Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
UPMC GROUP
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
600 GRANT STREET 58TH FLOOR
C/O CORPORATE TAX DEPARTMENT
Room/suite
City or town, state or country, and ZIP + 4
PITTSBURGH, PA15219
D Employer identification number

20-8295721
E Telephone number

G Gross receipts $ 7,704,250,028
F Name and address of principal officer:
Robert DeMichiei
600 Grant Street 58th Floor
Pittsburgh,PA15219
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.UPMC.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet9707
K Form of organization:
 
L Year of formation: 2006
M State of legal domicile: PA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: HEALTHCARE, EDUCATION, AND RESEARCH
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 54
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 10
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 50,345
6 Total number of volunteers (estimate if necessary) .... 6 5,552
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 3,406,358
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 151,144
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 100,620,197 103,627,637
9 Program service revenue (Part VIII, line 2g) ......... 7,018,255,342 7,556,131,606
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 24,487,330 38,198,999
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 85,640 -44,261
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 7,143,448,509 7,697,913,981
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,703,432 32,387,449
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 3,287,057,330 3,461,133,130
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet3,795,045    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 3,589,023,405 3,751,152,437
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 6,877,784,167 7,244,673,016
19 Revenue less expenses. Subtract line 18 from line 12...... 265,664,342 453,240,965
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 4,655,682,618 4,990,882,812
21 Total liabilities (Part X, line 26)............ 855,015,121 840,174,199
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 3,800,667,497 4,150,708,613
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 6,551,901,199 including grants of $ 32,387,449 ) (Revenue $ 7,552,725,248 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 6,551,901,199
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see list of attachments
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
1,042
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
50,345
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletIT , EI , UK , CY
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
54
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
10
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
PA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
ROBERT A DEMICHIEI
600 GRANT STREET 58TH FLOOR
PITTSBURGH,PA15219
(412) 647-2345
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) David Baer MD BDF
Board Member
 1.0 X           232,566 0 25,996
(2) John R Blackburn III BDF
Board Chairman
 1.0 X   X       0 0 0
(3) Beth Clark DO E 1111 BDF
Board Member
 1.0 X           176,291 0 10,798
(4) Angela Duvall BDF
Board Member
 1.0 X           0 0 0
(5) David Faber R 123110 BDF
Board Member
 1.0 X           0 0 0
(6) George Fleming MD E 1111 BDF
Board Member
 1.0 X           301,318 0 30,301
(7) James Gonsman BDF
Board Treasurer
 1.0 X           0 0 0
(8) Garry Goss BDF
Board Member
 1.0 X           0 0 0
(9) Gerald Gronborg DPM BDF
Board Member
 1.0 X           0 0 0
(10) Rep Dick Hess BDF
Board Member
 1.0 X           0 0 0
(11) John Holbert BDF
Board 1st Vice Chair
 1.0 X           0 0 0
(12) Mabel Jordan BDF
Board Member
 1.0 X           0 0 0
(13) David T Martin BDF
Board Member
 1.0 X           0 0 0
(14) Patricia Mueller BDF
Board Secretary
 1.0 X           0 0 0
(15) Joel Pyle BDF
Board Member
 1.0 X           0 0 0
(16) Beverly Ridenour BDF
Board Member
 1.0 X           0 0 0
(17) Todd Roadman BDF
Board 2nd Vice Chair
 1.0 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Christopher Samuel MD R 123110
Board Member
 1.0 X           375,815 0 26,948
(19) Rev Ray Short BDF
Board 3rd Vice Chair
 1.0 X           0 0 0
(20) Esther Barazzone PhD BHS
Board Member
 1.0 X           0 0 0
(21) David Bobrzynski BHS
Board Member and Treasurer
 40.0 X   X       190,139 0 26,902
(22) Shelia Fine BHS
Board Member
 1.0 X           0 0 0
(23) David J Kupfer MD BHS
Board Member and Vice Pres
 40.0 X   X       120,138 0 21,595
(24) Mark J Laskow BHS
Board Member
 1.0 X           0 0 0
(25) Nikki Nordenberg BHS
Board Member
 1.0 X           0 0 0
(26) Loren Roth MD PhD BHS
Board Member
 1.0 X           1,500 0 60,857
(27) Dean George Werner BHS
Board Chairman
 1.0 X   X       0 0 0
(28) Robin Young BHS
Board Member
 1.0 X           0 0 0
(29) Candi Castleberry-Singleton BDK
Board Vice Chairman
 1.0 X           378,433 0 46,962
(30) Richard Farrell BDK
Board Member
 1.0 X           0 0 0
(31) George A Huber Esq BDK
Board Member
 1.0 X           0 0 0
(32) David T Martin BDK
Board Member
 1.0 X           0 0 0
(33) Tamra Minnier BDK
Board Member
 1.0 X           469,658 0 54,000
(34) Mark Sevco BDK
Board Member
 1.0 X           0 0 0
(35) Thomas W Sterling BDK
Board Chairman
 1.0 X   X       0 0 0
(36) Merle Taylor BDK
Board Secretary
 1.0 X           0 0 0
(37) Thomas Inglesby MD CBS
Board Chair and Pres
 40.0 X   X       325,000 0 78,325
(38) Arthur S Levine MD CBS
Board Member
 1.0 X           0 0 0
(39) Jeffrey A Romoff CBS
Board Member
 1.0 X           0 0 0
(40) Loren Roth MD PhD CBS
Board Member
 1.0 X           0 0 0
(41) William Cook CEM
Board Vice Chairman
 1.0 X           0 0 0
(42) Douglas Garretson CEM
Board Member and President
 40.0 X   X       288,477 0 29,065
(43) Christopher Gessner CEM
Board Member
 1.0 X           0 0 0
(44) Donald Goodman CEM
Board Member and CFO
 40.0 X   X       211,294 0 26,640
(45) Edward T Karlovich CEM
Board Chairman
 1.0 X   X       0 0 0
(46) Paul Mark Paris MD CEM
Board Member and CMO
 1.0 X           0 0 0
(47) Leslie Braksick PhD CHP
Board Member
 1.0 X           0 0 0
(48) Elizabeth Concordia CHP
Board Member
 1.0 X           0 0 0
(49) Ronald R Davenport Jr CHP
Board Member
 1.0 X           0 0 0
(50) Douglas P Dick CHP
Board Member
 1.0 X           0 0 0
(51) Mary Jo Howard Dively Esq CHP
Board Chairman
 1.0 X   X       0 0 0
(52) Lawrence N Gumberg CHP
Board Member
 1.0 X           0 0 0
(53) Howard W Hanna III CHP
Board Member
 1.0 X           0 0 0
(54) Arthur S Levine MD CHP
Board Member
 1.0 X           0 0 0
(55) Martha Hartle Munsch Esq CHP
Board Member
 1.0 X           0 0 0
(56) Judge Jill Rangos CHP
Board Member
 1.0 X           0 0 0
(57) Joseph C Walton CHP
Board Member
 1.0 X           0 0 0
(58) Shelia Fine CCBH
Board Member
 1.0 X           0 0 0
(59) Michael Flaherty CCBH
Board Member
 1.0 X           0 0 0
(60) Diane Holder CCBH
Board Chairman
 1.0 X   X       0 0 0
(61) George A Huber Esq CCBH
Board Member
 1.0 X           0 0 0
(62) David J Kupfer MD R 1010 CCBH
Board Member
 1.0 X           0 0 0
(63) Scott Lammie CCBH
Board Member Sec and Treas
 1.0 X   X       0 0 0
(64) David Lewis E 1210 CCBH
Board Member
 1.0 X           0 0 0
(65) Douglas Muetzel CCBH
Board Member
 1.0 X           0 0 0
(66) Laurie Mulvey CCBH
Board Member
 1.0 X           0 0 0
(67) Kenneth Nash CCBH
Board Member
 1.0 X           0 0 0
(68) Nikki Nordenberg CCBH
Board Member
 1.0 X           0 0 0
(69) Wilford Payne CCBH
Board Member
 1.0 X           0 0 0
(70) Claudia Roth PhD CCBH
Board Member
 1.0 X           0 0 0
(71) Loren Roth E 910 CCBH
Board Member
 1.0 X           0 0 0
(72) Regis Ryan CCBH
Board Member
 1.0 X           0 0 0
(73) Jeannette South-Paul MD CCBH
Board Member
 1.0 X           0 0 0
(74) Laura Thomas CCBH
Board Member
 1.0 X           0 0 0
(75) Paul Castillo CFHC
Board Treasurer
 1.0 X           0 0 0
(76) Robert B Devlin Esq CFHC
Board Secretary
 1.0 X           0 0 0
(77) John Innocenti CFHC
Board Chairman and President
 1.0 X   X       0 0 0
(78) Randall Kolb CFHC
Board Member and President
 1.0 X           178,269 0 25,537
(79) Robert Blosat CMI
Board Member VP and COO
 40.0 X   X       425,306 0 64,115
(80) Robert B Devlin Esq CMI
Board Member and Secretary
 40.0 X   X       267,003 0 29,703
(81) Francis Solano MD CMI
Board Member and President
 40.0 X   X       559,315 0 32,231
(82) Ann Szell CMI
Board Member Treasurer and CFO
 40.0 X   X       0 0 0
(83) Neil Y Van Horn CMI
Board Member
 1.0 X           0 0 0
(84) Marshall Webster MD CMI
Board Member
 1.0 X           0 0 0
(85) Deborah S Brodine CPS
Board Member and President
 40.0 X   X       404,148 0 53,090
(86) Elizabeth Concordia CPS
Board Member
 1.0 X           0 0 0
(87) Edward T Karlovich CPS
Board Member
 1.0 X           0 0 0
(88) Stephen Nimmo Esq CPS
Board Member and Secretary
 40.0 X   X       456,971 0 77,411
(89) Jerome Shaffer CPS
Board Member Treasurer and CFO
 40.0 X   X       267,025 0 28,487
(90) Deborah S Brodine CRAN
Board Member and President
 1.0 X   X       0 0 0
(91) Peter W Eisenbrandt CRAN
Board Member
 1.0 X           0 0 0
(92) Richard Hamilton CRAN
Board Member
 1.0 X           0 0 0
(93) John D Houston II CRAN
Board Treas and Board Sec
 1.0 X           0 0 0
(94) Margaret M Kimmel PhD CRAN
Board Member
 1.0 X           0 0 0
(95) David A Nace MD CRAN
Board Member
 1.0 X           217,136 0 11,446
(96) Cynthia Roth CRAN
Board Member
 1.0 X           0 0 0
(97) Jerome Shaffer CRAN
Board Member
 1.0 X           0 0 0
(98) William E Troup CRAN
Board Member
 1.0 X           0 0 0
(99) Neil Y Van Horn CRAN
Board Chairman
 1.0 X           0 0 0
(100) Robert Blosat EMI
Board Member
 1.0 X           0 0 0
(101) Robert J Maha MD EMI
Board Member and President
 40.0 X   X       539,059 0 44,930
(102) Paul Mark Paris MD EMI
Board Member and V President
 1.0 X   X       138,706 0 11,269
(103) Teresa G Petrick EMI
Board Member
 1.0 X           0 0 0
(104) Mark Sevco EMI
Board Member
 1.0 X           425,471 0 57,243
(105) Ann Szell EMI
Board Member
 1.0 X           0 0 0
(106) Marshall Webster MD EMI
Board Member
 1.0 X           0 0 0
(107) Donald M Yealy MD EMI
Board Member
 1.0 X           0 0 0
(108) Michael Culyba MD R 13011 FOR
Board Member
 1.0 X           0 396,999 38,782
(109) Paula Garafola FOR
Board Member
 1.0 X           400 0 0
(110) Diane Holder FOR
Board Chairman
 1.0 X   X       0 0 0
(111) George A Huber Esq FOR
Board Member
 1.0 X           0 0 0
(112) John Lovelace FOR
Board Member and President
 40.0 X   X       0 442,442 53,762
(113) Christina Mikolay FOR
Board Member
 1.0 X           400 0 0
(114) Stephen Perkins MD E 62311 FOR
Board Member
 1.0 X           0 174,661 5,959
(115) George A Huber Esq HCD
Board Member
 0.0 X           0 0 0
(116) John Innocenti HCD
Board Member and V President
 0.0 X   X       0 0 0
(117) Roger A Oxendale HCD
Board Member
 0.0 X           503,470 0 8,394
(118) Deborah S Brodine HERT
Board Member and President
 1.0 X   X       0 0 0
(119) Peter W Eisenbrandt HERT
Board Member
 1.0 X           0 0 0
(120) Richard Hamilton HERT
Board Member
 1.0 X           0 0 0
(121) John D Houston II HERT
Board Treas and Board Sec
 1.0 X           0 0 0
(122) Margaret M Kimmel PhD HERT
Board Member
 1.0 X           0 0 0
(123) David A Nace MD HERT
Board Member
 1.0 X           0 0 0
(124) Cynthia Roth HERT
Board Member
 1.0 X           0 0 0
(125) Jerome Shaffer HERT
Board Member
 1.0 X           0 0 0
(126) William E Troup HERT
Board Member
 1.0 X           0 0 0
(127) Neil Y Van Horn HERT
Board Chairman
 1.0 X           0 0 0
(128) John Campbell CPA HRZ
Board Member
 1.0 X           0 0 0
(129) John S Dolan CPA HRZ
Board Member
 1.0 X           0 0 0
(130) Tulio Estrada MD HRZ
Board Member
 1.0 X           0 0 0
(131) Linda Evans HRZ
Board Member Treasurer/Secreta
 1.0 X           0 0 0
(132) Steve Gargasz HRZ
Board Member
 1.0 X           0 0 0
(133) David Gibbons HRZ
Board Member
 1.0 X           0 0 0
(134) Hendley Hoge E 12511 HRZ
Board Member
 1.0 X           0 0 0
(135) Olivia Lazor HRZ
Board Member
 1.0 X           0 0 0
(136) David T Martin HRZ
Board Member
 1.0 X           0 0 0
(137) Ronald McCall E 12511 HRZ
Board Member
 1.0 X           0 0 0
(138) Frank Mindicino CFP HRZ
Board Chairman
 1.0 X   X       0 0 0
(139) Larry Pifer R 123110 HRZ
Board Member
 1.0 X           0 0 0
(140) Rev Martin Roth HRZ
Board Member
 1.0 X           0 0 0
(141) Roy J Sartori DO HRZ
Board Member
 1.0 X           282,947 0 20,306
(142) Joseph Simko HRZ
Board Treas and Board Sec
 1.0 X           0 0 0
(143) Noreen Stegkamper HRZ
Board Member
 1.0 X           0 0 0
(144) Joseph Valentino Esq HRZ
Board Member
 1.0 X           0 0 0
(145) Troy VanAken HRZ
Board Member
 1.0 X           0 0 0
(146) Joseph P Walton HRZ
Board Vice Chairman
 1.0 X           0 0 0
(147) Rod E Wilt E 12511 HRZ
Board Member
 1.0 X           0 0 0
(148) Kelly Bailey HRZF
Board Treasurer
 1.0 X           0 0 0
(149) Sam Bellich HRZF
Board Member
 1.0 X           0 0 0
(150) Steve Bible HRZF
Board Vice Chair and VP
 1.0 X           0 0 0
(151) Sarah Boland E 1111 HRZF
Board Member
 1.0 X           0 0 0
(152) Gizelle Dean HRZF
Board Member
 1.0 X           0 0 0
(153) Jeanne Endicott HRZF
Board Member
 1.0 X           0 0 0
(154) Elizabeth Izenas HRZF
Board Member
 1.0 X           0 0 0
(155) Curtis Jantzi MD R 113010 HRZF
Board Member
 1.0 X           161,255 0 16,009
(156) Sally Kaiser R 3111 HRZF
Board Member
 1.0 X           0 0 0
(157) Robert Lindberg MD HRZF
Board Member
 1.0 X           0 0 0
(158) Patty McCluskey-Shonka HRZF
Board Secretary
 1.0 X           0 0 0
(159) Joni Murray E 3111 HRZF
Board Member
 1.0 X           46,066 0 16,496
(160) Kevin Orsinger HRZF
Board Member
 1.0 X           0 0 0
(161) Donald Owrey HRZF
Board Member
 1.0 X           0 0 0
(162) Robert Piccirilli HRZF
Board Chairman
 1.0 X   X       0 0 0
(163) Marcy Pickering HRZF
Board Member
 1.0 X           0 0 0
(164) David Shulik HRZF
Board Member
 1.0 X           0 0 0
(165) Lorrie Speir-Chrastina HRZF
Board Member
 1.0 X           0 0 0
(166) Rev Lee Weber HRZF
Board Member
 1.0 X           0 0 0
(167) Charles Bogosta IMIT
Board Vice Chairman
 1.0 X           0 0 0
(168) Robert A DeMichiei IMIT
Board Member
 1.0 X           0 0 0
(169) Daniel Drawbaugh IMIT
Board Chairman
 1.0 X           0 0 0
(170) Edward Marinzel IMIT
Board Member
 1.0 X           245,563 0 33,728
(171) Charles Bogosta IHI
Board Member and President
 1.0 X   X       0 0 0
(172) John Kuzmishin IHI
Board Member and Treas/Sec
 40.0 X   X       510,860 0 51,162
(173) Rose Almon-Martin MAG
Board Secretary
 1.0 X           0 0 0
(174) Mark Aloe MAG
Board Member
 1.0 X           0 0 0
(175) Deborah Barbarita E 4511 MAG
Board Member
 1.0 X           0 0 0
(176) Chief Judge Donetta Ambrose MAG
Board Vice Chairman
 1.0 X           0 0 0
(177) Michele Atkins MAG
Board Member
 1.0 X           0 0 0
(178) Elizabeth Concordia MAG
Board Member
 1.0 X           0 0 0
(179) Gregory Dell'Omo E 4511 MAG
Board Member
 1.0 X           0 0 0
(180) Peter W Eisenbrandt MAG
Board Treasurer
 1.0 X           0 0 0
(181) Charles Fletcher Jr R 123110 M
Board Member
 1.0 X           0 0 0
(182) W Allen Hogge MD MAG
Board Member
 1.0 X           0 0 0
(183) Margaret P Joy MAG
Board Member
 1.0 X           0 0 0
(184) Arthur S Levine MD MAG
Board Member
 1.0 X           0 0 0
(185) Barbara Mistick MAG
Board Member
 1.0 X           0 0 0
(186) William Pietragallo II Esq MAG
Board Chairman
 1.0 X   X       0 0 0
(187) Jeannette South-Paul MD MAG
Board Member
 1.0 X           0 0 0
(188) Kathy Mayle Towns MAG
Board Member
 1.0 X           0 0 0
(189) Sue Ann Striffler Galaski MCK
Board Member
 1.0 X           0 0 0
(190) D James Heatherington MCK
Board Chairman
 1.0 X   X       0 0 0
(191) George A Huber Esq MCK
Board Member
 1.0 X           0 0 0
(192) Jo Ellen Kenney MCK
Board Member
 1.0 X           0 0 0
(193) Irving J Latterman MCK
Board Member
 1.0 X           0 0 0
(194) David T Martin R 10810 MCK
Board Member
 1.0 X           0 0 0
(195) Rebecca Shaw McHolme JD MCK
Board Vice Chairman
 1.0 X           0 0 0
(196) Madhusudana Nair MD E 7110 MCK
Board Member/Med Staff Pres
 1.0 X           247,381 0 23,392
(197) Domingo Ottonello MD MCK
Board Member
 1.0 X           68,601 0 20,123
(198) Curtiss E Porter PhD MCK
Board Member
 1.0 X           0 0 0
(199) Sandy Rader E 10810 MCK
Board Member
 1.0 X           269,165 0 29,346
(200) Mary Pat Soltis MCK
Board Member
 1.0 X           0 0 0
(201) Jeannette South-Paul MD MCK
Board Member
 1.0 X           0 0 0
(202) Thomas W Sterling MCK
Board Member
 1.0 X           0 0 0
(203) Merle Taylor MCK
Board Secretary
 1.0 X           123,162 0 19,073
(204) Curits Waligura DO MCK
Board Member
 1.0 X           52,503 0 0
(205) Hugh Brannan MHP
Board Member
 1.0 X           0 0 0
(206) Robert J Cindrich Esq MHP
Board Member
 1.0 X           0 0 0
(207) Elizabeth Concordia MHP
Board Member
 1.0 X           0 0 0
(208) Renee Crosby-Skinner MHP
Board Member
 1.0 X           0 0 0
(209) Lawrence A DiNardo VE JCL MHP
Board Member
 1.0 X           0 0 0
(210) Charles J Dougherty PhD MHP
Board Member
 1.0 X           0 0 0
(211) Korry Green Esq MHP
Board Member
 1.0 X           0 0 0
(212) Edward T Karlovich MHP
Board Member
 1.0 X           0 0 0
(213) Maureen Lally-Green MHP
Board Member
 1.0 X           0 0 0
(214) Judith K Linaburg MHP
Board Member
 1.0 X           0 0 0
(215) F J Luccino MHP
Board Member
 1.0 X           0 0 0
(216) John R McGinley Jr Esq MHP
Board Chairman
 1.0 X   X       0 0 0
(217) Wilma McNeese MHP
Board Member
 1.0 X           0 0 0
(218) Philip A Pollice MD MHP
Board Member
 1.0 X           0 0 0
(219) Rachel Riley-Lavelle MHP
Board Member
 1.0 X           0 0 0
(220) Joseph J Whiteside MHP
Board Member
 1.0 X           0 0 0
(221) Larry Adams NWH
Board Member
 1.0 X           0 0 0
(222) Randall Boggess E 1111 NWH
Board Member
 1.0 X           208,891 0 4,895
(223) James L Daugherty NWH
Board Member
 1.0 X           0 0 0
(224) Michell Hartle NWH
Board Member
 1.0 X           0 0 0
(225) James Heasley NWH
Board Member
 1.0 X           0 0 0
(226) Denise Jones NWH
Board Member
 1.0 X           0 0 0
(227) James E Knarr DMD NWH
Board Chairman
 1.0 X   X       0 0 0
(228) David McCandless MD NWH
Board Member
 1.0 X           252,268 0 23,105
(229) Robert McFate Esq E 1111 NWH
Board Member
 1.0 X           0 0 0
(230) James McLaughlin DO NWH
Board Member
 1.0 X           318,669 0 21,654
(231) Marilyn Neely NWH
Board Member
 1.0 X           0 0 0
(232) Rina Nerlich NWH
Board Secretary
 1.0 X           0 0 0
(233) Donald Owrey NWH
Board Member
 1.0 X           0 0 0
(234) Daniel Paulo DVM R 123110 NW
Board Member
 1.0 X           0 0 0
(235) Keith Pemrick NWH
Board Vice Chairman
 1.0 X           0 0 0
(236) Mark Salerno MD NWH
Board Member
 1.0 X           0 0 0
(237) Linda Schell NWH
Board Member
 1.0 X           0 0 0
(238) William Shaffner Esq NWH
Board Member
 1.0 X           312,058 0 45,288
(239) Gail Welch NWH
Board Member
 1.0 X           0 0 0
(240) James Williams NWH
Board Member
 1.0 X           0 0 0
(241) Terry Wood E 1111 NWH
Board Member
 1.0 X           0 0 0
(242) Susan Mammarella R 3111 OCC
Board Member Sec and Treas
 1.0 X   X       0 0 0
(243) Christopher Stockhausen OCC
Board Member Sec and Treas
 1.0 X   X       0 0 0
(244) Jeffrey A Romoff OVR
Board Chair
 1.0 X   X       0 0 0
(245) Leo W Yochum R 122410 OVR
Board Member
 1.0 X           0 0 0
(246) James W Boyle MD PAV
Board Member
 1.0 X           323,181 0 25,237
(247) Gary Bucciarelli
Board Member
 1.0 X           0 0 0
(248) Eric Cartwright PAV
Board Member
 1.0 X           417,123 0 66,112
(249) ROBERT A DEMICHIEI PAV
Board Member
 1.0 X           0 0 0
(250) Ralph T DeStefano PAV
Board Member
 1.0 X           125,322 0 22,275
(251) Edward A Dills PAV
Board Member
 1.0 X           0 0 0
(252) Debra A Dinnocenzo PAV
Board Member
 1.0 X           0 0 0
(253) Francis W Finley Jr PAV
Board Treasurer
 1.0 X           0 0 0
(254) Anthony Greco PAV
Board Member
 1.0 X           0 0 0
(255) Richard S Hamilton PAV
Board Chairman
 1.0 X   X       0 0 0
(256) John D Houston II PAV
Board Member
 1.0 X           0 0 0
(257) George A Huber Esq PAV
Board Member
 1.0 X           0 0 0
(258) Sister Candace Introcaso PAV
Board Member
 1.0 X           0 0 0
(259) Franklin H Kelly PAV
Board Member
 1.0 X           0 0 0
(260) Patricia J Kutcher PAV
Board Member
 1.0 X           0 0 0
(261) Joon Sup Lee MD PAV
Board Member
 1.0 X           909,018 0 20,124
(262) Joseph F Long PAV
Board Member
 1.0 X           0 0 0
(263) David Martin E 11110 PAV
Board Member and President
 40.0 X   X       91,064 0 3,104
(264) Justice Joan Orie Melvin R 9110
Board Member
 1.0 X           0 0 0
(265) Gregory K Peaslee PAV
Board Member
 1.0 X           0 0 0
(266) Teresa Petrick R 103110 PAV
Board Member and President
 40.0 X   X       507,588 0 84,593
(267) Elmer J Sigety Sr PAV
Board Second Vice Chairman
 1.0 X           0 0 0
(268) Daniel R Sullivan MD PAV
Board First Vice Chairman
 1.0 X           399,861 0 14,541
(269) Dennis H Tomassetti PAV
Board Member and CFO
 40.0 X   X       339,680 0 48,041
(270) William E Troup PAV
Board Secretary
 1.0 X           0 0 0
(271) Donna Jasko PPA
Board Member and Asst Sec
 40.0 X   X       227,021 0 26,130
(272) David Martin E 11110 PPA
Board Chairman
 1.0 X           0 0 0
(273) Teresa G Petrick R 103110 PPA
Board Chairman
 1.0 X           0 0 0
(274) Dennis H Tomassetti PPA
Board Member and Treasurer
 1.0 X   X       0 0 0
(275) G Nicholas Beckwith III PUH
Board Chairman
 10.0 X   X       0 0 0
(276) David B Fawcett PUH
Board Member
 1.0 X           0 0 0
(277) Karen Wolk Feinstein PhD PUH
Board Member
 1.0 X           0 0 0
(278) H Arnold Gefsky PUH
Board Member
 1.0 X           0 0 0
(279) Randy P Juhl PhD PUH
Board Member
 1.0 X           0 0 0
(280) Mark J Laskow PUH
Board First Vice Chairman
 1.0 X           0 0 0
(281) Kenneth Lee MD PUH
Board Member
 1.0 X           324,232 0 19,691
(282) Arthur S Levine MD PUH
Board Member
 1.0 X           0 0 0
(283) W Duff McCrady PUH
Board Member
 1.0 X           0 0 0
(284) Jeffrey A Romoff PUH
Board Member
 1.0 X           0 0 0
(285) Jeannette South-Paul MD PUH
Board Member
 1.0 X           0 0 0
(286) Alexander J Ciocca Esq SMH
Board Member and Asst Sec
 1.0 X   X       0 0 0
(287) Elizabeth Concordia SMH
Board Member
 1.0 X           0 0 0
(288) Edward J Donnelly III MD SMH
Board Member
 1.0 X           236,374 0 20,080
(289) James M Ferguson III SMH
Board V Chair and Board Treas
 1.0 X           0 0 0
(290) Kevin Garrett MD SMH
Board Member
 1.0 X           491,958 0 33,218
(291) John R Hamilton SMH
Board Member
 1.0 X           0 0 0
(292) Scott Lammie SMH
Board Member
 1.0 X           0 0 0
(293) Valerie C Trott SMH
Board Member
 1.0 X           279,862 0 15,394
(294) Neil Y Van Horn SMH
Board Chairman
 1.0 X   X       0 0 0
(295) Dean George Werner SMH
Board Secretary
 1.0 X           0 0 0
(296) V Thomas Worrall MD SMH
Board Member
 1.0 X           144,940 0 20,029
(297) Deborah Brodine SCS
Board Member and President
 1.0 X   X       0 0 0
(298) Timothy Brooks SCS
Board Member
 1.0 X           0 0 0
(299) David Gibbons SCS
Board Chairman and President
 1.0 X   X       0 0 0
(300) William Nigro SCS
Board Member Treas and CFO
 1.0 X   X       0 0 0
(301) Nancy Pastorius SCS
Board Secretary and COO
 40.0 X   X       101,475 0 17,771
(302) William Cook UHCP
Board Member
 1.0 X           0 0 0
(303) Christopher A Gessner UHCP
Board Vice Chair and V Presid
 1.0 X   X       0 0 0
(304) Edward T Karlovich UHCP
Board Member Treas and CFO
 1.0 X   X       0 0 0
(305) Arthur S Levine MD UHCP
Board Member
 1.0 X           0 0 0
(306) David Martin E 3411 UHCP
Board Member
 1.0 X           0 0 0
(307) Marshall Webster MD UHCP
Board Chairman and President
 1.0 X   X       0 0 0
(308) Elizabeth Concordia UPCICS
Board Member
 1.0 X           0 0 0
(309) Sy Holzer UPCICS
Board Member
 1.0 X           0 0 0
(310) Edward T Karlovich UPCICS
Board Member
 1.0 X           0 0 0
(311) Scott Lammie UPCICS
Board Member
 1.0 X           0 0 0
(312) Stanley Marks MD UPCICS
Board Member and Secretary
 40.0 X   X       861,650 611,081 48,577
(313) Derek Angus MD UPP
Board Member and Dept Chair
 40.0 X           458,706 0 18,171
(314) K Ty Bae MD UPP
Board Member and Dept Chair
 40.0 X           429,396 0 16,582
(315) G Nicholas Beckwith III UPP
Board Member
 1.0 X           0 0 0
(316) Timothy Robert Billiar MD UPP
Board Secretary and Dept Chair
 40.0 X           636,020 232,721 57,343
(317) Michael Boninger MD UPP
Board Member and Dept Chair
 40.0 X           139,146 0 12,686
(318) Margaretha Casselbrant MD R 1231
Board Member
 40.0 X           281,130 0 21,239
(319) Jerome Cochran UPP
Board Member
 1.0 X           0 0 0
(320) Anita P Courcoulas MD R 123110
Board Member
 40.0 X           702,668 0 22,008
(321) Leslie C Davis UPP
Board Member
 1.0 X           0 0 0
(322) Robert P Edwards MD E 1111 UPP
Board Member
 40.0 X           377,836 0 17,465
(323) Louis D Falo Jr MD UPP
Board Member and Dept Chair
 40.0 X           385,175 0 26,902
(324) Michael Finikiotis MD R 123110
Board Member
 40.0 X           237,354 0 14,828
(325) Karen S Fisher UPP
Board Member
 1.0 X           0 0 0
(326) Robert M Friedlander MD UPP
Board Member and Dept Chair
 40.0 X           970,959 0 4,353
(327) Freddie H Fu MD UPP
Board Member and Dept Chair
 40.0 X           1,177,628 0 30,217
(328) Christopher A Gessner UPP
Board Member
 1.0 X           0 0 0
(329) Joel S Greenberger MD UPP
Board Member and Dept Chair
 40.0 X           431,547 0 30,271
(330) Richard S Hamilton UPP
Board Member
 1.0 X           0 0 0
(331) W Allen Hogge MD UPP
Board Member and Dept Chair
 40.0 X           465,731 0 27,481
(332) Jonas T Johnson MD UPP
Board Member and Dept Chair
 40.0 X           666,134 0 22,363
(333) Arthur S Levine MD UPP
Board Member
 1.0 X           0 787,737 41,838
(334) David A Lewis MD UPP
Board Member and Dept Chair
 40.0 X           403,077 0 20,590
(335) Barry London MD UPP
Board Member
 40.0 X           426,959 0 27,822
(336) James D Luketich MD UPP
Board Member
 40.0 X           1,991,769 0 29,565
(337) George K Michalopoulos MD UPP
Board Member and Dept Chair
 40.0 X           380,900 0 16,871
(338) Kenneth C Nash MD E 1111 UPP
Board Member
 40.0 X           296,660 0 15,337
(339) Joel B Nelson MD UPP
Board Treasurer and Dept Chair
 40.0 X           744,290 0 31,934
(340) Mark A Nordenberg UPP
Board Member
 1.0 X           0 573,646 133,544
(341) Roberto Ortiz-Aguayo E 1111 UPP
Board Member
 40.0 X           197,426 0 2,972
(342) Gregory K Peaslee UPP
Board Member
 1.0 X           0 0 0
(343) David Hirsch Perlmutter MD UPP
Board Member and Dept Chair
 40.0 X           418,741 0 29,490
(344) Jeffrey A Romoff UPP
Board Member
 1.0 X           0 0 0
(345) Joshua T Rubin MD E 1111 UPP
Board Member
 40.0 X           184,803 0 9,912
(346) Joel S Schuman MD UPP
Board Member and Dept Chair
 40.0 X           508,111 0 27,778
(347) Steven Shapiro MD UPP
Board Member and Dept Chair
 40.0 X           0 0 0
(348) Jeannette South-Paul MD UPP
Board Member and Dept Chair
 40.0 X           185,567 0 13,159
(349) Stephen R Tritch UPP
Board Member
 1.0 X           0 0 0
(350) Michael A Turturro M E 1111 UPP
Board Member
 40.0 X           310,363 0 16,932
(351) Neil Y Van Horn UPP
Board Member
 1.0 X           0 0 0
(352) Evan L Waxman MD R 123110 UPP
Board Member
 40.0 X           348,920 0 17,082
(353) Marshall Webster MD UPP
Board Chair and President
 40.0 X   X       0 0 0
(354) Lawrence Wechsler MD UPP
Board Member and Dept Chair
 40.0 X           648,463 0 20,416
(355) John P Williams MD UPP
Board Member and Dept Chair
 40.0 X           463,704 0 23,976
(356) Donald Yealy MD UPP
Board Member and Dept Chair
 40.0 X           262,741 0 19,942
(357) Deborah Brodine VNA
Board Chairman and President
 1.0 X   X       0 0 0
(358) Robert Frank VNA
Board Vice Chairman and VP
 1.0 X   X       0 0 0
(359) Jerome Shaffer VNA
Board Member and Treasurer
 1.0 X   X       0 0 0
(360) JoAnn Hahey VNA
Board Member and Secretary
 1.0 X   X       0 0 0
(361) Robert O Agbede UPMC
Board Member
 1.0 X           0 0 0
(362) Esther Barazzone PhD UPMC
Board Member
 1.0 X           0 0 0
(363) G Nicholas Beckwith III UPMC
Board Chairman
 10.0 X           0 0 0
(364) Richard F Berdik UPMC
Board Member
 1.0 X           0 0 0
(365) Timothy Robert Billiar MD UPMC
Board Member
 1.0 X           0 0 0
(366) Ester L Bush UPMC
Board Member
 1.0 X           0 0 0
(367) James L Daugherty UPMC
Board Member
 1.0 X           0 0 0
(368) Ronald Davenport Sr UPMC
Board Member
 1.0 X           0 0 0
(369) Vincent C Deluzio UPMC
Board Member
 1.0 X           0 0 0
(370) Douglas Dick UPMC
Board Member
 1.0 X           0 0 0
(371) William S Dietrich UPMC
Board Member
 1.0 X           0 0 0
(372) James C Diggs UPMC
Board Member
 1.0 X           0 0 0
(373) Mary Jo Howard Dively Esq UPMC
Board Member
 1.0 X           0 0 0
(374) John S Dolan CPA UPMC
Board Member
 1.0 X           0 0 0
(375) David B Fawcett UPMC
Board Member
 1.0 X           0 0 0
(376) Audrey Hillman Fisher UPMC
Board Member
 1.0 X           0 0 0
(377) Ira J Gumberg UPMC
Board Member
 1.0 X           0 0 0
(378) Stephen Halpern UPMC
Board Member
 1.0 X           0 0 0
(379) Richard S Hamilton UPMC
Board Member
 1.0 X           0 0 0
(380) Howard W Hanna III UPMC
Board Member
 1.0 X           0 0 0
(381) Jason M Harrison UPMC
Board Member
 1.0 X           0 0 0
(382) D James Heatherington UPMC
Board Member
 1.0 X           0 0 0
(383) Robert M Hernandez UPMC
Board Member and Chair Fin Com
 2.0 X           0 0 0
(384) Margaret P Joy UPMC
Board Member
 1.0 X           0 0 0
(385) Scott B Kern E 2111 UPMC
Board Member
 1.0 X           0 0 0
(386) Margaret M Kimmel PhD UPMC
Board Member
 1.0 X           0 0 0
(387) James E Knarr DMD UPMC
Board Member
 1.0 X           0 0 0
(388) Mark J Laskow UPMC
Board Second Vice Chairman
 3.0 X           0 0 0
(389) Arthur S Levine MD UPMC
Board Member
 1.0 X           0 0 0
(390) Anne Lewis R 42511 UPMC
Board Member
 1.0 X           0 0 0
(391) Robert G Lovett UPMC
Board Member
 1.0 X           0 0 0
(392) Eric Mann UPMC
Board Member
 1.0 X           0 0 0
(393) W Duff McCrady UPMC
Board Member
 1.0 X           0 0 0
(394) John R McGinley Jr Esq UPMC
Board Member
 1.0 X           0 0 0
(395) Martin G McGuinn UPMC
Board Member
 1.0 X           0 0 0
(396) Wilma McNeese UPMC
Board Member
 1.0 X           0 0 0
(397) Marlee S Myers UPMC
Board Member
 1.0 X           0 0 0
(398) Mark A Nordenberg UPMC
Board Member
 1.0 X           0 0 0
(399) Robert A Paul UPMC
Board Member
 1.0 X           0 0 0
(400) John H Pelusi Jr UPMC
Board Member
 1.0 X           0 0 0
(401) William Pietragallo II Esq UPMC
Board Member
 1.0 X           0 0 0
(402) The Honorable Lisa Pupo-Lenihan UP
Board Member
 1.0 X           0 0 0
(403) Jack Shea UPMC
Board Member
 1.0 X           0 0 0
(404) Patricia Siger UPMC
Board Member
 1.0 X           0 0 0
(405) Stephen Tritch UPMC
Board First Vice Chair
 1.0 X           0 0 0
(406) William E Troup UPMC
Board Member
 1.0 X           0 0 0
(407) Thomas J Usher UPMC
Board Member
 1.0 X           0 0 0
(408) Neil Y Van Horn UPMC
Board Member
 1.0 X           0 0 0
(409) Sunil Wadhwani UPMC
Board Member
 1.0 X           0 0 0
(410) Dean George Werner UPMC
Board Member
 1.0 X           0 0 0
(411) Joel H Weinberg MD UPMC
Board Member
 1.0 X           636,504 0 37,759
(412) Sam Zacharias UPMC
Board Member
 1.0 X           0 0 0
(413) William Obert R 123110 BDF
CFO and VP Admin
 40.0     X       167,870 0 39,204
(414) Mario Wilfong E 1111 BDF
CFO and VP Admin
 40.0     X       90,274 0 17,448
(415) Roger P Winn BDF
President
 40.0     X       327,548 0 37,743
(416) Alexander J Ciocca Esq BHS
Secretary
 40.0     X       300,789 0 33,226
(417) Claudia Roth PhD BHS
President
 40.0     X       531,030 0 55,172
(418) Cynthia Dorundo BDK
President
 1.0     X       0 0 0
(419) Susan Mammarella R 3111 BDK
Treasurer and CFO
 1.0     X       0 0 0
(420) Stephen Nimmo Esq CBS
Secretary
 1.0     X       0 0 0
(421) Dan Swayze CEM
Vice President and Secretary
 40.0     X       130,462 0 23,129
(422) Christopher A Gessner CHP
President
 40.0     X       543,422 0 59,449
(423) Kimberly Moses CHP
Secretary
 40.0     X       109,663 0 5,803
(424) Laurel Ragland CHP
Treasurer and CFO
 40.0     X       147,405 0 16,893
(425) James Gavin CCBH
President
 40.0     X       432,501 0 56,945
(426) James Giammarco CCBH
Chief Financial Officer
 40.0     X       206,079 0 19,661
(427) Deborah Redmond CFHC
Vice President
 40.0     X       251,357 0 27,560
(428) William A Nigro CRAN
Assistant Treasurer and CFO
 40.0     X       0 110,708 13,566
(429) James Anthony Palmer CRAN
Vice Pres and Treasurer
 40.0     X       0 216,500 25,885
(430) Colleen Brennan EMI
Treasurer and CFO
 40.0     X       179,752 0 24,657
(431) Terrence Lewis Esq EMI
Secretary
 40.0     X       153,110 0 15,572
(432) Scott Lammie FOR
Treasurer and CFO
 40.0     X       0 827,778 187,563
(433) Daniel Vukmer Esq FOR
Secretary and Vice President
 40.0     X       0 375,861 44,824
(434) Marlene R Cooper HCD
Secretary
 0.0     X       0 0 0
(435) William A Nigro HERT
Asst Treasurer and CFO
 1.0     X       0 0 0
(436) James Anthony Palmer HERT
Vice President and COO
 1.0     X       0 0 0
(437) Donald Owrey HRZ
President
 40.0     X       315,396 0 45,767
(438) David Shulik HRZ
CFO
 40.0     X       171,509 0 25,369
(439) Jackie Bonier HRZF
Director of Foundation
 40.0     X       73,339 0 19,566
(440) Thomas Burich HRZF
President
 40.0     X       134,154 0 19,464
(441) Alexander J Ciocca Esq IHI
Secretary
 1.0     X       0 0 0
(442) Michael Riska IHI
Vice President and Treasurer
 1.0     X       0 0 0
(443) Leslie C Davis MAG
President
 40.0     X       659,849 0 73,458
(444) Susan Kostilnik MAG
Asst Sec and Sr Executive Asst
 40.0     X       59,538 0 11,070
(445) Eileen Simmons MAG
Asst Treasurer and CFO
 40.0     X       285,697 0 19,630
(446) Cynthia Dorundo MCK
President
 40.0     X       405,378 0 62,988
(447) Susan Mammarella R 3111 MCK
Treasurer and CFO
 40.0     X       173,638 0 25,476
(448) Christopher Stockhausen E 3111
Treasurer and CFO
 40.0     X       90,445 0 10,665
(449) Cynthia Dorundo MCKP
President
 1.0     X       0 0 0
(450) Susan Mammarella R 3111 MCKP
Treas/Sec/Vice President
 1.0     X       0 0 0
(451) Christopher Stockhausen E 3111
Treas/Sec/Vice President
 1.0     X       0 0 0
(452) Nicholas Barcellona MHP
Chief Financial Officer
 40.0     X       146,967 0 26,470
(453) William Cook MHP
President
 40.0     X       507,266 0 48,032
(454) Rebecca O'connor Esq MHP
Secretary and Assoc Counsel
 40.0     X       87,162 0 25,843
(455) Nancy Beichner NWH
Asst Sec and Admn Asst to Pres
 40.0     X       45,252 0 15,970
(456) David Gibbons NWH
President
 40.0     X       316,634 0 41,954
(457) Roger McCauley NWH
Treasurer and CFO
 40.0     X       203,571 0 18,622
(458) Cynthia Dorundo OCC
President
 1.0     X       0 0 0
(459) Charles Bogosta OVR
President
 1.0     X       0 0 0
(460) Alexander J Ciocca Esq OVR
Secretary
 1.0     X       0 0 0
(461) Michael Riska OVR
Treasurer and CFO
 40.0     X       359,426 0 51,998
(462) Paul Castillo PUH
Chief Financial Officer
 40.0     X       325,614 0 32,752
(463) C Talbot Heppenstall Jr PUH
Treasurer
 1.0     X       0 0 0
(464) John Innocenti PUH
President
 40.0     X       929,569 0 149,447
(465) Michele P Jegasothy Esq PUH
Secretary
 1.0     X       0 0 0
(466) Edward T Karlovich PUH
CFO Academic Comm Hospitals
 40.0     X       852,036 0 112,918
(467) Margarita Marsh PUH
Asst Sec and Asst to Pres
 40.0     X       59,552 0 5,758
(468) John R Carroll SMH
Asst Sec and VP Admin
 40.0     X       193,118 0 39,024
(469) David T Martin R 103110 SMH
President
 40.0     X       714,448 0 90,618
(470) Thomas Newman SMH
Asst Treasurer and CFO
 40.0     X       226,069 0 27,336
(471) Teresa Petrick E 11110 SMH
President
 40.0     X       63,817 0 2,509
(472) Cindy Shook SCS
Asst Sec and Admin Asst
 1.0     X       23,644 0 14,145
(473) Marlene R Cooper UHCP
Secretary
 40.0     X       109,528 0 20,960
(474) Ann Szell E 91310 UHCP
Treasurer and CFO
 1.0     X       0 0 0
(475) Charles Bogosta UPCICS
President
 40.0     X       0 0 0
(476) Peter Tate UPCICS
Chief Financial Officer
 40.0     X       183,543 0 22,946
(477) James Terwilliger UPCICS
Vice President
 40.0     X       444,925 0 54,789
(478) Ann Szell UPP
Chief Financial Officer
 40.0     X       458,643 0 50,395
(479) Heidi DeBaldo UPMC
Secretary
 40.0     X       39,472 0 12,296
(480) Robert A DeMichiei UPMC
Sr VP and CFO
 60.0     X       1,114,419 0 223,072
(481) C Talbot Heppenstall Jr UPMC
Sr VP and Treasurer
 60.0     X       919,426 0 186,793
(482) Michele P Jegasothy Esq UPMC
Secretary
 40.0     X       187,362 0 23,754
(483) W Thomas McGough UPMC
Sr VP and Chief Legal Officer
 60.0     X       0 0 0
(484) Jeffrey A Romoff UPMC
President and CEO
 60.0     X       5,525,583 0 449,879
(485) Charles Bogosta UPMC
EVP and Pres Intl and Comm Srv
 60.0       X     1,106,685 0 204,091
(486) Robert J Cindrich UPMC
Senior Advisor to the Pres and
 60.0       X     1,452,568 0 244,157
(487) Elizabeth Concordia UPMC
Executive VP UPMC
 60.0       X     2,009,891 0 328,186
(488) Andrea Cotter UPMC
Sr VP and Chief Comm Officer
 60.0       X     0 0 0
(489) Sandra Danoff UPMC
Sr VP Strategic Planning
 60.0       X     864,977 0 166,460
(490) Daniel Drawbaugh UPMC
SR VP and Chief Inform Officer
 60.0       X     1,162,145 0 179,900
(491) David Farner UPMC
Sr VP and Chief of Staff
 60.0       X     1,160,257 0 222,030
(492) Diane Holder UPMC
Executive Vice President, Pres
 60.0       X     0 1,455,558 229,219
(493) Gregory K Peaslee UPMC
Sr VP Chief HR and Adm Srv Off
 60.0       X     1,091,111 0 273,059
(494) Steven D Shapiro MD UPMC
Sr VP and Chief Medical and Sc
 60.0       X     514,490 221,494 63,586
(495) Marshall Webster MD UPMC
Executive Vice President
 60.0       X     1,047,594 115,634 115,533
(496) Ghassan Bejjani MD
Neurosurgeon
 40.0         X   2,834,418 0 27,278
(497) Richard Spiro MD
Neurosurgeon
 40.0         X   1,960,342 0 20,130
(498) Mark Rodosky MD
Orthopedic Surgeon
 40.0         X   1,859,302 0 21,524
(499) Adnan Abla MD
Neurosurgeon
 40.0         X   1,435,537 0 79,683
(500) Victor Morell MD
Cardiothoracic Surgeon
 40.0         X   1,322,061 0 23,056
(501) David Bartlett MD
Former Board Member
             X 637,311 0 19,989
(502) Marguerite Bonaventura MD
Former Board Member
             X 430,963 0 19,609
(503) Deborah Holder MD
Former Board Member
             X 232,754 0 12,574
(504) Mohammad Idrees MD
Former Board Member
             X 27,995 0 0
(505) Mary Korytkowski MD
Former Board Member
             X 217,102 0 11,270
(506) Rita Patel MD
Former Board Member
             X 266,487 0 19,086
(507) Robert Thompson MD
Former Board Member
             X 306,505 0 18,766
(508) Adele Towers MD
Former Board Member
             X 226,747 0 14,791
(509) Eric Weaverling
Former Board Member
             X 233,126 0 23,156
(510) Dennis Zerega
Former Board Member
             X 250,313 0 32,824
(511) Rudolph Antoncic Jr
Former Board Member
             X 316,966 0 63,775
(512) Jules Sumkin MD
Former Board Member
             X 572,543 0 22,391
(513) Scott Gilstrap
Former Pres and Board Member
             X 168,367 0 13,364
(514) Philip Green
Former Board Member
             X 712,064 0 9,290
(515) Susan Edgar-Hoolahan
Former Board Member
             X 305,119 0 31,620
(516) Deanne Krugh
Former VP Sec and Treas
             X 112,229 0 13,315
(517) Nancy Magee
Former President
             X 242,161 0 5,883
(518) Joel Yuhas
Former President
             X 0 762,585 194,771
(519) Patricia Kaufman
Former Officer
             X 121,461 0 7,484
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 77,280,316 7,305,405 8,146,953
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet150
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
PJ Dick Contracting INc
1020 Lebanon Road
PITTSBURGH,PA15122 		GENERAL CONTRACTOR 35,742,256
Massaro Corp
120 Delta Drive
PITTSBURGH,PA15238 		General Contractor 21,838,998
Center for Organ Recovery and Educa
204 Sigma Drive
PITTSBURGH,PA15237 		Organ Recovery 18,260,285
Rycon Construction
2525 Liberty Avenue
PITTSBURGH,PA15222 		GENERAL CONTRACTOR 22,961,921
Centers for Rehab Services
625 Walnut Street
MCKEESPORT,PA15132 		REHAB SERVICES 29,547,333
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet147
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a 258,804
b Membership dues....1b  
c Fundraising events....1c 984,328
d Related organizations...1d 17,391,303
e Government grants (contributions)1e 42,386,521
f All other contributions, gifts, grants, and
similar amounts not included above1f 		42,606,681
g Noncash contributions included in lines 1a-1f:$ 668,069
h Total. Add lines 1a-1f.......MediumBullet 103,627,637
Program Service Revenue Business Code
2a NET PATIENT REV 621,500 5,737,963,602 5,735,992,586 1,971,016  
b OTHER PATIENT SERV 541,900 191,100,057 191,008,910 91,147  
c OTHER PROG SRV REV 561,000 1,620,641,514 1,619,297,319 1,344,195  
d FEES AND CONTRACTS FROM GOV'T AGENCIES          
e JOINT VENTURE REVENUE   -10,581,767 -10,581,767    
f All other program service revenue . 17,008,200 17,008,200    
g Total. Add lines 2a–2f........MediumBullet 7,556,131,606
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 29,402,089     29,402,089
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 1,177,645 13,528,298
b Less: cost or other basis and sales expenses 1,036,591 4,872,442
c Gain or (loss) 141,054 8,655,856
d Net gain or (loss)..........MediumBullet 8,796,910     8,796,910
8a Gross income from fundraising events (not including
$ 984,328
of contributions reported on line 1c). See Part IV, line 18 ...
a 267,913
b Less: direct expenses ...b 427,014
c Net income or (loss) from fundraising events..MediumBullet -159,101   -159,101
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a INTEREST RATE SWAP MARK TO MARKET   114,840     114,840
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 114,840
12 Total revenue. See Instructions....MediumBullet 7,697,913,981 7,552,725,248 3,406,358 38,154,738
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 32,387,449 32,387,449
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 69,108,034 24,373,008 44,735,026  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 1,254,358 1,215,083 39,275  
7 Other salaries and wages 2,860,301,394 2,446,476,541 413,859,853 -35,000
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 122,012,952 98,116,122 23,896,830  
9 Other employee benefits ....... 261,885,200 226,076,157 35,809,043  
10 Payroll taxes ........... 146,571,192 125,042,957 21,528,235  
11 Fees for services (non-employees):        
a Management ...... 17,631,803 15,616,729 2,015,074  
b Legal ......... 5,695,536 2,534,026 3,161,510  
c Accounting ........... 3,496,219 3,496,219    
d Lobbying ........... 1,937,557   1,937,557  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 507,710 166,141 341,569  
g Other .......... 71,772,034 70,852,004 920,030  
12 Advertising and promotion .... 11,844,093 11,844,093    
13 Office expenses ....... 64,672,293 42,690,624 21,975,886 5,783
14 Information technology ...... 76,386,932 30,680,333 45,699,450 7,149
15 Royalties .. 0      
16 Occupancy ........... 174,638,997 154,588,291 19,587,104 463,602
17 Travel ............ 14,119,732 10,817,011 3,302,721  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 1,828,818 1,335,431 493,387  
20 Interest ........... 5,148,625 5,028,532 120,093  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 316,459,089 316,459,089    
23 Insurance .............. 78,248,690 76,838,585 1,410,105  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a MEDICAL/PATIENT SUPPLIES 973,843,102 973,843,102    
b MEDICAL EXPENSES 650,512,979 650,512,979    
c DRUGS 322,203,424 322,203,424    
d MEDICAL IMPLANTS 206,881,707 206,881,707    
e BAD DEBT 176,463,032 176,463,032    
f All other expenses 576,860,065 525,362,530 48,144,024 3,353,511
25 Total functional expenses. Add lines 1 through 24f 7,244,673,016 6,551,901,199 688,976,772 3,795,045
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 8,868,894 1 11,042,865
2 Savings and temporary cash investments ....... 77,039,245 2 97,013,260
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 613,346,708 4 723,384,727
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 15,717,016 7 15,783,697
8 Inventories for sale or use .............. 19,948,295 8 23,818,144
9 Prepaid expenses and deferred charges ............ 15,827,758 9 9,064,688
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 5,366,320,946
b Less: accumulated depreciation. ..... 10b 2,761,733,939 2,494,531,130 10c 2,604,587,007
11 Investments—publicly traded securities .......... 187,343,917 11 227,116,828
12 Investments—other securities. See Part IV, line 11 ...... 29,461,929 12 39,811,133
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ......... 12,109,125 14 13,454,683
15 Other assets. See Part IV, line 11 ........... 1,181,488,601 15 1,225,805,780
16 Total assets. Add lines 1 through 15 (must equal line 34)... 4,655,682,618 16 4,990,882,812
Liabilities 17 Accounts payable and accrued expenses . 270,015,590 17 303,918,787
18 Grants payable ..........   18  
19 Deferred revenue .......... 16,763,195 19 36,402,790
20 Tax-exempt bond liabilities ..........   20 9,343,042
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 568,236,336 25 490,509,580
26 Total liabilities. Add lines 17 through 25..... 855,015,121 26 840,174,199
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 3,412,611,449 27 3,691,728,838
28 Temporarily restricted net assets ..... 251,823,524 28 311,600,976
29 Permanently restricted net assets ..... 136,232,524 29 147,378,799
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 3,800,667,497 33 4,150,708,613
34 Total liabilities and net assets/fund balances ..... 4,655,682,618 34 4,990,882,812
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
7,697,913,981
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
7,244,673,016
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
453,240,965
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
3,800,667,497
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-103,199,849
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
4,150,708,613
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
UPMC GROUP
 
Employer identification number

20-8295721
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
No
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
(1) SEE SCHEDULE A SUPPLEMENTAL INFORMATION
  		000000000 03   No         0
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....     12,694,260 6,979,705 1,867,928 21,541,893
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..     12,694,260 6,979,705 1,867,928 21,541,893
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.           21,541,893
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..     12,694,260 6,979,705 1,867,928 21,541,893
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..     30,402 0   30,402
11 Total support (Add lines 7 through 10).           21,572,295
12
12
4,392,681,778
13
Section C. Computation of Public Support Percentage
14
14
99.859 %
15
15
99.846 %
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .     1,623,424 424,006 1,822,563 3,869,993
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......     1,214,423,842 1,523,888,856 1,654,369,080 4,392,681,778
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.     1,216,047,266 1,524,312,862 1,656,191,643 4,396,551,771
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)           4,396,551,771
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...     1,216,047,266 1,524,312,862 1,656,191,643 4,396,551,771
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..     3,309,933 5,283,932 5,540,070 14,133,935
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.     94,890 247,070 91,147 433,107
c Add lines 10a and 10b.     3,404,823 5,531,002 5,631,217 14,567,042
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)       0   0
13 Total support (Add lines 9, 10c, 11 and 12.).     1,219,452,089 1,529,843,864 1,661,822,860 4,411,118,813
14
Section C. Computation of Public Support Percentage
15
15
99.670 %
16
16
99.675 %
Section D. Computation of Investment Income Percentage
17
17
0.330 %
18
18
0.325 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
REASON FOR NON-PRIVATE FOUNDATION STATUS: UPMC PRESBYTERIAN SHADYSIDE: Foundation Status 3 CHILDREN'S HOSPITAL OF PITTSBURGH OF THE UPMC HEALTH SYSTEM: Foundation Status 3 MAGEE-WOMENS HOSPITAL OF UPMC: Foundation Status 3 UPMC ST MARGARET: Foundation Status 3 UPMC PASSAVANT: Foundation Status 3 UPMC HORIZON: Foundation Status 3 UPMC NORTHWEST: Foundation Status 3 UPMC BRADDOCK: Foundation Status 3 UPMC MCKEESPORT: Foundation Status 3 UPMC EAST: Foundation Status 3 UPMC BEDFORD: Foundation Status 3 UNIVERSITY OF PITTSBURGH CANCER INSTITUTE CANCER SERVICES: Foundation Status 3 UPMC HORIZON COMMUNITY HEALTH FOUNDATION: Foundation Status 11 ;Type 1 UNIVERSITY OF PITTSBURGH PHYSICIANS: Foundation Status 3 COMMUNITY CARE BEHAVIORAL HEALTH: Foundation Status 9 UPMC MERCY: Foundation Status 3 PASSAVANT PROFESSIONAL ASSOCIATES, INC.: Foundation Status 9 UPMC COMMUNITY MEDICINE, INC.: Foundation Status 3 COMMUNITY FAMILY HEALTH CENTERS, INC.: Foundation Status 3 HEALTH CENTER DEVELOPMENT: Foundation Status 11 ;Type 1 UPMC EMERGENCY MEDICINE, INC.: Foundation Status 9 UPMC OCCUPATIONAL MEDICINE, INC.: Foundation Status 9 SUGARCREEK STATION: Foundation Status 3 VISITING NURSES ASSOCIATION OF VENANGO COUNTY: Foundation Status 9 CRANBERRY PLACE: Foundation Status 9 THE HERITAGE SHADYSIDE: Foundation Status 9 UPMC COMMUNTIY PROVIDER SERVICES: Foundation Status 9 UPMC BEHAVIORAL HEALTH SERVICES: Foundation Status 11 ;Type 2 UPMC INTERNATIONAL HOLDINGS, INC.: Foundation Status 11 ;Type 2 UPMC OVERSEAS, INC.: Foundation Status 11 ;Type 2 THE CENTER FOR BIOSECURITY OF THE UNIVERSITY OF PITTSBURGH MEDICAL CENTER, INC.: Foundation Status 4 UNIVERSITY HEALTH CENTER OF PITTSBURGH: Foundation Status 11 ;Type 2 UPMC IMITS: Foundation Status 7 UPMC For You: Foundation Status 9 UPMC MCKEESPORT PHYSICIANS, INC.: Foundation Status 3 CENTER FOR EMERGENCY MEDICINE OF WESTERN PA: Foundation Status 11 ;Type 2
Entity: UPMC Horizon Community Health Foundation (i) Name of Supported Organization: UPMC Horizon (ii) EIN: 25-0523970 (iii)Type of Organization: 3 (iv) Organization Listed In Governing Documents: Yes (v) Notify Organization of Your Support: Yes (vi) Organized in US: Yes Entity: Health Center Development (i) Name of Supported Organization: UPMC PRESBYTERIAN SHADYSIDE (ii) EIN: 25-0965480 (iii)Type of Organization: 3 (iv) Organization Listed In Governing Documents: NO (v) Notify Organization of Your Support: YES (vi) Organized in US: YES Entity: UPMC Behavioral Health Services (i) Name of Supported Organization: UPMC Presbyterian Shadyside (ii) EIN: 25-0965480 (iii)Type of Organization: 11 (iv) Organization Listed In Governing Documents: No (v) Notify Organization of Your Support: Yes (vi) Organized in US: Yes Entity: UPMC International Holdings Inc. (i) Name of Supported Organization: UPMC Presbyterian Shadyside (ii) EIN: 25-0965480 (iii)Type of Organization: 3 (iv) Organization Listed In Governing Documents: Yes (v) Notify Organization of Your Support: Yes (vi) Organized in US: Yes Entity: UPMC Overseas (i) Name of Supported Organization: UPMC Presbyterian Shadyside (ii) EIN: 25-0965480 (iii)Type of Organization: 3 (iv) Organization Listed In Governing Documents: Yes (v) Notify Organization of Your Support: Yes (vi) Organized in US: Yes Entity: University Health Center of Pittsburgh (i) Name of Supported Organization: UPMC Presbyterian Shadyside (ii) EIN: 25-0965480 (iii)Type of Organization: 3 (iv) Organization Listed In Governing Documents: Yes (v) Notify Organization of Your Support: Yes (vi) Organized in US: Yes Entity: University Health Center of Pittsburgh (i) Name of Supported Organization: Magee-Womens Hospital of UPMC (ii) EIN: 25-0965420 (iii)Type of Organization: 3 (iv) Organization Listed In Governing Documents: Yes (v) Notify Organization of Your Support: Yes (vi) Organized in US: Yes Entity: University Health Center of Pittsburgh (i) Name of Supported Organization: Children's Hosptial of Pittsburgh of the UPMC Health System (ii) EIN: 25-0402510 (iii)Type of Organization: 3 (iv) Organization Listed In Governing Documents: Yes (v) Notify Organization of Your Support: Yes (vi) Organized in US: Yes Entity: Center for Emergency Medicine (i) Name of Supported Organization: UPMC Presbyterian Shadyside (ii) EIN: 25-0965480 (iii)Type of Organization: 3 (iv) Organization Listed In Governing Documents: Yes (v) Notify Organization of Your Support: Yes (vi) Organized in US: Yes Entity: Center for Emergency Medicine (i) Name of Supported Organization: Children's Hospital of Pittsburgh of the UPMC Health System (ii) EIN: 25-0402510 (iii)Type of Organization: 3 (iv) Organization Listed In Governing Documents: Yes (v) Notify Organization of Your Support: Yes (vi) Organized in US: Yes Entity: Center for Emergency Medicine (i) Name of Supported Organization: UPMC Mercy (ii) EIN: 25-0965429 (iii)Type of Organization: 3 (iv) Organization Listed In Governing Documents: Yes (v) Notify Organization of Your Support: Yes (vi) Organized in US: Yes
Part II Support Schedule for Organizations Section B. Total Support Line 10 Other Income: Column (e) is Miscellaneous Income Part II and Part III Support Schedule for Organizations Columns (a) through (d) PRIOR YEAR INFORMATION FOR PARTS II AND 111 OF SCHEULE A IS NOT COMPLETED AS IT WAS NOT REQUIRED FOR FILING PURPOSES IN THOSE PERIODS.
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
UPMC GROUP
 
Employer identification number

20-8295721
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
UPMC GROUP
  		Employer identification number

20-8295721
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
UPMC GROUP
  		Employer identification number

20-8295721
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
UPMC GROUP
  		Employer identification number

20-8295721
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
UPMC GROUP
 
Employer identification number

20-8295721
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
87,690
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
1,849,867
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
1,937,557
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Additional Information Part I-A UPMC Group Entities do not engage in any direct or indirect political activity. Part II-B UPMC Group maintains a department of government relations whose primary function is to maintain contact with elected and appointed officials at the federal, state, and local levels. The department promotes legislative actions with respect to healthcare related issues that could impact the organization.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UPMC GROUP
 
Employer identification number

20-8295721
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 47,318,207 14,905,084 18,739,823
b Contributions ........ 1,124,392 31,809,381 342,274
c Investment earnings or losses ... 6,919,371 3,095,947 -4,063,202
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		2,638,443 2,492,204 113,811
f Administrative expenses ....      
g End of year balance ...... 52,723,527 47,318,208 14,905,084
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet100.000 %
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   140,708,766 140,708,766
b Buildings ................   3,099,147,871 1,398,424,769 1,700,723,102
c Leasehold improvements ............   44,832,413 31,623,567 13,208,846
d Equipment ................   1,764,728,994 1,261,969,340 502,759,654
e Other .................   316,902,902 69,716,263 247,186,639
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 2,604,587,007
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM AFFILIATE 530,962,334
(2) BENEFICIAL INT IN FOUNDATIONS 323,202,546
(3) INVESTMENTS WITH RELATED ORGS 147,750,260
(4) LONG TERM BUILDING LEASE 31,505,818
(5) L-T OTHER INVEST (FAS 124) 32,324,398
(6) INVEST IN CANCER CTR EXEMPTORG 9,939,572
(7) OTHER ASSETS 150,120,852


Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 1,225,805,780
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
DUE TO AFFILIATE 36,629,948
DUE TO THIRD PARTY PAYORS 13,545,023
INSURANCE LIABILITIES 34,118,910
OTHER CURRENT & LT LIABILITIES 325,341,223
PATIENT DEP/CRED BALANCES 37,123,516
CATHOLIC HEALTH EAST - MERCY 11,120,068
ACCRUED WORK COMP (LT AND ST) 944,298
ASSET RETIREMENT OBLIGATIONS 2,106,606
SECURED NOTE TO PARENT 29,579,988
Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 490,509,580
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Part V Line 4 Endowment funds will be utilized to carry on the exempt mission of the hospital entities.
Part X Line 2 There is no FIN48 footnote disclosure in the consolidated audited financial statements of UPMC.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UPMC GROUP
 
Employer identification number

20-8295721
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
Europe (Including Iceland and Greenland)     Program Services HEALTH CARE EDUCATION 487,818
North America     Program Services HEALTH CARE EDUCATION 203,179
East Asia and the Pacific     Program Services HEALTH CARE EDUCATION 122,140
Central America and the Caribbean     Program Services HEALTH CARE EDUCATION 107,563
South Asia     Program Services HEALTH CARE EDUCATION 33,064
South America     Program Services HEALTH CARE EDUCATION 38,962
Middle East and North Africa     Program Services HEALTH CARE EDUCATION 34,834
Russia and the Newly Independent States     Program Services HEALTH CARE EDUCATION 1,252
Sub-Saharan Africa     Program Services HEALTH CARE EDUCATION 27,788
Europe (Including Iceland and Greenland)     Investments   7,443
Russia and the Newly Independent States     Investments   7,520
South Asia     Investments   11,497
           
           
           
           
           
3a Sub-total .....     1,083,060
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     1,083,060
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UPMC GROUP
 
Employer identification number

20-8295721
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

STEELER STYLE
(event type) 		(b) Event #2

ANDY RUSSELL
(event type) 		(c) Other Events

5
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 719,317 290,682 242,242 1,252,241
2 Less: Charitable
contributions . . . 		569,567 241,522 173,239 984,328
3 Gross income (line 1
minus line 2) . . . 		149,750 49,160 69,003 267,913
VerticalDirectExpenses 4 Cash prizes . . .     10,365 10,365
5 Non-cash prizes . . 1,197 18,541 4,786 24,524
6 Rent/facility costs . .   46,499 30,916 77,415
7 Food and beverages . . 65,692 35,513 30,162 131,367
8 Entertainment . . . 1,500 1,900 9,672 13,072
9 Other direct expenses . 118,003 18,239 34,029 170,271
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 427,014
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -159,101
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UPMC GROUP
 
Employer identification number

20-8295721
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
 
No
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    91,918,094   91,918,094 1.650 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    687,284,813 578,136,435 109,148,378 1.960 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....     18,160,338 15,077,900 3,082,438 0.060 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		    797,363,245 593,214,335 204,148,910 3.670 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    12,205,643 1,405,546 10,800,097 0.190 %
f Health professions education
(from Worksheet 5) .. 		    211,330,296 73,516,001 137,814,295 2.470 %
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7)     112,887,476   112,887,476 2.030 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    27,466,517   27,466,517 0.490 %
jTotal Other Benefits ...     363,889,932 74,921,547 288,968,385 5.180 %
kTotal. Add lines 7d and 7j. ..     1,161,253,177 668,135,882 493,117,295 8.850 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     2,674,455   2,674,455 0.050 %
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     2,674,455   2,674,455 0.050 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
50,248,000
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
15,840,046
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
1,359,689,799
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,462,222,445
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-102,532,646
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
 
No
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
 
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?57
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 UPMC Presbyterian
200 Lothrop Street
Pittsburgh,PA15213 		X X   X   X X    
2 UPMC Shadyside
5230 Centre Avenue
Pittsburgh,PA15232 		X X   X   X X    
3 UPMC SOUTH SURGERY CENTER
1300 OXFORD DRIVE
PITTSBURGH,PA15102 		                OUTPATIENT AMBULATORY & SURGICAL CENTER
4 MAGEE-WOMENS HOSPITAL OF UPMC
300 HALKET STREET
Pittsburgh,PA15213 		X X   X   X X    
5 CHILDREN'S HOSPITAL OF UPMC
4401 PENN AVENUE
PITTSBURGH,PA15224 		X X X X   X X    
6 CHILDREN'S NORTH
2599 WEXFORD-BAYNE ROAD
SEWICKLEY,PA15143 		                OUTPATIENT AMBULATORY & SURGICAL CENTER
7 CHILDREN'S SOUTH
1300 OXFORD DRIVE
PITTSBURGH,PA15102 		                OUTPATIENT AMBULATORY
8 UPMC MERCY
1400 LOCUST STREET
PITTSBURGH,PA15219 		X X   X     X    
9 UPMC MERCY SOUTH SIDE
2000 MARY STREET
PITTSBURGH,PA15203 		X               OUTPATIENT AMBULATORY & SURGICAL CENTER
10 UPMC PASSAVANT
9100 BABCOCK BLVD
PITTSBURGH,PA15237 		X X       X X    
11 UPMC PASSAVANT CRANBERRY
1 ST FRANCIS WAY
CRANBERRY TWP,PA16066 		X X       X X    
12 UPMC ST MARGARET
815 FREEPORT ROAD
Pittsburgh,PA15215 		X X   X     X    
13 UPMC MCKEESPORT
1500 FIFTH AVENUE
MCKEESPORT,PA15132 		X X   X     X    
14 UPMC HORIZON
110 MAIN STREET
GREENVILLE,PA16125 		X X   X     X    
15 UPMC HORIZON
2200 MEMORIAL DRIVE
FARRELL,PA16121 		X X   X     X    
16 UPMC NORTHWEST
100 FAIRFIELD DRIVE
SENECA,PA16346 		X X         X    
17 CRANBERRY PLACE
5 ST FRANCIS WAY
CRANBERRY TWP,PA16066 		                Skilled Nursing facility
18 UPMC HERITAGE SHADYSIDE
5701 PHILLIPS AVENUE
PITTSBURGH,PA15217 		                Skilled Nursing Facility
19 SUGAR CREEK STATION
315 CAUSEWAY DRIVE
FRANKLIN,PA16323 		                Skilled Nursing Facility
20 UPMC BEDFORD
10455 LINCOLN HIGHWAY
EVERETT,PA15337 		X X         X    
21 UPMC ST MARGARET HARMAR OUTPATIENT CTR
3 MARINER COURT
PITTSBURGH,PA15238 		                outpatient ambulatory & surgical center
22 WEST MIFFLIN IMAGING
1907 LEBANON CHURCH RD
WEST MIFFLIN,PA15122 		                IMAGING CENTER
23 BETHEL PARK IMAGING
1300 OXFORD DRIVE STE 2A
BETHEL PARK,PA15102 		                IMAGING CENTER
24 UPMC AT OXFORD DRIVE
600 OXFORD DRIVE
PITTSBURGH,PA15146 		                IMAGING CENTER
25 MAGEE-WOMENS HOSPITAL OF UPMC
720 PENN AVENUE
PITTSBURGH,PA15221 		                OUTPATIENT CLINIC
26 MAGEE-WOMENS HOSPITAL OF UPMC
FIFTH AVENUE COMMONS 905 WATSON STR
PITTSBURGH,PA15219 		                OUTPATIENT CLINIC
27 MAGEE-WOMENS HOSPITAL OF UPMC
4075 MONROEVILLE BLVD 2 STE 330
MONROEVILLE,PA15146 		                OUTPATIENT CLINIC
28 MAGEE-WOMENS HOSPITAL OF UPMC
559 MILLER AVENUE
CLAIRTON,PA15025 		                OUTPATIENT CLINIC
29 MAGEE-WOMENS HOSPITAL OF UPMC
1630 ARLINGTON AVENUE
PITTSBURGH,PA15210 		                OUTPATIENT CLINIC
30 MAGEE-WOMENS HOSPITAL OF UPMC
4075 MONROEVILLE BLVD 2 STE 225
MONROEVILLE,PA15146 		                OUTPATIENT CLINIC
31 MAGEE-WOMENS HOSPITAL OF UPMC
2599 WEXFORD-BAYNE ROAD STE 1000A
SEWICKLEY,PA15143 		                OUTPATIENT CLINIC
32 WOMANCARE CENTER NORTH (WEXFORD)
2599 WEXFORD-BAYNE RD STE 1000B
SEWICKLEY,PA15143 		                IMAGING SERVICES
33 MAGEE-WOMENS CARE SOUTH HILLS
1300 OXFORD DRIVE
BETHEL PARK,PA15102 		                OUTPATIENT CLINIC
34 MAGEE-WOMENS CARE PLEASANT HILLS
850 CLAIRTON BLVD STE 2100
PLEASANT HILLS,PA15236 		                OUTPATIENT CLINIC
35 WOMEN'S SPECIALTY CTR AT HILLMAN CANCER
5115 CENTER AVENUE STE G 3RD FLR
PITTSBURGH,PA15232 		                IMAGING SERVICES
36 WOMEN'S IMAGING NORTH OF MAGEE-WOMENS
9000 BROOKTREE ROAD 402
WEXFORD,PA15090 		                IMAGING SERVICES
37 MAGEE-CRANBERRY BREAST IMAGING
3 ST FRANCIS WAY
CRANBERRY TWP,PA16066 		                IMAGING SERVICES
38 MAGEE ULTRASOUND-BEAVER
690 STATE AVENUE
BEAVER,PA15009 		                IMAGING SERVICES
39 ULTRA SOUND SERVICES
969 GREENTREE ROAD
PITTSBURGH,PA15220 		                IMAGING SERVICES
40 ULTRA SOUND SERVICES
8955 LINCOLN HIGHWAY
IRWIN,PA15642 		                IMAGING SERVICES
41 UPMC MERCY GREENTREE
969 GREENTREE ROAD
PITTSBURGH,PA15220 		                OUTPATIENT SERVICES & IMAGING SERVICES
42 UPMC MERCY BRENTWOOD
4190 BROWNSVILLE ROAD
PITTSBURGH,PA15227 		                OUTPATIENT SERVICES
43 UPMC ST MARGARET LAWRENCEVILLE FAMILY
3937 BUTLER STREET
PITTSBURGH,PA15201 		                OUTPATIENT CLINIC
44 UPMC ST MARGARET NEW KENSINGTON FAMILY
301 11TH ST
NEW KENSINGTON,PA15068 		                OUTPATIENT CLINIC
45 UPMC ST MARGARET BLOOMFIELD-GARFIELD
5475 PENN AVENUE
PITTSBURGH,PA15206 		                OUTPATIENT SERVICES
46 FOREST HILLS IMAGING
3 PARKWAY CENTER EAST 2020 ARDMORE
FOREST HILLS,PA15221 		                OUTPATIENT SERVICES
47 CARDIAC REHAB
2001 LINCOLN HIGHWAY
WHITE OAK,PA15131 		                OUTPATIENT SERVICES
48 WOMENCARE CENTER
875 N HARMITAGE ROAD
HERMITAGE,PA16148 		                AMBULATORY SERVICES, PHYSICIAN, IMAGING SERVICES
49 MERCER DIAGNOSTIC CENTER
737 GREENVILLE ROAD
MERCER,PA16137 		                AMBULATORY SERVICES
50 NEW WILMINGTON DIAGNOSTIC CENTER
565 NESHANNOCK DRIVE
NEW WILMINGTON,PA16142 		                AMBULATORY SERVICES
51 OCCUPATIONAL & ENVIRONMENTAL MEDICINE
1980 GREEN STREET
FARRELL,PA16121 		                AMBULATORY SERVICES
52 OCCUPATIONAL REHABILITATION SERVICES
2120 LINKENS LANE
FARRELL,PA16121 		                REHABILITATION SERVICES
53 OCCUPATIONAL REHABILITATION SERVICES
26 CONNEAUT LAKE ROAD
GREENVILLE,PA16125 		                REHABILITATION SERVICES
54 REGIONAL CENTER FOR SLEEP DISORDERS
1980 GREEN STREET
FARRELL,PA16121 		                AMBULATORY SERVICES
55 GREENVILLE MEDICAL CENTER FOR RADIOLOGY
90 SHENANGO STREET
GREENVILLE,PA16125 		                IMAGING SERVICES
56 UPMC NORTHWEST MRI CENTER
1671 ALLEGHENY BLVD
RENO,PA16343 		                IMAGING SERVICES
57 UPMC NORTHWEST OUTPATIENT PT CENTER
112 CIRCLE STREET
FRANKLIN,PA16323 		                PHYSICAL THERAPY SERVICES
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC Presbyterian
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC Shadyside
Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC SOUTH SURGERY CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MAGEE-WOMENS HOSPITAL OF UPMC
Line Number of Hospital Facility (from Schedule H, Part V, Section A):4

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:CHILDREN'S HOSPITAL OF UPMC
Line Number of Hospital Facility (from Schedule H, Part V, Section A):5

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:CHILDREN'S NORTH
Line Number of Hospital Facility (from Schedule H, Part V, Section A):6

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:CHILDREN'S SOUTH
Line Number of Hospital Facility (from Schedule H, Part V, Section A):7

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC MERCY
Line Number of Hospital Facility (from Schedule H, Part V, Section A):8

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC MERCY SOUTH SIDE
Line Number of Hospital Facility (from Schedule H, Part V, Section A):9

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC PASSAVANT
Line Number of Hospital Facility (from Schedule H, Part V, Section A):10

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC PASSAVANT CRANBERRY
Line Number of Hospital Facility (from Schedule H, Part V, Section A):11

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC ST MARGARET
Line Number of Hospital Facility (from Schedule H, Part V, Section A):12

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC MCKEESPORT
Line Number of Hospital Facility (from Schedule H, Part V, Section A):13

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC HORIZON
Line Number of Hospital Facility (from Schedule H, Part V, Section A):14

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC HORIZON
Line Number of Hospital Facility (from Schedule H, Part V, Section A):15

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC NORTHWEST
Line Number of Hospital Facility (from Schedule H, Part V, Section A):16

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:CRANBERRY PLACE
Line Number of Hospital Facility (from Schedule H, Part V, Section A):17

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC HERITAGE SHADYSIDE
Line Number of Hospital Facility (from Schedule H, Part V, Section A):18

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:SUGAR CREEK STATION
Line Number of Hospital Facility (from Schedule H, Part V, Section A):19

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC BEDFORD
Line Number of Hospital Facility (from Schedule H, Part V, Section A):20

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC ST MARGARET HARMAR OUTPATIENT CTR
Line Number of Hospital Facility (from Schedule H, Part V, Section A):21

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:WEST MIFFLIN IMAGING
Line Number of Hospital Facility (from Schedule H, Part V, Section A):22

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BETHEL PARK IMAGING
Line Number of Hospital Facility (from Schedule H, Part V, Section A):23

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC AT OXFORD DRIVE
Line Number of Hospital Facility (from Schedule H, Part V, Section A):24

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MAGEE-WOMENS HOSPITAL OF UPMC
Line Number of Hospital Facility (from Schedule H, Part V, Section A):25

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MAGEE-WOMENS HOSPITAL OF UPMC
Line Number of Hospital Facility (from Schedule H, Part V, Section A):26

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MAGEE-WOMENS HOSPITAL OF UPMC
Line Number of Hospital Facility (from Schedule H, Part V, Section A):27

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MAGEE-WOMENS HOSPITAL OF UPMC
Line Number of Hospital Facility (from Schedule H, Part V, Section A):28

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MAGEE-WOMENS HOSPITAL OF UPMC
Line Number of Hospital Facility (from Schedule H, Part V, Section A):29

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MAGEE-WOMENS HOSPITAL OF UPMC
Line Number of Hospital Facility (from Schedule H, Part V, Section A):30

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MAGEE-WOMENS HOSPITAL OF UPMC
Line Number of Hospital Facility (from Schedule H, Part V, Section A):31

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:WOMANCARE CENTER NORTH (WEXFORD)
Line Number of Hospital Facility (from Schedule H, Part V, Section A):32

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MAGEE-WOMENS CARE SOUTH HILLS
Line Number of Hospital Facility (from Schedule H, Part V, Section A):33

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MAGEE-WOMENS CARE PLEASANT HILLS
Line Number of Hospital Facility (from Schedule H, Part V, Section A):34

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:WOMEN'S SPECIALTY CTR AT HILLMAN CANCER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):35

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:WOMEN'S IMAGING NORTH OF MAGEE-WOMENS
Line Number of Hospital Facility (from Schedule H, Part V, Section A):36

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MAGEE-CRANBERRY BREAST IMAGING
Line Number of Hospital Facility (from Schedule H, Part V, Section A):37

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MAGEE ULTRASOUND-BEAVER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):38

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:ULTRA SOUND SERVICES
Line Number of Hospital Facility (from Schedule H, Part V, Section A):39

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:ULTRA SOUND SERVICES
Line Number of Hospital Facility (from Schedule H, Part V, Section A):40

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC MERCY GREENTREE
Line Number of Hospital Facility (from Schedule H, Part V, Section A):41

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC MERCY BRENTWOOD
Line Number of Hospital Facility (from Schedule H, Part V, Section A):42

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC ST MARGARET LAWRENCEVILLE FAMILY
Line Number of Hospital Facility (from Schedule H, Part V, Section A):43

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC ST MARGARET NEW KENSINGTON FAMILY
Line Number of Hospital Facility (from Schedule H, Part V, Section A):44

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC ST MARGARET BLOOMFIELD-GARFIELD
Line Number of Hospital Facility (from Schedule H, Part V, Section A):45

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:FOREST HILLS IMAGING
Line Number of Hospital Facility (from Schedule H, Part V, Section A):46

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:CARDIAC REHAB
Line Number of Hospital Facility (from Schedule H, Part V, Section A):47

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:WOMENCARE CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):48

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MERCER DIAGNOSTIC CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):49

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NEW WILMINGTON DIAGNOSTIC CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):50

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:OCCUPATIONAL & ENVIRONMENTAL MEDICINE
Line Number of Hospital Facility (from Schedule H, Part V, Section A):51

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:OCCUPATIONAL REHABILITATION SERVICES
Line Number of Hospital Facility (from Schedule H, Part V, Section A):52

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:OCCUPATIONAL REHABILITATION SERVICES
Line Number of Hospital Facility (from Schedule H, Part V, Section A):53

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:REGIONAL CENTER FOR SLEEP DISORDERS
Line Number of Hospital Facility (from Schedule H, Part V, Section A):54

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:GREENVILLE MEDICAL CENTER FOR RADIOLOGY
Line Number of Hospital Facility (from Schedule H, Part V, Section A):55

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC NORTHWEST MRI CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):56

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UPMC NORTHWEST OUTPATIENT PT CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):57

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?3
Name and address Type of Facility (Describe)
1 University of Pittsburgh Physicians
5200 Centre Ave
Pittsburgh,PA15213 		Physician Services
2 University of Pittsburgh Physicians
5200 Centre Ave
Pittsburgh,PA15213 		Physician Services
3 University of Pittsburgh Physicians
5200 Centre Ave
Pittsburgh,PA15213 		Physician Services
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
PART I LINE 6A   UPMC Prepares an annual community benefits report. The report encompasses information for the entire integrated delivery system that makes up the UPMC Health System. It is posted to and available to the public via the UPMC website, www.upmc.com. Copies are also available in waiting rooms at UPMC physician offices.
PART I LINE 7 COSTING METHOLODY USED TO CALCULATE THE AMOUNTS REPORTED IN PART I LINE 7 The costing methodology used to calculate the amounts reported in Part I Line 7 is a ratio of costs to charges method. The method employed for determining the ratio of cost to charges is in line with those described in Schedule H, Worksheet 2, "Ratio of Patient Costs to Charges".
PART I LINE 7 COLUMN (F)   The total expenses reported on Form 990 Part IX Line 25 Column A are inclusive of all entities reported within the UPMC Group 990 and includes bad debt expense for all entities. The expense used to calculate the percent of total expense for Form 990 Schedule H Part I Line 7 Column f are only the expenses related to entities within the UPMC Group who provide patient care. From these entities' total expense per Part IX Line 25 the amount related to bad debt expense has been removed from the denominator when calculating the percent of total expense. The amount removed for calculation purposes is $176,463,032.
PART III LINE 4 COSTING METHODOLOGY USED TO DETERMINE THE AMTS REPORTED IN PT III LINE 2&3 The costing method used to calculate the amounts in Schedule H Part III lines 2 and 3 is a ratio of cost to charges method. Discounts and payments in patients' accounts are deducted before the cost of bad debt expense is determined. The method employed is in line with those described in Schedule H, Worksheet 2, "Ratio of Patient Costs to Charges".
PART III LINE 4 RATIONALE FOR INCLUDING BAD DEBT AMOUNTS IN COMMUNITY BENEFIT The organization's bad debt expense consists solely of self pay patients accounts deemed uncollectable. It is UPMC Group's contention that the cost of bad debt should be stated in Part I Line 7 of Schedule H as they represent the costs for provision of services to patients for which the entity has exhausted all recourse for reimbursement. The services provided to patients who present themselves are provided regardless of a patient's ability to pay as in line with the organizations charitable mission and service to our community. These expenses are incurred regardless of the efficiency of the provision of the related medical care and are deemed to have been medically necessary for the patient.
PART III LINE 4   METHOD THE ORGANIZATION USES TO DETERMINE THE ESTIMATED AMOUNT OF THE ORGANIZATIONS BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS CHARITY CARE POLICY: UPMC determines an amount of bad debt that could be classified as charity care by utilizing a predictive model (paro). The model was built as a socio-economic scoring tool that identifies those patients that are most likely to be in the highest need of financial assistance. This is accomplished by analyzing consumer data and activity, court records, government records, property files, census data and IRS data. This methodology includes/ensures: - Predictive model that encompasses healthcare economics and credit policies; - Uniform assessment measure for every patient regardless of financial standing; - Accounts for patients that are unresponsive, illiterate, or otherwise challenged to apply; - Eliminates barrier to application and meets increased pressure to provide additional financial resources to consumers; - Identifies and supports those community needs efforts to provide assistance to those consumers in need. A random sampling of patient accounts in bad debt are scored using paro in order to determine the percentage of patients that would qualify for financial assistance had the process been completed. There are two data points returned to UPMC in order to make the decision whether the patient would qualify for charity care. The first is the estimated income level based on the federal poverty level guidelines. The second is the paro score which utilizes an algorithm based approach and returns a score based of personal attributes of the patient. Data elements were combined to create two primary indicators of need, the paro score and the federal poverty level. The percentage score from the sampling is then used to determine the extrapolation of an amount of bad debt at cost that would likely fit the charity care criteria.
PART III LINE 8; COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE AND AS REPORTED IN THE ORGS MEDICARE COST REPORT The costing methodology used to determine the Medicare allowable costs of care is a ratio of costs to charges method. The method is in line with those described in Schedule H, Worksheet 2, "Ratio of Patient Costs to Charges". It is UPMC Group's contention that all amounts calculated to be shortfalls in reimbursement for services provided to Medicare patients are truly uncompensated care that should be stated in Part I Line 7 of Schedule H of Form 990 as they represent costs for provision of services to patients for which the entity has no recourse for reimbursement, regardless of the efficiency of provision of the related care costs.
PART VI SECTION B LINES 2,4 AND 5 NEEDS ASSESSMENT   UPMC supports numerous community building activities through all of its system entities, not just those entities reported within the UPMC Group 990. As the largest employer in western Pennsylvania, UPMC's system-wide operations generated a total economic impact of $21.5 billion in Fiscal 2011, supporting municipalities, counties, and the state through approximately $84 million in taxes. Over the past decade, UPMC has provided a wide variety of benefits to the communities we serve. Working in ways both large and small, we have implemented initiatives that continue to enhance the health of the entire western Pennsylvania region. As an Integrated Delivery and Financing System (IDFS), we continue to amplify and apply the expertise that exists within our organization to improve the delivery of outstanding health care to everyone we serve. In addition, we leverage our IDFS structure - which embraces our hospitals, our insurance infrastructure, and our community providers - to improve medical practice throughout the region. The result is an exceptional synergy between insurance, health care providers, patients, and the communities western Pennsylvanians call home. Many of our community benefit activities are difficult to quantify or report within the various community benefit categories of Schedule H as they occur system-wide through UPMC and are not captured at the individual hospital entity level. Nonetheless, they are important to UPMC's commitment to the community. Some of these initiatives included: " ECONOMIC DEVELOPMENT - UPMC's economic footprint spurs the economy through direct hiring, and by bringing outside dollars into the region; our capital spending has created construction jobs downstream. In addition, the organization has a number of programs and initiatives designed to foster a productive and equitable economy. A key component in UPMC's economic development strategy is supplier diversity, and an integral part of our overall Supply Chain Management Strategy. Designed to ensure that certified minority, women-owned, or disadvantaged business enterprises are provided with maximum opportunities to participate as partners and suppliers of goods and services, our Supplier Diversity Program encourages development of these firms to make them competitive in the outside market. UPMC's spend on supporting minority and women-owned businesses was $103.5 million in Fiscal 2011. " ENVIRONMENTAL IMPROVEMENTS - UPMC has long pursued a policy of award-winning environmental responsibility that reduces our environmental footprint while we build and grow. Many of UPMC's facilities have earned Leadership in Energy and Environmental Design (LEED) certifications from the U.S. Green Building Council, including the Children's Hospital of Pittsburgh of UPMC's hospital and research center, the UPMC Passavant patient pavilion, and UPMC's corporate headquarters in the U.S. Steel Building in downtown Pittsburgh. UPMC East, our new hospital in Monroeville, Pa., scheduled to open the summer of 2012, is currently seeking LEED certification. In addition to extensive traffic-control improvements made during construction of the hospital (also done as a part of UPMC Passavant's expansion in Fiscal 2010), UPMC voluntarily built a storm-water control and retention system that has the potential to significantly reduce the chronic flooding the area experienced long before UPMC broke ground for the new facility. Other major "green" construction projects included the demolition of the old Children's Hospital buildings, both of which employed best-practices waste reduction and recycling. In addition, UPMC continued its work with Global Links to recycle medical and other equipment, and co-sponsored the 2011 Southwestern Pennsylvania Household Hazardous Waste Collection, as well as Unwanted Pharmaceutical Collection events. " LEADERSHIP AND WORKFORCE DEVELOPMENT - In Fiscal 2011, UPMC supported numerous projects to develop the regional workforce and assist individuals in obtaining and retaining quality employment. UPMC has undertaken internal programs, such as the Partnership on Workforce Readiness and Retention (POWRR, initiated in 2011) and UPMC Health Plan Pathways to Work, to help train individuals from populations with significant barriers to employment to gain and keep jobs in the health care sector. Our ongoing support for and collaboration with external programs such as the Bidwell Training Center, JobLinks, and School 2 Career have trained hundreds of individuals for successful employment in the health care industry. Other partnerships in Fiscal 2011 included the South Asia Youth Summit Informational Workshop, the Clinical Nurse Leadership Program, a Leadership Development Course, and Leadership Pittsburgh. UPMC's award-winning Dignity and Respect Campaign is a model for use by other entities throughout the region and nationally. Our medical education programs, undertaken with the University of Pittsburgh, offer many local residents a pathway to better-paying jobs. In addition, our important strategic research and education relationship with the University fuel a culture of discovery that continues to help build local educational prospects while it draws the world's finest minds to Pittsburgh. A centerpiece of our workforce development portfolio, our $100-million matching grant to The Pittsburgh Promise, entered its fifth year in Fiscal 2011. The program was able to double its funding for post-secondary education for qualifying graduates of Pittsburgh's public high schools, with those students demonstrating post-secondary education retention rates equal to or better than national averages. A significant milestone was reached when the first UPMC Pittsburgh Promise scholars graduated from four-year colleges in Fiscal 2011. " COALITION BUILDING - While UPMC has an expansive program of community support, we realize that even more can be accomplished through alliances with other nonprofit organizations. Often, the street-level expertise of local community groups, paired with UPMC's funding, influence, purchasing power, and other resources, can reach goals that neither organization could achieve independently. To leverage community improvement efforts through joint efforts, UPMC worked with a number of nonprofit allies in Fiscal 2011. Our alliances included relationships with the Birmingham Clinic, which offers care to the city's homeless population; the Allegheny County Department of Health and its many initiatives; The Greater Pittsburgh Community Food Bank; HEALTHY Armstrong; the We Can! program to foster youth health; the LifeSmart program to prevent diabetes; Parks Are Free, a healthy activities campaign with the Pittsburgh Parks Conservancy; and the independent foundations of UPMC's community hospitals. The Fiscal 2011 year also saw the initiation of a major undertaking by UPMC to strengthen and broaden its community input and partnerships through the IRS-mandated Community Health Needs Assessment process. To ensure that our community-focused efforts are truly addressing the needs of the individuals and communities we serve, we are reaching out to our community partners throughout the system to get their views on community health, as well as their unique points of view on how we could work together more effectively. We are actively engaging our hospital boards, and creating community councils, to obtain input directly from the communities we serve. The end result will be a strategic plan for each UPMC licensed hospital. Importantly, these will addresses local community needs not only at the hospital level, but also those undertaken in partnership with other UPMC hospitals, external organizations, and the larger UPMC system. For more detailed information on UPMC's community benefits effort, see our Fiscal 2011 Community Benefits Report, available at http://www.upmc.com/aboutupmc/CommunityCitizenship/Pages/default.aspx.
PART VI LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE   It is the policy of UPMC to provide financial assistance for patients who: " Have limited or no health insurance " Have applied for but are deemed ineligible for governmental assistance (for example Medicare or Medicaid) " Demonstrate financial need " Reside in Western Pennsylvania and/or the primary service area of a UPMC provider " Supply UPMC with pertinent information about household finances Financial assistance applies to emergency care and to services that are considered medically necessary. Depending on the individual's need, either free care or reduced patient financial obligations may be offered and may extend to UPMC physician charges as well as UPMC hospital services. UPMC does not have the authority to waive any charges from physicians or other health professional who are not employed by UPMC. Each patient has the opportunity to apply for financial assistance at all times throughout his or her relationship with UPMC-prior to treatment, throughout treatment, and up to the resolution of his or her account. To request financial assistance, patients submit the UPMC Financial Assistance Application form, disclosing household income and expenses. For non-emergency services, financial counselors will also conduct an interview with the patient before the date of service or discharge. Applicants are treated with dignity and respect throughout the process. All information is handled with confidentiality. The patient's cooperation in providing UPMC with necessary information is crucial to the process. Financial assistance applications are available in the offices of physicians employed by UPMC and in area where patients are registered at UPMC hospitals. Signage about financial assistance is posted at these locations. A patient is not eligible for financial assistance until he or she has applied for and has been deemed ineligible for federal and commonwealth governmental assistance programs. As a result, UPMC may make resources available to assist patients in enrolling in and/or applying for such programs. UPMC reserves the right to process the financial assistance application without this determination provided an accurate assessment of the patient's financial status can be made with equivalent or sufficient income information. In determining a reasonable and fair level of assistance, UPMC applies a sliding scale. If a patient's income is below 400% of the federal poverty guidelines, the patient will receive some form of financial assistance. While UPMC's financial assistance program covers most services, there are some exclusions , such as but not limited to, cosmetic surgery, transplant and bariatric services, elective reproductive services, acupuncture, private duty nursing, dental, and services deemed non-covered by Medicare.
PART VI LINE 6   The UPMC Group entities are subordinates to and subsidiaries of UPMC, the parent entity of a large integrated healthcare delivery system. This system includes hospitals, physician practices, and all types of outpatient and ambulatory diagnostic services. UPMC's overall mission encompassing that of all of its exempt subsidiaries is to promote healthcare, research and education for the benefit of all it serves and to provide the highest quality of patient care in a dignified environment without regard for a patient's ability to pay.
PART VI LINE 7 STATES RECEIVING COMMUNITY BENEFIT REPORT Pennsylvania
PART V SECTION C LINE 1   The University of Pittsburgh Physicians had 588 clinical locations as of June 30, 2011.
PART V SECTION C LINE 2   UPMC Community Medicine, Inc. had 190 clinical locations as of June 30, 2011.
PART V SECTION C LINE 3   UPMC Emergency Medicine, Inc. had 15 locations as of June 30, 2011.
PART V SECTION C LINE 4   University of Pittsburgh Physicians and Emergency Medicine, Inc. collectively operated 3 urgent care centers as of June 30, 2011.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
UPMC GROUP
 
Employer identification number
20-8295721
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) A Glimmer of HopePO Box 908
N/A
Wexford,PA15090 		25-1627978 501(c)(3) 12,800       Breast Cancer Awareness
(2) Alleg County World War II Memorial FundPO Box 23143
N/A
Pittsburgh,PA15222 		25-1889574 501(c)(3) 50,000       War Memorial building fund
(3) Allegheny Conference on Community Development Dona11 Stanwix Street 17th Fl
N/A
Pittsburgh,PA15222 		25-0965213 501(c)(3) 250,000       Community Development Donation
(4) Allegheny County938 Penn Avenue
N/A
Pittsburgh,PA15222 		25-6001017 government 11,650       Charitable Donation
(5) Allegheny County Medical SocietyMembership Department
713 Ridge Avenue
Pittsburgh,PA15213 		25-0939212 501(c)(3) 8,065       Charitable Donation
(6) The ALS Association Western Pennsylvania Chapter416 Lincoln Avenue
N/A
Pittsburgh,PA15209 		23-7123851 501(c)(3) 10,000       ALS Research
(7) Alvernia University400 Saint Bernadine Street
N/A
Reading,PA19607 		23-1522643 501(c)(3) 9,422       Charitable Donation
(8) Alzheimer's Association36 Cameron Street
N/A
Cambridge,MA02140 		04-2731192 N/A 8,000       Alzheimers Research
(9) Amen Corner3941 Center Avenue
N/A
Munhall,PA15120 		25-0318553 N/A 8,000       Charitable Donation
(10) American Cancer Society320 Bilmar Drive
N/A
Pittsburgh,PA15205 		25-1798733 501(c)(3) 112,660       Cancer Research
(11) American Diabetes AssociationLandmark Bldg Suite 1900
N/A
Pittsburgh,PA15219 		13-1623888 501(c)(3) 42,845       Diabetes Research
(12) American Heart Association777 Penn Avenue
Suite 200
Pittsburgh,PA15235 		13-5613797 501(c)(3) 238,309       Heart Disease Research
(13) American Liver FoundationWestern PA Chapter
100 West Station Square Dr Ste 215
Pittsburgh,PA15219 		36-2883000 501(c)(3) 33,700       Liver Disease Research
(14) American Lung Association11675 Perry Highway
N/A
Wexford,PA15090 		13-1632524 501(c)(3) 20,000       Lung Disease Research
(15) American Orthopedic Soc for Sports Medicine6300 N River Road
Suite 200
Rosemont,IL60018 		23-7182780 501(c)(3) 6,000       Charitable Donation
(16) American Red Cross SWPA Chapter225 Blvd of Allies
N/A
Pittsburgh,PA15222 		25-0965231 501(c)(3) 18,500       Charitable Donation
(17) Arthritis FoundationPO Box 7669
N/A
Atlanta,GA30357 		58-1341679 501(c)(3) 7,000       Arthritis Research
(18) Attack Theatre Inc2425 Liberty Avenue
N/A
Pittsburgh,PA15222 		20-1909284 501(c)(3) 10,000       Charitable Donation
(19) Aufman Specialty Advertising2536 C Wildwood Road
N/A
Allison Park,PA15101 		25-1825308 N/A 11,117       Charitable Donation
(20) August Wilson Ctr African American Culture980 Liberty Avenue
N/A
Pittsburgh,PA15222 		25-1892177 501(c)(3) 12,500       Charitable Donation
(21) Autism Speaks8035 McKnight Road
Suite 301
Pittsburgh,PA15237 		20-2329938 501(c)(3) 13,000       Autism Research
(22) Best of the Batch Foundation2000 West Street
N/A
Munhall,PA15120 		24-1900914 501(c)(3) 8,500       Charitable Donation
(23) Bipolar SponsorshipWestern Psychiatric Institute3811 OHara Street
N/A
Pittsburgh,PA15213 		25-0965480 501(c)(3) 20,000       Charitable Donation
(24) Bloomfield Development Corp366 Gross Street
N/A
Pittsburgh,PA15224 		20-5817024 501(c)(3) 6,000       Community Development Donation
(25) Borough of Greenville125 Main Street
N/A
Greenville,PA16125 		25-6000376 government 35,000       Charitable Donation
(26) Cancer Caring Center4117 Liberty Avenue
N/A
Pittsburgh,PA15224 		25-1547942 501(c)(3) 10,000       Charitable Donation
(27) Carnegie Mellon University5000 Forbes Avenue
N/A
Pittsburgh,PA15213 		25-0969449 501(c)(3) 573,126       Educational Donation
(28) Carnegie Science CenterOne Allegheny Avenue
N/A
Pittsburgh,PA15212 		25-0965280 501(c)(3) 6,000       Charitable Donation
(29) Catalyst Connection2000 Technology Drive
N/A
Pittsburgh,PA15219 		25-1453211 501(c)(3) 10,000       Charitable Donation
(30) Catholic Charities of the Diocese of Pittsburgh212 Ninth Street
N/A
Pittsburgh,PA15222 		25-1326213 501(c)(3) 22,500       Charitable Donation
(31) CDI Printing ServicesPO Box 689
N/A
Gibsonia,PA15044 		25-1701739 N/A 12,805       Charitable Donation
(32) Center for Public Psychiatry3811 OHara Street
N/A
Pittsburgh,PA15213 		25-0965591 501(c)(3) 33,000       Charitable Donation
(33) Central Catholic High School504 St Clair Drive
Attn Frank McSteen
Verona,PA15147 		25-0478989 N/A 8,400       Educational Donation
(34) Children's Hospital of Pittsburgh Foundation4401 Penn Avenue
Central Plant 3rd Floor
Pittsburgh,PA15224 		25-1865744 501(c)(3) 50,000       Charitable Donation
(35) Children's Home of Pittsburgh5618 Kentucky Avenue
N/A
Pittsburgh,PA15232 		25-0965292 501(c)(3) 7,500       Charitable Donation
(36) City of Farrell500 Roemer Boulevard
N/A
Farrell,PA16121 		25-6000858 government 35,000       Community Development Donation
(37) City Theatre1300 Bingham Street
N/A
Pittsburgh,PA15203 		25-1554580 501(c)(3) 25,000       Charitable Donation
(38) Civic Light Opera719 Liberty Avenue
6th Floor
Pittsburgh,PA15222 		25-6000890 501(c)(3) 25,000       Community Development Donation
(39) Community Foundation for the Alleghenies116 Market Street
N/A
Johnstown,PA15901 		25-1637373 501(c)(3) 10,000       Charitable Donation
(40) Community Human Services Corp374 Lawn Street
Attn Phil Pappas
Pittsburgh,PA15213 		25-1219610 501(c)(3) 5,100       Charitable Donation
(41) Corbett Cawley Inaugural Committee50 South Providence Road
N/A
Media,PA19063 		27-3834993 501(c)(4) 50,000       Charitable Donation
(42) Coro Center for Civic Leadership33 Terminal Way
Suite 429A
Pittsburgh,PA15219 		31-1703402 501(c)(3) 10,000       Charitable Donation
(43) CPSP Public Psychiatry Funding Support3811 OHara Street
Webster Hall 160
Pittsburgh,PA15213 		25-0965591 501(c)(3) 16,000       Charitable Donation
(44) Cribs for Kids810 River Avenue
Suite 250
Pittsburgh,PA15212 		25-1442806 501(c)(3) 6,000       Charitable Donation
(45) Crohns and Colitis Foundation of America580 Aiken Avenue
Suite 202
Pittsburgh,PA15232 		13-6193105 501(c)(3) 6,650       Charitable Donation
(46) Dapper Dan Charities34 Boulevard of the Allies
N/A
Pittsburgh,PA15222 		23-7216540 501(c)(3) 19,500       Charitable Donation
(47) Delta Foundations of PittsburghPO Box 100057
N/A
Pittsburgh,PA15233 		23-2874576 501(c)(3) 18,820       Charitable Donation
(48) DePaul School for Hearing and Speech6202 Alder Street
N/A
Pittsburgh,PA15206 		25-0965321 501(c)(3) 10,000       Charitable Donation
(49) Diamond Run Golf Club132 Laurel Oak Drive
N/A
Sewickley,PA15143 		75-2793869 N/A 7,879       Charitable Donation
(50) Duquesne University600 Forbes Avenue
637 College Hall
Pittsburgh,PA15219 		25-1035663 501(c)(3) 30,124       Educational Donation
(51) East End Cooperative Ministry250 N Highland Avenue
N/A
Pittsburgh,PA15206 		23-1722988 501(c)(3) 7,500       Charitable Donation
(52) East Liberty Family Health Care Center Inc6023 Harvard Street
N/A
Pittsburgh,PA15206 		25-1417228 501(c)(3) 101,500       Charitable Donation
(53) Epilepsy Foundation Western Pennsylvania1501 Reedsdale Street
N/A
Pittsburgh,PA15233 		25-7241930 501(c)(3) 37,000       Epilepsy Research
(54) Erie Community Foundation459 West Sixth Street
N/A
Erie,PA16507 		25-6032032 501(c)(3) 25,000       Community Development Donation
(55) Eye and Ear FoundationBiomedical Science Tower
203 Lothrop Street
Pittsburgh,PA15213 		25-1439732 501(c)(3) 18,588       Charitable Donation
(56) Family First5211 W Laurel Street
Suite 102
Tampa,FL33607 		59-3043408 501(c)(3) 7,500       Charitable Donation
(57) Family Hospice and Palliative Care250 Mt Lebanon Boulevard
Suite 203
Pittsburgh,PA15234 		25-1529649 501(c)(3) 5,500       Charitable Donation
(58) Family House242 McKee Place
N/A
Pittsburgh,PA15213 		25-1519959 501(c)(3) 141,763       Charitable Donation
(59) Family Resources141 S Highland Avenue
N/A
Pittsburgh,PA15206 		25-0728060 501(c)(3) 16,750       Charitable Donation
(60) Family Services of WPA3230 Williams Pitt Way
N/A
Pittsburgh,PA15238 		25-0965341 501(c)(3) 6,000       Charitable Donation
(61) Farrell Area School District1600 Roemer Boulevard
N/A
Farrell,PA16121 		76-4325097 government 35,000       Educational Donation
(62) Fayette EMSPO Box 862
N/A
Connellsville,PA15425 		25-1404399 501(c)(3) 16,000       Emergency Medical Services Donation
(63) Flight 93 National Memorial Campaign1201 Eye Street
N/A
Washington,DC20006 		52-1086761 501(c)(3) 7,500       Memorial Fund Donation
(64) Fraternal Association of Professional Paramedics4524 Gates Drive
N/A
Munhall,PA15120 		25-1368007 501(c)(5) 6,000       Emergency Medical Services Donation
(65) Gateway Medical Society1835 Centre Ave
No 208
Pittsburgh,PA15219 		02-0704699 501(c)(3) 11,000       Charitable Donation
(66) Gildas Club Western PA1110 S Negley Avenue
N/A
Pittsburgh,PA15217 		25-1845284 501(c)(3) 7,500       Ovarian Cancer Awareness and Reaearch
(67) Good Shepherd Parish1025 Braddock Avenue
N/A
Braddock,PA15104 		20-1536999 N/A 26,328       Educational Donation
(68) Greenville Area School District9 Donation Road
N/A
Greenville,PA16125 		25-6011926 government 35,100       Educational Donation
(69) Guy Norelli Graphics525 Monongahela Avenue
N/A
Glassport,PA15045 		25-1582105 N/A 7,189       Charitable Donation
(70) Greenville Municipal Water Authority44 Clinton Street
N/A
Greenville,PA16125 		25-6000375 government 83,417       Community Development Donation
(71) Gwen's Girls7230 McPherson Boulevard
N/A
Pittsburgh,PA15208 		75-3114136 501(c)(3) 10,000       Charitable Donation
(72) Helmets R Us2705 Pacific Avenue
N/A
Tacoma,WA98402 		91-2009438 N/A 13,519       Charitable Donation
(73) HDS Marketing Inc500 Noblestown Road
Suite 203
Carnegie,PA15106 		23-2891773 N/A 9,053       Charitable Donation
(74) Hill House Association1835 Centre Avenue
N/A
Pittsburgh,PA15219 		25-1146128 501(c)(3) 8,700       Community Development Donation
(75) IRETA425 Sixth Avenue
Pittsburgh,PA15219 		25-1857820 501(c)(3) 6,500       Charitable Donation
(76) Jameson Health System1211 Wilmington Avenue
N/A
New Castle,PA16105 		25-1536036 501(c)(3) 6,055       Charitable Donation
(77) Jewish National Fund5915 Beacon Street
N/A
Pittsburgh,PA15217 		13-1659627 501(c)(3) 5,750       Charitable Donation
(78) Junior AchievementOne Allegheny Center
Suite 210
Pittsburgh,PA15212 		25-0983059 501(c)(3) 18,440       Charitable Donation
(79) Juvenile Diabetes Research Foundation960 Penn Avenue
Suite 100
Pittsburgh,PA15222 		23-1907729 501(c)(3) 29,250       Juvenile Diabetes Research
(80) Ladies Hospital Aid Society200 Lothrop Street
N/A
Pittsburgh,PA15213 		23-7257527 501(c)(3) 216,700       Charitable Donation
(81) Lawrenceville Corp100 43rd Street Suite 114
N/A
Pittsburgh,PA15201 		25-1471440 501(c)(3) 5,500       Charitable Donation
(82) Leukemia and Lymphoma Society333 E Carson Street
Suite 441
Pittsburgh,PA15219 		13-5644916 501(c)(3) 25,850       Leukemia and Lymphoma Research
(83) Luzern County Community College1333 S Prospect Street
N/A
Nanticoke,PA18634 		23-1678363 government 10,000       Charitable Donation
(84) Mario Lemieux Foundation816 Fifth Avenue
N/A
Pittsburgh,PA15219 		25-1708231 501(c)(3) 65,500       Charitable Donation
(85) McKeesport Hospital Fund1500 Fifth Avenue
N/A
McKeesport,PA15132 		25-1380418 501(c)(3) 16,940       Charitable Donation
(86) Messages Carriers of PA Inc5907 Penn Avenue
Suite 215
Pittsburgh,PA15206 		30-0539015 N/A 15,900       Charitable Donation
(87) Mighty Penguins Sled Hockey Inc123 Dunedin Drive
N/A
Cheswick,PA15024 		25-5095701 501(c)(3) 27,500       Charitable Donation
(88) Monroeville Area Chamber of Commerce2790 Mosside Blvd
N/A
Monroeville,PA15146 		63-0311271 501(c)(3) 10,000       Charitable Donation
(89) Morgan Interior Systems LLC5912 Heckert Road
N/A
Bakerstown,PA15007 		20-8132209 N/A 7,325       Charitable Donation
(90) Municipality of Monroeville2700 Monroeville Blvd
N/A
Monroeville,PA15146 		25-6004094 government 10,500       Community Development Donation
(91) NAMIPO Box 367
N/A
Delmont,PA15626 		25-1477291 501(c)(3) 12,700       Charitable Donation
(92) NAMI Southwestern PA4721 McKnight Road
Suite 216 South Building
Pittsburgh,PA15237 		25-1477291 501(c)(3) 13,000       Charitable Donation
(93) Natl Council for Community Behaviorial Healthcare1701 K Street
N/A
Washington,DC20006 		23-7092671 501(c)(3) 15,000       Charitable Donation
(94) National Kidney Foundation700 Fifth Avenue
4th Floor
Pittsburgh,PA15219 		13-1673104 501(c)(3) 54,250       Kidney Disease Research
(95) National Multiple Sclerosis Society215 Beecham Drive
N/A
Pittsburgh,PA15205 		25-1066473 501(c)(3) 6,500       Multiple Sclerosis Research
(96) National Ovarian Cancer Coalition2501 Oak Lawn
Suite 435
Dallas,TX75219 		65-0628064 501(c)(3) 17,500       Ovarian Cancer Awareness and Research
(97) Negro Educational Emergency Drive643 Liberty Avenue
N/A
Pittsburgh,PA15222 		25-6070821 501(c)(3) 7,500       Charitable Donation
(98) New Pittsburgh CourierPO Box 11346
Pittsburgh,PA15238 		25-1181398 N/A 17,500       Charitable Donation
(99) NY Assoc of Psychiatric Rehab Services1 Columbia Place
N/A
Albany,NY15213 		16-1218560 501(c)(3) 15,000       Charitable Donation
(100) Oakland Business Improvement District235 Atwood Street
N/A
Pittsburgh,PA15213 		25-6000879 501(c)(3) 72,500       Charitable Donation
(101) Oakland Catholic High School144 North Craig Street
N/A
Pittsburgh,PA15213 		25-1604103 501(c)(3) 5,125       Educational Donation
(102) OREF6300 N River Road
Suite 700
Rosemont,IL60019 		36-6009467 501(c)(3) 7,500       Charitable Donation
(103) PA Community Providers Association2101 N Front Street
N/A
Harrisburg,PA17110 		23-7291783 501(c)(3) 10,525       Charitable Donation
(104) PA Psychiatric Society777 East Park Drive
N/A
Harrisburg,PA17111 		23-1548659 501(c)(3) 6,500       Charitable Donation
(105) Passavant Hospital Foundation9100 Babcock Boulevard
N/A
Pittsburgh,PA15237 		25-1407815 501(c)(3) 38,000       Charitable Donation
(106) Pennsylvania Resources Council64 S 14th Street
N/A
Pittsburgh,PA15203 		23-6403971 501(c)(3) 15,000       Charitable Donation
(107) Peoples Oakland3433 Bates Street
Pittsburgh,PA15213 		23-7407933 501(c)(3) 5,300       Charitable Donation
(108) Persad Center Inc5150 Penn Avenue
N/A
Pittsburgh,PA15224 		25-1234680 501(c)(3) 25,000       Charitable Donation
(109) Pittsburgh Aids Task Force5913 Penn Avenue
N/A
Pittsburgh,PA15206 		25-1537128 501(c)(3) 7,620       Charitable Donation
(110) Pittsburgh Tissue Engineering Initiative Inc450 Technology Drive
Suite 211
Pittsburgh,PA15219 		25-1789285 501(c)(3) 100,000       Charitable Donation
(111) Pittsburgh Ballet Theatre Inc2900 Liberty Avenue
N/A
Pittsburgh,PA15201 		23-7101094 501(c)(3) 30,600       Charitable Donation
(112) Pittsburgh Cares230 Peachtree Street NW
Suite 530
Atlanta,GA30303 		25-1702048 501(c)(3) 5,720       Charitable Donation
(113) Pittsburgh Cycling Performance951 Girard Road
N/A
Pittsburgh,PA15235 		45-1622869 N/A 6,000       Charitable Donation
(114) Pittsburgh Musical Theater327 S Main Street
N/A
Pittsburgh,PA15220 		25-1661845 501(c)(3) 10,000       Charitable Donation
(115) Pittsburgh Opera2425 Liberty Avenue
N/A
Pittsburgh,PA15222 		25-1073139 501(c)(3) 18,500       Charitable Donation
(116) Pittsburgh Passion Inc528 Skyline Drive
N/A
Belle Vernon,PA15012 		20-5047092 501(c)(3) 17,000       Charitable Donation
(117) Pittsburgh Post-Gazette34 Boulevard of the Allies
N/A
Pittsburgh,PA15222 		94-0692700 N/A 25,000       Charitable Donation
(118) Pittsburgh Promise1901 Centre Avenue
Suite 204
Pittsburgh,PA15219 		26-1982661 501(c)(3) 8,062,881       Educational Fund Donation
(119) Pittsburgh Public Theater Corp621 Penn Avenue
OReilly Theater
Pittsburgh,PA15222 		23-7398683 501(c)(3) 25,000       Charitable Donation
(120) Pittsburgh Symphony600 Penn Avenue
N/A
Pittsburgh,PA15222 		25-0986052 501(c)(3) 17,500       Charitable Donation
(121) Pittsburgh Technology Council2000 Technology Drive
N/A
Pittsburgh,PA15219 		25-1437854 501(c)(3) 48,800       Charitable Donation
(122) Pittsburgh Three Rivers Marathon310 Grant Street
N/A
Pittsburgh,PA15219 		26-2524046 501(c)(3) 10,000       Charitable Donation
(123) Pittsburgh Venture Capital Association49 Oakmont Court
N/A
Bridgeville,PA15017 		25-1566467 501(c)(3) 10,000       Charitable Donation
(124) Pittsburgh Wine Festival LLCOne Riverfront Center
20 Stanwix Street
Pittsburgh,PA15222 		20-3730209 N/A 50,000       Charitable Donation
(125) Pittsburgh Zoo & AquariumOne Wild Place
N/A
Pittsburgh,PA15206 		25-1418766 501(c)(3) 12,500       Charitable Donation
(126) PMHCA4105 Derry Street
N/A
Harrisburg,PA17111 		23-2484283 501(c)(3) 11,600       Charitable Donation
(127) Poise FoundationMonumental Missions Ministries
2228 Wylie Avenue
Pittsburgh,PA15219 		25-1393426 501(c)(3) 10,000       Charitable Donation
(128) POWER7445 Church Street
N/A
Pittsburgh,PA15218 		25-1643651 501(c)(3) 7,500       Charitable Donation
(129) Presque Isle Partnership301 Peninsula Drive
Suite 2
Erie,PA16505 		25-1737521 501(c)(3) 15,000       Charitable Donation
(130) Recovery Innovations Inc2701 N 16th Street
Suite 316
Phoenix,AZ85006 		86-0671446 501(c)(3) 14,245       Charitable Donation
(131) Road Radio USA Inc601 South Main Street
N/A
Muncy,PA17756 		23-2767215 501(c)(3) 30,000       Charitable Donation
(132) Saint Clair Hospital1000 Bower Hill Road
N/A
Pittsburgh,PA15243 		25-1010303 501(c)(3) 5,600       Charitable Donation
(133) Schizophrenia ConferenceUniversity of Pittsburgh4200 Fifth Avenue
N/A
Pittsburgh,PA15260 		25-0965591 501(c)(3) 20,000       Charitable Donation
(134) Senator John Heinz Pgh Regional History Ctr1212 Smallman Street
N/A
Pittsburgh,PA15222 		25-0965391 501(c)(3) 17,500       Charitable Donation
(135) Sisters of St Francis of the Neumann Communities2500 Grant Boulevard
N/A
Syracuse,NY13208 		20-4292535 501(c)(3) 5,275       Charitable Donation
(136) Smart Futures401 Wood Street
Suite 1400
Pittsburgh,PA15222 		30-0263715 501(c)(3) 20,000       Charitable Donation
(137) South Side Local Development Company1505 East Carson Street
Suite 300
Pittsburgh,PA15203 		25-1419017 501(c)(3) 20,000       Community Development Donation
(138) Special Olympics Pennsylvania122 Washington Square
N/A
Norristown,PA19403 		23-2078541 501(c)(3) 21,000       Special Olympics Donation
(139) Susan G Komen Pittsburgh Affiliate1133 S Braddock Avenue
Suite 1A
Pittsburgh,PA15218 		81-0665396 501(c)(3) 20,000       Cancer Awareness
(140) TGI Systems188 N Wells
Suite 202
Chicago,IL60606 		20-2290064 N/A 6,386       Charitable Donation
(141) The American Ireland Fund1133 Prospect Road
N/A
Pittsburgh,PA15227 		25-1306992 501(c)(3) 75,000       Charitable Donation
(142) The Children's Institute1405 Shady Avenue
N/A
Pittsburgh,PA15217 		23-2935278 501(c)(3) 50,000       Charitable Donation
(143) The First Tee of Pittsburgh532 South Aiken Avenue
N/A
Pittsburgh,PA15232 		01-0867393 501(c)(3) 15,000       Charitable Donation
(144) The Marce Society545 Mainstreet Drive
Suite 110
Nashville,TN37228 		27-2285144 N/A 12,500       Charitable Donation
(145) The Miracle League of the South HillsPO Box 12164
N/A
Pittsburgh,PA15241 		26-1774863 501(c)(3) 25,000       Charitable Donation
(146) The Pittsburgh Cultural Trust803 Liberty Avenue
N/A
Pittsburgh,PA15222 		25-1469002 501(c)(3) 20,000       Charitable Donation
(147) Thiel CollegeC/o Philip Kerstetter
75 College Avenue
Greenville,PA16125 		25-0965576 501(c)(3) 6,200       Educational Donation
(148) Three Rivers Adaptive SportsPO Box 38235
N/A
Pittsburgh,PA15238 		25-1606744 501(c)(3) 7,000       Charitable Donation
(149) Uniontown HospitalOffice of Medial Staff
500 West Berkeley Street
Uniontown,PA15401 		25-0965588 501(c)(3) 8,300       Charitable Donation
(150) United Jewish Federation234 McKee Place
N/A
Pittsburgh,PA15213 		25-1017602 501(c)(3) 25,000       Charitable Donation
(151) United Way of Allegheny CountyPO Box 735
N/A
Pittsburgh,PA15230 		25-1043578 501(c)(3) 210,000       Charitable Donation
(152) University of Pittsburgh4200 Fifth Avenue
N/A
Pittsburgh,PA15260 		25-0965591 501(c)(3) 17,987,702       Charitable Donation
(153) UPMC PassavantPO Box 223304
N/A
Pittsburgh,PA15219 		25-0965451 501(c)(3) 15,000       Charitable Donation
(154) UPMC Steeler Style200 Lothrop Street
N/A
Pittsburgh,PA15213 		25-0965480 501(c)(3) 25,000       Charitable Event Donation
(155) Uptown Partners of PittsburghPO Box 53074
N/A
Pittsburgh,PA15219 		54-0560925 501(c)(3) 20,000       Charitable Donation
(156) Urban League of Greater Pittsburgh610 Wood Street
N/A
Pittsburgh,PA15222 		25-0965592 501(c)(3) 52,500       Charitable Donation
(157) VA Pittsburgh Healthcare SystemUniversity Drive
N/A
Pittsburgh,PA15240 		25-1666090 501(c)(3) 50,000       Charitable Donation
(158) Virtcom Consulting40 Rector Street
N/A
New York,NY10006 		37-9807942 N/A 7,500       Charitable Donation
(159) Wesley Spectrum Services221 Penn Avenue
N/A
Pittsburgh,PA15221 		25-1686715 501(c)(3) 8,875       Charitable Donation
(160) Western PA Minority Supplier Development424 Sixth Avenue
N/A
Pittsburgh,PA15219 		25-1236795 501(c)(3) 18,500       Charitable Donation
(161) Western PA Conservancy800 Waterfront Drive
N/A
Pittsburgh,PA15222 		25-1053485 501(c)(3) 20,000       Charitable Donation
(162) Woodlands Foundation134 Shenot Road
N/A
Wexford,PA15090 		25-1818538 501(c)(3) 5,500       Charitable Donation
(163) Women's Girl Fnd of Southwestern PA425 Sixth Avenue
Suite 1860
Pittsburgh,PA15219 		41-1685134 501(c)(3) 20,000       Charitable Donation
(164) Workforce Development of Global Alliance411 7th Avenue
Suite 925
Pittsburgh,PA15219 		20-5345315 501(c)(3) 6,500       Charitable Donation
(165) World Affairs Council of Pittsburgh2638 One Mellon Center
N/A
Pittsburgh,PA15219 		25-1064871 501(c)(3) 6,334       Community Development Donation
(166) WPIAL550 Gettysburg Road
N/A
Mechanicsburg,PA17055 		23-1382410 501(c)(3) 17,500       Charitable Donation
(167) WQED Pittsburgh4802 Fifth Avenue
N/A
Pittsburgh,PA15213 		25-1010296 501(c)(3) 25,000       Charitable Donation
(168) YMCA Camp Kono O Kwee126 Nagel Road
N/A
Fombell,PA16123 		25-0969497 501(c)(3) 25,000       Youth Camp Donation
(169) YMCA of Greater Pittsburgh420 Fort Duquesne Blvd
N/A
Pittsburgh,PA15222 		25-0969497 501(c)(3) 33,500       Community Programs Donation
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
150
3
Enter total number of other organizations ................................ . Bullet Image
19
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Part 1 Line 2   It is the policy of UPMC to contribute financial and in kind support to tax exempt organizations and agencies that support the upmc mission and strengthen the health and quality of life of those who live and work in the communities we serve. UPMC makes certain support payments to the University of Pittsburgh (EIN 25-0965591) under an affiliation agreement between the two organizations for the purpose of furthering their joint educational and research mission. The total of this support for the Fiscal Year ending June 30, 2011 exclusive of amounts reported above and inclusive of amounts paid by all UPMC entities is in excess of $146M
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UPMC GROUP
 
Employer identification number

20-8295721
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) David Baer MD BDF (i)
(ii)		 226,592
0 		4,930
0 		1,044
0 		11,767
0 		14,229
0 		258,562
0 		0
0
(2) Beth Clark DO E 1111 BDF (i)
(ii)		 138,785
0 		37,385
0 		121
0 		5,321
0 		5,477
0 		187,089
0 		0
0
(3) George Fleming MD E 1111 BDF (i)
(ii)		 300,953
0 		0
0 		365
0 		14,700
0 		15,601
0 		331,619
0 		0
0
(4) William Obert R 123110 BDF (i)
(ii)		 138,063
0 		28,402
0 		1,405
0 		26,356
0 		12,848
0 		207,074
0 		0
0
(5) Christopher Samuel MD R 123110 (i)
(ii)		 375,309
0 		0
0 		506
0 		10,890
0 		16,058
0 		402,763
0 		0
0
(6) Roger P Winn BDF (i)
(ii)		 198,966
0 		125,000
0 		3,582
0 		21,087
0 		16,656
0 		365,291
0 		0
0
(7) David Bobrzynski BHS (i)
(ii)		 123,942
0 		65,583
0 		614
0 		9,900
0 		17,002
0 		217,041
0 		0
0
(8) Alexander J Ciocca Esq BHS (i)
(ii)		 188,752
0 		110,000
0 		2,037
0 		17,406
0 		15,820
0 		334,015
0 		0
0
(9) Claudia Roth PhD BHS (i)
(ii)		 298,754
0 		215,000
0 		17,276
0 		45,955
0 		9,217
0 		586,202
0 		8,052
0
(10) Candi Castleberry-Singleton BDK (i)
(ii)		 242,673
0 		125,000
0 		10,760
0 		31,267
0 		15,695
0 		425,395
0 		3,383
0
(11) Tamra Minnier BDK (i)
(ii)		 259,359
0 		200,000
0 		10,299
0 		40,444
0 		13,556
0 		523,658
0 		4,334
0
(12) Thomas Inglesby MD CBS (i)
(ii)		 325,000
0 		0
0 		0
0 		0
0 		78,325
0 		403,325
0 		0
0
(13) Douglas Garretson CEM (i)
(ii)		 200,625
0 		86,000
0 		1,852
0 		14,836
0 		14,229
0 		317,542
0 		0
0
(14) Donald Goodman CEM (i)
(ii)		 164,786
0 		46,000
0 		508
0 		11,514
0 		15,126
0 		237,934
0 		0
0
(15) Dan Swayze CEM (i)
(ii)		 130,091
0 		0
0 		371
0 		8,065
0 		15,064
0 		153,591
0 		0
0
(16) Christopher A Gessner CHP (i)
(ii)		 291,481
0 		233,000
0 		18,941
0 		46,044
0 		13,405
0 		602,871
0 		7,500
0
(17) Laurel Ragland CHP (i)
(ii)		 112,895
0 		34,000
0 		510
0 		8,999
0 		7,894
0 		164,298
0 		0
0
(18) James Gavin CCBH (i)
(ii)		 257,751
0 		160,000
0 		14,750
0 		41,436
0 		15,509
0 		489,446
0 		4,112
0
(19) James Giammarco CCBH (i)
(ii)		 142,379
0 		63,000
0 		700
0 		10,759
0 		8,902
0 		225,740
0 		0
0
(20) Randall Kolb CFHC (i)
(ii)		 174,850
0 		3,066
0 		353
0 		12,652
0 		12,885
0 		203,806
0 		0
0
(21) Deborah Redmond CFHC (i)
(ii)		 170,529
0 		80,000
0 		828
0 		12,600
0 		14,960
0 		278,917
0 		0
0
(22) Robert Blosat CMI (i)
(ii)		 241,928
0 		175,000
0 		8,378
0 		46,524
0 		17,591
0 		489,421
0 		2,800
0
(23) Robert B Devlin Esq CMI (i)
(ii)		 174,025
0 		91,000
0 		1,978
0 		13,500
0 		16,203
0 		296,706
0 		0
0
(24) Francis Solano MD CMI (i)
(ii)		 437,778
0 		111,637
0 		9,900
0 		14,700
0 		17,531
0 		591,546
0 		0
0
(25) Deborah S Brodine CPS (i)
(ii)		 218,494
0 		180,000
0 		5,654
0 		36,794
0 		16,296
0 		457,238
0 		2,400
0
(26) Stephen Nimmo Esq CPS (i)
(ii)		 240,579
0 		170,000
0 		46,392
0 		58,135
0 		19,276
0 		534,382
0 		2,310
0
(27) Jerome Shaffer CPS (i)
(ii)		 175,895
0 		90,000
0 		1,130
0 		13,500
0 		14,987
0 		295,512
0 		0
0
(28) David A Nace MD CRAN (i)
(ii)		 109,992
0 		64,682
0 		42,462
0 		10,481
0 		965
0 		228,582
0 		0
0
(29) James Anthony Palmer CRAN (i)
(ii)		 0
158,914 		0
57,100 		0
486 		0
10,739 		0
15,146 		0
242,385 		0
0
(30) Colleen Brennan EMI (i)
(ii)		 131,901
0 		47,000
0 		851
0 		9,806
0 		14,851
0 		204,409
0 		0
0
(31) Terrence Lewis Esq EMI (i)
(ii)		 131,852
0 		21,000
0 		258
0 		7,793
0 		7,779
0 		168,682
0 		0
0
(32) Robert J Maha MD EMI (i)
(ii)		 380,517
0 		142,000
0 		16,542
0 		19,694
0 		25,236
0 		583,989
0 		5,671
0
(33) Mark Sevco EMI (i)
(ii)		 229,301
0 		195,000
0 		1,170
0 		39,817
0 		17,426
0 		482,714
0 		240
0
(34) Michael Culyba MD R 13011 FOR (i)
(ii)		 0
266,518 		0
110,000 		0
20,481 		0
23,126 		0
15,656 		0
435,781 		0
3,450
(35) Scott Lammie FOR (i)
(ii)		 0
373,809 		0
393,400 		0
60,569 		0
167,721 		0
19,842 		0
1,015,341 		0
14,800
(36) John Lovelace FOR (i)
(ii)		 0
257,941 		0
160,000 		0
24,501 		0
42,595 		0
11,167 		0
496,204 		0
3,412
(37) Stephen Perkins MD E 62311 FO (i)
(ii)		 0
165,997 		0
0 		0
8,664 		0
0 		0
5,959 		0
180,620 		0
0
(38) Daniel Vukmer Esq FOR (i)
(ii)		 0
224,463 		0
150,000 		0
1,398 		0
27,839 		0
16,985 		0
420,685 		0
0
(39) Roger A Oxendale HCD (i)
(ii)		 14,388
0 		0
0 		489,082
0 		763
0 		7,631
0 		511,864
0 		0
0
(40) Donald Owrey HRZ (i)
(ii)		 215,884
0 		98,800
0 		712
0 		29,573
0 		16,194
0 		361,163
0 		0
0
(41) Roy J Sartori DO HRZ (i)
(ii)		 248,872
0 		32,491
0 		1,584
0 		12,250
0 		8,056
0 		303,253
0 		0
0
(42) David Shulik HRZ (i)
(ii)		 136,047
0 		34,500
0 		962
0 		11,025
0 		14,344
0 		196,878
0 		0
0
(43) Thomas Burich HRZF (i)
(ii)		 123,680
0 		9,500
0 		974
0 		12,122
0 		7,342
0 		153,618
0 		0
0
(44) Curtis Jantzi MD R 113010 HR (i)
(ii)		 156,283
0 		4,854
0 		118
0 		4,900
0 		11,109
0 		177,264
0 		0
0
(45) Edward Marinzel IMIT (i)
(ii)		 177,973
0 		65,000
0 		2,590
0 		12,580
0 		21,148
0 		279,291
0 		0
0
(46) John Kuzmishin IHI (i)
(ii)		 301,369
0 		200,000
0 		9,491
0 		45,073
0 		6,089
0 		562,022
0 		4,080
0
(47) Leslie C Davis MAG (i)
(ii)		 354,780
0 		280,000
0 		25,069
0 		56,178
0 		17,280
0 		733,307
0 		11,100
0
(48) Eileen Simmons MAG (i)
(ii)		 185,119
0 		100,000
0 		578
0 		11,155
0 		8,475
0 		305,327
0 		0
0
(49) Cynthia Dorundo MCK (i)
(ii)		 242,868
0 		155,000
0 		7,510
0 		46,973
0 		16,015
0 		468,366
0 		3,300
0
(50) Susan Mammarella R 3111 MCK (i)
(ii)		 132,193
0 		41,000
0 		445
0 		9,604
0 		15,872
0 		199,114
0 		0
0
(51) Madhusudana Nair MD E 7110 MC (i)
(ii)		 239,108
0 		6,000
0 		2,273
0 		9,800
0 		13,592
0 		270,773
0 		0
0
(52) Sandy Rader E 10810 MCK (i)
(ii)		 177,777
0 		90,000
0 		1,388
0 		13,644
0 		15,702
0 		298,511
0 		0
0
(53) Nicholas Barcellona MHP (i)
(ii)		 112,904
0 		34,000
0 		63
0 		7,030
0 		19,440
0 		173,437
0 		0
0
(54) William Cook MHP (i)
(ii)		 272,321
0 		220,000
0 		14,945
0 		39,023
0 		9,009
0 		555,298
0 		5,250
0
(55) Randall Boggess E 1111 NWH (i)
(ii)		 181,391
0 		20,000
0 		7,500
0 		0
0 		4,895
0 		213,786
0 		0
0
(56) David Gibbons NWH (i)
(ii)		 247,405
0 		65,000
0 		4,229
0 		34,657
0 		7,297
0 		358,588
0 		1,546
0
(57) David McCandless MD NWH (i)
(ii)		 247,335
0 		3,986
0 		947
0 		9,800
0 		13,305
0 		275,373
0 		0
0
(58) Roger McCauley NWH (i)
(ii)		 158,327
0 		43,106
0 		2,138
0 		12,141
0 		6,481
0 		222,193
0 		0
0
(59) James McLaughlin DO NWH (i)
(ii)		 317,907
0 		0
0 		762
0 		9,800
0 		11,854
0 		340,323
0 		0
0
(60) William Shaffner Esq NWH (i)
(ii)		 186,560
0 		96,500
0 		28,998
0 		29,660
0 		15,628
0 		357,346
0 		0
0
(61) Michael Riska OVR (i)
(ii)		 221,260
0 		135,000
0 		3,166
0 		33,147
0 		18,851
0 		411,424
0 		1,267
0
(62) James W Boyle MD PAV (i)
(ii)		 320,085
0 		2,148
0 		948
0 		9,800
0 		15,437
0 		348,418
0 		0
0
(63) Eric Cartwright PAV (i)
(ii)		 254,445
0 		150,000
0 		12,678
0 		47,886
0 		18,226
0 		483,235
0 		4,200
0
(64) Joon Sup Lee MD PAV (i)
(ii)		 652,494
0 		200,426
0 		56,098
0 		14,726
0 		5,398
0 		929,142
0 		0
0
(65) Teresa Petrick R 103110 PAV (i)
(ii)		 253,839
0 		235,000
0 		18,749
0 		71,892
0 		12,701
0 		592,181
0 		10,500
0
(66) Daniel R Sullivan MD PAV (i)
(ii)		 289,997
0 		51,400
0 		58,464
0 		12,250
0 		2,291
0 		414,402
0 		0
0
(67) Dennis H Tomassetti PAV (i)
(ii)		 252,535
0 		65,000
0 		22,145
0 		39,901
0 		8,140
0 		387,721
0 		2,302
0
(68) Donna Jasko PPA (i)
(ii)		 142,664
0 		83,400
0 		957
0 		13,174
0 		12,956
0 		253,151
0 		0
0
(69) Paul Castillo PUH (i)
(ii)		 213,691
0 		110,000
0 		1,923
0 		16,451
0 		16,301
0 		358,366
0 		150
0
(70) John Innocenti PUH (i)
(ii)		 428,363
0 		460,000
0 		41,206
0 		130,809
0 		18,638
0 		1,079,016
0 		16,500
0
(71) Edward T Karlovich PUH (i)
(ii)		 332,608
0 		485,000
0 		34,428
0 		91,940
0 		20,978
0 		964,954
0 		15,900
0
(72) Kenneth Lee MD PUH (i)
(ii)		 242,197
0 		78,343
0 		3,692
0 		17,150
0 		2,541
0 		343,923
0 		0
0
(73) John R Carroll SMH (i)
(ii)		 154,135
0 		36,500
0 		2,483
0 		26,061
0 		12,963
0 		232,142
0 		0
0
(74) Edward J Donnelly III MD SMH (i)
(ii)		 232,080
0 		2,817
0 		1,477
0 		11,809
0 		8,271
0 		256,454
0 		0
0
(75) Kevin Garrett MD SMH (i)
(ii)		 300,143
0 		190,322
0 		1,493
0 		17,150
0 		16,068
0 		525,176
0 		0
0
(76) David T Martin R 103110 SMH (i)
(ii)		 354,549
0 		340,000
0 		19,899
0 		74,506
0 		16,112
0 		805,066
0 		16,100
0
(77) Thomas Newman SMH (i)
(ii)		 160,305
0 		65,000
0 		764
0 		11,880
0 		15,456
0 		253,405
0 		0
0
(78) Valerie C Trott SMH (i)
(ii)		 179,292
0 		100,000
0 		570
0 		12,943
0 		2,451
0 		295,256
0 		0
0
(79) V Thomas Worrall MD SMH (i)
(ii)		 143,416
0 		0
0 		1,524
0 		7,500
0 		12,529
0 		164,969
0 		0
0
(80) Stanley Marks MD UPCICS (i)
(ii)		 855,002
611,081 		0
0 		6,648
0 		37,959
0 		10,618
0 		910,227
611,081 		0
0
(81) Peter Tate UPCICS (i)
(ii)		 152,823
0 		30,000
0 		720
0 		12,967
0 		9,979
0 		206,489
0 		0
0
(82) James Terwilliger UPCICS (i)
(ii)		 242,195
0 		190,000
0 		12,730
0 		38,185
0 		16,604
0 		499,714
0 		3,600
0
(83) Derek Angus MD UPP (i)
(ii)		 349,994
0 		107,145
0 		1,567
0 		14,700
0 		3,471
0 		476,877
0 		0
0
(84) K Ty Bae MD UPP (i)
(ii)		 339,013
0 		88,942
0 		1,441
0 		14,700
0 		1,882
0 		445,978
0 		0
0
(85) Timothy Robert Billiar MD UPP (i)
(ii)		 301,536
210,721 		314,600
0 		19,884
22,000 		32,788
0 		5,890
18,665 		674,698
251,386 		0
0
(86) Michael Boninger MD UPP (i)
(ii)		 47,156
0 		75,000
0 		16,990
0 		10,356
0 		2,330
0 		151,832
0 		0
0
(87) Margaretha Casselbrant MD R 123 (i)
(ii)		 237,922
0 		34,635
0 		8,573
0 		17,150
0 		4,089
0 		302,369
0 		0
0
(88) Anita P Courcoulas MD R 123110 (i)
(ii)		 612,460
0 		87,500
0 		2,708
0 		17,150
0 		4,858
0 		724,676
0 		0
0
(89) Robert P Edwards MD E 1111 UP (i)
(ii)		 277,827
0 		98,000
0 		2,009
0 		14,700
0 		2,765
0 		395,301
0 		0
0
(90) Louis D Falo Jr MD UPP (i)
(ii)		 158,465
0 		208,333
0 		18,377
0 		24,451
0 		2,451
0 		412,077
0 		0
0
(91) Michael Finikiotis MD R 123110 (i)
(ii)		 227,142
0 		9,395
0 		817
0 		0
0 		14,828
0 		252,182
0 		0
0
(92) Robert M Friedlander MD UPP (i)
(ii)		 587,017
0 		366,667
0 		17,275
0 		1
0 		4,352
0 		975,312
0 		0
0
(93) Freddie H Fu MD UPP (i)
(ii)		 654,191
0 		488,000
0 		35,437
0 		23,978
0 		6,239
0 		1,207,845
0 		0
0
(94) Joel S Greenberger MD UPP (i)
(ii)		 208,497
0 		200,004
0 		23,046
0 		26,785
0 		3,486
0 		461,818
0 		0
0
(95) W Allen Hogge MD UPP (i)
(ii)		 304,196
0 		138,000
0 		23,535
0 		23,808
0 		3,673
0 		493,212
0 		0
0
(96) Jonas T Johnson MD UPP (i)
(ii)		 430,826
0 		225,000
0 		10,308
0 		17,150
0 		5,213
0 		688,497
0 		0
0
(97) Arthur S Levine MD UPP (i)
(ii)		 0
720,057 		0
0 		0
67,680 		0
29,400 		0
12,438 		0
829,575 		0
0
(98) David A Lewis MD UPP (i)
(ii)		 233,496
0 		150,068
0 		19,513
0 		18,508
0 		2,082
0 		423,667
0 		0
0
(99) Barry London MD UPP (i)
(ii)		 233,412
0 		175,000
0 		18,547
0 		25,102
0 		2,720
0 		454,781
0 		0
0
(100) James D Luketich MD UPP (i)
(ii)		 1,714,897
0 		250,000
0 		26,872
0 		23,242
0 		6,323
0 		2,021,334
0 		0
0
(101) George K Michalopoulos MD UPP (i)
(ii)		 196,964
0 		168,000
0 		15,936
0 		14,172
0 		2,699
0 		397,771
0 		0
0
(102) Kenneth C Nash MD E 1111 UPP (i)
(ii)		 137,234
0 		113,194
0 		46,232
0 		13,572
0 		1,765
0 		311,997
0 		0
0
(103) Joel B Nelson MD UPP (i)
(ii)		 510,527
0 		212,500
0 		21,263
0 		26,149
0 		5,785
0 		776,224
0 		0
0
(104) Mark A Nordenberg UPP (i)
(ii)		 0
468,934 		0
78,188 		0
26,524 		0
66,185 		0
67,359 		0
707,190 		0
0
(105) Roberto Ortiz-Aguayo E 1111 U (i)
(ii)		 56,001
0 		92,095
0 		49,330
0 		0
0 		2,972
0 		200,398
0 		0
0
(106) David Hirsch Perlmutter MD UPP (i)
(ii)		 256,457
0 		141,667
0 		20,617
0 		24,762
0 		4,728
0 		448,231
0 		0
0
(107) Joshua T Rubin MD E 1111 UPP (i)
(ii)		 111,698
0 		16,409
0 		56,696
0 		8,968
0 		944
0 		194,715
0 		0
0
(108) Joel S Schuman MD UPP (i)
(ii)		 338,232
0 		150,000
0 		19,879
0 		22,495
0 		5,283
0 		535,889
0 		0
0
(109) Jeannette South-Paul MD UPP (i)
(ii)		 59,193
0 		107,500
0 		18,874
0 		11,495
0 		1,664
0 		198,726
0 		0
0
(110) Ann Szell UPP (i)
(ii)		 281,314
0 		170,000
0 		7,329
0 		41,248
0 		9,147
0 		509,038
0 		3,300
0
(111) Michael A Turturro M E 1111 U (i)
(ii)		 181,769
0 		71,236
0 		57,358
0 		14,700
0 		2,232
0 		327,295
0 		0
0
(112) Evan L Waxman MD R 123110 UPP (i)
(ii)		 188,750
0 		113,413
0 		46,757
0 		14,700
0 		2,382
0 		366,002
0 		0
0
(113) Lawrence Wechsler MD UPP (i)
(ii)		 382,494
0 		105,000
0 		160,969
0 		17,467
0 		2,949
0 		668,879
0 		0
0
(114) John P Williams MD UPP (i)
(ii)		 242,028
0 		200,000
0 		21,676
0 		20,197
0 		3,779
0 		487,680
0 		0
0
(115) Donald Yealy MD UPP (i)
(ii)		 144,937
0 		100,000
0 		17,804
0 		18,226
0 		1,716
0 		282,683
0 		0
0
(116) Charles Bogosta UPMC (i)
(ii)		 434,261
0 		634,000
0 		38,424
0 		184,146
0 		19,945
0 		1,310,776
0 		16,500
0
(117) Robert J Cindrich UPMC (i)
(ii)		 576,660
0 		700,000
0 		175,908
0 		222,885
0 		21,272
0 		1,696,725
0 		136,448
0
(118) Elizabeth Concordia UPMC (i)
(ii)		 647,287
0 		1,325,000
0 		37,604
0 		301,949
0 		26,237
0 		2,338,077
0 		16,500
0
(119) Sandra Danoff UPMC (i)
(ii)		 330,033
0 		498,000
0 		36,944
0 		148,197
0 		18,263
0 		1,031,437
0 		16,500
0
(120) Robert A DeMichiei UPMC (i)
(ii)		 443,877
0 		634,000
0 		36,542
0 		203,098
0 		19,974
0 		1,337,491
0 		16,500
0
(121) Daniel Drawbaugh UPMC (i)
(ii)		 489,426
0 		634,000
0 		38,719
0 		157,421
0 		22,479
0 		1,342,045
0 		16,500
0
(122) David Farner UPMC (i)
(ii)		 440,743
0 		684,000
0 		35,514
0 		198,921
0 		23,109
0 		1,382,287
0 		16,500
0
(123) C Talbot Heppenstall Jr UPMC (i)
(ii)		 345,923
0 		534,000
0 		39,503
0 		169,731
0 		17,062
0 		1,106,219
0 		16,500
0
(124) Diane Holder UPMC (i)
(ii)		 0
528,167 		0
900,000 		0
27,391 		0
215,329 		0
13,890 		0
1,684,777 		0
16,500
(125) Michele P Jegasothy Esq UPMC (i)
(ii)		 127,131
0 		60,000
0 		231
0 		8,100
0 		15,654
0 		211,116
0 		0
0
(126) Gregory K Peaslee UPMC (i)
(ii)		 438,877
0 		584,000
0 		68,234
0 		248,085
0 		24,974
0 		1,364,170
0 		16,500
0
(127) Jeffrey A Romoff UPMC (i)
(ii)		 959,210
0 		3,733,000
0 		833,373
0 		427,538
0 		22,341
0 		5,975,462
0 		797,924
0
(128) Steven D Shapiro MD UPMC (i)
(ii)		 300,297
199,494 		212,502
0 		1,691
22,000 		45,018
0 		5,130
13,438 		564,638
234,932 		0
0
(129) Marshall Webster MD UPMC (i)
(ii)		 291,660
93,634 		634,000
0 		121,934
22,000 		96,896
0 		4,752
13,885 		1,149,242
129,519 		79,537
0
(130) Joel H Weinberg MD UPMC (i)
(ii)		 417,045
0 		211,998
0 		7,461
0 		17,150
0 		20,609
0 		674,263
0 		0
0
(131) David Bartlett MD (i)
(ii)		 559,993
0 		75,000
0 		2,318
0 		14,700
0 		5,289
0 		657,300
0 		0
0
(132) Marguerite Bonaventura MD (i)
(ii)		 257,462
0 		118,164
0 		55,337
0 		17,150
0 		2,459
0 		450,572
0 		0
0
(133) Scott Gilstrap (i)
(ii)		 3,356
0 		0
0 		165,011
0 		251
0 		13,113
0 		181,731
0 		0
0
(134) Philip Green (i)
(ii)		 0
0 		0
0 		712,064
0 		0
0 		9,290
0 		721,354
0 		0
0
(135) Deborah Holder MD (i)
(ii)		 135,709
0 		47,713
0 		49,332
0 		9,273
0 		3,301
0 		245,328
0 		0
0
(136) Susan Edgar-Hoolahan (i)
(ii)		 211,326
0 		82,000
0 		11,793
0 		17,518
0 		14,102
0 		336,739
0 		0
0
(137) Mohammad Idrees MD (i)
(ii)		 27,995
0 		0
0 		0
0 		0
0 		0
0 		27,995
0 		0
0
(138) Mary Korytkowski MD (i)
(ii)		 118,289
0 		27,213
0 		71,600
0 		10,186
0 		1,084
0 		228,372
0 		0
0
(139) Deanne Krugh (i)
(ii)		 56,783
0 		55,296
0 		150
0 		5,610
0 		7,705
0 		125,544
0 		0
0
(140) Nancy Magee (i)
(ii)		 75,382
0 		0
0 		166,779
0 		1,600
0 		4,283
0 		248,044
0 		900
0
(141) Rita Patel MD (i)
(ii)		 209,997
0 		55,000
0 		1,490
0 		17,150
0 		1,936
0 		285,573
0 		0
0
(142) Robert Thompson MD (i)
(ii)		 219,963
0 		33,943
0 		52,599
0 		16,937
0 		1,829
0 		325,271
0 		0
0
(143) Adele Towers MD (i)
(ii)		 138,798
0 		35,653
0 		52,296
0 		12,296
0 		2,495
0 		241,538
0 		0
0
(144) Eric Weaverling (i)
(ii)		 214,027
0 		18,079
0 		1,020
0 		10,353
0 		12,803
0 		256,282
0 		0
0
(145) Joel Yuhas (i)
(ii)		 0
244,407 		0
209,566 		0
308,612 		0
49,509 		0
145,262 		0
957,356 		0
6,284
(146) Dennis Zerega (i)
(ii)		 179,275
0 		67,000
0 		4,038
0 		15,479
0 		17,345
0 		283,137
0 		0
0
(147) Rudolph Antoncic Jr (i)
(ii)		 273,545
0 		39,843
0 		3,578
0 		51,207
0 		12,568
0 		380,741
0 		0
0
(148) Ghassan Bejjani MD (i)
(ii)		 1,192,868
0 		1,640,410
0 		1,140
0 		9,800
0 		17,478
0 		2,861,696
0 		0
0
(149) Richard Spiro MD (i)
(ii)		 1,035,969
0 		876,446
0 		47,927
0 		12,250
0 		7,880
0 		1,980,472
0 		0
0
(150) Mark Rodosky MD (i)
(ii)		 499,475
0 		1,306,833
0 		52,994
0 		14,700
0 		6,824
0 		1,880,826
0 		0
0
(151) Adnan Abla MD (i)
(ii)		 894,059
0 		520,955
0 		20,523
0 		57,252
0 		22,431
0 		1,515,220
0 		0
0
(152) Victor Morell MD (i)
(ii)		 1,137,940
0 		125,285
0 		58,836
0 		14,700
0 		8,356
0 		1,345,117
0 		0
0
(153) Patricia Kaufman (i)
(ii)		 90,063
0 		30,750
0 		648
0 		7,054
0 		430
0 		128,945
0 		0
0
(154) Jules Sumkin MD (i)
(ii)		 479,992
0 		25,579
0 		66,972
0 		17,150
0 		5,241
0 		594,934
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule J Part 1 Question 1 UPMC may provide the following benefits to certain executives when they are required to achieve UPMC objectives: first-class or charter travel; 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 and is subject to review and approval processes. Question 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 "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, this benefit, which has been earned over her or his entire career, has not and will not be distributed until the officer or key employee retires from UPMC. The supplemental retirement program provides for the 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. Question 7 UPMC provides incentive compensation as part of its total compensation program for officers and key employees. 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.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
UPMC GROUP
 
Employer identification number
20-8295721
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A Allegheny County Hospital Development Authority
  		25-1327925   05-03-2006 5,753,346 May 3, 2006 Financing - See Sch O   X   X   X
B Allegheny County Hospital Development Authority
  		25-1327925   12-22-2006 25,000,000 Dec 22, 2006 Financing- See Sch O   X   X   X
C Allegheny County Hospital Development Authority
  		25-1327925   03-28-2007 9,826,081 Mar 28, 2007 Financing- See Sch O   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 1,412,004 4,179,595 1,552,943  
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 5,753,346 25,000,000 9,826,081  
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 29,878      
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 5,723,468 25,000,000 9,826,081  
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2006 2007 2007
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X   X X      
15 Were the bonds issued as part of an advance refunding issue?   X   X   X    
16 Has the final allocation of proceeds been made? . . X   X   X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X      
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X   X    
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X   X    
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X    
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X      
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet        
6 Total of lines 4 and 5 . . .. . . . . .        
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X    
2 Is the bond issue a variable rate issue?   X   X   X    
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X    
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X    
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X    
6 Did the bond issue qualify for an exception to rebate? . . . X   X   X      
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UPMC GROUP
 
Employer identification number

20-8295721
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) See Schedule O          
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UPMC GROUP
 
Employer identification number

20-8295721
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Baby Formula ) X 0 625,144 Fair Market Value
26 Other Right pointing arrow large image ( Misc ) X 0 6,700 Fair Market Value
27 Other Right pointing arrow large image ( Admission Tickets ) X 0 13,000 Fair Market Value
28 Other Right pointing arrow large image ( Steelers Helms ) X 0 23,225 Fair Market Value
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Additional Information   Magee Womens Hospital of UPMC receives donations of infant formula that it in turn distributes to needy mothers of infants who could not otherwise afford the formula. For various fundraising events Steeler items, amusement park admission tickets and other such items are donated for use in the fundraising event.
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
UPMC GROUP
 
Employer identification number

20-8295721
Identifier Return Reference Explanation
Part 1 Summary Line 8: Contributions and Grants PART I, LINE 8 CONTRIBUTIONS, GRANTS AND SIMILAR AMOUNTS RECEIVED: Pursuant to Treasury regulation Section 1.6033-2(D)(5) the sponsoring entity of UPMC Group, UPMC, has elected to report information about contributions, grants and similar amounts received; compensation and other information about officers, directors, trustees, and key employees; certain other highly paid employees; certain independent contractors on a consolidated basis along with all members of the UPMC Group in the UPMC Group return.
Part III Statement of Program Service Accomplishments Organizations Programs and Accomplishments UPMC Group - EIN 20-8295721 Form 990 - Fiscal Year Ended 06/30/2011 Part III - Statement of Program Service Accomplishments UPMC Group reflects the composite information and operations of thirty-six (36) tax exempt entities, including 12 hospitals, 6 physician service entities, 3 skilled nursing facilities, and 15 other ancillary service and support entities from within the UPMC (University of Pittsburgh Medical Center) integrated healthcare delivery system. This delivery system is comprised of premier healthcare providers in the areas of acute inpatient hospitals, cancer treatment facilities, physician services, skilled nursing facilities and all other ancillary healthcare support services. During the fiscal year ended June 30, 2011, the entities within UPMC Group admitted 190,216 inpatients, recorded 1,133,771 inpatient days, 534,537 emergency room visits, 173,997 surgeries, and 637 transplants, and provided charity care and other uncompensated care, including Medicaid and Medicare Shortfalls, at cost, of approximately $292,000,000. UPMC Group provided services to the community through outreach programs, screenings, educational classes, volunteer services, etc. at a cost of over $71,000,000. UPMC Group also provided funding for research and health professions education in excess of $137,000,000. UPMC Presbyterian Shadyside - EIN 25-0965480; 170(b)(1)(A)(iii); 509(a)(1) UPMC Presbyterian Shadyside (the Hospital) is the academic hub of UPMC's inpatient provider services, and is the region's largest inpatient acute care hospital. The mission of UPMC Presbyterian Shadyside is to provide premier programs in patient care, biomedical and health services research, and teaching that will contribute to the prevention, diagnosis, and treatment of human disease and disability, regardless of patients' ability to pay. The facilities that are a part of the UPMC Presbyterian Shadyside campuses are UPMC Presbyterian, UPMC Shadyside, Western Psychiatric Institute and Clinic (WPIC), UPMC Montefiore, Eye and Ear Institute, and the Hillman Cancer Center. The Hospital has leading programs in organ transplantation, oncology, cardiology and cardiothoracic surgery, critical care medicine and trauma services, neurosurgery, orthopedics, ophthalmology, and behavioral health, as well as all other medical specialties. UPMC Presbyterian is a 794-bed teaching hospital that has been providing health care since 1893. UPMC Shadyside is a 519-bed tertiary hospital that has been serving the residents of Pittsburgh and the tri-state area since 1866 and is a Magnet designated hospital. Magnet status is one of the highest achievements a hospital can obtain in professional nursing, and demonstrates nursing excellence, a commitment to quality patient care, and a healthy work environment. Western Psychiatric Institute and Clinic is a 292-inpatient-bed facility that is a national leader in the treatment of mental health and addictive disorders. During the fiscal year ended June 30, 2011, the UPMC Presbyterian Shadyside facilities admitted 64,997 inpatients, recorded 477,734 inpatient days, 119,381 emergency room visits, 48,129 surgeries, 105 liver transplants, 126 kidney transplants, and 327 other transplants, and provided charity care and other uncompensated care, including Medicaid and Medicare Shortfalls, at cost, of approximately $137,000,000. Over 64% of patients have Medicare or state Medicaid health coverage. UPMC Presbyterian Shadyside is actively involved in sponsoring many programs for patients, children, teens, seniors, and the community as a whole. The Hospital provides the services to the community through outreach programs, referral centers, screenings, educational classes, and mentorships, which are targeted at patients, patients' families, and the community at large, at an estimated cost of $43,000,000. UPMC Presbyterian Shadyside funded research and health professions education at an estimated cost of $33,000,000. The Hospital reached the community through many educational presentations, video conferences, podcasts, health fairs at schools and neighborhood centers, free screenings, support groups, and provided information about free treatment programs available for depression and manic depression. Other programs that benefited patients were the free/courtesy parking during day of discharge and during emergency room visits and use of the Blue Shuttle, which provides free transportation from Family House to the Hospital. Free parking was offered to participants in the Race for the Cure, Tech-Link Robocamp, blood drives, Oakland farmers market, and for commencement exercises at area universities. Staff participated in a health focus promotion event in a newly renovated park. The Hospital's food service department provided refreshments, and free parking was provided for participating organizations. The Hospital also provided medications to patients being discharged who could not afford the cost of prescriptions. Assistance with guardianship services was provided to patients with financial difficulty, and housing assistance was provided to patients' families who experienced financial difficulty. Bus and cab vouchers were given to patients who were in true need for transportation to their home after their hospital discharge. Sports medicine provided assessment for speed, power, ability, and strength for high school football players, and provided sports medicine education to marathon runners at the Pittsburgh Marathon Expo, as well as medical coverage the day of the event. They also held educational sessions with parents and athletes focusing on the management, prevention, and rehabilitation of concussions. Exercise and health information was provided at the Girls and Women in Sports Festival and to parents and children attending the All Pro Dad Day. A special needs football camp was held for children with Down syndrome. The children learned football related drills and participated in a flag football game. Engineering and maintenance staff contributed labor and materials in an effort to maintain the physical appearance of a local area park. Landscaping, planting, grass cutting, debris removal, snow removal, salting, and other maintenance services were performed in the park. The department also allowed the use of its incinerator for the disposal of over 1,000 pounds of refuse materials from various municipalities. Staff attended the Senior Celebration in the Park, the Diabetes Expo, and numerous health fairs in the area. Subjects covered included injury prevention, eye health, diabetes, stroke, blood pressure, HIV, and many other medical issues. CPR classes were offered, and blood drives were held on site. Staff also participated in Scouting for Food, the School Tools initiative, and the Karing for Kids Toy Drive to provide toys for children in foster care and homeless shelters.
Part III Statement of Program Service Accomplishments Organizations Programs and Accomplishments (continued) Children's Hospital of Pittsburgh of the UPMC Health System - EIN 25-0402510; 170(b)(1)(A)(iii); 501(a)(1) Renowned for its outstanding clinical services, research programs and medical education, Children's Hospital of Pittsburgh of UPMC (the Hospital) has helped to establish the standards of excellence in pediatric care. From ambulatory care to transplantation and cardiac care, talented and committed pediatric experts care for infants, children and adolescents who make more than 1,000,000 visits to Children's and its satellite locations each year. The primary mission of Children's Hospital of Pittsburgh is to serve as a community resource dedicated to improving the health and well-being of children of all ages, through excellence in patient care, teaching, and research, regardless of their ability to pay. Children's Hospital of Pittsburgh leads the way in advanced technology application for its use of electronic medical records and has been recognized by an independent health care research organization as the number one pediatric hospital in its use of health care information technology. During the fiscal year ended June 30, 2011, the Hospital admitted 13,687 inpatients, recorded 76,646 inpatient days, 74,334 emergency room visits, 79 transplants, 25,047 surgeries, and provided charity care and other uncompensated care, including Medicaid and Medicare Shortfalls, at cost, of approximately $37,400,000. The Hospital provided services to the community through outreach programs, referral centers, screenings, educational classes and mentorships which are targeted at patients, patients' families and the community at large, at a cost of $4,000,000. The Hospital supported unfunded research for $7,900,000 during fiscal year 2011. One of the community programs offered by the Hospital is the Family Care Connection (FCC). The FCC offers a variety of family support programs enhancing relationships between parents and children, improving maternal and child health, addressing school readiness through child development activities, and assessing and educating to prevent child abuse and neglect. FCC staff provides home visits, on-site programming and consultation, referral and linkages to a vast number of community agencies, and child development, parenting education, and community-building activities. Children's Hospital of Pittsburgh's Ronald McDonald House Charities Mobile Health Care Unit, in partnership with other community resources, is focused at improving healthy outcomes, promoting well-being, and providing continuity of care for children who are medically underserved. Patients are seen five days per week. Staff attends approximately 20 health fairs or other health events each year. A distracted driving simulator program was presented in the community and at various schools. An underage drinking prevention assembly was presented to middle and high school students. Teen drivers and their parents were presented with an educational program to teach the realities of motor vehicle crashes. The Discovery Program is presented at preschools, day care centers, primary grades, and community organizations to teach children the positive aspects of hospitals and health care settings through the use of photographs, videos, dolls, and safe medical supplies. Discovery enhances children's trust in health care providers and lessens their fears and misconceptions if they or a family member must be hospitalized. Babysitting 101 was offered to boys and girls ages 11 and up to learn about safety for themselves and the children in their care, including first aid basics, choking rescue techniques, child development, and routine daily care. CPR and first aid classes were presented to children and adults in Boy Scouts, Girl Scouts, community centers, social service agencies, and schools. Middle school students were also mentored through the Health Rangers program to introduce them to the workplace and jobs in a health care setting. Positive parenting classes, workshops, and healthy lifestyle classes were offered to families. Topics covered included discipline, behavior management, homework, child development, healthy food choices, and physical activity. Staff attended over 45 health fairs in area communities, schools, the Children's Museum, and the Pittsburgh Zoo and PPG Aquarium. Information was presented on exercise, healthy lifestyles, nutrition, injury prevention, and Hospital services. The Hospital provided child passenger safety education and car seats to families upon discharge from the hospital. Staff also participated in monthly car seat checks in surrounding communities. The Safety Center in the Family Resource Center is open to the community and families from the hospital to obtain free safety resources, education, and hands on skill training. Magee-Womens Hospital of UPMC - EIN 25-0965420; 170(b)(1)(A)(iii); 509(a)(1) Magee-Womens Hospital of UPMC (the Hospital/Magee) enhances the health care and well-being of women, infants, and their families. As a National Center of Excellence in Women's Health, Magee is consistently recognized for medical excellence and innovation, outstanding patient care, education, research, standards development, and advocacy. Magee is committed to providing superior care to area families, regardless of their ability to pay. Magee is a full-service acute care, research and teaching center for women, men, and newborns. The Hospital has expanded to include a range of services to both men and women: diagnostic imaging, including CT and MRI, a heart center, bariatric surgery, orthopaedics, digestive disorders, pulmonology, thoracic surgery, plastic surgery, vascular surgery, cancer, neurology, and urology. Recognized as a National Center of Excellence in Women's Health by the US Department of Health and Human Services, Magee serves as the teaching facility for obstetrics, gynecology, gynecologic oncology, and neonatology for the University of Pittsburgh (the University). Members of the medical staff hold academic appointments at the University and are actively involved in education and research, as well as patient care. Nearly 10,000 births occur at Magee each year. Magee is also the regional referral center for high-risk maternal care. The hospital's neonatal intensive care unit is the largest in Pennsylvania, treating more than 1,500 seriously or critically ill infants annually. During the fiscal year ended June 30, 2011, Magee admitted 20,883 patients, recorded 89,577 inpatient days, 21,285 emergency room visits, 17,600 surgeries, and provided charity care and other uncompensated care, including Medicaid and Medicare Shortfalls, at cost, of approximately $13,000,000. Magee is actively involved in the community, serving infants, teens, women and men, and their families. During the fiscal year ended June 30, 2011, the Hospital provided community service programs and funding of approximately $5,600,000. The Hospital offers prenatal classes free of charge to those in medical assistance insurance programs. They also provide weekly prenatal emails to pregnant women and their family members. The emails include health information on the growing baby, current research findings on newborn health, and health behaviors for pregnant women, such as smoking cessation, breastfeeding, and postpartum depression awareness. Nurse educators respond to various health concerns of women in the community who call Magee and are directed to the Department of Education for phone consultation. These calls are often from the general public rather than patients. Information sessions regarding bariatric surgery were presented to the public. Risks and conditions that are associated with obesity were discussed, and surgical options were presented to educate the audience on interventions to manage obesity, achieve weight loss, and take the necessary steps to improve health. The Hospital held a local New Balance Girls on the Run 5K. This is a 12-week program designed to build a sense of community support for empowerment of girls and women and healthy lifestyles for all people. The program culminated with a 5K race held at a local park. Conference center space was donated to various organizations to hold their meetings or educational programs. The Hospital also provided coordination of each event, including arranging space, audiovisual support, dietary, and conference registration. The Maternal and Child Health Course was offered by the Hospital to expose high school students to lectures and site visits that will enhance their understanding of issues in maternal and child care and the available community resources.
Part III Statement of Program Service Accomplishments Organizations Programs and Accomplishments (continued) UPMC Mercy - EIN 25-0965429; 170(b)(1)(A)(iii); 509(a)(1) UPMC Mercy (formerly The Mercy Hospital of Pittsburgh) was the first hospital in Pittsburgh and the first Mercy Hospital in the world established in 1847 by the Sisters of Mercy. UPMC Mercy (the Hospital) offers a broad range of services, and provides compassionate care in the Catholic tradition. The social responsibility of Catholic health care is guided by five essential principles: to promote human dignity, to care for the poor, to contribute to the common good, to exercise responsible stewardship, and adherence to the moral teachings of the Church. UPMC Mercy is Pittsburgh's only Catholic hospital with specialized services, including the neurosciences, Level 1 trauma and burn services, women's health, orthopaedics, and physical medicine and rehabilitation. Care is provided to all in need, regardless of their ability to pay. The Hospital carries out its mission through its core values and with a commitment to being a transforming, healing presence within the communities it serves. During the fiscal year ended June 30, 2011, UPMC Mercy admitted 21,486 inpatients, recorded 131,321 inpatient days, 66,972 emergency room visits, 20,209 surgeries, and provided charity care and other uncompensated care, including Medicaid and Medicare Shortfalls, at cost, of approximately $13,000,000. The Medicare and Medicaid programs covered 59% of the payor population at UPMC Mercy for the fiscal year ended June 30, 2011. UPMC Mercy provides services to the community through various outreach programs, as well as health professions education at a cost of $3,300,000 which is borne by the Hospital. Staff from UPMC Mercy participated in various community health fairs. They provided educational information in areas of rehabilitation, stroke, diabetes, screenings, and counseling. Support groups for stroke, cancer, diabetes, burn victims, cardiac patients, spinal cord injury victims, and amputees are offered. The Hospital also provided spiritual care and health care to the homeless. Blood drives were held at the Hospital. UPMC Mercy provides job shadowing and mentoring experiences for nursing students and clinical training for phlebotomy students. UPMC St. Margaret - EIN 23-2875070; 170(b)(1)(A)(iii); 509(a)(1) UPMC St. Margaret (the Hospital) is a 249-bed acute-care and teaching hospital serving primarily the more than 250,000 residents of Pittsburgh's northern and eastern suburbs and is a Magnet designated hospital. Magnet status is the highest international recognition for nursing excellence and leadership. Founded in 1898, UPMC St. Margaret is home to one of the oldest and largest family practice residency programs in Pennsylvania. UPMC St. Margaret is committed to its mission of providing quality health care to all in need and has put in place policies to assure access to its services, regardless of ability to pay. During the fiscal year ended June 30, 2011, UPMC St. Margaret admitted 15,108 inpatients, recorded 74,020 inpatient days, 40,466 emergency room visits, 16,282 surgeries, and provided charity care and other uncompensated care, including Medicaid, at cost, of approximately $11,000,000. The Medicare and Medicaid programs covered 56% of the payor population at UPMC St. Margaret for the fiscal year ended June 30, 2011. UPMC St. Margaret also provided services to the community through free or low-cost outreach programs targeted at patients, patients' families, and the community. All of these programs and support have assisted thousands of people in the community. UPMC St. Margaret also funded schools of health professions. UPMC St. Margaret funded almost $2,500,000 in fiscal year 2011 in order to operate these programs. The paramedic response team provides advanced life support to patients and assistance to local ambulance services. The unit is staffed with a staff paramedic who responds to assist when dispatched by county 911. Patients, family members and members of the community have access to the Health Sciences Library at the Hospital. The library provides health and disease-specific research, internet, email access, and recreational reading materials. The community, including students, patients, nurses, and physicians, routinely accesses the library's extensive collection of books and periodicals as a part of information gathering. Free medications are distributed through the family health center pharmacists and physicians to supply indigent patients with maintenance medications. Physicians from the Hospital conducted health information lectures for community members at local libraries. Topics covered were heart disease, knee pain treatment, back pain prevention, diabetes management, stroke, and arthritis treatment. Community residents, primarily senior citizens, benefited from flu immunizations. Bariatric surgery informational sessions and support groups were held to discuss procedures, risks, exercise, nutrition, and support to patients who are pre and post-surgery. A bariatric newsletter created by Pittsburgh Bariatrics is emailed and mailed to patients, as well as placed in new patient packets. The newsletter is designed to keep patients engaged in the hospital and bariatric program for success and behavior modification before and after bariatric surgery. Kids Say Don't Smoke is presented to third grade school students to give them a strong tobacco avoidance message. A poster contest is held, and the initiative is supplemented with Tar Wars, an anti-smoking program presented to fifth grade elementary students. Hospital employees staffed and donated goods to the Dress for Success clothing drive. Through the United Way Day of Caring, Hospital administration staff helped replace, remodel, clean-up, and improve Camp Guyasuta, a year round camp owned and operated by the Greater Pittsburgh Council - Boy Scouts of America. Staff also conducted free blood pressure and BMI screenings and provided cardiovascular risk assessment information and pedometers to all participants. Free pulse ox readings, cancer prevention information, stroke screenings, and healthy lifestyles information was presented at various health fairs.
Part III Statement of Program Service Accomplishments Organizations Programs and Accomplishments (continued) UPMC Passavant - EIN 25-0965451; 170(b)(1)(A)(iii); 509(a)(1) Founded in 1849, UPMC Passavant (the Hospital) is a provider of quality health care services to patients in the areas of acute care, emergency, inpatient, outpatient, and community outreach. It provides these services to patients in the northern metropolitan region of Pittsburgh and Allegheny County and southern Butler County, regardless of their ability to pay. As UPMC's tertiary care center north of Pittsburgh, this state-of-the-art hospital offers UPMC's brand of world-class medical care at two campuses to serve communities north of the city. Through Passavant, high-quality care and all of the resources of an academic medical center are now available closer to residents north of Pittsburgh. With strong specialty programs in heart care, cancer care, orthopaedics, and spine surgery at the McCandless campus; a Comprehensive Breast Center and state-of-the-art Imaging Center at the Cranberry campus; a truly patient-and-family-centered atmosphere; and expansion projects under way at both hospital campuses, UPMC Passavant is demonstrating its commitment to excellence in patient care. During the fiscal year ended June 30, 2011, UPMC Passavant admitted 18,331 inpatients, recorded 98,629 inpatient days, 58,433 emergency room visits, performed 17,708 surgeries, and provided charity care and other uncompensated care, including Medicaid and Medicare Shortfalls, at cost, of approximately $13,000,000. The Medicare and Medicaid programs covered 56% of the payor population at UPMC Passavant for the fiscal year ended June 30, 2011. UPMC Passavant provided many community outreach and support programs in fiscal year 2011 that included health fairs, health screenings, educational/counseling programs, immunizations, support groups, and many other programs that benefited the general population of the community. These services helped thousands of community members understand and manage a wide array of health care issues and conditions. The value of these programs and other funding to the community was approximately $3,000,000. The community benefited from many of the Hospital's educational presentations. Healthy Living seminars covered subjects including, but not limited to, heart disease, weight loss, carpal tunnel, kidney disease, over-the-counter medications, Parkinson's disease, and balance disorders. Extending the Care Series was a resource program presenting such topics as bike safety, cardiovascular system, autism, nutrition, diabetes, breast cancer, vision, menopause, and women's health. The EnCare program, a part of the healthy lifestyle center of the Hospital, provided information to area high school students regarding the dangers of drinking and driving and injury prevention. In partnership with AARP, the Hospital provided mature driving classes to senior citizens. The Hospital also held memorial services, open to the community, to help families and friends in their grief and mourning of the loss of a loved one. The Bridge to Hope program helped parents, families, and friends identify signs of drug usage, determine actions to take if signs are observed, and what treatment and supports are available when usage is confirmed. The program also presented school districts and agencies with a presentation focused on families' recovery from a loved one's addiction. The Hospital participated in a child car seat safety check event. Child car seats were inspected for appropriate installation, and out of date/unsafe seats were replaced. Presentations on bicycle safety and helmet use were given at a local elementary school. UPMC Horizon - EIN 25-0523970; 170(b)(1)(A)(iii); 509(a)(1) Founded in 1906, UPMC Horizon (the Hospital) strives to be the premier health care delivery system in Mercer County. Its mission is to provide exemplary health care services. UPMC Horizon provides patient-centered, quality health care in a cost-effective manner, subscribing to the values of excellence, compassion, and the respect for human dignity, regardless of a patient's ability to pay. UPMC Horizon, with campuses in Greenville and Shenango Valley, offers programs of clinical expertise in primary care medicine, cardiology, oncology services, digestive disorders, bariatric surgery, women's health, radiology/imaging services, and pain management. During the fiscal year June 30, 2011, UPMC Horizon admitted 7,749 inpatients, recorded 38,986 inpatient days, had 35,844 emergency room visits, performed 11,120 surgeries, and provided charity care and other uncompensated care, including Medicaid and Medicare Shortfalls, at cost, in excess of $16,000,000. Over 61% of the payor mix of UPMC Horizon was comprised of Medicare and Medicaid patients. The communities served by UPMC Horizon are located in an economically distressed and medically underserved area. During the fiscal year ended June 30, 2011, UPMC Horizon provided community service programs and funding of approximately $4,600,000. Many groups within the community benefited from UPMC Horizon's diabetes initiative. Blood sugar screenings and educational presentations were given to diabetes support groups to raise public awareness of the disease. The Hospital participated in numerous health fairs. Topics covered were exercise, cancer, diabetes, nutrition, heart disease, healthy lifestyles, stroke, prenatal health, primary care, and women's health. Other initiatives that benefited the community were glaucoma screenings, blood pressure screenings, cardiovascular screenings, diabetes screenings, and heel (bone density) screenings. CPR Anytime provided kits to local schools and to pregnant women and their families to educate them on the importance of CPR. The Hospital staff mentored STAT MedEvac flight team personnel for the purpose of assisting the flight team members with meeting their quarterly training requirements. Lamaze classes and refresher classes were offered to expectant parents, and breast feeding classes were offered to new mothers. Safe driving classes were provided to senior citizens. The Womancare Center offered the Girls on the Run after school program, pediatric classes, sibling classes, baby care basics, nutritional counseling, bariatric surgery information sessions, and community lectures on multiple topics. Medical coverage was provided to walkers participating in a local community charitable event. UPMC Horizon provided meeting space to area support groups: Bereavement, Cancer, Empty Arms, Mercer County Diabetes, Weight Loss, Lupus, Mercer County Breast Cancer, Ostomy, Fibromyalgia, Pulmonary Hypertension, Multiple Sclerosis, and Parents of Murdered Children. The Hospital donated a base of operations for STAT MedEvac (emergency helicopter service) in Greenville, as well as additional funding to cover expenses such as supplies, office space, and blood product storage. Classroom space was also provided to the Mercer County Vocational School. The Hospital participated in the American Heart Association Training Center, which served multiple counties and agencies to provide lifesaving training in cardiopulmonary resuscitation, as well as first aid and blood borne pathogen training. The Hospital's participation included ordering supplies, maintaining equipment, paperwork, registration and scheduling, instructor compliance, updates, and reporting to required agencies.
Part III Statement of Program Service Accomplishments Organizations Programs and Accomplishments (continued) UPMC Northwest - EIN 25-0489010; 170(b)(1)(A)(iii); 509(a)(1) UPMC Northwest (the Hospital), established in 1899, serves the residents of the Franklin and Oil City areas and surrounding communities. UPMC Northwest is a state-of-the-art medical facility providing acute inpatient, outpatient, behavioral health, rehabilitation, skilled nursing, and support and education services. The Hospital provides services to all persons, regardless of ability to pay. Greater than 66% of patients were Medicare or state Medicaid patients. During the fiscal year ended June 30, 2011, UPMC Northwest admitted 7,226 patients, recorded 37,549 inpatient days, had 31,331 emergency room visits, performed 6,317 surgeries, and provided charity care and other uncompensated care, including Medicaid and Medicare Shortfalls, at cost, in excess of $10,200,000. The Hospital provided services to the community in the aggregate of over $725,000 through community outreach programs targeted at patients, their families, and the community. Families benefited from the Prepared Childbirth Classes, which readied participants for their childbirth experience. The Hospital offered infant care classes which provided information to parents on how to care for newborns, and sibling classes which prepared children to become big brothers or big sisters. Especially for Women provided information and screenings for women's health, and health fairs and educational programs provided blood pressure screenings, smoking cessation information, nutrition information, stroke screenings, stroke education, carotid artery evaluations, osteoporosis screenings, body composition, prostate screenings, and diabetes education. Staff processed approximately 750 results from health fair screenings. The Hospital provided complementary room space to several organizations. Some of these organizations included Safe Kids Coalition, Venango Forest Cancer Coalition, Lupus Support Group, Weight Loss Surgery Support Group, Serve Safe Class, Seniors for Safe Driving, and the Public Flu Shot Clinic. Children benefited from several health fairs that focused on their health and well-being. They were educated on healthy snacking and portion control, sun safety, and the importance of general hygiene and hand washing. Pre-teens and teens were taught safe babysitting techniques including infant and child CPR and first aid. Camp Good Grief helped grieving children cope with the loss of a loved one or a friend. Project Search provided internships for cognitively challenged students with a goal of teaching them employment skills. The Behavioral Health Patient Transportation Program benefited patients who were unable to afford or find transportation back to their home areas. Cancer survivors and their family members were celebrated at the Annual Survivor's Night Picnic and commemorative ceremony. The program included a blessing, a speech by a survivor, picnic dinner, door prizes, and a luminary ceremony to honor those who have survived, as well as those who have lost their battle with cancer. Blood drives held throughout the year benefited the entire community. The Better Breathing Clinic was an initiative to improve the care of COPD patients. This clinic covered how the lungs work, COPD medications, smoking cessation, proven methods to lower anxiety and combat depression, how exercise improves lung function, and methods to conserve energy while doing everyday tasks. UPMC Braddock - EIN 25-1800797; 170(b)(1)(A)(iii); 509(a)(1) In October 2009, UPMC's Board of Directors approved management's plan to close its Braddock facility effective January 31, 2010. Clinical operations at Braddock began shifting to other UPMC facilities beginning in November 2009. There are currently approximately 60 sites where outpatient/physician care is available within the Braddock market, and these services are being maintained. UPMC is also committed to expanding open access care available in the evenings and on the weekends. Outreach services in support of the health of the Braddock community continue to be supported by UPMC. These services include: UPMC Steps to a Healthy Community, a health disparities initiative providing navigation, counseling, advocacy, and referral services for health and human services needs; House of HOPE of Western Psychiatric Institute and Clinic, a Braddock shelter for homeless, addicted pregnant women, and new mothers and their families; UPMC McKeesport Health Transportation "Dial-a-ride" service providing free door-to-door transportation to specific health needs; continuing access to expanded primary care services in cooperation with the Braddock Family Health Center, a federally qualified health center (FQHC) and to relocated primary care and specialty physician offices in neighboring Forest Hills (accessed by the "dial-a-ride" service); community-based diagnostics through the new UPMC McKeesport Outpatient Center in Forest Hills (also accessed via "dial-a-ride" service); and in-home phlebotomy service for the homebound through the UPMC McKeesport Homebound Phlebotomy Service; dental services through the Braddock Dental Center of UPMC Presbyterian Shadyside; and child and family support services through the UPMC Health for Life Summer Camp at Braddock and the Family Care Connection of Children's Hospital of Pittsburgh of the UPMC Health System. In April 2010, the Braddock Borough Council approved a redevelopment plan that included the demolition of the existing facility to make way for a proposed mixed-use site to include senior citizen housing, physicians' offices, and job retraining classrooms. UPMC has funded the costs of demolition, as well as a portion of the redevelopment project that will be conducted by the Redevelopment Authority of Allegheny County.
Part III Statement of Program Service Accomplishments Organizations Programs and Accomplishments (continued) UPMC McKeesport - EIN 25-0965423; 170(b)(1)(A)(iii); 509(a)(1) Founded in 1894, UPMC McKeesport (the Hospital) is a nonprofit acute care community hospital that primarily serves the residents of McKeesport and the surrounding area. UPMC McKeesport is a teaching hospital, with residency programs in both family practice and internal medicine. UPMC McKeesport provides a wide range of quality health care services, regardless of race, creed, sex, national origin, handicap, age, or ability to pay. It is located in a geographical area of economic distress, and much of the surrounding community is recognized as underserved with a population that is elderly and economically disadvantaged. To serve this population, the Hospital is an approved site for the Program of All-inclusive Care for the Elderly (PACE). As a PACE site, UPMC McKeesport offers an innovative program of seamless health care to older patients. The Hospital's mission is to serve the community with respect to providing health care services and health care education to all persons. Therefore, in keeping with the Hospital's commitment to serve all members of its community, the following were provided regardless of an individual's ability to pay: free care and/or subsidized care, care provided to persons covered by governmental programs at below cost, and health activities and programs to support the community. Recognizing its mission to the community, services are provided to both Medicare and Medicaid patients. This population represented 75% of UPMC McKeesport's patient population base for fiscal year 2011. During the fiscal year ended June 30, 2011, UPMC McKeesport, in medical, surgical, behavioral health, rehabilitation, and transitional care, admitted 10,758 inpatients, recorded 65,526 inpatient days, 39,140 emergency room visits, and 4,423 surgeries. The Hospital provided charity care and other uncompensated care, including Medicaid and Medicare Shortfalls, at cost, in excess of $4,600,000. The Hospital provides services to the community through outreach programs, referral centers, screenings, educational classes, and funding of schools of health professions, to name a few, which are targeted at patients, patients' families, and the community at an estimated cost of $3,500,000. The community benefited from the Hospital's annual Harvest of Health Fair, which provided health testing, screenings (blood pressure, cholesterol, bone density, visual acuity, diabetes, etc.), flu vaccines, breast and prostate exams, and information and health education for diverse, underserved populations. In addition to the annual fair, community-based health screenings were held in various communities throughout the year. Screenings for cardiovascular disease were conducted at the UPMC McKeesport Cardiopulmonary Rehabilitation Center. The Hospital's pharmacy staff distributed over 5,500 free flu vaccinations to over one hundred sites. Also benefiting the community were the Adult Smoking Cessation Classes. These classes offered education and pharmacotherapy instruction, and nicotine patches, gum, and lozenges were provided at no cost to participants. Seasons of Song Presentations provided uplifting programs of songs, readings, and quizzes based thematically on the seasons of the year, special holiday celebrations, and the seasons of life. The programs are highly interactive with messages to lift spirits and encourage positive attitudes and outlooks to contribute to good health and wellness. The Hospital has a leadership role in The McKeesport Healthier Communities PartnerSHIP and Mon River Fleet Community Partnership. These organizations are members of the PA State Health Improvement PartnerSHIPS and are actively involved in improvements for residents of the Mon River Valley and fringe areas. Activities include regular meetings of the many community member agencies and community residents; collaborative events to provide health, education, safety, spiritual, social, recreation improvements and opportunities through health fairs, community days, children safety/health events, and in-services provided for partners on various social and health and human service topics/training. The McKeesport PartnerSHIP is comprised of seven logic models that address elder issues, youth issues, perinatal issues, safety, spiritual/faith building issues, economic development, and chronic diseases. Monthly meetings include planning events activities, providing speakers/trainers, reporting outcomes and activities by logic models, and distributing general information regarding community/city/church activities, etc. The Hospital donated 34 personal computers and 100 printers to a local school. Staff configured the devices for installation. Staff also coordinated fundraising activities to garner support for the United Way, Health for Life Summer Camp, Scouting for Food, and the American Heart Association Walk. The Hospital offered space to various organizations at reduced rates. Organizations that benefited from this rent reduction were the YMCA, McKeesport Hospital Foundation, the McKeesport Symphony, Riverset Credit Union, and Bradford Day Care. Space and logistic support (phone, computer service, etc.) was also provided for the Neighborhood Legal Services office to provide free legal counseling and assistance for community members. Senior citizens participated in the UPMC McKeesport Golden Key Club, which provided speakers for health education lectures on related community issues. The Hospital also provided transportation to patients, over age 65 and with physical limitations, through its Care Van Partnership coordinated through UPMC McKeesport Outpatient Services.
Part III Statement of Program Service Accomplishments Organizations Programs and Accomplishments (continued) UPMC Bedford - EIN 23-1396795; 170(b)(1)(A)(iii); 509(a)(1) UPMC Bedford (the Hospital) is an acute care general hospital, located in Everett, Pennsylvania, with units for medical, surgical, obstetrical, intensive care, coronary care, and telemetry services. It offers a variety of diagnostic capabilities, including CT scan, MRI, and lithotripsy. The Hospital operates a cardiac-pulmonary rehabilitation program, an outpatient procedure unit, and an ambulatory surgical unit. The emergency facilities include 24-hour in-house coverage, a licensed heliport for emergency transport, and trauma center affiliation. The Hospital is committed to providing services to all members of the community, regardless of their ability to pay. In fiscal year 2011, 46% of the total patients served were covered by Medicare and 14% had state Medicaid coverage. During the fiscal year ended June 30, 2011, UPMC Bedford admitted 2,099 inpatients, recorded 5,935 inpatient days, had 14,775 emergency room visits, performed 2,806 surgeries, and provided charity care and other uncompensated care, including Medicaid and Medicare Shortfalls, at cost, of approximately $2,700,000. The Hospital also provided services to the community whose aggregate value was approximately $2,000,000 through outreach programs targeted at patients, patients' families, and the community. Families benefited from the Prepared Childbirth Classes which discussed the basics of labor and delivery. Children participated in Sibling Classes where they learned how to hold a baby and change a diaper. The children toured the OB department and made a onesie shirt for the baby. Certificates are presented at the end of the class. Car seat check clinics were available for members of the community. Babysitting classes were held at the Hospital to educate area youth on the responsibility and overall care involved with babysitting. Attendees were given instruction on nutrition, first aid, emergencies, choking, fire, poison control, medication, activities, and general babysitting guidelines. Area elementary students benefited from the School Tools Drive in which the Hospital employees "adopted" children who needed supplies but could not afford them, purchased book bags, and filled the bags with school supplies appropriate to the age of the child. The Mitten Tree Initiative at Christmas collected mittens, gloves, hats, coats, boots, toys, and games that were donated to needy children. UPMC Bedford contributes space for several area groups. They include the Bosom Buddies Mastectomy Group, TOPPS Bedford, Multiple Sclerosis Support Group, Ostomy Support Group, and Overeaters Anonymous. The community benefited from many screenings sponsored by the Hospital. Screenings offered included PIXI bone density, multi-phasic lab screenings, glucose, visual, and vascular, as well as flu and pneumonia shots. Staff attended numerous area health fairs. Educational information was given to the public on such topics as diabetes, nutrition, exercise, cardiovascular disease, and advanced directives. The Hospital participated in the Good Turn Food Drive to assist area Scouts in collecting non-perishable food items. Hospital staff participated in the United Way Day of Caring by preparing for the Fall Foliage Festival and replacing light bulbs in Christmas decorations displayed in the business district. The Hospital utilized the radio and newspaper to place educational ads covering such topics as women's health issues and well-being, orthopaedic issues, sports injury prevention, and arthritis. Blood drives were held at the Hospital for employees and community members. Refreshments were provided. The Hospital, in partnership with the Pennsylvania State Police, provided a safe and legal place to dispose of unused and expired prescription drugs or over-the-counter medications. UPMC East - EIN 27-4814831; 170(b)(1)(A)(iii); 509(a)(1) Scheduled to open in summer 2012, UPMC East will be a full-service community hospital to provide patient-centered care. Located in Monroeville, UPMC East will serve patients using advanced technologies and is being built using environmentally efficient construction practices. All activities at UPMC East will be undertaken to reflect the four core values of "Your Care. Our Commitment," an initiative that represents our mission to embrace: quality and safety, dignity and respect, care and compassion, and community service.
Part III Statement of Program Service Accomplishments Organizations Programs and Accomplishments (continued) University of Pittsburgh Cancer Institute Cancer Services - EIN 25-1899326; 170(b)(1)(A)(iii); 509(a)(1) University of Pittsburgh Cancer Institute Cancer Services (Cancer Centers) provides the highest level of oncology services to patients throughout the tri-state region. Working in tandem with the University of Pittsburgh Cancer Institute (UPCI), which comprises the academic and research activities for oncology at the University of Pittsburgh and UPMC, UPMC Cancer Centers offers patients the latest advances in cancer prevention, detection, diagnosis, and treatment. The mission of UPMC Cancer Centers reflects the overall mission of UPCI as a premier National Cancer Institute-designated Comprehensive Cancer Center to provide the highest level of clinical care to the 30,000 patients treated at its facilities each year while performing cutting-edge cancer research. At UPMC Cancer Centers, more than 2,300 physicians, scientists, administrative staff, and other health care professionals work together to reduce the burden of cancer. They represent a variety of specialties including surgical oncology, medical oncology, radiation oncology, otolaryngology, neuro-oncology, gynecologic oncology, palliative care, and behavioral medicine. Combined, these disciplines give the Cancer Centers a range of knowledge which covers virtually all types of adult cancer. The medical professionals at UPMC Cancer Centers encompass 13 areas of expertise, each focusing on a specific type or treatment of cancer. These include a world-renowned Melanoma Program, as well as programs devoted to brain cancers, breast cancer, colon and gastrointestinal cancers, head and neck cancers, leukemias and lymphomas, liver cancer, lung cancer, gynecologic cancers, prostate and urologic cancers, and stem cell transplantation. Pediatric cancers are treated by specialists at the Children's Hospital of Pittsburgh of the UPMC Health System. UPMC Cancer Centers is committed to providing quality care regardless of a patient's ability to pay. This is evidenced by the fact that in the fiscal year ended June 30, 2011, UPMC Cancer Centers provided charity care and other uncompensated care, at cost, of approximately $400,000. UPMC Cancer Centers is one of the largest integrated community networks of cancer physicians and health care specialists in the country, and has now expanded internationally. The domestic network covers a geographic area of more than 200 miles around greater Pittsburgh, comprised of 180 affiliated oncologists at more than 35 locations throughout western Pennsylvania. These network locations were selected to make it possible for any patient in the region to access a UPMC Cancer Centers location within 20 minutes. These network locations are closely tied to the Hillman Cancer Center through personnel and technology linkages. Similarly, the overseas locations in Dublin and Waterford, Ireland, allow patients access to the expertise and technology available at the Hillman Cancer Center. In addition to the many services offered by UPMC Cancer Centers, there is also significant involvement in the community. During fiscal year 2011, UPMC Cancer Centers funded almost $10,000,000 to operate community benefit programs and to fund research. The Healthy Choices Cancer Awareness program offers students the knowledge of various topics about cancer prevention, with an emphasis in the areas of tobacco use, proper nutrition, skin care related to sun exposure, and environmental factors. The program includes lectures, along with opportunities for the students to participate in hands-on activities. The Healthy Choices for Students Summer Program was designed for children, as well as the general public, and conducted through various summer programs and county parks and pools. They received informational materials about cancer prevention, with an emphasis in the area of skin care related to sun exposure. The community benefited from prostate, breast, and cervical cancer screenings, education, and support groups; healthy lifestyles, skin cancer, and cancer risk reduction and early detection education; and health fairs. UPMC Cancer Centers hosts the American Cancer Society's Look Good Feel Better program. The program is for female patients going through cancer treatment and addresses some of the devastating side effects of chemotherapy, radiation, and some surgeries. It also enables women to meet with other women who are experiencing the same or similar side effects. Hillman Cancer Center (the Center) is the flagship treatment and research facility of the UPMC Cancer Centers network. Home to the state-of-the-art clinical services of UPMC Cancer Centers and the nationally and internationally recognized research of the University of Pittsburgh Cancer Institute, Hillman Cancer Center provides specialized diagnosis, treatment, prevention, and care for patients and their families. Hillman Cancer Center is home to internationally regarded surgical, medical, and radiation oncology specialists, who perform treatment procedures unavailable elsewhere in the region. The Center also has the region's most advanced imaging technologies to detect cancer and monitor treatment. Hillman Cancer Center is home to a component of the National Institutes of Health-funded General Clinical Research Center, which provides support for the conducting of clinical trials. Beyond clinical care, Hillman Cancer Center also has a full range of services to help patients better cope with cancer. Patients and their families have access to a wide array of educational, counseling, nutritional and genetic resources. Blood drives were held at the Hillman Cancer Center throughout the year. University of Pittsburgh Physicians - EIN 23-2919472; 170(b)(1)(A)(iii); 509(a)(1) The University of Pittsburgh Physicians (UPP) is a multi-specialty faculty/physician practice plan whose mission is to support the clinical and academic missions of UPMC, including all of its exempt 501(c)(3) hospitals, and support health care services subsidiaries and the University of Pittsburgh School of Medicine (School of Medicine), and to provide highly accessible, high-quality patient care through a wide array of physician/medical specialties at UPMC and its affiliated hospitals and health care entities. UPP includes 2,130 academic physicians and allied health care providers. The physicians' specialties include: anesthesiology, critical care medicine, cardiovascular services, urology, physical medicine and rehabilitation, emergency medicine, family medicine, pathology, psychiatry, radiology, radiation oncology, internal medicine, orthopaedics, neurology, neurosurgery, pediatrics, obstetrics and gynecology, surgery, dermatology, ophthalmology, otolaryngology, and heart, lung and esophageal surgery, as well as sub specialties within each of these broad categories. All UPP physicians are also members of the faculty of the University of Pittsburgh's School of Medicine. As faculty, they educate medical students and doctors in training. In addition to clinical patient care and resident education, many UPP physicians are involved in cutting-edge medical research. One of the primary exempt purposes and missions of UPP is to provide quality and accessible medical care to the public, without regard for a patient's ability to pay. This commitment is evidenced by the fact that UPP provided charity care and other uncompensated care, at cost, of approximately $25,000,000 in the fiscal year ended June 30, 2011. UPP serves to enhance the quality health care services of all of the tertiary and advanced care entities, as well as academic subsidiaries and affiliates of UPMC. As part of this mission, UPP also serves the community by providing free services and programs. Throughout the year UPP offered skin cancer screenings and cardiovascular risk screenings, which included height, weight, blood pressure, and body mass index. UPP also sponsored, along with other organizations, the Jerome Bettis Asthma Sports Camp. Over 400 free flu shots and rain check vouchers for over 125 flu shots were given at a local community event. The homeless, working poor, transiently housed, and uninsured are provided health care services at no charge through the Program for Health Care to Underserved Populations. The volunteer-staffed basic care clinics offer services that include general primary care, chronic disease management, medical and social service referrals, on-site mental health, vision and dental care, smoking cessation, as well as free pharmaceuticals/pharmaceutical assistance programs and health education. The clinics are staffed by volunteer physicians and pharmacists. In total, the community service programs provided by UPP, including its extensive funding of research, combine to provide over $82,000,000 of free health care related services in the fiscal year ended June 30, 2011.
Part III Statement of Program Service Accomplishments Organizations Programs and Accomplishments (continued) UPMC Community Medicine, Inc. - EIN 25-1727721; 170(b)(1)(A)(iii); 509(a)(1) It is the mission of UPMC Community Medicine, Inc. (CMI) to provide high-quality and accessible patient care through primary care physicians and other physician/medical specialties at UPMC and its affiliated hospitals and health care entities. The creation of CMI as a multi-specialty physician/practice plan has made obtaining medical care easier, more efficient, and more effective for patients. The resources of the vast array of medical physicians and specialists are easily and readily accessible to virtually all patients within CMI's service areas which include western Pennsylvania and the tri-state area. The physicians' specialties available within CMI include: family medicine, internal medicine, geriatrics, orthopaedics, neurosurgery, pediatrics, obstetrics/gynecology, surgery, ophthalmology, neurology, rheumatology, endocrinology, and pulmonology. As of June 30, 2011, CMI employed approximately 317 doctors in 113 practices and at 190 facilities. One of the primary exempt missions of CMI is to provide accessible, quality medical care to the public, without regard for a patient's ability to pay. This commitment is evidenced by the fact that CMI provided charity care or other uncompensated care and community services, at cost, of over $2,500,000 in the fiscal year ended June 30, 2011. CMI also serves to enhance the quality health care services of the hospitals and other healthcare subsidiaries and affiliates of UPMC. Greater than 41.9% of CMI's patients are covered by either Medicare and/or state Medical Assistance health insurance programs. As a part of its mission, CMI physicians and staff provide services to the community through various programs which are targeted to patients, patient families, and the community at large in an effort to educate and promote good health. On a routine basis and in conjunction with other UPMC entities and community resources, CMI physicians/practices/staff participate in various screening programs for medical conditions such as: osteoporosis, high blood pressure, diabetes, coronary heart failure, etc. Many CMI physicians and staff also participate in ongoing patient/family/community/physician educational programs related to the previously mentioned medical conditions and a variety of other timely medical topics which are designed to improve the quality of patient care and patient outcomes. CMI provides physician/medical services throughout Western Pennsylvania and the tri-state area in both urban and rural areas, including many underserved areas. Some of these areas would have no other physician presence otherwise. UPMC Horizon Community Health Foundation - EIN 25-1501823; 509(a)(3) UPMC Horizon Foundation (the Foundation) provides a volunteer network of community members to increase philanthropic support for UPMC Horizon (the Hospital). The Foundation raises and distributes money in support of programs and services that contribute to good health and improved quality of life for residents in the UPMC Horizon service area. The Foundation gave over $59,000 to provide general financial support to the activities and operations of various community organizations/projects in fiscal year 2011. UPMC McKeesport Physicians, Inc. - EIN 75-2994341; 170(b)(1)(A)(iii); 509(a)(1) UPMC McKeesport Physicians, Inc. in furtherance of their exempt purpose delivers or arranges for the delivery of health care services at UPMC McKeesport or at other tax-exempt hospitals affiliated with UPMC. The corporation also assists in the advancement and improvement of the provision of physicians services and any other health care services. Passavant Professional Associates, Inc. - EIN 25-1755608; 509(a)(2) Passavant Professional Associates, Inc. provides diagnostic cardiac support services for UPMC Passavant patients and related parties.
Part III Statement of Program Service Accomplishments Organizations Programs and Accomplishments (continued) Community Family Health Centers, Inc. - EIN 25-1790210; 170(b)(1)(A)(iii); 509(a)(1) Community Family Health Centers, Inc. (CFHC) is organized and operated exclusively for charitable, scientific, and educational purposes. CFHC has three primary activities: 1) to assist in developing and maintaining a neighborhood health center and to provide healthcare services to patients and their families in the underserved surrounding communities, regardless of their ability to pay; 2) to train and educate family practice physicians and residents of medical programs who serve in the surrounding community; and 3) to provide additional programs/services to educate and benefit the surrounding communities. CFHC currently operates a neighborhood health center to serve many diverse sectors of the Pittsburgh community, regardless of their ability to pay. Services provided at the health center include care for the entire family, such as sick and well-child visits, women's health care, total adult health care, and care for older adults. CFHC also offers family planning and pregnancy care, including delivery; care for emotional, marital, and social problems; sports medicine and treatment of minor injuries, including fractures; treatment of minor skin problems; house calls in the area if needed; laboratory services; and radiology services. For the fiscal year ending June 30, 2011, the neighborhood clinic received 31,091 visits and provided all services regardless of patients' ability to pay. Health Center Development - EIN 25-1412496; 509(a)(3) Health Center Development provides facilities for its tax-exempt affiliate, UPMC Presbyterian Shadyside, in furtherance of UPMC Presbyterian Shadyside's exempt mission. UPMC Emergency Medicine, Inc. - EIN 25-1787601; 509(a)(2) UPMC Emergency Medicine, Inc. (EM) provides emergency medical care and services to individuals in need of immediate medical treatment, regardless of their ability to pay, providing EM physician services and operating emergency departments of tax-exempt community hospitals that cannot adequately staff their emergency departments. As an emergency medical care provider, EM advances better coordination of patient care and efficiencies by providing each hospital's emergency department with a consistent core team of EM physicians and a medical director. In addition, EM enhances the transition of care from pre-hospital providers, such as emergency medical technicians (EMT's) to each hospital's emergency department by collaborating through its core team of EM physicians with ambulance services and EMT's serving the respective hospital. During the fiscal year ending June 30, 2011, hospital emergency rooms staffed by EM physicians and staff received 468,525 visits, and Urgent Care Centers had 23,368 visits. EM provided charity care and other uncompensated care, at cost, of approximately $4,500,000 in the fiscal year ended June 30, 2011. UPMC Occupational Medicine, Inc. - EIN 25-1525060; 509(a)(2) As part of UPMC's integrated delivery system of health care services, UPMC Occupational Medicine, Inc. offers physician services. Its mission is to work with the various organizations and corporations within the community to supply pre-employment physicals and drug testing. In addition, exams are given for Workers' Compensation claims. The physician determines the course of action that might be needed so that the employee can return to work as soon as possible. After a plan of action is determined, the UPMC McKeesport Worknet group assists with setting up appointments for physical therapy and occupational therapy. Follow up visits are also scheduled, as well as appointments to determine the level of work an employee can do upon their return to work. Sugarcreek Station - EIN 25-1472178; 170(b)(1)(A)(iii); 509(a)(1) Sugarcreek Station is a licensed, Medicare/Medicaid certified skilled nursing facility that provides skilled and intermediate long-term care services to residents 24 hours/day. The facility had an average daily census of 135.8, providing 49,583 days of care. The facility had a high Medicaid occupancy (69.4%) and accepted Medicaid reimbursement as total payment. During the fiscal year ended June 30, 2011, Sugarcreek Station provided uncompensated care of over $675,000. UPMC Visiting Nurses Association - EIN 25-1222033; 509(a)(2) UPMC Visiting Nurses Association (VNA) provides home health services to residents of Venango County. Home health services include nursing care, personal care, physical, speech, and occupational therapies, social services, support groups, nutrition counseling, community education, and screening clinics. These services are reimbursed by Medicare, Medicaid, private pay, and insurances. When no reimbursement source exists, the VNA provides services regardless of ability to pay. The hospice program provides the above services, as well as bereavement counseling and spiritual care. Private-duty services include personal care, companionship, meal preparation, errands, and emergency response system set-up. During the fiscal year ended June 30, 2011, VNA conducted 29,925 home visits, recorded 8,207 days of hospice care, 6,676 hospice visits, 258 hospice patients, and 49,536 private duty hours of service. In addition, the VNA utilizes a Congestive Heart Failure (CHF) program that incorporates standing physician orders and telehealth. Telehealth involves remote monitoring of a patient's vital signs via a unit placed in the patient's home, and the data is transferred electronically to the VNA office. Cranberry Place - EIN 04-3709885; 509(a)(2) Cranberry Place is licensed as a Continuing Care Retirement Community (CCRC). As such, Cranberry Place operates the entire continuum of senior care-independent living, personal care, and skilled nursing facilities. Cranberry Place's skilled nursing facility is a 150-bed residence that offers skilled nursing services, rehabilitative services, comprehensive long-term care and hospice care for the terminally ill. There is an on-site dialysis center. The facility is dually certified by Medicare and Medicaid. Spacious grounds, courtyards, and single level design allows for safe movement throughout the residence. The Cranberry Place skilled nursing site is located on the campus of UPMC Passavant-Cranberry Hospital in Cranberry Township. Cranberry Place offers personal care at its Cumberland Crossing Manor site. Personal Care residences make perfect homes for seniors who are generally independent but who may need an extra touch of care with day-to-day routines, like medications, nutritional support, and help with personal care. Cumberland Woods Village, an Independent Congregate Living Facility (ICL), is a residential facility for the elderly who are ambulatory without assistance, able to self-manage medications, and require no assistance with the activities of daily living. These residents are generally independent, but may need a little assistance in daily routines, including instrumental activities of daily living (IADLs), such as meal preparation and transportation. In addition to enjoying all of the amenities of the facility, these residents are free to come and go as they please and enjoy the added-benefit of live-in resident managers who are available to provide them with a worry-free lifestyle in a safe and secure environment. Cranberry Place is committed to older adults who live in the independent living facility and can provide the resident with skilled nursing and support services, if they are required, as the resident ages in the community. Cranberry Place provides the highest level of skilled care needed regardless of a patient's ability to pay. During the fiscal year ended June 30, 2011, Cranberry Place provided uncompensated care of approximately $604,000. The Heritage Shadyside - EIN 02-0614185; 509(a)(2) The Heritage Shadyside (Heritage) is a 145-bed continuing care facility located in the Squirrel Hill area of Pittsburgh. The Heritage provides a warm and caring atmosphere for patient care. The Heritage Shadyside is a residence that offers skilled nursing services, rehabilitative services, comprehensive long-term care, and hospice care for the terminally ill. The professional staff offers the emotional support of a family by remaining sensitive to every individual's needs. The mission of The Heritage Shadyside is to provide the best patient care regardless of a patient's ability to pay. During the fiscal year ended June 30, 2011, The Heritage Shadyside provided free or uncompensated care of approximately $800,000.
Part III Statement of Program Service Accomplishments Organizations Programs and Accomplishments (continued) UPMC Community Provider Services - EIN 25-1804746; 509(a)(2) UPMC Community Provider Services' programs include Living-at-Home, Follow-Me-Home, the Institute for Rehabilitation and Research, and the Institute on Aging. Living-at-Home and Follow-Me-Home are community outreach programs that provide ongoing case management services to senior citizens. The Institute for Rehabilitation and Research and the Institute on Aging are both collaborative programs that are designed to improve clinical and research capabilities to improve quality of care and outcomes for specific populations within western Pennsylvania and the nation. Overall for community benefit programs, UPMC Community Provider Services provided approximately $900,000 in support. UPMC Overseas, Inc. - EIN 23-2897716; 509(a)(3) UPMC Overseas supports the international organ transplantation program of UPMC Presbyterian Shadyside by coordinating the purchase of management and professional services for the Instituto, an Italian transplant facility operated as a joint venture between several Italian governmental hospitals and UPMC. The Center for Biosecurity of the University of Pittsburgh Medical Center - EIN 04-3770052; 170(b)(1)(A)(iii); 509(a)(1) The Center for Biosecurity of the University of Pittsburgh Medical Center (the Center) was organized to conduct scientific research and education: (a) to prevent the development and use of biological weapons; (b) to catalyze advances in science and governance that diminish the power of biological weapons as agents of mass lethality; and (c) to lessen the human suffering that would result if the prevention efforts failed. Modern societies are highly vulnerable to bioattacks because global travel enables rapid spread of contagious diseases. Adequate response is not dependent on military strength, but on medical and public health systems and the availability of effective drugs and vaccines. To counter the threat of bioterrorism, the United States is developing a new paradigm for defense, and realigning its national security priorities and investments accordingly. Hospital personnel, clinicians, public health officials and bioscientists are the frontline defenders in this new security era. An effective defense against bioattacks must include the design and construction of new operational systems that can deliver emergency medical care to a large number of critically ill individuals. To accomplish this, the time to develop new vaccines and create new drugs must be dramatically reduced in order to respond to unanticipated and bioengineered weapons. The work of the Center is intended to benefit the security of nations against biological weapons. The faculty of the Center gives presentations at medical, public health, and science meetings around the world on issues related to biodefense. The faculty of the Center serves on numerous task forces and committees that serve local, state, and international governments, and the faculty often testify before the United States Congress. University Health Center of Pittsburgh - EIN 25-6073026; 509(a)(3) The organization's primary exempt purpose is to provide leadership and management to graduate medical education programs. The University Health Center of Pittsburgh's (UHCP) primary activities consist of implementing, with non-profit Board direction and approval, policies and procedures for the common benefit of its member hospitals. These policies and procedures promote the operation of UHCP as an efficient, well-rounded, and effective community and regional health resource. UHCP also develops, focuses, facilitates, and implements, with the specific approval of its members, the relationships with the University of Pittsburgh and more particularly with the Schools of Medicine and Health Sciences. UHCP coordinates graduate medical education programs on behalf of the members and coordinates affiliations with health care providers consistent with its mission as a regional health resource. UPMC International Holdings, Inc. - EIN 23-2897712; 509(a)(3) The organization was established as a holding company to support the international activities of UPMC that support the overall exempt missions of UPMC's exempt entities. UPMC IMITs Center - EIN 20-8392908; 170(b)(1)(A)(vi); 509(a)(1) The University of Pittsburgh Medical Center's (UPMC) Innovative Medical and Information Technologies (IMITs) Center is a healthcare research, education, and management delivery system within UPMC. In collaboration with the United States military and government agencies, IMITs Center provides services and brings novel ideas to life. Through collaborations that shape tomorrow's civilian and military healthcare system, IMITs Center provides resources, solutions, and clinical innovation, research, and education. Possibilities for future innovation are limitless; creating a brighter future for military members, their families, veterans, and civilians. As an affiliate of UPMC, the IMITs Center serves as a national resource to rapidly and efficiently introduce innovative technologies and treatments to military healthcare providers and soldiers. The IMITs Center has the infrastructure and expertise to work with all sectors - government, private industry, and academic partners - to effect change on regional, national, and international levels. IMITs Center develops clinical and technology initiatives through academic, government, and private industry collaborations. The IMITs Center serves as a conduit between the Department of Defense and organizations seeking opportunities for partnership. Combining the most advanced telemedicine and telehealth technologies and innovations, some created and developed by IMITs Center itself, and state-of-the-art medical education and simulation technologies, IMITs Center offers relevant and innovative training methodologies to combat medics. Since military medical personnel operating behind the scenes play a vital role in the survival rate of troops, IMIT's programs provide training that improves resuscitative surgical care far forward on the battlefield, as well as advanced research and best practice care. IMITs Center enables medical personnel to strengthen skills working side-by-side with civilian colleagues who have treated trauma and critical care patients in state of the art facilities using proven medical protocol.
Part III Statement of Program Service Accomplishments Organizations Programs and Accomplishments (continued) Community Care Behavioral Health Organization - EIN 25-1799823; 509(a)(2) Community Care Behavioral Health Organization (Community Care), is a behavioral health managed care organization (BH-MCO) which manages behavioral health services for approximately one million members whose health coverage is sponsored through Medicaid, Medicare and commercial plans. Community Care's mission is to improve the health and well-being of the community through the delivery of clinically effective, cost-efficient, and accessible behavioral health services. It seeks to improve the quality of services for members through a stakeholder partnership focused on outcomes. Community Care believes that quality is measured by the improved health of its members, which translates to higher functioning in the community. Community Care believes that the highest quality services are best provided through a not-for-profit partnership with public agencies, experienced local providers, and involved members and families. Community Care manages behavioral health services, as well as treatment for drug and alcohol abuse to Medical Assistance enrollees under contracts with certain Pennsylvania counties and with the Commonwealth of Pennsylvania pursuant to the HealthChoices managed care program that was established by the Pennsylvania Department of Public Welfare. Individuals eligible for the Medical Assistance program are low-income or indigent members of the community who otherwise would not be able to afford to pay for mental health therapy and treatment and/or treatment for alcohol or drug addiction or dependency. With a network of approximately 2,900 behavioral health care providers, Community Care is the only BH-MCO with contracts in every Pennsylvania HealthChoices region (Southeast, Southwest, Northeast, North Central, and Lehigh-Capital). As of June 30, 2011, Community Care managed behavioral health care for nearly 621,000 Medicaid managed care enrollees in both urban and rural settings. In addition to its HealthChoices contracts, Community Care also manages behavioral health services under a contract with its affiliate, UPMC Health Plan, and a contract with the New York Office of Mental Health. Community Care's activities include the full range of services necessary to manage effective treatment to its behavioral/mental health enrollees, including care management, treatment coordination with other healthcare providers, claims processing, and quality management pursuant to National Committee for Quality Assurance standards. In addition to being the largest non-profit BH-MCO in the country, Community Care has been awarded "full" accreditation - the highest level possible - by the National Committee for Quality Assurance (NCQA). NCQA is a nationally recognized independent organization dedicated to measuring the quality of America's health care. NCQA's rigorous accreditation process includes on-site and off-site evaluations conducted by a team of physicians and managed care experts. Community Care received the highest rating given in all applicable standards. Specifically, NCQA noted Community Care's strong communications with practitioners and members, its ample network of providers, its network access standards, its strong incorporation of member input into preventive health programs, and its full collaboration with UPMC Health Plan and other physical and behavioral health practitioners. As of June 30, 2011, Community Care provided services to a population of approximately 1.4 million. Of those individuals, 621,000 or approximately 45%, are Medical Assistance recipients who pay no fee for the services provided. However, this population generates 98.6% of Community Care's total revenue earned in the fiscal year ended June 30, 2011. Community Care also further assisted the community by way of donations to local nonprofits that exceeded $654,000. UPMC for You, Inc. - EIN 90-0174238; 509(a)(2) UPMC for You is a Managed Care Organization (MCO) licensed by the Pennsylvania Department of Health and the Pennsylvania Insurance Department. Through contracts with the Department of Public Welfare (DPW), UPMC for You offers coverage to eligible Medical Assistance recipients living in 14 counties in Western Pennsylvania. UPMC for You has been the fastest growing Medical Assistance MCO in Southwest Pennsylvania (serving more than 153,709) in recent years. Additionally UPMC for You is ranked as the number one Medical Assistance MCO in Pennsylvania by NCQA and is ranked 13th nationally for CY2008. UPMC for You serves those members that meet certain federal poverty guidelines, including the aged, blind, and disabled, and has been very successful in meeting the needs of this unique population. UPMC for You further assisted community nonprofits with donations exceeding $1,100,000. Center for Emergency Medicine of Western Pennsylvania - EIN 25-1443759; 509(a)(3) The Center was originally formed in 1978 to bring the City of Pittsburgh and the University of Pittsburgh School of Medicine together to improve the quality and delivery of emergency medical services in Pittsburgh. Currently, the Center provides medical direction for the City of Pittsburgh Bureau of EMS. STAT MedEvac, a service of the Center for Emergency Medicine, provides air medical transport to patients with critical illnesses and/or injuries. STAT MedEvac is the Region's only helicopter service with three single pilot instrument rated helicopters. Each of STAT MedEvac's helicopters are staffed 24-hours a day with an EMS pilot and a two-person medical crew including a nurse, paramedic, or physician. As a consortium, the Center for Emergency Medicine is a unique model of success -- an advanced system of emergency transport, clinical care, education and research governed by a group of tertiary care and community hospitals and a leading university in concert with a major metropolitan municipality. The Center has become the world's leading institute for the advancement of emergency medicine research and education, and most importantly, patient care.
Part IV Checklist of Required Schedules   Question 12: An external audit is completed at a consolidated UPMC system level only, including UPMC and all subsidiaries.
Part VI Governance, Management, and Disclosure SECTION A: GOVERNING BODY AND MANAGEMENT QUESTION 1: The total number of voting board members and total number of independent board members represent a composite of all of the UPMC Group subordinates. However, these numbers do not include ex-officio or other board members who are not entitled to vote on board matters or members of boards that are advisory in nature and subject to the authority of the UPMC parent board for material board decisions. Although the composite numbers for the UPMC Group do not reflect majority board independence, all of these boards are ultimately subordinate to the UPMC parent board which is comprised of a majority (greater than 60%) of independent board members. Please see the UPMC parent Form 990 for more information. Question 2: Multiple UPMC Officers, Directors, Trustees, and/or Key Employees have business relationships by virtue of the fact that they are also Officers, Directors, Trustees, and/or Key Employees of UPMC subsidiaries and affiliates, which are not separately disclosed below. The following UPMC Officers, Directors, Trustees, and/or Key Employees have business relationships, as required to be disclosed by Form 990 Part VI, Section A, Line 2, by virtue of the fact that they are also Officers, Directors, Trustees, or Key Employees of other unrelated taxable organizations. Question 6: MOST OF THE UPMC GROUP ENTITIES HAVE A SOLE MEMBER, WHICH IS UPMC PARENT. A SMALL NUMBER OF GROUP ENTITIES HAVE MORE THAN ONE MEMBER. IN ALL CASES, THE MEMBERS ARE EXEMPT ORGANIZATIONS. ULTIMATELY THE GROUP ENTITIES AND THEIR RESPECTIVE MEMBERS (IF THE MEMBER(S) ARE NOT UPMC PARENT) ARE CONTROLLED BY UPMC PARENT. Question 7A and B: IN THE CASE OF MOST OF THE UPMC GROUP ENTITIES, THE MEMBER(S) APPOINT A SIGNIFICANT PORTION OF THE ENTITIES' BOARDS OF DIRECTORS (IF NOT THE ENTIRE BOARD). IN THE CASE OF MOST OF THE GROUP ENTITIES, THE MEMBER(S) ALSO HAVE THE RIGHT TO INITIATE, APPROVE OR OVERTURN ACTIONS OF THE ENTITIES' BOARDS. IN ADDITION, THE MEMBERS' ACTIONS, IF THE MEMBER(S) ARE NOT UPMC PARENT, ARE IN MOST CASES SUBJECT TO THE OVERALL AUTHORITY OF THE UPMC PARENT BOARD.
Part VI Governance, Management, and Disclosure SECTION B: POLICIES Question 11a & b: UPMC is the parent organization of the filing group and has, with respect to most entities in the group, the discretion and authority to initiate or veto actions taken by group member governing bodies. With respect to the remaining members, UPMC's authority is limited slightly but still significant, encompassing major matters including financial and tax matters. The completed Form 990 was reviewed by the UPMC Chief Financial Officer, members of the Corporate Tax Department, members of the Corporate Legal Department, and other members of UPMC's management prior to its filing. Various sections of the 990 were also reviewed by the Chief Executive Officer of UPMC and committees of UPMC'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 UPMC Board's Executive Committee established a 990 Subcommittee, comprised of the Chairs of the UPMC Board, Executive Committee, Executive Compensation Committee, Conflict of Interest Committee, Finance Committee and Audit Committee, which reviewed the entire completed Form 990. 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 UPMC 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 held a Form 990 question and answer session in which all members of the full UPMC Board were invited to participate. Question 12c: UPMC requires key employed and non-employed personnel to comply with its conflict of interest policies when they engage in UPMC-related business. People covered by the policies include: -UPMC board members, board committee members, corporate officers, and key employees -UPMC physicians and non-physician employees who hold a position of influence -Non-employed members of the UPMC medical staff who hold a position of influence or trust -Individuals conducting clinical research at UPMC, whether or not they are employed by UPMC. These people 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, helps to develop a written plan designed to prevent the conflict from influencing decisions related to that activity. The process is ultimately overseen by a conflict of interest committee of the UPMC board of directors on behalf of UPMC and all of its subsidiaries. In addition to the general corporate policy 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. Question 15a and b: 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, at least annually, the Committee reports to the Executive Committee, which in accordance with the Bylaws, has the authority to exercise essentially all of the powers and authority of the Board of Directors. With Executive Committee 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 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 inurnment, 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. Question 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.
Part VI Governance, Management, and Disclosure SECTION C: DISCLOSURE Question 19: UPMC's Public Website (www.upmc.com) makes its financial results, conflict of interest process, and various information about the 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, Directors, Trustees, Key Employees HIGHEST COMPENSATED EMPLOYEES AND INDEPENDENT CONTRACTORS Pursuant to Treasury regulation Section 1.6033-2(D)(5) The sponsoring entity of UPMC Group, UPMC, has elected to report information about contributions, gifts, grants and similar amounts received; compensation and other information about officers, directors, trustees, and key employees; certain other highly paid employees; certain professional contractors; and certain other contractors on a consolidated basis along with all members of the group in the UPMC Group return. THE COMPENSATION AMOUNTS LISTED REPRESENT THE FULL AND COMPLETE COMPENSATION PACKAGES PAID TO THE INDIVIDUALS FOR PERFORMING THEIR ASSIGNED DUTIES AT UPMC. A PORTION OF THE COMPENSATION DISCLOSED MAY RELATE TO EARNED AND PREVIOUSLY REPORTED DEFERRED COMPENSATION. A PORTION OF THE BENEFITS DISCLOSED MAY RELATE TO EARNED BUT UNPAID DEFERRED COMPENSATION. ALL SALARIES AND BENEFITS REPORTED ARE BASED ON INDIVIDUALS' OPERATIONAL POSITIONS AND ARE NOT FOR SERVICES PERFORMED AS DIRECTORS OR BOARD MEMBERS. BOARD POSITIONS ARE ALL VOLUNTEER AND UNPAID. PART VII OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES INDIVIDUALS THAT HOLD REPORTING POSITIONS WITH MORE THAN ONE ORGANIZATION ARE LISTED SEPARATELY IN PART VII WITH REGARD TO EACH ENTITY. INDIVIDUALS ARE COMPENSATED FOR OPERATIONAL ROLES ONLY, NOT FOR DUTIES PERFORMED AS DIRECTORS OR BOARD MEMBERS. The total hours disclosed in Part VII relates to the position for which the person is disclosed except in the case where the person is also employed by the same distinct entity. In such case, the hours reflect average hours spent in their operational role. For purposes of disclosure average hours per week for a full time person is listed as 40 hours, however, in almost all cases, this is a conservative estimate and most work hours in excess of 40 per week.
Part X Balance Sheet SCHEDULE K PART I, DESCRIPTION OF PURPOSE, COLUMN (F) MAY 3, 2006 FINANCING ONE NEW EUROCOPTER EC145 MODEL BK117C2 HELICOPTER, REGISTRATION NUMBER N698ME. DECEMBER 22, 2006 FINANCING ONE NEW EUROCOPTER EC145 MODEL BK117C2 HELICOPTER, REGISTRATION NUMBER N980ME; ONE NEW EUROCOPTER DEUTSCHLAND EC135T2 HELICOPTER, REGISTRATION NUMBER N831ME; ONE NEW EUROCOPTER DEUTSCHLAND EC135T2 HELICOPTER, REGISTRATION NUMBER N308ME; ONE NEW EUROCOPTER DEUTSCHLAND EC145 MODEL BK117C2 HELICOPTER, REGISTRATION NUMBER N304ME; ONE NEW EUROCOPTER DEUTSCHLAND EC145 MODEL BK117C2 HELICOPTER, REGISTRATION NUMBER N307ME. MARCH 28, 2007 FINANCING ONE NEW EUROCOPTER DEUTSCHLAND EC145 MODEL BK117C2 HELICOPTER, REGISTRATION NUMBER N304ME; ONE NEW EUROCOPTER DEUTSCHLAND EC145 MODEL BK117C2 HELICOPTER, REGISTRATION NUMBER N307ME; ONE NEW EUROCOPTER DEUTSCHLAND EC135T2 HELICOPTER, REGISTRATION NUMBER N527ME; ONE NEW EUROCOPTER DEUTSCHLAND EC135T2 HELICOPTER, REGISTRATION NUMBER N639ME. The Center for Emergency Medicine equipment financing amortization schedules that are used for general ledger reporting do not equal the debt amortization schedules as used and reported on Schedule K. For GAAP reporting, the balloon payments at the end of the lease are present valued over the life of the lease rather than having a large payment at the end of the lease.
Part XI Reconciliation of Net Assets   Reconciliation of Net Assets Net Unrealized Gains/Losses 22,168,216 Transfers from Exempt Parent -191,252,343 Net Restricted/SPF Activity 16,777,048 Other Increases/Decreases in Fund Balance -299,903 Currency Adjustment 4,748,632 JV Investment Adjustment -6,182,535 Change in Beneficial Interest 50,207,408 Transfers from Exempt Affiliate 633,628 Total Other Changes -103,199,849 An external audit is completed at a consolidated UPMC system level only, including UPMC and all taxable and tax-exempt subsidiaries.
Part XII Financial Statements and Reporting 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.
Schedule L Transactions with Interested Persons PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PARTIES (A) Name of Interested Person: Edith Tzeng M.D. (B) Relationship Between Interested Family Member of University Person and the Organization: of Pittsburgh Physicians Board Member Timothy Billiar M.D. (c) Amount of Transaction: $77,062 (D) Description of Transaction: Compensation (E) Sharing of Organizations Revenue: NO (A) Name of Interested Person: Ellen Frank M.D. (B) Relationship Between Interested Family Member of Former Person and the Organization: University of Pittsburgh Physicians Board Member David Kupfer M.D. (c) Amount of Transaction: $33,934 (D) Description of Transaction: Compensation (E) Sharing of Organizations Revenue: NO (A) Name of Interested Person: Linda M. Cadaret M.D. (B) Relationship Between Interested Family Member of University Person and the Organization: of Pittsburgh Physicians Board Member Barry London M.D. (c) Amount of Transaction: $213,293 (D) Description of Transaction: Compensation (E) Sharing of Organizations Revenue: NO (A) Name of Interested Person: Anna Roman PhD (B) Relationship Between Interested Family Member of University Person and the Organization: of Pittsburgh Physicians Board Member George Michalopoulos M.D. (c) Amount of Transaction: $326,787 (D) Description of Transaction: Compensation (E) Sharing of Organizations Revenue: NO (A) Name of Interested Person: Barbara Cohlan M.D. (B) Relationship Between Interested Family Member of University Person and the Organization: of Pittsburgh Physicians Board Member David H. Perlmutter M.D. (c) Amount of Transaction: $268,751 (D) Description of Transaction: Compensation (E) Sharing of Organizations Revenue: NO (A) Name of Interested Person: Valerie Trott (B) Relationship Between Interested Family Member of University Person and the Organization: of Pittsburgh Physicians Board Member John P. Williams M.D. (c) Amount of Transaction: $295,256 (D) Description of Transaction: Compensation (E) Sharing of Organizations Revenue: NO (A) Name of Interested Person: Patricia McCauley (B) Relationship Between Interested Family Member of UPMC Person and the Organization: Northwest Key Employee Roger McCauley (c) Amount of Transaction: $39,275 (D) Description of Transaction: Compensation (E) Sharing of Organizations Revenue: NO
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UPMC GROUP
 
Employer identification number

20-8295721
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) UPMC ITALY SRL
PIAZZA SETT ANGELI 1090134
  PALERMO  
IT
HEALTHCARE IT 39,948,009 18,048,374 UPMC OVERSEA
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) UPMC SENIOR COMMUNITIES INC

600 GRANT STREET

PITTSBURGH,PA15219
25-1574736 		SR. LIVING PA 501(c)(3) 9 UPMC
 
 
 
(2) PITTSBURGH LIFETIME CARE COMMUNITY

600 GRANT STREET

PITTSBURGH,PA15219
25-1335247 		CCRC PA 501(c)(3) 9 UPMC SR COMM
 
 
 
(3) CANTERBURY PLACE

600 GRANT STREET

PITTSBURGH,PA15219
25-0965334 		SR. LIVING PA 501(c)(3) 11(A) I UPMC SR COMM
 
 
 
(4) SENECA PLACE

600 GRANT STREET

PITTSBURGH,PA15219
72-1562844 		SR LIVING PA 501(c)(3) 9 UPMC SR COMM
 
 
 
(5) SHADYSIDE HOSPITAL SUPPORTING FOUNDATION

600 GRANT STREET

PITTSBURGH,PA15219
26-0303394 		FOUNDATION PA 501(c)(3) 11(A) I UPMC
 
 
 
(6) UPMC LEE

600 GRANT STREET

PITTSBURGH,PA15219
25-0613830 		INACTIVE PA 501(c)(3) 3 UPMC
 
 
 
(7) COMMMUNITY PHYSICIAN SERVICES INC

600 GRANT STREET

PITTSBURGH,PA15219
25-1722923 		INACTIVE PA 501(c)(3) 9 UPMC
 
 
 
(8) PITTSBURGH CARE PARTNERSHIP INC

600 GRANT STREET

PITTSBURGH,PA15219
25-1753852 		ADULTDAYCARE PA 501(c)(3) 9 NA
 
 
 
(9) UPMC CENTER FOR HIGH VALUE HEALTHCARE

600 GRANT STREET

PITTSBURGH,PA15219
45-2178782 		RESEARCH PA 501(C)(3) 7 UPMC
 
 
 
(10) CLINICALCONNECT HIE

600 GRANT STREET

PITTSBURGH,PA15219
27-4585032 		TECHNOLOGY PA 501(C)(3) 11(B)II UPMC
 
 
 
(11) UPMCST CLAIR HOSPITAL CANCER CENTER

600 GRANT STREET

PITTSBURGH,PA15219
45-2047948 		ONCOLOGY SRVS PA 501(C)(3) 3 U P CANCER
 
 
 
(12) SHADYSIDE HOSPITAL FOUNDATION

532 SOUTH AIKEN AVENUE

PITTSBURGH,PA15232
25-1290546 		FOUNDATION PA 501(c)(3) 11(C)III UPMC PRESBY
 
 
 
(13) PASSAVANT HOSPITAL FOUNDATION

9100 BABCOCK BLVD

PITTSBURGH,PA15237
25-1407815 		FOUNDATION PA 501(c)(3) 11(B)II UPMC PASS
 
 
 
(14) UPMC NORTHWEST FOUNDATION

100 FARFIELD DRIVE

SENECA,PA16346
25-1483624 		FOUNDATION PA 501(c)(3) 11(D)III UPMC NORTHWE
 
 
 
(15) ST MARGARET FOUNDATION

600 GRANT STREET

PITTSBURGH,PA15219
25-1520340 		FOUNDATION PA 501(c)(3) 11(c)III UPMC ST MARG
 
 
 
(16) CHILDREN'S HOSPITAL OF PITTSBURGH

600 GRANT STREET

PITTSBURGH,PA15219
25-1865744 		FOUNDATION PA 501(c)(3) 7 UPMC CHP
 
 
 
(17) MAGEE-WOMEN RES INST AND FOUNDATION

600 GRANT STREET

PITTSBURGH,PA15219
25-1462311 		FOUNDATION PA 501(c)(3) 7 NA
 
 
 
(18) UPMC HAMOT

201 STATE STREET

ERIE,PA16550
25-0965387 		HOSPITAL PA 501(c)(3) 7 UPMC
 
 
 
(19) KANE COMMUNITY HOSPITAL

4372 ROUTE 6

KANE,PA16735
25-0998168 		HOSPITAL PA 501(c)(3) 3 UPMC HAMOT
 
 
 
(20) REGIONAL HEALTH SERVICES INC

300 STATE STREET

ERIE,PA16507
25-1403958 		OUTPATIENT SV PA 501(c)(3) 9 UPMC HAMOT
 
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) LILIANE S KAUFMANN MOB ASSOC

600 GRANT STREET
PITTSBURGH,PA15219
25-1551779 		MED OFFICE BL PA UPMC PRESBYSHA
  		RELATED 576,699 5,194,650   No 0 Yes   93.514 %
(2) SENECA HILLS ASSISTED LIVING LP

600 GRANT STREET
PITTSBURGH,PA15219
23-2873106 		ASSISTED LIVI PA UPMC SR COMMUNI
  		RELATED 0 0   No 0 Yes   100.000 %
(3) ST MARGARET MEDICAL ARTS ASSOCIATES

600 GRANT STREET
PITTSBURGH,PA15219
25-1786655 		MED OFFICE BL PA UPMC SR COMMUNI
  		RELATED 0 0   No 0 Yes   100.000 %
(4) CORE NETWORK LLC

600 GRANT STREE
PITTSBURGH,PA15219
25-1786209 		HEALTHCARE PA UPMC COMM PROVI
  		RELATED 5,236,907 8,346,769   No 0 Yes   75.694 %
(5) UPMC JEFFERSON REGIONAL HOME HEALTH LP

600 GRANT STREET
PITTSBURGH,PA15219
25-1844485 		HOMECARE PA UPMC COMM PROVI
  		RELATED 7,741 224,253   No 0 Yes   60.810 %
(6) LIFE HOME CARE LP

600 GRANT STREET
PITTSBURGH,PA15219
25-1847839 		HOMECARE PA UPMC COMM PROV
  		RELATED 557,037 9,002,716   No 0 Yes   66.667 %
(7) SHADYSIDE MEDICAL CENTER ASSOCIATION

600 GRANT STREET
PITTSBURGH,PA15219
25-1608318 		MED OFFICE BL PA MEDICAL CTR PRO
  		RELATED 0 0   No 0 Yes   100.000 %
(8) CHARTWELL PA LP

600 GRANT STREET
PITTSBURGH,PA15219
25-1729714 		HOMEHEALTH PA UPMC COMM PROV
  		RELATED 11,501,075 1,236,036   No   Yes   83.000 %
(9) LIFE HOME CARE SERVCS NORTHWESTERN PENN

1647 SASSAFRAS STREET
ERIE,PA16501
25-1536879 		HOME HEALTH SVC PA BAYSIDE DEVELOP
  		RELATED 0 0   No   Yes   95.000 %
(10) HAMOT-KCH REAL ESTATE VENTURE

300 STATE STREET
ERIE,PA16501
26-3691782 		MEDICAL OFFICE BL PA UPMC HAMOT
  		RELATED 0 0   No   Yes   100.000 %
(11) HAMOT SURGERY CENTER LLC

200 STATE STREET
ERIE,PA16507
25-1863661 		AMBULATORY SURGER PA UPMC HAMOT
  		RELATED 0 0   No   Yes   51.000 %
(12) RX PARTNERS LTC LLC

600 GRANT STREET
PITTSBURGH,PA15219
25-1855593 		PHARMACY SERVICES PA RX PARTNERS INC
  		RELATED 0 0   No   Yes   100.000 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) HCPHARMACY CENTRAL INC
600 GRANT STREET
PITTSBURGH,PA15219
25-1364192 		PHARMACY CO-O PA VARIOUS
  		C 3,205,112 380,939 78.571 %
(2) CHILDREN'S COMMUNITY CARE
600 GRANT STREET
PITTSBURGH,PA15219
25-1781887 		PEDIATRIC SVC PA CHILDREN'S HOSP
  		C 68,142,885 8,465,564 100.000 %
(3) UPMC HORIZON HEALTH PLAN
600 GRANT STREET
PITTSBURGH,PA15219
25-1804543 		MEDICAL SERVI PA UPMC HORIZON
  		C 0 0 100.000 %
(4) NORTHWEST RADIATION TREATMNT
600 GRANT STREET
PITTSBURGH,PA15219
25-1562979 		RADIATION SVC PA UPMC HORIZON
  		C 324,820 0 66.670 %
(5) COOLOCK ENTERPRISES INC
600 GRANT STREET
PITTSBURGH,PA15219
25-1512753 		REAL ESTATE PA UPMC MERCY
  		C 0 1,244,190 100.000 %
(6) UPMC CANCER CENTERS INTERNATIONAL LIMITE
6TH FLOOR BEACON HOSPITAL
SANDYFORD   DUBLIN 18
EI
HOLDING CO EI U OF P CANCER
  		C 0 0 100.000 %
(7) UPMC CANCER CENTERS IRELAND LIMITED
6TH FLOOR BEACON HOSPITAL
SANDYFORD   DUBLIN 18
EI
CANCER TREATM EI UPMC CC INTER
  		C 0 0 100.000 %
(8) UPMC CANCER CENTERS HOLDING
600 GRANT STREET
PITTSBURGH,PA15219
25-1877017 		HOLDING CO PA UPMC
  		C 0 54,634,054 100.000 %
(9) HEMATOLOGY ONCOLOGY ASSOC
600 GRANT STREET
PITTSBURGH,PA15219
42-1648357 		HEALTHCARE PA UPMC CC HOLDING
  		C 0 0 100.000 %
(10) ONCOLOGY HEMATOLOGY ASSOC
600 GRANT STREET
PITTSBURGH,PA15219
25-1762980 		HEALTHCARE PA UPMC CC HOLDING
  		C 0 0 100.000 %
(11) SEWICKLEY MEDICAL ONCOLOGY-HEMATOLOGY GR
600 GRANT STREET
PITTSBURGH,PA15219
25-1890216 		HEALTHCARE PA UPMC CC HOLDING
  		C 0 0 100.000 %
(12) TRI-STATE NEUROSURGICAL ASSOCIATES
600 GRANT STREET
PITTSBURGH,PA15219
25-1458655 		HEALTHCARE PA UPMC CC HOLDING
  		C 0 0 100.000 %
(13) RENAISSANCE FAMILY PRACTICE - UPMC INC
600 GRANT STREET
PITTSBURGH,PA15219
26-2942406 		HEALTHCARE PA UPMC CC HOLDING
  		C 0 0 100.000 %
(14) UPMC HOLDING COMPANY INC
600 GRANT STREET
PITTSBURGH,PA15219
25-1777713 		HOLDING CORP PA UPMC
  		C 43,418,122 271,277,457 100.000 %
(15) UPMC COVERAGE PRODUCTS INC
600 GRANT STREET
PITTSBURGH,PA15219
25-1777710 		HOLDING CORP PA UPMC HOLDING CO
  		C 0 0 100.000 %
(16) FREEDOM INSURANCE COMPANY
600 GRANT STREET
PITTSBURGH,PA15219
03-0308944 		INSURANCE VT UPMC COV PRODS
  		C 0 0 100.000 %
(17) TRI-CENTURY INSURANCE CO
600 GRANT STREET
PITTSBURGH,PA15219
25-1500739 		INSURANCE PA UPMC COV PRODS
  		C 0 0 100.000 %
(18) UPMC INSURANCE AGENCY INC
600 GRANT STREET
PITTSBURGH,PA15219
25-1883237 		INSURANCE PA UPMC COV PRODS
  		C 0 0 100.000 %
(19) UPMC HEALTH BENEFITS INC
600 GRANT STREET
PITTSBURGH,PA15219
25-1844144 		INSURANCE PA UPMC COV PRODS
  		C 0 0 100.000 %
(20) UPMC HEALTH NETWORK INC
600 GRANT STREET
PITTSBURGH,PA15219
72-1527566 		INSURANCE PA UPMC COV PRODS
  		C 0 0 100.000 %
(21) UPMC HEALTH PLAN INC
600 GRANT STREET
PITTSBURGH,PA15219
23-2813536 		INSURANCE PA UPMC COV PRODS
  		C 0 0 88.660 %
(22) UPMC BENEFIT MANAGEMENT SERVICES INC
600 GRANT STREET
PITTSBURGH,PA15219
25-1769564 		WORKERS' COMP PA UPMC COV PRODS
  		C 0 0 100.000 %
(23) UPMC DIVERSIFIED SERVICES INC
600 GRANT STREET
PITTSBURGH,PA15219
25-1778454 		HOLDING CORP PA UPMC HOLDING CO
  		C 0   100.000 %
(24) MONROEVILLE SPECIALTY CLINIC
600 GRANT STREET
PITTSBURGH,PA15219
25-1666087 		HEALTHCARE PA UPMC HOLDING CO
  		C 0   100.000 %
(25) MEDICAL ARCHIVAL SYSTEMS INC
600 GRANT STREET
PITTSBURGH,PA15219
23-2912501 		SOFTWARE DEVE DE UPMC HOLDING CO
  		C 0   90.000 %
(26) PRESBY HEALTH RESOURCE MGMT
600 GRANT STREET
PITTSBURGH,PA15219
25-1422155 		HEALTHCARE PA UPMC DIVERSIFIE
  		C 0   100.000 %
(27) RX PARTNERS INC
600 GRANT STREET
PITTSBURGH,PA15219
25-1801966 		RETAIL PHARM PA UPMC DIVERSIFIE
  		C 0   100.000 %
(28) BIOTRONICS INC
600 GRANT STREET
PITTSBURGH,PA15219
25-1843500 		EQUIP MAINTEN PA UPMC DIVERSIFIE
  		C 0   100.000 %
(29) MEDICAL CENTER PROPERTIES INC
600 GRANT STREET
PITTSBURGH,PA15219
25-1796940 		REAL ESTATE PA UPMC HOLDING CO
  		C 0 0 100.000 %
(30) UPMC ENVIRONMENTAL RESEARCH CENTER
600 GRANT STREET
PITTSBURGH,PA15219
20-4309237 		INACTIVE PA STRAT BUSINESS
  		C 0 0 100.000 %
(31) ASKESIS DEVELOPMENT GROUP INC
600 GRANT STREET
PITTSBURGH,PA15219
54-1625585 		SOFTWARE DEVE DE UPMC
  		C 908,412 3,202,806 70.000 %
(32) PANTHER REINSURANCE COMPANY LTD
 
 
INSURANCE CJ Cathedral Reins
  		C 0 0 100.000 %
(33) FORBES REINSURANCE COMPANY LTD
 
 
INSURANCE CJ UPMC
  		C 9,847,422 129,173,758 100.000 %
(34) CATHEDRAL (RE) INSURANCE CO
 
 
INSURANCE CJ FORBES REINSURA
  		C 0 0 100.000 %
(35) UPMC INTERNATIONAL HEALTH INITIATIVES
600 GRANT STREET
PITTSBURGH,PA15219
84-1706741 		INACTIVE PA UPMC INT'L HOLD
  		C 0 0 100.000 %
(36) UPMC IRELAND LIMITED
6TH FLOOR BEACON HOSPITAL
SANDYFORD   DUBLIN 18
EI
HEALTHCARE SU EI UPMC INT'L HOLD
  		C 670,868 129,255,618 100.000 %
(37) UPMC UNITED KINGDOM LTD
C/O NAIRCO 11TH FLOOR WHITEFRIARS
LEWINS MEAD,Bristol UKBS1 2NT
UK
98-0571026 		SOFTWARE LICE UK UPMC INT'L HOLD
  		C -1,622,136 2,095,177 100.000 %
(38) UPMC CYPRUS HOLDINGS LTD
JULIA HOUSE 3 THEMISTOCLES DERVIS
NICOSIA   CY 1066
CY
HEALTHCARE SU CY UPMC INT'L HOLD
  		C 0 0 100.000 %
(39) UPMC CYPRUS LTD
JULIA HOUSE 3 THEMISTOCLES DERVIS
NICOSIA   CY 1066
CY
HEALTHCARE SU CY UPMC Cyprus Hol
  		C 0 0 100.000 %
(40) UPMC Beacon Sandyford Limited
Ste 36 Beacon Hall Beacon Court
Sandyford,N/ADublin 18
EI
Hospital Oper EI UPMC Ireland LT
  		C 0 0 66.670 %
(41) UPMC BCS Limited
Ste 36 Beacon Hall Beacon Court
Sandyford,N/ADublin 18
EI
Holding Compa EI UPMC Beacon San
  		C 0 0 100.000 %
(42) UPMC BMGS Limtied
Ste 36 Beacon Hall Beacon Court
Sandyford,N/ADublin 18
EI
Triology Leas EI UPMC Beacon San
  		C 0 0 100.000 %
(43) UPMC BHSH Limited
Beacon Hall The Mall at Beacon Crt
Sandyford,N/ADublin 18
EI
HOLDING COMPANY EI UPMC Beacon San
  		C 0 0 100.000 %
(44) KANE ANESTHESIA PROFESSIONAL SERVICES
4372 ROUTE 6
KANE,PA16735
05-0555457 		ANESTHESIA SVCS PA KANE COMMUNITY
  		C 0 0 100.000 %
(45) BAYFRONT REGIONAL DEVELOPMENT CORP
300 STATE STREET
ERIE,PA16507
25-1401388 		RE HOLDING CO PA UPMC HAMOT
  		C 0 0 100.000 %
(46) BAYSIDE DEVELOPMENT CORP
300 STATE STREET
ERIE,PA16507
25-1401386 		REAL ESTATE/PHARM PA BAYFRONT REG DE
  		C 0 0 100.000 %
(47) 21ST CENTURY BIODEFENSE INC
600 GRANT STREET
PITTSBURGH,PA15219
26-3806281 		HEALTHCARE PA UPMC
  		C -5,610,353 -13,156,839 100.000 %
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) LILIANE S KAUFMANN MOB ASSOCIATES

 A 10,688  
(2) UPMC PASSAVANT

 A 38,598  
(3) UPMC BEDFORD

 J 127,212  
(4) CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC

 J 7,075,123  
(5) UPMC HORIZON

 J 364,621  
(6) UNIVERSITY OF PGH CANCER INST CANCER SERVICES

 J 50,565  
(7) MAGEE-WOMENS HOSPITAL OF UPMC

 J 2,373,461  
(8) UPMC MCKEESPORT

 J 272,430  
(9) UPMC MERCY

 J 2,249,020  
(10) UPMC PASSAVANT

 J 3,302,650  
(11) UPMC NORTHWEST

 J 55,447  
(12) UPMC PRESBYTERIAN SHADYSIDE

 J 9,048,996  
(13) UPMC ST MARGARET

 J 836,275  
(14) UNIVERSITY OF PITTSBURGH PHYSICIANS

 J 321,686  
(15) UPMC COMMUNITY MEDICINE INC

 J 312,179  
(16) UNIVERSITY OF PITTSBURGH PHYSICIANS

 I 18,465,263  
(17) UPMC COMMUNITY MEDICINE INC

 I 1,746,028  
(18) MAGEE-WOMENS HOSPITAL OF UPMC

 I 1,469,779  
(19) UPMC PRESBYTERIAN SHADYSIDE

 I 691,865  
(20) TRI-STATE NEUROSURGICAL ASSOCIATES-UPMC INC

 I 201,153  
(21) ONCOLOGY-HEMATOLOGY ASSOCIATION INC

 I 216,934  
(22) UPMC

 J 17,973,561  
(23) RENAISSANCE FAMILY PRACTICE- UPMC INC

 I 72,713  
(24) SHADYSIDE MEDICAL CENTER ASSOCIATES

 J 2,438,287  
(25) LILIANE S KAUFMANN MOB ASSOCIATES

 J 1,641,816  
(26) ST MARGARET MEDICAL ARTS ASSOCIATES

 J 390,799  
(27) UNIVERSITY OF PGH CANCER INST CANCER SERVICES

 I 173,771  
(28) CENTER FOR EMERGENCY MEDICINE OF WESTERN PA

 I 81,072  
(29) CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC

 I 485,799  
(30) THE HERITAGE SHADYSIDE

 I 202,501  
(31) UPMC COMMUNITY PROVIDER SERVICES

 I 178,868  
(32) UPMC SENIOR COMMUNITIES

 I 168,644  
(33) CRANBERRY PLACE

 I 1,807,720  
(34) COMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION

 I 63,312  
(35) SHADYSIDE MEDICAL CENTER ASSOCIATES

 I 83,200  
(36) CHILDREN'S COMMUNITY CARE

 O 306,915  
(37) UPMC

 O 63,083,392  
(38) CHILDREN'S COMMUNITY CARE

 P 322,400  
(39) THE CENTER FOR BIOSECURITY OF UPMC INC

 P 170,000  
(40) STRATEGIC BUSINESS INITIATIVES LLC

 P 914,749  
(41) UPMC PRESBYTERIAN SHADYSIDE

 O 225,557,778  
(42) UNIVERSITY OF PGH CANCER INST CANCER SERVICES

 P 1,302,891  
(43) UNIVERSITY OF PITTSBURGH PHYSICIANS

 P 35,693,013  
(44) UPMC COMMUNITY PROVIDER SERVICES

 P 1,735,035  
(45) UPMC COMMUNITY MEDICINE INC

 P 5,142,237  
(46) UPMC EMERGENCY MEDICINE INC

 P 543,863  
(47) UPMC HORIZON

 P 3,630,333  
(48) UPMC OVERSEAS INC

 P 2,419,115  
(49) SUGAR CREEK STATION

 P 236,092  
(50) UPMC BEDFORD MEMORIAL

 P 877,957  
(51) UPMC NORTHWEST

 P 2,665,772  
(52) VISITING NURSES ASSOC OF VENANGO COUNTY

 P 1,633,805  
(53) MAGEE-WOMENS HOSPITAL OF UPMC

 P 63,745,144  
(54) UPMC PASSAVANT

 P 23,611,396  
(55) UPMC ST MARGARET

 P 16,804,217  
(56) CHILDREN'S HOSPITAL

 P 15,498,245  
(57) UPMC MCKEESPORT

 P 3,196,178  
(58) UPMC MERCY

 P 10,596,331  
(59) UPMC FOR YOU

 P 4,237,059  
(60) COMMUNITY CARE BEHAVIORAL HEALTH

 P 4,537,391  
(61) BIOTRONICS INC

 P 191,276  
(62) CANTERBURY PLACE

 P 62,998  
(63) CHARTWELL PA LP

 P 607,593  
(64) CORE NETWORK LLC

 P 294,500  
(65) PRESBY HEALTH RESOURCE MANAGEMENT INC

 P 184,416  
(66) LIFE HOME CARE LP

 P 55,274  
(67) RX PARTNERS LTC LLC

 P 80,198  
(68) PITTSBURGH LIFETIME CARE COMMUNITY

 P 84,160  
(69) SENECA PLACE

 P 409,738  
(70) HEMATOLOGY ONCOLOGY ASSOCIATION

 P 1,157,034  
(71) ONCOLOGY-HEMATOLOGY ASSOCIATION INC

 P 652,500  
(72) UPMC HEALTH BENEFITS INC

 P 150,476  
(73) UPMC BENEFIT MANAGEMENT SERVICES INC

 P 3,488,488  
(74) UPMC HEALTH PLAN INC

 P 6,555,807  
(75) UPMC HEALTH NETWORK INC

 P 3,819,911  
(76) CATHERDRAL REINSURANCE COMPANY LTD

 P 441,066  
(77) FORBES REINSURANCE COMPANY LTD

 P 475,921  
(78) PANTHER REINSURANCE COMPANY LTD

 P 125,979  
(79) TRI-CENTURY INSURANCE COMPANY

 P 209,965  
(80) MONROEVILLE SPECIALTY CLINIC INC

 P 396,084  
(81) TRI-STATE NEUROSURGICAL ASSOCIATES-UPMC INC

 P 349,264  
(82) UPMC HOLDING COMPANY INC

 P 3,641,051  
(83) RENAISSANCE FAMILY PRACITCE-UPMC INC

 P 604,060  
(84) MAGEE-WOMENS HOSPITAL OF UPMC

 Q 70,110,248  
(85) UPMC MCKEESPORT

 Q 7,336,735  
(86) UPMC PASSAVANT

 Q 58,223,307  
(87) UPMC NORTHWEST

 Q 68,852,338  
(88) UPMC PRESBYTERIAN SHADYSIDE

 Q 82,952,651  
(89) UPMC ST MARGARET

 Q 29,709,912  
(90) UPMC BRADDOCK

 C 204,176  
(91) CHILDREN'S HOSPITAL OF PGH OF UPMC HEALTH SYS

 C 83,500,679  
(92) UPMC HORIZON

 C 4,484,737  
(93) UPMC MERCY

 C 296,225  
(94) UNIVERSITY OF PITTSBURGH PHYSICIANS

 C 380,970  
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
PART III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP RESPONSES AND AMOUNT IN COLUMNS F-K REPRESENT TOTALS/RESPONSE FOR UPMC(PARENT) AND/OR ALL UPMC GROUP MEMBERS
PART IV IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORPORATION OR TRUST AMOUNTS REPORTED IN COLUMNS F-G REPRESENT TOTALS FOR UPMC(PARENT) AND/OR ALL UPMC GROUP MEMBERS.
Additional Data


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