Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
UNIVERSITY OF PITTSBURGH |
250965591 | 2 | Yes | 0 | 0 | |
| (B)
UPMC |
251423657 | 3 | Yes | 0 | 0 | |
| (C)
UPMC PRESBYTERIAN SHADYSIDE |
250965480 | 3 | No | 0 | 0 | |
| (D)
UPMC BRADDOCK |
251800797 | 3 | No | 0 | 0 | |
| (E)
UPMC ST MARGARET |
232875070 | 3 | No | 0 | 0 | |
| (F)
UPMC COMMUNITY PROVIDER SERVICES |
251804746 | 10 | No | 0 | 0 | |
| (G)
UPMC PASSAVANT |
250965451 | 3 | No | 0 | 0 | |
| (H)
UPMC BEDFORD |
231396795 | 3 | No | 0 | 0 | |
| (I)
UPMC LEE |
250613830 | 3 | No | 0 | 0 | |
| (J)
UPMC MCKEESPORT |
250965423 | 3 | No | 0 | 0 | |
| (K)
UPMC HORIZON |
250523970 | 3 | No | 0 | 0 | |
| (L)
UPMC MAGEE-WOMEN'S HOSPITAL |
250965420 | 3 | No | 0 | 0 | |
| (M)
UPMC COMMUNITY MEDICINE INC |
251727721 | 3 | No | 0 | 0 | |
| (N)
UNIVERSITY OF PITTSBURGH PHYSICIANS |
232919472 | 3 | No | 0 | 0 | |
| (O)
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH |
250402510 | 3 | No | 0 | 0 | |
| (P)
UPMC NORTHWEST |
250489010 | 3 | No | 0 | 0 | |
| (Q)
COMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION |
251799823 | 10 | No | 0 | 0 | |
| (R)
UPMC SENIOR COMMUNITIESINC |
251574736 | 10 | No | 0 | 0 | |
| (S)
UPMC CENTER FOR HEALTH SECURITY |
043770052 | 3 | No | 0 | 0 | |
| (T)
UPMC FOR YOU |
900174238 | 10 | No | 0 | 0 | |
| (U)
UPMC IMITS CENTER |
208392908 | 7 | No | 0 | 0 | |
| (V)
UPMC MERCY |
250965429 | 3 | No | 0 | 0 | |
| (W)
UPMC EAST |
274814831 | 3 | No | 0 | 0 | |
| (X)
UPMC HAMOT |
250965387 | 3 | No | 0 | 0 | |
| (Y)
UPMC CENTER FOR HIGH-VALUE HEALTHCARE |
452178782 | 7 | No | 0 | 0 | |
| (Z)
UPMC ALTOONA |
231352155 | 3 | No | 0 | 0 | |
| (AA)
PITTSBURGH CARE PARTNERSHIPINC |
251753852 | 10 | No | 0 | 0 | |
| (AB)
REGIONAL HEALTH SERVICESINC |
251403958 | 10 | No | 0 | 0 | |
| (AC)
SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HAMOT |
251317492 | 10 | No | 0 | 0 | |
| (AD)
GREAT LAKES PHYSICIAN PRACTICE PC |
464186362 | 3 | No | 0 | 0 | |
| (AE)
UPMC ALTOONA PARTNERSHIP FOR A HEALTHY COMMUNITY |
251842308 | 10 | No | 0 | 0 | |
| (AF)
UPMC EMERGENCY MEDICINEINC |
251787601 | 10 | No | 0 | 0 | |
| (AG)
PASSAVANT PROFESSIONAL ASSOCIATESINC |
251755608 | 10 | No | 0 | 0 | |
| (AH)
UNIVERSITY OF PITTSBURGH CANCER INSTITUTE CANCER SVCS |
251899326 | 3 | No | 0 | 0 | |
| (AI)
BUTLER HEALTH SYSTEMUPMC MUSCULOSKELETAL JOINT VENTURE INC |
471869395 | 3 | No | 0 | 0 | |
| (AJ)
ERIE PHYSICIANS NETWORK - UPMCINC |
453012506 | 3 | No | 0 | 0 | |
| (AK)
SUGAR CREEK STATION |
251472178 | 3 | No | 0 | 0 | |
| (AL)
CRANBERRY PLACE |
043709885 | 10 | No | 0 | 0 | |
| (AM)
PITTSBURGH LIFETIME CARE COMMUNITY |
251335247 | 10 | No | 0 | 0 | |
| (AN)
THE HERITAGE SHADYSIDE |
020614185 | 10 | No | 0 | 0 | |
| (AO)
CANTERBURY PLACE |
250965334 | 10 | No | 0 | 0 | |
| (AP)
SENECA PLACE |
721562844 | 10 | No | 0 | 0 | |
| (AQ)
UPMC HOME HEALTHCARE OF WESTERN PENNSYLVANIA |
251222033 | 10 | No | 0 | 0 | |
| (AR)
HOME NURSING AGENCY AFFILIATES |
251518698 | 10 | No | 0 | 0 | |
| (AS)
UPMC ADVANCED PRACTICE PROVIDERS |
471301784 | 10 | No | 0 | 0 | |
| (AT)
UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA |
251188570 | 10 | No | 0 | 0 | |
| (AU)
UPMC BEHAVIORAL HEALTH OF THE ALLEGHENIES |
251517533 | 10 | No | 0 | 0 | |
| (AV)
HOME NURSING AGENCY FOUNDATION |
251467014 | 10 | No | 0 | 0 | |
| (AW)
CENTER FOR EMERGENCY MEDICINE OF WESTERN PA |
251443759 | 10 | No | 0 | 0 | |
| (AX)
UPMC JAMESON |
250965406 | 3 | No | 0 | 0 | |
| (AY)
CHILDREN'S ADVOCACY CENTER OF LAWRENCE COUNTY |
251581304 | 7 | No | 0 | 0 | |
| (AZ)
UPMCJAMESON CANCER CENTER |
201459415 | 3 | No | 0 | 0 | |
| (BA)
JAMESON MEDICAL CAREINC |
260462696 | 10 | No | 0 | 0 | |
| (BB)
JAMESON CARE CENTERINC |
232871396 | 10 | No | 0 | 0 | |
| (BC)
UPMC SUSQUEHANNA |
232751183 | 3 | No | 0 | 0 | |
| (BD)
MON YOUGH COMMUNITY SERVICESINC |
251202461 | 10 | No | 0 | 0 | |
| (BE)
UPMC KANE |
250998168 | 3 | No | 0 | 0 | |
| (BF)
UPMC MUNCY |
240806023 | 3 | No | 0 | 0 | |
| (BG)
DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN |
240799343 | 3 | No | 0 | 0 | |
| (BH)
SUSQUEHANNA PHYSICIAN SERVICES |
232449454 | 3 | No | 0 | 0 | |
| (BI)
UPMC WILLIAMSPORT |
240795508 | 3 | No | 0 | 0 | |
| (BJ)
UPMC WELLSBORO |
232176963 | 3 | No | 0 | 0 | |
| (BK)
THE GREEN HOME |
240804365 | 10 | No | 0 | 0 | |
| (BL)
WILLIAMSPORT AREA AMBULANCE SERVICE COOPERATIVE |
232416166 | 10 | No | 0 | 0 | |
| (BM)
UPMC LOCK HAVEN |
821600494 | 3 | No | 0 | 0 | |
| (BN)
UPMC SUNBURY |
821592230 | 3 | No | 0 | 0 | |
| (BO)
UPMC CHAUTAUQUA AT WCA |
160743226 | 3 | No | 0 | 0 | |
| (BP)
STARFLIGHT INC |
161557878 | 7 | No | 0 | 0 | |
| (BQ)
SOUTH CENTRAL ALPHA HOUSING AND HEALTHCAREINC |
251701701 | 10 | No | 0 | 0 | |
| (BR)
SOUTH WESTERN ALPHA HOUSING AND HEALTHCAREINC |
251701700 | 10 | No | 0 | 0 | |
| (BS)
BUTLER HEALTH SYSTEMUPMC OBGYN JOINT VENTURE INC |
815255736 | 3 | No | 0 | 0 | |
| (BT)
CHARLES COLE MEMORIAL HOSPITAL |
240802108 | 3 | No | 0 | 0 | |
| (BU)
UPMC LANCASTER |
820896436 | 3 | No | 0 | 0 | |
| (BV)
UPMC LITITZ |
820844453 | 3 | No | 0 | 0 | |
| (BW)
UPMC MEMORIAL |
820912090 | 3 | No | 0 | 0 | |
| (BX)
PINNACLE HEALTH REGIONAL PHYSICIANS |
820947698 | 3 | No | 0 | 0 | |
| (BY)
COMMUNITY LIFE TEAM |
231890444 | 7 | No | 0 | 0 | |
| (BZ)
UPMC PINNACLE HOSPITALS |
251778644 | 3 | No | 0 | 0 | |
| (CA)
PINNACLE HEALTH MEDICAL SERVICES |
251709054 | 3 | No | 0 | 0 | |
| (CB)
UPMC CARLISLE |
820880337 | 3 | No | 0 | 0 | |
| (CC)
ASBURY HEALTH CENTER |
250969472 | 10 | No | 0 | 0 | |
| (CD)
ASBURY VILLAS |
251819952 | 10 | No | 0 | 0 | |
| (CE)
ASBURY PLACE |
251729266 | 10 | No | 0 | 0 | |
| (CF)
ASBURY FOUNDATION |
251555688 | 7 | No | 0 | 0 | |
| (CG)
UPMC HOME CARE MANAGEMENT SERVICES |
830857507 | 10 | No | 0 | 0 | |
| (CH)
UPMC HANOVER |
231360851 | 3 | No | 0 | 0 | |
| (CI)
UPMC SOMERSET |
250965570 | 3 | No | 0 | 0 | |
| (CJ)
TWIN LAKES CENTER INC |
232910318 | 3 | No | 0 | 0 | |
| (CK)
SOMERSET HEALTH SERVICES INC |
251441920 | 3 | No | 0 | 0 | |
| (CL)
AUUE INC |
820946389 | 3 | No | 0 | 0 | |
| (CM)
UPMC LOCUM CLINICIANS |
832683509 | 3 | No | 0 | 0 | |
| (CN)
UPMC HORIZON COMMUNITY HEALTH FOUNDATION |
251501823 | 7 | No | 0 | 0 | |
| (CO)
UPMC ALTOONA FOUNDATION |
550787040 | 7 | No | 0 | 0 | |
| (CP)
WCA GROUP INC |
222393582 | 10 | No | 0 | 0 | |
| (CQ)
UPMC WESTERN MARYLAND CORPORATION |
520591531 | 3 | No | 0 | 0 | |
| (CR)
SUSQUEHANNA HEALTH FOUNDATION |
232743470 | 10 | No | 0 | 0 | |
| (CS)
WESLEY HILLS |
251507472 | 10 | No | 0 | 0 | |
|
Total 97
|
0 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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 | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 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 | ||||||
| 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 | ||||||
| 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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART IV, SECTION A, LINE 1 | MHSF PROVIDES INTEGRATED FUNDRAISING PROGRAMS TO SERVE THE UNIVERSITY OF PITTSBURGH AND UPMC, AND TO SUPPORT, PROVIDE ASSISTANCE TO, AND ADVANCE THE INTERESTS OF THE UNIVERSITY (AND ANY AFFILIATED ORGANIZATION DESCRIBED IN SECTIONS 501(C)(3) AND 509(A)(1) OR (2) OF THE CODE) AND, THROUGH ITS SUPPORT OF UPMC, TO SUPPORT, PROVIDE ASSISTANCE TO, AND ADVANCE THE INTERESTS OF ANY CORPORATION OR ORGANIZATION AFFILIATED WITH UPMC WHICH IS DESCRIBED IN SECTIONS 501(C)(3) AND 509(A)(1) OR (2) OF THE CODE. THE REPORTED ORGANIZATIONS NOT SPECIFICALLY LISTED IN THE MHSF GOVERNING DOCUMENTS ARE IN A CLASS CONSIDERED TO BE THE SUBSIDIARIES OF UPMC. |
| PART IV, SECTION A, LINE 5A | THE FOLLOWING ORGANIZATIONS WERE ADDED TO THE CLASS OF UPMC SUBSIDIARIES THAT IS REFERRED TO IN THE MHSF ORGANIZING DOCUMENTS AS A RESULT OF A UPMC BUSINESS DECISION: SUSQUEHANNA HEALTH FOUNDATION EIN: 23-2743470; WESLEY HILLS EIN: 25-1507472; UPMC WESTERN MARYLAND CORPORATION EIN: 52-0591531. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS TWO MEMBERS: THE UNIVERSITY OF PITTSBURGH AND UPMC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE UNIVERSITY OF PITTSBURGH AND UPMC DESIGNATE DIRECTORS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS BY THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE UNIVERSITY OF PITTSBURGH AND UPMC AS MEMBERS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING. ALL ISSUES WERE ADDRESSED AND RESOLVED AT THAT TIME BY THE OFFICERS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS THE CONFLICT OF INTEREST POLICY BY COMMUNICATING WITH OFFICERS REGARDING ANY REPORTED CONFLICTS OR APPEARANCE OF CONFLICTS. ALL ISSUES ARE ADDRESSED APPROPRIATELY AND TIMELY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST. |
| PART VI, SECTION B,LINE 15A: | DUE TO MHSF'S UNIQUE ORGANIZATIONAL STRUCTURE,THE CO-CEO'S DETERMINE THE SALARY OF THE PRESIDENT AND CHIEF DEVELOPMENT OFFICER BASED ON INDUSTRY STANDARDS. THE CO-CEO'S REPRESENT THE TWO MEMBER ORGANIZATIONS WHICH ARE RESPONSIBLE FOR FUNDING 100% OF MHSF'S OPERATIONS. |
| Software ID: | |
| Software Version: |