THROUGH A SUPPLEMENTAL RETIREMENT PROGRAM. THE SUPPLEMENTAL RETIREMENT PROGRAM IS SUBJECT TO MULTI YEAR VESTING WHICH PLACES THE OFFICERS AND KEY EMPLOYEES' RETIREMENT BENEFIT AT RISK OF FORFEITURE IF THE VESTING REQUIREMENTS ARE NOT SATISFIED. ONCE VESTED HOWEVER, PROVISIONS OF THE CODE REQUIRE THAT THE VESTED AMOUNTS BE REPORTED ON THE FORM 990 AND THE VESTED OFFICER OR KEY EMPLOYEE INCLUDE IN CURRENT INCOME THE VALUE OF HER OR HIS SUPPLEMENTAL RETIREMENT BENEFIT. NOTWITHSTANDING THE TAX REQUIREMENT TO RECOGNIZE THE VESTED AMOUNT OF THE SUPPLEMENTAL RETIREMENT BENEFIT AS CURRENT INCOME FOR FICA TAXATION AND REPORTING PURPOSES, THIS BENEFIT, WHICH GENERALLY HAS BEEN EARNED OVER HER OR HIS ENTIRE CAREER, HAS NOT AND WILL NOT BE DISTRIBUTED UNTIL THE OFFICER OR KEY EMPLOYEE RETIRES OR SEPARATES FROM SERVICE FROM UPMC AND SATISFIED THE NON-COMPETE PROVISION OF THEIR EMPLOYMENT AGREEMENT AND/OR SATISFY A POST-RETIREMENT SEPARATION AGREEMENT. THE SUPPLEMENTAL RETIREMENT PROGRAM PROVIDES FOR THE CURRENT DISTRIBUTION OF ONLY THE AMOUNT NECESSARY TO SATISFY ANY INCOME TAX LIABILITY RESULTING FROM THE VESTING DURING ACTIVE EMPLOYMENT. FINALLY, IT SHOULD BE NOTED THAT IN ACCORDANCE WITH IRS INSTRUCTIONS, A SUBSTANTIAL PORTION OF THE AMOUNT REPORTED ON THE FORM 990 ATTRIBUTABLE TO SUPPLEMENTAL RETIREMENT PROGRAM VESTING HAS BEEN REPORTED IN PREVIOUSLY FILED FORMS 990. MICHELE R. MARTZ - $40,600 MATTHEW SIMMONS, MD - $8,022 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF UPMC WESTERN MARYLAND CORPORATION IS UPMC, A PENNSYLVANIA STATE NONPROFIT CORPORATION. NON-PROFIT, FEDERALLY TAX EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. UPMC IS THE PARENT OF A LARGE INTEGRATED DELIVERY AND FINANCIAL SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A UPMC, THE MEMBER, HAS THE OVERALL RESPONSIBILITY AND AUTHORITY FOR THE GOVERNANCE AND OPERATION OF UPMC WESTERN MARYLAND CORPORATION. OF THE 12 VOTING DIRECTORS OF THE UPMC WESTERN MARYLAND CORPORATION BOARD, 4 DIRECTORS ARE APPOINTED BY UPMC. FORM 990, PART VI, SECTION A, LINE 7B UPMC, AS THE SOLE MEMBER OF UPMC WESTERN MARYLAND CORPORATION, WILL HAVE THE POWER, RIGHT, AND PRIVILEGE, ON ITS OWN, TO MAKE DECISIONS AND INITIATE/IMPLEMENT ACTIONS INVOLVING UPMC WESTERN MARYLAND CORPORATION, AND TO REVERSE ACTIONS TAKEN BY THE BOARD, SUCH POWER, RIGHT AND PRIVILEGE TO BE LIMITED AS EXPRESSLY PROVIDED IN THE CORPORATION'S BYLAWS AND INTEGRATION AGREEMENT. FORM 990, PART VI, SECTION B, LINE 11B ON AN ANNUAL BASIS, FORMS 990 AND 990-T IS MADE AVAILABLE TO UPMC CORPORATE TAX FOR REVIEW AND APPROVAL BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. ALL BOARD MEMBERS OF UPMC WESTERN MARYLAND CORPORATION ARE PROVIDED WITH A COPY OF THE 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE THE UPMCWM BOARD OF DIRECTORS MONITORS PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRESS ANY POTENTIAL OR ACTUAL CONFLICTS. PURSUANT TO THE CONFLICTS OF INTEREST POLICY, AN ANNUAL CONFLICT QUESTIONNAIRE IS DISTRIBUTED TO ALL INTERESTED PERSONS INCLUDING OFFICERS, DIRECTORS, AND KEY EMPLOYEES. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME WHEN SUCH CONLFICTS ARISE. WHEN ONE BECOMES AN INTERESTED PERSON AND ANNUALLY THEREAFTER, THEY ARE REQUIRED TO SIGN A STATEMENT AFFIRMING THAT THEY HAVE RECEIVED, READ, UNDERSTAND, AND AGREE TO COMPLY WITH THE POLICY. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE BOARD. THE PROCEDURES FOR ADDRESSING ANY CONFLICT INCLUDE THE CONFLICT BEING FULLY DISCLOSED AND DISCUSSED WITH THE INTERESTED PERSON ALONG WITH THE POTENTIAL RESOLUTIONS OF THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION TO SUPPORT UPMC'S MISSION AND AS SET FORTH IN THE UPMC BYLAWS, THE BOARD OF DIRECTORS HAS FORMED AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE") AND DELEGATED TO IT THE RESPONSIBILITY FOR ESTABLISHMENT AND IMPLEMENTATION OF OFFICER AND KEY EMPLOYEE TOTAL COMPENSATION PROGRAMS. AS PART OF THIS RESPONSIBILITY THE COMMITTEE REPORTS REGULARLY TO THE BOARD OF DIRECTORS. WITH BOARD OF DIRECTORS APPROVAL, THE COMMITTEE HAS ADOPTED A FORMAL CHARTER, WHICH INCLUDES THE ESTABLISHMENT OF A COMPENSATION PHILOSOPHY AND RELATED POLICIES WITH RESPECT TO THE TOTAL COMPENSATION PAID BY UPMC TO ITS OFFICERS AND KEY EMPLOYEES. THE UPMC TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES IS PREDICATED UPON AN INCENTIVE COMPENSATION COMPONENT. THIS COMPONENT IS BASED UPON THE ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES WHICH FOCUS ON THE ACHIEVEMENT OF MULTIPLE ANNUAL AND THREE-YEAR INDIVIDUAL AND GROUP PERFORMANCE CRITERIA IN THE CONTEXT OF APPROPRIATE RISK TAKING. THESE CRITERIA DIRECTLY SUPPORT UPMC'S MISSION AND INCLUDE PATIENT QUALITY AND SATISFACTION, COMMUNITY BENEFITS, OPERATIONAL AND FINANCIAL STRENGTH, LEADERSHIP DEVELOPMENT, AND STRATEGIC BUSINESS INITIATIVES AMONG OTHERS. THE TOTAL COMPENSATION PROGRAM IS INTEGRATED WITH AND REINFORCES THE UPMC BUSINESS PLANNING CYCLE AS WELL AS MANAGEMENT DEVELOPMENT AND SUCCESSION PLANNING PROCESSES. IT IS THE COMMITTEE'S JUDGMENT THAT THE STRUCTURE OF THE TOTAL COMPENSATION PROGRAM IS VITAL TO, AND STRONGLY SUPPORTIVE OF, THE HIGH LEVEL OF ONGOING SUCCESS OF UPMC AND FOSTERS THE RETENTION OF CRITICAL OFFICER AND KEY EMPLOYEE TALENT. THE TOTAL COMPENSATION DETERMINATION PROCESS UTILIZED BY THE COMMITTEE IS INTENDED TO SATISFY THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" AS SET FORTH IN THE REGULATIONS TO SECTION 4958 OF THE INTERNAL REVENUE CODE ("CODE"). THIS MEANS THAT COMPENSATION PROGRAMS AND LEVELS ARE APPROVED IN ADVANCE BY THE COMMITTEE WHICH IS COMPOSED ENTIRELY OF OUTSIDE DIRECTORS WHO DO NOT HAVE A CONFLICT OF INTEREST, AS DEFINED BY THE RELEVANT REGULATIONS, WITH RESPECT TO THE COMPENSATION PROGRAM AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON A BROAD RANGE OF APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATIONS. THE COMMITTEE THEN CONTEMPORANEOUSLY DOCUMENTS, IN FORMAL MEETING MINUTES, THE BASIS AND REASONS FOR ITS DETERMINATIONS. THE TOTAL COMPENSATION PROGRAM IS DESIGNED AND ADMINISTERED IN ACCORDANCE WITH THE UPMC BYLAWS, SOUND BUSINESS PRACTICES, THE TENETS OF COMMON LAW BUSINESS JUDGMENT AND FIDUCIARY RESPONSIBILITY AS WELL AS ADHERENCE TO ALL RELEVANT FEDERAL, STATE, AND LOCAL LAWS. IN ADDITION TO CODE SECTION 4958, AS SET FORTH ABOVE, THIS INCLUDES BUT IS NOT LIMITED TO CODE SECTION 501(C)(3) AND THE APPLICABLE REGULATIONS THEREUNDER AS WELL AS ALL LAWS AND REGULATIONS PROHIBITING PRIVATE INUREMENT, PRIVATE BENEFIT TRANSACTIONS AND DISCRIMINATION. FURTHER, THE COMMITTEE HAS IDENTIFIED AND ADOPTED, AS APPROPRIATELY MODIFIED FOR UPMC, COMPENSATION PROGRAM "BEST PRACTICES" FROM THE BUSINESS WORLD (E.G. SARBANES OXLEY, SEC, ETC.). THE COMMITTEE BELIEVES THAT WHILE THESE PRACTICES ARE NOT REQUIRED IN THE TAX-EXEMPT SECTOR, THEY ARE IN THE BEST INTERESTS OF THE ORGANIZATION AND FURTHER SUPPORT UPMC'S NONPROFIT MISSION. IN ACCORDANCE WITH THE ABOVE, DETERMINATION OF TOTAL COMPENSATION FOR THE CEO IS MADE EXCLUSIVELY BY THE COMMITTEE. DETERMINATION OF TOTAL COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS RECOMMENDED BY THE CEO AND SUBJECT TO REVIEW AND APPROVAL BY THE COMMITTEE. THE COMMITTEE, WHICH MEETS AT LEAST FOUR TIMES A YEAR, OBTAINS PROFESSIONAL ADVICE FROM ITS OWN EXPERTS, INCLUDING ACCOUNTANTS, EXECUTIVE COMPENSATION CONSULTANTS AND LEGAL COUNSEL. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS TO PUBLIC FORM WHILE THE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. IN MARYLAND, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO SUBMITTED TO THE HEALTH SERVICES COST REVIEW COMMISSION WHICH IS AVAILABLE FOR PUBLIC INSPECTION AS WELL. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER TO CORPORATE -44,726,600. WESTERN MARYLAND PHYSICIAN NETWORK LLC 12500 WILLOWBROOK RD CUMBERLAND MD 21502 465765443 CLINICAL SVCS MD 1607222 5448708 UPMC WESTERN MARYLAND CORPORATION WMHS FOUNDATION PO BOX 539 CUMBERLAND MD 20501 352289841 FUNDRAISING MD 501(C)(3) 12A N/A 0 HAYSTACK IMAGING PO BOX 539 CUMBERLAND MD 20501 043783141 HEALTH CARE MD N/A RELATED 2181310 1560978 0 1 0.50000 SURGCENTER OF WESTERN MARYLAND 12252 WILLIAMS ROAD SE CUMBERLAND MD 20501 043783141 SURGERY MD N/A RELATED 383295 620638 0 1 0.41170 WILLOWBROOK HC CONDO PO BOX 539 CUMBERLAND MD 20501 371538510 CONDO MGMT MD UPMCWM C 31926 353453 0.53300 1 HAYSTACK CONSOLIDATED 12400 WILLOWBROOK ROAD CUMBERLAND MD 20501 521335895 MED SVCS MD UPMCWM C 1212457 1.00000 1 WESTERN MARYLAND INSURANCE COMPANY PO BOX 10233 GRAND CAYMAN CJ KY1-1002 980446260 INSURANCE CJ UPMCWM C 1775573 22180002 1.00000 1 0 1 1 1 0 1 0 0 0 1 1 1 0 1 1 1 1 1 1 WILLOWBROOK HEALTH CENTER CONDOMINIUM K 225245 FMV