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PART IV - SECTION A, QUESTION 1, 2, 5A AND 6 QUESTION 1 UPMC PRESBYTERIAN SHADYSIDE AND THE UNIVERSITY OF PITTSBURGH ARE BOTH IDENTIFIED IN UPMC'S ARTICLES OF INCORPORATION AS SUPPORTED ORGANIZATIONS. THE OTHER SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS AND/ OR PURPOSE. AS PER THE UPMC AMENDED AND RESTATED ARTICLES OF INCORPORATION, UPMC SUPPORTS ENTITIES DESCRIBED AS IRC 509(A)(1) AND 509(A)(2) ORGANIZATIONS. THE MAJORITY OF UPMC'S SUPPORTED ORGANIZATIONS ARE 509(A)(1)HOSPITALS. UPMC ALSO SUPPORTS CANCER CENTERS IN THE TREATMENT OF PATIENTS AND RESEARCH ALONG WITH SENIOR COMMUNITIES WHO LOOK AFTER THE ELDERLY AND PHYSICIAN PRACTICE PLANS IN A VARIETY OF SPECIALTIES, AS WELL AS OTHER RELATED ORGANIZATIONS WHOSE ACTIVITIES ARE DIRECTLY IN FURTHERANCE OF UPMC'S EXEMPT MISSION. UPMC HAS SUPPORTED THESE ORGANIZATIONS WITHIN A RANGE OF 1 TO 42 YEARS WITH THE RELATIONSHIP CONTINUING INDEFINITELY. THIS HISTORIC AND CONTINUING RELATIONSHIP EXISTS AND AS A RESULT, THERE IS A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN THE ORGANIZATIONS - E.G., FURTHERING THE HEALTH, EDUCATIONAL, AND RESEARCH MISSION OF THE UPMC HEALTH SYSTEM. QUESTION 2 The majority of UPMC's supported organizations have an IRS determination of status under Section 509(a)(1) or (a)(2). However, several supported organizations do not have an IRS determination of status under Section 509(a)(1) or (a)(2) due to immediate inclusion in the UPMC Group Ruling (GEN: 9707) following initial formation under the procedure set forth in Rev. Proc. 80-27. UPMC initially determined, based on a thorough analysis of anticipated activities, funding, etc., whether these supported organizations satisfied the requirements of Section 509(a)(1) or (a)(2) when they were added to the UPMC Group Ruling. Further, UPMC annually reconfirms that Section 509(a)(1) or (a)(2) status is appropriate as part of its completion of Schedule A of the UPMC Group Return (EIN: 20-8295721). QUESTION 5A (I) UPMC WASHINGTON EIN: 25-0965600 (II) UPMC ACQUIRED ON 6/1/2024 (III) AUTHORITY AS REQUIRED BY UPMC ARTICLES OF INCORPORATION (IV) ACQUISITON OF THE ORGANIZATION THROUGH BOARD APPROVAL (I) AMBULANCE & CHAIR EMS, INC. EIN: 25-1272075 (II) UPMC ACQUIRED ON 6/1/2024 (III) AUTHORITY AS REQUIRED BY UPMC ARTICLES OF INCORPORATION (IV) ACQUISITION OF THE ORGANIZATION THROUGH BOARD APPROVAL (I) UPMC GREENE EIN: 47-3884840 (II) UPMC ACQUIRED ON 6/1/2024 (III) AUTHORITY AS REQUIRED BY UPMC ARTICLES OF INCORPORATION (IV) ACQUISITION OF THE ORGANIZATION THROUGH BOARD APPROVAL (I) WASHINGTON SENIOR CARE CORPORATION EIN: 25-1849365 (II) UPMC OWNERSHIP CHANGE FROM 50% TO 100% 6/1/2024 (III) AUTHORITY AS REQUIRED BY UPMC ARTICLES OF INCORPORATION (IV) ACQUISITION OF THE ORGANIZATION THROUGH BOARD APPROVAL (I) UPMC & THE WASHINGTON HOSPITAL CANCER CENTER EIN: 36-4592814 (II) UPMC OWNERSHIP CHANGE FROM 50% TO 100% 6/1/2024 (III) AUTHORITY AS REQUIRED BY UPMC ARTICLES OF INCORPORATION (IV) ACQUISITION OF THE ORGANIZATION THROUGH BOARD APPROVAL (I) UPMC - CONEMAUGH CANCER CENTER EIN: 20-2671883 (II) UPMC OWNERSHIP CHANGED TO 100% (III) AUTHORITY AS REQUIRED BY UPMC ARTICLES OF INCORPORATION (IV) ACQUISITION OF THE ORGANIZATION THROUGH BOARD APPROVAL (I) UPMC WESTERN BEHAVIORAL HEALTH FOUNDATION EIN: 92-3568793 (II) THE ORGANIZATION IS RECOGNIZED AS A 509(A)(2) (III) AUTHORITY AS REQUIRED BY UPMC ARTICLES OF INCORPORATION (IV) ACQUISITION OF THE ORGANIZATION THROUGH BOARD APPROVAL QUESTION 6 CONTRIBUTIONS TO UPMC ITALY ENHANCE THE ABILITY FOR UPMC PRESBYTERIAN SHADYSIDE TO ACQUIRE DATA IN THE AREA OF LIVER AND OTHER TRANSPLANTATIONS. RESEARCH IS ONE OF THE CORE MISSIONS OF UPMC PRESBYTERIAN SHADYSIDE. SECTION D, QUESTION 3 THE SUPPORTED ORGANIZATION OFFICERS AND DIRECTORS THAT SERVE AS UPMC OFFICERS AND/OR DIRECTORS ATTEND REGULAR UPMC BOARD AND OTHER MEETINGS, HAVE ONGOING COMMUNICATION WITH OTHER UPMC DIRECTORS AND OFFICERS, AND ARE PROVIDED WITH AND HAVE ACCESS TO UPMC FINANCIAL AND OTHER INFORMATION. AS A RESULT OF THE ABOVE, THE SUPPORTED ORGANIZATION OFFICERS THAT SERVE AS UPMC OFFICERS AND/OR DIRECTORS ARE ABLE TO VOTE AND/OR OPINE ON UPMC ACTIVITIES AND INITIATIVES AFFECTING THE SUPPORTED ORGANIZATION. SECTION E, QUESTIONS 2A AND 2B QUESTION 2A - UPMC is the parent organization and supporting organization of healthcare related entities within a large integrated healthcare delivery system of controlled subsidiaries. UPMC's primary mission is to provide the ongoing, overarching support and infrastructure to all of its exempt subsidiaries to assist them in accomplishing each of their discrete exempt educational, healthcare and research missions for which they were recognized under 501(c)(3) by the Internal Revenue Service. If UPMC as the parent and supporting organization did not supply the support, each individual entity would separately engage in these same activities to support its separate structure. QUESTION 2B - If the UPMC supporting parent organization did not provide the support that it currently does for all of its supported exempt entities, these entities would have to undertake the oversight and provision of all such management and infrastructure activities currently provided by the supporting organization so that they individually could continue to provide the services in medical, educational and research programs that are the core of each of their exempt missions. 71160629 71160629 381376643 321531888 59844755 41853264 40034830 1818434 73274526 44242799 29031727 73503708 23605183 49898525 211754070 CASH EQUIVALENTS 236782292 C LIMITED PARTNERSHIPS 1480460672 C LONG-TERM INVESTMENTS 99304420 F 1816547384 INVESTMENTS IN SUBSIDIARIES 3120883075 RIGHT OF USE ASSET - OPERATING 702486719 2020 PROJECT FUND 225681330 OTHER ASSETS 242286940 4291338064 0 DUE TO SUBSIDIARIES 848570009 OPERATING LEASES ST/LT 775194905 OTHER LIABILITIES 328310904 BOND/OID/OIP/REBATE 240417192 2192493010 X PART X AND PART XI UPMC HAS NO UNCERTAIN TAX POSITIONS RECORDED. TAX BENEFITS ARE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. SUCH TAX POSITIONS ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON ULTIMATE SETTLEMENT WITH THE TAX AUTHORITIES ASSUMING FULL KNOWLEDGE OF THE POSITION AND ALL RELEVANT FACTS. AS OF JUNE 30, 2024, UPMC DOES NOT HAVE ANY UNRECORDED TAX BENEFITS. AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED UPMC SYSTEM LEVEL ONLY, INCLUDING UPMC AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARES. Central America and the Caribbean Investments 91209061 East Asia and the Pacific Investments 741838324 Europe (Including Iceland and Greenland) Investments 555788746 Middle East and North Africa Investments 46350300 North America Investments 91571624 Russia and the Newly Independent States Investments 2653052 South America Investments 39875627 South Asia Investments 172448707 Sub-Saharan Africa Investments 18809866 1760545307 1760545307 Europe (Including Iceland and Greenland) LIVER RESEARCH 500000 NONE COST 1 true false true true true true SCHEDULE F STATEMENT OF ACTIVITIES OUTSIDE THE UNITED STATES UPMC'S INVESTMENT PORTFOLIO INCLUDES FOREIGN SECURITIES AND SIMILAR ASSETS THAT THE IRS REQUIRES TO BE REPORTED ON SCHEDULE F. UPMC MONITORS THE USE OF GRANT MONEY PROVIDED TO ITS FOREIGN AFFILIATE FOR LIVER TRANSPLANT RESEARCH BY CONTINUAL INTERACTION BETWEEN CLINICIANS IN THE TRANSPLANT AREA SHARING INFORMATION AND DATA ON THEIR RESEARCH RESULTS. A Allegheny County Hospital Development Authority 251327925 01728AH25 2007-05-23 225000000 UPMC Series 2007A false false false B Monroeville Finance Authority 460569399 611530BC9 2012-07-31 389110690 UPMC Series 2012 false false false C PA Economic Development Financing Authority 383849352 70869PHR1 2014-10-01 390888214 UPMC Series 2014AB false false false D PA Economic Development Financing Authority 383849352 70869PKX4 2015-10-14 131646741 UPMC Series 2015B false false false A 198325000 0 225008043 0 0 0 1938921 0 0 53339385 169729736 0 2007 true false true true B 299000000 0 389113883 0 0 0 3405559 0 0 204010889 181697435 0 2012 true false true true C 88630000 0 390888561 0 0 0 4029845 0 0 150003716 236855000 0 2015 true false true true D 22010000 0 131656546 0 0 0 1630226 0 0 130026319 0 0 2016 false false true true A false true true true true true 0.00500 0.00000 0.00500 false true 0.02951 true true B false true true true true true 0.00100 0.00000 0.00100 false true 0.00042 true true C false true true true true true 0.00700 0.00000 0.00700 false true 0.02205 true true D false true true true true true 0.02000 0.00000 0.02000 false true 0.01550 true true A false false true false true true See Part VI 4bcde false 0 false true B false false true false false false 0 false 0 false true C false false true false false false 0 false 0 false true D false false true false false false 0 false 0 false true A true B true C true D true UPMC Series 2007A Refunded ACHDA Series 1997A Bonds issued 4/17/1997; partly refunded ACHDA Series 1997B Bonds issued 11/3/1997; financing the costs of acquiring, constructing and equipping certain renovations, improvement and other capital expenditures of the Corporation. $8,042.50 was earned in the clearing fund and spent according to the purpose of the bonds. Subseries 2007A1 has two qualified hedges with Goldman Sachs Mitsui Marine Derivative Products. The first subseries 2007A1 qualified hedge has a notional amount of $53,905,000 and terminated on February 1, 2021, its scheduled maturity date. The second subseries 2007A1 qualified hedge has a notional amount of $46,095,000, terminates in 29.7 years from May 23, 2007, is not superintegrated, and hasn't been terminated prior to its scheduled termination date. Subseries 2007A2 had a qualified hedge with Merrill Lynch Capital Services Inc with a notional amount of $75,000,000, terminates in 3.7 years from May 23, 2007, is superintegrated, and was terminated on March 24, 2010 which was prior to its scheduled termination date. UPMC Series 2012 Current refunding of four series of outstanding bonds, consisting of (i) PHEFA Series 1999A issued 3/4/1999, (ii) ACHDA UPMC Senior Communities, Inc. Series 2003 issued 7/1/2003, (iii) ACIDA Series 2004A issued 3/25/2004, and (iv) Erie County Hospital Authority Hamot Health Foundation Series 2008 issued 7/1/2008; pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and or operated by UPMC in the City of Pittsburgh and the Municipality of Monroeville; and pay the costs associated with the issuance of the 2012 Bonds. $3,193.27 was earned in the construction fund during construction and spent according to the purpose of the bonds. UPMC Series 2014AB Partly current refunded Allegheny County Hospital Development Authority Series 2008A Bonds issued 3/27/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2008B bonds issued 6/19/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2009A bonds issued 6/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or by UPMC or its subsidiary in the Commomwealth of Pennsylvania and; pay the costs associated with the issuance of the bonds. Part I - Bond Issues: The Series 2014A & 2014B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2014B Bonds. a) Monroeville Finance Authority b) 46-0569399 c) 611530CU8 d) 10/1/2014 $347.19 was earned in the construction fund during construction and spent according to the purpose of the bonds. UPMC Series 2015B Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of of the Series 2015B Bonds. $9,804.89 was earned in the construction fund during construction and spent according to the purpose of the bonds. A PA Economic Development Financing Authority 383849352 70869PLT2 2016-09-28 273626626 UPMC Series 2016 false false false B PA Economic Development Financing Authority 383849352 708700JBA 2017-10-11 469617728 UPMC Series 2017A true false false C PA Economic Development Financing Authority 383849352 70870JEM6 2022-05-02 135000000 UPMC Series 2017C (Reissuance) false false false D Allegheny County Hospital Development Authority 251327925 01728A5V4 2022-05-02 400000000 UPMC Series 2017D-2 (Reissuance) false false false A 55835000 0 273945038 0 0 0 2824522 0 0 250318402 20802115 0 2017 true false true true B 56755000 19000000 471979220 0 0 0 4037851 0 0 402373389 65567981 0 2018 true false true true C 3240000 0 135000000 0 0 0 0 0 0 0 135000000 0 2022 true false true true D 9600000 0 400000000 0 0 0 0 0 0 0 400000000 0 2022 true false true true A false true true true true true 0.00200 0.00000 0.00200 false true 0.00451 true true B false true true true true true 0.01000 0.00000 0.01000 false true 0.01198 true true C false true true true false 0.00300 0.00000 0.00300 false false 0.00000 false true D false true true true true true 0.01300 0.00000 0.01300 false true 0.00632 true true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false true false false true false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true UPMC Series 2016 Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; repay a taxable line of credit drawn upon by UPMC and used to current refund the Erie County Hospital Authority Series 2006 bonds issued 4/11/2006; and pay the costs associated with the issuance of the Series 2016 Bonds. $318,412.62 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on September 28,2021. UPMC Series 2017A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; current refund the Erie County Hospital Authority Series 2007 bonds issued 7/31/2007; repay a taxable line of credit drawn upon by UPMC and used to current refund the Chartiers Valley Industrial Commercial Development Authority Series 2006 bonds issued 9/11/2006; repay a taxable line of credit drawn upon by UPMC and used to current refund the Allegheny County Industrial Development Authority Series 2012ABCD bonds issued 12/19/2012; and pay the costs associated with the issuance of the Series 2017A Bonds. $2,361,492.39 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on October 11, 2022. UPMC Series 2017C (Reissuance) Reissuance of the Series 2017C Bonds, which were used to refund a taxable bridge loan from Wells Fargo Bank NA dated 11/1/2017. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. UPMC Series 2017D-2 (Reissuance) Reissuance of the Series 2017D-2 Bonds, which were used to pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of of the Series 2017D Bonds. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. A Potter County Hospital Authority 256691439 2018-03-01 25580000 UPMC Series 2018A Note false false false B Allegheny County Hospital Development Authority 251327925 01728A5C6 2019-05-30 842635848 UPMC Series 2019A false false false C PA Economic Development Financing Authority 383849352 70870JCL0 2020-04-29 250885823 UPMC Series 2020A (New Money) false false false D PA Economic Development Financing Authority 383849352 70870JCL0 2020-04-29 30208557 UPMC Series 2020A (Refunding) false false false A 17906000 0 25580000 0 0 0 43101 0 0 0 25536899 0 2018 true false true true B 92130000 0 844469635 0 0 0 5224084 0 0 0 839245550 0 2019 true false true true C 12280000 0 250885823 0 0 0 1928206 0 0 248956591 1025 0 2020 false false false true D 0 0 30208704 0 0 0 208026 0 0 0 30000677 0 2020 true false true true A false true true true false 0.01400 0.00000 0.01400 false false 0.00000 false true B false true true true true true 0.00400 0.00000 0.00400 false true 0.00166 true true C false true true true true true 0.00600 0.00000 0.00600 false true 0.00538 true true D false true true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true A false false true false true false 0 false 0 false true B false false true false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true UPMC Series 2018A Note Pay the costs of currently refunding outstanding Potter County Hospital Authority Revenue Refunding Note, Series 2013A issued 12/19/2013, Potter County Hospital Authority Equipment Note, Series 2013B issued 12/19/2013, Potter County Hospital Authority Revenue Note, Series 2014A issued 6/25/2014, and pay the costs of issuance of the Series 2018A Note. UPMC Series 2019A Refunded ACHDA Subseries 2007 B-2 Bonds reissued 3/24/2010; ACHDA Series 2008 Note reissued 3/24/2010; ACHDA Series 2009A Bonds issued 6/3/2009; Lycoming County Authority Series 2009A Bonds issued 10/22/2009; Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; ACHDA Series 2010D Bonds issued 3/24/2010; Monroeville Finance Authority Series 2015A Note issued 6/25/2015; and pay the costs associated with the issuance of the Series 2019A Bonds. The 8038, as filed, has an issue price of $874,892,435.50. The correct issue price as reported in Part I, Column (e) is $842,635,847.85 which totals the PAR amount of the bonds plus Original Issue Premium. $413.49 was earned in the UPMC 2019A Bond Fund. $1,539,489.97 was earned in the UPMC 2009A Escrow Fund. $9,831.31 was earned in the DCGA 2009A Bond Fund. $238,484.50 was earned in the Susquehanna 2009A Escrow Fund. $4,844.22 was earned in the UPMC 2008 Note Fund. $3,983.86 was earned in the 2007B2 Bond Fund. $36,739.30 was earned in the 2010D Bond Fund. All investment earnings were spent according to the purpose of the bonds. Rebate calculation performed on June 15, 2024. UPMC Series 2020A (New Money) Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038. UPMC Series 2020A (Refunding) Partly currently refunded outstanding PHEFA Series 2010E issued 3/24/2010; and pay the costs associated with the issuance of the 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038. $146.40 was earned in the 2010E bond fund. A Maryland Health and Higher Educational Facilities 520936091 5742187N7 2020-04-29 207358648 UPMC Series 2020B false false false B PA Economic Development Financing Authority 383849352 70870JDJ4 2021-04-15 321743708 UPMC Series 2021AB false false false C PA Economic Development Financing Authority 383849352 70870JEG9 2022-05-17 230277742 UPMC Series 2022A false false false D Monroeville Finance Authority 460569399 611530DQ6 2022-05-17 192608086 UPMC Series 2022B false false false A 12935000 0 207358656 0 0 0 1613796 0 0 0 205744861 0 2020 false true true true B 17235000 0 321746752 0 0 0 2745625 0 0 160067316 158933810 0 2021 true true false true C 2880000 0 230487681 0 0 0 2023628 0 0 100215660 128248392 0 2022 true false false true D 18295000 0 193091563 0 0 0 1385758 0 0 0 191705805 0 2022 true false true true A false true true true true true 0.00000 0.00000 0.00000 false true 0.00008 true B false true true true true true 0.00400 0.00000 0.00400 false true 0.00925 true true C false true true true true true 0.00100 0.00000 0.00100 false false 0.00000 false true D false true true true true true 0.00200 0.00000 0.00200 false true 0.00042 true true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false true false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true UPMC Series 2020B Refinanced Series 2020 Taxable Revenue Note dated February 3, 2020; and pay the costs associated with the issuance of the Series 2020B Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues. $7.90 was earned in the COI fund. There are two bonds maturing on the final maturity date. The CUSIP numbers associated with such bonds are 5742187N7 and 5742187M9. UPMC Series 2021AB Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; partly currently refund the UPMC Series 2011B Taxable Bonds; pay the costs of refunding a portion of the UPMC Series 2011A Bonds; and pay the costs associated with the issuance of the Series 2021A & 2021B Bonds. Part I - Bond Issues: The Series 2021A & 2021B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2021B Bonds. a) Allegheny County Hospital Development Authority b) 25-1327925 c) 01728A-5Q5 d) 7/21/2021 $1,711.87 was earned in the 2021A project fund and spent according to the purpose of the bonds. $1,331.86 was earned in the 2011A bond fund and spent according to the purpose of the bonds. UPMC Series 2022A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refund, within 90 days of the issue date, all of the outstanding Dauphin County General Authority Health System Revenue Bonds, Series A of 2012 dated 8/7/2012; and pay the costs associated with the issuance of the Series 2022A Bonds. UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $184,053.49 was earned in the 2022A project fund and spent according to the purpose of the bonds. $25,855.01 was earned in the PHS 2012A bond fund and spent according to the purpose of the bonds. UPMC Series 2022B Refunded a portion of the outstanding Monroeville Finance Authority, UPMC Revenue Bonds, Series 2012 dated 7/31/2012; and pay the costs associated with the issuance of the Series 2022B Bonds. UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $483,476.72 was earned in the 2022B Escrow Fund and spent according to the purpose of the bonds. A PA Economic Development Financing Authority 383849352 70870JFN3 2023-04-19 477422725 UPMC Series 2023A false false false B PA Economic Development Financing Authority 383849352 70870JGJ1 2023-04-19 96227370 UPMC Series 2023B false false false C Monroeville Finance Authority 460569399 611530EG7 2023-04-19 41236220 UPMC Series 2023C false false false D PA Economic Development Financing Authority 383849352 70870JEP9 2023-04-19 250000000 UPMC Series 2023D false false false A 3795000 0 484682044 0 0 0 2422649 0 0 482246370 13025 0 2024 false false false true B 2640000 0 97145871 0 0 0 494620 0 0 0 96651251 0 2024 true false true true C 1550000 0 41630019 0 0 0 195437 0 0 0 41434583 0 2024 true false true true D 0 0 250000000 0 0 0 312500 0 0 49687500 200000000 0 2023 false true false true A false true true true true true 0.00100 0.00100 0.00200 false true 0.00048 true true B false true true true true true 0.01200 0.00000 0.01200 false true 0.01582 true true C false true true true false 0.03200 0.00000 0.03200 false false 0.00000 false true D false true true true true true 0.00400 0.00000 0.00400 false false 0.00000 false true A false true false false true false 0 false 0 false true B false true false false true false 0 false 0 false true C false true false false true false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true UPMC Series 2023A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay a portion of the costs associated with the issuance of the Series 2023A Bonds. UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $7,259,318.75 was earned in the 2023A project fund. UPMC Series 2023B Partly currently refunded a portion of the outstanding Pennsylvania Economic Development Authority UPMC Revenue Bonds, Series 2013A dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023B Bonds. UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $918,393.32 was earned in the 2023B Escrow Fund. $107.21 was earned in the 2023B Bond Fund. UPMC Series 2023C Partly currently refunded a portion of the outstanding Monroeville Finance Authority UPMC Revenue Bonds, Series 2013B dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023C Bonds. UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $393,695.77 was earned in the 2023C Escrow Fund. $102.99 was earned in the 2023C Bond Fund. UPMC Series 2023D Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refinance an outstanding term loan in the principal amount of $200,000,000 dated 4/13/2020; and pay a portion of the costs associated with the issuance of the Series 2023D Bonds. UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. A Tioga County Industrial Development Authority 251433720 2010-05-07 10000000 SHS - Laurel 2010 Note false false false B Tioga County Industrial Development Authority 251433720 2011-12-30 8771468 SHS - Laurel 2011 Note false false false C Dauphin County General Authority 232336946 23825EDY7 2016-06-22 119014518 Pinnacle 2016A false false false D Dauphin County General Authority 232336946 2021-06-01 82950000 Pinnacle 2016B (Reissuance) false false false A 5167076 0 10000000 0 0 0 95332 0 0 9904668 0 0 2010 false false true true B 5585954 0 8771468 0 0 0 106790 0 0 8664679 0 0 2013 false false true true C 24625000 0 122321927 0 0 0 1103602 0 0 0 121218325 0 2016 false true true true D 7435000 0 82950000 0 0 0 0 0 0 0 82950000 0 2021 true false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true C false true true true false 0.02400 0.00000 0.02400 false false 0.00000 false true D false true true true false 0.00200 0.00000 0.00200 false false 0.00000 false true A false false true false true false 0 false 0 false true B false false true false true false 0 false 0 false true C false false false true false false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true SHS - Laurel 2010 Note Pay the costs of the acquisition, construction and equipping of certain additions, improvements and renovations to the hospital facilities owned and operated by Soldiers and Sailors Memorial Hospital; and pay the costs associated with the issuance of the Series 2010 Note. SHS - Laurel 2011 Note Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2011 Bonds. $1,228,531.67 of the bond fund wasn't drawn leaving $8,771,468.33 as the total amount of the debt that was drawn. Pinnacle 2016A Partial advance refunding of Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; and payment of the costs of issuance. $3,307,408.34 was earned in the escrow fund and spent according to the purpose of the bonds. Rebate computation performed on October 13, 2017. Pinnacle 2016B (Reissuance) Reissuance of the 2016B Bonds originally dated 6/22/2016. Original project consisted of current refunding of the Dauphin County General Authority's Health System Revenue 2011A Bonds issued 6/28/2011; and payment of the costs of issuance. A Washington County Hospital Authority 256001043 2024-06-28 46585000 WHS 2020AB (Reissuance) false false false A 0 0 46585000 0 0 0 0 0 0 0 46585000 0 2024 true false true true A false true true true false 0.00600 0.00000 0.00600 false false 0.00000 false true A false true false false false false 0 false 0 false true A true WHS 2020AB (Reissuance) Reissuance of the 2020A and 2020B Notes (the "Refunded Notes") originally dated 12/1/2020. Original project consisted of the refunding of the Washington County Hospital Authority's Series 2007A bonds issued 3/29/2007; the refunding of the Authority's Series 2007B bonds issued 3/29/2007; the refunding of the Authority's Series 2013A bonds issued 1/29/2013; the refunding of the Authority's Series 2017 bonds issued 6/22/2017; funding the cost of terminating any interest rate hedging or swap agreements entered into with respect to the aformentioned bonds; funding the costs of capital expenditures related to constructing, acquiring and equipping certain renovations, additions, and other capital projects relating to the health care facilities devoted to it's tax-exempt activities; and paying all or a portion of the costs of issuance of the Refunded Notes. As part of its June 1, 2024 affiliation with UPMC Washington (EIN: 25-0965600), UPMC assumed legal responsibility for the following UPMC Washington tax-exempt bond issues that were previously reported on the Schedule K included with UPMC Washington's Form 990: WHS 2020AB (REISSUANCE), WASHINGTON COUNTY HOSPITAL AUTHORITY, EIN: 25-6001043, CUSIP: N/A, DATE ISSUED: JUNE 28, 2024, ISSUE PRICE: $46,585,000 As such, these tax-exempt bond issues are reported on the Schedule K included with UPMC's Form 990 filed for the June 30, 2024 tax year rather than on UPMC Washington's. Because the liability associated with the tax-exempt bonds issues remained on UPMC Washington's books as of June 30, 2024, it is still reported on Part X, line 20 of UPMC Washington's June 30, 2024 Form 990 SEE PART V PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS FOR PURPOSES OF SCHEDULE L, UPMC HAS OBTAINED AND REPORTED RELEVANT INFORMATION FROM INTERESTED PERSONS INCLUDING OFFICERS, KEY EMPLOYEES AND DIRECTORS OF UPMC. EACH OF THE TRANSACTIONS DESCRIBED IN SCHEDULE L PART IV WERE NEGOTIATED AT ARM'S LENGTH AND ARE BASED UPON FAIR VALUE. IN ACCORDANCE WITH APPLICABLE POLICIES AND PROCEDURES, INTERESTED PERSONS ABSTAINED FROM UPMC'S DECISION MAKING PROCESS WITH RESPECT TO EACH TRANSACTION. IN THE INTEREST OF FULL TRANSPARENCY THE DISCLOSURE AMOUNTS INCLUDE ALL UPMC SYSTEM-WIDE ACTIVITY (INCLUSIVE OF UPMC AND ALL SUBSIDIARIES) RATHER THAN ONLY UPMC PARENT ENTITY DISCRETE ACTIVITY. THEY ALSO REFLECT TRANSACTIONS FOR WHICH UPMC IS THE RECIPIENT OF FUNDS, AS WELL AS THE PAYOR OF FUNDS. A NAME OF INTERESTED PERSON MICHAEL MONTLER B RELATIONSHIP BETWEEN INTERESTED INTERESTED PERSON IS FAMILY MEMBER PERSON AND THE ORGANIZATION OF BOARD MEMBER ROBERT MONTLER C AMOUNT OF TRANSACTION 106,892 D DESCRIPTION OF TRANSACTION COMPENSATION E SHARING OF ORGANIZATIONS REVENUES NO A NAME OF INTERESTED PERSON CAMPUS SQUARE PARTNERS B RELATIONSHIP BETWEEN INTERESTED BOARD MEMBER DOUGLAS A. NEIDICH PERSON AND THE ORGANIZATION IS PARTNER OF INTERESTED PERSON C AMOUNT OF TRANSACTION 436,735 D DESCRIPTION OF TRANSACTION RENT E SHARING OF ORGANIZATIONS REVENUES NO A NAME OF INTERESTED PERSON JOSHUA LEVENSON, MD B RELATIONSHIP BETWEEN INTERESTED INTERESTED PERSON IS FAMILY MEMBER PERSON AND THE ORGANIZATION OF BOARD MEMBER DEBRA L. CAPLAN C AMOUNT OF TRANSACTION 518,305 D DESCRIPTION OF TRANSACTION COMPENSATION E SHARING OF ORGANIZATIONS REVENUES NO A NAME OF INTERESTED PERSON DICK BUILDING COMPANY, LLC B RELATIONSHIP BETWEEN INTERESTED BOARD MEMBER DOUGLAS DICK IS PERSON AND THE ORGANIZATION OWNER OF INTERESTED PERSON C AMOUNT OF TRANSACTION 865,393 D DESCRIPTION OF TRANSACTION CONSTRUCTION SERVICES E SHARING OF ORGANIZATIONS REVENUES NO PART I SUMMARY UPMC is the parent organization of a large integrated healthcare delivery system consisting of controlled subsidiaries within the meaning of Section 6033(h). UPMC'S primary mission is the ongoing support of all subsidiaries in order to assist them in accomplishing their exempt educational, healthcare, and research missions. Line 8 - Contributions and grants: Pursuant to Treasury Regulation Section 1.6033-2(d)(5), UPMC has elected to report information related to its contributions and grants received on a consolidated basis for all of the members of the UPMC Group, including this parent organization, on the return of UPMC Group, EIN 20-8295721. PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS UPMC, a world-renowned health care provider and insurer, is inventing new models of patient-centered, cost-effective, accountable care. With a central mission of providing outstanding, accessible patient care, UPMC is shaping tomorrow's health care through clinical and technological innovation, research, and education. As the largest nongovernmental employer in the Commonwealth of Pennsylvania - with 100,000 employees within its various controlled health care entities - UPMC encompasses more than 40 hospitals and 800 doctors' offices and outpatient sites. By integrating its health care services with an insurance division focused on promoting the health of its members, UPMC is advancing the quality and efficiency of health care, and developing internationally renowned programs in transplantation, cancer, neurosurgery, women's health, psychiatry, geriatrics, orthopedics, and sports medicine, among others. These highly specialized services draw patients from across the nation and around the world. Closely affiliated with its academic partner, the University of Pittsburgh, UPMC's flagship hospital, UPMC Presbyterian Shadyside, is consistently ranked among the nation's best hospitals in many specialties by U.S. News & World Report. UPMC's Health Services Division encompasses a comprehensive array of clinical capabilities. This division includes academic, community, and regional hospitals; pre- and post-acute care capabilities; specialty service lines, such as transplantation services, women's health, behavioral health, pediatrics, cancer care, and rehabilitation services; contract services, such as emergency medicine, pharmacy, and laboratory; and more than 5,000 employed physicians with associated practices. UPMC's organ transplant center is one of the largest and busiest in the world, performing more than 20,000 transplants since 1981. The UPMC Hillman Cancer Center is one of the largest integrated community cancer networks in the United States with more than 70 centers in Pennsylvania, Ohio, New York, and Maryland, and more than 2,000 physicians, researchers, and staff. UPMC's expertise in academic-based and specialized medical care, including transplantation, oncology, and sports medicine, is key to the globalization efforts being undertaken through its International Division, which promotes the exchange of scientific knowledge worldwide, while generating revenue that is reinvested locally. In managing its global health enterprise, UPMC has taken a leadership role in good corporate governance practices - voluntarily achieving Sarbanes-Oxley certification for nineteen years in a row, publicly releasing quarterly financial results within 60 days of each quarter's close and creating one of the most stringent industry relationship policies to ensure that pharmaceutical and medical device companies do not negatively influence patient care. These business practices set the stage for decision making that is good for UPMC and the communities it serves. High-Quality, Patient-Focused Care By leveraging resources and expertise across its global network, UPMC has achieved significant gains in the delivery of high-quality, patient-focused care that is evidence-based. The Wolff Center at UPMC coordinates and connects quality, safety, patient care, and innovative improvements to ensure patients receive the highest quality care. The Wolff Center partners with colleagues across UPMC to improve health care delivery for patients and health plan members. These collaborations support effective and efficient care transformations to achieve high-quality and safe outcomes. The Wolff Center's expertise includes enterprise-wide quality data and analytics to inform initiatives that target operational excellence, patient and employee experience, quality care and process improvement, and regulatory, patient safety, and emergency preparedness. In fiscal year 2024, the Wolff Center continued to provide leadership and infrastructure to optimize the workforce by reducing the number of high cost outside agency nurses by 84% and recruiting over 2,200 permanent replacement nurses as continued investments were made in our Schools of Nursing to directly address our critical workforce needs. New models of care with new career ladders were implemented to support health care providers in working at the top of their clinical scope with greater efficiency. Last year, the Wolff Center continued to implement and drive new processes to accelerate operational excellence in clinical care coordination, discharge planning, clinical practice access, and improve patient safety, all in alignment with UPMC's strategic clinical priorities. Additionally, the Wolff Center at UPMC also monitors and improves infection prevention, patient care delivery models, health equity for underserved communities, and emergency preparedness. PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED Investments in Technology and Facilities Underpinning UPMC's quality and patient safety efforts is a robust technology infrastructure. Over the past five years, UPMC has invested $4.4 billion in new facilities, equipment, and information technology to make care more convenient and accessible across the region, and its hospitals are among the most advanced users of electronic health records, as measured by HIMSS Analytics, a subsidiary of the Healthcare Information and Management Systems Society (HIMSS). For 26 consecutive years, UPMC has been named a Most Wired health care system by the Digital Health Most Wired survey from the College of Healthcare Information Management Executives. In 2024, UPMC received the highest honor and was recognized as a Level 10 health care system. This solidifies UPMC as a leader in health care technology and demonstrates that UPMC's technology is at the forefront of improving the health care journey for both patients and staff, through innovative technologies that are automated, reliable, secure, and patient focused. In 2024, UPMC continued to make progress on an enterprise-wide initiative to unify our Electronic Health Record (EHR) to a single platform, with an aim of advancing clinical and operational excellence and patient experience. UPMC is also partnering with leading technology companies and innovative startups to develop and bring to the public the next generation of health care information technology. In keeping with its goal of ensuring access to high-quality health care, UPMC continues to invest in world-class facilities and clinical services - in 2024, UPMC spent $995 million on capital improvements. Support for Research and Education In concert with its academic partner, the University of Pittsburgh, UPMC is translating biomedical research into innovative clinical care, while training the clinicians and researchers who will advance health care in the decades to come. UPMC's financial support for research and education - primarily at the University of Pittsburgh - was $ 626 million in fiscal year 2024. UPMC's ongoing support has aided the University in remaining among the top 10 recipients of National Institutes of Health (NIH) grants since 1998. This success keeps both organizations on the cutting edge of medical research, while bringing nearly $700 million of NIH funding to the region. The results of this research are widely shared with other scientists and researchers, leading to discoveries and improvements in health care practices that benefit the public. UPMC underwrites the training of more than 1,900 medical, pharmacy, dental, and podiatry residents, and medical clinical fellows. UPMC also operates seven schools of nursing, offers training for allied health professionals, and coordinates a wide array of continuing medical education programs to allow the region's medical community to build its collective expertise. Caring for the Community In fiscal year 2024, UPMC spent $ 745 million to provide uncompensated care to patients of limited financial means, including financial assistance and shortfalls from medical assistance and other means tested programs. UPMC's financial assistance program has been designed to be easily accessible and user-friendly to patients in need. UPMC operates pursuant to an expansive financial assistance policy that extends free or discounted health services to uninsured and underinsured individuals and families earning up to 400 percent of the federal poverty level - as much as $124,800 for a family of four in 2024. Additionally, in fiscal year 2024, UPMC spent over $1.3 billion to cover payment shortfalls for those enrolled in Medicare. UPMC annually provides or contributes to more than 3,000 community health improvement programs and subsidized services. Many of these programs target the unmet needs of vulnerable populations, addressing chronic health problems such as diabetes, heart disease, and cancer, as well as social issues such as opioid addiction, domestic violence, and transportation. The cost of these services, along with charitable activities and donations that benefit the community, amounted to $ 597 million in fiscal year 2024. UPMC's contributions go far beyond its traditional role as the region's largest provider of health care. A catalyst for economic improvement, UPMC is helping to develop a brighter future for the region; a future built on medicine, research, and technology. An in-depth report on UPMC's comprehensive community benefits is available on its website: UPMC.com. PART IV CHECKLIST OF REQUIRED SCHEDULES Line 2 - Contributions and grants: Pursuant to Treasury Regulation Section 1.6033-2(d)(5), UPMC has elected to report information related to its contributions and grants on a consolidated basis for all of the members of the UPMC Group, including this parent organization, on the return of UPMC Group, EIN 20-8295721. LINE 12 - AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED UPMC SYSTEM LEVEL ONLY, INCLUDING UPMC AND ALL TAXABLE AND TAX EXEMPT SUBSIDIARIES. PART V STATEMENTS REGARDING OTHER IRS FILINGS AND TAX COMPLIANCE LINE 15 UPMC does not have a Section 4960 excise tax liability to report on Form 4720 related to payments of $1 million or more in remuneration or excess parachute payments during its tax year ended June 30, 2023. Remuneration is not taken into account for the purposes of the excise tax if no deduction for the remuneration is allowed by reason of section 162(m). Section 162(m)(6) imposes a compensation deduction limitation on controlled groups, such as the UPMC controlled group, that include one or more covered health insurance providers. PART VI GOVERANCE, MANAGEMENT, DISCLOSURE SECTION A, LINE 1,2,4,7 SECTION B, LINE 11, 12C SECTION A, LINE 1 Although the UPMC board of directors is independent in fact, the Form 990 requires certain board member to be reported as not independent for the purposes of the Form 990. Generally, this is due to the board members' affiliation with companies that provide services to UPMC on the same terms as those offered to the general public or to compensation paid by the University of Pittsburgh, another Section 501(c)(3) organization that UPMC supports, for operational roles. SECTION A, LINE 2 DID ANY OFFICER, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATIONSHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? FOR PURPOSES OF PART VI, LINE 2, UPMC HAS OBTAINED AND REPORTED RELEVANT INFORMATION FROM INTERESTED PERSONS INCLUDING DIRECTORS, OFFICERS, AND KEY EMPLOYEES OF UPMC AND OFFICERS AND KEY EMPLOYEES OF ALL GROUP SUBORDINATES, AND DIRECTORS OF GROUP SUBORDINATE ENTITIES WITH DECISION-MAKING BOARD AUTHORITY THAT IS INDEPENDENT FROM THAT OF UPMC PARENT. MULTIPLE UPMC OFFICERS, DIRECTORS, TRUSTEES, AND/OR KEY EMPLOYEES HAVE RELATIONSHIPS BY VIRTUE OF THE FACT THAT THEY ARE ALSO OFFICERS, DIRECTORS, TRUSTEES, AND/OR KEY EMPLOYEES OF UPMC SUBSIDIARIES AND AFFILIATES. THESE RELATIONSHIPS ARE NOT SEPARATELY DISCLOSED BELOW BECAUSE THEY ARE NOT "BUSINESS RELATIONSHIPS" FOR THE PURPOSES OF FORM 990. SECTION A, LINE 7 UPMC DOES NOT HAVE MEMBERS OR STOCKHOLDERS. THE BOARD OF TRUSTEES OF THE UNIVERSITY OF PITTSBURGH SHALL APPOINT DIRECTORS (UNIVERSITY DIRECTORS) EXERCISING ONE-THIRD OF THE TOTAL NUMBER OF VOTES REPRESENTED ON THE BOARD. THOSE DIRECTORS WHO ARE NOT UNIVERSITY DIRECTORS SHALL BE COMMUNITY DIRECTORS EXERCISING THE REMAINING VOTES REPRESENTED ON THE BOARD. CERTAIN COMMUNITY DIRECTORS SHALL BE APPOINTED IN ACCORDANCE WITH CONTRACTUAL COMMITMENTS WITH HOSPITALS OR HOSPITAL-RELATED ENTITIES OR CONSTITUENCIES APPROVED BY THE CORPORATION, AND THE BALANCE OF SUCH COMMUNITY DIRECTORS SHALL BE NOMINATED BY THE GOVERANCE AND NOMINATING COMMITTEE AND ELECTED BY THE BOARD. NO GOVERANCE DECISIONS OF UPMC ARE RESERVED TO OR SUBJECT TO APPROVAL BY MEMBERS, STOCKHOLDER OR PERSONS OTHER THAN THE BOARD OF DIRECTORS. SECTION B, LINE 11 The completed Form 990 was reviewed by the Chief Financial Officer, members of the Corporate Tax Department, members of the Corporate Legal Department, and other members of UPMC management prior to its filing. Various sections of the 990 were also reviewed by the Chief Executive Officer and committees of the filing organization's Board of Directors, as applicable. For example, the Executive Compensation Committee of the Board reviewed sections related to compensation and related party transactions. In addition, the Board of Directors established a 990 Subcommittee, comprised of the Chairs of the Board, Executive Compensation Committee, Ethics and Compliance Committee, Finance Committee and Audit Committee, which reviewed the entire completed Form 990 prior to filing. Additionally, the Form 990 is reviewed by an outside independent public accounting firm who as part of the process signs the return as Paid Preparer. After this review but prior to filing, the full Board of Directors was notified that the completed Form 990 was available for review on the Board's secure website. Also prior to filing, management provided the opportunity for all board members of the full UPMC board to ask any questions or raise any comments on the full return they were provided. SECTION B, Line 12c: UPMC, as a system-wide practice, requires key employed and non-employed personnel to comply with its conflict of interest policies when they engage in UPMC-related business. Individuals covered by the policies include: UPMC board members, corporate officers, and key employees, UPMC physicians and non-physician employees who hold a position of influence, Identified Non-employed members of the UPMC medical staff who hold a position of influence, and Individuals conducting clinical research at UPMC, whether or not they are employed by UPMC. These individuals are required to complete a questionnaire at least annually, which along with other data is used to identify possible individual and institutional conflicts of interest. If a potential conflict is identified regarding a specific UPMC activity, the corporate compliance department, with the assistance of the legal department, either develops a written plan designed to prevent the conflict from influencing decisions related to that activity, or requires that the conflicting relationship be divested, as appropriate. For employed personnel and non-Board member, non-employed personnel, the conflict of interest identification and management process is ultimately overseen by an Ethics and Compliance committee of the UPMC board of directors on behalf of UPMC and all of its subsidiaries. Potential conflict of interest transactions involving UPMC Board members and entities with which they are affiliated are monitored and subject to pre-approval by the Governance and Nominating Committee of the UPMC Board of Directors. In addition to the general corporate and Board policies described above, UPMC has also developed and implemented a separate tax questionnaire distributed to Officers, Directors, Trustees, and Key Employees annually that specifically addresses disclosure requirements of Form 990. PART VI GOVERANCE, MANAGEMENT, DISCLOSURE Section B, Line 15a and b: As a system-wide practice, 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 includes 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 Code, 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, other SEC regulations, 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. SECTION B, LINE 16A AND B: UPMC has a formal written policy pertaining to joint ventures between UPMC Tax-Exempt entities and taxable entities. The policy employs an internal procedure for review of all transactions involving potential participation in joint ventures and similar arrangements to ensure that such entities operate in accordance with applicable IRS policies and within UPMC's charitable purposes. SECTION C, LINE 19 UPMC's Public Website (www.upmc.com) makes its financial results, conflict of interest process, and various information about governance and oversight available to the public. Additional information may be supplied upon specific request for data not posted to the web site. PART VII COMPENSATION OF OFFICERS, TRUSTEES, KEY EMPLOYEES SECTION A AND SECTION B SECTION A Pursuant to Treasury Regulation Section 1.6033-2(d)(5), UPMC has elected to report compensation and Schedule J other information about officers, directors, trustees, key employees and certain other highly paid employees on a consolidated basis for all of the members of the UPMC Group, including this parent organization which is the sponsor or central organization of the Group, on the return of UPMC Group, EIN 20-8295721. SECTION B Pursuant to Treasury Regulation Section 1.6033-2(d)(5), UPMC has elected to report certain professional contractors and certain other contractors on a consolidated basis for all of the members of the UPMC Group, including this parent organization which is the sponsor or central organization of the Group, on the return of UPMC Group, EIN 20-8295721. PART VIII STATEMENT OF REVENUE Line 1 - Contributions and grants: Pursuant to Treasury Regulation Section 1.6033-2(d)(5), UPMC has elected to report information related to its contributions and grants received on a consolidated basis for all of the members of the UPMC Group, including this parent organization, on the return of UPMC Group, EIN 20-8295721. PART XI RECONCILIATION OF NET ASSETS LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES DIVIDENDS RECEIVED 250,000,000 INVESTMENT IN AFFILIATE 93,768,010 FOREIGN CURRENCY EXCHANGE RATE ADJUSTMENT 19,716,603 OTHER CHANGES TO FUND BALANCE 1,091,247 PENSIONS AND POST RETIREMENT BENEFIT (6,144,241) NET TRANSFERS TO EXEMPT SUBSIDIARIES (358,598,689) TOTAL OTHER CHANGES IN NET ASSETS OR FUND BALANCES (167,070) PART XII FINANCIAL STATEMENTS AND REPORTING QUESTION 2B : THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PERFORMED BY EY FOR UPMC AND ALL SUBSIDIARIES. THE ENTIRE SYSTEM'S FINANCIAL STATEMENTS, OF WHICH THIS ORGANIZATION IS PART OF, ARE POSTED ON THE UPMC WEBSITE. (WWW.UPMC.COM) THE FINANCIAL STATEMENT AUDIT DURING THE 990 FILING PERIOD IS FOR THE CALENDAR YEAR ENDED DECEMBER 31,2023. QUESTION 2C UPMC HAS AN AUDIT COMMITTEE THAT IS ESTABLISHED TO ASSIST THE BOARD OF DIRECTORS IN FULFILLING ITS OVERSIGHT RESPONSIBILITIES BY MONITORING UPMC CONSOLIDATED FINANCIAL REPORTS AND OTHER FINANCIAL INFORMATION PROVIDED BY UPMC TO GOVERNMENTAL BODIES, THE PUBLIC OR OTHER EXTERNAL ENTITIES. THE UPMC'S SYSTEM OF INTERNAL CONTROLS REGARDING FINANCE, ACCOUNTING, LEGAL COMPLIANCE AND ETHICS THAT MANAGEMENT AND THE BOARD HAVE ESTABLISHED AND UPMC'S INTERNAL AUDITING, ACCOUNTING AND FINANCIAL REPORTING PROCESSES ALSO PROVIDED OVERSIGHT. 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UPMC SOMERSET S 2918733 ACTUAL UPMC MUNCY S 1949880 ACTUAL UPMC SUNBURY S 17402081 ACTUAL UPMC WELLSBORO S 10998215 ACTUAL SCHEDULE R - RELATED TAX-EXEMPT ORGANIZATIONS The below organizations are included in the UPMC Group exemption and Form 990. These organizations are not required to be listed in Schedule R Part III. Center for Emergency Medicine of Western Pennsylvania UPMC Ob/Gyn Joint Venture Inc. Butler Health System/UPMC Musculoskeletal Joint Venture Inc. Central Pennsylvania Medical Foundation, Inc. Children's Advocacy Center of Lawrence County UPMC Children's Hospital of Pittsburgh UPMC Community Care Behavioral Health Organization Cranberry Place Erie Physician Network-UPMC, Inc. Home Nursing Agency Affiliates UPMC Home Healthcare of Central Pennsylvania Home Nursing Agency Foundation UPMC Jameson Jameson Health Care Foundation Jameson Medical Care, Inc. UPMC Behavioral Health of the Alleghenies UPMC Magee-Womens Hospital Mon Yough Community Services, Inc. Regional Health Services Inc. Sugarcreek Station The Heritage Shadyside UPMC Medical Education University of Pittsburgh Cancer Institute Cancer Services University of Pittsburgh Physicians UPMC Advanced Practice Providers UPMC Altoona UPMC Altoona Foundation UPMC Altoona Partnership for a Healthy Community UPMC Bedford UPMC Chautauqua Services Inc. UPMC Community Medicine, Inc. UPMC Community Provider Services UPMC East UPMC Emergency Medicine, Inc. UPMC For You, Inc. UPMC Hamot UPMC Horizon UPMC Horizon Community Health Foundation UPMC International Holdings, Inc. UPMC Locum Clinicians UPMC McKeesport UPMC Mercy UPMC Northwest UPMC Overseas, Inc. UPMC Passavant UPMC Presbyterian Shadyside UPMC St. Margaret UPMC Home Healthcare of Western Pennsylvania UPMC Kane UPMC Susquehanna UPMC Muncy Divine Providence Hospital of the Sisters of Christian Charity Susquehanna Physician Services Susquehanna Health System Innovation Center, Inc. Susquehanna Health Foundation UPMC Williamsport Laurel Health System UPMC Wellsboro UPMC Lock Haven UPMC Sunbury AUUE, Inc. Safe Harbor Behavioral Health Of UPMC Hamot UPMC Home Care Management Services Twin Lakes Center, Inc. UPMC Travel Staffing Charles Cole Memorial Hospital Cole Foundation, Inc. Hamot Cole Ventures Somerset Community Hospital Foundation Somerset Health Services, Inc. UPMC Somerset Entities reported in Parts I through IV that are marked with an * are not technically related organizations, as defined in the Form 990 instructions of UPMC as the requisite control for a parent, subsidiary, brother/sister relationship did not exist during the fiscal year ended June 30, 2024. However, because these entities are affiliated with UPMC and the UPMC parent organization holds certain powers with respect to such entities, UPMC is electing to disclose the entities as related organizations in Schedule R in the interest of transparency. PART V TRANSACTIONS WITH RELATED ORGANIZATIONS PART V In general the cash management policy of UPMC is to temporarily transfer all excess funds available from exempt subsidiaries to UPMC, the parent entity. These are not considered a transfer of net assets for which disclosure is required if 25% or more of net assets are transferred.